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Home My WebLink AboutZ-6944FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy NoAWb ............Marc.... ....... Date March 5 1. ..., 19. ?6 THIS CERTIFIES that the building located at . 8/F . Pec oaic . Bay .Blvd . , Street Map No. ?FF?� ........ Block No.... 7onC ...Lot No. ?.. Laurel N.Y. requirements for one fan .. dwelling lows ng code conforms substantially to the built certificate of occupancy dated ... befora .W..23..., 19.5?. pursuant to which ��No.Z6944 . . dated ......... March ... 25 197b.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is Private one family dwelling with private garage & utility shed issuedis ................................ ......................... I.............. The certificate is issued to Earle D & .Margaret...N .Tenpelt..o...... n Owner.9 ....... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. pre' . existing UNDERWRITERS CERTIFICATE No. , pre-exi..s.ting .................................. HOUSE NUMBER ...50...... Street ....creat Peconic Bay Blvd. ......................... Building Inspector HOUSING CODE INSPECTION March 24, 1976 4450 Great Peconic Bay Blvd. R-1 Laurel, N. Y. Tax Roll: Earl D. Templeton Occupant, owner Upon receiving an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this one story framed dwelling. I was admitted to building by Mr. Templeton who accompanied me during this inspection which began at approxi- mately 3:30 P.M. The building consists of three bedrooms, kitchen, living room, dining room, enclosed porch and a full bathroom. Heat is furnished to all rooms from an oil fired, two zoned, hot water furnace located in partial full cellar. Building's foundation is poured concrete. Accessory structures consist of a utility shed and a two car garage with attached bath house facilities. I found no violations of the Housing Code, Chapter 52, Town of Southold, New York. Inspection completed at approximately 3:45 P.M. R pectfull submitted, GLFil�i�t Edward Hindermann EH:mm Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted n v� to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 d5 5.Updated C.O. $15.00 Date ..... ............. New Building .........//..... Old or Pre-existing Building ..k< ..... Vacant Land ............. Location of Property .!7 % ° ... � �'"J�C . P .,-�.i� ............. , kj.�i! /:_7. . House No. Street Hamlet AI Owner or Owners of Property .. .. r!I :ni ..`I"..... o.a!nA...�!UI. . County Tax Map No. 1000 Section .... �. ..... Block .. 0 .� ........ Lot ..�a tm6 ....... Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... Request for TempoorrarryyyCCertiC-late .....................Final Certificate ....... ............ Fee Submitted $ ..1. ...........::� q.) .... CG4i. Construction on above described building and per t (meets all applicabl codes and regulations. Applicant .....!�"^'r"��.. .. ......................... Rev. 10-10.78 WK . cp SURVEY FOR 4 EARL D. 81 MARGARET N. TEMPLETON LAUREL TOWN OF SOUTHOLD SUFF. CO.; N.Y.0) GUARANTEED TOt ry FRANKLIN BANK OFLA. 4'. SCALE: I "= 609 INTER-COUNTNATIONAL Y TITLE GUARANTY B MAY 17, 1961 MORTGAGE CO. NOTE 0 a MONUMENT /PROFESSIUN—A E�NGIR AND j LAND SURVEYOR, N.Y.S. LIC.NQ12845 RIVERHEAD, N.Y. . ty� ON. 0 WK . cp SURVEY FOR 4 EARL D. 81 MARGARET N. TEMPLETON LAUREL TOWN OF SOUTHOLD SUFF. CO.; N.Y.0) GUARANTEED TOt ry FRANKLIN BANK OFLA. 4'. SCALE: I "= 609 INTER-COUNTNATIONAL Y TITLE GUARANTY B MAY 17, 1961 MORTGAGE CO. NOTE 0 a MONUMENT /PROFESSIUN—A E�NGIR AND j LAND SURVEYOR, N.Y.S. LIC.NQ12845 RIVERHEAD, N.Y. i