HomeMy WebLinkAbout25070-zFORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25070 Z Date JULY 29, 1998
Permission is hereby granted to:
JOAN CROSSON
25 NORTH 4TH STREET
NEW HYDE PARK,NY 11040
for :
CONSTRUCTION OF FRONT & REAR ADDITIONS TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR "AS BUILT"
at premises located at 4080
County Tax Map No. 473889 Section 128
pursuant to application dated JUNE
Building Inspector.
GREAT PECONIC BAY BLVD LAUREL
Block 0004 Lot No. 025
12 1998 and approved by the
Fee $ 75.00
Buildin~/~nspect~
ORIGINAL
Rev. 2/19/98
JUL 16 '98 &l:O4AM SOUTHOLD TONH HALL 5~6 '76~ 28~
P.1
TOWN 0F SOUTHOLD
T
7
APPLICATION FOR
post. ir. brand fax transmittal memo
This applies:ion must be filled in by ~
inspecgor with the following: for new
1.
Final survey of .propar:y with aCCUL
errants, and unusual natural or topographic features.
2. Final Approval from Health Dept. o£ water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installs:inn from Board of F~re Underwriters.
4, Sworn sta=eme~: from plumber certifying that =he solder used in system contains
less than 2/10'of 1% lead.
5. C~mmer¢ial building, /ndus:rtal building, mul~iple r~sidences and s~milar buildings
an~ installations, a cer=ificata of Code Comp~iance from architee~ or an~eer
responsibl~ for =he building.
~. Sub~t Plannin~ Soard ~proval of completed si:e plan requ~re~en=$.
~_ ~or ew~e~4,e buildi~g~,.(.pr~Or =o April 9, 1957) non-confo~ing uses, or buildings and
1. Accu~ace Su~my o~ p=oper[y showing all propmrgy l~nes, scraecs, building and
unusual natural or uopographi= features.
2. A prope=ly completed applica~ion an~ a comsant =o inspeut si~ by :he applicant.
reasons :herefor in ~i~img ~o :h~ applicant,
I. Certificate of Occupancy - New dwellin~ $25.00, Additions to dwelling $25.00,
Alders:ions to dwellim~ ~25,00, Swimming pool $15.00~ Accassory building $25.00,
.--A&kli=iOnS Co accessory build/mr~SiS.00. Bus/neesas $50.00.
· Certificate of 0ccuP~ncy on-~re ~;~sti~g BUii~n~ - $100.00~
Cop~ of Cer=lzi~a~e O£ occupancy - ~ .~.------
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15~00, Co,~ercial $15.O0
..... ........ .x7.7. .........
Hous~ No. S~ree~ '
o= ...............................................
PI g. oo o~.oo
..,~leck ................ Lot
subdivision Filed Map Lo~ .............
Health Dept. Approval .......................... Underwriters Approval .........................
Planning ~oa=4 Approval ........................
gequest for: Temporary Certificate ........... Fin~i Certicats ...........
APFLICA.L~
FIELD INSPECTION REPORT DATE COI~ENTS
II
FOU~AT~O~ (~ST) {1
II I
I{ }
II
INS~TION PER N.Y. n jj
S~A~ ~ II
COD~ ,,
FINAL lJ
II
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
MS. JOAN CROSSON
25 NORTH 4TH STREET
~ Fax (516) 765-1823
~~~~'~ ~ Telephone (516) 765-1802
BUILDING DEPARTMENTk,I /
TOVfN OF SOUTHOLD
MARCH 9, 2~0
2~ NOT~ICATION
/
NEW HYDE PARK, N.Y. 11040 /
To Whom This May Concern:
We are unable to.complete yp~ Certificate
of
Occupancy
because of the following reason~
XX An application for/Certificate of Occupancy is
not on file. ~Enclosed)./
Underwr~te~sCertificate on f~le.'
No
/
XX The check ~ not on file. $25.00
/
No H~a 1 t//h~!Depar t~ent' Appyova 1
No fxn~/~nspect~on nas ~een m
No P~ber Solder Certificate on f~le.'
-- (~!l permits involving plumbing being
,~,~sued// after April 1, 1984).
Please~ntact our offxce on th~s matter. Thank you for
cooperatio~:~
SOUTHOLD TOWN BUILDING DEPT.
*THE ABQgE BUILDING PERMIT HAS EXPIRED.IT IS UNLAWFUL TO OCCUPY
OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN
ISSUED. TO AVOID A VIOLATION BEING ISSUED, PLEASE APPLY FOR THE
C.O. SO THAT WE MAY CLEAR UP THIS MATTER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
80719~ BUREAU OF ELECTRICITY
~-- 40 FULTON STREET~ NEW YORK, NY 10038
Date JULY 31,1998 Application No. on file 16474198/98 H 060820
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
JOAN CROSSON, 4080 PECONIC BAY BLVD., LAUREL, NY
in the following location; [] Basement [] 1st Fl. [] 2nd Fl. GAR/OUT Section Block
was examined on JULY 24 ~ 1998 and found to be in compliance with the National Electrical Code.
Lot
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FIXTURE
OUTLETS RECEPTACLES SWITCHES
DRYERS
SYSTEMS
NO. OF FEET
E
E R
C
NO. OF CC COND. A.W. G NO. OF HI-LEG A. W, G NO. OF NEUIRAL$ A. W, G.
OTHER APPARATUS:
ENTIRE PREHISES-i
*NO VISUAL DEFECTS: "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated°" "No obvious
unsatisfactory condition was found.
JOAN CROBSON
4080 P~CONIC BAY BLVD.
LAUREL, NY, 11948
Per GENERAL MANAGER
11
This certificate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT, THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORH HO.
TOWN OF $OUTUOLD
BU~LDIN~ DgPAR'I}IgNT
TOWN
SOUTIIOI,D ~ N.Y,
TEL: 765-1802
Uhdld[~ lnsl~tor)
APPLICATION FOR BUILDING
f aF4)licant is e corporetio-, signature of duly ~tt~)rized officer.
i:~,k;';~' ;i;:i;';i:',:,:,~;;~;';i:}i;;i ...................
~dl~rs I,ice~ ~ ..........................
Pl~rs Lice~ ~ ..........................
INSTRUCTIONS
a. 'lids applicati~ raise b~ ~letely gill~ in by t~riter or tn I~ ~l ~nittM to g~ ~dlding l~ctor
3 ~Cs of pl~, at,rate plot plan to ~ale. F~ acco~[~ to ~le.
b. PloC pl~ ~l~ l~ttm o~ lot ~ o~ ~tldt~s ~ ~t~e, ~lati~dp to ~joini~ p~t~s or ~l)iic
struts or areas, a~ 8tvi~ ~ ~toil~ ~ripCt~ o[ lay~C oE pro~rty ~mt ~ dr~ ~ tl~ diana, ~dd~ la ~rt of
d. U~ a~al of ~ds a~].i~ti~, tim ]~lldi~ ]~s~c~or will is~ a ~lldl~ ~mt~ to tim appll~,
~it ~all ~ ~pt ~ O~ ~s ~ail~le for i~ti~ ch~t tl~ ~rk.
~a.I~'rt~ IB }~ D~ to tim Ik~lldi~ ~rt~nt ~or ~m is~ o[ a ~lldt~ ~[t ~r~t ~o
~lati~s, ~or tim ~t~ti~ o[ ~dldi~, ~ltt~s or alter~Ct~ or for ~al or ~litl~,
~ ;~ .~ . ......................................... , .......................................
........................................................
76~1e02 ~ AM TO 4 PM FOR TH~
I FO~NDATION. TWO ,EQUISE~
4. FINAL * CONSTRUCTION MUST
BE COMPLETE FOR"C.O~
El, ectcicians IAce~ae Ilo ...................... ALL CONSTRUCTION SHALL M;ET
· , .. .. . THE REQUIREMENTS OF THE N Y
Oust.Trade s u, cer~ ~ .................... STATE~?.gNST.RU.C,T.I.O.N' ,~...~:~'E,.R:G.~ ..
I.. I~caC~o~ of la~d o~ ~i. dd~ proposed ~ork will I~ (lc~e ......... .. ............. CO'OE$'~..~OY.-,~I~PO~SIBLE FQ~' '
/~/)'IY ~'~'(a~z~ /~ a,~/ Z~.~..,~ff..f...L ..... A~..~ ..... Z?.zr~::: ..................
· · ( .... ~ ..............................
.... ...... ....
2.State Cxisting u~
.. ~,,,~,.. ,. ~ .~ ..... ~.~aa/.... ....................................................... .
.............................. ~X v~gv~c:~?~ ~; ;Ju.. .........................
I0,
il,
12,
13,
16,
3. I,kaura 'cE ~ork (d~eck ~,tildl appt!eabl.e)l ~ Building .......... Addltioa ,... ....... 6.1.1:eratton ..........
Itelmtr ............ Removal .... I ........ I}e~lll:le~ ............ OUter go~ ,.'~T.~/.;~7.~.~. .....................
(to ~ ~ld mi ~llln~ thin al~HCa~l~)
5. I~ (~lllt~ tx~i~r O~ ~llltg {~lta .......... }k~d~r o~ &~lltflg t~ICfl ~ ead~ ~cmr .....
/
I~ gurage~ ~t~l~r o~ ~ra .......... ~ ........................
6. 1~ I~ml~en, ~mrelal or mill ~1~ s~cl~ ~t:ure a~ exte~e o~ ead~ ty~ o~ u~ ...............
'l ' ''-' ....... ...........
fl. IlJt*en~lom O~ entire ~ ~at Clmt l~t .... ~ ........... I~ar ............... ~pLh ..............
~l~a a~ a~t~ ..............................................................
. ...... ,~...,., ....... ~ree8 ........... . .................. ~ ~ .............
15. :.o~ a ti(~l ~tla~? * ~ .......... ~ ..~...
lq.OT DIAORAH,
I~ate clearly ~ dlatl~tly atl ~tldl~a, dreamt ~latlna or pro~. ~ tMicate all ~t-I~ dl~naiona
fr~ i)rof~r~y ll~a. Oi~ nt~t ~ I)1~ ~lmr or t~scrlp~l~ aero.inS to t~, a~ ~ street ~a cai t~lSca~e
tdetlmr l.terlor or eo~t 1o:.
Ztx~e or u~e dlatrict In ~dch p~
lloea proposed c~mtmaCion viol,
~ill IcC {~ r~r~ ?..~.
~ o~ ~r of pc~al~n ~
~,e o~ A~dt~t .............
· ~m o~ C~tr~tor
thin p~rty wlflkln ~ ~
!?...~. .............. behqt d. ly ~rn, dalx)~.ea taxi Pays thac he ia the nPPLtc~m:
:arc-rate officer, ccc.)
mtl~rl~.d to tx~r~onn or htme tar fan,ed Lhe ~atd work taxi t;o .~ke ami £il.e thla
npl)l/cati(m; Lhnl~ till ataterente ca,t arced in this epplicaci<m are tree to tl*e I~aat ol~ Ilia klx~vledge m~J I)dlie/:~ t, xl
tlmc th9 ~*.)vk will 1~ peri,armed la the .~n.er ~et fort. h in the nppl. icat:lcm filed tlmrewtU{.