HomeMy WebLinkAboutZ-25861FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NO: Z- 25861
Date: 07/30/98
THIS CERTIFIES that the building DWELLING
Location of Property 4080 GREAT PECONIC BAY BLVD
(HOUSE NO.)
County Tax Map No. 473889 Section 128
Subdivision
LAUREL
(STMEET) (HAMLET)
Block 0004 Lot 025
Filed Map No. Lot No. --
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY ND/4BER Z- 25861 dated JULY 30, 1998
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLINO WITH ACCESSORY OARA~E *
The certificate is issued to JOAN CROSSON
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
PENDING - JI~LY 24, 1998
N/A
Rev. 1/81
LOCATION:
SUBDIVISION:
NAME OF OWNER (S): JOAN CROSSON
OCCUPANCY: SINGLE FAMILY
ADMI~'PED BY: KEVIN O'ROURF~
BUILDING DEPARTMENT
TOWN OF SOUTEOLD
HOUSING CODE INSPECTION REPORT
4080 GRE. AT PECONIC BAY BLVD LAUREL
JOAN CROSSON
ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 128.-4-~
SOURCE OF REQUEST: KEVIN O'ROURKE. JULY 16. 1995 DATE: 07/30/~5
TYPE OF CONSTRUCTION: WOOD FRAM~ # STORIES: 1.0 ~ EXITS: ~
FOUNDATION: BLOCK & SLAB CELLAR: ~Q% CRAWL SPACE: 10%
TOTAL ROOMS: 1ST FLR.: 7 2ND ELR.: O 3RD FLR.: O
BATHROOM(S): i.Q TOILET ROOM(S): O,O UTILITY ROOM(S): --
PORCH TYPE: COVERED REAR DECK TYPE: PATIO TYPE:
BP~EEZEWAY: FIREPLACE: YES GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: ~ AIRCONDITIONING:
TYPE BEAT: HOT AIR * WARM AIR: EOTWATER:
OTHER: *STREET GAS
ACCESSORY STRUCTURES~
GARAGE, TYPE OF CONST.: WOOD FRAME-TWO CAR * STORAGE, TYPE CONST.:
SWI~4ING POOL: GUEST, TYPE CONST.:
OTHER: *C~kRAG~ WITH SLEEPING & BATHING ONLY FULL BATE & UTILITY ROOM,
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTIQ~ I ART.
SEC.
REMARKS: BP ~16448-Z-COZ-iS892(ARBOR-)BP~25870-Z. (FRONT & P~2~R PORCH ADDITIONS)
INSPECTED BY: /'---~--~'--~'&~__~ DATE ON INSPECTION: 07/22/98
MICHAEL J. VERITY TIME START: 10:15 AN END: 11:05 AN
~que~c fO~: Te~. ora--7 ,Cari:&£.~.cata ........... ~'inal Cerctcac' ...........
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGe, 1
8071953 BUEEAU OF ELECTRICITY
~'-- 40 FULTON STREET, NEW YORK, NY 10038
D=te JULY 31,1998 Application No. o, 3~e 16474198/98 H 060820
THIS ~RTIFI,E$ ~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, 408~ PECONIC BAY BLVD., LAUREL, NY
in the following location; [] Basement [] 1st Ft. [] 2nd Fl. G.a~,/OUT Section Block Lot
was examined on O-U~Y 24,1998 and found to be in compliance with the National Electrical Code.
OUTLETS,'~ ~MT. K,W ..........
DRYERS I FURNACE MOTORS IFUTUREAPPLIANCEFEEDER$ SPECIALREC~PT. TIME CLOCKS I BELL I UNIT HEATER$ MULTI-OUTLET DIMMERS
SYSTEMS
· .,.,.w.o,, H.,. ,.,. *""/NO. A.W.~. AMT. a,i,. *tm'. AMPS. TRANS. "3'.NO*OF'FEET AMT. WATTS
RE,ICE I:fl~'cOI%INECT NO*OF ·
OTHER APPARATUS:
ENTIRE PREMISES- 1
*NO VISUAL DEFECTS: "An electrical
survey has been mad9 of the exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactory condition was found.
JOAN CROSSON
4080 PECONIC BAY BLVD.
LAUREL, NY, 11948
FEE PAID
AMOUNT
PLEASE REMIT BY CHECK OR MONEY
ORDERTOTHEORDEROFTHENEW
YORK BOARD OFFIRE UNDERWRITERS
ASCASHSENTBY MAIL WILLBEATRISK
OFSENDER.
Per I1
THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF COMPLIANCE. THIS BILL PAYABLE AT THE NEW YORK OFFICE, 40 FULTON STREET, NEW YORK, N+Y+ 10038
5
~ MOnA$
q&o&- o /
~UR~£Y FOR
ANNA M~RIE DOH~RTY
AT LAUREL.
SUFFOLK COUNTY N.~
SCALE: I"=40
JULY 9, 1968