HomeMy WebLinkAbout47893-Z �O-S�FFOt Town of Southold 8/26/2022
a P.O.Box 1179
o -
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43371 Date: 8/26/2022
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 2930 Bray Ave.,Laurel
SCTM#: 473889 Sec/Block/Lot: 126.40-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/12/1982 pursuant to which Building Permit No. 47893 dated 6/2/2022
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:
accessory in-ground swimming pool fenced to code as applied for.
The certificate is issued to Roache III,Benedict
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47893 7/19/2022
PLUMBERS CERTIFICATION DATED 17
A1064zed g ature
s
_r J
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH'OLD, N: Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N� 11812 Z Date ......... ,d(„ll.. ......4..19................. 194."
r
Permission is hereby granted to:
x/0412 7
................................................................................
........../-. .4 . .ob: :a..........................................
......,,�`.`. �. ..s �, ..:. .... ......
. 1 �
to .........G� .�`fsl:G!�� .....f.�'1
....................................................................................................................... .... .a............................
of premises located at ..... �Q........ f" W. Av..,c ..... �.•, :' .,/.�/.... .,.
7
.................................................................................................................................................................
.................................................................................................................................................................
County Tax Map No. 1000 Section ....l Z-6..... Block .... Jo.......... Lot No. .Q/<::)..........
_/_a-
pursuant to application dated ..........14c4lie� ......./,a//.................. 19.�� and approved by the
Building Inspector.
C2.0
Fee $........................
C
i
r ...... Inspect
or ........
BHiding
Rev. 6/30/80
FORM NO.6 � �'r+�`,�
c �f I_�
TOWN OF SOUTHOLD
Building Department
Dj
1986
Town plan � AUG Q 6
43outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SDUTHOLD
Instructions
in duplicate
A. This application must be filled in typewriter OR ink,and submitted V o:.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 pines, 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
Date
New Building . . . . . . . . . . . . . Old'or Pre-existing Building Vacant Land
Location of Property .a.?3 ?. . . . . �! .
House No. . • 4it treat Hamlet
Owner or Owners of Property '61 . . . . . . . . . . . . . . . . . . . . . .
p
County Tax Map No. 1000 Section . . . . . . . . . . . . . . . Block . . . . . . . . . . . . . . . Lot . . . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map N . . . . . . . .Lot No
. . . . . . . . . . . . .
Permit No l l Date of Permit'. M,/� .Applicant
HealthDept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .
Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . ..
Request for Temporary ertifi ate . . . . . . . . . . . . .Final Certificate . . . . .�. . . . . . . . . . . . . . . .
Fee Submitted $ .�.../. . . . . . . . I Y�:(. . ! . . . . . . . . . .
Construction on above described building d per it meets all applicable codes and regulations.
Applicant . . . '`.^:. .�. /� . . . . . . . . . . . . . . . . . . . . . . . . . .
Rev.10.10-78
SOUjyDI
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 •� • �o sean.devlin()-town.southold.ny.us
�yC0UN1`1,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Benedict Roache III
Address: 2930 Bray Ave city:Laurel st: NY zip: 11948
Building Permit#: 47893 Section: 126 Block: 10 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1 st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks 1
Disconnect Switches 4'LED Exit Fixtures Pump 1
Other Equipment: Heater, Pump 220GFI, Light 120GFI, Timeclock
Notes: " AS BUILT NO VISUAL DEFECTS " Pool
Inspector Signature: Date: July 19, 2022
S.Devlin-Cert Electrical Compliance Form
ass-iso2
BUILDING DEPT.
INSPECTION ,
[ ] FOUNDATION 18T [ ROUGH . PLBa.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
sc. �
DATE "'116p& INSPECTOR hCC4e"�)�
pF so /Z
h
# # TOWN OF SOUTHOLD BUILDING DEPly.
`�couhmeF'' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
V! e
Qlt Ljnnzcl-&-d
P ,( k bov 4,E 1prokell
I
G- c,# Vary/w 1 4 o
vg,vme 4eAA" 6Va Ain . o- e
l
DATE 7 INSPECTOR
OF 50(/lyOlo
# TOWN OF SOUTHOLD BUILDING DEPT.
°< cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING iv] FINAL-1 O`er
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
Soft CIOS . PV—C/-)
Svv4t�,
IAVA
S b oo-v� ter,
W 146W M W& i 1 (Av W l-r-'
vhlu Cfflb-9 wi:� I -- I
� c
DATE I INSPECTOR
o��OF SO�TyoL4_1
* TOWN OF SOUTHOLD BUILDING DE T.
couNn631-765-1802
f
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O ]- RENTAL[ ]- RENTAL
REMARKS:
�ATE �'I INSPECTOR
g so
TOWN OF SOUTHOLD BUILDING DEPT.
courm 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [rSAULATIOWCAU INGFRAMING /STRAPPING [ NL ,Q �P�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSP TION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
( lZ
DATE INSPECTOR
FIELD YNSPATION JDATE COMMENTS '-
H �
FOUNDATION ( 1st )
o
Ca
FOUNDATION ( 2nd ) C• m Q
2 .
z
o
ROUGH FRAME &
PLUMBING
3 . l l ' (Cr,NI S� 1-3
1 �J
INSULATION PER N . Y .
STATE ENERGY )AM I�s 1 ✓!, Hyl
CODE AIR
r
r� \
v.
�F NAL
I
z
ADDITIONAL COMMENTS :
b-a-as 'a Ccs+bp -r J $ 1 50 --[Dlj?qq
H
l--I
z�
. x
r
H
x
d
' H
` FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT °
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
/
Vc`1 � Application No. ��1�Z
Examined . �. � . . .�. . . ., 19 � pp• � • - • • • • •
Approved 1�1WPermit No.
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
- 6
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Buil ' g Inspector)
APPLICATION FOR BUILDING PERMIT
Date 4 ry. ./� . . . . . . .. 19,f
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submittedto the Building
Inspector,with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for necerSignature
ions.
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
of applicant, or ame, if a corporation)
,� X71 . . . . . . . . . . /�:�o. .!�9s-z . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises (9�9C-vi. . . . .� . . . �. '�?hut :. . R.() .. . . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer)
Builder's License No. . . . . . X101 . . . . . . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No.. . . .
Other Trade's License No. /
1. Location of land on which proposed work will be done. . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . .. ... .
i
fik-�w. . . . . . . . . ... . . �.. . . . . . . . . . . . . . . . . . . �2�/ �!.r. . . . . . . . . . . . . .
House Number Street Hamlet
County Tax Map.No. 1000 Section . . . . . . . . . . . . Block . . . . . . . . . Lot . d.f . . . . . . . . . . .
Subdivision . . . . J4 . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . .
(Name)
2. State existing use and occupancy of remises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . . �S:.�2.�?! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
G t
b. Intended use and occupancy . . .�-G�/.Y.)-:--.2.-. . . . .(�c�-:J . . »�./•;al/�-4,�Y:�ln.� . .� . . . . . .
3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition.. . . . . . . . . . Alteration . . .n. . . .
Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work�.iv,'l i•.Fo o i- .
f � (Description,)
4. Estimated Cost . . . . f�.S—�.�. . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . .r���. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
5. If dwelling,number of dwelling units . . . . . . . . . . . . ... . Number of dwelling units on each floor . . . . . . . . . . . . . . . .
If garage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. If business, commercial or mixed occupancy, specifynature and extent of each type of use . . . . . . . . . . . . . . . . . . . . .
7. Dimensions of existing structures,if any: Front . 3. . . . . . . . . . Rear . . .k-3. . . . . . . . . Depth . 345 . . . . . . . . . .
Height . . . . . . . . . . . . . . . Number of Stories . . N e-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . .
8. Dimensions of entire new construction: Front . . . . �6? . K.e_ R Rear . . . . . . . . . . . . . . ..
. . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . .
Height . . . . . . . . . . . . . . . Number of Stories . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot: Front . . /.` �' .S.Z. . . . . . . . . . Rear . . . . I. 9 , .7 . . . . . . . Depth ®r R z- . .
10. Date of Purchase . . .I.`��.9. . . . . . . . . . . . . . . . . . . Name of Former Owner 91-:5�her fl . �:. �.�:
11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: PC. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded 111 b. . Will excess fill be removed from premises: Yes No
p.o.
14. Name of Owner of premises 1�?� +. . . .. . .x:4 . . . Address .o.1 .�� . . . . . . . . . . Phone No. g x.14.7. 9. . . .
Name of Architect . ... . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . ... . . . . . . . . . .
Name of Contractor . . . . . ... . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . . . . . . .
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEKY_ RK, S.S
COUNTY O LL
,. . . D. C_i"4e. . being duly sworn, deposes and says that he is the applicant
(Name of individual si ing contract)
above named.
Heisthe . . . . . . . . . . . . . . . . . . . 6.cu7^? K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief;and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
. . . . . . . . ./k,2 . . . . . . .day of. . . . . . . . . . . ., 19r9'.
No ry Public, ��. . . County
�.
C EU B VolX.;
WXIy IOU I Sypp d M . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ns. 92.81.25 50, S" .(Signature of applicant)
ibrm Wires Mann Ia.
oSuF Fat BUILDING DEPARTMENT- Electrical lnspb6ior
TOWN OF SOUTHOLD
1
Town Hall Annex- 54375 Main Road - 00-Bo*A�1,71T 6 2022
Cn
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 76579502
rogerr(cDsoutholdtownny.gov- seandt�southoldtownny-.gow k
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
Company Name: See Owner Information Below.
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Joan Quinn Roache
Address aq3O Bray Ave, Laurel NY 11948
Cross Street: Peconic Bay Blvd.
Phone No.: 631-662-7812
Bldg.Permit 4 - 14 -7 e-133 email:jquinn311@aol.com
Tax Map District: 1000 Section:126 Block: 10 Lot:10
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
BP# 11812 to be renewed for-1jN=W40'x20' Inground Pool w/Fence.
Upon Inspection, Including Electrical Inspection, CO to be Issue J" S_quare Footage: 1800
Circle All That Apply:
Is job ready for inspection?: YES [] NO F-]Rough In Final
Do you need a Temp Certificate?: F-] YES FV-]NO issued On
Temp Information: (All information required)
Service SizeF11 PhF-]3 Ph Size: A #Meters Old Meter#
❑New ServiceEl Fire ReconnectE]Flood ReconnectE]Service Reconnect E]UndergroundE]Overhead
#Underground Laterals E]1 2 R H Frame E] Pole Work done on Service? F]Y ON
Additional Information:
PAYMENT DUE WITH APPLICATION
/V CP
1�k
• i a
�D BUILDING DEPARTMENT-Electrical Inspector,`
�y0 TOWN OF SOUTHOLD
y = Town Hall Annex- 54375 Main Road -'PO Bo)OA17T 5 2022
Southold, New York 11971-0959
*4 Telephone (631) 765-1802 - FAX (631) 765-9502
®1 �� rogerr _southoldtownny.aov - seand(cDsoutholdtownny.gov.
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: See Owner Information Below.
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Joan Quinn Roache
Address* 930 Bray Ave, Laurel NY 11948
Cross Street: Peconic Bay Blvd.
Phone No.: 631-662-7812
Bldg.Permit 4 _ L4 -7 r133 email:jquinn311 @aol.com
Tax Map District: 1000 Section:126 Block: 10 Lot: 10
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
BP# 11812 to be renewed for-11JEW40'x20' Inground Pool w/Fence.
Upon Inspection, Including Electrical Inspection, CO to be Issue .
Square Footage: 1800
Circle All That Apply:
Is job ready for inspection?: ❑1 YES ❑ NO -]Rough In ❑✓ Final
Do you need a Temp Certificate?: ❑ YES ❑V NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame 0 Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
KV CP
OD �����
PERMIT# - Address:
Switches
Outlets
G FI's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven WAD
Smokes DW Mini
Carbon Micro
Generator.
Combo Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special: '
Comments: 1
2
1 .
TEL.765-1802
\p��FfrUCI���Oli TOWN OF SO=OLD
OFFICE OF BUILDING INSPECTOR
o , P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 1.1�971
To Whom This May Co cern,
We are unable to complete your Certificate
of Occupancy because ..of the following reasons.
An application for Certificate of Occupancy
is not on file.
No Underwriters Certificate on file.
The check is (outdated/not on file. )
No Health Dept. Approval on file.
No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
j
Building Permit # J_ _L _' JL Z
Building Dept.
No. Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1 ,1984 )
s'
TEL. 765-180?.
TOWN 01' SOUTHOLD
OF ICF. N BUILDING INSPECTOR
n
P.O. BOX 728
TOWN I[ALL
SOUTI101.1), N.Y. 11971
�! g�a .Asj
43 November
November 27 , 1987
Mr . John B . Roache
Box 523
7�a5 lg�
Mattituck , New York 11952
To Whr;m Th iz; May '(',, otic:ern,
Vic, rtrr_ 1111 able to complete your Certificate
Of 0C:(.:1tp,arv_-y bec.�au:;c of the following reasons .
/ 1
An :1E�1� 1i.c:�.tti.on for Certificate of Occupancy
Certificate on file .
'1 h c.ltc c 1, i!; ((-)tltc3,zt:ec]fppgx�NxW RX NXXXXXXTHE ORETURNE$25EREW
E'W00
Dept . Approval on file .
t:,_, ti.raia ] i11:;lac!ct.ion has been made .
cont:ttct. our office on this matter.
'111,171k yra1; for your cooperation .
tlui ] d i.n(l Pormi.t II _L _L .L z
lit) ;;older Cc:rt_-ificate on file .
(
(-Ill pQrrai.t:; involving plumbing being
i;runt] after April 1 , 1904 )
Occupancy or use is unlawful without a Certificate of Occupancy.
Clear up this matter as soon as possible so that legal action does not:
have to be taken.
Thank you.
97 loo
�t j,�i ''; ® �CG`f ! ?i•f.` USJ - t tZC,r= I. `j'UTtlztrt. 4- Oz�"
e?.7FOLV- 'FILE- Kk Akf? QUM F5az
N 416001416. Zo
y
zoo,LdGNi
I fV
291 . Z4
~ -(f' �• �/�_/y(/ .cam p?rq q ���/ � '
cru. C c 0 U L _ .VA
pp
L A ID
cf Jh d `` i.` k p p e
VA, U U V L
W