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HomeMy WebLinkAbout49006-Z Y� I ,�'��SUEFOIrt� Town of Southold 7/22/2023 G� P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44342 Date: 7/22/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 55 McCann Ln, Greenport SCTM#: 473889 Sec/Block/Lot: 33.-3-39.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/15/2020 pursuant to which Building Permit No. 49006 dated 3/10/2023 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 Deppari LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45240 6/15/2021 PLUMBERS CERTIFICATION DATED VZ riignature TOWN OF SOUTHOLD �o ay�4 BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • SOUTHOLD, NY 7�.Yx7`1I7' BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 49006 Date: 3/10/2023 Permission is hereby granted to: Deppari LLC 12 Frost Mill Rd Mill Neck, NY 11765 To: Construct an in-ground swimming pool as applied for. Replaces BP #45240. At premises located at: 55 McCann Ln, Greenport SCTM #473889 Sec/Block/Lot# 33.-3-39.1 Pursuant to application dated 3/10/2023 and approved by the Building Inspector. To-expire on 9/8/2024. Fees: PERMIT RENEWAL $150.00 Total: $150.00 Building Inspector TOWN OF SOUTHOLD �oSUFFUtA cryl BUILDING DEPARTMENT V2 x TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 45240 Date: 9/23/2020 Permission is hereby granted to: Dileo, Jeannette 55 McCann Ln Greenport, NY 11944 To: construct an in-ground swimming pool as applied for. At premises located at: 55 McCann Ln., Greenport SCTM # 473889 Sec/Block/Lot# 33.-3-39.1 Pursuant to application dated 9/15/2020 and approved by the Building Inspector. To expire on 3/25/2022. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 tal: $300.00 Building Inspector Form No.6 TOWN OF SO.UTHOLD BU1LD1NG'D--EPART—EbjT •J TOWN FEALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled , in by typewriter or ink and submitted to the Building Department with the following: A. For new budding or.new use: 1. Final survey of Batu perty with accurate location of all buildings,property lines,Streets,and unusual natural or topographic f eatures. 2. Final Approval fro m Health Dept.of water supply and sewers e-dts 3. Approval of electrical installation from B g p° (s-9 formj. 4. Sworn Board of Fire Underwriters, statement itroj-plumber certifying that the solder used 5• Commercial buildin'industrial �� �, ui systotn contains less than 2110 of 1%lead. of Code Compliactce from building,., p residences,and similar�buildings and installations,a certificate architect or gMin r responsible for the building. 6, Submit Mannigg,Board Approval of completed site.01an requirements. B. For existir budc#cu ,;fptior to Apii 9 1. Accume.saM- ey orproperty skowiaEg l nom-contor erg. es,or buiittilatgs-and'*re=existing"land uses: features. ltYHues,Skeets,building and unusual natural or topographic 2- A Properly p1et d:appliGWbn,acrd consent is ftwPwt deaeied,the Bulgy �_, �rbasons 'M�aApt •If a Certificate of Occupancy is g" C. ]Pees is� to ttie>apP'lieant. I. Cc�rtiReate.o€'O y-Nowt S 550 00, =,toA 2 i;F1' :oo, a - �s0 , _ � os to. w ,g. 000 ' :. ` X00; 3. of ':aa P Rtyw .�0 bnrldtag X50:00,-13 $5.0:00. CoYo' t' ua "'fj. 4. Updated,CBc,.ofO - ..... - 5. T - pY- $50 00 �P 'Ce�ts$cateo€Oecupaacy. ,$15:00,Co fal 51500 New Construction: Qld or Pre eatistiag BuildiV. (mak one) Location of Property: SS— Mel"ion nWW No. Ie7U�'v� S . Owner or Ovine s of Prop y: YK 14A1�iWHY/0)7:5 Suffolk County Tax Map-No 1'000,Sado. Block$ Lot Subdivision Filed'Map. Permit No. Date of Petit. Health Dept.Approval- ' Applicant Underwriters Approval:. Plantung Board Approval. . Request for: Temporay Certificate Final Certificate: Fee Submitted:$ __---- �. —------ AApp (check one) eant ignature pE SO�jyol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G o sea n.devlina-town.Southold.ny.us Southold,NY 11971-0959 C0UNT1,a BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Deppari LLC Address: 55 McCann Ln city:Greenport st: NY zip: 11944 Building Permit* 45240 Section: 33 Block: 3 Lot: 39.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor DBA: Generation Green Electrical License No: 4483ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey 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 Fixtures Time Clocks 1 Disconnect Switches 4'LED Exit Fixtures Pump 1 Other Equipment: Pump 220GFI , Heater 220, Salt Generator 220, 2 Lights GFI Protected Notes: AS BUILT NO VISUAL DEFECTS " Did Not See Bonding- Pool Inspector Signature: Date: June 15, 2021 S.Devlin-Cert Electrical Compliance Form.xls OfSOUIy�{o L # * TOWN OF SOUTHOLD BUILDING DEPT. 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) ['L] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 4 0/LT- -POO b-, DATE S INSPECTOR 6voF souryo # # TOWN OF SOUTHOLD BUILDING DEPT. °ycourm?�'' 765-1802 INSPECTION [ ] FOUNDATION IST "[ ] ROUGH PLBG. [ ] FOUNDATION 2ND [- .]/tIVSULATION/CAULKING [ ] FRAMING/STRAPPING [�] FINALQwt.-� [ ] FIREPLACE'& CHIMNEY -j ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: v t( � AA DATE INSPECTOR OF SOUIyO� # # TOWN OF SOUTHOLD BUILDING DEPT. G courm,�f`' 631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL t a-171 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION/ [ ] PRE C/O [ ] RENTAL REMARKS: DATE /0 INSPECTOR 0FS0UlyO� - - ----- # # TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATIO 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: nn All". 6r or l , Y DATE JI llflWl — INSPECTOR 1 qpF SOblyo6 f TOWN OF SOUTHOLD BUILDING DEPT. °ycnu631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL PXL.-, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: l DATE INSPECTOR FIELD'INSPECTION REPORTC WVXENTS 77 . 77 FOUNDATION(IST) ® . -------------------------------- - W � W FOUNDATION(SND) 03 ROUGH FRAMING& PLUMBING Com`3 p .. INSULATION-AR N..Y. (� TE ENERGY CODE s Cl. FINALUy .. �� wad- i � f�-��► 1-0 4T o "660'-too.. : .. `1 ekl,.r�- . ,5 — pet ISO103 ? m TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION,CHECKLIST BUILDING DEPARTMENT TOWN.HALL Do you have or need the following,before applying? SOUTHOLD;NY 11971 Board of Health TEL:(631)765-1802 4 sets of Building Plans FAX:(631)76579502 Planning Board approval Southoldtownny.gov PERMIT NO. �! Survey v Check Septic Form N:Y.S.D.E.C. Trustees C.O.Application Examined 20 Flood Permit Single&Separate [E03(� Truss Identification Form Approved `• Storm-Water Assessment Form 2 j Contact: Disapproved a/c SEP 1 0 Mail to: ,410 r abt_ Phone.: /13/ g U Expiration 20 / V7 In,QLD Buildi tA�p ctor PLICATIO DIN T Date J 20� INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. 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 a permit shall-be kept on the premises.availablefor inspection throughout the,work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Buiding Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized'has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such4ate.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. 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,Newyork,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 building for necessary inspections. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether.applic o ,lessee,:agent,architect,engineer,.general contractor,electrician,plurrtber or builder Name of owner o - mises (As on the If applicant i a ation,s' a e of duly autho ized officer roll or latest deed) and title o 7,cer) Builders; nse No. Plumbers'License No. Electricians License No. Other Trade's License No. 1. Location of land on whit,,pr posed work will be done: !, House Number Street Hamlet County Tax Map No. 1000 Section3 Block 3 Lot on Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and' tended use and occupancy of proposed construction: a Existing use and occupancy �S]Q3 b. Intended use and occupancy— R01—f ��, Di t-r;D 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work_Ec6y 4. Estimated Cost Fee (Description) (To be paid oa 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,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front Rear Depth Height _ Number-of Stories Dimensions of same structure with alterations::or additions: Front Rear Depth. Height Number of Stories 8. Dimensions of entire new constructions Front Rear Depth Height ,,II Number of Stories 9. Size of lot:Front �/�-67 Rear Depth 10.Date of Purchase Name of FormeuOwner 11.Zone or use district in which premises are.situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO_ 13.Will lot be re-graded?YES_NO 'on/Will excess fill be re oved from premises?YES_NO� / 14.Names of Owner of premises �E / s l 1 J�Fwo .phone No. Name of Architect Address Phone No Name of Contractor Da .,o ,ddress £ Phone No. 2-1?03 LAD 1 /r7r, Ti�c� 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C..PERMITS MAY BE REQUIRED: b.Is this property within 300 feet ofa tidal wetland?*YES; NO *IF YES,D.E.C.PERMITS MAY 19E REQUIRED. .. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect-to this property?*YES NO_�/ *IF YES,PROVIDE A COPY. STATE OF NEW YORK) S: COUNTY OFSOffi being duly sworn,deposes and says that,(s)he is the applicant (Name of individual signing contract)above named, (S)He is the �r mal (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and ty make and file this application; that all statements contained inthis application.are true to the best of his knowledge and belief, d that the work will be performed in the manner set forth in the application filed therewith. Sworn tobeforeme th' day of ef1�� 20� Notary Publi EY L. D ignature of Applicant NOTARY PUBLIC,STATE OF N YORKS NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30, �02 BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD C2 Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 o X04; " Telephone.(6.31) 765-1802 - FAX (631) 765-9502 •�c?1 �' ro-gerrD-southoldtownny,.gov~ seand M-southoldtownny Ciov APPLICATIONF_ OR.ELECTRICAL INSPECTION !ELECTRICIAN INFORMATION (All information Required) Date! V AO -z- Company Name: , le ICi}L Name: 1 License No.: 3 H C email: Address: Phone No.: 6_3/ 4304/ JOB SITE INFORMATION (Ali Information Required) Name: 6X5re7ll_)E 'P t.►� P �-L Address: /22�q Cross Street: Phone No.: 631 Bldg.Permit go email: Tax Map District: 1000 Sectiorty � � Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / 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 Reconnected - Underground -Overhead Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional-Information: PAYMENT_13ME-WITKAP_.PLICATION 06 � IS 9 9 Request for Inspection FormAs BUILDING DEPARTMENT-Electrical Inspector a = TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 . � Southold, New York 11971-0959 Telephone (6.31) 765-1802 - FAX (631) 765-9502 '! r-o. err(&southoldtownn: ,Z.ov—seand southoldtownn . ov APPLlQA&—N FO:R.E-LE_C.TRICAL:.INSPECTION ELECTRICIAN INFORMATION' (All information Required) Date! Company Name: Name: o License No.: Alj4 83 tj email: Address: - Phone No.: 631 JOB SITE INFORMATION (AII Inform- tion Required) Name: 0�.5M71X-C _<. ;1W Address: -s-x- Cross Str=eet: - -hone No.:... Bldg.Permit email: Tax M:a :.D.Istnct 1000 ��Ecfior� �f��3 _ _ Block: _ _ .�.._.-�:�.- Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) _ Gir-cle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES/ NO Issued On Temp Infolrmafon: (All information,required) Service Size 1 Ph 3 Ph Size: _ -A #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected- Underground -Overhead Under round.Laterals 1 2 H Frame Pole Work done_ on Service? Y N Additionallnformatiow PAYMENT_.D-UE..1N1.TH.APPUGATLON 4 1 ob cis Request for Inspection FormAs PERMIT# Address: Switches Outlets GFI's r , r Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer AC AH ; Mini 1 --Special:------ -- — __.... . ...... Comments:'/ anj 67 ? ' rA, ca I May 18 2020 05,22PM HP Fax page 6 Scott A. Russell °" STOR.M' 'A']C'�][� R . 901TPHOLDTOM HALL-Y.0.8W 1179 MANAGEMENT �'�B°'a-sa 'l�>� u971 Town of Southold CHAPTRR 236 - S10—RMWATER MNAGEWENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT) f' DOES THIS PROtMUr 11WOLVE ANY OF THE FOI.LOwI1vC� Yes No (ClIE X ALL THAT APPLY" Elff(A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑O'& Excavation or filling involving more than 200 cubicards of material within an y y parcel or any contiguous area, C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. 06/ 100 Site preparation within 100 feet of wetlands, beach, bluff or coastal / erosion hazard area. ❑ME. Site preparation within the one-hundred-year floodplain as d j on FIRM Map of any watercourse. p depicted ❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan Was received by the Town and the proposal includes In-kind replacement of impervious surfaces. * F>ron answered xatio.rll cf the qui ,y pgt CMp19a the Anho&—swilm bdm with Thur Nme, ogmftn9cm"dh&maum4Ddo&CamtyTox.NWNOsbert CltaTr V 29e dM W apply to Tour praaeeL 1t TM answ+eald YES to acre-or mare of ttto ebb,plaaae sidimhlt. TWO capias d a Stormtattr 1lwapmmrt Control Plan acrd a.cOplatad Used Ust Fora W the wllAi`Tesp• Para o O�WM oWrAr.Date,Prc+re i=L Aga,Cbmmz .otr at S.C.T.M. *: 1000 Dgc TWO -38 `t 3 9 �� �j ton Block l.ot F ,WILDING DEPARTMENT USE ONLY caotocr Iafonvat(cg i — — — — — — — — Reviewed By: I A A A,,A Prouty Address/Location of Construction Work- _ _ _ _ _ _ _Date: ©— Approved for processing Building Permtt. — — — stormwater Management Control Plan Not Required. iStormwater Management Control Plan is Requtred. ❑ (Forward to Engineering Department for Revlewj FORM ' SMCP-TOS MAY 2014 ire SA Peg.1 0t2 t7A04.008035:-0BJAuguat 21,2020 08:0 — Bargain and Sate Deed,Willi Covenant against Grantor's Acts—tndividual or Corporation(Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. a THIS1NDENTVAE,made the 9S day of 4ry�-J l— ,in the year 2020 BETWEEN COPY JEANNETTE ANNA DILEO residing at 55 McCann Lane,Greenport.NY 11944 party of the first part,and DEPPARI'LLC with an address of 12 Frost Mill Road,Mill Neck,NY 11765 party of the second.part, WITNESSETH,that the party of the first part;in consideration of TEN.dollars paid by the party of the second part,does hereby grant and release unto the party of the second part,the.heirs or.successors and assigns of the party of the second part forever, ALL that certain,plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the See Attached Schedule"A',hereto made.a part hereof. Promises.-55 McCann Lane,Greenport,New York SCTM: 1000-033.00-03.0-039.001 BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated August 21,2019 and recorded in the Office of the Clerk of Suffolk County on August 27,2019 in Liber 13025 Page 933 TOGETHER with all.right, title and interest, if any, of the party of the fust part in and to any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that die party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose,The word"party"shall be construed as if it read"paries"whenever the sense ofthis indenture so requires. 1N WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. QJ Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) br IL residing at (Print propeert`y,owner's name) (Mailing Address) 911 do hereby authorize �or (Agent) to apply on my behalf to the Southold Building Department. (O%Nm.cir s Signature) (Date) (Print O�//vI/n•.er's Name) _j, .1. Jr• 4 � J t� �6' N-?S0ZO'4oni2o.2) ey ... .5..,. •- -wvrwnxa>+z•..a.;,,.�• .^•+.•titara•ay;t»f;. .i� .. .j ��� .'x.;1,4 f,.• J �vr,tA'GWR7-r:x'- � � '�• V- v Arc I20 96 , �©.$•�, R act. 3852 7� ... ..www.a'NM1r.4Ardkil.z'd,r^k�L�a.n!�kLsCrbY+,,ary:r,.z'���p:W,P".�.s*'t1pr Y-:•.aka•,;�.t1F•,J,rtp'H+,:••�'JF'1�.btN't;4lj%ie.�rt:t-,rr ,,,;r;.- If S[ Leo Al tO o� � GP G)R Ty Fo R 0,6r r000 Sec-T- 033 /+ P, g ) �-R�ENP�,er N•y. 61��1; 3 t t or 3 <6 Al-)PpbCA 1 T-,1), AS N 0 TEaD DATE: NOTIFY BUILDING 7"- t "' AT 765-1802 8XIA TO 4p,,,,A FOR FOLLOWING INSPECTIONS: 1. FOUNDATION - T%AJ0 RECWIRED FOR POURED CONN` EEE 2. ROUGH - FRAMING & PLUlkIRING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NL'7!W YORK STATE. NOT RESPONSIBLE FOR r)ESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES M AS REQUIRED OF S H 7DA 'OUT OL TO OUTHOLD A - SOUTH '); TOWN PLANNING BOARD SO OLD TOWN TRUSTEES N I� S D C .� S.DEC OCCUPANCY OR USE IS UNLAWFUL WITMOUT CERT IFICATE OF OCCUPANCY RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. ELWMCAL VMWnoN MQMED "IMMEDIATELY' ll ENCLOSE POOL TO CODE UPON COMPLETION BEFORE"WATER" NAME .. . . • WALL PA FLOOR i�E l t fb . '. ....•. . -; s HUNG CMF' 27 GAU . r Tidy io LVLV UJtwrri nr rax Kaye IV LZ t wolts ox -re�j upx4s AICK a4-- a h-V P4- OF #Aylg'� ( F.0 Ur RAE(,)_ W J� 3:170a f::?5r C wine l mi k Coo 3 retia /,:5 010C-ed ,JLJ si-dam uerk%p l y wry F&j:r to m tka "P �,r baL F(a�r�• �' U+�Y LIM-7- +N fi"R Ir Eno max- ..•�z-z-ter,..���-�'�'� - - � ' r:rs-�rrar-rr-��c m . nuc-d� rnarn�r+�r �r-r��M - r�ic?vr-wr.-�r,�r��r�-�-� vim ICAM ffru ��■r-a. --■te r O y f'f X31 °C�fPf�'!!� f1.!`.: fP71fr'1��1�r:-�� E_-am�f�