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50647-Z
�o,Og11EFOt,fco1 y� Town of Southold 8/14/2024 �' P.O.Box 1179 111 53095 Main Rd A Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45458 Date: 8/14/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: Island Pond,Fishers Island SCTM#: 473889 Sec/Block/Lot: 7.-6-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/25/1989 pursuant to which Building Permit No. 50647 dated . 5/9/2024 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 swmming pool, fenced to code, as applied for The certificate is issued to Crows Nest 2016 Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50647 08/07/2024 PLUMBERS CERTIFICATION DATED Authorcffsignatur o�suFFotp�� TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE oy • o�� 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#: 50647 Date: 5/9/2024 Permission is hereby granted to: Crows Nest 2016 Trust 10040 E Happy Valley Rd #599 Scottsdale, AZ 85255 To: CONSTRUCT AN INGROUND POOL W/ FENCE. Replaces BP#44225 ** NO OFFICE-FILE ** At premises located at: Island Pond, Fishers Island SCTM #473889 Sec/Block/Lot# 7.-6-9 Pursuant to application dated 1/24/1987 and approved by the Building Inspector. To expire on 1118/2025. Fees: PERMIT RENEWAL $125.00 Total: $125.00 Building Inspector -� - TOWN OF SOUTHOLD` �O�Qg�FFQl,��oy� BUILDING DEPARTMENT u�i z 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#: 44225 Date: 9/26/2019 Permission is hereby granted to: Crows Nest 2016 Trust 10040 E Happy Valley Rd #599 Scottsdale, AZ 85255 To: CONSTRUCT AN INGROUND POOL W/ FENCE. Replaces BP# 18465 At premises located at: Island Pond, Fishers Island SCTM #473889 Sec/Block/Lot# 7.=6-9 Pursuant to application dated 9/26/2019 and approved by the Building Inspector. To expire on 3/27/2021. Fees: CERTIFICATE OF OCCUPANCY $50.00 PERMIT RENEWAL $75.00 Total: $125.00 uildi nspector FORM NO. I 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) N o 18465 Z Date .,/ ........! 199 Permission is hereby granted to: ..................... .................. ....U4477-/�' 4/' to ............. ............ ... .,mac..... . .. .. . .. . . . ..... ...... .. .. ................ ....fa.... .... ................. ............................. .......do .. .. .... at premises located at ... ... .. ....... /!/! ........ ... .. ............ .... .... ....................... .. ... ... . .......... ..... ............................................................................ ................................................................................................................................................................ County Tax Map No. 1000 Section .... �i..7..... Block ......46........... Lot No. .........r......... pursuant to application dated ............. .. .. .... ...........�:�. 19.21 and approved by the Building Inspector. Fee $... .. ...... .... . I ..... .. . Building Inspector Rev. 6/30/80 pF SOUT�OI � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q •c��'Y� N �� Sean.devlinitown.southold.ny.us Southold,NY 1 1 97 1-0959 4UNT`I, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Crows Nest 2016 Trust Address: Island Pond city:Fishers Island st: NY zip: 06390 Building Permit#: 50647 Section: 7 Block: 6 Lot: 9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: LaFleche & Sons Electric License No: 35821 ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Spa X Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel 125A A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4 4'LED Exit Fixtures Sump Pump Other Equipment: Pentair Pool Panel 60A, (3)Pump 220GFI, (2) Heater 250GFI, Salt Gene 220GFI, (3) Lights 120GFI, Blower, Waterbond Notes: " AS BUILT NO VISUAL DEFECTS " Pool & Spa Inspector Signature: Date: August 7, 2024 S.Devlin-Cert Electrical Compliance Form OF SOG- o Uly�lo - - - - - f # TOWN OF SOUTHOLD BUILDING DEPT. �o • �o `�couxn,N�' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] 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: 'P,7u l Tc-o V l 1 hA-d 164 IS-04 J I.j -2 a4 000 P LML ao w 4 < 2(apA �a DATE S / INSPECTOR OE SOUTyolo 5 # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION/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: Coll- DATE ®�� INSPECTOR Ac—��—f -�/10/ �o�aOF SOUTyolo - - # # TOWN OF S UTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] 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: s L9r /-Q vAlc( C/ A DATE INSPECTOR oe souryo 60 # TOWN OF SOUTHOLD BUILDING DEPT. cou 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: DATE D� l INSPECTOR pF SOUIyO� # # TOWN OF OUTHOLD BUILDING DEPT. cou�+, 631-765-1802 1NSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ . ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY J. ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: I/f I Y' Ve,c DATE INSPECTOR �o�aOF SO(/l��lo O # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm��' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] I ULATION/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: ©� C• 0 DATE d$ INSPECTOR �Or��F_I:Ot BUILDING DEPARTMENT-Electr a nstor TOWN OF SOUTHOLD 2024 Town Hall Annex- 54375 Main Road - O Box 1179 Southold, New York-119.71:=0 '1ding Departnient Telephone (631) 765-1,802�- FAX (631) %9 VAC tho►d 4. jameshCM-southoldtownnyaov- seand@southoldtownMLgov, APPLICATION FOR ELECTRICAL INSPECTION :.- ELECTRICIAN INFORMATION (Ail Information Required) Date: 6/20/24 Company Name: LaFleche & Sons Electric LLC Electrician's Name: Chris LaFleche License No.: ME-35821 Elec. email: chris@laflecheelectric.com Elec. Phone No: 860-617-5391 1 request an email copy of Certificate of Compliance Elec. Address.: PO Box 246 Danielson, Ct. 06239 JOB SITE INFORMATION (AII Information Required) Name: James O'Keefe Address: 1152 Old Mallory Rd Cross Street: East Main Rd Phone No.: 631-7878-7213 Bldg.Permit#: 50(n9l email:james.okeefe@crowsnest.cc Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): As-Built for pool Electrical wiring to include pool equipment, lights, GFI's etc. Square Footage: Circle All That Apply: Is job ready for inspection?: 0 YES❑NO__ ❑Rough In Final Do you need a Temp Certificate?: ❑ YES FV_�NO Issued On Temp Information: (All information required) Service Size❑1 Ph 73 Ph Size: A #Meters Old Meter# ❑New Service[]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead #Underground Laterals 1 D2 M H Frame Pole Work done on Service? D Y DN Additional Information: PAYMENT DUE WITH APPLICATION �( C� I I ez Ch 4 Iaer,� e � U L� S10 fill Kco�y BUILDING DEPARTMENT- rical Inspector TOWN OF SOU D JUN 2 6 2024 o Town Hall Annex- 54375 Main Road - PO Box 1179 o • Southold, New York 1197 9,of r+*+-4h-A?nt 4,j �o� Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh@southoldtownny.gov•- seand(@-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 6/20/24 Company Name: LaFleche & Sons Electric LLC Electrician's Name: Chris LaFleche License No.: ME-35821 Elec. email: chris@laflecheelectric.com Elec. Phone-No: 860-617-5391 ___ _ _21I request-an email-copy-of Certificate-of Compliance- Elec. Address.: PO Box 246 Danielson, Ct. 06239 JOB SITE INFORMATION (All Information Required) Name: James O'Keefe Address: 1152 Old Mallory Rd Cross Street: East Main Rd Phone No.: 631-7878-7213 Bldg.Permit#: 1oy� email:james.okeefe@crowsnest.cc Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): As-Built for pool Electrical wiring to include pool equipment, lights, GFI's etc. Square Footage: Circle All That Apply: Is job ready for inspection?: 0 YES❑NO [:]Rough In Final Do you need a Temp Certificate?: ❑ YES a 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 FJ2 H Frame El Pole Work done on Service? Y F1N Additional Information: PAYMENT DUE WITH APPLICATION dut AR ,..r�.�..ti' r• 'r-�.�"`..r.✓ � ..'rV A i� I J ,` 1, r/"l / K -�✓S�ffO(�`'r BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD r Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh(a�southoldtownny.gov seand(aD-southoldtownny-gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN,INFORMATION (All Information Required) Date: Company Name: 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) b Name: Address: Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: 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 Reconnect❑Underground[—]Overhead # Underground Laterals 1 F2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: , Switches Outlets GFI's Surface Sconces H H s ( -Z- UC Lts Fridge HW POOL Fans Mini Fr. W/D PanelPump Exhaust Oven Sump Heater �i Trnsfmr Smokes DW Generator Salt Gen. J �L, Carbon Micro GrbDis Water Bond Heat Pucks ERV Lights 1 e 5 SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower (� AC AH Hood Blower i Service Amps Have Used Sub Amps Have Used Comments t a, May 7, 2024 Dear Building inspector Please renew My building Permit for in ground pool and fence based on the documentation attached for the previous Permits which have expired. Permit# 18456 dated /September 11,1989 and Permit#44225 dated September 26, 2019 A check for$125 is included payable to the Town od Southold New York. Thank you. ?11A� Q�s �=z af= -t-f�. �20W-s �v�s r 2or �2"s1 James W. O'Keefe 10040 East Happy Valley Road # 599 Scottsdale, AZ 85255 480-656-8970 (Tel) 480-656-8987 (Fax) fames.okeefe(a-Wowsnest.cc BOARD OF HEALTH . . . . . . . . . . . . 3 SETS OF PLANS . . . . . . ... . . . . FORMNO. 1, SURVEY . . . . . . . . . . . . . . . . . . . . . TOWN OFSOUTHOLD CHECK . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . . . . TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 76&1802 CALL . . . . . . . . . . . . . . . . . . . . . MAIL TO . - Examined . . 19 . . . Approved . . ., 19&qfPermit No. Disapproved a/c . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - (Building Inspector) 'A.PPLICATION, FOR BUILDING PERMIT Date ,jJIJZY. 2.4. . . . . . . .. 1587. INSTRUCTIONS a. -This application must be completely filled in by typewriter or in ink and submitted to 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout thq 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 building for necessa inspections. (Signature of applicant, or name, if a corporation) Box 162 , Fishers Island, N.Y. 06390 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..._.. . . . . . . . . . (Mailing address of applicant) 'State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . .QTMER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . James. 14. .O.'Keefe. .Jr.. and. Ann•G•.• •O:Keefe. . . . . . . . . . . . . . . . . . . . . . . • • • (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. . . • . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . n+}`h (� y{� q`�4 �y tJAI- Other , C 9 Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. -..,.Fishers 1•s.land.,. .Co=ty. of Su,ffolkk Town of 'Southhold . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. House-Number ' Street Hamlet County Tax Map No. 1000 Section . . . .407. . . . . . . . . . . Block . . . .6 . . . . . . . . . . . . . Lot . . . . . ..9 . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. • L.ot . . . . . (Name) �':1 2. State existing use and occupancy of premises.and inierided.use.and occupancy of proposed construction: a. Existing use Ind9 rcc ,panc. Hpsne� �1'r4 •. . �. �1zS%..,.�`�i�ies• •j11. . 0, IZee.. . . . .. . . . . . . • . , . . . . . , , , . . , . . SAr '..5, •r. ; tended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . .- . .:.f:_.,. . . . b. In F 3 Nature of work (check which applicable): New Building . . . . ... . . . . Addition . . . . Alteration ". . . . . . . . . .. Repair . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . J/ .. (Description) 4. Estimated Cost . . . . . . . . .$ :, •�.„500...QQ . . . . . . . . . . . . . . . Fee . 7 ' _�'�•1��. . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of.dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . .. . . . . . . . Ifgarage, 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 construction: F.Font-,. . . . . . . . Rear. ... . . . . . .. . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . Number oMories . . . . . . . . . . . . . 9. Size of lot: Front ,. _ . ...,...•, • Depth . . . . ... . . . . . . . . �` � Rear . 10. Date of Purchase . . . . . Feb: • 1981• • • • • • • • • • • • • Name of Former Owner Mrs; P.• R.• Niallory• • . • • 11. Zone or use district in which premises are situated .. . . - < . • • • • • _ . . . . . . . . . . • . . . . . . . . . 6 . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . .Will excess fill be removed from premises: Yes No 14. Name of Owner of premises M ;&Mr•s S. W-Keefe • Addres!bom .162., Fj,NY . . . Phone Nc516T7'8$-72la . . Name of Architect .lair,• •Greg. :l:hibodeau. . . . . AddressVillage. .Greenery.Phone No.516-7.i_i8 .77.7.7. . Name of Contractor .Z. & .S S.Contracting. . . . . Address F;Lahers. .1s land . . Phone No.51677.0 .7�5.7. . 15 .Is this property located within 300 . feet of a tidal wetland? *YES. . . .NO. *If yes, Southold Town Trustees -Permit may be required. 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. i J , STATE OF NEW YORK, S.S COUNT OF . . . . . . `) �w� / � • • • • • �� • . . being duly sworn, deposes and says that he is the applicant- (Name of individual:signing contract) above named. Heis the . . . . . . . . . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . . . .. . . . . :. . . .". . . . . . :'. ., (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 �-y P1 . . . . ... . . . . .day oof. . . . . . . . . . . 19 . Notary Public, . . .. K`!� . . . . . . . . . Cou •ty ML'EEN G.'WA1 L . .� . . . lic Stale of New Yad NdI�N Pry ' (Signature of applicant) No. 52-9509165 Quelilied in Suffolk Co-ry9 v ,1 Tvwir wL 30.'19` ry Southold Town Building Department Q��SufF01 c P.O.Box 1179 Permit#: 184'65 53095 Main Rd Southold,New York 11971 Permit Date: 9/11/1989 �y�o ao�,f� (631)765-1802 Expiration Date: 1/1/1900 ` z Parcel ID: 7:6-9 BUILDING PERMIT RENEWAL LETTER Dated: 8/8/2019 Applicant: OKEEFE,JAMES Location: 00000 PRIVATE Work Description: HISTORICAL B.P.#18465 CONSTR.INGROUND POOL W/FENCE t6o A FEE OF$1215.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: OKEEFE,JAMES Address: 1088 PARK AVENUE NEW YORK,NY 10128 The permit listed above has expired.No work is permitted or authorized beyond the expiration date.Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O._Box 1179, Southold,New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. RIMMMATELT' ENCLOSE P(',0L TO CODE UPON COMPLETION, BEFORE 'WATER" APPROVED AS NOTED cDlccll,,'P, AN Y OR ®ATE: a.P 4�4.:Z-- USE IS NOTIFY sUlLpl G By.. Tk 765-180z a AM Tp 4 PM FOR THE VeVITHOUT CER711FICATE 1. FOUNDATION -CTIGfO REQUIRED FOR POURED CONCRETE OF OCCUPAINCY 3. ROUGH - FRAMING & PLUMBING; 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET . THE REQUIRFMFNTS OF THE p.;Y,.' STATE C ONSTRUCTION, 8. ENERGY 4^i?-FS. NOT RE90ONSI DESIGN OR CONSTRUCTION a " OR �S i 1 4 9 i I f yi' 1 /p i ►Fry •.' ��J• oe X, LO r �,-.:•.tom � 1 1 C� tom] I SCOTT WASHINGTON ROAD • WOODBURY, CONNECTICUT D L7 -� A Custom Designed Plan For: Distinguished Swimming Environments Since 1937 - - Design Drawn By M - E ' - 7► $-� " _ Copyright By . Approved L _. Date Scale Drawing Number Pool Shell Mechanical r 1 WTI-i-� c. NIGH / T ,. - �• \ \ \, _ l!yye�,,,,..,� � // / � I / � ,/ -- ��i• - - - LA \. � � , •Yv�� 'GL-. �r tom._ ....------. _._... t _ /' ' � O 1 O - •/ � �1 ' � �'F��vl�rorJ �;s{f���'i'I�1 +4/ 0D 17 ti SCOTT _ . y WASHINGTON ROAD • WOODBURY, CONNECTICUT A Custom Designed Plan For: 410, Design Distinguished Swimming Environments Since 1937 Drawn By -- _ Copyright By Approved By 43 Scale 1 ' 11 Drawing Number Date Pool Shell 1 Mechanical