HomeMy WebLinkAbout33075-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 07/02/07
No: Z-32441
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 1855
(HOUSE NO.)
County Tax Map No. 473889 Section 54
OLD NORTH RD
(STREET)
Block ~
SOUTHOLD
(HAMLET)
Lot 25
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 1, 2007 pursuant to which
Building Permit No. 33075-Z
dated
MAY 24, 2007
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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to WALTER R KUHN JR.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N-135281
06/13/90
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
.,
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be tllled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees .__._... ._.._.~~'
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, ~atf,(mf;~O fl:,,:kilihg ~ci5;d>e,i'
SWlmmmg pool $25.00, Accessory bUlldmg $25.00, Addll10ns to accessory bud mg;$25.00, BWSiflesses $50.00: I
2. Certificate of Occupancy on Pre-existing Building - $100.00 'JUN 2 1 r. -7 I
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
.
!
_.-i
Date.
New Construction: xx
Old or Pre-existing Building:
( check one)
Location of Property: Old North Road
House No.
Street
Hamlet
Owner or Owners of Property: Walter R. Kuhn. Jr.
61
Block
~
Lot
d.5
Suffolk County Tax Map No 1000, Section
Subdivision
Date ofPerrnit.S/:J.'t 17
Filed Map.
Lot:
Permit No. :3.3075
Applicant:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
( check one)
Fee Submitted: $
~. 78-C(,;t{
(0 ~~LfY r
FORM 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.
33075 Z
Date MAY
24, 2007
permission is hereby granted to:
WALTER R JR KUHN
73 EAST SHORE DR
HALESITE,NY 11743
for :
CONSTRUCT AN IN-GROUND SWIMMING POOL WITH FENCE TO CODE AS
APPLIED FOR.THIS PERMIT REPLACES BP # 18957.
1855 OLD NORTH RD
SOUTHOLD
at premises located at
County Tax Map No. 473889 Section 054
Block 0003
Lot No. 025
pursuant to application dated MAY 1, 2007 and approved by the
Building Inspector to expire on NOVEMBER 24, 2008.
Fee $
150.00
'-
ORIGINAL
Rev. 5/8/02
I
..
10i111Xl
THE NEW YORK BOARD OF FIRE UNDERWRITERS
P.4t'ik<;l
I
I
"HiliF: 1),1990
BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK. NEW YORK 10038
h 909'.l04,)0! <)(J
Application No. on fill'
N '11 f)~~ Xi
Ootf>
THIS CERTIFIES THAT
only the electrreal equipment.. de.cribed below and introduced by tM applicant named' on the above oppliCCltion number in the premUeIl oj
in the follou:ing If)coFt~'t; ~1 pj l.f~ment
was examinf>d on
Of,"f"/.
o 2nd f"/.
S(>('tion
Block
Lo.
WAI,'!'F:R KUHN,
17 Jti
0[,0 NORTH RPAn, p,)[,f, #1 (', :>OW['HOf,n,
OIlT
fLY
and found to be in compliam-" u'it.h the rf'quiremenflt of this Board.
i
RXTURE
OUTLETS
t
EC!PI ACLES SWITCHES
2
FIXTURES
INCANDESCENT flUORESCENT
OTHER
RANGES
AMT. K.W.
COOKING DECKS
AMr. K.W.
OVENS
AMI. K.W.
DISH WASHERS EXHAUST FANS
AMT. K. w. AMr. H. p,
AMT.
A.. W. G. AMr. AMP. AMI. AMPS.
BELL
TRANS.
UNIT HEATERS MULTI.OUTlET
SYSTEMS
AMT. H. P. NO. OF FlET
DIMMERS
DRYERS
FURNACE MOTORS
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS
AMi. K.W.
ou
H. P. GAS
H.P.
NO,
AMT. WATTS
iO 40
AMT,
AMP,
NO. OF HI-lEG
A.W.G.
OF HHEG
NO. OF NEUTRALS
A.W.G.
OF NEUTRAL
m>e
NO. OF 5 E
METER
EQUIP. IJl2W lJ/l3W 3JJ3W 3j1J,W NO.O~E~'.e-COND.
R
A.W.G.
OF CC_ CONDo
V
c
E
SERVla DISCONNECT
OTHER APPARATUS:
r;, F'. C. I: '-1
" t u';W [MHTNG POOl,) Thi s ("'J t Il! Cd Ie
~'nVE:~rg romplianc~.:' (]t tilt:-' I,LItl' ()f
inspe~:,ti(-,n only. BeCa\1Sf: c.f unltsu~l
0J1Vironments it is advisabl0 t(!
have frequent test allrl/clf r01ldlfS
\l1.~F1t~ by a qllalitifjd p.::rS!-!ll
11
GlNUAL MANAGH
<'I
-
,J(lDY PUMfl.!,"
PAT J,AN~~
MA'!'TITIICK, NY, 1 J '>'i:
[Ole ,g,;300-;;
~r~
,.
This certificate must not be altered in any manner; return to the office of the Boord if incorrect. Inspectors
Per.
may be
identified by their credentials.
COpy FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
),.....~
.~!;;-:p / ~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUC11ON
REMARKS:
[ ] ROUGH PLBG.
[]IN~N
[vrm.AL M.
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnoN
INSPECTOR
DATE
fIELD I:;S~:2C~~u:~
1. "
FO.!!.!ID~TI.QN _ -.!..., s~
FOUNDATIOrl
(2nd)
2.
ROUGH FRA!1E &
PLUMBING
3.
INSULATION PER N. Y.
STATE ENERGY
CODE
4 .
FIlIAL
liD';;:: il
CUHMtNTS
,
,
W"e, 'LI 7 N--L.,CO
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ADDITIONAL COMMENTS:
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'FORM NO.1
TOW\! OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD. N.Y. 11971
. TEL.: 765.1802
Examined. .'/Il!... . ., . .., 19 .~
A~proved ...0........, 19fb. Permit No. .1.!~3.1 f
Disapproved ale .....................................
BOARO OF HEALTH '/"
3 SETS OF PLANS .......
SURVEY.......-1..
CHECK .Jt:. .11.3.'1.;. . .
SEPTIC FORH ..............
NOT! FY
CALL
MAIL
.9!~:~W~....... .
TO:
.~
BLDG. DEPT.
TOWN OF SOUTHOLD
----.... .."-..,,..~....<.
Date. . . V'? . . . . . . . ., 1990
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building lI;~pect~r, 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 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 \leen 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 necessary)nspections.
. ./1.-. R ti.~.L. 1. .t:. .<[?W. . .:J?.l/?.,... ..... . ..
(Signature of applicant, or name, if a corporation)
'- It:!: !j~. . '(1.'(. . J1.?!JTT/.7.?f.( q::.1 f(. ! ~t ,n
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .C f?/)1,~fI.7'~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:-lame of owner of premises ..............W /1.(,-.~. . . . t. .'. .. . .JI. H.lf tI. . .. iJ7'J.. . ........... . . .
(as on the tax roll or latest deed)
l.f.~;:;)1~at'.o : . ..at.... ~~ ~~~~ ~~~~~r:~e.d. ~ff:cer. ulMMEDIATEL V"
(Name and tItle 0 0 orate officer) ENCLOSE POOL TO CODE
ALL Cor~TR:-CTOR' S MUST '~j SUFIf91$---COUNTY LICENSED UPON COMPlETION
Builder s License No. ..... .~7- z, .-. . tf. ::1-. . . . . . . BEFORE 'WATER"
Plum cer's License No. ........................
Electrician's License No. ......................
Other Trade's License No.
............. ........
~
I. Location of land on which proposed work will be done~ .. .tJ.?t!. ./.I!1}1/-7!f. .1J.4.J?q.. .J'~I:<.~l--.t? .~...
'" .t3S::~............. .QLrJ,. jJJ.Q~7lI. .12.()&.~...... ~dk71lo.lro.. /kY,..,.....:......
House Number Street Hamlet
County Tax Map No. J 000 Section .......F!1........ I3lock .......?......... Lot..... <i!!f. .. .. ..'; ..
Subllivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot...............
(Name)
State existing Use and occupancy of premises and intended use and occupancy of proposed construction:
3. Existing use and occupancy. . . . J!...t!?/.I:?f:?:o! 1':1~.~;.. . . . .. . . . ........... '.' .. " . . ............... .
.c. .!. '__.~ J l;!(,'i<! .
b. Intended use and occupancy ........rt t'S.I. (J~.T.71'1 c.. . . .'-:-! .1. ~. . :~~~~(#.~~!= . . . . . . . . . . . .
.. :~ ,tl.llll!mfd """
3. Nature of work (check which applicable): New Bl Iding ....:..... Addition. . . . . . . . .. Alteration ..........
Repair.............. Removal.....,........ Demolition.............. OtherWork.J'~!~!'H'~Y,..f~'-
. (Descrip1~CC-
. <;1 ()Db. /1---.. . IL"o _0>,')
4. EstImated Cost. . . . . . . . . .Q. . . . . . Yo. '--l . . . . .'. . . . . . . . . .. Fee . . . . . . . . . I,J..C.. . . . . . . . . . . . . . . . . . . . . . . . .
... (to be paid on filing this application)
5. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each noor . . . . . . . . . . . . . . . .
If prage, 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.... ... . . .. S !. 8. Height.. . " . . . .... .. . . . ... .. Number of Stories. . . ........... ....... .
8. Dimensions of entire new construction: Front. . . . . . . . . .'. . . .. Rear............... Depth ...............
Height ............... Number of Stories. . . . . . .. . .. . . . . ..... . ....... ... . . .. . . . . ... . . .. . .... .... ..
9. Size of lot: Front. . . . . . . . . . . . . . . . . . . . .. Rear...................... Depth ......................
O. Date of Purchase ............................. Name of Former Owner .............................
1. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Does proposed construction violate any zoning law. ordinance or regulation: ................................
3. Will lot be regraded ......... j)..(p...~... ..... Will excess fill be removed from premises: G No
4. Name of Owner of premises . ... . %.'1-.tf.... . . . . . . Address.. ...f[J.~'2(/). . . . . Phone No. .. . . .., . . ... .. .
~ame of Architect.. /']. .;.1.-'-......... ';":'~'" . Address ...... .,......... ....)'hone No. ..'7t'1.:.........
Name of Contractor ./.t; d.el:??4 'f. :r.-fl.. . . . . . . Address .111.Jfff!.'l:?!eIC ~Phone No. .. ~lt-. SJG'.Q.(
5. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ~.."
*If yes, Southold Town Trustees Permit may be reEuired. . .\
. PLOT DIAGKAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
.roperty lines. Give street and block number or description according to deed, and show street names and indicate whether
~terior or corner lot.
S'$- #~tf-7J
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AP. RO ED AS NOTED
. '17D Li:J.!:? zt
6tt;1t/~. dd B.P.' ~~
~~~It~~ ~!PA~~
765-1802 9 AM 10 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION . TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
All. CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
(,-tOES NOT RESPONSIBLE FOR
'.;li~r\1 OR CONSTRUCTION ERRORS
....,'. .
. .
.,-.
TATE OF !\E\\' ):OJ~c; (, . S.S
JV:-''TY OF. .~.r.. n. .0.. t::::.. /J
" .. . .!.ID/1,..#1.#-fY. . .11., . .ILf} f:-.~ ~. . JP.e,.. being duly sworn, deposes and says that he is the applicant
(:-lame of individual signing contract)
'ove named.
~ is the. . . . . . . . . . . . . . . . . . . . . ~mlf.~ r: ?}fe.... . . . . . . . . . . . . . . . . . . .'; . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
. said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
plication: that all statements contained in this applicatIOn are true to the best of his knowledge and belief; and that the
;rk will be performed in the manner set forth in the application filed therewith.
>'om to before me this
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County
.. . ............. ~;L;';;;;'i
nail NO. .
TOWN OF sOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH OLD, N. Y.
/-
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BUILDING PERMIT
<THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N!!
18957 Z
Dote ...1!'.d..Z........................................ 19..'l~
Permission is here~ranted to: k 12/ . ~ A../
&;I~ ~' U~fj;~........:.....tf..~....~..L~ 1-'
~~'?1 .................~...(J4........!...................
~ ..? .....~~~.....'(J~1:7...................
to~~..~....~~.L~l:dd~.e.r..~.~...<U:....
....~~.......-pt...................:..'2l7.....~.~...:;;.7...........................................................
at premises located at ......I...5:a~...~..{l.~...L:?~.............................................
...................................................~~~............................................................................
................................................................................................................................................................
County Tax Map No. 1000 Section ..........-d'.... Block ..........,J!....... Lot No. .......:?.L...
pursuant to application dated .........f!4.1.:::=............................., 19~O'.. and approved by the
Building Inspector.
." "3/.:
Fee $.../<2:"~'
~~m.mm
Rev. 6/30/80
TI:LlE"HONIE.r
29. .... - ....
A. REILLY & SCNS, INC.
-I. 2r~ -:-
OCCUPANCY OR
USE IS UNLAWFUL
\~ITHOUT CERTIFICATE
Of OCCUPANCY
MATTITUCK, LDNII '.LAND
NEW YORK 119.:&
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HIMMEDIATELY"
ENa OR POOL 10 COOl
UPON COMfILE11OH
IEfORE "'WATEJr
,
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J~d.'
"IMMEDIATElY"
ENClOSE POOL TO CODE
UPON COMPlmON
BEFORE ''WATER''
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s- TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER STREET VI LLAGE DIST. SUB. LOT
M.;(l.ley ~I~II(.\ h nfA Ir.,.fl( " I j/ --//- " S-
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FORMER OWNER N , f,' t, It E /\,.J:C""" ACR. 1
'-:.-:) 1< ,333 i
S /'/ ( W TYPE OF BUILDING
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RESrJ 10 SEAS, VL. FARM COMM. CB. MICS."' Mkt. Value
LAND I IMP. TOTAL DATE REMARKS
/1(1 (} I /.e.I ," n_ I 12/7 rJ Il/kA5.1 2(; \~) 'CO' ~ZA
h {' 0 ~ .::: (> ~, '0 '1 00 '-)/ ~ '-'" '::Vt?,.?('", . l InO 1'?\,:":>'::;<0 .. 1<11 L". . f,.., kilt-fl" . (y', ,. 1-'/:-
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
.
FARM Acre Value Per Value
Acre
--.-
Tillable FRONTAGE ON WATER
-.
Woodland i FRONT AGE ON ROAD , /z /,
I ':7, ,'''' , .
Meadowland DEPTH //. ,:1 ,
HousG>oPloto- -- - BULKHEAD
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Total DOCK
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n
COLOR /Y' .q~rr. Ln'
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Extension
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Extension
Extension
Porch / ,.7 .. ,., . )v,-J
" , "
Porch
Breezeway
Garage 10 ,/ / r .' I ~
Patio :
Foundation
"J::" ' Basement
Ext. Walls
I Fire Place
I
" ,Type Roof
,
I Recreation Room
Rooms 2nd Floor
"'t:' ,
15 /1 / ( I,~
Bath
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T'L"f"-I
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Flaors
t { )I <'
Interior Finish
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Heat
\f' s.
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Reams 1 st Floor
0, B.
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,
Driveway
Dormer
Total
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1],/ '..1-.2 ~ '. '
7 93
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Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 9'\ 2007
Walter R Kuhn Jr.
73 E. Shore Drive
Halesite, NY 11743
RE: 1855 Old North Rd. (gin-ground pool wI fence)
SCTM # 54 3 25
Dear Mr. Kuhn,
Please be advised that your Building Permit #18957 issued April 17th 1990 has expired.
According to the Code of the Town of South old, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $150.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
TELEPHDNC..
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A. REILLY & SONS, INC.
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OCCUPANCY OR
USE IS UNLAWFUL
VVITHOUT CERTIFICATE
OF OCCUPANCY
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"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE 'WATER"
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