HomeMy WebLinkAbout33404-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32641
Date: 09/28/07
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 2495
(HOUSE NO.)
County Tax Map No. 473889 Section 102
HIGHLAND RD
(STREET)
Block 8
CUTCHOGUE
(HAMLET)
Lot 9
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 18, 2007 pursuant to which
Building Permit No. 33404-Z
dated SEPTEMBER 18, 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 IN THE REQUIRED REAR YARD WITH FENCE
TO CODE AS APPLIED FOR.
The certificate is issued to DANIEL W & ELISABETH C. TERRY
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COIll!lTY DEPARTMENT OF HEALTH APPROVAL
07/28/05
RLRCTRICAL CERTIFICATE NO.
1670
N/A
PLUMBERS CERTIFICATION DATED
~iZ~
Rev. 1/81
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Form No.6 ......
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or il!k 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 Oept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire UndelWriters.
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-confonning 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.
New Construction'
C. ~eesCertificate of Occupancy _ New dwelling $25.00, Additions to dwelling $25.00, A:lt:jpir ~;s (~diVelu n$25 00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory build'''" 5.00, Business ~OOO.
2. Certificate of Occupancy on Pre-existing Building - $100.00 /I'!, ~/I
3. CopyofCertificateofOccupancy-$.25 28 /1/
4. Updated Certificate of Occupancy - $50.00 '-----.' t.!!JI
5. Temporary CertIficate of Occupancy - ReSidentIal $15 00, Conunelclal $15 00'.._.. r-".~" ;~.--.J I
Date ~ dr,'~.~. I
V Old or Pre-existing Building: (check one) ,
LocationOfPropertY:~:~0: pfjlj;/ ~J C4M{t~f'-
House . Street {
Owner or Owners of Propeliy: r.At1/.:J::l;L 1,/. "Tl?~ ;(y
. -~-
/tJ~
Hamlet
{/c70 ?'
Suffolk County Tax Map No 1000, Section
Block
Lot
CCJ7
SubdivislOn
Filed Map.
Lot:
Pennit No _.33 Lf D LLl;. __ Date ofPermit---.iJM-J a7
Applicant:__.________
Health Dert. Approval: _________ . __on Underwriters Approval:
Planning Board Approval: ____on
Request for:
Fee Submitted:
TemJlorary Celi:3Jate ______ Final Certificate: '__,_._ (check one)
$ ~ < ::---
~'731 (,/
C.O% 2>;;)Gy/
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.
33404 Z
Date SEPTEMBER 18, 2007
Permission is hereby granted to:
DANIEL W & ELISABETH C. TERRY
2495 HIGHLAND RD
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE
REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. (REPLACES BP#31081Z)
at premises located at
2495 HIGHLAND RD
CUTCHOGUE
County Tax Map No. 473889 Section 102
Block 0008
Lot No. 009
pursuant to application dated SEPTEMBER 18, 2007 and approved by the
Bui1ding Inspector to expire on MARCH
18, 2009.
Fee $
150.00
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ORIGINAL
Rev. 5/8/02
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SUFFOLK
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BUREAUOf
ELECTRICAL
J N S PEe TOR $. 111 (:
40 Nottingham Drive, NY 11953
Telephone: 1 6314958136 . Fax:1631 980 6455 . E-Mail: S6EI1@hotmail.com
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II,I'I! Applicant: Raymond Electric
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illllj Rough In Inspection Date: 7/21/2005
IllillAPPllcatlon NO: 1670
1IIIil Suffolk COunty Tax Map NO:
Ill.l!1
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ijilj! This Certificate of Electrical Compliance Is limited to the InsPection and compliance of elecJ:rical equipment
iiil,! and/or work deScribed below and Installed by the Applicant named above, and located at the premise of:
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iilll! Owner: Terry ....
il,IIJAddness: 2495 Highland Rd., Cutchogue, NY 11935
IIII'1 Address of Inspection Site: 2495 Highland Rd., Cutchogue, NY 11935
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, Iii Commercial
11:1i' New
11m Addition
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I!ll!! The electrical work and/or equipment described above were Inspected and appear to be in compliance with
Ii!!ii local, state and national electrical code requirements snd this office.
liilli Applicant Raymond Electrio
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IJi!l! Inspected by: ./Ife R. Surd I Dale C8rtifiate Date: 7128/2005
!/!iiJSignature: ~ n
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CERTIFICATE OF ELECTRICAL COatPUANCE
Service 10
Service 30
Mllln Panel
1-8ckt Su b- Panel
Disconnects
Transformers
Twist Lock
102
8
9
Indoors
X Outdoors
Renovation
Survey
Basement
1st Floor
2nd Floor
Attic
Heat
1 Time Clock
Hot Wllter
GFCI Bneaker
Dryer Recpt
EXhaust Fan
lVSS
Inventory
Duplex Recpt
2. Switches
1 GFCI Recpt
1 Single Recpt
Range Recpt
Appliance
Heat Pump
Final Inspection Date: 7/21/2.005
Certificate NO: 1670
BUilding Permit NO: 31081
Service
X Pool
Hot tu b
Garage
Shed
Other:
Ceiling Fix
Wall Fix
Recessed Fix
Fluorescent Fix
AlC 610wer
AlC COnd
Electric Heat
HID Fix
Smoke Det
CO Det
1 Pump
Emergency Fix
Exit Fix
1 Pool Lumlnaire
License No:
6141-ME
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331-D If Z-
TOWN OF SOUTH OLD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING P<1 FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
I'~ ~.,'~
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REMARKS:
E~ caJ\::t, ~~~
DATE
r/1-S"-o7
INSPECTOR ?~
..
FuiD INSPECTION REPORT DATE COMMENTS ~
al
FOUNDATION (1ST) ~
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-----~------------------------------ .
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FOUNDATION (2ND) i~
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INSULATION PER N. Y. l"l
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STATE ENERGY CODE
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ADDITIONAL COMMENTS i'
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TOWN OF SOUTHOLD PROPERTY.......UCORD CARD
STREET VILLAGE DIST.
u). .. eu'~~ c. H R:J; Cul'CHc uf" 'III&. HI Iti AND
N E ACR.
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S W TYPE OF BUILDING
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LOT Ie
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731/, 7710
,ES. C),,! () SEAS.
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FARM
COMM. CB. MICS. Mkt. Value
LAND
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IMP.
TOTAL DATE REMARKS _ ?". \ ..:>1'\ I
~ 0 c ?/3 he ?/l31f1 liP. II:; 13 ("iul,. ,;;;f;n."/y ~,.d/ L'a: !1 f".1, "dO .....-
<f/dd / If/b/J: / o/~/f'I S..-u !/75"'d #91.1"",./ f. ~~dS'h j; ::1"1 .._
~ 71 00 ./ 3/' '19~ 4J gJ()4--U;:JO\ -~'."7 - l'lf){}:;b')f) ~tO-f -fD '"'&-vL( .; tvf- $JffoD., Ml";)
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iIIable %r I; M" 11 = A tJl1(U ,..A( f ,wi~j,~",,1J. . &,,,,,,,, t 1/ ~I's.
loodland .
ouse Plot
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH -A vi
BULKHEAD
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Extension '} r b9~ 5" .{ t/.3.t I ~ I)
I,? ,/.15 ~ 3P~ -' 3-
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Extension
Foundation Ie, Bath / I Dinette
. ~
Porch /7'i(N} , 0/''0 .~" ),0 I Basement /UI! F loars 1/1 ,HI K.
Porch Ext. Walls /IS Interior Finish SIR. LR.
Breezeway Fire Place J Heat c/o ..y< tv' DR.
.
Garage AX XfJ..s- :0 SYtJ I!! 61] / Type Roof ~ooms 1st Floor ~R.
P . Recreation Room Roams 2nd Floor FIN. B
atlo I
O. B. Dormer Driveway
Total tSl11
PERMIT NO. 310 f? I~
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planuing Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
roWN OF SelUTHOLD
~UILDmG DEPARTMENT
rOWN HALL
;OUTHOLD, NY 11971
rEI,: (631) 765-1802
lAX: (631) 765-9502
I.pproved
)isapproved ale
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61.u; : 20-L
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,Phone: (<oclL-u f-t- t'J--( \\'113
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I' , it' IS r, \\~J~\
'\ ~ ~-"- \\AfPLICATION FOR BUILDING PERMIT
\ ,~\ , 1- 'l. ( -',' \ ,-,' \ ^.-r.
iJUl ,'\ \ Date-----9""d ()d-
.--::;-;.:T , INSTRUCTIONS
U\~; (;,:"'>""y,:I!"'1.-_
a. This'appli~cl;~ MUST be completely filled h" by typewriter or in ink and submitted to the Building Inspector with 3
ets of plans, accurate plot plan to scale. Fee according to schedule. '
b. Plot plan showing location oflot and of buildings on'premises, relationship to adjoining premises or public streets or
reas, and waterways. '
c. The work covered by this application may not be co=enced befoie issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
hall 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 what so ever until the Building Inspector
:sues a Certificate of Occupancy. '
f. Every building permit shall expire if the work authorized hiis not co=enced within 12 months after the date of
suance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
:operty have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
idition six months. Thereafter, a new permit shall be required. '
APPLICATION IS HEREBY MADE to the Building Department for the issuance ofa Building Permit pursuant to the
uilding Zone Ordinance of the Town of South old, Suffolk County, New York, and,other applicable Laws, Ordinances or
egulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
lplicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
lthorized inspectors on premises and in building for necessary inspections.
" . C
;xpiration
-
,20.QS
U
(Signature of applicant or name.. a corporation)
)L\C{5 ~~~\\Qvx:1 R~c0 O.r\C~'
(Mailing address of applicant)
ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plwnber or builder
uneofownerofpremises'])l1V'\ ull t;1\7ab~ \6v\"'J '
, (As on the tax ro I'or latest deed)
applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
cilders License No. .;t. IIj-t;;>..H
unbers License No.
~ctricians License No. ~1o,6 H
b.er Trade's License No~
, 1l'B '5
County Tax ~ 1000 Section /Od-,.
Subdivision . \0vNl t:::<"",\",,-~...s.
Block 0
Filed Map No.
Lot cr
Lot I:J.....
a. Existing use and occupancy ';;'IYlj/e..~ml/t.t (eSldetl CIL
I ,
b. Intended use and occupancy msktl / fl jY"UJ1 d pofJ J ~{j", lfO
3, Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition OtherWork~oo L-
Ji ' (Description)
4, Estimated CosOO/OOO - ' Fee
.
,
5, If dwelling, number of dwelling units
If garage, number of cars
6, Ifbusiness, commercial or mixed occupancy, spe,cify nature and extent of each type of use.
(To be paid on :filing this application)
Number of dwelling units on each floor
7, Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8, Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9, Size oflot: Front
Rear
Depth
10, Date of Purchase
Name of Former Owner
II, 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_Will excess nn be removed from premises? YES_NO ............-
14, Names of Owner OfPremise~Addres~ ~5.Hip.bla.ntt.IliPhoneNo.18i-\-15Q. ~
NameOfArChitec~~ Address_'_\.J~AVe.. PhoneNo 33\-d-IG5
Name of Contractor l0-Ltj JloW Address 1.\1\ eTt'. :7.f'>A- PhoneNo.1J/4-g /oe)
" "~~~
IS a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? IIeYES_NO 0./
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERJY.nTS MAY BE REQUIRED.
b. Is this property within 300 fcetofa tidal wetland? lie YES_NO~
* IF YES, D.E.C. PERMITS MAYBE 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.
STATE OF NEW YORK)
SS:
COUNTY OF )
r: ~~...--r ~d~ being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, '
(S)He is the '~ ~wt- ) U>\'Yl{~
(C ctor, Plgent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perfonn or have perfonned the said work and to make an~ file this applicatic
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
peTfonned in the mamleT set forth in the application filed therewith.
Sworn t.9. before me :j\ '" C
c;J 0\ day of '\/\<\ \ 20u::.L
~aJ OO~ P~()dlC~
, Notary Public
,~-
Signature of Applicant
KOLEEN l' RCDECKER
NOTARY PUBLIC, STATE OF NEW YORK
No 01 A06099,40
QUALIFIED IN SUfl'OLK COUNTY
MYCOMMISSION EXPIRES SEPT, 29, 20f2J
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SURVEY fOR
LAWRENCE DOODSON So VIOLET DOODSON
LOT 12, "HIGHl.AND ESTATES"
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AT CUTCHOGUE
ltlWN .OF.SQVTHOLD
SUFfOL.K COUNTY, NEW YORK
.IJHA'-into..:1ZtD ALTI:!'tATlotf Oflt...ODIT1CIf "TO nus
IUItVEY IS. YJOl..AnOH OF Keno" not Of THE
HiEW 'fORK ''TAU lPVCATIOff L.AW'
HarlES OF UtIS SI.OIvn 1<<lT 'U~lIlB THE LA.D
5UR'l/fYO"" Ufll;lO SEAL. OR EtlIO,'Ctl stAL S"A~L.'
NOT U COHtll>[flIDTOIE.AVA\.-IO TRU[ co"v
.GOUANTU:l IHOICAllP HIRlEON SKAL.L "UH CHLT 10
THt PU'IOH ,-oR _"0111 Tlif SVPNfY I' PRlPAJriID
AHD ~ HIS II:HAL.T TO TH( TIn..!. tOMPAIo'f, 80YtftN"
NEflrAL ..Gt~t,. ..,.D U.rtDINI IHITITUTlOH I.ISTE>D
HV.E.~ AHD fO THE ~UIg,HUS Of TIt[ LENOIM8
IH!TtIUTI<:IH. OUAftAHnn AR( I'OT T_Sft:~UL(
fQ AoomOMAl JNITITtJTlOM1 0" SUII[QU'fHT
OW~4[R5
III D1UA"C!.'S $HOW~ H["'f01t F"ON """OP!:IlTY UME."
TO lUITING. STRUC ruPlU l~[ fOR A SPtCtl'lC
f'UftPOtE lHO AM flOT TO IE. uno TO .t5rA'Co.II"
PIlBP(RTY LINES OR POR T1l~ t~ECTIO" r::Jf fENCES
HEALTH OCPARTlolCNi -OATA FOIl APPROVAl. TO CONSTRUe T
... Ht."UI' 'MArE" ....lM_." t . SOURCE OF WATUII PfU..TE LpU8LIC_
IC ,-..w, co.. .riL1l ......, tliIlT 1.000 UClIOI4 J2.L MCK -1- LOT ~
]It ft1U\1t .ut!. NO C'tt1E:...LUtlJl 'WlTlUJ+ 100 fiIT 0'- nll1 '.ROPE~TY
O1Hffl TIiAH TIiO:SC: SttowN HEAtON.
tIE THt .ATU IVmT MIO ,'[W.t..f QoltpO$4'L. S'I"STCW FOIl TH1' "0 I OEHCl
W1U. (C*'OJlblll TO rHf :sr'NOMC'S Of T"!: su"OLtc r:Ou,.T"I' t)[PillftT.Ne:tfT
0' HLl~TH """ICU.
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TEL.
ALDEN II/.YOUNG, PROFESSIONAL ENGINEER
ANO LANO SURvEYOR ....Y.S. UCE...St NO. '2S4~
HOWARO W. YOUNG, LANO SURVEYOR
NY.S.UCENst ...0.45893
YOUNG a YOUNG
..r MOHUMENT a~ STAKE
$1J601l(\SION. NAP fll.f.D IN TH[ OfflCt OF TKE CU.:.ftK OF S\lFFO'r.1<. COUNTY
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81-~5
OST&ANOER AVENUE
RIVERHEAO. NEW YORK
,
ALL CONSTRUCTION SHALL
MEET THE RE IREMENTS OF THE
MEDIATELY"
EN LOSE POOL TO CODE
PON COMPLETION
BEFORE "WATER"
24'
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16' 7' 0 0
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COMPLY WITH AL DES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AN!J CONC:TiONS OF
so' -< ", '"\ '.
, ..'.';'\3 BOARD
" AP P8I A~
DATE: 'J-(; /" BU~~(e
FEE: BYe-, \)fIOL
NOTIFY BUILD ,::; uc"ARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTiONS:
L FOUNDATlorj - T'NO REQUIRED
FOR POUREJ C'Y:RETE
2,.BOIIGH - Fe.'N,;,3 & p~U.MBING
3. INSULATION
4. FINAL. CC'--":JCTlON MUST
BE cO/\ree"', '0~, ~O.
ALL CONS"HU'_ ,ION SHALL MEET THE
REQUIREMe'-ITS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
f", ~ ,~- "tor "'~i :~"';::"tS
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NYS, iJEC
FORMIED CONC. STEPS
CUPANCY OR _
fGFl!" FI1OM"'lIfe FroMF~6E IS UNLAWFUe
~FL1fRf"''WITHOUT CERTIFI SECTION B
fOWA5~fOrfru>JS OF OCCUPANCY
PIJJ~Jj~XNG SC:H~TlC
UNDERWRITERS CERTIFICATE
REQUIRED
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FORM 111:5
7700 1'51I'Ol.liW CCJNCKt11"
VlN'YI. liNER
2" fO 4" 5ANI?
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NOTES
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0_______________
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05-22-03
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.
;3'f;,~O ~~
J100.1 Z
Date APRIL
26, 2005
Permission is hereby granted to:
DANIEL W TERRY
2495 HIGHLAND RD
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at
2495 HIGHLAND RD
CUTCHOGUE
Block 0008
Lot No. 009
County Tax Map No. 473889 Section 102
pursuant to application dated APRIL 22, 2005 and approved by the
Building Inspector to expire on OCTOBER 26, 2006.
Fee $
150.00
"
ORIGINAL
Rev. 5/8/02