HomeMy WebLinkAbout35745-ZFORM NO. 4
TOW/q OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34766 I~mte: 12/29/10
T~IS CERTIFIES t~at the building SWIMMING POOL
Location of Property: 465 TOPSAIL LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
Co%~ty Tax ~ap No. 473889 Section 79 Block 7 ~ot 50
Subdivision Filed t4ap NO. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 2, 2010 purs,,~-t to which
Building Permit No. 35745-Z dated AUGUST 2, 2010
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 SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to KEVIN M & MARY J TERRY
(OWNER)
of the aforesaid building.
SuF~OI~K C~)~DEp;~RT~T. OF ~J~{APPRO~-AL N/A
z.~'l~ICAn u~TIFICA~ NO. 35745 12/07/10
~ERS u~TIFICATION DA'r~ N/A
~A~/~at ure
Rev. 1/81
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. 35745 Z Date AUGUST 2, 2010
Permission is hereby granted to:
KEVIN TERRY
PO BOX 653
SOUTHOLD,NY 11971
for :
INSTALL IN GROUlqD SWIMMING POOL AND FENCE TO CODE AS APPLIED FOR.
THIS PERMIT REPLACES BP 24413.
at premises located at 465 TOPSAIL LA
County Tax Map No. 473889 Section 079
pursuant to application dated AUGUST
Building Inspector to expire on FEBRUARY
Fee $ 150.00
SOUTHOLD
Block 0007 Lot No. 050
2, 2010 and approved by the
2, 2012.
~ Signature
ORIGINAL
Rev. 5/8/02
TOWN OF $OUTHOLD
BUILDINe DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
24415
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~,te ...... .~.?.~.~ ........ ~.~ ..........................
19.....9..7....
Z
Permission is hereby granted to:
.CHITUK ..P. OOLS LTD. ~"~'~'""~' '1
P.O. BOX
CUTCHOSUE,NY 11935
t INSTALL INSROUND POOL AND FENCE TO CODE AS APPLIED FOR
4&5 TOPSAIL LA SOUTHOLD
at premises located at ...............................................................................................................................
475889 079 0007 050
CounlyTax Map No ........................... Section ........................ Block ........................ Lot NO .........................
N/A 9'9 97
pursuant to application dated .......................................................... 19 ................ and appi'oved by the
Building Inspector.
150.00
Fee $ .........................
Rev. 6/30/80
Form No. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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 building or new use: 1. Final survey °f pr°perty with accurate location of all buildings, p.roperty 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 2/10 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 Pl.a~ing 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swirmning pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $I00.00
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 /
New ConstrUction: ?(~ L Old or Pre-existing Building: (check one)
Location o f VroPerty:~fi'/~'~'- ~'"~ ~'/f] //~ L~/n_~
House No, / _~//~j.~_ Street Hamlet
Owner or Owners of Property: - '~/~
.. Suffolk County Tax Map No 1000, Section
Subdix(iSion
Permit No.-.~ -" z..~ ~ Date of Permit.
Health Dept. Approval:
'Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Block ~ 9 .. -- Lot /-
Filed Map. Lot:
Applicant: /~/~'CA, i 'Y~{~
Underwriters Approval:
Final Certificate:
Applicant Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
ro.qer, richert~,town.southold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Kevin Terry
~,ddress: 465 Topsail Lane City: Southold St: NY Zip: 11971
Building Permit #: 35745 Section: 79 Block: 7 Lot: 5£
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential ~i] Ind°°r ~ Basement ~ Service Only Ii~]
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tut)
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water CFCI Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
Ceiling Fixtures r-'"'--Ir~lR HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures I I CO Detectors
Fluorescent FixturE~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures ~ TVSS
swimming pool, bonding, 1 pool light, 1 pool pump, I time clock, 1 GFCI recpt.
Notes:
Inspector Signature:
Date: Dec 7 2010
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
]~I~LATI ON
FINAL
FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCT~N [
REMARKS:
] FIRE RESISTANT PENETRATION
INSPECTOR
F SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ~,,] ELECTRICAL (FINAL)
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND
[~I~L ~. /
[ ]FRAMING / STRAPPING
]FIREPLACE & CHIMNEY [ ] FIRE ON
[ ]Fm~R~Sm'~'rco. s~ [ ]FmER~Sb'TJ.T~mL=TmTmi
REMARKS: ~/~~~
/ ,
DATE /~/~/~//~ ~/ INSPECTOR~
FOU~DATION
(lst)
FOUNDATIO£1
(2nd)
ROUGU FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
FORN NO.
TOWN OF SOUTHOLD
BUILDING DEPARTt4ENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL: 765-1802
SURVEY ........................
CHECK .........................
SEPTIC FORM ...................
Disapproved a/c ..................................
...................................................... ,., ELD.:'
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
NOTIFY:
!~.IL TO: ....................
a. 3his application n,,.~t be conpletely 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 scbe(kfle.
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 mast be drgan on the diagram ~hich is pert of
this application.
c. Tbe ~ork covered by this application r~] not be ~sced before issuance of Building Permit.
d. ~ approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be kept on the praises available for inspection throughout the ~ork.
e. NO building shall be occupied or used in ~hole or in port for any parposa whatever until a Certificate of
Decupasm] shall have been gras£ed by the Building Inspector.
APPLICK~ICfl IS 1~ ~gll~ to the Building Deportment for the issuance of a Building Permit pursuant to the
Building Zone Ordinm~e of the To~n of Southolfl, Suffolk County, N~ York, and other applicable L~as, Ordinances or
Regulations, for the construction of beilding$, additions or alterations, or for r~oval or clomolition, as herein
described. The applicant agrees to cemply with all applicable la~s, ordinances, building code, housing code, and
regulations, and to aelmlt m~thorized inspectors on premises and in building for necessary inspections.
_ ~,q,~_ (~gn~ of applicant, or name, if a corporation)
- ~ .___.~_.o..2~....~.. ,~c~.~,.~.... ~//~-
1~ I~MIg~W~W~ ~l~l~Jlt~l ~ing address of applicant)
............... ff_z~zvYw/. ~2: .................. ~.~-,~uc~ m-,..' ........................... . .... .,,, .........
· ;i' ~ ' ' 'M '
' MJ..q
Na~e of oaner of premises ....
(as on
If applicant is a co. eq~.rati~n, s/ignature
(Nm~ and title of corporate officer)
Builders License No../J~.f./~../~.~. .......
Ph~nbers License ~o ..........................
Eleetrieimm License NO ......................
Other Trade's License NO .....................
I. l~cation of land on ~dalch proposed ~ork will be done ..............................................................
.... .(/.df.. ............... .... ............................. ......................
House N~uber Street llanlet
Ccranty Taxi. lap No. 1000 Section ..~.~.~. ........ Block ...... ~).~. ..... Lot .~.~ ..........
Subdivision . ~(~..t4/..~....~..~-~. ~. ................. Filed ~ NO...~-7~-~. ...... LOt . .~/-~ .........
(~)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. ,'~$ting ~ ~ ee~y .Z.. ~..og.Z....4~..~.~... ~.?..~../Y.~.. d~. ..................................
............
3. l%ture of work (c]~:k ~hiO~ ~pplicable): I~ I~ilding .......... ~it~ .......... Alteration ..........
I~[~,i r ............ ~1 ............. I~1 iris, .......... ~ .~.~z~. ~ ...........
~ ~ ~ ~ (~riptim)
,,.i ,nd t ........... . .................................
(to I~ ~id tm filing this a~licati~)
S. If t~lli.g, ~t~r of ~lli~ units ............ r~r of (K~lling ~it~ ~ ea{~ H~r ................
6. If I~si~ss, ~rcinl or mi~l ~q~r~y, sl~cify ~ature m~l ~tent of each ty~ of u~ ......................
1. lii,,~naic~,a of existing strictures, if any: Er~t...~.~ ...... ~ar .~ ...... ~pth ..~4~ .........
lk~i~,t: ~&: ................... K~d~r o~ Stories .... ~ ...............
liinensi~ of sa~ strt<ture with alternti(m~ or ~litiorm: Front ............... ~ar ...............
I~pth .................... l~i~t .................... ~mi~r of Storie~ ...............
B. DJ,ensigns of entire ~ ~tn<l:i~: }~r~lt ................ ~ar ............... ~pth ..............
I~i[0~t ......................... K~r of .Stories .....................
10. I~le of l~r(:ham ..................... ~ of For~r ~r ........................................
Il. ?~ or u~ district in ~{d~ pr~i~s a~ ~i~t~ ........... ,J .............................................
iZ. ~a propel c~ml:n~ti~ violate any r~ing I~, ordinance or re~lat{~: ...~ ................
I~. ~ill 1o~ I~ ~r~ ..~.~ ........... ~ill ~ess Jill ~ r~l
·me o[ ~rdHteet .................................... &~lress .............................. ~ ~ ...............
15. Is OHs p~rty within ~} [~t o[ a ti{~l ~tland7 ~ ~q ..........
P1.OT I) IAGRAH
lc)cate clearly and distinctly all lxfildings, M~ether existing or proposed, and indicate all .set-back dimensions
fro, property lines. Give street and block r~inl)er or description according to deed, and Mk-~ street l~nes and indicate
x~hetber interior or con,er lot.
'qMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
FOU.OWmO ~
I F~ o I~1~O IIOI~IID
FOR I'OUI~D COI~gL~
2 ROUGH - FRAMJNG · PLUMBING
3. INSULATION
4 FINAL - CON$~rRUCTION MUST
BE COMPLETE FOR C.O.
ALi. CONSTRUCTION SHALL MEET
THE REQUltMENT$ OF THE N.Y.
STATE CON~I'RUCTION · F. NERGY
CODES. gOT RF~PONI~E FOR
WITHOUT CERTIFICA?E
OF OCCUPANCY
UNDERWRITERS CERTIFICATE
REQUIRED
sw~)rn, delx)~es mgl mays Lhat he i~ the ;qzpl iC~qilI
((O.,t~..ge,,t. coqx~rste otricer, etc.)
or ,-.aid (~er oi~,,~,..,..~-, and is duly ;~Iht)rivml Lo l~r[on, or ha~ l~rfor~l the ~i(1 ~rk taxi to rake and [ile IIlig
nlq)llcati(~; Illnt nil ntat~nts c(~tai~l in thig nlq~llcat:i(~ are tn~ to the I~.l:
Ihnt Lhe ~)rk will I~ l~rron~l iii Ihe ~..~r mt [orlh in Ihe aJ~ ~catl(~ [JJ~t
(Si[~ml:l,re of Applic;mt)
~'~ 7?- ?~ ~TOWN OF SOUTHOLD PROPERTY-~. RECORD CARD
i ~/NER ' STREET /,/'~..~ VILLAGE
~/~ U / FA~ CO~. CB. MI~. Mkt. Value
~. __~_-,-_~. IMP. ?OTAL DATE R~RKS
~ FRONTAGE ON WATER
.~ FRONTAGE' ON ROAD
J~ DEPTH
;t , BULKH~D
COLOR
M. el~.
Extension
· Extension
Po~:h
Breezeway
Patio
T~al
~o
~-o
Ext. Walls
Place
Raems
Ko
BR.
ILO. J~c ll~qt
REQuESTEB By;
Co~pany Name:
Name:
Uoense. No,:
.Address:
Phone No.:
JOBSI'.'rE INFORMATION: (*!ndi~mtes mq.uired info~-mation)
*!qame:-
*Address:
· *Cross Street:
*Phone No.:
Permit No.:
.Tax Map District:
*BRIEF DESCRIPTION OF WORK (Please Print. Clearly)
~Job ~ ~or irmpe~, n:
YE.8 / NO
Temp-lnfonnafion (If needed)-
~Sel~ioe Size: ' 1 Phaee 3Phase
*New Service: Re-connect
Additional' Information:
t00 150 . 200 300 · 350. 400
Underground Number of Metem Change Of Service
PAYMENT DUE WITH APPLICATION
Olher
OverheadS. '\¢'
Town Halk 53095 Main Road
P.O~ Box 1179
Southol& New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (631 ) 765-9502
Telephone (631 ) 765-1802
November 29th, 2006
m'o'~x1482
Soufhold,~. 11971
RE: 68~. (In-ground pool w/fence)
To Whom It May Concern:
Please be advised that your Building Permit #24413 issued October 16th, 1997 has
expired. According to the Code of the Town of Southold, 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.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971 0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
7008 1830 0004 5083 3150
January 6th, 2010
71
FINAL NOTICE
RE:~. (IN-GROUND SWZAAMZN* POOL)
$CTM: # 1000-79. - 7-5
To Whom It May Concern:
Please be advised that your Building Permit # 24413 issued October 16th, 1997 has
expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy
must be issued before the 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. PLEASE SEE ENCLOSED
DOCUMENT REGARDING SWIMMING POOL CODES.
If you have any questions, please coil us at 765-1802.
Respectfully,
5OUTHOLD TOWN BUILDING DEPT
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765 9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
January 18th, 2010
FIRST NOTEE
Kevin & Mary Terry
P.O. Box 6§3
Southold, N.Y. 11971
RE: 46§ Topsail Lane (IN-OROUNb SWli~i~AINe POOL)
SCTM: # 1000-79. -7-§0
Dear Mr. & Mrs. Terry,
Please be advised that your Building Permit # :>4413 issued October 16th, 1997 has
expired. According to the Code of the Town of $outhold, a Certificate of Occupancy
must be issued before the 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.
PLEASE SEE ENCLOSED DOCUMENT REGARDING SWIMMING POOL CODES.
If you have any questions, please call us at 765-1802.
Respectfully,
5OUTHOLb TOWN BUILDING bEPT
COPY OF BUILDING PERMIT ENCLOSED FOR YOUR CONVENIENCE
Town Hall Annex
54375 M;fin Road
P.(). Box 1179
Southold, NY 11971-0959
Telephone (631) 76.%1802
Fax (631) 765-9502
BI ilLDING DEPAI/TMENT
TOWN OF $OUTHOLD
Kevin & Mary Terry
P.O. Box 653
Southold, N.Y. 11971
April 27th, 2010
Re: 465 Topsail Lane/Violation
5CTM# 1000-79.-7-50
To Whom It May Concern:
Your BUILDING PERMIT # 24413 for construction of an 'rN-r~ltOUNb SWIMMJ:N(i
POOL has been referred to me because you have not responded to requests to
obtain your Certificate of Occupancy as required by $outhold Town code.
Pursuant to 144-15A, of the $outhold Town Code, "No building hereafter erected
shall be used or occupied in whole or in part until a certificate of occupancy shall
have been issued by the Building Inspector." PLEASE SEE ENCLOSED DOCUMENT
ItEe~AItDIN~. SWIMMIN~ POOL CODES.
Therefore, you have ten days from the receipt of this letter to submit o check
made out to the Town of 5outhold in the amount of $150.00: to renew the building
permit, or legal action will be taken against you. Should you have any questions, call
the building department between the hours of 8:00 a.m. and 4:00 p.m.
Respectfully Yours,
Damon Rallis, Zoning Inspector
5outhold Building Department
7009 0820 0001 7819 6235
Tern n ttall Annex
51375 Main Road
P.O. Box 1179
Soutttold, NY [ 1971-095!t
Tclcphonc (631) 765-1802
Fax (631) 763-9502
BI TILl)lNG I)EPARTMIqNT
TOWN OF SOUTHOLD
Kevin Terry
PO Box 653
Southold, NY 11971
August 3, 2010
Re: 465 Topsial Lane, Southold
SCTM# 1000-79.-7-50
Existing Violation: Occupancy without CO
Mr. Terry:
The building department has renewed your expired building permit (a copy is enclosed)
and the new permit number is 35745Z.
I am returning the copy of the appearance ticket that you sent to me as you will need it
when you appear in court.
I understand that you cannot attend your court appearance on August 23, 2010. However,
because this is no longer a building department matter, it is up to you to request a new
date fi~om Southold Town Justice Court. You can call that office directly at 765-1852.
Please note that although you have renewed your building permit you must appear in
court regarding this charge.
Furthermore, it is up to you to schedule your final inspection with the Southold Town
Building Department. This can be done by calling 765-1802 and scheduling an inspection
with one of the department's secretaries. Please have your new building permit number
available when you call.
~d-g2g '~.
Local Criminal Court
TOWN OF Southold
Docket No. (s)
STATE OF NEW YORK )
COUNTY OF SUFFOLK ss
TOWN OF SOUTHOLD )
VIOLATION INFORMATION
Kevin Terry
465 Topsail Lane
Southold, NY 11971
) Defendant(s)
The undersigned Town Employee of the Town of Southold, being duly sworn, says that
On and before July 27, 2010 at 465 Topsail Lane, Southold, Town of Southold, County of Suffolk, State of
New York, the defendant Kevin Terry wrongfully, intentionally, knqwingly, recklessly, with criminal
negligence, committed the offense of violating Southold Town Code Section 144-15.
§ 144-15. Certificate ofoccupancyrequired; application.
A. No building hereatter erected shall be used or occupied in whole or in part until a certificate of
occupancy shall have been issued by the Building Inspector.
To wit; the defendant has an expired swimming pool permit (#24413). The swimming pool has been constructed
and the defendant has been utilizing the swimming pool, although there is no certificate of occupancy.
This complaint is based on personal observation and r_ecor~
Signature of Official Administering Oath Co~plaina~Co~plaina ~
Fy NofaP/.,Public. S~te of New
Title . .
Town of Southold O0mm~ssm £xplres April 14,ni~
TI~Wi~ OF SOUTHOLD
Southold, New York, 11971
APPEARANCE TICKET- 1395
Issued to:
commission of the offense of:
Last Name Flint Name M.I.
Number and Street
Cly or Town State
YOU ARE HEREBY directed to appear at the Justice
Court, Town of $outhold (Town Hall) 53095 Main Road
(State Route 25), Southold, New York 11971.
day of 0 / L)
at / o'clock in the ~. M.
in connection with your alleged
contrary to the provisions of
S c on
of the code of/the T~wn of Southold
Dated:
Tide
IF YOU FAIL TO APPEAR ON THE DATE AND TIME INDICATED, A CRIMINAL SUMMONS OR
WARRANT FOR YOUR ARREST MAY BE ISSUED.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971 0959
Telephone (631) 765-1802
Fax (63 I) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December 16, 2010
Kevin & Mary Terry
PO Box 653
Southold, NY 11971
RE: 465 Topsail Lane, Southold
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy
"~ Application of Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of $50.00.
Final Health Department approval.
Plumbers Solder Certificate. (Ail permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees #765-1892)
Final Planning Board approval.
Final Fire Inspection from Fire Marshal.
Final Inspection from the Building Dept.
Final Landmark Preservation approval.
Building Permit:: 35745-Z swimming pool
I STONY WOOD
~-~AME t~'SIDENC~'
LOI' 44
14'
t-ri
CM.
R£ESE. ~
Guarantees ina'mated here on shaft run
only to the person for whom the survey
is prepared, and on his behalf to the
title compcny, Govermentc. I Agency,
lending institution, if listed hereon, and
to the ~s~gnees of I~ lending instilut~.
Guarantees are eot transferable to
additional JnstJlutions or s~bsuquent owner~
FD.
Unauth~zed allerel~-~r 'addlt~on Io If~
~urvey is a ~akgla~ of 8ectlan 720~ ef
the Hew Yerk State Educetion Law.
CQl~es ef Ifgs survey map not bearing
~e Land S4~'eyors embossed seal dmll
not be considered to be a vafid true
copy.