HomeMy WebLinkAbout38882-Z Town of Southold Annex
6/17/2014
P.O. Box 1179
;s 54375 Main Road
�q Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36961 Date: 6/16/2014
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 20692 Route 25, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 108.-3-8.8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/13/2014 pursuant to which Building Permit No. 38882 dated 5/13/2014
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:
in ground swimming pool with deck surround as applied for
Corrected 6/16/2014 for application date 1/1/1900 corrected to 5/13/2014
The certificate is issued to Burns,William&Burns,Patricia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 31592 9/13/09
PLUMBERS CERTIFICATION DATED
t
t riz Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 38882 Date: 5/13/2014
Permission is hereby granted to:
Burns, William & Burns, Patricia
20692 Route 25
PO BOX 987
Mattituck, NY 11952
To: CONSTRUCT INGROUND SWIMMING POOL WITH DECK AROUND AND FENCE TO
CODE AS APPLIED FOR REPLACES EXPIRED BP 36701
At premises located at:
20692 Route 25, Mattituck
SCTM # 473889
Sec/Block/Lot# 108.-3-8.8
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 11112/2015.
Fees:
PERMIT RENEWAL $153.50
CERTIFICATE OF OCCUPANCY $50.00
Total: $203.50
Building Inspector
TOWN OF SOUTHOLD
� x BUILDING DEPARTMENT
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 #: 36701 Date: 9/21/2011
Permission is hereby granted to:
WILLIAM & PATRICIA BURNS
PO BOX 987
MATTITUCK, N.Y. 11952
To: CONSTRUCT INGROUND SWIMMING POOL WITH DECK AROUND AND FENCE TO
CODE AS APPLIED FOR.REPLACES EXPIRED BUILDING PERMIT # 32729
At premises located at:
20692 MAIN RD MATTITUCK, N.Y. 11952
SCTM # 473889
Sec/Block/Lot# 108.-3-8.8
Pursuant to application dated 2/16/2007 and approved by the Building Inspector.
To expire on 3/21/2013.
Fees:
PERMIT RENEWAL $307.00
Total: $307.00
gInspector
Buil '
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
f
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#: 32729 Date: 2/16/2007
Permission is hereby granted to:
WILLIAM & PATRICIA BURNS
PO BOX 987
MATTITUCK, N.Y. 11952
To: CONSTRUCT INGROUND SWIMMING POOL WITH DECK AROUND AND FENCE TO
CODE AS APPLIED FOR.
At premises located at:
20692 MAIN RD MATTITUCK, N.Y. 11952
SCTM # 473889
Sec/Block/Lot# 108.-3-8.8
Pursuant to application dated 2/16/2007 and approved by the Building Inspector.
To expire on 8/16/2008.
Fees:
INGROUND SWIMMING POOL $307.00
Total: $307.00
Building Inspector
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)
311 as (-Cl
PERMIT NO. `:: 4 Z Date AUGUST 16, 1999
Permission is hereby granted to:
WILLIAM & PATRICIA BURNS
20692 MAIN RD
MATTITUCK,NY 11952
for
CONSTRUCT INGROUND SWIMMING POOL WITH DECK AROUND AND FENCE TO
CODE AS APPLIED FOR.
at premises located at 20692 MAIN RD MATTITUCK
County Tax Map No. 473889 Section 108 Block 0003 Lot No. 008. 008
pursuant to application dated JULY 22 1999 and approved by the
Building Inspector.
Fee $ 307 . 00
Authoriz d ignature
ORIGINAL
Rev. 2/19/98
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 ink and submitted to the Building Department with the following:
A. For new building or new use:
1. 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 2/10 of 1%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:
1. 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,
Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
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
Date.
New Construction: Old or Pre-existing Building: (check one)
+U CV,
Location of Property: D.U(ocj �( Q IMO
House No. Street Hamlet
Owner or Owners of Property: A) ► u ' j� -t- � � � G, �tel.lin S
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. a;:�g S %D Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
ELECTRICAL INSPECTION SER DICE INC.
375 DUNION AVENUE
EAST PATCHOGUE,NEW YORK 11772
(516)286-6642
31592
DATE: 9/15/99 APPLICATION No.ON FILE
VILLAGE: Mattituck TOWN. Southold
ADDRESS: NIS 70692 Main Road
ISSUED TO: William Burns
INTRODUCEDBY: Hank's Electric Inc. LIC No: 2675-E
was examined on 9115199 and found to be in compliance with the National Electrical Code
LOCATION: Base.. • x I st 2nd 3rd Attic
Det.Garage Hof Tub Pool x
SWITCHES RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR COND.
2 2 1
DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOKEDETECTOR
FURNACE OIL GAS CIR MOTORS BELL TRAN. SERVICE DISCONNECT
METER AMPS PHASE
OTHER
EQUIPMENT
Outside resident
swimming pool
1-500 watt pool light
20 amp timed switch,
Pool heater Fgas
1-20ATC
1-20 amp special
1-1112 hp.motor
HU00 S. SURDI
rA
PRESIDENT
BUILDING PERMIT No. This certificate must not be ahered m any mam er
Inspectors may be identified by their credartiah
BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE
OF SO(/j�o�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLOG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING [ FINAL 6 ,"
[ ] FIREPLACE A CHIMNEY [ ]� FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: AW 4--
jite
l �s
DATE ��( � �� 7 INSPECTOR `
rjF SOUj,�Olo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: IVO O C 0' -Aee�
�;Z- -D
t
i
i
� r� INSPECTOR '
DATE
ass-isos
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ J ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ J FRAMING FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS•
/fie^ %e�lCrriN del
- Al/ �61NT5
DATE �-1- 9 9 INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] 1 SULATION
[ ]
FRAMING / STRAPPING
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ CAULKING
REM RKS:
DATE INSPECTOR
.D 'INSPECTION-REPORT_ _DATE �M= � � --- ----__-_--COMMNTS__--------
_. ..
cp
WifDAT I ON ( IST) �N
W9DATION (211D)
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d-
22 BOARD OF HEALTH . .. . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . .. . . . . . ..
BLDG.DEPT
SOUTHOLD BUILDING
OF SOUTHOLD SURVEY . . . . . . . . . . . . . .
ING DEPARTMENT CHECK . .. . . . . . . .•• . • • . . • . .
TOWN OF
TOWN HALL SEPTIC FORM . . . . . . . . . . .. . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY: k
CALL ... �`=
31_);P9 MAIL TO: .I\ . ..�'{-�!'�'::
Examined.................. 19....
1901. Permit No. ...�-1,� .`I��...... ...
Approved... .1� ......., ..G.r .olY.►:1..1 !�.
Disapproved /
....... .........
(Building to
APPLICATION FOR BU DING PERMIT II q�ii
Date-J. .0 . , 19.4
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi
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 nest be drawn on the diagram which is part of
-this application.
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
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 been granted by the Building Inspector.
APPLICATION IS HEREBY MALE 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 premis�9' "eces inspections.
Of licant, or name, if a corporation)
� ,.�(Mai ing address of applicant)
State whether applicant is owner, lege; agent, architect_,:engineer. general contractor, electrician, plumber or builder
... �...... ................... ..................................................
Name of owner of premisesY�fL 111 .1.►:Zu • 6... ...............................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer. /
.........................................................
(None and title of corporate officer)
Builders License No. �!
.. ....................
Plumbers License No. ................
Electricians License No.c�2!U. �.` ----•-
Other Trade's License No. ....................
1. Location of land an which proposed work will be done..............................................................
.......... _..................................................................
House Street Hamlet c n
County Tar Map No. 1000 Section .... Y...... Block ................ Lot .... .....�...
Subdivision ............ ..........................
............... .......Filed Map No. .... Lot ....r..........
(Name)
2. State existing use and occupancy of premises and intended use a occupancy of proposed construction:
a. Existing use and occupancy ..�. l.I`r�. 1��1 �.�. .. .
b. Intended use and �........... .,' _.
u.a • 1-
��c,1 �,�-,ern c,�r -fie-►�Cr_ ccde- -
ppo ( 0)140IL64165,�—
3. Nature of work (check wbich applicable): New 96001+4...........JAddition .......... Alteration .......
Repair ............ RemDval ............. Demolition ............ Other Work
..................................
(Descriptjon)
//��''�� ..
4. Estimated Cost �l.!t.�........ fee ................................:'... ........,.
(to be paid on filing this application)
S. if dwelling, rutber of dwelling units ............ tuber 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 ..:I.�6T.....
................. ........
Dimensions of same structure with alterations or additions: Front ............... Rear ...............
Depth .................... Height ................... Number of Stories ...............
8. Dimensions of entire new construction: Front ................ Rear ............... Depth ..............
Height ............... 1. Number of Stories ............ .......
........ ..
9. Size of lot: Front .. .......... Rear ....�:]�.).... Depth .44�E2. .....
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: ...Q.................
13. Will lot be regraded ....�. .. Will excess fill be i preau YES
. � �S �b Jam-
14. Names of Owner of premises .....l L�.�.................. Address ........... ...J:-::'.. ..... :/Y!
Name of Architect(.?4C1.. ... �/J ........... Address k,��. 1 Vel.k�.4.(�.J Y/. Z'C�Noo93.7
Name of Contracto . ........ Address`:f.%l
IS. is this property within 300 feet of a tidal wetland? * YES .......... ND ... ....
*IF YES, SOI MD MN 111b1FB.S PEIMT MAY HE WJQUM.
PLOT DIAGRAM
Innate 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.
ME0IATEL . ��PPR��ED AS NOTED�S�
�3 �
' �IC40t�1'100670 coot DOTE. Bae,#--- ,
ural compiff lr FEE:��---
an
01WV~ NOTIFY BUILDING DEPARTM T AT
765-1802 9 AM TO 4 PM FOR THE
ERWRRERSFOLLOWING INSPECTIONS:
S CO � 1 FOUNDATION - TWO REQUIRED
EA �/ FOR POURED CONCRETE
MBING
OCCUPANCY OR 3. N�TiONRAMINC & PLU
USE IS UNLAWFUL 4 BECOMPLETE FOR C.O.ON MUST
WITHOUT CERTIFICATCONSTRUCTION SHALL MEET
E REQUIREMENTS OF THE-N.Y.
STATE CONSTRUCTION & ENERGY
OF OCCUPANCY
CODES. NOT RESPONSIBLE FOR
SCA1T OF N 1 Y=' �l -S DESIGN OR CONSTRUCTION ERRORS
..... .y .� ..............being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named, ( \/
lie is the ........c/�y1�}�/�! cl&3 .............................................................'.•...
(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
........�1.�--day of .....19.4 1....
Notary Public ...... . .:... .
........ ..... -�
NOREEN L.HAGER signature cant)
NOTARY MMUC,SPATE OF NEW Y0RK
QUALIFIED IN SUFFOLK COUNTY
col�wssloN 4N01
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET 77 VILLAGE DIST] SUB. LOT
FORMER OWNER NE ACR.
, 4,6061
S W TYPE OF BUILDING
_4 C4 V1
RES. , SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
:J 1c; LC36 04 1 lf4 4y:�;L.14,t�y
12 ES
Aq 5 )Z)222F.5,!�Zz-
7F60-
a
0 0 13, 100 00 91 lafio/q& L IqNp n�ew —Lori,,,nq 4-o-f -to
3
4e
6:z 19p4* 4e,
000 /0 -0,/
37..00 /020,3 13,+00 zz
Tillable FRONTAGE ON WATER
)804
Woodland FRONTAGE ON ROAD
Meoclowlond DEPTH
House Plot BULKHEAD
Total
F 1,.41
i
4..
i
108.-3-8.8 11/07 1
M. B! ,,.$'o_ f.y; , Foundation j'' Bath
Exen or ;do w j..3 Z of 7 ;T Basement F,1 ., , Floors
Extehs on �-, Ext. Walls r; Interior. Finish
/ a. � G j lti
ly
Extension Fire Place Heat f ;;� _`•i
Porch 5l9 a '1 x = 'I� s o 7,2 Pool Attic
Deck Patio Rooms 1st Floor
Breezeway Driveway Rooms 2nd Floor rf`
:r Garage
Garage
5710 s Tti r l s'Y t- r ti r
—��
I_-
r
j
jj
r--
�O ------
M.
M. Bldg. Foundation Bath 1 — --
Extensior ' Basement Floors
Extension Ext. Walls Interior Finish
Extension Fire Place Heat
SwimA
King DERDMe
POOIS LETTER
471 Route 25A I Rocky Point,New York 11778
(516)744-8100
FAX(516)744-8292 Date ...............
To . ..... ..........................................
Subject...... .......W.
is
...................
v
............................................................... ............................................
....... .............
................ ...............
Q�iSI C L. 'X !!-D'�. _ � '. , f ( ' C )
............... ................
.............
... .........
................
...........pyas
....................
CLPP I t'Ca�kn) WICA Udf C)CCk--
...............
�1--VOAV-
............... ............... ...............................................
................. ....................... ...............1.1.1.1111............... ....................... ......................1.11.1.1...............
............. ............... ...................... ..................111.1.1111 1.11.1.1.1................................................
........ ............... .......... ...............1.1.11.1.1.11.1111.111................ ...............................................
SIGNED
El Please reply ❑ No reply necessary
OF SO!/ryol
� o
Town Hall,53095 Main Road Fax(631)765-9502
P.O.Box 1179 G Telephone(631)765-1802
Southold,New York 11971-0959
',� • �O�
4UNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 14th 2006
William Burns
P.O. Box 987
Mattituck,N.Y. 11944
RE: 20692 Main Rd.
S.C.T.M. #108 0003 008.008
Dear Mr. Burns,
Please be advised that your Building Permit#25954 issued August 16th, 1999, 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$307.00. 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.
*pfr SOU
Town Hall,53095 blain Road Fax (631)765-9502
P.O. Box 1179 G • Telephone(631)765-1802
Southold, New York 1 1 971-0959 �0
I�OOUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
January 291h, 2007
William Burns
P.O. Box 987
Mattituck, N.Y. 11925
RE: 20692 Main Rd. (in-ground pool/deck)
SCTM# 108 3 8 8 2"d NOTICE
Dear Mr. Burns,
Please be advised that your Building Permit#25954 issued August 16th, 1999 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$307.00 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.
Date
File # f'3/
TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM
Location of Complaint: o i�� i i���G SCTM #
Property Owner: dZ2 JJA,1.,e1 Phone
Address:
113
NATURE OF COMPLAINT. L, f AQ E� �`�`�`3
ACTION TAKEN:
-0%
. •
Optional:
Complainant: ,� ti��,r,���� By Phone Mail In Person_.—�
Address Jl Phone:
Report Taken By: Date
Date Ref err to Code E orcement:
--------------------------------------------------------------------------------------------------------------------
CODE ENFORCEMENT REPORT
SITE INSPECTION REPORT/DATE:
ACTION/DATE:
pF SO!/jyol
0
Town Hall Anncx Tcichlumc(631) 76.5-1802
51,375)Main Road N Fax(631) 765-9502
P.O. Box 1179
Southold, NY 11971-0959 Q '�
C4UNT`I,�
1111ILDING DEPARTMIAT
TOWN OF SOUTHOLD
FIRST NOTICE
April 6th, 2010
William & Patricia Burns
P.O. Box 987
Mattituck, N.Y. 11952
RE: 20692 Route 25 (IN-GRD SWIMMING POOL W/BECK)
SCTM: # 1000-108.-3-8.8
Dear Mr. & Mrs. Burns,
Please be advised that your Building Permit # 32729 issued February 16th, 2007 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit's please submit a fee of $307.00: 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,
SOUTHOLD TOWN BUILDING DEPT 7008 0150 0002 7316 6514
Southold Town Building Department
54375 Main Road Permit#: 32729
Southold,New York 11971 Permit Date: 2/16/2007
(631) 765-1802
N * .le3
Expiration Date: 8/16/2008
Parcel ID: 108.-3-8.8
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Dated: 5/4/2011
Applicant: WILLIAM & PATRICIA BURNS
Location: 20692 MAIN RD MATTITUCK, N.Y. 11952
Work Description: IN GROUND POOL
CONSTRUCT INGROUND SWIMMING POOL WITH DECK AROUND AND FENCE TO
CODE AS APPLIED FOR.
A FEE OF $307.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT, THANK YOU.
Owner: WILLIAM & PATRICIA BURNS
Address: PO BOX 987
MATTITUCK,N.Y. 11952
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
?p10 0290 0002
8968 4646
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
yFpt,f k�N Southold Town Building Department
54375 Main Road Permit#: 32729
Southold,New York 11971 Permit Date: 2/16/2007
(631) 765-1802
Expiration Date: 8/16/2008
Parcel ID: 108.-3-8.8
Dated: 9/13/2011
Applicant: WILLIAM & PATRICIA BURNS
Location: 20692 MAIN RD MATTITUCK,N.Y. 11952
Work Description: IN GROUND POOL
CONSTRUCT INGROUND SWIMMING POOL WITH DECK AROUND AND FENCE TO
CODE AS APPLIED FOR.
7010 1060 0001 1566 8367
Owner: WILLIAM & PATRICIA BURNS
Address: PO BOX 987
MATTITUCK,N.Y. 11952
Your BUILDING PERMIT #32729 has been referred to me because you have not responded to requests
to obtain your Certificate of Occupancy as required by Southold Town code.
Pursuant to 144-15A, of the Southold 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."
Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of
Southold in the amount of$307.00 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,
Michael Verity: Chief Building Inspector
Southold Building Department
cc: Damon Rallis Zoning Inspector
*pF SOUjyol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959
�4UNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 2, 2014
William & Patricia Burns
P.O. Box 987
Mattituck, New York 11952
RE: 20692 Route 25, Mattituck
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
KElectrical Underwriters Certificate.
A fee of$50.00.
Final Survey with Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 38882-Z swimming pool
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