HomeMy WebLinkAbout40263-Z rra
Town of Southold 2/2/2016
;ION P.O. Box 1179
53095 Main Rd
?% fhb Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 38079 Date: 2/2/2016
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 640 Leslie Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-9-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/13/2015 pursuant to which Building Permit No. 40263 dated 11/13/2015
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 SWIMMING POOL, FENCED TO CODE, AS APPLIED FOR
The certificate is issued to Schilley,Donald
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 404612 10-03-1978
PLUMBERS CERTIFICATION DATED
A t rite Si ature
TOWN OF SOUTHOLD
r, x „ BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
SOUTHOLD, NY
�*of *
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 #: 40263 Date: 11/13/2015
Permission is hereby granted to:
Schilley, Donald
640 Leslie Rd
Cutchogue, NY 11935
To: Build a swimming pool and fence enclosure according to code.
Replaces ISP B.P.#9954Z BLD. SWIM POOL
At premises located at:
640 Leslie Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.-9-5
Pursuant to application dated 11/13/2015 and approved by the Building Inspector.
To expire on 5/14/2017.
Fees:
PERMIT RENEWAL $15.00
CO - SWIMMING POOL $50.00
Total: $65.00
Buildin• Insp
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH'OLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 9954 Z Date S''� Z�, 19 78
Permission is hereby granted to:
r gi5 eettar ir/ok/ SIRU/cE eGr'a'r-147i r n(
T. De A/ SCN /LiEY
to l.l.t.a A Swrr"rs -4OOL 1' FENcE,"
at premises located at `/V &e'SL/r
ee T e 6" vx
....�.1?T q E Y H a P4 es FIL e* Nib► 72' -
pursuant to application dated 4 ' 719 �' and approved by the
Building Inspector.
Fee $ 15-~'''�
ci° Um,Y -TAX MA r.
/000 9- $ .
Building Inspector
•
. .
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. p2 _P-_1(
/
New Construction: Old or Pre-existing Building: (check one)
Location of Property: WO t.- St tC
House No. Street Hamlet
Owner or Owners of Property: ti Y%._OJ 4 ' Cl- l l
0
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. `fcao3 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: , /
Request for: Temporary Certificate Final Certificate: l/ (check one)
Fee Submitted: $ J px.A.L1
gn't(A3a,Q.._ ?kc Pa__7Atice_ „11,1_,,
Applicant Signature
a . lan IIFIlinpitit.acmcMR/KRAK>a« MRARARlip MURK RR/IF ARS mcMit mmJIIIR>RRMtBc7111111M>a,mt/MURK—)111Willi.Mc>a,mvt MIK/11M7RIVIIRMKmcARI t, .
,
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
17.
-,; ''1' 85 JOHN STREET, NEW YORK, NEW YORK 10038
Date Application No.on file N f '} "• r,.. THIS CERTIFIES THAT
t only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises I
i'
if.rs Scij ,ilj7yf)ia(} _;sle !ltlo pC!il}.:,hY.lgl.t 'Aa,rM
1 in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot
�' was examined on ;',{.;-t e;..11&r P r a `f c', and found to be in compliance with the requirements of this Board.
)' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS I EXHAUST FANS
1� RECEPTACLES SWITCHES INCANDESCENT OUTLETS MERCURY
AMT K.W AMT. K.W AMT K.W AMT. K.W AMT. H.P
-
�i
-<, DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS .
SYSTEMS
- AMT. K.W OIL H.P GAS H.P AMT. NO. A.W G. AMT. AMP AMT. AMPS. TRANS. AMT. H.P NO.OF FEET AMT. WATTS
�ih ,•":!..ti
)' SERVICE DISCONNECT NO.OF S E R V I C E
-c' METER
AMT AMP TYPE QUIP 1,B"2W 1 0 3W 3 A 3W 3,$'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W C' NO.OF NEUTRALS A.W.G.
�, PER$ OF CC.COND. , OF HI-LEG OF NEUTRAL
'C,
17 OTHER APPARATUS:
-L$
1'...'''&7a. J., ` i }
,( S ii1.r'll.^ . 1. 1 d ` Pr)tr.. its I.S'•. ; '24 e,it t' c;CI Vilrn ,. '�.,l;.:l ii iG ,11 k% sir;i l'!.
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- jIori' ,reffe.rs )°: r�i�ii.t )ti�,.rldt n .C.:. 77 '
--c, GENERAL MANAGER
--<. Per ,r
; This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. 'Y
-i.'"?YY Y'i Y'i Y'i`'Y rY Y'i Y7 i i YY i-i-'1'Y Y'i YY YY YY YY YY YY YY YY'CY YY YY YY YY YY Yi YY YY i-i YY Y1'YY YY"i-i 7i-i'i-i Y9 i-i Y'/YY YY\Y-,.Y-YYYY YY Y.Y YY YY YY YY it YY Y1'
COPY FOR BUILDING DEPARTMENT. THIS COPY QF ORTIfl ATJ MUST NQT BE ALTERED !J1 ANY MANNER.
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUG PLUMBING
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING / STRAPPING [ FINAL ----& Ae
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
C-5-• '
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DATE j � INSPECTOR ,- --3:<'
FIELD INSTECITON F ro.R'I DAA CO ITS . '
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'ODND41ON(1ST) , - . , - '
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PLUMBING . • , .. . --
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INSULATION PEA N.Y.
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STATE ENERGY CODE . . . • . - - . _. ._ . •
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FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y. f}�^
Examined 1(5, 19 7IV Application No. �y '�"'C
Approved �, 19.1.GT Permit No. 1??-572.-----
Disapproved
` YZDisapproved a/c
'-
(Building Inspector)
APPLICATION FOR BUILDING PERMIT ,
Date E P;. , 19-7F
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 application.
c. The work covered by,this gpplicgfion 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 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, •ui . ing •••e, ousi • code, and regulations, and to
admit authorized inspectors on premises and in buildings for neves ary irysp- ,,n
411,
ignature of applicant, or name, if a corporation)
Pte: eitc,x r. :mel l i 1 771'
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
A c-NT
Name of owner of premises Dc.,14 Ct I L /
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. .�
Plumber's License No.
Electrician's License No.
Other Trade's License No.
1. Location of land on which proposed work will be doneMap N Lot No.
Street and Number (Ppp'T. Le, e-J 6 K.0 Com'1 C H-0 L'&--
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy � s
b. Intended use and occupancy '1 vh w"Ni& POC, —
3. Nature of work (check which applicable). New Building Addition Alteration •
Repair Removal Demolition Other Work 142' 1152— l f e-Q.0 ) 0 f _...
(Decription)
4. Estimated CostC) Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor ,
If garage, 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 S'5-- Rear 5.5 Depth 7
Height Number of Stories I
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front i‘), Rear 3"2- Depth ...3-
Height Number o Stories
I
9. Size of lot: Front .. C) Rear /3 3 25:- Depth 330 ' Y q
10. Date of Purchase 1 Name of Former Owner
11. Zone or use district in which premises are situated ............(.6 i 0 , T1 c.
12. Does proposed construction violate any zoning law, ordinance or regulation: IQ°
13. Will lot be regraded Will excess fill be removed from premises: ( ) Yes ( ) No
14. Name of Owner of premises ..DC-it4 C,.fij44,.J4-.)/ Address e:ilE4? 14
r ;.'hone No.
'73 Li•-SSS
tr
Name of Architect (('�� Address Phone No.
Name of Contractor .... k4t►.Y1n I e'"' 2cE. L . Address .et• pp 14, 1,,,;X. Phone No.
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'- 3.
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1.A� \I • 5411
L-661--1
STATE OF NEW CORK lc.S
COUNTY OF .... V 1-'K•" j
rQ,,1'a'yr41 c (14)2.% being duly sworn, deposes and says that he is the applicant
- ` (Name of individual signing contract') ,
above named.
He is the AG-CN1
(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 pra tree to the b his knowledge and belief; and
that the work will be performed in the manner set forth in the applic• file. , e with.
Sworn to before me this
7 day of K , 197 `ilk
Notary Public, / County t P
... .... . ....
FRANCES MESSINA (Signature of applicant
OPNOTARY PUBLIC,State of New York
QwNfIed In Suffolk County
No.52-464899 S
(mora ExFf:e.. rc 7,0 19 u9
Cti
FORM NO. 1 ��:y� 6: P.C3..5 ci Z - i., C,07-4,
TOWN OF SOUTHOLD (711-7/'
BUILDING DEPARTMENT Tr- -1).001 IP-- -t.2
TOWN CLERK'S OFFICE t A- .o.-, f-'p �^Le c�',`i
SOUTHOLD, N. Y. 4 A px r„- �cEr` �.�n,d - /�E.
Examined .ii...,:. .C:i” , "-? .oY /,y'; ` Application No.
Approved ✓....1. `4 ,4I "- Permit Nd J r/
Disapproved a/c G
, r
/.,//i----L-------"--Thm '.1.-:---4/
f. _���,;-i, t
! (Building Inspector) 10
APPLICATION FOR BUILDING PERMIT
Date ,,,. ( '. "il' , 1 9y. Z
INSTRUCTIONS r
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 application.
c. The work covered by this application may not be commenced before issuance of Building Permit. 6\
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. c-
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy h
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 51�
Regulations, for the construction of buildings, additions or alterations, or for re : al or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, bu' •m• •. housing code,)ind regulations, and to
admit authorized inspectors on premises and in buildings for necessa . i .- ti• (-._. _
n
ii" - '-' .
(Signature of applicant, or name, if a corporation) l7
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. i
. . .. .- ,.
Name of owner of premises '7,., . ••t. t../,••y
•
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No.
Plumber's License No. x
Electrician's License No.
Other Trade's License No. 7:7--/ ...44._
1. Location of land on which proposed work will be doneMap No.: `S 7 3 • . • Lot No. 171
Street and Number 641 0 L le..6. 0 .e. -..
municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a Exisiting use and occupancy et..,
b. Intended use and occupancy ;`U.,,,x,,.y.,..1..,.r i".L.., ;c..
3. Nature of work (check which applicable): New Building• - Addition Alteration ,. .
Repair Removal Demolitior Other Work •1,001.V...1 fNJ•(3•••
( cription)
4. Estimated Cost 3.5•c;40 Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor ,
If garage, 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 �;z.:; Rear .. Depth
Height Number of Stories I
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front i 6 Rear •c. Depth 'd.,...
Height Number of Stories
9. Size of lot: Front ) .3.,.Q... Rear .........j.. ...?....;?.•c,3 Depth ....R.3.0.•p."`'•`i
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated k•E•:::::;ri•0• e..4-7-1-•o•r4•t,r.
12. Does proposed construction violate any zoning law, ordinance or regulation: L.
13. Will lot be regraded Will excess fill be removed from premises: ( ) Yes ( ) No
14. Name of Owner of premises •..rz-, , . . r.. .t..;r.•4•f Address e.,./;.(_,t Q•... :c •,. . Phone No. 474 4...:.1e:; 3
Name of Architect Address Vex'`" '"Phone No.
Name of Contractor .... .„,..,0„y,,, •e."4.i„.....1-:-4,,,-. 1„,.. Address . 4..,.4.30►.. :,,40 . Phone No.
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
1
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4 'p;o'- • 7,'
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letki �-- 4_}fl.)--
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1. (t;,(.--i4:5 #ZQ .
STATE OF NEW YORK, lS.S
COUNTY OF �, c• 't,/�J`' f /�� C
�� Iv (C I -1(C7 531/1./4 being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract')
above named.
He is the " ' (�7,..) I,
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have •erformed the said work and to make and file
this application; that all statements contained in this application or• tr - tf. ' bes • knowledge and belief; and
than the work will be performed in the manner set forth in the application "I:• ere
Sworntobefore me this
(/r— day of ::....eiL. 197 ,� ,, //Notary Public, CountyIOW •••• ' ••• •••
(Signature of applicant)
FRANCES MESSINA
�¢K— Co-. NOTARY PUBLIC,State of New York
'''''77f
vv Qualifiel In Suffolk County
No.52-464E995
Commission Expires M.K 50,I? 19
111'I1v���1 0�/1D =`
1 cr `
VICTOR LESSARD :�O < Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR P.O. Box 1179
(516)765-1802 cri 1�� Southold, New York 11971
FAX(516)765-1823 `yoir/Ol ������11
•
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 27, 1990
Mr. & Mrs. Donald Schilley
640 Leslie Road
Cutchogue, New York 11935
Re: Building Permit #9258-Z & 9954-Z
Premises: 640 Leslie Road, Cutchogue, N.Y.
Suffolk Co. Tax Map #1000-97-9-5
Dear Mr. & Mrs. Schilley:
In reference to the conversation that Mrs. Schilley had
with this office on March 22, 1990, the above building permits
have expired and Certificates of Occupancy have not been issued.
No inspections have ever been made.
According to the Code of the Town of Southold, Article
XXVIII, 100-281 and 100-284, a Building Permit is needed for any
construction of accessory structures and it is unlawful to use
said accessory until a Certificate of Occupancy has been issued.
In order to avoid legal action, you must contact the
Building Department and resolve the violation immediately.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Vincent R. Wieczorek,
Ordinance Inspector
VRW:gar
P 077 471 362
FCET FuH CER Int r)
rsI In
M&M Donald Schilley
640 Leslie Rd .
if It
Cutchogue , N.Y . 11935 '
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111 3 anS11,41.1: Comptale home 1 and 2 when additional aerviess medesinM, and sompiste items
Put vow address in the"RETURN TO"Spew on the reverse side.Failure to do this will prevent this
to*werammila thsbeingdats efretumeddaver Mall4inessrecCiaggi=sciusteav=ro:suiwnlormaster
fOrNes—anclifiriar boxiefraddRional service(s)requested.
1. 0 Show to whom delivered,date,and addressee's address. 2. 0 Restricted Delivery
(Emu charge) Mum charSe)
3. Article Addressed to: 4. Article Number
M&M Donald Schilley P 077 471 362
MpeofSmvirm:
640 Leslie Road LJ Registered 0 insured
Cutchogue , New York 11935 II Certified 0 COD
o Express Mail 0 wyrzcze
Always obtain signature of addresses
or agent and DATE DELIVERED.
5. Sig e —A2)sseezietiff...._ 8. Addressee's Address (ONLY if
X • rearrested ma 1 fee paid)
6 Signature —Agent('
X
7. Data of Maar/
PS Pena 3811,Mar. 19S$ * 0116-2111—MIS DOMESTIC MORN MCMPT
l,000
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141.
Town Hall Annex : Telephone(631)765-1802
54375 Main Road 4 t Fax (631)765-9502
P.O Box 1179 ikCZ) 4.c
Southold,NY 11971-0959 4%0(re
eCOUNT`I,N , '
February 2, 2016
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Donald Schilley
640 Leslie Rd
Cutchogue, NY 11935
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of$50.00.
Final 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 - 40263 — Swimming Pool
F•171•30ArraprIlt,.I.1,",'''.:A'1•7•1•••••••4,•1!:4•^TAVTAT7, 11$010$2•170,AIR1110,70?For•0040,,X71n021Ter47,,y,;..1r.:yr•r7a,r•7.`rfr.:17)1r11,p,O.:."•-•-•
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`.. • MAYy,t7,1973 'r , , r ' 400 DSTRANDER AVENUE, RIVERHEAD, NEW YORK
' ALDEN W. YOUNG HOWARD W YOUNG
PROFESSIONAL ENGINEER AND LAND SURVEYOR
LAND SURVEYOR. N.Y.S. LIC NO. 12843 N.Y.S LIG. NO 45893
04.4A1.171401410 ALTERATION OR ACOITtON SURVEY FOR: 0141E OF N
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