HomeMy WebLinkAbout41675-Z Diu Qt'�tpG Town of Southold 9/6/2017
o P.O.Box 1179
a' T 53095 Main Rd
A �,� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39196 Date: 9/6/2017
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 1425 Harbor Ln., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-6-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/26/2017 pursuant to which Building Permit No. 41675 dated 5/26/2017
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 Considine,David
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 1515 06-18-2005
PLUMBERS CERTIFICATION DATED
t o ' ed Signature
TOWN OF SOUTHOLD
�SUFFnt��p� ' 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#: 41675 Date: 5/26/2017
Permission is hereby granted to:
Considine, David
1425 Harbor Ln
Cutchogue, NY 11935
To: CONSTRUCTION OF AN IN GROUND SWIMMING POOL IN THE REQUIRED REAR YARD,
FENCED TO CODE
Replaces BP#39906
At premises located at:
1425 Harbor Ln., Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.-6-9
Pursuant to application dated 5/26/2017 and approved by the Building Inspector.
To expire on 11/25/2018.
Fees:
PERMIT RENEWAL $125.00
Total: $125.00
Builng pector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
s 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#: 39906 Date: 6/29/2015
Permission is hereby granted to:
Considine, David & Considine, Susan
1425 Harbor Ln
Cutchogue, NY 11935
To: CONSTRUCTION OF AN IN GROUND SWIMMING POOL IN THE REQUIRED REAR YARD,
FENCED TO CODE
Replaces BP#37151
At premises located at:
1425 Harbor Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.-6-9
Pursuant to application dated 6/29/2015 and approved by the Building Inspector.
To expire on 12/28/2016.
Fees:
PERMIT R' AL $175.00
Total $175.00
a
Building Inspector
gU TOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy . 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#: 37151 Date: 4/23/2012
Permission is hereby granted to:
DAVID & SUSAN CONSIDINE
1425 HARBOR LANE
CUTCHOGUE, NY 11935
To: CONSTRUCTION OF AN IN GROUND SWIMMING POOL IN THE REQUIRED REAR YARD,
FENCED TO CODE.REPLACES EXPIRED B.P. # 34663
At premises located at:
1425 HARBOR LANE CUTCHOGUE
SCTM # 473889
Sec/Block/Lot# 97.-6-9
Pursuant to application dated 5/8/2009 and approved by the Building Inspector.
To expire on 10/23/2013.
Fees:
PERMIT RENEWAL $125.00
Total: $125.00
-.-c/0 5D•0b
a
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)
PERMIT NO. 34663 Z Date MAY 8, 2009
Permission is hereby granted to:
DAVID J CONSIDINE
1425 HARBOR LA
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF AN IN GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE. THIS PERMIT REPLACES 31137 .
at premises located at 1425 HARBOR LA CUTCHOGUE
County Tax Map No. 473889 Section 097 , Block 0006 Lot No_ 009
pursuant to application dated MAY 8, 2009 and approved by the
Building Inspector to expire on NOVEMBER 8, 2010 _
Fee $ 250 . 00
Authorized Signature -
COPY
Rev. 5/8/02
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. ,. 137 Z Date MAY 16, 2005
•
Permission is hereby granted to:
DAVID J CONSIDINE �
1425 HARBOR LA
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE
at premises located at 1425 HARBOR LA CUTCHOGUE
County Tax Map No. 473889 Section 097 Block 0006 Lot No. 009
pursuant to application dated MAY 10, 2005 and approved by the
Building Inspector to expire on NOVEMBER 16, 2006 .
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
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 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:
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 Buil mg: (check o(n�eU10—cin
) �!f,,
Location of Property: I�A5` • "L �1 c' 1� UQ,
House No. Street HNA11et
Owner or Owners of Property: bb A4
/
Suffolk County Tax Map No 1000, Section �� Block (D Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
SUFFOLK `� '� _ >. BUREAU of
a, .
f ELECTRICAL
INSPECT0RS, inc.
40 Nottingham Drive, NY 11953
Telephone:1631495 8136 ■ Fax:1631 980 6455 ■ E-Mail: SBEI1@hotmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant: Constine
Rough In Inspection Date: 6/18/2005 Final Inspection Date: 6/18/2005
__.Application NO: 1515 Certificate N°: __1515 _
- S�€felk County-Tax-Map fid°:-"-- — - er
Building Pmit N°: 31137
:::--This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment
and/or work described below and installed by the Applicant named above, and located at the premise of:
Owner: Constine
M.- Address: 1425 Harbor Lane, Cutchogue, NY 11935
€Address of Inspection Site: 1425 Harbor Lane, Cutchogue, NY 11935
X Residential Indoors Basement Service Shed
Commercial X Outdoors Ist Floor X Pool Other:
New Renovation 2nd Floor Hot tub
Addition Survey Attic Garage
Inventory
Service 10 Heat 2 Duplex Recpt Ceiling Fix HID Fix
Service 30 2 Time Clock Switches Wall Fix Smoke Det
Main Panel Hot Water 1 GFCI Recpt Recessed Fix Co Det
8 Ckt Sub- Panel GFCI Breaker Single Recpt Fluorescent Fix 1 Pump
Disconnects Dryer Recpt - Range7Recpt A/C Blower Emergency Fix
Transformers Exhaust Fan Appliance A/C Cond Exit Fix
Twist Lock TVSS Heat Pump Electric Heat 1 Pool Luminaire
Other Equipment:
=:::':The electrical work and/or equipment described above were inspected and appear to be in compliance with
local, state and national electrical code requirements and this office.
'``'?;Applicant: Constine License No: Homeowner
Inspected by: a R. Surdi ;� Lr\` �. 2=� V
Date Certifiate Date: 7/31/2005
I Signature: O _
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TOWN OF SOUTHOLD BUILDING DEPT.
765-16®2
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING / STRAPPING [Vf FINAL 44---
FIREPLACE
& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: Fsww� , O
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not
G 1 - yt4 n cku i
DATE INSPECTOR %JAA,
e
FIEF D INSPECTION REPORT DATE COMMENTS ;
FOUNDATION(1ST)
------------------------------------
FOUNDATION(2ND) o
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ROUGH FRAMING& —y
PLUMBING
M
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INSULATION PER N.Y.
STATE ENERGY CODE
V 'PAAYM 01 (�
6 d� R
40,
FINAL
NJ
ADDITIONAL COMMENTS
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TOWNC S ,IUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILD G DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Ps Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www.northfork.net/Southold/ PERMIT NO. 3 7 of—, Check
Septic Form
N.Y.S.D.E.C.
'-' Trustees
Examined )6 ,20_-03Contact:
Approved (O ,20 ��`` Mail to:
Disapproved a/c
Phone:
Expiration - al--_,,2,0-of,,
� I
u
�uilding Inspector
---.`t P IC TION FOR BUILDING PERMIT
OLD
OEP7
TOWIq QF-SOu'r ,'QLD
Date I , 20 0
INSTRUCTIONS
a. This application MUST be completely 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 schedule.
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspecto,-will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the --,rk.
e.No building shall be occupied or used in whole or in part for any,-purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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 inspections. Y
I Latuure� applicant or name,if a corporation)
®®
UNDERWRITERS CERTIFICATE I E®9TL
(Mailing address bf applicant)
ypEQU1REQ' ENCLOSE POOL TO CODE
State whether applicant is owner, lessee, ager P ®RE � .I rATER" , general contractor. �t�raic}�rA b] ber-nr builder
DATE151,S4 -1 1 ((-�1 T
���� ���� FEE 22-31
Name of owner of premises �IEi l�R II nT
(As on the tax roll or lateg� W4) 8 l,wt 10 r,� FUR THE
If applic iso ature of=ulyauthorized officer FO!LG'd;'N;: II1Sr'EuTIONS:
® 1. FCJN-)ATION - TIVC REQUIRED
tit of corporate of U N Y �! FOR POURED CG 4CRETE
2. ROUGH - FOAMING & FL'JN!^I",G
Builders License No. aj �� SE IS UNLAWFUL FUL 3. INSULATION
Plumbers License No. 4. FINAL - CONSTFJ:,-,ION MUST
KATE BE COMPLETE SOP -.0.
Electricians License No. ALL CONSTRUCTION SHALL MEET THE
Other Trade's License No. _ REQUIREMENT; ; - Tu- CODES OF NEW-
'YORK STATE. N'1 's7-SPONSIBLE FOR
1. Loc S land on whi h�pro QRs RworLA- � done: ��G�N, �&RrION ERRORS.
House Number Street Hamlet
County Tax Map No. 1000 Section- 97 Block Lot ®9
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy � � ,_
b. Intended use and occupancy �--
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other\\Work-MAROWD Alteration
11st1M166 66L.
F d C� (Description)
4. Estimated Cost u Fee Iq
(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 Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
4 - `
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories pp
9. Size of lot: Front Rear Depth d 1�
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violaie any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES 2�NO
C°4maA07
14. Names of Owner of remises Address 1415 Pho No. -813 _
Name of Architect Address'X0 OlEhk NO e No 2AA^711
Name of Contractor Address�S10 � ne No. SES' 16,ga .
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE 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 be16W, must provide topographical data on suey�
STATE OF NEW YORK)
COUNTY OF-S )
CAM- M ( being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the PAm _\
(Contractor, Agent, Corporate Officer, etc,)
of said owner or owners, and is duly authorized to perform,or ha've'perfo:rrned�ihe-s'id,`work and to make and file this application;
that all statements contained in this application are true,toltlie.best:ofhis.know,ledgeb and belief, and that the work will be
performed in the manner set forth in the application'fired%tlierewith:
Sworn:t6 lore me this
— day of 20
OTH
Notary Public Signature of Applicant
PETER BO
Notary Public,State of New York
No. 01806092004,Suffolk County
Term Expires Mai,12,2007
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. SUB. LOT
/ ve-
FORMER OWNER i N _ E ACJt.
U)eh�Pw 41 WeA Ser S. g w TYPE OF BUILDING
fAf-
,ESUY7yf� SEA . VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS/O r Ae'
�Q 3�Qd �� Fla ia.R � � X. m U' �r�� e�fi^ ► f'e �'rg /i �0 Ai-4j
c /3 70 ® 2 2 V Jd Iq PS TO 1104f rikli% iA o/ Pea-Fe r.��N f.r�, y, S� c
Q
OU Y2aT- I D"7 j'l s �-
lD E X,6700 U I .G CO D "10 e 7 q -3P'oZ ,.',— / '
NEWR L OW E q .2
l eDo �!P -,�.�I I°7 A'r"1 "!W - fir'I-� � �v 5 �' dJ-�- ��, 000
ARM Acre,/ Value Per Value
r zz� - ,L,( 3 S �- S �uy-� 4v eoy)--s `d,nP - /Syoa
p �
o� ��ao ^/3 ea 3 car ay 43 is q 2 ddifims toulfera- -i
f illable 2
Fillable 3
Noodland
swampland FRONTAGE ON WATER_ — � 0
"
3ru hland FRONTAGE ON ROAD `' •
-lo se Plot �� �� 52� Z 4® DEPTH
BULKHEAD
dotal DOCK
G
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+ Ax °c v
+ �Q a
l
Isk
° I
z
P v
I
I •
i
Bath 31v� 3 Dinette
Extension ADD Floors d�� K.
Extension 3 t a � Z` �� Interior F°n°shbjq
LR.
ax m 200& —
Extension Heat ��� DR.
/S�y�fof Z�x 2 f9�-- �,2h� 3 �s Rooms 1st Floor BR.
5eFGh- � x �o Rooms 2nd Floor 2gC �� F 4-0-
porch OX e-_3$'fb :� i S� '�� Dormer
Breezeways'rZ7� Driveway
Sarage 2Z Z-4 - 48 la61 600
Patio
0. B. as' V / 7/v v
Total goo
p/ //(goo
3/p S` —1411 b`�P�6P �•rY v
i
Y � cT
WORKERS COMPS ATION BOARD JUNTA DEACOMPENSACION OBRERA
10
NOTICE OF COMPLIANCE AVISO DE CUMPLIMIENTO
' DISABILITY BENEFITS LAW LEY DE BENEFICIOS POR INCAPACIDAD
TO EMPLOYEES A LOS EMPLEAD03
1. If you are unable to work because of an illness or injury not 1. Si usted no puede trabajar debido a enfermedad o lesion no
work-related, you may be entitled to receive weekly benefits relacionada con el trabajo, podr(a tener derecho a recibir
from your employer, or his or her insurance company, or beneficios semenales de su patron o de la comppania de
from the Special Fund for Disability Benefits. seguros de el/ella o del Fondo Especial para Beneficios por
2. To claim benefit YQU must file a claim form within 3Q days Incapacidad.
from the firs date gf your disability. but in no event more 2 r r I r b n fi i t n r f
m In nr is it n r
than 26 weeks from such date. u In pero en ningun Caso mas a semanas e
3. Use one of the following claim forms: diC a ec a. t
j -If, when,your disability begins, you are employed or are 3. Use Una de las siguientes formas de reclamacion
unemployed for four weeks or less;use WHITE claim form -Si,cuando comlence su incapacidad usted esti empleado o
E (Form DB-450), which you may obtain from your employer, ha estado desempleado por cuatro semanas o menos use la
his or her insurance carrier, your health provider or any forma de reclamacion BLANCA(form DB-450), la cual puede
office of the Workers' Compensation Board, and send it to ( J
obtener de su patron o de la compania de seguros de el/ella,
o de su proveedor de cuidados de salud, o been de cualquier
(((�j your employer or the insurance carrier named below. oficina de la Junta de Compensacion Obrera, yy enviela a su
jo.
more than four weeks, use the GREEN claim form (Form -Si cuando comience su incapacidad, usted ha estado
DB-300), which you may obtain from any Unemployment desempleado mas de cuatro semanas, use la forma de
Insurance Office, your health provider, or any office of the reclamacion VERDE(form DB-300),la cual puede obtener en
Workers' Compensation Board. Send completed claim form cualquier Oficina de Seguro de Desempleo, de su proveedor
de salud, o bien de cualquier oficina de la Junta de
to the Workers' Compensation Board, Disability Benefits Compensacion Obrera. Envie la forma de reclamacion,
Bureau,Albany,New York 12241. debidamente terminada, a Workers' Compensation Board,
IMPORTANT: Before filing your claim, your health provider DisabilityBenefits Bureau,Albany,New York 12241.
{ must complete the "Health Care Provider's Statement" on IMPORANTE: Antes de presentat Listed su reclamacion, es
the claim form, showing your period of disability. necesano que su proveedor de salud complte la declaracion
del medico ("Health Care Provider's Statement" en la forma
4. You are entitled to be treated by any physician,chiropractor, ) .
dentist, nurse-midwife, podiatrist orpsychologist of our U re tion on, indicando el peri to de o Incapacidad.
P Y 4. Usted tiene derecho a ser tratado por cualquier medico,
choice However, unlike workers' compensation, your quiropractico, dentista, enfermera-partera, podiatra o
medical bills will not be paid unless your employer and/or psicdllogo que usted el�jaPero, contrano a la compensac16n
Ly union provide for the payment of such bills under a obrera, sus cuentas medicas no seran pagadas a menos que
Disability Benefits Plan or Agreement. su patron y/o Union haga el pa7o de tales cuentas medicas
5. If you are ill or injured during the time you are receiving ba)o un Plan o Convenio de Beneficios por Incapacidad.
Unemployment Insurance Benefits,file a claim for Disability 5 e e recibi Listed enfermo s lesionado dro d el tiempo que
Benefits as soon as you sustain the injury or illness, b este reci na re beneficios del Se gcio o Desempleo
r Y J rY Y presente Lina reclamacion para Beneficios por Incapacidad,
following the instructions outlined above. sigtendo las instrucciones arriba descritas, tan pronto como
6. If you are out of work in excess of seven days, your su a la lesion o la enfermedad.
employer is re required to send Disability 6. Si Listed esti desem leado or mas de siete dias, su atron
q you a Disabili Benefits P. P p
Statement of Rights(Form DB-271), esta obligado a enviarle la Declarac16n de Derechos de
7. Other information about Disability Benefits may be obtainedBeneficios por Incapacidad (Form DB-271).
by writing or calling the nearest Workers' Compensation 7 Otras informaclones relativas a Beneficios por Incapacidad
P pueden obtenerse escribiendo o liamando a la oficlna mas
Board Office. cercana de la Junta de Compensacion Obrera.
WORKERS'COMPENSATION BOARD OFFICES
Albany,12241-100 Broadway-Menands-(518)474-6681
Binghamton,13901-State Office Bldg-44 Hawley St.-(607)721-8353 /�
Buffalo.14202-Stader Towers-107 Delaware Ave.-(716)B42-2166
Hauppauge,11788-220,Rabro Drive-Suite 100-(631).952-5000
xf
Hempstead,11550-175 Fulton Avenue-(516)560-7745
New York City,11248-0005-180 Livingston St:Brooklyn-(718)802-6964
Peekskill,10566-41 North Division St.-(914)788-5775 Robert R.Snashall
Rochester,14614-130 Main Street West-(716)238-8300 Chairman(Presidente)
Syracuse,13203-935 James SL-(315)423-2934
i
The undersigned employer is in compliance with the provisions of the Disability Benefits Law(EI patron abajo firmante esta en conformidad con las
disposiaones de la lay de Beneficios por Incapacidad).
Disability Benefits,when due,will be paid by(Los Beneficios por Incapacidad,cuando debidos,seran pagados por)
Zurich American Insurance Company (800)887-9111 The benefits provided are(Los beneficios provistos son)
Disability Operations (631)845-2200
PO.Box 9102
Plainview,NY 11803-9002 X Statutory :1 Under a Pian or Agreement
Effective 4 0 /97 To INDEFINITE Class(es)of employees covered(Clase(s)de empleados amparados)
(En Vigor Desde) (Hasta) ALL
Policy Nol 7 3 7 2 9 2
(Poliza No) Name of employer(Nombre del Patron)
THE WORKERS'COMPENSATION BOARD EMPLOYEES AND SERVES DUNRITE MANUFACTURING CORP.
PEOPLE WITH DISABILITIES WITHOUT DISCRIMINATION
LA JUNTA DE COMPENSACION OBRERA EMPLEA Y SIRVE
013-120 8-00
Prescribed by�sirr THIS NOTICE MUST BE POSTED CONSPICUOUSLY IN AND
( ) Workers'Com ABOUT THE EMPLOYER'S PLACE OR PLACES OF BUSINESS.
State of New York
pF SOUry�lo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,New York 11971-0959 �l� �Q
�OUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
February 23rd, 2009 FINAL NOTICE
David & Susan Considine
1425 Harbor Lane
Cutchogue, N. Y. 11935
RE: 1425 Harbor Lane (In-Ground Pool)
SCTM: # 97.-6-9
Dear Mr. & Mrs. Considine,
Please be advised that your Building Permit # 31137 issued May 16th, 2005 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, please submit a fee of $250.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT
cc: code enforcement
cc: legal enforcement
OfFpt/r, Southold Town Building Department
30� cOay 54375 Main Road Permit#: 34663
a, Southold,New York 11971 Permit Date: 5/8/2009
5 (631) 765-1802
y�ypl �ao� Expiration Date: 11/8/2010
Parcel ID: 97.-6-9
BUILDING PERMIT RENEWAL LETTER
Dated: 8/12/2011
Applicant: DAVID & SUSAN CONSIDINE
Location: 1425 HARBOR LANE CUTCHOGUE,N.Y. 11935
Work Description: IN GROUND POOL
CONSTRUCTION OF AN IN GROUND SWIMMING POOL IN THE REQUIRED REAR YARD,
FENCED TO CODE.
A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: DAVID& SUSAN CONSIDINE
Address: 1425 HARBOR LANE
CUTCHOGUE,NY 11935
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.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Fsa� Southold Town Building Department
P.O.Box 1179
',ro. Gym 54375 Main Road Permit#: 34663
0
W Southold,New York 11971 Permit Date: 5/8/2009
®4,, (631)765-1802
Parcel ID: 97.-6-9 Expiration Date: 11/8/2010
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Dated: 2/15/2012
Applicant: DAVID & SUSAN CONSIDINE
Location: 1425 HARBOR LANE CUTCHOGUE
Work Description: IN GROUND POOL
CONSTRUCTION OF AN IN GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE.REPLACES EXPIRED B.P. # 31137
A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: DAVID & SUSAN CONSIDINE
Address: 1425 HARBOR LANE
CUTCHOGUE, NY 11935
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.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
SU&f011rcpG P.O.Box 1179 Permit#: 37151
54375 Main Road
a Southold,New York 11971 Permit Date: 4/23/2012
�
y ` o�� (631 765-1802
'ipl Expiration Date: 10/23/2013
Parcel ID: 97.-6-9
BUILDING PERMIT RENEWAL LETTER
Dated: 4/28/2014
Applicant: DAVID& SUSAN CONSIDINE
Location: 1425 HARBOR LANE CUTCHOGUE
Work Description: IN GROUND POOL
CONSTRUCTION OF AN IN GROUND SWIMMING POOL IN THE REQUIRED REAR YARD,
FENCED TO CODE.REPLACES EXPIRED B.P. #34663
A FEE OF $175.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: DAVID & SUSAN CONSIDINE
Address: 1425 HARBOR LANE
CUTCHOGUE,NY 11935
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold, New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
SCDHS Ref.# R1 0-95-0003
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a standards for title surveys as established ��. N?Y. LIC. NO. 49618
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The locations of welts and cesspools Title Association. (516J
shown hereon are from field observations ; MAIN
and or from data obtained from others. ; T uAN ASSUMEDDATUAL MAIN ROAD
SOUTHOLD, N.Y. 11971
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POOL DIMENSIONS ci
POOLSI/E A 8 C 0LZO'
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TYPICAL WALL SECTION AT IA' Fi�A IE CORNER CONNECTION DETAIL POOL TYF
JAMESLDEERKOSKI, P F- DAPE REV. AEE N.T.S .
260 DEER PATH DRAWINr- NUMBER
MATTITUCK,NEW YORK 11352 OF