HomeMy WebLinkAbout51903-Z 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#: 51903 Date: 05/07/2025
Permission is hereby granted to:
Gerard Dennis
98 MacGregor Ave
Roslyn Heights, NY 11577
To:
demolish an existing above-ground swimming pool and construct an in-ground swimming pool as
applied for.
Premises Located at:
2755 Westphalia Rd, Mattituck, NY 11952
SCTM# 114.-10-20
Pursuant to application dated 03/31/2025 and approved by the Building Inspector.
To expire on 05/07/2027.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total $400.00
Ukjlkding Inspector
* FFRL TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Mairi Road P. O. Box 1179 Southold,NY 11971-0959
u '
Telephone 631 765-1802 Fax 631 765-9502 https-,//www.southoldtommnxgo
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. 5jqg Building Inspector. ' M , 2
Applications and forms must be filled out in their entirety.Incomplete
applications will'not be accepted. Where the Applicant is not the owner,an Building Department
Owner's Authorization form(Page 2)'shall be completed. Town of Southold
Date:
OWNER(5)OF PROPERTY:
Name: Gerard Dennis SCTM#Z000- 114-10-20-
Project Address: 2755 Westphalia Rd., Mattituck
Phone#: Email: -B" Contra CH(1 e rf)0_ a ,(.ZM
Mailing Address: 2755 Westphalia Rd., Mattituck
CONTACT PERSON:
Name: Heather Sanderson
Mailing Address: 180 Gloria Blvd., Hauppauge, NY 11788
Phone#: 516-359-0873 Email: Expeditehls@gmaii.com
DESIGN PROFESSIONAL INFORMATION:
Name: Lhri S`� 1 Ie LGt-h a vt
Mailing Address: 400 ++CLw l�LlnS AV6• . (Z0n1C0Y11C0)1y0 . 1 Igqq
Phone#: 1931 . (0}(0_ 4551 Email: La.bcrew 0 opfooUrn2•n6t
CONTRACTOR INFORMATION:
Name: Gransasso, Inc.
Mailing Address: 10 Walter Court, Commack, NY 11725
Phone#: 631-804-6334 Email: info@gransassoinc.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
lil Other 16 x 32 inground pool
Will the lot be re-graded? ❑Yes TNO Will excess fill be removed from premises? 0'es ❑No
1
PROPERTY INFORMATION
Existing use of property: Residential Intended use of property: Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes BNo IF YES, PROVIDE A COPY.
4-check Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water issues as pronrlded by
Chapter 236 of the Town Code,APPUCATION IS HEREBY MADE to the 8ullding Department for the Issuance of a Building Permit pursuant to the Ilfuilding torte
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of.buildings,
additions,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.41 of the New York State Penal Law.
Heather Sanderson
Application Submitted BY(' rint BAuthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF )
Heather Sanderson
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
Agent(S)he is the A 9
(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/her knowledge and belief,and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me thi
s
day of ch Zp o��
ota Public
MARY CAPOSIANCO
Notary Public,State of New York
No.01 CA6327242
PROPERTY AUTHORIMION Clue4r,ad In Nassau county
. ,�. .. Ctornm"s4lon Expires July 26.20
(Where the applicant is not the owner)
Gerard Dennis 2755 Westphalia Rd.
I, residing at,
Mattituck Heather Sanderson
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
holz
Owner's Signature Date
Gerard Dennis
Print Owner's Name
2
Suffolk County Dept. of
Labor, Licensing Consumer Affairs
\` HOME IMPROVEMENT LICENSE
Name\�
FRANK A GRANSA SO
,\ Business Name
`\\ G NSSS I NC
Tl-is certifies thcat the
bearer is duly licensed License Number H-5491
by the county cf suffolk Issued : 03/26 2015
W o-4j T. Rag erk Expires: 03/01 /2027
Commissioner
This license Is the roe of Suffolk Count
property Y
: . : . Department of Labor, Licensing & Consumer Affairs.
.•, - . . � Possession C this license does rot guarar ,Ce ins val City. •
Additional Business Name
License Category
H3 - PoolsiS as; H8 - Masorry; H26 - Pools and Spas;Cei-:i ied
r • •
,q
w,
Confers upon
Frank Gransass
The designation
CBP Certified Pool & Spa Buildingprofessional"
for meeting the education requirements, successfully passing an objective
examination and pledging to uphold the PHTA Code of Ethics.
12/31/2027
Expiration Date Sabeena Hickman
• President&CEO, Pool&Hot Tub Alliance
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mjsiandsurvey.com P:531 -957-2400
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