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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 COL i i OEt on al! 1 *low VKX III p MMJME IT FNO 0 LP, /10. F11D I.P. /IN. 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Q4' BRICK =+ . 1 a *ARAM,, .- I LiRY ar RI�WL ,mil lie 3 2 10' 41 >o - SHED Pool 6.4 93' n Q FD ff FM LOr P -� TAX LOT fO cl GUARANTEED TO: FtRD CERARD Iw AND MMA DM MS a eRTK,IADc F�L o� J S CORP. PHOENIX ABSTRACT e� —1V'�' 33 20-)r T"I°` 1'>trR�cwAoe sTEwART TITLE INSURANCE COMPANY IEN — 3LW 75.001 m FER, -lZ4' - FM tar a LOT AREA 30 GRAPHIC SCALE TAX LOT to FM LOr 9 19.79L5B S.F. TE r fo rAr fr a46 AC. MAP OF DEER PARK Ar MArrmcm ( IN FEW ' I inch 30 IL O 2 € J REV UA E DESCRIPTION - BY L ix I SURVEY.' OF ' PROPERTY L A f CALICE 2755 WESTPy M A ROAD, MATTyTucx and surveying NEW YM .11952 51TUATE mjsiandsurvey.com P:531 -957-2400 I _ - 1 ,-South Bay Avenue. l9lip, NY 11751 ATTITUCK - - TOWN OF::SOUTHOLD ND � WLT�1c 'giEW.iJ1r1 TrCAI[t 1• • �o' - - TAX MAP No. SUFFOLK COUNTY. NEW YORK DATE bUURVEYM 03/XI/2074 JOB Ne.524-1429 1000-114.00-10,00-020,000 PI�ara�w+■, ..,•r rn. 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