The URL can be used to link to this page

Home My WebLink About28948-Z 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. 28948 Z Date NOVEMBER 26, 2002 Permission is hereby granted to: JOHN A CLARKE BOX 768 CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 3980 VANSTON RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0010 Lot No. 021 pursuant to application dated NO:20 the Building Inspector to expire on Fee $ 150 . 00 e ORIGINAL Rev. 5/8/02 FIELD INSPECTION REPORT DATE COAoIENTS , .d FOUNDATION(1ST H FOUNDATION(2ND) z o ROUGH FRA IING& PLUMBING ' H INSULATION PER N.Y. y STATE ENERGY CODE 1 FINAL C> ADDMONAL COMMENTS N e O z d 1 T E LY E!MCLODSE POOL TO CODE UPON COMPOPLETION ALLURE TER" 94 WITHOUTCER11 OF OCCUPANCY IT STEP WORK AREA OPTIONAL AROUND -RML a'-O'* FINISHED DTPT;4 3'-4"FIN ISHED DEPTH UNnr,",,, Off-,P,�-r--ERTIFICATE c REQUIP0 APP OV AS NOTED p o FEE. NOTIFY BUILDINGENT AT +-G F SAND OR 765-1802 9 AM TO 4 PM FOR THE -8'-20 E XCAVA TION Vf1kMICtJLIT'E CEMENT FOLLOWING INSPECTI')NS: DEPTH 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE I ROUGH - FRAMING & PLUMBING VZ f A h( 71 g I p,01417:S' /4 X.3 2 16' .3Z' 3,6„ 7,&„ 61 I/V' 7' q16" 6' 1 35-'9 7'-- A ION SHALL MEET DATF-' Z*-,IV7-B bEl:rA-FrrM /6X36 16' 3&' 34"111,60 /y, q'lo" 7' 14" 8' 39" 5-' STO 18 l I V -q np Two: N v 316' 71 '1161., 8' -8 2-01; Vol DATE I-j=CONSTRUjTd lwe o "'b"I 5-,- /0, 5-` 81 IVY I I I I I -SCA LE iiiWOR CONE*M*;bN&sr.<r- WATER CAOACITY NO STEP 1_ VS. G A L. TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD;NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 ac'p�fg Survey www. northfork.net/Southold/ PERMIT NO CD It Check Septic Form I D.E.C. Trustees Examined 1 ,20 Contact: Approved ,20 Mail to: Disapproved a/c Phone: Expiration 20 Building Inspector 6 APPLICATION FOR BUILDING PERMIT Date r-J&X-4W 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 Inspector will issue a Building Permit to the applicant. Such a 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 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. n ��6 0 a CA-S (Signa of applicant or name,if a corporation) u • "t3Ujc d 1 Lc%- 114 Cal (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises `(1� �R( CXG.0 e— (As on the tax roll or latest deed) If apple ant is a co atio , i ature of duly authorized officer L(N)me an titl of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: C-to rnea" 6e_"N � h House Number Street Hamlet County Tax Map No. 1000 Section ( ( Block f n� Lot a Subdivisions Pa,-C1,V 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 'R LSAe_.n( & b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work S,a Description) 4. Estimated Cost f S_,tf:�o 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 Rear Depth Height Number of Stories 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 Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner t� Cctys:�� 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES ZNO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises GnnsAVVw- CAc„ALc Address P•o . 3 OK 5'1 Phone No.13'"ol LA Name of Architect Address Phone No Name of Contractor Tools b., Address dict Phone No.-29 3-7 3(F 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 below, must provide topographical data on survey. STATE OF NEW YORK) sS: f` COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the -i\t &l?-ti . (Contra r,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 thi day of 20 -Aaa- - , �_Jsc� Notary Public Signature<App 'cant W NOTAQv ` -)F N.Y. GINA ALBANESE 8 NOTARY PUBLIC, STATE OF N.Y. 0' COUNTY NO. OIAL6003398 QUALIFIED IN SUFFOLK COUN MY COMMISSION EXPIRES ,' Sam I&F # . The locations of wets and cesspoo4s shown hereon are from laid observations A� TMA TVN "VEY IS A MLA and or from data obtained from otters. OF � 7 TATE S PER � I-AV. TIONIS SCDHS 7F. # R10 - 99 - W24 ��v rw� � TESL OR • wtrOSE sylB►vA AJ� 0 AWST BE OIflI �Tl1r�AM ALL �UTL9 TEAJW A er• OF ANOTHER "VEYOrS MAP. r.11111116m JL fI AS 'NSPECTED'MID S90UGHT-TO-DA TE' ARE NOT N W7W THE LAW. d%- TEST TEST BORING 0. Brown Sandy Loam OL c w� s '9 �� _ a5 Brown Lo,,,,, l am fam8lar with the STANDARDS FQR APPROVAL '�a. kris � Sand ySM AND CONSTRUCTION OF SUBSLWAC.E SEWAGE �\x o c j�`' 3� (r� 3 5 DISPOSAL SYSTEMS FOR SMIGLE FAA&Y RESVENCES sem* and wN ablde by the conditions set forth thereh atd on the zo F o Codo arse d permit to construct. a 17' or Awl . 4 f ae jd S 64.3 f E 0 fell 10 T SURVEY OF PROPERTY NASSAU SA U POINT -3� •h� TOWN QF SOUTHOLD _ SUFFOLK COUNTY, N. Y. �• X000 111 10 21 SCALE Y' - 40' wo JAN. 14, 1999 CUR 7 :/Op% LfRVE i , O T 324 s y .�r' /99 c^ MA Y226,1999((e vised sTst opik system I 9y0%� /0.4 c-'` N,' 78• ° t �jn '� �, w �� MAY 20, 1999 ( stk hse. I }+ o 3, 2000 (prop. hse. I el 79 ,� w� NYr•3� 3O��2.37• .KINE 8 2000 ( revision 1 / s SEPT. Lt 5 2000 to foundation loc. 1 NOV. 1, 2'002 ( prop. pooO VA YV S T O )v Ok NEW v oK'e/ O N. 1C. LA0. •496/8 A j OT NUWBERS ARE REFERENCED TO LADED MAP A (63/ 7 S 02 S 11 765 - 1797 NASSAU POMFT OWNED BY NASSAVT CLUB P. O. 9 gq % TESy INC. FILED IN THE SWOLK CLERKS OFFICE ELEVATIONS ARE A� ow�� AREA = 35, 141 Sq. ft. to tie linos ¢ ASAP t+Io. I3s ON AUG. Is, 1922 SOUTHOL , OSI97/ T TO AN ASS(AWD 98 - 399