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Home My WebLink About27396-Z FORM NO. 3 \jO tD ~D~ ~ (\d' -Q.J'{- \ .s:t- 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. 27396 Z Date JUNE 13, 2001 permission is hereby granted to: ROBERT CURTIS 455 SCHOOLHOUSE RD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF ABOVE GROUND SWIMMING POOL AS APPLIED FOR WITH FENCE TO CODE. at premises located at 455 SCHOOLHOUSE RD CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0001 Lot No. 029 pursuant to application dated MAY 4, 2001 and approved by the Building Inspector. Fee $ 50.00 ~~~4~ COpy Rev. 2/19/98 El.D INSPECTION REPORT DATE. COMMENTS ============~=====---==r-====-==r=====~============================--=================-- 1 11 11 11 11 II 11 II 11 11 :: II 11 II :1 ~~!!2~====i~~1======~========.======================================================= 11 11 11 11 11 --11 " II 11 11 II II II II 11 11 II II II II 11 II I II II II 11 11 11 , ~ II 11 II =======================t========T--===---=====================--========================= 11 11 !i ~ II ~ ~ ~ 11 11 jt--------j1 11 11 ll- 11 11 11 11 ~ 11 11 11 11 11 11 =======================t========V======================================================== 11 11 II ~ 11 !! t-- 11 11 11 11----11 11 ~ II 11 11 ~ ~ 11 11 ~ =======================~========~--===-======================================--======== UNDATION ( 1ST) UGH FRAME & PLUMBING ,SUl.ATION PER N. Y. STATE ENERGY CODE . FINAL ADDITIONAL COMMENTS: ==========================================================================-============== b- <.:, {)""" - jJ ~ f3:L ~- 01~u. --. ~ "-I t:lVv ~* ~'V ~~ ~ () - 21 ?~ ~ ~ ",0 f' ~r ~ . ~~ o( ~,V "{- ~~ ~ ;:}..-..:. S~ 21t' [;j [!: \ !:il t:I '" '" >-4 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. 27396 Z Date JUNE 13, 2001 Permission is hereby granted to: ROBERT CURTIS 455 SCHOOLHOUSE RD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF ABOVE GROUND SWIMMING POOL AS APPLIED FOR WITH FENCE TO CODE. at premises located at 455 SCHOOLHOUSE RD CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0001 Lot No. 029 pursuant to application dated MAY 4, 2001 and approved by the Building Inspector. Fee $ 50.00 ~ Authorize ....-:: 'gnature ORIGINAL Rev. 2/19/98 I b__"___._ I ;'.:'~~', ~...~. L~~,-4. L _ -~_ ..: ._. 2._~___. I ANT#O/VY * ~'*AAlaoW.:fKt' l.AN~ N.eY4~ A?',4fJIoK~~8 ~r...v~ MK//p,?/ 4QA"..e9A/T4"4"P ;:e'~AV"CQ,e''''''-'';, .?7.-9R~d".tV.r #G"'~A:) P,.r/~/I!:" ,.4~Q'iW~ COA;1'~W'6'".4f:"7# L,q#b q"'~~ N:::'p.ePM:lP u.,~ .?p,r~ GbQNTY #.-9R"'~" ~A'M(:' . P",r,. ~d"AJ"~ /~)'" ~~d'".,I""#O ' #:/1:''''-'- 't:7z-a -z I ,,~ \h.uat. eUlIl... "*t..., s...u.",-~ ~"""+> ~d-<-L~'" c.~t .~ ~~ SvJ/;4-t~ 1'34- (09 S~ (VNI"lSTe0 ~ 'RJ(.~ " r- '11" ' ! ;'1' " . I,j, I::; i' . r. '. ," r I N/P ~ I N-S/-::D-C7' , ..... ~ ~ . ~i~IIDJ~ ~ 1\ ~ ~11 . ~ ~ !i ~', ~~ ~ \ 't\ Ku,eCZ&;Vd~/ 0"5' /M.?Z' /...... f'oote.. ,r:>( , \'.\.::../:' \'1. OIAM. '~....., . ~' tR "\ ~. ~. ,., 0-,' 1I\ ~ ...a.... 4V ~.MlPI?' ~J ~ ~ " ~ ..., ~. ~ 3 Pr (2.' Dill..... \L\,gW& G0:nNo ~lnIL LU/ 4~ ~ FOJt.l2- + ~ G-~ ~I ~ . . :t.~ .~~ ~ 4B,~/' IS 34~"ff7~c1";-t/ . ~ . ~49.'f/tG'50"W'9/.~ 3eh"'oa.::: H<7O'~4'" eOA>..o ~iO'4Y;I't1,e.RO~<!27 a,ep,:$ ~..?'.R.&cA/c ~c.rZ' EA/ .4<:1C"",7/4N, C'~~,a;;V~"''''''';:&:/~~MK . , o../.&f#~A'4' .:' 1:'. M"'MP""" ....,iauU.~.....,-... ;".",...:l.LOn or addiUon 10 this survey 1-'1 a violation 01 Seclion 7208 of th& New Vortt S&Ilte EdueationtAw. Cople. 0' lNlaurwy map r'lOt belting 'h.lencl.....,.,. ilkod NIl or embossed uallha11 nDI bI.pnIdnd 10 bel valldtrutcapr. :. ;3uarantttllndlcllld 1'IItwOft.... nm .>nl'l to the person b'whom'thI uwy is prepared, lr'Idonhllbehllf.fw lide company gowmmentaJ IOenclJ' and lending Institution bled hItMn'" to 1M assignee. of the .nding 1nIdMIon. . Guaranlees are nol tramferable to additional in-::....;",'] Of &U~ ~"l~"'~~ t ~ ~ 55/.~'" ~ ~ '\3 ~ ~ ~ Building Permit/C.O. Checklist Procedure Approved by: Sionature Oat . } Application Receivl!d / Complete . . .~ . f?JuJv~ . ,ilj Plan Review / OK for Permit ( enclose worksheet) Permit Issued Plan Amendment (if applicable) Final Inspection Complete / OK for ~,O. (enclose inspection report sheet). . .' c.o. Issued Comments: . , 11 \ ~ .. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 bl~ ~ ,20_ ,20~ r-. --------~~..---- . ',-<-. D r::-. r::' n rr: f? .-\ " I It; I"' ,f, l' '1._1 I II" i jl', I " : . _ . \~ I , ;.ri ~ j I I ':,: "', .:\ ,----- ~-:." :l BUILDING PERMIT APPLICA nON CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Snrvey Check Septic Form N.Y.S.D.E.C. Trustees Contact: PERMIT NO. d. 7Jcjb"t/ Examined Approved Disapproved ale Mail to: "J Phone: ~ Buildin ,-- . APPLICATION FOR BUILDING PERMIT Date t~A'1 .If-~ 20 o-l '- 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 a Certificate of Occupancy is issued 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 South old, 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. ~<il.~ (Signature of applicant or name, if a cOrPoration) If S-S- S C-i-f Ol:JL'-1~b ~"w) O<.:>-r('.j-<.~ tN.-<, II ~ :?<;" (Mailing ad ess of appllcanl) State whether apPlican€ow~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~ "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" !J\I1Dm'Nllri~RS CEr.iir-iCf\1f1E ll~qi,j~RIE[) R0 flZ"f 0...crR-rIJ: ~ .:1>~W;::JJC i\"'1crZ-eJ (as on the tax roll or latest de e' ;7 GAmE: " 'is' 6 I u~,;J = If applicant is a corporation, signature of duly authorized officer FEE: ~b q:g.- II, flIm'iFl' mBlWllliG "II Em'.l 765-UllIi2 9 AI\.' 10 4 PM FOf\ ""' FOUOWiNlG INSpeCTIONS: 1 FOUNDATiON - TWO REQUIRIlD FOR POURED CONCRETIl 2. ROUGH - FRAMING & Pl.UMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHl'\l.1. ME:fiT . THE REQUIREMENTS O~ 'ffl!: N.Y, STATE CONSTRUCTION r. ~Nl;AGY CODES. NOT RESPO"~:)I~L" I'on DES~~~STRUCTION EflflOI'lS Hamlet ~~ ': "" I ,,~.?~ .ti;ti'f elS;:;~'; : . . ~ \ J ',~~. I~ ~ . .:;:~":4 ,. ~; . ~Lor. ~"l...'l ,.".... -"'."'~ >,.. "L ..' LOt ' ." .~ Name of owner of premises (Name and title of corporate officer) IFM"r~V fi[;,hiI \il~C\! rrlit1:] V/l\,Jll>Jl!,j)ff if",\! '. Un. Plumbers License No. rJ~~[E ~S UNLAV~fUl Electricians License No. ~I\nn!i~~~u:r CERT;f~C~llflE I.J; ''V' kJ U U U\:tJI' tl Other Trade's License NO'(Q[? O("t?tU~ 'ley Jti U~y i ~u '" I. Location of land on which proposed work will be done: lfl,-s- s Cf..f"'tJu<<M6' Ro-.o..D C:-trrCf-f crt,. <.fI> House Number Street Builders License No. ~,'"(. County Tax Map No. 1000 Secti6Ir (D '"L-- Subdivision Block - of- Filed Map No. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~~, Oc;N4: 'L"<h.:> b. Intended use and occupancy SA1ME: WJ bM3Dv6 G.e...~ ~<Otll....J 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~.~ Addition Other Work Alteration ~ Gii2bVVO ()cnn......, (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars (to be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Depth Rear Dimensions of same structure with alterations or additions: Front Rear I Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Depth Rear 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated - ~\.?-- ~ 12. Does proposed construction violate any zoning law, ordinance or regulation: l"-JU 13. Will lot be re-graded No Will excess fill be removed from premises: YES G (?oGEn-( <!UR"1"tS ~SCi-l-'- K.N.lE IZ\>. ;,;; UNl{:>-r~O 14. Names of Owner of premises D~L.0JlO {\1s:fzo.; Address CoI<!H= NY. /'Phone No. lO31-73tf-C,9S"\ Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within I 00 feet of a tidal wetland? *YES NO ~.. _ " . IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE ~ 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) /"\. ,,,S' COUNTYO~' ~ \-Q. ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. ~c~L~ Signature of Applicant LYNDA M. BOHN NOTARY PUBLIC, Stale of New VOlt No. 01 B06020932 Oualffied in Suffolk Countt .., Term Expires March 8, 20 ~