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Home My WebLink About25033-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. 25033 Z Date JULY 14, 1998 Permission is hereby granted to: WALTER A JOHANSON/KATHARINE J. 600 GAGENS LANDING ROAD SOUTHOLD,NY 11971 for : CONSTRUCT AN ACCESSORY ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE IN REQUIRED REAR YARD AS APPLIED FOR. at premises located at 600 GAGENS LANDING RD SOUTHOLD County Tax Map No. 473889 Section 070 Block 0010 Lot No. 021 pursuant to application dated JULY 7 1998 and approved by the Building Inspector. Fee $ 50.00 ~~. Buildi Insp~ V 0:r:1) - r~~~ ORIGINAL Rev. 2/19/98 ).,5'0 35.c- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] -,sULATION /' [ ] FRAMING I STRAPPING [v(FINA# ~S [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTIO [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENElRAnON REMARKS: f~ ~-<9-'JbS .-1-\ CJ-? 71f1s b-. DATE INSPECTOR 'lC'LD I"S":-'~7'(J', ULl'M II ~Ot-(M[NT" 9J VI Q W W i ~ - .. . -'- - . .n...:. '" - ." I, '" ::::> 3: H , . . .., ~OUNDA TI.Q.N ( 1 s t) ... - -'- . c: (Il ~OUNDA TION (2nd) .' 2. ~ -z":: 0 ROUGH FRAME & ,PLUMBING' .. (Il 3. o-l "" '" ~ "'-, INSULATION PER N . Y. ' , o-l STATE ENERGY CODE :r: .. .,.. qtLr 1107 "J. {I,h u~ A, 0 j{; 11;'IS ~ ..----1 ~ 4. '/ j J<Y....=.t o-l " ~ .=>- FINAL Sf r:: I .. ,~[" .:Z: ADDITIONAL COMMENTS: .'" '" .. , , . .. . ~. - 1- - . ." >< - "'0 ' H "" .. 'Q, o-l 0 H 0 :z: ., f - . :r: '" .. , ,... .. .., :r: '" '" "'0 .., '\j~ u.\7J 4.. ""'" <:::> C> ~ 1 ~ !;o ~ f:.. -.::J i "F ~ .::c: ~ z :v o WI ~ 1. FORM NO. I TOWN OF SOUTIIOI.D BUILDING DEPARTHENT TOWN IIALL SOllTIIOJ.D. N.Y. 11971 TEl.: 765-1802 BOARD OF DEALTll 3 SETS OF PLANS ............... JUL 001 ............... 00 SURVEy........................ CIIECK ................. ......... SEPTIC FORM ................... >, ,:,";;:.1 'i\t\h BLDG. DEPT. N F UTHOLD l'.xlJnired.lJ'9J!!r... ., ^I~)rovtod. 1/J.'11.1.~. . . . . . . , NOTll'Y : CALL 7/S:3PJO....... 19.... 19.... MAll. TO: .................... Pennlt lb. d5.a33.;-.~. .................................... Disapproved olc .................................. .................................... ...................................................... ... APPI.ICATION FOR IIlIILOING PERMl'r . Date................, 19.... INSTRlICTIONS s. 'O,ls opplicotlon nust be co,\>letely filled In by typewriter or in Ink lUllI "'~JlIltted to tile llullding Inspector wi 3 sets of plans. accurate plot plan to scale. Fee according to sche(kJle. b. Plot plan "'"""Ing location of lot and of wildings on pr....lses. relatiooship to adJoinb,& premisea or p..)lic alreets or areas. and nlvlng a <!etolled description of layout of property "list be dr-. on tile dlagran ...,Ich Is I"'rt of thl.. RPl>1icotlon. . c. 'nle won covered by tills oppllcatlon I'll}' not be COlI1leneed befoQ! issuonce of Ilullding Pennlt. d. Upon approu'al of tllis appllcation, tile Jlulldlng Inspector wlli issue a Ilullding Pennit to tile applicant. Sl.och peAnit shall be l,ept on tile premises nvalluble fur inspection throuallOUt tlle work. e. No building sbaU be occupied or used In "'lOle or In part for any purpose ...rn.tever until a Certlflcale of Occupsncy shall hnve been granted by tile I\.lldlng Inspector. APl'I.ICt\nrn IS IEREIIY twE to tile Ik.l1dlng lJepartnent for tile issusnee of a Jiuilding Pennlt pursuanl to the lluilding Zone Ordinance of the Town of SOlJlIlOld. SUffolk Camty. New Yon. nnd otller appllcable 1_. Ordinances or RellUlatlona. for tile constructioo of buildings. additions or alterations. or for rEI10YlIl or denolltlon. as herein described. nle applicant ngr-ees to CO'l>ly with all appllcable 1...... ordinances. building code. housing code, ond regnlatlons, ,alld to ldalt~c;hori~ inspectors at prEIIIlaes and in building for rleCeS88ry inspections. -.\'-";<"1 I/_~l....'.._ ~LJ .r>.~..I.;~:.E~~........ I~, (Signature of applicant. or ......., If a corporat ion) '", Pil~"m~,""lO u...fOj.\)!lo'''' pO 'An..J J Q.q LL S u:dvrtJ..- lilT ~J1 ~~~J~"; ..;..(;;;,i:;.~~;S.~f~;,;,ii~~t;O....Y\l,l.i.lq71 OllllUOB OlIff . MOIfACIMUO~ ; . - <T State ...",tIler aPl'lI._ I lJ 1I1UDiII Ita.. agent. architect, engineer" general coatractor. electrician, plumer or l~liI,le ...~ .~."~.~... .... ..................... ,.. ..... ...... .... ................................. Ham of ~~ o~.,. .~. .~n4... .k.a.+hu.l.11 ~.. M.~~Is.. ........................... tJJM JJAHI MC)I1":)UfITI !/.J)le tax roll or lotest deed) . If oPl'lilaM: M..~~>>~f duly authorized officer. YOIIIJii - i-llifi'r'l"5UJii'eMif.-JTA'r " ~ ......M04t.J" '10M .'300., .(~.~~m~'W.............. BlIilders I.icense No. Plumers License No. ......................... .......................... '. Electricians Ucense No. ..................... Otller.Trade's License lb. .................... f -00 Cl '-.$ LMd' f<D A j I. IDeOtl00 of land on "',lch propoaed ""rk will be (1one..~.........Q..jel.\............. ..l(\C?j......W.... ..... .laD'O............. .G-.a.aeo..}.... ~Q..04.I.OO-.. g.Q.:........... Scut.hal.a..........:.... Iloose \biller .J Street - :J UlIIIlet Cronty Tox Map lb. ICXXl Section ....~.rJ....... Block. ....1.0........ IDt .....'k.\....... Su1xlivislon ...................................... Filed Map No. ........;...... IDt ............... (Nme) 2. State existing use and occupancy of pren\ses and interxled use and occupancy of proposed construction: a. F.xistlng use snd occupsncy ..te,$.ld~r.l.ce.......................................................... b. Intended use and occupancy ............................................................................. .flL ;no::l2 .1 TJl3!lQlt logY ....l'Ilo 8,.,2 >k.~q ~ ,,",,0::1 JIIdl,,2 "' beilile..o lliOC,U.::I<: 10 .0111 ..t"oM,.,"l"3-' , ,,I (;1. ~ (, I ,-,- ~lt, , Itllur" of work (dJeCk wild. appllcaMeh Hew Ikllldlng .......... Addition .....1)... Altera~tlon . :.:';;:::".'~J i Ile,..lr ............ Ileaoval '" .......... llenolltlon............ Other Work ~. .~.~ .11r.tl.. ... f-dc:;:d.; t!1 ! (nesMpt 1 . U\.i ~stl"..ted Cost ........#. ..il a~.o...... fee ............................:...: 1......".... .._..-.-..J (to be paid 'x, fillns thla nl'pllc"tioh) . "'1".!,,!, If ,~...lIlnll, ,ulber of Welling unlta ............ Iblber nf '~lIlng unlta nn each floor ................ If gursae, ,ulber of cara ...................................... If 1...lue.., canrerelal or mb",f OCClJll8llCy. apeel fy nature and extent of each type of use... .. .. . .. .. . .. . .. .. .. 1l1"..nolon8 of existing structures, I f any: !.'ront................ Resr ............... Depth................. 1lclllht ......................... It.,ber of Storlea ...................... Illn8nslons of 81118 atmcturewlth alterations or 'nddltlon.: Front............... Rear............... ~ llcplh.................,;,.. lle.lgtat .................... tlJli>er of Stories ............... 1l1"..n810ns of entire new construction: !.'ront................ llenr ............... Depth .............. lIelght ......................... Itr,ber of Storle8 ..................... 51"" of 10l-: l'root.................... Rear .................... Depth 1. '.. 5. 6. 7. 6. 9. 10. II. 12. U. I);:JI"e of PUrdIS8e ..................... tmre of li"onner ().Iner ........................................ .................... Zone or use district In '1.hld. premlsea are aituated .............................................................. lloe. propo8ed con.tructlon violate any zoning 1_. ordinance or reglllatlon. .t19.................... 11111 lot be regraded ,................... Will exce.a flU ~ remaved fr(JJI prenlsea: ~ m Nares of lM1er of premises ~141~!:-.t..k.A.thWJljc../!l'~reas .(,.().Q..~</)~l.:.(A~16... 1'i1Ol.... ,*"J~:~~tjq . IIl1le of Ard.ltect ..................... "............. Mdre.a .............................. Phone '*". ............ I',. lIure of r.ontractor ................................... IIddress ............................. ..MIOlle '*". 15. Ts Ihls property within 300 feet. of a tlool 'l<etland? "YES.......... 00. X~...... "IF YIlS, lnlnon tUN 1rosn!1!lll'llllMl'f Mtt.Y 00 REC~IRIlIl. t ............ I'I.OT Dr AGlIIIH . l.ocate clearly and distinctly aU buildings, ..tlether exlatlng or pro(Xlsed, and Indicate sll set-back dlneo.lons rrOll I,rol..rty lines. Give street and block IUlber or deacrlpt Ion nccordlng to '~'P' 4'i1O'rmres ard Indlcnte ,.llelh"r I nterlor or corner lot. 160. I q , '1 Co to ::r- 1"-' 101 ~ @oo\,' ~(p . \ \'l> 1~ID' r" nc< <-," Ii ~'S ~<"(I<~ ---- '- ".t,.. I ~ t \' ,,' ( \ ,C"; '-- 1 JlOII 2- 3. 4. FI IE ALL THI STATI coon. DE8IM -..I CONI'AueYIOII MutT !lOR c.o. IMU. MIlT OP 'nil ".Y. UClION . .IUY '"'" IIIIfIOIJIII La I'OR CONI'f'IIUCI'IO III.~ :;1'A"11! IX' t>t;\/ YIXlK. .;-- I W-'-' .... ___un '-"';-'n (U1Il1Y (XISlAffi.Lk......... 5S 10006.-16["-'5 L.ANI) I N& IZ D I Ihb I Or \ at .Jr.(~.~ ~.........:........heio~l dilly sworn, delXlfleS nnd ....ys thot he iH the Sppl.;'~I"1: (Nil,,, of Irxlivldllsl sI8I1j;,~ 'X;:;')'" ubuve 1U"I.eJ. (, lie is Lhe ............... ...... .~~~................................................................. (r,olltractor, Ogellt,. cor(Xlrste officer. etc.) of 80ld '...."'r IIr ownera, nnd is duly wthorlzed to l",rrOnn or huve perfllrned the ....Id work nlld to mke nnd file this nWI iCIJt!,.,; thot nil stntSI'I!lIts contained in this olll,llcntlon lire tn", to U,e I",st of hia knowledge nnd hlilief; IIIxl Ihot the work will be perromed in the .wlllner flet Corth in U,e oppl.icntlon filed therewith. l~'"rn Lo he fore Ire Ulla ) .....~~.I.I "".., "~>ff\.:./~~.--<-...... / ! J~~ ~ ,*"turyhw c. .. ...........~ .c. --'<P'\~ ~ - .i;;~~;;;.;.;,.,~ij;;.;, ...... .............a.. ~o