HomeMy WebLinkAbout33840-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Towm Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
mo: Z-33853
~te: 07/27/09
T~IS CERTIFIES that the building SWIMMING POOL
Location of Property: 855 GAGENS LANDING RD SOUTHOLD
(HOUSE NO.) (HAMLET)
County Tax ~ap No. 473889 Section 70 __ Lot 31
Subdivision
(STREET)
Block 10
Filed ~ap No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 22, 2008 pursuant to which
Building Pe~q~it NO. 33840-Z dated APRIL 22, 2008
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ACCESSORY IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to JOSEPH J & ANTIONETTE CASSIDY
(OWNER)
of the aforesaid building.
S[~FFOLKCO~DEPAR~I~T OF ~{F2%L~PRO~-AL N/A
ELR~-rKICkL C~TIFICA~ NO. 4058 05/13/04
PLIERS u~KTIFICATION DA'£~ N/A
~S~gnature
Rev. 1/81
07/24/2009 13:43 FAX 1212 615 7230
APPLICATIC
This appli~*~.ion mu~t be filled in by tFpewri~
For new buildhg or new me:
1. Fhfll anrv~ of property with
toposraphi~ features.
2. ~ A~o~ ~ H~ ~, of
3. A~ ofel~ im~on
CRB 333 W 34
Farm NO. 6 '
TOWN OF SOUTIIOLD
BUILDING DEPARTMEN~
76S-1802
JUL 2 4 2O09
BLDG. DEPT.
TOWN OF SOUTHOLD
~]001/002
N FOR CERTWICATE OF OCCUPANCY
T or ink and submitted to the Buildin8 Department with tl~ following:
~ location of all buildings, property lines, streets, and u~usual natural or
~ater supply and say, rage-disposal ($-9 form).
a Bon~l of Fi~ Underwriters.
4. SW0ra stat~n~t f~om pluml~r c~rti~, lng that the solder used tn system ~ontains l~ss than 2/10 of 1% lead.
$. Comm~,ial building~ indus~i~l build lng: multiple r~sidan~s and similar buildings and installations, a c~rtlflcate
of Code Compllancc ~ archite~t oi ~ngin~t responsible for the building,
6. Submit Plannin~ Boa~l Approval of ¢ omplc~ site plan requirements.
For existing buildings (prior to..&p~ 9,t 19S7) non-conforming urn, or buildings and "pre-existing" land uses:
1. Accurate survey of probity shomng ~ property lines, streets, building and u~usual natural or topo~phic
features.
2. A .p..ro?r....ly complctz:d application at~ consant to inspect signed by tho applicmxr_ If a O~.tificato of Occupan~ is
dem~cl, the Building Insp~or shall sqato tl~ re~on~ therefor in writing to ~tie applicant.
N~w Co~ction: Old or P~'-zi~ng Building: (check one)
Ho~eNo. ~ ] S~
Suffolk Co~F T~ Map No 1~0,~ ~ , BI~ ] ~ '
I. Cetfifi~.'a~e of Occul~n~ - New dwel~ng $25.00, Additton~ to dwelling $25.00, Alterations to dwellin~ $2~.00,
Swimmh~ pool $2~.00, A~ce~y b~ildin~ ~25.00, Addition~ 1o nc~ssory building $25.00, B~sinesses $50.00.
2. Certifl~nte of O~cup~mcy on Pre-e×ist~t~ Building - $100.00
3. cop of ofo u y -
4. U!~latodCertificate ofO~upaney- ~0.o0
5. Tempora~ Ce~ficat~ of Occupancy ~ Resid,~ntial $15.00, Commm'~ial $15.~0
I Fil~ Map,
Date ofPermit. -"/-~:~' Applicant:
Under~iters Approval:
Lot:
Final Cefflfloate: ~ (¢h~k one)
Subdivision
Health Dopt. Approval:
plann~.~ Board Approval:
R~lueSt for: Temi~i';.iT C~/flcate
gee Submitted: $
FI~al~t
^ppueant Stgnazure . (~
07/24/2009 13:43 FAX 1212 815 7230
FROI'I : ~UE¥ ELECTRIC INC.
002/002
M2;~F~IP1
Folk Blecmcal Inspections, mc.
New Yo~ 11914 + T~'. 6~1-87~3500 ~' F~X: 631.~78-3764
~/13/04
.V/I~c Somhold .. tnUo~ ed By: Avcy Blecttic Lid~'. $120-B
' .w~examjx~d and avp,,~cl up!to tile abo. ye dam and was i n co mplian~ ~/~h thc NEC
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. 33840 Z Date APRIL 22, 2008
Permission is hereby granted to:
JOSEPH J CASSIDY
855 GAGENS LANDING ROAD
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE AS APPLIED FOR. THIS PERMIT REPLACES BP 30237.
at premises located at
County Tax Map No. 473889 Section 070
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
855 GAGENS LANDING RD SOUTHOLD
Block 0010 Lot No. 031
22, 2008 and approved by the
22, 2009.
Fee $ 150.00
/ Authorized Signature
ORIGINAL
Rev. 5/8/02
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. 30237 Z Date APRIL 13, 2004
Permission is hereby granted to: ~
JOSEPH J CASSIDY
855 GAGENS LANDING ROAD
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE
at premises located at 855 GAGENS LANDING RD SOUTHOLD
County Tax Map No. 473889 Section 070 Block 0010 Lot No. 031
pursuant to application dated APRIL 12, 2004 and approved by the
Building Inspector to expire on OCTOBER 13, 2005.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SO~NG DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH~__B_.G.
[ ] FOUNDATION 2ND [ ].~4~_LATION
[ ] FRAMING / STRAPPING [ ,,,']~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
F~LO ~S~rCX*ON ~'ORT [ OA~ I CO~S
FO~ATION (1S~ '~. ~ ~
FO~DATION (2~) - ~
ROUGH ~G & ' ~
~S~ATION PER N.Y. m
STATE ENERGy CODE ~
~D~ON~ CO~s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined
Approved
Disapproved Wc
Expiration /o/[ 3, 20 ~
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
~3uildihg ~nspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date -,-//oo/D 5~ ,20 O/
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.
¢. 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 cormnenced 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.
"IMMEDIATELY" OCCUPANr, V
E O,OSE POOLTOCODE IJSE IS UN
(Signature of applicant or name, if a corporation)
UPON COMPLETION
WlTHO~, - * ' :,-- IL;/Cl,-Jr_'~o~''-'---- ?., c..,¢c,,.~,._,~. ~,
BEFORE"WATER"
(Mailing address of applicant)
IDERWRi'ERSCERTIFICm OF OC ,NC¥
State whether P~(~t is owner, lessee, a~ent, architect, engineer, ~enera] contractor, electrician, plumber or builder
Name of owner of premises '~oS~p~l .~,~.~,. -,^,.,, .~ APPROVED AS NOTF. I)
Ifapplic~t is a co~oratiqn, si~ature of duly ~g~HAPTER 4~ , ~ / ~/, /~ ~/
~.~ ~ ~~ /~5) FLeD DAMAGE PREVENTION FEE:/>~- BY:~ -
- ~c ~d rifle o~co~omtc officer) SOUTHOLD TOWN COD~. NOTI~ BUILDING DEPARTMENT AT
-- -- ' 7654802 8AM TO 4PM ~ THE
Builders License No. /~/~ 2-/4£
Plumbers License No.
Electricians License No.
Other Trade s License No.
Location of land on which proposed work will be done:
House Number Street
County Tax Map No. I000 Section
Subdivision ._'Sto-~e~ r',~<5,,~
(Name)
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLET[ FOR C.O.
E
amteifORK STALE. NOT RESPONSIBLE FOR
Block /Ct3 DESIGNLotOR CONScT,~J~IION ERRORS.
Filed Map No. ~ Lot .2/'//
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy / ~;,-,.~- ~,e~-~J¢ ~
b. Intended use and occupancy/~2-~y ~r~,~e-~c~ z,~, /~-~.Jt> .~ ~,,v¢7 ~,-
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition. Alteration
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, 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
Rear Z,/_) '
Depth
Dimensions of same structure with alterations or additions: Front
Depth. Height. Number of Stories
Rear
8. Dimensions of entire new construction: Front Rear
Height Number of Stories
9. Size of lot: Front //~ ' Rear //rJ / Depth
Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO Jr"
13. Will lot be re-graded? YES ~' NO__Will excess fill be removed from premises? YES )c' NO__
14. Names of Owner of premises
Name of Architect
Name o f Contractort°/o~-,~t
Address ocs~ ~,~_~ z.4.~o.~,~ ,-,~one No. ,~_,~- ?rJx~,'?
Address '~b ' Phone No
Address~, ~,;,, 9 a~..-~__,.~.- Phone No. ~-~&~ %~
15 a. Is this property within 100 feet of a tidal wetland or a f~eshwater 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__ N~O
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to pr0i~e~y lines.
.¢
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
tp ~efore me thi~/!
~_.'"/~'k.. day of ~
Rota~ Publ~
Claire ~ ~lew
N6tary Public, Stat~ of
No. 01GL4879505
Qualified In Suffolk
CommlsNon Expirea Deo.
Signature of Applican'~'-
STATE OF NEW YORK)
COUNTY (~J~ ,~)S:
~z~,~,,,~,,~- ~ ~'1/_/,/~--~.)~/ being duly sworn, dep.oses and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ~O,,'6,',~-~,~/~
~''77' .... (Contractor,' Agent, Corpo.rat~e ?fficer, 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 tree 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.
i'~-~- ~-/o-,7/TOWN OF SOUTHOLD PROPERTY RE¢ ,ORD CARD -~.~ /?
OWNER STREET '~2/~-~ ~ ~5 VILLAGE DIST. SUB. LOT
'~:~'d% "' :,~%~ S >.~..~, ,-:' . TYPE OF BUILDING
RES. ~/b SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
, BULKHEAD
Total DOCK
COLOR
TRIM'~--
M. Bldg.
Extension
Extension
Extension
Porch
Foundation
Bath
Floors
.~? ~/ Basement
Ext. Walls
Fire Place
Type Roof
Recreation Room
Dormer
Driveway
Dinette
Interior Finish LR.
Heat HJ.L-~. DR.
Rooms 1st Floor
BR.
~ ;( / / ~_ Rooms 2nd Floor FiN. B.
Porch ~ ~' ~' R~A~.
Breezeway
C-orage
Patio
O. B.
Total
G
~.'~7 ° 5B'LO"W. M-O.O
AV~.
GEOP-.GE M a
MAP
ELIZABETH
AT
' $OUTHOLD'
OF P P-.O PE~'.TY ,
M. DICKE~SON
TOWN OF $0UTHOLID , NN<.
VAN TUYL
,,
4
4' 8' 8' 8' q.8'
zr 8' 8'
°Diogon~ls given to 90' ~nt of corners.
I I -!' Iqoi~ Ponlk (01-009)
2-$' Ploin Ponels (08.0! $)
24' Pioin Po,'~ (0~.016)
1-2' ~ Pofl~
1-90° Corn~' ~f
12-Eco~e~q, 8rock (08-210)
I-S~l liordv~e JOt (08-204)
1-18x36 Strqhf Cop~ ~ 6' II.us (1o~021
i.~o copq Cor~ ~ {.10-004}
l-rq't L~w (~ opms W,~}
&' St~- ~ 2~08-00~) ~' ~
1~08~1~) 2' pn~. lr~r11401~0~}
I-(08~111} 2 ,.~,. Insed 1401-002)
mid 2-(0~015} 5 ponek
It~pkx~ 4-~' p~oin poAe]s (08-009) mfh:
I-~' ~immer po~l JOB-O] I}
2-8' ifllef pQflds (0~-010)
I-8' light ~ (08-0T2)
H4: (03'4~I~},(03-~4-LSJ.(O3-~O4-11S)
I-8:(03-204 ~).(03-204-LS),(03.204.1~)
S-14: (03- 304~),(03-304-LS),(03-304-~)
TOPAZ STERUNG STONETITE
(03-~04) (03.~4) I03 304)
- ~ 04Vl~O UNERS --
fl-6 {03-642) I-8 {03-242) S-14 (03-342~'
I' S~ ~ lind) Pame~
I-(8~018) T plm~ ~
I-(01-~01) r gl~l, ~-(o~.167]
,,,.,,,~ ~,~, ,~.~,.,. ...... MAY 18' X 3~'
1995 RECTANGLE 6' IADIU$
IN-GROU,~D SWIMMING POOL WILL BE CONSTRUCTED
OF STEEL WALLS SU~PPORTING A VINYL LINER THAT
WILL HOLD APPROXlMA'I'LY 27,500 GALLONS OF WATER_
FENCE WILL BE AT LEAST 4' HIGtt WITH SELF CLOSING
GATES THAT ~,qLL MEET TOWN CODES.