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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.