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HomeMy WebLinkAbout29618-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29630 Date: 08/11/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 33610 MAIN RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 2 Lot 13 .2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 1, 2003 pursuant to which Building Permit No. 29618-Z dated AUGUST 1, 2003 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to DAVID A & MARYELLEN GAMBERG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 53723 07/17/01 PLUMBERS CERTIFICATION DATED N/A tho zed gnature Rev. 1/81 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. 29618 Z Date AUGUST 1, 2003 Permission is hereby granted to : DAVID A & GAMBERG GAMBERG 55 HARVEST LANE CUTCHOGUE,NY 11935 for CONSTRUCT AN INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING. REPLACES BP 27336 at premises located at 33610 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0002 Lot No. 013 . 002 pursuant to application dated AUGUST 1, 2003 and approved by the Building Inspector to expire on FEBRUARY 1 , 2005 . Fee $ 150 . 00 Authorized Signature COPY 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. 27336 Z Date MAY 25, 2001 Permission is hereby granted to : DAVID A GAMBERG & WF 55 HARVEST LANE CUTCHOGUE,NY 11935 for CONSTRUCT AN INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING. No1-r PcoL 61"}TrtS twns-r W VJ Ne-t" IN 1d3 t�YL NcT �oN i To�C� at premises located at 55 HARVEST LANE CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0002 Lot No. 013 . 002 pursuant to application dated APRIL 23 , 2001 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Sig ture ORIGINAL Rev. 2/19/98 Form No.6 - --- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL _ 2 2 90n2 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANJ Y - This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Cgrtificate.sf.Occupancy-New dwelling$25.00, Additions to dwelling$25.00, Alterations to dwelling$25.00, iiwimming�pool 0, Accessory building $25.00, Additions to accessory building$25.00, Businesses $50.00. T7cate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 ( w Date. ;5�/ /D 3 New Construction: Old or Pre-existing Building: CI-1 ` (check one) Location of Property: 5`5 (f ueA_t `/1 <f-Ct/f X10 QY(- House No. 11 Q� Street j� � � Hamlet Owner or Owners of Property: Q � r° amu' yw��^ C�il�f/kvt�e�/ Suffolk County Tax Map No 1000, Section � Block q�- Lot Z_ Subdivision 2 ` L`2 Vg+JiliV 4- Filed Map. 0,9-2-1—Lot: Permit No. l b Date of Permit. Applicant: 6,a&?�/-9 Health Dept. Approval: /N Underwriters Approval: d e a(/O no�P Planning Board Approval: Request for: Temporary Certificate7 Final Certificate: (/ (check one) Fee Submitted: $ c g5,, 8t G 1 � Applicant Sr ature Electrical Inspection Certificate Electrical Inspection Service, Inc. 375 Dunton Avenue •;�� East Patchogue, New York 11772 (631)286-6642 ' Date: 7/17/01 Application No. : 53723 Issued to: David Gamberg Street: 55 Harvest Lane v, Village: Cutchogue Zip: 11935 Town:Southold Section: 97 Block: 2 Lot: 13.2 '= Introduced by: Hanks Electric Inc. (L) Lic.# 2675-E `ter was examined and found to be in compliance with the National Electrical Code " N «: ❑ Commercial ❑NV Defects © Pool ❑1st Floor [:]Indoor ❑Basement ❑ Hot Tuba, p Residential ❑ Det. Garage ❑Attic ❑2nd Floor ©Outdoor ❑ Addition ❑Survey Switches Receptacles Fixtures GFI Heaters A/C Fans w 1 3 1 1 > Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal F., «� Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase UG/OH Telephone Television Carbon Monoxide ❑ i ❑ J �- Other Equipment: i' timer -Hugo S. Surdi President Building Permit No. This certificate must not be altered in any manner Inspectors may be identified by their credentials •� Final Inspection: 7/17/01 Rough Inspection: Inspector: Aneal Angelillo i M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU H PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: oo DATE INSPECTO 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: (2ZL= JOT co s DATE Y10 7 ® INSPECTOR FIELD INSPECTION REPORT -- DATE ,.... f' COMMENTS S --------------- ------- II N� �fi H FOUNDATION ( 1ST) FOUNDATION (2ND) I I —t- It it JI 1iil��° z ROUGH FRAME S I o Illi li J PLUMBING li It I n It II—===-___—_ _____________��=__---- - INSULATION PER N. Y. �1 H STATE ENERGY CODE — -It N I p H r I r FINAL X ADDITIONAL OMMHNTS: rv' S/ c, � a l o � H0 Yn is n I i" s d.'l Y(- BOARD OF HEALTH. . . . . . . . . . . . . . . . 3 SETS APR 2 3 ?nnE "1 TOWN OFRSOUTHOLD SURVEY OF PLANS. . . . . . . . . . . . . . . • BUILDING DEPARTMENT CHECK . - . . - . • . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . Lv SOUTHOLD, N.Y. 11971 DEC TEL: 765-1802 TRUSTEES . . . . . .. .. . . . ..... .. . . . NOTIFY: �j CALL . . . . . . . . . . . . . . . . . . E�mined..�+.'�[ �I 20.-.- MAIL TO: . . . . . . . . . . . . . . . . . . . . /.. l n 2 .� �' .�1.., Permit No. ................1 J '� ... Approved....- .. Disapproveda/c .................................. .................................. ......................................... ........... MEDIATELY" COMPLETIONPOOLYO E (Building Inspector) �EFOREVYATER" P ICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 20. . .. INSTRUCTIONS a. This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector % 3 sets of plans, anisate plot plan to scale- Fee according to schedule. b. Plot plan slowing location of lot and of buildings on premises, relationship to adjoining promises or public streets or areas, and giving a detailed•description of layout of property must be drawn on the diagram which is part of this application. c. the work covered by this application may not be conmen ced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such 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 whatever until a Certificate of Occugrapry shall have been granted by the Building Inspector. APPLICATION IS HE[l W MANE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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, 0 buildi code, housing code, and regulations, and to admit authorized inspectors on promises and in buil or nese ' spec 'ions. /....... ... . ........................ (Signa a applicant, or nna e, if a corporation) .............................................. (Mailing address of applicant) State whether applicant is owner, lessee,, architect, engineer, general contractor 'a�y,ngkpbaI or build ......�EA3� ....-•----.....--•...................• :•--..................... .. 1IWWR{{�������v31D.... Nese of owner of promises DR Q-�.MAel.C-IL CAI.....(5.0ma.?:6 `m (as on the tax roll or latest deed) NOTIFY BUILDING DEPARTMENT AT If applicant is a corporation, signature of duly authorized officer. "/766-1502 ! AM TO 4 PM FOR THE OCCUPANCY OR FOLLOWINGINSPECrIGN& 1 FOUNDATION - TWO REQUIRED (Na-. and title of corporate officer) UST-IS UNLAWFUL FMPOUREDCONCRETE WITHOUT CERTIFICATE i NSULATwN MING • PLUMBING Builders License No. .a.I.HJ.,�. 1ft T- OF OCCUPANCY 4 FINAL - CONSTRUCTION MUST OECOWLFMFORC.a Plumbers License No. .... !� .•.- ALL CONSTRUCTION SHALL MEET a G 73L "IMMEd1�TEL ' THE REOUIREMENTS OF THE N.Y. Electricians License No. ..... . ............ ENL(';- :E POOL STATE CONSTRUCTION ! ENERGY L,- MPL CODES. NOT RESPONSIBLE FOR Other Trades License No. .................... SLrC,,;:. ol.'^ rq• DESIGN OR CONSTRUCTION ERRORS 1- ,Location of land on which proposed work will be done.............................................................. i_- 3C? U....9-0AR...............•...............-.-...-.cu-k..H.06.u. ..-..JINDERWRtTFRS cEarlFual House Number Street ^^ HamletREQUIRED County Tax Map No. 1000 Section A I.....---- Block ......45....... Lot •.....1.� Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and oca4mmity of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......................•....................;....................-.-......... b. Intended use and occupancy aG.X yb..l ,eCi02.0-02.0-45w!".M..1Gadr J. PuLure of work Laneck wtuch applicable): New Building .......... Addition ...... ..PQQ.�Alteration .......... Repair ............ Remval ............. Demolition ............ Other Work .. ......................... ^ ����f/pq�� (Description) 4. Estimated Cos�.�f.VI✓:::..D.......... fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ N>mber of dwelling units on each floor ................ Ifgarage, amber of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of a li hype of use...................... ^^�� LL1 wrANM 9p pe Dimensions of existing structures, if any: Ero,t;*)(qf K..._.. Rear ............... Depth ................. Height ......................... Umber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... height .................... Naber of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height .... i:...... Naber of Stories ..................... 9_ Size of lotQ=rz�xu„a5 i ................ Rear .................... Depth .................... 10. Date of�%k8iase .. ................. Name of Domer Owner ........................................ 11. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded ......{{.��.,,,,...1.1........ Will excess fill be removed from premises: YES N7 14. Nacos of Owner of premisesV � NIA}t*U&V...r>.WV&Address 33.L2jA.MH i N.!?d D.... Phone No.7P3_! Nam of Architect (�yh�, �¢r ..M6�id�.............. Address jot.hN,;WAIS')............ Plane Na. ?yo����/-��s� Name of Contractor .ar y.7.2 4 ?:rLd�r�(a.,b ,s. Address .x/71.N—.6I1...............Phone N0. !7.7.-.�.. 15. Is this property within 300 feet of a tidal wetland? * YES No ./`:..... *IF YES, Swilm MM TRUSTEES MMT HAY RE RE¢IIRED. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. VVI LA TA$1iP6Fl9atl �'+ �Yf9"p;�s d XAwTIY ,r'A�I1�.�''�i<��'1#y'="+•: +'.'�R $ •' l,At•lt�ik,it .A+67�. � yinJuly sworn, deposes and says that he is the applicant Name oyf_i�ndividu£11?Nl )[a V '"T 44) heir fit r r.ej ){ MT ..... ...................................................... to lii��I�i3.A.62£'l T,}i,r !', rate officer, etc.) iEhoaiaa Allo odi @iE�907�iQ 4W'110 f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and .belief; and hat�:tJ :t�pk,cw�i:.til{^lb #erfonTrd in .the mernier set forth in the application filed therewith. worn Lb.+lie+ me this ..... .�t .....day ofI./�r.l. ..... :?:o. �. Notary Public .... NOREENI-NAGEp Signature o Appi' t) ' MOTAAr PI1mLIC STATE OF NEW 5'OFB OUAUAIDINSUFFOLK �L,Uay- REO N0.07NA452�433 COMS&ON ylglo3 r � R Ail 3 34 vt ;� alb v pm,-- ,�Iidl"l 7777777'-' > �,ra.n ''__'�..'''�yy :• �?k �.,},v x'�'.,h'4:i��� G�e� 3.a_.; f�:i�. _,K.rnt�.ssn !„r•a,wi+.,��u�$'�1}•' si'�iwh."S+e., ,�:t ... / n , i J°�ssnb�` orfortootm � M°�� °ren A /f ' O rea S6�°38 �5! �.tK ev Il \\?p / •CQJ �\A P °� w 'See. Op i 0/I o j ��o ` 00. S / ofRCfcfCr / (fAy�OUNo/c e \ Ok.I oh �( n0>ti / f or ell vC 5 n'k \ 4S4' ' s- F o/ q s Y ✓o new cr 'low S Oo�� �k J fOro) a frety Y or - 3. 5qu toell Slorq �onho rmer/ �/ h h q C -se/ y 4 e� N V, 0 4. /?ojv eCIer/c e or for I. •. c y F End Mer/y . �► �_ � � Fnde emQnn LAND SURVEY FOR DAVID GAMBERG a MARY ELLEN GAMBERG AT CUTCHOGUE DATE : JAN. 16, 1992 TOWN OF SOUTHOLD SCALE 1 ": 6d SUFFOLK COUNTY, NEW YORK NO. 92- 0025 K uNAUTMORIZED ALTERATION OR ADDITION TO THIS CERTIFIED T0; SURVEY IS A VIOLATION OF SECTION 7209,OF THE DAVID GAMPERG NEW YORK STATE EDUCATION LAW b MARY ELLEN GAMBERG «copies OF THIS SURVEY NOT BEARING THE LAND AFFORDA14LE MOkTGAGF CORP SURVEYORS INKED SEAL OR EMBOSSED SEAL SMALL NOL BE CONSIDERED TO BE A VALID TRUE COPY CHICAGO TITLE INSURANCE COMPANY *GUARANTEES INDICATED HEREON SMALL. RUN ONLY TO (TITLE NO. 9108 -04 313) HEALTH DEPARyyyyItANT DATA FOR APPROVAL TO CONSTRtfC, T THE PERSON FOP WHOM THE SURVEY IS PREPARED ds^ APPROVALANO OM HIS BEHALF TO THE TITLE COMPANY,GOVERN- NEAREST WATEI�h AIN MI ! *SOURCE. OF WATER PItNATE iPUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED M KrF CO TAX is DIST AICCTION Z. BLACK 2_L 0 T A,Z HEREON, AND TO THE ASSIGNEES OF THE LENDING *TMCIIIE ARE NO OWELLI iTHIN 104 BEET Of TINS ►ROt�!;RTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEOUENT OTHER THAN THOSE SHOWN MERLON OWNERS M THE WATER SUPPLY AND SEWAGE &SBOS,AL !:'!STEM FOR THI IDENCE *DISTANCES SHOWN HEREON FROM PROPERTY LINES WILL CONFORM TO TME STANDARDS OF THE SVfPOLIK COUNT I: TMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC OF HEALTH SONICESPVR POSE AND ARE NOT TO BE USED TO ESTABLISH I J APPLICANT, PROPERTY LINES OR FOR THE ERECTION OF FENCES ADORE SS �»r 400 OSTRANDER AVENUE TEL YOUNG YOUNG RIVERHEAD, NEW YORK d NOTE , = STAKE • =MONUMI, ALDEN W.YOUNG,PROFESSIONAL ENGINEER RE LOT I , MINOR SUBDIVISION E VCtES . AND LAND SURVEYOR N Y.S LICENSE NO 12845 HOWARD W YOUNG, LAND SURVEYOR z *THE LOCArM OF WELL(W),SEPTIC TANK(ST)B CESS►Mftj,(CP)SMfArr1!!,N[RtOlt '�N Y'S. LICENSE NO 45893 v AAE FROM FIELD OBSERWTIONS NO OR DATA OBTAIIII)T.O Two ofbi itS - HAS BRANDIS 3 SONS INC. 1 Q PRE CAST "lMMEDIATEI.Y,. COPING QOOLTO COD SKIMMERS ENCLOSE _.,��jION + a- a•a_• ��/ UPONCV �"" RETURNS �.A. a. T Lo (� 13 - 3�3 OARS TO FILTER SLOPE SLOPE O FROM SKIMMERS l i l 8 FORM TIES FILTERond PUMP O O F n FROM FILTER 4-4 TO RETURNS �. a .I TO WASTE ROLLED L-SIDE BETWEENFOINER O CONCRETEPIPING ARRANGEMENT VINYL LINER OR END 35001b 8• STEPS OPTIONAL p L A N POURED CONCRETE / •'(2` coMc @LOCK PIERS VINYL LINER s �lI' o:A •�o ;+, �'•� •. . . FIBERGLASS SEE TYPICAL y� c�' MOULDED WALL SECTION n i PIECE Z. 4• SAND- 10" N SECTION ..,... w FORM TIE _al .13" �— 8'• 0•—� 13• 2•- 4• SAND BOTTOM - s4;' MAX 3'8' BARS OPTIONAL STEP SECTION 8- B -� » o \— - - — - - TYPE I. r'-. COMM FppTIMGRT IN GRADE • ' 3 STEPS - e'-0' G P LAN �•. 16' * comic@LOCK O - ,TY PICA L WA LL 12 • 1 4'0. i 12• SECTION A— A 1 OPTIONAL STEP ' �FOv "`k, TYPE 2. SIZE A B C D E I_ F G AREA CAF _ FEET FT. F2 FT. rT. L Ft FT 30.FL 6 AL. G' O NOTES-... * s� CONTRACTOR ,k t IQ�y' 3`, 1E �J• 8 t<t F (2 �} L} 54.0 llf,ati ( .1 WALKS TO BE SMOOTH - NON SKID TYPE, SLOPED PROPOSED POOL FOR: r { f o AWAY FROM PDOL RANDY T. RODECKER, INC. WATER DISPOSAL SHALL BE LIMITED TO OWNER'S SWIM KING POOLS 16'K 32 16 32 1 8 I 8 ( 12 4 4 1512 18,500 n ! PROPERTY TO SUIT LOCAL REGULATIONS 05510 16' : 36' 16 36 I 12 8 I 12 4 4 1576 20 ROUTE 25A��I uP� FESS{O' 20 K 40 20 40 112 10 I 12 6 � 6 8DO- . 24,000 ROCKY POINT, NY 11778