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Home My WebLink About27303-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~%NCY No: Z-29222 Date: 01/28/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 555 PINEWOOD RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 110 Block 3 Lot 6 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 2001 pursuant to which Building Permit No. 27303-Z dated MAY 10, 2001 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. ·"ne certificate is issued to RICHARD R & KIMBERLY L GERSTUNG (OWNER) of the aforesaid building. SUFFOLK COUNTSf DEPART?4ENT OF ~RALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1061676 06/28/02 PLUMBERS CERTIFICATION D~f~ N/A /~t~ized Signature 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. 27303 Z Date MAY 10, 2001 Permission is hereby granted to: RICHARD R GERSTUNG CUTCHOGUE,NY 11935 for : CONSTRUCTION OF ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. at premises located at 555 County Tax Map No. 473889 Section 110 pursuant to application dated APRIL Building Inspector. PINEWOOD RD CUTCHOGUE Block 0003 Lot No. 006 3, 2001 and approved by the Fee $ 150.00 Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Departm~nt~with the following: AD 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 1% 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. 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 a 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Date. t/"~Tt9 - 03 Old or Pre-existing Building: Street Owner or Owners oferoperty:'~-(>~¢kror-*) ~ Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~'~30,.~ - g Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate (check one) Hamlet Block OD O_.~ Filed Map. Applicant: Underwriters Approval: Final Certificate: Lot Lot: (check one) oog Fee Submitted: $ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 1OO38 CERTIFIES THAT Upon the application of upon premises owned by RICHARD GERSTUNG RICHARD GERSTUNG 555 PINEWOOD ROAD 555 PINEWOOD ROAD CUTCHOGUE, NY 11935 CUTCHOGUE, NY 11935 Located at 555 PINEWOOD ROAD CUTCHOGUE, NY 11935 Application Number: 1061676 Certificate Number: 1061676 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residentia! occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, Pool/Spa, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 28th Day of Jtm¢, 2002. Name QTY Rate Rating Circuit Type Appliances and Accessories Time Clock/Switch l 0 Pool/Spa Bonding 1 0 Wiring and Devices Receptacle 2 0 20 amp Pool/Spa Receptacle 1 0 GFCI Fixture 1 0 Pool/Spa Switch 1 0 General Purpose GFCI Circuit Breaker 1 0 20 amp Pool/Spa (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. seal 1 of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I/NSULATION / [ ] FRAMING [~/] FINAL [ ] FIREPLACE & CHIMNEY DATE FIELD INSPECTION P, RPORT ' DATE COl~qElgrS II I1 II II II II II FOUNDATION II I FOUNDAT I ON ( 2ND ) II ~ II B II It II ~1 II II. II PLUMBING II INSULATION PER N. Y. STATE ENERGY CODE # Il II II I- BLT~L~)ING DEP~d:~,TMENT rOWN SOUTHOLD~ NY :1 _1971 TEL: 765-180~ Examined ,20 Approved ~{ 15? ,200 Disapproved a/e ~d~IT NO. ~ ? 30~C ~ tSUlJ. AJIINLJ PP:,KMII P~'PLI(SAI'ION CHECKLI5 Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey Check Septic Form N.¥.S.D.E.C, Trust~:s Contact: '~~ctor ~ APPLICATION FOR BUILDING PERMIT Mail to: INSTRUCTIONS Date ,20 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 building~ ~n'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 throughogt ~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 Occupan is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building. Department for the issuance cfa 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 cbnstrucfion of buildings, aflditions, or a. lterafions or for removal, or demolition as herein described. The applicant agrees t° c&nply with all apPlic~.ble laws, ordinan6es, building code, housing code, .and regulations, and to admit authorized inspectors on premises and in building fo~ neCesSary inspections. 'f, /" ' ' (Sign,a/are of applicant or name, ifa corporation) · '. (Mailing address of app~licant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner ofpi'emises ~-,1 ~-- ~/~ '"~'~'~-...~o/~,~. (as on the tax roll or latest deed) If applicant is a corporation, signature 9f duly autho.ri~d offi._cer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No, Other Trade's License No. Location of land on w~__~ch proposed wqrk wil~b~ done: House Number Street County Tax Map No. 1000 Section ]f_~ ' Block Subdivision i~/,, ~'~-~ ~ ~:~/~ . (Name) Filed Map No. Lot State existing use and occuponcy of premise, sAnd intendedxuse...ap, d ~..?_ancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building. Repair Removal Demolition L Estimated Cost ;. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work,.~ ~-I0_~.~ o,~, }k ZS'Z,,J (Descr/ption) (to be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height, Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Dimensions of entire new construction: Front Height Number of Stories Size oflot: Front /¢,ao tt,.~] Rear t/~:5' Number of Stories Rear Depth Depth 0. Date of Purchase Name of Former Owner I. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded ,~(2~ Will excess fill be removed from premises: ~ NO 4. Names of Ownerof.~.premises ~/'~JCt~.~6 ~}"Zlt~sr¢~ ]~ ~"~=,, ~ ~. ~ .~ Name of Architect ~'~$ d~, '~ Address~$g~Jvta~a~'-/t ~-~Phdn~ No .~"o.. ~ ~/,~.o'~:~ Name of Contractor'~=L&/_~~ -('~' Address R-~[ °~s~V~-~ffT~.,~Zf~q~ne No.-.f"-Jt.3"-'--/~,. 5. Is this property within 100 feet of a tidal wetland? *YES NO ~._ · ~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUI/LED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: :OUNTY OF ) ~4~:5~ ~,_~g~-,~__~ ~ing duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) a¢ove named, (Contractor, Agent, Corporate Office~, etc.) fsaid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this app~cation; all statements contained in this application are true to the best of his knowledge and belief; and that the work will be :rformed in the manner set forth in the application filed therewith. worn to before me this ~ day of /~~ 200 I ~___~Notary Public ,jl~gnature of Applicant ELIZABt:: iH A STATHIS NOTARY PUBLIC, State of New ¥0~ No._01ST_6008173: SuffOlk ~X~U.nlF