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HomeMy WebLinkAbout35459-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 9/28/2011 CERTIFICATE OF OCCUPANCY No: 35251 Date: 9/28/2011 THIS CERTIFIES that the building 1N GROUND POOL Location of Property: 1305 CROWN LAND LA CUTCItOGUE, SCTM #: 473889 Sec/Block/Lot: 102.-7-2 Subdivision: Fried Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated 3/29/2010 pursuant to which Building Permit No. 35459 dated 4/9/2010 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 ~round swimming pool with fence to code as applied for. The certificate is issued to Gambaiani, Scott & Gambaiani, Lauren (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35459 7/28/11 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. 35459 Z Date APRIL 9, 2010 Permission is hereby granted to: SCOTT & LAUREN GAMBAIANI 1305 CROWN LAND LANE CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL, FENCED TO CODE AS APPLIED FOR at premises located at 1305 County Tax Map No. 473889 Section 102 pursuant to application dated MARCH Building Inspector to expire on OCTOBER CROWN LAND LA CUTCHOGUE Block 0007 Lot No. 002 29, 2010 and approved by the 9, 2011. Fee $ 250.00 //~rized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTItOLD 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 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 D~pt. ofwator supply and sewerage-disposal (8-9 form). 3.. Approval of electrical installation from Board 0fFire Underwriters. 4. 'Sw.om statement from plumber certifying that the solder used in system contains less thaa 2/10 of t% lead.. 5. Commercial building, industrial building, mttltiple residences and similar buildings and installations, a certificate of Code ComplianccTrom 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) ~ion-conforming uses, or buildings and "pre~existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natum~ or topographic features. 2. A properly eo0mpleted 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. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00,. Certificate 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 Date. New Construction: Location of Property: J30S House No. Owner or Owners of Property: ~c~ Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: Street ;cheek one) Date of Permit. Health Dept. Approval: Planning Board Approval: Filed Map. Applicant:. Underwriters Approval: Request for: Temporary Certificate Foe Submitted: $ ~ ~. '~ Final' Certificate: (check one) 137.5 Main Road P.(). Box 117!t l'clcl)honc Fax ({;31 ) ro.qe r. richert(~,town, so uthold, ny. us BUII,I)IN(; 1)I~;I~ARTMI';NT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Scott Gambaiani Address: 1305 Crown Land Lane City: Cutchogue St: NY Zip: 11935 ]uilding Permit #: 35459 Section: 102 Block: 7 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: FrankZambriski DBA: Elec Tec Inc License No: 4814-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Corn meric, al Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel A/C Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures [~ HID Fixtures Wall Fixtures [~ Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixture~.~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures [~ TVSS in ground swimming pool, includes bonding, 2 GFCI circuit breakers, 1 pool light Notes: Inspector Signature: Date: July 28 2010 81-Ced Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] I~-~ON [ ]FRAMING/STRAPPING [y']"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ I ELECTRICAL (ROUGH) [ ]~ ELECTRICAL (FINAL) REMAR~ DATE INSPECTOR ~ ~~. / TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION[ ,] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~"~ELECTRICAL (FINAL) DATE ~-~-.--- INSPECTO~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH,/~G. [ ] FOUNDATION 2ND [ ]~JL"ATION [ ] FRAMING / STRAPPING [/,,,]'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRIC~L,(ROUGH) [ ] ELECTRICAL (FINAL)/--, REMARKS:~ INSPECTOR TOWN OF SOUTHOLD BUILDING DiStORTMENT TOWN ItAL. L SOUTItOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ,20 Approved .20 Disapproved aYc ~./ Expiration ,20 2 9 2010 BLDG. DEPT. L TOWN OF SOUTHOtD m,M,T No. 35 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector ,PPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot hnd of buildings on 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 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 commenced 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. ALL CONSTRUCT'ON SHALL CODES OF NEW YORK STATE. uPo:'i BEFORE ~J'//7-Ul'/ ~LE)L3 Z ~ (Signature of applicant or name, if a corporation) (Mailing address, of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder [~.)4 Jz/?Ac/'o/Z Ai'v riOVED AS NOTED DATE:~ ~.P.~ ~ r?~ Nameofownerofpremises 3~ *~.~ ~W~//~. ~, aY: /~ (As on the tax roll or latest~: ~UILDING ~- ~' ' ' Dzr,.nTdENT AT If applicant is a co~o~tiog, si~ature of duly authorized officer ~am~d title~f co¢orate office.,, ~,, O)' ,e-,/OR Builders License No. Plumbers LicenseNo. Electricians LicenseNo. Other Trade's License No. WITHOUT CERTIFICATE Location of land on which proposed work will be done: / ff~ ~o~v ~.~=z4_~_~_' ...... House Number Street or~.nnnl~=no bl:/ll II'lb,q I L I~POUI~ED County Tax Map No. 1000 Section /m~_ Subdivision --~o~? (Name) /40/~z.,~ ~2~.,~-~ 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FC~ POURED COv. cRETE 2. Ru.:5!! - [-'ST-.! :,? C 3. 4. FINAL- COL[5[?Ut. Ti N MUST BE COMPLEi2 ;:Oq C.O. ALL CONSTRUCTION SMALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR ~4.y~~ CONSTPUOTION ERRORS. HamletRETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER Block ~ 7 t~r., ,dq~hu Ma No - ~, ,,,~ ,~,,;~vu~,' - Filed p .. ~/v 7~ ot 2. State existing use and occupancy of premises and intended use and occupancy of proposed cons~tion: a. Existing use and occupancy Z .5:~o~2P'' z--.,ov/~ ,~'~/'4r,-4~- ~)~2~ b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~',/.~,tgoo,oO Fee If dwelling, number of dwelling units If garage, number of cars ~. _cl_diiiog 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 (_~d,, y/ Rear O6,, q" Depth Height. ~' Number of Stories ~- Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories / 9. Size oflot: Front ~dg-)t Rear ~r..O Rear Depth Depth Z 60 ' Rear 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 ,~ 13. Will lot be re-graded? YES )( NO Will excess fill be removed from premises? YES X NO__ 14. Names of Owner of premises Oeo>';' d,~,,Y~,,*/,~,vl Address 47v3~ ~zao,,~,~,~o z,~d~hone No. 7_5 Y'- Name of Architect Address ~,-~,o,~ Phone No Name of Contractor ~w~,,ut ~a~.~ ~ ~ Address ~o {3~x ,] ~,~,,~-~ Phone No. ?_.q,/- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO x' * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO X/ 16. Provide survey, to scale, with accurate foundation plan ah,O. ~ .ay!c_ es to l~r~[~.~y lines. 17. If elevation at any point on prope~y is at 10 feet or below ~0wde topo~aph~cal data on su~ey. STATE OF N,~,W YORK) SS: COUNTY C~/]~) ~'~:-~/dff-,/~74J~'- ,"?.,tgi 7C/1[ being duly sworn, deposes and says that (s)he is the applicant (Nam~ of'individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this applicalion; 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. S w °~. t65/°~°r;a~: ;his~ Claire C. Blew Nota~-Public, State of New York No. 01'GL487~1505 Qualified i'n Suffolk County ' Commission E~pires Dec. 8.~,,g' I - · Signature of Apphcant Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: $.C.T.M. · Diet,ct ~'tlon Block Lc~ THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 8TORM-WA¥~.k~ GRADING! DRAINAGE AND EROSION CONTROL PLAN G~R'iirII:U BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Queston is Required for a Complete Apptcation) Ye~s N_.,.~o 1 Will this Projecl Retain Ati Sterm-Water Run-Off Generated by a Two (2') Inch Rainfall on Site? v// r~ (This item will include all mn-off created by site clearing and/or construction actvites as well as all Site Improvements and the permanent crea~on of impervious surfaces.) 2 sees the Site Plan and/or Survey Show All Proposed Drainage Sbuctures Indicating Size & Location? Tills Item shall include all Proposed Grade Changes and Slopes Controlling Surface WatenClow! 3 Will this Project Require any Land Filling, Grading or Excavation where them is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Palce~? ~L,TJ 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of r~ ./~ Five Thousand (5,000) Square Feet of Ground Surface? ~ -- 5 Is there a Natural Water Course Running through the Site? r~ is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vedical Rise to r~ one Hundred (100') of Horizontal Distance? I~ __v 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Sterm-Water Run-Off into and/or in the direction of a Town fight-ofqvay? 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Consbllction of r~ any Item Within the Town Right-of-Way or Road Shoulder Area? {This item will NOT Include the Installation of DHveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? r~ ..~ NOTE: If Any Answer to Questtans One through Nine is Answered with a Check Mark In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan la Required and Must be Submitted for Review PHor to Issuance of Any Building Permltl EXEMPTION: Yes N~o Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl __ _~ ~er ~or ~presen~five of ~e ~er of O~er's, ~d is duly au~or~ed to ~fform or have performed ~e s~d work ~d to n~e md file ~s applic~on; ~at MI smtemenU con~ed in ~is appli~fion ~e ~e to ~e ~st ofhs ~owle~e ~d ~hef; ~d · at ~e work wiB be ~ffom~ed in ~e m~ner set for~ M ~e application fded here~. . ......~ .......... ~.....~...~ ............... ~ ............. ~l~c State of New Y~ (S~na~re~t) FORM - 06/07 - '~ suffolk Coun~ - ~ Expires Oec, 8, ~[ ~ KAL OSKI (OPEN N 47' 26' 10" Ht $ ~2' AVG. £NCROACHI~£NT O~ PLOH~D FIELD WELL STORY WOOD FRAM~ R~SID~NC~ GARAGE ~ CESSPOOL 200. O' 7 CESSPOOL FINISHED GRADE 'I3T JO0 S.F. . SIDE WALL A REA LEACHING POOL TYPICAL CESSPOOL SYC liCM N.~S TYPICAL 5EP T'C T4NK SUFFOLK CO HEAt fH [,/-pr AP,o~f)',...iZ H ~. MO S 1-4 1-EMEN T O? IN TEN f rile WATER ~UPPL Y AND ~FWACE POOL DIMENSIONS TYP. PANEL STIFFNER TYPICAL WALL SECTION AT 'A' FRAME POOL PLAN CORNER CONNECTION DETAIL  ~ MIN. 2' THICK VERMICULITE AGGREGATE TAMPEREO A2 B2 C2 D2 SECTION , ,P~,-*-.~,~;~....~.¢.,,. \ J REV. SCALE N.T.$. JAMES DEERKOSKI, P.E. DATE 260 DEER PATH DRAWING NUMBER MATTITUCK, NEW YORK 11952 OF