HomeMy WebLinkAbout37103-Z guFFat Town of Southold Annex 9/13/2012
P.O.Box 1179
y 54375 Main Road
o Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35953 Date: 9/13/2012
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 1450 BROADWATERS ROAD CUTCHOGUE,
SCTM#: 473889 Sec/Block/Lot: 104.-9-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/20/2009 pursuant to which Building Permit No. 37103 dated 3/30/2012
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 swimming pool fenced to code as applied for.
The certificate is issued to MICHAEL&LINDA GAMBARDELLA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37103 6/10/11
PLUMBERS CERTIFICATION DATED
Au ed gnature
TOWN OF SOUTHOLD
o�goFFot,��oG BUILDING DEPARTMENT
y 2
TOWN CLERK'S OFFICE
o SOUTHOLD, NY
y�01 -f4o0¢
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 37103 Date: 3/30/2012
Permission is hereby granted to:
MICHAEL & LINDA GAMBARDELLA
19 WESTBURY ROAD
GARDEN CITY, NY 11530
To: CONSTRUCTION OF AN ACCESSORY SWIMMING POOL WITH FENCE TO CODE AS
APPLIED FOR. THIS PERMIT REPLACES 34946.
At premises located at:
1450 BROADWATERS ROAD CUTCHOGUE
SCTM # 473889
Sec/Block/Lot# 104.-9-6
Pursuant to application dated 8/20/2009 and approved by the Building Inspector.
To expire on 9/30/2013.
Fees:
PERMIT RENEWAL $100.00
CO - SWIMMING POOL $50.00
Total: $150.00
uiiding Inspector
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. 34946 Z Date AUGUST 20, 2009
Permission is hereby granted to:
MICHAEL F GAMBARDELLA
R02e,(1-
GARDER-C�ITY,Ntf 11530
for
CONSTRUCTION OF AN ACCESSORY SWIMMING POOL WITH FENCE TO CODE AS
APPLIED FOR. THIS PERMIT REPLACES 32236 .
at premises located at 1450 BROADWATERS RD CUTCHOGUE
County Tax Map No. 473889 Section 104 Block 0009 Lot No. 006
pursuant to application dated AUGUST 20, 2009 and approved by the
Building Inspector to expire on FEBRUARY 20, 2011.
Fee $ 250 . 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. 32 6 Z Date JULY 25, 2006
Permission is hereby granted to: 6tr
MICHAEL F GAMBARDELLA
19 WESTBURY ROAD
GARDEN CITY,NY 11530
for
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL W/FENCE TO
CODE AS APPLIED FOR.REPLACES BP# 25764
at premises located at 1450 BROADWATERS RD CUTCHOGUE
County Tax Map No. 473889 Section 104 Block 0009 Lot No. 006
pursuant to application dated JULY 11, 2006 and approved by the
Building Inspector to expire on JANUARY 25, 2008 .
Fee $ 150 . 00
on diISign L
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
`L Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 2 Z64 Z Date JUNE 1, 1999
Permission is hereby granted to:
MICHAEL F GAMBARDELLA
GARDEN CITY,NY 11530
for
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR.
at premises located at 1450 BROADWATERS RD CUTCHOGUE
County Tax Map No. 4.73889 Section 104 Block 0009 Lot No. 006
pursuant to application dated MAY 4 99 and approved by the
Building Inspector.
Fee $ 150 . 00
Aut on ed Signature
COPY
Rev. 2/19/98
J
p Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL ofollo
765-1802 fart
APPLICATION FOR CERTIFICATE OF OCCUP
This application must be filled in by typewriter or ink and submitted to the Building 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 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.
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. 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
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. cp a 7/ t o
New'Construction: Old or Pre-existing Building: (check one)
Location of Property:�¢s D �`2o, J W� ,e.l eo ��/Tc Cyr
House No. Street Hamlet
Owner or Owners of Property:. 1 (Czl,A, 9c_ r9A,'.1:rMe,0rg C,C,
Suffolk County Tax Map No 1000, Section 1 0 4— Block Lot 0
Subdivision Filed Map. ( Lot:
Permit No. 3 4 9 ¢ b Date of Permit. Q a !-C Applicant: /�j Ae,L
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Appli tyignature
i
SOUjyolo .
Town Hall Annex Telephone(631)765-1802-
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 ��ly� roger.richert(a-town.Southold.ny.us
4UNi`l,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Linda Gamberdela
Address: 1450 Broadwaters Rd City: Cutchogue St: NY Zip: 11935
Building Permit#: -34846-Section: 104 Block: 9 Lot: 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 2 Twist Lock F1 Exit Fixtures 11 TVSS
Other Equipment: in ground swimming pool to include, bonding, 1 pool light
Notes:
Inspector Signature: Date: June 10 2011
81-Cert Electrical Compliance Form
49 q SOUjyo
o�ycou
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
ga_ fl _ o 9 DATE INSPECTOR
SOUly�lo
��y000MV,��
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
REMARKS:
DATE r �i �� INSPECTOR
• ao
cOUNi'I,�c�
TOWN OF.SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING/STRAPPING [�/ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
REMARKS: nq&
L
DATE °� INSPECTOR
IELD `INSPECTION REPORT DATE COMMENTS
saes:�a=a==s==aa=m:=a�saa�a=aasax=tr ss=�yt=a=�=�a=---saa�=a==a=assess=aamss=se===a�a=s==zas
N!<J`
H
OUNDATION ( 1ST)
OUNDATION (2ND) II II r
----------
u
x
OUGH FRAME & II it v '
n n a
PLUMBING jl
I
II II
In
II II _
rill
INSULATION PER N. Y.
�1
STATE ENERGY
CODE II u
III �j
--II
II II
H
II
I
FINAL
ADDITIONAL COMMENTS:
Y
F �
--— - -- t7
C=f
ro
H
Fri - BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
f.�811 (� �g9� a TOWN OF SOUTHOLD SURVEY
Ire: _ . . . . . . . . . . . . . . . . . . . . . . . .
&& BUILDING DEPARTMENT C11ECR . . . . . . . . . . . . . . . . . . . . . . . . .
E-- -- _- _- - TOWN HALi.. SEPTIC FORM . . . . . . . . . . . . . . . . . . .
S011111oLn, N.Y. 11971
_. TEL: 765-1802 NOTIFY: 6 3/Z_
CALL .7r-?- . . . . . . .
(o t zS
MAILTOtZ�.�' . . . �CP
MAIL
Examined.. �. ........., . . . . . . .
.C?�.} 19i:1 Permit No. ... /U !S/`feG . �... e;........
Approved.... .,
Disapproved a/c .................................... .. ... .. ..,
......................................... . ......... -
_
..(1)tuilding•Insl• •).'..••
APPi.ICATION FOR BUILDING PERMIT
Hate. 3 , 19
INSTRUCTIONS
a. 'ibis application must be completely filled in by typewriter or in ink and submitted to the Wilding inspector wi
3 sets of plans, accurate plot plan to scale. Fee according to schedt.d.e.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or lxmblic
streets or areas, and giving a detailed description of layout of property mist be.drawn on the diagram which is lmt�rt of
this application.
,,c. 'lime work covered by this application merry 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. Buick
permit shall be.kept on the premises available for inspection throughout the work.
.i e. No building shall be occupied or used in Whole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by Lire Building Inspector.
APPI.IC11 m IS IIEREBY MAIL, to the Wilding Department for Lite issuance of a Building Permit pursuant to Lite
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. Tim applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and
regulations,,-and to admit authorized inspectors on premises and i it f r e sary inspections.
.(S ..gnatur. f.appl' ant, name,. •ifa corporation)
e L-
;l .3 Ci1..mm•'� .."-.S t�a .. ......... .. • .....
et •(Mailing address.
applicant)
& fa
State whether applic nt is owner, lessee, agent, architect, engineer, general contractor, electrician, pludvr or builde
.. ..............................................,.......................................
Nam of saner of premise
.r�'�ff�a ...... ,r/v�;; �?;.. . .................................
l;as on the tax roll or latest geed) p„`3qt
if applicant is a corporat ion,-Wipnature of duly auLhor izeil,�'dffj'�
... . ......................:1J.i..t....+...................
(Namne"and title of corporate:'f-ficer)•
Builders`License No'. `.::: :�.'C./. ...
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. :...................
1. 14)cation of land on which proposed work will be done.... ...... .11. ......... ..... .1.C..........
......... .� d L. ..... ... / : .................................................................
Ilouse Number Street ilammlet
County Tax Map No. 1000 Section ....1....J...... Block ..... ..... Lot ..
Subdivision ...................................... Filed Map No. ........:,..... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction,
a. Existing use and occupancy ..........(............................. ......................................
b. Intended use and occupancy ...............l./ .1 w ...... �S- .................. .........
"l. Hature of work (check wiiidh applicable): New Building ........... Addition ... Al ration'
Re mir ............ Renhoval ............. Lemlition ........... Other Work :5�• D �'l /-- � ., dL:
(Descriptions! •
It. Estiu►ated Cost .. .1...��.............. fee ..............................................
(to be paid (xh filing this application)
5. If (klelling, ►xnl)er of dwelling units ............ Umber of. (hrelling twits on each floor ................
Ifgarage, hxntber of cars ......................................
6. lf. 1x►siness, commercial or mimf occupancy, specify nature aril extent of each type of use..........
7. Diwensions of existing strictures, if any: Front................ .Rear Del)'
tlh .................
Ik:iglhL . I*xd►er of Stories ......................
Dimensions of sane structure with alterati(xns or additions: Front .... Rear
DeDepth .................... lleiglnt' Stories ...,.
Nuuber of S ..............
..........
fl. Itiutensions of entire new construction: front ................ Rear ............... Depth ..............
lieio►t ......................... N►ni)er of Stories .....................
9. Size of lot: Front .................... Rear .................... Dept'ih ....................
M. Date of Pur(]hase ..................... Name of Former (amer ........................................
If. Zane or use district in Mild( premises are situated ..............................................................
12. Does proposed canstruction violate any zoning law, ordinance or regulation: ........................
1:3. Will lot be regraded .................... Will excess fill be re►o/v/ed.from premises: YF-S N0
14. Mames of Owner of premises f�:/f� 'Z. �6.I;t.M2 V!P Aldress .11:�,J.,3•ed UJ,Gv ?,.���... N►aie No. !A ..00?
Nave of Architect' ..........................�........... A(klress ....................
/� Phone No. .....r.......
Mane of Contractor�LSL, u!�?���-�/,'e 45 L-7,�,,,,,, Address �U�!. rs!�PL,,e�..'�l�•• �/?1
..........Nhone No.
15. Is this pnlperty within 300 feet,of a tidal wetland? * YES -. .... N0 ..........
*IF wS, S(JUl1CAD ium mmilms PI'sRMI•r 1MY BL RG(XIIRmi .
PLOT DTAGIIAH t
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
From property lines. Give street and block nnber or description according to (feed, and show street nacres and indicate
%Ahether interior or corner lot.
APPROVED AS NOTED
UNDERWRITERS CERTIFICATE DATE: l 4 B.P. # --
REQUIRED FEE: By `
NOTIFY BUILDING DEPART ENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1 FOUNDATION - TWO REQUIRED
" FOR POURED CONCRETE
IMMEDIATELY"'
ENCLOSE P'OOL7n CODE 2. ROUGH - FRAMING & PLUMBING
3. INSULATION
®�RE COMPLETION 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
(JUl1NIY (R� .. :
51%1'lls (Jt' Nl•1 Y(MtK, L DESIGN OR CONSTRUCTION ERRORS
!� SS
� .......
rt/ _ //t/ �OC��9NS ..• _, _._ .. Ix-i ig duIy sworn, (lelx)ses a►xl rays that be is the applicant:
(NINIQ of ihXlividt1DI. signing contract)
alxfve hunted,
lieis the ......� f......���........................................................... . ..............
(CohhLractor, agent,corporate officer., eLc.)
of said (xmer or owners, 110d is (July authorized Co per.fonn or have performed Lhe said work aril to make and file this
algal ication; that all statements conLalned in this application are tn)e to the best of his kixxaledge and l►elief; ahxl
that lie work will be performed in the nrnner set forth in the application filed therewith.
..%;orn to before me this
... �. ........(lay of ..c./. f........19.✓..�..
Notary Public'
FRANCES FRISZOLOWSKI tatur-e Appl.ic
NOTARY PUBLIC, State of New York
No. 4709862
Qualified in Suffolk County
Commission Expires _
O� c�o Ocy
�OSUfFQ(�-CO Town Hall
Albert J.Krupski,President ��.� Gy 53095 Main Road
James King,Vice-President o �c P.O:Box 1179
Henry Smith W _ Southold,New York 11971
Artie Foster p
Ken Poliwoda y� ��� Telephone(516)765-18g2
Fax(516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DETERMINATION OF NON-JURISDICTION
DATE: November 19, 1998
AGENT: Islandia Pools APPLICANT: Michael Gambardella
ADDRESS: 108 : Fishel Ave ADDRESS: 1450 Broadwaters Road
Riverhead NY 11091 Southold NY 11971
PHONE: 727-6312. PHONE: 742-8007
RE: SCTM# 104-9-6
The Southold Town Board of Trustees reviewed the survey dated and received in our
office on 11 /19/9 8 and determined that your proposal to
Construct a 20' X 40' swimmingpool
to be out of the Trustee Wetland Jurisdiction under Chapter 97.
However, any activity within 75' of the Wetland line requires a permit from'this office.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate.to call.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AMIms
NEW YORK STATE'DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERMIT NUMBER EFFECTIVE_DATE.
1-4738-00736/00005 April 27 1999
FACILITY/PROGRAM NUMBER6) ■' EXPIRATION DATE(S)
PERMIT
::Under the-Environmental April 30, 2003
Conservation,Law
TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification' .❑ Permit to Construct ❑ Permit to Operate
❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR i
of Waters "Certification 360: Solid Waste Management i
❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title'9; 6NYCRR
Supply 373: Hazardous Waste Management
❑ Article 19.: Air Pollution
❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal .Erosion
Transport Management
.❑ . Article:23i -V tle 27: Mined
❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodplain
Island Wells Management
❑ Article 24 Freshwater Wetlands
❑ Article 15, Title 27: Wild, ❑ ..Articles.l, ,3, 1719,'27,",."37; s
Scenic and Recreational Rivers ■ Article 25 TidaL' Wetlands 6NYCRR 380: Radiation'ControL
PERMIT ISSUED TO TELEPHONE NUMBER
Michael Gambardella (516) 742-8007
ADDRESS OF PERMITTEE
1450 Broadwaters Road
.Southold, NY 11971
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER..:''• :.i'.'",
John Wysoczanski - Islandia PooLs .Ltd:. .
108 Fisher Avenue Riverhead NY 11901 (516) 727-6312
NAME AND ADDRESS OF PROJECT/FACILITY
Gambardella Property
1450 Broadwaters Road
LOCATION OF PROJECT/FACILITY
Southold
COUNTY TOWN WATERCOURSE NYTM COORDINATES
Suffolk Southold Haywaters Cove
DESCRIPTION OF AUTHORIZED ACTIVITY:
Construct 36' x 28' swimming pool.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the
ECL, all applicable regulations, the General :Conditions'specified.(see page 2 & 3) and any Special Conditions included as
part of this permit.
PERMIT ADMINISTRATOR: ADDRESS
Roger Evans MEP Bldg. #40, SUNY, Stony Brook, ,NY 11790-2356
AUTHORIZED SIGNATURE DATE
a rit 27 1999 Page 1 of 4
o��OF S0(/l�Q
Town Hall Annex ! f l�f Telephone(631)765-1802
54375 Main Road ax(631)765-y95QQ
P.O.Box 1179 G Q roger.richertCa�town.SOUthOl�d.ny.us
Southold,NY 11971-0959 'Q �O
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: •L jn e_ GaM OY'AaCeu.- Dated2/J/
Company Name: ,^
Name:
License No.:
Address: Iq 53
Phone No.: .51 --7 a
JOBSITE INFORMATION: (*Indicates required information)
*Name: Lin d1 . � ,.w►Imo , ,
*Address: F)MLA ua1ers VA . Pb( 4c4im P,
*Cross Street: o �)avls�y� �,-T—F
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section: Block:T Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) TncD bh A2. ih
— 4/61
(Please Circle All That Apply)
*Is job ready for inspection: / NO Rough In Final
*Do you need a Temp Certificate: YES /
Temp Information(If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.82-Request for Inspection Form �Q
T'�'ci �b101
January 26, 1999
NYS Dept. of Environment Conservation
Building 40
SU1VY
Stonybrook,New York 11790-2356
This letter will inform you that I have contracted Mr. John Wysoczanski of Wandia Pools Inc.,
Riverhead, Long Island, 516-727-6312 to construct a swimming pool at my home at 1450
Broadwaters Road, Cutchogue,New York. Tax Map 9 1000-104-9-6.
I have also asked Mr. Wysoczanski to obtain a letter of non jurisdiction from your office in
regards to my plans for the construction of my pool. If you have any questions, please contact me
at work, 21.2-648-7319 or at home, 516-742-8007.
Regards,
Michael F. Gambardella
SO(/Tyol
0
Town Hall,53095 Main Road Fax(631)765-9502
P.O.Box 1179 G � Telephone(631)765-1802
Southold,New York 11971-0959 ® �Q
Irou
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 12th, 2006
Michael F.Gambardella
19 Westbury Road
Garden City, N.Y. 11530
RE: 1450 Broadwaters
SCTM# 104 0009 006
Dear Mr. Gambardella,
Please be advised that your Building Permit#25764 issued June 1st, 1999 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit,please submit a fee of$150.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
*pF SOUjyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,New York 11971-0959 Oly �Q
��UIiITY,�
BUIE 11.E.'�+t. "ARTMENT
TOE`iN 10.1 86UTHOLD
February 11th, 2009 FIRST NOTICE
Michael & Linda Gambardella
19 Westbury Road
Garden City, N.Y. 11530
RE: 1450 Broadwaters Rd. (In-Ground Pool)
SCTM: # 104.-9-6
Dear Mr. & Mrs. Gambardella,
Please be advised that your Building Permit # 32236 issued July 25th 2006.
has expired. According to the Code of the Town of Southold, a Certificate of
Occupancy must be issued before the use of the structure.
To renew your Building Permit, please submit a fee of $150.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT
o�*pF SOUjyol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road 411 Fax(631)765-9502
P.O.Box 1179
Southold,New York 11971-0959 �l �Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 6t', 2609
Michael & Linda Gamgardella
19 Westbury Road
Garden City, N.Y. 11530
Re: 1450 Broadwaters Rd. / Violation
SCTM# 1000-104.-9-6
To Whom This May Concern:
Your BUILDING PERMIT # 32236 for construction of an IN-GROUND
SWIMMING POOL has been referred to me because you have not responded
to requests to obtain your certificate of occupancy as required, by Southold
Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter
erected shall be used or occupied in whole or in part until a certificate of
occupancy shall have been issued by the Building Inspector."
Therefore, you have ten days from the receipt of this letter to submit a
check made out to the Town of Southold in the amount of $250.00: to renew
the building permit, or le action will be taken against you. Should you have
any questions, call a buildi g department between the hours of 8:00 a.m.
and 4: m.P ASE SEE CLOSED DOCU E T REGARDING SWIMMING
P L COD
Respec ully You s,
D on onin nspector So hold Building be artment O
1�
7008 1830 0004 5085 3080
�r Southold Town Building Department
ogUFFDj,fCOG P.O.Box 1179 Permit#: 34946
54375 Main Road
Southold,New York 11971 Permit Date: 8/20/2009
Sao` (631) 765-1802 Expiration Date: 2/20/2011
�f Parcel M: 104.-9-6
BUILDING PERMIT RENEWAL LETTER
Dated: 3/2/2012
Applicant: MICHAEL&LINDA GAMBARDELLA
Location: 1450 BROADWATERS ROAD CUTCHOGUE
Work Description: IN GROUND POOL
CONSTRUCTION OF AN ACCESSORY SWIMMING POOL WITH FENCE TO CODE AS
APPLIED FOR. THIS PERMIT REPLACES 32236.
e%
L .
A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. `
Owner: MICHAEL& LINDA GAMBARDELLA
Address: 19 WESTBURY ROAD
GARDEN CITY,NY 11530
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
69-��
U
� CE � V � '11v3
D �
MAR 3 0 2012
BLDG. DEPT.
THANK YOU,
TOWN OF SOUTHOLD
SOUTHOLD TOWN BUILDING DEPT.
V
Southold Town Building Department
��o�ogUFFO P.O.Box 1179 Permit#: 34946
54375 Main Road
c Southold,New York 11971 Permit Date: 8/20/2009
(631)765-1802 Expiration Date: 2/20/2011
Parcel ID: 104.-9-6
BUILDING PERMIT RENEWAL LETTER
Dated: 3/2/2012
Applicant: MICHAEL& LINDA GAMBARDELLA
Location: 1450 BROADWATERS ROAD CUTCHOGUE
Work Description: IN GROUND POOL
CONSTRUCTION OF AN ACCESSORY SWIMMING POOL WITH FENCE TO CODE AS
APPLIED FOR. THIS PERMIT REPLACES 32236.
A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: MICHAEL& LINDA GAMBARDELLA
Address: 19 WESTBURY ROAD
GARDEN CITY,NY 11530
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
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SLOPEF
SLOPE LINE LADDO1 MU LOCK OR BOXED EXTRUSION ±
OWN
ISLANDIA POOLS BY J. WYSOCZANSKI -
106 FISHEL AVENUE. RIVERHEAO. NEW YORK 11901 (516)727-6312
NOTE: FOR DIMENSIONS SEE
TABLE BELOW
RIM LOOK COPING
GRADE
POLY FOAM BAWNG IpOUFANQED rXf TOP PLATE
VINYL LINER :;•�' - 90MMER5 RkTIXU75
1*�
MDNOLffM
11Z REEL RODS �71 CONCRETE NAm
SMD BASE
1r FLAIR P
TYPICAL POOL PLAN BOTTG"
FILTER h
UND611MBFD PUMP
WATERLINE EARIN / Q
NOTE: FOR DIMENSIONS SEE
TABLE BELOW
VINYL UNER
L B
r
1 �6"-r TAMPED SAND BOTTOM T
G ti o b
I
TYPICAL CROSS SECTION m
3
FIBERGLASS MOLDED I PIECE _
�Qy
OPTIONAL STEP
b ENCASED M
A + CEMENT
.....:-:.:.:..:.......:...-.:i. .......:... ...._......._:-.._c.._: \PER LEG/ I
T"-r TAMPED SAND BOTTOM �C T A--y
TYPICAL SIDE SECTION NOTES:
1. 3.500 LB. TEST CONCRETE TO BE USED
IN CONTINUOUS POUR.
e'DMNG BARD-MN"B-18"
e:onnNc BDARo—A—u"B—ice 2. WATER DISPOSAL TO BE LIMITED TO OWNERS �
10 DMNG BOARD—A_{l8-1(f PROPERTY TO SUR LOCAL REGULATIONS.
N.S.P.I. TABLE OF DIMENSIONS c—zr 3. THIS POOL SHALL NOT BE EMPTIED.
4. ALL WOOD TO BE PRESSURE IMPREGNATED i
SIZE- �A B C D— E F G H WITH PRESERVATIVE. I
0 30 5 Iq 20 20 4 5. WALKS TO BE SMOOTH NON—SKID TYPE,
SLOPED AWAY FROM THE POOL.