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HomeMy WebLinkAbout30220-Z~0RM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~-RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPAI~CY No: Z-31326 Date: 12/08/05 T~IS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 240 DONNA DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 15 Lot 24 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7, 2004 pursuant to which Building Permit No. 30220-Z dated APRIL 7, 2004 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 INGROUIqD SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. Ge certificate is issued to DAVID J SCIACCHITANO (OWNER) of the aforesaid building. SL~F~OLK COUN~"f DEPART~4~qT OF ~]~L~{ APPROVAL N/A ELEC~fRIC3~L CERTIFICATE NO. 2852 PLUMBERS CERTIFICATION DAT~ N/A 05/30/02 Rev. 1/81 Form No. ~/ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 76S-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and suMnitted 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 (8-9 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 engiucer 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 insped 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, Access.ory building $25.00, Additions to accessoCy buildihg $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· //__ ~//69 S-- New Construction: /~/' _ Old or Pre-existing Building: ~ (check one) House No. Street Hamlet Suffolk County Tax Map No 1000, S~tion ~___~ ~ Block_ ~_1.~ Lot--- ¢%~ Subdivision Filed Map. _ Lot: H~lfl~Dept, App!ovM: Undm~vriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Subluitted: $ ~ 1) Final Certificate: (check one) Nassau Suftblk Electrical Inspections, Inc. 5A Canal Street w Center Moriches, New York 11934 w Tel: 631-878-3500 * Fax: 631-878-3764 Application No: 2852 Issued to: Sciacchitano Address:240 Donna Dr Date:5/30/02 Village: Mattituck Zip: 11952 Township:Southold Introduced By: DeLane Electric: License#:4354-E was examined and found to be in compliance with the National Electrical Code Attic 1st Floor Res/dential [] Pool [] Der. Garage Basem~ 2nd floer Comrmrciel Hot Tub NV Defects Switches Receptacles Fixtures G~FI. Microwave Whirlpool 2 2 f1-500Watt 2 Oven Carbon Fans Dishwasher Washer/Amps Bryer/Amps Range/Amps Monoxide Furnace Oil Gas Circulators Smoke Bell Detectors Transformers Other Equipment Meter Amps Phase Inground Pool I 1-30A Sub Panel M otor8 Out,Res This certificate must not be altered in any manner 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. 30220 Z Date APRIL 7, 2004 Permission is hereby granted to: DAVID J SCIACCHITANO 240 DONNA DR MATTITUCK, NY 11952 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. THIS PERMIT REPLACES BP#28246. at premises located at County Tax Map No. 473889 Section 115 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 240 DONNA DR MATTITUCK Block 0015 Lot No. 024 7, 2004 and approved by the 7, 2005. Fee $ 150.00 ~~ture ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING--~]~.FINAL /~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: I d FIIgLD ]INSPECTION REPORT ! DATE 'l FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING COMMENTS INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS ~ c, /~/~ ~ ~ ~ To: Swim King - At[n: Dennis From: 03127102 15:55:26 Page 3 o¢ 3 Sent by the Award Winning Cheyenne Bitware FORH NO. I TOI~N OF SOUTHOLD BUILDING DEPART14ENT TONN HALL SOUTBOLD, N.Y. 11971 lUEL: 765-1802 ~,i~ed ...... ~.,~f.,.~ .... , ~o..~ Di~ a/c .................................. ~V,'~ ()F Sq,J1 riOLD INSTRUCTIONS BOARD OF DEALTB . ~ .......... 3 SETS O~ PLANS ..~:'... .......... SURVEY/ .................. c. cK ...... i... i i... ii SEPTIC FOP~ ................... DEC .............. TRUSTEES .......... PlA. IL TO: .................... ...q 2 ............ Date..q 2..~. C .~..~: .... 20 .... a. Ibis application mint be caupletely filled in by type~iter or in ink and suhnitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shc~rlng location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property ntmt be dread on the diagran ~/hich is part of this application. c. Ibe turk covered by this application my not be ccrameaced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector xrill issue a Building Pemit to the applicant. Such pc:hit shall be kept on the pre~ises available for inspection throughout the ~rk. e. No building shall be occupied or used in ~hole or in part for any purpose v~aatever until a Certificate of ~Oceupancy shall have been granted by the Building Inspector. aPPLICATICtt IS ~ ~ to the Building Uepartment for the issuance of a Building Permit puretumt to the Building Zor~ Ordinance of the To~n of Sonthold, Suffolk Cotmty, Neg York, and other applicable La~, Ordinances or Begulations, for the construction of buildings, additions or alterations, or for re,oval or demolition, as herein described. The applicant agrees to cc~ply with all applicable lgaa, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on prc~nises and in buildin~ nocessary j,msl~mtions. /(Sil~a~tur/~l~plicant, or nau~, if a corl~ration) (l~ailing address of applicant) ~177~ State ~ahether applicant is o~er, lessee, agent, architect, engineer, general contractor, electrician, plunher or builder ...... ..~m.~..e. &.. ................................................................................................... (as on the tax roll or latest deed) , If applicant is a corporation, signature of duly authorized officer. (Nate and title of corporate officer) Plumbers License No .........................o nectrieians License NO.. o')da. 9.~.. ~ ........ ~r ~s ~ ~ ..................... l. ~ti~ of 1~ ~ ~i& ~ m~ ~11 ~ ~ .............................................................. ....... ................ ......................... ...................... ~ ~r Strut ~et ~ ~. I~ ~tim .... JJ~ ....... BI~ ...l~ ......... ~t .~ .......... ~ivisim . .-~ ~ ~... ~2 ~..0~. ~6/~ilM ~ ~ ................ l~t . ~ ......... (~) 2. State ~sti~ ~ ~ ~ of prmi~s ~ inte~ ~ ~ ~ of pro~ ~st~ti~: a. ~sti~ ~ ~ ~ ...~l ~.6.~E...E~I.~k/... ~Jb~.C.~. ............................ J. **iJtme 0£ ;,~)IK ~cllecK MIICII a~licab|e): ~ ~ildi~ .......... ~iti~ .......... ~terati~ .......... ~ir ............ ~al ............. ~liti~ ............ Otlmr ~ripti~) g000, 4. Est i~mt~ ~st .......................... f~ .............................................. (to ~ ~id ~ fili~ this a~li~ti~) 5. If ~lli~, ~r of ~11i~ onits ............ ~r of &~lling traits ~ e~ ~r ................ If ~r~e, ~r of ~rs ...................................... 6. If I~i~ss, ~rcial or ~ ~, s~i~ ~ture ~ ~tent of ead~ ~ of ~ ...................... Y. Oi~mnsi~s o~ ~isti~ st~s, if ~: ~t ................ ~ar ............... ~pth ................. t~i~t ......................... ~r of Stories ...................... Oi~i~ of ~ st~e ~ith alterati~s or ~itions: ~t ............... ~ar ............... ~pth .................... ~iO~t .................... ~r of Stories ............... 8. Oi~mnsi~ of entire ~ ~t~ti~: ~t ................ ~ar ............... ~p~ .............. I~iO~t ......................... ~r of Stories ..................... 9. Si~ o~ lot: ~t ...[/ ............... ~ar ...Jr0 ............. ~pth ..~ ............. 10. ~te of ~rdm~ ..................... ~ of Four ~r .................................. ~ .... I I. ~ or ~ district in ~id~ p~i~a a~ si~t~ .............................................................. {2. ~s pro~ ~t~ti~ violate any z~i~ 1~, o~i~e or re,latin: .~.~ .................. 13. ~ill lot ~ ~r~ ...~.~. ............ ~ill ~ss Jill ~ r~ ~ of ~fit~t .................................... ~ress .............................. ~ ~ .............. ~I~T 15. ~s dds ~ ~d~J~ ~ ~c o[ a ti~) ~t~? * ~ .......... ~ .~ ..... -, PLOT DIAGRAH I~cate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dir~nsions fcc~ property lines. Giv~ street mad block nt~ber or description according to deed, and show street nmms and indicate ~ether interior or corner lot. ~rA'IE [}F NI~ ........ (~ of iMivi~l si~ing c~tract) t~ is the ............................................................................................. (~tractor, agent, cor~rate of liter, etc.) of ~id ~r or ~rs, a~ is &~ly ~t]~ri~l to ~rfom or h~ ~rfo~ Om ~id ~ ~ to m~ a~ file this a~licati~; flint all state.ts c~tai~ in this a~llcati~ a~ tm~ to ~e ~st of bis ~1~ ~ ~liefi a~ that the ~rk will ~ ~rfo~ in tl~ ~mm~r ~t forth in ~e a~licati~ fil~ ~. (Signature of Applicant) UNO£RWRfl'£RS CERTIFICATE. '~ ~ :. REQUIRED ' ~ ~ HF~OTIFY BUILDING ~PA~ AY ~ 7R~.tRn9 9 AM TO 4 PM FOR ~l ~ FOLLOW1N ~ INSPE.CT~ION~: ~ r ~. ¢:OU.D~'nON 'rwo .eaum~ ,,, ~ "IMMEDIATELY" FOX'RED CO~R~ I~ ~ ' ~ ~F - FRAMING & PLUMBI~ ~ ENCLOSE POOL TO CODE · * UPON CO~PL~ION /~.. ~m~p~'lON I ~ ~. '5'- BEFORE'WATER" ~,.REQUlREMENTS ~: THE N ~ ' " ~" ~E CONSTRUCTI~ ENEReY ~J ,: ; ~SmN m CONSTRU~ ~ m ' ? ~ ~ ~%~..t. 1 ~ /~ ~= ~ ~ II - _ ~ , :,..:. . . ,..,., ,, =o ~ r II . ' N-,