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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 01/23/07
No: Z-32155
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 790 UHL LA
(HOUSE NO.)
County Tax Map No. 473889 Section 15
(STREET)
Block ~ Lot
ORIENT
(HAMLET)
24.15
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JANUARY 3, 2007 pursuant to which
Building Permit No. 32612-Z
dated
JANUARY 3, 2007
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 IN THE REQUIRED REAR YARD WITH FENCE
TO CODE AS APPLIED FOR.
The certificate is issued to CAROL ALBERT & SARINA SCIALABBA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
48331
11/14/00
PLUMBERS CERTIFICATION DATED
N/A
Signature
Rev. 1/81
ti ,?(. s- .... OZ::!
JAN 2. 2.- 7
APPLICATION FOR CERTIFICATE OF OCCUPANCY :
,-co.-.-..-' I
,. '._,,~
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
A. For new building or new use:
I. 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 2/1 0 of I % lead.
S. 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) nou-conforming uses, or buildings and "pre-existing" land uses:
I. 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
I. 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
I NUO~M) S"",\W.~,
New Construction: POOL.. Old or Pre-existing Building:
Date.
II~D1-
(check one)
'+-4D
House No.
Owner or Owners of Property: 5a.r-\V\~ <S.C.I ~'olo~ +- LAV"O \ A l p.ev-T'
Suffolk County Tal' Map No 1000, Section 41398'\
U1+L L,6,tJli
Street
~eISNI
Hamlet
Location of Property:
Block
~~S
Lot
02.'+ .OLS
Subdivision
Date of Permit. \ \ } \ 01--
Filed Map.
Applicant: ClWII\&6
Lot:
Permit No. 3 '2. ~ J 2. Z
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ '2. S, D 0
Underwriters Approval:
Final Certificate:
~
(check one)
A~
~.'J (101{
Co 1; 3,;) l5S
Sectrica/ Inspection Certificate
Electrical Inspection Service, Inc.
375 Dunton Avenue
Eat Patchollue, New York 11772
(831) 281-1I42
Date: 11/14/2000
Application No. :
48331
Issued to: Sarine Scialabba
Street: 790 Uhl Lane
Village: Orient Point
Section: 15 Block: 5
ZIp: 11057
Lot: 24.15
Town: Southold
Introduced by: Hank's Electric Inc.
LIe.' 2675-E
_ --.'tIIIfIiMd -' fwnd fp H In """,,,,,," wiflr tIM NtI~ EI<<trIet1J '"""*
o Attic Ofst Floor
LJ Basement C 2nd Floor
r-
I Switches Receptacles
,
I 3 1
I
Dlshwashe, Washer/Amp
Furnace 011 Gas
o 0/5 Residential
D O/S Commercial
~ Pool D Det Garage
D Hot Tub D NV Defects
Fixtures
2
Dryer/Amp
GFI Heaters
1
Oven Range/Amp
AlC Fans
Garbage Disposal
Circulator
Smoke Detector
Bell Transformer
Meter Amps Phase Motors Telephone
1
Television
Carbon Monoxide
Other Equipment:
POOl
timer
t~
Hugo S. Surdl
President
Building Permit No.
This certll\cate must not be altered In any manner
Inspectors may be ldenttfled by their aedenllllls
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.
32612 Z
Date JANUARY
3, 2007
Permission is hereby granted to:
CAROL ALPERT SCILABBA
157 GARFIELD PLACE
BROOKLYN,NY 11215
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL W/ FENCE TO
CODE AS APPLIED FOR. THIS PERMIT REPLACE BP # 31087
at premises located at
790 UHL LA
ORIENT
County Tax Map No. 473889 Section 015
Block 0005
Lot No. 024.015
pursuant to application dated JANUARY
3, 2007 and approved by the
Building Inspector to expire on JULY
3, 2008.
Fee $
150.00
~~
' I '
'A th 'd S'
. u or~ze ~gnature
ORIGINAL
Rev. 5/8/02
3~6IY?::
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONS11lllCnON
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[~
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
co
INSPECTOR
DATE If aJ
<<
11 II
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UNDATION (2ND) " ,
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II II
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lINDATION
( 1ST)..
UGH FRAME &
PLUMBING
SOLATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
---=-=~====-=========-=====-========-=====~=====-====================================
Ul
9J
~
-
~
~
\-\
-
c: ~
~
~
23 ~
>=
"?-
Ul
H
E
H
~
Z
o
i ~
t>l
H
[j)
('>
o
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l<1
~
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1
gj
>
r'
:;l
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t>l
""
H
1,16J- --
OWNER
TOWN OF SOUTHOLD PROPERTY REC-eRD CARD
--
STREET 90
d Yl e
VILLAGE
DIST.
SUB.
LOT#-
:a(o\ t\~(t l SMicu:i\Qlab
.:fORMER NER I _ '
a:l~V1lg
H,
E
eCfl'dA :;Ii
TYPE OF BUILDING
~()
S
W
RES.
SEAS.
Llc,
VL. JII
FARM
COMM.
CB.
MICS.
Mkt. Value
IMP.
L- cr401 ?-
well. ~ ~..;I .C 478. OC
~('ttfant) iJ /4f'.lJ't
I
LAND
TOTAL
tJ~
yoc
/buO
/ TDD ~()D /
170() ~ 00 /
J JOe) '3 7 (!:)O
. -r
I
I
- ---- --
,-
I
I iIIable
FRONTAGE ON WATER
Woodland
L_
BULKHEAD
{2 e l-- /...,'" e.
2//.
H,
Meadowland
House Plot
lotal
-._"-~- -~- -- --------_._--~ ---_.~--~..~. ---- -- --_._--------_._,-_._--~----------.
.~ , 'J.+-
COLOR TRIM Lu~ 7 y
~ ,~-, . . I
" ~~_.. -+-
~ I
------ -- _. . ... --- -- . ---.- -- -- f--- ~- - .--
:1; . .
- ... ------ . -- .- -. -- --- -..- _n - .-. -- . .. -- - -
.- c-' --- -
. ......
. - .J
$/ - -
-- -..- X 13.; .!: I
.. - - -- -- - - .- - ,- --.- I
""" II
. 5 l --j
n.. .e-
, I
'j.... . .J ,
i
J/ff1J~ .. . A 2.1. I
/2. >< 37= llfo'l 1t.o~ J qZ '-I . c i. .
~tC-'t~/f <
en5Jon /7,)( ~ 7;;.. "WI "'{. '2~ Jt;" 6. 'J,
- -- .--.
Extension
,
Extension
Foundotion pc., Both I Dinette
Porch (,)<.('/ ':l ~'1' - Basement C"u< " I Floors 1<.
Porch 1'2. X '(~ 1./2/) "'V . ("'" '1.. 'i'1 Ext. Walls It...1'. ,/II Interior Finish !ill. LR. /
Breezeway .- Fire Place Heat DR.
pO )
Garage Type Roof ''" bI", Rooms 1 st Floor U BR. !2
Patio Recreation Room Rooms 2nd Floor j FIN. B
O. B. Dormer Driveway
Total 3739 /' //s/9o /tVk
....
,
~ I
I
"..~..,
.....-<
~. '.:r...1 :.. .L~. -~JJt'~i.. m! .
.' c :. i I U
,,:.' .C:FP 18"""" .
tl~~l ..' '-~
I L PI.DG. ['EPT.
l--I-Gi:~~l..QF SOUTH OLD
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
?.~~ TEL: 765-1802
~ ~ cd- ;).l3t dLf\
Exanined"'q'~~'"'''' L(I.... . ;J(;~5'-i:?
Approved.....t...........~.~ PermIt No. ................
Disapproved ale..................................
BOARD OF HEALTH /. . . . . . . . . . .
3 SETS ~PLANVS . .............
SURVEY .. J 'I: . .. ...............
CHECK4I..~" ................
SEPTIC FORM ...................
DEC ...........................
TRUSTEES ......................
~'Z.l".1r~{: 'f.l.d.G. :-.~.~
MAIL TO:....................
...
APPLICATION FOR BUILDING PERMIT
Date. . . . . . . . . . . . . . . . , 20. . . .
INSTRUCTIONS
a. This application DUSt be ~letely filled in by typewriter or in ink an:! subnitted to the fuilding Inspector wi
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot an:! of buildings on prsnises, relationship to adjoining prenises or p.IDlic
streets or areas, and giving a detailed description of 18jOUt of property DUSt be drlMl on the diagr... which is part of
this application.
'c. The work covered by this application may not be 001IlE00ed before issuance of fuilding Permit.
. d. Upnn approval of this application, the fuilding Inspector ,rill issue a fuilding Permit to the applicant. Such
permit shall be kept on the prenises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any papose whatever Wltil a Certificate of
Occupancy shall have been granted by the fuilding Inspector.
APPLICATllII IS IEBEIlY MAlE to tbe fuilding Department for the issuance of a fuilding Permi t pursuant to the
&lilding Zone Ordinance of the'lbwn of Soothold, &lffolk County, New York, an:! other applicable Laws, Ordinances or
Regulations, for the oonstruction of buildings, additions or alterations, or for reonval or damlition, as herein
described. The applicant agrees to ~ly with all applicable laws, ordinances, building housing code, an:!
regulations, an:! to adnit mthorized inspectors on prsnises an:! in buildi for tions
of . 1 icant, or ~, if a corporat ion}
(Mailing address of applicant)
State whether applicant is owner, lessee, ~ architect, engineer, general contractor, electrician, plmDer or builder
.....A~wt.......................................................................................................
Name of owner of prsnises ..~t3.I;?J~~.l1.....~~.i~.ll1.l).1?~................................................
(as on the tax roll or latest deed)
-'
If applicant is a corporation, signatme of ooly mthorized officer.
(Name an:! title of corporate officer)
fuilders License No. . .~/J..J!J.tI.;:J........
Plumbers License No. .....~/~.............
Electricians License No. ~. 61.6. ~. . . . . . . .
Other Trade's License No. ....................
]. Location of land on which proposed work will be done..............................................................
.... .79//............... .l>.H k-.... .~.tAA1 e...................... .Qf?i w. t.........................
Hoose lbdJer Street HlIIl1et
County Tax Map No. ]lXXJ Section ....1.:5....... Block ..5........... Lot ..;:).~..1.5...
&lbdivision ........ .............................. Filed Map No. ............... Int ...............
(Name )
2. State existing use an:! occupancy of prsnises an:! intended use an:! occupancy of proposed construction:
a. Existing use an:! occupancy ......i.......i..... i..... i......::;............"f"iF""i....................
b. Intended use an:! occupancy ().Q..x.lj~..1:. .8.XJ.'a. /...... .-I-.'~f/{NM?!... {)q......................
.. . lvifh F 8tf){ ~
..... ,-
(0 CoDe
J.
~."ure IlL \oIOrk \01eCk wnol applicable): New Building .......... Mdition .....0... Alteration ..........
Repair ............ Raooval ............. Dennlition ............ Other Work . .roo./..........................
EstilROted ilist .7~.......... fee ............................:~~~~~~~~~.....
(to be paid on filing this application)
If Welling. tU1ber of dwelling units............ !blDer of dwelling Wlits on each floor................
If garage. IUTber of cars ...... ........ ........ ..... ...........
I~ hus~ness. ~r~ial or mi1Ed oc~. specify Ou~ and i~t ~oe~~, '{lii~.,L"............
DIII~nslons of existIng structures, If any: Froot.;;;......'i.O'..~r ............... Depth .................
1!eight ......................... tbtber of Stories ......................
Dimensions of satE structure with alterations or additions: Front............... Rear...............
Depth.................... Height.................... tbtber of Stories...............
Dhrensions of entire new construction: Front. ...... ......... Rear....... ... ..... Depth.......... ....
l!eight ......................... tbtber of Stories .....................
Size of lot: Front. . . . . . . . . . . . . . . . . . .. Rear .................... Depth
......................
4.
5.
6.
7.
8.
9.
10.
II.
12.
13.
14.
15.
Date of Purdlase ..................... Hare of Forner Omer ..................... ~ . . . .. . . . . . .. . . . .. .
Zone or use district in .....icb premises are situated ..............................................................
Does proposed construction violate any zoning 1.... ordinance or regulation: ........................
Will lot be regraded .................... Will excess fill be reuvved fn:m premises: YES tV
Nares of Omer of premisesSJ.ll?i~~..$.ciAk~hA-. Mdress .-Z9P..(j.l:lk..(A~tc..P!?!:&r!tn, lb. 3):~.-:t:?8}
Hare of Architect fr~5..elic.b~~..........:.... Mdressl()/.~~.F.ti/~ly..f...J:.... Phone lb.Cf:l8.-:8237
Hare of ilintractor~t.R<J~fA..a.~.~.~~... Mdress ':(.1{....tJ.~(1..lk1y.f)(A;.foore lb. ..7.Y.Y~flit>
Is this property within JOO feet of a tidal ""'tl~? * YES .......... tV x..... .
*IF YES, 9:UIlUD '!Uti 1llIJS'IEES ffiRMlT Mt\Y BE RF.<pIRIlD.
PLOT DIAGRAM
locate clearly and distinctly all buildings. Wether existing or proposed, and indicate all set-back dirnensions
fn:m property lines. Give street and block tU1ber or description acconling to deed. and show street DlIII!S and indicate
"*'ether interior or comer lot..
SrNIE OF tliW YORK,
IDlNIY OF .....Su.~.I.J::.....
...................12tn~.T..~.~~~.(......:.being duly S\oIOrn. deposes and says that he is the applicant
(N...,., of individual signing lontract)
above nmaI,
lie is the ................. ..... con~s:.-.t~C.. .... ............. ... .... ............ ........ .........
(ilintractor, agent, corporate officer, etc.)
,SvIlUC'( [)Il.Aw;iJj 0{
ArpRQVED AS NOTED
DAtE:~B.P.~
FEE._ISb~ BY: ~..-
NoTrFV BUILDING D' RTMl:NT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1, FOUNDATION . TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING Ie PWMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REOUIREMENTS OF THE N.Y.
STATE CONSTRUCTION Ie ENERGY
CODES. NOT RESPONSIBLE FOR
S8 DESIGN OR CONSTRUCTION ERRORS
&.>c-f euti ~
Af.ht-Ch e.d
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
UNDERWRITERS CERTIFICATE
REQUIRED
of said owner or owners, and is duly authorized to perfonn or have perfomed Ule said work and to nnke and file this
application; that all stat"""nts contained in this application are true to Ule best of his knowledge and oolief; and
Utat the \oIOrk will be perfomed in tile ...nner set furth in the application filed therewith.
Sworn to before Ire this
..........\1~..day of .~t........'?9.Q.c;:).
lbtary Public .........~1::~
NOREEN I HAGEIl
~ARY PIIDUC, STATE or HeW \_
QlWJFIED IN SUfFa.K COUNTI
IEO./lCUlHA4526433
--'f1rn._ y Irlot
. Applicant)
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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.
31087 Z
Date APRIL
27, 2005
Permission is hereby granted to:
CAROL ALPERT SCILABBA
157 GARFIELD PLACE
BROOKLYN,NY 11215
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR. THIS PERMIT REPLACES BP 29241.
at premises located at
790 UHL LA
ORIENT
County Tax Map No. 473889 Section 015
Block 0005
Lot No. 024.015
pursuant to application dated APRIL 27, 2005 and approved by the
Building Inspector to expire on OCTOBER 27, 2006.
Fee $
150.00
~
I
C. it. ~
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)
~tl 31tf67
29241 Z
PERMIT NO.
Date MARCH
25, 2003
Permission is hereby granted to:
CAROL ALPERT SCILABBA
157 GARFIELD PLACE
BROOKLYN,NY 11215
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR. THIS PERMIT REPLACES BP#26805.
at premises located at
790 UHL LA
ORIENT
County Tax Map No. 473889 Section 015
Block 0005
Lot No. 024.015
pursuant to application dated MARCH
25, 2003 and approved by the
Building Inspector to expire on SEPTEMBER 25, 2004.
Fee $
150.00
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
(J COMPLETION OF THE
'~d dq~l..fl
PERMIT NO. 26805 Z ~
~\ll~""l
ON THE PREMISES UNTIL FULL
WORK AUTHORIZED)
Date SEPTEMBER 29, 2000
Permission is hereby granted to:
CAROL ALPERT SCILABBA
157 GARFIELD PLACE
BROOKLYN, NY 11215
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR.
at pre8dses located at
790 UHL LA
ORIENT
County Tax Map No. 473889 Section 015
Block 0005
Lot No. 024.015
pursuant to application dated SEPTEMBER 18, 2000 and approved by the
Building Inspector.
Fee $
150.00
~
Authoriz
ORIGINAL
Rev. 2/19/98