HomeMy WebLinkAbout31843-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33898
Rte: 08/17/09
THIS CERTIFIES that the building SWIMMING POOL
Location of Property: 1375 COUNTRY CLUB DR CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 109 Block 3 Lot 2.32
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 13, 2006 pursuant to which
Building Permit No. 31843-Z dated MARCH 13, 2006
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 GROUND SWIMMING POOL WITH HOT TUB AS APPLIED FOR.
The certificate is issued to JOSEPH F SCIOTTO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTYDEPART~H~qTOFHEALTHAPPROVA5 N/A
RY~-rKICAL CERTIFICATHNO. 8859 08/01/09
PL[~4BERS CERTIFICATION DA'rKo N/A
Rev. 1/81
Form Ne
TOWN OF SO
BUILDING DEP
TOWN H
765-181
APPLICATION FOR CERTIF!
6
BLDG. DEPT.
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 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
featums.
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 masons 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./
Old or Pre-existing Building: x//
New Construction:
Location of Property:
House No.
Owner or Owners of Property.'~X'
(check one)
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Date of Permit.
Block -.~ Lot
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate: x/// (check one)
Nassau Suffolk Electrical Inspections,Inc.
P.O. Box 549, Aquebogue, New York + 11931
Tel: 631-591-3097 Fax: 631-591-3098
Application: 8859 Date: 8/1/09
Issued to: Sciotto
Address: 1375 Country Club Dr Introduced By: Klein Electric
Village: Cutchogue License#: 4423-E
Residential [] Commercial
The following was examined and approved up to the above date and found to
be in compliance with the NEC:
Switches Receptacle Fixtures G,F,I, Microwave Hood Smoke Detectors
Fans Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Carbon Monoxide
t:urnace Oil Gas Heat Zones Whirlpool Exit Signs
Limited Insp. II Final Insp. Meter Amps Phase Motors
II 8/t/09
la Ground Pool: I-Sw I-R¢c,2-Lights, I-Pool PaneH-Time Clock, I-Motor
I-Hot 1 ub-50A
Permitg:
Section:
109
Block: 3 Lot: 2.32
This certificate must not be altered in any manner
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 31843 Z
Date MARCH 13, 2006
Permission is hereby granted to:
JOSEPH F SCIOTTO
PO BOX 879
JAMESPORT,NY 11947
for :
INSTALLATION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD FENCED TO CODE. THIS PERMIT REPLACES 29798.
at premises located at
County Tax Map No. 473889 Section 109
pursuant to application dated MARCH
Building Inspector to expire on SEPTEMBER 13,
1375 COUNTRY CLUB DR CUTCHOGUE
Block 0003 Lot No. 002.032
13, 2006 and approved by the
2007.
Fee $ 150.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
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
CQMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 29798 Z Date OCTOBER 10, 2003
Permission is hereby granted to:
JOSEPH F SCIOTTO
BOX 879
JAMESPORT,NY 11947
for :
INSTALLATION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD FENCED TO CODE
at premises located at
County Tax Map No. 473889 Section 109
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
1375 COUNTRY CLUB DR CUTCHOGUE
Block 0003 Lot No. 002.032
10, 2003 and approved by the
10, 2005.
Fee $ 150.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INS~ULATION
[ ]FRAMING/STRAPPING [~I=INAL
REMARKS:
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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
REMARKS: ~::~ ~ ~
DATE ; "' / 7-~ O ~ INSPECTOR ~
TOWN OF SOUTHOLD ~fl~4
BUILDING DEPARTMENT
TOWN HALL i ~ :
SOUTHOLD, NY 1197~l ..... .
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/ PERMIT NO.
Examined /0//O, 20 03
Approved f ¢~) , 20 O 2~
Disapproved aJc
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Expiration Z~/~ ,20 ~ ~) '"
/Buildfng Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date .~./'~ ,20 c;'~
/
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 buildings on premises, relationship to adjoining premises or public streets or
are~, 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.
UNOERWRITERS CERTIFICATE
REQUIRED
"IMMEDIATELY"
ENCLOSE POOL TO CODE
OCCUPANCY OR
USE IS UNLAWFUL (Signature ofapplicant or name, ifa corporation)
WITHOUT CERTIFIr' - , ,"¢,'¢"¢¢¢.' He,/AT//
~,t r ' (Mailing ad~tres~ of applicant~
UPON COMPLETI~O.N t"~mr',r,r, Hp^Mr, v
State w
~ ~i r.-..U,.,.,-~_,,.-~-o,d e,- ,~ , cmclan, p,umoer or b~uilder
?//30.
Name of owner of praises
(As on t= TO. or at.st
If applic~t is a co~orution, si~ature of duly authorized officer
(Name and title of corporate officer)
Builders License No. ,,/,5'~3 69 7 -//7/
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
FEE¢ff~). BY: ~
NOTIFY BUILDING DEPARTMENT AT
765-1802 8AM TO 4PM FORTHE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
House Number / Street
County Tax Ma~ No. 1000 Section / 0 q
Subdivision
....
~_~/7/--~,~//'~-- ALL CONSTRUCTION SHALL MEET THE
t Ham le~fi~lUifi~JG$
-'----3~ORK STATE NOT RESPONSIBLE FOR
Filed Map No. Lot
4. Estimated Cost /_?'"~
5. If dwelling, number of dwelling units
If garage, number of cars
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
Nature of work (check which applicable): New Building i Addition Alteration
Repair Removal Demolition Other Work
Fee
(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
Height Number of Stories
Rear Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Dimensions of entire new construction: Front Rear .Depth
Height Number of Stories
Rear
9. Size of lot: Front Rear Depth
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 /NO
14. Names of Owner of premises ~¢'~--/~,~ A d d r e s s/~ZZ~,~/d-'¢~ Phone No.
Name of Architect Address Phone No
Name of Contractor/,,f,4//i,,~.,/IO'~///z'.'.'J{/ Address ~.,~, ,.r~_ Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__NO
* 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
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. ' .
16. Provide survey, to scale, with accurate foundation pl.an and distances (o p.r,0Perty lines.
17. If elevation at any point on property is at 10 feet ~r below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
· ~,9~/~:';9--,'~'1.'~ ~kJ (3 ~ ~ being duly sworn, deposes and says that (s)he is the applicant
(~e.~o.f_ipy[!vidual signing cgntmct) above named,
(S)Heds 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 application;
that all stat'~ents 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 fort-h in the application filed therewith.
Sworn to before me this
I.*da ot ,, 200
NOTARY PUBLIO, State of N~ York
No. O1 B06020932
Qualified in Suffolk County,.-,
Term Expires March 8, 20 ~
' - signature ~f Applicant --
TOWN OF SOUTHOLD PROPERTY. RECORD CARD
)WN'=R STREET /0'7,5WL.~GE D~ST.SUB. ,or //
ORMER 'OWNER N / J
)O ' E ACR.
,I
~N D IMP. TOTAL DATE R~RKS
/9oo ~oo~'' Io/~oo ~1 al/till
I~ OO J~tO~ (q ooo ~ ~1,1~
liable *'J~': ~? d~ ~ 5q FRONTAGE ON WATER
~land FRONTAGE ON ROAD
~adowlond /: ~ ~, - ~ DEPTH
,use Plot /:- -, ~ ~.~u. BULKH~D
COLOR
-~ ~/~/
'~ ~~~ ~,'.7/,< ~" '* "
/ ~ ~/~ = ~ Foundation "~ <, · Bath
Porch ~. Walls ~e ~o/ 0 J(~ Interior Finish ,
Breez~ay Fire Place t H~at
Garage ~ ~ ( 5 ( = ~7~' / ~ ]~ ~ T~e Roof Rooms 1st Flor
Patio ' Recreation Roan R~ms 2nd Floor
O.B. ~rmer Driveway ~ ~ ~
Total ~/}5 ' /~/~ / h,
~a~-~ / , ,~ ~ ~.
] j-/]
t
I
TOWN OF SOUTHOLD PROPERTY. RECORD CARD
~WNER STREet /,3 ~.5 V,'~GE D~ST
)oORMER'OWNER . N ' E ACR.
~'~0 ~'c ~)~ S W
~S. ~/O S~S. VL. ~ ' FARM COM~. CB. MICS. Mkt. Value
~ND IMP. ~O~AL DATE RE~RKS
' 7~ o [ ,:. .. , / 7o0
/9oo ~oot~' i% qoo
lable ,,~>/? Z't' ~ ,~ ~'~ FRONTAGE ON WATER
~land FRONTAGE ON ROAD
~adowland /
,. ~ DEPTH
use Plot //:-,- ~- BULKH~D
COLOR ~
I~ ~/'[ i 22i L532i636-8
/ ~ ¢ / ~ ~ ~ Foundation '"~ ~ Bath
~ K/~ .- /5 Basement k, [/ Fl~rs ~),., ,( K.
Porch ~. Walls ~ ~., ~ ~ J~? Interior Finish , ~ ~'~ LR.
Breezeway Fire Place ] Heat ~], ~, DR'
Garage ~ ~ ~' ~ ~ ~ ~7~ / ~ ~ ~ Type R~f Rooms 1st Floor
Patio Recreation Room R~ms 2nd Floor
0. B. Dormer Driveway
03/09/00
14:3~
CARDINAL SYSTE,~S -,-*-~ JET LINE CI
~ 001/003
S~
6' ~Ol~S
8ENCH S~T
(eNTR060XXX)
r-8 5/8'
5/8"
3'-7 1/4"
.' I
-NOTE-
AREA = 702.2 SO. FT.
P-------------------~RIbI£T£R --- 109'-11 1/2" I,
C,A,R,.D,I, N A L SYSTE.~$
I~'~ 3/9/00 Im 24' x 42' J
I'=~ ~/~'~1' I F~££ ~qRU J
J"~* PEB I'~ ~'~ J~Ci~l 1 I '