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Home My WebLink About35542-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34437 Date: 07/08/10 T~IS U~TIFIES t~at the building SWIS~4ING POOL Location of Property: 600 GARDINERS LA SOUTHOLD (HOUSE NO.) {STREET) (HAMLET) County Tax~4ap NO. 473889 Section 70 Block 8 Lot 10 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 28, 2010 pursuant to which Building Permit No. 35542-Z dated MAY 10, 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 GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ANTHONY GIORGETTI (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPART~4E~Fr OF ~EALT~APPROVAL N/A ELEC~rRICAL ~TIFICA~ NO. 35542 06/07/10 PLIERS c~TIFICATION DA'r~D N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA This application must be filled in by typewriter or ink and submitted to the Building Del 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 sewemge~isposal (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. For existing.buildings (prior to April 9, 1957) non-~onforming uses, or buildings and "pro-existing" land uses: 1. Accurate survey o f property showing all property lines, streets, building and unusual naturat 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. 3. 4. 5. New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1001~, Section ~IC) Block 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. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Old or Pm-existing Building: (check one) Street Hamlet Lot [{~ Subdivision permit No. ~ ¢/ Health Dept. Approval: Date ofPermit. Filed Map.. Lot: Applicant: ~-[rk, xo.,x-l~ ~ so Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ _~q) r') Final Certificate: (check one) Town 1 lall Amwx 54375 Mare Road P.O. Box 1179 Soulhold, NY 11971-09.59 Tclcl)hone (631) 763-1802 Fax ((;31) 765-9502 ro.qer.richert~,town.southold.n¥.us 1½1 !II,DING I)EPARTMENT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Anthony Giorgetti Address: 600 Gardiners Lane City: Southold St: NY Zip: 11071 Building Permit #: 35542 Section: 70 Block: 8 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Kel-Rob Elec LicenseNo: 37725-ME SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only [~ Corn merical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: pool bonding, l-pool light, I gfci circuit breaker Ceiling Fixtures RWeaclle: is" et: r: iSxt u r e s L Fluorescent Fixture ~_._ Emergency Fixtures~__ Exit Fixtures HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS Notes: swimming pool and all related equipment Inspector Signature: Date: June 7 2010 81-Cert Electrical Compliance Form FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUII~)ING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35542 Z Date MAY 10, 2010 Permission is hereby granted to: A GIORGETTI 600 GARDINERS LA SOUTHOLD,NY for : CONSTRUCTION OF AN INGROUND SWIMMING POOL, FENCED TO CODE at premises located at 600 GARDINERS LA SOUTHOLD County Tax Map No. 473889 Section 070 Block 0008 Lot No. 010 pursuant to application dated APRIL 28, 2010 and approved by the Building Inspector to expire on NOVEMBER 10, 2011. Fee $ 250.00 Authorized Signature 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 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUOTION [ ]~ [ ] ELECTRICAL (ROUGH) REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY RRE RE.mT~ ~~ [ [ ] ROUGH PLBG. [ ] INSULATION [~FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT I~NETRAllON REMARKS: INSPECTOR DATE FOUNDATION (IST) ~OUNDATION (2N~) '~ · ROUGH FRAM~G & PLUMBING STATE ~ ~ODg TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net Examined Approved Disapproved a/c PERMIT NO. 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 Flood Permit Storm-Water Assessment Form Mail to: ~(X//n4 Phone: ~51-q,~- Expiration ~ a. ~~ ~ly 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 and 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 Pemit. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such a pe~it shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. [ Eveu building pemit 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 prope~y have be~n'eh~ed in the interim, the Building Inspector may authorize, in writing, the extension of the pemit for an addition six months. Thereafter, a new pemit shall be required. APPLICATION'S HEREBY MADE to the Bailding Depa~ment 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 a~ees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa~ inspections. iS UNLAWFUL ," CFRTfF!C/V~ "iMMEDiATELY" ..... OS_ ,-,COL TO CODE !;PON COMPLETION ~- "WATER" (Signature of applicant or name, if a corporation) ' ' (Mailing address'of applicant) ' ii'-//e~/ State whether applicant is owner, lessee, agent, architect, engineer, general contractg[~.elcc,tri~ian~,phmab[(pr builder / ....... ?----T ' : '~-' " l Nameofownerofpremises ,'~t~lT-~O~k[ e .ll i ' ALL(~ke t~ roll or lat~a;.dp~:d)" ~me and title ofco~orate office0 UNDERWRITERS CERTIFBAL Builders License No. I ~ ~ ~ I - ~ ~ REQUIRED Plumbers License No. Elec~ici~s License No. ~ lq &¢, M b~ Other Trade's License No. Location of land on which proposed work will be done: House Number Street 2. t,,~L. :: d 4. FINAL - C', ...... BE CObtPLE [i 7':~,~ C.O. ,, o-c ,'-~ SHILL MEET THE ALL CC % -,r-~ '~'% ~r'~' "F ~u: r'or~FS OF NEW DESIGN ¢~ ~ ~SUANT TO CHAPTER 236 ~l~t OF THE TOWN CODE. County Tax Map No. 1000 Section OqO Block ¢ Lot / 0 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy [0_.i=5 ~ Iht= ~t ~'E' , b. Intended use and occupancy o Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost I~'! ~q~'.ol:> 5. If dwelling, number of dwelling units p/~ Pt If garage, number of cars Addition Alteration Other Work I ~0~ ~ ~:t[~l.t.t- ~ '~.~1) ~' (Description)' Fee 2-~--D (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. AJ] 7. Dimensions of existing structures, if any: Front Rear _Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front of~,Js !r~ Depth Height Number t s 8. ~ ~)imensions of entire new construction: Front b] I ~ Rear Height Number of Stories 9. Size of lot: Front . t~/I I~ Rear Depth 10. Date of Purchase /~ I ~ Name of Former Owner Rear .Depth 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 v'/NO__ Will excess fill be removed from premises? YES NO 14. Names of Owner of premis,es-~flq-~Ot~q 6! ~¥.~e,Jnt; Addressb~D ~)Mt~t'~ ]~1. Phone No.C~ Name of Architect /¢~A ' Name of Contractor~u~t~t~ ./9oo~ ,.~e vi Address Phone No Address t~2d2llk, l~Phone No. bill- ¥2~Z~ 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 plan and distances to property lines. 17. If ele~sa~ion at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF . ~ /~i ~ f~ b- "t'~fix ~, ~ ( ~[~ being duly sworn, deposes and says that (s)he is the applicant ~ame 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 application; that all statements contained in this application are true 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. JESSICA Swo~tp before me this~ q~.LO dayof Notary Public NotapJ Public, State of New Noi 5003780 . Qualified in Suffolk~o~]tY Coremission Expires _g-~ ~ ~J~) Signature of Applicant r OWNER TOWN OF SOUTHOU) PROPERTY RECORD CARD LAND - JMR _. ,.. /~ STREET VI LLAGE ~9 SUB. VL. ¢ FARM ~/ I CO/~. CB. MICS. Mkt. Value TOTAL · DATE REMARKS ^cRL?.S'j TYPE OF BUILDING BUILDING CONDITION BELOW ABOVE Vclue LOT AGE NEW NORMAL FARM Acre r[Jlable ffoodland k~adowla~d · House Plot total ~, ,' Value Per Acre FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK COLOR 7~-,~ M. Bk~g. Exte eion Extensio~ E>dension Porch Breezeway ~rage Patio Tat'al Both Basement FJoors Ext, Wal]s ~0~ P $/g/t~t Interior Finish Fire Place ~e Roof RecreatiOn Room Dormer. Heat. Rooms Tst Floor Roorns'-~d Floor Driveway · It~ I ~" ~} ~UNACCEPTABLE. ' NY PROF. ENGINEER No. 68936 16' I~-~' Il I I / M~N'IDA'I'DRY Rnp~: F'LI~T [E INCHE~: (4) PLAC~ FINISHED m I) HEIGHT I I I [:~ vE~CUL["r£ I I '1" e'--t~w I a', . 4' MEANS nF E§RE$S F'BR ]trlTH 'THE "nECP THE SHALLOW ENI~ DF THE POOL MUST t 4' ~ DECK suPpE~T O£TAIL \ , NOTES, 1) THIS IS A TYPE II P~ ~EPTH AN~ S~PE DF PDDL MEETS MINIMUM ~TAN~AR~S DF ~E XNTEENAT~NAL RESIDENTIAL CO~E EOOO AGtO3. t ~NSI/NSP[-5) FOE RES~ENTI~L USE VITH DIVING ~) ALL A-FEA~E 9RAC~ ~L ~E MDUN~E~ A NIN~UN DF (1) CUBIC FOOT DF CONCRETE, DR A 6' PDURE9 CONTINUOUS CONCRETE PERIH~ER CBL~, 3) ~AX]~N ~ING ~DAR~ LENGTH IS 8 FEET, 4) ~NB ~IVING' LA~EL~ MUST ~E SHALLBV END DF PD~L, NOTE, IIUILnER TI3 pRnVIDE A REAl'IS OF EGUIPDTENTIAL BONDING TO Fq3DL IN ACCl3RD^NCE V[TH NDT~, PC]GL SAI:'E"rY/INTRUSIDN ALARH TD 8E ]flSTALLE'9 ]N AccnR~AANCE TO NLe%' *fDRK STATE REGULA'rIDNS. INTERPDDL 16' X 32' GRECIAN 'gAT E~ kO/O4/g"/ ['~CALE~ NONE nRA~N BY~ P,T. IACA]3REF, t 5UF~ CO, T,k~ MAP DATA: I000 -0 ,'}O-8- IQ