HomeMy WebLinkAbout32548-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-34118
Date: 12/07/09
THIS CERTIFIES that the building REPAIR FIRE DAMAGE
Location of Property: 210 PAT LA MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
Co%u]ty Tax Map NO. 473889 Section 114 Block 10 Lot 10
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 2, 2006 purs,,~nt to which
Building Permit No. 32548-Z dated DECEMBER 5, 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 FIRE REPAIR TO ATTACHED GARAGE OF A ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JODY & CHRISTINE PUMILLO
(OWNER)
of the aforesaid building.
SIIFP~)~ C~DI~%~I~f DEPART~T OF H~L~{ APPRO~-~J~ N/A
R~j£KICAL CERTIFICATE NO. N 419193 05/07/97
~ERS ~KTIFICATION DA'r~43 N/A
Rev. 1/81
Form,No. 6
TOW~ OF SOUTHOLD ~
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCX~ ' r
~.. ~<", ,~_~ , ~ L .3!_0_
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. Corm]nercial 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, Conunercial $15.00
Old or Pre-existing Building:
Date.
New Construction:
Location of Property:
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Street
Block
Filed Map.
Date of Permit. / 0~ / ~ / ~)3, Applicant:
Underwriters Approval:
Permit No. '.3 ~ .~z-[
Health Dept. Approval:
(check one)
Hamlet
I0 Lot
Lot:
5L.c
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~ ,~ --
Final Certificate:
(check one)
()/Applic, pt Signature
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1135185 BUREAU OF ELECTRICITy
~-- 88 JOHN STREET, NEW YORK, NY 10038
Date };~¥ ~7,1')~? Application No. onfile 1235299~/96 N 419193
THIS CE~IFIES THAT
[~t..JODY PC~!IiJ,,O, 210 DA'"'
~ .~ I~J~E, NATTITUCt<, N.Y.
in theyollowing locotion; [] ~me.t [] I.t FI. [] 2nd Fl. '3]"~R?OUT ,~octlon Block
wes examined on l~ '~ ~ ~ ~ ~ ~ ? and ~ound to be in compliance ~ith the NaMonoI Electrica~ Code.
9 '? 9
o~Yns [ KJRNACE MOTORS
RXTURRS
RANGES
SIRVICI DISCONNK:T I NO. Of [ S E n
G.F.C.I:-I
SHOKE DETE£ ~ DR '- 1
V I C
EXHAUST FANS
DIMMERS
HODERN EI£CTR][C EAST,INC.
10470 ROU'I~ 25
HATTITUCK, NY, 1].952
~ M~NAOII
tl
rhis ce~i~a~ m~t Mt ~ oltered in a~ mnMr; ~urn ~ t~ office of ~ ~ard if i~orre~. Insp~ors my ~ identifi~ by t~ir c~entials,
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY NANNER.
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUII~DING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
32548 Z
Date DECEMBER 5, 2006
Permission is
hereby granted to:
JODY & WF PUMILLO
210 PAT LANE
MATTITUCK,NY 11952
for :
REPAIR FIRE DAMAGED ATTATCHED GARAGE TO A SINGLE FAMILY DWELLING
AS APPLIED FOR.REPLACES BP# 23892
at premises located at 210 PAT LA
County Tax Map No. 473889 Section 114
pursuant to application dated DECEMBER
Building Inspector to expire on JUNE
Fee $ 75.00
MATTITUCK
Block 0010 Lot No. 010
2, 2006 and approved by the
5, 2008.
Rev. 5/8/02
ORIGINAL
1~)~' NO. ·
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)
Permission is hereby granted to.~
pursuant '0 application doted .................../ / ~....~.../......., 19..~.....~ and approved by the
Building Inspector.
ullding Insp~
Rev. 6/30/80
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:~
~ ~-/~- o 7 INSPECTOR
DATE
I~t)ll fllln'l' 1,01t
FORH NO. I
'l'Ot4N OF ,~OUTIIO].I)
IIUI |.l)l NC I)EP^RTHI[HT
TONN Il^lA,
Sou'rlI(H,I), N,¥, 11971
TEl,: 165- IBO2
IlO^RI) OF III~^I.TII ...............
3 ;;l~.'l'-~i OF I'I.^PIS ...............
SIll,IVEY ........................
CliI[CK .........................
SI~I'I'I C FORH ...................
I NS'I'I`IU(/I' ! ()NS
n. 'lhi.~ al~dieati~xl ,trot be cc~lqflel'eiy filled in by lyl[~.nilur or in ink nlxl md~nitt~l to the Iklihling hml~Ctc)l
'J ~l~i of I)lan~. ae~irate plot plan to ~eale. F~ aecordin~ to ~ch~kde.
b. I'1o~ plan ~i~ l~ati(~ of 1o~ al~ of Ixdhli~ (~ proni~, relationship Lo ~ljolning pro.i~e~ or i~blie
sl,c~ts or olean, a[xl givJt~ a (~tail~ {bsccil)[ia~ of ]a~t of prol~rt'y .~JSU tm (Irma~ ~ the diagrm, ~d(:h is l~r[ of
this ;qqfl ication.
c. 'lhe ~k c~mer~l I~ thin nl~flication p~ ~t I~ c~x~e~<ed I~fore iam~a~e off I&dhling Pe.~dt.
d_ Illx~ nl~r(~al of this n[~licnti~, the l~ilding Ina~ctor will ias~m n I~fihling Per.dr to the applicant. ~ch
ix~zmiL Msnll I~ kept ~ tim p~ni~s ~ailal)le for insl~c:ti(~ thr~l~t the
e. ~) I~lil{li~ ltmll I~ ~oq}i~l or t;~ itl ~le or in lmrt for any i~lq~me ~;at~er un[il a (~rtificate
(X:CUl~li~:y cJmll have I~n grantol by tie I~dhli[~g Ii~sl~Clor.
Al'l'l.l(~'['l~ 18 la~l~llY ~ to tim I~ihling l~l~rt~mnt for the isauam'e of a l~fihling Pe~it D~rmmnt to the
I~i hling 7~m Ordi~.~e of tim '1'~ of ~x~ll~hl, ~ffi)lk (~mt~, ~ ~od% a~ other applicable I~a,
I~l~tdati(~m, for tim cxmstn<ti(~) of I~dhli~s, ~llti(am or alterati(nm, or for ~{~aI or <~olition, ns herein
P~OV DE a/, HR FlEE .... ;.~/_~_~-~.~c~ ...................
R~TED SEPAEAIION/U '~ / ~ ~ ~ '~ 7"
P~RL 717.3 {f) (1) O[ ...~-~ ~. ~~.~ .~'..
N.Y. STATE BUILDING CODE. (~,iling ~K~h-ess of a~,lica.t)
....................... .................................... ....
~ "' "' '~'~ "" '"0"'~ ........ ;IL; ...... ;;'"[" Y"; ................. ~,,w~.-~t,~. o~ ......
( . lie t -~ t (r- {'~le~ ~1) 7i$5-1802 9 AM ~ 4 PM FOR THE
~OLLOWING INSPECTIONS:
~ fOUNDATION - TWO REQUIRED
~(')R POURED CONCRETE
~. ROUGH - FRAMING & PLUMBING
~L iNSULATION
· FINAL CONSTRUCTION MUST
~E COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
I'h,d>ers ].ice,me 1~) .................//%/~) --' ....... ~ THE REQUIREMENTS OF 'n-lE N.Y.
STATE
CONS~U~ON
ENERGY
REQUIRED CODES. N~ RESPONSIB~ FOR
od~ 'l'r,x~'s l.ice,,~ ~ ..................... ~ D~SIGN OR ~U~O~ORS
.... ........................ .................. ......... ........
Ikxme ~sd~r St'z~t I~.let
~,,,,,~ ',',,~ ~,, ~,. ~<x~ ~:.,., .... /.Z~ ...... ,,,~. ..... ~ ........ ,,,~ ...L9 .........
&,lxliviai(~ ........... ~ .................. Fil~l F~,p K) ................ I~t ...............
(~)
,,. ,~,,~,~ ,,~ ~,~ ~,~,,~:~ .. ~. r¢<~ ~5 .......................................................
,,. ,, ,, ............................... . ........................
I'I,OT I)T^CRAH
PROVIDE % HR. FIRE
RATED SEPARATION TO
PART. 717.3 If) (1) OF
I~.Y. STATE BUILDING CODE.
HELENE D. HORNE
Notary Public, SteJe of New York
No. 4951364
Qualified in Suffolk Count,/
Commission Expires May 22, 1§ C~
TOWN OF SOUTHOLD PROPERTY RECORD CARD
/o I;~/. /~-/~
OWNER STREET
FORMER OWNER N E ACR.
I,
~r/ 2u~o~'l S W ~PE OF BUILDING
/REs. ' x
¢'~'~/0 SEAS. VL.t~ FARM COMM. CB. MISC. Mkt. Value
AGE BUILDING CONDITION
N~ NORMAL BELOW ABOVE
FARM Acr~ Value Per Value
Acre
Tillable 1
Tillable 2
Tillable 3
~ Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Clot
B~kKH~D
: Totol DOCK
COLOR
TRIM"
M. Bldg.
Extension
Extension
Extension
Porch
Porch
Breezeway
Garage
,' O.B~,,,,.c/
Total
Foundation
Basement,
Ext. Walls
Fire Place
Type Roof
Bath
'Floors
Interior Finish
Heat
Rooms 1st Floor
Recreation Roo Rooms 2nd Floo~
Dormer
Driveway
Woo