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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