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Home My WebLink About28194-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28570 Date: 07/05/02 ThiS CERTIFIES that the building ACCESSORY Location of Property: 475 PACIFIC ST MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 141 Block 4 Lot 16 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 2002 pursuant to which Building Permit No. 28194-Z dated MARCH 20, 2002 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to WILLIAM & PENELOPE A MONTEFUSCO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~RALTH APPROVAL ELECTRICAL CK~TIFICATE NO. PLUMBERS CERTIFICATION DA'r~43 N/A 1051481 05/24/02 N/A u~~Slgnature Rev. 1/81 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. 28194 Z Date MARCH 20, 2002 Permission is hereby granted to: WILLIAM MONTEFUSCO 475 PACIFIC STREET MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY SHED AS APPLIED FOR. THIS PERMIT REPLACES PERMIT # 25064 at premises located at 475 PACIFIC ST MATTITUCK County Tax Map No. 473889 Section 141 Block 0004 Lot No. 016 pursuant to application dated MARCH 20, 2002 and approved by the Building Inspector. Fee $ 75.00 Authorzzed Signature Rev. 2/19/98 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 COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25064 Z Date JULY 281 1998 Permission is hereby granted to: WILLIAM MONTEFUSCO 475 PACIFIC STREET MATTITUCKiNY 11952 for : CONSTRUCTION OF AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 475 County Tax Map No. 473889 Section 141 pursuant to application dated JUNE Building Inspector. PACIFIC ST MATTITUCK Block 0004 Lot No. 016 16 98 and approved by the Fee $ 35.00 BuildiSg ~nspect~ COPY Rev. 2/19/98 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property line~ 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 build~ 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-conforming uses, or buildings a Upre-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 a consent to inspect signed by the applican 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, Sw~-~,ing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ 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 New Construction...~....... Old Or Pre-exi~,ting.~3~__uz:u ~..---Buildlng ................. House No. Street Hamlet Subdivision ................................... .F$1ed Map .... ~ ........ Lot .................. / Permit No.Zf/~. ~. ~. .... Date Of Permit. ~/. ?.~/.Z~..2...Applican~/4./~.... /~..~/~-~ Health Dept. Approval .......................... Underwriters Approval ..................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate.~ .... Fee Submitted: $ [] BY THIS CERTIFICATE OF COMPLIANCE THE " NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by WILLIAM MONTEFUSCO WILLIAM MONTEFUSCO 475 PACIFIC ST 475 PACIFIC STREET MATTITUCK NY, 11952 MATTITUCK, NY 11952 Located at 475 PaCiFIC STREET MATTITUCK, NY 11952 Application Number: 1051481 Certificate Number: 1051481 Section: 141 Block: 0004 Lot: 016 Building Permit: BDC:NS11 28194 Described as a Residential occupancy, wherein the premises electrical system consisting of electrJca[devices and wiring, described below, located in/on the premises at: Detached Garage, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 24th Day of May, 2002. Name QTY Rate Rating Circuit Type Wiring and Devices Receptacle 2 0 General Purpose Switch 2 0 General Purpose Fixture 7 0 Incandescent Receptacle 1 0 GFCI seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. -t ' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDA~N 1ST [ ] ROUGH PLBG. [ ] Fou/U~ATiON2ND [ ]INSULATION [~/F/RAMiNG [ ] FINAL [ ] FIREPLACE & CHIMNEY .INSPECT~&' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]iNSULATION [ ] FRAMING [ F~~INAL [ ] FIREPLACE & CHIMNEY .~ :OUNDATION (1st) FOUNDATION (2nd) BOUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: PORH BO. I 6 , i,?.,~i TOWN at' SOUTUO,.r~ .. , TOWN IIALL ~ ~;_: ,:L [,~'?T. j SOtll,llOl.O, N.Y. 1197 I t TOWk~ C- SOUTHOLD TEL: 765- 1802 I~,i~... 9 .... f, ~A~ ~ : ................. LICATION FOR ~&U;LI)lnO P~I~IT IHSTRUCTIOHS BOARD OF tlF..ALTH ............... SURVEY ........................ CilECK ......................... SEPTTC FORH ................... liAl I. TO: .................... ' Date ................ ,19 .... 3. INSUtJgl0N 4. ~INAL o ~ MU~I ......... ~HOI~ CERTIFICATE ............. ~ ' ............. . ......... CODES. N~ .... i~;'~g;'' ~>~' ....... : ...... ;;~;')~2;P;.Z ' ' 3 '~/~Y ............... ~ Tax mp m. i~ ~ti~ ./~/~. ....... Ma..~.~ .... la .g~ ....... ~Disi~ ...................................... Pil~ }ap ~ ......... ;, ..... l~t ............... (~,~) 2. State exlsti~ ~ ~ ~ of ~i~s ~ intem~ ~ ~ ~. ~,~ ~ ~ ,~ ,~ ~y ../..g4c¢ &.. ] &eeZA,~ 6 ................... · ........................... ~. ~,,~ ,= ,~ ~. ~e[g;~(~ ..... ~~. ~¢v& &~.6...g~...~gd6 g ......... a. 'Ibis applicatio~ a~t be c~,pletely filled in by typewriter or in ink anti mdnitted to the I~dlding Tnnpector w 3 rets of plans, accurate plot plan to acale. Fe~ according to ~cJ~dule. b. Plot plan abo~ing location of lot and of buildings on praai~e8, relationship to adjoining praises or ptd)lJc streets or areas, and Bivi~; a detailed description o[ layout of property utmt be (ira~n on tim dJa$~rlan which Is part of this appl icatitm. c. 'Bm ~x)rk eo~ered by thin application may ~t be eumenced before iaauance of Building Pemit. d. Upon approval of rid$ applieatia~, tl~ Building Inspector x;llI iiatm a Building Pemit to tlz applicant. St~h permit si~all be,kept on B~e p~a~ea available for inspection tht~uaJ~out tim work. e. 14o building slmll be occupied or treed in ~t~)le or in part for any purpoM ~4ulte~er mttl a Certificate of Occupancy shall luwe been l;canted by rim Building Inspector. M'HACA'r[(]4 IS IF. JtEITY }t~(l~ to ti~ Building Department for tl~ iaauanee of a ifiullding Pemit put.Rant to the Building Zone Ordinance of the Town of S~thold, Suffolk County, ~ York, and other applieahl~ I.eu$, Ordi~mnee$ or Regulation, for tim co,-~truetiou of lmtldtng$, additions or alterations, or for t~,,..~al or d~olttion, aa herein described, al~ applicant agreea to cx,,vly ~ith ail applicable lawN, ordinances, buildin$ code, housing code, and regulations, ~m~l~to admit authorir~d in~ectora (~ prcmlrea and in buildingafor necemry ..................... ~)~-~ ~ .................. ~ .............. ( ............... (Hailing acklve~ o[ State ~Amrimr'applicant Is owner, lessee, agent, architect, engineer,' gensra! eontractor~ electrician, plt~ber or .2¢~f...~. ............................................... , ................ , .... ...~. g~.>:~,~,~ ,, .... Na~ of o~ner of pre. i~es . . . ;., C.,O, ............ " (a~ ~n ri. tax roil or latest Need) I~h,re of ~n~rk (dmck ~liid, applieabla)~ Nat llulldin§ ...~.. .... ~lti~ ' A1rerarion .......... I~lmir ............ ~l · .. ' ... l~lt~lm .. ........... OUmr (~ripci~) ........ (to ~ ~id (m filln~ this al~licatt~) If ~llh~, ,n,d~r OE ~llh~ md~a ............ tt~d~r o~ tk~lltng traits ~ ead~ fl~r 1~ garage, ,~mlmr ot ~ra ...................................... If hmi~maa, ~ralal or ml~'~atlm~, s~cl~ ~l:ure a~ ~tent of ead~ ty~ of u~ ...................... IH.mnal~m of ~latl~ a~nm~a, if a~: ~ ................ ~ar ............... ~pfl~ ................. Ihi~at ......................... ~ad~r of Stories ' IHnenai~m ot ~m atnm~ ~lth al~mratl~ or mMiti~aa Fret ............... ~ar ............... l~pth ................. :.. l~J~tt ................... ~ ~t~tmr o~ S~Oriea ............... ,~,,-,,~-~ oe ,,~,, ~ ~,~n~: ~ ..!~ ? ........... ~,~ .... ZZ.? ...... ~,~h . ~.~ ...... I~ig,t' .~.../~.~ ........... ;.. ~almr of Stories .... ~ ............... ,,. o, ............ .... z ac/. ...... Z6 6! .......... ~ or u~ district In ~a pr~l ~mt~tl~ *iolata ~ ~lng I~. o~l~e or re~flati~: .~/Q ............. ...... ............................... ~resa ............................... l~ ~ .............. PI.OT DIAGRAM. locate clearly and distinctly all Imildln~s, ~l~fl~r ~l~rtn~ or Oro~, ~ l~icar~ all ~r-~ di~si~s ~r~ I)r~rty lt~s. O[~ st~t ~ bl~ ~r or ~ncrlpti~ ack. lng ~o ~d, a~ ~ s~r~t ~s a~l t~lica~e Amtlmr Interior or ~r log. ~el~. ~:. ,.... ....................................................... ~:~tOgLq~l HOtl.~!j~(O~t_ I.l:raetor~ agm~t,- eor~rate officer, etc. ) ...................... )f ~id t~r or ~rs~ at~ is ~dy ~tl~r]~ to I~rfonn or ht~e l~rfor.~l the ~id ~rk m~l to ~ke taxi file I. hia qq~l icati~m; tlmt aH state.rte ~tta[~ in this nl~flicati~ are the Lo the I~sc of ids k~l~ge linc tl~ ~rk will I~ ~r~o~! in tie nem~r ~t forth in the ~ltcntl(m fil~ ~.n)rn to before n~ U~is .......... ~ .... d.~, os ;:L-~ ...... 19.~.. OATFIE ~.;~ ~ ~TARY PU~:UC, ~,;~ ,:<~ a~ i~ow Yolk [, : e of ^pl/|eant) . ' I