HomeMy WebLinkAbout1000-33.-2-19.16 -72
T uw IN
"WN OF SOUTHOLD
Rental Permit
0778
Owner Jason Harris & Melissa Cannata
Occupied as Single Family Dwelling
Located at 155 Caiola Court Greenport 33.-2-19.16
Maximum Permitted Occupancy 8
Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of
the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is
two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection.
11/16/2022
de E r erten icial
This Notice must be posted by the main entrance at all times
pF SOIJ)�
1 � 'I"cle hormc(631)765-1802
Lown Nall Annex Fax(631)765-9502
54375 Main Road
P.O.lox 1179
Southold,NY 1 197 1-0959 roul' w
P
BUILDING DEPARTMENT C . .�.. ( '
TOWN OF SOUTHOLD JLD
RENTAL
RENTAL..PERMIT APPLICATION �
Rental Permit Fee$200(Applicorion must be renewed every two yeors)
Section A.
Property Information:
Rental Property Address:
Tax Map Number. 1000 SECTION 033. oo -BLOCK Oo -LO-, 01
SECTION B.
OWNER INFORMATION:
Property Owner Name:, josm
Property Owner Legal Address: Property Owner Mailing Address:
�.. ...
22b v� 1we
_._..�.
I I a 44
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Telephone Number(s): Daytime -399-37+avenin -39q-37/7Emergency�3z - s -8938
Com
Property Owner Email Address: u r,��s �f° .�� . ►"a,...� 1-'CO wm._.. .-„ ..� .ne . ...e....
`�0 Page 2 of 5
Town Hall Annex ,' Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959n d,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
e+ tion C. � 6Y
ut ►orie+ Agent Information: � �� o
Name of Authorized Agent of dwelling unit, if any: en�tQ
Address of Authorized Agent (no P.O. Boxes):—
Mailing Address of Authorized Agent: �_�_
Telephone Number(s): Daytime 5��-322_W�Evening Emergency _
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent(no P.O. Boxes),
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime Evening Emergency_,—_
Email Address•�__� .. _. ....._ .__w._.... ... ._ .�.. .. �
SECTION E.
SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any: .....
Address of Managing Agent(no P.O.
Page 2 of 5
Town Hall Annex d Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 w "
Southold,NY 11971-0959
BUILDING DEPARTMENT
TO OF SO SCOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime_.-- Evening Emergency,__._
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property:
For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example,
Unit 1, Unit 2, Unit 3 or Apt A, B, C);the use of each room in the Rental Dwelling Unit
(for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each
room.
For properties with multiple Rental Dwelling Units use "Rental Permit Application
Addendum."
Rental Dwelling Unit Identifier: __.
Requested Maximum number of persons allowed to occupy Dwelling U "t- ,J'
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit.*com
POW ! x24 r i�! ��Xl�l>
Page 3 of 5
" 4 „
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 "^
Southold,NY 11971-0959
4
BUILDING DEPARTMENT
TOWN OF SOLI OLD
SECTION G.
INSPECTION:
Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety
inspection by Code Enforcement Official is required. If the owner chooses not to have said
inspection performed by the Town, a certification from a licensed architect, a licensed
professional engineer or a home inspector who has a valid New York State Uniform Fire
Prevention Building Code Certification is required stating that the property which is the subject
of the rental permit application is in compliance with all of the provisions of the code of the
Town of Southold,the laws and sanitary and housing regulations of the County of Suffolk and
by the laws adopted by the New York State Fire Prevention and Building Code Council.
❑ I am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
L
I �aso•, l�`� �'IS certify under penalty of perjury,the following:
1. 1 am the owner of the property identified in "Section A" of this application.
2. The property owner's legal address set forth in "Section B" of this application is my legal
address and I understand the Town will use the address for service pursuant to all
Page 4 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 � y n
Southold,NY 11971-0959 ,h ,
BUILDING DEPARTMENT
TOWN OF SO HOLD
applicable laws and rules. I further acknowledge that I will notify the Town of Southold
Building Department of any changes of address within five (5) days of any changes
thereto.
3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and
agreed to abide by the same.
4. 1 will notify the Town within five (5) business days as to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property Owner's Name; _ "5 �9q r pis
Property Owner's Signature:
AK—
c .' ..
ji , dayi3wZ�
earn to before a t
Official Notary Public Signature and Original Notary Stamp �
RENEE CIISTELHURST
gop �,�
NOTARY PUBLIC OF NEW JERSEY
e, COMMISSION#21606
MY COMMISSION EXPIRES 8'/12/2024
Page 5 of 5
Town Hall Annex �`u' � Telephone(631)765-1802
54375 Main Road d Fax(631)765-9502
w
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Pr�assional seal re wired ►r Architect or Fn inset Licensed lone iris actor must rovide
copy o valid current certification
Rental Property SCTM Number: 3 , 3 �.�.
Rental Property Address: it -Ge-V`
Owner/Name: yl 00 k
Rental Dwelling Unit Identifier:
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq,, etc.)
Property Description (Include all improvements indlicated on survey)
1 certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold,the Residential Code
of New York State,the Building Code of New York State,the Plumbing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New
York State.
Print Name and Title Original Si nature
Please place professional seal:
STATE OF N "LW YORK
Be it known that
Robert ert a ett
has successfully completed the requirements of a Basic Code Enforcement
Training Program established by the Minimum Standards for Code
Enforcement Personnel (19 NYCRR Part 1208) in the State of New York as a:
BUILDING SAFETY INSPECTOR
John R.Addario,P.E., Director
Division of Building Standards and Codes
BUildin Standards Certification No. B0121-0001
and Codes
To maintain this certification,such person must satisfy annual in-service trainining requirements and advanced in-service training.
TOWN OF SOUTHOLD B elLDING DII
631 -765-1802 ..- ...
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIONS/CAI
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit
[ ] CODE VIOLATION [ ] PRE C/O [ ] IF
REMARKSE
DATE 00" INSPECTORT
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Ext. Walls
Extension.
Interior Finish L R
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Heat D F
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Patio Woodstove BR.
Porch Dormer Fin B_
Attic
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Garage— R, Driveway Rooms 2nd Floor
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30712 Date: 01/25 05
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 155 CAIOLA CT GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 3 Lot 19.16
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 5 2003 pursuant to which
Building Permit No. 29926 dated DECEMBER 8, 2003
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 ONE FAMILY DWELLING WITH FRONT ENTRY WAY REAR DECK OUTDOOR SHOWER
STALL AND ATTACHED TWO CAR GARAGE AS APPLIED FOR..
The certificate is issued to BAYBERRY BUILDERS LLC
(OWNER)
of the aforesaid building.
SUFFOLK COMITY DEPARTKNIT OF HEALTH APPROVAL RIO-03-01314 Ci 1 R
ELECTRICAL CERTIFICATE NO. 87692C 12/20/04
PLUMBERS CERTIFICATION DATED 01/07/05 T & F ENTERPRISES INC
A hor' ed Signature
Rev. 1/81
............. .........
Town of Southold Annex 6t23/2011
54375 Main Road
Southold,New York 11971
. ....... .. ......
CERTIFICATE OF OCCUPANCY
No: 35018 Date: 6/23/2011
THIS CERTIFIES that the building IN GROUND POOL
..........
Location of Property: 155 CAIOLA CT GREENPORT,N.Y. 11944, ...........
.....................................
SCTM#: 473889 Sec/Block/Lot: 31-3-19.16
...................I-.,- I .............. ............
Subdivision: Filed Map No. I.At No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/17/2010 pursuant to which Building Permit No. 36052 p dated 11/29/2010
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:
ig�ound�swimr * ggWl with fence to codegIAMlied f
._nm for.
The certificate is issued to Lettieri, Bernice
........... .......... ..............
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
...........
ELECTRICAL CERTIFICATE NO. 36052 5/2/11
PLUMBERS CERTIFICA110N DATED
... .......
........... .........................
Sign urs
................
Town of Southold Annex 4/1/2011
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 34878 Date: 4/1/2011
..........
THIS CERTIFIES that the building ALTERATION
Location of Property: 155 Caiola Ct, Greenport,NY 11944,
..........................
SCTM#: 473889 Sec/Block/Lot: 31-3-19.16
Subdivision: Filed Map No. Lot No.
.................
..............
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/412010 pursuant to which Building Permit No. 36025 dated 11/16/2010
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:
aoseg al to gthr &onscc�ondfloor floor anjq?�qtipg.9mfarq4 dwg1lingAs lid
The cerdficate is issued to Lettieri,Bernice
...........
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36025 3/11/11
PLUMBERS CERTIFICATION DATED Joe Whitecavage 2 /11 706?
. ..............
A riccl tilrtat
....................... ............ ..........
Town of Southold Annex 12/10/2013
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36650 Date: 12/10/2013
............-
THIS CERTIFIES that the building RESIDENTIAL ADDITION
Location of Property: 155 Caiola Court Greenport NY 11944-2071, .......
................................. ........ .......
.
SCTM#: 473889 Sec/Block/Lot: 31-3-19,16
. ..............
Subdivision: Filed Map No. Lot NO.
..........
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
2/22/2013 pursuant to which Building Permit No. 37840 dated 3/4/2013
..........
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:
TWO CAR GARAGE APDITION M AN PTCI$TIN-Q SMIX EAMIL
The certificate is issued to Lettieri Bernice Revoc Trust
.............
(OWNER)
of the aforesaid building.
SU LK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37840 08-07-2013
PLUMBERS CERTIFICATION DATED
.................
ign e
Aut