HomeMy WebLinkAbout33297-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33858
Date: 07/29/09
THIS C~KTIFIES that the building ALTERATIONS
Location of Property: 225 LEETON DR
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 59 Block 1
Subdivision
Filed Map No. Lot No.
SOUTHOLD
Lot 8
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 1, 2007 pursuant to which
Building Pemit No. 33297-Z dated AUGUST 8, 2007
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 REMODEL KITCHEN AND BATH AS APPILED FOR.
The certificate is issued to JOSEPH D DIBARTOL & FRANCINE MEYERSO
( OWNER )
of the aforesaid building.
SUFFOLK COUNTY DEPART~TOF~{EALTHAPPROVAL N/A
ELECLrKICAL CE~TIFICATH NO. 3948-H 07/21/09
PLIERS C~TIFICATION D~£KO 08/29/89
INNOVATIONS PLUMBING
Rev. 1/81
Form No. 6
TOWN OF SOIJTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANC'
BLDG. DEPT.
TOwN OF $OUTHOLD
This application must be filled in by typewriter or ink and submitted to the Building Department with the tbllowing:
For new building or new use:
I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval £rom Health Dept. of water supply and sewerage-disposal (8-9 form).
3. Approval of electrical i~stallation from Board of Fire Underwriters.
Sworn statement from plumber eerti~ing that the solder used in system contains loss than 2/10 of 1% lead.
5. Comm,reial building, industrial building, multiple residences and similar buildings and installations, a cextificate
or"Code Compliance f~om 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 and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, attests, building and unusual natural or topographic
tbatm,es.
2. A properly completed application and consent to inspect signed by the applicant, if a Certl ficate of Occttpancy is
denied, the Building Inspector shall state the reasons ther~'or in writing to the applieanL
1. Certificate of Occupancy - New dwelling 525.00, Additions to dwelling $25.00, Alt~-ations to dwelling $25.00~
Swimming pool $25.00, Accessory building $25.00, Additions to aeeea~ty bundmg $25.00, Businesses $50.00
2. Certificate of Occupan~ on P~xisting Building - $100.00
3. Copy ofCeaifieate of O~upaney- $.25
4. Updated C¢ffificatc of Occupancy - $50.00
5. Tmnpo~U Ccaificatc of ~cup~cy - R~sidcnfial $15.00, Commcmial $15,00
New Construction:
l,ocation of Propcxty:
Date.
Old or Pre-existing Building: X
House No. Street
guffolk County Tax Map No 1000, Section 0 ~'~. ~ O Block
Subdivision
Permit No_ .~ ~ ~ ~ m
Health Dept. Ap~val:
Planning Beam Approval:
Ralu~st for: Tempom~
Fee Sub~tted: $-~..~
Filed Map.
o~ rei'mit.~ Applicant:
Underwriters Approval:
(cheek one)
Hamlet
(check one)
yAl[piica~'ignatu~ ~, ....-.. ~
Final Certificate:
Lot Od
Lei:
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building, Permit No. ~
(please print)
Date
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber's signature)
Sworn to before me this
~ffT~day of ~k$-;'
19~
Notary Public,
County
Notary Publ~
KAREN W. BOERGESSON
NOTARY PUBLIC, Slate of New York
NO. 4842l 80
Qualified In Suffolk
Co~mI,,Io~ ~x~,, ~/,S'~
Nassau Suffolk Electrical Inspections,Inc.
P.O. Box 549, Aquebogue, New York + 11931
Tel: 631-591-3097 Fax: 631-591-3098
Application: 3948-H Date: 7/21/09
Issued to: DiBartolo
Address: 225 Leeton Dr Introduced By:
Village: Southold License#: N/A
H/O
Residential [] Commercial
The following was examined and approved up to the above date and found to
be in compliance with the NEC:
Attic I~t Floor [] * 2nd Floor 3rd Floor Garage Conversion
Basement Hot Tub Addition [] Detached Garage Pool
Switches Receptacle Fixtures G.F.L Hood Smoke Detectors
8 4 3 I I
Fans Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Carbon Monoxide
I-Ex Bath I I I-Gas
Furnace Oil Gas Heat Zones Whirlpool Exit Signs
Limited lnsp. II Final Insp. Meter Amps Phase Motors
Otht:r Equipment: 4Ft Electric Baseboard, 16F~ Track I,ighting
Permitg:
Section:
059 Block: 01 Lot: 008
This certificate must not be altered in any manner
I o6~d
8IO:gO £00~'0~
Town Hall, $3095 Mai. Road
$outhold, New Yor~: 11971-0959
Fux (631) ?65-9502
Telephone (631) 765-1802
BUILDING DEPARTMF-~IT
TOWN OF SOUTIJIOLD
Jul), 25''~, 2007
Joseph DiBa~tolo
6445 2 Bay Club Drive
Ft. Lauderdale, I: 1. 3.~30
RE: 225 Leelon Dr. (alterations kitchen/bath)
SCTM # 59 1 8
Deux M.r. DiBartolo,
pie,use be advised that your Buildfl~g Permit ~ 17838 issued February 14th, 1989 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use office structure.
To renew your Building Permit, please submit a fee of $50.00; at flxat time we can
schedule an inspection by one of our Braiding Inspector .
If you have any ques!ions, please call us at 631-765-1802.
Resp¢ctthlly,
souTHOLD TOWN BUILDING DEPT.
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. 33297 Z Date AUGUST 8, 2007
Permission is hereby granted to:
JOSEPH D DIBARTOL
6445 2 BAY CLUB DR.
FORT LAUDERDALE,FL 33308
for :
REMODEL KITCHEN AND BATH AS APPLIED FOR. THIS PERMIT REPLACES
BP # 17838.
at premises located at 225 LEETON DR
County Tax Map No. 473889 Section 059 Block
pursuant to application dated AUGUST 1, 2007
Building Inspector to expire on FEBRUARY 8,
SOUTHOLD
0001 Lot NO. 008
and approved by the
2009.
Fee $ 50.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
017838 Z
Dote ...... ~ ....................
County Tox Map No. 1000 Section ..... .Q~-~ ........ Block ..... ..~..) .......... Lot No...~....~.. ................
pursuon, ,o opplicotion doted ...~.~~....L.~, ............. , ,0.~..~..,- ond opproved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN/~JLATION
[ ] FRAMING / STRAPPING [ ,~]~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION
REMA~ 0-..~2
DATE ~/~///7~7 INSPECTOR /J
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ]FINAL
REMARKS:
DATE
INSPECTO~
FOUNDATION
(lst)
FOU~DATION
2.
(2nd)
ROUGH FRAME &
-PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONA'L COMMENTS:
3 SETS OF PLANS .......
FORM NO. I SURVEY ..........
TOWN OF SOUTHOLD CHECK ..... ~'f-...
BUILDING DEPARTMENT SEPTIC FORM ............. :
TOWN HALL
NOTIFY
$OUTHOLD, N.Y. 11971
TEL.: 765-1803 CALL ................
MAIL TO:
Examined .'~~1. ~., 19 ~.~ i/~)~
Approved .~. ~q'C'~.~ J.~., 19.~. Permit No. [ ~'~.~.~.~ .
Disapproved a/c ..................................... /~ : ~
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .... ~P~[99[Y.P ..... 19P~.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department 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 agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
·..89n..~.o.r.i.z.z.q .~.u.~.~.d.e.r.,..!~¢, ..................
(Signature of applicant, or name, if a corporation)
...v. :9-. ?.o.~ .7. s. 9. ,..S.q~.~.h.¢.O.; y..y.:..~.?. ~. ........
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General Contractor
Name of owner of premises ...... ~qs. gph' .D. J~B.a.r.'~Q],Q .~ .yj,~,Q .I~ole~ .......................................
(as on the tax roll or latest deed)
If ap~nt isda/fi)orpora~ion, signatu,re, e,e,e,e,e,e?~)f duly authorized officer.
..........
(Name a~/d t/file of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No ..... ~V.V.~-:HI ..............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
I. Location of land on which proposed work will be done ..................................................
475 Leeton Drive, Southold
House Number Street Hamlet
County Tax Map No. 1000 Section . . .Q5.9. ............ Block ...~ .............. Lot ..... 8. .............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .... O.r;e..(.a.m.i. 1.~ .d.w.e. 1.1. J,.n.q ..............................................
b. Intended use a.d occupancy .... ?.?..f.~..i.~¥..~?.~.~.~ .~? .............................................
3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .X .........
Repair .............. Removal .............. Demolition .............. Other Work ...............
(Description)
4. Estimated Cost ....... .1.0.,.0.0.0 ......................... Fee ......................................
' (to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage, number of cars ........................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .... : .................
7. Dimensions 0{existing structures, if any: Front ............... Rear .............. Depth ...............
Height ...: ........... Number of Stories .................................. ' ......................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height ...................... Number of Stories ......................
-8. Dimensions of entire new construction: Front .......... ..... Rear ............... Depth ...............
Height .. ;':.. ........ '.. Numb?r of Stories ........................................................
9. Size ofl.qt: Fr6nt .. ::'. ................. Rear ...................... Depth ......................
10. Date of Purchase ............................. Name of Former Owner .............................
1 1. Zone or use district in which premises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .................... Address ................... Phone No ................
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor ...R. qn..IV[qr.i.z.z.q .B.u.i.l.d.e.r.,..i.n?Address . .Sp.u/t.h.o.l.d. ......... Phone No. 765-5772
15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .....
*If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
Remodeling of kitchen and bathroom
STATE OF NEW YORK, S.S
COUNTY OF .................
................................................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
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 tree 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.
Sworn to before me this
.... /~ .day of.../'fT.~.. ., 19..J"'~
HELEN lC DEVOE .......... f/ ---''- '" ......
NOTARY PUBLIC;, State,of New York ~,/L,/ (Signature of applicant)
No. 4707878, Surf0 k County~,o
Term £xDit*s Match 30. l,q Z~ ,7