HomeMy WebLinkAbout36025-ZTown of Southold Annex
54375 Main Road
Southoid, New York 11971
CERTIFICATE OF OCCUPANCY
4/1/2011
No: 34878
Date: 4/1/2011
THIS CERTIFIES that the building ALTERATION
Location of Property:
SCTM #: 473889
Subdivision:
155 Caiola Ct, Greenpon, NY 11944,
Sec/Block/Lot: 33.-3-19.16
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
Lot No.
filed in this officed dated
11/4/2010 pursuant to which Building Permit No. 36025 dated 11/16/2010
was issued, and conforms to all of thc requirements of the applicable provisions of the law. Thc occupancy for
wl~ch this certificate is issued is:
closet altered to bathroom on second floor of an existing one family dwelling as applied for.
The certificate is issued to
Lettied, Bernice
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED Joe Whitecavage
36025 3/11/11
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. 36025 Z Date NOVEMBER 16, 2010
Permission is hereby granted to:
for :
CONVERSION OF CLOSET TO
A & B LETTIERI
155 CAIOLA CT
GREENPORT,NY 11944
2ND FLOOR BATHROOM AS APPLIED FOR
at premises located at 155 CAIOLA CT
County Tax Map No. 473889 Section 033
pursuant to application dated NOVEMBER
Building Inspector to expire on MAY
GREENPORT
Block 0003 Lot No. 019.016
4, 2010 ~knd approved by the
16, 2012.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN 01: ~()IiTII()I .I)
IH II,I)IN(; I)I,:PAI(TM ENT
I O¥~ ?,. II,MA,
765-1802
Alqq,I('ATI()N I:O1{ CIG,H'IFI('A'I'I'i OF' O('('UI)AN('Y
Ihi.s upplicalion mu,-,t bc filled in b?' b'l)CXx tiler ot ink ami subnlit~cd u,* thc lluflding Dci)artmcnl xx itl~ tl~c lbltox,, ing:
A. I,'c,r ne*,'~ Imihling or ilex,,' use:
J.mal survey of propel~y xvid~ accul'alc k,cation or' all buildings, properly Jmes. slrccls, and ulmsuaJ nalut'aJ or
topogral)hic Icaturcs.
2 ]:inal Aplwox.al I'rom llcahh Dept. o['watcr supply and sewerage-disposal (5 t) tbl'ln)
Aplwoxal ol'clcclricaJ installation frolll Board of J:irc [ hldcrwrilcrs.
5x~ ol-n stalclncnl froln pJttnlbcr cerlifymg thai thc solder used in system conlains lc*ss Ihilll 210 ol~ ](~o Icad
('ollllllcrcial building, indusmal buildm~ l/ItllliplC l'csidcilccs and similar buildings and insl:dhdlons, a cc]tificalc
o f ('ode Compliance J'rom architccl oi cnginccr responsible l~)l' thc buildi nB.
6 ~LLbmit Plannin~ Boaid Apl)l'OVal o('compJcted site plan l'CqLlll'OmCllIS
I, or existing buildings (i)rior ~:, ..\in'il 9, 1957) non-conforming uses, or buildings and "pre-cxi~ling" land uses:
1 .r~CC[JI'alC SU['X cy {~1' properly showing aH property lines, stt-~eJs, building and ummual nalura[ or mpogrnphic
..~ i~l'opcrl~ conlpJcLg~J application [ll/d COllSC[l[ 1o tllSl)CC( si~ncd by thc aj)pJicanl, ifa ('ClliJ]crlIC oJ'( )CCLll)itllC}' is
dCltiCtL lilt Jgt[iJding Inspcclor shall stale lJlc l'casons Ihcl'cl~)r hi writing 1o Ibc aj)l~Jicanl
(.
Ccrtificalc c,f()ccupancy Nc,,',' dwelling $50.(k}, Additiot]s lo dwelling $50.00, Ahcratic, ns lc, dwelling
%',vinuning pool ~St) 00, Acccssol} building S50.00, :\ddilions to accessory buildhl7 5;5 0. l/tmincsscs Sq .
~ ('cllil}calc OI'()CCUI>iLllCy oil PlC-CxiMing Building - $I0(L00
q I'cmpomrx ('Cl'lil]c:dc ot'()ccupancy - RcsMcmial $J5,00. Commercial $1~ O0
J I~lnllcl
%J. lJlblk ('ounty l'ax Map No I000, geclion "3 '~ Block ..3 I ol
lq.
Siuhd/vision
Pcrmil No. "~ ~' ~ ~ ~ Date of Permit.
I lcalth [)cpi. Approvah ~4,'/'~/~-
I'ilcd Map. loJ:
Applicant:
Llmlclwlilcrs Approval: ..~_p'~ ~'St.-~. _
I:inal ('cllificale: J (check one)
,\l)phcmll 5;i ,ndlulL
Town Hall Annex
54375 Main Road
P.O. Box l 179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
ro.qer, richert~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Andrew Lettieri
Address: 155 Caiola Ct City: Greenport St: NY Zip: 11944
Building Permit#: 36025 Section: 33 Block: 3 Lot: 19,,16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Ice Electric License No: 4586-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Corn merical Outdoor 1st Floor Poor
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 1-exhaust fan
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures ~.~ Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixture ~.~ Pumps
Emergency Fixtures[~I Time Clocks
Exit Fixtures [~ TVSS
Inspector Signature:
Date: March 11 2011
81-Cert Electrical Compliance Form
Town Hall Annex
54375 Main Road
P.O. Box 1179
· Southold. New York 11971-0959
Telephot~e (631) 7654~02
Fax (631 ) 765-9502
BUILDIN~ DBPART/vIF_.lXlT
TOWN O~ 80UTI~OLr~
CERTIFICATION
~uildm Permit Po, ~Cc~-
(Please print)
Plumber.'~o¢ <,Ytn' ¢~F~,c/ 9
(Please prim))
Date:
I certify that the solder used in the water supply system contains less.than 2/10 of 1%
lead.
Sworn to begore me this ~
,
day
/ (Plumbers 8~nature) . .
Notary Public,
County
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
RLECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
ARKS:
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
I NSPECTI I I N
[ ] FOUNDATION 1ST [,~"~ROUGH PLBG.
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] INSULATION
[ - ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: /~-~_ ~-~/~~ ~.~!~.
DATE INSPECTOR
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
[ ] ELECTRICAL (ROUGH) [~],,~ELECTRICAL (FINAL)
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS~LATION
[ ] FRAMING / STRAPPING [~]~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] n~E RF..mT,~n'C0.STR~'~[ ~ n~ RES~sT~n'
REMARKS: ~
DATE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined
Approved
Disapproved a/c
It/l, , 204_0_
Expiration
NOV 4
BLDG DEPI. ,,
,ERMITfl~9O,~ S0!nH0tt~ ~¢Otl~
LDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey ,~
Check -~[~) .
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
/(TX___:
( Building Inspector
Phone:
APPLICATION FOR BUILDING PERMIT
Date //~' ~,/'~ /O ,20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
~s 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 waterways.
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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized bas not commenced within 12 months after the date of
issuance or has not been completed within 18 months t?om such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department lbr 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, tbr 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 necessm'y inspections.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises /q~,)~eft~' ~ I~=~--/V/C~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Ma~ No. 1000 Section ~933 Block O ~ Lot O
Subdivision 15,.oCY--- C'_,)~L. ~_&-f~"~5, Filed Map No. /0ff-q9 Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~d~'~27~
b. intended use and occupancy
Nature of work (check which applicable): New Building_
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration
Other Work
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height. Number of Stories
Rear _Depth
Dimensions of same structure with alterations or additions: Front
Depth. Height Number of Stories
Rear
8, Dimensions ofentire new construction: Front ,a>'/,.~ Rear
Height Number of Stories
Depth
9. Sizeoflot: Front Rear Depth
10. Date of Purchase
Name of Former Owner /,*./d'-~,, C~'~.,a-/r '
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO /
l 3. Will lot be re-graded? YES __ NO /~Will excess fill be removed from premises? YES __ NO
14. Names of Owner o,fpremises ~/.4'/'-7"//~,q /
Nameof~ /L o ~ z¢/I/~/~,~
Name of Contractor
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __ NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO__
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
Address & -*,-~-,* W*,o,,F Phone No.
Address'a~/~.~'~ '~'~' Phone No
Address / Phone No.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO__
· IF YES, PROVIDE A COPY.
CONNIE D. BUNCH
STATE OF NEW YORK) Nota~ Publ~, 8l~te of ~ Yo~
SS: No. 01 BU6185050
County
COUNTY
duly SWOl , deposes says that (s)he is the p¢icant
j [Name of individual signing contract) above named,
(S)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 thig
~tq day
Notary Publi~ ~ -' N
20 IO
~Signatur~nt
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMEN~TD ~
TOWN OF SOUTHO
Bernice Lettieri
275 Cheshire Way
Naples, Florida 34110-4410
RE: 155 Caiola Court, Oreenport
TWO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy: ~
~ Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
~ A f~ of :C,.C,C,.~-~-''
Final Health Department Approval.
__ Plumbers Solder Certificate. (All permits involving plumbing after ,I/1/84)
__ Trustees Certificate of Compliance. (Town Trustees #765-1892)
__ Final Planning Board Approval.
__ Final Fire Inspection from Fire Marshall.
__ Final Landmark Preservation approval.
BUILDING PERMIT: 36025-Z alteration
'o
APPROVEDA$ JCTED
2 3 1 1/4
3
FEE: ,~/;~ BY ,/~ ~
NOTIF f BUILDING DEIJARTMENT AT
765-1(~)2 8AM TO 4 PM FOR THE
FOLL( ,WING INSPECTIONS:
1. FO NDATION - TWO REQUIRED
FO , POURED CONCRETE
2. RO~ ICH- FRAMING, PLUMBING,
ST) APPING, ELECTRICAL & CAULKING
3. INS
4 FIN
MU:
ALL C¢
P~QUI
YORK:
DEc, lC!
UN[
LAllON
kL - CONSTRUCTION & ELECTRICAL
;T BE COMPLETE FOR C.C.
NSTRUCTK)N SHALL MEET THE
~EMEN '$ OF THE CODES OF NEVi/
;T~TE NOT RESPONSIBLE FOR
OF' C?ISTRUCTION ERRORS. -
ERWRITERS CERTIFICATE
PLtJMBING
ALL PLUMBING WASTE
& WATER LINES NEED
TESTING BEFORE COVERING
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED IN WA TER ~-~ ~ ,~,~ .~
SUPPLY SYSTEM CANNOT
EXCEED 2/10 OF 1% LEAD.
TO THE BEST OF MY KNOWLEDGE, BELIEF AND
THESE PLANS ARE IN COMPUANCE WITH THE NEW YORK S
PI~c~F1ESS~~ O DE
HOUSE
TRAP
~J 3"
TO EXISTING
SEPTIC SYSTEM
~_?_~_BERT O'BRIEN P.E.