HomeMy WebLinkAbout43757-Z 5�1FFOj,��a � Town of Southold 8/12/2020
P.O.Box 1179
z 53095 Main Rd
Southold,New York 11971
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CERTIFICATE .OF OCCUPANCY
No: 41346 Date: 8/12/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 195 Brown St., Greenport
SCTM#: 473889 Sec/Block/Lot: 48.-3-25.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/2/2019 pursuant to which Building Permit No. 43757 dated 5/16/2019
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:
"as built"partially finished basement(recreation room and bathroom)as applied for.
The certificate is issued to Villareal,Dolores
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43757 6/22/2020
PLUMBERS CERTIFICATION DATED Saladonio Villareal n 1&42014
41 Au 1 ature
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 43757 Date: 5/16/2019
Permission is hereby granted to:
Villareal, Dolores
806 Linnett St
Greenport, NY 11944
To: ,AS BUILT" BATHROOM IN BASEMENT PER APPROVED PLANS AS APPLIED FOR.
REPLACES EXPIRED BP # 38556
At premises located at:
195 Brown St., Greenport
SCTM # 473889
Sec/Block/Lot# 48.-3-25.1
Pursuant to application dated 5/2/2019 and approved by the Building Inspector.
To expire on 11/14/2020.
Fees:
PERMIT RENEWAL $100.00
ELECTRIC $225.00
Total: $325.00
��uildQlnspec
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 38556 Date: 12/10/2013
Permission is hereby granted to:
Villareal, Dolores
806 Linnett St
Greenport, NY 11944
To: ,AS BUILT" BATHROOM IN BASEMENT PER APPROVED PLANS AS APPLIED FOR.
REPLACES EXPIRED BP # 34944
r
At premises located at:
195 Brown St, Greenport
SCTM # 473889
Sec/Block/Lot# 48.-3-25.1
Pursuant to application dated 12/10/2013 and approved by the Building Inspector.
To expire on 6/11/2015.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $100.00
CERTIFI OCCUPANCY $50.00
T tal: $150.00
Building Inspector
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. 34944 Z Date AUGUST 18, 2009
Permission is hereby granted to:
DOLORES VILLAREAL
806 LINNETT ST
GREENPORT,NY 11944
for
AS BUILT BATHROOM IN BASEMENT PER APPROVED PLANS AS APPLIED FOR
at premises located at 195 BROWN ST GREENPORT
County Tax Map No. 473889 Section 048 Block 0003 Lot No. 025 . 001
pursuant to application dated AUGUST 17, 2009 and approved by the
Building Inspector to expire on FEBRUARY 18, 2011.
Fee $ 400 . 00
Authorized Signature
COPY
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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. Commercial 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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,Commercial$15.00
Date.
New Construction: ) Oldd or Pre-existing Building: (check one)5-
Location of Property: l ��J1 V M41J-t- 6 y0--j
House No. / /Street Hamlet
Owner or Owners of Property: hb!d r�S V/ l ICA-re-el
Suffolk County Tax Map No 1000, Section Z71O Block 3 Lot
Subdivision , lFiled Map. Lot:
Permit No. `Z 3 ?5^ Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
oF sovey®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q sean.devlin(a)-town.Southold.n
Southold,NY 11971-0959 .�° • y® y'us
COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To, Dolores Villareal
Address: 195 Brown St city:Greenport st: NY zip: 11944
Building Permit#. 43757 section: 4$ Block: 3 Lot- 25.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 17 Ceiling Fixtures Bath Exhaust Fan 1
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 4 Smoke Detectors 2
Main Panel A/C Condenser Single Recpt Recessed Fixtures 21 CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 1
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches $ 4'LED Exit Fixtures Pump
Other Equipment: 20A GFCI Breaker-1, 15A ARC- 2
Notes. " AS BUILT " " NO VISUAL DEFECTS " Basement
Inspector Signature: Date: June 22, 2020
S. Devlin-Cert Electrical Compliance Form As
O��pF SO(/l�o - -
Town Hall Annex
Telephone(631)765-180
54375 Main Road
P.O_Box 1179 Fax(63 I)765-9502
G Q
Southold,New York 11971-0959
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BUILDING DEPARTMENT -
TOWN OF SOUTHOLD -
CERTIFICATION
Date:
Building Permit No. 3��
Owner:04•%O Z�5 19
(Please print)
Plumber:
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
bers Signature)
Sworn to before me this G4-�
day o<� 20ILf CONNIE D.BUNCH
Notary Public,State of New York,
No. BUt31
`r` \ Qualifed In es Alk County unty
Commlaslon Expires April 14,2
Notary Public, County r
SOF SO(/j�,
cOUHiV,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH�PL�SG.-
[ ]
FOUNDATION 2ND, [ ] INSU TfO- N
[ ]
FRAMING / STRAPPING [ INIAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: �
zi&I
s -
DATE /s f ( INSPECTOR
# # TOWN "OF SOUTHOLD BUILDING-DEPT.
°�ycouxn ''� 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ �] ,SULATIOWCAULKING'
[ ] FRAMING/STRAPPING [ ] FINAL
"[ ] FIREPLACE & CHIMNEY " [ ]" FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]. FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRrE" C/O
REMARKS:REMARKS:
�OcAos,\ D
3 � P-411 -6
DATE INSPECTOR
o�alaF SOUTHp 1 f 7.5 7 12— �r��N �T
# * TOWN OF SOUTHOLD-BUILDING DEPT.
• �VA 4 q�
All rm,�F'' 765-1802
INSPECTION[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL).4sl3wGy-
[ ] CODE VIOLATION [ ] PRE C/O +s9m
REMARKS:
9
DATE INSPECTOR
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ROUGH 11
PLUAMING
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1INSULATION
STATE ENERGY CODE
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SY.r�O�uf FOL D,: BUILDING DEPARTMENT- Electr cal Inspector ;
TOWN OF SOUTHOL6 r
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Town Hall Annex- 54375 Main Road - PO" 111 '92020+"
o rN Southold, New York 11971-0959 f
Telephone (631) 765-1802 - FAX (631)*765=9502-
rogerra-southoldtownny.gov — seandp_ y•-qovsoutholdtownn
``'r•<��,=ter ,
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Requlred) Date:
Company Name: l
Name:
License No.: email:
Address. Sc, / a
Phone No.: } —
JOB SITE INFORMATION (All Information Required)
Name: 'OLD Vb 11 C
�5 Address: r
Cross Street: -tw
Phone No.:
Bldg.Permit#:_ `� �� ` email:
Tax Map District: 1000 Section: `1 --�— Block: 3 Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) bt l i_ L-eor�tG f:b[-"-
Circle All That Apply:
Is job ready for inspection?- YE / NO Rough In Final
Do you need a Temp Certificate?: YE / NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect - Service Reconnected - Underground - Overhead
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
?t,6A� CA-L_L. f5DL bNSIE�---CT]flNi
Request for Inspection Form.xls
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PERMIT# Address:
Switches
Outlets
GFI's I
Surface
Sconces l I
H H's
rl
UC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes I DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special:
Comments ��
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OCCUPANCY OR
APPROVED AS NOTED
DATES 1 B.P.#� 7� USE IS UNLA\NFUL
!. FEE: z/00. BY: \jVITHOUT CERTIFICATE
� NOTIFY BUILDING DEPARTMENT AT � OCCUPANCY
8 AM TO 4 PM FOR THE
z11 UE°Jr ! FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
�i FOR POURED CONCRETE G CERTIFICATION OF
t, 2. ROUGH - FRAMING & PLUMBING -,,NAILING & CONNECTIONS;
j 3. INSULATION t 1REQUIFiED a
-4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OFTI COU-saO�4Z ,
YORK STATE, NOT RE�PONSIB '-�
UP DESIGN OR CONSTRUG'TION ERRORS.
HW ' M►�vs�rP,�ri Fs9�"6u� �vPs ' �¢#
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ALL CONSTRUCTION SHALL
T
3z'a IVIEETTHE REQUIREM
CODES OF NEW YORK CS THE
STATE.
'LLAV.
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E - ATMACTIO§'< >=-AN 70' 0s�71rZtib- <<�_
_ PIU ER. ER.TJ,, -ION-
=ON LEAD;CO 1 ' N ,BEFORE
CERTIFICAtt OI OC'CI.I !kCY
= S0L1)ER,USED1N WATER
- - - - -- a=SUPP`LYSYSTEM'CANNOT
EXCEED 2,110 OF 1% LEAD_,.},.-
Project: Villareal Residence DWG NO C—zROB
722 Brown St, Greenport, NY 11944-1716 REV NO � Co o•.e,���,f
Robert 0 Barratt Pre-existing modifications prior t® 1/24/2006 _
Professional Engineer4
®RAWN 9Y rc�
4295 Vanston Rd i
i'
CutcFeo ue These plans are an instrument of the service and are the property of the design professional whose CHECKED _ :Y„�i`yy � 2
g seal is affixed hereto. Infringements will be prosecuted to the fullest extent of the law. Contractor _ 081866
shall [�O
NY 11935
verify all field conditions and dimensions and be solely responsible for field fit. The design i�
SCALEPhone 631 8750275 professional assumes no liability for omissions due to unknown or unforeseen field conditions and 1'
Fax 631 7342730 or additions based upon comments not formally acknowledged as revisions to these plans.