HomeMy WebLinkAbout47611-Z Town of Southold
�o� ooh 4/22/2022
P.O.Box 1179
o - 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43006 Date: 4/22/2022
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 805 Bridge St.,Greenport
SCTM#: 473889 Sec/Block/Lot: 34.-3-55
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/20/2018 pursuant to which Building Permit No. 47611 dated 3/28/2022
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"window and door replacements to existing single-family dwelling as applied for.
The certificate is issued to Breglia,Patrick
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
All
Authorized Signature
�o�sUFF~oto` TOWN OF SOUTHOLD
Gy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
y . SOUTHOLD, NY
Bio a-�s
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#: 47611 Date: 3/28/2022
Permission is hereby granted to:
Breglia, Patrick
PO BOX 274
Laurel, NY 11948
To: Legalize "as built" window and door replacements to existing single-family dwelling as
applied for. Replaces BP# 43356.
At premises located at:
805 Bridge St., Greenport
SCTM #473889
Sec/Block/Lot# 34.-3-55
Pursuant to application dated 3/28/2022 and approved by the Building Inspector.
To expire on 9/27/2023.
Fees:
PERMIT RENEWAL $225.00
Total: $225.00
Building Inspector
TOWN OF SOUTHOLD
�5UfF0(,p-�oG
BUILDING DEPARTMENT
y` TOWN CLERK'S OFFICE
SOUTHOLD, NY
jp
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#: 43356 Date: 12/27/2018
Permission is hereby granted to:
Breglia, Patrick
PO BOX 274
Laurel, NY 11948
To: legalize "as built" window and door replacements to existing single-family dwelling as
applied for.
At premises located at:
805 Bridge St, Greenport
SCTM # 473889
Sec/Block/Lot# 34.-3-55
Pursuant to application dated 12/20/2018 and approved by the Building Inspector.
To expire on 6/27/2020.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: $450.00
Bui dingnspector
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 Old or Pre-existing Building:
(check one)
g
Location of Pro
perty'y p �(: cif • P.eyl 'f
House No. Stre t Hamlet
Owner or Owners of Property-,
Suffolk County Tax Map No 1000, Section Block 3 Lot 55
Subdivision Filed Map. Lot:
Permit No. "J ✓ Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: ,/
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ V
V
Applicant Signature
pF SOUIyO�
�l` # TOWN OF SOUTHOLD BUILDING DEPT.
�yco 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [- ]:INSULATION/CAULKING
[ ] FRAMING /STRAPPING Dq FINAL
[ ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]
-FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: G Gor-0
DATE —ZZ INSPECTOR f
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (IST)
-------------------------------------
'FOUNDATION
---------------------------------'FOUNDATION(2ND)
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0
40
ROUGH FRAMING&
PLUMBING y
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INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
ADD ION COMMENTS
VAL .�k� lo- c
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval.
FAX: (631) 765-9502 �� Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
fContact: /
Approved L 20% Mail to:�
Disapproved a/c \ ,513 P/ A. IBJ( $q
v Phone:
Expiration 20
XV
r(-�_rUNT
D � D BuVhg I spector
LICATION FOR BUILDING PERMIT
DEC 2 0 2018 �+
Date , 20
INSTRUCTIONS
RMDZ DEI'I
a.Tl * npletely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plansTOM, NP,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 has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from 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 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.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises oy-{ i G h � r Q
(As 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.
1. Locati n of land on which roposed work will be done:
� 6 � 3a S� GCg&A 00 P4 I I5�q
House Number StrectQ IHamlet f�
County Tax Map No. 1000 Section Block � Lot � v
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ft /
b. Intended use and occupai�)nc {il�n�p�u �?,fp t YIVI(�l(�2U1 G)i� UAL E09( j7_(
�e1b-weu�l7an f 3O >< go
3. Nature of work(check which applicable): New Building Addition Alteration
Repair t/ Removal Demolition Other Work
4. Estimated Cost Fee (Description)
37
(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 of 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 Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO
14.Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X
* 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.
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.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the CONNIE D.BUNCH
r.otar�public,Stgtp of Note York
(Contractor,Agent,Corporate Officer,etc.) No.01 BU6185050
ulief,
ed in Suffolk County .
of said owner or owners,and is duly authorized to perform or have performed thegaai r �yji 4,file this application;
that all statements contained in this application are true to the best of his knowled a an`"c� and that the work will be
performed in the manner set forth in the application filed therewith.
Swo to before me is j
day o 20 1
a ro-p
74e2—
Notary Public Signature of Applicant
Ants®acts OCCUPANCY OR
"aumaval USE IS UNLAWFUL
P.O. Box 105460 I Atlanta, Georgia 3034bUT CERTIFICATE
Vendor Job Details OF OCCUPANCY
7191916795 Work Item Type: Contract Order Work Item#: W1303107 Status:Accepted Priority: Normal Order
y..-=- 37
805,Bridge St,
GREENPORT,NY,
11944
Property Info Work Item Information Vendor Details
Property Type: SINGLE-FAMILY WI Issued Date: 11/28/2018 04:28 AM Vendor ID:100143580
Product Code: PFC Vendor Response Date: 11/28/2018 11:30 PM Vendor Name :Dakota Property Preservation&
Occupancy Status: Vacant Vendor Resolution Date: 12/31/2018 11:30 PM Home Improvement LL
No.of Units: 1 Completion Time : 7 Days 0 Hrs Address :54 Blackpine Dr.,MEDFORD,
NY,11763
Gate Code: Vendor Price: 373.71
Access Code: 6795 Unit: Unit-1
Lock Location: Front entry-side of Unit Description
house
Special Instructions: The vendor must complete this Contract Order in accordance with the approved scope of work.Work must be completed before
the assigned due date and all work must meet local codes.
Submit"Before","During"and"After"photos of the completed work,an Address Verification Photo Package and ensure photos
have camera generated date/time stamps.Tape measurement photos are required for all Line Items that have a Unit of
Measure of Square Feet(Sq Ft),Linear Feet(LF),Cubic Yards(CY)or United Inches(UI).
Work Item Status: Accepted Sub Contractor: Estimated Completion Time: 7 Days 0 Hrs
Remarks:
Line Item Information
�aCategoryName nx , LtilsItemName � �* usPdceType " LIT e,k 'UQMx r4uan Cost`PeQ TotalPdcer_n
r
.�,
;Doors/Windows Window Repair Non Standard Repair Each 1 373.71 373.71
APPROVED AS NOTED
DATE: ffB
.P:
FEE: Y:
NOTIFY BUILDING DEPART AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO REQUIRED
COMPLY WITH ALL CODES OF FOR POURED CONCRETE
NEW YORK STATE & TOWN CODES 2. ROUGH - FRAMING & PLUMBING
AS REQUIRED AND CONDITIONS OF 3. INSULATION
4. FINAL - CONSTRUCTION MUST
�9_� BE COMPLETE FOR C.O.
aini DI ep �p ALL CONSTRUCTION SHALL MEET THE
06EMENTS OF THE CODES OF NEW
tatffmotb To $ TYSK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
i
Attlsouril:e
P.O. Box 105460 1 Atlanta, Georgia 30348-5460
Vendor Job Details
7191916795 Work Item Type: Contract Order Work Item#: W1302336 Status:Closed Priority: Normal Order
86
805,Bridge St,
GREENPORT,NY,
11944
Property Info Work Item Information Vendor Details
Property Type: SINGLE-FAMILY WI Issued.Date: 11/28/2018 04:11 AM Vendor ID:100143580
Product Code: PFC Vendor Response Date: 11/28/2018 11:30 PM Vendor Name :Dakota Property Preservation&
Occupancy Status: Vacant Vendor Resolution Date1 31/2018:1):30 PM Home Improvement LL
No.of Units: 1 Completion Time : 7 Days 0 Hrs Address :54 Blackpine Dr.,MEDFORD,
NY,11763
Gate Code: Vendor Price: 357.79
Access Code: 6795 Unit: Unit-1
Lock Location: Front entry-side of Unit Description
house
Special Instructions: The vendor must complete this Contract Order in accordance with the approved scope of work.Work must be completed before
the assigned due date and all work must meet local codes.
Submit"Before","During"and"After"photos of the completed work,an Address Verification Photo Package and ensure photos
have camera generated date/time stamps.Tape measurement photos are required for all Line Items that have a Unit of
Measure of Square Feet(Sq Ft),Linear Feet(LF),Cubic Yards(CY)or United Inches(UI).
Work Item Status: Closed Sub Contractor: Estimated Completion Time: 7 Days 0 Hrs
Remarks:
Lin„e�Item Information
p 51
y
GategorylName ;: „Une�teln Name Pricx Type n Lt�Type UOM_ bQuan4fy Cost PeriQ yTotal Pr(ce�
Doors I Windows Exterior Door Repair Non Standard Repair Each 1 357.79 357.79
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