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Home My WebLink About47682-Z sfFOLr Town of Southold 5/18/2022 ao Gym P.O.Box 1179 N FYI x 53095 Main Rd W�yjjOd �ap�� i Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43087 Date: 5/18/2022 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 175 Birch Rd, Southold SCTM#: 473889 Sec/Block/Lot: 59.-2-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/15/2022 pursuant to which Building Permit No. 47682 dated 4/15/2022 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 replacements and HVAC unit to existing single family dwelling as aapplied for. The certificate is issued to Araoz,Nadine&Beuka,Robert of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47682 5/11/2022 PLUMBERS CERTIFICATION DATED n �\ v-\ \\44v\�r- � - E Au or zed i nature �o�So�fat,��o TOWN OF SOUTHOLD BUILDING DEPARTMENT z 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#: 47682 Date: 4/15/2022 Permission is hereby granted to: Araoz, Nadine 204 Warner Rd Huntington, NY 11743 To: Legalize as-built window replacements and HVAC unit at existing single family dwelling as applied for. Additional certification may be required. At premises located at: 175 Birch Rd, Southold SCTM #473889 Sec/Block/Lot# 59.-2-27 Pursuant to application dated 4/15/2022 and approved by the Building Inspector. To expire on 10/15/2023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector OF SOUrgol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlin(-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Nadine Araoz Address: 175 Birch Rd City:Southold St: NY zip: 11971 Building Permit#: 476$2 Section: 59 Block: 2 Lot: 27 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Home Owner License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " HVAC Inspector Signature: Date: May 11, 2022 S.Devlin-Cert Electrical Compliance Form u VL QjF SO(/lyo — - - — # # TOWN OF SOUTHOLD BUILDING DEPT. °ycouNr+��'' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] NSULATION/C�AULKaC,.,- ING ] FRAMING /STRAPPING [ FINAL LJltx16 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE 'Y . 'Yv INSPECTOR S0UTyolo �-7 7 # # TOWN-OF SOUTHOLD BUILDING DEPT. �o • ao �y000am, ' 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) [ ] CODE VIOLATION ' ] PRE C/O REMARKS:- 'situnr-- m ej VrV s-&M eon All no Scki O . DATE Z INSPECTOR a*p—ghO�a5i SOGlyO6 �' # # TOWN OF SOUTHOLD BUILDING DEPT. ' co 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) KJj) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ]' PRE C/O REMARKS: !til /4 '� DATE S INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) C ------------------------------------- FOUNDATION (2ND) cwE M z y l � ROUGH FRAMING& v 7 PLUMBING vJ� O � INSULATION PER N.Y. S y STATE ENERGY CODE 1 %qv FINAL ADDITIONAL COMMENTS 1 'S-7a NZ �m O � 1 •y 0 z x H x d b H ��oSSufFo�,r�vGy TOWN OF SOUTHOLD—BUILDING DEPARTMENT ti Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy�o ao�� Telephone,(631) 765-1802 5 Fax(.631_) 765-9502:.https://www..southoldtowm.goy Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ® PERMIT NO. �O BuildingInspector:p APR 1 5 2022 .Applications and forms must.be filled out in their entirety. Incomplete gam . EPT applications will not be accepted. Where the Applicant is not.the_owner,an., : , ` TOWN OF 30DTHOLD Owners Authorization form(Page 2)shall.be'c6mpleted. Date: Li 1 S 2 OWNERS)OF-PROPERTY:' Name: Z�n� P oz aw.ASCTM#1000- Project Address: Phone#: �3 6_��o Email Mailing Address: 20� Wax.h�,W-moo-6 -___1�v,�_n .— CONTACT PERSON: Name: N 4%,e— 01rA_0_2 Mailing Address: li Phone#: Email: DESIGN PROFESSION AL-INFO ' Name: a Mailing Address: Phone#: Email: CONTRACTOR'INF,ORMATION: _ , Name: N Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED.CONSTRUCTION.' , ❑N Structure ❑Addition ❑Ateration ❑Repair ❑Demolition Estimated Cost of Project: Other 60- /J)hOk9 A-C 6(111& $ Will the lot be re-graded? ❑Yes 2No Will excess fill be removed from premises? ❑Yes 0'No It-h -66"laU*eAlf a 1 i PROPERTY INFORMATION ng use property: `- Existing of pr ` � q� Intended of property: v - ---- P ub - - use - - -- e S-o fry - Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes �?No IF YES, PROVIDE A COPY. _ 0 Check Box After Reading:.The.owner/contractor/design professional is responsible for all drainage and storm water issues asprovided by' Chapter 236 of the Town Code.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,alterations or for removal or demolition as herein described.The applicant agrees to comply with altappliceble laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessa yjnspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. - I - I Application Submitted By(print name):�� `� i []Authorized Agent Owner Signature of Applicant:~R Date: `l,�s�ZZ. STATE OF NEW YORK) CONNIE D.BUNCH SS: Nota�ry Public,State of New York , { COUNTY OF ) No.01'BU6185050' ' Qualified in Suffolk County,//\\ Commission Expires, being duly sworn, deposes.arid says that(s)he is the applicant (Name of individua('sighing cohtract)_aboVe`named, I (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 true to the best of his/her knowledge and belief; and that the work will be perforrriedin the manner set'fo'rth-in"the�application'filer thefe: ith.•- s Sworn before me this"'l _. « • _ ,, I � day of � � 20 o(61 Y1 Notary Public I PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at do hereby authorize to apply on I my behalf to the Town of Southold Building Department for approval as described heIrein. Owner's Signature Date Print Owner's Name z II k .r SVFFQ[�. BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD C* $ Town Hall Annex - 54375 Main Road - PO Box 1179 co '►� Southold, New York 11971-0959 o-A Telephone (631) 765-1802 - FAX (631) 765-9502 ro�(aD-southoldtownny.gov -- seand(ab-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: �L Company Name: u Q Y?C O cv-,,i I✓r Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: kc 'we 14rao,>— — .9e r'-k6L Address: �� j 12-C/ s (IC-1446 Cross Street: toePacid Phone No.: (.— 967- BIdg.Permit#: email: n q, 'V1CtJ F6?02- 0 &h(0, , Tax Map District: 1000 Section: Block: - Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Co -4— 6--I'YLa-k Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ONO 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 Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION V /80 qlv� i PERMIT# Address: Switches Outlets G FI's Surface Sconces H H's LIC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer i AC 1 AH Mini Special: Comments. V WESL �ND ROAD J � i — -- N.14 4q'40 E 2L O LC MAF OFLHND ! (�! 5URVE`fEC FOR JA ,\A E S F: ANNE GOWN ORS A-T i e FY n, house ! SOUTHOLD j str% `� i -� SUFFOLK C0UNTY N.Y. � f 1 Szsl, - 30, ° 1" i cli Z• �. I t it 5.4?°I�q'4o' . 91. 0 Guavanteed tothe Chmav7ktL�, �,.,; 3. �;,f•'h�LL�ps. I.nsutance Co. -aS S'U-fV'LYEc� Decemoer 15.1921. VtaN 1 UYL 50N *' 4 G-epenPo-.Y•, New YoYk. x APPROVED ASNOTED DATE: B.P. FEE: NOTIFY BUILDING DEPARTMENT AT 3s ( j 765-1862 8A TO 4 PM FOR.THE Li FOLLOWING'IN$PECT-IONS:- - 1. FOUNDATION---TWO REQUIRED. fk T.'�- FOR,POU, 3 - FRAMING & PLUMBING 2. ROUGH - . . . *-lb X LIE 3. INSULATION . r,12-1 4. FINAL:-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH AILL'COD' ES' OF :NEW YORK:STATE & TOWN CODES OCCUPANCY OR AS REQU.1 AND CONDITIONS OF USE IS UNLAWFUL �SOUTHOW TOWN Z'BA - WITHOUT CERTIFICATE SOUTHOLD TOWN PLANNING BOARD SOUTHOLD T OWN TRUSTEES OF OCCUPANCY -"'S DEC KWMCAL9W=UWado r 1 .$ � i i �• r ••� •:, i A iii •j � �..r;: � � :'�^#fit• � i apt} •..�Sr��"'�*�r'at� r Alltswr� l;E�{i"�Fi `_) '- �! A. .i5 yy A 33 Sr- `(0 9 S-