HomeMy WebLinkAbout42207-Z yTown of Southold 5/15/2019
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P.O.Box 1179 J
y T 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40385 Date: 5/15/2019
THIS CERTIFIES that the building WINDOWS
Location of Property: 41425 CR 48, Southold
SCTM#: 473889 See/Block/Lot: 59.-3-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/27/2017 pursuant to which Building Permit No. 42207 dated 12/4/2017
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:
WINDOWS AND A DOOR IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Snl LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
t oriyl jignature
p�SUFFo��coG TOWN OF SOUTHOLD
BUILDING DEPARTMENT
ca 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#: 42207 Date: 12/4/2017
Permission is hereby granted to:
Snl LLC
41425 CR 48
Southold, NY 11971
To: replace windows and door to existing commercial building as applied for.
i
At premises located at:
41425 CR 48, Southold
SCTM #473889
Sec/Block/Lot# 59.-3-19
Pursuant to application dated 11/27/2017 and approved by the Building Inspector.
To expire on 6/5/2019.
Fees:
NEW COMMERCIAL, ALTERATION OR ADDITIONS $250.00
CO -COMMERCIAL $50.00
Total: $300.00
Builds ctor
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 I% 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: v (check one)
Location of Property:
1-1a6-
House No. Weet Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section ,�' Block Lot
Subdivision Filed Map. Lot:
Permit No. q9 Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: '°' (check one)
Fee Submitted:
i
Applicant Signature
sour
# # TOWN OF SOUTHOLD BUILDING DEPT.
�ycourm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULA,,T ION ,�,,��}}
FRAMING /STRAPPING FINAL�4Yf/kws
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE INSPECTOR
FIELD INSPECTION REPORT7 DATE COMMENTS
FOUNDATION(1ST)
------------------------------------
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FOUNDATION(2ND)
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INSULATION PER N.Y.
STATE ENERGY CODE
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FINAL
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ADDITION COMMENTS
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TOWN OF SQUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,;NY 11971 I 4 sets of Building Plans
TEL: (631) 765-1802Planning Board approval
FAX: (631) 765-9502 q06 7I Suryey
Southold town ny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
C Trustees
C.O.Application
Flood Permit
Examined ,201 Single&Separate
Truss Identification Form
I
Storm-Water Assessment Form
Contact:
Approved ,20_ Mail to:-?266 I—e04A
Disapproved
a/c q
Phone: 5(6 5 1 0
C
(p j
Expiration --,201 -1
i
'v ;tjDuil g Inspector
f
LICATION FOR BUILDING PERMIT
NOV 2 7 ,2017
Date l , 20
INSTRUCTIONS
TOOF SOUIR�C)LD
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 jto adjoining premises or public streets or
areas, and waterways. I
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Uponlapproval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
steal I 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.
- i
(Signature of applicant or name,if a corporation)
(Mailing a dress of applicant)
I
State whether applicant is owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
i
Name of owner of premises &I L
(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. i
I
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot
[ P
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 occupancy0 i��C r--
b.
b. Intended use and occupancy d F FlCt
3. Nature of worl heck which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work I /d
(Description)
4. Estimated Cost 10, QUO 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 of existing structures, if any: Front Rear Depth
Height Number of Stories _ I
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of-Stories r-
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 1/Will excess fill be removed from premises? YES NO
14. Names of Owner of premises A, L,-,'1-0A)1,-9_d Address �}/ �s 47- Phone No. glv��"
Name of Architect Address Phone No
Name of Contractor &K 6-C- 06A sT Address of 2`790 T Id Phone No. .31-
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO t�
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY"QUIRED.
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 l`
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF5ljffi[L
?Iel—+ Leovl-rq rA S 1, LL- being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the I�,RQ,Wu�r�l �l f
(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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn toefore me this
day of 20 l7
A I JG&I A- TRACEY L. DWYE
otary Publi NOTARY PUBLIC,STATE OF YORK Signature of Applicant
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTI
COMMISSION EXPIRES JUNE 30,2'110
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Job Nane: 5&L Irrigation
Property owner: 5NL, LLC
Property Address: 41425 County Road 48
Southold, NY
5 U F s✓ C_d."ra X Mp�p OAT& .1000 o 59 3-19
.—� And�ears�en Andersen Windows -Abbreviated Quote Report km�
'`►K. Project Dame: Burger Const - S&L
Quote#: 135204 Print Date: 09/20/2016 Quote Date: 09/19/2016 iQ Versic
Dealer: RIVERHEAD BUILDING SUPPLY Customer:
BUILD SMARTER.BUILD BETTER. Billing
1-800-378-3650 Address:
WWW.RBSCORP.COM Phone:
Sales Rep: MARC CRENNAN Contact:
Created By: Trade ID. Promotion Co(
Item Qty Item Size(Operation) Location
0001 AX281-AX31-AX281 (V-V-V) East&West Side
��I s ROSize=8'33/4"Wx2'8" H UnitSize=8'33/16"Wx2'71/2"H
Composite Unit,White/White-Factory Painted, High Performance Low-E4 Glass,No Grille(s), Mulling Location:Fact(
Mull Priority:Vertical
Insect Screen,White
Hardware Pack,PSA,Andersen Classic Series-White APPROVED AS NOTED
Insect Screen,White
Zone:North-Central DATE: B.P.#
Unit U-Factor SHGC ENERGY STAR®Certified
------------------------------------------------------ FEE: b y:
1 0.28 0.31 Yes NOTIFY BUILDING DEPAR ENT AT
2 0.28 0.31 Yes 765-1802 8 AM TO 4 PM FOR-,THE
3 0.28 0.31 Yes FOLLOWING INSPECTIONS:
I. FOUNDATION_ TWO REQUIRED
FOR POURED-CONCRETE
2. ROUGH - FRAMING & PLUMBING
Item Qty Item Size(Operation) 3. INSULATION " Location
1 2 3 4 0002 1 AX31-AX351-AX351-AX31 MUST
(V-V-V-V) BE COMPLETIE'rb6�
RO Size-12'10 3/8"W x 2'8"H Unit Size=12'9 7/8"W x�441f22®%STRUCTIION SHALL MEET THE
Composite Unit,White/White-Factory Painted, High Performa r ®�rQws ,jNUNNLllldl�ion:Job Sii
Priority:Vertical A tt n1u FOR
Insect Screen,White DESIGN OR CONSTRUCTION ERRORS.
Hardware Pack, PSA,Andersen Classic Series-White
Insect Screen,White
RBS Mull Adjustment
COMMENT: -- RBS Mull COMPLY WITH ALL CODES OF
Zone:North-Central
NEW YORK STATE & TOWN CODES
-
Unit U-Factor SHGC ENERGY STARS CertifiedAS REQUIRED AND CONDITIONS OF
--------------------------------------
1 0.28 0.31 Yes
2 0.28 0,37 Yes e'^�
3 0.28 0.31 Yes
4 0.28 0.31 Yes ARD
g �EES
0003 1 A21 (V) West Side Single
RO Size=2'0 5/8"Wx2'0 5/8"H UnitSize=2'01/8"Wx2'01/8"H
Unit,White/White-Factory Painted,V Handing, High Performance Low-E4 Glass
Insect Screen,White
Hardware Pack, PSA,Andersen Classic Series-White ®cc''Pfl1NCY 0,RZone:North-Central
U-Factor:0.28, SHGC:0.31, ENERGY STAROCertified:Yes
USE
IS UNLAWFUL
RETAIN STORM WATER RUNOFF WITH,U- CERTIFICATE
PURSUANT TOO CHAF1 C ,
OF THE TOWN CODE. J
Andersen Andersen Windows -Abbreviated Quote Report
Andersen
° , o Project Name: Burger Const- S&L
- ~ Quote#: 135204 Print Date: 09/20/2016
Dealer: RIVERHEAD BUILDING SUPPLY Quote Date: 09/19/2016 iQ Version: 16.1
BUILD SMARTER.BUILD BETTER, Customer:
1-800-378-3650 Billing
WWW.RBSCORp.COM Address:
Sales Rep: MARC CRENNAN Phone: Fax:
Created By: Contact:
ItemTrade ID: Promotion Code:
Qty Item Size(Operation) Location
Unit Price Ext.Price
11 2 3 0001 AX281-AX31-AX281 (V-V-V)
East&West Side $ 1147.29 $ 2294.58
ROSize=8'33/4"Wx2'8"H Unit Size:8'3 3/16"
Composite Unit,White/White-Factory Painted, High Performance Low-E4 Glass,No Grille(s), Mulling Location:Factory(Direct), Mull Type:Narrow Mull,
Mull Priority:Vertical
Insect Screen,White
Hardware Pack, PSA,Andersen Classic Series-White
Insect Screen, White
Zone:North-Central
Unit U-Factor SHGC ENERGY STAR®Certified
-----------------------------------------------------------
1 0.28 0.31 Yes
2 0.28 0.31 Yes
3 0.28 0.31 Yes
to -kYlm W
Quote#: 135204 Print Date: 09/20/2016 Page f Of 3
_ IQ Version: 16.1
Item qty
Item Size(Operation)
0002 Location
1 AX31-AX351-AX351-AX31 (V.V.V-V)
RO-Size=12'10 3/8"W x 2'8"li Unit Price Ext.Price
Unit Size=12'9 7/g��W x 2'7 1/Z„H Front South
Composite Unit,White/White-Factor p $ 1754.54
Priority:Vertical Y Painted, High Performance Low-E4 Glass,No Grilles $ 1754.54
Insect Screen,White ( )� Mulling Location:Job Site, Mull
Hardware Pack, PSA,Andersen Classic Series- Type:Narrow Mull, Mull
Insect Screen, White White
RBS Mull Adjustment
COMMENT: -- RBS Mull
Zone:North-Central
Unit U-Factor SHGC ENERGY STAR®Certified
........_...._._......
-----------------
1 0.28 0'31 Yes
2 0.28
0.31 Yes
3 0.28 0,31 Yes
4 0.28 0,31 Yes
0003 1 A21 (V)
ROSIze=2'05/8"Wx2'05/81,H Unit Size=2'01/8"W
Single
Factory Painted, V Handin x 2'01/8"H West Side $ 265.28 $
Unit, White/White-
Insect Screen, White g, High Performance Low-E4 Glass -265.28
Hardware Pack, PSA,Andersen Classic Series-White
Zone:North-Central 1'�h 0.X �`�4�ryCy
U-Factor:0.28, SHGC:0.31, ENERGY STAR®Certified:Yes
c1i s Pose
Quote#: 135204
Print Date: 09/20/2016
Page 20f 3
IQ Version: 16,1
m Oty Item Size(Operation) Location Unit Price Ext.Price
Subtotal Is 4,314.4 "
Total Load Factor Tax(8.625%) $ 372.1
Customer Signature 1.394
Grand Total $ 4 686.5
Dealer Signature
**All graphics viewed from the exterior
**Rough,opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or
other items.
Ask to see If all of the products you purchase can be upgraded to be ENERGY STAR®certified.
10affifild ME
19 This image indicates that the product selected Is certified in the US ENERGY STAR®climate zone that you have selected.
Data is current as of December 2015.This data may changeover time due to ongoing product changes or updated test results or requirements. Ratings for all sizes are specified by NFRC for testing and certification.Ratings
may vary depending on the use of tempered glass or different grille options or glass for high altitudes etc.
Nexia is a registered trademark of Ingersoll Rand Inc.
Project Comments:
Riverhead Building Supply offers a two year parts and labor warranty on any Andersen Window or Patio Door products ordered through any of our locations.
See your Riverhead sales associate for more details.
Quote#: 135204 Print Date: 09/20/2016 Page 3Of 3 IQ Version: 16.1
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