HomeMy WebLinkAbout43541-Z �o�rraz=�:z�,
S�FfUI,��;G Town of Southold 7/21/2019
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CERTIFICATE OF OCCUPANCY
No: 40522 Date: 7/21/2019
THIS CERTIFIES that the building ALTERATION
Location of Property: 740 Pequash Ave, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-11-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/4/2019 pursuant to which Building Permit No. 43541 dated 3/11/2019
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:
ALTERATIONS (WINDOWS AND DOORS)TO AN EXITING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Barry,Judith
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
tho ' edAignature
o�g� Fot�cD TOWN OF SOUTHOLD
�� ay BUILDING DEPARTMENT
y 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#: 43541 Date: 3/11/2019
Permission is hereby granted to:
Barry, Judith
39 Spring St
New York, NY 10012
To: make alterations (windows and doors) to an existing single family dwelling as applied
for.
At premises located at:
740 Pequash Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot# 103.-11-5
Pursuant to application dated 3/4/2019 and approved by the Building Inspector.
To expire on 9/9/2020.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
Building Inspector
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$15.00-7
Date. 2 —2 ,F �yl
New Construction: Old or Pre-existing Building: t!/ (check one)
Location of Property: -7y() �e4�l�,c1i ��"If oe
House No. Street Hamlet
Owner or Owners of Property: ke-N
Suffolk County Tax Map No 1000, Section 10360 Block 1100 Lot --M J�
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: r /
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Appscant Signature
l ��pP SOUTyO
# # TOWN OF SOUTHOLD BUILDING DEPT.
l4outo��'' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] NSULATION -'c
[ ] FRAMING /STRAPPING [ ] FINAL IdtflMO
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
FIELD INSPECTION REPORT' DATE COMMENTS
- b
FOUNDATION (1ST)
Ir`.H
m �
.................................... '
'FOUNDATION (2ND) �
c) Vv
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ROUGH FRAMING& .�
PLUMBING H e
INSULATION PER N.Y-. y
STATE ENERGY CODE
,FINAL
ADDMOI Aa COMMENTS
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TOWN OF SOUTHOLDBUILDING 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
✓ I
Contact:
Approved 20 Mail to:
Disapproved a/c
- �Phon
Expiration s LY\,�/�� Q r) f ,
g nspector
MAR - 4 2019 APPLICATION FOR BUIL•DTNO-PERMIT
y ' Date 20
TOWN OF SOUTaIVOLD ( INSTRUCTIO_NS
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 to adjoining premises or public streets or
areas, and waterways. I I, -
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 themork authorized ha¬ 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. . . I i , •
APPLICATION IS HEREBY MADE to the Buildding Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk-Cbunty,New York,and other.applicable Laws, Ordinances or
Regulations,for the construction of buildings, additions,or alterations orToi,removal'or derpolition 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:of name,if a corporation)
f
(Mailing,address.of applicant)
State whether applicant is owner, lessee, agent, architect, enginee(general contractor electrician,.plumber or builder
Name of owner of premisesn
(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.
1. Location of land =14,4 ich pro osed work will be done:
House Number Street Hamlet
County p Tax Ma No. 1000 Section J� Block 1 Lot b
Subdivision Filed Map No. Lot i
2. State existing use and'occupancy of premisesind intended use and occupanc of proposed construction: !
a. Existing use and occupancy r Ce c c.ee �– U, d rs �. d cey 5 {
b. Intended use and occupancy I
3. Nature of workk h
cecwhich alicable : New Building'
( p'p ) g ,Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated'Cost Fee
�(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor '
If garage,,numb.er.of.cars ,
6. If business, commercial or mixed occupancy, specify nature and extent`of each type of use. j
7. Dimensions of existing structures, if any: Front
Rear' Depth
Height :' , r Number of Stories —
Dimensions of-same'structure with alteration's or additions: Front /` ``Rear
Depth_ Height Number of St6ri6s-
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. i
Name,of Architect` E •r Addres's Phone No
Name°of Cbntractor Address
Phone No.
15 a. Is this property within 1,00 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOU%OLD T6WN'TRUSKtES &D.E.C.'PERMITS MAYBt REQUIRED.
b. Is this property wiihiri 300 feet of a tidal`wetland? * YES. NO {
* IF YES, D.E.C. MIBE RQUZRED
PERTS. Y E . " i
�, . ,. . ,
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any,poinf onproperty 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,
CONNIE'D. BUNCH
(S)He is the Notari Public,Mate of Now York
(Contractor,Agent, Corporate Officer, etc.) Qualified in Suffolk County
Commission Expires April 14,2
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.
before me this !
`t ;
day of--��� ' 20,
� 4 �cj_
Notary Public Signature,ofApplic t !
y
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APPROVED A606 NIM[E®
T E:3J Ill�°1m B.P.#�f�-5g Cc�P��iPLY WITH AL
L CODES OF
DATOWN CODES
Dm NEW YORK STATE &
FEE: o�O BY.� AS REQUIRED
NOTIFY BUILDING DEPARTMENT AT S
765-1802 8 AM 10 n PM FOR THE
FOLLOWING INSPECTIONS: SOU p &8wD
1. FOUNDATION - TWO REQUIRED SWWaM&=TEES
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING N.Y4$EE
3. INSULATION
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 RETAIN STORM WATER RUNOFF
DESIGN OR CONSTRUCTION ERRORS. PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
CUPACY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPA
�ICy
m2o Quote Form Page 1 of 4
Z ,
Quote Form
RIVERHEAD- CALVERTON
962 BURMAN BLVD I P RIVE RHEAD
BUILDING SUPPLY
CALVERTON NY 11933
Build 5martu.Build Better.'
800-378-3650
Project Information (ID#2907444) Hide
Project Name: Mike MTP Quote Date: 3/1/2019
Customer: Submitted Date:
Contact Name: PO#: QQ000
Phone (Main):
Phone (Cell): Sales Rep Name: Matthew Jacobs
-- Customer Type: Salesperson:
Terms:
Delivery Information Hide
Shipping Contact: Comments:
Shipping Address:
City:
State:
Zip:
Unit Detail Hide All Configuration Options
Item:0001: Ext 36"x 80"S296-LE RHI 4 9/16"On-Guard Primed Location: Quantity: 1
Smooth Star 36"x80" Single Door 559.30
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IL IL
Configuration Options Hide
• Product Category: Exterior Doors
`��-- • Manufacturer: Reeb -Smooth Star
E3L'TERIOR • Product Material: Smooth Star Fiberglass
Ri&-HandIm-ing • Material Type: Smooth Star
• Product Type: Exterior
• Brand:Therma-Tru
• Configuration (Units viewed from Exterior): Single Door
• Reeb Finish: No
•
Slab-Width: 36" -
• Slab Height: 80"
• Product Style:Top Lite
https://m2o.edgenet.coniNiewProj ects/GetBasicQuoteFinished?Proj ectId=2907444&ts=63 6... 3/1/2019
. •m2o Quote Form Page 2 of 4
• Glass Type: Clear
• Glass Style: Clear
• Glazing Type: Insert
• Insulation: Low E
• Model: S296-LE
• Frame Material: On-Guard Primed
• Handing: Right Hand Inswing
• Casing/Brickmould Pattern: None
• Hinge Type: Ball Bearing
• Hinge Brand:Therma-Tru
• Hinge Finish:Antique Brass
• Jamb Depth: 4 9/16"
• Sill: Composite Adjustable
• Sill Finish: Mill Finish w Light Cap
• Multi-Point Lock: None
• Bore:Single Lock Bore 2-3/8" Backset
• Strike Jamb Prep: No
• Weatherstrip Type: Compression
• Weatherstrip Color: Bronze
• Custom Height Option: No
• Kick Plate: None
• Door Viewer: None
• Mail Slot: None
• Sill Cover: No
• Rough Opening Width: 38 1/2"
• Rough Opening Height: 82 1/2"
• Total Unit Width(Includes Exterior Casing): 37 5/8"
• Total Unit Height(Includes Exterior Casing): 82"
Item Total: $ 559.30
Item Quantity Total: $ 559.30
Item:0002: Ext 32"x 80"S2100-LE RHI 4 9/16" On-Guard Primed Location: Quantity: 1
- Smooth Star 32"x80" Single Door 597.55
f
3
Configuration Options Hide
• Product Category: Exterior Doors
• Manufacturer: Reeb - Smooth Star
• Product Material: Smooth Star Fiberglass
• Material Type: Smooth Star
https://m2o.edgenet.comNiewProj ects/GetBasicQuoteFinished?Proj ectId=2907444&ts=636... 3/1/2019
. .m2o Quote Form Page 3 of 4
• Product Type: Exterior
• Brand:Therma-Tru
• Configuration (Units viewed from Exterior): Single Door
Reeb Finish: No
RTuoR • Slab Width: 32"
Ri&-Hmd lw%in€ • Slab Height: 80"
• Product Style: 1/2 Lite
• Glass Type: Clear
• Glass Style: Clear
• Glazing Type: Flush Glazed
• Insulation: Low E
• Model: 52100-LE
• Frame Material: On-Guard Primed
• Handing: Right Hand Inswing
• Casing/Brickmould Pattern: None
• Hinge Type: Ball Bearing
• Hinge Brand:Therma-Tru
• Hinge Finish:Antique Brass
• Jamb Depth: 4 9/16"
• Sill: Composite Adjustable
• Sill Finish: Mill Finish w Light Cap
• Multi-Point Lock: None
• Bore:Single Lock Bore 2-3/8" Backset
• Strike Jamb Prep: No
• Weatherstrip Type: Compression
• Weatherstrip Color: White
• Custom Height Option: No
• Kick Plate: None
• Mail Slot: None
• Sill Cover: No
• Rough Opening Width: 34 1/2"
• Rough Opening Height: 82 1/2"
• Total Unit Width(Includes Exterior Casing): 33 5/8"
• Total Unit Height(Includes Exterior Casing): 82"
Item Total: $ 597.55
Item Quantity Total: $ 597.55
Unit Summary Hide
Item Description Quantity Unit Price Total Price
0001 Ext 36" x 80" 5296-LE RHI 4 9/16" On-Guard Primed 1 $ 559.30 $ 559.30
0002 Ext 32" x 80" 52100-LE RHI 4 9/16" On-Guard Primed 1 $ 597.55 $ 597.55
https://m2o.edgenet.com/ViewProj ects/GetBasicQuoteFinished?Proj ectId=2907444&ts=636... 3/1/2019
Line Item#: 0002 Line Item Qty: 2 Initial:
Location:
RO Size=3'0"Wx4'6"H UnitSize=2'111/2"Wx4'51/2" H
200 Series Tilt-Wash,Single Units
Unit Code/Item Size: 244DH3046
II Operation/Handing:AA
i; Part Number:0828699
i; ; j Frame Depth: 3 1/4"
Exterior Color: White
Interior Color: Pre-finished White
Glass Type(Top): Low E Glass
Glass Type(Bottom): Low E Glass
Viewed from Exterior Insect Screens: Insect Screen,White
Hardware: Andersen 200 Series-White
Optional Lock Hardware: Optional Sash lock with keeper and screws
Lock Hardware Style: Andersen 200 Series
Lock Color:White
Zone: North-Central
U-Factor:0.29, SHGC: 0.32, ENERGY STAR®Certified:Yes
Comments:
Qty Part Num Item Size Description Total Price Extended Price
1 0828699 244DH3046 Unit,3 1/4" Frame Depth,White/PI White, Low E $ 306.01 $ 612.02
Glass(Each Sash)
1 0833330 244DH3046 Insect Screen,White $ 32.23 $ 64.46
1 0873340 ------ Sash Lock,Andersen 200 Series-White(Includes $ 7.10 $ 14.20
Keeper and Screws)
$ 345.34 $ 690.68
SUBMITTED BY: SUBTOTAL $ 1,320.16
ACCEPTED BY: TAXES( 0.000 %) $ 0.00
DATE: GRAND TOTAL $ 1,320.16 i
'All graphics as 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.
QUOTE: 182543 Print Date: 02/28/2019 Page 3 Of 4 iQ Version: 19.0
Line Item#: 0001 Line Item Qty: 2 Initial:
Location:
RO Size=2'4"Wx4'6"H Unit Size=2'3112"Wx4'51/2"H
i; 200 Series Tilt-Wash, Single Units
iUnit Code/Item Size: 244DH2446
i Operation/Handing:AA
Part Number:0873914
'I i 111 Frame Depth:3 1/4"
I� II Exterior Color: White
Interior Color: Clear Pine
Glass Type(Top): Low E Glass
Glass Type(Bottom): Low E Glass
Viewed from Exterior Insect Screens: Insect Screen,White
Hardware: Andersen 200 Series-Stone
Optional Lock Hardware: Optional Sash lock with keeper and screws
Lock Hardware Style: Andersen 200 Series
Lock Color:Stone
---------------------------------------------------------------------
Zone: North-Central
U-Factor:0.29, SHGC:0.32, ENERGY STAR®Certified:Yes
Comments:
Qty Part Num Item Size Description Total Price Extended Price
1 0873914 244DH2446 Unit,3 1/4"Frame Depth,White/Clear Pine Low E $ 278.32 $ 556.64
Glass(Each Sash)
1 0833314 244DH2446 Insect Screen,White $ 29.32 $ 58.64
1 0873342 ---- Sash Lock,Andersen 200 Series-Stone(Includes $ 7.10 $ 14.20
Keeper and Screws)
$ 314.74 $ 629.48
QUOTE: 182543 Print Date: 02/28/2019 Page 2 Of 4 iQ Version: 19.0