Loading...
HomeMy WebLinkAbout44300-Z ®�0 ea . Town of Southold 10/23/2019 y P.O.Box 1179 o • 53095 Main Rd yol qtr Southold,New York 11971 �F CERTIFICATE OF OCCUPANCY No: 40801 Date: 10/23/2019 THIS CERTIFIES that the building WINDOWS Location of Property: 26155 CR 48, Cutchogue SCTM#: 473889 Sec/Block/Lot: 84.-2-3.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/16/2019 pursuant to which Building Permit No. 44300 dated 10/16/2019 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"window replacments as applied for. The certificate is issued to Siejka,Teresa Ann of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED t o ' ed Signature TOWN OF SOUTHOLD �gUFFO�,�co� BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • 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#: 44300 Date: 10/16/2019 Permission is hereby granted,to: Siejka, Teresa Ann 1285 Kenney's Rd Southold, NY 11971 To: legalize;-as built alterations (window replacement) as applied for. At premises located at: 26155 CR 48, Cutchogue SCTM # 473889 Sec/Block/Lot# 84.-2-3.2 Pursuant to application dated 10/16/2019 and approved by the Building Inspector. To expire on 4/16/2021. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 Total: $450.00 . 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 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. ©C_'. 1 (a , 20L? New Construction: Old or Pre-existing Building: (check one) / r Location of Property: '26 l c5 J57 /e y cLC. Lel w u -� House No. n Sheet Ha let Owner or Owners of Property: l C.�e S A �c(� r�ol Suffolk County Tax Map No 1000, Section 0 I Block Lot o Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for. Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature 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) 765-95022 �) SurveSoutholdtownny.gov PERMIT NO. J V (.77Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application p������ Flood Permit Examined O�� Cp ,20� `�` Single&Separate 1� Truss Identification Form Storm-Water Assessment Form Contact: Approved 0 Mail to: Disapproved a/c / c Phone. �a Expiration p 20 tng OCT 16 2019 Insp c )LICATION FOR 11313 DING PERMIT Date d C—V [ , 20 [� =,1T DF5 INSTRUCTIONS a. This application MUST bye 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. 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 44 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. 4 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. ' A (Signature of applicant or name, 'f corporation) 1Z )�enne,,,S Pa, s6ta ,alaf�� 1152) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder amu)Y,)P_Cc Name of owner of premises -T e.rf-s q (As on thex roll or latest deed) If applicant is a corporatiop,,signatur;e 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 on which proposed work will be done: QG IS5 C_e- LAS, House Number Street Hamlet County Tax Map No. 1000 Section S_ Block 2 Lot 3 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 b. Intended use and occupancy 3A Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work W i yl c w s (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, number of cars 6. If business, cominercial 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 , F "l, t T10 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 constriction 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 Naive of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF 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, CONNIE D.BUNCH Notary Public,State of New York (S)He is the No.01BU6185050 (Contractor,Agent, Corporate Officer, etc.) Qualified in Suffolk County Commission Expires.0upril 14,2 Qa-O 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. Sor=o efore me thi day of 20 Notary Public _ Signature of Applicanti RobertBohn Inc. Southold W 765-1119 liscence#7541-HI le Customer Name: Stanley Krupski � Address: Route 48 Cutchogue,NY 11935 Phone Number: (516)734-6922 .V� v .�r Fax Number Date:5/14/9$ Work to be performed: i.install three vinyl replacement windows by Atrium Door and Window Co. As per following sizes: One 32"x 351h"double hung with full screen and 6 over 1 grid Two 24"x 453/4"doubly hung with full screens. 2.Trim exterior of windows with white aluminum trim coil. AP P1 VE �S X907 E DATE: 1®��I`_ ., B F'.tk COMPLY WITH ALL CODES OF �5 NEW YORK STATE & TOWN CODES FEE: AS REOUIRED OF NOT]- Btu LDiNCI T',,.R T HENT AT k S0IJJ;1T==SOUi765-1802 8 AIv1 TO �l f�i�%i FOR �fTHEi FOLLOWING INSPECTIONS: f ^S #aI,A�IN11►t3BOARl) I. FOUNDATION - TWO REQUIRED —� FOR POURED CONCRETES _ �E�S 2. ROUGH - FRAMING & PLUMBING y�t 3. INSULATION 4. FINAL - CONiSTRUCTION MUST BE COMPLETE FOR C 0. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CGDE"OF NEW TOTAL CO 0 0 .00 � +� Q C k 1�` a�9 _YORK STATE. NO-! RESPONSlE3LE FOR -t=A COMPLETION$450.00 DESIGN OR CONSTRUCTION ERRORS. i ACCEPTANCE OF PROPOSAL DATE REMIT TO : ROBERT BOHN CONTRACTING P.O. BOX 55 PECONIC, NY 11958 No.14368 1t'tn U4 t, Construction Inc. Long Beach,Licr#4094 Suffolk Lic.#40377H 125 WILBUR PLACE SUITE#120, BOHEMIA, NY 11716 East Hampton Lic.#7293 Nassau Lic.#H18G7830000 1-888-SSQ-KING (5464) Atlantic Beach Lic.#140-C New York City Lic.#1313963 South Hampton Lic.#1_002327 FAX.(631).585-2634 CONTRACT SUBMITTED TO PHONE DATE 6.,?'1- 765-- STREET 65=STREET JOB NAME CITY,STATE AND ZIP CODE 1+ JOB LOCATION C C4 ARCHITECT DATE OF PLANS JOB'PHONE We hereby propose to furnish-materials and labor necessary for the completion of:, ,L �h/f�✓.��i / �J.�i iii �na..�• '., r s' r �• lJ�, I - {. t Contingent Home Office Approval Cash Not Accepted Work To Be Started Approximately And CQropAeted Approximately Weather Permitting There are no other warranties,representations,or conditions of any kind,express or implied,(including no warranty or merchantability of fitness),and none shall be implied by law. Furthermore,the seller's liability hereunder shall be limited solely ti replacement or repair as set out above;and seller shall in no way be liable for any I incidental,consequential,or special damages. Customer is responsible for all necessary permits. You,the buyer,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of cancellation form for an explanation of this right. Notice of Lien:Whether or not any mortgage may be given on the property to be Improved,seller or any subcontractor who performs the work and is not paid may have claim against you,which may be enforced against the property in accordance with applicable lien law. Deposit of Payments:Seller is required by law to deposit all monies received for you under the Contract prior to completion of the work in a special account in trust for you or to post a surety bond or indemnity contract with you guaranteeing the return or proper application of such monies. All monies received prior to completion will be deposited Into a special account held by within 5 days of receiving such payment. Monies may be withdrawn by the contractor for reasons pertaining to this contract. WARRANTY INFORMATION:The Seller guarantees all LABOR involved herein Ifwhile making the repairs or Improvements Seller finds any physical defects in the to be free from defects for a period of one(1)year from the date of installation.The property which could not reasonably be discovered at the time Seller made his original Seller promises to replace or repair,at Seller's option,any problems developing estimate,Buyer agrees to have the defect corrected at his own expense. contrary to the above guarantee provided that all complaints are received in writing Salesman has no authority to change any terms or to make any representations other at the office of the Seller within the 1 year guarantee period. than those contained in this agreement and Buyer represents that none have been made In the event any balance due from Buyer to Seller is turned over to an attorney to,or relied upon by Buyer. for collection. Buyer agrees to pay all reasonable attorneys fees for collection BUYER represents to have read and received a duplicate original copy of this Seller will provide Certificate of Workmen's Compensation. agreement and to be the authorized agent of all OWNERS of this property upon which the work or the materia re to be supplied. All er subject to home office Date: U/f// approval. Authorized Signature Buyer: Print Name CA Buyer: