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HomeMy WebLinkAbout44087-Z ��o�StyFF011-Caa� Town of Southold 10/21/2019 o - . P.O.Box 1179 CM _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY_ No: 40788 Date: 10/21/2019 THIS CERTIFIES that the building WINDOWS Location of Property: 4295 Vanston Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.-14-38 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/13/2019 pursuant to which Building Permit No. 44087 dated 8/22/2019 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: WINDOW REPLACEMENTS IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Barratt,Robert&Elizabeth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTHAAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 0 U. ut oriz d Aignature �®siiFFo��C TOWN OF SOUTHOLD aye BUILDING DEPARTMENT a TOWN CLERK'S OFFICE oy • � 4ti4 SOUTHOLD, NY oi 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#: 44087 Date: 8/22/2019 Permission is hereby granted to: Barratt, Robert & Elizabeth 4295 Vanston Rd Cutchogue, NY 119351612 To: install window replacements to existing single-family dwelling as applied for. At premises located at: 4295 Vanston Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 111.-14-38 Pursuant to application dated 8/13/2019 and approved by the Building Inspector. To expire on 2/20/2021. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -RESIDENTIAL $50.00 Total: $250.00 Bui in - 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. sh New Construction: Old or Pre-existing Building: (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section ' Block I `1 Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: �V/ (check one) Fee Submitted: $ 56 , LA�plkant Signature ti (Where the Applicantlis not the Omit). (Print Preps Ownaes namo) M ) s fr� _� ��.. c vc � ��� dna Zereby eut (Agent) t6 apply on my behalf to the Soutbold Dodding Dcpartmwt. i ( er''s ) u - -1 O OE SOUlyolo * # TOWN OF SOUTHOLD:BUILDING DEPT. `ycou765-1802 ANSPECTION' : [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ °] FOUNDATION 2ND [ ] NSULATIION/CAULKING [ ] FRAMING /STRAPPING- [ FINAL U, nda' `[' ] FIREPLACE &CHIMNEY [ ]- FIRE SAFETY INSPECTION [ ] FIRE-RESISTANT CONSTRUCTION [_ ] -FIRE RESISTANT PENETRATION :[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS X b 41 FOUNDATION(IST) y -------------------------------------- FOUNDATION (2ND) Z O ROUGH FRAMING& PLUMBING Q r INSULATION PER N.Y. y 'STATE ENERGY CODE FINAL ADDITIONAL COMMENTS O z ® rn b y e 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 SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form Contact: Q Approved 20_fl Mrail to•Je U Disapproved a/c Phone: 21�0"-`�7� Expiration O 20 6 La-&A_-,cc V G�3 pector APPLICATION FOR BUILDING PERMIT Date ?1 ,20 9 INSTRUCTIONS 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. 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. trartg ApL'LIT�ONTS I ERLBY MADE to the Building Department for the issuance of a Building Permit pursuant to the $ i' fJt1h inattcL. f then Town of Soouthold,Suffolk County,New York,and other applicable Laws,Ordinances or r"� . Rd - �' constrction of puildin s,additions,or alterations or for removal or demolition as herein described.The 11�d°°�i applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspeectors01premises and in building for necessary inspections. AUG 12 (Synature 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 (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 off land on which proposefld work wi 1 be done: �V,+C(-\,a V%_f- House Number Street j l Hamlet ( County Tax Map No. 1000 Section ' ' 1 Block `� Lot �� „I Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use grid occupancy of proposed construction: a. Existing use and occupancy si!` L -/�•''”`'I n b. Intended use and occupancy CN 3. Nature of work(check which applicable):New Building Addition Alteration Repair _Removal Demolition Other Work p (Description) 4. Estimated Cost o sy Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units / Number of dwelling units on each floor 0V1/, If garage, number of cars I /1`/14 6. If business,commercial or mixed occupancy,specifynature /nature and extent of each type of use. " �l- 7. Dimensions of existmg structures,if any:Front 1 (� Rear PIA Depth Height rdlX Number of Stories Dimensions of same structure with alterations or additions: Front Py Rear A Depth Yi1 Height OU Number of Stories 8. Dimensions of entire new construction:Front N Rear (� Depth /J la, Height p l ct Number of Stories ril l 9. Size of lot:Front d' Rear d 1 61 Depth / 10.Date of Purchase l'i(iA Name of Former Owner PV l 11.Zone or use district in which premises are situated P\i 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 :C-k., 14.Names of Owner of premises -'r-i7t- —Address '41�S U--Ss '' P one No. S1 Name of Architect Address Phone No Name of Contractor Address d'(57:!� P-4-IST. hone No. .n on.V 3c33� 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 y *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. JUSTICE BACHMAN NOTARY PUBLIC STATE OF NEW YORK) STATE OF COLORADO SS: NOTARY ID 20194025919 COUNTY OF ) MY COMMISSION EXPIRES 07110!2023 e v�r\�! �� �� - being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Pvy�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 to before me t day of 20—a otary A blic ignafure of Applicant Show Receipt Detail Page I of 2, RECEIPT Suffolk County Government SUFFOLK'COUNTY-LABOR, LICENSING&.CONSUMER AFFAIRS P.O:BOX 6100 HAUPPAUGE,NY 11788 James M.Andrews Application:t-1-63429 APplicationlype:ConsuinerAffairs/Liae_nse's/1-Ipme IMprovemenVNA Address: Owner'Name: Owngr Addrgse: Applicgtion dame: Receipt No. 149,086" Payment Method RePtJum4er Aniount,Paid Payment Data CashlorlD Received. Comments Check 31448046 $1,800.00 0=1/2018 CLEMON RENEWAL Work Description: �;it„ �T '�+,r'�»-:�r'+�'�'.,s,';+::':x:-•^�•'>...;uaw',^^.:^^-r•�:^Cz.:.:Yt�z^;S`--'p:`.="'�,F'`'{�' wk Siifcilkft r+�t±;i#� ,,Ai` . td1;:` .�t4_.��, ,".t50..�_', '� :r«car""-i?-�?�:��t'`,`'.`ri�i-[:6Y �LE@'^,'��.a"',:4r`'�'t ,. .'"``.,-' • "' fig; .`;;� - •^.' .t b '�Rj���gy� cy��r.�4.�t' �s,.���,i.h'�� �•�lw 1r"•�,�,.. . h. y{ IT 11N CQ.µl.QisJ•�6nlrtl!6;,aS�.>.:.'••.:f.:i'.• "•'-�2i�.�'r'�:�'.�. /i•.-r Ste:',F^...'�/�<i liea#erys'cjua rime?i$ed`" rLtc�e%1 8'-Nii�liti 6 "53 2 :v:; " ,�o toti'33iif�;gl�t:�- �.�i�.4��'i��'^�,:./�y��` y�,;�>-r:►;�.{,`, .. �;, s%i:. t>,Pr:--'a�<.t.,.t.�a?'•d5.i �r"_ tUJl��nGl�i`�. .1. :��>.,,"(,rt. Canissta 11t (1202 ,Lr. .. - https://ay.prdd.coun`y.suf/portlets/fee/reeeiptView.do?mode7—view&autoPrint false&rec'ei... 9/21/2018 Show Receipt Detail Page 1 of 2 RECEIPT . Suffolk County Government SUFFOLK'C6UNTY LABOR, LICENSING&.CONSUMER.AFI=AIRS, P.O.BOX 6100 HAIJPPAUGE,NY 11788 James M.Andrews Application:H-53429 Application Type:Con'sumerAffairs/Licenses/Home Improvement/NA Address- Owner Name: Ovuner Addresg. Applicatlon�Name: Receipt No. 1449086 Payment Method Ref Number- •Ahiount•Paid Payment bate Cashier ID Received. Comments Check 3148046 $1,800.00 09/21/2018 CLEMON RENEWAL Work Descripbom ;s Suffolk County Dept,of LabPr,,U;ensIhq Ca�risi met Affairs HOME IMPROVEMENT LICENSE -Name, RICHARp TOUSEY Business Name .i HOME-DEPOT-U,S.A,INC. TN6'6eftiiie that-the r bearer Is duly licensed License Number H.53429 by the Ccurity of suffoik O af15/201.4 v Issued: Ccsmtn Com #ssires:,. 11910112020 ioner 4p https://tLv:prod.county.suf/portle'ts/.fee%receiptView-do?anode-=yie,w&aiztoPrint=false&Tecei... 9/2-1/2018 DATE(MM/DD/YYY`() AC40RV CERTIFICATE OF LIABILITY INSURANCE 02106/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA,INC NAME TWO ALLIANCE CENTER PHCNE aC No). 3560 LENOX ROAD,SUITE 2400 E-MAIL ATLANTA,GA 30326 ADDRESS• INSURERS AFFORDING COVERAGE NAIC# CN101642069-HomeD-GAW-19-20 INSURER A Old Republic Insurance Co 24147 INSURED THE HOME DEPOT,INC INSURER B New Hampshire Ins Co 23841 HOME DEPOT U S.A.,INC. INSURER c:HomeRlsk Captive Insurance Company 2455 PACES FERRY ROAD INSURER D: BUILDING C-20 ATLANTA,GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-004353439-28 REVISION NUMBER: 21 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /NSR TYPE OF INSURANCE ADDL SUBR POLICPOLICY NUMBER MMIDDY EFF POLICY EXP LIMITS LTR12 A X COMMERCIAL GENERAL LIABILITY MWZY314574 03/0112019 03/0112022 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FxI OCCUR PREM SES Ea oRENTED .U..* curr. $ 1,000,000 X SIR-$1,000,000 MED EXP(Any one person) $ EXCLUDED PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $ 1,000,000 X POLICY[::]PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER $ A AUTOMOBILE LIABILITY MW713314573 03/01/2019 03101/2022 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED SELF INSURED AUTO PHY DMG BODILY INJURY(Per accident) $ AUTOS ONLYAUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per...dent UMBRELLALIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WC 012717099(AK,NH,NJ,Vr) 03/01019 03101/2020 X I PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER B YIN WC 012717100(WI) 03/01/2019 03101/2020 5,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVEE L EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N❑ NIA (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 5,000,000 If yes,describe under Continued on Additional Page 5,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ C Excess Auto 297110011002019 03101/2019 03101/2020 Limit 4,000,000 A Excess General Liability MWZX 314580 03101/2019 03101/2022 Limit 8,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA,INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2455 PACES FERRY ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING C-20 ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA,GA 30339 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashl Mukherlee nasi:,,s dya ci t e ©1988-2016 ACORD CORPORATION, All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101642069 Loc#: Atlanta A��o ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMED INSURED MARSH USA,INC THE HOME DEPOT,INC HOME DEPOT U S A,INC POLICY NUMBER 2455 PACES FERRY ROAD BUILDING C-20 ATLANTA,GA 30339 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation Continued Carrier Indemnity Insurance Company of North America Policy Number WLR C65890549(AL,AR,FL,ID,IA,KS,KY,LA,MS,MO,NE,NM,ND,OK,SC,SD,TN,WV,WY) Effective Date*03101/2019 Expiration Date 0310112020 (EL)Limit$5,000,000 Carrier.New Hampshire Insurance Company Policy Number WC 012717098 (DC,DE,HI,IN,MD,MN,MT,NY,RI) Effective Date 03101/2019 Expiration Date 03/0112020 (EL)Limit$5,000,000 Carrier ACE American Insurance Company Policy Number WCU 065890586(QSI)(AZ,CA,IL,NC,OR,VA,WA) Effective Date 03101/2019 Expiration Date 0310112020 (EL)Limit$4,000,000 SIR-$1,000,000 SIR for the states of AZ,CA,IL,NC,OR,VA,WA Carrier National Union Fire Insurance Company Policy Number XWC 5565596(QSI)(CO,CT,GA,ME,MI,NV,OH,PA,UT) Effective Date 03101/2019 Expiration Date 0310112020 (EL)Limit$4,000,000 $1,000,000 SIR for the states of CO,ME,NV,MI,OH,PA,UT $750,000 SIR for the state of GA $350,000 SIR for the state of CT Carrier National Union Fire Insurance Company Policy Number XWC 5565597(QSI)(MA) Effective Date.0310112019 Expiration Date 03101/2020 (EL)Limit$4,500,000 SIR$500,000 TX Employers XS Indemnity: a Carrier Illmios Union Insurance Company Policy Number TNS 065221019(TX) Effective Date 03/0112019 - Expiration Date 03/0112020 (EL)Limit-$10,000,000 SIR$1,000,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101642069 LOC#: Atlanta A`OREP ADDITIONAL REMARKS SCHEDULE Page 3 of 3 AGENCY NAMEDINSURED MARSH USA,INC THE HOME DEPOT,INC. HOME DEPOT U S A,INC POLICY NUMBER 2455 PACES FERRY ROAD BUILDING G-20 ATLANTA,GA 30339 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance *"HOME DEPOT INSUREDS"' The Home Depot,Inc. The Home Depot U S A,Inc Home Depot USA,Inc dba The Home Depot Home Depot USA,Inc.dba Your Other Warehouse,LLC Home Depot of Puerto Rico,Inc Home Depot Product Authority,LLC Home Depot Store Support,Inc Red Beacon,LLC Home Depot U.S.A,Inc dba Interline Brands Barnett Copperfield Eagle Maintenance Supply Hardware Express Leran Maintenance USA Renovations Plus Supplyworks ` US Lock Wdmar CleanSource JanPak AmSan Sexauer Trayco Zip Technologies ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Go Permits, LLC 105 Buttonball Ln. • Glastonbury,Ct 06033 Scoff Doughman Phone:860-952-4112 Fax:860-430-6719 scottdoughman@gopermits.org "WE UNDERSTAND THAT YOUR TIME IS MONEY" To Whom It May Concern: Enclosed you will find a building permit application and check. If you have any questions regarding this application, feel free to call me at the number listed.below. Please note the following: Please mail original permit to the owner. • _ Please fax or-e-mail a copy of the_permit and receipt to: Fax: 860-430-6719 (attn: Scott Doughman) Email: permits@gopermits.org • If fax or e-mail is not available, please mail a copy of the permit and receipt to: Go Permits, LLC 105 Buttonball Ln. Glastonbury, CT 06033 Thank you! Jennifer Winke, Permit Expediter I U;H; Go Permits, LLC Phone:303-946-8685 Fax: 866-697-0768 AUG 1 2 .2019 jenniferwinke@gopermits.org k2'L.r9�iDeit7�T 9 �`7 �n Go Permits LLC, 105 Buttonball Ln. Glastonbury CT 06033, scottdoughman@gopermits.org � y APR RAVED AS NOTED DATE: B.P.# FEE: BY: Tf NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2., ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR CO. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDF ONS OF 85t1�++3 n' OARD � EES OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY f, d. 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