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Home My WebLink About43815-Z °SSU �COG� Town of Southold 10/30/2019 0 P.O.Box 1179 w 53095 Main Rd �yfjol �ao�r Southold,New York 11971 1 CERTIFICATE OF OCCUPANCY No: 40819 Date: 10/30/2019 THIS CERTIFIES that the building WINDOWS Location,of Property: 3985 Sound Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 121.-1-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/21/2019 pursuant to which Building Permit No. 43815 dated 5/30/2019 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: REPLACEMENT WINDOWS IN AN EXSTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Nicholson,John&or of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authorilzed. Sig ature ' TOWN OF SOUTHOLD g�FFnl,��oay BUILDING DEPARTMENT ooh y TOWN CLERK'S OFFICE 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#: 43815 Date: 5/30/2019 Permission is hereby granted to: Nicholson, John 3985 Sound Ave Mattituck, NY 11952 To: install replacement windows on existing single-family dwelling as applied for. At premises located at: 3985 Sound Ave, Mattituck SCTM #473889 Sec/Block/Lot# 121.-1-2 Pursuant to application dated 5/21/2019 and approved by the Building Inspector. To expire on 11/28/2020. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 BuiIdi g r 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-.- eatures.2-.- Final-Approval-from--health Dept_-ofwatersupply_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. 15.00Date. New Construction: Old or Pre-existing Building: t/ (check one) Location of Property: �� "'"`� .�V''e �'rL ' r 9 JAZ House No. Street Hamlet Owner or-Owners of Property: 14-1-1 /k, �� ((-l4-UL-fC9 1-,/ Suffolk County Tax Map No 1000,Section 12 Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: - Request for: Temporary CertificateFinal Certificate: (check on Fee Submitted: $ 50 p scant Si g lure I� �aOE SOUIyo f # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] -INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: O A C• 0. DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) ____________________________________ 'FOUNDATION (2ND) • O cn '® ' a ROUGH FRAMING& PLUMBING y 1 INSULATION PER N.Y; y STATE ENERGY CODE o FINAL ADDITIONAL,COMMENTS t z rn • C _ e Z . L~ y 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 South oldtownny.gov PERMIT NO. Check Septic Form DN.Y.S.D.E.C. Trustees C.O.Application MAY 2 2019 Flood Permit Examined 20—i JJ Single&Separate Truss Identification Form tis.Y�,tli�' .77 ,x"" TOWN OF SOITi"x`�-U.g:,.� Storm-Water Assessment Form ` Contact: Approved .5 '204 Mail to: Disapproved a/c Phone: • �5 �v;—917 c�l6' Expiration e,C ,20 �� Bui i pector D APPLICATION FOR BUILDING PERMIT M <2019 Date �– , 20 I 3_6 JDI, - 2M1 INSTRUCTIONS be 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. 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 o uildings,additions,or alterations or for removal or demolition as herein described. The app t m��r� _al icable laws, ordinances,building code,ho ing code, and reg tions, and to admit aut d etdr p b. s d i building for necessary �44 1%-7 MAY 19 (Signature of appl'cant or name,if a corporation) T OF SOU'i-Jal��A.;.d (Mailing address of applicant) 1 J— "76- 2-State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder _7 / Name of owner of premises �(9 Ga-t✓ �- V� C *Z JC7/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. 1. Location of land on which proposed work will be done: House Number Street J3amlet. County Tax Map No. 1000 Section Lot fZ 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 it/PLi1 s�i LAY b. Intended use and occupancy //t/C-i--1� �• �rL-y 3. Nature of work(check which applicable): New�$ujlding;' =; >f1r; Addition t� Alteration Repair Removal Dep lition Otiier'Work Terry lftwyAy r 1. Stollcl&- " (Description) 4. Estimated Cost �, (�- ti Fee ` A (To be paid on filing this application) 5. If dwelling, number of dwelling units Number-of dwelling units on each floor If garage, number of cars - "• - 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories- Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories` f77 t -- -- 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO_,�C Will excess fill be removed from premises?YES NO A- 14. Names of Owner of premises 7-14,/Nc> 21 Address Sc5t C .e— Phone No. 7Y!_ Name of Architect Address Phone No Name of Contractor Ck\,,Xxc d, -=,c, Address�` t � �.�� Phone No. cak. hk kk 1 S4' 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY$E REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO _,,>c- * 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-->—r" * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the pc ted►Oar (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 this � - day of 20LYN K GOLZ L I��/6-1) NOTAR, PUBLIC-STATE®F NEWA-. 4, . IG06205436 Not&y Pub i 0ualified in Suffolk County Signature dApf licant My CommisiEon Expires May 11, 021 i Scott A. Russell i�ze_SU�� 'OR IM[WATIE][�..\1�A(Gi]E 1ENTSUPER�TISOR I��1[,ASOUTHOLDTOWNHALL-P.O.Box 1179 06C Town of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 0� CHAPTER 236 - STORMWATER MANAGEMENT'WORK SHEET (TO BE COMPLETED BY THE APPLICANT) DOES TIES PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No ®®' A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ®®" B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ®® C: Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. E]1[2 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ®[] E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ff F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control_Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tag Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department witFy_o_ur Building Permit Application. S.C.T.M. 1000 Dates APPLICANT- (Property Owner,Design Profession Agent,Contractor,Other) DJstrict d g --i— guy F4 1 NAME: f✓ Section Block Lot �n �5(pp "»» FOR BUILDING DEPARTMENT USE ONLY » Contact informa / O -3b 3--r 7YC Rcicp6mc Vumbrl Reviewed By: Date: Property Address /Location of Construction Work: — — — — — — — — — — — — — — — — — Approved for processing Building Permit. 3c`F,S�� ,n �i�,r�P — Stormwater Management Control Plan Not Required. ElStormwater Management Control Plan is Required. (Forwaid to Engineering Department for Review.) FORM " SMCP-TOS MAY 2014 P6 0,4 Andersen Andersen Windows - Abbreviated Quote Report Andersen Project Name: old wood sound ave mattituck Quote#: 186528 Print Date: 05/16/2019 Quote Date: 05/08/2019 iQ Version: 190 Dealer RIVERHEAD BUILDING SUPPLY Customer: 1 - ANDERSEN TRADE ID FOR RIVERHEAD BUILDING BUILD SMARTER.BUILD BETTER. Billing 1-800-378-3650 Address: WWW.RBSCORP.COM Phone: Fax: I;Sales Rep: GREG VIANI Contact: j `CrcaPromotion Code: I Item Qty Item Size(Operation) Location Unit Price Ext. Price 1 i 2 .3. 0002 1 TW2642-DHP41042-TW2642(AA-F-AA) $ 1631.14 $ 1631.14 RO Size=10'3 3/8"W x 4'4 7/8"H Unit Size=10'2 13/16"W x 4'4 7/8"H 400 Series Composite Unit,White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4*High Performance Low-E4 Top/Bottom Glass, No Grille, Mulling Location: Factory(Direct), Mull Type: Narrow Mull, Mull Priority:Vertical Insect Screen,White Viewed from Exterior COMPLY WITH ALL CODES OF Zone North-Central NEW YORK STATE & TOWN CODES Unit U-Factor SHGC ENERGY STAR®Certified AS REQUIRED AND CONDITIONS OF ------------------------------------------------------------ 1 030 0 31 Yes APPRO ED AS NOTED "LUAN 2 029 033 Yes 3 030 0.31 Yes DATE:�3 B.P.# �(� TOARD FEE: gY SOJ aiNl T�E NOTIFY BUILDING DEPARTM 765-1802 8 AM TO 4 PM FOR THE N Y_4.DEQ FOLLOWING INSPECTIONS: � 1 CII1IRInR purr v FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST OCCUPANCY OR BE COMPLETE FOR C.O. ALL CONSTRUCTION, SHALL MEET THE USE IS UNLAWFUL REQUIREMENTS OF THE,CODES OF NEVI WITHOUT YORK STATE. NOT RESPONSIBLE F E DESIGN OR Quote# 186528 Print Date: 05/16/2019 N T DICTION fly. OF OCCI 'M)M Y19.0 Item Qty Item Size(Operation) Location Unit Price Ext. Price 0003 4 TW3042(AA) $ 466.13 $ 1864.52 �! I; RO Size=T2 1/8"W x 4'47/8"H Unit Size=3'1 5/8"W x 4'4 7/8"H 400 Series Unit, Equal Sash, Nailing Flange Installation,White/PI White, High Performance Low-E4 Glass(Each Sash) Insect Screen,White Zone.North-Central Viewed from Exterior U-Factor:0.30, SHGC:0.31, ENERGY STAR@ Certified-Yes 'i 0004 1 PS6 (LS) $ 1549.59 $ 1549.59 i RO Size=6'0 3/4"Wx6' 107/8" H Unit Size=6' 0"Wx6' 10 3/8"H !& 200 Series Unit, Assembled, LS Handing,White/PI White, Low E Tempered Glass Insect Screen, Gliding,White Hardware Trim Set, GD, 2 Panel,Tribeca-White Lock, GD, LH, Exterior Keyed,Tribeca-White Viewed from Exterior Zone:North-Central U-Factor.0.28, SHGC:0 32, ENERGY STAR@ Certified-Yes j 0005 2 TW2436(AA) $ 388.29 $ 776.58 �i ROSize=2'61/8"Wx3'87/8" H Unit Size=2'55/8"Wx3'87/8"H I! 400 Series i Unit, Equal Sash, Nailing Flange Installation,White/PI White, High Performance Low-E4 Glass (Each Sash) I Insect Screen,White Zone.North-Central Viewed from Exterior U-Factor:0 30, SHGC.0 31, ENERGY STARO Certified Yes Quote 4, 186528 Print Date: 05/16/2019 Page 20f 5 --iQ Version: 19.0 Item Qty Item Size(Operation) _ Location Unit Price Ext. Price 0006 2 TW26310-2(AA-AA) $ 891.59 $ 1783.18 =1 i --2— ROSize=5'37/8"Wx4'07/8" H UnitSize=5'33/8"Wx4'07/8"H I� i 400 Series Q ® Composite Unit, White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4 Top/Bottom Glass, No Grille, Mulling Location: Factory(Direct), Mull Type:Narrow Mull, Mull Priority:Vertical Insect Screen,White Viewed from Exterior Zone'North-Central Unit U-Factor SHGC ENERGY STAR®Certified ------------------------------------------------------------- 1 0.30 0.31 Yes 2 030 0.31 Yes 0007 1 TW26310(AA) $ 417.27 $ 417.27 i, ROSize=2'81/8"Wx4'07/8" H Unit Size=2'75/8"Wx4'07/8"H 400 Series ! ; Unit, Equal Sash, Nailing Flange Installation, White/PI White, High Performance Low-E4 Glass (Each Sash) Insect Screen,White Zone:North-Central Viewed from Exterior U-Factor:0 30, SHGC:0 31, ENERGY STARO Certified.Yes Quote#: 186528 Print Date- 05/16/2019 Page 3Of 5 iQ Version: 19,0 Item Qty Item Size(Operation) Location _ _ Unit Price Ext. Price --- ' --- =j 0008 1 TW2036-2(AA-AA) $ 792.26 $ 792.26 RO Size=4'3 7/8"W x 3'8 7/8"H Unit Size=4'3 3/8"W x 3'8 7/8" H i �I 400 Series Composite Unit,White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4 Top/Bottom Glass, No Grille, Mulling " Location: Factory(Direct), Mull Type: Narrow Mull, Mull Priority:Vertical Insect Screen,White Viewed from Exterior Zone:North-Central Unit U-Factor SHGC ENERGY STAR®Certified ------------------------------------------------------------- 1 030 0.31 Yes 2 0.30 0.31 Yes i 23 1 45-P4035-20(L-F-R) $ 2036.23 $ 2036.23 (10009 _ RO Size=7'2 1/2"W x 3'6 7/8" H Unit Size=7'3 7/8"W x 3'6 5/16"H 400 Series Group Unit, Casement 45 Degree Angle Bay,White/White-Vinyl Wrapped, High Performance Low-E4 Glass, No Grille, Mulling Location: Distributor, Mull Priority:Vertical Insect Screen,White Hardware Pack, PSC, Contemporary Folding-White Viewed from Exterior EXT JAMB,WHITE 4 9/16 WALL PR PI HEAD AND SEAT BOARD,WHITE 45 DEGREE BAY 5 1/4 WALL SET PLATFORM,45 DEGREE BAY SET CASING,WHITE AUXILIARY W/SCREWS RIA, LOOSE CABLE SUPPORT, SYSTEM Zone-North-Central Unit U-Factor SHGC ENERGY STAR®Certified ------------------------------------------------------------- 1 0.28 0.32 Yes 2 027 0.34 Yes 3 028 032 Yes Print Date: 05/16/2019 iQ Version: 19.0 Quote#: 186528 Page 4Of 5 Item Qty Item Size(Operation) Location Unit Price Ext. Price Subtotal !$ 10,850.77; Total Load Factor Tax(8.625%) 935.88 Customer Signature F 8.825 Grand Total 1$ 11,786.651 Dealer Signature � CC **All graphics viewed from the exterior _ B ��Z O CuO **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 orfasteners or other items. i Ask to see if all of the products you purchase can be upgraded to be ENERGY STAR®certified. IV,rUffLWIll 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 2018 This data may change over 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# 186528 Print Date: 05/16/2019 Page 50f 5 iQ Version: 19.0