HomeMy WebLinkAbout44302-Z rr.�oa
guEF04 Town of Southold 12/16/2019
P.O.Box 1179
w rh
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40937 Date: 12/16/2019
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 495 Eugenes Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-2-16.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/10/2019 pursuant to which Building Permit No. 44302 dated 10/17/2019
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"alterations and addition, including 2 mini-split air conditioners and deck with covered entry, to an existing one
family dwelling as applied for.
The certificate is issued to Endemann FB Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44302 12/10/2019
PLUMBERS CERTIFICATION DATED
Auto ' e Signature
ego nTOWN OF SOUTHOLD
tKc
k�y� BUILDING DEPARTMENT
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#: 44302 Date: 10/17/2019
Permission is hereby granted to:
Endemann FB Trust
544 NE Plantation Rd Apt 4706
Stuart, FL 34966
To: legalize ' as built" deck addition to existing single-family dwelling as applied for.
Additional certification may be required. `
F
At premises located at:
495 Eugenes Rd., Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.-2-16.3
Pursuant to application dated 10/10/2019 and approved by the Building Inspector.
To expire on 4/17/2021.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $632.00
CO -ADDITION TO DWELLING $50.00
otal: $682.00
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.
O2 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: ` (check one)
Location of Property: Q S-e b
House No. Street a Ham
Owner or Owners of Property: , Oe v\ `_'� avk
Suffolk County Tax Map No 1000, Section a Block 2 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: (check one)
Fee Submitted: $ OO ��
Applicant Signature
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
�
L,- l
FV\k'�NV 5)\y% residing at �'1 r�q q-e Y.� C, Qa4 �!
(Print property owner's name) (Mailing A ss)
do hereby authorize C '(�r%y!'eV
(Age t)
to apply on my behalf to the
Southold Building Department.
L /a /0 2C)!`l
(Owner's Signature) (Date)
(Print Owner's Name)
oF sovPy®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G sean.devlin(a)-town.southold.n us
Southold,NY 11971-0959 �® y
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Endemann FB Trust
Address: 495 Eugenes Rd city Cutchogue st: NY zip: 11935
Building Permit* 44302 Section 97 Block: 2 Lot. 16.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Surrey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 2 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures Combo SD/CO
Other Equipment 2_ Mini Splits
Notes: " AS BUILT " " NO VISUAL DEFECTS " Mini Split AC'S
Inspector Signature: Date: December 10, 2019
S.Devlin-Cert Electrical Compliance Form.xls
Town of Southold October 10, 2019
Building Department
54375 Main Rd.
Southold, N.Y. 11971
Re. Endemann Residence Deck
Eugene Rd., Cutchogue N.Y.
Dear Building Dept..
The deck that was built in 1981 was built torode.This includes the decking,the joists.girders, and
footings. j
D Al
At 4
Sincerely, r
Richard Suter RAre
`; OCT 15 2019
pF SObTyOlo
# TOWN OF SOUTHOLD-BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]/INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [✓J FINAL A
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ]- ELECTRICAL (FINAL)
[ ] CODE VIOLATION
REMARKS: 1 T
�6 L"
n ? "
DATE !l INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (IST)
------------------------------
FOUNDATION (2ND) i
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ROUGH FRAMING&
PLUMBING H QS
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INSULATION PER N.Y.
STATE ENERGY CODE
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FINAL
ADDITIONAL CO MENTS
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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) 765-95024L�34), Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
` Trustees
C.O.Application
Flood Permit
Examined Ohl 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
_,_., Contact: I
Approved >20 y,�," ;' 1 A�°'`+J � ��N^ � i.1-to lE a�f\A'Wev
Disapproved a/c �;��•�^� � ci'�Ij,'�£'"3+ +
Phone:
Expiration ,20
Bui ing pector
APPLICATION FOR BUILDING PERMIT
Date f a ��, 2010
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.
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.
(Signature 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
0 113hn e)r
Name of owner of premises r, �? 3
("As on the tax oll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Naive 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 roposed work will done:
Ho se Number StredtJ Hamlet
County Tax Map No. 1000 Section Block Lot
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--I) 015bu
' ! �-
3. Nature of work(check which applicable): New Building Addition V Alteration
Repair Removal Demolition Other Work
(Description)
\Ifbusi
ost Fee
(To be paid on filing this application)
number of dwelling units NumbpTr ofd-Telling units on each floor
number of cars E
commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensionsf exists g structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of a structure with alterations or additions: Front Rear
Depth Height Number of Stories
/nelounss f entire new construction: Front Rear Depth
Number of Stories
: Front Rear Depth
rchase Name of Former Owner
se district in which premises are situatedosed construction violate any zoning law, ordinance or regulation? YES NO V
13. Will lot be re-graded? YES NO V Will excess fill be removed from premises?YES NO V
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name 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"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
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY OFSI�f��� )
being duly sworn, deposes and says that(s)he is the applicant
(Name kindfvidual signing contract) above named,
(S)He is the
(Contractor, gent, orporate 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 th'
-L4" day of 20f
TRACEY L.. DWYER
TARYPUEk�, ',STATE OF NE
Notary Public NO.01 DW6306900 Signature-of pp scant
QUALIFIED IN SUFFOLK COU
COMMISSION EXPIRES 81L1
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
Southoldtownny.gov PERMIT NO. _ Check
Septic Form
MY S.D E C.
dt ;{ ' . Trustees
\`t; ,' ,�f; ' 1^, C.O.Application
Flood Permit
Examined2 L: ;�y2019 ' ' t ' Single&Separate
_' Nov 2 s i T uss Identification Form
Storm-Water Assessment Form
> a` Y7 ji,
.i`tv �:t, ,p, Con et:
Approved 20__� r �r;_., ;• �alaii�tS:
Disapproved a/c aa
Phone:l n—s
Expiration _ 2Q _
Building Inspector
APPLICATI FOR'BUILD G PERMIT
Date r 1 12A , 20
INS RUCTI NS
a. This application MUST be completely filled in by ewr' er or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to sched le.
b.Plot plan showing location of lot and of buildings on pi mises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be co en ed before issuance of Building Permit.
d. Upon approval of this application,the Building Insp ctor w 1 issue a Building Permit to the applicant. Such,a`pprmit
shall be kept on the premises available for inspection through t the wo
e.No building shall be occupied or used in whole or in part for a purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work an orized has not mmenced within 12 months after the date of
issuance or has not been completed within 18 months fro such date. If no zo ing amendments or other regulations affecting the
property have been enacted in the interim,the Building I spector may authoriz in writing,the extension of the permit for an
addition six months. Thereafter,a new permit shall be r quired.
APPLICATION IS HEREBY MADE to the B ilding Department for the ' suance of a Building Permit pursuant to the
Budding Zone Ordinance of the Town of Southold, S ffolk County,New York,an other applicable Laws, Ordinances or
Regulations,for the construction of buildings,additi ns,or alterations or for remova or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances,building code,housi code, and regulati ns, and to admit
authorized inspectors on premises and in building r necessary inspections.
S' nat r of pp9i nt or ame,if a corpo tion)
(Mai 'ng address of applicant)
State whet er applicant is owner, less e, agent, architect, engineer, general contractor, el trician, plumber or builder
Name of owner of premises i
(As on the tax oll or latest deed)
If applicant is a corporation, signa re of duly authorized officer
(Name and title of corpor to officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which pro osed work will be d A
House Number Street __ f Hamlet
County Tax Map No. 1000 Section C Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and,.occupancy of proposed coo truction:
a. Existing use and occupancy ' �(`)A'G cc C a, 0 1NA
V-
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
4; (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
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-Owill 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 urvey.
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
kA 'P r being duly sworn,deposes and says that(s)he is the applicant
C— (N[Ae'OfAndividual signin act) above named,
(S)He is the
(Contracto , Agent, orporate 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 thi
day of 201ft
TRACEY L. DWYER
LAyA�KARY PUBLIC,STATE OF NEW YORK
Notary ublic NO.01 6306900 ignature of 4ppcant
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30, tz�)
-xi,
Scott A. Russell ,��°Su p ST01R.MWATIER,
SUPERVISOR \G 1 EMIEN T
I��][A\I�A G
SOUTHOLDTOWN HALL-P.O.Box 1179 Town of Southold
53095 Main Road-SOUTHOLD,NEW YORK 11971 0
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS 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.
❑ 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.
❑XF. 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 Tax 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 witF your Building Permit Application.
APPLICANT (Property Owner,Design Professional,Agent,Contractor.Other) S'C'T' #' I000 Date
District
e 1 ISYL
NAME. �6h;%
�--- `"'� Section Block Lot
FOR BUILDING DEPARTMENT USE ONLY****
Contact Information
rr.kpna,.v.mcd
Reviewed By:
Dat .
Property Address / Location of Construction Work: — — — — — — — — — — — — — — —
Approved for processing Building Permit.
Stormwater Management Control Plan Not Required. '
❑ Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM " SMCP-TOS MAY 2014
,r
StafF4-c0 BUILDING DEPARTMENT- Electrical Inspector
r 'i=', �; TOWN OF SOUTHOLD
o '° R'' ,. ' .-Town Hall Annex - 54375 Main Road - PO Box 1179
V' y'= Southold, New York 19971-0959
y�yo`'' 2 5 2019 Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(aD_southoldtownny.gov - sea nd(cDsoutholdtownny.gov
�-1APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail information Required) Date:
Company Name:
Name:
License No.: email:
Address: kn�VV'k %-o 8:7;4 tip 2,-.7
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: C r?) FF
Address:
Cross Street:
Phone No.:
Bldg.Permit A ,30"D— email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
a YYl i n i ��� 1+ bc!S I A<S
Circle All That Apply:
Is job ready for inspection?: YES N6j Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect - Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Form As � ,
FO J BUILDING DEPARTMENT- Electrical Inspector
- '
TOWN OF SOUTHOLD
CM 20 Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
o .
"Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(aD-southoldtownny.gov - seand(a-).southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: FB --Fv-u5
Address:
Cross Street:
Phone No.:
Bldg.Permit#: �3®�, email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Ct.S !01 )i I+ JAc
Circle All That Apply:
Is job ready for inspection?: YES Rough In Final
Do you need a Temp Certificate?: YES NO" Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Formals
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LAND SURVEYOR, N.Y:S.'};IF,fi 0.1 0.45093
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UNAUTHORfZF,O ALl tI RaTION OR QISDITlON 7Q �+ '�i : y r • "� y:�, jGY A` E'Nla4MAN,P�
TRIS SURVEY IS A VIOLATION 0 SECTION• s^
7?09 OF tHE NEW YORK STATE•EDUCATION
LAW
COPIES b ,THIS RdRVkY MAP N'QT SEARING
' THI; LAND.SURVEY'ORIS INKED SEAL. OR s' '
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SURVEY ,IS:0REPAi eo',ANO ON HIS BEHALF
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'PROPOSALT Asa
_ PHONE,., DATE"
C_
7011
STREET JOB NAMENan Fnrlprnann
Auguczt % ;
P.O. Box, #745 495 Euciene Road
CITY,STATE AND-ZIP JOB LOCATION
Cutcho ue NY 11,935 Cutcho ue IVY 11935
EMAILADDRESS CELL PHONE
Proposal #1 631=905-74677Z/'p
1Ne.fiefeti_y,strbrrtlt specifiq%.Rs and estimate sfor;
Furnish and install new Sanyo Tri Zone ductless air,conditioning system.
Zone#1: Upper Bedroom
Zone#2: Office at First Floor.
Zone#3: Guest Bedroom
Zone'#1:" 'Furnis'h and' install (1) Sanyo, model#KMS0972, wall mount air handler,: exact
location to be determi�re'd. " .
"IZone#2;�:and L#3':�Fu'rnish'',and`instail -n o model#KMS07 t }V I
(2)%Sa 72-=`:,Wal , . Y
reXact-.locatiofis to:be determined° PA's
t� ,i.F ; •.:E r„ - - , •Y-f. .r�•qt 4s5 w'j
(1)`'S+anyo`,;-model#CM1972• condensing 'unit.to'', instal,led -at.,residerlce'°exfi ,'� rc
erior:, exact
location to be determined.
Includes,c Remote controls, Condensate drain. Line voltage wiring: Armorflex insulated type
"L" nitrogen-ized refrigeration piping. All necessary materials, labor, installation and starffupa
Does Not Include: Any applicable permits, certificates, or associated fees, if required.
Warranty:
Ail,work to�be dor'Ie•iln,a profdssionail rhannerlby train`ed.installlprs(Q�fd,serv.jce,',pe`rsonnzl:
We will provide one year parts & labor service during normal business hours on above system.
Seven year Sanyo warranty on compressor.
Five year Sanyo warranty on all functional parts.
All factory warranties are honored.
Total Investment:, $6,200.00
•K
*Upon abceptance,please date,sign by the"X"and return yellow copy with your.tleposit.
„.
KOLB MECHANICAL HEATING&AIR CONDITIONING
In the event this account is forwarded to counsel for collection the purchaser shall be liable for all reasonable fees of Kolb Mechanical Corp.,
It is the responsibility of the Homeowner to have qualified Service Mechanics maintain heating and air conditioning equipment as required by man- x
ufacturer in order to preserve warranties.
All equipment shall remain property of Kolb Mechanical Corp.,until fully paid
All past due accounts shall be charged interest of 1.5%per month.
All payments Due Upon Receipt.
� ' �•-- � i 1 1
.Page No.
of Pages
Y OLB MECHANICAL CHANICAL CORP.
r, Heiating_and Air Conditioning, _t
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PROP' MITT '7'' w"ti"� pHON
'•��• ;S- c T `t: .i" =-"``� Y -e.z +„• .y _"s`, -_DATE
�,. - - ., .<• { •• �
NA
STRI=ET JOBNAME G
.P.O. Box #745 - 495 Eugene Road
CITY,STATE AND ZIP JOB LOCATION
Cutcho ue NY 11935 Cutcho ue NY 11935
EMAIL ADDRESS CELL PHONE
Proposal.#2 631-905-7487 JZ/jp
We hereby submit specifications and estimates for:
- -;=-Furnish-an'&�install�new (-z7 zone-Sariyo'�ductlesi�`air,corlditToning-system-to#service�-th—e t-upp-e
loft and first floor living room, and kitchen area.
Zone#1: Upper Loft and Living Room.
(1) Sanyo, model#KMS2472, wall mounted air handler to be installed at upper loft.
Zone#2: Kitchen and Dining Room.
(1) Sanyo, model#KMS,1272, wall mounted air handler to':be installed; exact location to be,. ,
determined:`. = _ _ F, ,t ;A
..,'1•- .f+S._ „-i �'� - ,isfsst:��_ t•=3 _ _ fi• �. _ - - . ' -. i•{r.�:�- •�+. .,�''�: i •_1.._17.
tj
any'o.;',:modef'#CM3172A;: multi zone-.conden's'"e'r to be 'installed :at: residence 'exterior a,
t,he-south e`nd_of th'ehose.` ; ' r • . .„ ..
Install line voltage wiring from the air handler to the condenser. ` s
Install line voltage circuit.
Install control wire.
Install condensate drain.
Includes: Remote controls. All necessary materials, labor, installation and start-up.
• - _ t� _ ._ c - - i_ t..•. _ _.
Does Ndt In`cltide: •Any applicable permits,'certificates,"or associated fees,•if required..
Warranty: ,
All work to be done in a professional manner by trained installers and service personnel.
We will provide one year parts & labor service during normal business hours on above system.
Seven year Sanyo warranty on compressor.
Five year Sanyo warranty on all functional. parts.
All factory warranties-are honored. s '
e H
Tota[ nvestr�eri`t:; $6`,6;9`0,00:
t _ *Uoori acceptance,please date,si h b the"X•'and return yellow co 'wi#h
9, Y Y py, ,your deposit;
KOLB MECHANICAL HEATING&AIR CONDITIONING
In the event this account is forwarded to counsel foi collection the purchaser shall be liable for all reasonable•fees of Kolb Mechanical Corp.,
It is the responsibility of the Homeowner to have qualified Service Mechanics maintain heating and air conditioning equipment as required by man-
ufacturer in order to preserve warranties.
All equipment shall remain property of Kolb Mechanical Corp.,until fully paid
All past due accounts shall be charged interest of 1.5%per month.
All payments Due Upon Receipt. I
KOLB MECHANICAL CORP. Invoice
11500 SOUND AVENUE
P.0.BOX 106
,NAXZLULCDate Invoice#
K 11952-0106
Phone:631-298-5527 Fax: 631-298-5534 9/23/2011 72297
Bill To Job Name
NAN ENDEMANN ENDEMANN
PO BOX 745 495 EUGENES ROAD
CUTCHOGUE,NY 11935 CUTCHOGUE,NY 11935
Terms Rep Project
Net 10 J
Description Amount
Final Balance Due
Please Remit Payment in the Amount of: 6,390.00
Furnish and install new Sanyo Tri Zone ductless air conditioning system.
Base Job Price Proposal#1: $6,200.00
Base Job Price Proposal 42: $6,690.00
Less: Deposit rec'd 09/07/11 ($6,500.00)
------------------
Total Outstanding Balance: $6,390.00**
**Please complete and return the enclosed Capital Improvement Form.
Payment is due before
October 3,2011. Thank you for your business. Total $6,390.00
The Annual Finance Charge is 18% on all account balances over 30 Payments/Credits $0.00
days past due.
Balance Due $6,390.00
g �� �V—oS-2ot1
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W.I. SERVICES INSTALLATION QUOTE # 64645
WI SERVICES,INC Date:07/19/13
71 Heartland Blvd Salesperson: 639 Nico Ortiz
Edgewood,NY 11784
631-696-8326 631-696-9125 License# 13VH04405100
CUSTOMER: Nan.&Fred Endemann
ADDRESS: 495 Eugenes Rd CITY: Cutchogue STATE:NY 11935
HM PHONE: 631-734-5441 WORK: ### FAX: 0
E-MAIL: 0
Install consists of complete rip out of one twin double hung unit will re-flash re-insulate making sure opening is water and air
tight and will install new window into opening.Will trim inside with 2,/z P(tMeX easing with stool and apron.
Remainder install consists of stripping windows 4o existing frames and will install tilt pacs replacement window system,into
openings and will caulk and cap if needed.'
CUSTOM REPLACEMENT WINDOWS NEW CONSTRUCTION UNITS DOORS
UNIT COLOR SIZE GRILLES:
QTY ROOM DESCRIPTION EXT INT WIDE HIGH PATTERN TYPE WIDE HIGH
1 Marvin Clad Ultimate Twin mull double hung white IV, 673/4 441/2 colonial removable 3 2
Lowe 272 w/argon with white screens
satin taupe sash lock '
2 Marvin Clad Double hung tilt pac white clear 36 38 colonial removable 3 2
lowe 272 w/argon with white screens
satin taupe sash lock
2 Marvin Clad Double hung-tilt pac 'while white 24 36 colonial removable 2 2
lowe 272 w/argon with white screens .
satin taupe sash lock
,
4R+
DETAIL CHECK LIST
RE-INSTALL EXISTING WINDOW STOP-CUST.TO PAINT x FULL SCREEN
INSTALL NEW STOPS-CUSTOMER TO PAINT 1/2 SCREEN
x INSTALL NEW INTERIOR CASINGS x STANDARD HARDWARE:see above
INSTALL NEW SILLS-EXTERIOR ONLY OPTION HARDWARE:see spec.above
x INSTALL NEW STOOLS AND APRONS IN INTERIOR x EXTERIOR CAPPING
CUT DOWN SIDES
x CUSTOMER TO MOVE FURNITURE TO ALLOW ACCESS x CLEANUP/REMOVAL OF JOB DEBRIS
x CUSTOMER TO REMOVE AND RE-INSTALL ANY WINDOW TREATMENTS,SHADES,AND BRACKETS
x CUSTOMER RESPONSIBLE TO PAINT OR STAIN ANY NEW TRIM,STOPS OR CASINGS
ALL CASING AND TRIM WORK TO BE PINE UNLESS OTHERWISE SPECIFIED,ANY OTHER MATERIAL TO BE
AT ADDITIONAL,COST.
CUSTOMER RESPONSIBLE TO OBTAIN AND PAY FOR BUILDING PERMITS
LEAD CONTAINMENT?NO f
PROJECT TOTAL: Ll
CUSTOMER SIGNATURE lyx4oi \29---i, v-DATE
6
=Nesinset
OOR & WINDOW
SHOWROOM SHOWROOMc, m 'r
50 Old Country Road 3027 JerichoTpke:Westbury,N.Y.11590 E.Northport,N.Y.11731
a;WT997-3399 499-5600
SUFFOLK COUNTY LICENSE p 2271HI NASSAU COUNTY LICENSE k H09056300W
CUSTOMER NAME PHONE SALESMAN DA OF ORDER MECHANIC
JOB PHONE t ,�
BILL TO t
2732
AD RESS Ar
CITY
JOB NAME A LOCATION
ORD..C1..
DESCRIPTION OF WORK: y
AMOUNT
1-2
�L TAX
CONDITIONS:1 yr.guarantee parts&labor from invoice date Prices and quotatio TOTAL
are subject to job site inspection.6 month guarantee on wood door Factory Pre-
Finishes.Active Door&Window Co.will,upon it's discretion,repairorreplace del ectrve OSIT QO
material covered under guarantee policy.Active Door&Window Cc is not responsible
for permanent wiring of any electric door openers sold and/or installed.Any and all
repairwork notcovered under guarantee will becomputed by current hourly labor rate BALANCE
i plus materials.
JS
11/i%monthly charge on all overdue unpaid balances. DEPOSIT
All approved refunds will be made by company check only.
Non custom orders may be returned for credit within 10 days of purchase at the
discretion of Active Door&Window Co.subject to a minimum of 25%of the purchase BALANCE
price to cover handling or restocking charges.All custom orders(based upon supplier
or manufacturers specifications)are non returnable for credit or refund. TERMS C.O.D..CASH•.
We are not responsible for ORDERED material not picked up within 30 days.Deposit CERTIFIED
CHECK
for material Is NOT refundable.
I hereby agree to the terms,prices,&conditions of this invoice/contract.
You,the owner,may cancel this transaction at any time priorto midnight on the third
business day after the date of this transaction.
SIGNATURE
x 21 i iH • 'D PACKING SLIP Main Office: (800) 695-726
Dispatch: (631) 242-707
71 Heartland Blvd. WHEN THE SALE IS OVER,THE SERVICE ISN'T'
Edgewood, NY 11717
STORE # ii�y TERMS: SHIP DATE: ROUTE: STOP:
SELDEN 1,NSTALLED SALES ENDEhA-Nr-4--4AG
S D43 MIDDLE COUNT; Y IRD S 405- EUSENES FOAD
OT SELDEN, INY 117-94 HT CUTCHOEs;E, NY W?2T
LO 10
OP HOME 1MV-P
=—P A N.,-
CROSS STREETS:
QTY. QTY QTY. OTY, B/O
ORD. SHIP LOADED DEL'D CODE SKU# DESCRIPTION ORDER NO.
MARVIN msd .4 C C.
UM250/14 1 C
t 11 A R Or L: —Zc
5 Li t 4 2 S 0 i A 2,
SUMIF-150i4 -a
f Q C
R K-A C 0 -i'=Rvvi m5(1 'r'C
WWI iIIJI12SOi4 ?b
3LIMESO I A 2b
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'R f'-A CC 40
i LI-1-=5 01'A.4 r
5UM25014
7L
R V-AC
51jM2 S Ow 14 2�
1
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IAIRIN 1,150 AC-C
ME 50 11 A --b
M
! -C -214 a
I have read and agree to the terms and conditions on the reverse side and have C.O.D.
counted, inspected and received the materials listed above in good condition, LOADED BY: AMOUNT AMT. PAID
PRINT
X NAME CASH CHECK
SIGNATURE DRIVER:
DATE
' • • ® Main Office: (800) 695-726
PACKING SLIP
MaDispatch: (631) 242-707
71 Heartland Blvd. WHEN THE SALE IS OVER,THE SERVICE ISN'T"
Edgewood, NY 11717
STORE # TERMS: SHIP DATE: ROUTE: STOP:
iiELDEN INSTALLED 15A.ii-ES
S 343 MIDDLE COUNTPY PC S
j7.
OT SELDEN, NY, 11784 HT CUTCHOGUE, N' I'm
LO 10
D MS-i-6?6-e.rt 2 A P 6.S1-677ii-i-iti-
OP HOME IMP 6713-214-1
CROSS STREETS:
QTY. QTY. QTY. QTY. B/O SKU# DESCRIPTION ORDER NO
ORD. SHIP. LOADED DEL'D CODE
Sala SOw 14
4
T
UMES014
7,
E-Hlpr� -'�VIFLOPE
"�J f
I have read and agree to the terms and conditions on the reverse side and have 0
counted, inspected and received the materials listed above in good condition. 0 AMT. PAID
PRINT LOADED BY:
X NAME CASH CHECK
SIGNAT"E DRIVER: ❑
DATE
• PACKING SLIP Main Office: (800) 695-726
71 Heartland Blvd. WHEN THE SALE IS OVER,THE SERVICE ISN'TDispatch: (631) 242--707'
Edgewood, NY 11717
STORE # Y TERMS: SHIP DATE: '04.-
ROUTE: STOP:
SE-,' DEN INSTALLED SAiLES
S n.4+3 "11-1-DDLE COUNTF-Y RDS D 49S EUGEN;:'S ROAD 31 6 Itz E 2-7
0 T SELDENNl� 11. 1 7e4 H T
LO 10
D P
nP HOME IMP 6,70-2147 EEFA N,''_-'
CROSS STREETS: 47 it M,All fl, Y ==C
QTY. QTY QTY QTY. B/O SKU# DESCRIPTION ORDER NO,
ORD, SHIP. LOADED DEL'D. CODE
ECIA' TNISTRUCTIONS
X 'D
LADED L'BE,* 1:
*NO COD GUE ON Di VER
4
I have read and agree to the terms and conditions on the reverse side and have •
counted,inspected and received the materials listed above in good condition. IT01111101111 AMT. PAIDPRINT LOADED BY:
X NAME CASH CHECK
SIGNATURE DRIVER:
❑
DATE
� � � � PACKING SLIP
Main Office: (800) 695-726
Dispatch: (631) 242-707
71 Heartland Blvd. WHEN THE SALE IS OVER,THE SERVICE ISN'T'
Edgewood, NY 1 171 7 # SEE C-ONTPA"ITOS? F-)t
-ALY lrij-p PA*fjEJ41
STORE # TERMS: SHIP DATE: ROUTE: STOP:
!;ELDEN INSTALLED SALES ENDEMANN: NAD
SLt EUGENE;343 MIDDLE -OUNTRY RD S 455 EUSENES ROAD =6682
OT 5ELDEN.- NY 11n4 HT CVTCHDGLIFN`1'
LO 10
D P 63 1-,Iz 7 8-2 111 7
CP HOME IMP
CROSS STREETS: # r W.-SAM-f*
QTY. QTY. CITY. QTY B/O SKU# DESCRIPTION ORDER NO
ORD SHIP LOADED DEL'D. CODE
c-
L:j",2 5 0 14 a
W111
"t:25014 a
5UI`125014
L!P!2-5014
AR'K—A00 1ARVIN M'Si_: AOC
R211-;ESD 14 1
ELIM2501 4 11.7,
MAPVIN Ma-f-' ACC
125C 14 it
I have read and agree to the terms and conditions on the reverse side and have OWN
counted, inspected and received the materials listed above in good condition. W-11 iy�[01 NJ 0 1 AMT PAID
PRINT LOADED BY:
NAME CASH CHECK
r' SIGNATURE DRIVER.- D D-1
D AT E
i
4 3 2 1
PLAN VIEW
D NORTH ;' i D
:�-� • NOV 2 6 2099
7 eak 8" Truss
i
C c
WEST 15'-9" 15'-s• East
B B
i SOUTH 1.33' Dia. Post
PEAK 8" TRUSS Fastened with (4) 3/8" x 6"
r-7j, Stainless Steel Lag Bolts
11 TYP
SIDE 8" TRUSS
A
WM. J. MILLS & CO. Frame D r a w i n A
P.O. BOX 2126
NORTH/SOUTH VIEW 74100"'R�X0"1 DESCRIPTION Fred En
deMann
GREENPORT, NY
11944 Peaked canopy
DATE 06-16-2016 W.D.
DRAWNBy RLM2, 2D4102
4 3 2 1
U� 60
I -
APPRO ED AS NOTED
DATE: ---
FEE: BY: rA
_-- ---- =__=- OCCUPANCY OR
NOTIFY BUILDING DEPARTME T ._^---:-- - --- -- -- - --
- --_ _r --�� r�t ._ _---- USE IS UNLAWFUL
FOLLOWING765-1802 8 INSPECTIONS:
SPECTIO S:M TO 4PM FORT _`_ WITHOUT CERTIFfCrA
1. FOUNDATION- - TWO REQUIRED__
FQR POURED CONCRETE OF OCCUPANCY I -.
2. ROUGH - FRAMING & PLUMBIN
. 3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET E
REQUIREMENTS OF THE CODES OF q W
YORK STATE. NOT RESPONSIBLE ,
DESIGN OR CONSTRUCTION ER __
COMPLY WITH ALL CODES OF — s
NEW YORK STATE & TOWN CODES '
AS REQUIRED AND CONDITIONS OF
- Q;n TOWN 7RA
s Tti6MMld-PtA�OARD l
S0UTWgLD4&TRUSTEES
j-
�� Additional
Certification
I May Be Required.
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