HomeMy WebLinkAbout45419-Z off L/C Town of Southold 2/28/2021
fP.O.Box 1179
h
two
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41848 Date: 2/28/2021
THIS CERTIFIES that the building WINDOWS
Location of Property: 53850 CR 48, Southold
SCTM#: 473889 Sec/Block/Lot: 52.-2-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/26/2020' pursuant to which Building Permit No. 45419 dated 11/9/2020
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:
one window replacement as applied for.
The certificate is issued to Armagan, Sevan&Levan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
t ed Signature
TOWN OF SOUTHOLD
SUFFerr�
oma° °aye BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • �� 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 #: 45419 Date: 11/9/2020
Permission is hereby granted to:
Armagan, Sevan
330 E 39th St Apt 33M .
New York, NY 10016
To: make a window replacement as applied for.
At premises located at:
53850 CR 48, Southold
SCTM #473889
Sec/Block/Lot# 52.-2-19
Pursuant to application dated 10/26/2020 and approved by the Building Inspector.
To expire on 5/11/2022.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO-ALTE N TO LLING $50.00
Tota $250.00
Building Inspec or ,,
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. lo,Lzokw
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 53$5-0 C(X/NN, ,g44it 149 SOUiHoUl .NY /799,1
House No. Street Hamlet
Owner or Owners of Property: 53 EVAN I PRE NA6WN
Suffolk County Tax Map No 1000,Section 5S Block o� Lot
Subdivision Filed Map. Lot:
Permit No. '5 Cf Date of Permit. Applicant: r 171- M� 90tj
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: .V__�
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$ 5_0' . 00
Applicant Signature
Cat�taas�r
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CYSTS �
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�NOE SOUIyO
* TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ]. FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [dFINALu)/n,�xJ
[ ] FIREPLACE & CHIMNEY [ ] -FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
�
n�UWIs m/
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST)------ y
------------------------------------
CODC
FOUNDATION(2ND)
Z
i
I
ROUGH FRAMING& �y y
PLUMBING
INSULATION PER N.Y. `
STATE ENERGY CODE
FINAL
e
ADDITIONAL COMMENTS
2
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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)765-9502 ��/ I Survey
Southoldtownny.gov PERMIT NO. / Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined .20 � o Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved
Approved 202® Mail to:SCOT j ,WU '#1VeA�
Disapproved a/c C� 2 /oS(31.1 i xwg wA tN a,9yo ,3u&,G (0033
Phone: (grogj �•Z`llll.Z
Expiration 120
'---Building Inspector
APPLICATION FOR BUILDING PERMIT
Date ,20 -20
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)
3.91-9 cMEesCyVJ6
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
AGE N/r
Name of owner of premises SEV,91)(
(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. ",9
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which pro sed work will be done:
5-986-0 WUNI r Wu,-6 49 SCUM01-9 avr 119-,
House Number Street Hamlet
CountyTax Map No. 1000 Section J'at Block 191 Lot 1,
e6n0VF_ 609 e eFot,6CF- 9 UIIVJOU T LT rGE 111 ,1V , No S,&1C'TUe&t_
%
Subdivision 5� 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 ozes u)15n)7—/1,qL — S!n/GLE FA HI L y
b. Intended use and occupancy 46S t DE,n -IA'L — 5!1,J6 t E FA HIL;'
3. Nature of work(check which applicable):New Building Addition Alteration
Repair_Removal Demolition Other Work Ul td- OUS RfPGACE nSNi
' `. tion)
(Descrip
4. Estimated Cost 7� 9570 Fee I
i
(To be paid on filing this application)
5. If dwelling,number of dwelling units Numbe of dwelling units on each floor
If garage,number of cars j
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
I
Dimensions of same structure with afterations or additions:Front Rear
Depth Height i Number of Stories
i
8. Dimensions of entire new construction:Front � Rear Depth
Height Number of Stories
9. Size of lot:Front Rear I Depth
10.Date of Purchase Name of Former Owner
I �
11.Zone or use district in which premises are situated i
i 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
Z09N i ,3850 COU/VI'I TE4f
14.Names of Owner of premises Awl 1Y Address 'amu N00 NY Phone No. '%0—058_
Name of Architect Address Phone No _
NameofContractorI1c'aMF_ Dgror USA �d�.Zby3 i�ACEr Feeemone No. 5.2 /IZ
I4TZAr�T� 3033.3 B'
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO X
*IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES! NOLA—
*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,mus provide topographical data on survey.
18.Are there any covenants and restrictions with respect to this property?*YES NO
*1F YES,PROVIDE A COPY.
UlwaS'
STATE OF NEWY6it;K)
SS: I
Z COUNTY OF COO 6 )
�O
0___q Otwt E/-p new-DRO/t) being duly swom,deposes and says that(s)he is the applicant
C (Name of individual signing contract)above named,
S2 W D O (S)He is the
r
O 5 31 (Contractor,Agent,Corporate Officer,etc.)
Z Z0
D m r- of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;
;-4 m that all statements contained in this application are true to the best of his knowledge and beliefs and that the work will be
C/O)O performed in the manner set forth in the application Sled therewith.
nv
o F a SWQM before me
N z d4y OAho n 20 20
N O ` (�
i
Notary lic Signature of Applicant
= Go Permits, LLC
{ 105 Buttonball Ln.
0 Glastonbury,Ct 06033
Scott Doughman
T
Phone:860-952-4112
Fax: 860-430-6719
'r
scottdoughman@gopermits.org
"WE UNDERSTAND THAT YOUR TIME IS MONEY"
October 22, 2020
To: Town of Southold Building Department
Subject: Permit Application for: SEVAN ARMAGAN 53850 COUNTY ROUTE 48 SOUTHOLD, NY
The above listed homeowner has contracted with Sears Home Improvements to replace the windows
in his home. The below listed documents are included with this letter.
• Notarized permit application
• CO Application
• Check for$250 payable to Town of Southold
• Contract with Home Depot detailing scope of work
• Home Depot Suffolk County License
• Certificate of Insurance
• Letter of Authorization from Home Depot allowing GoPermits to submit documents on their behalf
• Land Survey
• Windows specification spec sheet
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:scottdoughman@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!
Ella Mendron, Permit Expediter
Go Permits, LLC
Phone: 847-671-4606
elzbietamendron@gopermits.org
Go Permits LLC,105 Buttonball Ln. Glastonbury CT 06033, scottdoughman@gopermits.org
APER VEDA NOTED
COMPLY WITH ALL CODES OF DATE: '��. B.P.#MA�q ��
NEW YORK STATE & TOWN CODES FE : BY:. --- 01--
AS REQUIRED7OUTH
ONS OF NOTI BUILDING UEPAR RENT AT
- 765-1802 8 AM TO 4 PM FUR l HE
FOLLOWING INSPECTIONS:
NINGBOARD 1. FOUNDATION - TWO REQUIRED
TEES FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
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
OCCUPANCY OR DESIGN OR CONSTRUCTION ERRORS.
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
DATE: l0 400 ° o
ATTN: Town Building Inspector
RE: PERMIT AUTHORIZATION LETTER
To Whom It May Concern:
In accordance with Public Act 9195,.this letter serves as written authorization and
notification that Go Permits LLC, and its employees and agents have the authority to
represent us in the procurement of permits and pertinent documentation on our behalf.
This letter or a photocopy thereof may be regarded by any building official as it's authority
to recognize Go Permits LLC as our authorized agent to sign on our behalf applications for
permits and any other related documents that may be required by you, and we agree that,
for all purposes,we and not Go Permits LLC or it's employees and agents shall be deemed
to be the signer of any such applications and related documents.
Scope of work,
9)9ME S/ZE , /✓o sErgua'ZWA . C�IAn(^rES'.
Location: 5395-0 UNI Y 0?W1ZF' �g
SOUi HQQ) A/Y
root 95X
Authorized Agent Go Permits LLC
Service Agent Name
Best Regards,
1 a_ e &License
Lic ee Signature N Number
NO'T'E: PLEASE MAIL PERMIT TO:
A 11 A AA
IV
JEFFREY i KURR
NOTARy PUBLIC, �1TE f)F146 ORK
THD At-Home Services,In Registra6or P1n,01 KU6004581
Qualified in Suiblk County
40 Oser Avenue• Suite 17•Hauppauge,r 117 ires yla�P.V--9
Phone:631-478-6101•Fax:631-435-4837•Toll Free:877 ssion
WINDOW SPECIFICATION SHEET - Spec.Sheet#: 1-1U2BX2YN" Sheet: 1 of 1
Customer:Seven A Megan ,Job#,1-IU2BX2YN Coneu(legt; Vence Comerford Date: 10/17/2020
New window
Exlsft I Vindow Hinge Locations
Measurements Grids Product Options Labor Options From outside.
Left to Right
Bays,
Location Color Rough Opening f of bars 1 of bare Csmnts,t Pnl,
use L,R or S
Glass Mies hems
Hardware Code
Screens For doors use
% Mug "S'a stationary or
�i Style wraps
8 W a operating
C Room Hoon Code (YIN) Slyte Code Serbs Code IT, N 1 7 1 A tri
STD,White, Glasspack: ROOF,
1 LIV tat YC46 Y BY-C-46 0600 WH WH Bo 48 128 6600-Soundsocurlty- WRAP,LSR L 3 IR
North Central
SPECIAL CONSIDERATIONS:
1:White
Wrap Color
ntarlor Casing Type Colonlel
Bay or Bow window:
erd material(vinyl ordy-Birch or OWO Oak
y Project Angle(30 or 46) 46.00
Flanker Type(13F,SH,or Csmrd)
OP of Window to eo (inches)
tied to soffit,color o eohit materiel 1 have revbwed and agree with all the job specifications above and the
Roof(Yee(jr No)• Special Terre and Conditions on the following page
Garden Window:
alboard Materlai(Y nyl only-White Plonfte,Birch or Oak) s
The Home Depot - Thermal Value of Prodkts Manufactured by Simonton
®aced; 5/30/2018
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Awning 6500 Base Pro&tar Supercept 718" 0.26 ; 023 • e *1 0.26 0.21 010101
Casement 6500 Base ProSotar Supercept 718" 026 ; 024 0 0 0 ® 026 022 e o 0 0
Transom 6500 Base ProSolar Supercept 1' 027 0.32 0 • 027 ! 0.29 e •
floubte-Flung 6500 Base ProSolar Supercept 718" 029_`• 026 • 029 '• 024 e 0
Picture Casement (N>0 6500 Base ProSotar Supercept 718" I 0.28 • • 0.26 ? 025 • 0 0 0
Picture 6500 Base ProSdtar Supercept 7l8" 027 • 029 • • 0.27 0.26 • o
2 Panel Seder 65M Base Prosotar supemW 71W 029 4 0.26 • 029 ; 023 ® o
3 Panel Sliders 6500 Base(s21,W), Pro Solar Supercept 718" 029 j 0.26 ® 028 ; 023 ® ®- •
Gird enDodr CH 65bb:Energy Star ProSolarSUN super Spacer 1" 0.30 ; 024 1*1•I•I• , 0.30 0.21 101011ple
Patio Door(NOVO,- . 6500,Base Pro Solar SuperSpacer• 1" 1028 1 026 1 01 al 1 1 0.31 , 023 10181_I110
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Double-Hu 6100 Enc �Star Pro Solar Supercept 314" 0. • 0:30 0.27 Picture Casement lidoHbvq) 6100 Base Pro,Solar inweept 718" 02 • 027 U.25 ePicture 6100 Base Pro Solar, kdarc ePt 314" 0. - • 027 0282Panel°Slider 8100'Bas® Pra Solar Intercept 3I4"- 0. • 0.30 027Pro Solar, tnteroept 3r4 0. • 0.30 Q27 •
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Picture Wi0ow 6200'Base Pro Solar SHADE Supercept SW, 0.26 0.24 o e • e 0.26 1,0.22 0 0 0 .•,
Single Hung , 6200 Base , Pro SolarSHADE Supem* 314" 028 1 0.23 •' • ® • 0281 021 •
Siag�Slider 6200 Base" Pro Solar SHADE §upercept 3JW' 628 1 0.23 • • e _0281 .021 e • •
3 Panel Saler 6200 Base ProSolar SHADE.- Supercea We 028 1 0.23 1 14 1 01•J 0.28,',021 . 0A.glue
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Awning , SB+30'0VL Errero Lr PS,SUN/l ami Supercwt 1" 026 1 023 e e • • 026 D21 e o 0 •
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•Dots indicate EneW Star,certified for that mne
Please Note: of each order,