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HomeMy WebLinkAbout44978-Z u" o��tlFFa4c�G Town of Southold 3/14/2021 o - P.O.Box 1179 a _ la53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41886 Date: 3/14/2021 THIS CERTIFIES that the building WINDOWS Location of Property: 2555 Youngs Ave Unit 15A, Southold SCTM#: 473889 Sec/Block/Lot: 63.1-1-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/2/2020 pursuant to which Building Permit No. 44978 dated 7/13/2020 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: replacement windows as applied for. The certificate is issued to Granfort,Lucille&Salvator of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 0ut o � e Signature Q�SUFp lQ�` TOWN OF SOUTHOLD a cay� BUILDING DEPARTMENT C3 TOWN CLERK'S OFFICE "o • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 44978 Date: 7/13/2020 Permission is hereby granted to: Granfort, Lucille & Salvator 19 E 88th St#317 New York, NY 10128 To: install windows as applied for. At premises located at: 2555 Youngs Ave Unit 15A, Southold SCTM #473889 Sec/Block/Lot# 63.1-1-21 Pursuant to application dated 7/6/2020 and approved by the Building Inspector. To expire on 1/12/2022. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Tota . $250.00 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. 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. �� 3 New Construction: Old or Pre-existing Building: (check one) Location of Property: �S�S Yo`-v—c(s ArvL House No. " Streeet� Hamlet Owner or Owners of rtY� Prop e S✓I v 0,_,L� y r`` Suffolk County Tax Map No 1000, Section 3' Block Lot Subdivision Filed Map. Ij Lot: Permit No. Date of Permit. Applicant: JJt� Health Dept. Approval: Underwriters Approval: Planning Board Approval: V Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ W A�Wicanf Signature mmm the Applic at is not the Owner) o, resi ' 3at_: _�SS �ct u v- �L/�' (Print propem-ownees name) WailingAd+dm) do hereby agdi ,. ,,�e {Ager} Co pt r VV\. �. GC to apply on my behalfto the, _ Sou&ol Buildup Departnme�#. " (Own s Signatures JA-tU (Print O nnees Name) - # TOWN OF SOUTHOLD BUILDING DEPT. �rouxn 'i� 765-1802 INSPECTION = [ ] FOUNDATION 1ST` [X] RO GH PLBG. 'FOUNDATION 2ND [ LATION/CAULKING FRAMING/STRAPPING [ L k)lramk, . [ .] FIREPLACE & CHIMNEY - [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL-(FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE J' INSPECTOR c i FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) H C FOUNDATION (2ND) co� ROUGH FRAMING& PLUMBING - uI INSL:LATION PER N.Y. � y STATE ENERGY CODE • 3 i i FINAL ADDITIONAL COMMENTS O • Z m X r ® b O L J b H 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 'c' Survey SoutholdTown.NorthFork.net PERMIT NO. `C� Check Septic Form N.Y.S.D E C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form 1-3/ � 2­UContact: Q Approved 1 20 Mail to: Disapproved a/c ( o S Z" lJC'J/ - Phone: $&d- 7Sa-c(H /- Expiration ("Sw L` �- M---) ---'I I, Q�' - D:) ui ding In for JUL 2 2020 APPLICATION FOR BUILDING PERMIT Date (1' 01 ,20 BUII PING DEPS, y� INSTRUCTIONS �' ,a:This i��'�he 9 ST be completely filled in b ewnter or in ink and submitted to the Building Inspector with 4 'j':C ' PIi P Y Y h P g P 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,housi ode,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. DATE:-J— 19 'gyp , g P ,1- 41e� (Signktullof applicant or name,if a corporation) FE .. °� - __ 6QUt 6an•"-49,--O 80945 NOTII Y BUILDING DFPARTNIIi=NT AT (Mailing address of applicant) 7r AP�� 1'iY FQ,'3"i State whethd ap hicantSis o�vii�er lesse� ager,�rc tect,engineer,general contractor,electrician,plumber or builder FOL �1�'tl'I,i� IP�SFEVI"IONS: 1. FOUNT i1�'' . t 0� FiCOUIRED FOR FOUMD COX R'ET Name of uEnor C; Z 3. INSULATION (As on the tax roll or latest deed) If applicanp is la,TTorllionz�signatur�e ef�dul,yj authorized officer CY OR g Builders Lic'ehsr;1Tb1r 1 I'AteS)TALL)V,IwE r THE USE 6S Lp� � UL Plumbers L���nis��oVc,!1 �t- !o- r �U1_�r_J Ut"NEW �� � ��������� Electricians�OLii&seal o. r U I };t�f' J51LfL ti� fJK OtherTrade'FMefis'e)NoCONSTRUCTION ERRORS. F C C U PA C`Y 1. Location of land on which proposed work will be done: House Number S LL eet Hamlet County Tax Map No. 1000 Section 19 f Block Lot a Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and ir;t�ended use and occu ancy o proposed construction: a. Existing use and occupancy _S d GL � %� cLa b. Intended use and occupancy rt� i `ok",­Q rA. - 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work 1,J��(Descnptie�jon)5 4. Estimated Cost ��. Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business,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 Will excess fill be removed,from premises?YES NO 'l OU�ry S 14.Names of Owner of premises Address 1`iy C I= T"A Phone No. Name of Architect Address Phone No Name of Contractor, ° p Address �� ^r�hone No. j44, e:yj 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. FS)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 M -— *IF YES,PROVIDE A COPY. 0 RM0N 9 STATE OF `6�C�olcmCb 0 G!2 SS: IUZ QCOUNTY OF ppv vee) Z being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the q-1 (Contrac or,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 tht ZL°A day of JCA(V —20W tary Public Slinature of Applicant Go Permits, LLC 105 Butfonball Ln. Glastonbury, Ct 06033 r o Scott Doughman Phone:860-952-4112 Fax: 860-430-6719 ;y.. 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 Go Permits, LLC 'L�U�� Phone: 303-946-8685 D Fax: 866-697-0768 JUL ' 2 2020 jenniferwinke@gopermits.org EUEr,D NG DEPT. Go Permits LLC, 105 Buttonball Ln. Glastonbury CT 06033, scottdoughman@gopermits.org ,Show Receipt Detail Page I of 2 `RECEIPt- , Suffolk County,GbVernment. SUFFOLK"COUNTY LABOR, LICENSING&CONSUMER AFFAIRS P.O.BOX 61 00"HAUPPAuOF,NY 11788 James M.Andrews Application.H-53429 ,Olicarfoh,Type;-ConsumerAffbirs/LicOnses/Home ImprovemerttINA Address: "owner Name: `Owner Address- Application Name, Receipt NO. 149686 Payment,Metli6d Wef Number Amount Paid Payment Date Cashier ID Received Comments Check 3148046, $1,800.00 09/21/2018 CLEMON RENEWAL work Description: Suffolk'Cou*b, 0t.6f,,, IAW-L fconsi fig ,Consuffler Affairs HOME IMPROVEMENT LIOENSE- RICHARDT0ij4i5Y' 8tjsffies—s.Nam#-,-,, 1"QM9 DEPOT 01.&A,INC. %P"(Id-"-fim- 4-�qfv""­ sed" `License'Number`H,53429 "I"o '6Unty of SuObik, �'the C % Cs�sued: 05/i$12014— - ir httn-,-/I.qv.nind-'iroiint,v--,iif/`r)()r,ilet.q/fee/receii)tView.do?mode=view&aut4jPrint--false&re,cei:;. W21/204,8 A CERTIFICATE 6F LIABILITY INSURANCE DATE(MMIDDIVYYY3 0231132019 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 OFANSURANCE DOES`NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE'CERTIFICAT9 HOLDER. IMPORTANT. if the rtificate-hotdsr Is an ADDITIONAL INSURED,the pollcy(tes)must"have ADDITIONAL INSURED provisions or btu aridorsed, If SUBItO CATION IS WAIVED,sutijgct to the,terms and conditions of the policy,certain poticilee may requiro.an endorsement. A statement on this certificate doss nbl:confer rights to the certificate holder In lieu of such'ondorsement s CONTACT PROD MRSH USA,INC. NAMIx TWOALLIANCE CENTER PHONE AX 35M LENOX ROAD,SUITE 2400 E-MAtl AI8 ,ATLANTA,GA 30326" - !!LV!g 9 AFFORDING COVERAGE NatCsf CN101642069-HomeMAW-190 INSURER A:OW ftable Imurawo Co 24147 INSURED HOME DEPOT U.S A,1NC. INSURER e:Now H8 Ike Im Co 23841z. •DAYA THE ROME DEPOT iN3URER c:Homeftk Ca 0 Ye Insmm CIIIII 2455 PACE$$FERRY ROAD INSURER D BUILDINGO-20 ATIAfgA,(M,3= eR>w IIi4UR COVERAGES CERTIFICATE NUMBER: ATL-M349i85-17` REVISION NUMBER:0, 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 i eREINI IS•Si SJECT TO ALL THE TERMS, EXCLUSIONS AND,CONDITIONS OF SUCH POLICIES.LIMITS SHOW4MAY HAVE BEEN REDUCED BY PAID CLAIMS. rLrq TYP&gPWSU17ANCE SIM PO[G P iYLIOY NUMBER> LIMITS A X COMMERCIALOENERALLIABILITY` MWZYA4574 03301nlo 0310132042 EACIIOGCURRENCE S 1000,000 CLAtt33 Mt1t3Ls f-71 LYlR P s {E�� s i tlOp,00n X SIR133,000,000 taEnono parson " .5`_ EXCLUDED PEnSONALBAUV INJURY & 1,000,000 GEN'LAGGREGATEL�IrRMITAPPLIESI' : 'GEN lLA001115GATE S; #,Q� X 771 POLICY lie - FLOC PRODrs:cOMPropac,O s' 1,000,000 OTHER: S A AuratAwLELIABILrrY MWT 3 ,03/0112019 0330132022 4COra3,NED 3 9,000,0 X ANYAUTO BOOILY INJURY(Per pemon) ,5 OWNEO. 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ACORD 26(2016103) The ACORD name,and logo aYe registered marks of ACORD AGENCY CUSTOMER'lD: CN101642069 LOC : Atlanta ADDITIONAL REMARKS SCHEDULE- P190 , 2, of 3 3e AGENCY' NAMED INSURED MARSH USA,INC, HOME HEO �A, fT. 51TN � PO 0Y NUMBER 2856 PACES FERRY ROAN BUILDING C-20 ATLAM'A,CSA 30339- 'CAItAfER NAIL Z;d7tIE ` EFFECTAMDATE: ADDiTIONAL,REMARKS THIS ADDITIONAL REMARKS FORMS A SCHEDULE TO ACdRD FORM, FORM NUMBER., - 25 FORM TITLE: Certificated Liablilly,Instirance Ytaftrscomparatioh comwied, WiBrin tfyif�5ut8nce mpdnyoiNotUlAnteika. 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Cexrtsrlfi3nMs Urdai inwanca Company , poky Number TNS C6527f019(TX; Effadve Data.,0=1=9 EsSmdw Data:0301M (EL)Llmit:510,oftoo SIR:$110001w ACORD 101'(2008/01) 02008ACORD CORPORATION. Ati`rig�t9rss'amed. The ACORD name anis logo are registered marks of ACORD Adewy cuSTOMER-ID: {]110164206�- 1.0c#: Atlanta Ate ,ADDITIONAL REMARKS SCHEDULE- N!90 3 `of 1 AGENCY NAMED INSURE MARSH IlSA INC. HOMEDEPOT U.S.&,1NC, 010 THE HOME DEPOT POLICY NUMBER 2455 PAW FERRY ROAD • BUiLOING G2D - CARRlEk OE NA1C CQATLANTA,GA 39 39 EFIFEOTIVE DATE, ADDITIONAL REMARKS, THIS ADDITIONAL"REMARKS FARM t8 A SCHEDULE,WACORD FORM, FORM AlUMSSR: F4km-TITLE: C"floate of LiabilityInsurance "°HOMSOEPOTINSUREDS' 'rte Hmia 000.Ific, T1�Home t1ep�USA;,inc. , t#on�t3ap�tUSR,Inc.i�k+TliOdtcu�Dspat - i wfto2USkino.dbaYout0 terWarahouwLLC, HomeOepotolP�to Rico,Irt=7. - Ho=NpotPmducIA",'LLC. Hom DopotSt:xasupper,;'I= Red Saudi,LLC Homo tkrpal t1S,A.,,dso.dlba' infe:9e9 8tods B±tnaatt , coppWI A Eapttdenanae Supply Harar:are;rxpr$ss , - - Lem Mafrtanenco USA Renovallons plus 3upptgwotks US Lock a<, 'Wafflar, cloansouroa Won swuer 'frays • � . zip Tedllr�aglos , ACORN 101 (2g08101) 0 2008 ACORMCORPORATION. All rights reserved. The ACOR[Y name and loge care registered marks of ACbRD i 'rA►oN►E: l 7�:5 q � S , - Dxt&%T' M WORK ToB$rRFoRwIM Applicatioaa ,nay be deLyed or rejeeted due to bmAcimt bor�dw& -USE FLOOR PLAN IF NEEDED— ` 4 'S- 66 ME DATE WORKEXPECTED TO COb%mmCE: :P1D�� S ��Z� 4TE,WORK I"ECrED TO BE CONCLUDED - 6WNE1t MUST Nam("A'-RCHITECTIURAL CHAMERSON MnM WORK IS DONE. ANY ANDA=CHANGES SHALL BE MADE LWE IN MD MACTLYTHE,SAME). I CONRMUCnON DEBRIS AM PACKAGING WMLM REMOVED BYTHE OWNER I CONTRACTOR ANDMuff MDR PUT IN FODNDERS VIILAGE DUARSTEM OWIoTEIt SIGNATURE D rn rrrt+:F USE ONLY APMOVED: �� f: rk D jEJF.+C'=-REASON FOR MMMON: i 4 L W 60PfBS To: i ARCEVECrHRAL CONMUTTEE, OWPMI N`I"RAC1om E wed IM6 i m I WINDOW SPECIFICATION SHEET - Spec.Sheet#: 1-16JXJURL Sheet: 1 of 1 Customer: SALVATOR GRANFORT ,lob#: 1-16JXJURL Consultant: Vance Comerford Date: 06/19/2020 New Window Existing Window Hinge Locations Measurements Grids Product Options Labor Options From oytside, Left to Right Bays,Bows Location Color Rough Opening #of bars #of bars Csmnts,1 Pnl, use L,R or S Glass Misc Items L- 'Hardware Code Screens For doors use LL(9 ` o o Mull "S"=stationary or = Lu Style Wraps d ° 8 Cm7 0 � c 2 c "X" o Peratm 9 F Room Floor Code (YM) Style Code Series Code S u 3 =� HT ai ci n. > _° > 0 STD,White, GlassPack• WRAP, 1 LIV 1st SB-DH Y DH 6100WH WH 32 59 91 F, WH,W-• C ALL 2 1 ALL 2 1 Standard RMW,LSR GBG H STD,White, GlassPack: WRAP, 2 LIV 1st SB-DH Y DH 6100 WH WH 32 59 91 F, WH,W C ALL 2 1 ALL 2 1 Standard RMW,LSR GBG H I SPECIAL CONSIDERATIONS: 1.White,2•White Wrap Color Interior Casing Type ,Bay or Bow window* Seaboard material(vinyl onty-Birch or Oak) Bay Project Angle(30 or 45) Bay Flanker Type(DH,SH,or Csmnt)' Top of window to soffit(inches) If tied to soffit,color of soffit material I have reviewed and agree with all the job specifications above and the Construct Roof(Yes or No)' Special Terms and Conditions on the folio`wmg page Garden Window: eatboard Material(vinyl only-White Pionite,Birch or Oak) fix: paw pct i !ai!svh A n s 11 A rlitt€3 6 °8 Prosolar ._ ra4 pt 38 0 0,23, n 0.26 02- Casement 66M BUD PrcSoiar� _ SUpuccpl 7th` 0.2,-r 0.24 0 0 {3,22 Transom_ 6500Pr am� 1327 0.�' � �.d �3 �``-_ yf_;�j_';€ OauWe-H In 6500 Base P=, suget*o&A W 0. 0,28 a 029 Pblure wment (NH) 6600� Prowar Sttmmpt° wr t}. 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