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Home My WebLink About45483-Z suFFoc ao�0 �pG;A Town of Southold 5/1/2021 P.O.Box 1179 o _ .. 53095 Main Rd ��j41 dao ' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42005 Date: 5/1/2021 THIS CERTIFIES that the building WINDOWS Location of Property: 735 Park Way, Southold SCTM#: 473889 Sec/Block/Lot: 70.-11-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/10/2020 pursuant to which Building Permit No. 45483 dated 11/23/2020 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: window replacements to existing single-family dwelling as applied for. The certificate is issued to Wienclaw,Theodore&Rita of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Auth r' ed Signature �Sv TOWN OF SOUTHOLD BUILDING DEPARTMENT y z 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#: 45483 Date: 11/23/2020 Permission is hereby granted to: Wienclaw, Theodore 12 Lamberson St Valley Stream, NY 11580 To: Install window replacements to existing single-family dwelling as applied for. At premises located at: 735 Park Way, Southold SCTM # 473889 Sec/Block/Lot# 70.-11-14 Pursuant to application dated 11/10/2020 and approved by the Building Inspector. To expire on 5/25/2022. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 di ector PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ONO IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law. Application Submitted By(print name): �,e1-� JESAuthorized Agent El Owner Signature of Applicant: /' Date, // Ad -r-0 STATE OF NEW YORK) SS: COUNTY OF �C being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing coon�tract,,)),�above named, (S)he is the (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 tl=ue to the best of his/her knowledge and belief; and that the work will be performed in the manner set to&hAt6FM8Rtion file therewith. Notary Public,State of New York Sworn before me this No.01BU6185050 ,�,A,,,I, Qualified in Suffolk County I4 da of N__ , ��/� Co2Dmi&sion Expires April 14,28.�q Mg AL &im Y �QQ Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, le— residing at 7 �filC �+J SDe/�/� /"• do hereby authorizeb t� �e_r7 to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature ` Date Print Owner's Name 2 -- 1 �o � # # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ _ ] FOUNDATION 2ND [XF SULATI��OWCAULKING FRAMING /STRAPPING [ INAL k)fll ifAZ& [ ] FIREPLACE & CHIMNEY- [ ]' FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: pj DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) j -------------------------------- FOUNDATION(2ND) W ROUGH FRAMING& , PLUMBING Y f" INSULATION PER N.Y. STATE ENERGY CODE 1 FINAL ADDITIONAL COMMENTS a � � Z �rn rD H O H . d 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 Survey Southoldtownny.gov PERMIT NO. Check Septic Form MY S.D.E.C. Trustees C.O.Application ]� Flood Permit Examined '20 `� Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved f 1d,3 ,2Qb Mail to: dam sr Disapproved a/c %F110 f1f Phone:6.3 WJ-6 63/ i�f7i Expiration 5a ,20 ector +, APPLICATION FOR BUILDING PERMIT ''- 90V 1 0 2020 Date ,� �� , 20 t-o � I } DEFT � o INSTRUCTIONS a'1. 1t�sTJiilaiidrIV� ' e 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. - - _- � I - ,y • 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. - ziz �•.. T (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 Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation', signature of duly authorized officer (Name and title of corporate,officer) Builders License-No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 7c-> Block I/ Lot /S✓ Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises a nten d use a d occupancy of proposed construction: a. Existing use and occupancy ,mss r __ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work /r e-'t ,�/ (Description) 4. Estimated Cost 70-0-0, Fee !P"ZSR. 1.11 (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 strictures, 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 --N/O X Wille/xcesss fill be removed(from premises? YES NO JC 14. Names of Owner of premises,, T,e;c__ee is�.`Address Phone No.51-&' -��2�'-�z�/ 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 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 survey. 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 ) �..._ G✓ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D. NCH � �� Notary Public,State of New York (S)He is the No.016U6185050 Qualified in siiffnik County!An,t/, (Contractor, Agent, Corporate Officer,etc.) Commission Expires April 14,2 , 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. S orn before me thi day of 20p)U tvy)/N_'_-P L /&/w, .Z"'- Z"�--,-- - Notary Public Signature of Applicant APP 0 EED AS NOT D ? DATE: l j � B.P.# L x COMPLY WITH ALL CODES OF FEE: ` �6U BY: NEW YORK STATE & TOWN CODE` NOTIFY BUILDING DEPARTMENT AT AS REQUIRED AND CONDITIONS OF 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ----® N PLANNING BOAR 2. ROUGH - FRAMING & PLUMBING �TH6 " TRUSTEES 3. INSULATION 4. FINAL - CONSTF''^-,n N MUST •'� �•�� BE COMPLETE G,1- _ 0. ALL CONSTRUCT;:,N S4ALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Mde� Andersen Windows - Abbreviated Quote Report Andersen Project Name: dan wes arkway, ,Ve7.J5' --f---w>` -11� m,wn oae.aaoas nip oows.aoou Quote#: 203146 Print Date: 10/29/2020 Quote Date: 03/16/2020 iQ Version: 20.0 Dealer: RIVERHEAD BUILDING SUPPLY Customer: 1 - ANDERSEN TRADE ID FOR RIVERHEAD BUILDING BUILD SMARTER.BUILD BETTER. Billing 1-800-378-3650 Address: W W W.RBSCORP.COM Phone: Fax: Sales Rep: GREG VIANI Contact: Created By: Trade ID: 060055 Promotion Code: Item ®ty Item.Size(Operation) Location Unit Price Ext. Price 0001 3 244DH2846(AA) $ 452.53 $ 1357.59 RO Size=2'8"W x 4'6"H Unit Size=2'7 1/2"W x 4'5 1/2" H 200 Series Unit, 3 1/4" Frame Depth, White/PI White, (Top Sash) Low E Glass, Divided Light without Spacer, Colonial, 3W2H, 7/8", Chamfer, Ext Grille-White, Int Grille- Prefinished White(Bottom Sash) Low E Glass Insect Screen,White Viewed from Exterior Zone:North-Central U-Factor:0.29, SHGC:0.32, ENERGY STAR®Certified:Yes 0006 2 TW2032(AA) $ 485.16 $ 970.32 RO Size=2'2 1/8"W x 3'4 7/8"H Unit Size=2' 1 5/8"W x 3'4 7/8"H 400 Series Unit, Equal Sash, Nailing Flange Installation, White/PI White, (Top Sash) High Performance Low-E4 Glass, Divided Light without Spacer, Colonial, 3W2H, --- 3/4", High Definition Chamfer, Chamfer, Ext Grille-White, Int Grille- Prefinished White (Bottom Sash) High Performance Low-E4 Glass Insect Screen, White Viewed from Exterior Zone:North-Central U-Factor:0.30, SHGC:0.31, ENERGY STAR®Certified:Yes Quote#: 203146 Print Date: 10/29/2020 Page 1 Of 4 10 Version: 20.0 Item Qty Item Size(Operation) Location Unit trice Ext. CAU , 0007 1 A21 (V) $ 419.53 $ 419.53 ROSize=2'05/8"Wx2'05/8"H Unit Size=2'0 1/8"Wx2'0 1/8" H 400 Series Unit, White/White-Vinyl Wrapped, V Handing, High Performance Low-E4 Tempered Glass, Divided Light without Spacer, Colonial, 2W2H, 7/8", Ext Grille -White, Int Grille- Prefinished White ---._--- — Insect Screen, White Viewed from Exterior Hardware Pack, PSA, Contemporary Folding -White Zone: North-Central U-Factor:0.29, SHGC:0.29, ENERGY STAR®Certified:Yes 0008 1 TW24310.3(AA-AA-AA) $ 1754.58 $ 1754.58 1 2 3 ROSIze=7'55/8"Wx4'07/8"H UnitSIze=7'51/8"Wx4'07/8" H 400 Series Composite Unit, White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4 Top/Bottom*High Performance Low-E4 Top/Bottom Glass, Divided Light without Spacer Top*No Grille(s) Bottom*Divided Light without Spacer Top*No Grille(s) Bottom*Divided Light without Spacer Top*No Grille(s) Bottom, Mulling Location: Factory(Direct), Mull Type: Narrow Mull, Mull Priority:Vertical Viewed from Exterior Insect Screen, White Zone:North-Central Unit U-Factor SHGC ENERGY STAR®Certified ------------------------------------------------------------- 1 0.30 0.31 Yes 2 0.30 0.31 Yes 3 0.30 0.31 Yes Quote#: 203146 Print Date: 10/29/2020 Page 2Of 4 iQ Version: 20.0 Item Qty Item Size(Operation) Location Unit Price Ext. Price C _ 0009 1 TW24310-2(AA-AA) $ 1150.72 $ 1150.72 T � 1RO Size=4' 11 7 "W " ' q_ r_ /8 x 4 0 7/8 H Unit Size--4 11 3/8 W x 4 0 7/8 H I I 400 Series JJ Composite Unit,White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4 Top/Bottom Glass, Divided Light without Spacer Top*No Grille(s) Bottom*Divided Light without Spacer Top*No Grille(s) Bottom, Mulling Location: Factory(Direct), Mull Type: Narrow Mull, Mull Priority:Vertical Viewed from Exterior Insect Screen, White Zone:North-Central Unit U-Factor SHGC ENERGY STAR®Certified ------------------------------------------------------------- 1 0.30 0.31 Yes 2 0.30 0.31 Yes Subtotal Is 5,652.741 Total Load Factor Tax(8.625%) $ 487.55 Customer Signature 1.769 Grand Total Is 6,140.29 Dealer Signature **All graphics viewed from the exterior **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 or fasteners or other Items. Quote#: 203146 Print Date: 10/29/2020 Page 3Of 4 iQ Version: 20.0