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Home My WebLink About46772-Z TOWN OF SOUTHOLD � 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#: 46772 Date: 9/212021 Permission is hereby granted to: Geitz,Susan 1580 Leeton Dr Southold, NY 11971 To: Replace sliding door at existing single family dwelling as applied for, and with Flood Permit. At premises located at: 1580 Leeton Dr., Southold SCTM#473889 Sec/Block/Lot#58.-2-5 Pursuant to application dated 812312021 and approved by the Building Inspector. To expire on 31412023. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Flood Permit $100.00 Total: $350.00 Building Inspector c 0f u`,*- TOWN OF S UT L —BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 P ) ) _ .. ��oN Telephone 631 765-1802 Fax 631 765-9502 I �? e �Vy VV V� SOUthO1Cl1O�y ni1� Date Received II[)IIIR1" 101'4 1 C' 11- 'jII" VII I' " �w For Office Use Only t PERMIT NO., '� Building Ins�ecltc+r;� ,,,, _ e AUG 2 3 "021 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: 8/6/21 OWNER(S) OF PROPERTY: Name: =CTM.. 1000-Susan & Charles Geltz8� Project Address:1580 Leeton Drive Southold, NY 11971 Phone#: 914 329-3165 =maiksgeitzgaol.com � ) Mailing Address: 1580 Leeton Drive Southold, NY 11971 CONTACT PERSON: Name:Lisa Einsidler Mailing Address:999 South Oyster Bay Rd, Bethpage, NY 11714 Phone#:888.736-6335 Email:lisa.einsidler@powerhrg.com DESIGNFSI L INFORMATION: Name: Mailing Address: Phone#: 7Emaik CONTRACTOR INFORMATION: Name: Power Home Remodeling Mailing Address:999 South Oyster Bay Rd, Bethpage, NY 11714 Phone#:888.736-6335 Email:lisa.einsidler@powerhrg.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition Alteration ❑Repair ❑Demolition fr0,5) V- Estimated Cost of Project: ❑0th e r Remove andreplace 1 sliding glass door U-lector 0 27,SHGC 0 25 No structured chnnnes. •---I � � $3,090.30 Will the lot be re-graded? ❑Yes i0l No Will excess fill be removed from premises? ❑Yes El No 1 PROPERTY INFORMATION Existing use of property: Residential Intended use of property:Residential Zone or use district in which premises is situated, Are there any covenants and restrictions with respect to this property? Dyes No IF YES, PROVIDE A COPY. ii 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 210.45 of the New York State Penal Law. Application Submitted By (print name): Lisa Einsidler WAuthorized Agent Downer (� Signature of Applicant: � �� ,�,a .a��a ` Date: 8/6/21 Pennsylvania CONUDMEALTHOFP~,In.AMA-w TAfaa i STATE OF illEW eORfo) *Ofiver Laird,NOTARY PUBW Daia,vara caunky SS: My Ownavm au on Evpoos(MrAdr2a25 dun Wn mirnber 121 COUNTY OF Delaware ' Lisa Einsidler being duly sworn deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the AGENT (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/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this 6th August 21 20 � day of � . Notary Public , Where the ... ... ......... ( applicant is not the owner) I Susan & Charles Geitz residing at 1580 Leeton Drive Southold, NY 11971 _do hereby authorize Power Home Remodeling to apply on my behalf to the Town of Southold Building Department for approval as described herein. See signed contract (attached) 8/6/21 � � Owner's Signature .�" Date Susan & Charles Geitz Print Owner's Name 2 National Headquarters Susan and Charles Getz � 2501 Seaport Drive,Chester, PA 19013 35-29895 888-736-6335 August 03, 202 1 WWW.POWERHRG.COM 1440776-F)CA rGe Project Specifications na5ss " FFY00 FL!GG uwLuuuu Windows: Master 1 60.0!!x80,0" m- WINDOWS: Model Elegance Style Sliding Glass Door Type 2-Panel Config 5' ��F OPTIONS: Color White/White: Grid Pattern : None I Additional Details Special Options(ie. Full Screen, Obscure Glass,etc) Full Screen No I Obscure Glass No I Specialty Color No I Different Color Capping No I ! �� Trim Options No I Frame Options Yes Frame In for Vent or A/C unit No I Build U No I Build Down No I P P p Pack-In No I Buck Frame/Stops/Casing Yes I Remove and Reinstall No 0 C LJ NV APPROVED AS NOTED S 1IS N[ F1. 1,, DATE:9 B.P.# W1 I . rile R : ° C ATE FEE:` 5" . BY: 0 . ('111 ' I 1 NOTIFY BUILDING DEPARTMENT AT C .; 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS; 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBINGIN 1 I ktV 1IAf....L C 01'3" C)I' ` & INSULATION 4. FINAL - CONSTRUCTION .MUST 11 uAVV A ,1..A V u ck J 0Wi C 0 1'')� BE COMPLETE FOR C.O. AS EQIIJ IIi D A N D ',( )t,Jr.. II �',JS C)II: ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW .........Y... p! 1 0�i D Tr";,,A R 1m r"��w YORK DESIGN ORE CONSTRUCTION TBLE FOR ERRORS. �.. �)I p 11 l l l..11 ^P'w I A�l ll'� BUD em w S01111 OLD 70011 T USTEES DEC FLOODm.. FLOW ml, PREVENTIM ..ate. III", ,.A I c . .. August 03, 2021 18:16 1111 1111111111111 National Headquarters �md ','hw k 2501 Seaport Drive,Chester, PA 19013 888-736-6335 A.,l,t::7f i, " WWW.POWERHRG.COM PRODUCT SPECIFICATIONS Buyer(s)'Information and Description of the Property: Project Number: 35-29895 August 03,2021 Susan Geitz Date or Agreement Charles Geitz (631)765-2811 (Home) sgeitz@aol.com 1580 Leeton Drive (914)329-3165(Susan's Cell) E-Mail Address 1 Southold, NY, 11971 County:Suffolk Township: Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications (collectively,this"Agreement"). Pre Installation Inspection Date: Your pre installation inspection is tentatively scheduled for Wed 8/11 between 11:30a and 12:30p. Windows-Elegance-Sliding Glass Door Inclusions: Includes fully welded frames, Heatshield, Duraglass, Extruded locking screen, exterior key lock, and foot latch, installation, clean up and haul away of all job related debris. "Sliding Glass Doors including blinds are not available with argon gas and are not Heatshield. They include Low-E only. It is agreed and understood by and between the parties that the Product Specifications, along with the Custom Remodeling and Improvement Agreement, constitutes the entire understanding between the parties, and replace any and all prior negotiations, representations, or agreements, either written or oral. The Product Specifications may not be changed, modified, or varied in any way unless such changes are in writing and signed by both Buyer(s) and Contractor. Buyer(s) hereby acknowledge that Buyer(s) has read the Product Specifications. I have read and received each page of this 2 page agreement. Power Home Remodeling Group Buyer(s) Buyer(s) p /08/03/21 /08/03/21 l J08'f0 / '1 Signature of Remodeling Consultant egnature Si ature Stephen Panno Susan Geitz Charles Geitz YOU,THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Aiagiast 0.3 2021 18:16 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII