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HomeMy WebLinkAbout46134-Z sufFat,�coGy Town of Southold 7/27/2021 0 a P.O.Box 1179 o - y 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42200 Date: 7/27/2021 THIS CERTIFIES that the building WINDOWS Location of Property: 305 Landing Ln., Greenport SCTM#: 473889 Sec/Block/Lot: 43.4-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/6/2021 pursuant to which Building Permit No. 46134 dated 4/26/2021 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 Kruszeski,Roberta of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 04 ON PLUMBERS CERTIFICATION DATED fl I A rize0 d 9flgnature �o�SufFo�,��oTOWN OF SOUTHOLD BUILDING DEPARTMENT y z 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#: 46134 Date: 4/26/2021 Permission is hereby granted to: Kruszeski, Roberta 305 Landing Ln Greenport, NY 11944 To: install window replacements to existing single-family dwelling as applied for. At premises located at: 305 Landing Ln., Greenport SCTM #473889 Sec/Block/Lot#43.4-14 Pursuant to application dated 4/6/2021 and approved by the Building Inspector. To expire on 10/26/2022. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00• CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTM ENT " TOWN HALL ,' 765-1802 ' z 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 properly withaccurate 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: L. Accurate suivey 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. _ ' 3/3.1/21 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 305 Landing Lane, Southold, NY 11944 House No. Street Hamlet Owner or Owners of Property: ROBERTA•KRUSZ'ESKI ` Suffolk County Tax Map No 1000, Section 43 Block 4 Lot 14 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Jessica Schiff Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate' ' ` (check one) Fee Submitted: $ 50.00 e_0 UTHO IZAtIO . diem the A pplicaw is not the Ow ncr) (Priftt PrOpOrty Owner°S same (Mailing Aer as) - outhoid, 11944 do hereby utk�orii i -=r s. _ (Agent) Permits �... � � avply on my behW, to thm ou o)d Building Department (Print Owner's Dane) `r "OE SO(/1,�, � O # # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 = INSPECTION [ ] FOUNDATION-1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ NSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL kd, W4otc S' [ ] FIREPLACE & CHIMNEY [ ] -FIRE SAFETY INSPECTION [ ] : FIRE RESISTANT CONSTRUCTION [ "] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ -] ELECTRICAL(FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: W�A& DA4 WCZ 0 K-PM DATE Z INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) ------------------------ FOUNDATION(2ND) O ROUGH FRAMING& PLUMBING IL INSULATION PER N.Y. H STATE ENERGY CODE FINAL ,4DDrVIONAL COMMENTS O �•z • rn H ' H CEJ t,,T_O"-OF`SOUT1IOLD`.x`.< BUILDING.PERMIT'APPLICAIION'CHECKLIST' ,,, BUILDING"'DEPARTMENT Doyou have,or need the following, before appl}nng? ' SClUTIIOLD,NY.14oi -'-'4 sets of Building Plans-• _ TEL:(631)765-1802,, "Planning B'o'aid approval"-"" '� Survey Southoldtotvnny.gov ° ,Septic Foran - m, Trustees i C.O;Application, _ ;. -Flood Permit Examined 20 , r �'Single�&'Separate - 1 r�P R — .���� f ,Truss Identification_Form r Storm=Water AssessmentFo`im'� Contact: , Approved' 20 ;`' ; Y;� ' Mail io• 10"5 Buttoriball-Ln- P;sapproveda%' Gl'astoiibuiy, CT 06033' ;Phone:`' ,860=952-4.112, , Expiration - 20 Buil t ctOr "r,• „1.,: ilt.} ;(',n- r,;, ;APPLICATION,1O' R,BUIL•'DIN 'i,, :c•','•`- a r- w,. .. Date ;}1VIarch'3L 'la� '20r INSTRUCTIONS a:This application:MUST be completely.filled in by typewriter or in ink and submitted to the-Building Inspector with 4 r sets of p_t'ans-,accurate plot plan io scale.Fee`aceording io schedule.= ' - b.Plot plan showing location of lot and of buildings-on-,premises;,relationship to adjoining'premises-or public,streets or Y areas;'and waterways: ` x i T, c.'The work-`covered by"this application may'not be commenced before'issuance of'BuildirigP,ermit:, ` d.Vpon,approval',of this application;the'Buildin'g Iri'spector'will=issue a Building'Permit to the app licani.'Sucli;apeanit ._ shall.b6 kept on-the premises available for•inspection throughout the work.' building shall be occupied or'used in whole'or in part`for any purposewliai so'eyer until the'Buildirig Inspector" ' issues a Certificate of Occupancy' ' f.•Every.building permit shalfexpire if the work authorized'lmas not commenced wi'thtti'12'inonths afrer the date"of , issuance or -beeti completed within`l8,months from such date.If no zoning amendments or other regulations-affectingrihe'; 1.property;have been enacted in4tlme intei m,the'Building'Inspeetor may authorizbjwwfiting,`the extension,of the permit for an" s; addition six months.'Thereaftcr,.a,new;pennit shall,be required. APPLICATION IS'1HEREBY MADE to the'Building'Departmenffor`the,issuance of aBpilding Pcrmitp"ursuafifto the�'�, _ Building-Zone Ordinance of the`Town of,Souihold,'Suffolk County,New-York, other applicable Laws;Ordinances or Regulations,forthe consfructi'6i'of liuildin'gs;'aiidittoiis;or alterations'odor retimoval o' demolition as'creia iiescrilied.The,-,. applicant agrees to comply with all`applicable laws;ordinances,building,codeshousing'code,'arid regulations,and to admit ; preniises`arid in building�fornecessary inspection's:-::;; "' MICHAEL ANTHONY TORREGROSSA.` Notary Public New;York _ No.01TO6205776 ualified in Monroe'Count � � Q y y ;nj�frljrj!Ga�L (Signature`of applicant or ne;•ifacorporation) My Commission Expires May OS'Buttonliall Ln;GlastonburyCT 06033:: (Mailing address of applicant) i State whether"applicant;is-owner,:lessee,'agen.,architect,,engineer,.g'eneral,cgritractor;electiici'an,plumber or`builder AGENT Name of owner,ofpremises, Robe'rfa KntSeslti ^ (As`on the roll or.latestdeed) i,Ifapplicarifis'a'corporation,;sgnaitlre;ofduly'aui, rix, (Name and:title of corporate,officer) ,',Builders.License,No: H 53429 ` PI'utnbers,License No: i - •Electricians I icenseNo: -other Trade's License No:," X; 1. 'I:ocation of land on`whi'ch proposed work.will be done. . X305,Lailding'Lane;South'ofii NY-11944, 5` HouseNumnber ` ' _ Street Hariilet.- County Tax Man No.`1000_.Section_ , 4�' �;-_ _:"Blrick _ 4-:1:_ _,_, �_ _L oto Subdivision 43 Filed Map No.. 4 -Lot 14 2. State existing use and occupancy of premises and intended use and occupancy of proposed,construction: a_ Existing use and occupancy Residential b. Intended use and occupancy Residential 3. Nature of work(check which applicable):New Building Addition Alteration Repair X Removal Demolition Other Work •Window Replacement (Description) 4. ,Estimated Cost $4217 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 x Will excess fill be removed from premises?YES NO" 14.Names of Owner of premises Roberta Kruszeski Address 305 Landing Lane Phone No. (631•)644-5134 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 X 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 , NO Y `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 NEVI'YORK) SS: COUNTY OF Monroe) Jessica Schiff 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;, `?a� that all statements contained in this application are hue 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 this day of 20 - Nntan�Th hlir Cirmntro nF Anrdir r - r DATE: 3/31/21 ATI'N: Town Building Inspector RE: PERMIT AUTHORIZATI®N 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 maybe 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: remove and replace 6 windows, like witli=like, no structural changes. Location: 305 Landing Lane Southold NY 11944 (_860 952-4112 Authorized.Agent Go Permits LLC Jessica Schiff Service Agent Dame, Best Regards, ' P4A Lic see Signature Alt Na. e &License Number NOTE: PLEASE MAILTERMIT TO: JEEFRE`-,!� KUHR NOTARY PUBLIC t E OFivE'�'`ARK THD At-Home Services,Inc. •Registretic;�`;{}:€''' UC 00`;a8I Caualitce6 in�uiioi,,C�{fr!� 40 Oser Avenue- Suite 17®Hauppauge,NY 117 ission€x fires Mlareh i'3, Phone:631-478-6101 -Fak:631-435-4837 o Toll Free:877 RECEIPT SUFFOLK COUNTY GOVERNMENT DEPARTMENT OF LABOR, LICENSING,AND CONSUMER AFFAIRS COMMISSIONER ROSALIE DRAGO p-.o.BOX 6100,HAUPPAUGE, NY 11788 (631)853-460fl Today Date: 10/22/2020 Application: H-53429 Application Type: Home-improvement License Receipt No. 414174 Comments Payment Method Ref.Number Amount Paid Payment Date CashterlD Renewal+ 14 Additional Check - 0003181507 $1,800.00 1012212020 GAB Locations Contact Info: R CHARD TOUSEY INC(14 SUPPS) PO BOX 105451 �^ ATLANTA,GA 30348 Work Description: ti li • Fi - _- -- - •-- 1 s Suffolk County Dept.of j Labor,Licensing$consumer Affairs HOME IMPROVEMENT LICENSE { Name RICHARD TOUSEY Business Name i This ceri3fies that the HOMEDEPOT USA INC(14 SUPPS) ;bearer is duly licensed by the County ofsuNolk } License Number:H-53429 Rosalie Drago Issued: 05/1512014 Commissioner Expires: 11/01/2022 I A� CERTIFICATE OF LIABILITYINSURANC-E °0E720DDNY"Y) 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 OF INSURANCE DOES NOT CONSTITUTE A CONTRACT- BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA,INC NAME: TWO ALLIANCE CENTER PHONE No): 3560 LENOX ROAD,SUITE 2400 EA DRESS. ATLANTA,GA 30326 INSURERS AFFORDING COVERAGE MAIC 0 CN101642069-HomeD-GAW.21-22 iNsuRERA: Old Republic Insurance Co 24147 INSURED INSURER 8: AIU Insurance Co 19399 THE HOME DEPOT,INC. HOME DEPOT U.S A.,INC. INSURER C: HorneRisk Capliven N/A 2455 PACES FERRY ROAD INSURER D: BUILDING C-20 ATLANTA,GA 30339 INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER. ATL-005072225-04 REVISION NUMBER: 2 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 REQUIREM-ENT,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 POLICIESZESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MIDD MIDD UNITS A X COMMERCIAL GENERAL LIABILITY MWZY 314574 03/01/2019 03/01/2022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence $ 1,000,000 X SIR:$1,000,000 MED EXP(Any one person) $ EXCLUDED PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT-APPLIESPER. GENERALAGGREGATE $ 2,000,000 X- POLICY ECT LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER. $ A AUTOMOBILE LIABILITY MWTB314573 03/01/2019 03/0112022 COMBINED SINGLE LIMIT $ 1,000,00o= Ea acadent X ANY AUTO SELF INSURED AUTO PHY DMG BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Peracadent $ AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per aa3dent $ - - - UMBRELLA LIAR - — -- - -- -- OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WC 58240269(WQ 03/01/2021 03/01/2022 X PER- 77-5TH- AND AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTNE WLR C67818258(NC,VA) 03101/2021 02101/2022 E.L F (H ACCIDENT $ 5,000,000 OFFICERWEMBEREXCLUDED? NIA -- —_ (Mandatory in NH) Continued on Additional Page E.L.DISEASE-EA EMPLOYEE $ 5,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE--POLICY LIMIT $ 5,000,000 C Excess Auto 297110011002021 03/01/2021 03/01/2022 Limit. 4,000,000 A Excess General Liability MWZX 314580 03101/2019 03101/2022 Limih 8,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is requlred) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA,INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2455 PACES FERRY ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING C-20 ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA,GA 30339 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN 101642069 _ LOC#. Atlanta ACC>Rv® ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMED INSURED MARSH USA,INC THE HOME DEPOT,INC HOME DEPOT U S A.INC POLICY NUMBER 2455 PACES FERRY ROAD BUILDING C-20- ATLANTA, CARRIER MAIC CODE GA 30339 EFFECTIVE DATE-- ADDITIONAL ATEADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation Continued Carder.Indemnity Insurance Company of North America Policy Number.WLR C67825287(AL,AR,FL,ID,IA,KS,KY,LA,MS,MO,NE,NM,ND,OK,SC,SD,TN,WV,WY) Effective Date:03/01/2021 Expiration Date 0310112022 (EL)Limit$5,000,000 Carder Atli Insurance Co. Policy Number.WC 023096003 (AK,DC,DE,HI,IN,MD,MN,MT,NY,NJ,NY,RI,VT) Effective Date:03/01/2021 Expiration Date.03101/2022 (EL)LimiL$5,000,000 Camey.ACE American Insurance Company Policy Number,.WCU C67805331(QSI)(CA,IL,OR,WA) Effective Date:03/01/2021 Expiration Date.03/01/2022 (EL)Limit:$5,000,000 SIR,$1,000,000 Carrier National Union Fire Insurance Company Policy Number.XWC 1647258(QSQ(CO,CT,GA,ME,MI,NV,OH,PA,UT) Effective Date.03/01/2021 Expiration Dale:03/0112022 (EL)UmiL$4,000,000 SIR.S1,000,000 Carrier.ACE American Insurance Company Policy Number-WLR C67818210(AZ) Effective Date.03/01/2021 Expiration Dale.03/01/2022 (EL)Limit-$5,000,000 Carrier.National Union Fre Insurance Company Policy Number XWC 1647259(OSI)(MA) Effective Date-03/0112021 Expiration Date-03/01/2022 (EL)LimiL$4,500,000 SIR:$500,000 TX Employers XS Indemnity. Carder•Illinios Union Insurance Company Policy Number.TNS C66949072(TX) Effective Date:03/0112021 Expiration Date-03/01/2022 (EL)Limit$10,000,000 SIR$1,000,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN 101642069 _ LOC* Atlanta AC4 Rte® ADDITIONAL REMARKS SCHEDULE Page 3 4Df 3 AGENCY NAMED INSURED MARSH USA,INC. THE HOME DEPOT,INC. HOME DEPOT U S A,INC. POLICY NUMBER 2455 PACES FERRY ROAD BUILDING C-20 ATLANTA,GA 30339 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDTTTONAL REMARKS FORM IS A.SCHEDULIE 70 ACORD FDRM, FORM NUMBER: __ 25 FORM TITLE: Certificate Of Liability Insurance HOME DEPOT INSUREDS— The Home Depot,Inc Home Depot U S A.,Inc Home Depot USA,Inc dba The Home Depot Home Depot of Puerto Rico,Inc Home Depot Product Authonty;LLC Home Depot Store Support,Inc Red Beacon,LLC -Home Depot U.S A,Inc dba The Home Depot Pro Interline Brands Barnett Hardware Express Leran Maintenance USA Renovations Plus Supplyworks US Lode Wilmar Zip Technologies H.D.W.Holding Company,Inc. Askurly,Inc ACORD 101 (2008101) 'd 2008`ACORD CORPORATION."-All-rights-resenred. The ACORD name and logo are registered marks of ACORD APR 6 2021 Go Permits, LLC 105 Buttonball Ln. Glastonbury, Ct 06033 Scoff Doughmart Phone: 860-9524112- Fax: 860-430:-6719 scoftdoughman@gopermits.org "WE UNDERSTAND THAT YOUR TIME IS MONEY" April 1, 2021 To: Town of Southold Building Department Subject: Permit Application for: Roberta Kruszeski— 306 Landing Lane The above listed homeowner has contracted with Home Depot to replace the windows in this 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 Sears detailing scope of work • Sears Home Improvements Suffolk County License • Certificate of Insurance • Letter of Authorization from Sears allowing GoPermits to submit documents on their behalf • 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: Scoff Doughman) Email:scottdoughman@gopermits.org e If fax or fa-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! Jessica Schiff, Permit Expediter Go Permits, LLC Phone: 585-576-9329 jessicaschiff@gopermits.org J �a APPROVED AS NOTED DATE: B.P.# FEE �� BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: . OCCUPANCY OR 1. FOUNDATION - TWO FOR POURED CONCRETE REQUIRED USE IS UNLAWFUL ROUGH2. FRAMING & PLUMBING 3. INSULATION WITHOUT CERTIFICATI 4 FINAL -BE COMPOTE:CONSTRUCTION MUST MUST OF OCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF HBtBi�h1#�� SOUTH G BOARL -S9kTH91RUSTEES . .NES WINDOW'SPECIFICATION-SHEET --rySpec_'Sheet#:j=��FSoTYF'; Sheet: 1 of 1 CUStOrfleC ROBERTA KRUSZESKt Job#;1-1VF70TYF - ;I! _ Consultant:,-yance Comerford Date: 03/27/2021 New Window- Existing WindowI _ Hinge Locationsasurements Grids Product Options Labor Options From outside, Left to ftht Location _ Color RoughBays,Bows of bars Opening #of bars # Csmnts,1 Pnl, use L,R or S Glass " Hardware Misc Items Screens Code a For doors use o u, _ g Mull "S"=stationary o r9 Style Wraps c w "X"=oPerahn9 °Room Floor Code (Y/N) Style Code Series Code E w uj i > _ 1 LIV 1st SH-A Y DH 6100 WH WH 27 37 64 FULL SCR,STD,White, WRAP,LSR GlassP6ck:Standard 2 LIV 1st SH-A Y DH 6100 WH WH 27 37 64 FULL SCR,STD,White, WRAP,LSR GlassPack:Standard 3 LIV 1st SH-A Y DH 6100 WH WH, 27, 37 64• FULL-SCR,STD,White, WRAP,LSR GlassPack•Standard 4 LIV 1st SH-A Y DH 6100 WH WH 27 37 64 FULL SCR,STD,White, WRAP,LSR GlassPack•Standard 5 LIV 1st SH-A Y DH 6100 WH WH 27 . 37 64. FULL SCR,STD,White, WRAP,LSR GlassPack:Standard 6 BED 1st WWTD Y DH 6100 WH WH 42 , 37 79 FULL SCR,STD,White, MULL R, H-I GlassPack:Standard WRAP,F, LSR - SPECIAL CONSIDERATIONS. 1:White,2:White;3-White,4 White,5:White,6:White, Line Level Notes- 1; otes1;MISC(6)i Extra Wrap Color Interior Casing Type Bay or Bow window Seatboard material(vinyl only-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 lob specifications above and the Construct Roof(Yes or No)' Special Terms and Conditions on the following page Garden Window, Seetboard Material(vinyl only-White Pionite,Birch or Oak) 'Dated: 6/30/218 .f,_ 7's 7_x.-. ^'�,.i - -^t•c=ti`.2�::rx "�_ -'rsr-^R=_-,:. ,8_ - - � ..£•^'": _ hi z;_ 3!.. �_, Glass ;•A, __ ,F S..cet IG_, r , ,1�?r. f.,r:. ,x„_ :�tr,�SHG� - "�j�i;=r >;�r„ 'J'd;'” _ - ,-,+ksxt:>'r�,z .��`rr x�_cs�sir�.•7»• .�5�' sd`'�.'= '�is`�`�t1��"tSz rh'.' s x _ 'fi.^v "`"xx r,>�'r ..s,tr k„ "8 `� cif,-:Y �y a^r,,:=c�irvl ,•§ :u�s,.,,e=:w ,`%S°sy,` ;c;:• <i',+ n<<.^ �+.w.x:.n ^,rlrZ s:� :�._a,u�.,� .�,„,.�5_' ,-�a"w; Y,ss`?.s�' ,d,„,.r, ;�,�'r, +r aeY.,_�".s` aTs�Ct„+r.�=•x ss1:. 3'' X11 bna ,axdd"xu...,< .5E'�ia�n,S .-b^'e',,•r~�as--s,='a'sr. _,4b.*�i�.���;, -s�s„v>:s.��}n,�a - >rs.a�•.,r,£',r �� fH„ , fin` "ser _ exit s_e".-=ti.•Y,'SS,i:s'�%who 'c.��N,1,''w':.i�l�.stit�}�r� 9 6500 Base,' , Pros - Supercept E221t b.23:, P 'v '© 0.26 0.2177 =f Casement- :;6500 Base- _ Prosola"r= = Supercept i`_0.24. 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