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HomeMy WebLinkAbout47782-Z : tt �a 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 #: 47782Date: 5/4/2022 Permission is hereby granted to: ........................._..._._�..._....� _._.._........................ _w_wwww........._..........._ ..................... 311 6th St w..--_._._......... _...................... ._., __wwww_.._..........._._.._. .------ ..wwwww_..............._..........wwwww.w..............w.......................... Greenport,*wNY 11944 To: install replacement windows and doors to existing single-family dwelling as applied for. At premises located at: 295 Bayview Ave.. Green _w_. __ . _www........................................._......... .wwwwwwwww._.._—....................... ._..w. SCT.M...#w473889..... ..wwwwww_ww......_.._.........................ww._...................... _..................... _w__ ............................. Sec/Block/Lot# 52.-5-26 Pursuant to application dated 4/1/2022mmmm and approved by the Building Inspector. To expire on 11/3/2023._ x Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: _.._........ $250.00 Buil ' g Inspector yCl� TOWN OF SOUTHOLD—BUILDING DEPARTMENT { ��� Y 11971-0959 Telephone 11631n7651802MF Fax (631)7 60 98021�t� �w� la���lielctt°caIl .. A Date Received BUILDINGAPPLICATION FOR For Office Use Only D_ PERMIT NO, Building Inpector., � SUILDNG DEPT Applications and forms must be filled out in their entirety.Incomplete w SAN OF SouTH&D applications will not be accepted. Where the Applicant is not the owner,an. Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: &kh I 1 I�Z,rY r i SCTM#1000- SZ- 05 - 26 Project Address: 2.45 FmvleulJ Ave,- Svu4+o 1A `v 11q-71 Phone#: 6t16r 670- 006-z Email: GFZ1c.oM Mailing Address: Zgs 6&yvIe-w Av4-, �Ot�f'�►pttl �} Il�'�"► CONTACT PERSON: Name: G.. f"1,t t Mailing-Address: TT Sou&oIA Will Phone#: Ob- 670- D0 Email: M0.t( , M DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email:. CONTRACTOR INFORMATION: Name: VLF- C©nsAYW_JvXoh LL Mailing Address: 1,N 0.8 RA. Y N 119 re 4 Phone#: 6-6t - 135 6�69 1 Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration Repair XPemolition Estimated Cost of Project: ❑Other $ SOK Will the lot be re-graded? ❑Yes;ANo Will excess fill be removed from premises? ❑Yes ;KNO 1 PROPERTY INFORMATION Existing use of property: R,t41tp�►CQ Intended use of property: RQS I aCnC01 S twt 1� Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R—Li0 this property? ❑Yes ;1No 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 210.45 of the New York State Penal Law. Application Submitted By(print na G il,P � lir 1 ❑Authorized Agent DkOwner Signature of Applicant: Date: �1(/Z z. l STATE OF NEW YORK) S COUNTY OF �� ) �rie-1 �1' ( being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the G cun-c,� (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 1ST day of Yl 20 ZZ tar)VRYAhY A CON RAD Notary Public,State of New York Pott.No,01CPO6;2°4515 xrest AUTHORIZATION CommissionOuiSuffolk County, 0 1-3 (Where the applicant is not the owner) I, residing at do hereby authorize 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 A CERTIFICATE OF LIABILITY INSURANCE DATE3�r3 2a2 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 ri hts to the certificate holder in lieu of such endorseme s. PRODUCER CONTACT Elizabeth Ara on .(.. ..- Ax �.. mm., ISLA Insurance&Services Inc PHONE 631)494-9000 l.._(631).... -.w_._._._._._. 53 3A West Montauk Hwy tones Islainsurance.com IN SURERIaAFFORDING COVERAGE 11946 INSURER Au: ATLANTIC CAS INS CO .....w........_.......,-. www 42846 Hampton Bis w_ ..... NY. .__._ „ w a. _ .-_ _.,..,_.,. , INSURED INSURER 8: DCF CONSTRUCTION LLC INSURER;c.,, ��..._...w �,�_. ._. .vw........ ...... _ ... _., . .._.. _ ......_..�.�....rrHw.w M_....w ._.._ ..w_........�......V.,..._ . _.w_w.. .. ..- PO BOX 450 INSURER _...m,- w_... M................�-_-,,,w,w,.,..._,, SHELTER ISLAND :w Yc 11964 INSURER F; COVE GES CERTIFICATE NUMBER: REVISION NUMBER: 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 HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CON . .M CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. mmn 1NSR __,_..................... TYPE OF INSURANCE � m...................._. 'POLICY NUMBER LIMITS ITR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000_ ,. CLAIMS-MADE ❑X OCCUR ..._-wv....__..........ww.w EXP An one rson) $ 5,000 ,.... ... _ E 1,000,000 A „ µ Y x L257000645-0 11/23/2021 11/23/2022 P_.mRSONAL&ADV INJURY _. $ , www ENERALAGGREGATE $ 2,000,000 GEN"L AGGREGATE LIMIT APPLIES PER: G ,,_„„_„rv,„„„- . _, ..- - POLICY D JE,CT' 7 LOC PRODUCTS-COMPIOP AGG $ 1,000,000 mm "T1tE4T $ AUTOMOBILE LIABILITY M NE L Lk I $ ANY AUTO BODILY INJURY(Per person) $ OWNEAUTOS ONHIRED LY NON-OWNED PSUCTOESULED ODILY INJURY(Per accident) $ AUTOSDONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ EXCESS LU1B CLAIMS�v1ADE AGGREGATE $ _....w-,. , _......_.. ED PETENTI N $ WORKERS COMPENSATION P O H AND EMPLOYERS'LIABILITY OFFICER/MEMBER EXCLUDED? L E TAT R Y/N ACH ACCIDENT_ $ _ ANY PROPRIMB R/PXCLUDE/EXECUTIVE N/A E�L.DISEASE-EA EMPLOY $µ (Mandatory In NH) E. If es,des'crba O ,RATIO be E,L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) CERTIFICATE HOLDER ADDED AS ADDITIONAL INSURED. CARPENTRY,SIDING AND FRAMING SERVICES BLANKET-AI CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Gabriel Ferrari ACCORDANCE WITH THE POLICY PROVISIONS. 295 Bayview Ave AUTHORIZED REPRESENTATIVE Southhold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD PO Box 68699,Albany,NY 12206 nysif.com CERTIFICATE OF WORKERS'COMPENSATION INSURANCE .1 , , ) A A A A A A 352690698 ► "„"" ISLA INSURANCE&SERVICES INC . 3A W MONTAUK HIGHWAY ! HAMPTON BAYS NY 11946 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER DCF CONSTRUCTION LLC GABRIEL FERRARI PO BOX 450 295 BAYVIEW AVE SHELTER ISLAND NY 11964 SOUTHHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12530868-5 755755 11/24/2021 TO 11/24/2022 3/30/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2530 868-5, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERTICERTVALASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR,PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SUR NCE FUND 1 DIRECTORJNSURANCE FUND UNDERWRITING VALIDATION NUMBER:325245421 U-26.3 4/1/22 Building Department, This project, at my full-time residence at 295 Bayview Ave., Southold, NY 11971, is to replace many of the old windows with newer Anderson 200 series windows. Each window is listed on the included quote report. There are 8 windows in total, all to be installed in the existing openings. None require any framing alterations. Once that is completed, we will be replacing all of the existing vinyl siding with beautiful new cedar shingles. Thank you, Gabriel Ferrari wnerj Lrt�-7 WINDOWS 0 NDOWS & DOORS ';CREATED- T SOLD BY: SOLD TO: 7/1/2021 250 David CI. �. MLCA C SUPPLY Calverton,NY 11933 Terry McCabe i 3/9/2022 tmccabe @rbscorp.corn 631-996-3181 -OWNER terry mccabe Abbreviated Quote Report - Customer Pricing WOTE NAME PROJECT TE NU111MER CUSTOMER PON TRADE 1 gabnel ferrad windows 974656 O : DELIVERY NOTES: Rem 0tv L ion MRAY-60 Price 100 3 Active/Stationary (XO) None Assigned RO Size= 48"x48" Unit Size=47 1/2"x 47 1/2" 244GW4040, Unit, 200 Series Gliding XO/OX-GL, 2 3/4"Frame Depth, White Exterior Frame, White Exterior Sash/Panel, Pine wWtite- Painted Interior Frame, Pine w/Unfinished Interior Sash/Panes, Active/Stationary (XO), Dual Pane Low-E Standard Argon Fill Stone(Factory Applied),White, Full Screen, Fiberglass £ -- Insect Screen 1: 200 Series Gliding XO/OX-GL, 244GW4040 Full Screen Fiberglass White PN:0833343 Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area(Sq. Ft) Comments: Al 0.3 0.32 NO Al 21.0000 44.1250 6.43000 Quote M 974656 Print Date: 3/9/2022 4:40:27 PM UTC All Images Viewed from Exterior Page 1 of 4 Item Qtv Q ' n _Locafion Unit Price t.Price i 280 1 Left-Stationary None Assigned RQ Size=72"x 83" Unit Size=71 114"x 82 318" fl NLGD60611, Unit, 200 Series Patio Doors 2 Pane{-NL, 4 9116"Frame Depth; Unassembled, VVJhite Exterior Frame,White Exterior i Sash/Panel, Pine w/Unfinished Interior Frame,Pine w/Unfinished Interior Sash/Panel, Gray Appearance, Left-Stationary; Dual Pane 1' Low-E Tempered Argon Fill Stainless Giass/Grille Spacer, Split Finish, Tribeca, Tribeca, White, Stone, White, Full Screen, Fiberglass, Gliding Frame: 4 9/16", Gray Appearance,White Exterior/Pine Unfinished Interior PN:2565025 Version:01/16/2022 Interior Trim Set 1: NLGD Left-Stationary Tribeca Stone PN:2562078 Exterior Trim Set 1: NLGD Left-Stationary Tribeca White PN:2562032 Insect Screen 1: 200 Series Patio Doors 2 Panel-NL, 35 1/2"X 80 7/16"NLGD60611 Full Screen Fiberglass Gliding White PN:2565311 Panel 1: Left Slab 36 x 79.016 NLGD606'11 Left-Stationary White/White/Pinel Unfinished Low-E Tempered Argon Filled PN:2400144 Panel 2: Right Slab 36 x 79.016 NLGD60611 Left-Stationary White/White/Pine/Unfinished Low-E Tempered Argon Filled PN:2400154 Unit# U-Factor SHGC ENERGY STAR Comments: Al 0.29 0.32 YES Item gty O a ` n Location Unit Price Price 300 1 Fixed None Assigned 408M AVAMIA RO Size=72"x 48" Unit Size=71112"x 47 112" 244FX6040, Unit, 200 Series Picture Window, 3114"Frame Depth,White Exterior Frame, Pine w/Unfinished Interior Frame, Fixed, A Dual Pane Low-E Standard Argon Fill Unit# U-Factor SHGC ENERGY STAR Comments: Al 0.27 0.32 YES Quote#: 974656 Print Date: 3/9/2022 4:40:27 PM UTC All Images Viewed from Exterior Page 2 of 4 Item Qtv 0112E11:102" L_ocation Unj!,Price Ext. Pr=ice +400 1 Right None Assigned '*mom vjmw RO Size=24 518"x 41 318" Unit Size=24118"x 4013116" 1 0135, Unit, 400 Series Casement, Installation Flange, White Exterior Frame, White Exterior Sash/Parcel, Pine w/Unfinished Interior Fran, Right, Hinge with Wash Mode, Dual Pane Low-E4 Standard Series Argon Fill Traditional Trim Stop Profile Stainless Glass/ Grille Spacer, Contemporary Folding, Stone, White, Full Screen,Aluminum Hardware: PSC Contemporary Folding Stone PN:1361563 Insect Screen 1: 400 Series Casement, C135 Full Screen Aluminum White PN:1345040 Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area(Sq. Ft) Comments: Al 0.28 0.32 YES Al 14.4230 35.9610 3.60180 Item QtC Q _ - 1_ tine Knit Price .Price 500 2 AA None Assigned RO Size=32 118"x 52 718" Unit Size=315/8"x 52 718" TW2642, Unit, 400 Series Double-Hung, Equal Sash, Installation Flange, White Exterior Frame, White Exterior Sash/Panel, Pine w/Unfinished Interior Frame, Pine w/Unfinished Interior Sash/Panel,AA, Dual Pane 1-ow-E4 Standard Argon Fill Stainless Glass/ Grille Spacer, Traditional, 2 Sash Locks Stone(Factory Applied), WhiteJamb Liner, White, Full Screen,Aluminum Insect Screen 1: 400 Series Double-Hung, T V2642 Full Screen Aluminum White PN:1610173 Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unk# Width Height Area(Sq. Ft) Comments: Al 0.3 0.31 NO Al 27.8750 21.7500 4.22000 SUB-TOT 'FREIGHT- c $0.00 .LABOR: $0.00 MAX: $0.00 'TOTS CUSTOMER SIGNATURE 2 Z DATE Quote#: 974656 Print Date: 3/9 22 4:40:27 PM UTC All Images Viewed from Exterior Page 3 of 4 ,Juts vr,t yr 1 1 AT ARSHAMOMA0UE TOWN OF SOUTHOLD 1 ti � SUFFOLK COUNTY, N.Y. 061000-52-05-26 0s SCALE: 1'=20' OCTOBER 22, 2013 AUGUST 2$ 2017 V J 4i 1 tP� ya SVD, l 6 P J 0 t P",Ga Certified To:: G3 a Gabriel Ferrari o Am Trust Title Ins. Co. Citizens Bank NA LOT NUMBERS ARE REFERENCED TO "MAP OF SUMMER HAVEN" N.Y.S. tlC. N0. ANY ALTERA770M OR ADD177ON TO THIS SURVEY IS A WOLATION FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE AS MAP NO. 1133. PECONlC SURIiEYORS, P.C. OF SEC7701V 7209OF THE NEW YORK STATE EDUCATION LAW2 (6j1) 765-5020 FAX (631) 765—i EXCEPT AS PER SEC77ON 7209-SUBDIWSIOIV 2. ALL CER70CATTONS Almlea s 7, m P.O. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 13-2 WHOSE SIGNATURE APPEARS HEREON. u SOUTNOLD, N.Y. 11971