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HomeMy WebLinkAbout47950-Z rv�tt <w 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#: 47950 Date: 6/13/2022 Permission is hereby granted to: F I Utili Co Inc/.....�.�wc wwwwwwwww.w ......... .......__. ....... PO BOX 604 Fishers Island_ 390 ............ To: install window and door replacements to existing single-family dwelling as applied for. At premises located at: Montauk Ave.. Firms Island SCTM #473889 Sec/Block/Lot# 10.-7-23 Pursuant to application dated 5/6/2022 and approved by the Building Inspector. To expire on 12/13/2023. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector •��� � TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 � Telephone (631) 765-1802 Fax(631) 765-9502t tps. ww.w lJ1oidtoWn11y,,ggy Date Received APPLICATIONFOR BUILDING For Office Use Only PERMIT NO. �4.�' Building Inspector.,,--.... ---77777 MAY 6 2022 Applications and forms must be filled out in their entirety. Incomplete :;IULUNG DEPT applications will not be accepted. Where the Applicant is not the owner,an Tt," Wq 0. SOUPKI D Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: �t Name: 6"S vU" SA�M# 000-U(� •(,�'�7. — � Project Address: I ACA Phone#: �7J. . � Email: -{ cyan - i u c • Mailing Address: )(p� OrjC AveAut CONTACT PERSON: Name: s Mailing Address: ' 6rl Amm } ( �2 Phone#: Ip31 ' • Email: GTl1'�Qr1 �1 k DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: • ' Mailing Address: 6S Phone#: U• 3 , Email° DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration epair ❑Demolition Esti ated Cost of Project: ❑Other $ Will the lot be re-graded? ❑ye. No Will excess fill be removed from premises? ❑Yes No • duyi ri:5t4tv oY L-LAK&-& PROPERTY INFORMATION Existing use of property: i2f,4 i dLe Intended use of property: &666ch Zone or use district in which premises is situated: Are there any covena is nd restrictions with respect to this property? ❑Yes o IF YES, PROVIDE A COPY. X Check Box After Reading"„ The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by pter 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): � VAut orized Agent ❑Owner� Signature of Applicant: [date: �t STATE OF NEW YORK) COUNTY OI� ) SOw-1&Y' being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the C�-�Mc.� (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 day of w Notary Public PROPERTV OWNER AUTH0RjZrATjCP#LE ORAIDLEY RODGERS Where the applicant is not the owner) NOTARYPUBLIC MY COMMISSION EXPIRES NOV.30,2023 I, 0 residing at 64// do hereby authorize ' M ! �C -� to apply on my behalf to the Town of Southold Building Department for approval as described herein. Ute___ Ow r s Signature 4 Date "1 VA vov Print Owner's Name 2 A IRSAI ff A I A -230 R, "0108- T N! M Rf 'q f R -V "N Q Suffolk County Danartinent ofLabor, Licensing & Consumer Affairs S VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEW YORK 11788 DATE ISSUED: 05/04/2017 No. H-58493 al SUFFOLK COUNTY . ......... Home Improvement Contractor License 111115Pt-'1\"�',1111\ This is to certify that Sander Marku R doing business as A Beautiful Company Builders & Remodelers LLC A having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws, rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. Av pq NOT VALID WITHOUT Restrictions Additional Businesses DEPARTMENTAL SEAL AND A CURRENT HI -GC CONSUMER AFFAIRS ID CARD -4" AL FF gp' q Rosalie Drago _5 Commissioner ---- ----. .... . .......... \........... . ....INN" 'E�M qq _2 IN....... Suffolk County Dept.of Labor,Licensing&Consumer Affairs rta HOME IMPROVEMENT LICENSE Name SANDER MARKJ Business Name This certires that the aesrer is duty licensed A Beautiful Company Builders&Remodelers :)y the County of suffolk LLC License Number:H-58493 Rosalie Drago Issued: 05/04/2017 Commissioner Expires: 05/01/2023 This license is the property of Suffolk County 4-� Department of Labor,Licensing&Consumer Affairs. Possession of this license does not guarantee its validity. Additional Business Name License Category H1-GC ABEAUTI-01 KCOUSALL CERTIFICATE OF LIABILITY INSURANCE E211812022 T01YYYY) 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 poilcy(ies)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 COT Bouvier Insurance PHONE � PAX 29 North Main Street evc No.Ext): 860 232.4491 _ Awc No 860 232-6637 West Hartford,CT 06107 IN S A FORDING GO AGE NAIC# IN$URERA.Selective Casualty Insurance Com ate„_ 14376 INSURED 1NSUR R 6, A Beautiful Company,General Contractors LLCNSURER C 335 Main Street INSURER D: Mantic,CT 06357 INSURER E e INSURER F: COVERAGES CE _E UM13REVISION 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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUER PGtLICY EPF POLICY EXP LTRTYPE OF INSURANCE POLICY NUMBER LIMITS ABILITY EACH ,000,000 A X COMMERCIAL MS•MADEE�IOCCUR S251287100 2/18/2022 2118/2023 4i AE TEO 2 500,000 ME �P,�g an S 15,000 P"ERSO! ADVINJURY 2,000,000 hp'"L AGGREGATE LIMIT APPLIES PER: R A AT $ 4,000 000 R POLICYE] LOC ODUC7 M 4,000,000 a"?_+Ic9_PE��a OTHER! A AUTOMOBILE LIABILITY CEO ME& SINGLE L1E4kMT ',OOCI,OOCIi ANY AUTO S251287100 2/18/2022 211812023 BOOILY]NJ RY P s AUTOS ONLY X AUTOS LEO I X INJURY Para on „ �TOAMAG UpTNOo pp BODILY Wo_x....11 �._.._. X 'AUTOS ONLY X At]TOS OIY ` ��i'- A X UMBRELLA LIAS X OCCUR EACH RRENU 1,000,000 EXCESS LIAR CLAIMS-MADE S25i287100 2118/2022 2/18/2023 AGGREGATE 1,000,000 0 DED .RETENTION$ 1, 00,000, A WORKERS MP#N A�{�yp� �( PER O7H- AND EMPL�I L AeILkTY AND EMOP�IRE PARTNER/EXECUTIVE YIN C909815200 2/18/2022 2118/2023 LFA EACH !DENT 1,000,000 O FICERNMFI I EXCLUDE07 N/A _EjL.DISRASE- ! `o ilMandaln in 1000,08 It asSad 8,scribe !MIT undor 1,000,000 E L. 1 I Y DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached H more apace is required) CERTIFICATE HOLDga CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Suffolk THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 310 Center Drive South Riverhead,NY 11901 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ®1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD d HARVEY HARVEY RVEY ORDER Manufacturing IN- WINDOWS +DOORS www.harveywindows.com Customer Quote Summary BILL TO: SHIP TO: RING'S END INC/NIANTIC CT RING'S END INCINIANTIC CT III I II III IIII III III VIII I III III 160 AVON STREET 28 HOPE ST Barcode NIANTIC CT 06357-0000 Phone: 203-655-2525 Fax: 2036567557 Phone: 860-739-5441 Fax: QUOTE NBR CUST NBR CUSTOMER PO DATE CREATED DATE ORDERED ORDER TYPE 5224116 1140958 1 04-678421-280 1 12/30/202I 2/14/202212:45:46 Charge ORDERED BY STATUS I SHIP VIA DELIVERY AREA MARK WINCH Ordered I Whse Delivery DARTMOUTH MANUFACTURING CLERK JOB NAME COUPON WEBCP-MVH- Mark Winchester I A-BEAUTIFUL FISHERS LINE# DESCRIPTION QTY UNIT PRICE EXTENDED 10000-1 Slimline DH,Unit Size 86 x 61,RO 86.5 x 61.5 1 $1,085.99 $1,085.99 Unit 1,3:U-Factor=0.30,SHGC=0.5 1,VT=0.62,HFI-M-34-03454- 00001,Size Options=Call Sizes,Transactional Order Type=Charge Order,New Construction Unit 2:U-Factor=0.30,SHGC=0.5 1,VT=0.62,HII-M-34-03454- 00001,Size Options=Call Sizes,Transactional Order Type=Charge Order,New Construction,Double Hung Call Width=W24,Call Height=W410,Frame Width(Inches)=29.5, Frame Height(Inches)=61Ro es s= ._..............._...... Double Glazed,High SHGc Low-E,Argon Filled Base Color=White Program=None,Label Name=Harvey,Double, Sash Limit Devices= Night Latch Full Screen,Full Screen Mullion,Fiberglass Mesh,Screen Shipping Separate Integral J Fin,Inside Extension Jamb Receiver Pocket=Yes Overall Frame Width(Inches)=86,Overall Frame Height(Inches)=61, Overall Rough Opening Width(Inches)=86.5,Overall Rough Opening APPR VED A S NOTED Height(Inches)=61.5 Clear Opening Width=24.25,Clear Opening Height=26.0625,Clea 15ATE: 4 B.P.# Opening Square Footage=4.39 E.Star Zone:North=Yes FEE: Room Location: #1 NOTIFY BUILDING AT 765-1802 8 AM TO 4 =1! FOR THE COMPLY WITH a,,,,,.L CODES OF FOLLOWING INSPECTIONS: NEW OR S''FA-FF & ..TOW ODE 1. FOUNDATION - TWO REQUIRED AS REQUIRED ED AND CO3 N OF FOR POURED CONCRETE 2. ROUGH - FRA`rt1INu & PLUMBING 3. INSULATION r , �4r�? t.. �N'�G BOAR 4. FINAL - COI�� MUST BE COMPL . ALL CONSTRUi i, ,/;LL MEET THE REQUIREMENTS Or HE CODES OF NEW OCCUPANCY OH YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. USE IS UNLAWFUL Last update; 2/1412022 12:45 PIaI� � ���F Page 1 Of 4 Printed:6/10/2022 8:32 AM QUOTE NBR CUST NBR CUSTOMER PO DATE CREATED DATE ORDERED ORDER TYPE 5224116 1140958 04-678421-280 12/30/2021 2/14/202212:45:46 Charge ORDERED BY STATUS SHIP VIA DELIVERY AREA DARTMOUTH MANUFACTURING MARK WINCH Ordered Wlasc Deltv�,ry CLERK JOB NAME COUPON WEBCP-MSG- Mark Winchester A-BEAUTIFUL FISHERS LINE# DESCRIPTION QTY UNIT PRICE EXTENDED 11000-1 Slimline DH,Unit Size 24 x 61,RO 24.5 x 61.5 1 $358.73 $358.73 Unit 1:U-Factor=0.30,SHGC=0.5 1,VT=0.62,HII-M-34-03454- 00001,Size Options=Custom Size,Transactional Order Type=Charge Order,New Construction 1 Frame Width(Inches)=24,Frame Height(Inches)=61 Double Glazed,High SHGc Low-E,Argon Filled Base Color=White & Program=None,Label Name=Harvey,Single, Sash Limit Devices= Night Latch Full Screen,Full Screen Mullion,Fiberglass Mesh,Screen Shipping Separate Ro�z4.5" . Integral J Fin,Inside Extension Jamb Receiver Pocket=Yes Overall Frame Width(Inches)=24,Overall Frame Height(Inches)=61, Overall Rough Opening Width(Inches)=24.5,Overall Rough Opening Height(Inches)=61.5 Clear Opening Width= 18.75,Clear Opening Height=26.0625,Clear Opening Square Footage=3.39 E.Star Zone:North=Yes Room Location: #2 LINE# DESCRIPTION QTY UNIT PRICE EXTENDED 12000-1 Slimline DH,Unit Size 74 x 61,RO 74.5 x 61.5 1 $1,055.91 $1,055.91 Unit 1,3:U-Factor=0.30,SHGC=0.5 1,VT=0.62,HII-M-34-03454- ... 00001, Size Options=Call Sizes,Transactional Order Type=Charge Order,New Construction Unit 2:U-Factor=0.30,SHGC=0.5 1,VT=0.62,HII-M-34-03454- 00001,Size Options=Call Sizes,Transactional Order Type=Charge Order,New Construction,Double Hung Call Width=W20,Call Height=W410,Frame Width(Inches)=25.5, F Frame Height(Inches)=61 ... .�...."..Ro-,45 . .":........_ Double Glazed,High SHGc Low-E,Argon Filled Base Color=White ,; •• Program=None,Label Name=Harvey,Single, Sash Limit Devices= Night Latch Full Screen,Full Screen Mullion,Fiberglass Mesh,Screen Shipping Separate Integral J Fin,Inside Extension Jamb Receiver Pocket=Yes Overall Frame Width(Inches)=74,Overall Frame Height(Inches)=61, Overall Rough Opening Width(Inches)=74.5,Overall Rough Opening Height(Inches)=61.5 Clear Opening Width=20.25,Clear Opening Height=26.0625,Clear Opening Square Footage=3.67 E.Star Zone:North=Yes Room Location: #3 Last Update: 2/14/2022 12:45 PM Page 2 Of 4 Printed:6110/2022 8:32 AM QUOTE NBR CUST NBR CUSTOMER PO DATE CREATED DATE ORDERED ORDER TYPE 5224116 1140958 04-678421-280 12/30/2021 2/14/2022 12:45:46 Chare ORDERED BY STATUS SHIP VIA DELIVERY AREA MARK WINCH Ordered Wh e Delivery DAR'IMOUTH MANUFACTURING CLERK JOB NAME COUPON WEBCP-M)&- Mark Winchester A-BEAUTIFUL FISHERS LINE# DESCRIPTION QTY UNIT PRICE EXTENDED 13000-1 Vinyl Awning,Unit Size 40 x 20,RO 40.5 x 20.5 1 $461.69 $461.69 Unit 1:U-Factor=0.28, SHGC=0.23,VT=0.39,HII-M-39-01999- 00001,Size Options=Custom Size,Transactional Order Type=Charge Order,New Construction,Inside Extension Jamb Receiver Pocket=Yes, T ............ .... Operation/Vented As Viewed From Outside=Vent,Simulated Meeting Rail=No No Frame Width(Inches)=40,Frame Height(Inches)=20 ON Double Glazed,Double Low E,Argon Filled Base Color=White �— -4 a...............-- RO—40.5.. Program=None,Label Name=Harvey Fiberglass Mesh,Screen Shipping Separate Integral J Fin,Inside Extension Jamb Receiver Pocket=Yes Overall Frame Width(Inches)=40,Overall Frame Height(Inches)=20, Overall Rough Opening Width(Inches)=40.5,Overall Rough Opening Height(Inches)=20.5 E.Star Zone:North-Central=Yes,E.Star Zone:South=Yes,E.Star Zone:S outh-Central=Ye s Room Location: #4 LINE# DESCRIPTION QTY UNIT PRICE EXTENDED 14000-1 Slimline DH,Unit Size 29.5 x 57,RO 30 x 57.5,EXTENDED 1 $461.94 $461.94 LEADTIME Unit 1:U-Factor=0.30,SHGC=0.50,VT=0.61,HII-M-34-03539- 00001,Size Options=Call Sizes,Transactional Order Type=Charge Order,New Construction r , .» Call Width=W24,Call Height=W46,Frame Width(Inches)=29.5, Frame Height(Inches)=57 °� Double Glazed,High SHGc Low-E,Argon Filled,DSB,Tempered Base Color=White " Program=None,Label Name=Harvey,Single,Sash Limit Devices Night Latch ^R0-30" Full Screen,Full Screen Mullion,Fiberglass Mesh,Screen Shipping Separate Integral J Fin,Inside Extension Jamb Receiver Pocket=Yes Overall Frame Width(Inches)=29.5,Overall Frame Height(Inches)=57, Overall Rough Opening Width(Inches)=30,Overall Rough Opening Height(Inches)=57.5 Clear Opening Width=24.25,Clear Opening Height=24.0625,Clear Opening Square Footage=4.05 E.Star Zone:North=Yes Room Location: #5 Last Update: 2/14/2022 12:45 PM Page 3 Of 4 Printed:6/10/2022 8:32 AM " i "' 1 1 I 1I1 1, " I!w� T � "�C► DST DER*,DA U"R" " I' .5224116 1140958 04-678421-280 1 12/30/21121=2114/202212:45:46, 1 claa c ;S�iup'VIA DELIVERY A MAID WINCH Ordered Whse Delivery DAWI"MOUTEI MA1' UFA.C'T1SR1NG C"kK COUPON WEBCP-M' _ Mark Winchester I A-13E UTIhI.DI. FIS1-IERS This quotation is based on our interpretation of the information provided. All quantities,sizes,extensions, 5IMTOT LI $3,424.226 grand totals,and specifications should be verified by the contractor prior to his/her bidding or ordering of 17OOI $0.00 materials. The manufacturer is responsible only for the items as quoted above. Any changes or __.M addendums will be subject to a requote. We propose to supply the materials as described above,subject to terms and conditions. The prices are guaranteed for 30 days from the date of quotation unless otherwise .� .. $217.44 noted, Delivery charges may apply and are not reflected on this quote.We appreciate the opportunity to h I11 /I $3 0 quote this job. 3,641.7Y.. CUSTOMER SIGNATURE Last Update: 2/14/2022 12:45 PM Page 4 Of 4 Printed:6/10/2022 8:32 AM