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
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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
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Rosalie Drago
_5 Commissioner
---- ----. .... . ..........
\...........
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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