HomeMy WebLinkAbout48658-Z ��o�QSUFFOI�gq Town of Southold 3/11/2023
P.O.Box 1179
h 53095 Main Rd
y�j ao�g � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43919 Date: 3/11/2023
THIS CERTIFIES that the building WINDOWS
Location of Property: 45200 Route 25, Southold
SCTM#: 473889 Sec/Block/Lot: 75.-6-9.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/2/2022 pursuant to which Building Permit No. 48658 dated 12/27/2022
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 Terry,Rachel&Kevin
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Aut ri ed gn ure
o�SUFF i o TOWN OF SOUTHOLD
a �cay�t BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • 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#: 48658 Date: 12/27/2022
Permission is hereby granted to:
Terry, Rachel
PO BOX 581
Southold, NY 11971
To: install window replacements to existing single-family dwelling as applied for.
At premises located at:
45200 Route 25, Southold
SCTM # 473889
Sec/Block/Lot# 75.-6-9.3
Pursuant to application dated 11/2/2022 and approved by the Building Inspector.
To expire on 6/27/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO-ALTERATION TO DWELLING $50.00
Total: $250.00
1 L
Building Inspector
OF SOUTyO� -- - - - --
# TOWN OF SOUTHOLD BUILDING DEPT.
courm�� 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL WAdOWS
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT.PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE ,� �' �7 INSPECTOR
ELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST) V1 H
----------------------------------
C
FOUNDATION (2ND)
O
ROUGH FRAMING& jT*�
PLUMBING
N
W
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INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
ADDITION COMMENTS
3 --' 3 35
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=�o�of t,t�ooy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�y�o• �ao�, Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.140V
Date Received
APPLICATION FOR BUILDING PERMIT
�L For Office Use Only �
(/D i
PERMIT NO. Building Inspector: "1 Lr--
Applications
Applications and forms must be filled out in their entirety. Incomplete NOV 0 2 2022
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed. TOviN
oi
Date:
OWNER(S)6F P OPERTY:
Name: �&-Cyu � SCTM# 1000- ''��_ �_q
Project Address: �� �� �`
Phone#: _ _ �C Email: 11COH
Mailing Address: U
CONTACT PERSON:
Name:
Mailing Address: tR U CX ��
Phone#: L�A— �-A Email: fucVuA—±0 —)r C6
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
`�UName: 11 I�U -`L
Mailing Addres . 1� l
Phone#: � �V- R�
�_`1 vllA J Email:
(YL((M
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Other r $ 1,L)
Will the lot be re-graded? ❑Yes KNo Will excess fill be removed from premises? ❑Yes XNO
1
PROPERTY INFORMATION
Existing use of property: R145JXAi6j
Intendeduse of property: ►fix
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
CAJ�1 this property? ❑Yes �No 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.
I I
Application Submitted By-(print name): (� L� r� ❑Authorized Agent Owner
Signature of Applican : �n , Date: l� 'Z\"Z(JZZ
STATE OF NEW YORK)
i
COUNTY OF S Ul S•6 1 )
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing con act)above named,
(S)he is the ou-)ku-
(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.
Swornefore me this
p/1 h ,20
[, day of
Not Pu Ic
WW)L t8 tPON
NOhdtY PubVc'�No.01
70979
PROPERTY OWNER AUTHORIZATION SuffalkCouj�3
(Where the applicant is not the owner)
p$ nFXpKeslan.6,
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
APPROVED AS NO
DATE: a a xx02 B.P.# ✓v
FEE: . � ' BY:
NOTIFY BUILDING DE'PARTMENT AT
765-1802 8 AM "TO 4 M FOR THE OCCUPANCGY OR
FOLLOWING INSPE17;"-NS: - -
1. FOUNDATION - TWO REQUIRED JSElS`UNLAWFU4,- .
FOR POURED CONCRETE �JIT.H.OUT CERTIF�ICA�
2. ROUGH - FRAMING & PLUMBING
3. INSULATION DF OCCUPANCY
4. FINAL - CONSTRU!7ION MUST
BE COMPLETE FC=: C.O.
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
sc-11 1L -
N1NG BOARD
DT i
TOWN RUS T EES
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[�fqANDERSEN`
WINDOWS a DOORS
SOLD BY: SOLD TO: CREATED DATE10/31/2022
8 4:C. u MA2i is ista
Florence Building Materials
Ken Oberlies LATEST UPDATE
ILIMa9 ' 643 Long Island Ave 11/1/2022
BUILD.INC:MATERIALa Medford NY 11763
631-758-4800 OWNER
Kenneth Oberlies
Abbreviated! Quote Report - Customer Pricing
QUOTE NAME PROJECT NAME QUOTE NUMBER CUSTOMER PO# TRADE ID
NFWW-Reichert/Rachel Unassigned Project 3166352
REVISED
ORDER NOTES: DELIVERY NOTES:
Item Qtv Operation Location
' !I' 100 3 AA None Assigned
• 1
r RO Size=341/8"x 52 7/8" Unit Size=33 5/8"x 52 7/8"
TW2842, Unit, 400 Series Double-Hung, Equal Sash, Installation Flange, Black Exterior Frame, Black Exterior Sash/Panel, Pine
�i w/White- Painted Interior Frame, Pine w/White- Painted Interior Sash/Panel, AA, Dual Pane Low-E4 Standard Argon Fill
Removable Interior Grille Division, 2 Wide, 2 High, Specified Equal Light Pattern, Black, Maple w/White, 3/4"Grille Bar, Stainless
----- Glass/Grille Spacer, Traditional 1 Sash Locks White (Factory Applied), WhiteJamb Liner, Black, Full Screen, Aluminum
Insect Screen 1:400 Series Double-Hung, TW2842 Full Screen Aluminum Black PN:9128733
Grille 2: TW2842 RIG Specified Equal Light Upper w/Keeper Cut 2W 2H 3/4" Black/Maple White w/Chisel Plungers
Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments:
--------------------------------------
A1 0.3 0.31 YES Al 29.8750 21.7500 4.53000
Quote#: 3166352 Print Date: 11/1/2022 3:22:05 PM UTC All Images Viewed from Exterior Page 1 of 5
Item Qty Operation Location
200 2 AA None Assigned
RO Size=461/8"x 40 7/8" Unit Size=45 5/8"x 40 7/8"
i I ' TW3832, Unit, 400 Series Double-Hung, Equal Sash, Installation Flange, Black Exterior Frame, Black Exterior Sash/Panel, Pine
I w/White- Painted Interior Frame, Pine w/White- Painted Interior Sash/Panel, AA, Dual Pane Low-E4 Standard Argon Fill
l ? Removable Interior Grille Division, 2 Wide, 2 High, Specified Equal Light Pattern, Black, Maple w/White, 3/4" Grille Bar, Stainless
Glass/Grille Spacer, Traditional, 1 Sash Locks White(Factory Applied), WhiteJamb Liner, Black, Full Screen, Aluminum
Insect Screen 1:400 Series Double-Hung, TW3832 Full Screen Aluminum Black PN:9128755
Grille 2: TW3832 RIG Specified Equal Light Upper w/Keeper Cut 2W 2H 3/4" Black/Maple White w/Chisel Plungers
Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) " Comments:
-----------
A1 0.3 0.31 YES Al 41.8750 15.7500 4.60000
Item QQt Operation Location
300 2 AA-AA N
4 s one Assigned
RO Size=67 7/8"x 48 7/8" Unit Size=67 3/8"x 48 7/8"
11H Mull: Factory Mulled, Andersen Ribbon Mull, 1/8 Non Reinforced Material
11 TW28310-2, Unit,400 Series Double-Hung, Equal Sash, Installation Flange, Black Exterior Frame, Black Exterior Sash/Panel, Pine
w/White- Painted Interior Frame, Pine w/White-Painted Interior Sash/Panel, AA, Dual Pane Low-E4 Standard Argon Fill
Interior Grille Division, 2 Wide, 2 High, Specified Equal Light Pattern, Black, Maple w/White, 3/4"Grille Bar, Stainless
__ _-
-` - -"µ"" Glass/Grille Spacer, Traditional, 1 Sash Locks White(Factory Applied), WhiteJamb Liner, Black, Full Screen,Aluminum
Insect Screen 1:400 Series Double-Hung, TW28310 Full Screen Aluminum Black PN:9128732
Grille 2: TW28310 RIG Specified Equal Light Upper w/Keeper Cut 2W 2H 3/4" Black/Maple White w/Chisel Plungers
Insect Screen 1:400 Series Double-Hung, TW28310 Full Screen Aluminum Black PN:9128732
Grille 2: TW28310 RIG Specified Equal Light Upper w/Keeper Cut 2W 2H 3/4" Black/Maple White w/Chisel Plungers
Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments:
Al 0.3 0.31 YES Al 29.8750 20.2500 _ 4.22000
B1 0.3 0.31 B1 29.8750 20.2500 4.22000
Quote#: 3166352 Print Date: 11/1/2022 3:22:05 PM UTC All Images Viewed from Exterior Page 2 of 5
Item QtZ Operation Location
FF
400 4 AA-AA None Assigned
i ! " ..
RO Size=67 7/8 x 52 7/8 Unit Size= 67 3/8"x 52 7/8'°
Mull: Factory Mulled, Andersen Ribbon Mull, 1/8 Non Reinforced Material
TW2842-2 Unit,400 Series Double-Hung, E ual Sash, Installation Flange, Black Exterior Frame
q g Black Exterior Sash/Panel, Pine
w/White- Painted Interior Frame Pine w/White- Painted Interior Sash/Panel AA, Dual Pane Low-E4 Standard Argon Fill
Removable Interior Grille Division, 2 Wide, 2 High, Specified Equal Light Pattern, Black, Maple w/White, 3/4"Grille Bar, Stainless
of=_y Glass/Grille Spacer, Traditional, 1 Sash Locks White(Factory Applied), WhiteJamb Liner, Black, Full Screen,Aluminum
Insect Screen 1:400 Series Double-Hung, TW2842 Full Screen Aluminum Black PN:9128733
Grille 2: TW2842 RIG Specified Equal Light Upper w/Keeper Cut 2W 2H 3/4" Black/Maple White w/Chisel Plungers
Insect Screen 1:400 Series Double-Hung, TW2842 Full Screen Aluminum Black PN:9128733
Grille 2: TW2842 RIG Specified Equal Light Upper w/Keeper Cut 2W 2H 3/4" Black/Maple White w/Chisel Plungers
Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments:
---
Al 0.3 0.31 YES Al 29.8750 21.7500 4.53000
131 0.3 0.31 B1 29.8750 21.7500 4.53000
Item QtZ Operation Location
I � 500 1 AA -AA-AA None Assigned
-T,
—'. RO Size= 117 5/8"x 52 7/8" Unit Size= 117 1/8"x 52 7/8"
I!Mull: Factory Mulled, Andersen Ribbon Mull, 1/8 Non Reinforced Material
TW3042-TW3442 -TW3042, Unit, 400 Series Double-Hung, Equal Sash, Installation Flange, Black Exterior Frame Black Exterior
9 ,
Sash/Panel, Pine w/White-Painted Interior Frame, Pine wNVhite- Painted Interior Sash/Panel, AA, Dual Pane Low-E4 Standard
-- -�--- Argon Fill Removable Interior Grille Division, 2 Wide, 2 High, Specified Equal Light Pattern, Black, Maple w/White, 3/4" Grille Bar,
Stainless Glass/Grille Spacer, Traditional, 1 Sash Locks White(Factory Applied), WhiteJamb Liner, Black, Full Screen, Aluminum
Insect Screen 1:400 Series Double-Hung, TW3042 Full Screen Aluminum Black PN:9128741
Grille 2: TW3042 RIG Specified Equal Light Upper w/Keeper Cut 2W 2H 3/4" Black/Maple White w/Chisel Plungers
Insect Screen 1:400 Series Double-Hung,TW3442 Full Screen Aluminum Black PN:9128749
Grille 2: TW3442 RIG Specified Equal Light Upper w/Keeper Cut 2W 2H 3/4" Black/Maple White w/Chisel Plungers
Insect Screen 1:400 Series Double-Hung, TW3042 Full Screen Aluminum Black PN:9128741
Grille 2: TW3042 RIG Specified Equal Light Upper w/Keeper Cut 2W 2H 3/4" Black/Maple White w/Chisel Plungers
Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments:
--- ----------------------------------------------------------------------------
A1 0.3 0.31 YES Al 33.8750 21.7500 5.13000
131 0.3 0.31 131 37.8750 21.7500 5.74000
C1 0.3 0.31 C1 33.8750 21.7500 5.13000
Quote#: 3166352 Print Date: 11/1/2022 3:22:05 PM UTC All Images Viewed from Exterior Page 3 of 5
Item Q_yt Operation Location
j._ 600 1 AA None Assigned
;i RO Size=301/8"x 40 7/8" Unit Size=29 5/8"x 40 7/8"
TW2432, Unit, 400 Series Double-Hung, Equal Sash, Installation Flange, Black Exterior Frame, Black Exterior Sash/Panel, Pine
w/White.-Painted Interior Frame, Pine w/White-Painted Interior Sash/Panel, AA, Dual Pane Low-E4 Standard Argon Fill
Removable Interior Grille Division, 2 Wide, 2 High, Specified Equal Light Pattern, Black, Maple w/White, 3/4"Grille Bar, Stainless
_._.._....._._. -_-3 Glass/Grille Spacer, Traditional 1 Sash Locks White (Factory Applied), WhiteJamb Liner, Black, Full Screen,Aluminum
..11-A
Insect Screen 1:400 Series Double-Hung, TW2432 Full Screen Aluminum Black PN:9128723
Grille 2: TW2432 RIG Specified Equal Light Upper w/Keeper Cut 2W 2H 3/4" Black/Maple White w/Chisel Plungers
Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments:
Al 0.3 0.31 YES Al 25.8750 —15.7500 — 2.84000
Item P-!Y- _Operation Location
i 700 2 AA None Assigned
RO Size=341/8"x 48 7/8" Unit Size=33 5/8"x 48 7/8"
TW28310, Unit, 400 Series Double-Hung, Equal Sash, Installation Flange, Black Exterior Frame, Black Exterior Sash/Panel, Pine
w
/White-
Painted Interior Frame, Pine w/White-Painted Interior Sash/Panel, AA, Dual Pane Low-E4 Standard Argon Fill
I I--.--- ----_-�j Removable Interior Grille Division, 2 Wide, 2 High, Specified Equal Light Pattern, Black, Maple w/White, 3/4"Grille Bar, Stainless
316S- Grille Spacer, Traditional, 1 Sash Locks White(Factory Applied), WhiteJamb Liner, Black, Full Screen, Aluminum
Insect Screen 1:400 Series Double-Hung, TW28310 Full Screen Aluminum Black PN:9128732
Grille 2: TW28310 RIG Specified Equal Light Upper w/Keeper Cut 2W 2H 3/4" Black/Maple White w/Chisel Plungers
Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments:
-------------------------------------
A1 0.3 0.31 YES Al 29.8750 20.2500 4.22000
The customer signature below acknowledges that I have reviewed this order and that
is correct in all aspects. The customer signature acknowledges the order is a special
order and it cannot be altered in anyway, cancelled or returned. All orders not picked
up within 30 days will be subject to additional handling and storage charges. The
signature below acknowledges that I understand these terms and conditions and I
agree to pay Florence Building Supply/Amagansett Building Materials in full for the
above special-order material. All material lead times are subject to change at any
Quote M 3166352 Print Date: 11/1/2022 3:22:05 PM UTC All Images Viewed from Exterior Page 4 of 5
r
time by the manufacturer. Florence Building Supply/Amagansett Building Materials is
not responsible for any changes i�ad-t e.
CUSTOMER SIGNATURE ✓ �XJ"` /—' DATE oZ
I
All graphics as viewed from the exterior. Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps
or flashings or sill panning or brackets or fasteners or other items.
Thank you for choosing Andersen Windows & Doors
Quote#: 3166352 Print Date: 11/1/2022 3:22:05 PM UTC All Images Viewed from Exterior Page 5 of 5