HomeMy WebLinkAbout46986-Z f OS11rtF0It Town of Southold
4/8/2023
P.O.Box 1179
o
co .� 53095 Main Rd
oy o�gr Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43998 Date: 4/8/2023
THIS CERTIFIES that the building WINDOWS
Location of Property: 1745 Nokomis Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 78.-3-35
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/5/2021 pursuant to which Building Permit No. 46986 dated 10/15/2021
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:
replacement windows to existing single-family dwelling as aapplied for.
The certificate is issued to Hokanson,Karen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
AithoriW Signature
��SUF TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a ' 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#: 46986 Date: 10/15/2021
Permission is hereby granted to:
Hokanson, Richard
1635 Nokomis Rd
Southold, NY 11971
To: install replacement windows to existing single-family dwelling as applied for.
At premises located at:
1745 Nokomis Rd., Southold
SCTM # 473889
Sec/Block/Lot# 78.-3-35
Pursuant to application dated 10/5/2021 and approved by the Building Inspector.
To expire on 4/16/2023.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO-ALTERATION TO DWELLING $50.00
Total: $250.00
ui ing Inspector
SOUT6o�
# # TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ 'FINAL W1tl_ 0w_s
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
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DATE 3 INSPECTOR
PO T FIELD.'INSPE�CTION RE0,,
RATE
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FOUNDATION.(1ST). " '6
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FINAL' .
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�jya�ufEotrp� 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)765-9502 littps://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only �Ci�
�� I
PERMIT NO. Building Inspector: A /
OC I O 221
l
Applications.and'forrns must be filled out in theirentirety.lncornplete BUILDING DEPT.
applications will not be'accepted. Where the Applicant is not the owner;anTOWN OF SOUTHOLD
Owner's'Authorization form(Page 2)shall be completed.
Date: 9/17/21
OWNER(S)OF PROPERTY:
Name:Karen Hokanson SCTM#10007 -76— 3— 35
Project Address:1745..N®komis Rd. Southold, NY 11971
Phone#:(516) 607-0057 Em ail:hokesbo.ss@yahoo.com
Mailing Address: 1745 Nakomis Rd. Southold, NY 11971
CONTACT PERSON:
Name:Lisa Einsidler
Mailing Address:ggg South Oyster Bay Rd, Bethpage, NY 11714
Phone#:888-736-6335m
DESIGN PROFESSIONAL INFORMATION: =
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:power,Home Remodeling
Mailing Address:9 1 99 South Oyster Bay Rd, Bethpage, NY 11.714
Phone#:888-736-6335 -F Email:lisa.einsidler@,powerhrg.com,_
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition BAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other Remove and replace 7 windows.U-factor 0.27,SHGC 0.25.No structural changes. $6,834.00
Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes ❑No
1
PROPERTY.INFORMATION" ..
Existing use of property: Residential Intended use of property:Residential ,
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes EiNo IF YES, PROVIDE A COPY.
Q 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 230.45 of the New York State Penal law.
Application Submitted By(print name): Lisa Einsidler BAuthorized Agent ❑Owner
Signature of Applicant: ",�� Date: 9/17/21
STATE OF NEW YORK)
SS:
COUNTY OF )
Lisa Einsidler 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;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
17th da of September 2021 4 -r
Y
""Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
Karen Hokanson residing at 1745 Nakomis Rd. Southold, NY 11971
do hereby authorize Power Home Remodeling to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
See signed contract (attached) 9/17/21
Owner's Signature Date
COMMOWMALT" MYMA-NOTARY wA
Karen Hokanson BhmOli�Laird,NOTARYPUBLIC
Delaware county
My Commission EWM M2612026
Print Owner's Name CommNtslonNumber 1216M
2
National Headquarters Karen Hokanson
211
` " 2501 Seaport Drive,Chester,PA 19013 OCT Q 5 2021 35-37460
888-736-6335 R
September 12,2021
WWW.POWERHRG.COM BUILDING DEPT.
TOWN OF SOUTH LD-
1440776-DCA
• „-= PRODUCT SPECIFICATIONS 48568-H
Buyer(s)'Information and Description of the Property: Project Number:35-37460 September 12,2021
Karen Hokanson (516)607-0057(Karen's Cell) Date oJAgreement
1745 Nakomis Rd hokesboss@yahoo.com
Southold,NY,11971 E-MO Address t
County:Suffolk
Township:
Buyer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification
sheets,in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications
(collectively,this"Agreement').
Pre Installation Inspection Date:Your pre installation inspection is tentatively scheduled for Wed 9/22 between 11:00a and 12:00p.
Windows-Elegance-Basement Hopper Inclusions:Fully welded frames and sashes, intercept warm edge spacer, Duraglass,
Heatshield,foam enhanced frame,extruded full screen and lever style handle with locking mechanism,installation,clean up and haul away
of all job related debris.
APPROVED AS NOTED
DATE:-
Q� BY: COMPLY WITH ALL CODES OF
FEE:-�-� �.
NOTIFY,;.BUILDING DrPARTMENI AT . NEW YORK STATE & TOWN CODES
765-1802, ;8:AM TO 4 PM FOR THE AS REQUIRED AND CONDITIONS OF
FOLLOWING INSPECTIONS:
1. FOUNDATION TWO REQUIRED- $�{}{g
FOR POURED CONCRETE Rg�}{gl$�y4}�p } BOARD
2. ROUGH'.- .FRAMING & PLUMBING
3. INSULATION. 8%7K tVOWMUSTEEt)CCUPANCY OR
4. FINAL -..CONSTR(JCTION MUST N —
BE COMPLETE FOR C.O. USE IS UNLAWFUL
ALL CONSTRUCTION SMALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR WITHOUT CERTIFICA,
®eOWd(y@dfWiHr ®&1NMRe parties that the Product Specifications,along wlth'ihQFstQGGUd PANCy
mprovement Agreement,constitutes the entire understanding between the parties,and replace any and all prior negotiations,
representations,or agreements,either written or oral. The Product Specifications may not be changed,modified,or varied in any way unless
such changes are in writing and signed by both Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read the Product
Specifications.
I have read and received each page of this 4 page agreement.
Power Home Remodeling Group Buyer(s)
/09/12/21 11! / /09/12/21
Signature of Remodeling Consultant Signature
Lucas Hokanson Karen Hokanson
YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
September 12, 2021 09:02 II
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Page 1 of 4
D � C � � ��
z° National Headquarters 'I^� Karen Hokan
2501 Seaport Drive 1 ! son
p Chester,PA 19013 OCT 0 5 2021 I 35-37460
888-736-6335 September 12,2021
a Q WWW.POWERHRG.COM
BUiLDINU
' TOWN OF SOUTHOLO
1440778-DCA
Project Specifications 48568-H
Windows: Basement window 1 32.0"x23.0"
WINDOWS: Model Elegance Style Basement Hopper Type None Config None
OPTIONS: Color White I White: Grid Pattern: None I Removal Wood I Additional Details Special Options
(ie.Full Screen,Obscure Glass,etc)Full Screen No I Obscure Glass No I Specialty Co/or No I Different
Color Capping No I Trim Options Yes New Inside Casing No I New Outside Brickmold Pine I New Sill Pine 1 i
New Stool No I New Apron No I Frame Options No I Remove and Reinstall No ! _
Windows: Basement window 1 32.0"x23.0"
WINDOWS: Model Elegance Style Basement Hopper Type None Config None ::: _...... ._
OPTIONS: Color White I White: Grid Pattern: None I Removal Wood 1 Additional Details Special Options
(ie.Full Screen,Obscure Glass,etc)Full Screen No I Obscure Glass No I Specialty Color No I Different '
Color Capping No I Trim Options Yes New Inside Casing No I New Outside Brickmold Pine I New Sill Pine I
New Stool No I New Apron No I Frame Options No I Remove and Reinstall No
Windows: Basement window 1 32.0"x23.0"
WINDOWS: Model Elegance Style Basement Hopper Type None Config None
OPTIONS: Color White I White: Grid Pattern: None 1 Removal Wood I Additional Details Special Options � WV
(ie.Full Screen,Obscure Glass,etc)Full Screen No I Obscure Glass No I Specialty Color No I Different
Color Capping No I Trim Options Yes New Inside Casing No I New Outside Brickmold Pine I New Sill Pine I
New Stool No I New Apron No I Frame Options No 1 Remove and Reinstall No
Windows: Basement window 1 32.0"x23.0"
WINDOWS: Model Elegance Style Basement Hopper Type None Config Nonea
OPTIONS: Color White I White: Grid Pattern: None I Removal Wood I Additional Details Special Options
(ie.Full Screen,Obscure Glass,etc)Full Screen No I Obscure Glass No I Specialty Color No I Different f
Color Capping No I Trim Options Yes New Inside Casing No I New Outside Brickmold Pine I New Sill Pine
New Stool No I New Apron No I Frame Options No I Remove and Reinstall No t'
Windows: Basement window 1 32.0"x23.0"
WINDOWS: Model Elegance Style Basement Hopper Type None Config None _.
OPTIONS: Color White I White: Grid Pattern: None I Removal Wood I Additional Details Special Options
(le.Full Screen,Obscure Glass,etc)Full Screen No I Obscure Glass No I Specialty Color No I Different
Color Capping No I Trim Options Yes New Inside Casing No I New Outside Brickmold Pine I New Sill Pine I
New Stool No I New Apron No I Frame Options No I Remove and Reinstall No
Windows: Basement with vent in 1 32.0"x23.0"
WINDOWS: Model Elegance Style Basement Hopper Type None Config None ; )
OPTIONS: Color White I White: Grid Pattern: None I Removal Wood I Additional Details Special Options a
(ie.Full Screen,Obscure Glass,etc)Full Screen No I Obscure Glass No I Specialty Color No I Different
Color Capping No I Trim Options Yes New Inside Casing No I New Outside Brickmold No I New Sill No I
New Stool No I New Apron No I Frame Options Yes Frame In for vent or A/C unit Yes 1 Build Up No I Build
Down No I Pack-In No I Buck Frame/Stops/Casing No I Remove and Reinstall No
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National Headquarters Karen Hokanson
2501 Seaport Drive,Chester,PA 19013 35-37460
888-736-6335 September 12,2021
f9 WWW.POWERHRG.COM
s
1440776-DCA
Project Specifications 48568-H
Windows: Basement 1 31.0"x22.0"
WINDOWS: Model Elegance Style Basement Hopper Type None Contig None ;. .. a
OPTIONS: Color White/White: Grid Pattern: None I Removal Wood I Additional Details Special Options
(is.Full Screen,Obscure Glass,etc)Full Screen No 1 Obscure Glass No I Specialty Color No I Different
Color Capping No I Trim Options Yes New Inside Casing No I New Outside Brickmold Pine I New Sill Pine 1 ,
New Stool No I New Apron No I Frame Options No I Remove and Reinstall No
September 12, 2021 09:02 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Page 3 of 4
National Headquarters Karen Hokanson
` 2501 Seaport Drive,Chester,PA 19013 35-37460
888-736-6335 September 12,2021
a p WWW.POWERHRG.COM
1440776-DCA
a AtMvntliMt Project Specifications 48568-H
Siding/Trim: Shutter 2 1.0'x1.0'
SIDING/TRIM: Model Trim&Accessories Style Shutters Type No Hinge Contig Louver
OPTIONS: Color Black I Installation Details None
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