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Home My WebLink About49568-Z 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#: 49568 Date: 8/11/2023 Permission is hereby granted to: Rive Andrea 6175 New Suffolk Rd PO BOX 649 New Suffolk, NY 11956 To: install window and door replacements to existing single-family dwelling as applied for. At premises located at: 6175 New Suffolk Rd, New Suffolk SCTM # 473889 Sec/Block/Lot# 117.-5-5 Pursuant to application dated 6/29/2023 and approved by the Building Inspector.. To expire on 2/9/2025. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector Flr r 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 hgps://www.southoldtgMimy.&2v. Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only E 9—, 2 0 WV� C PERMIT NO. Building Inspector! JUNE 2 9 2023 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an BUYIMING DE11.9". Owner's Authorization form(Page 2)shall be completed. 1` Date: (a/,(, a� OWNER(S)OF PROPERTY: Name: bre C--n 1 ;Q SCTM#1000- Project Address: & T,5- S �� Zd Nkw S tiP Ik N4 t,cls-(o Phone#: (a3 t-,5,9,1 _ t 31,57 Email: Mailing Address: CONTACT PERSON: Name: .A�c-ii r Mailing Address: �o �� l��-} ��. � /\J-i (I 0 Phone#: l- 05 - 2}C9 a Email; I"� ?rw c.t u.✓i _ Cc��✓► DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: CM,( �A(_ 1nj Mailing Address: -p0 X 'J l Phone#: " 1_" _�X55 Email: �l' k-v JJ � ^h . cOVV1 . � ..W _...�-. r........._. DESCRIPTION OF PROPOSED CONSTRUCTION LJ n Iteration ❑Re air ❑Demolition Estimated Cost of Project: ❑Other mature ❑Addltlo � p ❑other uc dog -- Dc;-Of- $_ 3�4 A 30C� Will the lot be re-graded? ❑Yes OtL Will excess fill be removed from premises? ❑Yes EPND 1 PROPERTY INFORMATION Existing use of property: Qes,lde l\ ca Intended use of property: r Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Eyes EXo 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,(plrint name): p,/Z /tTV , A p„ „rZ NJAuthorized Agent ❑Owner Signature of Applicant: Date: 6-223 STATE OF NEW YORK) SS: COUNTYOF he-LLy being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is thein , C'o✓1�ra c-vr &,/ L I (Contractor,Agent, Corporat fficer, 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 2� day of of ry I>u iORIT NEY L 7.ATARGA PUBLIC,STATE OF NEW YORK N0I 01ZA63115,527 QUALIFIED IIwISUFFOLK COUNTY PROPERTY OWNER AUTHORIZATION MY IOMMESION EXPIRES APRIL 28,2027 (Where the applicant is not the owner) residing at /Veo SU/ do hereby authorize +�• a to apply on my behalf to the Town of Southold Building Department for approval as described here`n. Owner's Signature Date '521.11, *,o Owner's Name 2 /A?--%bl I I IN, SF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^A^A^^ 462932269 LEVITT-FUIRST ASSOCIATES LTD 520 WHITE PLAINS ROAD,2ND FL TARRYTOWN NY 10591 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER RESTORATION ENERGY INC DBA TOWN OF SOUTHOLD R.W. MULLIGAN 54375 MAIN ROAD PO BOX 1727 SOUTHOLD NY 11971 RIVERHEAD NY 11901 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G2314 468-6 433492 06/29/2022 TO 06/29/2023 6/20/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2314 468-6, 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. 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/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. 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 SUFE NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:98646346 U-26.3 /A?I.^I kN� , NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) ^^^^^^ 462932269 LEVITT-FUIRST ASSOCIATES LTD 520 WHITE PLAINS ROAD,2ND FL TARRYTOWN NY 10591 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER RESTORATION ENERGY INC DBA TOWN OF SOUTHOLD R.W. MULLIGAN 54375 MAIN ROAD PO BOX 1727 SOUTHOLD NY 11971 RIVERHEAD NY 11901 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G2314 468-6 433493 06/29/2023 TO 06/29/2024 6/20/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2314468-6, 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. 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/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. 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 4 �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:652283555 U-26.3 FjNANDERSEN- WINDOWS & DOORS CREATED DATE. SOLD BY: SOLD TO: 5/30/2023 !ZRIVERNEAD Randy Rogers BUILDING SUPPLY 250 David Ct. LATEST UPDATE, Baird Smarter.Baud Better. Calverton NY 11933 6/20/2023 OWNER= - Randy Rogers Unit Spec Report - Large Image QUOTE NAME' :p,:PROJECT=NAME QUOTE NUMBER ` CUSTOMER_PO#,' ;TRADE ID Restoration Energy RESTORATION ENERGY 4116624 163715 ORDER NOTES:, a,.,. ' :DELIVERY-'NOTE 1 Quote M 4116624 Print Date: 6/20/2023 1:50:35 PM UTC All Images Viewed from Exterior Page 1 of 10 Unit Spec Report_- Large Image QUOTE NAME PROJECT iVAME QUOTE-NUMBER CUSTOMER PO# TRADE ID Restoration Energy RESTORATION ENERGY 4116624 163715 _. _.. . .-.. - Room: None Assigned Item Qtv Operation 100 3 AA-AA RO Size=67 7/8"x 44 7/8" j Unit Size=67 3/8"x 44 7/8" Comments: 400 Series Double-Hung, Low-E4,Standard , Grilles: None,Vertical, Factory Mulled, 1/8 Non Reinforced Instructions to Manufacturer: CR �. Unit# U-Factor SHGC ENERGY STAR Lf j u Al 0.3 0.31 NO 131 0.3 0.31 ( Clear Opening/Unit# Width Height Area(Sq. Ft) Al 29.8750 17.7500 3.70000 131 29.8750 17.7500 3.70000 33.625 33.625 67.375 RO- 67.875 Quote#: 4116624 Print Date: 6/20/2023 1:50:35 PM UTC All Images Viewed from Exterior Page 2 of 10 Unit Spec Report - Large Image QUOTE NAME PROJECT NAME QUOTE NUMBER CUSTOMER PO# TRADE ID Restoration Energy RESTORATION ENERGY 4116624 163715 - - Room: None Assigned Item Q_yt Operation 200 2 AA RO Size=38 1/8"x 44 7/8" Unit Size=37 5/8"x 44 7/8" Comments: 400 Series Double-Hung, Low-E4, Standard , Grilles: None Instructions to Manufacturer: t•- 00 Unit#--- U_Factor _SHGC�- ENERGY STAR Al 0.3 0.31 , NO - - Clear Opening/Unit# Width Height Area(Sq. Ft) Ll ---------------------------------------------------------------------------------- Al 33.8750 17.7500 4.19000 I , I I • 37.625 R4 - 38.125 Quote M 4116624 Print Date: 6/20/2023 1:50:35 PM UTC All Images Viewed from Exterior Page 3 of 10 Unit Spec Report - Large Image QUOTE NAME. wPROJECT NAME" QUOTE NUMBER' CUSTOMER PO# .. .TRADE ID Restoration Energy RESTORATION ENERGY 4116624 163715 Room: None Assigned Item Qtv Operation 300 1 AA RO Size=26-1/8"x 40 718" Unit Size=25 5/8"x 40 7/8" Comments: 400 Series Double-Hung, Low-E4,Standard ,Grilles: None Instructions to Manufacturer: QO C; Unit# U-Factor SHGC ENERGY STAR d' Al 0.3 0.31 NO �= Clear Opening/Unit# Width Height Area(Sq. Ft) ------------------------------------------------------------------------------ Al 21.8750 15.7500 2.40000 25.625 �— RO - 26.125 Quote#: 4116624 Print Date: 6/20/2023 1:50:35 PM UTC All Images Viewed from Exterior Page 4 of 10 Unit Spec Report - Large Image QUOTE N _ AME PROJECT NAME• QUOTE NUMBER CUSTOMER PO# TRADE ID Restoration Energy RESTORATION ENERGY 4116624 163715 Room: None Assigned ItemQQt Operation 400 2 AA RO Size=38 1/8"x 44 7/8" (i Unit Size=37 5/8"x 44 7/8" 1 �. Comments: 400 Series Double-Hung, Low-E4,Standard , Grilles: None LO Instructions to Manufacturer: t-- co 't Unit# U-Factor SHGC ENERGY STAR Nr ---------------- Al 0.3 0.31 NO Clear Opening/Unit# Width Height Area(Sq. Ft) 1 -------------------------------------------------------------------------------- Al 33.8750 17.7500 4.19000 37.625 Ra - 38.125 Quote M 4116624 Print Date: 6/20/2023 1:50:35 PM UTC All Images Viewed from Exterior Page 5 of 10 Unit Spec Report - Large Image QUOTE NAME: .•:PROJECT NAME, QUOTE NUMBER. CUSTOMER PO# TRADE ID. Restoration Energy RESTORATION ENERGY 4116624 163715 Room: None Assigned Item Qtv Operation 500 3 AA - RO Size=34 1/8"x 44 7/8" i Unit Size=33 5/8"x 44 7/8" �. Comments: 400 Series Double-Hung, Low-E4,Standard , Grilles: None U') Instructions to Manufacturer: CO Unit# U-Factor SHGC ENERGY STAR --------------------------- ---------------- Al 0.3 0.31 NO Clear Opening/Unit# Width Height Area(Sq. Ft) U -------------------------------------------------------------------------- Al 29.8750 17.7500 3.70000 i 33.626 RO- 34.126 Quote#: 4116624 Print Date: 6/20/2023 1:50:35 PM UTC All Images Viewed from Exterior Page-6 of 10 Unit Spec Report - Large Image QUOTE NAME: . PROJECT NAME QUOTE NUMBER CUSTOMER PO# TRADE ID. Restoration Energy RESTORATION ENERGY 4116624 163715 . Room: None Assigned Item Qtv Operation 600 1 AA _ RO Size=34 1/8"x 40 718" Unit Size=33 5/8"x 40 7/8" Comments: 400 Series Double-Hung, Low-E4, Standard , Grilles: None Uj Instructions to Manufacturer: 00 Ci Unit# U-Factor SHGC ENERGY STAR Al 0.3 0.31 NO Clear Opening/Unit# Width Height Area(Sq. Ft) -----------------_-__-----------_______________--___-__-_______ Al 29.8750 15.7500 3.28000 I i 33,626 RO - 34.125 Quote M 4116624 Print Date: 6/20/2023 1:50:35 PM UTC All Images Viewed from Exterior Page 7 of 10 Unit Spec Report - Large Image QUOTE NAME u PROJECT NAME QUOTEMNIBER CUSTOMER PO# TRADE ID Restoration Energy RESTORATION ENERGY 4116624 163715 Room: None Assigned Item Qtv Operation 700 1AA-AA RO Size=67 7/8"x 44 7/8" z . Unit Size=67 3/8"x 44 7/8" Comments: 400 Series Double-Hung, Low-E4,Standard , Grilles: None,Vertical, Factory Mulled, 1/8 Non Reinforced ti Instructions to Manufacturer: ao Unit# U-Factor SHGC ENERGY STAR i t] Al 0.3 0.31 NO `t 131 0.3 0.31 f Clear Opening/Unit# Width Height Area (Sq. Ft) Al 29.8750 17.7500 3.70000 131 29.8750 17.7500 3.70000 33.625 33.625 67.375 Ra- 67.875 Quote#: 4116624 Print Date: 6/20/2023 1:50:35 PM UTC All Images Viewed from Exterior Page 8 of 10 Unit Spec Report - Large Image QUOTE NAME PROJECT NAME. - QUOTE NUMBER CUSTOMER_PO# _TRADEID Restoration Energy RESTORATION ENERGY 4116624 163715 Room: None Assigned Item Qtv Operation 800 4 AA RO Size=38 1/8"x 40 7/8" Unit Size=37 5/8"x 40 7/8" Comments: 400 Series Double-Hung, Low-E4,Standard , Grilles: None Instructions to Manufacturer: 1`. 00 O Unit# U-Factor SHGC ENERGY STAR --------------------------------- -------------- Al 0.3 0.31 NO Clear Opening/Unit# ---—Width -----Height -- Area(Sq_ L1 Ft) ----------------------- Al 33.8750 15.7500 3.72000 37.625 RO -38.125 Quote#: 4116624 Print Date: 6/20/2023 1:50:35 PM UTC All Images Viewed from Exterior Page 9 of 10 Unit Spec Report - Large Image BER CUSTOMER PO# TRADE ID Restoration Energy RESTORATION ENERGY 4116624 QUOTE,NAME :� _ PROJECT-NAME:: � QUOTE NUM _ 163715 CUSTOMER SIGNATURE DATE *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#: 4116624 Print Date: 6/20/2023 1:50:35 PM UTC All Images Viewed from Exterior Page 10 of 10 Lock Bore 2-3/8" Backset Bore Rough Opening:381/2"x 821/2" Total Unit:401/4"x 83 3/8"(Includes Exterior Casing) Warranties: (click to open each in anew window) For the warranty to be valid all doors must be sealed/finished on all 6 sides.Click links below for more information. ✓Therma-Tru® Warranty Item:0002:Ext 32"x 80"S206 RHI 4 9/16"On-Guard Primed Location: Quantity:2 Smooth Star 32"x80" Single Door 11 UL Configuration Options Hide EXT Single Door 32" x 80" S206 (Clear), 4 9/16" On-Guard Primed, On-Guard Primed Standard Brickmould, Right ERTMOR Hand Inswing, Zinc Di-Chromate (Yellow Zinc) Radius x Square (Self Aligning) Hinges, Mill Finish w Light Cap Composite Adjustable Sill, Bronze Compression Weatherstripping, Single Lock Bore 2-3/8" Backset Bore Rough Opening:341/2"x 821/2" Total Unit:361/4"x 83 3/8"(Includes Exterior Casing) Warranties: (click to open each in anew window) For the warranty to be valid all doors must be sealed/finished on all 6 sides.Click links below for more information. ✓Therma-Tru®Warranty Unit Summary Hide Item Description Quantity 0001 Ext 36"x 80" S296 LHI 4 9/16" On-Guard Primed 1 0002 Ext 32"x 80" S206 RHI 4 9/16" On-Guard Primed 2 SUBMITTED BY: ACCEPTED BY: DATE: Additional Information: I understand that this order will be placed according to these specifications and is non- refundable. All products are unfinished unless otherwise specified and should be finished as per the instructions provided by the manufacturer. Images on this quote should be considered a representation of the product and may vary with respect to color, actual finish options and decorative glass privacy ratings. Please verify with sales associate before purchasing. Unless otherwise noted, prices are subject to change without notice, and orders accepted subject to prices in effect at time of shipment. Prices in this catalog apply only to sizes and descriptions listed; any other specifications will be considered special and invoiced as such.