HomeMy WebLinkAbout48599-Z �S�EEOi,fco� Town of Southold 8/5/2023
y� P.O.Box 1179
y $A 53095 Main Rd
�jo! yaoi,+r Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44391 Date: 8/5/2023
THIS CERTIFIES that the building WINDOWS
Location of Property: 885 Old Farm Rd, Orient
SCTM#: 473889 Sec/Block/Lot: 26.4-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/14/2022 pursuant to which Building Permit No. 48599 dated 12/14/2022
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 replacement to existing single family dwelling as applied for.
The certificate is issued to Armagan, Sevan&Elvon
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF'HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
uth ri d ignature
TOWN OF SOUTHOLD
��o�g�FFo�,r�Gy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
N 2
Woy�• ao��4 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#: 48599 Date: 12/14/2022
Permission is hereby granted to:
Armagan, Sevan
330 E 39th St Apt 33M
New York, NY 10016
To: Install window replacement at existing single family dwelling as applied for.
At premises located at:
885 Old Farm Rd, Orient
SCTM #473889
Sec/Block/Lot# 26.-4-4
Pursuant to application dated 10/14/2022 and approved by the Building Inspector.
To expire on 6/14/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO-ALTERATION TO DWELLING $50.00
Total: $250.00
Building Inspector
* �aOF SOUIyO -- -- - -- ------
# TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL / dpW-s
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
(in V� toe , a
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DATE ?� �i INSPECTOR
JELD INSPECTION REPORT j DATE COMMENTS
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FOUNDATION (1ST)
------------------------------------
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� ° � 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 httlis://,Amw.southoldtowmiy. oo
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Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only ®
PERMIT NO. �l I Building Inspector: 1` DD I
OCT 1 4 2022
tans?a dfo tr5`:`:ii u
DocuSign Envelope ID:51221090-B250-4EOC-8C5C-F6EOFODA8891
--'PROPERT—Y�' M.
lx-Qjt A1,100
-
Existing u-se ofS.Illg�e, intended use of property:sinale famil
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? OYes *No IF YES, PROVIDE A COPY.
W,
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Application Submitted By(print name):Jennifer Winke IgAuthorized Agent ElOwner
Signature of Applicant: Date:
.............
STATE OF NEW YORK)
SS:
COUNTY OF
Jennifer Winke being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
I S)h e 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
day of 0 CJ 20Z
tary Public
SUZANNE S BENTON
NOTARY PUBLIC
PROPERTY OWNER AUTHORIZATION GULFORD COUNTY,NC
(Where the applicant is not the owner) My Commission Expims 2-21-2024
Sevan Armagan residing at 88' Old Farm Rd.
do hereby authorize Jennifer Winke to apply on
014,f,MWfdtq.,the Town of Southold Building Department for approval as described herein.
rCVLAM. AMAIM. 10/13/2022
Owner's Signature Date
Sevan Armagan
Print Owner's Name
2
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SU C)LSL COUNTY GOVERNMENT'
DEPARWENT OF LABOR L6G�N�i
OX 6100,HAUPPAUGE, N�Y.11788
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his; rt# gate riaay;.#a used,ps e`vidiuni .iji' :t ttarkar " q ' ena fiia.:'.
1 t cirs3 ct c f:insui >ice "a i1 ,WhileAhe underlying policy i�in effect,
tee n;3 ai tlpart:s is iiatirssi.o thc�wpr erSO cdmPensatCoti: :taitc -indiaated'rin=f `
I}:_... �'.. . .. hTsfrrrct;tfie,businsgrrEin€rs.tcr.b
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ab ov asrl.thet:tiy :nerrte�d rnsure,3 ias the-po�uerg dapicte+ ,"c�er tlis.tcrrrn
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1a.Legal Name$#1dd're s,of Insured treat address;gnl�r} _
i b.:Buslnss ielepitsine Nurtrtiar of Irssuresd:•
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ROAD hl�r�l ,44e-$07.7093.
-A t yqi:.F NTA,,GA 331339. '
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Work L:6�6 ion of Insupod(Onty r'equiir d df covar.<ajo.is spez:rfire#fy
finilleu to ceri6in focuftons it)glass=York'Sfafi;;i.&-'wrap-pp ewivl}
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TOWN'�. 71J Ht i C3 . HART1 C3i l LIFE AND ACS IT3 iV .
93095 ROUTiT b Policy�Numbe of> zit#fy List4d irr,BCSX"1;a" f
C}UTMOL:[ , NY 1197.1.
.1. LNY713657,
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4.Policy Providas f11�•fvtltsarlrt�:��rai3flt�:
oth'disak�il,ty:and.paid family IFave tirenefifa,
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ki>�+<All of the ornployei's r mptaiybos,eligitlio sri� er tlac NYS 01.sublllty a.ad,Paid Family Loav�z.8+�ti si'its l;aw,
1.B.Only the f€zllawing claw br classes of bniploydei aarnploysos:'
...._
p ._.� 3 y Y _-�..� —�
:Under ortalt"tai erur ,I smrtif tttat.l am a'a authorized,representative-or.licensed agent of Lira Insurance parri0r referenced abwis and that'Llie rtumfftt
l;insures!has"NY,S bisability and/or Pild Family Leave Benefits insurdnc6 coverege as:dascribed.abovr,
3 29-'2421
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7isl fSti irie Nure�buv'{ 1 },rira3 8t77 t . Alarrse•ai d'Tiiie;,Elizsiboiis"fellti--As;ist�irit l'}`ir ctr�r'Staiciiory t ui Jdt s.
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Li n ad irastararace ettt' f that_starrier;this certif date;ie:CO PL TI .Mail,It clirecti"y to the,certificate holder.
If ok 4 .A .cr.5 •i6 chocked,this csrtificate"IS'NOT,Ci�€�#i�i.i~TE.fdr purperees of Section 220,$ub 1.'8 of the NYS
€3isability anti Paid:Fdm ly:l avo ariefits LaW.tt,must lie rriitiled fa��-com�le#ias�to,the'Wdrkers'Compensation
_._ '�oar€i;;�Iart�y+,coa3pt8r1te Unit;�C�l�i��"320 ,Bingtiemtorr`,'i4i'`4�93��"'4r..a,?.i)ti. . . {{l
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Lha hid'$Disat]iiity and paid Family Leave Sonefit ,4»ui vaith.rei�peat6ii;cif,fiiel er rripicye��.;
ed
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t3ignatiira,of tluttsirrtzart NYS Woikers'6rApes�&artia»&3oatrd E:n#atr�geal. � C
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f t agscr:ai#a#c;<tlnJy Jri�srardranc, xrrl�?r�lfccrts'�d Per ivrif a Nl'S'r t rrbllFfy vrid'piiJd r5rmliy le€ii�c'a ir�rtl fnsur lri o gflcla s�'rd N's 11con ed hiIr uhCe tigants
cff tl3o5a�`frssrirarra ar,errder5" r'rrast3so»xbxe Ire 351 usr: erii»X33--9b:7:tF»kcirrre7imkerr `PdtJ7;rv2tiayrised:fa#ssr tiffs`. 5r+».
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44„
Go Permits, LLC
105 Buttonball Ln.
Glastonbury, CT 06033
® s
permits@gopermits.org
December 9, 2022
To: Town of Southold
Re: 885 Old Farm Rd.
Enclosed you will find check for the permit fee of $250. If you have any questions, feel
free to call me at the number listed below.
Please note the following:
• Please mail the permit to the homeowner.
• Please e-mail a copy of the permit and receipt to:
Email: permits@gopermits.org
Thank you!
Jennifer Winke, Permit Expediter
Go Permits, LLC
Phone: 303-946-8685
Fax: 866-697-0768
jenniferwinke@gopermits.org
Go Permits, LLC 105 Buttonball Ln, Glastonbury CT 06033 www.gopermits.org
APPROVED ASNO ED OCC
DATE B,q# OCCUPANCY 0R
FEELe Voo By USE IS UNLAWFUL
NOTIFY BUILDING DEPARTMENT AT WITHOUT CERTIFICATE
631-765-1802 8AM TO 4PM FOLLOWING INSPECT0 S: THE OF OCCUPANCY
I. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
I ROUGH-FRAMING&PLUMBING
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OFTHE CODES OF NEW C 0 M;PLY W, H L 1
YORK STATE, NOT RESPONSIBLE FOR N� �/ YORK S-1-qT�`&TOWS ODE
DESIGN ORCOSTRUCTONERRORS �S HEQUI ED AND CONDITIONS OF
SOUTHOLD TOWN ZBA
SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWN TRUSTFES
-'-�• N�'.S.DEC
Home Improvement Agreement: Page 1
Home Depot License#'s - For the most current listing visit www.Homedepot.com/LicenseNumbers
Adam Friedman
Salesperson Name Registration#(Req.in CA,CT,ME,MD,MI,NJ,DC)
Home Depot U.S.A.,Ine.("Home Depot") or Authorized Service Provider named below will fiunish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
. ,.... ..
ti}
tt
'd' A V I
r
e -
r cin` ct:�Infrm -
>� 'C ti; o anon"
r
L.i.:
The Home Depot The Home Depot
Service Provider Contact Name Service Provider Company Name
(774) 275-2175 customercancellationnortheast@hom
Phone# S rcM'Mvider Email Address Service Provider License#(s)
-Cu tomer Information.
Armagani Sevan New England South F28408874`rye
Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO#
885 Old Farm Rd. Orient NY 11957
Customer Address City State Zip
(917)•940-0589 sevanarmagan@hotmail.com
Home Phone# Work Phone# Cell Phone# Customer Email Address
,;.r
TD�CANCEL��
YOU MAY CANCEL THIS NAGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING
THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT:
customercancellationnortheast@homedepot.com
OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
908 Boston Turnpike Unit 1 Shrewsbury MA 01545
Address City State Zip
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE
SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED
TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN
SHIPMENT AT HOME DEPOT'S EXPENSE.
THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT
TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL
AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL.
Acknowledged by: Doj06/2022
Cu Omer s Signature Date
460 Suendardlionn HIA(21 Jul.21)(E) Generated Date. Inin A,19n99 Lcad,'PM 1:9840887d, _ ° 0.1'1`
Home Improvement Agreement: Page 2
---------
4.,-Desctipti0nbiif; orkA6he,Per16rrned --,---
L
A detailed description of the work to be performed is included in the paragraph entitled Scope of Work, Specification,
Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this Agreement.
'5. Ant icigated Dellvl-
Approximate Start Date: 104/06/20231 Approximate Finish Date: 105/06/2E23J All dates are approximate
and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in
0 C,
confirming insurance coverage of Your claim for any repair, if applicable.
;6.'VlectronicRecor s,Auth6rization,'
You are entitled to a'paper copy of this Agreement if you choose.i'i'you-consent to an e-mailed copy, your consent
applies to this Agreement and all subsequent documents and written communications related to this Agreement. By
contacting your Service Provider,you may update your email address,withdraw your consent,or obtain a paper copy
of the Agreement or related documents at no charge. By providing your consent and verifying your email address
above, you confirm that you have access to a computer that can receive and open emails and PDF documents.
77
.Contract' Price'-and Payment edule,
Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified
below or in a payment addendum.
Contract Price: $ 6569.01
Includes all applicable taxes. Excludes finance charges.*
1
Sales Tax: $ 10.00 (If applicable, total amount of taxes included in Contract Price)
*.iWaxim um deposit OiVL Y applicable in KD, MA, KE(33%), AIJ, W1(99%)
Deposit % 125.0 Deposit Amount $ 11642.26 Remaining Balance $ 14926.7
:8.Financ e Ch arges:..,,:,
Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan
agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this
Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No
funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments
made payable to Home Depot.
-71
,9.Acte Mance an '.d-
Authorization'�'
By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b)
order and arrange for the delivery of special order merchandise, including special order merchandise that may be
custom made, as specified in this Agreement. Do not sign.,if blank or incomplete. (Service Provider's or permitting
I t=1
information may need to be provided to You later.)By signing,you acknowledge that: (i)You have read,understand,
and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You
are receiving a complete copy of this Agreement; (iii)all rights and interests under this Agreement are solely vested
in the person listed as "Customer" above; and(iv)Electronic signatures will be deemed originals for all purposes.
&
X F 110/08/2022
Customer's Signature Date
XF/s/The Home Depot 110/08/20
The Home Depot Digital Signature Date
For questions related to your installation, contact Service Provider at (774) 275-2175
For any other concerns, contact The Home Depot at 1-800-466-3337
460 Standud Fom HIA(21 Jul.21)(E) Generated Date ininePug - Latd!PO4 F98403874 - v 0.1.12
WINDOW SPECIFICATION SHEET - Spec.Sheet#: F28408874 Sheet: 1 of 1
Customer: Sevan Armagan ,Job#: F28408874 Consultant: Adam Friedman Date: 10/08/2022
New Window
Existing Window Hinge Locations
Measurements Grids Product Options Labor Options From outside,
Left to Right
Bays,Bows
Location Color Rough Opening #of bars #of bars Csmnts,1 PH,
use L,R or S
Glass
Hardware Misc Items
Code
Screens For doors use
# `g E o c Mull
LL (D "S'=stationary or
L L m
a) N O ° N "X"=operating
Style Wraps a .0n try `o °c r P 9
t Room Floor Code (Y/N) Style Code Series Cade E w 3 z F ai v a > _ > _
STD,White, GlassPack: ROOF,F,
1 KITCH 1st BYC45 Y BY-C-45 6100 WH WH 81 58 139 Standard WRAP,LSR L S R
C
i
SPECIAL CONSIDERATIONS:
1:White Line Level Notes:
1.MISC(1):Capp
Wrap Color
Interior Casing Type Colonial
Bay or Bow window:
Seatboard material(vinyl only-Birch or Oak) 1:Oak
Bay Project Angle(30 or 45) 45.00
Bay Flanker Type(DH,SH,or-Csmnt)
Top of window to soffit(inches)
If tied to soffit,color of soffit material I have reviewed and agree with all the job specifications above and the
Construct Roof(Yes or No)' Special Terms and Conditions on the following page
Garden Window:
eatboard Material(vinyl only-White Pionite,Birch or Oak)
The Home DepoWThermal Value of Products Manu ured by Simonton
Dated: 613012018
With Grids
Kim-
so
with
_f 27, CIE
Awning 6500 Base ProSolar Superqept 718" 0.26 i 0,23 . 01010 0.26 0.21 0
Casement 6500 Base ProSolar Supercept 118" _0.26 i 0.24-- a -10 a 0.26 i 0.22 a 0 '01.1
Transom
6500 Base PfdSolar Supercept T 027 0.32 Q a 027 0.29 0 0
Double-Hung 6500'Base ProSolar. Supercept 7/8' 0.29 0.26 0 0.29 0.24.-
Picture Casement (NH) 6500 Base ProSolar Supercept 718'" 0.26 028 0 - 0-26 0.25 0 .0 0 0
Picture 6500 Base ProSolar Supercept 71& 0.27 i 029 a- a 0.27 1 0.26 0 •
2'Panel Slider 6500 Base ProSolar Supercept 718- 029 0.26 0 0.29 0-23 a 0 -0
3 Panel Sliders 650'Q Base(:5 21 Sqft) Pro Solar Supercept 7/8-1 0.29 0.26 - 0.28 0.23
a i1 @1 -
Garden Door(CH) 6500'Enegy Star ProSolar SUN, Super Spacer 1 1 0.30, ! 0.24.1ololojej 030 0.21
Patio Door INOVO 6500,'Base Pro Solar Super Spacer 1' 1 0.28 ! 0.26 1 0 1 0 0.31 0.23
Homes located everywhere!MCCEP Arizona,California,Idaho,Nevada,New Mexico,Oregon,Utah,and
yvqwdngton.
Awning(Inc Hopper). 6100 Base Pro Solar Intercept 7/8" 0.27 1 0.24 01 91 0 *1 0.28 1, 0.21 0 a 0 a
Casement 6160 Base Pro Solar Intercept 71W 027 0.24 -1 0.217- 0.22
-:'"7
27
Double-Hu 6100 Energy Star Pro Solar Supercept 314" 1 0.90 1 0.30 • 1-0.30 0.27
0.27 0.27 .25 . . .
Picture Casement(No Hinge)I 6100 Base Pro Solar Intercept 7/8!'r
Picture _ 6100 Base Pro Solar Intercept 34'. 0:27 0.31 10 0 0.27. 028 0 0
2 Panel Slider 6100 Base Pro Solar Intercept 314-1 0.30 0.28 00.30 0.27 0
3 Panel Slider 6100 Base Pro Solar Intercept 314"1 0.30 i 0.29 1 0. 0.30 0.27 mj;• "
Is[em Homes located everywhere EXCEPT;Arizona,California,Idaho,Nevada,New Mexico,Oregon,Utah,and
ashington.
Patio Door INOVO 6100 Energy Star Pro Solar Super Spacer V 0.28 0. 0.28
.23
Patio Door NARROW FRAME 6100(PD05)_Base. Pro Solar Intercept 314" 0.28 I 0.30 1*1 0 1 1. 1 0.28 0.26 jejej I
Me Me Homes located only 1n following markets.Dallas,Denver,Detro!4 Phila,Northern NJ,Long1stand,NY.
1 j 1
,Awning_ �6200 Base Pro Solar DE Supercept 3X' 0.27 0-25 9 e 0 o 0.26.' 023 0 0 0 0
Casement 6200 Base Pro Solar SHADE Supercept 3W 0J6 1 0.18 a Ole o 0.29 0.17 a a a 0
Picture Casement-NH 6200 Base Pro Solar SHADE Supercept 314". 0.26 0.21 .
Ie aI 0.25 0.19 0 0 0 0
Picture Window 6200 Base Pro Solar SHADE Supercept 314" 0.26. 0.24 e. o 0 0 0.26 0.22 0 6 a 0
Single Hung 6200 Base Pro Solar SHADE Supercept 314" o.28, 1 023 0.28 1 0.21
Single Slider 6200.Base Pro Solar SHADE Supercept XV 0.26:.1. 0.23, 0.28 0.21
3 Panel,Slider 6200 Base Pro Solar SHADE Supercept 31411 0.28 1 0.23 0.28 i 0.21
"0 M11 VM.M- 311'Mme :)wes.focated in coastal areas.
Awning SB+300VL Energy Star PS SUN/Lam! Supemept 1" 0.26 1 OM a 910101 0.26 0.21 a -0 Ojai
Casement SB+300VL Base PSA.arni Super Spacer 1" 0-25 0.23 o o o el 0.25 0.21 0 . T 0
Double Hung SB+300VL Base PS/Laml Super Spacer jV P01290.25 a+ * a 0.23 a 9 0 01
0 5
Slider SB+300VL- Base PS/Lam! Intercept 1 0.29 0.26 a a 0 0 0.23 a a - -
Patio Door SB+300VL ETC 366 PS Shade I Larrii Su 1 0.30 0.19
Super Spacer 1 0.30 0.19 01 0 a 0
Garden Door(CH) SB+300VL Base PS/Lami Super Spacer 1" 0.30 0.28 1
F44 "'.#
•Dots indicate Energy Star certified for that zone
Please.Note:Si m- onton Windows rnaym substitute-E-ast&West-winclows gequirernents-of each order.
_J