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Home My WebLink About47128-Z �pSUE LKcoGy Town of Southold 12/5/2023 P.O.Box 1179 o _ + 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44794 Date: 12/5/2023 THIS CERTIFIES that the building WINDOWS Location of Property: 10725 Sound Ave., Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-1-5.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/8/2021 pursuant to which Building Permit No. 47128 dated 11/19/2021 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: window replacements to existing single-family dwelling as applied for. The certificate is issued to Burt,Nancy&Goss,Carl of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au hor' KSignature o�sofFot��oTOWN OF SOUTHOLD BUILDING DEPARTMENT N x TOWN CLERK'S OFFICE o • SOUTHOLD, NY 0 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#: 47128 Date: 11/19/2021 Permission is hereby granted to: Burt, Nancy 10725 Sound Ave Mattituck, NY 11952 To: install window replacements to existing single-family dwelling as applied for. At premises located at: 10725 Sound Ave., Mattituck SCTM #473889 Sec/Block/Lot# 122.-1-5.3 Pursuant to application dated 11/8/2021 and approved by the Building Inspector. To expire on 5/21/2023. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Building Fnispector OE SOUTyOIo # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ rSLATIOWCAULKING U FRAMING /STRAPPING [ NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 1 DATE Y INSPECTOR FIELD:INSPECTION REPQRT. 'DATE COMMENTS ro FOUNDATION(IST) ------------------------------ FOUNDATION(2ND) o . ROUGH FRA.IVIING:& y PLUMBING 1 . tN r INSULATION.PER N.Y. H. STATE ENERGY CODE WIVI o-rV. FINAL ADDITIONAL COMMENTS 54 -r 3 c7ai 5 0 z � d CEJ F° TOWN OF SOUTHOLD—BUILDING DEPARTMENT r $; Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 t Telephone(631)765-1802 Fax(631)765-9502 https://www.southoldtownny[ov o, Date Received APPLICATION FOR BUILDING PERMIT � For Office Use Only PERMIT N0. Building Inspector: NOV 0 8 2021 Applications and forms.must:be filled out in.their entirety.'Incomplete applications will not be'accepted Where the Applicant isnot the owner,:an.,- BUILDING DEPT. Owners Authorization form;(Page 2)shall be completed.:; „ ' TOWN OF SOUTHOLD Date: 10/15/21 OWNER(S)OF PROPERTY;- Name:iCarl Goss & Nancy Burt I .SCTM#1000- ProjectAddress:l0.725 Old Sound Ave MattituCk, NY 1.1952--- - ._ Phone#: 631 745-2374 Email:nburt@OpIpRIine.net _. Mailing Address: 10725 Old Sound Ave Mattituck, NY 11952 CONTACT'PERSONf. Name:Lisa Einsidler Mailing Address:999 South„Oyster Bay Rd, Bethpage, NY 11714 Phone#:8$$-73676335 Email:lisa.einSidler@pqWprh,.rg..co.m.l., DESIGN.PROFESSIONAL INFORMATION:. Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION- .Name NF.ORMATION ` ..: ... Name,:Power.Home„Remode ling Mailing Address:991 South Oyster Bay.90, Bethpage, NY 11714 Phone#:888-736-6335 TFmail:lisa.einsidler@powerhrg.com `DESCRIPTION OF PROPOSED CONSTRUCTION El New Structure [--]Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: El Other Remove and replace 7 windows.U-factor 0.27,SHGC 0.25.No structural changes. $6.91 Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes El No 1 PROPERTY]NFORMATION 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? ❑Yes ®No IF YES, PROVIDE A COPY. .......... ........ .. 8 Check Box After Reacting: The owner/contractor/design professional is responsible for all drainage.and storm water issues as provided by Chapter 236 of the TownCode. 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 of Regulations;for the construction of buildings, additions,aiterations,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 210.4,5 of the New York State Penal Law, Application Submitted By(print name): Lisa Einsidler BAuthorized Agent ❑Owner Signature of Applicant: �ti"b"itis�� - I Date: 10/15/21 Pennsylvania STATE OF-N-9W-YAP,Q SS: COUNTY OF Delaware ) 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 15th day of October Zo21 Notary Public COMMMEWH of Pe WSYLVA"•NOTARY Q& Shane UliDeILawareCCountyRYPUaIIC PROPERTY OWNER AUTHORIZATION My CommiWon Expires 05126t2025 Commission Number 1216290 (Where the applicant is not the owner) 1, Carl Goss & Nancy Burt residing at 10725 Old Sound Ave Mattituck, NY 11952 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) 10/15/21 Owner's Signature Date Carl Goss & Nancy Burt Print Owner's Name 2 ve CA d l Ste. Ave . me,. l._ I `-' NOV 2 0 2023 l da APPAS NOTEDEDDATAJVED B.P.#FEE: BY:-= NOTIFY ,BUILDING DEPARTMENT AT . 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOP, 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 zm G BOARD SBUfifiOID TOVONTRUSTEES ,.NY S DEC OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICA OF OCCUPANCY National Headquarters NOV 0 0 2021 C I G and Nancy Burt 2501 Seaport Drive,Chester,PA 19013 35-42131 888-736-6335 BUILDING DEPT. October 06,2021 WWW.POWERHRG.COM TOWN OF SOUTHOLD t -p 1440776-DCA PRODUCT SPECIFICATIONS 48568-H Buyer(s)'Information and Description of the Property: Project Number:35-42131 October 06,2021 Carl Goss Date olAgreement Nancy Burt (631)871-6707(Nancy's Cell) nburt@optonline.net 10725 old sound ave (631)745-2374(Carl's Cell) . E-Mau Address t MATTITUCK,NY,11952 Carlgoss989@gmail.com County:Suffolk E-MallAddress2 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 10/20 between 9:00a and 10:00a. Windows-Inspira Inclusions: Includes composite reinforced meeting rails,night time safety lock on double hung windows and two part window sliders only.Welded corners,foam injected frames,concealed tilt latch on all double hung windows.total protection spacer, Heatshield, Duraglass,exterior custom capping,installation,clean up and haul away of all job related debris. It is agreed and understood by and between the parties that the Product Specifications,along with the Custom Remodeling and Improvement 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 3 page agreement. Power Home Remodeling Group Buyer(s) Buyer(s) /10/06/21 /10/06/21 /10/06/21 Signature Remodeling Consultant Signature Signature Carl Von Glahn Carl Goss Nancy Burt 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. October 06, 2021 12:20 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 3 A National Headquarters Carl Goss and Nancy Burt 2501 Seaport Drive,Chester,PA 19013 35-42131 888-736-6335 October 06,2021 P 8 WWW.POWERHRG.COM 1440776-DCA •OkC-^^^ Project Specifications 48568-" Windows: Kitchen 1 35.0"x49.0" WINDOWS: Model lnspira Style Double Hung Type None Config None ? OPTIONS: Color White/White: Grid Pattern: None 1 Removal Wood/Additional Details Special Options (ie.Full Screen,Obscure Glass,etc)Full Screen Double Hung/Obscure Glass No/Specialty Color No/ Different Color Capping No 1 Trim Options No/Frame Options No I Remove and Reinstall No lj Windows: Bathroom 1 23.5"x36.0" WINDOWS: Model lnspira Style Double Hung Type None Config None ( OPTIONS: Color White/White: Grid Pattern: None/Removal Wood/Additional Details Special Options (is.Full Screen,Obscure Glass,etc)Full Screen Double Hung I Obscure Glass No/Specialty Color No I --1 Different Color Capping No/Trim Options No I Frame Options No I Remove and Reinstall No M Windows: Bedroom 1 30.5"x52.5" j WINDOWS: Model lnspira Style Double Hung Type None Config None OPTIONS: Color White/White: Grid Pattern: None 1 Removal Wood 1 Additional Details Special Options i (is.Full Screen,Obscure Glass,etc)Full Screen Double Hung/Obscure Glass No/Specialty Color No Different Color Capping No 1 Trim Options No I Frame Options No I Remove and Reinstall No Windows: Bedroom 1 30.5"x52.5" ' WINDOWS: Model lnspira Style Double Hung Type None Contig None ((( ( OPTIONS: Color White/White: Grid Pattern: None I Removal Wood/Additional Details Special Options I' (ie.Full Screen,Obscure Glass,etc)Full Screen Double Hung/Obscure Glass No/Specialty Color No I Different Color Capping No/Trim Options No I Frame Options No I Remove and Reinstall No _ Windows: Bedroom 2 1 30.5"x52.5" t WINDOWS: Model lnspira Style Double Hung Type None Config None -f OPTIONS: Color White/White: Grid Pattern: None 1 Removal Wood 1 Additional Details Special Options (ie.Full Screen,Obscure Glass,etc)Full Screen Double Hung/Obscure Glass No/Specialty Color No I Different Color Capping No/Trim Options No/Frame Options No/Remove and Reinstall No i Windows: Living Room 1 30.5"x52.5" 3 WINDOWS: Model lnspira Style Double Hung Type None Config None f�I OPTIONS: Color White/White: Grid Pattern: None 1 Removal Wood 1 Additional Details Special Options 1 l (ie.Full Screen,Obscure Glass,etc)Full Screen Double Hung I Obscure Glass No I Specialty Color No 1 € Different Color Capping No I Trim Options No I Frame Options No 1 Remove and Reinstall No October 06, 2021 12:20 I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 2 of 3 National Headquarters Carl Goss and Nancy Burt 2501 Seaport Drive,Chester,PA 19013 35-42131 888-736-6335 October 06,2021 .3 WWW.POWERHRG.COM 1440776-DCA Project Specifications 48568-11 Windows: Living Room 1 35.0"x49.0" j WINDOWS: Model Inspire Style Double Hung Type None Config None OPTIONS: Color White/White: Grid Pattern: None I Removal Wood 1 Additional Details Special Options L (ie.Full Screen,Obscure Glass,etc)Full Screen Double Hung 1 Obscure Glass No 1 Specialty Color No I Different Color Capping No/Trim Options No I Frame Options No I Remove and Reinstall No October 06, 2021 12:20 IIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 3 of 3