HomeMy WebLinkAbout49722-Z 1.
o�OSUEFaI�coG Town of Southold 12/27/2023
P.O.Box 1179
co x 53095 Main Rd
Way 0� 5�' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44841 Date: 12/27/2023
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 2740 E Mill Rd,Mattituck
SCTM#: 473889 Sec/Block/Lot: 100.-5-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/22/2023 pursuant to which Building Permit No. 49722 dated 9/19/2023
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:
"as built"window&door replacements to existing single-family dwelling as applied for.
The certificate is issued to Johnson,Luke&Rachel
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Au oriz ignature
SUFFoc '' TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
On
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#: 49722 Date: 9/19/2023
Permission is hereby granted to:
Johnson, Luke
2740 E Mill Rd
Mattituck, NY 11952
To: Legalize "as built" window & door replacements to an existing single-family dwelling as
applied for.
At premises located at:
2740 E Mill Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 100.-5-1
Pursuant to application dated 8/22/2023 and approved by the Building Inspector.
To expire on 3/20/2025.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $450.00
Building Inspector
6�I OF SOUTyolo
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm,N�'' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] NSULATION/CAULKING
] FRAMING /STRAPPING [ FINALS^dam Ef DAVS
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ]- RENTAL
REMARKS: 1 N
(IMP CA �410,
DATE t0kd -W INSPECTOR
hO�X\OF SOGTyolo
* # TOWN OF SOUTHOLD BUILDING DEPT.
°ycourm, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: W-140k). lnSAJ 6fXv 14
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DATE INSPECTOR
?IELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST) 3
--------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING Q ,
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INSULATION PER N.Y.
STATE ENERGY CODE
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=�o��gOFFO(q�oGy2 TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
�'y • o�g Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowm.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only e ! n~1
PERMIT NO. Building Inspector: A U G 22-, 20 �T
23
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an F.BUILDING DE 0
Owner's Authorization form(Page 2)shall be completed. ' ��'�' `I
Date: S2z�
OWNER(S)OF PROPERTY:
Name: Le- k n, '_ -^ p ,or, SCTM #1000- [0C),0-o.—o S,p c7 _Qpl , 000
Project Address:
Phone#: 1�.3.� 3�5, o o Email:
Mailing Address: S
- OVA. Gl0 _0 we.. . . ._. . .
CONTACT PERSON:
Na me:
Mailing Address:
Phone#: TE'mail: Y�UI �&ni r . Corp
-
- �3,) � G
DESIGN PROFESSIONAL INFORMATION:
Name: I�
.__.. _._. ._..I.4._..._._....
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
ew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
other N'w (k)-rVk-d'w +- Jooe—
Will the lot be re-graded? ❑Yes GAO Will excess fill be removed from premises? ❑Yes PNo
1
r ' '
PROPERTY INFORMATION
Existing use of property Intended use of property:
:
— - _..-...----- - ----------
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes 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.
Application Submitted rint name): (a k*LSwn ❑Authorized Agent 00wner
Signature of Applicant: Date: �Z N
STATE OF NEW YORK) CONNIE D.BUNCH
Notary Public,State of New York
SS: No.01BU6185050
COUNTY OF ) Qualified in Suffolk County
Commission Expires April 14,2,0,1%4
(0 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the OW VV U,
(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
I day of , 2012 �
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
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
����®��g�® REMIT To: L H(allLt I U F HY I hid I II'IU�IN I FOR OFFICE USE ONLY
BUILDING ASUP 250 David Court DR-9183680 K d
eUILDIWGSUPPLY Calverton,NY 11933 BELOW ACCORDING TO
BuildBmartellBuild Bell= (631)727-1400 CARD ISSUER AGREEMENT
I�I I'I I'1111111"I'I"'I I I I II'll II II' Received Items Below In Good Condition
REPRINT FROM 1-1IAZToQR'6jgAt6te APPROVED AS NOTED
sol,JTo: RACHEL JOHNSON Ship To: 2740 EAST MILL RD. L� 7
MATTITUCK . NY r
1.1.952 DATE B.P.# I� / 3,D'�
- XSt . (631.)375-4003 1r�J �/
Customer No. Order Data Order No. Customer P.O.No. Job Name Contract Page No. FEE. `50,00 By
123 ceDate 3 o4sz3/a 1 NOTIFY BUILDING DEPARTMENT AT
Orrver Ship Dale Invoice Date Invoice No RIBS PO Salesrep Order Type Check No Warehouse.
303 4/14/"�/3 4/12/23 32324 415179 00714 John Kaz. INV 06 765-1802 8 AM TO 4 PM FOR THE
HIM Ord Oty $hpoty U/M Item No. _ DescdpNon Unit Price Amount FOLLOWING INSPECTIONS:
1 1 ER 76M unit 1, 3: A Series Double-Hun 2091.42 2,09.1..42 1. FOUNDATION-TWO REQUIRED
Unit 2: A Series Picture FOR POURED CONCRETE
WindoADH20w' 2. ROUGH-FRAMING,PLUMBING,
RDN"n034 - A,oduc34 e ADHmOnc, STRAPPING, ELECTRICAL&CAULKING
Standard Product Performance,
Equal Sash, Unit 1, 3: AA, Uni 3. INSULATION
2: Fixed, White w/white Sash / 4. FINAL-CONSTRUCTION &ELECTRICAL
Frarne:Pi.ne Black - Painted MUST BE COMPLETE FOR C.O.
Panel:Pine Unit 1, 3: Black Painted l.Jnit 2: , Dual Pane ALL CONSTRUCTION SHALL MEET THE
-- Low-Eli., Stainless Glass / REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
Sub Total Pay This Amount DESIGN OR CONSTRUCTION ERRORS.
# CONTINUED ##
SEE TERMS ON REVERSE SIDE OFFICE COPY FOR"DOT"EMERGENCY CALL 1-800.378.3650
RRC:HEL — Additional
�RIVEIMEAD
REMITTO: I AGREE TO PAY THE AMOUNT FOR OFFICE USE ONLY
250DavidCourt BF_LOW ACCORDING TO DR-9183681 Certification
BUILDING SUPPLY Calverton,NY 11933
Build Smarter.Build Better: (631)727-1400 CARD ISSUER AGREEMENT Received Items Below In Good Condition May Be Required.
'I I II f II I I'I I1111I'I'I II I�I I'I�I'I'I�
## REPRINT FROM Hlr&TofitR)bgrrattlre
Sold To: RACHEL_ JOHNSON Ship To: 2740 EAST MILL RD.
y MATTI:TUCK NY 1.1.952 COMPLY WITH ALL CODES OF
- xSt . (631)375-4003 NEW YORK STATE &TOWN CODES
Customer No. Order Date- � Order No. Customer P.O.No, Job Name Contract Page No. ,.'• ,:;1
123 1/06'i23 04.023/00 z AS REQUIRED AND CONDITIONS OF
Driver Ship Date Invoice Date Invoice No RBS PO Salesrep Order Type Check No Warehouse.
7 23243 415179 00714 John Kaz. INV 06 T[M,�.g�.
HM Ord Oty Shp Oty :UlM :Item No. Descdptlom - - Unit'Price Amount UTHOLD 1.. . _. ..
ZM
Grille Spacer,Mull: Factory
Mulled, Reinforced Join - SOUTHOLDTOWNPLANN�tG®OAAD
_ Factory Assembled Ri.ttlDon Mull, ;•;r?',
3/4" 4 9/16" Fiberglass
Reinforced Joining I•laterial SOUTHOLD TOWN TRUSN3
2 2 EA 76M Insect Screen 1: R Series 36.95 73.90
Double-Hung, ADH2O34 8 Degrees �ttt i
- Moderate Full Screen Rlurni.nul N.YS.DEC
White PN:0400301
Payment Detail:
�# CONTINUED #
RIVER11E�1� REMITTO: .1. HOKLL I U YHT 11-IL HI'IUL/1V I rUMUlrrweUShUNLY
z50 David Court BELOW ACCORDING TO DR-9183683
BUILDING SUPPLY Calverton,NY 11933
BuildSmarler.BuildBetter. (631)127-1400 CARD ISSUER AGREEMENT
_ Received Items Below In Good Condition
III �II'IIII'l11'll'lll�II IIII"'ll'I'
K REPRINT FROM H1GTD(i1R%t1yrtfdre
Soldlo: LUKE JOHNSON Ship To: 2740 EAST MILL ROAD
MATTITUCK NY• 1.1952
XSt REEVES (631.)252-6220
uslomer No. Order Date Order No. Customer P.O.No. Job Name Contract Page No.
1.23 4/05/23 88787/0 2740 EAST MILL ROAD 1
river I Ship Del, Invoice Date Invoice No RBS PO Salesrep Order Type Check No Warehouse.
5/10/23 5/09/23 56294 443431 01038 Antonio W INV 06
M,Ord Qly Shp Dry U/M Item No. Desctlptfon Unit Price ` 'Amount
.1 1 EA 97EPHB 1/0-3/0-1/0 X 6/7-1/2 * 3796.00 3,795.80
Warranty requires product be
immediately sealed on 5 sides
1 3/4 KNOTTY ALDER
DOOR = 4035 9LT CROSSBUCK
OVOLO STICKING
CLEAR IG 1 3/8 TDL
1 3/8 HRP
5 .1./2 STILES
SL = 4703 3LT 1PNL..
CLEAR IG GLASS 1 3/8 TDL
Subi7otat; n'• := - :, ^r'Saiis Tax- -
## CONTINUED *#
SEE TERMS ON REVERSE SIDE OFFICE COPY FOR"DOT"EMERGENCY CALL 1-800-378-3650
gRIVERNEAID
LUKE JOHNSON
REMITTO: I AGREE TO PAY THE AMOUNT FOR OFFICE USE ONLY
250 David Court BELOW ACCORDING TO oR-918 3 6 8 4
BUILDING SUPPLY Calverton,NY 11933
Build Smarter,Build Better. (631)727-1400 CARD ISSUER AGREEMENT Received Items Below In Good Condition
III IIIIII�III���Ii�llll 11 IIlI�Il�I III
x+h REPRINT FROM 1-114%RC(1'dl&gftItre
Sold To: LUKE JOHNSON Ship To: 2740 EAST MILL ROAD
MATTITUCK NY 11952
al - XSt REEVES (631.)252-6220
:uslomer No. Order Dale r Order No. Customer P.O.No. Job Name Contract Page No.
123 4/05723 88787/0101 2740 EAST MILL ROAD 2
]river I Ship Dale Invoice Date Invoice No RBS PO Salesrep I Order Type Check No Warehouse.
6/10/23 6/09/23 56294 443431 01038 Rntonio W INV 06
1M;bry'' ''Shp y. °' UMi, .eiri No::< ^.:;-, ,Dosed pon 4aty— I" r,"Sr- •:
. , d'Qi Qt
.. .. ... Il ... . ..... .... ?�._..�__._.- Uoft Prlde" °Amount'.
OVOLO STICKING
1 3/8 HRP
2 .15/16 STILES
OAK SIDELITE STOPS
SGL BORE R 218 DBLT BORE
PREP JAMB FOR DBLT
SQUARE HINGES BLACK
6 9/16 CLEAR PINE JAMB
WITH KERF AND DADO
BRONZE COMPRESSION W/S
ALUMINUM BRONZE SILL NO CASING
-:Sufi Total` Selea Tax" • -
"� CONTINUED "'
mANDERSEN'
WINDOWS & DOORS
-`CREATED-DATE_
SOLD BY: SOLD TO: 8/22/2023
250 DAVID CT.
CALVERTON, NY 11933 _LATEST UPDATE
8/22/2023
-'-OWNER'.. .
John Kaczmarek
Abbreviated Quote Report - Customer Pricing
QUOTE NAME PROJEC_T.NAME' _ QUOTE=NUMBER.. CUSTOMER PO# . TRADE ID T _
RACHEL JOHNSON RACHEL JOHNSON-UNITS �4548655�
BORDER NOTES: M '�`� 'DEL'IVERY NOTE8 v Y ""
Item QQt Operation Location Unit Price Ext. Price
100 1 AA-Fixed-AA None Assigned $2,287.70 $2,287.70
Hf' '
RO Size=84"x 40" Unit Size=83 1/4"x 39 1/4"
- Mull: Factory Mulled, Reinforced Join-Factory Assembled Ribbon Mull, 3/4"4 9/16" Fiberglass Reinforced Joining Material
2325 ADH2O34-APW3034-ADH2O34, Unit, 8 Degrees-Moderate, Unit 1, 3:A Series Double-Hung, Unit 2:A Series Picture
Ro'se. Window, Standard Product Performance, Equal Sash, 4 9/16" Frame Depth, Standard Flange, White Exterior Frame,White
Exterior Sash/Panel, Pine w/Black-Painted Interior Frame, Pine w/Black- Painted Interior Sash/Panel, Unit 1, 3:AA, Unit 2:
Fixed, Dual Pane Low-E4 HeatLock Standard Argon Fill Stainless Glass/Grille Spacer, Traditional, 1 Sash Locks Black, White,
Full Screen,Aluminum
Insect Screen 1:A Series Double-Hung, ADH2O34 8 Degrees- Moderate Full Screen Aluminum White PN:0400301
Insect Screen 1:A Series Double-Hung,ADH2O34 8 Degrees- Moderate Full Screen Aluminum White PN:0400301
Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft)
Al 0.25 0.3 YES Al 19.1875 15.0000 2.00000
B1 0.23 0.31 C1 19.1875 15.0000 2.00000
C1 0.25 0.3
Quote#: 4548655 Print Date: 8/22/2023 6:19:02 PM UTC All Images Viewed from Exterior Page 1 of 2
J
kOGff VALLEY
CNIFRI 0or
Wood Entrance Door
WkrJ nestr6an Clear iG
® RV D-M-3
Energy Performance Ratings
Product U-Factor/Solar Heat Gain Coefficient(SHGQ
Description** Individual Option Number
Default Frame / Lite %2 Lite % Lite Full Lite
Wood <_410t :5900t :51100t >1100t
2/SS/NA/AIR/0.374 0.44 0.43 0.43 0.43
Full Lite 0.11 0.20 0.26 0.34
02426-00001 02456-00001 02486-00001 02516-0001
2/OF/NA/AIR/0.374 0.44 0.43 0.43 0.42
Full Lite 0.11 0.20 0.26 0.34
02971-00001 03035-00001 03099-00001 03163-00001
2/SS/NA/AIR/0.374 0.45 i0.44 0.44 0.44
True Divided Lite 0.10 0.17 0.22 0.29
02427-00001 02457-00001 02487-00001 02517-0001
2/OF/NA/Air/0.374 0�0.10
0�O.
0�O2
0.43
True Divided Lite 0.29
02974-00001 03038-00001 03102-00001 03166-00001
Air Leakage <_0.3 cfm.ft2
Manufacturer stipulates that these ratings conform to applicable NFRC procedures for
determining whole product performance.NFRC ratings are determined fora fixed set of
environmental conditions and a specific product size.NFRC does not recommend any product
and does not warrant the suitability of any product for any specific use.Consult manufacturers
literature for other product performance information.
*Numbers below the performance ratings are referenced in the NFRC Certified Products
Directory.(e.g.RVD-A-1-01174-00001)
**Door components specific to this product.
**per NFRC 100 t square inches
www.nfrc.org