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52020-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#: 52020 Date: 06/18/2025 Permission is hereby granted to: Roger H Clark 1295 Tuthill Rd Ext Southold, NY 11971 To: Install window replacements in-kind to an existing single-family dwelling as applied for, Premises Located at: 1295 Tuthill Rd Ext, Southold, NY 11971 SCTM# 55.-6-15.53 Pursuant to application dated 05/19/2025 and approved by the Building Inspector. To expire on 06/18/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $250.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $350.00 A&- Building Inspector t 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 h!Ws://www.soutlioldtownny-gov o APPLICATION FOR BUILDING PERMIT , 2025 For Office Use Only PERMIT NO. 2-`��) 20 Building Inspector. � Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: t U /a5 OWNER(S)OF PROPERTY: Name: 2c:+ r C`c-r L SCTM#1000- Project Addres : ads i,)4-1", ► ��� Sow nta N' �� `� I Phone#: (p 3(—&3q"L)43Q- Email: fit" tit wi c • C� Mailing Address: lggS 'll a( chSoLA1110 d flI" (w� )J CONTACT PERSON: Name: Mailing Address: q(P c,- NN )°I Phone#: (o31-ga S Email: ( ar` o-)'c w inn l��i �r . Ccv DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email:. CONTRACTOR INFORMATION: Name: raC �� 1 (1" Ca' Mailing Address: 'P a ox. VA )' l Zi v e Af6J ,/!; �q 0 Phone#: G'31_ Email: inc��iN�nu��ic�►n . cows DESCRIPTION OF PROPOSED CONSTRUCTION [--]New Structure ❑Addition [--]Alteration ❑Repair ❑Demolition Estimated Cost of Project: RrOthe i) W(AhCW Will the lot be re-graded? ❑Yes S�NO Will excess fill be removed from premises? ❑Yes 6qNo 1 PROPERTY INFORMATION Existing use of property: 2� a�✓���C Intended use of property: (Lt- . •C)e Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to CFI I� this property? ❑Yes ENO IF YES,PROVIDE A COPY. ❑ Check IBox 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 210.4S of the New York State Penal law. Application Submitted By(print name): eAuthorized Agent ❑Owner Signature of Applicant: Date: 05`t 201S STATE OF NEW YORK) COUNTY OF � - �OW1 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above d,. (S)he is the c.©n` Qg - (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 0 Notar Public-s Notary Public riaw Kv y tote of New York NO.01ME6387601 Qualified in Suffolk County a My Commi ssion Expires Feb 19 2027 AA� (Where the applicant is not the owner) I, @ lit residing at . 6><4Ile I ?' I do hereby authorize t to apply on my behalf t the Town of Southold Building Department for approval as described herein. 12?4_ Own' s Signature batel er C_ a C � _ Prin wner's Name 2 ZP-11- 52oa o u1 G� ANDERSENT" WINDOWS & DOORS CREATED DATE SOLD BY: SOLD TO: 8/28/2024 !I-RIVERNFAD Randy Rogers BUILDING SUPPLY 250 David Ct. LATEST UPDATE Build smarter.Build Boner., Calverton NY 11933 5/6/2025 OWNER Brian Wilkinson Unit Spec Report -_Large Image__ �T QUOTE NAME ~� PROJECT NAME QUOTE NUMBER CUSTOMER PO# TRADE ID�_ Restoration Energy Clarke-BAY WINDOW 6338343^ ORDER NOTES: DELIVERY NOTES: — -- —� Quote#: 6338343 Print Date: 5/6/2025 6:09:32 PM UTC All Images Viewed from Exterior Page 1 of 3 Unit Spec Report- Large Image ^ NAME PROJECT NAME,— QUOTEe QUOTE NUMBER . CUSTOMER PO# _ TRADE ID Restoration Energy Clarke-BAY WINDOW 6338343 R Room: None Assigned Item Qtv Operation 100-1 1 AA-Fixed-AA RO Size: 96 3/4"x 58 3/4" Unit Size:98 1/8"x 581/4" Comments: . � 400 Series Double-Hung Bay, Low-E4, Standard, Grilles: None, Vertical,ALI Mulled, Mull Post 45 Degree Instructions to Manufacturer: C6 s� Unit# U-Factor SHGC ENERGY STAR - Al 0.3 0.31 NO 131 0.29 0.33 C1 0.3 0.31 Clear Opening/Unit# Width Height Area(Sq. Ft) Al 17.8750 24.2500 3.02000 C1 17.8750 24.2500 3.02000 - -- 98.125 Quote#: 6338343 Print Date: 5/6/2025 6:09:32 PM UTC All Images Viewed from Exterior Page 2 of 3 m _ . Unit Spec Report - Large Image y—'QUO E TE NAM _ PROJECT NAME QUOTE NUMBER CUSTOMER PO# � TRADE ID Restoration Energy Clarke-BAY WINDOW 6338343 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#: 6338343 Print Date: 5/6/2025 6:09:32 PM UTC All Images Viewed from Exterior Page 3 of 3