HomeMy WebLinkAbout52064-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
40 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#: 52064 Date: 07/03/2025
Permission is hereby granted to:
Andrew McGowan
PO BOX 1205
Southold, NY 11971
To:
Install replacement windows in-kind to a single-family dwelling as applied for..
Premises Located at:
7635 Main Bayview Rd, Southold, NY 11971
SCTM#78.-9-30.1
Pursuant to application dated 06/09/2025 and approved by the Building Inspector.
To expire on 07/03/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total $350.00
-
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
� .
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY l 1971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 hgtp :fwvv.;�autlitlrliotsnw. pow
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. 5� D �' Building Inspector:m� JUN
Applications and forms must be filled out in their entirety. Incomplete Building Department
applications will not be accepted. Where the Applicant is not the owner,an Town of Southold
Owner's Authorization farm(Page 2)shall be completed.
Date:
OWNERIS)OF PROPERTY:
Name: Mary Terry SCTM# 1000-
Proiect Address: 765 Main Bayview Rd
Phone#: Email �a a . 2005�
Mailing Address:
CONTACT PERSOM
Name:Mary Terry
Mailing Address:7635 lain Bayview Rd
Phone#:6 31-41:3-780 Email:
DESIGN,PROFESSIONAL INFORMATION:
Name: /
Mailing Address:
Phone#: Email,
CONT'RACTOlt INFORMATION:
Name: 'Renewal By Andersen l..l
Mailing Address: 2029 New Highway Farm NY 11735
Phone#: 6 1-84 -171 2255 Email: cvalente@rbalongisland.com
DESCRIPTION OF,PROPOSED CONSTRUCTION
❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project,
❑Other Replace 9 windows $ 24288
Will the lot be re-graded? ❑Yes L*No Will excess fill be re
moved from premises? ❑Yes RNo
1
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? ❑Yes ®No IF YES, PROVIDE A COPY.
I'Cheek Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water issues as,provided,by
chapter 236of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordlnancrofthe Thum 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 regulatlons and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Gass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application SLtbrr^titted Bra n n e): Mary er' 1 ❑Authorized Agent ROwner
Signature of Applicant: Date:
CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
SS: Quaiified In Suffolk County
COUNTY OF Suffolk ) Commission Expires April 14,2
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
Owner
(S)he is the
(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 .June , 2025
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
SIRS
Order Summary
dba:RENEWAL BYANDERSEN OF LONG ISLAND Mary Terry
Legal Name:Long Island Custom Windows I License#Suffolk Lic#43991-H 1 7635 Main Bayview Road
RENEWAL Nassau Lic#H0810150000 I NYC Lic#1307704 Southold,NY 11971
.±.rAN_D,E.,R...SEN- 2029 New Highway I Farmingdale,NY 11735 H:(631)413-7800
rwsavuxaa�x.ams�auttxza Phone:631-843-1713 1 Fax:631-843-1717 1 tmapp@rbalongisland.com
Measure Tech:Michael Bryant,
D• ROOM
1®B
109 1st fl bed 32" 45" Window: Acclaim",' Double-Hung (DG), 1:1, Slope Sill, Insert Frame, Modern
27-5/8" 33" Checkrail, Exterior White, Interior Oak Performance Calculator: PG Rating:
40 ( DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern
Hardware: Stone Screen: Fiberglass, Full Screen Grille Style: No Grille
Misc: None Construction: New Construction Vinyl Removal (1), No Bars (1),
Pad Opening (1), Replace Rotted Wood (1) Material: None Sill Angle: 12.'
110 1st fl bd 28" 34" Window: ACclaimll•' Double-Hung (DG), 1:1, Slope Sill, Insert Frame, Modern
27-5/8" 33" Checkrail, Exterior White, Interior Oak Performance Calculator: PG Rating:
40 1 DP Rating: + 40/ - 40 Glass: All Sash: High Performance, No Pattern
Hardware: Stone Screen: Fiberglass, Full Screen Grille Style: No Grille
Misc., None Construction: New Construction Vinyl Removal (1), No Bars (1),
Pad Opening (1), Replace Rotted Wood (1) Material: None Sill Angle: 121
111 lstfl bd 28" 34° Window: AcclaimT1,1 Double-Hung (DG), 1:1, Slope Sill, Insert Frame, Modern
27-5/8" 33" Checkrail, Exterior White, Interior Oak Performance Calculator: PG Rating:
40 ' DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern
Hardware: Stone Screen: Fiberglass, Full Screen Grille Style: No Grille
Misc: None Construction: New Construction Vinyl Removal (1), No Bars (1),
Pad Opening (1), Replace Rotted Wood (1) Material: None Sill Angle: 12'
112 1st fl bd 28" 34 Window: AcclaimTm Double-Hung (DG), 1:1, Slope Sill, Insert Frame, Modern
27-5/8" 33" Checkrail, Exterior White, interior Oak Performance Calculator: PG Rating:
40 1 DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern
Hardware: Stone Screen: Fiberglass, Full Screen Grille Style: No Grille
Misc: None Construction: New Construction Vinyl Removal (1), No Bars (1),
Pad Opening (1), Replace Rotted Wood (1) Material: None Sill Angle: 12'
05/10/25 Page 2 / 18
r- t
�p°° Order Summary
dba:RENEWAL BYANDERSEN OF LONG ISLAND Mary Terry
Legal Name:Long Island Custom Windows I License#Suffolk Lic#43991-H 1 7635 Main Bayview Road
RENEWAL Nassau Lic#H0810150000 I NYC Lic#1307704 Southold,NY 11971
bYAN_DERSEN" 2029 New Highway I Farmingdale,NY 11735 H:(631)413-7800
Phone:631-843-1713 1 Fax:631-843-1717 1 tmapp@rbalongisland.com
Measure Tech:Michael Bryant,
D• ROOM SIZE DETAILS
113 2nd fl Bath 32" 37" Window: Acclaim"-' Double-Hung (DG), 1:1, Slope Sill, Insert Frame, Modern
31-5/8" 37" Checkrail, Exterior White, Interior Oak Performance Calculator: PG Rating:
40 1 DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern
Hardware: Stone Screen: Fiberglass, Full Screen Grille Style: No Grille
Misc: None Construction: New Construction Vinyl Removal (1), No Bars (1),
Pad Opening (1), Replace Ratted Wood (1) Material: None Sill Angle: 120
114 2nd fl Primary 32" 37" Window: AcclaimTM Double-Hung (DG), 1:1, Slope Sill, Insert Frame, Modern
31-5/8" 37" Checkrail, Exterior White, Interior Oak Performance Calculator: PG Rating:
40 1 DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern
Hardware: Stone Screen: Fiberglass, Full Screen Grille Style: No Grille
Misc: None Construction: New Construction Vinyl Removal (1), No Bars (1),
Pad Opening (1), Replace Ratted Wood (1) Material: None Sill Angle: 12°
115 2nd fl Primary 32" 37" Window: Acclaim""' Double-Hung (DG), 1:1, Slope Sill, Insert Frame, Modern
31-5/8" 37" Checkrail, Exterior White, Interior Oak Performance Calculator: PG Rating:
40 1 DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern
Hardware: Stone Screen: Fiberglass, Full Screen Grille Style: No Grille
Misc: None Construction: New Construction Vinyl Removal (1), No Bars (1),
Pad Opening (1), Replace Rotted Wood (1) Material: None Sill Angle: 12'
100 2nd fl primary 31 " 14" Window: AcclaimTr,^ Gliding Double, 1:1, Active/ Passive, Base Frame,
30-5/8" 13-1/2`° Exterior White, Interior Oak Performance Calculator: PG Rating: 40 1 DP
Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern
Hardware: Stone Screen: Fiberglass, Full Screen Grille Style: No Grille
Misc: None Construction: New Construction Vinyl Removal (1), No Bars (1).
Pad Opening (1), Replace Rotted Wood (1) Material: None
PRODUCTS: 8 WINDOWS: 8 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 0 Updated 5110125
•: NOTES
Job#04269372
2nd fl primary
05/10/25 ��_� Page 3 / 18