HomeMy WebLinkAbout52157-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#: 52157 Date: 08/07/2025
Permission is hereby granted to:
Henry A Sommer
385 Grissom Ln
Southold, NY 11971
To:
install door and window replacements to an existing single-family dwelling as applied for.
Premises Located at:
385 Grissom Ln, Southold, NY 11971
SCTM#78.4-29
Pursuant to application dated 07/08/2025 and approved by the Building Inspector.
To expire on 08/07/2027.
Contractors:
Required Inspections:
Fees„
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Total $350.00
Building Inspector
rt
:r 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 htt s://www.southoldtowvilii ov
Date Received
APPLICATION FOR BUILDING PERMIT
E C
For Office Use Only
PERMIT NO. Building Inspector. JUL 025
A '�If ations Intl f�srms must be filled outi irf their iintirkE .Incafoplete
'a "lira io s�rnll riot b fpujor~er's,Author� do ;afq cm il b+ corPrip,
i�wner,an Building Departmente ted,, APh6ntis not h Wh ret Town of Southold� d
Date:July 9, 2025
FfQPl7Y
Name:Henry Sommer&Bernadette Izzillo-Sommer SCTM#1000-
Project Address:385 Grissom Lane, Southold, NY 11971
Phone#:646-287-0439 Email:bernieij@aol.com
Mailing Address:same as above
GOAITACT P�RSOIy
Name:Henry Sommer
Mailing Address:same as above
Phone#:646-287-0439 Email:hajs99@aol.com
0'"1 N P;Rt)F�SSIONAfL'II�FORMATIO
Name:N/A
Mailing Address:
Phone#: Email:
77,777 , 777
CCjI RA°CTGMIt INFQIt11lIaTIC1N;
Name:Premier Building
Mailing Address:769 Fulton Street, Farmingdale, NY 11735
Phone#:631-682-5495 (Ralph Virga) Email:RVIRGA@PREMIERBUILDINGNY.COM
fpE�CRIP;TION OF PROPOSED CONSI RUCTISN,,
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
D Other Re-siding of house&replacement of 6 windows& 1 door. $150,000
Will the lot be re-graded? ❑Yes 10No Will excess fill be removed from premises? ❑Yes ONo
1
„ PROPERTY�NFOFi ATION „a
Existing use of property:primary Intended use of property:primary residence
primary residence p y
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Southold this property? ❑Yes IRNo IF YES, PROVIDE A COPY.
+! l( k ql iw/ ter ea/ci-l q Tffe oiNrier/contractar�desigtt professional Is��€{4csnsldle for all dralftiige arf�l s�bni�water(ss�ies�s�Y�a4,ded by
is
Cffaff�er 236;of the Torn Code.AFPLICAT,ION IS HE„R,EB1�MAdE to the Building Deparkme t the Issuarite of a t#01M, POr pursuant to ti{e'Bu�fding Yore
54 / /
�lydln rc� o the Town of Southold,Suffolk,County,IVQw York and other a"ppli�a6le Laws;6rdiria►►ees or tteg�latilras, ar tke onstructl�rf�#bu�ld1n s,
a litions"alterations 4r fot remavel of clemof#lon'a. hereirf dpscrtbed,The<ap010nt:ajrues to cprpply with all applicable(aws�brd�fianf a,buildlKg�q e”
hss sing code and regulations Arad to dnntt auth6rized fnspectcfFs ort.pr ij}ise;and In bu7(ding{si fcrngce sary"Intoetticsns Falsestate�etfts niad�;f+ereln;afe
�„
�fur�sliablas a,Cls a misdemeanor pursy�antxo"'Section 21ff.4S of tke,New York StP# Perjal Law; o ;
Application Submitted By(print name):H e n ry Sommer ❑Authorized Agent B Owner
Signature of Applicant: Date: July 9, 2025
CONNIE D. BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01 BU6185050
SS: Qualified in Suffolk County
COUNTY OF
Commission Expires April 14, 2 .�
)
Henry Sommer being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(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
� 1
1 ay of ` ZO
Notary Public
(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
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Docusign Envelope ID:149E9914-4591-4414-92FC-FAA31DFD796E
e
L,u�wnrer.nervy ourr mum rrulecL Name: 385 Grissom Lane Order Number: 250KR0009 Quote Number: 19497998
Line# Location: Attributes
35 None Assigned Bonelli, Multi Bi Fold Door, Outswing BiFold, 21-411,88.5 X 103, Satin Anodized City
[ , 1
�{ ,1 1:88.5103 Outswing BIFold Multi BI Fold Door
r Frame Size: 88 1/2 X 103
�+ PK# Unit Type: 3,2L-1 R,Flush
General Information: Block I Box Frame,3,2,1,Passage Door,Right
2202 Exterior Color/Finish: Satin Anodized
Interior Color I Finish: Match to Exterior
Viewed From Exterior Sash/Panel: Contemporary,Contemporary,Standard,3.25,3.25,3.25
Glass: Insulated Dual Tempered Low-E LoE 366 Argon Non High Altitude 1"
Hardware Options: Typical,Dallas Lever,Satin Nickel,Multipolnt Lock,Dualpoint Lock
Wrapping Information: Perimeter Length=383".
Rough Opening:89"X 103.5"
For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 5116/2025 Contract-Detailed Page 2 of 6
M BER OF LINES: 6 TOTAL UNIT QTY: 6
MARK UNIT PRODUCT LINE ITEM
1 Den Elevate Double Hung
CN 3476
RO 34 1 /2" X 761 /4 "
Entered as
CN 3476
2 Kitchen Elevate Elevate Assembly
RO 49" X 35 5/8"
Entered as
Size by Units
3 Bed 1 Elevate Double Hung
CN 3464
RO 34 1 /2" X 641 /4 "
Entered as
CN 3464
4 Master Bath TEMP? Elevate Casement
CN 2535
RO 25" X 35 5/8"
Entered as
CN 2535
5 Master Bed Elevate Casement
CN 3363
RO 33" X 63 5/8"
Entered as
CN 3363
6 Master Bed Elevate Elevate Assembly
RO 49" X 63 5/8"
Entered as
Size by Units