HomeMy WebLinkAbout52040-Z �OF SOUr�O(O Town of Southold
* * P.O. Box 1179
�o4; 53095 Main Rd '
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46355 Date: 07/29/2025
THIS CERTIFIES that the building SINGLE FAMILY DWELLING-ALTERATION
Location of Property: 355 Praity Ln Cutchogue, NY 11935
Sec/Block/Lot: 109.-5-14.3
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/22/2025
Pursuant to which Building Permit 1Vo. 52040 and dated: 06/26/2025
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 and door replacements to existing single-family dwelling as applied for.
The certificate is issued to: Thompson AH Rev Trt
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION:
Au o 'ae Signature
OfSO(/ryo! 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#: 52040 Date: 06/26/2025
Permission is hereby granted to:
Thompson AH Rev Trt
PO BOX 1248
Cutchogue, NY 119350883
To:
install window and door replacements to existing single-family dwelling as applied for.
Premises Located at:
355 Praity Ln, Cutchogue, NY 11935
SCTM# 109.-5-14.3
Pursuant to application dated 05/22/2025 and approved by the Building Inspector.
To expire on 06/26/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Total 350.00
----- ----------------------
ing Inspector
0�o ho�aOF SObIyO� - -- - ---
# TOWN OF SOUTHOLD BUILDING DEPT.
y�oumv� 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL /vi�4wS
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: /AsAtJ/ C a �v
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
rn
FOUNDATION (1ST)
-------------------------------------- ---- .- - -- - - -._. ..- -....-..... ... _.. _......_ .... - ._.. ..__..__...__. ._... _.._... ...
CA
FOUNDATION (2ND)
Z
W O
IZOUGLI FRAMING &
PLUMBING �—
INSULATION PER N. Y.
STATE ENERGY CODE
.0oA4,,,✓1e—&. Ole— Y*4 C.O.--- - - ---.. . ._
FINAL
ADDITIONAL COMMENTS
r qp I0
----- -- - ---- - O
rn
--- .:. - ---- - ..----- -- -- --- -
rn
zz
y
-�
C7
caa 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 https://www.southoldtownny.gov
" Date Received
APPLICATION FOR BUILDING PERMIT E
Q
For Office Use Only
PERMIT NO. Building Inspector: MAY 2 2 2025
Atpllc fmb mt Building Department
e
a�pllcatipns wtll natl'be accepted Where the ApplicanC fs not the owner,any Town of Southold
Qnmer's Authoriation Farm(Page 2)shall be completed
Sax Bat:=p ¢ ;.e4 ti✓� § ?
Date:
°OWNER{5�OF PROPERTY � `s , �
z� z
M #s000�
Name:y Ann Thompson~w.__ ...
Project Address: 355 Praity Lane
Phone#. 631 _. .... ... `7 9 `7.. ._.�_g(�.1— Email Thompsonann13@gmail com.. ._. ..._.....
Mailing Address: PO BOX 1248
s
CONTACT PER5N r 3 ' s
Name.Ann Thompson
Mailing Address: PO BOX 1248
Phone# 631 734 8177 Email thompsonann13@gmail.com
DESIGN P�QFESSIONgL INFQRMATION,
Name: N/A _...... ..._ .._ _.
Mailing Address:
Phone#: Email:
CO�NTRACTOR:INFOItIVI/�TIQN k 3
n
Name, Renewal By Andersen Ll w
Mailing Address 2029 New Highway NFarm„NY 11735
Phone# 631 843 1713 x 2255 Email: cvalente@rbalongisland.com
RESCRIPTIQN OF PROPOSED CUNSTRUCTIQIU of
zF
w
❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑other Replace 2 windows and 3 doors $ 51854
Will the lot be re-graded? ❑Yes MNo Will excess fill be removed from premises? ❑Yes MNo
1
�r PROPERTY IPfFORMATION w �`
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.
H ChCk�d?f After Redlrtg The ownerlcontractor/design-professianai;s resRons;ble for all drai►age and, torm water;slues as provided by
Chapter 36iof the X9 nrn Code APPLI Y MEtotheBdinpprti m ZCATIONISHEREB g none rc
Orl�na»ce of the Town of SoutFold,Suffolk,Ceunty,New York and other appkcable Caws;Ordinances or Regulatwns for the constructtor of byrldings T
ad litions alterations or for removal or demolitronas tierein4,described The a n n Iicant tees to tom I with ah Ilcbte taws,ordinances building code,
r pp � p Y aPP
housing code and regla#ions artd to admit authon�ed inspectors on prero�ses and m bui;ding{sl for necessary�nspecrions Palle§tatemer%ts made herein ark
_pun;shab[e as a Class A misdemeanor pursuant to 5ect�on 210 4S of tNe New Yprk 5}ate Pena;law: �� _.t� ,�,� F '
Application Submitted By(print name):Ann Thompson ❑Authorized Agent ®Owner
Signature of Applicant �/ Date
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk
1 )
Axrl �• �VM J� Y1 being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Owner
(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-4111� 94.
BARBARA H.TANDY
Sworn before me this Notary No 10,State Of ieW York
May 25 Qualified In Suffolk County
day of 20 �1
Commission Expires e 7' cXa7
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
/2FAWFA Itemized Order Receipt
Da
DBA:RENEWAL BY ANDERSEN OF LONG ISLAND Ann Thompson
^E N E WA L Legal Name:Long Island Custom Windows 355 Praity Lane,PO BOX 1248
Suffolk Lic#43991-H 1 Nassau Lic#H0810150000 NYC Lic#1307704 Cutchogue,NY 11935
AN.DERSEN' 2029 New Highway 1 Farmingdale,NY 11735 Year Built:1978
iWXiHtpelA0M6BOd¢IBII[Wtxt
Phone:631-843-1713 1 Fax:631-843-1717 1 sales@rbalongisland.com H:(631)734-8177
C:(631)987-6867
t
R06M: SIZiE: DETAILS: PRICE:
Misc: Misc, Additional Labor, Steel Rip Charge, Quantity 2.
Remove double front screen door
101 Room 1 Inswing Entry Door: Ensemble'"' Double, Dual Active;
Standard; Passive (Left) J Active (Right); 62 1/2" W x 81
APPROVED AS NOTED 3/4" H; 30" Nominal Panel Width; 80" Nominal Panel Height;
r Sill Type: Standard; Door Panel: 6-Panel; Surface Texture:
OA
DATE' B.P.# ` Smooth Exterior Color: Exterior Frame Color: White; Exterior
FEE �� BY: Panel Color: White; Exterior Astragal Color: White Interior
NOTIFY BUILDING DEPARTMENT AT Color: Interior Frame Color: White: Interior Panel Color:
631 765.1802 8AMTO4PM FOR THE White; Interior Astragal Color: White Sill Options: Sill Color:
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO RE0111--r-I Dark Bronze Anodized Hardware: Hardware Configuration:
FOR POURED"`IONCR ' Mortised Lock Sets: Lock Types: Multi-Point Mortise
Z ROUGH-FRAMING& ILL. . Hardware; Exterior Hardware Finish: Black; Exterior Hardware
& INSULATION
4. FINAL-CONSTRUCTION MUST Set: Albany; Interior Hardware Finish: Black; Interior
BE COMPLETE FOR C.O. Hardware Set: Albany; Strike Plate Finish: Matte Black;
ALL CONSTRUCTION SHALL MEET THE Handle Position: Standard: Handle Height: 35 3/4; Hinge
REQUIREMENTS OF THE CODES OF NEW Finish: Black: Hinge Type: Adjustable Hinge Option and
YORK STATE. NOT RESPONSIBLE FOR
Accessory: Peep Sight Finish: Oil Rubbed Bronze; Peep Sight
F
NEW YORK STATE &TOWN CODES Application: Common Height: Peep Sight Panel: Active Pane!
AS REQUIRED AND CONDITIONS OF only; Door Knocker Tyne: 4" Ring Knocker; Door Knocker
SOUTHOLD WNZBA Location: Both Panels; Door Knocker Finish: Flat Black
SOUTHO TOWN PLANNING BOARD Bronze Jamb and Trim: Ja1r,b Depth: 6-9/16; Exterior Trim
SOUTH TOWN TRUSTEES Options: Nailing Flange Misc: None
S OLD HP0
HD
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
05/01/25 Page 3/ 43
WNE
Itemized Order Receipt
DBA:RENEWAL BY ANDERSEN OF LONG ISLAND Ann Thompson
Legal Name:Long Island Custom Windows 355 Praity Lane,PO BOX 1248
V Suffolk Lic#43991-H I Nassau Lic#H0810150000 I NYC Lic#1307704 Cutchogue,NY 11935
brAN_D.ERSEK 2029 New Highway I Farmingdale,NY 11735 Year Built:1978
qua urcn peitaxa coca asurxnrt
Phone:631-843-1713 Fax:631-843-1717 1 sales@rbalongisland.com H:(631)734-8177
C:(631)987-6867
T
ROOM:
102 Living Room R Patio Door: Inswing A-Serifs Traditional 2 Panel Active /
Passive (Left/ Right) 6-9/16" Exterior Frame Depth Bronze
Sill Exterior White Interior Pine Interior Pre-Finish White
Performance Calculator: PG Rating: 45 1 DP Rating: + 45
55 Glass: All Sash: Tempered High Perf., No Pattern
Hardware: Tribeca'� , White Exterior Keyed Lock Finish
Matched Panel Stop Corrosion Resistant Lock Color Matched
Hinges Screen: Double Hinged Full Screen Grille Style:
Interior Wood Only (INTW) Grille Pattern: All Sash: Colonial
3w x 5h Misc: None
103 Den L Patio Door: Inswing A-Series Traditional 2 Panel Passive /
Active (Left/ Right) 6-9/16" Exterior Frame Depth Bronze Sill
Exterior White Interior Pine Interior Pre-Finish White
Performance Calculator: PG Rating: 45 ( DP Rating: 4- 45 /
55 Glass: All Sash: Tempered High Perf., No Pattern
Hardware: Tribeca,' , White Exterior Keyed Lock Finish
Matched Panel Stop Corrosion Resistant Lock Color Matched
Hinges Screen: Double Hinged Full Screen Grille Style:
Interior Wood Only (INTW) Grille Pattern: All Sash: Colonial
3w x 5h Misc: None
104 Kitchen Sink Window: AcclaimTM Casement Double Vented Base Frame
Exterior White Interior White Performance Calculator, PG
Rating: 40 { DP Rating: -I- 40/ 40 Glass: All Sash: High
Performance. No Pattern Hardware: White Window Opening
Control Device Corrosion Resistant Hardware Screen:
Fiberglass Full Screen Grille Style: No Grille Misc: None
05/01/25 y T Page 4/ 43
Itemized Order Receipt
DBA:RENEWAL BY ANDERSEN OF LONG ISLAND Ann Thompson
�O
VLegal Name:Long Island Custom Windows 355 Praity Lane,PO BOX 1248
RENEWAL Suffolk Lic#43991-H i Nassau Lic#H0810150000 I NYC Lic#1307704 Cutchogue,NY 11935
�LYANPERSEN' 2029 New Highway I Farmingdale,NY 11735 Year Built:1978
' rwuera»mrtaeamaisu�rx[er
Phone:631-843-1713 i Fax:631-843-1717 1 sales@rbalongisland.com H:(631)734-8177
C:(631)987-6867
y
1 • • DETAILS:
105 Kitchen Table Window: Acclairnrt-' Picture Full Frame Exterior White Interior
White Performance Calculator: PG Rating: 35 1 DP Rating: +
35 / - 35 Glass: All Sash: High Performance, No Pattern
Grille Style: Interior Wood Only (INTW) Grille Pattern: All
Sash: Colonial 5w x 4h Misc: None
WINDOWS: 2 PATIO DOORS: 2 ENTRY DOORS: 1� SPECIALTY: 0 MISC: 1 PROJECT TOTAL $51,854
° s Renewal by Andersen is committed to our cttstorners'safety by
a SEPA'1, cornplyirtg with the rules and lead-safe worle practices specified by the EPA.
05/01/25 _�--^^ _-'---- —_^'_� Page 5/ 43