Loading...
HomeMy WebLinkAbout33497-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33110 Date• 06/19/08 THIS CERTIFIES that the building ALTERATIONS Location of Property: 420 OAK ST CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 136 Block 1 Lot 47 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 16, 2007 pursuant to which Building Permit No. 33497-Z dated OCTOBER 25, 2007 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 ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NEIL J COOPER & WF of the aforesaid building. (OWNER) SLIFFOL& COULdT7C DEPARTMSN'P OF HRAI,TH APPROVAL, N/A ELECTRICAL CERTIFICATE NO. PLLIMBSRS CERTIFICATION DATBD 122074C 06/12/08 05/23/08 LI AN. LYS ELAP #11693 Authorized Signature Rev. 1/81 Rorm No. 6 TOWN OF SOUTHOLD { BUILDING DEPARTMENT C r (`` f g `( TOWN HALL ' 765-1802 ~ ~ ~ ~ J w APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from health Dept, of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swirmning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. 'Temporary Certificate of Occupancy -Residential $15.00, Commercial $7 5.00 Date. <O ~ I'I ~ ©~' New Construction: Old or Pre-existing Building: / (check one) I,ocationofProperiy:~~ ~~~-- ~re~~ Cu yf House No. Street Hamlet Owuer or Owners of ProperTy: ~~~~_ ___~ ~~~~. Suffolk County Tax Map No 1000, Section _ .% 3~ Block O Lol Subdivision Filed Map. I oL ---- - _ _- ~' I'ennit No. °j ~ _~ Date of Permit. /D ~ 0 7 Applicant:-_~1~~j~ELe~~4 ~D~nsfic~ib+'~-~ Hcalth Dept. Approval: -- Underwriters Approval: Planning Board Approval Request for' Temporary Certificate '~ ---- Fee Submitted: $ ~b r-c] ~ 33 1 I ~ ~ ~1 N~ ~~ Fiual Certificate: /~_ (check one) Applicant Signature Maximum Environmental Management, Inc. 840 Lincoln Avenue, Suite i8 Bohemia,lVYil~i6 Phone: (631) 589-1225/Fax (631) 589-1157 Report Prepared For: Project ID # 0805133 JBD CONSTRUCTION Date Collected: 5/20/2008 161 LAURELTON DRIVE Time Collected: 10:15 AM MASTIC BEACH, NY 11951 Matrix: Solid (Solder) Permit # 33497 Collected by: J Hendrickson Location: 420 Oak Street Sample Origin: Kitchen Sink c/w pipe Cutchogue, NY REPORT SUMMARY PAGE Acceptance Parameter Result MRL Limits Meets/ Exceeds Limits Total Lead in Solder 0.05% 0.01 % 0.2 % Meets Date Extracted: 05/23/08 Date Analyzed: 05/23/08 Method : NIOSH Method 7300 Results were completed by Long Island Analytical NYS ELAP # 11693 Page 2 of 2 Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application Number 6/12/2008 375 Dunton Avenue 122074C East Patchogue, New York 77772 (631)266-6642 Issued To: Neil J. Cooper Street: 420 Oak Street Village: Cutchogue Zip: 11935 Town: Southold Section: 136 Block: 01 Lot: 47 Contractor: Kenny Knapp Lic. # 33353-ME Was examined and found to be in compliance with the National Electrical Code. u Commercial ~ NV Defects [ Pool [X', tst Floor IX] Indoor iX~ Basement ^ Hot Tub iX Residential ^ Det. Garage Ll Attic [] 2nd Floor X~ Outdoor ~~ Addition ^ Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 30 23 31 7 1 4 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves 1/20a 1 20 1 30 1 40 1/20a Furnace Oil Gas Circulators Smoke Detector Bell Transformer 1 x 3 Meter Amps Phase UG/OH Jacuzzi Television CO Detector i Bldg. Permit: 33497 Other Equipment 1-30 amp A/C disc./ 1-20 amp Well Disc./ 1-151 ';amp Air Handler/ 2-Co/SD Combo ~~~~(~~ Hugo S. Surdi President Rough Inspection: 03/19/2008 Inspector: John Mc Mahon III Final Inspection: 06/11 /2008 Inspector: John Mc Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. ' Maximum Environmental Management, Inc. 840 Lincoln Avenue, Suite 18 Bohemia, NYli~i6 Phone: (631) 589-1225/Fax (631) 589-1157 Report Prepared For: Project ID # oso5133 JBD CONSTRUCTION Date Collected: 5/20/2008 161 LAURELTON DRIVE Time Collected.' 10:15 AM MASTIC BEACH, NY 11951 Matrix: Solid (Solder) Permit # 33497 Collected by: J Hendrickson Location.' 420 Oak Street Sample Origin: Kitchen Sink c/w pipe Cutchogue, NY Enclosed are the results for the sample listed above. Please note the analysis showed that the sample was within the allowable limits established by the Town of Southold. You must now bring the Original Report to the Town of Southold . Be sure to retain a copy of the report(s) for your records. If you have any questions or concerns please feel free to contact us at (631) 589-1225. Keep us in mind for all your environmental needs. Thank you for your continued business. Sincerely, ~~ Brian Leshinger President Page i of 2 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33497 Z Date OCTOBER 25, 2007 Permission is hereby granted to: NEIL J COOPER & WF 17 MARWILL PL ROSLYN HEIGHTS,NY 11577 for ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 420 OAK ST CUTCHOGUE County Tax Map No. 473889 Section 136 Block 0001 Lot No. 047 pursuant to application dated OCTOBER 16, 2007 and approved by the Building Inspector to expire on APRIL 25, 2009. Fee $ 200.00 ORIGINAL Rev. 5/8/02 p~IE~CE DRIVE 40T LO t) ~. t~ ~E ~ a .°Ui'ID __ _ _ __-- m~ ~I~~~ ~ , a /~1y. ; ,. ~.. a ' ''1 1 E~ ~~ ~~ s i ._..---_ .. ~ I l--:I o.3' ~- ICY/ /..VJS G.r .~~ --"' ~~~"~J ~ v.'. . ~ .. `, j"`3~ 1- L. Gott I Q~ J n n S1 ~ Ji ~..~ ~ II3~~ h~a~ ( I"~ ~ Y ~~ `~ e 1 ~~ ~ I ~~ t'k ~~ I ~ q ~ I ~ I v ~ ~ .I ~ iA ~ ~ I i .. I ~ ~ ~ ~_ s e~ ~ ~ , LO ~ 11 ,,~ ; ~l` i+s ~ I~ f=. mi '."" I t f ~ I it GeAG [~%A ~l/~1 ~t~ non ~~I I ', I LOT IT SURVEY FOR Cv^n~v'ELIiIS N. a ANN ~7' CUTC;:CJ 4''= 4t1FF0LK COUNTY, N. Y. SCALE ~ (°~20~ JULY 16, 1971. REFEREkCE~ CDQPER F.~n ocUaa,~i~ ~ak~eNi.~' f: G. ess iN7EH-CUUWTY T17LE GUARA;tiSY ®IKGRT3AGE L0. CGRNEUUS ro. B ANN COOYaR r". i L' 1C ....",'..a . L'. ~7~. 33~~7Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION (~ FRAMING STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: ~Ge~ U/ ~ . ~ ~ yL _ fl 0 -~'~ ' i~ DATE INSPECTOR 33~9~z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST ~;[~R000H PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY ( ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR " ~ `' 33~R7z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT [ ]FIRE SAFETY INSPECTION [EIRE RESISTANT PENETRATION REMORKSe p ~j~ , / DATE J ~~/J O ~ INSPECTOR ''~"`~ ~~~'~ ~3`F9'7z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [FINAL [ ]FIREPLACE & CHIMNEY /[ \] FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: ~~d~, o-~- ne:~ DATE ~ ~ ~ ~ ~ ~ INSPECTOR ~ ~'~ 33 ~t ~ ~~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING f/~'' FINAL ~ j [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION Q~~ueQ~rc. r ~ , DATE ~ 13~a 8 INSPECTOR ~~`!~~~ FIELD INSPECTION REPORT DATE COMMENTS ~ b ~~ t~ '~~p ~4.- ® ~ FOUNDATION (1ST) J I'U ------------------------------------ ~ C k ~ FOUNDATION (2ND) z 0 . .~ib ~ ' H `~ ROUGH FRAMING & PLUMBING ~` ~ ~s~ ~ ~ ~ ~ y /~ ~ ~ . ~. n, - - "~ INSULATION PER N. Y. STATE ENERGY CODE INAL y 'I O ' . 3., Q o ~ o ~ w,r{ o~ ~ D C ADDITIONAL COMMENTS ! ~ ~--' ~ ~f r , ~ ~~ , ~ ~ O ~ Z . ' m ~ ~ .~ r l! y ~ o ~~ z ~ ~ .~ ,x c ~, b y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL Do you have or need the following, before applying? SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. ~ 3 y R ~ Board of Health 4 sets of Building Plans Planning Board approval Survey Septic Form N.Y.S.D.E.C. Examined ,20 Storm-Water Assessment Form Disapproved a/c 20 Expiration ~,. oc~ ~~ i~-~~__ 1n APPLICATION FOR BUILDING PERMIT it to: ~ ~ J~~~ cow n~ Ml pl~pd~~ ~ Date ~ D ~ , 20~ - "~ ~` INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. s~. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas,~rtd waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. ' d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. £ Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, or 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 for necessary inspections. ~ ~^ , (Signature of a plic t or name, if a corporation) 1i nL~~n~~ ,Gt~]t,a~,ll~,kl,~,fl'1d4 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises N~L (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No._ Plumbers License No. Electricians License N rt'~ Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ~7~o Block ~~ Lot ~~ Subdivision ~~ f~~~ ~~~~ Filed Map No. Lot (Name) BUILDING PERMIT APPLICATION CHECKLIST 2. State existing use and occupancy of premisbe~s an9d intended use and occupancy of proposed construction: a. Existing use and occupancy r~l ~'fi litii (-'~Al~l l 1,.v( b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ~'_~, ~~ Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~ 7. Dimensions of existing structures, if any: Front ($, ( Rear ~ `a , 2. Depth ,~. Height Number of Stories Dimensions of same structure with alterations or additions: Front °lA'M~Ts Rear ~ ~- Depth ~iQrfvl.y~, Height S~1M~•- Number of Stories 5~. 8. Dimensions of entire new construction: Front ~ Rear Depth Height Number of Stories 9. Size of lot: Front S©° ~ Rear ~0' ~~ Depth ~ ~ I 10. Date of Purchase I ~ I ~ ' Name of Former Owner (~~_~ L~U~ ~ ~'~.1 .~ ~~~__ 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 7 13. Will lot be re-graded? YES NO ~ Will excess fill be removed from premises? YES NO~ 14. Names of Owner o Name of Architect Name of Contractc r ~-• t r.~ - Il No. No ''f~13--~~(~- No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAYBE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF W YORK). COUNTY OF SS~ ~~ ~1~ ~ ( ~ J 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 aze true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. re me f hi day of~JL, 20 V ~ / , NotaryPublic ~ NOTARYWBL STIC ATE OFNEW~ ~ ~ ofApplicant QUALIFIED NJ SUFFOLKCDl1NTY NO.OtRO~pB1737 i4Y COMMISSION EXPIRES OCT.B, 2010 09-24-2007 13:14 SOUTFIOLD BUILDING DEPT 163176595@2 PFlGE1 Town of Southold Erosion, Sodlmentatlon 8 $tornrWa;tttr Rpn-taH A$$E$$MENT FORM eawpttt- LourgN: aC.YAt.k TN! ACTION!<tawY RBOUIIIB THE fY0falspfON K A ATlIy ~~ !~~ I Y~RR. olsirlcr 6aWan eew lit C pam NurMt«: (NOTE: A (:Ireclt Mark (~) f« axtt Quesaon h Regs+rod for a Catrgaa Appllcsaan) Ya Cpl ~ WN dtis Protect Rabin M $t«arWalar RurrOp Gararaled ar a Two (2') arcle Randall an Site? (This Item wIN Include M nmofl «oabd hY site dserirp andPor oonswotion adNai~ as wep as eA Site _ a Improvarnade arNl the pemrenerA «aaaon d inperviae aurbces.) ~ / Z Daea da 81b Plan anN« Sw%' Shaw Ap Proposed Dwinaga Stnrrauras atdaaarq size a l.ocapon? This aarrr ship Iriektde 80 PropMad Crade Chapea and 9bpaa CorWOX4g 8eafaca WabrFbwl . 3 Wip Ihia Pro(acl Requie ny I.Irsd Fipkp, Gradkrp «ExCPWGO^ whoa Nan k a charge b Oee Natlaal l? ^ bas6rq Orade Irnalviry urea awn 200 Cuak Yartb d MetedM wpMn any Paca 4 Wtl tleta Ap~'ieatltNS Regtrlre Land D;slwolrq Acavaies EtH~ereelrg en fuse in Earwas d d S f ? u aw Flue ThoWerd (5,000) square Feel d Oroa ~// rJ Ic Urate a Natural Water Course Rurawq M tlw sae? la Uds Project wi1Mn Urn Trustees judedklion «wlthb Onc Hundred (100 feel d e WMlaed «Beauh? a p jS Wi Orere ae Site p^epaapar an Erdskn8 C,rada Sbpes tMdch 6ecaa0 Fdasre (15) feel d Vsrtigl Rise b ? ' ^ ) of HOrlLare111 pisanee One Hundred (100 7 wR Ddverrays, Paa^0 Auras «ottwr Impervious S«laoes ae saved b Direct Stam*Watar Ru.oa ~ ~. YNO arrN« in Yre dkeuibn d a Town dpMO4wal/f 1MAAp ads Project Raquhe the Placemml d MaR+wl, Removal d Vapclaaar arrdlor IhC Conalnwiion d A ? rM etry Ilan Wiadrr pw town fii9tdat.Way «ROad Slrouldar (Thls Ilan will NOT bekrds fM awhllaljaA d DrlvawaY Aprmsd 8 Yda tlda Project RMWre slte larepsreahore within 1ho Ora Huntlretl 1,00) Yea Flootlpbhr d arty Nhtarooursa? a NOTE: H ANy Ansarar m Ottaplens One arrouph Nim is Amwasd WNh • Cheek Alark in Mrs Boa, a 8torra•Wa1a, Grading. WaMrpa i Eroabn Control Plan b RaquNd arW Musl ba pubrnlNad far Ilerdeav Pdor to laewrrce d Any Bulldbp PamrNl Via ~jp Dees tide pmpd meat Uea minlmum starrdsNa far daadOcafion as an Agriwaurat Pn>jaal? Nab: N YoN Anawend Yea 10lhls Orraalla4 ^ foam-WabR Oradlnp, Dralaapa a Erosion CaiCW PIaN b NOT Raquhedf _ STATE Olr Nk:W YORK, J CJ ~~.~~5 _ COU(N(TY ............................ TMt I...._..._.N.~l~.fT...........~~ .......................... LrinS duty xwnm, dapusca and soya Iltal )~drr. is tlu applicant fbr Yanul, a+.m.a:wwal.y:.o ooav+w1(1 Md Usat he/she ix the (Oanw, Cariaactor, Nrn( Coraorde arRter, de.l Owns and/or r~Vfvxentative of the Owner of (hancrx, :uul n duly autlmrired to perform nr havc jx:rltxrned die said wrxk and to make anti file. rho application; dot all Ratenxnb csudutsul in this appliratinn arc mtc to the bnl of his knnwkrlg and hrlicF, and that llte work will b: perfomN:d in the ntvrttu st:t lonh jn the applx:atinn filed Itcrs:wilh. S lo.., f: . me this; (~/+~ rl .. ....................... day ull../.~-./...~................... , 40.1A ~ ~. N~taryN lr ... .. L..6.J..1.-...~/.~~ ........ ........... .L/.V...~/•....................._°'.-N...~~G........................_. ~ewwu walw+a 1:7ahi~ nu i AHr PUBLIC, STATE OF NEWYORK QUALIFIED IN SUFFOLK COUNTY MY COMMI3810N E~IpEB OCT. 8, 2010 ~~R C~i"E. llio9io7 :KET #p. 381948 - 00 --:-.1NTED 1211r1o7 9:07:29 S (ORE - PATCHOGUE SALESMAN • GARY HERRMANN Sald To JBD CONST 161 LAURELTON DRIVE MASTIC BEACH, NY 11951 ~BILL• 631-395-1941 SROSS ~ i (1~~:j 71 Heanland Blvd. Edaewood, NY 1171 J 7k *' 631-687-2656 631-L89 - 7667 UE L PAGE.. 1 ORDER IVERY TYPE--> H __ CUSTOMER TYPE--> C 531879 Ship To ~~ I_.- 420 OAKSST --_~ CUTCMOGUE, MY 11435 __~ L-_ C~STAPD#- 63I-395.1941 -- i Qty Catalog # _ _ Descnpiion ~ -_ - Swinps/Loc ~ Unit Price -- Extended 1* WINDOW-IQ I Unit I 432.16] 432.16 III Unit, Equal Sal TW2032 I ah, White/Clear Pine, High Perf¢ rmance L ~w-E4 1 Impart Reaie 0 not Glass (Each gash) I i ~ R/O Height 4 87500 R/O Width 26. 2500 Unit TW2032 1 2032W9 ANDERSEN NARROLINE SCREEN WHT 18.431 18.43 1* ASSEMBLY-IQ Compoai.te 1168.31, 1168.31 j TW2046-2 I R/O Height 56. 87500 ( ~ I R/O Width 52. 0000 I ~ Unit TW2046-2 I WINDOW-IQ Unit Al TW2 04 6 Unit, Equal S ah, White/Clear Pins, High Perf rmancs L w-E4 Impact Reaia ant Glass (Each Sash) WINDOW-IQ Unit A2 TW2046 ~ Unit, Equal S ah, White/Clear Pine, High Perf rmance L w-E4 Impact Resis ant Glass (Each Sash) 2 2046WS ANDERSEN NARROLINE SCREEN WHT 22.87 45.74 2* WINDOW-IQ Unit 53G.50 I 1073.00 TW2046 Unit, Equal S ah, White/Clear Pine, High Perf rmance L w-E4 I (Continued nn Next Pagei I 1 l *= Th ~s is Custom Merc andise ~ CINpER pt~TE- 11/09!07 TICKET #.38].948 - 00 2 1* 2 2* ~TW3046 TW IR 2 3046W3 !ANDERSEN NARROLINE SCREEN WHT 2 * A3SEPT8LY-TQ iCompos.i to ~CTR6010/C.345 'R/O Height 65.50000 R/O Width 72. 7500 Unit CTR6010/,345 R'INDOW-IQ ZTnit CT'R 6 010 Unit, White/C ear Pine, High Performance Low-1 Glssa WINDOW°IQ Unit C345 Unit, White/C ear Ptne, LSR Handing, (All Sas! Law-E4 Impac Resistant Glass 4 C45S ANDERSEN CASEMENT SCREF,N STONE !ly~~. 7i Heartland Bivd. Edeawoud, NV ? 1717 831-68T-2566 Impact ReaiB sat Glass (Each Sash) R/O Height 56.87500 R/O Width 26. 2500 Unit TW2046 2.046W3 ANDERSEN NARROLINE SCREEN WHT ASSEMBLY-IQ ICompoaite TW3046'2 'R/P Height 56.87500 R/O Width 76. 0000 Vnit TW3046-T. 1619976 UNIT, WHITE HP ZR ~L.~,~o- k } i 1619976 UNIT, WHITE HP IR .t-~` 3046W3 IANDERSEN NARROLINE 3CRF.F•N WHT 11619976 ~UNIT,WHITE HP IR *= 7hBs is Custom Merclhandise (Continued on Next Page) PAGE.. 2 oc Unit Price Extended 22.87 45.74 1323.711 1323.11 Al A2 26.12 614.20 26.12 1901.81 Al ~, '4 Impact Resistant B1 i) High P rfozmanc~ ~ 19.68 52.24 1228.40 52.24 3803.62 78. 7: "> ORDER D TE- i1/o~/0/ T iCKET ~. sai~ae ~ o0 caty 4 2" 2* 1* 1 1* 1 +~ 1 ~ ~ *= Th?s 'is Custor+ Merchandise I i I I i i'~~ 71 Neartard Blvd. Edgewood, NY 11717 631-667.2555 _ _ _C~ttel~g # t- -- Descnption Y- ---- i PSC-STONE (ANDERSEN HARDWARE PACK STONF. CLASSIC STYLE 1354719 (EXT JAMB,4 9/16 WALL PR PS5HD PSCW J.34982G EXT JAM8,4 9/16 WALL, PR C3HD,~CXW2HD PSCW WINDOW-IQ Unit l C12 Unit, White/C1 ear Pine, R Handing, High Perfa. Impact Reala asst Olaas R/O Height 24 62500 R/O Width 24. $ 2500 Unit C12 C23 ( ANDERSEN CASEMENT SCREEN STONF. .1349804 I EXT JAMB,4 9/16 WALL PR j CIHD/ASSD PSCW 1349820 I EXT JAMB,4 9/16 WALL PR ' ~ C2SD/A7.H77 PSCW PSC-STONE ,ANDERSEN HARDWARE PACX STONE CLASSIC STYLE 1•~WINDOW-IQUnit C33 i iilnit, White/C ear Pine, LSR Handing, (A11 Sast. Law-E4 Impact Resistant Glass R/O Height 36.50000 IR/O Width 72..7500 (Unit C3.3 2 ~ C3.9 jANDEP.SEN CASEMENT' .9C'REEN STONE 1 * 1349816 EXT ,TAMH, 4 9/16 WALL PR C3HD/CXGJ2HD PSCW (Ct?ntinued nn Next Page) PAGE.. s e t Pnce ~ Extends d 4.44 -~ 17. 7is i2.73j 25.45 14.06 328.56 -E4 28.12 328.56 11.77 4.74 4.74 4,44 21.77 4.74 4 . 74 4.94 j 1070.04 1070,04 High P`da.rformarac I i 15.02 14.06 30. C14 14.0E ,~ ORDER DATE- il/D9/a7 TICKET #.381x48 - Uo 1*I1349822 2 ~PSC-STONE 1*~2565235 1*i2560521 1.*12560522 1 PD3068W3 1 ; 1YZPNL.B *= Thfis is Custom Me SALES AMT........... SALES TAX.,.....,... DEL CHG/FUEL SURCHG. RESTOCKINGIMISC CHG. QRDER TOTAL......... ~i~ 11 Heartland Blvd. Edgewaad, 4Y 11717 831-88T-2b65 ------- Description -------__-- ~TAMD,4 9j16 WALL PR ~/A3HD/P30Sp PSC'W ;R$EN HARDWARE PACK STONE CLASSIC STYLE FRAME, WHITE IR W/INTLK W,/S & SCREWS FWG60b8L FWG IR PANEL, WHITE HP TEMP IR FWG3068 STAT F'WG IR PANEL, WHITE HP 'TEMP IR FWG3U68 OPE'A FWG IR ':ANDERSEN UNIVERSAL INSECT SCR WHT FOR FWG60/12068 FWH60/9068 ~~~A/W P9/FWQ 2 PNL HP DRASB TRSM i3ET ESTATE SERIES PAGE., 4 Unit Prit:a extenoea _ ---7. n3 ~ 7.03 4.44 8.88 463.98 463.9.4 737.04 737.04 737.04 ~ 737.04 ].01.231 101.23 163.541 163.54 lise I ._ .____ _--.____ _..____. _-_._.__L__.- i3,U80.78 DEPOSIT' TAKEN... 14.236,15 1.130.37 25.i~o C.O.D. BALANCE. 14,236.15 VAN ORDER MIN. 4-6 WEEKS T HAVE READ AND AGREE TO WiNDOWRAMA'S TERMS AND CONDITIONS OF SALE. ORDER IS CORRECT AS SPECIFIED ABOVE. NO EXCHANGES, REFUNDS, OR CANCELLATIONS PERMITTED FOR CUSTOM MERCHANDISE. Customer Signature: _ -------- -------------- ---- - nr~nr ru~mm~~ ~~mw~ ------ ______. TOWN OF SOUTHOLD ~OPERTY RECORD CARD • ~~lJ' O W NER STREET L,"' ` j VI LL AGE ICT DIST R SUB. LOT .#~~ - ~ ~ /, -L , //e7~Gco/per ¢L~/ ~' ath~l.lfhPe~ L f / ~ (~ V /C /70 va ' p ~`o ~ ,,c1 v i°ne//Pi ~7J' fORMER OWNER ~ ~ N E ACREAGE ~~ i pp rU~ ~e wre.~ c e S W TYPE OF BUILDING -~'---- ~i.2~~ '~,GW~: r-. RES. ~~ SEAS. VL. FARM COMM. IND. I CB. MISC. t. Mkt. Value LAND IMP. TOTAL DATE REMARKS 6 /Yap /700 ~ ~ ~ ~ z. ~,'da,.a/~,~t~. ~,e.~Qoaa / D7~ .Z-0 OD ~ / /S 6 ~ e ¢cea~reo~. d v-. Vya//a e O 0 ~ ~ 0 C ~ D D ~ ~ _/ n J'd 7/~Q~C7 1~j ~ c - ~U ~d /ut`C.~ce / • C~oo.de~ ~U/~. /~~s .Sa /d 75000 L 6'S5~/ ' C. ~o eY / a ~ `6 r ,S/ p A E BUILDING CONDITION y NEW NORMAL BELOW ABOVE FRONTAGE ON WATER J--7j ~ ~ Farm Acre Value Per Acre Value FRONTAGE ON ROAD J`~ Tilloble 1 BULKHEAD ~, Tillable 2 DOCK Tillable 3 ~-~ ~" ~ ~.3~~I ~-~"" Woodland Swampland Brushland `" ~` House Plot Tota I /~~~~, ~~~ M. Bldg. ; d~ 7~ / ~ _ ~/ ~ ~ z `~ ! I i Foundation ; ~~~~~~ ~ Bath ~- ~ f~ Extension ~.J. I Bosement a -{~ ~ Floors - Extension _ ~ ~ ~ ~ Ext. Walls j Interior Finish ~ s~^ e~'~ ~ i Extension ~~ -' ! 1 'i _ _ Fire Place -~,~~ __ e Heot y~ ~ ' ~Lec7` ' I ~ ~~ Por - - - Roof T e YP ~ Q j •~ i --+- - Porch - . Rooms 1st Floor ~ - - r ~ Breezeway Patio ! Rooms 2nd Floor j --~ Garage - Driveway ~ Dormer - i -- -- O. B. ' - ! I - ; I "~~ `~` ~ i i j • i \.t J __l `\ \ ~~_ 1 d~ - r __ -. M.61d9• ; : . fcundation ~, / ~ciii t ., _-r-,~ ~ _ _ _ __ -. Extension __. L ; ement '''corn ___ - - -__ _ _ -_ - __ __ ~<t. Walls Extension ,~ '~,_nor Finish Extension Fire Flace .,~, _ ~,c,-