HomeMy WebLinkAbout35490-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34557 I~ate: 09/15/10
THIS CERTIFIES that the building
WINDOW ALTERATION
Location of Property: 75650 MAIN RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 48 Block 1
GREENPORT
Lot 9
(HAMLET)
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 20, 2010 pursuant to which
Building Permit NO. 35490-Z dated APRIL 20, 2010
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 REPLACEMENT AS APPLIED FOR.
· ~ne certificate is issued to GEP~ALDINE M HAINES
(OWNER)
of the aforesaid building.
SUFMOLK COUNTY DEPART~T OF HEALTH APPROVAL
ELECTRICAL c~KTIFICATE NO.
PLIERS u~-rIFICATION DA'r~u
N/A
N/A
~/t ~h/i z e~Signat ure
Rev. 1/81
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. 35490 Z Date APRIL 20, 2010
Permission is hereby granted to:
GERALDINE M HAINES
PO BOX 527
GREENPORT,NY 11944
for :
WINDOW REPLACEMENT AS APPLIED FOR.THIS PERMIT REPLACES EXPIRED
BP # 32379
at premises located at
County Tax Map No. 473889 Section 048
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
75650 MAIN RD GREENPORT
Block 0001 Lot No. 009
20, 2010 and approved by the
20, 2011.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
(THIS
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 32379 Z
Date SEPTEMBER 20, 2006
Permission is hereby granted to:
GERALDINE M HAINES
PO BOX 527
GREENPORT,NY 11944
for :
WINDOW REPLACEMENT AS APPLIED FOR
at premises located at 75650 MAIN RD
County Tax Map No. 473889 Section 048 Block
pursuant to application dated SEPTEMBER 12, 2006
Building Inspector to ex~pire on MARCH 20,
GREENPORT
0001 Lot No. 009
and approved by the
2008.
Fee $ 150.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765- 1802
APPLICATION FOR CERTIFICATE OF OCCIYPA
This application must be filled in by typewriter or ink and submitted to the Building D~
A. For new building or new use:
· 1. Final survey of property with accurate location of all buildings, property lines,
topographic features.
~artntent with tt~ following:
BLDG. D£PT
TOWN OF SQUTHOLD
.2. Fiaal ApprOval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval o f electrical installation from Board of Fire Underwriters.
: 4. Sworn statement fi'om plumber ce/~ifying 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 ol~'6omPleted site plan requimmeats.
· B. For exisfingbufldings.(prlor to April 9, 1957) non-conforming uses, or buildings and ~'pr~-existing' land uses:
1. Accurate survey of Propertyshowing all propeaty lines, sh-eets, 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,
Swimming 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 $15.00
~Ncw ConStruction:
t =tion of P p rty: "7 /
House No.
OWner or Owners Of Property: ~
' sulT°lk County Tax Map No !000, Section
Subdivision
· PerinitNo. ~3q°[13 'DateofPermit.
Health Dept. Approval:
· Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Date.
OM or Pre-existing Building:
Street
~leck.
Filed Map.
Applicant:
Underwriters ApprOval:.
Final Certificate:
(check One)
, Hamlet '
(check one)
Applicant Signature
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] R0~UGH PLBG.
[ ] FOUNDATION 2ND [ ]~JLATION
[ ] FRAMING / STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE
INSPECTOR'S/~
FOUNDATION (1ST)
~oe~D~T~O~
ROUGH ~G &
pL~G
~S~ATION P~ N. Y.
STATE E~RGY CODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N'Y 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
PERMIT NO.
Examined
Approved
Disapproved a/c
Expiration ~]~ 20 0~
~B~uilding Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
~ 4 sets of Building Plans
Planning Board approval
Survey
· -- Check ~ / 5--O
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
APPLICATION FOR BUILDING PERMIT
'..---'J INSTRUCTIONS Date
Mail to:
Phone:
,20 0(o
' (Sig'nature of applicant or name, if a corporation)
(Mailing address of apphcant) /Iq ~'J9
/ tate CODES OF NEW YORK STATE.
whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
I f applicant is a corporation, signatur6~¢~td ~f~er
(Name and title of corporate
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
L E)IS UNLAWFUL
WITHOUT CERTIFICATE
[./r' k.,/k.tLtUF/"51~lL~ I
XLocation of land on which proposed work will be done:
House Number Street
('County Tax Map No. 1000 Section
Subdivision
{Name)
(As on the tax roll or
Block
Filed Map No.
,.
hC,:i3¥ ~. ...... D'_ ..... ~v::''c~ AT
F~SLLC ",;'
i. FCbND, '{~; ....
2. ROU3H - ~F~% ".'~ ~, FLUMBtNG
3. INSULATION
4. FINAL - CC~~ 3N MUST
BE COMPLET, .~ C.O.
ALL CONSTRUCT"oN SHALL MEET THE
REQUIREMENTS OF THE CODES OF N~
T PONI
Ham~g~
Lot :
ALL CONSTRUCTION SHALL,,~'
M~E]' THE REQUIREMENTS OF THE
authorized inspectors on premises and in building for necessary inspections.
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.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjdining premises or public streets or
areas, and 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.
f. 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
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancM
Nature of work (check which applicable): New Building_
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration
Other Work /~ ~'P L,4Cd;~&/.JT- ~O~d5
(Description)
(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
Height. Number of Stories
Rear
_Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear _Depth
9. Sizeoflot: Front
Rear _Depth
10. Date of Purchase
Name of Former Owner
1 I. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO__
13. Will lot be re-graded? YES NO__Will excess fill be removed from premises? YES NO
~ ~zoPOP7, I~qllq¥~
? .NamesofOwnerofpremises ~,, ht~q~'$ AddressT/.5- ,~O,,t;7 57' PhoneNo.~3/-¢'~-/-,_~/aOq
Name of Architect Address Phone No
Name of Contractor Address Phone No.
5, a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES
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 MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at 10 feet or below, must provide topograPliical data on survey.
STATE OF NEW YORK)
ss:
COUNTY OF 3 ~J~L/Zj-
(~/~t~'r) la/& /~'/J~ _< being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the 0 bJ M~/~
(Contractor, Agent, Corporate Officer, etc.)
~%~-a~r.~-.~w~ts, 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 tree 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:
Sw~/m~e f°~eaymoe;~ 20 [ ~
Notary Public
Signature of Applicant
Notary Public, St~te'of New Yo
No. 0i EB4877774
Oualfiq<l:in Natlau County , ,,J
Commistim Expires NO*ember 2~t, 20u~p
TOWN OF $OUTHOLD PROPERTY RECORD CARD
OWNER
, VILLAGE DIST.; SUB, LOT
[./ , ~,~ - .4 / ~
ACR. I
OWNER ' ~ ~"~' f
TYPE Of BUILDING
VL ;FARM ,:COMM. CB. MISC. Mkt. Valu?
~ 7 ~ o ~ //f/F1 llol2,}~-L//eq~o- ~or,~n,~3~ ~ Pa~en ~/~
Volue Per I Volue z
~ES. 2 i O
LAND
FARM
tillable 1
I'illable 2
Tillable 3
¥oodlond
;wampl,and
~rushlond
louse Plot
SEAS.
IMP.
2.~oo/
~ ?oo
Ac re
Ac re
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
i DOCK
F [eF. iOn
Extension
~oundation
Basement
Ext. Walls
Extension Fire Place
Type Roof
Bath
Floors~
Interior Finish
Heat
Dinette
LR.
DR.
Rooms 1st Floor BR.
Rooms 2nd Flora
Porch Recreation Roorr FIN. B.
Porch Dormer
Breezeway Driveway
Garage
Patio
2_6~
O.B. ~J oo~
Total
December 11, 2009
B~DG DEPT.
TOV~'k' OF SOUrHOLD
Town of Southold
Building Dept.
PO Box 1179
Southold, NY 11971
Att: Mike Verity
Re:
Bldg Permit #32379-Greenport, NY for replacement windows
APN: 48-1-9
Dear Mr. Verity:
This is a request for an extension to comply with the requisite inspection for the above
bldg. permit. In my present "lack of paid work situation" I am not able to pay the
$150.00 for the inspection since the permit expired. More immediate matters, like paying
mortgage, etc. have taken my attention.
While I feel it is unconscionable, in this economic environment, to dun people for another
bldg. permit fee for 1 item, i.e., energy efficient replacement windows, I want to
cooperate. My intention is to pay in April when retail jobs return to the area. If
circumstances change earlier, I will contact you.
Thank you for your cooperation in this matter.
Your§,truly,
Geri Haines
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December ~r~ 2008 IST NOTICE
~eraldine M. Haines
P. O. Box 527
~reenport, N. Y. 11944
RE: 75650 Main Rd. 04/indow Replacement)
S~6'TM : # 48. -1-9
Dear Ms. Haines,
Please be advised that your Buildi~ Permit ~ 3~379, issued September Z~h,
~6, has expired. ~cco~/~ ~o the ~ode of the Town of ~uPhold, a
~erdf/caPe of Occu~ncy must be issued befo~ the use of the s~c~.
To ~new your Buildin9 PermiL please submit a fee of ~.~ ~t that dine
we can schedule an ins~cdon by one of our Buildi~
If y~ have any questions, please call u~ at 76~-180~.
Res~c~u/ly,
~OUTHOLD TOWN BUILDI~ DEPT
Town Hall Annex
54375 Main Road
P.O. Box I 179
Southold, New York I 1971-0959
· Telept~ne (631) 765 1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 23rd, 2009
Geraldine M. Haines
P.O. Box 527
Greenport, N.Y. 11944
P,E: 75650 Main Rd. (Window Replacement)
5CTM: # 1000-48. -1-9
FTNAL NOTZCE
To Whom It May Concern:
Please be advised that your Building Permit # 32379 issued September 20th, 2006 has
expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit please submit a fee of $ 200.00: at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 765-1802.
Respectfully,
$OUTHOLD TOWN BUILb]:NG bEPT
7009 0820 0001 7821 5301
'l'o~n llall Annex
51373 Main Road
P.O. Box 117!t
Southold, N Y l 1971-0939
Telephone (G31) 763-1802
Fax (631)
BI 7IH)IN(; 1)EPAI{TMI'2NT
TOWN OF SOUTHOLD
Geraldine M. Haines
P.O. Box 527
Greenport, N.Y. 11944
Re: 75650 Main Rd. / Violation
SCTM# 1000-48.-1-9
March 31st, 2010
To Whom It May Concern:
Your BUILDING PERMIT # 32379 for construction of a WINDOW REPLACEMENT has
been referred to me because you have not responded to requests to obtain your
Certificate of Occupancy as required by 5outhold Town code.
Pursuant to 144-15A, of the 5outhold Town Code, "No building hereafter erected
shall be used or occupied in whole or in part until a certificate of occupancy shall
have been issued by the Building Inspector."
Therefore, you have ten days from the receipt of this letter to submit a check
made out to the Town of Southold in the amount of $200.00: to renew the building
permit, or legal action will be taken against you. Should you have any questions, call
the building department between the hours of 8:00 a.m. and 4:00 p.m.
Respec~You~.
Damon RaINs, Zoning Inspector
5outhold Building Department
7008 1830 0004 2090 1759
SPECIAL SERVICES CUSTOMER INVOICE
Store 1222 RIVERHEAD
1550 OLD COUNTRY ROAD
RIVERHEAD, NY 11901
Phone: (631) 284-2530
Salesperson: ES745G
Reviewer:
A 15% restocking fee will be charged on returned or canceled Special Order Merchandise. Custom Orders are not
refundable.
Home Phone
GERALDINE (631) 477-3604
.,s P.O.BOX 527 work Pho,e (631) 298-6489
~City
715 FRONT ST Company Name
GREENPORT Job Descriptlou AMC. WINDOWS
NY zip 11944 County SUFFOLK
Page 1 of 2 NO. 1222' 158123
REPRINT
2006-09-11 14:45
We r~ser¥.e the ~'~g.ht to limit the quantities of
MERCHANDISE AND SERVICE SUMMARY merchandise soloeD customers.
REF #W02 SKU ~'515-664 Customer Pickup I Will Call
SIO SILVER LINE BLDG PRD REF #S01 ESTIMATED ARRIVAL DATE: 0911712006
150-764
SO103I 150-764
8500 49" R.O. 36" X 49 3/4" ~8500 {#1}@
{9500[35.75 49]S I CT6 1 3A2DO I 2000 1 I O0 1 1}
8500 FULL WINDOW DOUBLE HUNG 8500 8501
HUNG 35 3/4" X 49" R.O. 36" X 4~9 3/4", COLOR=\
GLASS GLASS STR
8500 /(CONTINUED[
H =SINGLE STRENGTH GLA,~
LOCATION =TOP SASE
2.7.3
DOUBLE
)PTION = LOE
~)
COLONIAL CONTOURED GRILLE
EMENT = 3W2H SCREEN = HALF SCREEN
R.O. 28" X 33 5~8" /8500 {#2}@
33] S 1 CT0 1 3A2DO 1 2000 I 1 O0 1 1} REPLACEMENT
WINDOW DOUBLE HUNG 8500 8501 EQUAL LITE SINGLE EQUAL DOUBLE
~UNG 27 3/4" X33" R.O. 28" X33 5/8", COLOR=WHITE GLAZING OPTION:LOE
GLASS GLASS STR
$191.56 $383.12
o.oo I $o.oo
Y I $151.29 I $151.29
Page 1 of 2 No. 1222-158123
SPECIAL SERVICES CUSTOMER INVOICE-Continued Last Name: HAINES Page 2 of 2 NO. 1 222-1 581 23
S.O. MERCHANDISE TO BE PICKED UP:
i
REF,~02 SKU #515-664 Customer Pickup I Will Call
SIO SILVER LINE BLDG PRD REF #S01 ESTIMATED ARRIVAL DATE: 091171Z006
........... ~('CONTINUED) ' ' /(CONTINUED) ' "
8500
H = SINGLE STRENGTH GLASS GRILLE TYPE = COLONIAL CONTOURED GRILLE
LOCATION =TOP SASH ONLY TOP LITE ARRANGEMENT = 3W2H SCREEN = HALF SCREEN
2.7.3
8500 ~./_@ 29 3/4" X4~" R.O. 30" X 49 3/4" /8500 {#3}@
{9500[29.75 49]S 1 CT6 1 3A2D0 I 2000 1 1 00 I 1} REPLACEMENT
8500 FULL WINDOW DOUBLE HUNG 8500 8501 EQUAL LITE SINGLE EQUAL DOUBLE
HUNG 29 3/4" X49" R.O. 30" X493/4% COLOR =WHITE GLAZING OPTION=LOE
GLASS GLASS STR
8500 /(CONTINUED) /(CONTINUED)
H =SINGLE STRENGTH GLASS GRILLE TYPE =COLONIAL CONTOURED GRILLE
LOCATION =TOP SASH ONLY TOP LITE ARRANGEMENT=3W2H SCREEN-HALF SCREEN
2.7.3
P.O. #22569404
VENDOR-SPECIALINSTROCTIONS: 2.7.3::
SCHEDULED PICKUP DATE: Will be scheduled upon arrival of all S]O Merchandise ,ll:~i~Jir-,~mm",a,ay:lm $1,176.93
TOTAL CHARGES OF
ALL
MERCHANDISE
&SERVICES
~ $1,170.93
SALES TAX $101.51
TOTAL $1,278.44
AMOUNT PAID $1,278.44
BALANCE DUE $0.00
WILL CALL
Will Call items will be held in the store for 7 days only. For Will Call merchandise pick-up, proceed to Will Call/Service Desk area( Pro Customers, proceed to the Pro Desk ).
Page2of 2 No. 1222-158123
Look for the NFRC & AAMA Labels
NFRC ratings are an accurate, unbiased way
to compare energy efficiency.
Compare U-Factor: A lower U-Factor means .
you'll stay warmer in the winter and spend
less heating your home.
Compare SHGC: The lower the better. A /
lower SHGC will keep your house cooler in
the summer.
ENERGY STAR® was created
to help consumers identify
products that save energy.
Qualified windows can save
up to 15% of your energy bill.
REPLACEMENT WINDOWS
Design Pressure Rating: DP50
The AAMA program certifies that
labeled windows have been tested,
certified and accredited to AAMA
performance specifications for:
- · Design Pressure (DP):
Resistance to window and other
pressures. The higher the better.
· Air Infiltration: The lower the better.
· Water Leakage: None allowed.
· Forced Entry Resistance
Model Window Glass B , Glass T pe By Glass T) ~e DP Air Water
LOWE/ LowE/ Rating Infiltration Resistance
Number Type Thickness Clear LowE Argon ClearLowE Argon
9500 Double Hung 7/8" N/A N/A 0.32 N/A N/A 0.31 45 .1 6.75
~ Hung 7/8" N/A 0.35 0.32 N/A 0.31 0.31 4S .1 6.75
Double
1200 Double Hung 5/8" 0.49 0.35 0.32 0.62 0.33 0.33 35 .2 5.25
8700 Slider 7/8" 0.48 0.36 0.33 0.60 0.32 0.32 35 .1 5.25
7500 Casement 7/8" 0.48 0.36 0.32 0.53 0.30 0.30 40 .1 7.50
PATIO DOORS
Model Window Glass U-Factor By Glass Type SHGC By Glass Type DP Air Water
LOWE! LowE/ Rating Infiltration Resistance
Number Type Thickness Clear LowE Argo~ Clear LowE Argon
5500 Patio Door 1" 0.49 0.36 0.32 0.63 0.33 0.33 35 .1 5.25
5600 Patio Door 1" N/A 0.36 N/A N/A 0.33 N/A 35 .1 S.25
COMPARISON: Record con, ~etitor's window data here and compare to our data shown above.
Model Window Glass B' , Glass T pe By Glass T) ~e DP Air Water
~ow~ Low~/ Rating Infiltration Resistance
Number Type Thickness Clear LowE Argon Clear LowE Argon
American®
Craftsman
Windows
Effective June 1,2004
Notes:
1. Some products not available in certain areas.
2. For more specific performance data, please visit our website
at www.americancraftsmanwin.com or call our Customer
Care Department at 888-504-0005.
Available Exclusively At