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Home My WebLink About38361-Z Town of Southold Annex ~ySFFOI~ ~ 1/28/2014 P.O. Box 1179 54375 Main Road i Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36739 Date: 1/28/2014 THIS CERTIFIES that the building WINDOWS Location of Property: 7125 Great Peconic Bay Blvd, Laurel, SCTM 473889 Sec/Block/Lot: 126.40-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/16/2013 pursuant to which Building Permit No. 38361 dated 9/27/2013 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: WINDOWS AND DOOR ALTERATION TO A ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Druck III, James & Druck, Marguerite (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au o ed S atu TOWN OF SOUTHOLD y 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 38361 Date: 9/27/2013 Permission is hereby granted to: Druck III, James & Druck, Marguerite 7125 Peconic B Blvd _ Laurel, NY 11948 To: installation of windows & door as applied for At premises located at: 7125 Great Peconic Bay Blvd, Laurel SCTM # 473889 Sec/Block/Lot # 126.-10-13 Pursuant to application dated 9/16/2013 and approved by the Building Inspector. To expire on 3/29/2015. Fees: SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $200.00 CO - ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector , M ~ Norm No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: I. 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. Swam 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 April 9, 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 I . Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 Date. New Construction: 7 Old or Pre-existing Building: (check one) ' e Location of Property: (/z_5- 11-L z(~\( F_~aL) t~'U(l House No. Street Hamlet Owner or Owners of Property: ~j f7YVj ~S I(2t~ L'LEIr b~ c/U ~l Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (c one) Fee Submitted: $ l~ Applicant Signature FIELD U= DATE COMMENTS ~ro FOUNDATION (1ST) x FOUNDATION (2ND) 1 e lx ~o ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE I 004K w 4-6 FINAL maps" ADDITIONAL COMMENTS z y W~ z ~e TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 2013 Single & Separate Storm-Water Assessment Form q Contact: Approved- 1-)--7, 20A Mail to: Disapproved a/c Phone: -2 Expiration 20 1 S Building Inspector APPLICATION FOR BUILDING PERMIT SEP 16 2013 ~l Date (O 201,3 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. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining 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 authorized inspectors on premises and in building for necessary inspections. (Si afore of applicant or name, if a corporation) t AFPOVE11Y b ' gqhunt) State whether applicant is owner, lessee, ag~rtt, architect, engineer, gene~~l lcEo~ itf Ur or builder .1d'7i BY_ - FEE, llC~ NOTIFY BUILDING EPA 1F:NT A'. A T PMM pwtj L~- Name of owner of premises 1-Y (As on the tax roll N -TWO REQUIRED r0 #817 If applicant is a corporation, signature of duly authorized officer FOR POURED CONCRETE 2. ROUGH - FRAMING, PLUMBING, (Name and title of corporate officer) STRAPPING, ELECTRICAL & CAULKING Builders License No. 3. INSULATION Plumbers License No. 4, FINAL -CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C.0. Electricians License No. ALL CONSTRUCTION SHALL MEET THE Other Trade's License No. REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR 1. Location of lann which proposed work will e one- DESIG OR CONSTRUCTION RRORS. House Number Street Hamlet County Tax Map No. 1000 Section o<(p Block Lot 13 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and i tended use and occupancy of proposed construction: a. Existing use and occupancy ll-~5rf 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 (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars N 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 Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner S~cj Lxe 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NOI 13. Will lot be re-graded? YES NOK Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone 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 MAY BE 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 NEW YORK) SS: COUNTY OF U anU~~ U'eing duly sworn, deposes and says that (s)he is the applicant (Nam "f individual signing contract) above named, CONNIE D. BuNrH (S)He is the Notary Public, Statc. Of ~ /r>rw No. EH306i'--P;~4 (Contractor, Agent, Corporate Officer, etc.) Quat;tiad in Suffolk, G7 unty Commission Exuires ApO ta, 2 D) b 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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me hi )(off day of~~20F-~) vwP ~ _ 1 I Notary Public ignature of Applicant TOWN OF SOUTHOLD MOPERTY RECORD CARD OWNER o STREET- VILLAGE DISTRICT LOT J Oru II FORMER OWNER N E ACREAGE De C' va- •A, W. I`'' G eI iv/ 2'& 77( S~ W TYPE OF BUILDING RES. X20 SEAS. VL. FARM COMM. I IND. CB. I MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS - ~ b ~ kI Q 7G 8 Ar ` %T o F E ELL iS /a R 2) CL E L9 L) C f~ 9a F~ C`o_ -f, .I~YUC 1ct~swoY~ -1- O 9 6~ Ct"Sfr acceu. Z/dy 7(7) 514 V -G/z1/9,f L 95e38 052S6 - uc<,wc ck ' f 315QC J~GE ~ooo COND N f = 131 Ri ~QjaLz4n C' ~~Iv.uUu, NEW RMAL ELOW q~ E FRONTAGE ON WATER Farm Acre Value Per Acre Volub FRONTAGE ON ROAD ~/O1`, / C Tillable 1 BULKHEAD/! 1I0~ gP#32472- MS-1W so/WL nf,/5 e Tillable 2 DOCK Tillable 3 Woodland Swampland q11110-7 6F*33377 r e.S V-~: 15104 • Brushland _ $ $S 'a u ~eck (-I- 2 o-}1 y3x10 ff-' House Plot j Total , ~ moor z I I q - - , 126,10-13 front of house 4/07 z X-2 Z. 126,10-13 rear of house 4/07 - ~ z -87 z M. Bldg. ~ 3 u 3 Foundation ath ; r'6 ~l~ l Basement Floors Extension -Extension Ext. Walls Interior Finish r -Extension I I 3? Fire Place Heat z / t S ' Porch Roof Type Rio zx 12 = 4 NG Porch Rooms 1st Floor > 311 7.Z v2 c 4 3 A r P o f~ls3~a > N Rooms 2nd Floor ;ara a Ize~l n Itz 1 X =St Z- ~ ~ SY $xly - (z Dormer 6: Z 3Z Z~3d ad `A-o ' q / Co SPECIAL SERVICES CUSTOMER INVOICE Pagel of 2 No. 1222-336777 Store 1222 RIVERHEAD Phone: (631) 284-2530 VALIDATION - 1550 OLD COUNTRY ROAD Salesperson: RG56BM RIVERHEAD, NY 11901 Reviewer: This is only a QUOTE for the merchandise and services printed below. This becomes an Agreement upon payment and an endorsement by a Home Depot register validation. Name Home Phone DRUCK FRED (631) 298-7017 • Addrase 7125 PECONIC BAY BLVD Wo* Phe"e Company NNM • CM LAUREL JebDB m`WINDOWS sn"a NY zip 11948-1940 C°""" SUFFOLK QUOTE is valid for this date:08/22/2013 CUST ~ MERCHANDISE AND SERVICE SUMMARY sold to customers ht to limn the quantities REF # W02 SKU # 0000-515-664 Customer Pickup /Will Call S.O. MERCHANDISE TO BE PICKED UP: S/O ANDERSEN REF # S01 ESTIMATED ARRIVAL DATE: 1 LOGISTICS REF # SKU QTY U41 DESCRIPTION 13RICE EACH EXTENSION S0101 0000-290-067 5.00 EA NA / 200 SERIES TILT-WASH DOUBLE-HUNG , AA, / UNIT 1: DOUBL Y $257.71 $1,288.55 HUNGUNIT 1: 39.5 X 59.5200 SERIES 50102 0000-290-067 5.00 EA NA / INSECT SCREEN 1: 39.5 X 59.5 244DH3450 F / UNIT 1 • A Y $27.26 $136.30 HUNGUNIT 1: 39.5 X 59.5200 SERIES SCHEDULED PICKUP DATE: Will be scheduled upon arrival of all S/O Merchandise • 11 IM 4 1 $1,424.85 EifD' . itlGCU -REF#WO2 TOTAL CHARGES OF ALL MERCHANDISE & S Policy Id (PI): • " • • $1,424.85 A:90 DAYS DEFAULT POLICY SALES TAX 122.89 TOTAL 1547.74 BALANCE DUE $1,547.74 CONTINUED ON NEXT PAGE _ n D WILL-CALL MERCHA P \\JI I FOR WILL CALL Will-Call Items n the store for 7 days only. MERCHANDISE' PICK-UP Check your current order status online at PROCEED TO WILL CALLOR w .homedepot.eondorderstatus SERVICE DESK AREA ` W * M3 l6~ (Pro Customers, Proceed To The Pro Desk) (9e01) 01004 s2z l1 WI NO. 12"2""2----336777 Customer copy d customer Information corr. Informatior Name: FRED DRUCK RIVERHEAD - - yti 1550 OLD COUNTRY ROAD Address: 7125 PECONIC BAY BLVD RIVERHEAD, NY 11901 c LAUREL, NY 11948-1940 Store Number: 1222 Home Phone: 6312987017 Customer Agreement # : 336777 Work Phone: Associate: ROBERT I ascription x100-1 200 Series Double Hung 39.5 x 59.5 5 $257.71 $1,288.55 Standard Width = RO: 40" UNIT: 39 1/2" f kf". 'amI Standard Height = RO: 60" UNIT: 59 1/2" Product Style = Equal Sash F Unit Code = 244DH3450 Frame Depth = 3 1/4" Venting / Handing = AA Exterior Color = White Interior Species = Pine Interior Finish Color = Unfinished Glass Option = Low-E e „ High Altitude Breather Tubes = No Glass Strength = Standard Glass Tint = No Tint Specialty Glass = None Lr Optional Lock Hardware = None Insect Screen Type = Full Screen - - Insect Screen Material = Fiberglass Insect Screen Color = White ° Exterior Trim Style = None ` Extension Jamb Type = None / Room Location = None Unit Part Number = 0873936 S Insect Screen 1 Part Number = 0833336 SKU = 290067 Vendor Name = S/O ANDERSEN LOGISTICS Vendor Number = 60509030 Customer Service = (888) 888-7020 Catalog Version Date = 0711912013 Unit Price Total Price Product Product Description 100-2 Insect Screen 1: 39.5 x 59.5 244DH3450 Full Screen 5 $27.26 $136.30 Fiberglass White PN: 0833336 aiiesrn % www.HomeDepot.com Page 1 of 2 Printed By: ROBERT Date Printed: 8/19/2013 2:07 PM ,ote Summary: Line # Item Summary Price Qty Total Price 100-1 200 Series Tilt-Wash Double-Hung , AA, $257.71 5 $1,288.55 39.5 x 59.5, White / Pine Unfinished Insect Screen 1: 39.5 x 59.5 244DH3450 100-2 Full Screen Fiberglass White PN: $27.26 5 $136.30 0833336 Pretax Total Price: $1,424.85 www.HomeDeoot.com Paae 2 of 2 Printed Bv: ROBERT Date Printed: 8/19/2013 2:07 PM