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Home My WebLink About38497-ZNo: Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY 7/31/2015 37685 Date: 7/31/2015 THIS CERTIFIES that the building WINDOWS Location of Property: 1975 Woodcliff Drive, Mattituck SCTM #: 473889 Sec/Block/Lot: 107.-6-14 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore Lot No. filed in this office dated 11/4/2013 pursuant to which Building Permit No. 38497 dated 11/12/2013 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: ALTERATION ()YINDOW REPLACEMENT) TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to of the aforesaid building. Lessard, George SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Author' d ign ure gu ®F tic®� TOWN OF SOUTHOLD BUILDING DEPARTMENT 6 TOWN CLERK'S OFFICE o 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 #: 38497 Date: 11/12/2013 Permission is hereby granted to: Lessard, Georgo 2405 Grand Ave Mattituck. NY 11952 To: Alteration to an existing single family dwelling (window replacement) as applied for. At premises located at: 1975 Woodcliff Drive. Mattituck SCTM # 473889 Sec/Block/Lot # 107.-6-14 Pursuant to application dated To expire on Fees: 5/14/2015. 11/4/2013 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $200.00 CO - ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector Form 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: 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 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 1. 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. O t 0" 7'o t 3 New Construction: Old or Pre-existing Building: (check one) Location of Property: 6t rzvc( PjQ— House No. Street Hamlet Owner or Owners of Property: 0 e 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: (check one) Fee Submitted: $ Applicant Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 _ SoutholdTown.NorthFork.net Examined 20 Approved 20 Disapproved I� U zoo BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval PERMIT NO.3g L� q :7 �7_ Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm -Water Assessment Form Contact: Mail to: Phone: tB 3 1- c(c-7 — S 1 3 0 Building In pector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date OU '00V .2013 °`�v ✓ Ilcatio be completely filled in b typewriter or in ink and submitted to the Building Inspector with 4 7�W �• �,I�k�� P Y Y tYP g P sets e , 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. Signature of applicant or name, if a c oration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ®WAS Name of owner of premises L -e- s L eL ,r c(, :5e - (As e - (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 No. Other Trade's License No. 1. Location of land on which proposed work will be done: oZ'iOS C,l ra- A, A -v a-�(J c� House Number Street Hamlet County Tax Map No. 1000 Section Block (1-:1 Lot_ Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 62eS r d e.w�-: a -L H& e b. Intended use and occupancy_ S a—w-- " w • v\ X a74^ V-"_ IQ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work W � h A u. A r lae rte, 4. Estimated Cost t 5 '5-0 0 Fee (Description) (To be paid on filing this application) 5. If dwelling, number of dwelling units CD Number of dwelling units on each floor If garage, number of cars o 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 11. 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 2-4CC4 a_-kA..e 14. Names of Owner of premises �' t css r Sr�.�- r Address a�u t +•tv Phone No. fir& 't3� - 3 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) COUNTY 017! 4 e'"1 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, csi 3 0—cm -0 (S)He is the Pow e.✓ J f A-l'ko- v\ � �� e.c-4 r so (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. SwP to before me this 1 day of 2013 Y� oJ6}s-.l �te� A. "-� F :2- �'_j SrT-4sz c An- ' r i %r �i� c� rv�t✓� �i G -k+ -r � �, ((-�, �, / ��f fid r:` [�i, I Iivs V R R �J ,1 = IS UNLAWFUL FU TjjO T CERMFM, TE OF OCCUPANCY COmPL' VVIT H ALL CODES OF NEW YOF?,K STATE & TOWN CODES AS REQUIRES SQpB!�RD � > IU'S�EES N'( � Ia 5 iv m --7 (a APPROVED AS NOTE® E_ DATE: /3 B.P.#JB :4 FEE. NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE $ >� REQUIREMENTS OF THE CODES OF NEW ri YORK STATE. NOT RESPONSIBLE FOR �r DESIGN OR CONSTRUCTION ERRORS. �, ((-�, �, / ��f fid r:` [�i, I Iivs V R R �J ,1 = IS UNLAWFUL FU TjjO T CERMFM, TE OF OCCUPANCY COmPL' VVIT H ALL CODES OF NEW YOF?,K STATE & TOWN CODES AS REQUIRES SQpB!�RD � > IU'S�EES N'( � Ia 5 iv m --7 (a L,,L e S T� c 'o -S i--- -- -w p q,moi SilverLme Silver Line Windows - Abbreviated Quote Report 1": h �`= arAndersen �_ � C Bordsen WINDOWS -DOORS BUILDING BGPPLY iaasra a«,*a:; 00A u.a.:- Uuote IV: 12bu Print Date: 10/01/2013 Quote Date: 10/01/2013 SL iQ version: 6.1 rage 7 of 4 _ _.rrweruuev, euuuaw""' Dealer: RIVERHEAD BUILDING SUPPLY Customer: CUSTOMER Address: United States Phone: Fax: Sales Rep: MARC CRENNAN Contact: Item Qty Item Size (Operation) Location Unit Price Ext. Price 0001 1 70NCPC3,CPC Casement Window 939.06 939.06 1 j Unit Size = 96" W x 72" H G RO Size = 961/2" W x 721/2" H White, RSL, LowE, Argon, DP30, Standard Glass, Full Screen, Nailing Fin without "J" channel, Standard Hinge - 0002 1 3002,Twin Double Hung Kitchen 376.81 376.81 ;I Unit Size = 51 1/2" W x 40 3/4" H ;i RO Size = 52" W x 41 1/4" H - —�— Nominal Size = 20 x 32 Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP50, Standard Glass, Standard Glass, Standard Glass, Standard Glass, Full Screen, Single Lock, JChannelFiller, Nailing Fin 0003 1 3001,Double Hung Dining Room 203.31 203.31 Unit Size = 29 3/4" W x 52 3/4" H RO Size = 301/4" W x 53 1/4" H Nominal Size = 24 x 42 Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP50, Standard Glass, Standard Glass, Full Screen, Double Lock, JChannelFiller, Nailing Fin ��--, 0004 2 3001,Double Hung Dining Room 227.66 455.32 Unit Size = 41 3/4" W x 52 3/4" H RO Size = 421/4" W x 531/4" H Nominal Size = 34 x 42 Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP35, Standard Glass, Standard Glass, Full Screen, Double Lock, JChannelFiller, Nailing Fin 0005 1 3001,Double Hung Bath 182.93 182.93 Unit Size = 25 3/4" W x 40 3/4" H RO Size = 261/4" W x 41 1/4" H Nominal Size = 20 x 32 SilverLine Silver Line Windows - Abbreviated Quote Report �"" eytiU,�, '° y: `� C Bordsen WINDOWS•OOORS o 111van BUILDINB SUPPLY _ 6.114 tmmtm 81.114 O: IM 0001eif: 12b9 Print Date: 10/0//2013 /,Quote Date: 10/01/2013 SL lQ Version: b.l rage 3 Of 4 wmmrurvn�usw,eaurrw�. Dealer: RIVERHEAD BUILDING SUPPLY Customer: CUSTOMER Address: United States Phone: Fax: Sales Rep: MARC CRENNAN Contact: Item Qty Item Size (Operation) Location Unit Price Ext. Price _— -- I 0011 1 3001,Double Hung 2ndFl right B/R rear 212.20 212.20 Unit Size = 33 3/4" W x 52 3/4" H —�` RO Size = 341/4" W x 53 1/4" H I Nominal Size = 28 x 42 Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP50, Standard Glass, Standard Glass, Full Screen, Double Lock, JChannelFiller, Nailing Fin 0012 1 3001,13ouble Hung 2nd FI Bath 198.44 198.44 I Unit Size = 29 3/4" W x 48 3/4" H RO Size = 301 /4" W x 491 /4" H Nominal Size = 24 x 310 Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP50, Standard Glass, Standard Glass, Full Screen, Double Lock, JChannelFiller, Nailing Fin 0013 1 3001,Double Hung 2nd FI Middle B/R 212.20 212.20 I Unit Size = 33 3/4" W x 52 3/4" H -"' - RO Size = 341/4" W x 531/4" H Nominal Size = 28 x 42 Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP50, Standard Glass, Standard Glass, Full Screen, Double Lock, JChannelFiller, Nailing Fin i 0014 1 3001,Double Hung 2nd FI Left B/R Rear 203.31 203.31 Unit Size = 29 3/4" W x 52 3/4" H RO Size = 30 1/4" W x 531/4" H Nominal Size = 24 x 42 _. Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP50, Standard Glass, Standard Glass, Full Screen, Double Lock, JChannelFiller, Nailing Fin Silver Line Windows - Abbreviated Quote Report $ibyAnde en . ; & C Bordsen �rAndersen F' WINDOWS -DOORS DUILDIND SUPPLY ex1L1 Caii-M- IWIA Rd#ft Quote 4F: 12.59 Print Dale: l0/Ul/"Lulu uuoie nate: 10/0i/2013 SL iQ Version: 6.1 rage L Ot 4 Huila i iieiild."Will UqU114 )eater: RIVERHEAD BUILDING SUPPLY Customer: CUSTOMER Address: United States Phone: Fax: 'ales Rep: MARC CRENNAN Contact: Item Oty Item Size (Operation) Location Unit Price Ext. Price Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP50, Standard Glass, Standard Glass, Full Screen, Single Lock, JChannelFiller, Nailing Fin -- — - 0006 1 3001,13ouble Hung Hall Bath 198.44 198.44 �1 Unit Size = 29 3/4" W x 48 3/4" H RO Size = 301/4" W x 491/4" H j Nominal Size = 24 x 310 Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP50, Standard Glass, Standard Glass, Full Screen, Double Lock, JChannelFiller, Nailing Fin 0007 2 3001,10ouble Hung Back Bedroom 227.66 455.32 Unit Size = 413/4" W x 52 3/4" H RO Size = 421/4" W x 531/4" H Nominal Size = 34 x 42 Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP35, Standard Glass, Standard Glass, Full Screen, Double Lock, JChannelFiller, Nailing Fin — ==� 0008 2 3001,Double Hung Front B/R 227.66 455.32 _ Unit Size = 41 3/4" W x 52 3/4" H RO Size = 421/4" W x 531/4" H j Nominal Size = 34 x 42 Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP35, Standard Glass, Standard Glass, Full Screen, Double Lock, JChannelFiller, Nailing Fin 0010 1 3001,13ouble Hung 2nd FI Right B/R Side 289.84 289.84 Unit Size = 34" W x 44" H RO Size = 341/2" W x 441/2" H Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP50, Standard Glass, Standard Glass, Full Screen, Double --- --- Lock, JChannelFiller, Nailing Fin SiDverLine Silver Line Windows - Abbreviated Quote Report b3lkdasen W " C Bordsen WINDOWS -DOORS 9UILUINQ BUPPLY Uuote 7: 12by Print Date: 10/0l/2013 Quote Date: 10/01/2013 SL ilk Version: tm rage 4 pf 4 �"i7Ytl11tl�ueeax,emurmuuwi Dealer: RIVERHEAD BUILDING SUPPLY Customer: CUSTOMER Address: United States Phone: Fax: Sales Rep: MARC CRENNAN Contact: Item Qty Item Size (Operation) Location Unit Price Ext. Price 0015 1 3001,Double Hung 2nd FI Left B/R Sie 289.84 289.84 Unit Size = 34" W x 44" H RO Size = 341/2" W x 441/2" H Energy Star: Yes, Zip: 11949, Climate Zone: North Central, Standard, White, LowE, Argon, DP50, Standard Glass, Standard Glass, Full Screen, Double Lock, JChannelFiller, Nailing Fin Customer Signature Dealer Signature ** All graphics viewed from the exterior Proiect Comments: Subtotal 4672.34 Tax ( 8.63 %): 403.22 Grand Total 5075.56