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40285-Z
f'I "� ��t��lIF '%Town of Southold 12/23/2015 o`r P.O.Box 1179 cr,°" h 53095 Main Rd 4 �p1 B Southold,New York 11971 1 ' CERTIFICATE OF OCCUPANCY No: 37981 Date: 12/23/2015 THIS CERTIFIES that the building ALTERATION Location of Property: 48555 CR 48, Southold SCTM#: 473889 Sec/Block/Lot: 55.-2-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/17/2015 pursuant to which Building Permit No. 40285 dated 11/19/2015 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: - REPLACE WINDOWS (10)ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Saragas,Michael of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL - ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED AllWir - Auth• 17d S'a ature / ,.z..w_- -,„ TOWN OF SOUTHOLD ��a�°SU�F��p`laBUILDING DEPARTMENT TOWN CLERK'S OFFICE • o - ,r SOUTHOLD, NY =ate 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#: 40285 Date: 11/19/2015 Permission is hereby granted to: Saragas, Michael 22-29 33rd St Long Island City, NY 11105 To: replace windows (10) as applied for. At premises located at: 48555 CR 48, Southold SCTM # 473889 Sec/Block/Lot# 55.-2-7 Pursuant to application dated 11/17/2015 and approved by the Building Inspector. To expire on 5/20/2017. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 a - •migp 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. // /7/ New Construction: Old or Pre-existing Building: X (check one) Location of Property: //7S ,'f' House No. // Streeet� Hamlet Owner or Owners of Property: .✓osie* R`�� ._ 2�^�SG f Suffolk County Tax Map No 1000, Section 05 Block r; Lot Subdivision 4 Filed Map. Lot: Permit No. 40?V S Date of Permit. Applicant: Health Dept.Approval: - Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ 50 1' co Applicant Signature \s---2---70„ 1-6- 2- 8 ,'„,,F SON,;- 11 ,`0 4 s: 1 TOWN`OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGHPLUMBING , [ ] FOUNDATION 2ND [ ] 1 ULATION , [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ r ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: azei .44 co____ 01 , fr-j6 -itrie,z,_ / /24/(4NSPECTORDATE � � ' '4'45 � ” , Y • BU3 ' ULD Sg7ZQ11=voR� DATA .. COXHEN• '• S . . • • • FQ'CTND,.fON(IST) CA FOUNDATION(2ND) • „ . T ,,, , . . " . . ,. • . . . . . . . . . , ROUGH FItNNC & PLUMBING -- •• • 1 . • H INSULATION PEV.N,Y. . u -' i STATE ENERGY COStE r r l ' 4 ' ',i 7' ._ „ .� . ”"! , . . , , • /Jo, AN . • y'. AI '7's-11'7 s , . , I-o�O -15d .,„c.9 5o..-0D -C C. 8'7 49106 L 6.: .. : , •1 It. ".ti I 1 l gl\k . • . . , . . 0 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 119714 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. �8-5a Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined / ( ,20 Single&Separate Storm-Water Assessment Form /1 (C------- Contact: Approved ,20 Mail to: Disapproved a/c Phone: Expiration _)/2U ,20 )7I II n1 _ ; Building Inspector i-j; . - li i. 1 Nov 1 7 2015 i I I APPLICATION FOR BUILDING PERMIT I_ —-- - - Date ////' 'S-- , 20 /3--- INSTRUCTIONS rINSTRUCTIONS 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. c_'/Jr--,..7 X..... -f/ee-re..,,,-7,zre--,-- (Signature of applicant or name, if a corporation) `/'/l0 /ZT• zS ` e; *f:4' //,:?/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises .NA,,;C°7 -'"/l fa�,C2----f' (As on the tax roll or latest deed) If applicAR is a corp/4'rati ih tute"of duly authorized officer (Name and title:of corporate,officer<); Builders License No. ''.2-)"7572'-' ,'T'''.11'-^ Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: a'SSS" /7 /?- rL ?77- //,97/ ' House Number Street Hamlet 55 County Tax Map No. 1000 Section Block Lot -2 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 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 ,S--o. 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 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 Z Dimensions arsame structure with alterations or additions: Front .s' ---Q- Rear Depth Ste- Height .r- ---i 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 A 13. Will lot be re-graded? YES NO)( Will excess fill be removed from premises? YES NO )\ 14. Names of Owner of premises r� c-C;'7A dress ei7 `fes Phone N. 7'I S'y'—e9-2/ Name of Architect Address Phone No Name of Contractor 04,..? Address 7G//,' 2 • & Phone No. 4J/-741' 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO 7r * 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 F ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH Notary Public,State of New York (S)He is the Com 7 /e. No.01BU6185050 (Contractor, Agent, Corporate Officer, etc.) Qualified In Suffolk Couat ��� Commission Expires April 1 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 this ` day of D4-csn. 912._.k 20 )� Notary Public Signature of Applicant c /1b-4 _ aa�y 7T s. AD'F SOUTHOLD PROPERTY R C RD CARD ).'n — \.<6) OWNER STREET ' ` - VILLAGE DIST. SUB. LOT i:c hae I aka--eri h► Se(rjos qS.'" 26r7...-,... 11:3:/-� .5---'/FORMER OWNER N .� r E ,t� ACR. A i.Gha P,i sarct�QS /Z,6, /`�cy` _ ".„ ,. /d- 2 3.04 (Lek(c.. 94/95) S W TYPE OF BUILDING IP.e". k kH(,,,Y — R)Ocr e_ Y'5Ae,r..5 , • &C4-11)*(-6)-6.6- „.---wt.y. Rzr,„. 0 -"“4-144 RES. SEAS. VL. FARM -'. COMM. CB. fv1ICS. Mkt. Value 1-1- LAND IMP. TOTAL DATE REMARKS �7 6 {) 0 -V r 0 0 (i9 ^" {? (7 # f 4#535- 4-..9c� 8';,4,2 1 - RA(+Pr/P e- 'F��`C'. • f L Ca.c`7&Y - ___ & 13 e 9 0 o r$' l 0 6 I .)-2/9.,-,7/ e 4/...,4,- 93 Gl(c',,- 12„- rs „toys del Sal tr-xf s �•P)--re ,nc, t 1,00 2- .(c.1) .0 9 ?0 ,9,474 A-- 777_, /8,S ' t'12.( 3 f t 41.ca a. f 7, �.L i °�.4=z.),.,s 710 0 a9 0 C l61 0 OO,/� \ 7 ( oz) Soo© (Z, 10(z) 1-03/ ?b- 71' 71 90 -.-P4 • ` . - -1,071, / 6� se,1 a,nG1CL/ I ,61.1)clti,.,� -, ye - a«id hw�f n,n - *a6711f_0. 7 123 b8— L 12S g Pscs$ - .So.(as -J-p Sar6aa s /c L/ °lb 2014 AGE BUILDING CONDITION R NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable /9,04 3 -) C✓,7 { Z FRONTAGE ON WATER Woodland FRONTAGE ON ROAD 1�_° '��� � l �� j /} j I 1 rY' .i rAe Ce_ RL 9 ,hP 0.r� i 4 .5 n r� rP/ Tf,,,,v,V; o Meadowland DEPTH House Plot d Gl .. (,40CD ,.4 Q Q BULKHEAD i TotalDOCK ' I " %.( L ;, - *# ,. COLOR - ax .“ .• sy„� ' TRIM . -.+�4` ', • ,..,_-„.„:1,-.„:;7, _ � x4 ,,,,., i,ift I , - wi ,,,,,,,-, -,:-.r.,$.1.t..4.,..4*-..k... J.,. I •,,,,„3,4.tr u sz 4t ,_ . p ,' 1 c , ,. k '. _° i ; : �1 rs 'ice r 1 tY A.Y.�rt. �' 11U11J111fl111fl01 11111 r°' ,''.1.'” � $t�,°"3'-,.•.r'.,-'.- £y.Snr ^-4.;: - s.'..s '.�' ■ — Miiiiiiiiiii Ya ..,,,., . 41` .4,,,,n_.da.'1i.iyr: r-. - ¢3A-r. a A Sia..-. . ■�.....BII.. �a• ..b.nn 11111111111 iiiiiiiiiiiiiiM. Bldg. Z — �!j _ 78 0 IIIIIIIIIIUII1IIIflIUIII1IIII 11111 1111111111M1 Extension �/ a z �� --4-e.---,0 �#i tee` " 1111�11��111111!11���IIMINIIIIIIII RION II Extension __Z. 1 Extension /ecV_ �0 Z Foundation 15 X w l2 cw 30 . 6 Bath d , Dinette Porch Basement !'4-{. Floors l9\' K. Porch EXt. Walls o•- Interior Finish LR. Breezeway - I Fire Place Heat DR. IL Garage � Type Roof / Rooms 1st Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B I 0. B. Dormer �v,�� p I.1 Driveway Total 1 I,1:5s_, j +(i o 1 0,r Cak.,.()\ /.5 F d-i e a a ( �/r , APPROVED AS NOTED WITH L � COMPLY ��d �_ODES OF DAT :(/4V/. D.P.#._.2d�. NEW YORK 3 A E er TOWN CODES �.Y AS REQUIRED /i\v_ 0 1) .� I'6 •E FES: _,,, ,:_e___ . NO1 ' Y BUILDING L� PAH1MENT AT S vi u!:SA 765-1802 8 AM TO 4 Hvl FOR THE FOLLOWING INSPECTIONS: .- -- — 11'-f0'�dNPLACtNh\U I. FOUNDATION - TWO REQUIRED . SOUTHOL D T(....TRUSTEES FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING .. �a�- M ____ t1;. .o. 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE OCCUPANCY REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR USE IS UNLAWFUL DEIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE OF OCCUPANCY RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. Andersen Andersen Windows - Abbreviated Quote Report � 2I' ;r� Andersen NProject Name: dan west rte 48 4GONJ VIZH Quote#: 118590 Print Date: 10/10/2015 Quote Date: 10/10/2015 IQ Version: 15.1 Dealer: RIVERHEAD BUILDING SUPPLY Customer: .4,., ,./. m7re S^ — BUILD SMARTER.BUILD BETTER. Billing — , 1-800-378-3650 Address: WWW.RBSCORP.COM Phone: Fax: Sales Rep: GREG VIANI Contact: Created By: _ Trade ID: Promotion Code: Item Qty Item Size(Operation) Location Unit Price Ext. Price i 0001 2 TW2446-2(AA-AA) $ 806.52 $ 1613.04 11 i J RO Size=4'11 7/8"W x 4'8 7/8"H Unit Size=4'11 3/8"W x 4'8 7/8"H Composite Unit,White/Pre-finished White, High Performance Low-E4 Top/Bottom"High Performance Low-E4 Top/Bottom Glass, No Grille, Mulling I1 Location: Factory(Direct), Mull Type:Narrow Mull, Mull Priority:Vertical Insect Screen,White Zone:North-Central Unit U-Factor SHGC ENERGY STAR®Certified 1 0.30 0.31 Yes 2 0.30 0.31 Yes 1 0002 8 TW28410(AA) $ 411.66 $ 3293.28 i 1 ROSize=2'101/8"Wx5'07/8"H Unit Size=2'9 5/8"W x 5'0 7/8"H I Unit, Equal Sash,White/PI White, High Performance Low-E4 Glass(Each Sash) T i i Insect Screen,White Zone:North-Central U-Factor:0.30, SHGC:0.31, ENERGY STAR®Certified:Yes Quote#: 118590 Print Date: 10/10/2015 Page 1 Of 2 iQ Version: 15.1 7 - /— • J, • 3 Z. - { g /0 • OCCUPANCY OR �j USE IS UNLAWFUL - !/ C WITHOUT CERTIFICATE <, OF OCCUPANCY `j\ It ms W eaNb rp wad LA e .e doi[D G5 for orator Ewm°One ' r .v....:POMO a lull en au,' of MooNnLmlr • NO IRO"nM to 4 Kr FOR. °..ou:ie wane n0 PLUMBER CERTIFICATION o n swnor as a wre°m ON LEAD CONTENT BEFORE caxsmrleraruuer CERRFICATE OF OCCUPANCY OF COaintrefOf GO SOWER USED IN MITER MI 11.9 LOQ a SUPPLY SYSTEM CANNOT I 5TATI 53.565.1560“41 15250,COM MT EXCEED2/100/19f LEAD IJOTea• LIMON Oe wuermtcrox ow. I$J1r-e OUT Oa-M.0...o,rc+ oCXR u_sxcakaY AND�Nwu a •r neee- wwu*mu -w • • Mania f "fiwww yc J/:,vae. ' q;_/41.5.11111•1110,1511 L ••ew11111115512651201131111111551265120113221GVIZMILMI= u.Aa • /n�f.\/ 696 s " ear.....r i • KIMJeg4 MnL� - I �""J`eYl • � .ew[e i , • _ ISI! t-, , )70, Y� �¢ ys— a.� O WM WSree IOC .. •, 4/uG re ,L ',+p�� •r c r Y SPLTION Io0�a 5...wurWri ' •• e, t ' er �•e•aG i.I'r- INeeuG I3OM 1 Re`(dIC 4YIW4'ROOM !i /V;-7 6 e' * !I ,.u•'r 1� rr Y_ - J I n a[N j NFiV eF 56ST b[ I DV, 6r_ r - ' YT" ,rn�, I - i . -•--•-• -- ny i, 14-0. i. II t - t -�} -' �-n f ts< r P1,y 5,0505. 1.3.....1 arc./..1-./., SFLON�RLOOC P'1+N E rte_____ r I 10, •, JOHN FOKI NE PE v.74Tr-3n1 ' e PO B..24 9 e-Ec{ISLAND°F1Y 11944 { A 4)N-V;00,'''''' 14 t1,0E.geNOVAOlaf,kor T 11DMAtY loe MWiAEI_J S{r�.6Gi6+'\ 1 OH9144 JOB L'Xl.T1OAl MILAN.MD 3007/045 • 1 I-.�r 3. 1 2.ROUGH-;TAMING a ,SBI G CEti 1FICATE OF OCCUPANCY `�• 3. INSUTATIVI SOLDER USED IN WATER a FINAL - aINSraut r�t?usr SE 'PL FO C.O. ' SUPPLY SYSTEM CANNOT i' ALL CONSTI✓LX't74N MALL MEET EXCEED 2/10 of 1%LEAD. THE REOLE/c�t fS OP T►$ M.Y. `" STATE CCI•t37 ibG`!iO?'M$ cV OY �ioY�s ,d'�' CODES. nor .RESPC1.LI;'I.E FOR DESIGN OSICC STr"IUCTXM won E 3t�7 CUT pc c?-Ja�y/A`--��F�cr`— j _ U.n .,f AND liJ UI-aTE `i� iAn FIBE�2- Ca S3 IlJ (?l.aTiOnS a��� ?.:U=tint.r= sE.CO:+D FLQ.�.z- ,,_•.a acs ,..if z:1 TWII I.17.1JcJLnT'E 0A}EK E•Jr CE‘c-41.{G Wi�9 Faeg- yLUE2a.' ] :7LFila`t.c.: Mr/ Gtr.->s tNSUt_.�r,ar.t,REQUIRED Ii BEFORE covany F • • LI-'_( _� i FxwavaT • tX�11l,_�.�.�1 _ I 1I( f r - �p : r—fi --S" t,L —J! jet{.'' i Rp.�t L \ yf, I 1 :\�, .> -:44.....,,w r—f )�)yF{� YS ~� �r//Drti • � ! r ty `Al �r �5'r -_ F .__-- _ __ a ____ _- _ .._ r. `� �4� tillc-i to{'s�" �_4 �' DvcaF��'.'L4-'. I _ % { .. .1,..04:1_,,,-.: w>~.- KITCIFN �� f\/{ ' Ham ; a 1r '( • r I I P2GIa4S> QP8+1 I I' \ 1 I! .da:w `•'-•'"`.'fY'.. 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