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HomeMy WebLinkAbout40647-Z 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 20 Single&Separate-......- A fl 19 2016 Contact:Storm-Water Assessment Form A pprovedWrM-..JotA �Mt .......... 20... Disapproved a/c-.............. ....... ......... OF SO LD "n Phone.— Expiration ,20--.. in dC ctor APPLICATION FOR BUILDING P Date A 4-� 20 L(0 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, \ ignat o tali vt or name,if a corporation) (Mailing ad essof appifeant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder 0 Name of owner of premises C) 'Ao (As on the tax roll or latest deed) If cant i a rporation,signature of duly authorized officer (Na(*4d'.itle of corporate officer) Bui ars License No. Plumbers License No. Electricians License No. Other Trade's License No._------ 1. Location of land on which proposed work will be done: House Number treat _ eou Hamlet Colintv Tax Man No- 1000 Section 5tp Rlnck- 5 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 _R -t. m 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removalemoton__........ Other Work rtFt " 008 k r uaf K V" (Description 4. Estimated Cost a Fee _ 0v4- (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floorr..__,_,_.................. _ If garage, number of cars 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. N e Rear ' , t e r 7. Dimensions of existing structures,if any:Front Depth Height ' umber of Stories c t Dimensions of same�structure with alterations or additions: Front Rear e Depth_ Height Number of Stories 6 + t 8. Dimensions of entire new construction: Front Rear '2 a Depth !Z Height Lz� Number of Stories 9. Size of lot:FrontQ Rear I Depth A 10.Date of Purchase I ` Name of Former Owner Ro ber 11.Zone or use district in which premises are situated _ errfbb 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO 13.Will lathe re-scatted?YES NO Wi.11 excess fill be removed from premises?YES—NO 14.Names of Owner of premises VMV DO 6Address 4G- T- Phone No. 1 - Name of ArchitectAddress ov.v4-0de, 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 X, 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 � " i being duly swom,deposes and says that(s)he is the applicant Omn,J,Ud—M ail signinpg^contract)above named, (S)He is thel ._ U 1 I (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;andVMdSyvVxjD performed in the manner set forth in the application filed therewith. NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOU<COUNTY Sworn to before me this COMMISSION EXPIRES JUNE 30„2ALZ rn day of 20_t49 / Andersen Windows -Abbreviated Quote Report Project �t�V� �ODGdi� ng ' Quote#: 124766 Print Date: 03/12/2016 Quote Date: 03/12/2016 iQ Versibri! .2 Dealer: RIVERHEAD BUILDING SUPPLY Customer: BUILD SMARTER.BUILD BETTER. Billing 1-800-378-3650 WWW,RBSCORP.COM Phone: Fax: Sales Rep: CHRIS FINNE Contact: Create�. Item My Item Size(Operation) Trade ID: Location Prorr otion Code: Unit Price Ext. Price 0001 8 344DH3450 . $ 33359 $ 2868.73 ROSize=3'4^Wx5yC�'H UnItSIze=8r31/2"VVx4' 111Q^M Unit, 3 1/4" Frame Depth,VVhihe/P|White, Low EGlass (Each Sash) Insect Screen,White . Zone: North-Central U'Foctoc028. SMGC:O.32. ENERGY GTAR@Certified:Yes Unit, 3 1/4"Frame Depth,White/Pl White, Low E Glass(Each Sash) A [_ " - Insect Screen, White MC -CWPE­-_ Zone: North-Central BU|LD|M(� |y |/�R7�ENT AT 7GS4R�� OA@ TO 4P� ��RTHE U�uo�cO29. SHGC�O�32. ENERGY "�` "°'~"''`°" "" " �� '`'��' � RE QDU|RBNENTSDFTHEOODBSOFNEVV ~ YORK NO-, RESPONS|BLE FOR DE "t O�NSlHUCT|ON ERRORS. _ Item Qty Item Size(Operation) Location Unit Price Ext. Price Subtotal 5 07 84j Total Load Factor Tax(0.000%) 0-00 Customer Signature 3.618 ---a-= Grand Total F079,814 Dealer Signature **All graphics viewed from the exterior **Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or other items. - Ask to see if all of the products you purchase can be upgraded to be ENERGY STAR®certified. rg MM This image indicates that the product selected is certified in the US ENERGY STAR®climate zone that you have selected. Data is current as of September 2015.This data may.change over time due to ongoing product changes or updated test results or requirements. Ratings for all sizes are specified by NFRC for testing and certification.Ratings may vary depending on the use of tempered glass or'ttsfferent grille options or glass for high altitudes etc. iPrctect Comments: Riverhead Building Supply offers a two year parts and labor warranty on any Andersen Window or Patio Door products ordered through any of our locations. See your Riverhead sales a sociate for more details. o � Quote : 124766 Print Date: 03/12/2016 Page 2 Of 2 iQ Version: 15.2 - Main Road (66') S1 QTRV EY OF PROPERT Y (Route 25) SITUATE SOUTHOLD TOWN OF SOUTHOLD CO SUFFOLK COUNTY, N.Y. SURVEYED: DEC. 4, 2015 N52'44'00"E LAND N,/F' OF DEKKA LLC 192.00 NOTES: 1. PROPERTY KNOWN AS TAX MAP# 1000-56-05-1.4 O p 2. LOT AREA =40128 SOFT. (0.921 ACRE(S)) O 3. THIS SURVEY WAS PREPARED USING A TRIMBLE x ofb S3 ROBOTIC TOTAL STATION. N � 4 PPROPERTY ART OF HIS ER RVEY.NUMENTS WERE NOT SET AS CERTIFIED TO: h FIRST AMERICAN TITLE INSURANCE COMPANY S. DONADIC, INC. MAA16405S .� STANDARD NOT€S� CE t.ED—GM.2—!AIC14h"L K.'NICKS EhVD SUKh a 2.i'NAliHCRIZEO.4 TE4ATif1k OR—mGN TO Tee" —,Sine SF+.R1 A \.- SCEHSEG LANG SURrFNft'S SEAL IS 5 Y'�CiA^G:'OF SEG'::GN 12G9. Ue-DIi`I$'G-4 OE NEW NJRK STATE EXOATtON— G.ON,SCVtiOn.RY sq -,'Y NA=S I.T.ti£SUR`,q GSS ENEOSEEEO Sc'AL GENUINE TRUE ANO CORRECT COPIES"OF BIC AUS RS ORIGINAL RV.AND El".N. ¢ --INGAT:SN15 6N 1.EOVN— lEAT I l4kP 4T Jt A�P EPa C)iN ACCORRAXE SYN THE CURRENT EXISiNC COOS OF y O {-CE FOR---S:URt^`.5 A—VU SY THE NEN'YORK.i:RTE C'ASION CF PROrt CARL—D aURJw�.?3,1 U� THE GERT3FI--!S L:fA1iEC i0 AERSOF�Fbft UPOR ME 3'.NiN—SUEOEY Stip IS PREPPi2EG, TO THE'i.»�5_�.TL Y}£—VENAL_A SENCY,ANO TO'NE DO •"') tENG!t�IAc-:"UiYOk u`TD ON??IIS GO4INDA`N EIRYiy MN', a THE cap.3FiCA—a RERUN ARE NOT?2t SHSA.-= (� E.ENTS W ENC-0-ARE GH PBODEIArn K0 Ot4 NGC a 1.1 b�STI—G P A ill—ISSCEND P90V-RA MS R ERG—N. .11 OR AGE 5 THE O t§SRBOUNE S Cl 'NC—RENiS ARE OT CO'hREO S"TNS GDER-. — P �{NES ARE ONSA SNOW H iEG Olt THE E AND THEREFORE en AA NBT NTENDE 0 IDE TH RE='DF NCES R :h:NO MLS, . ?G TIO lN.R� E`;.AC 0 u e ANO.YM O N.A 1. rP�O:DCUSTECER.". COPIES OF THIS SURVEY RAP NOT SEARING TUE LAND S'JIRVEYGG'S INKED. OR EMBOSSED SEA,SNALL.NOT BECONSIDERED TO BE A VAiID cap" 0.4 F, Res ass' #850 m f - a PL - 25.4 114.2, .. .l. ` § EL K WICKS, P.L.S. #50390 � 138 MICHAEL K WICKS } !P ,' LAND SURVEYING 1—'Q'S S52.44'00"W 345 192.00 200 BELLE VIEW AVENUE, LANDA,'fF OF ERIC VON rlhf�lfOti t31€.?7 AND MARY LANG RAIZ CENTER MORICHES, NEW YORK 11934 VOICE: 631.874.0156 — FAX.- 631.909.3845 RECORDS OF RICHARD C. DRAKE SCALE: SURVEYED BY: DRAWN BY: SHEET: 1 e'=30' M.W./B.W./S.S. S.S. 1 OF 1 Andersen Andersen Windows -Abbreviated Quote Report Andersen. Project Name: Steve donadic Quote M 124766 Print Date: 03/12/2016 Quote Date: 03/12/2016 iQ Version: 15.2 vo", n 4 ( Dealer: RIVERHEAD BUILDING SUPPLY Customer: BUILD SMARTER.BUILD BETTER. Billing 1-800-378-3650 Address: WWW.RBSCORP.COM Phone: Fax: Sales Rep: CHRIS FINNE Contact: Created By: Trade ID: Promotion Code: Item Qty Item Size(Operation) Location Unit Price Ext. Price 0001 8 244DH3450(AA) $ 333.59 $ 2668.72 � � R0Size=3'4"Wx5' 0"H UnitSize=3'31/2"Wx4' 111/2"H Unit, 3 1/4"Frame Depth,White/PI White, Low E Glass (Each Sash) L=JInsect Screen,White Q Zone:North-Central U-Factor:0.29, SHGC.0.32, ENERGY STAR®Certified Yes I ------7% 0002 6 244DH2850(AA) $ 306.43 $ 1838.58 ROSize=2'8"Wx5'0"H UnitSize=2'71/2"Wx4' 111/2" H Unit, 3 1/4"Frame Depth,White/PI White, Low E Glass(Each Sash) Insect Screen,White Zone-North-Central U-Factor:0.29, SHGC:0.32, ENERGY STAR@ Certified:Yes �- 0003 2 244DH2846(AA) $ 286.27 $ 572.54 �i ROSize=2'8"Wx4' 6"H UnitSize=2'7112"Wx4'51/2" H Unit, 3 1/4"Frame Depth,White/PI White, Low E Glass(Each Sash) l Insect Screen,White =J� Zone North-Central U-Factor:0 29, SHGC-0 32, ENERGY STAR®Certified.Yes Quote#. 124766 Print Date. 03/12/2016 Page 1 Of 2 IQ Version- 15.2 Item Qty Item Size(Operation) Location Unit Price Ext. Price Subtotal Is 5,079.84 - Total Load Factor Customer Signature F 3.618 Tax(0.000%) Is 0.00 Grand Total $ 5,079.8 Dealer Signature **All graphics viewed from the exterior **Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or other items. Ask to see if all of the products you purchase can be upgraded to be ENERGY STAR@ certified. This image indicates that the product selected is certified in the US ENERGY STAR@ climate zone that you have selected. Data is current as of September 2015.This data may changeover time due to ongoing product changes or updated test results or requirements Ratings for all sizes are specified by NFRC for testing and certification.Ratings may vary depending on the use of tempered glass or liferent grille options or glass for high altitudes etc Project Comments: Riverhead Building Supply offers a two year parts and labor warranty on any Andersen Window or Patio Door products ordered through any of our locations. See your Riverhead sales a sociate for more details. 10 V`1 S © � ct I 7 ? � Quote#: 124766 Print Date: 03/12/2016 Page 2 Of 2 iQ Version: 15.2