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40629-Z
�Q�pSU�Fat/( Gy Town of Southold 7/8/2016 0 P.O.Box 1179 d' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38387 Date: 7/8/2016 THIS CERTIFIES that the building WINDOWS Location of Property: 49450 CR 48, Southold SCTM#: 473889 Sec/Block/Lot: 55.-3-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/11/2016 pursuant to which Building Permit No. 40629 dated 4/19/2016 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 TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Kassotis,John of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au-horized Sign ure o�g�FFn���aG TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 40629 Date: 4/19/2016 Permission is hereby granted to: Kassotis, John 22-35 33rd St Astoria, NY 11105 To: install new windows in-place of existing on single-family dwelling as applied for. At premises located at: 49450 CR 48, Southold SCTM # 473889 Sec/Block/Lot# 55.-3-5 Pursuant to,application dated 4/11/2016 and approved by the Building Inspector. To expire on 10/19/2017. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 CIO B n ector OF SOUT,y� cout I,� TOWN OVSOUTHOLD BUILDING_ DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: ®eL4n, C o . DATE INSPECTOR �drW V GELD MSP;IM?N SPORT AAT COIv E,I;IT FOUr DATIOTi(1ST) . ........ .... . .�........_.. F.O=A,TIOIN(2ND) ROUGH FRAN2NG& PLU.M3Vq G INSUI:,ATZON PBA N.Y. , H STATE ENERGY OODE L4C5�60-\ M • yam{ 13 TOWN OF SOUTHOLD BUILDINC'r`-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 Southol'dTow%n:Not~t1il+�ork.net''' ° PERMIT NO:' ° `� Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20-4e '' ' Single&Separate Storm-Water Assessment Form I Contact: Approved [ ,20) Mail to: Disapproved a/c o Phone: Expiration � ,20� D [Ed[5DV[2D Buil ector APR 1 1 201 APPLICATION FOR BUILDING PERMIT Date le 320/4 BUILDING DEPT°. INSTRUCTIONS TOWN OF SOUTHOLD 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 Buildijig Inspector may authorize, in,writing,the extension of the permit for an addition six`iriontlis.Thereafter, a new,peiin'it,sh°allie required. APPLICATION IS HEREBY-' Av JJE'tb the Bnil'cling 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 corporation) (Mailing address of applicant) ,VP 7/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder cypqs�ie�' C ,cf�/Z. Name of owner of premisest/af,.. /4- .rc, (As on the tax roll or latest deed) If applicant is ?go proration, s'g�f duly authorized officer (Name and title of corporate officer)"-` Builders License No. 2 r7SS-Z —f� Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet =} County Tax Map No. 1000 Section Block °° Lot -s. Subdivision sw 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 fji�,.,e /�trt•f1�..a L b. Intended use and occupancy -0;r.0a4' 0PC4•J tJr•.d�iz..�•�,.. J'��•� 3. Nature of work (check which-appli ble):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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimens_i6ns of existingstructur`es, if any: Front Rear Depth Height . Number of Stories PV f M,I Dimensions of same structure with alterations or-additions: Front (1111 , \ ,� R ars: , 1 ) Depth Height Number of'S dories r; L� 8. Dimensions of entire new construction: Front° . • Rear a'&pth Height Number of Stories 9. Size of lot: Front Rear Depthz -r,� 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 NOK Will excess fill be"re'moved from premises? YES NOS 14.Names of Owner of premises�x—/"X:'_S. WA_ Address Phone No. Name of ArchitectAddress Phone No Name of Contractor .f?� cam, Address yPy�'�'��' zX" Phone No. .o 15 a. Is this property within 100 feet of a tidal wetland or•a freshwater wetland? *YES NO, k, IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE 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; wit--accurate foundation plan and distances to property lines. 17:if'eleyation at,any,poi'nt onx'propert_Js.at l_©feet or below, must provide topographical data on survey. 18' Are there any covenants and restrictions with respect to this property? * YES NOS * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF ) G✓�./''�� being•duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above-named, (S)He is the (Contractor,Agent, Corporate Officer, etc.) y 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. SwQr,In�to before me thi i TI day of �j'="''�0pNIWE-R.BLINCF9 o ary PuTf�c;�tate of New York G (� _ { No.01 BU6185050 JwV� 4uaiifiRd in Suffolk County _ Nota -Public Commission Expires April 14, O _:` Signature of Applicant ry 7 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER !� STREET ' VILLAGE DIST. SUB. LOT a IL r ,FORMER OWNER N E AOR. fff H 0vJ4,Y-6 S:aW I eh�4 * W1 F S, TYPE OF BUILDING " RES, D = SEAS. VL, FARM comm, CB. MICS. Mkt. Value In LAND Imp. TOTAL DATE REMARKS �y� - �q �F Q -00 o LO ✓-fi V C/ ZQq zl(V&-t l- RO."L 9Q rt G ev664 • 3 2 # 3 2 �--o°�� � LO Lo BUILDING CONDITION L LO NEW NORMAL BELOW ABOVE 5b�73 1O FARM Acre Value Per Value Acre - Tillable FRONTAGE ON WATER �� FRONTAGE ON ROAD ' W m WoodlandLD C14 Meadowland DEPTH 30 0 - House Plot BULKHEAD DOCK- - Totq tjJ�a '1 ■■■■■■ ■■■■■■■■ MEN ■■ �■■■■■■■■■■■■■■■■■■■00=0 MEN ■ ■■■■ z ,f `+ :'b & R y. c :_ '■■ ■■■■■■■IV■■■■■■■■■■■ ONE EMEVIIESIMININERNMEM ■ MEMO�U■■■■■■■■■■,�■ ■■■■■■■■■ ■■■ ■11■■■■■■■■■■IM■■■■■■ ■■ ■■ ■!J1■■■■■■■■■OIC■■■ .. , - - ■ ■■■moi■■■i°�i■�n�■ii■■■■ • ■ • •• • BothDinette 1 WIT Ext. Walls ■ • Fire Place -+ r .. '. • BR- Recreation `•• Roorns 2nd Floor r -• rn+. � a)•r�Utrr.aYy•I,yYM In�aY.aY.�ta�t.Mw•w•1•rM.lu••r\�wal.\aw�url•t,a_•wrrr i•iraa• aYal.....y�rt�4r>I•,ar•ilyw ryJr�ar�J•�r•.I..a � •n.n.«r,.h..rr •ArtlartJ.Wiw./rrn.•a wlirllrl�`u•rlan..•wrr...rr. •• ur�rl rte•.. ..rr rr•r.urta+ra,♦ mM r.•rar-\�.• sa rKl. tn •a..iaYlr/aya 1 Yt...N l.o wrw Ink 1•Yr.r.•�In r.r.V+.v a�w. .w ww.sn.�r• n OCCUPANCY OR rax�or USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY � -Teo 'arc J t 5f ti c ` ss �♦f� v +i. �9.T C %V �i( tip .r4. •Y'�*tri.. >•ir:ro �J� I h � ���� ,.its• �! .1 I ti icy �• � R�cx ,1 00 a ` x coon CIS 7 �l oa r s & ��.J EDIATEV' Pdl iy rooLrDcoca ? I APP OVER AS NOTED. ' g�7 pt DATE. // B.P t�J �,q,.1.�� 1 1, Ty� -, / I�j FEE.F-2�� .t�- 3! NOTIFY BUILOINC D 1/FPARI'Itrc�,lbT " V. l 765.1802 9 AOA TO A Divi !fj}, &A% YT V FOLLOWII4G INSPECTI;)N:, G 1 FOUNDATION • TWO f1EO:JI7tcD 4x 1Of FOR POURED CONCRETE p 2. ROUGH • FRAMING & PLUMBING ?01 G 6.1 3• INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C,O ALL CONSTRUCTION $HALL MEET THE REQUIREMENTS OF THE N.Y I STATE CONSTRUCTION & ENERGY CODE$, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS �1t V1:]�CJIVS tXl/U i1•tt•I self)/.t ttluatK u.il nl OEM & BONAOO11, P.C. ,! niK A,a q) tt m .-N r n 1'•M" V q 11 nl N P4 111 :J LI Y�N JnJ:J 1 1 1.K NI.W TITT Intl tIM11A CONSULTANTS• SURVEYORS • PI,.ANNERS sc 72 E Ot a CpxwtAy Flu 6et�(ktil3Srgttr WlrvIILA W.11541 .NY.117 1.16 YAW 4001-Q _ •�Y', big 621.2GT11 1 f I3LK.J 1•. l LAAA, N1w11 OF: fry"OLX -COi/JVIr Z4NO AND TaY HRP r n ) /a rla t A1111:A01 JATtO AT SOIMN04 O VfW YORK t lU " y r!r..lU Tj L IA J•f• I o J'U,-foL•C ' CO NO. IYnl. :rin1.� .Y)1 to 1).Ms 11\Y Y.lkry7 LL0%ldJLI4LUAVALlU I)YYt.tl/•T $�)ffCO r/rLif /NSURANCf CO. .AI,x),I1,1... 6foxoe NAN14Toni Y•.�1. «' B6.6S� 11+t-Lit 10 .•�u\wana siJUY. _00 NO • ••t 'ww"�"Y'' GATE •✓ 70 86- - +tilt W M r to W wJ tt1YbT /!7 00 APPROV D AS NOTED DATE: 6.P. -Z— RETAIN STORM WATER RUn`;' " PURSUANT TO CHAPTER lw FEE: BY: OF THE TOWN CODE. NOTIFY BUILDING DEPARTM 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 COMPLEI"E FOP, C.O. ALL COiNSTPUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF &8�H9E9B� RD SomRauTOGVrRtlffm .Y.S.DEC OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY" ' Andersen Andersen Windows - Abbreviated Quote Report Andersen { Project Name: dan west rt 48 Quote#: 125310 Print Date: 04/07/2016 Quote Date: 03/23/2016 IQ Version: 16.0 Dealer: RIVERHEAD BUILDING SUPPLY Customer: '70-4 m,sem. is BUILD SMARTER.BUILD BETTER. Billing 1-800-378-3650 Address: WW W.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 0001 6 TW2446(AA) $ 453.22 $ 2719.32 I; ROSize=2'61/8"Wx4'87/8" H UnitSlze=2'55/8"Wx4'87/8"H Unit, Equal Sash,White/PI White, High Performance Low-E4 Glass, Finelight Grilles-Between-the-Glass, Colonial, 3W2H,White/White,3/4" (Each Sash) Insect Screen,White Zone:North-Central U-Factor:0.30, SHGC:0.28, ENERGY STAR®Certified:Yes i 0002 1 TW2032(AA) half bath $ 375.78 $ 375.78 j RO Size=2'2 1/8"Wx 3'47/8"H Unit Size=2'15/8"Wx3'47/8"H Unit, Equal Sash,White/PI White, High Performance Low-E4 Obscure Glass(Each Sash) Insect Screen,White 0 Zone:North-Central U-Factor:0.30, SHGC:0.31, ENERGY STAR®Certified:Yes I I Quote#: 125310 Print Date: 04/07/2016 Page 1 Of 3 IQ Version: 16.0 Item Qty Item Size(Operation) Location Unit Price Ext. Price 0006 1 A281 (V) $ 327.99 $ 327.99 R0Size=2'8"Wx2'05/8"H Un1tSize=2'71/2"Wx2'01/8"H - r Unit,White/White-Vinyl Wrapped,V Handing, High Performance Low-E4 Glass, Finelight Grilles-Between-the-Glass, Colonial,3W2H,White/White,3/4" u - Insect Screen,White Hardware Pack, PSA, Contemporary Folding-White Zone:North-Central U-Factor:0.28, SHGC:0.28, ENERGY STAR®Certified:Yes 0007 1 TW20210(AA) bathroom $ 404.74 $ 404.74 ' RO Size=2'2 1/8"Wx3'07/8" H UnitSize=2'15/8"Wx3'07/8"H Unit, Equal Sash,White/PI White, High Performance Low-E4 Tempered Obscure Glass (Each Sash) Insect Screen,White �- - Zone:North-Central U-Factor:0.30, SHGC:0.31, ENERGY STAR®Certified:Yes 1 --- 10008 3 TW2846-2(AA-AA) $ 993.24 $ 2979.72 !+'IROSize=5'77/8"Wx4'87/8"H Unit Size=5'73/8"Wx 4'8 7/8"H Ili n,,; i2; Ii Composite Unit,White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4 Top/Bottom Glass, Finelight Grilles-Between-the-Glass Top/Bottom*Finelight Grilles-Between-the-Glass Top/Bottom, Mulling 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 0.28 Yes 2 0.30 0.28 Yes Quote#: 125310 Print Date: 04/07/2016 Page 2 Of 3 iQ Version: 16.0