HomeMy WebLinkAbout41854-Z ��o�SUFFO(,�coG� Town of Southold 12/11/2017
P.O.Box 1179
a
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39395 Date: 12/11/2017
THIS CERTIFIES that the building WINDOWS
Location of Property: 260 Horton Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 104.4-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/28/2017 pursuant to which Building Permit No. 41854 dated 8/2/2017
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:
MINOR ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Behan,Jake
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
06 . ecrSignature
�SUFFncx�oTOWN OF SOUTHOLD
aao �y BUILDING DEPARTMENT
® TOWN CLERK'S OFFICE
SOUTHOLD, NY
gyral � .�a
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#: 41854 Date: 8/2/2017
Permission is hereby granted to:
Behan, Jake
418 11th St
Brooklyn, NY 11215
To: replace windows and a door as applied for.
At premises located at:
260 Horton Rd., Cutchogue
SCTM # 473889
Sec/Block/Lot# 104.-1-13
Pursuant to application dated 7/28/2017 and approved by the Building Inspector.
To expire on 2/1/2019.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTE $200.00
CO -ALT E ELLING $50.00
a
Tota . $250.00
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Building I
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. ��Y/7
New Construction: Old or Pre-existing Building: (check one)
Location of Property: .760 ,x.-76•� Zec_
" House No. Street / Hamlet
Owner or Owners of Property: �� ei.,•��y I�h4t�
Suffolk County Tax Map No 1000, Section Block l Lot /3
Subdivision Filed Map. Lot:
Permit No. L Q V Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: l/ (check one)
Fee Submitted: $ Sz. d-.a
Applicant Signature
pF s O(/jyo
�'YOOUM'I,Nc�
TOWN OF-SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING / STRAPPING [ FINAL &t)tn
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
491/' &-� U
L/
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST) (� y
--------------------------------
FOUNDATION (2ND) r
� O
ROUGH FRAMING& t4
�1
PLUMBING y R
INSULATION PER N.Y. P
STATE ENERGY CODE 0
FINAL
qq ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you,have or need the following,before applying?
TOWN HALLBoard of Health_;
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802Planning 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_
v Flood Permit• I
Examined ,20 Single&Separate
D ,
Storm-Water Assessment Form
JILL 2 � 20�� Contact:
Approved ,20 `�1I1�� /--�
Disapproved a/c $ ,��G D�'
OW V
Phone:
Expiration ,20
Building Inspector
�r� � NOTED
APPROVE
PLICATION FOR BUILDING PERMIT
B•P,4 tf
DATE:
FEE: BY: ' I Date ��w/� z Y , 20 �T
NOTIFY BUILGING DEPARTMENT AT INSTRUCTIONS
765-1 1 A TO 4 PM FOR THE
r 1 � SSL nrMl,WT be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of�lih� � NO-p1TWa� �1EDFee according to schedule.
1. 1Fi�oESo�upon of lot and of buildings on premises,relationship to'adjoining premises or public streets or
areas,2 n5 eNrwaMAMING & PLUMBING
.Nd )Mon
Ncovered by this application may not be commenced before issuance of Building Permit.
3 '
d
n a
AgtthbivPUdfftion
1p �o „the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall AlcFet xieMMs6 able for inspection throughout the work.
� etlt� �rt&d in whole or in part for any purpose what so ever until the B> ilding Inspector
issues �UWV
� W0ODES'OF NEW
I RF)VepE4Fsb I84ErEQ the work aut' ortzed has not commenced within 12 months after the date of
issuanc���l�a b� �p�� �lwil 5ifl rtoriths from such date. If no zoning amendments or other regulations affecting the
propert�Ffi een enacted in the interim,the Building Insp�ctor 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 Bounty,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.
i
F � (Signature of applicant or name,if a corporation)
CIS �
�L s
s d � op��F�c Y�/r o zS o
,41 (Mailing address of applicant)
9
��
State whether applic�a his 4pee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises �•��� � �.�, _ nr
(As on the tax roll or latest deed) �. ,i�� ".;���G cs
If applicant is a corporation, signature of duly authorized officer _�t Yf, S s{ _{t �. Y.-���JN
e 4 q 5�r4���cti5 ®�
..;. . :::
(Name and title of corporate officer)
Builders License No. Z —44-' F4 ^j`4✓ili '�J t I"`i �ARp
Plumbers License No. �.. �'
Electricians License No. ti�jECS
- i.
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 IZ? B1'dck',�>' :� 1 "_ Lot
�1: it :,i"�=. L1•s �.;.ii it.rr•.,.. ,
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 OtheriWork e®a y��� s+✓s �-
`, (Description)
4. Estimated Cost - - So-r-0. '-a ;Fee-`
(To be paid on filing this application)
F�
5. If dwelling, number of dwelling units Ntimber;of;dwellYingl its ori,eadh floor
If garage, number of cars f
� I
6. If business, commercial or mixed occupancy, specify nature�andjektent df,each type of use.
7. Dimensions of existing structures, if any: Front Rear t Depth
Height -Number of Stories I
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
i
14. Names of Owner of premises Address 0"6ec e-,46 -9�C'�I'hone No.
Name of Architect Address 2 • ""9'�r-fhone No
Name of Contractor / c✓1�`�4--� Address //��� ZS Phone No. 6.7 5 63-eeg-r/
SowrSr/ N'�r/377�
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 tl pographical data on survey.
18: Are there any covenants and restrictions with respect to this property? * ' ES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
S:
COUNTY OFS 6
Dan iI xa& being duly sworn, deposes i nd says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(Contractor, ,gent, 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 forih in the application filed therewith.
Sworn tR before me this
_ � day of l)I LA 201-7
TRACEY L. DWYER
Af As NOTARY PUBLIC,STATE OF NEW YORK
Notary Public NO.01DW6306900 Sign Lure of Applicant
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2-0
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Andersen Andersen Windows-Abbreviated Quote Report Andersen
Project Name:1 dan west Behan
Quote#. 151190 Print Date: 07/28/2017 Quote Date: 07/28/2017 iQ Version: 17.0
Dealer: RIVERHEAD BUILDING SUPPLY Customer:
BUILD SMARTER.BUILD BETTER Billing
1-800-378-3650 Address:
W W W.RBSCORP.COM Phone: Fax:
Sales Rep: GREG VIANI Contact:
reated By. Trade-t . Promotion Code:
Item Oty Item Size(Operation) Location Unit Price Ext.Price
i1 fT-1 0001 3 1W24310-2(AA-AA) $ 842.77 $ 2528.31
RO Size=4'11 7/8"W x 4'0 7/8"H Unit Size=4'11 3/8"W x 4'0 7/8"H
i
400 Series
Q Composite Unit,White/Pre-finished White,High Performance Low-E4 Top/Bottom'High Performance Low-E4 Top/Bottom Glass,Fmelight
Grilles-Between-the-Glass Top'No Grille(s)Bottom'Finelight Grilles-Between-the-Glass Top'No Grille(s)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 0.31Yes
2 030 031
Yes
Quote#. 151190 Print Date- 07/28/2017 Page 'of 5 iQ Version: 17,0
Item Qty Item Size(Operation) Location Unit Price Ext.Price
0002 1 TW2032-2(AA-AA) $ 735.73 $ 735.73
RO Size=4'3 7/8"W x 3'4 7/8"H Unit Size=4'3 3/8"W x 3'4 7/8"H
400 Series
Composite Unit,While/Pre-finished White,High Performance Low-E4 TopBottom'High Performance Low-E4 Top/Bottom Glass,Finelight
Grilles-Between-the-Glass Top'No Grille(s)Bottom'Finelight Guiles-Between-the-Glass Top'No Gnlle(s)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 0.31 Yes
2 0.30 0.31 Yes
f + 0003 1 FWG6068(LS) $ 2145.91 $ 2145.91
i jii ? ROSize=6'0"Wx6'8"H Unit Size=5'111/4"Wx6'7112"H
+---� 400 Series
Unit,Assembled,LS Handing,Whrte/PI White,High Performance Low-E4 Tempered Glass,Finelight Gnlles-Between-the-Glass,Colonial,3W5H,
�—-_— W hite/White,3/4'
Gliding Insect Screen,White
Hardware Trim Set,GD,2 Panel,Tribeca-White
Support,Sill,Aluminum(Neutral Gray)
Zone:North-Central
U-Factor.0.30, SHGC:0 23, ENERGY STAR®Certified:Yes
Quote#: 151190 Print Date: 07/28/2017 Page 20f 5 iQ Version: 17.0
Item Qty Item Size(Operation) Location Unit Price Ext.Price
-1 0004 4 TW2842(AA) $ 431.43 $ 1725.72
RO Size=2'101!8"W x 4'4 7/8"H Unit Size=2'9 5/8"W x 4'4 7/8"H
i 400 Series
Unit,Equal Sash,Whde/PI White,(Top Sash)High Performance Low-E4 Glass,Finelight Grilles-Between-the-Glass,Colonial,3W2H,White/White,
3/4"(Bottom Sash)High Performance Low-E4 Glass
Insect Screen,White
Zone North-Central
U-Factor:0 30, SHGC*0 31, ENERGY STAR®Certified.Yes
--- 0005 1 TW2432(AA) $ 360.74 $ 360.74
11.
RO Size=2'61/8"W x 3'4 7/8"H Unit Size=2'5 5/8"W x 3'4718"H
�4 400 Series
Unit,Equal Sash,White/PI White,(fop Sash)High Performance Low-E4 Glass,Rnelight Grilles-Between-the-Glass,Colonial,3W2H,White/White,
3/4"(Bottom Sash)High Performance Low-E4 Glass
Insect Screen,White
Zone:North-Central
U-Factor.0.30, SHGC.0.31, ENERGY STAR®Certified,Yes
Quote#. 151190 Print Date. 07/28/2017 Page 30f 5 IQ Version: 17.0
1
Item Qty Item Size(Operation) Location Unit Price Ext.Price
j —— 0007 2 TW2842-2(AA-AA) $ 915.47 $ 1830.94
i 1 s 2 RO Size=5'7 7/8"W x 4'4 7/8"H Unit Size=5'7 3/8"W x 4'4 7/8"H
' 400 Series
0--Fd—=-
Composite Unit,White/Pre-finished White,High Performance Low-E4 Top/Bottom'High Performance Low-E4 Top/Bottom Glass,Fnefight
Grilles-Between-the-Glass Top'No Grifle(s)Sottom'Finelight Grilles-Between-the-Glass Top`No Grilles)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
1 030 031 Yes^
2 0,30 0.31 Yes