HomeMy WebLinkAbout41991-Z Town of Southold 2/27/2018
a P.O.Box 1179
53095 Main Rd
A 101 Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 39534 Date: 2/27/2018
THIS CERTIFIES that the building WINDOWS
Location of Property: 14085 Soundview Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 54.-2-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/20/2017 pursuant to which Building Permit No. 41991 dated 9/26/2017
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:
basement windows as applied for.
The certificate is issued to DeMain, Steven&Nunez-DeMain,Nicole
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A4L
1
0 . Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
dol Ba
SOUTHOLD, NY
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#: 41991 Date: 9/26/2017
Permission is hereby granted to:
a
DeMain, Steven
14085 Soundview Ave
Southold, NY 11971
To: replace windows as applied r.
At premises located at:
14085 Soundview Ave, Southold
SCTM # 473889
Sec/Block/Lot# 54.-2-1
Pursuant to application dated 9/20/2017 and approved by the Building Inspector.
To expire on 3/28/2019.
Fees:
SINGLE FAMILY DWELLING -ADDITION O ERATION $200.00
CO - ION TO D LLING $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 4
Date 1 o�
New Construction: Old or Pre-existingcheck one
Building:
g ( )IZ) / 7
Location of Property: J (�Q S U�V t r w 4� S� u l� �U�al �� g-/ 1
House No. Street Hamlet
Owner or Owners of Property: S+e V en 1JG Y�'1•q\�
Suffolk County Tax Map No 1000, Section _S`1 Block 0�' Lot
I
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: V<
Request for: Tem Certificate Final Certificate: ch k one
Temporary ( )
Fee Submitted: $ lb
Applicant Signature
�i I �pf So
courm,N�'`
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION .
[ ] FRAMING / STRAPPING [ FINAL A)l1106"
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
m
DATE Y INSPECTOR
n '
FIELD IN'SUCTXOL`7 RE O1�� AAT CO 9
FOUNDA'T'ION;(IST)
----------- ........
FOUN- DAMON(2M)
AL
z
ROUGH YRA14NG& 1
L7
I r13
INSULATION PEAS N.Y.
y
STATE RNERGGY COS)E
Avu Mi
9i W- 1
FNS;
r
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 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O Application
Flood Permit
Examined _'20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved (� 120 }� Mail to.
Disapproved a/c
j Phone:
Expiration , g P 20� i
01V
� ui din Insp ector
S E P 2 0 P6�1AP CATION FOR BUILDING PERMIT
BUILDING DEPT. Date I a , 20
TOWN OF SOUTHOLD 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 lations,and to admit
authorized inspectors on premises and in building for necessary inspections.
APPROVED AS NOTED
DATE 6_2a_-1W,P.# (Signature of applicant or name,if a corporation)
FEE: ...e-- 3Y gba -E $ oo�.yo-� �r���5C I.S�i�)►,
NOTIFY BUII.DItvC DcP R I MENT A7 (Mailing addres of applicant) 11.5
765-1.802 8 AM TO 4 PDA FOR THE
State whether applicant is owrieoLtq§$ ��it;Csfrc'"'tit, engineer, general contractor, electrician,plumber or builder
1. FOUCIR01
FOR POWED CG CR
Name of owner of premises 2. ROUGH - BI
3. INSULATIONtax roll or latest deed)
If applicant is a corporation, sign qolcef-�
BE COMP ' U
ne;si SHALL THE
(Name and title of corp S OF THE CODES OF NEW OCCUPANCY OR
Builders License No. 1, STAI H. NnT RFSPONSI'BLE FOR USE S UNLAWFUL
License No. g€ Ni I
SIGnIR CONSTRUCTION ERRORS. `ftA
Electricians License No. WITHOUT CERTIFICATE
Other Trade's License No. OF OCCUPANCY
1. Location of land on which proposed work wi 1 be done.
'�02 S SC-0nd v..V, ,',. AV-k- s ,Aid ri � m
House Number StreetHamlet
C
County Tax Map No. 1000 Section �/q Block Lot 1
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 1Q hr1
3. Nature'of work eck which applicable): New Building Addition Alteration L/
Repair Removal Demolition Other Works ,\\
4. Estimated Cost Fee 5�
O! l�' 1 (� (Description)Qefl"C � .
c . �
(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
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 /
14. Names of Owner of remises 'c.
p �e J�,n �e rr I�Address i`�ogS �Sa>�na 4'��r�Phone No. 631 87�-S 32 3,
Name of Architect IAddress Phone No
Name of Contractor_Awy-sp tseek I,)&k 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)
SS:
COUNTY OF ) l
J e►'1��� ��eS 1��' being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the aG�,V- e�
(Contractor,Agent,Corporate Ofdr,r, 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.
Sworn to before me this W
day of S 20�_
JENNIFER PENELLO
Notary Pubk state of New York
Notary Public N0.01PE62E1761 Signature o pplicant
Qualified in Nassau C unt
My commission Expires 'a
1K,
SUFFOLK COUNTY DEPT OF LABOR.
LICENSING&CONSUMER AFFAIRS
HOME IMPROVEMENT
CONTRACTOR
LICENSE
GLENN-W BOSTEELS
This certifies that the
6wreeis duly HOME DEPOT USA INC:OSA(14 SUPPS).
licensed by the 0— D-�-��-
County of'Suffolk. 55713-H. 681202615
x 117.,
08/0111261
Home Depot Contractor License Numbers:
NY:Amherst HI-04712,Lockport 2395;Buffalo LT12-10023782,City Tonawanda 33257,NY-Amherst HI-04712,Lockport 2395;Buffalo
LT12-10023782,City Tonawanda 33251,NY:Amherst HI-04712,Lockport 2395;Buffalo LT12-10023782,City Tonawanda 33257,NY:
Aml�—#Yt AA747 1 n 11-4 7401,.Q .ff 6'1 T47 Inn,"7A7 f`;1.-Tn -a .nnr4 4Z7F7 AIV A M-r-1 LJI AA747 I f.nl. r►nor, Q.{�,
Salesperson Name and Registration Number.
Robert Kelly:43775-HS, R-1-128533-13-00284
Home Improvement Agreement
Home Depot U.S.A., Inc. ("Home Depot°)or Service Provider named below will furnish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
Customer Information.
steven DeMain Long Island E308362
First Name tBranen ohme
14085 soundview ave SOUTHOLD NY 1111971
Customer Aftess city State Zip
(631) 876-5386
Home Phone# Workceffhone
stevendemain7@me.com
Customer -mall Address
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
40 Oser Avenue Suite 17 Hauppauge NY 11788
Ad&ess State
or Email CustomerCancellabonNorthEast@homedepot.com
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST eVAIIARi F FOB-PICKUP BY HOME
DEPOT OR PROFESSIONAL,AT YOUR SERVICE A[ ;AME
CONDITION AS WHEN DELIVERED, ANY MERCHA�� YOU.
OR YOU MAY CONTACT HOME DEPOT FOR INSTRL 4T AT
HOME DEPOT'S EXPENSE. d4—
THE LAW REQUIRES THAT THE'CONTRACTOR GI' LIGHT
TO CANCEL. PLEASE SIGN BELOW TO ACKNOW DRAL
AND WRITTEN NOTICE OF YOUR RIGHT TO CANCI
Acknowtettged by:`� " -
X .__ ._ a
cogs si .o
a'S0
1
Home Depot Contractor License Numbers:
NY:Amherst HI-04712,Lockport 2395;Buffalo LT12-10023782,City-Tonawanda 33257,NY*Amherst HI-04712,Lockport 2395;Buffalo
LT12-10023782,City Tonawanda 33257,NY:Amherst HI-04712,Lockport 2395;Buffalo LT12-10023782,City Tonawanda 33257,NY:
A-6,n 4 W AA717 1 n..Lnnrf 74Ar;•Q„ifnl..!T•17 1AA747A7 f`:1. Tn rnw A Q'21=7 KIV A—"-44 VI nA717 1
Salesperson Name and Registration Number.
Robert Kelly : 43775-HS, R-1-128533-13-00284
Home Improvement Agreement
Home Depot U.S.A., Inc. ("Home Depot")or Service Provider named below will furnish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
Customer Information:
steve6 DeMain Long Island 10308362
IfSt NemB St a qh am
14085 soundview ave JISOUTHOLD NY 11971
Customer AXWress
Dtty P
(631)876-5386
Home Phone Work Phone# Cell hon
stevendemain7@me.com
Customer -mail Address
NOTICE OF RIGHT TO CANCEL:-YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
40 Oser Avenue Suite 17 Hauppauge NY 11788
Address city state p
or Email CustomerCancellationNorthEast@homedepot.com
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST-°"Am= evAll eR_OB-PICKUP BY HOME
DEPOT OR PROFESSIONAL,AT YOUR SERVICE AE ;AME
CONDITION AS WHEN DELIVERED, ANY MERCHA�� YOU.
OR YOU MAY CONTACT HOME DEPOT FOR INSTRI 4T AT
HOME OEPOT'S EXPENSE.
THE LAW REQUIRES THAT THE CONTRACTOR GI' � t1GHT
TO CANCEL. PLEASE SIGN BELOW TO ACKNOW DRAT
AND WRITTEN NOTICE OF YOUR RIGHT TO CANCI
Acknowledged by: - �
X = . . ._ a
cusamrers signawn,
asv
1
WINDOW SPECIFICATION SHEET - Spee.Sheet M 10308362 Sheet: 1 of 1
Customer. Steven DeMain Job M 10308362 Consultant: Robert Kelly Date: 0812312017
New Window
Existing Window Hinge Loaricru
Measurements Grids Product Options Labor Options From outside,
Left to Right
Location Calor �,Bowls
Rough Opening $of bare d of bars Csmnte,i PW,
use L,Ror S
Glees Mlec Items
Hardware Code
Sao. For doors use
Mull •S'a stationary or
Style Wrops 'X' op6 n
tzTPW. R. Code (Y/N) Style Code Series Code 1 'A > g
STD,OlanPadr.6undard WRAP,
1 BSMT Swarms 6N Y BH 6100 yµ1 VM 32.00 18.06 40 RMW.LSR
nl
STD.O4nftd:Stendxd WRAP,
2 BSMT Dow ON Y 8H 6260 vim WN 72.00 16.00 48 RMW,LBR
M
STD,raaeaPetk ldlaralard WRAP,
7 BSMT Mame SH Y BH 6260 WH WH 72.00 /6.00 46 RMW,LSR
M _
M.GlanPadd:Slendard WRAP.
BSMT amen* ON Y ON 8200 WH WH 12.60 16.00 4a RMW.LSR
N
WRAP
S MIT Bane DH Y ON 6206 yµ1 yµ1 72.00 16.00 {6 SM faesePaek Standard RMW.LSR
M
SPECIAL CONSIDERATIONS:
p Color 1:White,2:White,3:White,4:While,B:While
nterfor Cooing Type
Bay or Sow window:
aiboard material(vinyl only-Birch or Oak)
oy Project Arglo(30 or 45)
Bay Ffankar Type(DH,SH,or Csmnt)
TOP of vdndow to soffit(inches)
I pad to eofllt,color of soffll materiel
1 hove reviewed and agree with all the Job specifications above and the
strucl Root(Yes or No)
Special Terme and CondlUone on the followkrg page
Garden Window•.
eatboard Materiel(vbryl only-While Plante,Blmh or Oak)
di TMcknese(inches) Customer Signature
clonal Shalt(Yes or No)
•There Is no guarantee that new shingles will match exMIng color.