HomeMy WebLinkAbout42614-Z o�g1lGfUlCpG. Town of Southold 5/7/2018
P.O.Box 1179
- o -
d'ry ? ' 53095 Main Rd
X4,4 dao` Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39632 Date: 5/7/2018
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 700 Birds Eye Rd, Orient
SCTM#: 473889 Sec/Block/Lot: 17.-2-1.14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/23/2018 pursuant to which Building Permit No. 42614 dated 4/27/2018
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:
"AS BUILT"WINDOW REPLACEMENT IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Interwellen Prp Prtnrs
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
tho d Signature
goFFnj,� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy. . 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#: 42614 Date: 4/27/2018
Permission is hereby granted to:
Interwellen Prp Prtnrs
C/O John Josephson
211 Central Park W#9k
New York, NY 10024
To: legalize "as built" window replacement in an accessory structure as applied for.
At premises located at:
700 Birds Eye Rd, Orient
SCTM # 473889
Sec/Block/Lot# 17.-2-1.14
Pursuant to application dated 4/23/2018 and approved by the Building Inspector.
To expire on 10/27/2019.
Fees:
AS BUILT-ACCESSORY $200.00
CO -ACCESSORY BUILDING $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
Date. � .23 /J-
New Construction: Old or Pre-existing Building: ✓ (check one)
Location of Property: 7D() %d t�Sey� �oacf
House No. Stre t Hamlet
Owner or Owners of Property: oe,
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. 7i Date of Permit. Applicant: 1<
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ '5V
Applicant Signatu
�o�aoP soulyolo
* # TOWN OF SOUTHOLD BUILDING DEPT.
�yco 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] YSULATION
-/
[ M/
ot] FRAMING /STRAPPING [ FINAL !w S
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] -CAULKING
REMARKS:
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (IST) y
------------------------------------
FOUNDATION (2ND) txj
Z
ROUGH FRAMING&
PLUMBING
H 9
r
INSULATION PER N.Y-. H
STATE ENERGY CODE
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FINAL
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 HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 �t Survey
South oldtownny.gov PERMIT NO. �o Check
Septic Form
N.Y.&D.E.C.
Trustees,
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Truss Identification Form
T-7
Storm-Water Assessment Foran
Contact: �}^
Approved ,20 Mail to: go—
Disapproved a/c
Phone:
Expiration b 0LJ 20
D Ffl�77Building
VIE
Inspector
PPLICATION FOR BUILDING PERMIT
APR 2 2018 Date `f- 93 120 M'
INSTRUCTIONS
a.T0"iW80UV=Vbe 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 throughoufthe 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.
(Signature of applicant or dame,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises Q/c�Se 6 s'�n 0(-p ,
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate-officer
Builders License No. ' V-3 90 7'
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
�40 &-dS1yt /'Zc-1---J 6 0 Y
House Number Street . Hamlet
County Tax Map No. 1000 Section 1 Block �' Lot I
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 (n ( ' i'rI,y
(Description) �J
4. Estimated Cost Fee r
(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 I th
P �
Height Number of Stories
R _.,.0
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner /
, aryl 4: .+�A.,.... ...W... •:t } .
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 premises Address Phone No.
Name'of Architect Address 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.G. 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 )
being duly sworn, deposes and says that(s)he is the'applicant
(Name of individual signing contract)above named,
COh1h1iE D.Si,JhiCH
lic,State of Now
(S)He is the v"/ °��� /� °— Notary Pub14 Se1Mb0�0 York
(Contractor,Agent, Corporate Officer, etc.) QuaN'Fied in ,Suffolk County
Commission Expires April 14,2_.,�O
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 thi ,
day of 1 20/
C,,rZs�r,�_p L &LA
Notary Public Signature o Applicant
Am Asw,",,
GON,PLY WITH ALL CODES OODES
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Andersen Andersen Windows -Abbreviated Quote Report jAndersen
i
N Project Name: MARK KAFFAGA g
,DODws.Do o. �.S Irk DDif.D0DA1
Quote#: 156574 Print Date: 04/23/2018 Quote Date: 10/26/2017 iQ Version: 18.0
Dealer: RIVERHEAD BUILDING SUPPLY Customer:
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
0001 2 CX15 (R) $ 547.79 $ 1095.58
ROSize=2'8"Wx5'03/8" H UnitS1ize=2'71/2"Wx4' 117/8"H
400 Series
Unit, Black/Black-Factory Painted, R Handing, High Performance Low-E4 Glass, Divided Light with Spacer, Specified Equal Lite, 2w2h, 3/4", Ext Grille-
Black, Int Grille-Black
Insect Screen, Black
Hardware Pack, PSC, Contemporary Folding-Black
Viewed from Exterior
Zone. North-Central
U-Factor:0 29, SHGC: 0.29, ENERGY STAR®Certified.Yes
0002 2 CX15 (L) $ 547.79 $ 1095.58
RO Size=2'8"Wx5'0 3/8" H UnitSize=2'71/2"Wx4' 117/8"H
400 Series
Unit,'Black/Black-Factory Painted, L Handing, High Performance Low-E4 Glass, Divided Light with Spacer, Specified Equal Lite,2w2h, 3/4", Ext Grille-
Black, Int Grille- Black
Insect Screen, Black
Hardware Pack, PSC, Contemporary Folding-Black
Viewed from Exterior
Zone- North-Central
U-Factor 0.29, SHGC.0 29, ENERGY STAR®Certified,Yes
Quote# 156574 Print Date: 04/23/2018 Page 1 Of 4 iQ Version: 18.0
Item Qty Item Size(Operation) Location Unit Price Ext. Price
0003 1 C14(R) $ 448.88 $ 448.88
RO Size=TO 5/8"W x 4' 0 1/2" H Unit Size=2' 0 1/8"W x 4'0" H
400 Series
Unit, Black/Black- Factory Painted, R Handing, High Performance Low-E4 Glass, Divided Light with Spacer, Specified Equal Lite,2w2h, 3/4", Ext Grille-
Black, Int Grille-Black
Insect Screen, Black
Hardware Pack, PSC, Contemporary Folding-Black
Viewed from Exterior
Zone:North-Central
U-Factor•0.29; SHGC:0 29, ENERGY STAR@ Certified:Yes
0004 1 C14(L) $ 448.88 $ 448.88
RO Size=2' 0 5/8"W x 4'0 1/2" H Unit Size=2' 0 1/8"W x 4'0" H
400 Series
Unit, Black/Black- Factory Painted, L Handing, High Performance Low-E4 Glass, Divided Light with Spacer, Specified Equal Lite, 2w2h, 3/4", Ext Grille-
Black, Int Grille- Black
Insect Screen, Black
Hardware Pack, PSC, Contemporary Folding- Black
Viewed from Exterior
Zone:North-Central
U-Factor 0 29, SHGC:0 29, ENERGY STARO Certified-Yes
Quote#: 156574 Print Date: 04/23/2018 Page 20f 4 iQ Version: 18.0
Item Qty Item Size(Operation) Location Unit Price Ext. Price
0005 2 CX125-CX125(L-R) $ 820.60 $ -1641.20
RO Size=5' 3 5/8"W x 2'4 7/8" H Unit Size=5'3 118"W x 2'4 3/8" H
400 Series.
Composite Unit, Black/Black-Factory Painted, High Performance Low-E4 Glass, Divided Light with Spacer, Mulling Location: Factory(Direct), Mull Type:
Narrow Mull, Mull Priority:Vertical
Insect Screen, Black
Hardware Pack, PSC, Contemporary Folding-Black
Viewed from Exterior
Zone. North-Central
Unit U-Factor SHGC ENERGY STAR®Certified
----------------------------------------------------------
1 0.29 0.29 Yes
2 0.29 029 Yes
Subtotal $ 4,730.12
Customer Signature
Total Load Factor Tax(8.625%) $ 407.97
� 1.560
Grand Total $ 5,138.09
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.
Quote#: 156574 Print Date- 04/23/2018 Page 30f 4 iQ Version: 18.0
Item Qty Item Size(Operation) Location Unit Price Ext. Price
® Ask to see if all of the products you purchase can be upgraded to be ENERGY STAR®certified.
IRTOMM Mill
This image indicates that the product selected is certified in the US ENERGY STAR®climate zone that you have selected.
12 Data is current as of Nov 2017 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 different grille options or glass for high altitudes etc.
Nexia is a registered trademark of Ingersoll Rand Inc
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 associate for more details.
Quote#: 156574 Print Date: 04/23/2018 Page 4Of 4 iQ Version: 18.0