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Home My WebLink About42767-Z � gUFFOI��pGy Town of Southold 8/3/2018 0 P.O.Box 1179 o 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39823 Date: 8/3/2018 THIS CERTIFIES that the building WINDOWS Location of Property: 735 Park Way, Southold SCTM#: 473889 Sec/Block/Lot: 70.-11-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/1/2018 pursuant to which Building Permit No. 42767 dated 6/7/2018 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: window replacements on existing one famliy dwelling as applied for. The certificate is issued to Hagerman M F Irry Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 17 o e Signature 0 4�sUFFntjrCo TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 42767 Date: 6/7/2018 Permission is hereby granted to: Hagerman M F Irry Trust 735 Park Way PO BOX 1176 Southold, NY 11971 To: install window replacements on existing single-famliy dwelling as applied for. At premises located at: 735 Park Way, Southold SCTM # 473889 Sec/Block/Lot# 70.-11-14 Pursuant to application dated 6/1/2018 and approved by the Building Inspector. To expire on 12/7/2019. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50:00 Total: $250.00 B pector 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$15.00 Date. New Construction: Old or Pre-existing Building: ✓ (check one) —Location of Property: House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section T ® Block // Lot /y Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ Applicant Signature SOUTyO TOWN OF SOUTHOLD BUILDING DEPT. coutom 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING /STRAPPING [ FINAL LhnG�� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: f DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) H ------------------------------------ 'FOUNDATION (2ND) O' cwt ROUGH FRAMING& PLUMBING — ' � l INSULATION PER N.Y. y STATE ENERGY CODE 9 FINAL ADDITIONAL COMMENTS O " Z m ® O d H 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 20_§ Mail'to: Disapproved a/c Phone: Expiration ® ,2011 Bui ector JUN ' 2618 BLICATION FOR BUILDING PERMIT Date Y i� , 20 /d' 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 throughouf 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.Ifno'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 HEREBI'14ADE 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,houshig-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) State whether applicant is lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signaturerof;duly authorized officer (Name and title of corporate'-offlcer)."_` Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. - 1. Location of land on whic oposed work will be done: ° 7-? \House Numbef- Street- Hamlet, ; <-'ounty Tax Map No: 1000 Section Block t/ 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 ,eeo��e4/-.--- -top b. Intended,use and occupancy 3. Nature of work (check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Costo o� 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. 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 ie Vr_-1W 8. Dimensions of entire new construction: Front Rear Depthm ^. tea e Height Number of Sforios' ;°Ll ,9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner �, a 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 f Will excess fill be.removed.from premises? YES NO 4 14. Names of Owner of premises feltg��,Z:.�W.—.Xddr ss 7, S� Phone No. 57 rte)'' 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.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, 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 OFA, } ✓a'� �✓�1'� being duly sworn,deposes-and says that(s)he is'the applicant (Name of individual signing contract)above named,` cONNIS D.ISUNCH (S)He is the � -7' y' Notary public,state of Neer Y®rk (Contractor,Agent, Corporate Officer, etc.) Qualified in Suftolh Ceuntq commission Expires April 14,2-jD4,d 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 20—Le 001 Notary Public Signature of Applicant A . R _IED AS NO ED 'DATE: B.P:DEPARTMENT AT CMPLY WITH ALL CODES OF FEE:.- YORK STATE & TOWN CODES NOTIFYBUILDING DDE _, NEW AS REQUIRED AND CONDITIONS OF 7.65-1802;._ 8 AM TO 4 PM FOR THE FOLLOWING .INSPECTIONS: 1. FOUNDATION --TWO REQUIRED SB H$ (-R64Dl QARD ,FOR POURED CONCRETE 2., ROUGH.--,FRAMING & PLUMBING SEES 3.'INSULATION hi y 2 DEC 4. FINAL,= CONSTRUCTION MUST BE,COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET-THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE` OF OCCUPANCY ! l Item qty Item Size(Operation) _ _ Location _ — Unit Price Ext.Price 0001A V371V'W TW3046.2(AA-AA) $ 1209.34 $ 3628.02 1 2 RO Size=6 x 4'8 7/8"H Unit Size=6'3 3/8"W x 4'8 7/8"H !FA 400 Series Composite Unit,White/Pre-finished White,High Performance Low-E4 Top/Bottom*High Performance Low-E4 lbp/Bottom Glass, Divided Light without Spacer Top*No Grille(s)Bottom*Divided Light without Spacer Top*No Grille(s) Bottom,Mulling Location:Factnty(Direct), Mull Type:Narrow Mull,Mull Priority:Vertical Insect Screen,White Viewed from Exterior Zone:North-Central Unit U-Factor SHGC ENERGY STAR®Certified -------------------------------------------------------- 1 0.30 0.31 Yes 2 0.30 0.31 Yes Subtotal 5,931.7 Total Load Factor Tax(8.625%) r$ 511.61 Customer Signature i 2.780 Grand Total J 6,443.31 Dealer Signature T **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#: 167246 Print Date: 05/31/2018 Page 20f 3 0 Version: 18.0