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52272-Z
hod*of soulyo`o Town of Southold * * P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46680 Date: 11/13/2025 THIS CERTIFIES that the building SINGLE FAMILY DWELLING-ALTERATION Location of Property: 830 Oak Ave Southold, NY 11971 SecBlock/Lot: 77.4-4 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 08/04/2025 Pursuant to which Building Permit No. 52272 and dated: 09/19/2025 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: Replacement windows to existing single-family dwelling as applied for. The certificate is issued to: McGovern D&Lucarelli C Re Tr Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: Aut orize Sign ture *of SO& yo 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#: 52272 Date: 09/19/2025 Permission is hereby granted to: McGovern D&Lucarelli C Re Tr 138 Fifth Ave Kings Park, NY 11754 To: Install replacement windows at existing single family dwelling as applied for. *No structural alterations to window sizes proposed. Premises Located at: 830 Oak Ave, Southold, NY 11971 SCTM#77.-1-4 Pursuant to application dated 08/04/2025 and approved by the Building Inspector. To expire on 09/19/2027. Contractors: Required Inspections: Fees: CO Single Family Dwelling-Addition /Alteration $100.00 Single Family Dwelling- Addition&Alteration $250.00 Total 350.00 Building Inspector OF 50Ulyo� # # TOWN OF SOUTHOLD BUILDING DEPT. o�m,�a� 631-765-1802 � vI NSPECTION vv� [ ] FOUNDATION 1 ST/ REBAR /IFINAL OUGH PLBG. FOUNDATION 2ND SULATION/CAULKIING FRAMING /STRAPPING [ ] FIREPLACE &CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ]- CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE INSPECTO Docusign Envelope ID:652EE6DC-125F-4E14-83EE-5856DECEDCC5 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 y + Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownn Date Received APPLICATION FOR BUILDING PERMIT t� For Office Use Only PERMIT NO. '�? Building Inspector: pUG cF LJ y x �i. a* Appl�cafiions and formsmust be fltled au> m their entirety Incomplete Bu1�c1'sn �o�t6�z3i. ��ipplicat�ans wil!notb#e ac epts���h���e�the��4pp���ant��s dot the owner,a�ri; 't®'NO Owner"sAwtfto��xatiforrp(Aago�}shat{be completed rt� Date: 7/28/25 cirTt:�soT�P oT�T: TY } �� Name: Dan McGovern SCTM#1000- Project Address: 830 Oak Aver, Southold, NY 11971 Phone#: 631-848-3990 Email: cap tdan144@gmaiLcom MailingAddress:830 Oak Ave., Southold, NY 11971 ,,,,"CONTACT? Name: Jennifer Winke - Go Permits Mailing Address: Buttonball KKLn, Glastonbury, CT 06033 Phone#: 303-946-8685 Email: permits@gopermits.org oT;sT+�va> or~iEss�antTiNFo ►rio�u�3r F:'X_ .E.. °; Ee.., ,. >. Name: n/a Mailing Address: Phone#: Email: Name: Home Depot USA Mailing Address: 2455 Paces Ferry Rd,,Atlanta GA 30339 Phone#:303-946-8685 Email: ermitsgopermits.orgm DE5CT3TATta1V OF�`ROIR S T)CQNSTFtUCTtbN ., ,.a 71 R b..,` _s s �a v" ;,�..�.,�..n •ref .;« �.«�,<. 2 ❑New Structure ❑Addition ❑Alteration ©Repair ❑Demolition Estimated Cost of Project: El Other Remove and replace 6 windows,same size, no structural change. $5925 [WWlthe lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes ®No 1 Docusign Envelope ID:652EE6DC-125F-4E14-83EE-5856DECEDCC5 a �ktOPERTY INFORMATION r�` .a,� Existing use of property:s)ng,le famliy. Intended use of property: single family, Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes ❑No IF YES, PROVIDE A COPY. x �w n y a s z r s sTy the ck I3O7C C i 1 Ir" 'fllf WneFjcontr�ctorjdesign pro#ess onai is respapsible for all drainages and storm v+aW issues as p & rQviaeii by *;cfia"Lei i36Wnf�tlse rbwn Cci wf,PUcA;, 1�15 H£REB�I lt�t7fDE td ttie BU�idiri Depattrrieht for thb�ssaante o#a Bu�id�n Rerm�t ursuan o tip Bu►tdiri .Zone retistinr eo#$ttte Tbno#5oirtolc�;�riffnik L�ouMy;Alew fork and vt'e'r a�pfica�ile Law Ordinances or Regulations, ar tMe co siruction:of baitdings � ,y-as r-.ea .'+.An�� {+s'"^�,N:.°...r„- r�' addit�ons,< tterat�anns or tar relnpvat dremoid�o aerein dascrib a k7ieppittanT agrees tb cotnpiy tutth aiCapplitabie laws,drdmances,budding code, fdlousing tole c preg ilat�onS.and to'adrri agtgqriredmspe tors on premises and in buildings}fcr necessary inspections Fatse=.statementsmade heremare; pUniSiedd [�1iSd8#T�dnO1 p1y�SU � G�e�LtORQ e�� 5 U �e �PYiCS1 ptn9 �Wr � Application Submitted By(print name): Jennifer Winke BAuthorized Agent Downer Signature of Applicant:—, Date (�S STATE OF NEW YORK) SS: COUNTY OF Guilford ) Jennifer Winke — GO Permits being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (Contractor,Agent,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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of 20Z� tary Public F ey Mol'RY PUBLIJ04,2028 PROPERTY OWNER AUTHORIZATION d County, .{Where the applicant is not the owner) xpires Oct I, Dan McGovern residing at 830 Oak Ave. do hereby authorize Jennifer Winke - Go Permits to apply on Eb ,PnMM1fto the Town of Southold Building Department for approval as described herein. A cG— 7/28/2025 Owne sSignature Date Dan McGovern Print Owner's Name 2 Go Permits, LLC 105 Buttonball Ln. ® Glastonbury, Ct 06033 r r "WE UNDERSTAND THAT YOUR TIME IS MONEY" To Whom It May Concern: Enclosed you will find a building permit application and check. If you have any questions regarding this application, feel free to call me at the number listed below. Please note the following: • Please mail original permit to the owner. • Please e-mail a copy of the permit and receipt to: Email: permits@gopermits.org Thank you! Jennifer Winke, Permit Expediter Go Permits, LLC . Phone: 303-946-8685 Fax: 866-697-0768 jenniferwinke@gopermits.org Go Permits LLC, 105 BUttonball Ln. Glastonbury CT 06033, scottdoughman@gopermits.org 1 APPROVED AS NOTED OCCUPANCY OR DATE.9. �9a�B.P# USE IS UNLAWFUL FEE ".OD BY. WITHOUT CERTIFICA NOTIFY BUILDING DEPARTMEN AT OF OCCUPANCY 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. - -•... ALL CONSTRUCTION SHALL MEET THE (OANP.Y WM4 ALL CODES OR REQUIREMENTS OFTHE CODES OF NEW NEW YORK STATE&TOWN CODES YORK STATE NOT RESPONSIBLE FOR ASSEQUIRgDAWCONDMNSOF DESIGN OR CONSTRUCTON ERRORS Wmn WIMMA S�01D10WNPIANNI�G 90UiN010TOWNiRUS1E� 9QUttIQLQIIPC �t e 4/2025 CUSTOMER TOTALS COPY 7/2MOMMIMMO 7/2 /2025 QUOTATION #3312881 , ; Willis Lakisha S I MONTO SOLD TO: SHIP TO: W I N D O W S The Home Depot THD/LONG ISLAND-Hauppauge EAST Accounts Payable B-12 Hauppauge Branch 2455 Paces Ferry Road NW 40 Oser Avenue Atlanta,GA 3039-4024 Hauppauge,NY 11778 Phone:631-478-6101 Phone:631-478-6101 Fax: Fax: NUMBERPO QUOTE PROJECT Ni�,NXE 54107529 mcgovern Unassigned ® 1 6200 Single Slider 30.75"X 12" Operation=Left RO: Opening(XO),Frame=Block Frame,Ext. Color= 31.25 x 12.5 White,Int.'Color=White,Glass Package=Standard Glass Options, ,ProSolar Low E,Argon,Intercept, Room In: 3/4"IGU, Glass Thickness= 1/8 in- 1/8 out DS, ` Basement Left=Tempered,Right=Tempered,Meets CA - Wildland Urban Interface,Locks= 1,White,Cam, Air Latches= 1,Rollers=Corrosion Resistant Ext_ Roller/Glide, Screen Coverage=Half,Fiberglass, Integral Pull Rail,U-Factor=0.29, SHGC=0.29, VT=0.57, STC=27,CPD Number=SBP-A-19- 48407-00001,Meets Energy Star Zones=None,DP =20,AAMA, Cl ._. mt Initials• Description 1 6200 Single Slider 30.75"X 12" Operation=Left RO: Opening(XO),Frame=Block Frame,Ext. Color= 31.25 x 12.5 . White,Int. Color=White,Glass Package=Standard Glass Options, ,ProSolar Low E,Argon,Intercept, Room ID: Glass Glass Thickness= 1/8 in- 1/8 out DS, Basement Left=Tempered,Right=Tempered,Meets CA Wildland Urban Interface,Locks= 1,White, Cam, Air Latches= 1,Rollers=Corrosion Resistant Roller/Glide, Screen Coverage=Half,Fiberglass, Integral Pull Rail,U-Factor=0.29, SHGC=0.29, VT=0.57, STC=27,CPD Number=SBP-A-19- 48407-00001,Meets Energy Star Zones=None,DP =20,AAMA, cl "r Initials• Page 1 Of 3 Quote#: 3312881 , . � CT NAM 54107529 mcgovern Unassigned Description i� 1 6100 Double Slider 28.5 X 16.5" Operation=Left RO: Opening-XO,Frame=Replacement Frame (2R), 28.75 x 17 Ext. Color=White,Int. Color=White,Glass Package=Standard Glass Options,ProSolar Low E, Room ID: Argon,Intercept, 3/4"IGU, Glass Thickness= 1/8 in Basement - 1/8 out DS,Left=Tempered,Right=Tempered, Locks= 1,White,Cam,Rollers=Corrosion Resistant Roller/Glide,Sill Extender,Head EKL Expander, Screen Coverage=Full,Fiberglass, Extruded, U-Factor=0.3,SHGC=0.29,VT=0.53, STC=0,CPD Number=SBP-A-111-11336-00001, Meets Energy Star Zones=None,DP=35,AAMA, TDI=WIN 1627,Florida Approval Code=5179 1 Iri. z Initials• 1 6100 Double Slider 34.75"X 22.5" Operation= RO: Left Opening-XO,Frame=Replacement Frame 35 x 23 (2R),Ext.Color=White,Int.Color=White,Glass Package=Standard Glass Options,ProSolar Low E, Room ID: Argon,Intercept,3/4"IGU, Glass Thickness= 1/8 ins, Basement - 1/8 out DS,Left=Tempered,Right=Tempered, j Locks= 1,White,Cam,Rollers=Corrosion Resistant Roller/Glide,Sill Extender,Head LA Expander, Screen"Coverage=Full, Fiberglass, Extruded,U-Factor=0.3,SHGC=0.29,VT=0.53, T1 STC=0,CPD Number=SBP-A-111-11336-00001, :� Meets Energy Star Zones=None,DP=35,AAMA, TDI=WIN-1627,Florida Approval Code=5179 g_7� 1,1. ----- RO=35 Initials Page 2 Of 3 Quote#: 3312881 • " • 4d PO NUMBER 54107529. mcgovern Unassigned Description 1 6100 Double Slider 34.75" X 22.5" Operation= RO: Left Opening-XO,Frame=Replacement Frame 35 x 23 (2R),Ext.Color=White,Int. Color=White,Glass Package=Standard Glass Options,ProSolar Low E, Room ID: Argon,Intercept,3/4"IGU, Glass Thickness= 1/8 in _ � Basement - 1/8 out DS,Left=Tempered,Right=Tempered, Locks= 1,White,Cam,Rollers=Corrosion Resistant Roller/Glide,Sill Extender,Head tH� Expander, Screen Coverage=Full,Fiberglass, Extruded,U-Factor=0.3,SHGC=0.29,VT=0.53, TT r7.7 - STC=0,CPD Number=SBP-A-111-11336-00001, Meets Energy Star Zones=None,DP=35,AAMA, 11 I TDI=WIN-1627,Florida Approval Code=5179 `-R0=�5 --• Initials• Description 1 6100 Double Slider 29.75"X 17.5" Operation= RO: Left Opening-XO,Frame=Replacement Frame 30 x 18 (2R),Ext.Color=White,Int. Color=White,Glass Package=Standard Glass Options,ProSolar Low E, Room ID: Argon,Intercept,3/4"IGU, Glass Thickness= 1/8 in Basement - 1/8 out DS,Left=Tempered,Right=Tempered, Locks= 1,White, Cam,Rollers=Corrosion Resistant Roller/Glide,Sill Extender,Head FYt Expander, Screen Coverage=Full,Fiberglass, Extruded,U-Factor=0.3,SHGC=0.29,VT=0.53, STC=0, CPD Number=SBP-A-111-11336-00001, Meets Energy Star Zones=None,DP=35,AAMA, TDI=WIN-1627,Florida Approval Code=5179 .1.� Initials: 6 Total Qty Units • $0.00 Comment: • ' $0.00 • $0.00 $0.00 1 ' • 1 ($0.00) • o Submitted by: Accepted by: Date Page 3 Of 3 Quote#: 3312881 Home Improvement Agreement: Page 1 Home Depot License#'s-For the most current listing visit www.Homedel2ot.com/LicenseNumbers Amber McDougall Salesperson Name Registration#-CA,CT,ME,MD,MI,NJ,DC only Home Depot U.S.A., Inc. ("Home Depot")or its Authorized Service Provider named below will furnish, install, or service the equipment listed below at the price,terms, and conditions set forth in this Agreement. Z ServicexProv der Contact I7nformation i z: The Home Depot IThe Home Depot Service Provider Contact Name Service Provider Company Name (631) 478-6101 ahs_ccwlongisland@homedepot.com Phone# Service Provider Email Address McGovern IDan ^ — 1 Long Island I f F52479263 Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO# 830 Oak Avenue Southold 111971 Customer Address City State Zip (631) 848-3990 1 captdan144@gmail.com Home Ph■/o�ne# Work Phone# CellPhone3C# Customer Email Address rr+ OVEx50 G _ TS 0.. AEL MY �� �P�'ix4'l $fC•� �` " P"1. 4F��' 7 KhS ' YFhF S ai YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: ahs_ccwlongisland@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 40 Oser Avenue Hauppauge NY 1 111788 Address City State Zip 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. ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU MUST BE MADE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER AT YOUR ADDRESS LISTED ABOVE AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED.YOU MAY ALSO CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE .BEEN GIVEN ORAL AND WRITTEN NO C OF Y UR RIGH TO CANCEL. Acknowledged by: ooz/zo2" tomer's Signature Date 460 Standard Form HIA(13 Aug.24)(E) Generated Date 07/02/2025 Lead/Po# F52479263 v 4.0.0 Home Improvement Agreement: Page 2 A detailed description of the work to be performed is included in the paragraph or document entitled Scope of Work, Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice, or Measure which is included in this Agreement Approximate Start Date: 10/30/2025 Approximate Finish Date: 11/29/2025 All dates are approximate and subject to change due to various circumstances such as weather,manufacturing delays, obtaining permits or HOA approvals You are entitled to a paper and electronic copy of this Agreement if You choose. If You consent to an e-mailed copy,Your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. Contact your Service Provider to update Your email address, withdraw Your consent to electronic records, or obtain a paper copy of the Agreement or related documents at no charge. By providing Your consent and verifying Your email address above,You confirm that You have access to a computer that can receive and open emails and PDF documents. Payment of the Contract Price is due upon signing unless a different payment schedule is required by law,is specified below, or is in a payment addendum. Contract Price: $ 15925.69 Includes all applicable taxes.Excludes finance charges.* Sales Tax: $ 10.00 (If applicable, total amount of taxes included in Contract Price) *'Maximum deposit ONLYapplicable in tMTD,M4,.ME(33%),AY./, WI(99%) Deosrt% 100 o De osit Amount$ 5925 69 Remaining Balance$ 10.0 4�Finanee;.LLI� es,�.o.P..��'s.+�... ....,... _s.� 1. ..�„� U 3� "" l ,� S �.,q�.r ^n' ..,v.� m,.,, .,.�..,,..., Any interest payments or other finance charges will be determined by Your cardholder or loan agreement,to which Home Depot is NOT a party,and will not affect the payment due under this Agreement.You are subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider,however, Service Provider may collect Yourpayments madepayable to Home Depot rM By signing below,You authorize Home Depot to:(a)arrange for Service Provider to perform the Services;or(b)order and arrange for the delivery of special order merchandise,including any custom made special order merchandise,as specified in this Agreement.Further,You acknowledge: (i)You have read and understand this Agreement; (ii)You have accepted this Agreement in its entirety, including the General Conditions and State Supplement(if any); (iii) You are receiving a complete copy of this Agreement; (iv) all rights and interests under this Agreement, including interest in the property where Services are performed, are solely vested in the person listed as "Customer" above; and(v) electronic signatures will be deemed originals for all purposes. Do not sign if blank or incomplete. Service Provider's or permitting information may need to be provided to You in writing at a later date. 777777771 w 025 - Customer's Signature Date X I/s/The Home Depot 07/02/2025 The Home Depot Digital Signature Date For questions related to your installation,contact Service Provider at (631) 478-6101 For any other concerns, contact The Home Depot at 1-800-466-3337 460 standard Form HIA(13 Aug.24)(E) Generated Date 07/02/2025 Lead/P(V F52479263 v 4,0.0