HomeMy WebLinkAbout52388-Z �o4*of SouTyo`o Town of Southold
* * P.O. Box 1179
53095 Main Rd
�`rcaear Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46706 Date: 11/20/2025
THIS CERTIFIES that the building SINGLE FAMILY DWELLING-ALTERATION
Location of Property: 4860 Oaklawn Ave Southold, NY 11971
Sec/Block/Lot: 70.-9-50
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 10/08/2025
Pursuant to which Building Permit No. 52388 and dated:. 10/22/2025
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:
Window replacements to an existing single-family dwelling as applied for.
The certificate is issued to: June Smith
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION:
_1AJ
utho ed i ture
SQ�T TOWN OF SOUTHOLD
BUILDING DEPARTMENT
• 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#: 52388 Date: 10/22/2025
Permission is hereby granted to:
June M Smith
4860 Oaklawn Ave Ext
Southold, NY 11971
To:
Install window replacements at an existing single family dwelling as applied for.
Premises Located at:
4860 Oaklawn Ave, Southold, NY 11971
SCTM#70.-9-50
Pursuant to application dated 10/08/2025 and approved by the Building Inspector.
To expire on 10/22/2027.
Contractors:
Required Inspections:
Fees:
CO Single Family Dwelling-Addition /Alteration $100.00
Single Family Dwelling- Alteration $250.00
Total $350.00
Building Inspector
OF SOUjyolo
* # TOWN OF SOUTHOLD BUILDING DEPT.
couto, ,o 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL k)j;dtG
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION j ] 'FIRE RESISTANT PENETRATION
[ ] ` ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O ] RENTAL
REMARKS:
DATE IINSPECTO#y�%�k
gUffO(,�
=oo oo� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
w Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy�o as Telephone(631) 765-1802 Fax(631) 765-9502 htWs://www.southoldtowM.gov
I
Date Received
APPLICATION FOR BUILDING PERMIT
rr 2 For Office Use Only
PERMIT NO. J�✓ Building Inspector: 0CT — 8 2025
Applications and forms must be filled out in their entirety. Incomplete
application's will not be accepted. Where the Applicant is not the owner,an Building Department
Owner's Authorisation form,(Page 2)shall be completed. Torn of Southold
Date:10/2/2025
OWNER(S)OF PROPERTY:
Name:June Smith sCTM#1000-
Project Address:4860 Oaklawn Ave Ext
ne#: 31 765
Pho6 5961
Email:strdust3 a .
-- _._ _ -- _-----_ — - - 5 olcom
_. __-- -----_-.__._--- -
Mailing Address:4860 Oaklawn Ave Ext
CONTACT PERSON:
Name:June Smith
Mailing Address:4860 Oaklawn Ave Ext
Phone#:631 765 5961 Email:strdust35 aol.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:Renewal yby_Andersen
Mailing Address:2029 New Hwy_Farmingdale NY 11735
Phone#:631 843 1713 ext 2255 Email:cv_alente@rbalongisland.com _
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
lil Other replacing 15 windows $51,588 1
Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes El No
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes El No IF YES, PROVIDE A COPY.
❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage`and storm water issues as provided by
Chapter 236.of the Town Code: APPLICATION IS HER 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;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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of.the New York State Penal Law.
Application Submitted By(print name): ❑Authorized Agent (Owner
..__. __._
Signature of Applicant: (, _ ,r\ Date: Qet0 jS0� �� 3,pa,S
STATE OF NEW YORK)
SS:
COUNTY OF S0,6 11,1L )
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(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 C,��P ,20 O1S kuu4o'r f.>e
Notary ublic
YNN ltAY WINTERS'
�"*USLIC,State of New York
PROPERTY OWNER AUTHORIZATION „ 'rNo.01W16208503
":G11iAKRed in Suffolk County
(Where the applicant is not the owner)
Comnlfgpn Explrea Jury S.20•�7
I, residing at
do hereby authorize- to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
.w
WOrder Summary
db.RENEWAL BYANDERSEN OF LONG ISLAND June Smith
Legal Name:Long Island Custom Windows I License#Suffolk Lic#43991-H 1 4860 Oaklawn Ave Ext
RENEWAL Nassau Lic#H0810150000 I NYC Lic#1307704 Southold,NY 11971
bYANDERSW 2029 New Highway I Farmingdale,NY 11735 H:(631)765-5961
� Phone:631-843-1713 1 Fax:631-843-1717 1 tmapp®rbalpngisland.com
Measure Tech:Luke LaGrega,
ROOM SIZE DETAILS
JOB
101 Primary Bath 21" 34" Window: AcclaimTm Double-Hung (DG), 1:1,Travel Calculation Unavailable,
20-5/8" 33-1/8" Flat Sill, Insert Frame, Modern Checkrail, Exterior White, Interior White
Performance Calculator: PG Rating: 40 1 DP Rating: + 40 / - 40 Glass: All
Sash: High Performance, Obscure, Tempered Glass Hardware: White,
Standard Color Recessed Hand Lift Screen: Fiberglass, Full Screen Grille
Style: No Grille Misc: None Construction: All buildout for wrap (1), New
Construction Vinyl Removal (1), No Bars (1), Pad Opening (1), Replace
Rotted Wood (1) Material: None
102 2nd bath 21" 34" Window: AcclaimTm Double-Hung (DG), 1:1,Travel Calculation Unavailable,
20-3/4" 33-1/2" Flat Sill, Insert Frame, Modern Checkrail, Exterior White, Interior White
Performance Calculator: PG Rating: 40 1 DP Rating: + 40 / 40 Glass: All
Sash: High Performance, Obscure Hardware: White, Standard Color
Recessed Hand Lift Screen: Fiberglass, Full Screen Grille Style: No Grille
Misc: None Construction: All buildout for wrap (1), New Construction Vinyl
Removal (1), No Bars (1), Pad Opening (1), Replace Rotted Wood (1)
Material: None
103 Sunroom 76 60 Window: AcclaiinTm Gliding Double, 1:1,Active/ Passive, Base Frame,
73-5/8" 58-3/4" Exterior White, Interior White Performance Calculator: PG Rating: 20 1 DP
Rating: + 20/ -20 Glass: All Sash: High Performance, No Pattern
Hardware: White. Standard Color Extra Lock, Standard Color Hand Pull
Screen: Fiberglass, Full Screen Grille Style: No Grille Misc: None
Construction: All buildout for wrap (1), New Construction Vinyl Removal (1),
APPROVED AS NOTED No Bars (1), Pad Opening (1), Replace Rotted Wood (1) Material: None
DATE B.P.# a &
3�,� E
N DEPARTMENT
COMPLY WITH ALL CODES OF
NOTIFY BUILDING EPARTMENTAT NEW YORK STATE&TOW NCODES
631-765-1802 8AM TO 4PM FOR THE A$
FOLLOWING INSPECTIONS: REQUIRED AND CONDITIONS OF
1. FOUNDATION-TWO REQUIRED MOLDTOWN ZBA
FOR POURED CONCRETE An
WTOWN PI�IVINUM
2. ROUGH-FRAMING&PLUMBING LDTOWN TSllS1E3. INSULATION "�""'�4r FINAL-CONSTRUCTION MUST C
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL THE NTS OFTHE CODES OF NEW SCHD , 24
REQUYORKISTA M NOT RESPONSIBLE FOR USE IS UNLAWFUL ,✓Rj''`
DESIGN OR CONSTRUCTON ERRORS WITH 0 UT CERTIFICATE
OF OCCUPANCY
VRENEj-
Order Summary
dba:RENEWAL BY ANDERSEN OF LONG ISLAND June Smith
Legal Name:Long Island Custom Windows I License#Suffolk Lic#43991-H 1 4860 Oaklawn Ave Ext
Nassau Lic#H0810150000 I NYC Lic#1307704 Southold,NY 11971
2029 New Highway I Farmingdale,NY 11735 H:(631)765-5961
nuvrawm>d:oaemw
Phone:631-843-1713 I Fax:631-843-1717 I tmapp®rbalongisland.com
Measure Tech:Luke LaGrega,
ROOM SIZE DETAILS
104 SLlnroom 76" 60" Window: AcclaimT"' Gliding Double, 1:1,Active/ Passive, Base Frame,
72" 58-3/4" Exterior White, Interior White Performance Calculator: PG Rating: 20 DP
Rating: + 20/ -20 Glass: All Sash: High Performance, No Pattern
Hardware: White, Standard Color Extra Lock, Standard Color Hand Pull
Screen: Fiberglass, Full Screen Grille Style: No Grille Misc: None
Construction: All buildout for wrap (1), New Construction Vinyl Removal (1),
No Bars (1). Pad Opening (1). Replace Rotted Wood (1) Material: None
105 Sunroom 76 60 Window: AcclaimT"' Gliding Double, 1:1, Active / Passive, Base Frame,
69" 58-3/4" Exterior White, Interior White Performance Calculator: PG Rating: 20 1 DP
Rating: + 20/ 20 Glass: All Sash: High Performance, No Pattern
Hardware: White, Standard Color Extra Lock, Standard Color Hand Pull
Screen: Fiberglass, Full Screen Grille Style: No Grille Misc: None
Construction: All buildout for wrap (1), New Construction Vinyl Removal (1),
No Bars (1), Pad Opening (1), Replace Rotted Wood (1) Material: None
106 Sunroom 76 60 Window: AcclaimT"^ Gliding Double, 1:1, Active/ Passive, Base Frame,
75-1/2" 58-3/4" Exterior White, Interior White Performance Calculator: PG Rating: 20 1 DP
i
Rating: + 20/ 20 Glass: All Sash: High Performance, No Pattern
Hardware: White, Standard Color Extra Lock, Standard Color Hand Pull
Screen: Fiberglass, Full Screen Grille Style: No Grille Misc: None
Construction: All buildout for wrap (1), New Construction Vinyl Removal (1),
No Bars (1), Pad Opening(1), Replace Rotted Wood (1) Material: None
107 Sunroom 76" 60 Window: AcclaimT'vl Gliding Double, 1:1,Active/ Passive, Base Frame,
73" 58-3/4" Exterior White, Interior White Performance Calculator: PG Rating: 20 1 DP
Rating: + 20/ -20 Glass: All Sash: High Performance, No Pattern
Hardware: White, Standard Color Extra Lock, Standard Color Hand Pull
Screen: Fiberglass, Full Screen Grille Style: No Grille Misc: None
Construction: All buildout for wrap (1), New Construction Vinyl
09/16/25 Page 3 /24
Order Summary
dba:RENEWAL BYANDERSEN OF LONG ISLAND June Smith ,
Legal Name:Long Island Custom Windows I License#Suffolk Lic#43991-H 1 4860 Oaklawn Ave Ext
RENEWAL Nassau Lic#H0810150000 I NYC Lic#1307704 Southold,NY 11971
6YANDER_SEN 2029 New Highway I Farmingdale,NY 11735 H:(631)765-5961
wi vnu womor ua cnuun
Phone:631-843-1713 I Fax:631-843-1717 I tmapp®rbalongisland.com
Measure Tech:Luke LaGrega,
IDU ROOM
Removal (1), No Bars (1), Pad Opening (1), Replace Rotted Wood (1)
Material: None
108 Living 106 46" Window: AcclaimT"' Gliding Triple, 1:2:1, Base Frame, Exterior White,
105-1/8" 44-3/4" Interior White Performance Calculator: PG Rating: 30 1 DP Rating: + 30/
30 Glass: All Sash: High Performance, No Pattern Hardware: White,
Standard Color Hand Pull Screen: Fiberglass, Full Screen Grille Style: No
Grille Misc: Interior Stool/Sill (Primed/Pine), Interior Stool/Sill
Construction: All buildout for wrap (1), New Construction Vinyl Removal (1),
No Bars (1), Pad Opening (1), Replace Rotted Wood (1), Interior Casing with
Stool &Apron (1) Material: None
109 Living 106" 46 Window: AcclaimTm Gliding Triple, 1:2:1, Base Frame, Exterior White,
105-1/8" 45-1/8" Interior White Performance Calculator: PG Rating: 30 1 DP Rating: + 30/
30 Glass: All Sash: High Performance, No Pattern Hardware: White,
Standard Color Hand Pull Screen: Fiberglass, Full Screen Grille Style: No
Grille Misc: None Construction: All buildout for wrap (1), New Construction
Vinyl Removal (1), No Bars (1), Pad Opening (1), Replace Rotted Wood (1)
Material: None
110 office 46 34" Window: AcclaimT"' Gliding Double, 1:1,Active/ Passive, Base Frame,
45" 33-3/8" Exterior White, Interior White Performance Calculator: PG Rating: 40 1 DP
Rating: + 40 / 40 Glass: All Sash: High Performance, No Pattern
Hardware: White, Standard Color Hand Pull Screen: Fiberglass, Full Screen
Grille Style: No Grille Misc: None Construction: All buildout for wrap (1),
New Construction Vinyl Removal (1), No Bars (1), Pad Opening (1), Replace
Rotted Wood (1) Material: None
09/16/25 Page 4/ 24
Order Summary
db.RENEWAL BYANDERSEN OF LONG ISLAND June Smith
Legal Name:Long Island Custom Windows I License#Suffolk Lic#43991-H 1 4860 Caklawn Ave Ext
WRENEWAL
Nassau Lic#H0810150000 I NYC Lic#1307704 Southold,NY 11971
hrANDERS_E._N 2029 New Highway I Farmingdale,NY 11735 H:(631)765-5961
�a
Phone:631-843-1713 I Fax:631-843-1717 I tmapp®rbalongisland.com
Measure Tech:Luke LaGrega,
D• ROOM
111 Primary 46" 34" Window: AcclaimTm Gliding Double, 1:1,Active/ Passive, Base Frame,
Bedroom 45-3/8" 33-3/8" Exterior White, Interior White Performance Calculator: PG Rating: 40 DP
Rating: + 40/ -40 Glass: All Sash: High Performance, No Pattern
Hardware: White, Standard Color Hand Pull Screen: Fiberglass, Full Screen
Grille Style: No Grille Misc: None Construction: All buildout for wrap (1),
New Construction Vinyl Removal (1), No Bars (1), Pad Opening (1),Replace
Rotted Wood (1) Material: None
112 Primary 33" 33" Window: AcclaimTm Double-Hung(DG), 1:1, Flat Sill, Insert Frame, Modern
Bedroom 32-5/8" 33-3/8" Checkrail, Exterior White, Interior White Performance Calculator: PG
Rating: 40 1 DP Rating: + 40/ -40 Glass: All Sash: High Performance, No
Pattern Hardware: White, Standard Color Recessed Hand Lift Screen:
Fiberglass, Full Screen Grille Style: No Grille Misc: None Construction: All
buildout for wrap (1), New Construction Vinyl Removal (1), No Bars (1), Pad
Opening(1), Replace Rotted Wood (1) Material: None
113 Foyer 23 61" Window: AcclaimTM Picture, Base Frame, Exterior White, Interior White
22-3/8" 60-1/8" Performance Calculator: PG Rating:. 50 1 DP Rating: + 50/ -50 Glass: All
Sash: High Performance, No Pattern Grille Style: No Grille Misc: None,
Construction: All buildout for wrap (1), New Construction Vinyl Removal (1),
No Bars (1), Pad Opening(1), Replace Rotted Wood (1) Material: None
114 Foyer 23 61" Window: AcclaimTM Picture, Base Frame, Exterior White, Interior White
22-1/4" 60-5/8" Performance Calculator: PG Rating: 50 1 DP Rating: + 50/ -50 Glass: All
Sash: High Performance, No Pattern Grille Style: No Grille Misc: None
Construction:'All buildout for wrap (1), New Construction Vinyl Removal (1).
No Bars (1), Pad Opening (1), Replace Rotted.Wood (1) Material: None
09/16/25 Page 5/ 24
Order Summary
dba:RENEWAL BYANDERSEN OF LONG ISLAND June Smith
Legal Name:Long Island Custom Windbws I License#Suffolk Lic#43991-H I 4860 Oaklawn Ave Ext
WRENEWAL Nassau Lic#H0810150000 I NYC Lic#1307704 Southold,NY 11971
brANDERSEM 2029 New Highway I Farmingdale,NY 11735 H:(631)765-5961
rioicnm.�a.`wacnw„a Phone:631-843-1713 1 Fax:631-843-1717 1 tmapp®rbalongisland.com
Measure Tech:Luke LaGrega,
D• ROOM
115 Garage 42' 35" Window: AcclaimTM Picture, Base Frame, Exterior White, Interior White
45-1/4" 33-5/8" Performance Calculator: PG Rating: 50 1 DP Rating: + 50/-50 Glass: All
Sash: High Performance, No Pattern Grille Style: No Grille Misc: None
Construction: All buildout for wrap (1), New Construction Vinyl Removal (1),
No Bars (1), Pad Opening(1), Replace Rotted Wood (1) Material: None
PRODUCTS: 15 WINDOWS: 15 PATIO DOORS:0 ENTRY DOORS:0 SPECIALTY:0 MISC:0 Updated 9116125
•:NOTES
Job#04462933
All windows Vinyl rip, measured in Sheetrock jambs on stool,gets fibrex L stops, replace stool ID 108
3 DGs
3 PW
7 GL Double
2 GL Triple
Estimated Duration:2 days
09/16/25 q;, Page 6 /24