HomeMy WebLinkAbout46403-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
H x 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#: 46403 Date: 6/10/2021
Permission is hereby granted to:
Crossroads Atlantic LLC
9 W 5th St Ste 4500
New York, NY 10019
To: Window replacement at existing single family dwelling as applied for.
At premises located at:
26705 Route 25
SCTM #473889 W RZK -t, co t� 5�
Sec/Block/Lot# 109.-2-13.4
Pursuant to application dated 5/25/2021 and approved by the Building Inspector.
To expire on 12/10/2022.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO-ALTERATION TO DWELLING $50.00
Total: $250.00
Building Inspector
FIELD INSPECTION REPORT DATE COMMENTS
�b
FOUNDATION(1ST) 'C>
------------------------------- DO
-----
C
FOUNDATION(2ND)
H
9J o
ROUGH FRAMING& y
PLUMBING
r
0�
INSULATION PER N.Y. I
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS .
�O
�--� z .
m
O y
y
C
y
SWOjr TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y�
y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
woy�o• ��o� Telephone (631) 765-1802 Fax(631) 765-9502 his://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector: M AY 2 5 2021
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an pp 7T,1'f7N`r P TT 1''17
'Owner's Authorization form(Page 2)shall be completed. �t-;,
Date: 5 ` a
OWNER(S)OF PROPERTY:
Name: G.ry �... -A�1w���C .L (. PCTlvl#1000-
Physical Address
y a ��.0_S .._.2., _.a. ___ ...C��c,�.0_.u.c. _._. ._..._..-
Phone#: a Email:
Mailing Addr _... _. . _. . ...._. _.... _ .. _.. .. _.
CONTACT PERSON:'
Name: CZ
Mailing Address: �01 S R C�0 U e
Phone#: l9`l.b._. U 1 ..0�. . . .. Email• �1 �� m4 el er- A enC' - .....�o - ..._
DESIGN PROFESSIONAL INFORMATION:
Name: N
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:: ; :..-
Name: S e
Mailing Address: �j
Phone#: .a� ]-.S_... Email:. .V,nce �. .�CfeM� l@f./'f ellC`
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration XFRepair ❑Demolition Estimated Cost of Project:
❑Other Rel'\Gc�. RPP�u�t;�ole�y 40wo-40,-/5 Nn6rSun -�;1, 1n`�. $ 1 /UUO
Will the lot be re-graded? Dyes NO Will excess fill be removed from premises? Dyes &�No
1
PROPERTY INFORMATION -
Existing use of property: �!t � Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes KNo 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 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,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 ClassA misdemeanor pursuantto Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): - ❑Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF )
V-i cent- 6gus `, being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the A) pn
(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
a L1 day of �� 20 a
-vetary Public
PROPERTY OWNER AUTHORIZATIMI
(Where the applicant is not the owrRdY�
I, ��Gce`j S 0j'%0 residing at L1L1� � t7���c�n Rr� CUW",OsUe
�y; do hereby authorize V.nt.eRa cuc,S�C/-I Gcc,,,Gl to apply on
my behalf t Town of Southold Building Department for approval as described herein.
Owner's Signature Date
J
Print Owner's Name
2
Southold Town Building Department
P.O.Box 1179 Permit#: 46403
53095 Main Rd
Southold,New York 11971 Permit Date: 6/10/2021
(631)765-1802 Expiration Date: 12/10/2022
Parcel ID: 109.-2-13.4
BUILDING PERMIT RENEWAL LETTER
Dated: 5/7/2024
Applicant: Crossroads Atlantic LLC
Location: 26705 Route 25
Work Description: WINDOWS
Window replacement at existing single family dwelling as applied for.
A FEE OF$125 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Crossroads Atlantic LLC
Address: 9 W 5th St Ste 4500
New York,NY 10019
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department,P.O. Box 1179, Southold,New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
APPROVED AS NOTED O C C U PAN CY O R
DATE: 0'� B.P.# USE IS UNLAWFUL
FEE:
aS 0 BY: WITHOUT CERTIFICATE
F OCCUPANCY
NOTIFY BUILDING DEPARTMENT AT �.O
765-1802 8 AM TO 4 PM 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
REQUIREMENTS OF THE CODES OF NEW COMPLY WITH ALL COc)ES OF
YORK STATE. NOT RESPONSIBLE FOR H1 W Y"()RK STATE & To'��y`PJ COPE;
DESIGN OR CONSTRUCTION ERRORS. AS REQUIRED AND COti;�,lf-INNS C
SOLITHbLD TC',NN a
SOMOLD TOM PLANNING K�F.
SOUTHOLD Tv-Wj TRUSTED
N.Y.S.DEC
• JANANDERSEN
WINDOW S & DOOR S
SOLR.BY� SOLD TO: auoTE oe►TE y��
5A 0,,12021
So nkmb.Luetbo.
631 3:5-9303 Speonk,NY 14"372 0480.
Abbreviated quote Report - Customer# cicn
QUOTE NAME. AOJEG�'NAME . QtIOYE;t+4ttMMR: CUSTOMER POiI TRADE ID
Cole Allen CUtchbgye REV5;13 U01*1.1—d Project ?52 2
ORDER MOTESt..
DELIVERY N6tES:
its : deiton : Locatton Unit Price Ext.Price
Ida X2: ;AA. None Assigned $543.66 $6,523.92
3
. .;3211$"x S6 CIS" :Ut11t5[Z� 1':5f8"�4:SS TfB"
— 4 X _
7,0�6 .
TW2fi46,Unit,40Q des DQu#iti;<-HEta i��Equal Sash,tnstal1atian:Ftange,White Extenor Frame;White Exterior Sash/Panel, Pine
wl�lrtfinlshed`1lriterior:Frama�Fiaa w-,fil tied IMezror Saslt�Fanet�AA,Real Pane Low-1=4 Sfandard Argon FlII Removable Interior
:,; Gnlle::QlvtSlon Stantl3C�t Celle Allt8tlta 'Vl1kdi�'Z119h Colon1il:Patletn,Mitej Maple.wlNfite,3!4"Grille Bar,Traditional, 1
Sasta Locks Stone( actoty rpliodji Whit+ Jam LsnatwWriie,EuIC Scmen;;AlUminum
Insect Screen 1.4Q0 Senes=D ub e=t#PAO$TItIF26 6 Full Sa�een Atc�min m White Pf�1610t74
Grtlio:2 TW26ds 11G,colotaitat3V112H 3 4`:Whtta!`tulapte wiNhita w/Oh�sel Plungers PN 91 52834
. V�fitftN: He< ht Area S Ft Comments:
Unit U=Fact9t SHGClear OPenlnJrr€t#r ( 4,
Al 0.3 0 31 gt7.ga0` 24:25t?0: 4.71 Oo0
Quote#: 752312. PrintDate:'�af13/2t12'1 ]-3140'PM UTC Page 1 of 5
Atl Images Vewed from:Ezterior.
Abbreviated. Quote Report Customer p:riCing-
QUOTE NAME PROJECT NAME GWOTE NUMBER CUSTOMER Post TRADE ID
Cole Allen Cutchogue REV5.13 Unassigned Project 752319
ORDER NOTES:
DELIVERY NOTES:
Item sty .Oaecatlon Location Unit Price Ext.Price
200 5 AA None Assigned $415.29 $2,076.45
RO Size=26118"x 40 7/8" UnitSlze a.25 5/8"x 40.718"
7W2032,Unit,400.Series Double,Hung,Equal Sash,Installation Falange,White Exterior Frame,White Exterior Sash)Panel, Pine
wlUnfinished lnlerior Frame,Pine w/Unfirtished Interior Sash/Panel,AA,'Dual Pane Low•E4 Standard Argon Fill Removable Interior
G611e Division,Standard'Grille Alignment,3:Wide.,2 High,Colonial Pattern,White,Maple w/Whhe,3/4'Grille Bar,Traditional, 1
Sash Locks Stone(Factory.Applied);Whitelamti Liner.White, Fult:Screen,Aluminum
Insect Screen 1:40.0 Sed Doltbli-dung,TW2032 Fu}I Screen Aluminum White PN:1610112
i.Grille 2.?W2032.RIG. Colonial OWW..2H,314'SNhtte/Maple White w/.Chisel Plungers PN:9022806
Unit# U-Factor SHGC Clear OpeningJUnit# Width Ht3ight Area(Sq.Ft) Comments:
Al .. 2t 8TS0 15r7500
Al 0.3 0.31 2.40000
t3uote#: 752312 Pr1nt:Date $/t312421 t:31:40 PM UTC Page 2 of 5
All Images Viewed from Exterior ,
Abbreviated Quote Report - Gusto.trier= Pricing
QUOTE NAME PRWECT NAME bUOTt:tVUIf18Et CUSTOMER POD TRADE ID
C.Oic AErn wt a &\'$13 Un9ssign0d Pro)6ct 752312
OROEA NOTES:
DELIVERY NOTES:
ttern Qn t;tttOn Lmtlon Untt Pricg Exi. PNfe
300 3 AA None Assigned $438.11 $1,314.33
RO Slate 30 1M" 40118" Unit Size=.19 Si8"x 46 118"
?1S24a2.Un;.400 Series dov�l Hung Equal.Sath,Instatlation Flange,White Exterior Frame,White Exterior SasWPanel,Pine
w UrSnsheo Interior Frame,Pine.w,Unfinished Interior SaShfPanel,AA.Dual Pane Law E4 Standard Argon Fill Removable Interior
Gr1'1;e Division,Sandaro Grille Alignment;3 WKk,2 High,Colonial Pattern,White.Maple wlWhite.314'Gnile liar,Traditional. 1
Sa
Sash Locksone(Factory Apples,WhheJamb Unerr.White,Full Screen,Aluminum
Insect Sdreel 1-400,Series.Double-Hun. TM432 Fu11
Oni Screen Aluminum Whi1a:PN:1610120
Gn-:e 2:7W2432 RIG.0 al 3W 2H 3!4'.Whit e l Maplo White w1 Chisel Plungers PN:9022814
J'r l!-Faux S43C Cleo Openino.Unh a Wicfth Hei8h1 Area(Sq. Ft) Comments:
Al 0.3 031 Al 25 8750 15.7500 2.84000
• Quote e: 7523`2 Pdnt ?ate: 51312021 1:31:40 PM UTC Page 3 of 5
A' Images Viewed!rom Exceria
Abbreviated Quote Report - Customhi er ''-ing
QUOTE NAOE PROJECY NAME 046TE:NUMBER CUSTOMER POt TRADE 10
Cole Allen Cutchogue REVS.13 Unassigned Project 762319
ORDER NOTES:
DELIVERY NOTES:
Item Operation Location Unit Pirke Ext.Price
400 6 AA: None Assigned $496.36 $2,978.16
RO Size-_92 if8-7 x 48 7l8". Unit:Size 31 518"x 48118"
TYV26310,:Unit,400;Senes Ooubte-Hung,EqualInstailathon:Flange, M1Railc.Exterior Frame,White f zlorior.Sash/Panc1. Pine
w/Unfnished lntenor::Frame;Pine w/URhishod, Interior S IVPM*cl,AA.Mal Pane LOW-E4 Standard Argon Fill Removable Interior
Grille Division,Staindard-Grille Alignment,2; de,.; Igh;Cotonitt.Patterrl,Whito,Mapfo wMhito,314 Grille Bar,Traditional, t
Sash Locks Stone(Factory-APtied) Wh1telamtiUner,Whfto,WU`Saeon;Aluminum
Insect Screen 1 400 Sen >Ooubte=Hung,Tyf2631.0 Ft111 Scroen.Aluminum White PN:1litOt 72
Grille 2:TW26310::RIG t',o1 16f, ;2H 4'Wh11e/Maple<11llhrle,.w/Chisel`Plungers PN:91 s8444
Unit# U-Factor SHGC Gear OpeninglUltR:1i Nidth Height -�rA(Sq:Ft) Comments:
Al 0.3 0.31 Al 27.8760. 20:25. 3.93000
SU13-TOTAL: $12,892.86
FREIGHT. $0.00
LAAOR: _ $0.00
TAX: $0.00
TOTAL: $12.892.86
CUSTOMER SIGNATURE DATE
. Quote!E• 752312 Print Mate: 5/1312b21'1.31:40 PM UTC Page 4 of S
All Images Viewed from Exterior
1