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HomeMy WebLinkAbout38361-Z guPfOt,f�o Town of Southold Annex 1/28/2014 �y P.O.Box 1179 z 54375 Main Road vy Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36739 Date: 1/28/2014 THIS CERTIFIES that the building WINDOWS Location of Property: 7125 Great Peconic Bay Blvd, Laurel, SCTM#: 473889 Sec/Block/Lot: 126.40-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/16/2013 pursuant to which Building Permit No. 38361 dated 9/27/2013 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: WINDOWS AND DOOR ALTERATION TO A ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Druck III,James&Druck,Marguerite (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au o ed S'gnatu Jam_ TOWN OF SOUTHOLD o�gUFFO(,yCo BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o . 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#: 38361 Date: 9/27/2013 Permission is hereby granted to: Druck III, James & Druck, Marguerite 7125 Peconic Bay Blvd Laurel, NY 11948 To: installation of windows & door as applied for At premises located at: 7125 Great Peconic Bay Blvd, Laurel SCTM # 473889 Sec/Block/Lot# 126.-10-13 Pursuant to application dated 9/16/2013 and approved by the Building Inspector. To expire on 3/29/2015. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO:DWELLING $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. New Construction: 7 Old or Pre-existing Building: (check one) ` Location of Property: �7j&! I r_ ( �)plx'c . ?di-V-q &j1 W LcukA l House No. Inn Street Hamlet Owner or Owners of Property: -eS 4 Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. � ( Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (c one) Fee Submitted: $ Applicant Signature FIELD WME NML?OR'T DATE CONIlVlENTS f_` FOUNDATION(IST) ��YMMM FOUNDAZTION(2ND) wz ROUGH FItAMIT,ICE& PLUMING INSULATION PBA N.Y. STATE ENERGY CODE LeAL FINAL , ADDITIONAL Comm, NT'S . . z . m ll 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 SoutholdTown.NorthFork.net PERMIT NO. ` yffo� Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined (, ' ,2013 Single&Separate Storm-Water Assessment Form Contact: Approved 20J j Mail to: Disapproved a/c Phone:@,'� D Expiration ,20 S --C E . U E Building Inspector APPLICATION FOR BUILDING PERMIT SEP 16 2013 / Date r (D , 20 BLDG. 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 throughout 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. 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. A (Si ature of applicant or name,if a corporation) u eta s W Fi�gg 7r2- CERTIFdCA E g ddr f p licant) APk State whether applicant is owner, lessee;agent,'architect, engineer, gene��l. on uric a u �r or builder _By � NOTIFY BUILDING EPA LAENT AT Name of owner of premises I�V �L �- 5- A T PM (As on the tax roll 1r �_ sU N-TWO REQUIRED If applicant is a corporation, signature of duly authorized officer FOR POURED CONCRETE 2. ROUGH-FRAMING,PLUMBING, (Name and title of corporate officer) STRAPPING, ELECTRICAL&CAULKING Builders License No. 3, INSULATION Plumbers License No. 4, FINAL-CONSTRUCTION &ELECTRICAL Electricians License No. MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MELT THE Other Trade's License No. REQUIREMENTS OF THE CODES OF NIEW YORK STATE, NOT RESPONSIBLE FOk, 1. Location of lan n which proposed work will e one: DESIG .OR CONSTRUCDIRRORS. ouse Number Street Hamlet County Tax Map No. 1000 Section oCG Block l Lot l-� Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and 111tended use and occupancy of proposed construction: a. Existing use and occupancy lt`� b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling uni 1 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. f A 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 Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner vc, 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.C. 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 NOY,- * IF YES, PROVIDE A COPY. STATE OF NEW YOR.R) SS: COUNTY OF UC_�eing duly sworn, deposes and says that(s)he is the applicant (Nam f individual signing contract)above named, C®6VNIE D.BUNCH (S)He is the rotary Public,State of im?evv Work P11- d er>a r✓•r (Contractor, Agent, Corporate Officer, etc.) qualified in Suffolk County Commission Expires April 14,20110 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 this 104frl day ofl P& NV6 20 6L),y\,t:L Notary Public ))_�Itgna�tu Applicant TOWN OF SOUTHOLD. PaOPERTY RECORD CARD � %mow --/0i � OWNER o STREET /i °' VILLAGE DISTRICT LOT Druc'k �: tv";` FORMER OWNER N P E �,,,� ACREAGE 1 iv/ ZU S ... TYPE OF BUILDING fDMviv'D RES. 22,0 SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS f 76 ~XT s `;�%. '� o E. t�t is /ts A Dt CyL u E ` /h ?� � ( �� f1Se�f �� �e 16 )vJG� vF 9; 9 3Af-2. /ll l_5'0�n �e`r�e + D►Uck . 2- �•/� �`�s� C�nsfy. a cce3S. CON D N ; � q ��-� 3'r� �c-- ��� -4-I u vC:�rJ o N,E�W N RMAL 4ELOW � :qBB E� FRONTAGE ON WATER Farm Acre Value Per Acre Valub FRONTAGE ON ROAD /0( lAe- , r C Tillable . 1 BULKHEAD fl -�IO4 9P#32-472- i0st I/ solaft . (dine,/S o Tillable 2 DOCK ` Tillable, 3 Woodland, Swampland 9/11 01 VaaS Brushland -• 2 b 6F#34q,55 kas hi d exk a i' 13x1Q ®fir House Plot �- Total pry � c .•st eJ1V t ✓ � SF r -- � " �� -E@ Lhk+ � t E�4 I5!(�.x a b e�ti✓4nr E: � r 1tit fP �`. '+z�:✓1 �aS'�n q`&ry n�- +ciat; ar'E4 r3 aS r spy,, � l � �. '` Y mar] v [j�fiY� i 4a' �'✓im � n R F+,, "� 1;° r �:* <>yg+t l ° 4'�� ���hy,5'✓v �'-_-._,._fin t���P+�4 5�;'�t�i r° { � a ^sgYti Jr n 4F 71171 ti� a9� 4 L- - I �.:�� Elm � " ■■■■■■■■■■■■■■■■���_ " tN 1�1 -`-Ax`....... ■I■ �_o■Ifni■■ 1 ■■ma■■c■ MIN, �r� c ; ■I■min �■I■■■■i■■eismoommumm■o■■�_■■ v1n'y> . yew � �� ..:, - ���>� T .�..�. � ,».��,��...�r.,. �,.°. ,;.�y�fa,.�..,� � �:: ,.,. . �11■■■'�!■■■■!��■��■1l�J �■ ■ ■■I�i■■■■■■iil�■IN ■■■ t - ■I■ _ ■■Il■■■■■E©om■■■■ ■ 'nommo■■■■■■■■■■ Foundation Ext. Walls Interior Fini Fire Place Porch ••• •- •• jKoorns I st F •• r� MMM�§?Bmwooms . Floor INSPECIAL SERVICES CUSTOMER INVOICE Page 1 of 2 NO. 1222-336777 Store 1222 RIVERHEAD Phone: (631)284-2530 VALIDATION AREA 1550 OLD COUNTRY ROAD Salesperson: RG566M RIVERHEAD, NY 11901 Reviewer: This is only a QUOTE for the merchandise and services printed below. This becomes an Agreement upon payment and an endorsement by a Home Depot register validation. Name Home Phone • DRUCK FR'ED (631)298-7017 Address 7125 PECONIC BAY BLVD Work Phone Company Name • °ity LAUREL Job Description WINDOWS State NY zip 1 1 948-1 940 County SUFFOLK QUOTE is valid for this date:08/22/2013 we the r MERCHANDISE AND SERVICE SUMMARY soldreserve stomershttolimitthequantities handise „ ....,. .. „u :,.... REF# W02 SKU# 0000-515-664 Customer Pickup/Will Call S.O. MERCHANDISE TO BE PICKED UP: S/O ANDERSEN REF# S01 ESTIMATED ARRIVAL DATE: 1 LOGISTICS REF# . . .._. . ..SIt1. . . ... '_, ,4�`»(.,. . :SJlll 13YESCRIPIt�)N 'l#f, E / Ekl EX�TENSiOtJ .. .'....... .,.,E ,...,..... <v:, , ....F...: :.. ..+v.. +�F.` 5 5 S0101 0000-290-067 5.00 EA NA/200 SERIES TILT-WASH DOUBLE-HUNG , AA ,/UNIT 1: DOUBL Y $257.71 $1,288.55 HUNGUNIT 1: 39.5 X 59.5200 SERIES. S0102 0000-290-067 5.00 EA NA/INSECT SCREEN 1: 39.5 X 59.5 244DH3450 F/UNIT 1 A Y $27.26 $136.30 HUNGUNIT 1:39.5 X 59.5200 SERIES SCHEDULED PICKUP DATE: Will be scheduled upon arrival of all S/O Merchandise • $1 424.85 TOTAL CHARGES OF ALL MERCHANDISE & 9999kts Policy Id(PI): • ' • $1 424.85 A: 90 DAYS DEFAULT POLICY*eeeoeoe**ooe000**...000*oo*0000 SALES TAX $122.89 ...............................� TOTAL $1,547.74 BALANCE DUE $1 547.74 ** GDNTINUED ON NEXTPAGE*'*. D WILL-CALL MERCHA UP 1= }F VIfILL CAhI.; Will-Call items n the store for 7 days only. MERCH Nor'sE PECK l?` Check your current order status online at s,,^ PROCEED TQ:.rii_.'cAf OR ,,,WWW.homedepot.com/orderstatus SERVICE DESK AREA GM6W* /*a 6le, (Pro Customers, Proceed To The Pro Desk) (9801) 0100480522 No. 1222-336777 Customer Copy Store Information Customer Information Naas: FRED DRUCK RIVERHEAD 1550 OLD COUNTRY ROAD Address: 7125 PECONIC BAY BLVD RIVERHEAD, NY 11901 LAUREL, NY 11948-1940 Sore Number: 1222 Horse Phone: 6312987017 336777 Customer A�rees�c�r�t Work Phone: Associate: ROBERT 100-1 200 Series Double Hung 39.5 x 59.5 5 $257.71 $1,288.55 j Standard Width = RO: 40" 1 UNIT: 39 1/2" ,asr ,i Standard Height= RO: 60" UNIT: 59 1/2" Product Style= Equal Sash _ Unit Code=244DH3450 Frame Depth =3 1/4" Venting/Handing =AA Exterior Color=White Interior Species= Pine Interior Finish Color= Unfinished i Glass Option = Low-E 8 High Altitude Breather Tubes= No Glass Strength = Standard Glass Tint= No Tint 5 Specialty Glass= None LI Optional Lock Hardware= None Insect Screen Type= Full Screen Insect Screen Material = Fiberglass Insect Screen Color=White Exterior Trim Style= None Extension Jamb Type= None / Room Location None Unit Part Number= 0873936 Insect Screen 1 Part Number=0833336 SKU =290067 Vendor Name= S/O ANDERSEN LOGISTICS Vendor Number=60509030 Customer Service= (888) 888-7020 Catalog Version Date=07/19/2013 100-2 Insect Screen 1: 39.5 x 59.5 244DH3450 Full Screen 5 $27.26 $136.30 Fiberglass White PN: 0833336 AA 0 www.HomeDepot.com Page 1 of 2 Printed By: ROBERT Date Printed: 8/19/2013 2:07 PM r.' .c•':'n, ',+- t •:r .ti �r �-.6�..n � �...E�-5a.%s�r �� ..,_°aEa3s.....��,..,...»_.�..a:< ote•Summa • r Line# Item Summary Price MY Total Price 100-1 200 Series Tilt-Wash Double-Hung , AA, $257.71 5 $1,288.55 39.5 x 59.5 , White/Pine Unfinished Insect Screen 1: 39.5 x 59.5 244DH3450 100-2 Full Screen Fiberglass White PN: $27.26 5 $136.30 0833336 Pretax Total Price: $1,424.85 www.HomeDer)ot.com Paae 2 of 2 Printed Bv: ROBERT Date Printed: 8/19/2013 2:07 PM