HomeMy WebLinkAbout43002-Z Town of Southold 2/27/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40230 Date: 2/27/2019
THIS CERTIFIES that the building WINDOWS
Location of Property: 7805 Bridge Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 84.-1-6.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/27/2018 pursuant to which Building Permit No. 43002 dated 9/5/2018
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 single-family dwelling as applied for.
The certificate is issued to McLaughlin,Marie&Joseph
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Au ho ize Signature
TOWN OF SOUTHOLD
r ct1rFR,!
BUILDING DEPARTMENT
��L ,
t TOWN CLERKS 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#: 43002 Date: 9/5/2018
Permission is hereby granted to:
McLaughlin, Marie & Joseph
89-10 85th Rd
Woodhaven, NY 11421
To: install window replacements on existing single-family dwelling as applied for.
At premises located at:
7805 Bridge Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 84.-1-6.1
Pursuant to application dated 8/27/2018 and approved by the Building Inspector.
To expire on 3/6/2020.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
0/ k
Buil ing Inspect r
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 �y /
Date. 6 l
New Construction: Old or Pre-existing Building: (check one)
n
Location of Property: -780s, Ct to. 6,4 fid •
0
House No. Street Hamlet
iOwner or Owners of Property: a o-
Suffolk County Tax Map No 1000, Section I Block t Lot
Subdivision Filed Map. Lot:
Permit No. 3M2ate of Permit. Applicant: JOwl r1l`-(��rr
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: `� (check one)
Fee Submitted: $ �� `U<�
A lican Signature
oe souTyolo
# # TOWN OF SOUTHOLD BUILDING DEPT.
°`ycou765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] NSULATION
[ ] FRAMING /STRAPPING [ FINALk)/hd#-4)-5
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
O GAI) Q.
Cle Ile
DATE ° INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST)
- ,- - H
------------------------------------
'FOUNDATION (2ND)
z
- O
ROUGH FRAMING& y
PLUMBING
INSULATION PER N.Y. y
STATE ENERGY CODE
y t 0
FINAL =
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ADDITIONAL COMMENTS
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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:`(Q1)765-1802 Planning Board approval
=,J AX:(631)765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O Application
�j Flood Permit
Examined v 20 Single&Separate
Storm-Water Assessment Form
Contact: i
Approved 20 ` Mail to �ur'T-1 /��/� �1G`� "
Disapproved a/c vt l 0,—, ^`��/-c��1 �, °V
Phone: SPO-r�5� -1 a UI (p
Expiration Dj 20
B m I ector
APPLICATION FOR BUILDING PERMIT ^�
Date � � ��"'9 1 ,20 t
INSTRUCTIONS
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
ygnnoff. ereafter,a new permit shall be required.
IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
[EC i na a of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or
Regulations,for c truction of buildings,additions,or alterations or for removal or demolition as herein described.The
applicant agrees t co ply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit
f, authorized inspectors on premises and in building for necessary inspections
BUMDING DEPT. (kdature of applicant or name,if a corporation)
TOWN OF SOUTHOLD SC). It f 6 u we, CG LO
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises G e- Y t C Lc,t^Ts k L `yA
(As on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land which roposed work will be done:
House Number Street Q Hamlet
County Tax Map No. 1000 Section O Block Lot
i�1 tMGVLGir'P� ('�l�` L.Y1�- t ows ' SA-;Le- ( -�—
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended us and occupancy of proposed construction:
a. Existing use and occupancy a- s'Wo%,*J-�
b. Intended use and occupancy (' i-'.'e.
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 514(s.9 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 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
1 I.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�1 d KSYL1f P-N AddressCtL4tk�e NYPhone No. �3(' 7373d
73d�
Name of Architect Address Phone No ,
Name of Contractor t-P 64-S Address a hone 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 ILIO ?`
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF I�✓ r (('1� �"'
d n ITc, V , ! - being duly swom,deposes and says that(s)he is the applicant
„(Name of individual signing contract)above named,
(S)He is the 0
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly authorized to perform or have pei formed 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.
APIEL VASQUSZ
Sworn topefore me thim NOTARY PUBLIC,
1 5 day of U64- 2018 STATE OF COLORADO
NOTARY ID 20144008488
MY COMMISSION EXPIRES 0212412022
_
Notary Publi ignature of Applicant
Go Permits, LLC
105 Buttonball Ln.
Glastonbury, Ct 06033
Scoff Doughman
{p Phone:860-952-4112
wW�' Fax: 860-430-6719
scottdoughman@gopermits.org
"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 fax or e-mail a copy of the permit and receipt to:
Fax: 860-430-6719 (attn: Scott Doughman)
Email: permits@gopermits.org
If fax or e-mail is not available, please mail a copy of the permit and receipt to:
Go Permits, LLC
105 Buttonball Ln.
Glastonbury, CT 06033
Thank you!
Jennifer Winke, Permit Expediter
Go Permits, LLC
Phone: 303-946-8685
Fax: 866-697-0768
jenniferwinke@gopermits.org
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IRCIEN[E
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BumDING DE".
TORN OF SOUTHOLD
,o Permits LLC, 105 Buttonball Ln. Glastonbury CT 06033, scottdoughman@gopermits.org
DATE12018 iYYYY)
OF� LIABILITY INSU NGE 02012018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT, If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCERN7 CT
MARSH USA,INC. AME: ___-----------__----_ _
TWO ALLIANCE CENTER i1AHt0_dQ.Exti: _ bby-_------ ..-- _-
3560 LENOX ROAD,SUITE 2400 E-MAIL
ATLANTA,GA 30326StiSS:
INSURE rt{s)AFFORDING COVERAGE _ NAICit___
CNi01642069•HomeD-GAW-18.19 INsuReR A:Old Ropublic Insurance Co 24147
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INSURED 23841
THE HOME DEPOT,INC. IN B:Nevj HaTy_S 11 a ins Ca_-__
HOME DEPOT U.S A,INC. INSURER C:HorreWsk Cppfive,inEyrence Camps-_ny-_,.-,� _- _ _
2455 PACES FERRY ROAC iNSURER D:
BUILDING C-20 -
ATIANTA,GA 30339 INSURERE:-
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COVERAGES CERTIFICATE NUMBER: ATL-004353939-16 REVISION NUMBER: 3
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 1-0 WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iLTR' TYPE OF iNSURANCE ADO I�JSDIS"i.r jyD 1 -� POLICY NUMBER MMOIDDYNY IY 1 MROA1pDlYY>'PY LIMITS _ --
A I X I COMMERCIAL GENERAL LIABILITY" ,MWZY 312717 103!0112018 iO3,01120ig EACH OCCURRENCE i$ 9,000;,00
CLAIMS-MADE L X I OCCUR PREMISES Ea Ori ranee) $ 1,C�i0,000
I LIMITS OF POLICY XS MED EXP s`Any Ona perSn 1 S EXCLUDED
OF SIR SIM PER OCC PERSONAL&ADN INJURY is q 4Cii,t 0?
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A AUTOMOBILE LIABILITY MWTB312718 0310112018 03:0172019 L`_UMBtNEDbiN l LI 17 $ _-_--• 1'Coo 0200
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X IAM'AUTO BODILY INJURY(Par parson) ;S
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UMBRELLA LIAB ;OCCUR I I EACHOCCURRENCE
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DED RETENTIONS — _ $
B WORKERS COMPENSATION I 11AIC0141225777(.AKNH,NJ,VT) c 03 1 i X ;PER OTH-
ANDEMPLOYERS'LIABILITY I STATUTE ESR_,
B YIN WC014122578(4.9) 03,0112018 03n�1,'2019 ,L C - CI -N 5 C3I.0Gi1
j ANYPROPRIETORiPARTNE,'EXECUTIVE , E.L EACH ACCIDENT y
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OFFICERrMEMBER EXCLUDED?
i(Mandatory in NH) i 1 E E L_DISEASE-12A EMPLOYEES
Ir yes.descnbe untlar ; i Continued on Additional Page I E.I.DISEASE-POLICY LIMIT S 5,000 Ct 0
OFSCRIPTION OF OPERATIONS below
C ,Excess Auto 297-1-10011-00 2018 103x'0112018 i w'101120i9 Limit. 4 s 0,0;0
DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES tACORD 101,Additional Remarks Schedule,may be attached it more space is required)
EVIDENCE OF INSURANCE
s
CERTIFICATE HOLDER CANCELLATION
HOME DEPOT USA,INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
2453 PACES FERRY ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
BUILDING C-20 ACCORDANCE WITH THE POLICY PROVISIONS.
ATLANTA,GA 30339
AUTHORIZED REPRESENTATIVE
or Marsh USA Inc.
ManashiMukher)ee +. rs► : i4 .ae nn>s�� •c>-
O 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2018103) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: CN101642069
LOC a#: Atlanta
� +s
A UP ADDITIONAL REMARKS SCHEDULE Page 2 of
AGENCY NAMED INSURED
MARSH USA,INC THE HOME DEPOT,INC
HOME DEPOT U,$A,INC,
POLICY NUMBER 2455 PACES FERRY ROAD
BUILDING C-20
ATLANTA,GA 30339
CARRIER 7AtC CDDE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Ceitiffcate of Liability insurance
Worxers Compensation Continued. I
Carrier:Indemnity insurance Comr4any of North America IE
PohcyNumber,WLRC6478319i(AL,AR,FL,ID,IA,KS,KY,LA,MS,MO,NE,NM,ND,OK,$C,SD.TN,VBV,�NY)
Effective Date 0"DI12018
Expiration Date 03101019
(EL)Limit$1,000,000 f
Caner.Now Hamp*re insurance Company
Policy Nurribet,WC 0141225776(DC,DE,HI,iN,MD,MN,MT,NY RI)
Etfecltve Date,00112018
Exp,rahon Dale,03 W019
(EL)ifmir$1,000,000
Carrier,ACE American insurance Company
Policy Numbef:WCU C64783221(081)(AZ,CA,IL,NC,OR,VA,WA)
Eifectrve Dote.03101,2018
Exp)rabon Data 0310i4019
(EQ limit.S1,0W,00-0
SIR$1,000=SIR for the slates of AZ CA,IL NC,OR,VA,WA
Camer.National Union Fre insurance Company
Policy Numeev XWC 459'0580(0-91)(CO,C T,GA,ME,MI,NV,OH,PA,UT)
Effec+Vve Date 03+0112018
Expiration Date,03+0112019
(EL)Limit:$1,000,0071
S1,fy;J,000 SIR for the states of COME NVAI.OH,PA,UT
$750;00 SIR for the state of GA
$350,000 SIR for the state of CT
Cattier NBGonal Union Fire insurance Company
Pulpy Number.XWC 4595581(031)(MA)
ENactivo Date'001018
Expiration Date:03.01,':1019
(EL)Lirnit'$1,030,000
SIR:$500,000
TX Employers XS indemnify
Carrie.Illin'bs Union insurance Company
Policy Number,TNS C491669M(TX)
Effective Date,03,701,12018
Expratlon Date'03101,'2019
(EL)Limit$10,000,000
SIR:S1,000,000
ACORD 101(2008101) 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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,
AP R VED AS NOTED
DATE: 5 04 36 b
FEE:gbb, gy; RETAIN STORM WATER RUNOFF
-NOTIFY BUILDING DEPAR T AT PURSUAfi',;T TO CHAPTER 236
765-1802 8 AM TO 4 PM FOR THE OF THE TuAIN CODE;
FOLLOWING INSPECTIONS:
1. F)UNDATION - TW,- REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3 INSULATION
4 FINAL - CONST RUCT'0N MUST
BE COMPETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH A,; �;vDES OF
o4EW YORK STATE d TO AtNI) COD-, ",:
�S REOU'-�_FD AND CCrjDiT!ONS I-;
USE
A-
OFU- Guu,
t
6500 and 6200 PERFORMANCE COMPARISON
U-Factor R Value %of UV Visible Interior Relative
Window Types
U.S.Govt Gas Fill Type of Low E Total Total Solar Heat Rays Light Temperature at Humidity
Energy Star Softcoat Gain Trans- 0°outside& Condensation
Window Window Blocked mittance 70°Inside Point
Aluminum Frame& No No None 1.29 0.78 0.81 23% 71% 16 5"F 12.80%
Single Pane Glass
Wood Frame&Single No No None 0.92 1.09 0.67 33% 71% 16.5°F 12.80%
Pane Clear Glass
6200 Base with Softcoat Yes Argon 1 coat of 272 0.30 3.33 0.34 84% 61% 56.4°F 6220%
Low E/Argon Soft Coat Low E
6200 with EnergiSaver Yes Argon 1 coat of Cardina 0.28 3.57 0.24 84% 55% 55 6°F 62%
366/Neat
2 coats of
6200 Sound&Security Yes Argon Cardinal 366- 0.30 3.33 0.35 85% 55% 55.6°F 62%
Laminated Glass
500 Base Yes Argon 1 coat of Cardina 0.30 3.33 0.26 85% 50% 55 4°F 62.20%
272 Low E
6500 EnergiSaver Yes Argon 1 coat of Cardina 0.30 3.33 0.21 95% 46% 55.6°F 62%
366/Neat
2 coats of
6500 Sound&Security Yes Argon Cardinal 272- 0.30 3.33 0.30 99% 43% 55.6°F 56%
Laminated Glass
Energy Star Energy Star designation for products that meet certain energy performance criteria.
Gas Filling Argon gas is Inserted between the panes of glass to increase the Insulating value of the glass.
U Factor Measures the amount of heat transferred through the total window.The lower the U factor,the
slower heat escapes from the home in the winter and the better the Insulating quality of the window.
Total Window U Factor is the accepted rating system used by the NFRd.
R Value Measures the total window's insulating value.A higher R value represents a more energy efficient
window. The 6500,6100 and 6060 uses"total window"R value because it is the true measure of the entire
window's thermal efficiency. Certain companies use"center of glass"R value,which Is typically
higher than"total window"R value. However,"total window"R value is a more accurate measure
of the window's overall energy efficiency
Solar Heat Gain Percentage of heat gained from direct sunlight and absorbed heat.The smaller the number,
the less solar heat the window will transmit into the home
%UV Rays Blocked Ultraviolet rays are found in everyday sunlight and can cause fading of carpets,fabrics and paint
The higher the percentage of rays that are blocked,the less likely fading will occur in your home.
Interior Glass A measurement taken when the temperature is boutside and 70 Inside.
Temperature The higher the Interior glass temperature,the better the insulating value of the window.
Relative Humidity The percentage of humidity Inside the home before condensation will occur on the glass.
Condensation Point The higher the percentage,the better insulating value of the window.
The relative humidity percentage meausurement applies only to the center of glass.Condensation will form more quickly
at the edges of the glass.
1 NFRC is the Nat'i Fenestration Rating Council which is sanctioned by the U S Gov't.to establish a national energy performance rating.
Total unit calculations done using Lawrence Berkeley National Laboratory's window 4 1 thermal analysts program and NFRC approved
spectral data and environmental conditions and to accordance with NFRC 100&200.
7-17-09 SHB-W-VW
WINDOW SPECIFICATION SHEET - Spec.Sheet#:1-6EPVM83 Sheet 1 of 1
Customer,JOIE MCLAUGHLIN Job# 1-6EPVM83 Consultant: Daniel Ostroski Date- 46/17/2916
New Window
Hinge Locations
Existing Window
Measurements Grids Product Options Labor Options From outside,
Left to Right
Bays,Bows
Location Color Rough Opening #of bars #of bars Csmnts,1 Pni,
use L,RorS
Glass Misc Items
Hardware Code
Screens For doors use
,k o LZ c7 c m c o V Mull "S"=stationary or
m `m .2o v c "X"=operating
ig
W Style Wraps m 9
1_ Room Floor Cade (Y/N) Style Code Series Code = 3 2 5 [ in U a S > z S > 2
TD,White, LSR
1 BED 2nd Ct N C1 6500 WH WH 2800 5900 87 GlassPack•Standard L
STD,White, LSR
2 BED 2nd C7 N C1 6500 WH WH 2800 5900 B7 IassPack:Standard L
STD,White, LSR
3 BATH 2nd ct N C1 6500 WH WH 19.00 3500 54 Iass Pack Standard
STD,White, LSR
4 BED Ist c1 N c1 6500 WH WH 2700 5900 36 GlassPack,Standard
TD,White, LSR
5 BED 1st C1 N Ct 6600 WH WH 27.00 5900 86 GlassPack Standard
STD,White, LSR
6 LIV Ist C1 N Ct 6500 WH WH 27.00 5900 6 Iass Pack•Standard
TD,White, LSR
7 LIV Ist Ct N C1 6500 WH VVH 2700 5900 86 IassPack:Standard
SPECIAL CONSIDERATIONS.
Wrap Color
Interior Casing Type
Bay or Bow window
eatboard material(vinyl only-Birch or Oak)
Bay Project Angle(30 or 45)
Bay Flanker Type(DH,SH,or Csmnt)
Top of window to soffit(Inches)
If tied to soffit,color of soffit material I have reviewed and agree with all the Job specifications above and the
Construct Roof(Yes or No)' Special Terms and Conditions on the following page
Garden Window
Seatboard Material(vinyl only-White Pionite,Birch or Oak)
AGENCY CUSTOMER ID: CN101642069
LOC#: Atlanta
Ac®R®o ADDITIONAL REMARKS SCHEDULE Page 3 of`3
AGENCY NAMED INSURED
MARSH USA INC. THE HOME DEPOT,INC.
HOME DEPOT U.S A.,INC,
POLICY NUMBER 2455 PACES FERRY ROAD
BUILDING C-20
ATLANTA,GA 3W39
CARRIER NAIL CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance
—HOME DEPOTINSUREMS
The Home Depot Inc
The Home Depot U.S A,Inn
Home Depot USA,Inc dba The Home Dago;
Home Depot USA,Inc dba Your OftrW vehouse,LLC
Home Depot of Puerto RIM Inc.
Hems Depot Product Authority,LLC
Hama Depot Store Support Inc
Red Beacon,LLC
Intaft Brands,Inc.
Intedme erends,Inc,dba,
Barnett
Copperfiew
Eagle Maintenance Supply
Hardware Express
Lem
tiandenanoe USA
Renmtions Plus
supay—ft
US Lock
Wi mar
clemsom
JanPok
AmSat
Sexauer
TMW
Zip Techmbgdes
ACORD 101(20OW01) 0 2006 ACORD CORPORATION. All rights-reserved.
The ACORD name and logo are registered marks of ACORD
�
Home Improvement Agreement: Page 1
Home Depot License Number(s): Visit www.homedepot.com/c/SV_HS_Contractor_License_Numbers for latest license info
NY: Amherst HI-04712, Lockport 2395; Buffalo LT12-10023782, City Tonawanda 33257, East Hampton 4499, Long Beath
4917, N.Tonawanda 368.16, Nassau County H1171050000 - H1771053000, New York City 0900456-DCA, 900457-DCA,
0900458-DCA, 0910621-DCA, 0910622-DCA, 0920734-DCA, 0922474-DCA, 0968605-DCA, 1003822-DCA, 1003823-
DCA, 1003825-DCA, 1003828-DCA,1003830-DCA, 1003833-DCA, 1026224-DCA, 1075580-DCA, 1129555-DCA,1129556-
DCA, 1129557-DCA, 1129562-DCA, 1129564-DCA, 1133444-DCA, 1152032-DCA,1152034-DCA, 1152035-DCA, 1152036-
013,1itnamoun y � ►, so`�t r� Yp����l �u ampton
to n ronawan ,
ROM Depot") or service provider named below ("Service Provider') will
furnish, install or service the equipment listed below at the price, terms and conditions as outlined on
this form.
MCLAUGHLIN JOE I Long Island 1-6EPVM83
Customer Last Name Customer First Name Store#/ Branch Name Lead/Customer Order#
7805 ridge lane Cutchogue NY 1 111935
Customer Address City State Zip
(631) 734-7307 1 Inaemail@homedepot.com
Home Phone# Work Phone# Cell Phone# Customer Email Address
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT HOME DEPOT USA INC.,
2455 PACES FERRY ROAD, BLDG. B-3, ATLANTA, GEORGIA 30339 or EMAIL
The Home Depot I @ icustomercancellationnortheast@homedepot.com
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 PAYMENTS WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE
SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED
TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN
SHIPMENT AT HOME DEPOT'S EXPENSE.
THE LAW REQUIRES THAT HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO
CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND
WRITTEN NOTICE O YOUR R4-IT TO JANCEL.
Acknowledged by: 08/17/2018
Ircu- ston/Ir's Signature Date
Contract Price and Paym nt Schedule : Payment of the Con ract Price is due upon signing unless a
different payment schedule is required by law, specified below or in a payment addendum.
Contract Price: 5469.60 7 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: 10.00 (If applicable)
*Maximum deposit ONLY applicable in MD, MA, ME(33916), NJ, WI(9991a)
Dep. 125.0 % Deposit Amount 11367.40 Remaining Contract Balance 14102.20
The Home Depot-2455 Paces Ferry Road,N.W.Bldg.B-3,Atlanta,Georgia 30339-Customer Care:1-800-466-3337
Customer Agreement(C,E,I)(31 Jan.18) v 5012
Home Improvement Agreement: Page 2
* Finance Charges : Any interest payments or other finance charges will be determined by
Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will
be in addition to Customer's payment under this Agreement. Customer is 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 Customer's payments made payable to Home
Depot.
Insurance,proceeds will will nota used to pay some or all of the total amount of sale.
Description of Work to be Performed : A detailed description of the work to be performed is included
in the paragraph entitled Scope of Work or Specification which is included in this Agreement.
Anticipated Delivery Date/Installation Schedule
Approximate Start Date: 0/12/2018 Approximate Finish Date: 11/09/2018
All dates are approximate and subject to change based on unforeseen events including inclement
weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if
applicable.
Electronic Records Authorization : You are entitled to a paper 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. By contacting your Service Provider,
you may update your email address, withdraw your consent, 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.
Mni g this paragraph, I consent to receive only electronic records related to this transaction.
Initial
Acceptance and Authorization : By signing below, you authorize Home Depot to: (a) arrange for
Service Provider to perform any Services or (b) order and arrange for the delivery of special order
merchandise, including special order merchandise that may be custom made, as specified in this
Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to
be provided to You later.) By signing, you acknowledge that: (i) You have read, understand, and accept
this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You
are receiving a complete copy of this Agreement; and (iii) all rights and interests under this Agreement
are solely vested in the person listed a "Customer" above.
8/ 7/2018 1 The Home Depot
Customer's Signature 00� Da Service Provider Name
8/17/2018 40 Oser Avenue Suite 17
X F0
Co-Sign able) Date Service Provider Address
X Ha
08/17/2018 uppauge NY 11788
Cl g a Behalf of Home Depot Date City State Zip
43762-HS, R-1-128533-13-00270
MVendor/Service Provider Phone# Service Provider License Number
The Home Depot-2455 Paces Ferry Road,N.W. Bldg.B-3,Atlanta,Georgia 30339-Customer Care:1-800-466-3337
Customer Agreement(C•EJ)(31 Jan.18) v 5012
The Home Depot General Terms & Conditions
1. DEFINITIONS:"Agreement"means the Home Improvement Agreement between You and Home Depot, plus(a)any
Change Orders; (b)the State Supplement, if any;(c)these General Terms and Conditions ("General Conditions") and
any documents referenced in or attached to any of the foregoing. "Defect"means any Services that are found not to be as
warranted."Home" means the real property,fixtures and any physical improvements where the Services are performed.
"Services"means(1)the delivery and furnishing of goods, equipment, materials, and hardware; and (II) any related labor and
services, including without limitation,construction, consultation, fabrication, erection, installation, inspection, maintenance,
repair, and testing. "Service Provider"means an independent contractor, authorized by Home Depot, and its employees,
agents, and subcontractors. "Work Area" means any property, buildings, or structures necessary for the staging,temporary
storing and performance of the Services. "You"/"Your"means the customer identified in the Agreement.
2. HOME DEPOT'S RESPONSIBILITIES: Home Depot or Service Provider will complete the Services in a workmanlike
manner and in accordance with applicable law without causing damage to Your Home, provided, however,that Home Depot
or Service Provider will not start or continue with any Services upon discovery of any condition at Your Home that Home
Depot or Service Provider deems in its sole discretion to be hazardous or unsafe. Unless specifically contracted to do so,
neither Home Depot nor Service Provider is obligated to repair such pre-existing hazardous or unsafe conditions.
3. ASSIGNMENT/SUBCONTRACTING: Home Depot and Service Provider may assign this Agreement,or any right herein,
or any monies due or to become due hereunder, and may delegate or subcontract any obligations or Services hereunder
without Your consent.This Agreement shall not be assigned by You without first receiving Home Depot's written consent,
which may be denied in Home Depot's sole discretion.
4. YOUR RESPONSIBILITIES: (a) Payment:You agree to pay Home Depot in full for the Services pursuant to the terms
of this Agreement. (b)Safe Access:You agree to provide Home Depot and Service Provider Safe Access to Your Home.
"Safe Access"means safe and complete access to the Work Area, including,without limitation: (1)obtaining in advance
of the Services consent, permission,or relief from any covenants, easements, restrictions,or other legal encumbrances
affecting the Work Area; (2)providing the location of utilities,whether underground,concealed, overhead or visible, to
Home Depot or Service Provider;(3)removing from the Work Area physical impediments, hazards, and building code or
zoning violations that affect directly or indirectly the Work Area; (4)removing unsafe working conditions and hazardous
materials, including environmental hazards, from the Work Area; (5)providing sanitary facilities to Home Depot or Service
Provider convenient to the Work Area(or, alternatively, paying for the rental costs of such facilities); (6)providing all
utilities, including without limitation, power,water,ventilation and climate control, in and for the Work Area;(7)removing
from and protecting against minors, pets, guests and visitors in the Work Area;(8) keeping permits, if required,visible
at all times; (9)disengaging,suspending or terminating any security systems protecting the Work Area;(10)providing
adequate temporary storage space as needed for Home Depot's or Service Provider's performance of the Services;and
(11)not interfering, impeding, impacting or otherwise disrupting the Work Area at any time during Home Depot's or Service
Provider's performance of the Services. (c)No Performance:Services are to be performed by Home Depot or Service
Provider. If You attempt to perform or assist with the Services in any way,You assume all risk for property damage and for
injury to Yourself and others.
5. MODIFICATIONS AND CHANGE ORDERS:Without invalidating this Agreement, You may authorize Home Depot or
Service Provider to perform Services beyond the scope of the Agreement("Change Order").A Change Order shall be issued
by Home Depot or Service Provider on behalf of Home Depot,which You may accept by signing. Upon Your signing of the
Change Order, it shall become part of this Agreement, subject to all of the terms of the Agreement. Change Order may also
result from Home Depot or Service Provider encountering conditions at the Work Area that impact, impede or otherwise
interfere with the performance of the Services, requiring an increase in cost,time, or both. Following the discovery of any
conditions that impact, impede or otherwise cause the Work Area not to have Safe Access, Home Depot may immediately
ask for a Change Order or discontinue the Services without further obligation to You. If You decline a Change Order request,
You or Home Depot may terminate this Agreement.
6. TITLE AND RISK OF LOSS:The title to and risk of loss for any materials or goods provided to You that originate from
Home Depot shall pass to You when paid in full by(1)You or(2)the Service Provider as part of the Services.Title to any
other materials or goods provided by Service Provider shall pass to You upon completion of the Services.
7. WARRANTY AND LIMITATION ON WARRANTIES:(a)Warranty: Unless otherwise stated in the Agreement, Home
Depot warrants for 1 year from the completion date that all Services shall (i)be performed with good workmanship and(ii)
conform to the requirements of the Agreement. During the warranty period and within a reasonable time after receiving
notice from You of a warranty claim, Home Depot may, at its sole option(i)correct or replace each Defect,or(ii)remove
each Defect and refund the full purchase price thereof to You;provided, however,that all warranties are voided if(1)anyone
other than Home Depot or Service Provider performs work upon or otherwise modifies any materials or Services provided
under this Agreement, or(2)You fail to pay Home Depot as provided in this Agreement.
The Home Depot-2455 Paces Ferry Road,N.W.Bldg.B-3,Atlanta,Georgia 30339-Customer Care:1-800-466-3337
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The Home Depot General Terms & Conditions
(b) Limitation on Warranties:THE WARRANTIES PROVIDED IN THIS AGREEMENT ARE STRICTLY LIMITED TO
THE FOREGOING EXPRESS WARRANTIES CONTAINED IN PARAGRAPH 7A, IN THE WARRANTY SECTION OF
THE AGREEMENT, IF ANY, OR IN THE STATE SUPPLEMENT, IF ANY.YOU ACKNOWLEDGE AND AGREE THAT
NO OTHER WARRANTIES ARE MADE OR GIVEN BY HOME DEPOT OR SERVICE PROVIDER, INCLUDING ANY
WARRANTY FOR FITNESS OF PURPOSE,WARRANTY OF MERCHANTABILITY, OR ANY OTHER ORAL, EXPRESS
OR IMPLIED WARRANTIES. HOME DEPOT'S EXPRESS WARRANTIES ARE VOIDED FOR ANY DEFECT CAUSED
BY ABUSE, MISUSE, NEGLECT,ACTS OF GOD, LACK OF PRESCRIBED OR STANDARD MAINTENANCE, OR
IMPROPER CARE/CLEANING. ANY MANUFACTURER'S WARRANTIES PROVIDED FOR GOODS, MATERIALS, OR
EQUIPMENT WILL BE PASSED THROUGH BY HOME DEPOT TO YOU,AND YOU AGREE TO LOOK SOLELY TO SUCH
MANUFACTURER FOR REMEDY OF ANY DEFECT IN SUCH GOODS, MATERIALS,AND EQUIPMENT. HOME DEPOT
MAY ASSIST YOU WITH WARRANTY CLAIMS AGAINST MANUFACTURERS.
8. TERMINATION:This Agreement may be terminated by Home Depot for its convenience, and by either party for cause
if the other party fails to correct a material breach within ten (10) days after receiving notice from the non-breaching party
identifying the breach. In the event Home Depot terminates this Agreement because You fail to provide Safe Access to
perform the Services,or if either party terminates the Agreement because You decline a Change Order request resulting
from unforeseen or hazardous conditions,then You shall pay Home Depot for Services provided through the date of
termination plus any costs or expenses incurred by Home Depot or Service Provider as a result of the termination.
9. CHOICE OF LAW:SEVERABILITY:This Agreement shall be governed by and interpreted in accordance with the laws
of the State where the Project is physically located. The parties intend for the terms and conditions in the Agreement to be
complementary,consistent, and enforceable under applicable laws. In the event any term or condition in the Agreement
violates applicable law, such term or condition shall be severed from the Agreement,but only to the extent necessary to
avoid such violation,without invalidating any other terms and conditions of the Agreement.
10. ENTIRE AGREEMENT:This Agreement is the final, integrated, and exclusive expression of the parties'understanding,
which supersedes all prior offers,orders, understandings, representations, proposals,confirmations, and negotiations
between the parties,whether oral or written. No course of dealing, usage of trade,course of performance,course of conduct,
or any other evidence of additional or different terms shall be admissible to contradict or vary any term in the Agreement.
11. SECURITY INTERESTS: LIENS: If You make all payments as required under this Agreement, no security interest will be
placed against Your property by Home Depot. If a security interest is placed on Your property, it creates a lien, mortgage, or
other claim against Your property to secure payment and may cause a loss of Your property if You fail to pay as requested.
After paying on any completed phase of the Services and before making any further payments,You should request from
Home Depot or Service Provider a signed, unconditional release from, or waiver of, any right to place any claim against Your
property applicable to the work then completed.You may ask an attorney about Your rights to discharge security interests.
12. RETURNS: Custom order merchandise (i.e.,goods that are custom made, uniquely altered,colormatched,shaped,
sized, or otherwise uniquely designed or fitted to the requirements of a particular space) is non-returnable, and its purchase
price cannot be refunded unless Home Depot or Service Provider(1) incorrectly ordered item,or(2)damaged item beyond
repair. Special order merchandise may be returned, and a refund for all or part of the purchase price provided, in the
discretion of Home Depot. Please contact Your store for additional details concerning returns.
13. AGREEMENT/SERVICE ORDER COMMUNICATION PREFERENCES:You can visit www.homedepot.com> In-
Store Special Orders at any time to access Your account for the following:(1) Update Your Agreement/Service Order
Communication Preferences(email,text,Auto Call);(2)Contact Home Depot for order assistance;(3)View latest order
status;or(4)Take action to schedule pickup for Your Service Orders.To stop any of the following communications You
may visit www.homedepot.com>In-Store Special Orders to access Your account to update Your Agreement/Service Order
Communication Preferences,contact The Home Depot, and take action on orders. If You signed up to receive updates
about Your Agreement/Service Order(s)via: (a)Text Message Communications,You may receive multiple messages per
order(including current and future orders)via automated technology to the mobile phone number You provided.The total
number of messages received depends on the number of orders placed and order activity. Standard message and data
rates apply. Not all carriers covered. You can text STOP to 97710 to stop (You will be sent a confirmation message). Call
1-877-467-2581 or 1-800-466-3337 for help;(b) Electronic voice communications(Auto Call), You may receive multiple
pre-recorded phone calls per order(including current and future orders)via automated technology to the phone number
You provided.The total number of calls received depends on the number of orders placed and order activity. You can press
9 during a call to opt out or call 800-HOME-DEPOT for help;or(c) Email Communications,You may receive multiple
Emails per order(including current and future orders)via automated technology to the Email address You provided.The total
number of Emails received depends on the number of orders placed and order activity.
The Home Depot-2455 Paces Ferry Road, N.W.Bldg.B-3,Atlanta,Georgia 30339-Customer Care:1-800-466-3337
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