HomeMy WebLinkAbout43642-Z �o�gUEFo A Town of Southold 4/12/2019
a -A P.O.Box 1179
53095 Main Rd
oy�yo� yo� Southold,New York 11971
1
CERTIFICATE OF OCCUPANCY
No: 40312 Date: 4/12/2019
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 445 Bay Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 143.4-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/12/2019 pursuant to which Building Permit No. 43642 dated 4/12/2019
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:
"as blt'replacement of windows and outdoor shower stall addition to an existing one family dwelling as applied for.
The certificate is issued to Aiello,Marie
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A t ed ignature
TOWN OF SOUTHOLD
gaFFail(
�oo�° copy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • 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#: 43642 Date: 4/12/2019
Permission is hereby granted to:
Aiello, Marie
445 E Legion Ave
Mattituck, NY 11952
To: as bit' replacement of windows and outdoor shower stall addition to an existing one
family dwelling as applied for.
At premises located at:
445 Bay Ave, Mattituck
SCTM #473889
Sec/Block/Lot# 143.-4-1
Pursuant to application dated 4/12/2019 and approved by the Building Inspector.
To expire on 10/11/2020.
Fees:
CO -RESIDENTIAL $50.00
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
Total: $450.00
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: Old or Pre-existing Building: �j�1/ (check one)
Location of Property: '7 y M A /'/ � C�
House No. ��jj Street Hamlet
Owner or Owners of Property: �"o 1}
Suffolk County Tax Map No 1000, Section - Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant: /V yt,' C� /� ff
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
A plicavA Signature ----—
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)765-9502j�2 �� Survey.
Southoldtownny.gov PERMIT NO. � l J Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 4ha 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20 Mail to:
Disapproved a/c
Phone:
Expiration 120 k./
3 a ������� ' Bu'ding Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
�J�� sets of plans,accurate plot plan to scale.Fee according to schedule.
O�
`� b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
ureas,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 to 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,Now 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. 7,
(Signatu pplicant or naAifaoretiJ
7 61 (Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises
(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 on which proposed work will be done:
House Number Street Hamlet
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work(check which applicable):New Buildin Alteration
Repair Removal Demolition Other Wo
(Description)
4. Estimated Cost Fee -/r
(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
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 NO
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
OUNTY OFA
being duly swom,deposes and says that(s)he is the applicant
(Name.df individual signing contr ct)above n ed,
(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 knowledge and belief,and that the work will be
performed in the manner set forth in the application filed therewith. CONNIE D.BUNCH
Sw—om_'to��before me thi Notary Public,ate of Now York
day of '1'] 20� Qualifiedn guff�I��,Iryti/
Commission Expires April 14,2�p
Certificat_e# 160913
Surrogate's Court of the.,State of Now.-York
File#: 201
Suffolk County,:
: f3-837/A
Certificate of Appointment•of Executor
IT IS HEREBY CERTIFIED that Letters for the Estes teVbf the e edegt named below have been granted by
this-Court, and such Letters are unYrevded;a ev�a„Iid and_a'rAA4rJll•force�as of this date.
Name of Decedent: :Marie Aiello
aka_ �1_Ylarie Aiello, µs -
• - - _ ,, ����°may` ' ... ,�". ._- � _..,-_.�. `..
=Date"of-Death: �February,9-2018,;
Domicile: County of SufF�o`)ktil ,� �t
Appointed: Ma Murphy
ointed: rY __Q `
Fiduciary pp «��� - _ ,.: _ • ,
r y 4, �
Letters Issued: t LETTERS-Tf TAMEixT RYA
March 13, 20't8:G, � �
Letters Issued On: Z = �. �'
U5, $ �"' _
, •"+.. n.Cv-^,'t'•:tarts 'Ye,.;xµ.�"vx.'*r,', &{, Y
ca,c .:"MR
n,,.s„a;.x-'�.-•i Fay '-
Limitations: NONE j �e
i :zel� ,-;
THESE'LETTERS, granted pursuant to a-decree-entered=byit e c urt, authorize end empower the
above-named fiduciary,or fid6ciar�es to perform all acts•requisite to the,p�oper adiininistration and disposition
of the,estateftrust,of the Decedgnt•;m accordance with the-decree anc the,l'aws-of.New York State,,subject-to
the limitations and restrictions, if arty, as set forth'above.
IV
,and such Letters are unrevoked and in full force-as of this date..
. ,Dated:.March13;2078° . '.IN'TESTIMONY:WHEREOF,•the seal of the,S'uffolk ., ,
Riverhead;Nev+r'York j" Co-unty Surrodate's-C601-has beewaffixed: ^
WITNESS,Honorable Johrr`M.Czygier'Jr,,Judge;of,
Suffolk County Surrogate'6,1
ourt
1 Michael'Cipoilirio; Chief Clerk'-"
Suffolk County,Surrogate's Court
This Certificate is Not Valid Without the Raised Seal of the Suffolk County Surrogate's Court
Surrogate's Court,of the,County,ofSuffol'k '
-On the'Date Written'Below LETTERS TESTAMENTARY were, granted" by the Surrogate's Court-,of Suffolk
County, New York as-follows:
File#:-2018-837/A
'Name of Decedent: -Marie Aiello Date of Death: 02-09-2018.
AKA -Marie J,Aiello
Domicile: County.of Suffolk
Type of Letters Issued: LETTERS,TESTAMENTARY .
Fiduciary Appointed: . _ Mary Murphy,
Limitations: NONE
THESE LETTERS, granted pursuant to a decree entered by the court, authorize and empower the
above-named fiduciary or fiduciaries to perform all acts•requisite to the proper administration"and disposition of
the estate/trust of-the Decedent-in accordance with the`,decree.andahe,laws.of;New York State,'subject#o the
limitations and restrictions-, if-any, as set forth,above.
Dated: March 13,2018 IN TESTIMONY WHEREOF; the seal of the Suffolk County_
Surrogate's Court ha's been affixed.
WITNESS, Hon John M Czygier Jr, Judge of the•Suffolk County
Surrogate's Court
Michael'Cipollino,'Chief Clerk
These Letters are Not Valid Without the Raised Sealof the Suffolk;Cqunty,Surrogate's COuri•'
t
t _
3
3
f
Pursuant to Uniform Court Rule Section-207.20(a),the fiduciary or the attorney of record is
required to furnish the court with an inventory of decedent's assets:
If an Inventory,of Assets is not submitted to the court within 9 months of issuance of`
letters,additional certificates will not be issued until`said-inventory is-filed.'
Failure to comply may result-in-the REVOCATION-OF LETPERS_and/or disallowance
f commissions or;legal fees:
NOTE:If there is a Wrongful Death or Conscious'Pain&Suffering settlement,please
complete Number 16 on the Inventory.
Please return completed inventory to:
Surrogate's Court
320 Center Drive
'Riverhead,NY
11901 ATTN:
Carmen Mitchko
Law Department
(631) 852-1749
i
r
TOBE•EILLED OUT BY F10tJCIARY 0r`
ATTORNEI'FOR FIDUCIARY
Total•EsU to Assets(sb�tielo�v)*.
Filing fee SCPA2402(7), '
"SURROGATE'S COURT OF THE STATE OF NEW YORK Filingfeeinitially'pw '
COUNTY.OF Balance(Refund)Due;
.,
In the.Matter of ,
INVENTORY OF ASSETS(Rule&207.20)-
Deceased.
File No: .
The undersigned, a fiduciary or attorney for the fiduciary of the above Decedent's estate, certifies that-the following
constitutes the gross-estate for tax purposes and identifies whether non-estate assets exist: `Complete below according to the
following value categories:
Category A-under-$10,000;Cate&&B-$10,000 to-under$20,000;.Cate&ory C-$20;006 to under$50;000
Category D-$50,000 to-under$100,000;Cateaor�=$100;000 to under$250,000;. ;
Cate oiy F
;4250;000 to'urider`$500;000;Cateeory.G=$500,060 or bvefi
Date of Death: Date,of Lefters:t Type of Letters
Name of Fiduciary(ies)and,if changed,fiduciary(ies)address:
ASSETS INDIVIDUALLY OWNED BY DECEDENT
OR PAYABLE TO ESTATE CATEGORY
1. Real Estate'
2. Stocks and Bonds
3. Insurance.Payable to Estate
4. ,IRAs,401Ks Payable to Estate
5. Mortgages or.Notes Held by Decedent
6. Cash
7. Miscellaneous
8. Firearms
(Check,appropriate box) [ ]Yes-See attached Firearms Inventory,form -
[. ]None
*TOTAL ESTATE ASSETS
NON-ESTATE ASSETS-CHECK YES OR-NO TO EACH.OF THE FOLLOWING:
9. Living Trust Yes No
If yes,set forth the Name.of the Trustees)
10. Gifts in Excess of Federal Annual Exclusion
Made Within 3 Years,of Decedent's Death Yes No
11. Jointly Held Property(Real or Personal) Yes No
'12. .Insurance Payable to Beneficiary' -Yes- No
! 13. IRAs,401K's Payable to Beneficiary Yes No
14. Annuities Yes No
15. Powers of Appointment Yes No
16. , Cause(s)ofAction Pending Yes No
If yes,identify Court,and Index Number
Certified to be true on the day of 20 -
Signature Attotney's,Name'
Print Name,-. Attorney's Address&Telephone No:
I-1 3/2016'
SURROGATE.'$COURT OF THE STATE OF NEW YORK COUNTY
r' J The_Matter of.the Estate of F I R E A,,R M S-I NV EN TO R Y
(SCPA-92509)
Deceased. FILE NUMBER
The undersigned,[,]a fiduciary,or[ ]an attorney of record certifies that the following firearms,
as defined by,Section 265.00 of the Penal Law;make up part of the decedent's.estate.
Name of Fiduciary or Attorney:
(Address,if changed):
Make: Model: Caliber or Gauge: Serial#: , :Category: ;
Z: ,:;
3
4
5
6
8
9
oe(markPb�oxijf
TOTAL:(as indicated in#8 of Inventory of_
Assets)
more Menitries-'are"necenssary-iandattach extra pages)__
ATTORNEY Certified to'be true on- .2Q
Name:
Signature'
Address:
Print Name
Telephone:
A copy of th e.In ven tory must also be fried with DCJS at: Firearms Inventories;filed with the Surrogate's
Coum rt will be,kept in n secure locatior..separate
„
Division of Criminal Justice Services frothe estate file and may be"made available
foi• inspection pursuant to §207;64(b) of'the
Alfred E.Smith Building ,
' SO South Swan Street Uniform Court Rules for�the'Surrogate-s Court
Albany,NY12210_
1-2 3/2016
State'of New York.
Suffolk County Surrogate's Court
320 Center Drive
Riverhead,NY 11901
(631)852-1746
Receipt#209235
March 8-2018 1'2:55 PM ;
RE:FileName-,Marie Aiello
File.#2018-837/A
FEES OWED",
6 Certificates. $36,.00 '
1,Probate Petition $625:00 . .,
*�x PAYMENTS *
Efiling Payment $661.00
* * TOTALS ***
` Total Due $661'.00
Total Tendered $661:00
Received of-Erik J McKenna
Comment:- =
Operator bpaparat. F i „
Southold Town Building Dept.
Tracey, Connie, Susan
54375 Main Rd. (RT 25) Southold, 11971
1. Provide I.D. and original signature for Building
Departments permit for your Mothers (32)
windows on Mouse, Outside shower, and (1)
Window on Garage.
2. Provide I.D. and original signature for C.O.
3. Reference the Canceled Check for the Permit Fee
for $ 450.00 showing your signature.
4. Leave_with the Completed C.O. so we can give to
Erik. Provide Erik's phone number and Email.
Erik I McKenna Aty at Law
320 Depot Lane
PO BOX 912
Cutchogue, New York 1193 5
Tel: 631-786-5039
Fax: 631-734-8474
Dwyer, Tracey
From: Mark Murphy(DPK).<murphyma@mscdirect.com>
Sent: Monday,April 08, 2019 9:23 AM
To: Dwyer,Tracey
Subject: Shower C
Attachments: IMG_3107 jpg;ATT00001.txt
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1
Bunch, Connie
From: Bunch, Connie
Sent: Monday, April 15, 2019 7:55 AM
To: 'mary3mur@gmail.com'
Subject: 445 Bay Avenue, Mattituck
I spoke with your husband last week and he said you were coming out today to sign the building permit application.We
also need an authorization letter from the owner of the property Marie Aiello for this permit.This is a new procedure
that we now require. If you or your husband have any questions you may contact the department head, Michael Verity
at 631-765-1802.
Best Regards,
Connie Bunch
i
The offsets or dimensions shown from structures to the property lines are for a specific purpose and use.and theietoe,are not untended to guide In the emOlUr of tenses,walls,pools,patios,additions to buildings and any other tynstmction Subsudatn and environmental
conditions were not examined or considered as apart of this survey Easements,Rights of•Way of record,d any,die not shown PrupertY wmei monuments wen:nut placed as a part of this survey,Certifications on this survey signify that the survey was prepared m
accordance with the currgnl existing Code of Practice for Land Surveys adopted by the New York State ASWUdtlpn til Prufesmxmdl Land SUIyeYUl1,Int the tertlhtdtiUri is limited to persons tot whom the survey is prepared,to the title tympany,to the govenunental agency,
and to the lending institution listed on this survey Said certifications indicated hereon are not bdnstmeble
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DEED REFERENCE;_LIBER_12276 PAGE 926 _-
Certified to: Title No.: Date Revision
ABSTRACTS,INCORPORATED
MARY MURPHY
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2,New Tax Map:DISTRICT 1000 SECTION 143 BLOCK 04 LOT Ol
York State Education Law d PI NNA CL E
Situate:MATTITUCK,TOWN OF SOUTHOLD County:SUFFOLK
Map of: PROPERTY LAND SURVEYORS LLP
p Lot: Map Block:
File Date: File No.:
4155 VETERANS HIGHWAY, SUITE 1 1 631.648.9273
Scale: 1"= RONKONKOMA, NEW YORK 1 1 779 WWW.PLSLI COM
Copies of this survey map not beanng the land
surveyors embossed seal and signature shall not Date:APRIL lO,2018 Project No.: 180091 n PINNACLE LAND SURVEYORS LLP
be considered to be a true and valid copy
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QUOTE Page 1 of 2. Ncy. 1 1 U i
Store 12.11 BAYSHORE "Phone: 1631) 066-3800
1881 SUNRISE HWY S�fespersor7; 'MWRRS 1 I
BAYSHORE, NY- 117£76
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AIELLO MARIE (631),2984984 i r
Address• E" Work.Phpne J
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company,,Name-
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cl`Y IVIATTITUCK; Jab oestiptton DELIVERY
State NY Z'P 11.952 count.• SUFFOLK �2001�03_15 X9:45 ___________________
Prices.Ualid Thru: 0311'612001
M I G.HANDISE AND SERVICE .SUMMARI� merChantl[32301rtl"[OtOU3�Or11ers. quantities Of
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80'1.03 494.68.1 6.00. :' EA .,SaOO WHITE t8t00 WHITE. /MODEL 8600 COLOR Y X180.40 $1;082.40
' WHITE TIP TO TIP SIZE 2)5.1/4 WIDE X-68 HIGH WITH 4 OVER 1 GRILLS.AND
r-ULL'SCAUN.
50304 6rJ4�061 3,�0. EA '8500-WHITE 18500 WHITE•- /MODEL 8500.001:'OR Y $152,50 $457.5`0
WHITE TIP'TO TIP SIZE 28;1-1.4 W,IDE.X-48",HIGHWITH A•OVER I GRILLS";AND
FULL:SCREEN"..
i
a ,11,60 TINiII tk 011j I E1(T PAfixE '
Hardware,Screen
:Insect screen included.
Yes
Interior Color/Finish Family
White
Number Of Locks
2
Product Weight (lb.)
40.72lb
Returnable
90-Day
Solar Oeat Gain C®efficknt
0®25
,Storm,window
No
Tilt-in cleaziing
Yes
U—Factor
0029
Window Use 'Type
Replacement
QUOTE- Continued• Lash,Name: AIELLO,
Page 2,of 2 No,. 161073
KOM E' DEPOT
1Cunttnuatl): REF#VO2
SID•MDSE TO.BE DELIVERED; SID.SILVER LINE BLDG PRD REF#SOI
�}yy ttvvt�'n•';y;`'�.v.�rgri '"•�`\f�' +;5$aS�Y.;Y';N,i.:_ ,�. h�" ::iC'�« .;r ."J,,.�S.j+,.ti:.N•:i:'.::.4,`,v..
,,Ra;CF+.+ ':.'3.,�. v." � � rt:+5:....`r''�•,�..:.: .,Y: ,�,y:.:•.,;,r°a}.. ,ra-:....,, m
:.:�" •;y�.....�.X•i ?<�;;:� -s�..• �:}{ham '`�.,., :,,r ^.3>iY•>`.w,,.,..;,k..,:5 5.�' :;r:••..:.::,v.....,•.. ...
•.,4. ,."5.'Y7.% SS< ..::,i'• +a�.•Y•:;:..:.r?:rive?':` �y:(�'.{ •..�!,:. +Y ss':.:2:yx+::`v"T"•
}:v. 8.$':}•' l.: ii+'+ K.. ,.F. :SE :/+SJ.-o:: �v,S::`uZ. .••.F•u-,.%�i:v vC`:,u }u•.
4 u•.
''.l./i✓.�..t.,nk.Y,•i::.i�ry� .�'.ii2'vf:€�I• `�1�I�-':�`1 FV >"'J..+i+S;..;;C�Au,:v:�.dY..iu:-!'r+i:::`vv;�'i:,iT.yp�^Ar: v �.. :u\'"r .C.i .
50105 694-6$1 1. . . .�.U.,�,,,.>s^�,.:..,,`>�:�n•,:.,:;.,;.�.t;4k:'::.h:.:f;;�;�;%,,,.;,»•x':;':,:'_`��' <is: `(;. ��4-';}�1f,Gl'•�`'.:
D0 EA 85OG COLOR WHIT/8500 COLOR WHIT /
MODEL 850Q COLOR Y $144.07 $144.07
WHITE TIP TO TIP SIZE 28 1/4 WlbE X 36 HIGH WITH 4 OVER 1 GRILLS AND
# 'FULL SCREEN,
S0106 694-681 1T0707 EA 8500 WHITE /$500 WHITE
/MODEL 8500 COLOR, Y $.152,50 $152,50
WHITE TIP TO TIP SIZE 28 1/4 WIDE X 42 HIGH WITH 4 OVER 1 GRILLS AND
FULL SCREEN.,
S0107 694-681 2,00 EA 8500 WHITE /8500 WHITE /MODEL 8500 COLOR
WHITE TIP TO TIP SIZE32 WIDE X 49 3/4_HIGH WITH 4 OVER 1 GRILLS AND Y $1$0740 $360.80
FULL SCREEN,
S0108 1 694-681 2.Ob EA 8700 WHITE /8700 WHITE
!MODEL 8700 COLOR Y $158.11 $316.22
WHITE TIP TO TIP SIZE 21 ,1/4 HIGH,X 63" WIDE. WIT_H FULL SGREEN,
S0109 694-6$1 4,00 EA 8500 WHITE. /8500 W.H(TE
/MODEL 8500 COLOR Y $143,71 $574.84
WHITE TIP TO TIP SIZE 2 WIDE X 49 HIGH WITH 4 OVER 1 GRILLS AND FULL
SCREEN.
I]>1lflY:(�11F. .iVt.Ai1.t�N;';' '; ,a :`";T ,;., — _----
MERCNANDISt TOTAL: $5,357.97
.QR _ SCHEDULED DELIVERY DATE:, Will be scitotlnlotl tt all arrival of nil SID Marchandlso
V02 515 663, 1.00 EA DELIVERY
Y 546.00 $46,00
` 1, R I I�rA G L i hlC),>�fT'f ":AIELLO, MARIE DELIVERY SERVICE SUBTOTAL; $46.00
ADDRESS:44.5 E. LEGION AVE-
STATE: fV1ATTITUClC
STATE: NY ZIP: 11952 COUNTY;SUFFOLK
CROSS STREET#1: CORNER HOUSE , SALES TAX RATE: 8.25
CROSS STREETr2: 6ACK DOOR
PHONE: (631),298-9184,
$5,403.97
70M CHARGES, OF .,�:�;�; 'IU�ECr.H�I�I I�' ' " �(Ji ► OE NOME DEPOT DELIVERY REF#V02
' t $5,403.97
SALESTAX $445.83
�—
TOTAL $5,849,80
BALANCE
DUE $5,849.80
END'
OFORDER No, 151073 .
Page 2 of 2 No. 161073