HomeMy WebLinkAbout43667-Z rYTr1---
"'30s PO(,r�'N Town of Southold 7/21/2019
P.O.Box 1179
y 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40523 Date: 7/21/2019
THIS CERTIFIES that the building WINDOWS
Location of Property: 450 Oak St,Mattituck
SCTM#: 473889 Sec/Block/Lot: 141.4-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/16/2019 pursuant to which Building Permit No. 43667 dated 4/22/2019
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:
BASEMENT WINDOWS IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Hussnatter, John
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
10i
o e Signature
TOWN OF SOUTHOLD
��o y BUILDING DEPARTMENT
R a TOWN CLERK'S OFFICE
"oy . SOUTHOLD, NY
gal °iP
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#: 43667 Date: 4/22/2019
Permission is hereby granted to:
Hussnatter, John
PO BOX 693
Mattituck, NY 11952
To: replace windows on existing single-family dwelling as applied for.
At premises located at:
450 Oak St, Mattituck
SCTM # 473889
Sec/Block/Lot# 141.-1-18
Pursuant to application dated 4/16/2019 and approved by the Building Inspector.
To expire on 10/21/2020.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
Builth nspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TORN 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 I%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. A?4 0 9
New Construction: Old or Pre-existing Building: ✓ (check one)
Location of Property: SU 60-
House
House No. Street Hamlet
Owner or Owners of Property: USS AAAPj-
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant: 'e 04-0 M.180
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 50 00 00
pplicant Signature
OF sogr4,�
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ 1ANSULATION
[ ] FRAMING /STRAPPING ] FINALw/Jl((J0k,4
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] -FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
vkygA
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
. i b
FOUNDATION (1ST)
H
------------------------------------
o �
'FOUNDATION (2ND)
Z
• O
ROUGH FRAMING&
PLUMBING ;)cy y
Sk
INSULATION PER N.Y-. y
STATE ENERGY CODE
lei J t ,G
AD ov/
FINAL
ADDITIONAL COMMENTS
• y
d
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
41UILDING 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 L / / Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O Application
Flood Permit
Examined 20 Single&Separate
Storm-Water Assessment Form
Contact:
Approvedv` 20 Mail to: /�
Disapproved a/c 5 pp/ yl
/q� &/6 ,5f6- 1 1 U!' CT
Phone: Ot/aQ'�Sp2"�I[/-Q 0603
Expiration 20
D ? L--
Buil pector
t APPLICATION FOR BUILDING PERMIT
APR 1 6 2019
Date 20iL
INSTRUCTIONS
a:ThisTITlication MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
.sets of filans,dccurD 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 pernut 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.
(Signatur of applicant or name,if a corporation)
���y 7';.„bP� jr�;j Pl M�l��� . k
(Mailing address of p ant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electncian,plumber or builder
Name of owner of premises C
(As on the tax roll or latest deed)
If applicant is a corporation,signature of dul uthorized 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 pr osed ork gill be done: {-�
�IS0 b� p �� r2P_T aa,Il I�UG
House Number Street Hamlet
I L(
County Tax Map No. 1000 Section Block Lot
Remove 4"' Re-fle-ce, 3 Wf'Jov6) qo- wa 1; e rias �c�vra� d es,
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premisgs and intendq use and occupancy of proposed construction:
a. Existing use and occupancy re
b. Intended use and occupancy-tp
3. Nature of work(check which applicable):New Building Addition Alteration
Repair X_Removal Demolition Other Work
�jj �y (Description)
4. Estimated Cost r/ ',b �s 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
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 premisesborA V I SSh Address t Phone No. 96 4- 781
Name of Architect Address M e v Phone No —
Name of Contractor e►xA Pan Address Phone No. qj
Q 5 -
1M US Ferry >Al p f GA 30338
15 a.Is this property within 100 feet of artidal 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-
COUNTY
3 COUNTY OF
S+P0k&n;L R040,11 ie-4 being duly sworn,deposes �eavplicant
(NamCqf individual signing contract)abo a named, Uuren Be Notafy pUJIfO
(s)He is the In and For The Sita of 01110
ido Expiration
(Contractor,Agent,Corporate Officer,etc.) r r�Y a = Kdorney at Law'? n:
of said owner or owners,and is duly authorized to perform or have performed thesai�+yy `file this application;
that all statements contained in this application are true to the best of his knowledge and�6 e, 11 j f e*fh fl)9e work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this p
jO day of /l `1 I 20�
Roll
Notary Public Signature of Applicant
Go Permits, LLC
105 Buttonball Ln.
P ' Glastonbury, Ct 06033
`
OLLJI)JUJIM111
A P4 1 6 2019 °� Scott Doughman
Phone: 860-952-4112
Fax:860-430-6719
scottdoughman@gopermits.org
"WE UNDERSTAND THAT YOUR TIME IS MONEY"
April 8, 2019-
To: Town of Southold Building Department
Subject: Permit Application for: Dorothy HusnatFer, 450 Oak Street, Mattituck, NY 11952
The above listed homeowner has contracted with The Home Depot to replace the
windows in their home. The below listed documents are included with this letter.
• Notarized permit application
• CO Application
m Check for$250 payable to Town of Southold
• Contract with Home Depot detailing scope of work
• The Home Depot Suffolk County License
• Certificate of Insurance
• Letter of Authorization from Home Depot allowin�,9 GoPermits to submit documents on their behalf
• Windows specification spec sheet c%r k U- F�cTor S�ee
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 (aftn: Scott Doughman).
Email: scottdoughman@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!
Stephanie Bottomley, Permit Expediter
Go Permits, LLC
Phone: 513-293-2060
stephaniebottomley@gopermits.org
Go Permits LLC, 105 Buttonball Ln. Glastonbury CT 06033, scottdoughman@gopermits.org
Bunch, Connie
From: Bunch, Connie
Sent: Tuesday,April 16, 2019 4:42 PM
To: 'scottdoughman@gopermits.org'
Subject: Permit application for Husnatter
Attachments: @@authorizationletter.pdf
Good Afternoon,
We have a new form we need completed by the homeowner with all permit applications. If you could have John
Hussnatter complete this and then submit to us. He shows as the only owner on the property.
Thank you,
Connie Bunch
1
Home Improvement Agreement: Pagel
Home Depot License#'s - For the most current listing www.Homedepot.com/LicenseNumbers
NY: Amherst HI-04712, Lockport 2395; Buffalo LT12-10023782, City Tonawanda 33257, East Hampton 4499, Long Beach
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-
DCA, 1152038-DCA, 1152039-DCA, 1152040-DCA, 1178447-DCA, 1186042-DCA, 1212045-DCA, 1223272-DCA, 1251871-
DCA, 1318292-DCA, Niagara Falls 971, Putnam County PC 689, Rockland County H-06464, Southampton L002442,
Suffolk County 47874-ME, 55323-ME, 53429-H, 57713-H, 54888-MP, 50222-MP, Town of Tonawanda: 1854, Westchester
County WC18484H06,Yonkers 5675, 47874-ME
Vance Comerford
Salesperson Name: Registration No. (if applicable):
Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/
or service the equipment listed below at the price, terms and conditions as outlined on this form.
HUSSNATTER DOROTHY I Long Island 1 1-KYIJUPM
Customer Last Name Customer First Name Store#/ Branch Name Customer Lead/ PO#
450 Oak Street I Mattituck INY 111952
Customer Address City State Zip
(631) 566-7 1 1dorowig@yahoo.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:
40 Oser Avenue Suite 17 Hauppauge NY 11788
Address City State Zip
Or Email' I customercancellationnortheast@homedepot.com
Service Provider Email Address
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 PAYMENT(S) 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 THE HOME DEPOT GIVE YOU A
NP
EXPLAINING YOUR RIGHT
TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THE BEEN GIVEN ORAL
AND WRITTENNOTICE F YOU IGHT T CA EL.
Acknowledged by: 04/04/2019
Cu is Si nature Date
Contract Price and Pa m nt chedule : Payment of the Contract Price is due upon signing unless a
different payment schedule is required by law, specified below or in a payment addendum.
Contract Price: $ 1815.00 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ 10.00 (If applicable)
*Maximum deposit ONLY appficable in WD, NA, WE(3396), NJ, W1(99%)
Dep. 25.0 % Deposit Amount $ 453.75 Remaining Balance $ 1361.25
The Home Depot-2455 Paces Ferry Road,N.W.Bldg.B-3,Atlanta,Georgia 30339-Customer Care:1-800-466-3337
4601`1 HDE Customer Agreement(24 Jul.16) v 0.1 a
Home Improvement Agreement: Page2
Finance Charges:
*Any interest payments or other finance charges will be determined by Customer's separate cardholder
or loan agreement, to which The 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 payment(s) made payable to The Home Depot.
Insurance proceeds will will not be used to pay some or all of the total amount of sale.
Description of Work to be Performed:
Installation of 1windows
A more detailed description of the work to be performed is included in the section entitled Scope of
Work which appears on page 0 of this Agreement.
Anticipated Delivery Date/Installation Schedule
Approximate Start Date: 05/30/2019 Approximate Finish Date: 06/27/2019
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.
in' 'aling this paragraph, I consent to receive only electronic records related to this transaction.
Initial
cce tance and Authorization:
By signing below, you authorize Home Depot to (a) arrange for Service Provider to perform Installation
and/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/permitting information may need to be provided to You later.) By signing,
you acknowledge that you have read, understand, and accept this Agreement in its entirety, including
the General Terms and Con Jitions and State Supplement, if any. You further acknowledge receiving a
cot copy of this Agr en . Keep i o protect your legal rights.
X 04/04/2019 The Home Depot
X1to is Signature Date Service Provider Name
X 04/04/2019 40 Oser Avenue Suite 17
o- igner (if a Ica a ate Service Provider Address
X 04/04/2019 Hauppauge NY 11788
Siature O B e of Date City State Zip
50061-HS, R-1-128533-13-00262
Service ProvodbThone Number 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
460Fi HDE Customer Agreement(24 Jul.18) v 01.8
Home Improvement Agreement: Scope of Work
Scope of Work
Job#: Products: Spec. Install Product Total
Sheet(s)#: Price: Price: Sales:
1-KYIJUPM Roofing Siding Windows Insulation 1- 447.00 1368.00
Gutters/Covers Entry Door KYIJUPM
Roofing Siding Windows Insulation
Gutters/Covers Entry Door
Roofing Siding Windows Insulation
Gutters/Covers Entry Door
Roofing Siding Windows Insulation
Gutters/Covers Entry Door
Roofing Siding Windows Insulation
Gutters/Covers Entry Door
Subtotal
Sales Tax 0.00
Total Contract Amount 1815.00
Notes:
Warranty•
The warranty on the work identified above is listed in the General Terms and Conditions, or if applicable,specified in the
following documents:
Warranty Name(s):
The Home Depot-2455 Paces Ferry Road,N.W.Bldg.B-3,Atlanta,Georgia 30339-Customer Care:1-800-466-3337
4601`1 HDE Customer Agreement(24 Jul.16) V 0.1.8
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
The Home Depot-2455 Paces Ferry Road,N.W.Bldg.B-3,Atlanta,Georgia 30339-Customer Care:1-800-466-3337
4601`I HDE Customer Agreement(24 Jul.18) v 0.1.8
The Home Depot General Terms & Conditions
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.
(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.
The Home Depot-2455 Paces Ferry Road,N.W.Bldg.8-3,Atlanta,Georgia 30339-Customer Care:1-800-466-3337
4609 HDE Customer Agreement(24 Jul.18) v 0.1.8
i
The Home Depot General Terms & Conditions
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:1-800466-3337
4801`I HDE Customer Agreement(24 Jul.18) v 0.1 8
1
Show Receipt Detail Page 1 of 2
RECEIPT
Suffolk County Government
SUFFOLK COUNTY LABOR, LICENSING&CONSUMER AFFAIRS
P.O.BOX 6100 HAUPPAUGE, NY 11788
James M.Andrews
Application:H-53429
Application Type:ConsumerAffairs/Licenses/Home Improvement/NA
Address:
Owner Name:
Owner Address:
Application Name:
Receipt No. 149086
Payment Method Ref Number Amount Paid Payment Date Cashier ID Received Comments
Check 3148046 $1,800.00 09/21/2018 CLEMON RENEWAL
Work Description:
"
7-Suffolk County Dept.of
:�•
Labor,Licensing&Consumer Affairs
HOME IMPROVEMENT LICENSE
,n Name
z RICHARD TOUSEY
Business Name
HOME DEPOT U.S.A,INC.
t
This certifies that the
bearer is duty licensed License Number H-53429
by the County of Suffolk Issued: 05/15/2014
Commissioner Expires: 1110112020
https:Hay.prod.county.suf/portlets/fee/receiptV iew.do?mode=view&autoPrint=false&recei... 9/21/2018
-
DATE: o�
ATTN-. Town Building Inspector
RE: PERMIT AUTHORIZATION LETTER
To Whom It May Concern:
In accordance with Public Act 91-95, this letter serves as written authorization and
notification that Go Permits LLC, and its employees and agents have the authority to
represent us in the procurement of permits and pertinent documentation on our behalf.
This letter or a photocopy thereof may be regarded by'any building official as it's authority
to recognize Go Permits LLC as our authorized Agent to sign on our behalf applications for
permits and any other related documents that may be required by you, and we agree that,
for all purposes,we and not Go Permits LLC or it's employees and agents shall be deemed
to be the signer of any such applications and related documents.
Scope of work: o
S fit
Location
( gra) s VIR
Authorized Agent Go Permits LLC C 410 io L; e- Rn-go w
Se 'ce Agent Name
Best Regards,
I G"Own
Lice ee Signature t Wage &License Number
NOTE: PLEASE MAIL PERMIT TO:
14, �a
JEFFREY J KWAR
NOTARY PUBLIC, :Al E OF tib``'4P,K
THD At-Home Services,In niy
. Registratio.l id0 c� 'Usoo��8i
40 Oser Avenue. Suite 17•Hauppauge,NY 117 Qual fled in��;fn' Ch aa.
Phone:631-478-6101•Fax:631-435-4837•Toll Free:877 fission€ fires Mareh Z . �-
AP PRO ED AS NOTED
/TED
DATE: 002 B.P.
FEE:913y:�� BY:
NOTIFY BUILDING DEPARTM AT
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
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS-OF
-Sf�@
- ARD
' S8l�H9�e�US�EES
Alt.Ken
OCCUPANCY OR
USE IS UNLAWFU"
WITHOUT CERTIFI;"',At�V
OF-OCCUPANCY
VantagePointe - 11 he Home Depot 6100 Series by Simonton Doubge Hund S ION TN ,
With Grids
(Glazing Gas Spacer System ItitvThickness U-Factor R-Value Visible Transmittance Solar Heat Gain UV Block
Coefficient
Total Unit Center of Total Unit Center of Total Unit Center of Total Unit Center of Center of
Glass Glass glass Glass Glass
Clear/Clear Air Intercept Spacer 0.75 0.49 0.49 2.04 2,04 0.52 0.81 0.49 0.75 0,42
Low-E 270/Clear Air Intercept Spacer 0.75 0.37 0.3 2,7 3.33 0.45 0.7 0.25 0,37 0.85
Low-E 366/Clear Air Intercept Spacer 0,75 0,37 0.3 2.7 3.33 0,41 0.64 0,18 0.27 0.84
TIAC36/Clear Air' Intercept Spacer 0.75 0,37 0.3 2.7 3,33 0.44 0.68 0.24 0.36 0.62
Low-E 270/Clear Argon Intercept Spacer 0.75 0.34 0.26 2,94 3.85 0,45 0.7 0,24 0,36 0,85
Low-E 270/Low E Argon Intercept Spacer 0.75 0,32 0.25 3,13 4 0,39 0.6 0.23 0.34 0195
270
Low-E 366/Clear Argon Intercept Spacer 0,75 0,33 0,25 3.03 4 0.41 0,64 0.18 0,27 0.84
Low-E 366/Low E Argon Intercept Spacer G 0.75 0.32 0.25 3.13 4 0,33 0.51 0.18
366 0.26 0.95
TIAC36/Clear Argon Intercept Spacer 0,75 0,33 0.26 3.03 3.85 0.44 0,68 0,24 0.36 0,85
TIAC36/TIAC36 Argon Intercept Spacer 0,75 0.32 0.25 3,13 4 0.36 0,56 0,22 0,33 0.9
Low-E 270/Clear Krypton Intercept Spacer 0.75 0.32 0,23 3,13 4.35 0,45 0,7 0,24 0.36 0.85
Low-E 270/Low E Krypton Intercept Spacer 0,75 0,31 0.23 3.23 4,35 0.39 0.6 0.23 0.34 0.95
270
Low-E 366/Clear Krypton Intercept Spacer 0.75 0.31 0.23 3.23 4,35 0,42 0,65 0.18 0.27 0.84
Low-E 366/Low E Krypton Intercept Spacer 0.75 0.3 0,22 3.33 4.55 0,33 0.51 0,18 0.26 0.95
366
TIAC36/Clear Krypton Intercept Spacer 0.75 0.32 0.23 3.13 4.35 0.44 0.68 0,24 0.36 0.85
TIAC36/TIAC36 Krypton Intercept Spacer 0.75 0.31 0.23 3.23 4,35 0.36 0,56 0,22 0.33 019
Clear/Clear Ali' Super Spacer 0.75 0,48 0.49 2.08 2.04 0.52 0.81 0.49 0.75 0.42
Low-E 270/Clear Air Super Spacer 0,75 0.36 0,3 2,78 3,33- 0.45 0.7 0.25 0.37 0,85
Low-E 366/Clear Air Super Spacer 0.75 0,36 0.3 2.78 3.33 0,41 0.64 0.18 0.27 0.84
TIAC36/Clear Air Super Spacer 0.75 0.36 0.3 2.78 3.33 0.44 0.68 0,24 0.36 0.62
Low-E 270/Clear Argon Super Spacer 0.75 0,33 0.26 3.03 3.85 0.45 0.7 0.24 0.36 0,85
Low-E 270/Low E Argon Super Spacer 0.75 0,32 0.25 3.13 4 0.39 0.6 0.23 0.34 0.95
270
Low-E 366/Clear Argon Super Spacer 0.75 0,32 0.25 3.13 4 0.41 0,64 0.18 0.27 0.84
Low-E 366/Low E Argon Super Spacer 0,75 0,31 0,25 3.23 4 0.33' 0,51 0118 0.26 0.95
366
TIAC36/Clear Argon Super Spacer 0,75 0.33 0.26 3,03 1 3.85 0.44 0,68 0.24 0,36 0,85
TIAC36/TIAC36 Argon Super Spacer 0.75 0.32 0.25 3.13 4 0.36 0.56 0.22 0.33 0.9
Low-E 270/Clear Krypton Super Spacer 0,75 0,31 0,23 3.23 4.35 0.45 0.7 0.24 0.36 0.85
Low-E 270/Low E Krypton Super Spacer 0.75 0.3 0.23 3,33 4.35 0.39 0.6 0.23 0.34 0,95
270
Low-E 366/Clear Krypton Super Spacer 0,75 0.31 0.23 3.23 4,35 0.42 0.65 0.18 0,27 0.84
Low-E 366/Low E Krypton Super Spacer 0.75 0.3 0.22 3.33 4,55 0.33 0.51 0.18 0.26 0.95
366
TfAC36/Clear Krypton Super Spacer 0.75 0.31 0.23 3.23 4.35 0.44 0.68 0.24 0.36 0.85
WINDOW SPECIFICATION SHEET - Spec.Sheet#: 1-KYIJUPM Sheet: 1 of 1
Customer: DOROTHY HUSSNATTER Job#:1-KYIJUPM Consultant: Vance Comerford Date: 04/04/2019
Now Window
Existing Window Hinge Locations
Measurements Grids Product Options Labor Options From outside,
Left to Right
Bays,Bows
Location Color Rough Opening #of bars #of bars Csmnts,1 Pnl,
use L,R or S
Glass Mlsc Items
Hardware Code
Screens For doors use
Mull "S"=stationary o
r
# ti 'c y o "X =operating
St le Wre s
1E 2 E2
t Room Floor Code (YM) Style Code Series Code S u�S x C c� CL > X: > z
STD,Tan, GlassPack: WRAP,
1 BSMT Basem BH Y BH 6100 WH WH 3100 14.00 45 Standard RMW,LSR
ant
STD,Tan, GlassPack- WRAP,
2 BSMT Basem SH Y BH 6100 WH WH 31.00 14.00 45 Standard RMW,LSR
ant
STD,Tan, GlassPack: WRAP,
3 BSMT Basem BH Y SH 6100 WH WH 3100 14.00 45 Standard RMW,LSR
ant
SPECIAL CONSIDERATIONS.
1•White,2:White,3:White
Wrap Calor
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 1 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
eatboard Material(vinyl only-White Plonite,Birch or Oak)