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HomeMy WebLinkAbout44073-Z o�pS�FFQI'' Town of Southold 9/30/2019 P.O.Box 1179 ' 53095 Main Rd 1.414, ® ap�`i��c4y Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40732 Date: 9/30/2019 THIS CERTIFIES that the building WINDOWS Location of Property: 50500 CR 48, Southold SCTM#: 473889 Sec/Block/Lot: 51.-6-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/6/2019 pursuant to which Building Permit No. 44073 dated 8/15/2019 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: WINDOW AND DOOR REPLACEMENT TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Idarecis,Emilia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED n 1�-\ n f -Hr VZ uth rize gnature � TOWN OF SOUTHOLD suFFo(,rC�y BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . SOUTHOLD, NY •�','�curlyci 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#: 44073 Date: 8/15/2019 Permission is hereby granted to: Idarecis, Emilia 167-19 Grand Central Pkwy Jamaica Estates, NY 11432 To: make a window replacement as applied for. At premises located at: 50500 CR 48, Southold SCTM # 473889 Sec/Block/Lot# 51.-6-1 Pursuant to application dated 8/6/2019 and approved by the Building Inspector. To expire on 2/13/2021. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 -otal: $250.00 i 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-erdstingn 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_Ha 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_ 31 o2,O l S New Construction: Old or Pre-existing Building: )<, (check one) Location of Property: 50900 COu113i Y ZD 48 25COUTH OLS , N / 44911 House No. Street Hamlet Owner or Owners of Property: E M I L I A 1 ()P-E C l S Suffolk County Talc Map No 1000,Section rj Block Lot 4 Subdivision - -- Filed Map. Lot: Permit No. i o� Date of Permit Applicant- L?-31 E i A MEN DAD N Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for. Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature nom , �ftif�tgiY2f-' ��4'II:So'9�eaa"1R9 �.t7�1�l1•,&96elY3 AUTHORIZATION 1ticFtt iO(MAj,, r, e I I, (Print property ewer's narne) (r✓I3ifing Address) �U� �-,� �-� coo hereby authorize F � ` (Agent) apply on my beef to the Southold Building Department_ (Ovrmer's Si tore) (]Print Oivner's Marne) o�aoF So�Tyo # f TOWN-OF SOUTHOLD BUILDING DEPT. `ycourm, '' 765.1802 -INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ZF SULATIPN/ AULKINGFRAMING/STRAPPING [ NAL M) W4 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: _ rid Ott Nw %DATER r INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION(IST) -------------------------------------- FOUNDATION(2ND) z 0 gHg�� ROUGH FRAMING& y PLUMBING C� 7 t� INSULATION PER N.Y. STATE ENERGY CODE L-AVE FINAL ADDITIONAL COMMENTS q � b5 5 O kN- Z rn b O z x d r� TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST 1� 7ILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets ofBadding Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey SoutholdTownNorthFork.net PERMIT NO. :1 3 Check 9 Septic Form N_Y_SD.E_C, Trustees C_O_Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form Contin Approved ,20� Mail to: SCOL XU CYN h plrJ Disapproved a/c I U t 10 LC t MikL N 6LAs1100 SU aAf Cr 0a o 33 r Phone. AL Err . o AS I�EQUI{3F�T'4TF TAW i S OF ED, L� D 1 Burl GOOFS ' SOU? S AUG ,. 7 ' APPLICATION FOR BUB.DING PERmrr y�(D TOwNIB OF SOHO Date N p(ANN11% E u n.Mr DF- .. INSTRUCTIONS O(D t p BOARD _ - WNTRUSt a �7ii5liitiST be completely filled m by typewriter or in ink and submitted to the Bmldmg R y d14 BES 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 stree 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 apphcanL Such a permit shall be kept on the premises available for inspection throughout the work e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy- f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months_Thereafter,a new permit shall be required_ i 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. APPROVED AS NICY"'FEDc DAM: ')19— B.P.# (Signature ATE: (Signature of applicant or name,if a corporation) 3913 emeggw oe scoop-2 Vit, 1L Gmi'� FEE:�Z , -- Q •u2-LO (Mailing address of applicant) NOTIFY BUILDING lC-LPAR T iv E-NT AT State iptt�Fj ppLc"isi° �rgkt,,,architect,engineer,general contractor,electrician,plumber or builder FOLLOWING INSPEEC T IGIlSA C N r Nameoff�ReFarY-r &()N'-'FFTLE�M IL)A lJf)eECIS 2. ROUGH - FRAMIN(33 & PLUIMBIND (As on the tax roll or latestdeed) KappJjc'tM0 V0-Mpation,signattua of duly authorized officer Mu dl ,ye rIhl I ro!,n, - If"Ir'1f i A el�n A dam" ( iF�Ltlpf. ° �' ��99� fl Build ���ge, i+4 `'`J 6 LAWFUL Ply tciise� lb � ` ' El J>�i=,f,_� o. F THE CODES OF NEW g T CERTIFICATE Othene°"66se$$&f iiESP()NSiRLE FC;R DESIGN OR CONSTRUCTION ERRORS. � OCCUPANCY 1. Location of land on which proposed woA will be done: 50500 CQUNTIC P-D 4$ 5OUT110LD N`/ House Number Street Hamlet County Tax Map No. 1000 Section tJ 1 Block Lot JZ,1�7MOUe A-N.-D RZPl,PtCP- 4 W1rJD0W , Ll VP- U1711 l,ik,C ? Np 31R.UC 7LA-aA"LcoA0teS. Subdivision Filed Map No. Lot t 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy IFS 1 )EN T I R L b. Intended use and occupancy. P-I✓S I DENT I R V 3. Nature of work(check which applicable):New Building Addition Alteration Repair x Removal Demolition Other Work (Description) 4. Estimated Cost lc) 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 premises EMI LI A IDR 2EGI SAddress5O5W 6oL4r4(`i 2D 4fPhone No ;�I$ 380 .Z 1 Name of Architect Address SOUTWOI,NY Phone No Name of Contractor NO fl F DE PO F USA Address Phone No. ( 60 952 4U.- 2455 ?RcEa FESPlr azO 4TLAFJFA GA 30333 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. OFFICIAL SEAL STATE OF NEW YORK) JOSE ARGUELLO SS: NOTARY PUBLIC,STATE OF ILLINOIS COUNTY OF CQ21G ) MY COMMISSION EXPIRES 1212912020 L281 E—M M I-0,D W11) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing cco/n+traad)above named, AG (S)He is the G tj f (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 mamer set forth in the application filed therewith. Swot tore me this 3/s day of U O t 20j Hew� Notary P,bh, Sighature of Applicant -- Go Permits,LLC 105 Buttonball Ln. Glastonbury,Ct 06033 Scott Doughman Phone:860-952-4112 Fax:860-430-6719 1. scottdoughman@gopermits.org WYE UNDERSTAND THAT YOUR TIME IS MONEY" July 31, 2019 To: Town of Southold Building Department Subject Permit Application for EMIUA IDARECIS 50500 COUNTY RD 48 The above listed homeowner has contracted with Sears Home Improvements to replace the windows in his home.The below listed documents are included with this letter. • Notarized permit application • CO Application • Check for$250 payable to Town of Southold • Contract with Home Depot USA detailing scope of work • Home Depot Suffolk County License • Certificate of Insurance • Letter of Authorization from Home Depot allowing GoPermits to submit documents on their behalf • Windows specification spec sheet 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,Cr 06033 Thank you! Ella Mendron, Permit Expediter Go Permits, LLC Phone: 847-671-4606 elzbietamendron@gopermits.org Go Permits LLC,105 Buttonball Ln.Glastonbury CT 06033, scottdoughman@gopermits.org CERTIFICATE OF LIABILITY INSURANCE X110119 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 ILoWer is an ADDITIONAL INSURED,the Po6 I s)must ham ADDITIONAL INSURED provisions or be endo med. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may regDlre an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER =ACT MARSH USA,INC. PHONE FAX TWOALLIANCECUffM VC.flok 35M LENOX ROAD,SUITE 2400 MAIL ATUINTA,GA 30715 IMSURERRAFFORDIMISCOVERAGE NAICI CN101642069f m 0-GAVY-19.20 A:OU Repub3c lafoualoeCo 24147 INSURED FiDi�UEPOi U Sh,BJC rrIRe�B:Now in Oo X41 DIRIATEEHOWDFPOT EZURER C:HMlIEk CaPive IlMarce CMUM 2455 PACES FEW ROAD INSURER 0: BUILDING G20 ATLANTA`GA 30M INSUSIM E: RIStlRERF- 9 COVERAGES CERTIFICATE NUMBER. ATL-00435OW16 REVISION NUMBER: t THIS IS TO CERTiFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TM INSURED NAMED ABOVE FOR THE POLICY PERIOD ININCATED NOTWITHSTANDING ANY RECIUIRH'+tW.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 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. am L SUER LTR TYPEOFINStRALUEPOLN:YpQfeER PIQUCYEFF POLiCYEXPvpm RMDD;VVM MUM IVIS A X 17M 11LGgiERALLJABtrrY MAZY3MM 030199 S!°01f= EACHOCCURRENCE S 1000000 S 9114E OCCUR PREMISES ooaurance S DAMAGETORENTED 1,OOQ006 X SIkf1ADW �EXP(Awv��) $ EXCLUDED 1 IIIc M1f P PERS017ALAADV INJl1R1' $ ."•••,T�,� YtN'LAGGREGATE LNBITAPPLIES PER. GENERALAGGREGATE S 1,000,000 i X POLICY®JPER"o- ®LOC PRODt CTS-CO19VAOPAGG S 1 66Q) OTHER: S A AUrOwMELM1BLLITY MWTS314573 031D7/?Df9 0310um w-INEOSINGLELIff S WAN trJ�o X ANYAUTO BODLYILAIR eWpman) S 1 OWNED SCFE SELF INSUREDAUTOPHYDMG BODILY INJURYWaGwenQ S AUTOS ONLYAUTOS NF 060NtYH S Y Uwaccifta PROPERTYOAMAGE $ p UMBRELLAUAB OCCUR EACH OCCURRENCE 5 EXCESS LIM CLAIMS-WADE AGGIMGAiE S B WORKERSCOMPENSATNON WC 01271709 ( NHNJ,Vt) X I PER ON" B ANDL7LPLOYERS LIABILITY Yin aPCQ12717100(tlYlj 03dD1►1019 03011 0 pq�(pEpp ® NEA ELFACrIACCOID03fr SOFFICERIMEAMM � E Y1nMH) ELOISFhSE-EAEMPLOYEE S 5. Hyea deser@e wader Continued on Addwonnt Page 5,000,000 DESi RIPTNOJJ OF OPERATIONS Lalow F-L DISEASE-POLiCYLWT $ C Aub 2971100110OM9 0361=9 01912= UMIL 4 A Ex Ganeta Uri t MW X31458D W01Ph119 0301/2022 Ulft 81000AN t nONOFOPOIATIOMILWATLYSI (ACC alai.Ad3NongRemalsSchmko®16aaffadedB®neapa isn I VLLAEEOFFLO ERIILLISINCL.W®ASADEARONAL1NSUREDW REQUIRIMBY vnvnENCONTRWF ON THEABOVE GENBRAL UABffHYAMDP=WBREUAFIIUIYPOLiC[f BUT ONLY WITH RESPECT TO 1JABR.IiYARESING OUT OF THE OPERATIONS OF THE NAMED INSURED. CERTIFICATE HOLDER CANCELLATION Vl1AGEOF Fl111 M FIDE SHOULD ANY OF THE ABOVE DESCFMM P0IJCEER BE CANCE,I BEFORE 1BONNIE HEIGMROAD THE OWRATMN DATE THEREOF, NOTICE WILL BE DELIVERED IN MANI ASSET,NY 11030 ACCORDANCE WITH THE POLICY PROVISIONS. a AUTHOR� IrATIYE of Marsh USA Inc. Maoas hl MWdm*w �Kas.wne • 0ISM-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016105) The ACORD name and logo are registered marks of ACORD AGENCY CUSI Qus ID: M01642069 _ LOC ff-- Allanta AC40OR"o ADDITIONAL REMARKS SCHEDULE Page 2 of s AGENff NASED WSURED UARSH USA.INC. HOME DEPOT U.S.A..INC. OPBfAIIEI_HMEOEPOF POL YWJNM 2455 PACES FERRY ROPED BUM= ATLANTA,GA 30339 CARRMR Nuc000e DAM ADDITIONAL REMARKS THIS ADDITIONAL REIWARKS FORTS IS A SCHEDULE TO ACORD FORM, FORM NUMBER. FORM TITLE. Ce fmate Of L.iab0ity Insurance Workers Compensation Cad wed: Calrrla YaaraoneCaa*xTdNOmAT&ta Poky Nlmlber:WLRC6S996 g ALAR.RjRtAAKY,LA,MSM0,NE,NDA,tdD,OH,SC.SD,TN.WV.WY) EE&COM ME 0 3 0112 0 1 9 I20aLnmOabm 03P0 m (Ey Lim&$S.00D,O00 Cale:NmEPLamaaeCarpaoy PWWK%mba.WC012717M(DC,DF)O ,EISD.EIi ff)ffRQ MGM Dale:03101019 Evk*Dn Dale Ol1ov" m umMA ID,OOD Caner.ACEAmmank mSIbmlar/ RoTryNutlbecYiQ1C6S 6(461)KC&tNQARVAWA) MGM Date:03101/2019 EVka5mDft03017A20 (HjLbt$4�W.000 SR$1,000,000 SIR for OIe slates d AZ,CA,IL,NC,OR,VA,WA Ciel:Naio11z1UId�iFuaimr�eCmpeey Porky Number:XWC XM(QST)(CO.CT,GkME)M.NV OH RkIJT) Effacbe Dae 0301=9 E*affcnOakO3N WAW (EL)LirrntS1.000.000 61AOO=SIR(orthe daft of CO)dF-WAOH,PA,UT 57SOIMOR6ortbeshleolGA g $3WWSIRforOed*dCT CadecLbftiAWftaFdubmQmpwy 1�NacbEr XIl1C 7(QS�p1A) EllecOm DaW O3ffil=9 Elpk9w0ae0 GVAN 03-)il"A DA00 aft:$=000 I TXEepb%as)(SY CanielAmUdma buanam Caa"R PdLy N=ber-rNS CM IOI9(M ; 0�03017d119 FVkdon Dae 03A1rM 1 (EL)Uadt$10,OOQ000 i Sllt813'i00,00D a i i I ACORD 101(2008!0'1) ®2008 ACORD COMMA-HON. All rights reserved. The ACORD name and logo are registered marks of ACORD i AGENCY CUSTOMER®• CN101642M _ Loc#. Atlarda ADDITIONAL REMARKS SCHEDULE page s of s AWRY NAM WSURED MARS{U IP1C HOME DEPOT US.A M DMTHEfaMWW POLrCff rBtr�R 2455FACES FERRY Rr1RD ATLANTA,GA=9 CARtEER Mc CODE t DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE- Ceffmate of Liability Insurance —HOME DEPOT INSUREDS— The Home Dept Y9e 7t*Hmo DVd SA,be Home Depot USIA Inm dba The Home Depot three DepotUSA,tmdbaYarO2wWare ws%LLC HowDepddFbmbRk%bt Ha=DepdPmductAut x*,LLC Home Dapol ESose Supper!,!� weam {,uc Hans DcWU.SA,hr.db InferlheBrands Bard Eagle Makileaence SuM Haeme� Lear Malydenance USA Renevaim Pks Supwaaft US Lock Wknar JeoPak AmSaa sm arer Tram Zlp Tecluialogies 6 ! a 3 } I , I 1 i ACORD 101(2008101) 02008 ACORD CORPORATION. AD rights reserved. ! a The ACORD name and logo are registered marks of ACORD i Show Receipt Detail Page 1 of 2 i 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:ConsurnerAffairs/Licenses/Home ImprovemenVNA 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: _ Suffolk County Dept of" Labor,Licensing&Consumer Affairs- I HOME IMPROVEMENT LICENSE Name RICHARD TOUSEY r Business Name HOME DEPOT U.S.A;INC. a This certifies that the bearer is duty licensed License Number H753429 by,the County of Suffolk lssued 05/15/2014 _ commissioner r `ne Expires. 111.0112020 r https://ay.prod.county.suf/portlets/fee/receiptView.do?mode=view&autoPrint=false&recei... 9/21/2018 DATE: 3� aOls 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 its employees and agents shall be deemed to be the signer of any such applications and related documents. Scope of work ENO VF 01 O (,ACE 4 .U 1 tjWLJ Lia 01iO Linc No srrzu&-UaAt' Location: 5(D500 COUNTY Q1) G� GraQ) '�502, I-,?v Authorized Agent Go Permits LLC L LZ 4)EPA m F K D P o N Service Agent Name Best Regards, Lic ee Signature 'nt 9".e" &License Number NOTE: PLEASE MAIL PERMIT TO: L�a ! Kfe OAR :,' t3�THD At-Home Services,In c. 6f40 Oser Avenue- Suite 17•Hauppauge,NY 117 uii M eh P-,� Phone:631-478-6101•Fax:631-435-4837•Toll Free:877 ire Mereh � �- Home Improvement Agreement: Scope of Work Scope of Work Job : Products: Spec. Install Product Total Sheet(s)#: Price: Price: Sales: 1-MD5O0WA Roofing Siding . Windows Insulation 1- 149.00 561.00 Gutters/Covers Entry Door MD5OOW Roofing Siding Windows Insulation Gutters/Covers Entry Door Roofing Siding Windows Insulation Gutters/Covers Entry Door Roofing Siring Windows Insulation Gutters/Covers Entry Door Roofing Siding Windows Insulation Gutters/Covers Entry Door subtotal Sales Tax 0.00 Total Contract AmOurd 710.00 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:1-80(M66-M37 4609 HDE Customer Agreement(24 AL 18) v 0.1.8 WINDOW SPECIFICATION SHEET - Spec.Sheet#: 1-MD500WA Sheet: 1 of 1 Customer: EMILIA IDARECIS Job#:1-MD600WA Consultant: Vance Comerford Date: 07/19/2019 New Wln ow Exiating Window Hinge Locations Measurements Grids Product Options Labor Options From outside, Leh to Right Bays,Bows Location Color Rough Opening #of bare #of bare Cereals.1 Pal, use L,R or S Glass Miso Items Hardware Code Soreens For doom use T1 , T11 Mullstationary or Style Wrapaoperating Room Floor Code (YM) StyleCode Series Code 5 hof o. > STD,White, EXT C, 1 KITCH 1st OH Y DH 8100 WH WH 98 28 e6 Olas&ack:Standard WRAP,LSR I TI I SPECIAL CONSIDERATIONS: 1:White Wrap Color Interior casing Type Bay or Bow window, eatboard material(vinyl only-Birch or Oak) Bay Project Anglo(30 or 46) Bay Flanker Type(DH,SH,or Csmnt) op of window to soffit(Inches) tied to soffit,color of soffit material 1 have reviewed and agree with all the job specifications above and the nstmct Roof(Yea or No) Special Terms and Conditions on the folbwing page Garden Windom atboard Material(vinyl only-Whae Plonhe,Birch or Oak) VantagePainte ® The-Home Depot 6100 Series by Shvionton Double Hung � S I M 0 NTON With Grids Glazing Gas spacer System XG Thickness u-Factor R-value Visible Transmittance solar Heat(Bain ub Slack Coefficient Total unit Center of Total unit Center of Total unit C©nter 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 0149 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 0.37 013 2.7 3.33 0.41 0.64 0,16 0.27 0.84 TIAC36/Clear Air Intercept Spacer 0.75 0,37 013 2.7 3,33 0.44 0,68 0,24 0.36 0.62 Low-E 270/Clear Argon Intercept Spacer 0.75 y 0,34 0,36 2,94 3,85 0.45 0,7 0.24 0.36 0.85 LOW-E 270/Law E Argon Intercept Spacer 0.75 0.32 0.25 3,13 4 0.39 0,6 0.23 0,34 0.95 2%0 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 l.ow-E 366/Low E Argon Intercept Spacer ' 0.75 0,32 0.25 3,13 4 0.33 0.51 Me 0,2G 0.9S 366 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 0122 0.33 0,9 Low-E 270/Clear Krypton Intercept Spacer 0.7S 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 0.35 0.85 TIAC36/TIAC36 Krypton Intercept Spacer 0,7S 0.31 0,23 3.23 4.35 0.36 0.56 0,22 0.33 0.9 Clear/Clear Air 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 0,36 013 2,70 3.33 0.45 0.7 0125 0,37 0.85 Low-E 366/Cigar 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 0.39 016 0.23 0,34 0.95 270 Low-E 366/Clear Argon 3upor 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 0151 0118 0126 0.95 366 TIAC36/Clear Argon Super Spacer 0.75 0.33 0.26 3.03 3.85 0.44 0.68 0,24 0,36 O.BS 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 D.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,GS 0.18 1 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 TIAC36/Clear Krypton Super spacer 0.75 0.31 0,23 3.23 4.35 0.44 0,68 0.24 0.36 0.85