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�OS�FF'a jfCQ' Town of Southold 11/15/2019 P.O.Box 1179 W ? 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40863 Date: 11/15/2019 THIS CERTIFIES that the building WMOWS Location of Property: 930 Holden Ave, Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-5-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/18/2019 pursuant to which Building Permit No. 44214 dated 9/25/2019 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 REPLACEMENT IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Norris P J Fam Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A t 9' ed Signature TOWN OF SOUTHOLD �gUFFOj,�C BUILDING DEPARTMENT TOWN CLERK'S OFFICE W_ 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) G Permit#: 44214 Date: 9/25/2019 Permission is hereby granted to: Norris P J Fam Trt 930 Holden Ave Cutchogue, NY 11935 To: install a window replacement to existing single-family dwelling as applied for. r 1 At premises located at: 930 Holden Ave, Cutchogue SCTM # 473889 Sec/Block/Lot# 110.-5-18 Pursuant to application dated 9/18/2019 and approved by`the Building Inspector. To expire on 3/26/2021. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -RESIDENTIAL $50.00 Total: $250.00 r Buildinnspector t 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$155..00 Date. O Xzq III New Construction: Old or Pre-existing Building: V (check one) Location of Property: Af-EAo-e— Arl U House No. Street Aamlet Owner or Owners of Property: R04 N 0 1 P 1.C, Suffolk County Tax Map No 1000, Section Ito Block 5 Lot Subdivision Filed Map. Lot: Ra a,LIJ Permit No. Date of Permit. Applicant: L Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) �O !10 Fee Submitted: $ A plicant Signature Buildina]Department Application AUTHORIZATION (Where the Applicant is not the Owner) 1 S residing at q,-)o v2 (Print property owner's name) (Mailing Address) 1plil?L?/'Io - - p11P J do hereby authorize ( ent) t e�� ( $ to apply on my behalf to the Southold Building Department. (Owner's Signature) ()ate) (Print Owner's Name) tF SOUTyo # # TOWN OF SOUTHOLD BUILDING DEPT. cootnr '' 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] -ROUGH PL13G. [ ] FOUNDATION 2ND_ [ ] SULATION/CAULKING: [ ] FRAMING/STRAPPING [ FINAL ()1406-,) [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION- [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: - - )Ap h d • DATE 1?J INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS _awl FOUNDATION (IST) y -------------------------------------- FOUNDATION (2ND) z 0 H ROUGH FRAMING& PLUMBING d INSULATION PER N.Y. H STATE ENERGY CODE tn/ln FINAL ADDITIONAL COMMENTS QO ro � z a. C TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey L,rj/4 SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S D.E.C. Trustees C O Application q'lgJFlood Permit Examined 20 Single&Separate Storm-Water Assessment Form Contact: Approved �20 Mail to: S(y, Disapproved a/c e"nk Qry` CT, 711 1e) Phone: 33 L Buildin or { S F P 17 2019 - APPLICATION FOR BUILDING PERMIT Date 20_ 17 '17 INSTRUCTIONS a.411u application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Si afore of applicant or name,if a corpor tion) (Mailing address of appy State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises PF (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. Lo atio of 1 hich pr posed work will be done: U House Number Street Hamle County Tax Map No. 1000 Section ' 0 Block Lot Rema ole evi r Tlice I �J Jn Olw Cake W) t I /V Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises d int nde use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy, 3. Nature of wok(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost I1 I -1 Fee (Description) (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 I GU &PIS Address lujm &PhyPhoneNo. Name of Architect _Address Phone No Name of Contractor y0im2 bt Address,2 atc�� i- Phone No. — /9 lir a GR 3 3� 15 a.Is this property within 100 feet of a tidal wetland or a fre water wetland?*YES NO *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY$F REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO j� *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) S• COUNTY OF © being duly sworn,deposes and saysll�tK�,�l Js she applicant H(Name of in ividual signing ontract above n med, FKZ HK``j (S)He is the ;'���\��1 /r% .IaMBERLY .l'' J.BOWMAN (C tractor,Agent,Corporate Officer,etc.) - - NOTARY PUBLIC FOR THE of said owner or owners,and is duly authorized to perform or have performed the sa's_d �} �file this TEo®F OHIO that all statements contained in this application are true to the best of his knowledge and J R1m13SI0n Expires performed m the manner set forth m the application filed therewith. . : September 29, 2019 Sw0,7 rn tg,before me this p �� "'���F'' , � day of SO t 'l0 N6ij Ptle Signature o Apphcant Go Permits, LLC *� 105 Buttonball Ln. -,� Glastonbury,Ct 06033 Scoff Doughman Phone:860-952-4112 - Fax:860-430-6719 c , scottdoughman@gopermits.org "WE UNDERSTAND THAT YOUR TIME IS MONEY" August 29, 2019 To: Town of Southold Building Department Subject: Permit Application for: Pat Norris 930 Holden Avenue The above listed homeowner has contracted with The Home Depot 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 The Home Depot detailing scope of work • Home Depot USA Suffolk County License • Certificate of Insurance • Letter of Authorization from The Home Depot allowing GoPermits to submit documents on their behalf • Authorization signed by the homeowner • 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: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 AGENCY CUSTOMER ID: CN101642069 _ LOC#: Atlanta A41CCOREP® 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 30339 CARRIER NAIC 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 DEPOT INSUREDS— The Home Depot,Inc The Home Depot U.SA,Inc Home Depot USA,Inc.dba The Home Depot Home Depot USA,Inc dba Your Other Warehouse,LLC Home Depot of Puerto Rico,Inc. Home Depot Product Authonty,LLC Home Depot Store Support,Inc. Red Beacon,LLC Home Depot U.SA,Inc dba Intedine Brands Barnett Copperfield Eagle Maintenance Supply Hardware Express Leran Maintenance USA Renovations Plus Supplyworks US Lock Wilmer CleanSource JanPak AmSan Sexauer Trayco Zip Technologies ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101642069 LOC#: Atlanta A�O ADDITIONAL REMARKS SCHEDULE Page 2 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 30339 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation Continued Camer Indemnity Insurance Company of North America Policy Number WLR C65890549(ALAR,FL,ID,IA,KS,KY,LA,MS,MO,NE,NM,ND,OK,SC,SD,TN,WV,WY) Effective Date 03101/2019 Expiration Date 03101/2020 (EL)Umd-$5,000,000 Camer.New Hampshire Insurance Company Policy Number WC 012717098 (DC,DE,HI,IN,MD,MN,MT,NY,RI) Effective Date 03101/2019 Expiration Date 03/01/2020 (EL)Limit$5,000,000 Carrier.ACE American Insurance Company Policy Number-WCU 065890586(QSI) (AZ,CA,IL,NC,OR,VAWA) Effective Date 03/01/2019 Expiration Date 03/01/2020 (EL)Limit$4,000,000 SIR$1,000,000 SIR for the states of AZ,CA,IL,NC,OR,VA,WA Camer:National Union Fire Insurance Company Policy Number.XWC 5565596(QSI)(CO,CT,GA,ME,MI,NV,OH,PA,UT) Effective Date 03/0112019 Expiration Date 0310112020 (EL)Limit$4,000,000 $1,000,000 SIR for the states of CO,ME,NV,MI,OH,PA,UT $750,000 SIR for the state of GA $350,000 SIR for the state of CT Camer:National Union Fire Insurance Company Policy Number XWC 5565597(QSI)(MA) Effective Date 03101/2019 Expiration Date 0310112020 (EL)Limit-$4,500,000 SIR$500,000 TX Employers XS Indemnity Camer Illmios Union Insurance Company Policy Number TNS C65221019(TX) Effective Date.0310112019 Expiration Date 03/01/2020 (EL)Limit$10,000,000 SIR$1,000,000 ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A4C ® DATE(MMIDD/YYYY) ✓v?�� CERTIFICATE OF LIABILITY INSlJRANCE 020/2019 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(ies)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). PRODUCER CONTACT MARSH USA,INC. NAME: TWO ALLIANCE CENTER (AAA,N Ext): FAX No 3560 LENOX ROAD,SUITE 2400 E-MAIL ATLANTA,GA 30326 ADDRESS* INSURERS AFFORDING COVERAGE NAIC# CN1 01 642069-HomeD-GAW-1 9-20 INSURER A:Old Republic Insurance Co 24147 INSURED THE HOME DEPOT,INC. INSURER B:New Hampshire Ins Co 23841 HOME DEPOT U.S A.,INC INSURER c:HomeRisk Captive Insurance Company 2455 PACES FERRY ROAD BUILDING C-20 INSURER D: ATLANTA,GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-004353439-28 REVISION NUMBER: 21 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 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ID POLICY NUMBER MM/DD/YYYY MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY314574 03/0112019 03/01/2022 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 X SIR $1,000,000 MED EXP(Any one person) $ EXCLUDED PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 1,000,000 X POLICY�CT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER $ A AUTOMOBILE LIABILITY MWTB314573 03/01/2019 03/01/2022 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED SELF INSURED AUTO PHY DMG BODILY INJURY(Per accident AUTOS ONLY AUTOS ) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS ON WC 012717099(AK,NH,NJ,VT) 03/01/2019 03/01/2020 X STATUTE ER TH- B AND EMPLOYERS•LIABI ANYPROPRIETORIPARTNER/EXECUiIVE YIN WC 012717100(WI) 03/01/2019 03/01/2020 E L EACH ACCIDENT $ 5,000,000 OFFICER/MEMBEREXCLUDED? ❑N N I A (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ 5,000,000 If yes, under DESCRIPTION OF OPERATIONS below Continued on Additional Page E.L DISEASE-POLICY LIMIT $ D 5,000,000 C Excess Auto 297110011002019 03/01/2019 03/01/2020 Limit 4,000,000 A Excess General Liability MWZX 314580 03/01/2019 03/0112022 Limit 8,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA,INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2455 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 of Marsh USA Inc. Manashi MukherleeCaL�aus.:� ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD i 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: I Receipt No. 149086 Payment Method Ref Number Amount Paid Payment Date Cashier ID Received Comments Check 3148046 $1,80000 09/21/2018 CLEMON RENEWAL Work Description: Suffolk County Dept of Labor, Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE Name RICHARD TOUSEY Business Name HOME DEPOT U.S.A,INC. This certifies that the bearer is duly licensed License Number H-53429 Issued: ?` by the County of Suffolk 05/15/2014 'c Commissioner r finersioner Expires: 1110112020 https:Hay.prod.county.suf/portlets/fee/receiptV iew.do?mode=view&autoPrint=false&recei... 9/21/2018 DATE: 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: kP,//)1/)VP- �Zj P.0-0/.A-�ix )o &Z 1"M, r Y Location: lOera V P-n11 e Authorized Agent Go Permits LLC RA"M41i Se ice Agent Name Best Regards, —C./ Lice ee Signature P 'nt N e &License Number NOTE: PLEASE MAIL PERMIT TO: n 1,41, )j JEFFRE ! KUI-IR h}c OF lqu'r YORK S'NOTARY PUBLIC.S';r THD At-Home Services,In Registration:1", f 4 U60045£31 40 Oser Avenue- Suite 17•Hauppauge,NY 117 Qualified int�nuniy Phone.631-478-6101 •Fax:6$1-435-4837•Toll Free:877 ission€x fres tdfareh gg_9Q - Home Improvement Agreement: Scope of Work Scope of Work Job#: Products: Spec. Install Product Total Sheet(s)#: Price: Price: Sales: 1-ML1DQ6D Roofing Siding Windows Insulation 1- 149.00 1304.22 Gutters/Covers Entry Door ML1DQ6D 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 Amoun 1 1453.22 Notes: OCCUPANCY OR USE IS UNLAWFUL Warranty: nQ r eQgQU ,"X The warranty on the work identified above is listed in the General Terms and Conditio in the following documents: Warranty Name(s): APPOV D AS NOTE9 P.# FEE: 140,74T BY, NOTIFY BUILDING �:FPART COMPLY WITH ALL CODES OF 765-1802 8 A TO 4 PM FOR THET NEW YORK STATE & TOWN CODE FOLLOWING INSPECTIONS: AS REQUIRED AND CONDITIONS Or I. FOUNDATION - TVrrl REQUIRED FOR POURED CONCRETE 2: ROUGH - FRAMING & PLUMBING 3. INSULATION SM' tB-T'��BOARD 4. FINAL - CONSTRUCTION MUST S(�tl�iOC6T6Gtl( BE COMPLETE FOP Co. ALL CONSTRUCTION SHALL MEET THE U.S.DE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOO The Home Depot-2Qgg egFtei*WW AMJTE)Rld@ lanta,Georgia 30339-Customer Care:1-800-466-3337 4609 HDE Customer Agreement(24 Jul.18) v 0.1.8 Andersen Wood SPEC SHEET SC: Vance Comerford Measure Tech: INSTALLER: Branch Name Long island Job#, 1-ML1D06D Prepared By, ISM: Ship To Location: Customer Name pat norrls Date- 08/26/2019 Page 1 of 1 SPEC SPR SHEET# REF# ' - NEW WINDOW UNIT Hung -", ^Casement LOCK Hardware .:t`, _ - - - - - PTION Scree (ST or :(TOPTratlllloIONS n .: _ - - - 4 __- t - _ , ,- nal' " WH Folding Stone is _ - - - '' - included or White Option - _ FULL. DH Frame - included _ ., In BASE Hung As - included- MISC ,'Existing Window Andersen FRAM INSER -Sash - Glass ,In Base - . Glass unit SASH LIFT,, In BASE , -LABOR TkM Type„ - WlndmTYPE' Color/Finish SC SIZE SOLD(Tp to TIP) 'MEASURE TECH,SIzE ONLY ONLY Optory CO2sem-nill-lendling6pbors', OPT16N price)" - ,Grille Opdons(PER SASH PRICING) ` OPTION pricing) OPTIONS C unit pricing), OPTION TOTAL MT/ISM Interlo TW SC UI Standard #Bora #Bars #Bars #Bare Pattern MISC Location Existln Series Wlnd Exterio Finish Jam Standar (WIDT Size Grid Exterior Interior Vert Horiz Vert Horiz & Labor Winds Type Style Color Color Liner Size AW + CODE WA SILL Sash Hing Temp Screen Type Grid Grid Pattern (per (per Locallc (Per (Per Location Obscur Finish Finle Finish Item Roo Floo Code CODE CODE CODE COD Colo Code Wldt Height HEIGHT Width Height DEPT ANGL Spilt Venting Handing Style CODE Options CODE Color Color CODE Bash) sash) CODE Sash) Sash) CODE CODE CODE Type COD Type CODE CODES 1 KIT tat DH 1400 DH-I WH 1WH 1 41 61 92 STD none WH STD WH STD WH WRAP CH 4. aAYlBOW WiNUOW _"' " - - _ SCMamIt.Nutea.(Ineludo fdlaa Laboy Mull aleck Opdone,epeetalcondillona,Use lldmsto ldenafy window/door)=Y"� MANUFACTURER NOTES gntludo mulleglocallona, - - - - - - - - - -.aooe000tiao,Uea Itam'e W Identliy Wlndow/doar) Prgecuon Angle(eay 30°or sal 1 Tap of Wlnaow tosonn inches) Wrap Color(1) White Bay Window Ranke.(OH/Casement) Width of Overhang(Inoheo) _ Construct Roof t(Yea/No) It tied to Seen,color of Soft materiel lThere ano guarantee met now shingles will me a 6 ng Ca er. -NEW DOOR UNIT, WINDOW&r. _ 0008' , REM _Andersen _ - - ''MEASURE 9 FULL FRAME - - Glass Scree 'Hinge - > - "MULL'!BTACK" - Energy AW Tdm for #' '&tell ng-,Door Type Door TYPE ',Co1arlFlnish-;� SC SIZE SOLD(Tip to TIP) '`TECH SIZE,; ,ONLY -Grille Options(PER SASH PRICING) lop-ricisOption Optio Hinged-and Gilding Door Optlllns -OPTIONS'; , r MISO LABOR OPTIONS Options, Radius Unit PD - _ Northern Assembl ES? Not., Location (200, shirift TO'AL ROI Inswing PD PD Gliding Hinged 400,& m..I. Existing Series Exterior Finish Standar (WIDTH TIP Ext Extenslo Grid Exterio Interlo #Ba #Bar Door Door A-Ser Lock Lock Options all other CaD01ary Door Type Style Color Color Size AW + to Jamb Jein Type Grid Grid Patter ert( riz(P bscur Scree IN or # Venting Venting gilding HRDW HRDW Keyed Mulled/ Special lagional tuber Roo Floo Code COD CODE CODE CODE Code Width Heigh HEIG Witl Heigh TIP Size Location COD Color Color CODE Sash;Sash) CODE CODE OUT Panel Handing Handing only) Type Finish Lock Stacked Notes MISC Labor Item CODES yes or Na Picnic No Width AW Coil, Wraps_ #of boxes color ADp.val Pdm Name pat norrls 17tle Home Owner