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HomeMy WebLinkAbout46681-Z zrz=-z ��ogv�FOl�-y Town of Southold 11/13/2021 a P.O.Box 1179 o - 53095 Main Rd y..jjj�l dao Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42541 Date: 11/13/2021 THIS CERTIFIES that the building WINDOWS Location of Property: 270 Osseo Ave., Southold SCTM#: 473889 Sec/Block/Lot: 87.-3-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/2/2021 pursuant to which Building Permit No. 46681 dated 8/11/2021 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: replacement windows to existing single-family dwelling as applied for. The certificate is issued to Sheridan,Thomas&Ors. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED d 0 V Aut riz dS'gn tore -' TOWN OF SOUTHOLD �� ` BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 46681 Date: 8/11/2021 Permission is hereby granted to: Sheridan, Thomas 4112 E Sunnyside Dr Phoenix, AZ 85028 To: install replacement windows to existing single-family dwelling as applied for. At premises located at: 270 Osseo Ave., Southold SCTM #473889 Sec/Block/Lot# 87.-3-22 Pursuant to application dated 8/2/2021 and approved by the Building Inspector. To expire on 2/10/2023. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Building r Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 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$15.00 Date. 9� Z'e Z/ New Construction: Old or Pre-existing Building: (check one) Location of Property: 02 0 OZF—e) /a tie .50UT( fP ?_D House No. Street Hamlet Owner or Owners of Property: J o H rJ Q 1,S'H OID Suffolk County Tax Map No 1000,Section DR 4 00 Block 0300 Lot OCU W—o Subdivision Filed Map. Lot: Permit No. I Date of Permit. Applicant: CLu31_,'r 7At M EnORx>^✓ Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ s0.0:�:> Applicant Signature i Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) a i I, x. j2 N _ P- _.. _ residing at _x_2 0 Ostp -&-E— (Prin(Print t property owner's name) (Mailing Address) �OUiylfOtJ ,Ny 11�� do hereby authorize (Agent) s _Go?E2-Mt.(:� L�G to apply on my behalf to the 3 Southold Building Department. ] 3 (Owner's Signature) (Date) (Print owner's Name) f F,-„t5ej,A„,5 Iia 1 t5iz..i MOM,- a4F- pyapV O I ��pF SOUIyO : # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION = [` ] FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ]-'FIREPLACE & CHIMNEY [ ] FIRE SAFETY-INSPECTION [-- ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: Aq, 9v DATE l�' �Z"� INSPECTOR kr FIELD INSPECTION REPORT .DATE O'iYI 7,777 7 17 b1 FOUNDATION(1ST) FOUNDATION (2ND) M rA ROUGH FRAMING& H PLUMBING INSULATION.PER N.Y. STATE ENERGY CODE 77 , • A FINAL, ot . .' "•.AbAx'I'IQNA�C:Q f �� • . .. ��. C ' 0, : lip � 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 r - G Planning Board approval FAX:(631)765-9502 I h Survey Southoldtowuny.gov PERMTT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application R Flood Permit Examined 20U Single&Separate Truss Identification Form r� 202 Storm-Water Assessment Form puG G Contact: Approved 20 Mail to: SGpTT J' Q u Girl Mq N Disapproved a/c OS BUTTOn►(3AU. W6t,+4Sr"b►�B(.�2Y t(^I�D6o33 �.����ccrrpp� �� Phone: grOO-95.2 Expiration 20 � "�Q'�W'�' Buildin ctor APPLICATION FOR BUILDING PERMIT Date I0220 CSU INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an 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. r (Signature of applicant or name,if a corporation) /QT SUMOnAW& CN 6t%jbN6u!�-1 16i- 00033 (Mailing address of applicant) State whether a plicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder ljgj5pr Name of owner of premises JO N N) /31SK o p (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: ago OZEn Avg sou--iorJ . Nle 1153/ House Number Street nn Hamlet County Tax Map No. 1000 Section T 11 ^Block 'V3� Lot �J.7i ,QFMOVE fta✓J PER,&CE (2 l lAWI US t SAME S)2,Pj NO S,-PUC4-Ue,9L 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. 9E41JENT'/A1, b. Intended use and occupancy P-65►,DFA/77,9 L 3. Nature of work(check which applicable):New Building Addition Alteration Repair_�c Removal Demolition Other Work 141NJ011 2Fj9646PMEN% d �n (Description) 4. Estimated Cost S, `J�/So 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 .24o OSS EO AVE 14.Names of Owner of premises JOHN 8/54010 Address .SOUThOW NY Phone No. 4001-300-7-25-3 9853 Name of Architect Address Phone No Name of Contractor NOHE Address.2Kf PACES Fee Phone No. 4r1Alv,-N, 04 3033-9 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. I LLL NOIS =OFFICIALSEALSTATE OF NEW-VORK) RESS: NOF ILLINOISCOUNTY OF C�� ) MY 03/08/2022 W 816tm n6AIOwd being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 1466AJ i (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. Sworn to before me this 2-$1y day of20->-A1 C Notary Public Signature of Applicant _ Go Permits,LLC 105 Buttonball Ln. 0 Glastonbury,Ct 06033 c f 't : Scott Doughman Phone: 860-952-4112 Fax:860-430-6719 scottdoughman@gopermits.org "WE UNDERSTAND THAT YOUR TIME IS MONEY" July 28, 2021 To: Town of Southold Building Department Subject: Permit Application for: John Bishop 270 Osseo Ave The above listed homeowner has contracted with Home Depotto 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 HD detailing scope of work • HD Suffolk County License • Certificate of Insurance • Letter of Authorization from HD 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:permits@gopermits.org • If fax or e-mail is not available, please mail a copy of the permit and receipt to: Go Permits,LLC 105 Buttonball Ln. Glastonbury,CT 06033 Thank you! 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 DATE: o a aoa, 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: PXROVE- Ant) 4ZE_PUWX_ (SI N,'roas, 5A rt E 516E n10 Si t2.0 C iZ.��i2A C. 1 CA AN CIES. Location: Z40 OSSEO Ave S<OU151Q. �Ny II gel LXLC)) 9502 - Ll 1 2 Authorized Agent Go Permits LLC 11,2131 1F_-TA M En��aJ Service Agent Name Best Regards, Lice ee Signature "nt Ra-9i &License Number NOTE: PLEASE MAIL PERMrr TO: JEFFREY J.KUHR MOTARY PUBLIC,=:Al E��I YORK THD At-Home Services,In . Registration jqJ)'cfl ys g 45$1 40 Oser Avenue•Suite 17-Hauppauge,NY 117 Qualified in`UMM' County Phone:631-478-6101•Fax:631-435-4837•Toll Free:877 issien ares Mareh 'a DATE(MMIDONYYY) Ac" CERTIFICATE OF LIABILITY INSURANCE �/ 01/27/2021 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 PHONE/ ¢TExtB FAX No): 3560 LENOX ROAD,SUITE 2400 64c1AIL ATLANTA,GA 30326 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN101642069-HomeD-GAW:21-22 INSURER A: old Replibric IgSUr8nC9 Co 24147 INSURED INSURER 0: AlUlnsunmpeCo 19399 THE HOME DEPOT,INC. HOME DEPOT U.SA,INC. INSURER c: Caft Insurance Comi3any N/A 2455 PACES FERRY ROAD _ INSURER D: BUILDING C-20 ATLANTA,GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-00507222504 REVISION NUMBER: 2 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. ILTR TYPE OF INSURANCE - ADD L S BR !! POLICY EFF POLICY EXPO POUCYNUMBER i MM/DD MMIDD A X COMMERCIAL GENERAL LIABILITY MWZY314574 03101/2019 03/01/2022 EACH OCCURRENCE S 1,000,000 NT CLAIMS-MADE Fx-1 OCCUR DAMAGE OECoccuED rrencel S 1,000,000 X SIR:$1,000,000 MED EXP(Any one person) S EXCLUDED PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE S 2,000,000 X POLICY❑jEQ LOC PRODUCTS=COMP/OPAGG S 2,000,000 OTHER S A AUTOMOBILE LIABILITY MWTB314573 03/01/2019 03101/2022 COMBINEDSINGLELIMIT S _ 1,000,000 a aaldem X ANY AUTO SELF INSURED AUTO PHY DMG BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAB_ OCCUR EACH OCCURRENCE - S EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTIONS S B WORKERS COMPENSATION WC58240269(WI) 03/01/2021 00112022 X STATUTE ERS AND EMPLOYERS'LIABILITY — B ANYPROPRIETOR/PARTNER/EXECUTIVE YIN N N/A WLR 067$18258 INC,VA) 03!0112021 0210112022 E.L.EACH ACCIDENT S _ 5,000,000 OFFICERI(Mandatory In EREXCLUDED7 Continued on Addihonal Pae E.L.DISEASE-FA EMPLOYEE S 5,000,000 (Mandatory in NN) 9 if yes,describe under DESCRIPTION OF OPERATIONS below. E L.DISEASE-POLICY LIMIT S 5.000.000 C Excess Auto 297110011002021 03101/2021 03/0112022 Umft: 4,000,000 A Excess General Liability MWZX 314580 03101/2019 03/01/2022 Limit: 81000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe 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 Mukherles ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101642069 _ LOC#: Atlanta ACC)IR"® ADDITIONAL REMARKS SCHEDULE Page 2 Of 3 AGENCY NAMED INSURED MARSH USA,INC. THE HOME DEPOT,INC. HOME DEPOT U SA,INC. POLICY NUMBER 2455 PACES FERRY ROAD BUILDING G20 ATLANTA,GA 30339 CARRIER MAIC 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: Carrier Indemnity Insurance Company of North America Policy Number.WLR 067825287(AL AR,FI ID,IA KS,KY,LA MS,MO,NE,NM,ND,OK SC,SD,TN,WV,WY) Effective Date:03101/2021 Expiration Date,031012022 (EL)Limit$5,000,000 Carder:AIU Insurance Co. Policy Number.WC 0230960D3(AK,DC,DE,HI,IN,MD,MN,MT,NY,NJ,NY,RI,Vr) Effective Dale,031012021 Expiration Date,031012022 (EL)Limit$5,000,000 Carrier.ACE American Insurance Company Policy Number.WCU C67805331(QSQ(CA,IL,OR WA) Effective Date:03101/2021 Expiration bate:03/012022 (EL)Lund;$5,000,000 SIR$1,000,000 Carrier.National Union Fire Insurance Company Policy Number XWC 1647258(QSI)(CO,CT,GA ME MI,NV,OH,PA,UT) Effective Date:031012021 Expiration Date:03101/2022 (EL)Limit$4,000,000 SIR:S1,000,000 Carver.ACE American Insurance Company Policy Number.WLR 067818210(AZ) Effective Date:03/0112021 Expiration Date:03101/2022 (EL)Limit-$5,000,000 Carver.National Union Fire Insurance Company Policy Number.XWC 1647259(QSI)(MA) Effective Date:031012021 Expiration Date:03/012022 (EL)Limit:$4,500,000 SIR:$500,000 TX Employers XS indemnity: Carderillmlos Union Insurance Company Policy Number.TNS C66949072(TX) Effective Dale:03101/2021 Expiration Date,03/012022 (EL)Limit.S10,000,000 SIR:$1,000,000 ACORD 101(2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101642069 LOC#: Atlanta .ACCORo ADDITIONAL REMARKS SCHEDULE Page 3 Of 3 AGENCY NAMED INSURED MARSH USA,INC. THE HOME DEPOT,INC. HOME DEPOT U.SA,INC. POLICY NUMBER 2455 PACES FERRY ROAD BUILDING G20 ATLANTA,GA 30339 CARRIER NA1C CODE EFFECTM DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACOR13 FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance HOME DEPOT INSUREDS— The Home Depot,Inc. Home Depot U.S.A.,Inc. Home Depot USA,Inc.dba The Home Depot 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 The Home Depot Pro Interne Brands Barnett Hardware Express Leran Maintenance USA Renovations Plus Supplyworks US Lock Wlmer Zip Technologies H.6V.1.Holding Company,Inc. Askmty,Inc. ACORD 101(2008101) 02008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD t 1 RECEIPT SUFFOLK COUNTY GOVERNMENT DEPARTMENT OF LABOR, LICENSING,AND CONSUMER AFFAIRS COMMISSIONER ROSAL-IE DRAGO P.O.BOX 6100,HAUPPAUGE,NY 11788 (631)853-4600 Today Date: 10/22120-20- Application: 0122/2020Application: H-53429 Application Type: Home Improvement License Receipt No. 414174 Comments Payment Method Ref.Number Amount Paid Payment Date Cashier ID Renewal+14 Additional Check' • , 0003181507 $1,800.00 1012212020 GAB Locations Contact Info: RO HARDEPOT USA D TOUSEY INC(14 SUPPS) PO BOX 105451 _i ATLANTA,GA 30348 is l' Work Description: i Suffolk County Dept.of Labor,Licensing$Consumer Affairs i! i HOME IMPROVEMENT LICENSE Name ; RICHARD TOUSEY 4� Business Name i4 t This certifies that the HOME DEPOT USA INC(14 SUPPS) bearer is duty licensed by the County of sutfolk i i License Number:H-53429 a Rosalie Drago Issued: 05/1512014 CommissionerExpires: 11/01/2022 a � AP R VED AS NOT 'D�g DATE. B•P�0 FEE:'o �, ,66BY- NOTIFY BUILDING DEPARTMENT AT OCCUPANCY OR 765-1802' &AM TO 4 PM FOR-THE USE IS_UNLAVUFIs� FOLLOWING INSPECTIONS:, l.-FOUNDATION' - TWO REQUIRED WITHOUT CERTIFICJ FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING OF OCCUPANCY 3. INSULATION 4. FINAL - CONS'r-' "IN MUST BE COMPLE;t C ALL CONSTRUC T i,_j\ 4LL MEET THE 9EQUIREMENTS OF ThL CODES OF NEW 'ORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODE; AS REQUIRED AND CONDITIONS O� n 'E 401 E 121 v ZBA HOLD TGWIN.,RWNG BOARC STEES _ N.Y.S DEC WINDOW SPECIFICATION SHEET - Spec.Sheet#: 1-1WC64YFS Sheet: 1 of 1 Customer:John Bishop ,Job#:1-1WC64YFS Consultant: Lyndon Jackson Date: 07/1e12021 New 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 Csnrnts,1 Pnl, use L,R or S Glace Misc Items Hardware Code Screens Code doors use Mull `S°=stationary or MStyle Wraps V- Ir W=operating Room Floor Code (YIN) Style Code Series Cade 3` S uJ tg a Til > 1 BATH let 1 PNL Y 2 PNL 8100 WH WH 31 22 63 STD,White,TMP:Lett, METAL, Obscure Glass:Full, WRAP,LSR X 3 GlassPack:Standard 2 BED tat 1 PNL Y 2 PNL 6100 WH WH 67 49 106 STD,White, OlaasPaek: METAL, Standard WRAP,LSR X S 3 BED tat 1 PNL Y 2 PNL 8100 WH WH 67 49 106 STD,White, Glasspack: METAL, Standard WRAP,LSR X S 4 BED 1st 1 PNL Y 2 PNL 8100 WH WH 67 49 100 STD,White, OlasePack: METAL, Standard WRAP,LSR X S STD,White, GlassPack: METAL, 5 BED 1st t PNL Y 2 PNL 9100 WH WH 36 36 71 Standard WRAP,LSR X S 6 LIV 1st 1 PNL Y 3 PNL1/4 6100 WH WH 96 47 142 STD,White, OlesaPack: METAL, Standard WRAP,LSR SPECIAL CONSIDERATIONS: 1:White,2:White,3:White,4:White,5:White,6:White Wrap Color ntedor Casing Type Bay or Bow window: atboard material(vinyl only-Birch or Oak) ey Project Angle(30 or 45) Flanker Type(DH,SH,or Cemnt) latboard of window to soffit(Inches) d to soffit,color of soffit material I have reviewed and agree with all the Job specifications above and the etruct Roof(Yea or No)• Special Terms and Conditions on the following page Garden Window: Material(virryl only-White Plonite,Birch or Oak) The Home Depot- Thermal Valueof ;Rro.ducts Manufaciured bmonton -Us-t-ed: 513012018 With Grids =`:y 6,16 Iq I I WIRIT-Fli, Mal Awning 6500 Base Prosolar Supemept 718" 0.26 023. 026 1 0.21 0 Casement 6500 Base Prosolar Supercept 7/e' 0.26 024 0 1 0.22 ® o Transom 6500 Base Prosolar Supetcept T 0-27 0.32027 1 029 ® 0 E026 .26 Double-Hung 6500 Base - M-Solar supecept 7Ao2q o-6 0-29 t 0-24 Picture Casement (NH) 6500 Base ProSolar Swercept 7/r 0.26 f 0.28 a @ 026 025 Picture 65W Base Prosolar sumcept 7/8r 027 029 0 o 0.27 i 026 2'Panel Slider 65W Base Prosolar SUPeFoept7/8 029 023 029 026 3 Panel Sffd,em 65W Base(9-271 Sqft) Pro Solar Supwoept 7fir 029 3 026 028 0.23 7 Garden Door.(CH) 6506 Energ y Star ProSollar'SUN Super 0.30 1 0.24 IQ I*1® ® 0.30 1 0.21 1-jole Patio Door INOVO 6500,Base Pro Solar Super Spacer V 1 028 1 026 jejej 1 1 0-31 j 0.23 jolele MFicam kcated evvywhere Atkona,CafforriX kWw Nevada;New M =q,WOregon Lftk and Awning ---w8s"n9ft"L c Hopper) 6100 Base Pro Solar k4ercePt 7fir 027 1 0.24 a Q a 'a G Casement 6100 Bass Pro Solar UMNCW 7w 027 0.24 a 027 0.22 Double-Hung 6100 t.ne Star Pro Soar 2!!Wcept314 0.30 027 0.30 0.30 Picture Casement(Na Merge). 6100 ease Pro Solar -Intercept M 26 Picture 6100 Base PM Solar Intercept Mr 0.3 027 M 2 Panel Sfider 6100 Base Pro Solar Intercept wr 1 028 ® 0.30 0.27 a Panel,Sflder 61100 Base Pro Solar ft*nw 079 - 0.30 027 J I to]1 • • oa7 =Arhvjw Cadltomla,Idaho,Nbwck New Medm Oregon,Lft%and Washk9twL Patio Door[NOVO 6100 Energy Star Pro Solar Super Spacer 1" 0.28 j, 026 ® -1 1 1 0281, 101019 Patio Doot NARROW FRAME $10(PDOS),B= Pro Solar irlempt, 3X'I OM 1 -0-30 jejej 1 1 0.281 026 1-1-1 1 MNomes lace on/yin foBata kgbwke r.D&Uas„Denver,De&m%Ph/14 Pram ma AE4 LoWftb td,NY. Awning_gi 6MBase, Pro Solar SHADE SupereW 34" 027 1 625 ® 01010 0261 0.23 o Casement 6200 Base Pro Solar SHADE &pmcept 3W 026 i 0.18_ e OJGJG 0291 0.17 e PicbmeCasement-NH 6200 Base Pro Solar SHADE 61010 025 0,19 0 -Picture Window 6200 Sam Pro Solar SHADE Superoelx aiC 0.26 024 9 0 a0,26 0.22 a Sin le Hung 6200 Base Pro Solar SHADE Supercept 314 0.28 1 0 ® -0 CIO 0.28 0.21 Single Slider 6200 Base Pro SotarSHADE Supero ® J'Panel Slid" 6206 Bass Pro Solar SHADE -Sup�oept -314"I 05I8 1 023 0 0101 028 -031 ICI I I foams located la coasW areas. Awning SB+300VIL--Energy Star PSSUN&mi SuPercept V 0.26 0.23 o e 0-10 CIO, Casement SB+30()VL Base PS/Laml Super Spacer V 0-26 0.23 0 0 029 -21 a ® Double Hung SB+3GM4- Base PSILarni CV23 .��IS4)a�Mr V 0-29 1 0.25 e am a a Slider S6+3WVL Base haercePt V 0.29 1 -025 e e e G 023 a 019 C . Patio Door 88+30OW ETC 366� PSShade ftami SuperSpacer Dr;-30 Garden boor�(CH) SB+300VL Base PS/Lami SuperSpaw ()25 0 DdU indicate Energy Star ceitified lbrthat zone