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HomeMy WebLinkAbout47365-Z rQS�Ff01 Town of Southold 3/13/2022 P.O. P.O.Box 1179 o _ 53095 Main Rd ,� �ao�.+ Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42904 Date: 3/13/2022 THIS CERTIFIES that the building WINDOWS Location of Property: 340 Azalea Rd.,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-6-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/23/2013 pursuant to which Building Permit No. 47365 dated 1/20/2022 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 as applied for. The certificate is issued to' Fogarty,James of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authorized Si&—altnre UffQ( ' TOWN OF SOUTHOLD �g f �Gy BUILDING DEPARTMENT TOWN CLERK'S OFFICE co o • �h`� 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#: 47365 Date: 1/20/2022 Permission is hereby granted to: Fogarty, James 3312 Soundview Ave Mattituck, NY 11952 To: Window replacement as applied for. Replaces BP# 38377 At premises located at: 340 Azalea Rd., Mattituck SCTM # 473889 Sec/Block/Lot# 115.-6-16 Pursuant to application dated 1/20/2022 and approved by the Building Inspector. To expire on 7/22/2023. Fees: PERMIT RENEWAL $125.00 Total: $125.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT y a 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#: 38377 Date: 10/2/2013 Permission is hereby granted to: Fogarty, James 3312 Soundview Ave Mattituck, NY 11952 To: Window replacement as applied for. At premises located at: 340 Azalea Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-6-16 Pursuant to application dated 9/24/2013 and approved by the Building Inspector. To expire on 4/3/2015. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO - ORATION DWELLING $50.00 To 1: $250.00 Building In OF SO(/j�o6 # # TOWN OF SOUTHOLD BUILDING DEPT. G • `y�ou►m ''� 765-1802 INSPECTION, [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND' [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ FINALv� � [ ] FIREPLACE &CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: r DATE 3_q ZZ. INSPECTOR FIELD IlVSP$ N RE OR'T DATE -COMMOTS FOUNPAI`][ON(IST)- fE FOUNDATION(2ND) � ' z 1 St ROUGH FRANnNQ& PLUI MING IMULATION PBk N.Y. STATE ENERGY CiDDE FINAL Awm&AL C+O1VI'MFiNTS ajolwaQ. Pea $ 02 *061E . . Z . m 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 SoutholdTown.NofthFork.net PERMIT NO. Check Septic Form D 2 N.Y.S.D.E.C. Trustees Flood Penn it Examined 20 � � Starm-water Assessment Form 2013 Contact: Approved ,20 Mail to: Disapproved a/c TO,, DEPT. IV OF SOUTHOLD Phone: Expiration nspect r APPLICATION DING PERI1IIT Date e;,, )�( , 20 13 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 buildingson 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. 4 '' • 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,Ne�v 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. id�tu5�e of applicant or name,if a corporation) 2-SZ51 5 19, Ct� IPA t D13 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect,engineer,general contractor, electrician,plumber or builder 6 no v,A 0v` e loo L--,29Y o -e- e .,0,01 LC, Cr Name of owner of premises (AO 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. 141 - H Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: �IfD A-z-,nL L e 4'i Ni/ 11 5-L House Number Street Hamlet County Tax Map No. 1000 S ection 4�� Bl SubdivisionL,. 5 F led lvlap Nr4� Lot i ! � y ..tv;4:lifli:RAP,ti:t:..ndd"KV-'SMSA 'f:n:rk..+....u.IXIG 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy - a+—,E d�.''-j q—LLe b. Intended use=and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration %I/ Repair Removal Demolition Other Work (Descriptidn) 4. Estimated Cost '70 Fee Z S (To be paid on filing this application) 5. If dwelling,number of dwelling units r Num er 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 constriction: 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 '>1 Will excess fill be removed from premises? YES NO/JQ 14. Names of Owner of premises 5 'o r,,v-•c Address 3140 Am,�-, I,e-r— IQC( Phone No.(r,51)-Li 1-S3 S-6 Name of Architect Address Phone No Name of ContractorPo L,>.&-v,144 t e-Y,,eAcI'L Address zs0 1 s ©-+ IDv-Phone No.f 9% -73 C&-cc 33C Li 2.11, i ors 15 a. Is this property within 100 feet of a tidal wetland or a freslnvater wetland? `YES NO X IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS XIAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? X YES NO * IF YES,D.E.C. PERIMIITS MAY BE REQUIRED. 16. Provide survey, to scale; with accurate foundation plan and distances to property dines. 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 OF j M`1- c;- being duly sworn, deposes and says that(s)he is the applicant (NatW of individual signing contract) above named, (S)He is the r-c w`?!t ee-- c, act Lr Le C0 rLeaGe,C^ - Ip&L.)� . Gl0 tA,e, �(��, e•�e LL' (Contractor,Agent, Corporate Officer, etc.) G�-cru"T of said owner or owners, and is duly authorized to perform or have perforfnied 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 day of 5S�te-vb-ev 20 13 otary P r '� e of Applicant TMW N4 ' 111 AUMM Nd"Pdk r CtiES9El1T""91LOM COMV My Co Moi®tl41 !E: L JAN 19 M? BUILDING DEPT. Building Department Application TOWN OF SOUTHOLD AUTHORIZATION (Where the Applicant is not the Owner) I, elf,sem&-S e' / residing at 3M 5 Oviyn Vi q(-, kty (Print property own 's name) (Mailing Address) Y��l-4cL j do hereby authorize�� (Agent) cf5116 � [/ )00- - to apply on my behalf to the Southold Building Department. ( Jes Signature) (Date) JaDC7 C2 (Print Owner's arae) `&M N F W IV- W7Z .03 0-. 0 Ing ens & Suffolk Count Department of Labor, C Consumer Affairs VETERANS MEMORIAL HIGHWAY HAUPPAUGE NEW YORK 11788 DATE ISSUED:. No. 48569-H .......... SUFFOLK COUNTY �'.a t�` mp.rovemen H6mel t Contractor.License 30M, This is to certify that KYLE E BARRING 6W�M, doing businewas POWER'HOM E REMODELING'GROUP LLC subject having furpished the t6:tfi6_proyisi6ns of applicable law rules requirements sefforth-in,accordahce With and' s and regulations ofthe County of Su Bolk,'State of business as a HOME of is hereby licensed to con CTOR W-��qVE CONTRA .of S ffolk.- �iri the County Rat License 'Category- NOT VALID WITHOUT Additional Businesses GC 0 J0- DEPARTME11aALSEAL ANDA CURRENT er CONSUMER AFFAIRS,, ! IDD CARD moo C5 wla4v Commissioner, All X ��,04 WT RA___%#y 106,1­ 'Cogre,#11 R 'fig -IA"We" aA 0 N11 '0 uw -s 014 114V MA, W X IRS A.11 R;ht.R..arv­d -� POWER-1 OP ID: EL CERTIFICATE OF LIABILITY INSURANCE 1 DATE09119DNYYY) 09/19113 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(les):must 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). CON PRODUCER 215-723-4378 NAME CT Lacher Lacher Insurance Groates uns p Agency 215-723-8604 AICNNo Ext: IFAX AIC No: 632 E Broad St P 0 Box 64398 E-MAIL Souderton,PA 18964 ADDRESS: Chad Lacher INSURER(S)AFFORDING COVERAGE NAIC d INSURERA:Harleysville Worcester Ins Co 26182 INSURED Power Home Remodeling Group, INSURER B:Harleysville Preferred Ins.Co 35696 LLC. Power Home Remodeling Group, INsuRERC:Nationwide Mutual Ins Company 23787 Inc. INSURER D: 2501 Seaport Drive Ste 8710 Chester, PA 19013 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. 1LTR TYPE OF INSURANCE I g WVD POLICY NUMBER MMIDD OLICY EFF MMIDPOLIDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY MPA00000089793N-1 10/01/13 10/01/14 PREMISES Ea occurrence $ 100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 2,000,000 RO 17 POLICY X JPE f LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000,000 Ea accident $ , A X ANY AUTO BA00000089796N 10/01/13 10/01/14 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 C X EXCESS LIAB CLAIMS-MADE CMB00000089794N 10/01/13 1110101/14 AGGREGATE $ 10,000,000 DED RETENTION$ $ WORKERS COMPENSATION X WCSTATU- OTR- AND EMPLOYERS'LIABILITY A ANY PROPRIETORIPARTNERIEXECUTIVE YINWC00000089795 10/01/13 10/01/14 E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? ® N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 qass Auto Policy BAOOOOOO18227P 10/01/13 10/01/14 Liability 1,000,000 A NY Auto Policy BA00000074849R 10/01/13 10/01/14 Limit DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SOUTHOL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Southold 53095 Route 25 AUTHORIZED REPRESENTATIVE PO Box 1179 1 14P Southold, NY 11971 O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS.'COrvIPF,NSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(Use street address only 1b.Business Telephone Number of Insured Power Home Remodeling Group, LLC 610-874-5000 2501 Seaport Drive le.NYS Unemployment Insurance Employer Suite 13110 Registration Number of Insured Chester, PA 19013 WorkLocation of.brsured(Onlyrcquirerlrfcnrcrrrgcisshecifrcully ld.Federal Employer Identification Number oflnsited limited to certain locations in Nero Yorlr State, i.e., a Wrap-Up or Social Seemity Number Policy) 23-3030708 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Harleysville Worcester Insurance Company Town of Southold 3b.Policy Number of entity listed in box"la" 53095 Route 25 WC00000089795N PO 130x 1179 3c. Policy effective period Southold NY 11971 . r 1011113 to 1011114 3d. The Proprietor,Partners or Executive Officers are included. ,(onh•check box If all partners/otflcens hichided) E ® all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"Y' iiisures the business referenced above in box"la" for.workers' compensation undertheNew York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the worlters'compensation insurance policy). The Iustirarice Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"T', The Insurmice C'ar'rier will also notify the above certificate holder within 10 days 1Fa police k canceled due to nonpqurent gfpr eini anis or wither 30 days IF there are reasons other than nonpayment of jn•einitmrs that cancel lire police or eliminate the insuredfrom the coverage indicated on this Certificate. (Tliese notices ineW he sent by regular mail) Othemise,!Iris Certificate is ralirl for orre year after this fornr is appr•overl by the insurance can-ler or its licenser)agent,or rami/the policy erpiratiarr date listed in box"3c",whichever is earlier: Please Note: Upon the cancellation of the workers'Compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must pro-tide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,l certify that I am air authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this for-in. Approved by: (Pii a ne ofautha''xd reprcsentnlive nr licensed agent ofi�uurance carver) Approved by; -� 9119113 (Signatnrc) (Dari) Title: Telephone Number of authorized representative or licensed agent of insurance carrier;, . 215-723-4378 Please Note; Only insurance ceiriers and their liceirsed.agents are airthoi•lzed to issire Porn? C-105.2jnslrrance brokers are NOT authorized to Issue it. C-105.2(9-07) www.wcb.state.ny.us r STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed 16surance Agent of that Carrier 1 a.Legal Name and Address of Insured(Use street address only) 1 b.Business Telephone Number of Insured 610-874-5000 Power Home Remodeling Group LLC 290 Broadhollow Road 1 c.NYS Unemployment Insurance Employer Registration Suite 220E Number of Insured Melville, NY 11747 1 d.Federal Employer Identification Number of Insured or Social Security Number 233030708 2. Name and Address of the Entity Requesting Proof of 3a.Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Arch Insurance Company Town of Southold 3b.Policy Number of entity listed in box"1 a": 53095 Route 25 P.O. Box 1179 11 DBL9519600 Southold, NY 11971 '• 3c.Policy effective period: 1/1/2013 to 12/31/2013 4.Policy covers: a. 0 All of the employer's employees eligible under the New York Disability Benefits Law b. Only the following class'or classes of the employer's employees:i, ; . Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Signed 9/19/2013 By ---- _ (Signature of insurance carrier'--s au orized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 646-563-5824 Title AVP Accident& Health IMPORTANT:If box"4a"is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier, this certificate is COMPLETE.Mail it directly to the certificate holder. If box"4b"is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the Disability Benefits Law.It must be mailed for completion to the Workers'Compensation Board,DB Plans Acceptance Unit,20 Park Street,Albany,New York 12207. PART 2.To be completed by NYS Workers'Compensation Board (Only if box"4b" of Part 1 has been checked) State Of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed By (Signature of NYS'Workers'Compehsation Board Employee) Telephone Number _ Title_ _ Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-I 20.1.Insurance brokers are NOT authorized to issue this form. DB-120.1 (5-06) about:blank Names Fogarty 30-859,93 ri, rign+At tiEnrJpunu.FRs a soipternber14,2013 oft tXU_Ciraitt PAi9pi3 • Y � ".�'t.i{�Ef. d rpt'.. wr �5 R�9 K`ry .utrrr�' CUSTOM.REfYit7RELiNG,p;NpIMR�OVEMEN'C'AGREEMEIdT• ,* ' r. 3 Buy" 6, Project"Ntiliibt:r,30-8598G,,,��a� s Jamgs Fogarty teal}.29.1-5�5D.(Jiontsl keepyoucocl98o100, . &A[ Sifdre 1' Sao hielaa}Ta ,' bTownahlp"": Buyer{s)`ilsted agave hereby jolotly.ettd severalty agrees to purchase tht:goads and/or servtces of Power Hame. uyerdellrig.Gidup(".CanU d or-'J in aecordanee wittt;ttte pCtces and terms t escribed;on tate hon/anQ tfie fogawt ty four- pgges'of flits agreement and° l#tkelyi this any spec(ftca;tori:sheets,which ate`incorporatetl as part at the7�greentee cats[of ttte goods. ^ggr�ement"►._Th[s Agreement iepresents a cash sate of goadsand senttces BuyertsJ agrees to pay, s,ek for their and services purchased;as,described.heretn,-regardless of tlmin or approyat of any°financing guyer(s}may purchase.Problems and lagtttties regarding this Agreement should be dtreq p, o ttte Contractor at 1888=736 6335: 'Purchaseprice: $9,41at)s. 1 tare Installation Inspection Date; $tt.t#0' r}tltPtd'u arttveateFri.v'IDetvrze+st004aartsF?l.t4�'' Daum Payment: Estimated f*Po)ect Statt:•';6 to 7'tveeks- Balance aue on S9,Q fAit?3 substanttatCompletiom EStltitatEd project CamNtetial . . days Other ��nnacaumvtctron nate-t4.nG;ur ihn�ess«:ner Gelnys beyana Crntkacfar"a rcinpoi:twt fnciuti,;n'ki- f4athpd of Payment: caicc+atipg arse names•see +Yr�nnno yn coni irons.on re,Br z, a;. Buyer{sl til reby acknowledges receip#'-of a copy of the patnphiet, The Ledtt>Safe Certified Guttla tb Itencvate Right'x intormtn .Buyerls) of the potenttat risk;of lead hazarrj ex asure from renovation activity to be performed In'Buyer's home, g p stthe d ss tnrttten above:Buyer(s�recaivedifhis Pamphlet ort>the date of this Agreement,before comrnencemenrot work. .' .(Buyer s Inttlais) .^ . .It:ls:egteed and onderstoo�by and tlEtween dte'parresfhat�his�tgreement;canstttirtes the•enftre undestandtng between'. , thepartaes,and there are'no.verbat'utfdersta rfings,changittg or madifytng any offhe tofms of this Agceemettt, Ti:n �uYer hereby.ackriowteifges•that'13uyer(sj.9f'has reatithe entire Agreerlent and has received a catrip{etetf,sgnedand dated py ., of this Agreement,inc)uitt�g,the tworacc6mpatyyihq tattee ofiC.attceltation:ton' on4fie daLW., twcCtten above i nd21 was cjtailyinfailrtedof'hli errlghtto.canc I fr ri a2ltlo�{�(�TI 1LL.00®E'� OF Future'prq nottans notappt cable:�E YORK STATE & TOWN CODES AS REQUIRE ,-r A� :.�V� > S NOTED d DAOEZ� B.P.# � J v u _�' �:t �- ��,t n nIMM D,t WJLIVG MARD FE � RYi��u v r NO `BU1L.Q}NG QE[ i MENT AT S 14 ` T�,� Tc S TO 4 765 1 a02 SAM. PM FOR THE , , - FOLLOWING INSPECTIONS: thave readartdrecetvad_eachpsge ortnts;5ipa4e agieemsri4 I. FOUNDATION TWO REQUIRED FOR POURED CONCRETE powor rime Rerno6'I(4g Group. Buyer{s) 2 ROUGH" FRARIG. & PLUMBING l do/141i a torr.4t s 3. INSULATION Sign of Remodeling Consultant Slgndttire 4 FINAL = CONSTF�tICTION MUST Timothy Swat JameitFogarfyBE.GOMPLETE-FOR C.O. 146217$ TRUGTION SHALL MEET THE YOU,THE.BUYER(S),MAY.CANCEL THIS TRANS ACTION AT ANY^inti![EPRtOR:T`a MIDNIGHTOFiHUTHIRD-0"t,&W _ A r�ttVAU OF.THls TftaNSACTIO SEE THE NOTICE pj:;CjELLATIO i.FORfAt oR:Ata t xFLAra�nR��a�141���P��Fz�TS OF THE COD ES OF NEW Sept[ rttier 14,2013 10-.38, YORK STATE. NOT RESPOPJSIBLE FOR I i,II I�NI I�I��l181[II� I�IIII Il111I' DESIW05CONSTRUCTION ERRORS. 5 NNNL& IV Wl ®�� 9 ,Cut :r= Project Specifications 48568-H Wind32.0'x49.5" Windows: back office 2 _ WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Cofor White 1 White., Grid Pattern: .None I Removal Wood I Additional Details None Windows: living room 3 32.0'x49.5" WINDOWS: Models SL 2700 Styles.Double Hung Types None Configs None 151 OPTIONS: Color White 1 White: Grid Pattern : None I Removal Wood I Additional Details None 9 , t Windows: master bedroom 3 32.0'x44.66' WINDOWS: Models SL 2700 Styles Double Hung Types None Cobfigs None OPTIONS: Color White 1 White: Grid Pattern: None I Removal:Wood I Additional Details None . e , A Windows: master bedroom bath 1 24.0'x37.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattem: None l Removal Wood Additional Details None Windows: spare bedroom 2 32.0'x43.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White 1 White: Grid Pattem: None I Removal Wood I Additional Details None if Windows,. kitchen 1 38 0'x37.0" W NDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White 1 White.- Grid Pattern: None I Removal Wood Additional Details None,.. 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