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HomeMy WebLinkAbout46463-Z Town of Southold 4/22/2022 y� P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43009 Date: 4/22/2022 THIS CERTIFIES that the building WINDOWS Location of Property: 2850 Wells Rd.,Peconic SCTM#: 473889 Sec/Block/Lot: 86.-1-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/11/2021 pursuant to which Building Permit No. 46463 dated 6/23/2021 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: window replacments to existing single family dwelling as applied for. The certificate is issued to Pagano,Joseph of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD �o�SUFFOI�cOGy ` BUILDING DEPARTMENT Co 10 TOWN CLERK'S OFFICE "o • �r4 SOUTHOLD, NY �y�ol ��pti'1 t� 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#: 46463 Date: 6/23/2021 Permission is hereby granted to: Pagano, Joseph 2850 Wells Rd Peconic, NY 11958 To: Replace windows at existing single family dwelling as applied for. At premises located at: 2850 Wells Rd., Peconic SCTM #473889 Sec/Block/Lot# 86.-1-11 Pursuant to application dated 6/11/2021 and approved by the Building Inspector. To expire on 12/23/2022. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAIL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I%lead. 5.. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building.Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25. 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 / / Date. r� ( a New Construction: Old or Pre-existing Building: (check one)Property: ,Q Location of Prop e � a' s I -c Coll C House No. Street -Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000,Section 0 S �� Block I U Lot /( 0-0-0 Subdivision Filed Map. 1 Lot: Permit No. Date of Permit. Applicant: J't'� `"� tAj Health Dept.Approval:. Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 60 'a-C) App ' ant gignature OF SOUTyolo # # TOWN OF SOUTHOLD BUILDING DEPT. `courm, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/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: 1�owS 0, 14. �perz ("Colo DATE "(-2Z-_ZZ INSPECTOR 1. FIELD INSPECTION REPORT DATE COMMENTS, t� FOUNDATION(1ST) W � ------------------------------------ C FOUNDATION(2ND) z GIN _ H 1 ROUGH.FRAMING& .� PLUMBING Cb INSULATION PER N.Y. H STATE ENERGY CODE or-e G FINAL ADDITIO AL COMMENTS QV Q p rn W � • O x d _ b H. 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 Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.0 Trustees C.O.Application Flood Permit Examined–(0 20— LJ \1 . I Single&Separate Truss Identification Form Storm-Water Assessment Form JUN 1 1 2021 Contact: Approved 120 Mail to: Disapproved a/c T:t ir r-, Phone: Expiration .20 Building Inspector APPLICATION FOR BUILDING PERMIT Date 20 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. I 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. I 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. < (IiinatuVe of applicant or name,if a corporation) (Mailing address of applicant) State w ther ap licant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises c;%,r,.-o (As on tax roll or latest deed) If applicant is a corporation,signature of duty authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location f land on which proposed work will be done: -c- -!�%".5 0 W LU� House Number Street Hamlet County Tax Map No. 1000 Section Q Lf(J-0 Block 1 0 a 0 —Lot— Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and i ende use ani occupancy of proposed construction: a. Exi,:ting use and occupancy (1 CC- b. Sb. Inte ;ded use and occupancy rt--s`�o'ti"4 3. Nature of w)rk(check which applicable):New Building Additio teration Repair_ Removal Demolition Other Wor 1 4. Estimated C )st9 Qs$S Fee (Description) (To be paid on filing this application) 5. If dwelling,;umber of dwelling units Number of dwelling units on each floor If garage, n ember of cars 6. If business,i ommercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions )f 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 Reaz Depth 10.Date of Purrbhase Name of Former Owner .sl 11.Zone or use district in which premises are situated •n u 12.Does proposed construction violate any zoning law,ordinance or regulation?YESNO 10 _ 13.Will lot be regraded?YES_NO Will excess fill be removed fromremises?YES NO SI W Lkl& 14.Names of CiRmer of premises In-4L&P'-',%�Address ��'`�c �V Phone No. (¢ Name of Architect Address Phone No Name of Contractor o'a— Address .SS 5 Phone No. Le — `M IL j�dY` Qe 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO *IF YES,SOO THOLD 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.t.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 CQPY. STATE OF 9P&) S: COUNTY OF being duly swom,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the . (Contractor,Ajent,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. Swo to before me this day of Un E PUB NC ON otary PubTGULFORD COUNTY, Sign a of Applicant r commission Expires 2 21-2024 "� F t SL t `4 t ` u `1 � 18 , to I Cie � ,. ., '' E)a*ax „- I ( 3i } , , ,.;. Y Qs . r a a M t .. AC01RbP CERTIFICATE OF LIABILITY INSURANCE DATE (MM21 NYYY) 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:PHONE ALLIANCE CENTER PHONE FAX /C o Ext• (AIC, AIC No 3560 LENOX ROAD,SUITE 2400 E-MAIL ATLANTA,GA 30326 ADDRESS: INSURERS)AFFORDING COVERAGE NAIC# CN101642069-HomeD-GAW:21-22 INSURER A: Old Republic Insurance Co 24147 INSURED INSURER B: AIU Insurance Co 19399 THE HOME DEPOT,INC. HOME DEPOT U.S.A.,INC. INSURER C: HomeRisk Caplive Insurance Company N/A 2455 PACES FERRY ROAD INSURER D: BUILDING C-20 ATLANTA,GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-005072225-04 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. ILT R ADDLTYPE OF INSURANCE I=5U D POLICY NUMBER MM/DD/EFF MMIDD EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY MWZY 314574 03/0112019 03/01/2022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE Fx_1 OCCUR -PREMISES Ea occur encs $ 1,000,000 X SIR:$1,000,000 MED EXP(Any one person) $ EXCLUDED PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO-- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY MWTB314573 03101/2019 03/01/2022 COMBINEDSINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO SELF INSURED AUTO PHY DMG BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS' HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ H $ PER B WORKERS COMPENSATION WC 58240269(WI) 03/01/2021 03/01/2022 X STATUTE I I EER BAND EMPLOYERS'LIABILITY ( )YIN WLR 067818258 NC,VA 03/0112021 0210112022 ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 5,000,000 O(Mandatory in NH) XCLUDED? N❑ N/A Continued on Additional Pae E.L.DISEASE-EA EMPLOYEE $ 5,000,000 (Mandatory in NH) 9 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 5,000,000 C Excess Auto 297110011002021 03/0112021 03/0112022 Limit: 4,000,000 A Excess General Liability MWZX 314580 03/0112019 03/01/2022 Limit: 8,000,000 DESCRIPTION OF OPERATIONS/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 DATETHEREOF, NOTICE WILL BE DELIVERED IN BUILDING C-20 ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA,GA 30339 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukhedee ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Go Permits, LLC 105 Buttonball Ln. Glastonbury, Ct 06033 r a Scoff Doughman Phone:860-952-4112 Fax: 860-430-6719 scottdoughman@gopermits.org "WE UNDERSTAND THAT YOUR TIME IS MONEY" To Whom It May Concern: Enclosed you will find a building permit application and check. If you have any questions regarding this application, feel free to call me at the number listed below. 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 It Thank you! Jennifer Winke, Permit Expediter Go Permits, LLC Phone: 303-946-8685 Fax: 866-697-0768 jenniferwinke@gopermits.org Go Permits LLC, 105 Buttonball Ln. Glastonbury CT 06033, scottdoughman@gopermits.org RECEIPT SUFFOLK COUNTY GOVERNMENT DEPARTMENT OF LABOR, LICENSING,AND CONSUMER AFFAIRS COMMISSIONER ROSALIE DRAGO P.O. BOX 6100,HAUPPAUGE, NY 11788 (631)853-4600 Today Date: 10/22/2020 Application: H-53429 Application Type: Home Improvement License Receipt No. 414174 Comments Payment Method Ref. Number AmountPaidPayment Date Cashier ID Renewal+ 14 Additional Check 0003181507 $1,800.00 1012212020 GAB Locations Contact Info: RO HARD OUSEY INC(14 SUPPS) PO BOX 105451 ATLANTA,GA 30348 { Work Description: iE li Suffolk County Dept.Of ;w Labor,Licensing$consumer Affairs u • 11 HOME IMPROVEMENT LICENSE E.i i` Name is RICHARD TOUSEY Business Name This certifies that the 14 SUPPS i{ HOME DEPOT USA INC( ) t=. bearer is duly licensed I by the County of suftclt I{ License Number:N-53429 l Rosalie Drago Issued: 05/15l2014 CommissionerExpires: 11/01/2022 f ii i . k AGENCY CUSTOMER ID: CN101642069 LOC#: Atlanta AC RD 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 LiabilitV Insurance Workers Compensation Continued: Carrier:Indemnity Insurance Company of North America Policy Number.WLR 067825287(AL,AR,FL,ID,IA KS,KY,LA,MS,MO,NE,NM,ND,OK,SC,SD,TN,WV,WY) Effective Date:03/0112021 Expiration Date:03/01/2022 (EL)Limit$5,000,000 Carrier:AIU Insurance Co. Policy Number.WC 023096003(AK,DC,DE,HI,IN;MD,MN,MT,NY,NJ,NY,RI,Vr) Effective Date:0310112021 Expiration Date:03/01/2022 (EL)Limit:$5,000,000 Carrier:ACE American Insurance Company Policy Number.WCU C67805331(QSI)(CA,IL,OR,WA) Effective Date:03/01/2021 Expiration Date:03/0112022 (EL)Limit:$5,000,000 SIR:$1,000,000 Carrier:National Union Fire Insurance Company Policy Number.XWC 1647258(OSI)(CO,CT,GA ME,MI,NV,OH,PA,UT) Effective Date:03101/2021 Expiration Date:03/01/2022 (EL)Limit:$4,000,000 SIR:$1,000,000 Carrier:ACE American Insurance Company Policy Number.WLR 067818210(AZ) Effective Date:03/0112021 Expiration Date:03/01/2022 (EL)Limit:$5,000,000 Carrier:National Union Fire Insurance Company Policy Number.XWC 1647259(QSI)(MA) Effective Date:03/01/2021 Expiration Date:03101/2022 (EL)Limit:$4,500,000 SIR:$500,000 TX Employers XS Indemnity: Carrier:lllinios Union Insurance Company Policy Number.TNS 066949072(TX) Effective Date:03/01/2021 Expiration Date:03/01/2022 (EL)Limit:$10,000,000 SIR:$1,000,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101642069 LOC#: Atlanta AC"Ro 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. Home Depot U.S.A.,Inc. Home Depot USA,Inc.dba The Home Depot Home Depot of Puerto Rico,Inc. Home Depot Product Authority,LLC Home Depot Store Support,Inc. Red Beacon,LLC Home Depot U.S.A.,Inc.dba The Home Depot Pro Intedine Brands Barnett Hardware Express Leran Maintenance USA Renovations Plus Supplyworks US Lock Wilmer Zip Technologies H.D.W.Holding Company,Inc. Askuity,Inc. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Home Improvement Agreement: Page 1 Hoare Depot License#'s-For the most current listing visit www.HomedMot.com/.LicenseNumbers Vance Comerford Salesperson Name Registration#(Req.in CA,CT,ME,MD,MI,NJ,DC) Home Depot U.S.A.,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or service the equipment listed below at the price,terms and conditions as outlined on this form. I The Home Depot The Home Depot Service Provider Contact Name Service Provider Company Name (631) 478-6101 Phone# Service Provider Email Address Service Provider License#(s) Pagano Joseph Long Island East 1-1W20390Z Customer Last Naive Customer First Name Store#/Branch Name Customer Lead/PO# 2850 wells road Peconic NY 11958 Customer Address City State Zip (631) 445-6102 jpagano1957@gmaii.com Home Phone# Work Phone# Cell Phone# Customer Email Address ar NC3TIIr RIGHT TO- ANCEL f&' 7 u5 5 Fa _ 4 _ �," .�" �.. as .,�. .; r ... YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION By CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY;EMAILING SERVICE PROVIDERAT- icustomercancellationnortheast@homedepot.com customercancellationnortheast@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 40 Oser Avenue Hauppauge NY 11788 Address City State Zip �BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING,UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD.THE STATE SUPPLEMENT ,CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. IYOUR PAYMENT(S) WILL DE RETURNED WITHIN TEN(10)BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE.YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER,AT YOUR SERVICE ADDRESS,AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED,ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU.OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GI YOU A NOTICE EXPLAINING YOUR , ARIGHT TO CANCEL.PLEASE SIGN BELO TO WLEDGE THAT YOU HAVE BEEN GIVEN CORAL AND WRITTE TICE OF O G TO ANCEL. Acknowledged by. ust e r nature Date 460 Standard Fomt HIA(02 Oct.20)(E) Generate ate Lead'po# 1-1 W 9 n 3907 v 0.1.9 Home Improvement Agreement: Page 2 4F De�cri tion of�o�k�ta be Perform+�d ' `�Y � k� �y G z A detailed description of the work to be performed is included in the paragraph entitled Scope of Work, Specification, Customer Summary Sheet,Quote Form,Estimate,Invoice or Measure which is included in this Agreement. �5.A�ticr atecl D�laveDate/�TnsILallafao»Sc�e'dule � y � `� � �� � E ` Approxiinate Start Date: 07/29/2021 a Approximate Finish Date: 08/26/2021 All dates are approximate ✓ and subject to change based on unforeseen events including inclement weather,permitting delays,and delays in confirming insurance coverage of Your claim for any repair,if applicable. You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy,your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider,you may update your email address,withdraw your consent, or obtain a paper copy of the Agreement or related documents at no charge.By providing your consent and verifying your email address above,you confirm that you have access to a computer that can receive and open emails and PDF documents. _ -� l.�o�t���l�,�X{:•�i `l�.nd��������cll ��e 3 �ri �, n �, �2���� «� �ir t�'+ �.� � ,'��".... ���YL r;F Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ 12853.00 Includes all applicable taxes.Excludes finance charges.* Sales Tax: $ 10.00 (If applicable,total amount of taxes included in Contract Price) ' Waximum deposit ONLY'applicable in MD,MA, JWE(33%),NJ, WI(99%) Deosrt% 25 0 Deposit Amount$ 713 25 Remaining Balance $ 2139 75 .:x__.. ',.f.�w..::«».,..a.i`m.4,�......M`.,.�w...•.s.w'.":w���w ,�-:.�.:�.>_,�:���,.�s,.;�..,°..:`.�� ., �' e, ,. �a•�4 ,� .,�v .fit�'' . �� ti �7. Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable.No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments made payable to Home Depot. Insurancuroceeds will will not be used to aysome or all of the total amount of sale r By signing below,you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b)order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement.Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.)By signing,you acknowledge that: (i)You have read,understand,and accept this Agreement in its entirety,including the General Conditions and State Supplement, if any; (ii)You are receiving a complete copy of this Agreement; (iii)all rights and interests under this Agreement are solely vested in the person listed as"Customer"above; and(iv)Electronic signatures will be deemed originals for all purposes. Xa € Cus m e Date X /s/Th ome Depot 06/03/2021 'The Home Depot Digital Signkwcr Date For questions related to your installation, contact Service Provider at (631) 478-6101 For any other concerns, contact The Home Depot at 1-800-466-3337 460 Standard Focm HIA(02 OCL 20)(E) Generated Date 06 �7n 91 Lead/PO4 1-11l11203907 - v 0.1.9 OCCUPANCY O APPROVED AS NOTED U S E IS UNLAWFUL DATE: & sB.P.# 3 WITHOUT CERTIFICATE sD� BY:* Y.. OF OCCUPANCY FEE. � NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION .MUST BE COMPLETE FOR C.O. COMPLY WITH ALL CODES OF ALL CONSTRUCTION SHALL MEET THE NEW YORK STATE & TOWN CODES REQUIREMENTS OF THE CODES OF NEW AS REQUIRED AND CONDITIONS OF YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN ZnA SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRi,71ES N.Y.S.DEC WINDOW SPECIFICATION SHEET - Spec,Sheet#: 1-1W20390Z Sheet: 1 of 1 - Customer:Joseph Pagano Job#:1-1W20390Z - Consultant: Vance Comerford - Date: 06/03/2021 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 Csmnts,1 Pnl, use L,R or S Glass Misc Items Hardware Code Screens For doors use o LL o a. o _ Mull "S"=stationary or i4 =o Style Wraps '� � � m �'� o � � � N •� 'E "X" operating N P 9 Room Floor Code (YM) Style Code Series Code = w 3 x I—E6 v o- � > x° � > _ STD,White, GlassPack: EXT C 1 BED 1st DH- N DH 6500 WH WH 34 45 79 Standard PVC,LSR HITILT _ STD,White, GlassPack: LSR 2 BED 1st DH- N DH 6500 WH WH 34 45 79 Standard HITILT STD,White, GlassPack: LSR 3 BATH 1st DH- N DH 6500 WH WH 24 37 61 Standard HITILT SPECIAL CONSIDERATIONS: Wrap Color " Interior Casing Type Bay or Bow window: Seatboard material(vinyl only-Birch or Oak) Bay Project Angle(30 or 45) d Bay Flanker Type(DH,SH,or Csmnt) Top of window to soffit(inches) If tied to soffit,color of soffit material I have reviewed and agree with all the job specifications above and the Construct Roof(Yes or No)' Special Terms and Conditions on the following page Garden Window: Seatboard Material(vinyl only-White Pionite,Birch or Oak) Dated: 613 12018 P C $ 2 , / �?`AssS� �,"srav'��' �, "" a � `" ,.; 7 x' "�.°� r a r ar a�< r:,� a« .a•t • ,�, •I/Yi!7c/ds • 0 A 6500 Base ProSalar Surcepi pe Easement 6500 Base RroSolar F` Supercept i/8 Q26 0240'2G 622,. e; • P! o ® o es Transom.: . 650Q:Base _._. _:- .,.,. �FroSolar... ,. . ,,,.-> .,�pe!c�pt •.1 ,b 27 � 0 32 ® �® ,; <027 3 ,029 0 •, Double•Hag 65gQ Base roSotar. Picture Gasement,(Nf }.„: 650Q-_Base i?rvSotar Superceps 718 026.. 0.28 � :® '0 26,.;...025 . '� �,, ,a: $ Picture 7,2 , . _.Pro$gtar... .. ,Supercepf 718 0.29. Q26 6: 029mg. $'Pane.Seders „ ,_ 6OQ Base(sPIS4ft). cl?�o Solar,... . Sup�scept . ...? "f 029.. . $. ... 0 28 .023 ;<•, m; Sfar i?roSolarSUN SuperSpacer i .. 6.3© . ..0 24.. 'X; : :®. 6, Q f3asa �?rb 5otar 8u 8 r 628 0 Z6 Patio Door`1NOV4_. •' E 6 � q 23 g � r Kcmestocated.everywhere EICCEPT�%Irrzorta Catrlonna,,/daho�New�da,NeWJH�d�oy�X¢9!a<?���ii' Awning(Iqc Hopper}_ ,6[gQ_Base . Pro,Satar,,>, Inten�pt X18 27 024 ® °* ;0 2 `01 4 8 C�aSeinentf00Base P o Sdiar. 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X26 Qr Single Hqn ,., 3-P.anei:Simbr Pi rs Sinai Sti�1DE......Supef4 ; • •• �• . � rit�rt7eSl�afe�in�icdastatareas:: " ,. , Awning. x, ,.. 56�3QOUL Fa�el'gySlat AN 0;!r ..Q 2¢ €. 023 ,sa' .� Casement 58+306VL Base PS/Lamt .SuPer Spacer i 0.23: 25 bauble Hung. 0Sf3t30VL.Base.. . .._ 025 Slide[.. ..._ SB+.300VL 8as4 PS CLertii tr�tgrgept 4 29 . "¢25` QatioDagr _ 58�308UL,EfC,36$k..° i?S,5Hade./tar►�t Saper>5pacer; 1` q30 Dots indicate Energx:$tar cer$fied for thaf:zone • • • •f • f• • • •