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HomeMy WebLinkAbout49679-Z a . 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#: 49679 Date: 9/13/2023 Permission is hereby granted to: Idarecis, Emilia 167-19 Grand Central PKyyy Jamaica Estates NY 11432 To: Install window replacements (22) at existing single family dwelling as applied for. At premises located at: 50500 CR 48, Southold SCTM #473889 Sec/Block/Lot# 51.-6-1 Pursuant to application dated 8/11/2023 and approved by the Building Inspector.. To expire on 3/14/2025. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector DocuSign Envelope ID:522DF7F3-201 B-4748-925A-FOB398134591 Mt TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone 631 765-1802 Fax 631 765-9502 lift is //w^w� y.soutliol(lto I1n '.tio�� P ) ) Date Received APPLICATION FOR BUILDING PERMIT E C Nom° �u For Office Use Only PERMIT NO., �ry Building Inspector: Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant Is not the owner,an Building Department Owner's Authorization form(Page 2)shall be completed. Town of Southold Date: 8/4/23 77 OWNER(S)OF PROPERTY: Name: Christina Idarecis SCTM#1000- Project Address: 50500 County Rd 48 Phone#:i Email: 718-704-6227 pagotatzis@aol.com Mailing Address: 50500 County Rd 48 CONTACT PE0SON.°° Name: Scott Doughman MailiIng Address: 1.05 l utlto a11, Sin. Cl st: n ury CT 06033 Phone#a 30,3-946-8685 Email: permits @gopermits .org DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Home De of USA Mailing Address: 2455 Paces Ferry,Rd. Atlanta, GA 30339 Phone#: 303-946-8685 Email: permits@gopermits.org DESCRIPTION`OF'PROPOSED"CONSTRUCTION, ❑New Structure ❑Addition ❑Alteration KIRepair ❑Demolition Estimated Cost of Project: ❑Other �P P n sr. r, ray rhe $ 23, 727 riaca rza� Will the lot be re-graded? ❑Yes ENO - Will excess fill be removed from premises? ❑Yes ©No 1 DocuSign Envelope ID:522DF7F3-2016-4748-925A-FOB398134591 PROPERTY INFORMATION Existing use of property: single family Intended use of property: Single family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ONO IF YES,PROVIDE A COPY. ❑-CheckC&Dx,After Reading: The owner/contractor/design professional is responsible for all drainage and storm water.issues as,provided by Chapter 236 ofthe Town Code.APPUCATION 15 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,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 admitauthorw edirpedon qq pr*mises'and in building(s)for necessary Inspections.False statementsmade herein are pQ"jih*e w ,,a Cis pt nplsdeMeadnor Pursuant to Section 214AS ttf itis Nevv York ratute festal Law.' Application Submitted By(print name): Jennifer Winke ®Authorized Agent DOvwlner Signature of Applicant: Dater. 4 STATE OF NEW YORK) SS: COUNTY OF Guilford ) Jennifer Winke being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S) Agent he is the (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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of ,20 3 ®®e Notary Public Tyriq L Garrison PROPERTY OWNER AUTHORIZATION NOTARY PUBLIC (Where the applicant is not the owner) Rockingham County,NC My Commission Expires Mamh Ni 2428 I, Christina Idarecis residing at 5000ColR do hereby authorize Jennifer Winke to apply on g9sq.,the Town of Southold Building Department for approval as described herein. 8/5/2023 wn s Signature Date Christina Idarecis Print Owner's Name 2 DATE ImMinw-wo CERTIFICATE OF LIABILITY INSURANCE 03,113 121231 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFF'IRMATI'VELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU R{5)® AUTHORIZED REPRESENTATIVE OR PRODUCER,ARCS THE CERTIFICATE HOLDER. WPO'PTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les) must have ADDITIONAL IHaLIREO provisions or be endorsed. If SUBROGATION IS'WAIVED,subject to the terms and conditions of the policy, certain policies may require ars endorsement. A statement on this certificate noes not confer rights to the certificate holder in lieu of such endorseBI aI c TACT GdARSH USA,INC SFAtM,_ k H6NEW FYPaC IA",')A I lA$NCE C INV ErR lIQd Np,,.FxII A'N,TN 'f A„CLA .30326 w .e.. ._. PhN ltl1grN Irii n ORDIN COMrE A m e, 'I 1 t �. ,,,_a,!,l r �.nl'-r,+�,. F•,, .,,,,,,, . NN�r�s�Fra,�ay,�T.9 6dtdi�lanin iN:;r CS�i)r,�as r`.itl:`,P ! i. L" rt�5.,19'dV&LP�r7PPCCNPPN�Br&,�)frac)r FKPOT,"NWC . I r r)G9,F,,..,,)�FV d,du �,ea...Fade". IVWSLErfi�'kl � INSURER "4'5 FERRY ROA`m.0PrIADNC'C-20 _ i G'ry7L LANTA,GA 3623f� Vtltsllrrr'�r., INSURER F COVERA`aG.rl~$ CERTIFICATE. NUMBER: REVISION NUMBER: ` HUS IS (^ CERJ FY I HAT THE POLICIES`:;OF INSURANC-E I_l tED BELOW I WJE. 0:,"EN S.SSaJEE.) 10 THEWS"J9tNAMEDNAMEDED a80VF FOR H E. OtJCY PERIOD #Aq o N f".'sTa ?d:P2 Wr ANY REQUIREMENT, OR CONID. 'U(Aq Or. ANY CONTRACT CuL�7 �-THi,.,' D0C;i3l'.tENT`,,VfIH RESPECT y'C"� 'a1G6-316�'H S"f-IS g '.F;I;F'-!(,A1E vtb'AY bbl h>La4Sf.L OR MAY PbMRrMN, THE 1INIil,112.d)+�NCE r^�Fi-0RJ'..:)6_hX BY 1'flG.= Rf7l_i'ES I4GREIN KS SUBJEG-f 1.0 AdA., Thi'—' '!"xMMS, ,_WSK')'N ,AND G Q1 I(7UTPCGNS OF SUCH P01 IC iE&S ItffrS SHOIAJI 1A,40(I6AVFIB G Nd M.-H)UC LNJ S f PAID(.L.Afi M S. ¢N a4a.,.....w...,...,._,....,,..,.,..,�.,..�...,INSU._.�,,....,m,,., .�_._..�.,...._,��W''�P�.. _. P�OLIC'YPNIUMR�IER ., . RaGPN'7OLI'd�J'4'''a�N'V' fir91,4�PoJG"ICFY"r"�1f"d` ..,.; .'( ;13TdftERCI,r*lS''�.G.'aNERA�L�LY,ABILITY � � N0'-VV Y31fll48 � _ m Nlua01,2)Err �Y0112W����. .,."�r�.A�"rn��nV,.f'U;dGd�tkVF'M19(f�-... ,.1. ETN { w• 1186 "s . ( C N" Ni�C)E ! t1C�„knld, j I ' I' 1„S�TC�N&"��'�APr4 Pnidn� M1 PE 6 SON MP..rl rh0M°INkJ!f~ ate..... r'AMA”{ N°J,un t tlrP t; 1l II d�l�i l V, FC a. G,@ n p��W 9r r6�E'C T S 4 s1 dE.V I FF{r n. ! Ld.k4'.'; f N*F.C)d,Y1Ja Y u i�N;'NABP�FCrP r l'rR., ,' ;)rrGM)J,,i)l) 66 fig Gy aE"(wC .e , . .T y .."""r w a e W n """"'"""”" s d YMGkaGY�pMIA n PJK P K eY„41 T' WMm N 'tlT5�3 J.iYGy�e,G7?'r d)3 "+, u9 ,> 0 l a dk ;ar r�n�eNp 6.0DH Y i1VJ !k1 (Pe $ .... ,_ p Ili8(-ILUIA E110 SEJY 0115 TF?a~.L)AU'R,.>PH W,,i s rk” 1nU1 rw .id3 U1,0k)f.':at EP ' 1 I ", !_fpw �,'it), b s 14 af3^kLkdM8a'LYh@£ND W u ] f MIt,,ZX4316647 �03/0112021Faa..rda.7f°C)t11FPG'�&.`Y.,;:. ;C ;iF P:ESS U AEA tl .. .............PiilPu, �.I,v,lfr,li�l . .�.., e»u c"?f:?u WORKERS �MH� NBab#IO� reCFC�ILPd1 EFY i W AND NN ..,�......_..,_.�.�_ .�...�._;..,. p arl> FEII 1ryF7r-16F.6Lp. ?reu.)fl%.f Yt4u !d.. G: N'aCi&38:aL:f<,�r1 (C! +"Ct1' f),G�L11.,';G1 ' leu rEw�u~lEAr etDFr,rNNLPf5, �N IYES-�rqE:>wG,L� N 'N.A fhdEradra3sd2xxa},LaNfl) n k+1. : ' Confnaoto, L[Gw.4 'a§�� r,VNIr�sTIC4;mu3 � (,L13fP�t '� = _ •+IVPN)NOF 05DEF .r DKFaCPUs-'7ss.N Or fiTFIERATEC.NS I LOCATIONS t VEGBIrnn-ES IACDRT)10-',Aa ditiooal Rr,¢,u.,.arks SrghLre ute,unay lane a&P.A<.led if ns^taraa Is rtgusrtd) CER FICAfi`G',kIO U)ER 9S 0YC. 0 LT A5 ADD"FIDN L V-Y(S!.,r",'C)IF kCEQUIYGk"�D BY 1q%/R`fFEN CON TRACT d'1P)'r'THE ABO l, N .FAL i,MEM17Y G"IDUCY,EB(JT W)NLY'1,V1 p1 P8,Si,1EC1 TO UA,Ll' A-?..S!SIC;`(F,.`:`or T;05-.C}PEUA7',i.)NS CP THE i)vFYDvd?ED IINGUIR"0. I, CER"I'If°PG":ATE HOLDER CANCELLATION ";'}';N N OF r`;;fTI)MOGJ) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 523'I,5 iwGCJUTE 75 THE EXPIRATION BATE THEREOF, NOTICE WILL DE DELIVERED IN U°'O F+C):'Z'1?9 ACCORDANCE WITH THE POLICY PROVISIONS, `w''Oi,ll'iFNOLlU,NY dG;3?I eal:.D`THORAZED REF^RT: F,'NP'.A f �µ.�..»...,,»,..,,...�. �. J (g)1988-2016 ACORD CORPORATION. All rights reserver. ACORD 25(2016103) The ACORD name;and logo are registered marks of ACORI) AGENCY CUSTOMER ID� CN101642069 LOC ADDITIONAL REMARKS SCHEDULE Page 2 of 3 NAMED INSURED WU-DZE-107 PLVCy NUMBER B ALUNG f�,201 A��Al rk 1,A 313,19 EFFECTWE DATL ADDIT�ONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER, ___25 FORM TITLE, q_q!�ifi to of Ljal�ijft, Insurance ........... . S�ury 111:Fal on�:110,nwifty Cn.�perab�'� y lnanrw''Q"aipan, Nux"r VAJIWOE6,fZ„3(AKC10,C 20? 03i"A024 ACORD 101 (2008/01) Q 2008 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID.- CN I O1€42069 LOC;W� 3a nta ADDITIONAL REMARKS SCHEDULE Page 3 of 3 AG�LNCY . NAMLIG INSURED �..� nu ARSii USA,NC. I-IE HOW DPW',NC D40MEDEPC USA INC. 2455 PACES FERRY ROME) uou..DNG C-20 _ �._ W.mm...... ...... ATIAINTA,GA 30339 C3N�"C,r E.A AHG CODE ..,. a ® . U.. ..�.._, n ....... �.wMm .. �. . ... m.__ .. EFFEGME DAM ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, x FORM TITE rt�l is lst�rlt �. .� _.... .w ... w m ... . . . _. 4 8 u,;ryu l p " 11,14, A.,d ria, UL:-A,,Pr: Aa tyke e rorrm B.aeput r 1:3a du N W f uejv w 0,&^ I,,dud AtMAy,4J,C 1„at,: 101 �'r N ry� p ( 08101) 02008 ACORD CORPORATION. All 0 lits reserved. The ACORD name and logo are registered mfirks of ACORD 11141r`Wy Workers' CERTIFICATE INSURANCE COVERAGE a L gal f—a e�Address of Insured(ase street address ly) 1b,Business i dephon re s�s; �Number of Innsured 774-433-8211 Home Depot USk Inc. 2455 Paces Ferry d.,C-20 Atlanta,GA 30339 1c,NYS unemployment insurance Employer Registration Nrrnnber of Insured 76011130 Vn1ork Location of Insured(Only re-quired;a coverage is specifically,inrifed to ,d.Federal Employer Identification Number of Insured or Sociel Security r :.'£atf)f0ca60Ps 0 M&W YorA State,1.e.,a I*ap-Up hry3 Nurnber 6 58-1853319 r 2 Nane and Address of Entity Requesting Pro&of Coverage 3�a.rJanae ofInsurance Garner (Entity Cfsaing Listed as the Certificate Hoider) Indemnity Insurance Company of North America W Polrry Number of Entity Listed in Box"la" cx n a ScxJthoid C50668056 Scyrr fe,Ari,NY '!1971 3c Policy effective pa nod 03101;20233 to t9�,1d11�;'s3�.4 3d The Proprietor, Partners Or EXecutive Officers are Inolilded (0 lily chock box if all inHud6d) X] all excluded or certain partraerslof vers excluded. ... .. MG certifies that,the insurance carrier indicated above in box`3"insures the business referenced(above in box"1a"for vtscrkers' compensation under the New York State Workers' Compensation Later,(To use this form, New York(NY)must be listed under It nn,3 on the INFORMATION PAGE of theworkers'compensation insurance policy), The Insurance Cramer or its licensed agent will ycrrnd ship,Certificate of Insurance to the entity listed above as the certificate holder in box`2". t he insurance carrier must notify tine al e cerdfrcate holder and'tl•re Vlfcrrkers Compensation Board vvithin 10 days 1p a polka y is carnce(ed du tc;,nonpayment of premiums or x thm 50 days IF there arr reasons other tI"ran rnoripayment of preinlurris 0-rat r.,,ancef 0-* policy tsar elirnnlnIto the Insured frcrn the coverage indicated on this Geltificate (These notices may be sernt by regular rn"rail,)Otherwise, this Certificate is Valid for one'year after this form is approved by the insurance carrier or its licensed argent,or untll the policy expiration date listed in box"3,c", whichever is earlier, furs certificate is issued as a rrmtter of irnfornaation only and confers no rights Upon the certil°loate holder,This ce fdf6r~ate chow riot:arnerid, Oxte,,nd sof alter the coverage attarded by the policy listled, nor does it conler any rights or tesponsibilities beyorld those in the,, referereg icrend policy, This certificate may be use,d as evidence of a Workers'Compernsation contract of insurance only while the underlying policy is in effect f'k.,,,1^,m.e Note: Upon cancellation cf the workers'compensation policy indicated on this form,if'the business continuesto be mµri ed on a permit, license or contract issued by a certificate holder, the business nncrst provider that certificate holder with a new rCortiticate of Workers' Compensation Coverage or (.ether authorized proof that the business is ca napGying with the nriandatory coverage requirements of the New York StateWorkers' Compensation Law. Under peria fty of perjury, I certify that 1 am an authorized representative or licensed agent of the insurance carrier referenced above and thatthe named insured has the coverage as depicted on this form. Approved by: Eric D.To nn (Print name of atakthwixeci n,iiceneed agent rf in Aran�e carrier) Approved by: u1 1fira,y6 ";itle: Vice President elepho ns Nunibe;of authorized representative or licensee;agent of'Insurance carrier: 678-7q5-4338 Pieas;a Note; Only insurance carriers and their licensed agents are authorized to issue Fora( C-105.2. Insurance brokers are Q T authorized to issue it. ai c i im���Ot CERTIFICATE DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PARS'1, o be completed to Disability and Paid Family Leave Benefits Carrier or Licensed insurance Agent . .....t. P Y Y Merit of that farrier Legral Tante 4drlress ofln eared�,Kd a street addresa crrrlyg m,._ 1b.Business Telephone Number of insured i I1G f �pG7 U.S q.,INC, 245:3 PAGES FERRY ROAD NW 678-231-8957 ATLANTA,CA 30339 1c.Federal Employer Identification Number of Irisiared or Social Security Number Work Location of Insured fOnl t raquired d coverage is specifically fi`nnite-d to cortaip.locations in New York State,i.&,,Wrap-Up Policy) 581 85331 i I . ,, _ .. ......_. ...... . . _... .,.. . w . _..--..., . aiasnu ar d Address of Enlity Requesting Proof of 1aName of Insurance Carrier Covera (Entity Being Listed as the Certificate Holder) � 6 TOWN OF SC3lJTHOLD HARTFORD Llr E AND ACCIDENT 53095 ROUTE25 13b Policy Number of Entity Listed in Box"la" SO,J�"HOLD, NY 11971 _p§ ]p LN 3 tl !6 3c Policy effective period 01-01-2023 to 12.31-2023 4.Policy provides the following benefits: A.Both disability and paid family leave benefits. B.Disability benefits only. 8 C,Paid family leave benefits only, 5.Polis :.9�'ver�s'.; I' A,Ali of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Lavin, S.Only the following class or classes of employer's etnployees: Under penalty of p;erluny,l certify that 1 am an authorized representative or licensed agent of tire insurance carrier referenced above and that hat the rs>4raerd m I . Insured has NYS Disability and/or Paid Family Leave Benefits Insurance coverage as described above. 11-17-2022 1 �,mm„ ..�.—._._....__. .... ....�. (signatura of Insuranea cirrier`r,iiuitlao6rod r00r"our6V'djw or NYS Uconiaat hisNai nen&gwit of aJA onauromo cairiurp.... a al�rir asxars tla.arrair r h 9 2 cy 6,rC) 4 arae and Trtle,,r,i yak oVt ra(:a 4a<,Is9 nt Statutory Gorvc:s lM�f`fOlt " NT if Boxes 4A and rA ars: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.Tail it directly to the certificate holder. If Box 4B,4C or 58 is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd,8 of the NYS Disability and Maid Family Leave Benefits Lair.It must be mailed for completion to the Workers'Compensation Board,Platys Acceptance Unit,PCT tax 5200,Binghamton, Y 13902-5200. FART 2.To be completed the Y Workers' Compensation Board (Oral If Box 4c or 5 �__.,...h a..�.; � et part I nes been checked) 1 _. ._..�....._ . �. _ ._..._._,... ... Workers'� tCompensationf a ... .. �.�.. _. .. ate 9 According to information maintained by the NYS Workers'Compensation Board,the above-named employer has compiled with the NYS Disability and Paid Family Leave Benefits Law with respect to all of itis}her employees. Daat& 9rtTad +� _ ..,,.,,�.............rw.ww....,....._..,,. ..._,,..,,,._ ....��. ...,....�..,...w..,�... _"_ %; at raaa03�amr�zrrrvt V�`�'t'��n�s<mu;'GswrwrA;aa rsr a�izru 9.�+„�rm8 Hi?a3n;ulmya�wv� Tiwlrrtscsne Number /'fame rand Title Phose Note-Only hw arance carriers licensed to write NYS disability and}paid family lea ire banefil's insurance policies and 1VY51icensed Insurance argent of those insurance carriers are authorized to issue Form D -120.1,Insurance brokers are d,orauthorized to issue this fours, Mll�_121�1�2.17) m ei �w ,w ._ Ramo-" eau w ar°^mb� 1 4 4CIM610,iS th#Puorw ty w"O Suffolk C twummvy , mP� aPmmrRnOcelt � �m � P�� rerr�1rN,Wr�� �W SPR o-���r a Uai,�c, �;,�y�ny �r�� "ti,NtlkViult;���6�r,nll"�,rvY�ll�ul�,q'gsa„ ^t,yti„dr„t$', Y,�hgf4�pklrykW^u$7 Idfm'o �bm�sN,�,vburmk�N ���m�am @mmivu�mm WINDOW SPECIFICATION SHEET - Spec.Sheet#: F36165090 Sheet: 1 of 3 Customer: christina idarecis Job#:F36165090 Consultant: Adam Friedman Date: 07/21/2023 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,l PH, use L,R or S Glass Misc Item s Hardware Screens Code For doors use S Mull "S"=stationary o r N "X" operating Wraps o d o o Room Floor Code (y/N) Style Code Series Code a- _J > x1 _t - FULL SCR,STD,White, J CHAN, 1 ENTRY 1st DH- Y DH 6500 WH WH 24 35 59 S, WKIN PR ALL 2 2 ALL 2 2 GlassPack:Standard METAL, ALDER GBG H WRAP,LSR FULL SCR,STD,White, METAL, 2 ENTRY 1st DH- Y DR 6500 WH WH 24 35 59 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR ALDER GBG H FULL SCR,STD,White, J CHAN, 3 BATH 1st DH- Y DH 6500 WH WH 22 35 57 S, WH,W PR ALL 2 2 ALL 2 2 TMP:Full, GlassPack: METAL, ALDER GBG H Standard WRAP,LSR STD,White, GlassPack: METAL, 4 KITCH 1st 1 PNL Y 2 PNL 6500 WH WH 60 47 107 Standard WRAP,LSR X S FULL SCR,STD,White, METAL, 5 DINE 1st DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR ALDER GBG H FULL SCR,STD,White, METAL, 6 DINE 1st DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 TMP:Full, GlassPack: WRAP,LSR ALDER GBG H _ Standard FULL SCR,STD,White, METAL, 7 HALL 1st DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 TMP:Full, GlassPack: WRAP,LSR ALDER GBG H Standard l� FULL SCR,STD,White, METAL, FFTI DH- Y DH 6500 WH F�_T27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 Glass Pack:Standard WRAP,LSR ALDER GBG H Cn SPECIAL CONSIDERATIONS: 1:White,2:White,3:White,4:White,5:White,6:White,7:White,8:White Wrap Color r� V Interior Casing Type Bayer Bow window: Seatboard material(vinyl only-Birch or Oak) Bay Project Angle(30 or 45) Bay Flanker Type(DH,SH,or Csmnt) Top o1 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- eatboard Material(vinyl only-White Pionile,Birch or Oak) WINDOW SPECIFICATION SHEET - Spec.Sheet#: F36165090 Sheet: 2 of 3 Customer: christina idarecis ,Job#:F36165090 Consultant: Adam Friedman Date: 07/21/2023 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,RorS Glass Misc Items Hardware Code Screens For doors use E Mull "S"=stationary or TI-81-2 r r m m ° �_ N g �_ o "X"=operating w Style Wraps ,� o.(7 9 z u c rt= Room Floor Code (YIN) Style Code Sedes Code 3 x r ai v EL > x° > :c FULL SCR,STD,White, METAL, 9 LIV 1st DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR ALDER GBG H FULL SCR,STD,White, METAL, 10 LIV 1st DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR ALDER GBG H FULL SCR,STD,White, METAL, 11 LIV 1st DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR ALDER GBG H FULL SCR,STD,White, METAL, 12 LIV 1st DH- Y DH 6500 WH WH 24 40 64 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR ALDER GBG H FULL SCR,STD,White, METAL, 13 �LAUN 1st DH- Y �DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR ALDER GBG H FULL SCR,STD,White, METAL, 1 BED1 2nd DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR 4 ALDER GBG H FULL SCR,STD,White, METAL, 15 SED1 2nd DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR _ ALDER GBG H FULL SCR,STD,White, METAL, 16 IBED1 2nd DH- Y �DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR ALDER GBG H SPECIAL CONSIDERATIONS: 9:Waite,10:White,11:White,12:White,13:White,14:White,15:White,16:White Wrap Color Interior Casing Type Bay or Bow window: Seatboard material(vinyl only-Birch or Oak) Bay Project Angle(30 or 45) Bay Flanker Type(DH,SH,or Csmrt) 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)' I ISpecial Terms and Conditions on the following page Garden Window: Seatboard Material(vinyl only-White Pionite,Birch or Oak) WINDOW SPECIFICATION SHEET - Spec.Sheet#: F36165090 Sheet: 3 of 3 Customer: christina idarecis ,Job#: F36165090 Consultant: Adam Friedman Date: 07/21/2023 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,RorS Glass Misc Items Hardware Code Screens For doors use �° Mull "S'=stationary or r r m y i4 N u N "X"=operating W Style Wraps '� m v A n 0 o m o d `o o d `o H Room Floor Code (YIN) Style Code Series Code u� 3 x r rri v a > x > x FULL SCR,STD,White, METAL, 17 HALL 2nd DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR ALDER GBG H FULL SCR,STD,White, METAL, 1 HALL 2nd DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 12 2 ALL 2 2 GlassPack:Standard WRAP,LSR 8 ALDER GBG H FULL SCR,STD,White, METAL, 19 BATH 2nd DH- Y DH 6500 WH WH 25 45 70 S, WH,W PR ALL 2 2 ALL 2 2 TMP:Full, GlassPack: WRAP,LSR ALDER GBG H Standard FULL SCR,STD,White, METAL, 2 BED3 2nd DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR 0 ALDER GBG H FULL SCR,STD,White, METAL, 21 BED3 2nd DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR ALDER GBG H FULL SCR,STD,White, METAL, 2 BED3 2nd DH- Y DH 6500 WH WH 27 45 72 S, WH,W PR ALL 2 2 ALL 2 2 GlassPack:Standard WRAP,LSR 2 ALDER GBG H _LL SPECIAL CONSIDERATIONS: 17:White,18:White,19:White,20:White,21:White,22:White Wrap Color Interior Casing Type Bay or Bow window: Seatboard material(vinyl only-Birch or Oak) Bay Project Angle(30 or 45) Bay Flanker Type(DH,SH,or Csmr-t) 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 Montle,Birch or Oak) Home Improvement Agreement: Page I Home Depot License#'s -For the most current listing visit www.Homedepot.com,'LicenseNumbers Adam Friedman Salesperson Name Registration#(Req. in CA,CT,ME,MD,MI,NJ,DC) Home Depot U.S.A.,Inc.("Hoene 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. '1.'Servioe=Provider Ca" tach Inforinatio . . The Home Depot I IThe Home Depot Service Provider Contact Name Service Provider Company Name (631) 478-6101 customercancellationnortheast@hom Phone# 99RIOcec$rovider Email Address Sei vice Provider License#(s) stomer�Informahon idarecis chnstina Long—Island F36165090 Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO# 50500 County Road 48hold IN 11971 Sout Customer Address City State zip (718) 704-6227 pagotatzis@aol.com Home Phone# Work Phone# Cell Phone# Customer Email Address 3.NOTICE OF RIGHT:TO CANCEL-,, YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: 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 1S SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE 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 GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT T CANCEL. Acknowledged by: Lo7/z1/zoz3 Customer's Signature Date 460 Siandnrd Form H1\(21 Ad.zn(E) Generated Date 07/91/zOz� Lea&T04 F36165000 ° 0.1.12 Home Improvement Agreement: Page 2 ------------- A Desc rw 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-n- hiiitedRelive ff, at&,-/-4hstal6 chea6le- Approximate Start Date: Approximate Finish Date: 102/16/2024] 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. cbtd$:Authorization;;; 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. `7 7,.7 7 ana-,haineni&hedul.0 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: $ 23727.88 Includes all applicable taxes. Excludes finance charges.* 1 Sales Tax: $ 0.00 (If applicable, total amount of taxes included in Contract Price) 1 1,Maxiinum deposit 01VL Y applicable in Al D, AIA1, KE(33%),JVJ, W1(99%) Deposit% 172.07 Deposit Amount$ 17100.0 Remaining Balance 16627.881 >iar2r 8.-]��:!C_ es Any interest payments or other finance charges will be deterinined 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. and,,Aifth6ii i6n:,: .9 ACOPtlWe-0. Authorization; 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 right-,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. 4 ZI X 07121/2023 I L__1 I I--,- I I Customer's Signature Date X /s/The Home Depot 107/21/2023 The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (631) 478-6101 For any other concerns, contact The Home Depot at I-800-466-3337 Lead-PO4 ;:-AF;l F;r 0.1.12 360 Sta.dud F-HIA(21 Ad.21)(E) 1 Generated Date 07.191.19093