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HomeMy WebLinkAbout49505-Z g�FF01�-��oG Town of Southold 8/17/2023 P.O.Box 1179 x 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44473 Date: 8/17/2023 THIS CERTIFIES that the building WINDOWS Location of Property: 430 Oak Rd,New Suffolk SCTM#: 473889 Sec/Block/Lot: 117.-2-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/14/2023 pursuant to which Building Permit No. 49505 dated 7/21/2023 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: nine replacement windows to an existing single family dwelling as applied for. The certificate is issued to Vitiello,Patrick&Joanne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut 'ze gnature suFFnl 'i 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#: 49505 Date: 7/21/2023 Permission is hereby granted to: Vitiello, Patrick 430 Oak Rd PO BOX 234 New Suffolk, NY 11956 To: Construct an alteration to an existing single-family dwelling to replace nine windows in-kind as applied for. At premises located at: 430 Oak Rd, New Suffolk SCTM #473889 Sec/Block/Lot# 117.-2-4 Pursuant to application dated 6/14/2023 and approved by the Building Inspector. To expire on 1/19/2025. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-RESIDENTIAL $50.00 Total: $250.00 Building Inspector qV�n "J- haOF SOUI�olo TOWN OF SOUTHOLD BUILDING DEPT. `ycouHn��'' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST ,[ ] R UGH PLBG. [ ] FOUNDATION 2ND [/]"FINAL0,�&6 NSULATION/CAULKING FRAMING /STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: UV OM14 LZa IL/ 0 DATE v INSPECTOR FIELD INSPECTION REPORT I DATI_ COMMENTS FOUNDATION (IST) -------------------------------------- rA FOUNDATION (2ND) J� O C) ROUGH FRAMING& PLUMBING Ni INSULATION PER N. Y. STATE ENERGY CODE ei _jV4L FINAL ADDITIONAL.COM YENTS D7 "/Pe--73 DocuSign Envelope ID:ECA47558-24E3-4129-9680-DDE25A8BD88C TOWN OF SOUTHOLD—BUILDING DEPARTMENT F Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 edy � Telephone (631) 765-1802 Fax(631) 765-9502 https://www.soutlioldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT t For Office Use Only f , PERMIT N0. l ✓O Building Inspector: �J JUN 1 4 2023 Applications,and.forms;rj?iast be filled out irtt6eir:entirety.lricomptete applicatioris'w"ill"not be,accepted.46eire the Applicant is'not'the owner,an; ;:",:: ..`'_ Owner's Authorization form(Page Zl shall be completed. Date: 6/7/23 OWNERS)OF,PROPERTY: Name: Joanne Vltiello SCTM#1000- Project Address: 430 Oak Rd. New Suffolk, NY 11956 Phone#: 631-901-2916 Email: Mailing Address: PO Box 234,, New Suffolk, NY 11956 CONTACT.=PERSON:'E` Name: SCottDoughman- Go Permits„LLC _._ .. ..._. _ _ .. . _..,_. _ _.._.._. _......_._._._. .......__. _. _ Mailing address: 105 Button,bal[ Ln. Glas.tonbur CT,06033 Phone#: 303-946-8685 Email: pe rmits@gopermits.org l7ESlGN FROKSSIONAL jI ORMATiON:: Name: Mailing Address: Phone#: Email. COWRACTOR.INFORIVlATION: i3 Name: Home Depot,USA MailingAdd ress:_2455_,PacesTerry,Rd.,_Atlanta, GA 30339; Phone#: 303-946-8685 permits@gopermits.org Email b ES:CRIPT6N OF.PRORUSFQ.CONStRU'CTIOiY`�".; ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: lil Other Remove and replace 9 windows,same size, no structural change. $ 13190 [Will the lot be re-graded? ❑Yes 8No Will excess fill be removed from premises? ❑Yes ®No 1 DocuSign Envelope ID:ECA47558-24E3-4129-9680-DDE25A8BD88C `.. . ,, PROPERTY;.iNFORIMATIOiV' -,,,. .'..; Existig use nIended se of uprop...... .. ._M..of.__...._._property:_..._n.. ..._.. _amity nt ._ .." ............ .. ... _.. . � ._µ . . . . pe _.. _..._. ,.._.1, family_ _.__.. .._._ _... . .". Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ©No IF YES, PROVIDE A COPY. ❑ i4}leGlk" tlX,After Reading:,The"owniiiconifactor/design professional is responsibie forall drainage,end.storm s water issueas provided by, Chapter,236pf the Town Code-APPUCATIQN IS.HEREBY MADE to the Buiiding Department for the issuance of.Building Permit pursuant to the Building zone. Ordinance of'.the Town oYSouthold;Suffolfc;County,°Ne�v York and other applicable Laws;Ordinances or Regulations,for the constkkdo"of bultdirigs, additions;alteration"s"or;farremoval°br demolition a"s"heiein described.Tile applicant agrees,io comply witkall applicable laws,ordinances,building code, ' hoasing;code' d'reguiations and to admit authorized inspectors,ob premises and'iri buildings}for necessary inspections.False statements made herein are " `punishable-as,a Glass A misdemeanor pursuant to Section=A5 of the New York State.Penai Law., Application Submitted By(print name): Jennifer Winke ®Authorized Agent Downer Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF Guilford ) J e n n fifer Wi n ke being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (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 C 2023 Natallaiihimr Tyriq L Garrison NOTARY PUBLIC PROPERTY OWNER AUTHORIZATION Rockingham County,NC (Where the applicant is not the owner) My Commission Expires March 29,2028 Joanne Vitiello residingat430 Oak Rd. New Suffolk NY 11956 do hereby authorize Jennifer Winke-Go Permits to apply on D�ghi dLq the Town of Southold Building Department for approval as described herein. v 6/7/2023 Owner's Signature Date Joanne Vitiello Print Owner's Name 2 Go Permits, LLC 105 Buttonball Ln. Glastonbury, Ct 06033 °'• w ✓ "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 e-mail a copy of the permit and receipt to: Email: permits@gopermits.org Thank you! JUN 1 4 2023 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 DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/03/2023 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 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: Fax TWO ALLIANCE CENTER -(A/CONo - A1C No 3560 LENOX ROAD,SUITE 2400 E-MAIL ATLANTA,GA 30326 ADDRESS: _ INSURER(S)AFFORDING COVERAGE MAIC# CN101642069-HomeD-GAW.22-25 INSURER A:Old Republic Insurance Co 24147 INSURED THE HOME DEPOT,INC. INSURER B:Indemnl ns Co Of OL North America 43575 — –""— HOME DEPOT U.S.A.,INC. INSURER C:ACE American Insurance Company 22667 2455 PACES FERRY ROAD INSURER D: BUILDING C-20 ATLANTA,GA 30339 INSURER E: INSURER F, COVERAGES CERTIFICATE NUMBER: ATL-005314714-06 REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DDPOLICY/YYYY MM DD/YYYY EFF POLICY EXP LIMITS LTR I A X COMMERCIAL GENERAL LIABILITY MWZY 316648 03/01/2022 03/01/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE EED 1,000,000 (- CLAIMS-MADE 1E OCCUR PREM ISESTO EaRoccNTurrence $ 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 n PRO F ] LOC I PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER $ A I AUTOMOBILE LIABILITY MWTB316649 03/01/2022 03101/2025 COMBINED aBINEDtSINGLE LIMIT $ 1,000,000 X ANY AUTO I I BODILY INJURY(Per person) $ OWNED SCHEDULED SELF INSURED AUTO PHY DMG I BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident $ I UMBRELLA LIAB X OCCUR MWZX 316647 03/01/2022 03/01/2025 EACH OCCURRENCE $ 10,000,000 4xEDXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 RETENTION$ $ I B I WORKERS COMPENSATION SCFC50668198(WI) 03/0112023 03/01/2024X PER OTH- C IAND EMPLOYERS'LIABILITY STATUTE ER _ YIN WLRC50668150(MT) 03/01/2023 03/0112024 E.L.EACH ACCIDENT $ 5,000.000 ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? [7N NIA 5,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,descnbe under Continued on Additional Page E.L.DISEASE-POLICY LIMIT S 5,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED IF REQUIRED BY WRITTEN CONTRACT ON THE ABOVE GENERAL LIABILITY POLICY,BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. I CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 53095 ROUTE 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 1179 ACCORDANCE WITH THE POLICY PROVISIONS. SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE ©1888-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101642069 LOC#: Atlanta �® ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMED INSURED , MARSH USA,INC. THE HOME DEPOT,INC. f HOME DEPOT U.S.A.,INC. POLICY NUMBER 2455 PACES FERRY ROAD BUILDING C-20 ATLANTA,GA 30339 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation Continued: Carrier*Safety National Casualty Corporation Policy Number:LDS4068089(AL,AR,AZ,FL,ID,IA,IL,KS,KY,LA,MS,MO,NC,NE,NM,ND,OK,SC,SD,TN,VA,WV,WY) Effective Date:03/0112023 Expiration Date:03101/2024 (EL)Limit:$5,000,000 i Carrier:Safety National Casualty Corporation Policy Number:SP4068090(OSI)(CA,OR,WA) Effective Date.03/0112023 Expiration Date:03/01/2024 (EL)Limit:$5,000,000 SIR:$1,000,000 +� fCarrier:ACE American Insurance Company Policy Number:WCUC50668095(OSI)(GA,MI,NV,OH,UT) Effective Date:03/0112023 Expiration Date:03/01/2024 (EL)Limit:$4,000,000 SIR:$1,000,000 SIR(GA):$750,000 Carrier:Indemnity Insurance Company of North America Policy Number:WLRC50668058(AK,CO,CT,DC,DE,HI,IN,MA,MD,ME,MN,NH,NJ,NY,PA,RI,VT) Effective Date:03/01/2023 Expiration Date:03/01/2024 (EL)Limit:$5,000,000 TX Employers XS Indemnity: Carrier:Zudch American Insurance Company Policy Number:NSLI138319(TX) Effective Date:03/01/2023 Expiration Date:03/0112024 (EL)Limit:$6,000,000 SIR:$5,000,000 ACORD 101 (2008101) OO 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101642069 LOC#: Atlanta 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 U.S.A.,Inc.dba The Home Depot Home Depot of Puerto Rico,Inc. Home Depot Product Authority,LLC Home Depot Store Support,Inc. Red Beacon,LLC H.D.V.I.Holding Company,Inc. Askuily,Inc. Home Depot Management Company,LLC I � I ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD xoa Workers' CERTIFICATE OF -ti STATE Compensation NYS V ORKERS° COMPENSATI®N INSURANCE COVERAGE Board 1a.Legal Name&.Address of Insured(use street address only) 1b.Business Telephone Number of Insured 770-433-8211 Home Depot USA,Inc. 2455 Paces Ferry Rd.,C-20 Atlanta,GA 30339 1c. NYS Unemployment Insurance Employer Registration Number of Insured 76011130 Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 58-1853319 2. Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Indemnity Insurance Company of North America 3b.Policy Number of Entity Listed in Box"1 a" Town of Southold WLR C50668058 53095 Route 25 Southold,NY 11971 3c. Policy effective period 03/01/2023 to 03/01/2024 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) Q all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1 a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in bok"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers' Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon 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 provide 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, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Eric D.Tonn (Print name of authorized representative or licensed agent of insurance carrier) Approved by: moi',_) rj' 2ao8�zc (Si gnui'e) (Date) Title: Vice President Telephone Number of authorized representative or licensed agent of insurance carrier: 678-795-4338 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2(9-17) f www.wcb.ny.gov Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2(9-17) REVERSE Workers' CERTIFICATE OF INSURANCE COVERAGE -, STA t'r>Jn9pensation Laard DISABILITY ARID PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured HOME DEPOT U.S.A.,INC. 2455 PACES FERRY ROAD NW 678-231-8957 ATLANTA,GA 30339 1c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e., Wrap-Up Policy) 581853319 2.Name and Address of Entity Requesting Proof of 3a Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) TOWN OF SOUTHOLD HARTFORD LIFE AND ACCIDENT 53095 ROUTE 25 3b Policy Number of Entity Listed in Box"I a" SOUTHOLD, NY 11971 LNY713657 3c Policy effective period 01-01-2023 to 12-31-2023 4.Policy provides the following benefits: I 0 A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5.Poliocovers: L✓J A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: 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 and/or Paid Family Leave Benefits insurance coverage as described above. Date signed 11-17-2022 7� - (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212)553-8074 Name and Title:Elizabeth Tello—Assistant Director,Statutory Services IMPORTANT: If Boxes 4A and 5A are 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 413,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law.It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board (Only if Box 4C or 5B 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 and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed B (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. i DB-120.1 (10-17) III1111�!-3 120,.-1�'(10'—��7)��111� IH Labor,Licensing&Consumes'Affairs HOME IMPROVEMENT LICENSE Name RICHARD TOUSEY This certifies that the Business-Name Dearer is duly licensed HOME DEPOT USA INC 114 SUPPS) 3y the County of Suffolk License Mumber:H-53429 Rosalie Drage Issued: 05115/2014 Commissioner Ettpires: 11/01/2024 � ° This license is the property of Suffolk County R- A Department of Labor,Licensing&Consumer Affairs. Possession of this license does not guarantee its validity. g Additional Business Name License Category H1-GC R Va COMPLY WITH ALL CODES OF ti APPROVED AS NOTED NEW YORK STATE & TOWN CODES 21- 23 9 5 CSS AS REQUIRED AND CONDITIONS OF DATE,- B.P.# FEE: o�SD, 0C) BY AY) SOUTHOLD TOWN ZBA ..�_> NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE ` SOUTHOLD TOWN PLANNING BOARD =;7 FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED SOUTHOLD TOWN TRUSTEES FOR POURED CONCRETE g .Y.S.DEC 2. ROUGH-FRAMING,PLUMBING, N STRAPPING, ELECTRICAL&CAULKING 3. INSULATION 4. FINAL-CONSTRUCTION &ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Al Home Improvement Agreement: Page 1 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,Nd,DC) Hoene Depot U.S.A.,hic:("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. 1. Service Provider Con fa?ct,Info'rrQiation` The Home Depot The Home Depot I Service Provider Contact Name Service Provider Company Name (631) 478-61 customercancellationnortheast@hom Phone# eWVPP'ovider Email Address Service Provider License#(s) 2. CustomerIn6ri'iation vitiello Joanne LoF3 ng Island 3993765 Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO# 1430 Oak Road New Suffolk NY 11956 Customer Address City State Zip 1(631) 901- jojov910@icloud.com .Hoene 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: i40 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. 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 TO Ccvl ANCEL. Acknowledged by: . JM _ — 05/05/2023 Customer's Signature Date 460 Standard Farm HJA(21 Jul.211(E) Generated Date o5J05/20?3 Lca&*P09 F13923765 v 0.1.1 Home Improvement Agreement: Page 2 4. Description,af"Work..to-W;Perf6rnie 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. Afiticipated Dehv�ry Date/Installation Schedule, . Approximate Start Date: 11/01/2023 Approximate Finish Date: 12/01/2023 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. 6.Elecironic Records Auihorization 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. Contract"Price and Payment Schedule" 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: $ 13190.67 -� Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ 10.00 (If applicable, total amount of taxes included in Contract Price) -Maximrtm deposit 0tVLYapplicable in r11D, jW , iWE(33%),JVJ, R7(99io) De .osit% 125.0 _.._. R_em.aining Balance $De Amount$ 9893.0 _ 8. Ficiance Charges.;: 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. 9. Acceptance and.Author, tion By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (lb) 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. X 05/05/2023 Customer's Signature Date X /s/The Home Depot 05/05/2023 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 1-800-466-3337 460.Studud Form HIA(21.Jul.21)(E) Generated Date nr,.1n�n73 Lead:PO+i F33,993765 V 0.1.12 Andersen Wood SPEC SHEET SC: Adam Friedman Measure Tech: INSTALLER: Branch Name: Long Island Job#: P33993765 Prepared By: ISM: Ship To Location: Customer Name: ioanne vitiello Date: 05105/2023 Page 1 Of 3 SPEC SPR SHEET# REF# Y� - NEW YVIt•1 W NIT r • r . - :Caaeinen B� 1i " tJ iHeldxare as L i: DN9 -ID - G PT1 • -: .} OPTION, •or: dltipnat `F ^'Srnsen ST t' - i `.., rola"s - YrH'* tmro .... .... a - -a I ,.. _ .. .x:. .•_; '.'-t. tits - h ._ .. ." - Idd2 :OrIfrriRC RC - "t 1�- _ `=At75C"� - In 'cicludad�. .. .,.,. " .FULL :D 't•:+.•.' d BH LIFT. =N BABE c^`: LABOR _ �i31na eine •:i`• - rG s 'lefii- `SA - i.. ,.. .'. -- INS� 6551 Wlndtrrr• Andera!I - . :r Exiadng. - _ - - - ...,. _ ,.. - -•:`'. _. '.� v: - - - - OPTt0. 1n' ,`OPilDtrs;•`•dnit 'a }'^'OpTiO. TEW;;:TyVa'.': "•" .WlydwY:TYPE.:;'%CobrrFu�lefar.,�::SC Sr�50LD(TIP a:TBal'';tdEA6t1RETECH SIZE ONLY ONCY Opt :rCesamein Hancarig Optktm�',.'OP ,prioi�, - Griew DpBgre{PERSASH P,RICIN6)'`'%.r �..'i.:Y"".,::.= Prk BI Pn n9 TOTAL MTASM Intend, TW SC UI standard #Bars #Bars #Bare #Bars Pattern MISO Location Exlstin Series Wintl Exterio,Finish Jam Stantlar (WIDT Size Grid Exterior Interior Vert Hertz Ven Hertz 8 Labor Windo Type Style Color Color Uner Size AW CODE WALL SILL Sash Hing Temp Screen Type Grid Grid Pattern (per (per Locatio (Per (Per Location Obscur Finish Finis Finish Item Roo Fbo Code CODE CODE CODE COD Cola Code Widt Haight HEIGHT Width Height DEP ANGL Split Venting/Handing style CODE Options COD Color Color CODE sash) sash) CODE Sash) Sash) CODE CODE CODE Type COD Type CODE CODES 1 LIV 1st C7- 100 CIO WH WH 18 53 71 IL STD GBG WH WH COLO 1 3 ALL WH STD WH STD WH WRAP ALD NIAL R 2 LIV 1st CF- t00 C11 WH WH 30 53 83 S STD GBG WH WH Coloni 2 3 ALL WH STD WH STD WH WRAP ALDE al R 3 LIV 1st Cl- 100 C10 WH WH 18 53 71 R STD GBG WH WH COLO 1 3 ALL WH STD WH STD WH WRAP ALDE NIAL R 4 LIV 1s[ C7- 100 C10 WH WH 18 53 71 L STD GBG WH WH COLO 1 3 ALL WH STD WH STD WH WRAP ALDE NIAL R r.^ .,,...:••:.:,-, ,• �.:.:;r.�.;,,�. 1.t,r-r'y.�„.:'_....K.. .�....:....c . ........... 6lYt eOW YlIrm07/... t a ,> ,/ • ::: .SCMriellrNates: dud:411541alz.►5+d bValrCptlpu:gpWdcodninr, bldaao-H a6onlorl[ _ t1F CMER NOTFB:(tne!ade muR i9' IocaMvil. iccaiepilei:UN ham/WidpnU�xindp Pmleclon Angle.(Day 30°or ea% Top of W ndow 10 S011(inches) gay Willow FNnxees(OHI Casemenll WbN el dhiii_g(inches) cdn—a R-1 I(Yes I No) II Led la sem.color 01 s01n1 mdlenel 1 The,is n0 g—hia,that now 5 inq es mil hailh 0115119 w r YilluD(*a'.. - DOOR - E+*-n 7rvn •'t' AGK-;� - F H n. - 'PEEASURE�' 'FliCl. NAME: - ahass'6crc� Uwe M 1 'lnCtv'se - - - :,,..r :'OP710tr$.. ._INisGL'ABf)R OPTIONS'- O da+i.:•"'•` ad xtSatin00Por-Typo .bmr TYPE- ,Coloz(Fin"rrh- .SC 9IZE SOLD'('fip mTiP): :;,TECH StLF::'_-. ONLY.-; - .:Gt�OlNio+li{PER,SA6H PRtCiNG)i'OPT70 Option O'. .. ::�•:`:.:Hinged aid Gf:dmg 0.w Optioni •'..',-.:-_;�,,^_ '• P PD Nvhhem Assembl ES? TOTAL (200, Nyle' Location - S_Intend UI RO/ Inswing PD PD Gritting Hinged 400,a meals Fasting Series Extend, Finish Standar (WIDTH TIP Ext Extenslo Grid Extend,Inteno #Bar #Ba Door Door -A-Ser Lock Lode Option. au olnvr Eatcarr ' T,. F,..- Door Type Style Color Color Size AW ♦ to Jamh Jemb Type Grid Grid Patter ed( oriz(P bscu Scree IN or # Venting/Venting gliding HRDW HRDW Keyed Mulled( Speciallabel Cade CODE COD CODE CODE Code Width Heighl HEIGHT Widt Heigh TIP Size Location CODE Color Color CODE Sash)Sash)) CODE I CODEJ OUT Panels Handing Handing only) Type Finish Lock Stacked Notes MISC Labor Item CODES Yes or No Ph,ile No Width No ,'AW CafY #of boxes No Color Approval Phra Name ioanne vitiello rno Home Oevner Andersen Wood SPEC SHEET SC: Adam Friedman Measure Tech: INSTALLER: Branch Name: Long Island Job#: F33993765 Prepared By: ISM: Ship To Location: Customer Name: joannevitiello Date: 05/0512023 Page 2 of 3 SPEC SPR SHEET# FEF# Hit,V.—- 'L K 'HarWiai9 T a a incor,Vftg .0on 'T" 7 t, r.64SIE z•Huag jn�, in� 'FULL DH'-Ptidiia -: _G[a, in Bow in BASE 9t g FAAMI 114SE� sa� Uirit SASH LIFT. Ones(FIBIR SASH PFIICWG�.�' not TEN P •CNJL� ONLY ootl�n Illartiling;Option, P ppea), Rd91 TOTAL MT/ISM Irlerm I SC UI Standard #Bars ABam #Baas #Bars Pa.r MISC Location Edurl Series do _tedoi Finish Jam it Standar (WIDTi- Size Tom.,Interior Vert Hod" Ven Honz Labor Wind T;. Style Color Color Liner Size AW CODE WALL SILL Sash Temp Screen Type Grid (per Locithor(Per (Per Location Obscure Finish Finis Finish Item I'me p , [or Color CODE sash) sun) CODE Sash) Sash)�CODE CODE CODE Type COD f Type CODE I CODES, Code _.0 Roo, Fact Coda CODE COD CODE CODE Color Code Widtl- Height HEIGHT Width Height DEPTIANGL Split Venting I Handing CODE Options 6 LIV 1st CF- 100 C11 WH WH 30 53 83 S ISTD GBG WH WH COLO 1 3 ALL WH STD WH STD WH WRAP ALDE NIAL R 6 LIV 1st Cl- 100 C10 WH WH 18 53 R STD GBG WH WH COLO 1 3 ALL WH STD WH STD WH WRAP ALDE NIAL as "n C R 7 BAT 12nd Cl- 100 CIO WH WH 23 30 �53 R Full, WOCD GBG WH WH COLO 11 1 ALL WH STD WH STD WH WRAP H ALDE STD NIAL R 8 BAT 2nd�ALD H WH 30 41 71 u CIIR Full, WOCD GBG WH WH COLO 2 3 ALL JWH STD WH STD Will WRAP STD NIAL R I I I I I -scitli#�Ile;f. J�WL��xar..�O4tioi, U MAN10FACIII)RER NOTES: to=17= 'BAYte FC111.11t) To'11 NiMow 11 so,, Bay lork—(DH I con—d..f I(I..I No) If tied to Seffil.wl,,,f SOM material I Th—i—g....n—mal new s—glo,-11 mim—sung poor. -.NeWbOIJRUNIT �!Q t I WINDOW&` It 4 DOOR FRAdMk Gla� Scicel Ingle siar =,I o'dpi*h'5'[P'R SASAiiiicwei 1 oFnoi optiii�0' G� TECH SIZE p, ",.Hinged and_ei", -#;'.Existing DoouTypa .Oobr TYPE Cofer nhsh'; :SC SIZE SOLD C"Flp*io,iiii E' ...ONLY" --,cP noNk> -.MtSCLXB0FIOPTiONS. datiom PD With— A.e..bl EST TOTAL (200, N.I.: Location Sm.- -T Interlo, (WIDTH ROt Inswing PD PD Gliding Hinged 400,8 moats E,i,l,,,Series E,,,,,, FrI,1 Standar TIP E� E.I..e,., Grid E.I.6.Int.ra 111.re 18- Door Do., A-S., Lack Lock Optionat anomer capinary Door Type Color Color Size AW to .18ri Jamb TypeGrid Grid Patter r lert(P)brizp Obscure Scree r IN or # Venting/Venting, gliding HRDWF HRDWF Keyed Mulled! Special Style lolls. las? Code CODE COD CODE CODE Code Width Haigh HEIGHT Wiciff Heigh TIP Size location Color Color CODE Sash)Sash: CODE CODE OUT Panel Handing Handing only) Type Finish Lock Stacked Notes MISC Labor Item CODES yes or No Priori, No Width #of boxes No Color Approval P-I Name joanne vitiello Home Owner Andersen Wood SPEC SHEET SC: Ad..Friedman Measure Tech: INSTALLER: Branch Name: Long Island Job#: F33993765 Prepared By: ISM: SPEC SPR Ship To Location: Customer Name: joarne yiti.Ilo Date: 06/0512023 Page 3 of a SHEET# REF# NEW WiNbditil,wfif� n, .. . ... Pr1OOPTIONS (ST rlatlttma % Foldfiv S", 0 V, 11,1 Opft. a. Act FhicAid. �i BAS -Hu6g- irchidod'-` ;mISC- FULL- nameti 'Glees. N Gies. SASH UFT' LABOR Villindoi,ir, _;Anftlsert FRAMI INSER' Swf� EASE'. ortis ol�&;o jPER smifPsicING)� `Window TYPE SI LD. ME 4 Caserri and Opiltemi��,, Y;-.SC S SO (Tip 1.7TIP) EASURE TECH SIZE OISILt ONLY 6;;tio kN OPTIw' Pf pricIngl, OPTI61,11� TOTAL MT/ISM Intent TW SC UI Standard Bars Bars #Bars #Bars Pattern MISC Location ExIstirc Series White,Extaft Finis Jam Standen, IWIDTF Size Grid Exterior Interior Vert Hertz Vert Hertz & Labor Wmdo' Type Style Color Color Liner Size AW CODE WALLI SILL Sash Hmg, Temp Screen Type Grid Grid Pattern (Per (per Locatior(Per (Per Location j Obscure Finish F-0 Finish Ilam Roo ., Code CODE — CODE CODE Colo Code f�!_ttL HEIGHT Width Height DEPT4ANGL Split Venting/Handing Style CODE Options CODE Color Color CODE sash) sash) CODE Sash) Sash) CODE CODE CODE Type COM Type CODE CODES] 9 BAT 2nd C1- 100 C10 WH WH 17.5 41 58.5 L Full, VIOCD GBG WH WH COLO 1 2 ALL W11 STD WH STD WH WRAP H ALDE STD NIAL "-T r W mAsuFAcTURFA N yr,i�.iiuA 9 e., ti�ii;.s ITe,,of Window b sera(hes) Bay vor—Fl.ri,—(DH,car-1) WMIn of OvaTatg(Inches) C01-11 Reel I(Yes I NO) if tied t,Salm.mier of Soffit rnme,,A -�NtViDOORIJHIT a WINDOW Hr NIUL�I SIACK�, E"gry ITEM �MEAS•U41E, FIULLFRAME- -cer, Inge -, : , - - 0o r opjms "Mir ER 54sti Pn1cwti) Opffb Ofhi6' 0 0 DwTYPE, SO SIZE S=(Tip TOTIF) TECH SIM ONLY "Gritlei "Hnw. OthrIngDoor6puen's >c LAEo PTtoNs,' Options.,, PD With— Assen-bl E 7 Net,. Location TOTAL "dingl (200. s— Iri UI ROI Inswing PO PD Hinged 400.& re,ees Existing Series Exterior Finish Standar c (WIDTH TIP E- Extensiai Grid Exterk,Interto #B.'s Bar Door Door A-Ser Lock Lock Options en other /erl(Pl,oriz(P Semen IN Very nting Finish Type ♦ Heigh Palter Handing , gliding HRDWF HROWF Keyed ..tied I Special Cecil,, "er". ional tuhe7 Roo Flool Code CODE COD O CODE CODE Code Width Haigh HEIGHT Widill, TIP Size Location CODE Color Color COD Sash)Sash) OUT -.1 and" MISC Labor Item CODES I.—Ne No Width Alq 111,] boxes Calor Approval Print Name joanne vitiello Home Owner Y•�y{•yG�I��t tr'G v4 �11� t� L'�@UFMQ. I � �� _ � ) � `t `'G� :6--1-85 .esss-• 1"% >-ar••GId55=W'No dl)ESariii Thal[ m kITAWN ^22turn%tnne ed i - No Grilles AND-N44-00878-00001 027 1.53 028 0.48 Simulated Divided Lite(SDL)or Installed Interior Removable AND-1,1484-00878-00002 027 1.53 026 0.43 21 <0.2 59 - - •v o Flnelight' (grilles-between-the-glass) AND-N-840088500001 027 153 026 0.43 21 <0.2 59 r Firelight-w/Exterior Applied(FLE) AND-"4.00885.00001 0.27 L53 026 0.43 21 <01 59 - Full Divided lite(FDL) AND-N-84-011153-00001 028 L59 026 0.43 19 <02 59 fv - p NO Grilles ANDN-84-00880.00001 027 113 0.19 0.4317 <02 59 Ilk Simulated Divided Lite(SDL)or Installed Interior Removable AND-N-84-0088P00002 027 L53'0.17 039 16 c 02 59 e L Firelight"(grilles.betvreen-theglass) AND-N-84-00887-00001 027 1.53 0.17 039 16 <0.2 59 i NFlWOS Firelight- Applied(FLE) AND-N-84.00887-O 027 153 0.17 039 16 <0.2 59 Full Divided Lite(FDL) AND•N-94-01055-00001 028 LS9 0.17 039 14 -0.2 60 - - No Grllles AND-N484-00877-00001 028 L59 0.47 053 32 <02 S8 Simulated Divided Lite(SDL)or Installed Interior Removable AND-N-84-00877-00002 028 159 0.42 0.68 29 <02 58 - - 3: > Finelightm Wiles-bet-the-glass) AND-N-840088"OD01 028 159 0.42 OAS 29 <02 58 I'l-light"w/Exterior Applied(FLE) AND-N-84-00884-00001 028 1S9 OA2 0.48 29 <0.2 58 - Full Divided Ute(FDL) AND-[-84-01052-00001 0.29 L65 OA2 0.48 27 <0-2 59 M - NO Grilles AND-N-84-00882-00001 0.24 136 028 0.47 26 c02 47 - s Simulated Divided Lite(500 or Installed Interior Removable AND•N414.00982-00002 024 136 025 OA2 24 <02 47 c A Firelight'(grilles-between-the-glass) AND-N-B4-00889-00001 024 136 025 0.42 14 <0.2 47 r o Firelight' Applied(FLE)) AND-N-84-00889-00001 024 136 025 OA2 24 <02 47 - J; Full Divided Lae(FDL) AND-N-840I057-00001 025 1A2 0.25 DA2 23 <0.2 1 47 No Grilles AND-N-84-00883-00001 024 136 0.18 OA2 20 <02 48 Simulated Divided Lite(SDL)or Installed Interior Removable AND-N-84-00883-00002 024 L36 017 038 19 <02 48 9C 100 Seri c d Flnelfght"(grilles-between-the-glass) AND-NZ400890-00001 014 L36 0.17 038 19 .0.2 48 � casement E` _•s. '^ 3 Flnellght^'w/Exterior Applied(FLE) AND-N•84.00890.00001 0.24 L36 0.17 038 19 <02 48 Full Divided Lite(FDL) AND-N-84-01058-00001 0.25 IA2 0.17 038 18 <02 48 - `.4-f 'aass=lu.GCRres w 7:2rrun Anne ed / :is~ Simulated Divided Ute(SDL)or Installed Interior Removable AND-N-84.00878-00003 0.27 1.53 023 039 19 <02 59 22 - rU Fnelightm Wlles-between-Ne-glass) AND-N-84-00892-00001 027 153 026 0.43 21 c0.2 59 - 0 -" RnelighY'w/Exterior Applied FLE) rile rile rile rile rile rile rile rile - - - - Full Divided Lite(FDL) n/a n/a n/a n/a ./a n/a n/a n/a Simulated Divided Ute(SDL)or Installed Interior Removable AND•N-8440880.00003 027 153 0.16 035 1s <02 59 - r. Flnellght"(g01es-between-the-glass) AND-N34-0099400001 027 1S3 0.17 039 16 <02 59 1 - o Z -' E Firelight-w/Evtedor Applied(FLE) rile rile rile rile rile rile rile rile - - - r, Full Divided Lite(FOU n/a n/a n/a n/a n/a n/a n/a n/a - - Simulated Divided Ute(SDL)or Installed Interior Removable AND•1,14440877.00003 028 159 038 0.43 26 <02 58 RAR 11 1111 1 - Firelight^'(gilles-between-the-glass) AND-N-84-0089140001 028 159 0.42 0.48 29 <01 58 - - o a Firelight'w/Exterior Applied(FLE) n/a n/a n/a rile rile rile rile rile - Full Divided Lite(FDL) n/a rile rile rile ./a n/a n/a n/a - - - - Simulated Divided Lite(SDL)or Installed Interior Removable AND-N84-008824000.1 024 L36 023 038 23 <02 47 Firelight-(grilles-between-the-glass) AND-N40-0089640001 024 L36 025 0.42 24 c 02 47 Nr 0 3 FlnellgW w/Exterior Applied(FLE) n/a n/a n/a rile rile rile rile rile - - Full Divided Ute(FDL) n/a n/a n/a n/a n/a n/a n/a n/a - - - - simulated Divided Lite(SOL)or Installed Interior Removable AND-N44.00883-00003 0.24 1.36 0.15 034 18 <02 48 ! s Firelight-(Mlles-betweenthe-glass) AND-N44-011997-00001 0.24 136 0.17 038 19 <02 48 o T% N` Flnelight"w/Exterior Applied(FLE) n!a n/a n/a n/a n!a n/a rile n/a 11- - - 3 Full Divided Lite(FDL) n/a rile rile NO rile n/a n/a n/a - - - This information is for reference only. Dat is cunenl as of January 2017 and is subject,to change. Performance varies by unit size and options selected. page tot 75 See page for mom mromlauon. For specific unit performance information,please contact your dealer or Andersen Sales Representative.