HomeMy WebLinkAbout47128-Z �pSUE LKcoGy Town of Southold 12/5/2023
P.O.Box 1179
o _ + 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44794 Date: 12/5/2023
THIS CERTIFIES that the building WINDOWS
Location of Property: 10725 Sound Ave., Mattituck
SCTM#: 473889 Sec/Block/Lot: 122.-1-5.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/8/2021 pursuant to which Building Permit No. 47128 dated 11/19/2021
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 replacements to existing single-family dwelling as applied for.
The certificate is issued to Burt,Nancy&Goss,Carl
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Au hor' KSignature
o�sofFot��oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
N x TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
0
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#: 47128 Date: 11/19/2021
Permission is hereby granted to:
Burt, Nancy
10725 Sound Ave
Mattituck, NY 11952
To: install window replacements to existing single-family dwelling as applied for.
At premises located at:
10725 Sound Ave., Mattituck
SCTM #473889
Sec/Block/Lot# 122.-1-5.3
Pursuant to application dated 11/8/2021 and approved by the Building Inspector.
To expire on 5/21/2023.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO-ALTERATION TO DWELLING $50.00
Total: $250.00
Building Fnispector
OE SOUTyOIo
# TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ rSLATIOWCAULKING
U
FRAMING /STRAPPING [ NAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
1
DATE Y INSPECTOR
FIELD:INSPECTION REPQRT. 'DATE COMMENTS
ro
FOUNDATION(IST)
------------------------------
FOUNDATION(2ND) o .
ROUGH FRA.IVIING:& y
PLUMBING
1
. tN
r
INSULATION.PER N.Y. H.
STATE ENERGY CODE
WIVI o-rV.
FINAL
ADDITIONAL COMMENTS
54 -r
3 c7ai 5
0
z �
d
CEJ
F° TOWN OF SOUTHOLD—BUILDING DEPARTMENT
r $; Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
t Telephone(631)765-1802 Fax(631)765-9502 https://www.southoldtownny[ov
o,
Date Received
APPLICATION FOR BUILDING PERMIT
� For Office Use Only
PERMIT N0. Building Inspector:
NOV 0 8 2021
Applications and forms.must:be filled out in.their entirety.'Incomplete
applications will not be'accepted Where the Applicant isnot the owner,:an.,- BUILDING DEPT.
Owners Authorization form;(Page 2)shall be completed.:; „ ' TOWN OF SOUTHOLD
Date: 10/15/21
OWNER(S)OF PROPERTY;-
Name:iCarl Goss & Nancy Burt I .SCTM#1000-
ProjectAddress:l0.725 Old Sound Ave MattituCk, NY 1.1952--- -
._
Phone#: 631 745-2374 Email:nburt@OpIpRIine.net _.
Mailing Address: 10725 Old Sound Ave Mattituck, NY 11952
CONTACT'PERSONf.
Name:Lisa Einsidler
Mailing Address:999 South„Oyster Bay Rd, Bethpage, NY 11714
Phone#:8$$-73676335 Email:lisa.einSidler@pqWprh,.rg..co.m.l.,
DESIGN.PROFESSIONAL INFORMATION:.
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION-
.Name
NF.ORMATION ` ..: ...
Name,:Power.Home„Remode ling
Mailing Address:991 South Oyster Bay.90, Bethpage, NY 11714
Phone#:888-736-6335 TFmail:lisa.einsidler@powerhrg.com
`DESCRIPTION OF PROPOSED CONSTRUCTION
El New Structure [--]Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
El Other Remove and replace 7 windows.U-factor 0.27,SHGC 0.25.No structural changes. $6.91
Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes El No
1
PROPERTY]NFORMATION
Existing use of property: Residential Intended use of property:Residential .
. :_ _� _ . ., . .
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.
.......... ........ ..
8 Check Box After Reacting: The owner/contractor/design professional is responsible for all drainage.and storm water issues as provided by
Chapter 236 of the TownCode. 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 of Regulations;for the construction of buildings,
additions,aiterations,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(s)for necessary Inspections.False statements made,herein are
punishable as a Class A misdemeanor pursuant to Section 210.4,5 of the New York State Penal Law,
Application Submitted By(print name): Lisa Einsidler BAuthorized Agent ❑Owner
Signature of Applicant: �ti"b"itis�� - I Date: 10/15/21
Pennsylvania
STATE OF-N-9W-YAP,Q
SS:
COUNTY OF Delaware )
Lisa Einsidler 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
15th day of October Zo21
Notary Public
COMMMEWH of Pe WSYLVA"•NOTARY Q&
Shane UliDeILawareCCountyRYPUaIIC PROPERTY OWNER AUTHORIZATION
My CommiWon Expires 05126t2025
Commission Number 1216290 (Where the applicant is not the owner)
1, Carl Goss & Nancy Burt residing at 10725 Old Sound Ave Mattituck, NY 11952
do hereby authorize Power Home Remodeling to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
See signed contract (attached) 10/15/21
Owner's Signature Date
Carl Goss & Nancy Burt
Print Owner's Name
2
ve CA
d l Ste. Ave . me,.
l._ I
`-' NOV 2 0 2023
l
YORK Workers' CERTIFICATE OF INSURANCE COVERAGE
sTATE Compensation
1 B o a r d DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW
. ........._............... .................. ........................... I...........................................-.......I.... I I-,I-,................... ...... .......I I ...................................... ..............................................................................
PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier
I'll Ia.Legal l-Name--&"A—d-d--*r***e-s—s-olf—ln-s-"ul*lr—e d(*_u_s;1street address only) . . ........... ............... ...................................
1b.Business Telephone Number of Insured
Power Home Remodeling Group
LLC2501 Seaport Dr.4th Floor 610-874-5000
Chester, PA 19013
1 c.Federal Employer Identification Number of
Work Location of Insured(only required if coverage is specifically limited
tocertain locations in Now York State,i.e.,Wrap-Up Policy) Insuredor Social Security Number
233030708
.......... .......... .................................
2.Name and Address of Entity Requesting Proof of 3a.Name of Insurance Carrier
Coverage(Entfty Being Listed as the Certificate Holder)
Arch Insurance Company
13b.Policy Number of Entity Listed in Box"la"
Town of
Southold53095 11 D BL951 9600
Route 25 3c.Policy effective period
Southold NY 11971 1/1/2021 to 12/31/202T--
4. P�y provides the following benefits:
X1A.Both disability and paid family leave benefits.
1 F-]B.Disability benefits only.
C.Paid family leave benefits only.
5. PE9;y covers:
XA.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 a ve.
I Date Signed 12/24/2020 By
(Signature of Insurance carrier's authorized representative or NYS Licensed Insurance Agent ofthat Insurance carrier)
Telephone Number 201-743-3937 Name and Title James lannicelli,AVP Accident&Health
IMPORTANT. If Boxes 4A and 5A are checked,and this form is signed by the insurance carriers authorized representative or
NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate
holder.
If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the
NYSDIsability 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)
....... ............ ................ ..........- ........................... .......................... ....................................................................................................................................................I.........................................................................
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 By
(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.
AC'�® DATE(MMIDDNYYY)
AC� CERTIFICATE OF LIABILITY INSURANCE F3/26/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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
NAME:
Lacher&Associates Insurance Agency PHONE FAX
Lacher Insurance Group •215-723-4378 , C Nc:215-723-5757
632 East Broad Street ADDRESS: Certificate lacherinsurance.com
Souderton PA 18964 INSURERS AFFORDING COVERAGE NAIC#
INSURERA:Pennsylvania Manufacturers 12262
INSURED POWERCL-01 INSURER B:Markel American Ins CO 28932
Power Home Remodeling Group, LLC
2501 Seaport Drive,4th Floor INSURER C:Endurance American Specialty 41718
Chester PA 19013 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1393063149 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS
Da
A X COMMERCIAL GENERAL LIABILITY 302175-66-20-96-7 4/1/2021 4/1/2022 EACH OCCURRENCE $2,000,000
CLAIMS-MADE FRI OCCUR DAMAGE TO RENTED
PREMISES a o.currencel $1,000,000
MED EXP(Any oneperson) $10,000
PERSONAL&ADV INJURY $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
X POLICY[:]PRO- 1-1JECT LOC PRODUCTS-COMP/OP AGG $4,000,000
OTHER: $
A AUTOMOBILE LIABILITY 152075-66-20-96-7A 10/1/2020 10/1/2021 COMBcldeINED SINGLE LIMIT $1,000,000
E ct
1X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
HIRED NON-OWNED PROPERTYDAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
B UMBRELLA LIAB X OCCUR MKLM7EUL100369 4/1/2021 4/1/2022 EACH OCCURRENCE $3,000,000
X EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000
DED I X I RETENTION $
A WORKERS COMPENSATION 202175-66-20-96-7 1/1/2021 1/1/2022 X STATUTE ERH-
AND EMPLOYERS'LIABILITY Y 1 N
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N fA E.L.EACH ACCIDENT $1,000,000
OFFICERIMEMBEREXCLUDED7
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
C EXCESS LIABILITY ELD30000834203 4/1/2021 4/1/2022 EACH OCCURRENCE 5,000,000
OVER POLICY# AGGREGATE 5,000,000
MKLM7EUL100369
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE. DELIVERED IN
Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS.
53095 Route 25
P.O. Box 1179
Southold NY 11971 Al1THOR12E0 REPRESENTATIVE
USA4�-f�e
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID:68CE59B0-3C40-4D03-9D13-D99EAD698D67
YORK workers' CERTIFICATE OF
STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE
Board
1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured
Power Home Remodeling Group, LLC 610-874-5000
2501 Seaport Drive, 4th Floor ic.NYS Unemployment Insurance Employer Registration Number of
Chester, PA 19013 Insured
Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security
certain locations in New York State,i.e.,a Wrap-Up Policy) Number
23-3030708
2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier
(Entity Being Listed as the Certificate Holder) Pennsylvania Manufacturers'Association Insurance Company
Town of Southold 3b.Policy Number of Entity Listed in Box 1 a"
53095 Route 25 202175-66-20-96-7
Southold NY 11971
3c.Policy effective period
1/1/21 to 1/1122
3d.The Proprietor,Partners or Executive Officers are
❑ included.(Only check box If all partners/officers included)
®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 box"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: Ashley Madormo@pmagroup.com
[DqPA14qvaFh9!of authorized representative or licensed agent of insurance carrier)
�� 12/17/2020 1 3:26:24 PM EST
Approved by: �sa9aa8aAlaF411
(Signature) (Date)
Title: Underwriter
Telephone Number of authorized representative or licensed agent of insurance carrier:484-530-8392
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) www.wcb.ny.gov
da
APPAS NOTEDEDDATAJVED
B.P.#FEE: BY:-=
NOTIFY ,BUILDING DEPARTMENT AT .
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOP, C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
zm
G BOARD
SBUfifiOID TOVONTRUSTEES
,.NY S DEC
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICA
OF OCCUPANCY
National Headquarters NOV 0 0 2021 C I G and Nancy Burt
2501 Seaport Drive,Chester,PA 19013 35-42131
888-736-6335 BUILDING DEPT. October 06,2021
WWW.POWERHRG.COM TOWN OF SOUTHOLD
t -p 1440776-DCA
PRODUCT SPECIFICATIONS 48568-H
Buyer(s)'Information and Description of the Property: Project Number:35-42131 October 06,2021
Carl Goss
Date olAgreement
Nancy Burt (631)871-6707(Nancy's Cell) nburt@optonline.net
10725 old sound ave (631)745-2374(Carl's Cell) . E-Mau Address t
MATTITUCK,NY,11952 Carlgoss989@gmail.com
County:Suffolk E-MallAddress2
Township:
Buyer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification
sheets,in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications
(collectively,this"Agreement").
Pre Installation Inspection Date:Your pre installation inspection is tentatively scheduled for Wed 10/20 between 9:00a and 10:00a.
Windows-Inspira Inclusions: Includes composite reinforced meeting rails,night time safety lock on double hung windows and two part
window sliders only.Welded corners,foam injected frames,concealed tilt latch on all double hung windows.total protection spacer,
Heatshield, Duraglass,exterior custom capping,installation,clean up and haul away of all job related debris.
It is agreed and understood by and between the parties that the Product Specifications,along with the Custom Remodeling and
Improvement Agreement,constitutes the entire understanding between the parties,and replace any and all prior negotiations,
representations,or agreements,either written or oral. The Product Specifications may not be changed, modified,or varied in any way unless
such changes are in writing and signed by both Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read the Product
Specifications.
I have read and received each page of this 3 page agreement.
Power Home Remodeling Group Buyer(s) Buyer(s)
/10/06/21 /10/06/21 /10/06/21
Signature Remodeling Consultant Signature Signature
Carl Von Glahn Carl Goss Nancy Burt
YOU,THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
October 06, 2021 12:20 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Page 1 of 3
A
National Headquarters Carl Goss and Nancy Burt
2501 Seaport Drive,Chester,PA 19013 35-42131
888-736-6335 October 06,2021
P 8 WWW.POWERHRG.COM
1440776-DCA
•OkC-^^^
Project Specifications 48568-"
Windows: Kitchen 1 35.0"x49.0"
WINDOWS: Model lnspira Style Double Hung Type None Config None ?
OPTIONS: Color White/White: Grid Pattern: None 1 Removal Wood/Additional Details Special Options
(ie.Full Screen,Obscure Glass,etc)Full Screen Double Hung/Obscure Glass No/Specialty Color No/
Different Color Capping No 1 Trim Options No/Frame Options No I Remove and Reinstall No lj
Windows: Bathroom 1 23.5"x36.0"
WINDOWS: Model lnspira Style Double Hung Type None Config None (
OPTIONS: Color White/White: Grid Pattern: None/Removal Wood/Additional Details Special Options
(is.Full Screen,Obscure Glass,etc)Full Screen Double Hung I Obscure Glass No/Specialty Color No I --1
Different Color Capping No/Trim Options No I Frame Options No I Remove and Reinstall No M
Windows: Bedroom 1 30.5"x52.5" j
WINDOWS: Model lnspira Style Double Hung Type None Config None
OPTIONS: Color White/White: Grid Pattern: None 1 Removal Wood 1 Additional Details Special Options i
(is.Full Screen,Obscure Glass,etc)Full Screen Double Hung/Obscure Glass No/Specialty Color No
Different Color Capping No 1 Trim Options No I Frame Options No I Remove and Reinstall No
Windows: Bedroom 1 30.5"x52.5" '
WINDOWS: Model lnspira Style Double Hung Type None Contig None ((( (
OPTIONS: Color White/White: Grid Pattern: None I Removal Wood/Additional Details Special Options I'
(ie.Full Screen,Obscure Glass,etc)Full Screen Double Hung/Obscure Glass No/Specialty Color No I
Different Color Capping No/Trim Options No I Frame Options No I Remove and Reinstall No _
Windows: Bedroom 2 1 30.5"x52.5"
t
WINDOWS: Model lnspira Style Double Hung Type None Config None -f
OPTIONS: Color White/White: Grid Pattern: None 1 Removal Wood 1 Additional Details Special Options
(ie.Full Screen,Obscure Glass,etc)Full Screen Double Hung/Obscure Glass No/Specialty Color No I
Different Color Capping No/Trim Options No/Frame Options No/Remove and Reinstall No i
Windows: Living Room 1 30.5"x52.5" 3
WINDOWS: Model lnspira Style Double Hung Type None Config None f�I
OPTIONS: Color White/White: Grid Pattern: None 1 Removal Wood 1 Additional Details Special Options 1 l
(ie.Full Screen,Obscure Glass,etc)Full Screen Double Hung I Obscure Glass No I Specialty Color No 1 €
Different Color Capping No I Trim Options No I Frame Options No 1 Remove and Reinstall No
October 06, 2021 12:20 I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Page 2 of 3
National Headquarters Carl Goss and Nancy Burt
2501 Seaport Drive,Chester,PA 19013 35-42131
888-736-6335 October 06,2021
.3 WWW.POWERHRG.COM
1440776-DCA
Project Specifications 48568-11
Windows: Living Room 1 35.0"x49.0" j
WINDOWS: Model Inspire Style Double Hung Type None Config None
OPTIONS: Color White/White: Grid Pattern: None I Removal Wood 1 Additional Details Special Options L
(ie.Full Screen,Obscure Glass,etc)Full Screen Double Hung 1 Obscure Glass No 1 Specialty Color No I
Different Color Capping No/Trim Options No I Frame Options No I Remove and Reinstall No
October 06, 2021 12:20 IIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Page 3 of 3