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HomeMy WebLinkAbout50943-Z r 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#: 50943 Date: 7/15/2024 Permission is hereby granted to: Kerwick, Audrey 26135 Main Rd Cutcho ue, NY 11935 To: install window replacements to existing single-family dwelling as applied for. At premises located at: 26135 Route 25, Cutcho ue SCTM #473889 Sec/Block/Lot# 109.-2-11 Pursuant to application dated 5/23/2024 and approved by the Building Inspector. To expire on 1/14/2026. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $250.00 CO-ALTERATION TO DWELLING $100.00 Total: $350.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 a Telephone (631) 765-1802 Fax(631) 765-9502 htt :'1wwNv.sogthoIdiowr � °.Flo Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector;; ` MAY 2 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an �1a. " �j Owner's Authorization form(Page 2)shall be completed. Date: S_ 1 S-2 q OWNER(S)OF PROPERTY: ............ Name: Ouotr,ey ((ec-u -tc-K SCTM#11 Project Address: a(o l 35 Vge-kt N M O J" 3 S Phone#: SI(o —816 — (o Qo5 Email. Baste 19SZ Mailing Address: ab( 3S 01a-,,n 2d CONTACT PERSON: Name:. 61)A etj Mailing Address: Phone#: '5k.o SLO - Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email:. CONTRACTOR INFORMATION: Name: 12'ma GAC� Mailing Address: 2629 u ( l lal Phone#: $Oq_ScC—(Loq1 Email:(/ Oar-L,,}r 0— U-ALDri9ISI'd.CcW DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration VRepair ❑Demolition Estimated Cost of Project: 2"0ther ) IL LLjkvvk41313 Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ENO IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/tontractor/design professional is responsible:for all drainage and storm water Issues as provided by Chapter 236 of the Town Code.APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable laws,ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and M building(s)for necessary Inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 21C AS of the New York State Penal Law. Application Submitted By(print n rne « ❑Authorized Agent 2/owner Signature of Applicant:X Date: 5 3h?4 STATE OF NEW YORK) SS: COI OF dr,v t' rUAfr_L_being duly sworn, deposes and says that(s)he is the applicant (Name of indiv dual signing itract)above named, (S)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. Sw or before me this a day of �\ 2029 Notary Public 'KE'VIN W. 'I ESSTEf Notes Publit, Stillto of Now York PROPERTY OWNER AUTHORIZATION NO. OIWE63666 3 (Where the applicant is not the owner Qualified in Suffolk Count ornmissfon (Expires Oct. IO MW I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 _ u —r, ti. Suffolk County Department of Labor, Licensing & Consumer Affairs airs Mz = VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK. 11788 � k DATE ISSUED: 1/10/2008 No. 43991-H ; < SUFFOLK COUNTY Home Improvement Contractor License F i This is to certify that JOHN K HICKS doing business as LUNG ISLAND CUSTOI WINDOWS LLC UBA having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws, rules _ and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. License Category , 1VUTVALID Wl"[H�UT AdditionalBusinesses Windows and Siding DEPARTMENTAL SEAL AND A CURRENT RENEWAL BY AND&RSEN OF LONG CONSUMER AFFAIRS ISLAND ID CARD Suffolk County Dept of Labor,Lkensing&Consumer Affairs * HOME IMPROVEMENT LICENSE Commissioner r� Name ' JOHN K H=CK& � Business Name L berry dUly ks lsetl LONG ISLAND CUSTOM WINDOWS LLC DBA by Che County of suW.; — , License Number:H-43991 - - ; Keefe Draeo issued 01HO121108 Comnrereianer Expires: 01l0112024 ` Ap--W,*\*IN NYSIF New York state Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 364619760 USI INSURANCE SERVICES LLC # 333 WESTCHESTER AVE SUITE 102 WHITE PLAINS NY 10604 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER LONG ISLAND CUSTOM WINDOWS LLC DBA TOWN OF SOUTHHOLD BUILDING RENEWAL BY ANDERSEN OF LONG ISLAND DEPT 54375 MAIN RD 2029 NEW HIGHWAY PO BOX 1179 FARMINGDALE NY 11735 SOUTHHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE H2403 991-9 671822 12/01/2023 TO 12/01/2024 4/9/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2403 991-9, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SUR NCE FUND 4 �V DIRECTOR„INSURANCE,FUND UNDERWRITING VALIDATION NUMBER:739997371 U-26.3 N ' CERTIFICATE OF INSURANCE COVERAGE I-. YogP( rNTF onipensation " Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS 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 LONG ISLAND CUSTOM WINDOWS,LLC DBA RENEWAL BY ANDERSEN OF L DBA RENEWAL BY ANDERSEN OF LONG ISLAND 2029 NEW 1c.Federal Employer Identification Number of Insured or Social Security HIGHWAY Number FARMINGDALE,NY 11735 Work Location of Insured(Only required if coverage is specifically 364619760 limited to certain locations in New York State,i.e., Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY TOWN OF SOUTHOLD BUILDING DEPT 54375 MAIN RD PO BOX 1179 3b. Policy Number of Entity Listed in Box 1a SOUTHOLD,NY 11971 LNY623001001 3c.Policy effective period 04-01-2024 to 03-31-2025 4.Policy provides the following benefits: Q A.Both disability and Paid Family Leave benefits. ❑ B.Disability benefits only. ❑ C.Paid Family Leave benefits only. 5.Policy covers: 0 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 04-04-2024 Bar (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 emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200, Binghamton,NY 13902-5200. _««wawa .�............. PART 2.To be completed by the NYS Workers' Compensation Board(Only if Box 413,4C or 5B have 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(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Nate,:Only insurance carriers iocer sed 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. DB-120.1 (12-21) IId1111I� �1��11111��� lllll'rx .2r, . 1 ( A2--1) IIIII Client#: 1721414 LONGICUS DATE(MM/DD/YYYY) - ACORDTM CERTIFICATE OF LIABILITY INSURANCE 5/13/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT DJ Hardisty USI Insurance Services LLC PHONE" —62 FA-X N.dtDJ.Hardist usl co Inr'N°)=-610 537-4220 914 459-6200 333 Westchester Ave,Suite 102 ADDRESS, m ADIR1 s: Y@ White Plains, NY 10604 INSURE_R(S)AFFORDING COVERAGE ,_ ... NAIC# � 914 459-6200 Selective Insurance Company of New York 13730 INSURER A: P Y INSURED INSURER B: Long Island Custom Windows LLC INsuRER. .m................. ,,, ...._ ............................ .,.........._............... DBA Renewal by Andersen of Long Island ��...,,,.. 6_....__.._............................... m .___.._._... 2029 New Highway INSURER D . """"""" INSURER E: Farmingdale, NY 11735 �..,. INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE Ada WVI7 POLICY NUMBER................ ...POLICY EFF��POLICY EXP ....u....�...........-mLIMITSmmmmm '...... 6.... ... IVIM/DD/YYYY MPDO/YYYY A X COMMERCIAL GENERAL LIABILITY S200162113 5/01/2024 05/01/202 5 EACH OCCURRENCE..-. $,1,000t000 C X� DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $,5......,�... MED EXP(Any one person) $15 r0.,.0...0 ------ .. PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 3 000,000 PRO- PRODUCTS-COMP/OP AGG s3,000,000 ....m... .. POLICY�JE'CT � ,a LOC m OTHER. $ _._ ...... ......._................_________..,.,.,.,...,.,.,.,.,._._...._ ......,.....,.,.,...... _......_._....-._.,- COMBINED SINGLE LIMIT A AUTOMOBILE LIABILITY S200162113 5/01/2024 05/01/202 &accident) 1 000000 , .: ANY AUTO BODILY INJURY(Per person) $ ........... —.. .. ... . OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ............. .. _..m .....,......._ ----- -.. .......... . HIRED __..NON-OWNED PROPC,RTY DAMAGE X AUTOS ONLY X AUTOS ONLY .,(Pu r,tse�d±antp $ .. .. tCIURMADE 62113 '.5/011201 ..0 .��1/202 EACHOCCURRENCE-- $5 ....UMBRELLA LIAR 1 24 OS/0 5�000m EXCESS LIAB X OCAC "S2OO AGGREGATE $,,,�000r000 DED RETE(TION$1000I� .. . w_..._... ._.... WORKERS COMPENSATION .. ................................. ........m. ....... ,.,..................... ANDEMPLOYERS'LIAWLITIY Y/N �.S�T.U:T.E..._ NTH ........ ANY PROPHIFTOR)PAF't'9NEd?JEXECUTIVE E,.L,EACH ACCIDENT $ _.. ................�,. ..,,�,-.............. ......._,.� (Mandm H ry In NH) EXCLUDED? N/A E L DISEASE-EA EMPLOYEE $ (Mandatory Nru NH) �W4Wm_w_, If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Dept ACCORDANCE WITH THE POLICY PROVISIONS. 54375 Main Rd PO BOX 1179 AUTHORIZED REPRESENTATIVE Southold,NY 11971 u& J ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S44755512/M44564364 AEBZP I©a ce T 1�3 S Order Summary dba:RENEWAL BYANDERSEN OF LONG ISLAND Audrey Kerwick i Legal Name:Long Island Custom Windows I License#Suffolk Lic#43991-H 1 26135 Main Rd R E N E WA L Nassau Lic#H0810150000 I NYC Lic#1307704 Cutchogue,NY 11935 by_AND_ERSEN 2029 New Highway I Farmingdale,NY 11735 H:(516)810-6165 ri"sma xemvxaaneeosucoa" Phone:631-843-1713 1 Fax:631-843-1717 1 techs@rbalongisland.com Measure Tech:Justin Murray, D• ROOM JOB 104 Living 47" 56" Window: Acclaim"" Double-Hung (DG), 1:1. Flat Sill, Insert Frame, 47-5/8" 57-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 1 DP Rating: + 40 i 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Extra Lock. Standard Color Recessed Hand Lift, Standard Color Extra Recessed Hand Lift Screen: Fiberglass, Full Screed Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 4w x 2h, Sash 2: No Grille Misc: None Construction: Insulate Sash Pocket Window (1). No Bars (1), Pad Opening (1), Replace Rotted Wood (1) Material: None 105 Living 47 56" Window: Acclaim",` Double-Hung (DG), 1:1, Flat Sill, Insert Frame, 47-5/8" 57-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 j DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Extra Lock, Standard Color Recessed Hand Lift, Standard Color Extra Recessed Hand Lift Screen: Fiberglass. Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 4w x 2h, Sash 2: No Grille Misc: None Construction: Insulate Sash Pocket Window (1), No Bars (1). Pad Opening (1), Replace Rotted Wood (1) Material: None 103 Porch 32" 56" Window: AeclaimTM Double-Hung (DG), 1:1, Flat Sill, Insert Frame, 29-5/8" 57-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 1 DP Rating: + 40 / -40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen: Fiberglass, Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 3w x 2h. Sash 2: No Grille Misc: None Construction: Insulate Sash Pocket Window (1), No Bars (1), Pad Opening (1), Replace Rotted Wood (1), Aluminum Removal (1) Material: None ----------------- O S ——�--- -- ---�^� Page 2 / 32 pp Order Summary dba:RENEWAL BYANDERSEN OF LONG ISLAND Audrey Kerwick Legal Name:Long Island Custom Windows I License#Suffolk Lic#43991-H 1 26135 Main Rd RENEWAL Nassau Lic#H0810150000 I NYC Lic#1307704 Cutchogue,NY 11935 brANDERSEK 2029 New Highway I Farmingdale,NY 11735 H:(516)810-6165 Phone:631-843-1713 1 Fax:631-843-1717 1 techs®rbalongisland.com Measure Tech:Justin Murray, r• ROOM SIZE DETAILS 101 Porch 32" 56" Window: AcclaimT" Double-Hung (DG). 1:1, Flat Sill. Insert Frame, 29-5/8" 57-1/4" Traditional Checkrail. Exterior White, Interior White Performance Calculator: PG Rating: 40 1 DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen: Fiberglass, Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 3w x 2h. Sash 2: No Grille Misc: None Construction: insulate Sash Pocket Window (1), No Bars (1), Pad Opening (1), Replace Rotted Wood (1), Aluminum Removal (1) Material: None 102 Porch 32" 56" Window: AcclaimTIA Double-Hung (DG), 1:1, Fiat Sill, Insert Frame, 29-5/8" 57-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 1 DP Rating: + 40/ - 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen: Fiberglass, Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 3w x 2h, Sash 2: No Grille Misc: None Construction: Insulate Sash Pocket Window (1). No Bars (1), Pad Opening (1), Replace Rotted Wood (1), Alurninurn Removal (1) Material: None 112 Office 32" 56" Window: AcelaimT"A Double-Hung (DG), 1:1, Flat Sill, Insert Frarne, 30-5/8" 57-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 1 DP Rating: +40 / - 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen: Fiberglass. Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 3w x 2h. Sash 2: No Grille Misc: Insulate Sash Pockets for Weight Boxes, Insulate Sash Pockets for Weight Boxes: Fiberglass insulation will be utilized to properly insulate the weight boxes. Construction: Insulate Sash Pocket Window (1), No Bars (1). Pad Opening (1), Replace Rotted Wood (1). Aluminum Removal (1) Material: None 0 5/0 4/2 4^----- ------- -----------_ _ —_' Page 3 / 32 VNE`2 Order Summary dba:RENEWAL BYANDERSEN OF LONG ISLAND Audrey Kerwick Legal Name:Long Island Custom windows I License#Suffolk Lic#43991-H 1 26135 Main Rd R Nassau Lic#H0810150000 I NYC Lic#1307704 Cutchogue,NY 11935 by.AND,E.R,SEN' 2029 New Highway I Farmingdale,NY 11735 H:(516)810-6165 Fl4i5Rrtt�mmvaaocc eBURlklar Phone:631-843-1713 1 Fax:631-843-1717 1 techs@rbalongisland.com Measure Tech:Justin Murray, D• ROOM 107 Living 30" 56" Window: AcclaimTP•' Double-Hung (DG). 1:1, Flat Sill. Insert Frame, 30-5/8" 57-1/4" Traditional Checkrail. Exterior White, Interior White Performance`Calculator: PG Rating: 40 ( DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen: Fiberglass, Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 3w x 2h. Sash 2: No Grille Mlsc- None Construction: Insulate Sash Pocket Window (1), No Bars (1), Pad Opening (1), Replace Rotted Wood (1), Aluminum Removal (1) Material: None 106 Living 301, 56" Window: Acclaim"O Double-Hung (DG), 1:1, Flat Sill, Insert Frame, 30-5/8" 57-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 1 DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen: Fiberglass, Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 3w x 2h, Sash 2: No Grille Misc: Insulate Sash Pockets for Weight Boxes, Insulate Sash Pockets for Weight Boxes: Fiberglass insulation will be utilized to properly insulate the weight boxes. Construction: Insulate Sash Pocket Window (1). No Bars (1), Pad Opening (1), Replace Rotted Wood (1), Aluminum Removal (1) Material: None 109 Dining 24" 56" Window: AcclaimUl Double-Hung (DG), 1:1, Flat Sill, Insert Frame, 23-5/8" 57-1/4" Traditional Checkrail, Exterior White. Interior White Performance Calculator: PG Rating: 40 1 DP Rating: -I- 40 / - 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen: Fiberglass, Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 2w x 2h, Sash 2: No Grille Misc: Insulate Sash Pockets for Weight Boxes, Insulate Sash Pockets for Weight Boxes: Fiberglass insulation will be utilized to properly insulate the weight boxes. Construction: Insulate Sash Pocket Window 05/04/24 i T Page 4 / 32 Order Summary dba:RENEWAL BYANDERSEN OF LONG ISLAND Audrey Kerwick Legal Name:Long Island Custom Windows 1 License#Suffolk Lic#43991-H 1 26135 Main Rd R E WNE WA L Nassau Lic#H0810150000 I NYC Lic#1307704 Cutchogue,NY 11935 brAN_DERSEN' 2029 New Highway I Farmingdale,NY 11735 H:(516)810-6165 Phone:631-843-1713 1 Fax:631-843-1717 1 techs@rbalongisland.com Measure Tech:Justin Murray, D• ROOM (1), No Bars (1), Pad Opening (1), Replace Rotted Wood (1), Aluminum Removal (1) Material: None 108 Dining 24" 56" Window: Acclaim"" Double-Hung (DG), 1:1. Flat Sill, Insert Frame, 23-5/8" 57-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 1 DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen: Fiberglass, Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 2w x 2h, Sash 2: No Grille Misc: Insulate Sash Pockets for Weight Boxes, Insulate Sash Pockets for Weight Boxes: Fiberglass insulation will be utilized to properly insulate the weight boxes. Construction: Insulate Sash Pocket Window (1). No Bars (1), Pad Opening (1), Replace Rotted Wood (1), Aluminum Removal (1) Material: None 110 Dining 35" 56" Window: Acclaim",' Double-Hung (DG), 1:1, Flat Sill. Insert Frame, 35-5/8" 57-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 + DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Extra Lock, Standard Color Recessed Hand Lift, Standard Color Extra Recessed Hand Lift Screen: Fiberglass, Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 3w x 2h, Sash 2: No Grille Misc: Insulate Sash Pockets for Weight Boxes, Insulate Sash Pockets for Weight Boxes: Fiberglass insulation will be utilized to properly insulate the weight boxes. Construction: Insulate Sash Pocket Window (1), No Bars (1), Pad Opening (1), Replace Rotted Wood (1), Aluminum Removal (1) Material: None 05/04/24 --_`-- ^--��-----F�`— -`-- -^-_ Page 5 / 32 Order Summary dba:RENEWAL BYANDERSEN OF LONG ISLAND Audrey Kerwick Legal Name:Long Island Custom Windows I License#Suffolk Lic#43991-H 1 26135 Main Rd R E N VEW A L Nassau Lic#H0810150000 1 NYC Lic#1307704 Cutchogue,NY 11935 by.AN_DERS.EK 2029 New Highway I Farmingdale,NY 11735 H:(516)810-6165 Phone:631-843-1713 1 Fax:631-843-1717 1 techs®rbalongisland.com Measure Tech:Justin Murray, D• ROOM 111 Dining 32" 56" Window: Acclaimll-i Double-Hung (DG). 1:1, Flat Sill. Insert Frame, 30-5/8" 57-1/4" Traditional Checkrail. Exterior White, Interior White Performance Calculator: PG Rating: 40 ( DP Rating: + 40 j 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen: Fiberglass, Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 3w x 2h. Sash 2: No Grille Misc: Insulate Sash Pockets for Weight Boxes, Insulate Sash Pockets for Weight Boxes: Fiberglass insulation will be utilized to properly insulate the weight boxes. Construction: Insulate Sash Pocket Window (1), No Bars (1), Pad Opening (1.), Replace Rotted Wood (1), Aluminum Removal (1) Material: None 201 Guest 32" 56" Window: Acclairri'M Double-Hung (DG), 1:1, Flat Sill, Insert Frame, 30-5/8" 53-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 ; DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen, Fiberglass, Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 3w x 2h, Sash 2: No Grille Misc: Insulate Sash Pockets for Weight Boxes, insulate Sash Pockets for Weight Boxes: Fiberglass insulation will be utilized to properly insulate the weight boxes. Construction: Insulate Sash Pocket Window (1). No Bars (1), Pad Opening (1), Replace Rotted Wood (1), Aluminum Removal (1) Material: None 202 Bathroom 32" 56" Window: AcclaimTM Double-Hung (DG), 1:1, Flat Sill, Insert Frame, 30-5/8" 53-1/4" Traditional Checkrail, Exterior White. Interior White Performance Calculator: PG Rating: 40 1 DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen: Fiberglass. Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 3w x 2h, Sash 2: No Grille Misc: Insulate Sash Pockets for Weight Boxes, Insulate —..........-_..----.-.--..____._....__-_..------------.___..__._...-------._____ 05/04/24 Page 6 / 32 Order Summary dba:RENEWAL BYANDERSEN OF LONG ISLAND Audrey Kerwick Legal Name:Long Island Custom Windows I License#Suffolk Lic#43991-H 1 26135 Main Rd RENEWAL Nassau Lic#H0810150000I NYC Lic#1307704 Cutchogue,NY 11935 byANDERSEN- 2029 New Highway I Farmingdale,NY 11735 H:(516)810-6165 Phone:631-843-1713 1 Fax:631-843-1717 1 techs@rbalongisland.com Measure Tech:Justin Murray, •• ROOM SIZE DETAILS Sash Pockets for Weight Boxes: Fiberglass insulation will be utilized to properly insulate the weight boxes. Construction: Insulate Sash Pocket Window (1), No Bars (1), Pad Opening (1), Replace Rotted Wood (1), Aluminum Removal (1) Material: None 203 Primary 28" 52" Window: Acclaim'm Double-Hung (DG), 1:1, Flat Sill, Insert Frame, Bedroom 27-5/8" 53-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 ; DP Rating: + 40 / -40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen: Fiberglass, Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 2w x 2h, Sash 2: No Grille Misc: Insulate Sash Pockets for Weight Boxes, Insulate Sash Pockets for Weight Boxes: Fiberglass insulation will be utilized to properly insulate the weight boxes. Construction: Insulate Sash Pocket Window (1). No Bars (1). Pad Opening (1), Replace Rotted Wood (1). aluminum Removal (1) Material: None 204 Primary 28 52" Window: AcclaimT"' Double-Hung (DG), 1:1, Flat Sill, Insert Frame, Bedroom 27-5/8" 53-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 1 DP Rating: + 40 / - 40 Glass: All Sash: High Performance, No Pattern Hardware: White, Standard Color Recessed Hand Lift Screen: Fiberglass. Full Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1: Colonial 3w x 2h, Sash 2: No Grille Misc: Insulate Sash Pockets for Weight Boxes, Insulate Sash Pockets for Weight Boxes: Fiberglass insulation will be utilized to properly insulate the weight boxes. Construction: Insulate Sash Pocket Window (1), No Bars (1), Pad Opening (1), Replace Rotted Wood (1), Aluminum Removal (1) Material: None PRODUCTS: 16 WINDOWS: 16 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 0 Updated 514124 •: NOTES Job #03802657 101 102 103 106 107 108 109 110 111 112 201 202 203 204- DG Wood Window rip, measured inside the jambs, behind the stool. Install DG with 1 5/8 colonial primed stops on the interior, with white capping on the exterior. *Insulate Weight 05/04/24 ��^ Page 7 / 32 VNE Order Summary dba:RENEWAL BYANDERSEN OF LONG ISLAND Audrey Kerwick Legal Name:Long Island Custom Windows I License#Suffolk Lic#43991-H 1 26135 Main Rd REWAL Nassau Lic#H0810150000I NYC Lic#1307704 Cutchogue,NY 11935 brAN.D,ERSEK 2029 New Highway I Farmingdale,NY 11735 H:(516)810-6165 { UNOW4mQMAMIRLUUMf Phone:631-843-1713 1 Fax:631-843-1717 1 techs@rbalongisland.com Measure Tech:Justin Murray, •: NOTES 104 105 - DG Vinyl Window rip, measured inside the jambs, behind the stool. Install DG with 1 5/8 colonial primed stops on the interior, with white capping on the exterior. *Insulate Weight 16- DG windows Estimated Duration: 11/2 days JOB PHOTOS �m Image 1 05/04/24 Page 8 / 32