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O�QS�FF04coG Town of Southold' 10/4/2024 0 P.O.Box 1179 o _ 53095 Main Rd 'y7j0 �o�.r Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45627 Date: 10/4/2024 THIS CERTIFIES that the building WINDOWS Location of Property: 4560 Vanston Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.40-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/9/2023 pursuant to which Building Permit No. 48936 dated 2/21/2023 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: i alterations at existing singlefamily dwelling as applied for. The certificate is issued to Blair-Hudson Liv Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48936 9/25/2024 PLUMBERS CERTIFICATION DATED th rize S gnature - r o�SUFFoa,��o TOWN OF SOUTHOLD BUILDING DEPARTMENT N TOWN CLERK'S OFFICE "oy • o� 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#: 48936 Date: 2/21/2023 Permission is hereby granted to: Blair-Hudson Liv Trt 4560 Vanston Rd Cutchogue, NY 11935 To: Replace windows at existing single family dwelling as applied for. Additional certification may be required. At premises located at: 4560 Vanston Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 111.-10-16 Pursuant to application dated 2/9/2023 and approved by the Building Inspector. To expire on 8/22/2024. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 11 Building Inspector pF SOUlyQI . Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlin(&-town.southold.ny.us Southold,NY 11971-0959 Q �yc01JNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Blair- Hudson Living Trust Address:. 4560 Vanston Rd city:Cutchogue st: NY zip: 11935 Building Permit#: 48936 Section: 111 Block: 10 Lot: 16 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures Bath Exhaust Fan 1 Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt _ Recessed Fixtures 1 CO Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 2 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: AS BUILT NO VISUAL DEFECTS " 2nd FI Bath Inspector Signature: Date: September 25, 2024 S.Devlin-Cert Electrical Compliance Form Copy of SOUlyO� # # TOWN OF SOUTHOLDD-BUILDING DEPT. y u � 631-765-1802 INSPECTION' [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [XNSLATIOWCAULKING U FRAMING/STRAPPING [ FINAL k)(Nb&-A> [ ] FIREPLACE.& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE,RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ]. ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: W 1 � , L is G*eX SCE Wa NAC,vjp-�Op%, 4vv-_ AYlk O 0 %.01 DATE 6)�jINSPECTOR OF SOUly�lo Ll SZ / �CI * # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE'& CHIMNEY' [ ] FIRE SAFETY INSPECTION- [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: A-s 151/1 Lt 53 Aftj:� WID r J2 0 t/ H 07 T- IP 0_ U r 1�q Sp DATE Aj INSPECTOR r `%j c LEViTON � le o INSP-2K4203 33563-019 ZR4 3114837-054 .sr Cy- co Y._ l 1 ELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) ------------------------------- CA FOUNDATION (2ND) ROUGH FRAMING& y PLUMBING 1 r t� INSULATION PER N. Y-. STATE ENERGY CODE (sf�h�! ✓/AWE Wn! Q� ' u�i. 1S Gp1� vjL FINAL 1/�(� yY` ADDITIONAL COMMENTS e 1 OV • o d t • � \ r� X 0 x r i I =�o�°SufFo���oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only 2 FFP I+ 9 1013 PERMIT NO. ,5 60 Building Inspector: tiUILUIIIlb ut:Pl. Applications and forms must be filled out in their entirety.Incomplete T0WN0FSnIITH6I n applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: )N Zd Z 7 OWNER(S)O�F�1�RO ERTY: Name: ( l -_�U SDI _J t�S�_ _ SCTM#1000- !- Project Address` Lf 0 V&S )A Phone#: I _ 3 q �� 7 Email:-LA Mailing Address: tj"C6 0 CONTACT PERSON: Name: Mailing Address: (p lZ� U Phone#: Email: _ � DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Ql [� `� ��� � � Phone#: 7 ��� L ��� Emailr /j GES _ r�}L�'ES6 ©®�!�(!ly/� DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Cher rN(Abl)u) ��PC f� � $ t -(,OOD Will the lot be re-graded? Dyes o Will excess fill be removed from premises? ❑Yes o 1 PROPERTY INFORMATION Existing use of property:-2ESl �� Intended use of property: 2�Zr Zone or use district in which premises is situated: Are there any covenants d restrictions with respect to this property? ❑ N oYes IF YES, PROVIDE A COPY. ❑'Check Box After Reading: The owner/contractor/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 Ordinanceaof 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 in building(s)for necessary inspections.False statements made herein are punishable as a ClassiA misdemeanor,pursuant to Section 210.45,of the New York State Penal Law. Application Submitted By(prin ame): � L (� ❑Authorized Agent Z10wner Signature of Applicant: _ _ Date: �3 CONNIE D.BUNCH STATE OF NEW YORK Notary Public,State of New York No.01 BU6185050 SS: Qualified in Suffolk County COUNTY OF ) Commission Expires April 14,260 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)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. Sworn before me this day off ►r G 20 ( n"� Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the'owner) 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 i BUILDING DEPARTMENT- El al Inspector foi pi 4 ,� TOWN OF SOUTH AUG 1 5 202 co Town Hall Annex - 54375 Main Road - PO Box 1179 to "e Southold, New York 1 1 971-0991ng Department �► `"� T° f outhold ��11pb Telephone (631) 765-1802 - FAX (631 f�'e� 02 rogerr ,southoldtownny.qov - seand(-Dsoutl oldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: I Company Name: Electrician's Name: 0 �,v o V) ( License No.: Elec. email: s 3 Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Address: 1-15bp l/ A -71F Cross Street: I T t b PAAe- 0341 0 Phone No.: J I -g 7 7— Z2 Bldg.Permit#: email:P-)CG)-tgAZPOfS dJe.N&L,Lod'/ Tax Map District: 1000 Section: IL Block: IT, 0 Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Pri�t Clearly): T QA-` /Loa�J Square Footage: Circle All That Apply: I Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On i Temp Information: (All information required) Service Size❑1 Ph[—]3 Ph Size: A # Meters Old Meter# ❑New Service[:]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead f # Underground Laterals 1 FJ2 D H Frame D Pole Work done on Service? Y nN Additional Information: PAYMENT DUE WITH APPLICATION s 8- t5-a� ( 6 WOO re.C#lco9o81) PERMIT#) Address: SwitchesA Outlets GFI's I Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. WAD Panel Pump Exhaust Oven Sump Heater r Smokes DW Generator Salt Ge Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV Inst Hot DeHum Transfer HOT TUB/SPADisc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments 1 ARNOLD BLAIR .S 4560 VANSTON ROAD ' CUTCH � ,, AUG 1 5 2024 OGUE, NEW YORK 11935 �uzi,�;arc�®apart"01"t �u `tea of Southold August 8, 2024 Re Permit #48936 Town.of Southold Building Department Town Hall Annex 54375 Main Rd Southold, NY 11971-0959 I would like to amend permit#48936 to include the removal and replacement of an existing bathtub with a new shower body and electrical work in the bathroom. Si �er lyQe� rnold Blair AMEND NT ��® DATE(MM/DD/YYYY) A C" CERTIFICATE OF LIABILITY INSURANCE 02/03/2023 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(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT UTICA FIRST INSURANCE COMPANY NAME: FGI RISK INC PHONED 315-736-8211 VC.No): 315 768-4408 1007 GLEN COVE AVE E-MAIL ADDRESS: GLEN HEAD,NY 11545 INSURERS AFFORDING COVERAGE NAIC# INSURERA: UTICA FIRST INSURANCE COMPANY 15326 INSURED INSURER B DOOR DUTCHMAN,INC INSURERC: 194-6 MORRIS AVE INSURER D: HOLTSVILLE,NY 11742 INSURERE: 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. INSXP TR TYPE OF INSURANCE ADDL SUBR POLPOLICY NUMBER MMIDDY� MM/D POLICY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �/ AMAGE TO RENTED CLAIMS-MADE X D OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ 5,000 A Y ART5097323 02/05/2023 02/05/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑ PRO- JECT LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) ADDITIONAL INSURED:ARNOLD BLAIR CERTIFICATE HOLDER CANCELLATION "" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE � THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ARNOLD BLAIR ACCORDANCE WITH THE POLICY PROVISIONS. 4560 VANSTON RD CUTCHOGUE, NY 11935 AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. XII rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD I DATE(MM/DD/YYYY) ACC)R" CERTIFICATE OF LIABILITY INSURANCEFilk l 02/09/2023 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(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Automatic Data Processing Insurance Agency, Inc. FA Automatic Data Processing Insurance Agency, Inc. a/coNNo Ext: 1-800-524-7024 ac No): E-MAIL ADDRESS: 1 Adp Boulevard INSURER(S)AFFORDING COVERAGE NAIC# Roseland NJ 07068 INSURER A: Phoenix Insurance Company 25623 INSURED Door Dutchman Inc INSURER B: INSURER C: 51 New Lane INSURER D: INSURER E: Selden NY 11784 INSURER F: COVERAGES CERTIFICATE NUMBER: 2857224 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 UBR POLICY EFF POLICY EXP LIMITS LTR S VD POLICY NUMBER MM/DDNYYY /D MMDNY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED�_ CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) - $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accideni UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR 1H CLAIMS-MADE AGGREGATE $ DED7 I RETENTION$ $ WORKERS COMPENSATION X1 PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? � N/A N UB-1N714082-23-42 01/01/2023 01/01/2024 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Arnold Blair ACCORDANCE WITH THE POLICY PROVISIONS. 4560 Vanston Road AUTHORIZED REPRESENTATIVE Cutchogue NY 11935 d ©1988-2015 ACORD CORPORATION. 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'�`�",,Fv '.�. .tJ ry^p .S ,r,';;. �•> ..K `��"a•"-i»;;::, "� J �.s'' ^-".i><,. tea, a ;r;>r x. -,f_ •r-'�'�47tn��..w'£.s••a_ <=' �•ata.� m,.,,<' ..< ,�%:3',,.s �Y,�;';: ,e>t• ;�":�.';.���.•,,,n•- -,�" :T-`xa�.t;•y'r''-�.-'�z,:,:�.,r;'t.;.f;� .x„a-i:�k. 'arS..:,e,,'i, :Yi•.-'<' ��Y` '�-'i3 'yq'�`2..: 'L '�,`'33•:''h:� lyT�[Vy! 5't.,--•,u ry7,^±....:p>r•`:�^rtiy, t` �.v>F.�}�.>b-:i��,�ia"l,.S.».,4 M�i!i`�J'.��iti',Lil/?''Y+3°�YttF�` _ iY�e `�.c:�ti�:� e: `G�'7rC: a" ar.; `La' ..:-;( vi`•^j�Y �`,�k".-.e ,s, c' .a,,'�'F_i�rifranrYi�'.iisr��T- - APPROVED AS NOTED OCCUPANCY OR DATE: .a a3B.R# 3 USE IS UNLAWFUL FEE BY: WITHOUT. CERTIFICATE NOTIFY BUILDING DEPARTMENTAT I� OCCUPANCY 631-765-1802 8AM TO 4PM FOR THE ? FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THECODESOFNEW COfViPLY`'1NITH ALL CODES OF:" YORK STATE. NOT RESPONSIBLE FOR NEW YORK STATE & TOWN CODES DESIGN OR CONSTRUCTON ERRORS AS.REQUIR -AND CONDITIONS OF SOUTHOLD TOWN ZBA ' SOUTHOLD TOWN PLANNINGBOAAD SOL" D TOWN TRUSTEES 0 ANDERSEN" WINDOWS & DOORS CREATED DATE SOLD By: SOLD 7"4: 3/11/2022 Florence Corp Huntington r 1647 E Jericho Tpke ` 7705 N Bayvlew Rd ' LATEST UP[ E Huntington, NY 11743-5711 � Southold, NY 11971-4009 �10 3/11/2022 Fax:631-499-0228 _ OWNER D Geoffroy Penny Abbreviated Quote Report - Customer Pricing QUOTE NAME PROJECT NAME QUOTE NUMBER CUSTOMER PO# TRADE ID HOMEWORK BLAIR R EVB E, 1122( 1993257 HOMEWORK—BLAIR-4560 372527 NON-TEMP VANSTON RD ORDER NOTES: DELIVERY NOTES: Item Qtv Operation Location Unit Price Ext. Price 100 4 Left -Fixed - Right #116,117,118,119 SUNROOM $4,045,27 $16,181.08 `t RO Size = 114314"x64" Unit Size= 114"x 63 1/4" & ° Mull: Factory Mulled, Nonreinforced Join - Factory Assembled Ribbon Mull, 3/4 Non Reinforced Material ACW2454-APW 4' 10"X5'3 1/4"-ACW2454, Unit, Unit 1, 3: A Series Casement, Unit 2:A Series Picture Window-CW, 4 9/16" Frame Depth, Exterior Trim Flange, White Exterior Frame,White Exterior Sash/Panel, Pine w/Birch Bark- Painted Interior Frame, Pine w/Birch Bark- Painted Interior Sash/Panel, Unit 1: Left, Unit 2: Fixed, Unit 3: Right, Dual Pane Low-E4 SmartSun Standard Argon Fill Full Divided Light (FDL) 2 Wide, 2 High, 5 Total Grille Lights, Specified Equal Light Fractional Pattern,White, Pine w/Birch Bark- Painted, 7/8" Grille Bar, Wide Grille Bar: 2 1/4"with Custom Horizontal Bar Placement 21" to Center of Grille, Stainless Glass/Grille Spacer,Traditional Folding, White, White, Full Screen, TruScene Hardware: ACW Traditional Folding White PN:0400202 Insect Screen 1:A Series Casement, ACW2454 Full Screen TruScene White Hardware: ACW Traditional Folding White PN:0400202 Insect Screen 1:A Series Casement,ACW2454 Full Screen TruScene White Unit# U-Factor SHGC ` ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: ---------------------------------- -----------------_.. ......... ---_- ---- ------ Al 0.28 0.15 YES Al 20.5000 57.6250 8.20000 61 0.27 0.21 C1 20.5000 57.6250 8.20000 C1 0.28 0.15 Quote#: " Print Date: 3/11/2022 5:35:01 PM UTC All Images Viewed from Exterior Page 1 of 6 Item Q�t( Operation Location Unit Price Exit. Price 200 1 Left-Fixed -Left #120 SUNROOM $3,873.22 $3,873.22 77- _ RO Size=98 3/4"x 64" Unit Size=98"x 63 1/4" Mull: Factory Mulled, Nonreinforced Join -Factory Assembled Ribbon Mull, 3/4 Non Reinforced Material ACW2454-APW 3' 6"X5' 3 1/4" -ACW2454, Unit, Unit 1, 3: A Series Casement, Unit 2:A Series Picture Window-CW, 4 9116" ! i Frame Depth, Exterior Trim Flange, White Exterior Frame, White Exterior Sash/Panel, Pine w/Birch Bark-Painted Interior Frame, " Pine w/Birch Bark- Painted Interior Sash/Panel, Unit 1, 3: Left, Unit 2: Fixed, Dual Pane Low-E4 SmartSun Standard Argon Fill Full Divided Light (FDL) 2 Wide, 2 High, 5 Total Grille Lights, Specified Equal Light Fractional Pattern,White, Pine;w/Birch Bark- Painted, 7/8" Grille Bar,Wide Grille Bar: 2 1/4"with Custom Horizontal Bar Placement 21" to Center of Grille, Stainless Glass/ Grille Spacer,Traditional Folding, White,White, Full Screen, TruScene Hardware: ACW Traditional Folding White PN:0400202 insect Screen 1:A Series Casement, ACW2454 Full Screen TruScene White Hardware: ACW Traditional Folding White PN:0400202 Insect Screen 1:A Series Casement,ACW2454 Full Screen TruScene White Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq.Ft) Comments: -- --- ------------------------------- ---------------- -__. ___--___--_._..—---------------- A1 0.28 0.15 YES Al 20.5000 57.6250 8.20000 81 0.26 0.21 C 1 20.5000 57.6250 8.20000 C1 0.23 0.15 s Quote#: 1993257 Print Date: 3/11/2022 5:35:01 PM UTC All Images Viewed from Exterior (Page 2 of 6 Item Q�t Operation Location Unit Price Ext. Price 300 1 Fight-Fixed -Right # 121 SUNROOM $3,873.22 $3,873.22 p knit Size =98'"x 631/4"' ?L. _ RO Size=98 3/4"x 64eo 16 -� \ Mull: Factory Mulled, Nonreinforced Join - Factory Assembled Ribbon Mull, 3/4 Non Reinforced Material ACW2454-APW 3' 6"X5' 3 114" -ACW2454, Unit, Unit 1, 3: A Series Casement, Unit 2:A Series Picture Window-CW, 4 9/16" ' Frame Depth, Exterior Trim Flange, White Exterior Frame, White Exterior Sash/Panel, Pine w/Birch Bark- Painted Interior Frame, Pine w/Birch Bark-Painted Interior Sash/Panel, Unit 1, 3: Right, Unit 2: Fixed, Dual Pane Low-E4 SmartSun Standard Argon Fill R0176 Full Divided Light(FDL)2 Wide, 2 High, 5 Total Grille Lights, Specified Equal Light Fractional Pattern, White, Pine w/Birch Bark- Painted, 7/8" Grille Bar, Wide Grille Bar: 2 1/4"with Custom Horizontal Bar Placement 21" to Center of Grille, Stainless Glass/ Grille Spacer, Traditional Folding, White, White, Full Screen,TruScene Hardware: ACW Traditional Folding White PN:0400202 Insect Screen 1: A Series Casement, ACW2454 Full Screen TruScene White Hardware: ACW Traditional Folding White PN:0400202 Insect Screen 1: A Series Casement, ACW2454 Full Screen TruScene White Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: -- Al ----~0.28 -----~0.15 - YES Al 20.5000 57.6250 8.20000 B1 0.26 0.21 C1 20.5000 57.6250 8.20000 C1 0.28 0,15 Item 2p2ration Location Unit 'rice Ext. Price I.— I 400 1 Left #106 KITCHEN $1,199.62 $1,199.62 RO Size= 32 3/4"x 45 1/2" Unit Size= 32"x 44 3/4"° s I ACW 2' 8"X3'8 3/4", Unit, A Series Casement, 4 9/16" Frame Depth, Standard Flange,White Exterior Frame,White Exterior 5. Sash/Panel, Pine w/Birch Bark- Painted Interior Frame, Pine w/Birch Bark-Painted Interior Sash/Panel, Left, Dual Pane Low-E4 I � ! SmartSun Standard Argon Fill Full Divided Light(FDL) 2 Wide, 2 High, 5 Total Grille Lights, Specified Equal Light Fractional 1 Pattern, White, Pine wlBirch Bark- Painted, 7/8" Grille Bar, Wide Grille Bar: 2 1/4"with Custom Horizontal Bar_Placement 13" to --.RO° .76 Center of Grille, Stainless Glass/ Grille Spacer,Traditional Folding, White, White, Full Screen, Aluminum Hardware: ACW Traditional Folding White PN:0400202 insect Screen 1: A Series Casement, ACW 32 x 44.75 Full Screen Aluminum White Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: Al--- --0.28 -- _—_0.15 -_ ._-- YES - -------_-_--:A1------------------- 25.2450 39.0970 6.85420 Quote#: 1993257 Print Date: 3/11/2022 5:35:01 PM UTC All Images Viewed from Exterior Page 3 of 6 Item Qtv. Operation Location Unit Price Ext. Price 500 1 Left-Left-Left #107, 108, 109 KJTCHEN $3,829.58 $3,829.58 ' ERO Size=`103 1/8"x 45 1/2" Unit Size= 102 3/8"x 44 3/4"Mull: Factory Mulled, Nonreinforded Join Factory Assembled Ribbon Mu11, 3/4 Non Reinfiorced Material ACW 2' 9 518"X3' 8 3/4" -ACW 2' 9 5/8"X3' 8 314" -ACW 2' 9 518"X3' 8 3/4", Unit, A Series Casement, 4 9116" Frame Depth, - --Ism Standard Flange, White Exterior Frame,White Exterior Sash/Panel, Pine w/Birch Bark-Painted Interior Frame, Pine w/Birch Bark- w" Painted Interior Sash/Panel, Left, Dual Pane Low-E4 SmartSun Standard Argon Fill Full Divided Light(FDL) :?Wide, 2 High, 5 Total Grille Lights, Specified Equal Light Fractional Pattern,White, Pine w/Birch Bark-Painted, 7/8" Grille Bar,Wide Grille Bar: 2 1/4" with Custom Horizontal Bar Placement 13" to Center of Grille, Stainless Glass/ Grille Spacer,Traditional Folding,White,White, Full Screen, Aluminum Hardware: ACW Traditional Folding White PN:0400202 Insect Screen 1: A Series Casement, ACW 33.625 x 44.76 Full Screen Aluminum White Hardware: ACW Traditional Folding White PN:0400202 Insect Screen 1: A Series Casement, ACW 33.625 x 44.75 Full Screen Aluminum White Hardware: ACW Traditional Folding White PN:0400202 Insect Screen 1: A Series Casement, ACW 33.625 x 44.75 Full Screen Aluminum White Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: -------------------------------- -----_-------_- -------_-- A1 0.28 0.15 YES Al 23.3541 39.0970 6.34080- B1 0.28 0.15 B1 23.3541 39.0970 6.34080 C1 0.28 0.15 C1 23,3541 39.0970 6.34080 Quote#: 1993257 Print Date: 3/11/2022 5:35:01 PM UTC All Images Viewed from Exterior Page 4 of 6 Item Qty 22eration Location Unit Price Ext. Price ii 500 2 Right #113, 114 KAREN'S BEDROOM $1,537.40 $3,074.80 Unit Size = 321/2"x 55 3/4" i RO Size = 33 1/4"x 57 1/2" ACW 2' 8 1/2"X4'8 3/4", Unit, A Series Casement, 4 9/16" Frame Depth, Standard Flange,White Exterior Frame, White Exterior 1 Sash/Panel, Pine w/Birch Bark- Painted Interior Frame, Pine w/Birch Bark-Painted Interior Sash/Panel, Right, Dual Pane Law-E4 SmartSun Standard Argon Fill Full Divided Light(FDL) Grille Alignment Required, Horizontal, A Series Double-Hung Windows- u�---. Equal Sash, 3 Wide,4 High, Specified Equal Light Pattern, White, Pine w/Birch Bark- Painted, 7/8" Grille Bar,Wide Grille Bar: 2 ----aO SMS— 1/4"with Centered Horizontal Bar Placement Stainless Glass/Grille Spacer, Traditional Folding, White,White, u creen, Aluminum Hardware: ACW Traditional Folding White PN:0400202 insect Screen 1:A Series Casement,ACW 32.5 x 56.75 Full Screen Aluminum White Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: ___-_.�_ YES Al Q.28 0.15 Al 22,2842 51.0970 7,90730 Item QQt rr Operation Location Unit Price Ext..Price 700 1 Right #207 2ND FLR OFFICE >1,616.11 $1,616.11 RO Size=42 3/4"x 45 114" Unit Size=42'"x 441I2°° aI ACW 3' 6"X3' 8 1/2", Unit, A Series Casement,4 9/16" Frame Depth, Standard Flange,White Exterior Frame, White Exterior Sash/Panel, Pine w/Birch Bark- Painted Interior Frame, Pine w/Birch Bark-Painted Interior Sash/Panel, Rii�ht, Dual Pane Low-E4. T a.7 SmartSun Tempered Argon Fill Full Divided Light(FDL) 2 Wide, 2 High, 5 Total Grille Lights, Specified Equal Light Fractional r--Ro �75 Pattern,White, Pine w/Birch Bark- Painted, 7/8" Grille Bar, Wide Grille Bar: 2 1/4"with Custom Horizontal Ear Placement 13" to 82 Center of Grille, Stainless Glass/ Grille Spacer,Traditional Folding,White, White, Full Screen, TruScene Hardware: ACW Traditional Folding White PN:0400202 Insect Screen 1: A Series Casement, ACW 42 x 44.5 Full Screen TruScene White Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: Al Y------- __0.28----_--- 0.15 _ - _ YES_----- �----------_- __..________- —- Al 21.4709 38.8470 5.79220 Quote#: 1993257 Print Date: 3/11/2022 5:35:01 PM UTC All Images Viewed from Exterior Page 5 of 6 SUB=TOTAL:- $33,647-631 FREIGHT., $0.001 iABMi $0.00 $2,902.11 JTOTA $36,549,74 DATE 2- CUSTOMER SIGNATURE All graphics as viewed from the exterior. Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or other Items. Thank you for choosing Andersen Windows & Doors ,V t.9 Quote#: 1993257 Print Date: 3/11/2022 5:35.01 PM UTC All Images Viewed from Exterior Page 6 of 6 Item Q_yt Operation Location Unit Price Ext. Price I: ':�- 'i 200 2 AA done Assigned $1,127.91 $2,255.82 Jt - l RO Size=32 1/4" x 51 1/4" Unit Size e 31 1/2" x 50 1/2" p 1 ; ADH 2' 7 1/2"X4' 2 1/2", Unit, 8 Degrees - Moderate, A Series Double-Hung, Standard Product Performance, Cottage, 4 9/16 ✓W Frame Depth, Standard Flange, White Exterior Frame, White Exterior Sash/Panel, Pine w/Birch Bark- Painted Interior Frame, Pine w/Birch Bark- Painted Interior Sash/Panel, AA, Dual Pane Low-E4 Standard Argon Fill Full Divided Light(FDL) Division, 2 Wide, 2 1 j '- --- ----" High, Specified Equal Light Pattern, White, Pine w/Birch Bark- Painted, 3/4" Grille Bar, Stainless Glass/Grille Spacer, Traditional, 52.25 1 Sash Locks White, White, Full Screen, Aluminum Insect Screen 1: A Series Double-Hung, ADH 31.5 x 50.5 8 Degrees - Moderate Full Screen Aluminum White Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: ---------------------------------------- ---------------- ---------------------------------------------------------------------------------- A1 0.3 0.27 YES Al 27.4440 16.5190 3.14820 The customer signature below acknowledges that I have reviewed this order and that SUB=TOTAL: $4,670.06 is correct in all aspects. The customer signature acknowledges the order is a special FREIGHT:_.. $0.00 order and it cannot be altered in anyway, cancelled or returned. All orders not picked LABOR: $0.00 up within 30 days will be subject to additional handling and storage charges. The TAX:: ;.;` $402.79 signature below acknowledges that I understand these terms and conditions and I TOTAL: : $5,072.85 agree to pay Florence Building Supply/Amagansett Building Materials in full for the above special-order material. All material lead times are subject to change at any time by the manufacturer. Florence Building Supply/Amagansett Building Materials is not responsible for any changes in lead time. The quote provided is valid until 1/12/2023 and will be subject to the January Price adjustment if ordered after 1/12/2023. CUSTOMER SIGNATURE DATE *All graphics as viewed from the exterior. ** Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or other items. Thank you for choosing Andersen Windows & Doors Quote#: 3461530 Print Date: 1/16/2023 8:10:01 PM UTC All Images Viewed from Exterior Page 2 of 2 7qANDIERSEN" WINDOWS & DOORS 1 CREATED DATE SOLD BY: SOLD TO: F1/16/2023 Florence Building Materials-Huntington 1667 E Jericho Tpke (LATEST UPDATE Huntington, NY 11743-5711 1/16/2023 Fax:631-499-0228 E OWNER Joe Licavoli Abbreviated Quote Report - Customer Pricing QUOTE(�AIV1E. `Rf€ JECT`NAME QUOTE NUMBER Ct1STOMER:PO#. TRADE ID Arnold Blair A series 3461530 ORDER`NOTES: :`.DELIVERY NOTES:.: Item Qtv Operation Location Unit Price Ext. Price 100 2 AA None Assigned $1,207.12 $2,414.24 RO Size=33 1/4" x 57 1/2" Unit Size=32 1/2" x 56 3/4" I' ADH 2' 8 1/2"X4' 8 3/4", Unit, 8 Degrees- Moderate, A Series Double-Hung, Standard Product Performance, Cottage, 4 9/16" Frame Depth, Standard Flange, White Exterior Frame, White Exterior Sash/Panel, Pine w/Birch Bark-Painted Interior Frame, Pine ! ' wlBirch Bark- Painted Interior Sash/Panel AA, Dual Pane Low-E4 Standard Argon Fill Full Divided Light FDL Division, 2 Wide, 2 - High, Specified Equal Light Pattern, White, Pine w/Birch Bark- Painted, 3/4" Grille Bar, Stainless Glass/Grille Spacer, Traditional, --. _.-325_..__. — RO-3325--• 1 Sash Locks White, White, Full Screen, Aluminum Insect Screen 1: A Series Double-Hung, ADH 32.5 x 56.75 8 Degrees- Moderate Full Screen Aluminum White Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: ---------------------------------------- ------------------- ----------------------------------------------------------------------------------- A1 0.3 0.27 YES Al 28.4440 19.0190 3.75680 Quote#: 3461530 Print Date: 1/16/2023 8:10:01 PM UTC All Images Viewed from Exterior Page 1 of 2