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HomeMy WebLinkAbout46646-Z �o0",.oF soulyo(o Town of Southold * * P.O. Box 1179 {0 53095 Main Rd UN Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45671 Date: 10/23/2024 THIS CERTIFIES that the building WINDOWS IN DWELLING Location of Property: 905 Nokomis Rd Southold, NY 11971 SecBlock/Lot: 78.-3-26.2 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 07/23/2021 Pursuant to which Building Permit No. 46646 and dated: 08/02/2021 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: replacement windows at existing single-family dwelling as applied for. The certificate is issued to: Noreen Domanico Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: wel� 4oriUd Signat e 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT `� • �� TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT RENEWED (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 46646 Date: 08/02/2021 Permission is hereby granted to: Renewal Date: 10/08/2024 Noreen K Domanico 905 Nokomis Rd Southold, NY 11971 To: Replace windows at existing single family dwelling as applied for. Premises Located at: 905 Nokomis Rd, Southold, NY 11971 SCTM#78.-3-26.2 Pursuant to application dated 07/23/2021 and approved by the Building Inspector. To expire on 10/08/2026. Contractors: Required Inspections: Fees: Renewal Fee $125.00 Total 125.00 Building Inspector _____ TOWN OF SOUTHOLD BUILDING DEPARTMENT- C. x 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#: 46646 Date: 8/2/2021 Permission is hereby granted to: Domanico, Noreen 1755 York Ave Apt 11 H New York, NY 10128 To: Replace windows at existing single family dwelling as applied for. At premises located at: 905 Nokomis Rd., Southold SCTM #473889 Sec/Block/Lot# 78.-3-26.2 Pursuant to application dated 7/23/2021 and approved by the Building Inspector. To expire on 2/1/2023. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector /n/^ OF SOUTgolo U/ TOWN OF SOUTHOLD BUILDING DEPT, 631-765-1802 INSPECTION [ ] 'FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND. " [. .] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ "'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION [ ] .FIRE RESISTANT CONSTRUCTION- [ ] FIRE RESISTANT PENETRATION . [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) A ] "CODE VIOLATION [ ] -PRE C/O [ ]. RENTAL REMARKS: Irl'sIA—Y Go �� SIC- �• �• DATE ANSPECTOR FIELD:INSPECTION REPORT DATE GONIlVLNS FOUNDATION(1ST) , . : ------------ --------------�. ----- �� FOUNDATION`(2ND) RQUGH FRAMING:& :.. ....... ... . H PLUMBING. INSULATION.PER N.Y. H STATE-EN'tRGY CODS FINAL. cc •. •.ADD�TI01�1A�CQNII ,�IT$`..:�' •• O 6 W �• o b �a.ASufFoe,rcoG TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy.• Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtow=.gov ?lpl, y�0 Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only LEOsvgD PERMIT NO. Building Inspector: :?2L— JUL 2 3 2021 Applications and forms must be filled out irrtheir.entiirety. Incomplete; applications will not be accepted.,Where the Applicant is not the owner,an BUfLMG DEPT. Owner's Authorization form(Page 2)shall be;completed.,.; 'TO;r-',r 0-F.50IP['I&®LEA Date: OWNER(S)OF PROPERTY: " Name: SCTM#1000- —7 —�j — Project Address: 057 Gov"►S --�� Phone#: �I �pl aS5 Email: ddvv'a►\1, 0'� Mailing Address: CONTACT PERSON: Name.�.µ��Q�`�,2.����ram•��'>�._._..__��...._�._____.__._._..._.__._�___..__.-_.._�.__._._..___"__.M..___..._.._.�_._.._.____..__ Mailing Address: QO4�x _1 �-} TZ;Jf�I � CJq N61ol Phone#: tn31� ads - ��lo� Email: tr►tii5@ f1NYYtu ((i �,� c o,l�•�� DE51GN'PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: . Name: MailingAddress:�PO 13dk ���-} (2-; ve --le&-d �11901 Phone#: le�l- a� "�-S J S� Email: i,) �. 1 M r1� UA . CovtA. `DESCRIPTION OF PROPOSED CONSTRUCTION. ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: N6ther i,,�.600 �-0-CQwVAw9 Cedar $ i4o Lllq,c7 Will the lot be re-graded? ❑Yes PNo Will excess fill be removed from premises? ❑Yes El 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 fh.�©U 0 this property? ❑Yes®No 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 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 in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 21OA5 of the New York State Penal Law. Application Submitted By rint name): ❑Authorized Agent Wwner Signature of Applicant: Date: - 2 O Z STATE OF NEW YORK) SS. COUNTY OF _Alz L be/`1 O G P✓2 %e z- being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the �CJQcC 'r— (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_ � NotarNot-ary MILLE AVERDI lic-Stale of New York .D1vE6362769 PROPERTY OWNER AUTHORIZATIONedinSufolkCounty sion Expires Aug 7,2021 (Where the applicant is not the owner) I, !Vd(f-e n TQ)U y1n o_n &0 residing at 905 A oko mi 5 lQ� do hereby authorize 1\C)C'k lae'r-�o to apply I on my behalf to the Town of Southold Building Department for approval as described herein. -4-16 / aI �Owne gn ture. Date N► q Print Owner's Name 2 i PL07 l N101F j_ & C. TLOCKOW5KI a.94'2100'E. I Q SURVEYOFPRORERTY AT F& g TAUGHING WATERS OWN OF OUTHOLD 0 � SGFFOL,K IV,g ; COGNTY, Y. cnrc rw"rise.J 7000-78-03-P/O 16 ?LOT 2 z Scrim r'=8O' Fn- Dse,CROW a !1 M1 a Q � . X 85,30vo. Rom" a 171J0 "W IO0.9o' $.8q 21'00'W. HIAWATHA'S PAIN i CERMTO rot 9LUMMO 4zrGNA IyY }r�p9 AREA= 28.34®eci.ft DAM nv rereef a°M 'I ft-ag .. Lcm." vo�n�t° aysALA ra •iEpp ppa�r�Q7VRF dP('F 9 IfET L eF r SU41'6Ym //��� ��yy�,..�� f� PLOT 4W RE p r0-SrglaAR0 SCfih� /I' t� �9+�31F' 496t8 Ste6 -l9ION FOR DAVR7 W6I�TY-FjpEO aiI THE PEL176VC�Y(7w PC _ r S01/THOLp rOIYN Ce fT{I($OFlC 5o20 PX e®J/J Yes-1797 � ^ax Or:Qr*o xc,raly•oo�m P.D.BOX 909 s Jun RA,kmr i901" H • 1 �Y t +i Southold Town Building Department P.O.Box 1179 Permit#: 46646 53095 Main Rd Southold,New York 11971 Permit Date: 8/2/2021 (631)765-1802 Expiration Date: 2/1/2023 Parcel ID: 78.-3-26.2 BUILDING PERMIT RENEWAL LETTER Dated: 5/8/2024 Applicant: Domanico,Noreen Location: 905 Nokomis Rd., Southold Work Description: WINDOWS Replace windows at existing single family dwelling as applied for. A FEE OF $125 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Domanico,Noreen Address: 1755 York Ave Apt l 1H New York,NY 10128 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department,P.O. Box 1179, Southold,New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. �,••(�_ 6 pcv. �. fret. :.; vvzx ,s�•�.r �- axzcz' �` �� asae'. � r�ca ?a �aua�utss� e ��szrs �t=uas��sms Suffolk County Department of Labor, Licensing & h� Consumer Affairs e, VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK,11788 DATE ISSUED: 05/05/2021 No. HI-64896 := e SUFFOLK COUNTY ` Home Improvement Contractor License, 6 This is to certify that Adalberto L Benitez .,, doing business as Restoration Energy Inc DBA having furnished the requirements set forth in accordance with and subject to the provisions of applicable Taws, 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. NOT VALID WITHOUT Restrictions Additional Businesses t, DEPARTMENTAL SEAL_ AND A CURRENT. H9-Roofing R W Mulligan CONSUMER AFFAP.2S L� ID CARD � s Rosalie Drago ` Commissioner '> ''Ijt-���sxs� �•�� ;xcuxc;l_i,��:ss��-c�t:}�rra�..vc:�s� - -`,��. a� r�;:�:,:,.u.....�,za+a-c�,u<e' ��s� r. w°-tr��r,���. yr, � � �`�� .� _ 4 b,�'f� 1'\��,�Ifl \L�.-/I - .,.,4 •;':.- ��r�,_•,f -c 1.�1,. �F.�,:,`�," Il�.�il \i�,�. ,�,_; �i� J ;u.r,� � ���r .,s;4 �• t °!a !01 .Q.°�l F� �'O �. - •t°� �'��.`Yr rz. � oL' �'d�'s as 't' •f' 1'�,tig/ OPT � *r" °° m+,+" DATE(MM/DDIYYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 07/20/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 Jeff Radovich _ NAME: Edwards and Company PHONE (631)472-8400 FAX (631)472-8486 A/C No Ell: A/C,No P O Box 426 E-MAIL certs@edwardsandco.net ADDRESS: 140 Greene Avenue -INSURER(S)AFFORDING COVERAGE NAIC q Sayville NY 11782 INSURER A: Admiral Insurance Company 24856 INSURED INSURER B Restoration Energy Inc.Dba RW Mulligan INSURER C: P.O.Box 1727 INSURER D: INSURER E: Riverhead NY 11901 INSURER F: COVERAGES CERTIFICATE NUMBER: 21/22 CGL Master 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 AIJUL bUkJK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $*5,000' A Y CA00003880702 06/29/2021 06/29/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑JEC 2,000,000 JECT LOC -PRODUCTS $ OTHER:' $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED 'SCHEDULED BODILY INJURY(Per accident) $ i AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED. I RETENTION$ $ - WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 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) As respects to General liability if required by written contract the following are included as additional insured per policy form CG2010. Town of Southold 54375 Main Rd Southold NY 11971 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. 54375 Main Rd. AUTHORIZED REPRESENTATIVE Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD i� NYSIF New York State Insurance Fund 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0. '" .0 AAAAAA 462932269 ' LEVITT-FUIRST ASSOCIATES LTD . 520 WHITE PLAINS ROAD,2ND FL �V, TARRYTOWN NY 10591 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER RESTORATION ENERGY INC DBA TOWN OF SOUTHOLD R.W. MULLIGAN 54375 MAIN RD PO BOX 1727 SOUTHOLD NY 11971 RIVERHEAD NY.11901 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G2314 468-6 714265 06/29/2021 TO 06/29/2022 7/20/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2314 468-6, 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. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEB91TE AT HTTPS:/IWWW.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 STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:583451757 U-26.3 t=GAN RestorationA Division of P.O. Box 1727 Riverhead, New York 11901 Tel.631-727-7555 Fax 631-727-7997 Email: i o ul a OCR � October 1, 2024 �u'al�B ���out4�oPt� Southold Town Building Department, lown Can we please request a final inspection and close out the permit for Noreen Domanico for permit#. 46646. Please find the enclosed check to reopen the expired permit. Sincerely, Adalberto Benitez President 631-905-2762 1 PL0 r C. TLOCKOWSK + e. a n SURVEY OF PROPERTY E \ f LAUGHING WATERS TOWN OF SOUTHOLD g SUFFOL.K COUNTY, N,Y. ` � x PLOT 2 woo-78-09-P/O 26 � Scales 1"n 90' Dec.4.20W o K•e5 sovo.f W 171 M 9421'00'W. HfA WATHA'S PATH l DnAf�dY.�Og WyfTnPQNA gr t d&sj�Aq AREA_ 26.340 8q.ff nAaa r� - GSNCY Mb�JEQB-SDHe4/a KseC oawc.vsa * �' Cgf'�Q EKR��^�'CENT!/ Olgy�ly��^'A�. rl�.AyM r� •P. ��. S6a9JOgVa7iJRF A OPPp g Os'M1E 51A4YGYOR ac0r of xs Refer ro siA Altp •.fI!�' � 4,9&8 svaarnsloly v" awry. croswc c'krs Re, � SD(/r110[D� s O✓FiCE ' -1020 ry rgJf.,763-f797 Y woK Or:OT+o roExncY�o09Fp P.D.BOX B09 emu°o°ui kr Ssri r 12-301 ; . �f a t tE a 7' ,yr r� dl u. Nti�tr xt7 ih��h �Pf 63?A , (.9� m S'r'.^35# ��i-Y o ,� tv. .�{,',i r.��typ sue:- r.,.. r�1. Te.• .4 .- �rz... �1 �Si r., e�� �,,,t�� x�,„� ,. _9��W�c.. : ,,(.� _, f• 1�`�1� ,- �,.?� ...�.a,� awxn t.,. _.ash ... �„s�,...�;� �:� �,s� ,,,-;��s..,,,�„ .�=��t.�,.. 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";'t�.rt�""-�7'z^'� r^r�^-^'"��s''z ...5� � 4Suffolk County Department of Labor, Licensing , / � ' Consumer ° Affairs DATE ry 05/05/2021 r y SUFFOLK COUNTY 1 y This is to certify that Adalberto L Benitez businessINE doing � - • - requirements - • • • a - • • - • - provisions • applicablehaving �A '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. • 1w WITHOUT , ' 1 • Businesses* 'r Ate•-�. _ 9 �t AND A CURRENT, 1 ), ., kosali.e. • . • • r s e +.. ,a.. -rL.�kcval��„f1sJ .ar.,rF� 'n e.ns� ,•.L.E.. .s..�c...>✓.:�.`j„b_fi ru Yrf r. ,,.1 .}� -,.._;±:.: v..:v ,_,..,,�.k s„5 .rr..� ,y, ..�. ,h...," ,.'.� .. r-..: .-, '. ,,., _.'...-"' .. `"_. -GLLiW..�.dLLL.:^c•_;:.�', ti' t+,:*..rld+,..t:..`.•• ,»rr, nl 'A.. h1• • .J ,. .. ...{.. x^kji ,,,... ,.. -r �,.. ..,r. w vew..u:^ t ..-, :-': 4.:i.....i.. '•.r ..Y•,.!;• �,,.. ;�„ ;� r„�..,.. 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Fjfy,.r^4�y�'� r�� 'r� �lJw"' T, }(}�q �� 'S: „•, IX,I,I r' �!� 'n gn�Wn� A�Rom® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYY`) 07/20/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 NAME: Jeff Radovich Edwards and Company PHONE (631)472-8400 FAX / A/C No Ext: A/C,No: (631)472-8486 P 0 Box 428 E-MAIL ADDRESS: CertS@edWafdsandCo.net 140 Greene Avenue INSURER(S)AFFORDING COVERAGE NAIC# Sayville NY 11782 INSURERA: Admiral Insurance Company 24856 INSURED INSURER B: Restoration Energy Inc.Dba RW Mulligan INSURER c: P.O.Box 1727 INSURER D INSURER E: Riverhead NY 11901 INSURER F COVERAGES CERTIFICATE NUMBER: 21/22 CGL Master 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 AUULbUbKPOLICY EFF: POLICY EXP LTR TYPE OF COMMERCIAL INSD WVD POLICYNUMBER MM/DD MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH-OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES DA'GE TOEa occurrence $ 300,000 _ MED EXP(Arty one person) $ 5,000 A Y CA00003880702 06/29/2021 .06/29/2022 PERSONAL&ADV INJURY $ 1,000,000 RGEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY JRE T LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY ) AUTOS ONLY AUTOS (Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PTER OTH- AND EMPLOYERS'LIABILITY y/N STATUTE ER ANY PROPRIETOR/PARTNERI—ECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (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 I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) As respects to General liability if required by written contract the following are included as additional insured per policy form CG2010. Town of Southold 54375 Main Rd Southold NY 11971 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. 54375 Main Rd. AUTHORIZED REPRESENTATIVE Southold NY 11971r�,�r _ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD NYSI F New York state Insurance Fund 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 I nysif.com CERTIFICATE OF WORKERS'COMPENSATION INSURANCE AW A A A"^A 462932269 LEVITT-FUIRST ASSOCIATES LTD 520 WHITE PLAINS ROAD,2ND FL TARRYTOWN NY 10591 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER RESTORATION ENERGY INC DBA TOWN OF SOUTHOLD R.W. MULLIGAN 54375 MAIN RD PO BOX 1727 SOUTHOLD NY 11971 RIVERHEAD NY 11901 POLICY NUMBER CERTIFICATE NUMBER POLICY`PERIOD DATE G2314 468-6 714265 06/20/2021 TO 06/29/2022 7/20/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2314 468-6, 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. IF YOU-WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/MWWW.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 STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 583451757 U-26.3 -� l ■ W w 1 �l'1 s�' 9105 S �, oa t)now i e s,,iR- a ' Estimate -_Date Estimate# R.N. MULLIGAN3/3/2021 1498 PO BOX 1727 Riverhead,NY 11901 ph: 631-727-7555 fax:631-727-7997 info@rwmulligan.com -Customer _ _ Job Noreen'Domanico 905 Nokomis Rd Southold,NY 11971 . Description Total CEDAR SIDING 20,470.00 HOUSE&GARAGE Tear existing siding to sheathing. Replace any damaged sheathing.(First 4 no charge if needed,$60.00 per sheet thereafter). Properly seal and flash all windows and doors. Fabricate and install heavy duty,white,aluminum drip edge for all doors and windows. Install 301b felt underlayment. Install 5/4 x 4 cedar. Install Clapboard Cedar Siding using stainless steel ringshank nails. Remove all debris and clean grounds. RW Mulligan 10 Year Installation Warranty. PRICE ALSO INCLUDES: On front and side porch install 1/2x6 PVC beaded soffit. Total: RW Mulligan,a division of Restoration Energy,Inc.will procure all permits required by local law. You,the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Unless otherwise stated,balance owed is due upon job completion with a 1/3 deposit due on contract signing. All material is guaranteed to be as specified. All work to be completed in substantial workmanlike manner according to specification submitted per standard practices. No additional work will be performed without prior approval of the customer. Our workers are fully covered by Workman's Compensation Insurance. Authorized Signature: ACCEPTANCE OF PROPOSAL The above prices and conditions are satisfactory and hereby accepted.You are authorized to do work as specified. Customer Signature Page 1 Date Estimate Date Estimate# RX AULLIGAN 3/3/2021 1498 PO Box 1727 Riverhead,NY 11901 ph:631-727-7555 fax: 631-727-7997 info@rwmulligan.com Customer- Job - Noreen Domanico 905 Nokomis Rd Southold,NY 11971 Description Total WINDOW&SLIDING DOOR REPLACEMENT 24,630.00 Andersen 400 series high performance low"E"glass.Black exterior,prefmished white interior.Full screens,white hardware,tilt wash windows. 1 vertical grille. Andersen 200 series sliding glass door,high performance low"E"glass.Black exterior,prefmished white interior.Full screen,white hardware. Remove existing cedar siding surrounding windows. Remove existing windows. Reframe openings as needed. Properly seal and flash openings. Install new units,caulk and seal. Fabricate new white aluminum drip caps. Install new interior trim to match existing. Remove all debris and clean. PRICE ALSO INCLUDES: PVC window surrounds(5/4x4 with historic sill)including doors and garage door Install PVC fascia,rake boards,solid crown molding,and wrap both porch headers *Front door to remain Install Larson 146FV screen door on front door: $760.00 1,840.00 Install Larson 156FV screen door on side door:$1080.00 Total $46,940:00 RW Mulligan,a division of Restoration Energy,Inc.will procure all permits required by local law. You,the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Unless otherwise stated,balance owed is due upon job completion with a 1/3 deposit due on contract signing. All material is guaranteed to be as specified. All work to be completed in substantial workmanlike manner according to specification submitted per standard practices. No additional work will be performed without prior approval of the customer.. Our workers are fully covered by Workman's Compensation Insurance. Authorized Signature: ACCEPTANCE OF PROPOSAL The above prices and conditions are satisfactory and hereby accepted.You are authorized to do work as specified. Customer Signature Page 2 Date ANDERSENTN WINDOWS & DOORS SOLD BY: SOLD TO: y„': RIVERNEAD LN!3QVrEArE ;ra Randy Rogers 3/30/2021 BUILDING SUPPLY 250 David Ct. Build smarter.guild Better. Calverton NY 11933 , Unit Spec Report - Large e_ Im^K:ang eNA M.. ,. x...,:wE�-N'PRO E NAM _ T E: restoration energy `a4an�,4? :-„.ter:✓.;:a�.aa'�:,�..,�.�„�r�x RESTORATION ENERGY- 555206 905 nokomis rd. ; < ORDER.N TE - : • E TES: i - .C• � ,,,'^;"cc. t`a♦ s,-e.:e' — hY-``.ep.`.i.:_`n..✓3..:-.. ..5,....`..,L.':.G Kt9,!S4-S..e. .,. o ♦ : ^"9" -M' y//�( lN� k , =�r`s�aea;.7".'d:,a.'..:��;.sz....ada.•?ti;:<.�3�+;'�'ii�a �.�a��t ,,.�...�.s:7.�u._>se:s��..,e.a..ns4�t�ra .'o. `;JSsC4'�i+:wnF.s.�a�:,�i.',�.`.�,•-�♦.;.....,<�,,.Yey.�:Ya$'J,..,?3�i':,[-���""�'�0�-7'�D-%���� DATE: �.. B.P.# COMPLY WITH ALL CODES OF OCCUPANCY OR FE BY: NEW YORI� STATE & TOWN CODES � NOTIFY BUILDING DEPARTMENT AT USE IS UNLAWFUL 765-1802, 8AM TO 4PM FOR THE y AS REQUIRF AND CONDITIONS OF OLLOWING INSPECTIONS: SOUTHOLD TOWN zsA -WITHOUT C E RTI A CAT : FOUNDATION -'TWO REQUIRED FOR to, E SOUTHOLD TOWN PLANNING BOARD OF OCCUPANCY 2. ROUGH POUR'FRAMING & LUMBING y .� SOUTHOLD TOWN TRUSTEES 3..INSULATION . - 4. FINAL - CONSTRUCTION MUST N.Y.S.DEC BE.COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE 4' REQUIREMENTS OF THE CODES OF NEW YORK STATE: -NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Quote#: 555206 Print Date: 6/2/2021 4:46:15 PM UTC All Images Viewed from Exterior Page 1 of 9 Unit Spec Report - Large Image n UOTE NAME:'Q -• +� E R J�"�.�� �3.... a. .r (]� .F :P., .•rr..a�iFf�s •.�`sr�ata. sr .1�.,�:t�sa�;�asv;.acs.�:-:is�a,.,,_.�2�a..:.�w7r�1,...s� f��si:�:x�a .i.:,.gut',�s:S`a'� bw��ts�::a:�.t,., .,:�:�::3�-xs��a: �.��:�.M.�`��.,.a.r��-��c�a restoration energy RESTORATION-ENERGY.- 555206 905 nokomis rd. 21C1� Od Ot�2!H�C� s�Ij. F. v f.- ORDER,NQTES:, ;E- ELI ERX•NOi'E Room: living•(r'W Yt1?f-n?hitthent�tE._� �- a p� rye z $- cov&--ElE c - 0' Item St —�1 Opection� !!ow !r vina RO Size=34'118"Z'561'l/8"� I�k1'✓1 .; .I SS j, i = , Unit;Size=,33 6%,� yam: $� j. Y, -Coinmerits: Lid, �JPrilSl �.. . mi l/ s`.• ,Y i§ 2bEC Irji i i•t.-: _ '_ , :r-�. � '.r 2;na:;��. r _ �.' � �9� - a�'r•1J 400 Series Double-Hun hda rd� rilles: FDL,SpecifedUM-Eli?s6G "`r Equal Light, Io S� ulatG 3 ck P,i e,White,2 W1H4ecR9IT 3/4 ' « - s c+_ Instructions UaManufacturer: RA "- �y� ex-'.vx5y hrp,4',}..""qi's"�"+q,,;.• ;"-1•�':='6t'.�r - �J 1 ..sari.. d. 5w >-�T - Unit# U-Factor SHGC Al 0:3 0.28 .; Clear Opening/Unit# Width Height Area(Sq. Ft) r , Al 29.8750 24.2500 5.05000 Quote M 555206 Print Date: 6/2/2021:4:46'15 PM UTC All Images Viewed from Exterior Page 2 of 9 Unit Spec Report - Large Image U'TE NAM Q O: E - ;P OJECT:NAME«,n ,:hs. _''' 'U.O.:ENU z� R r. 4- s s;4s.�. �.�.u�.��,r�r..�,���s.��s restoration energy RESTORATION ENERGY- .555206 905 nokomis rd. ORDER NOTES: ♦.4i1 �"tx.�.'�*c.v..s.�.x r_v: ., - ^r(•. �c: -,�;..n-� .?,. .;.r'�r ,{'n-, .,r.s«cxc..sx�.4''.�'..M;. ''' Room: living rm west bdrm. Item Q�t Operation. 200 3 AA RO Size=38 1/8"x 56 718 ' a Unit Size=37 5/8"x 56 7/8" Comments: s> v=n a 400 Series Double-Hung, Low-E4,Standard ,Grilles: FDL, Specified '` '' "' '; Equal Light No Simulated " ; :;r'-Y Check Rail,3/4 , Black, Pine,White,2W1H W. Instructions to Manufacturer: Unit# U-Factor SHGC -----------'-'---'------'---""- :Yah s'Yy;>y Al 0.3 0.28 Clear Opening/Unit# Width Height Area S Ft _ Al 33.8750 24.2500 5.72000 j, 47 6.0 -r s Quote#: 555206 Print Date: 6/2/2021 4:46:15 PM UTC All Images Viewed from Exterior Page 3 of 9 Unit Spec Report - Large Image } �� - ,, <,Q A E -, PROJECT;NAME U.O,,E`N E ,. T UMB Rr C.US: ME.<P..O T.O # :: �: .,, �.TRADE .3. .>a..ks..`.9l",:.:•:Se:�.7,�.EiiB"ei:.�Yc<%wANirb4ut `a• ,�.5_ }�.,,ry 't�'t>%z�rxr`,sar�F::..�v`"aa�.t�na, �'xii ";.�e�v�:t�:v �'?3•ri:�'kr.�zF:ss:�a�?�s�si.,se�'NF.?7; restoration energy RESTORATION ENERGY- 555206 905 nokom_is d�tir rd.. ' • O ER NOTE -yr -;4yc .x ...:?,r�,,...,,.....c+u::C.*.•F�,a�.-,::oz<='w�.a�':'u'-<mz.�::L.r�:�z':ax�: 3i:�:.y,.^r.�,c�..u���.�..^.^�,� ,.z;ry,u,a:.,u�.:#.,�.+' '^L•e`T �rt�r,";:':.�•�.. '�*{ `�-�'• "t-rr�y .a�• f�,.,. - mac: '• '�`a•�tK'c•� ,a'"�.r�`�,�t�-...o.�.rz�zs�'c�:�'�'s..,�:;r�'.:,c�a+. ,:�aa '..:�x•F�e.���..nk=stcx�..2�G - .. . . - Room: bath Item QQt Operation : Jw RO Size=30 1/8"x 36 7/8" 41k x ' Unit Size—29 5/8"x 36 7/8" Comments: - i s 400 Series Double-Hun p g, Low-E4,Standard, FDL, S ecified ` rv" Equal Light No Simulated Check c Rail,3/4 , Black, Pine,White,2W1 H �g",,z�:�:~��•,•�' Instructions to Manufacturer: Unit# U-Factor SHGC ---------------------------------------- u �a, � , a� i i Al 0.3 0.28 ;:,.. ,_ x•.: <.r-w;' Clear Opening/Unit# Width Height Area(Sq. Ft) - �•.'s:;:- 'ate."-"-� �-��' Al 25.8750 13.7500 2.48000 ate;.•is.s-.?'� 3,a ::24t+ :: ..-... ' �L F] f Quote#: 565206 Print Date: 6/2/2021 4:46:15 PM UTC All Images Viewed from Exterior. Page 4 of 9 Unit Spec Report - Large Image ..? - - - UO.TE NAME;-.:,',:. _P OaEC .; . =<::: :j.._. �Q �� R T NAME<, ,E�' �<=:QU.OT GNU BER-. :��ri - =•=CUSTOME :PO#F'.;:z��.-.�:. - - "..� M fi R, w..._- _� .,7'RADEID,;='r,=- .u, - _c:..`°sa:�__..•:.,-.�....-_<.�:;a.i�ws�tt���u::�; .�_.'�;e"�..a.::<:r•sw i�fi3e:` �• restoration energy RESTORATION ENERGY= 555206 905-nokomis,rd'. } - - R NOTES:;., .2 S`TE ELIVERY:NO.` S• �.�r. ��� ;�:, ., ..0 .. .-.�. .. :�..wK•: Room: 2nd.flr:no egress.being met? § ? -' Item �L Operatio400 AA zR. RO Size=26.1/8"x 36 7/8" Unit Size=:25 5/8"x 36 7/8" Comments: 400 Series Double-Hung, Low-E4,Standard,Grilles: FDL,Specified J Equal Light, No Simulated Check Rail,3/4", Black, Pine,White,2W1 H Instructions to Manufacturer: Unit# U-Factor SHGC -_.• ,:: � _�,<..>:.. Al 0.3 0.28 a ur«C`s Clear Opening/Unit# Width Height Area(Sq. Ft) Al 21.8750 13.750..0 2.10000 , Quote#: 555206 Print Date: 6/2/2021 4:46:15 PM UTC All Images Viewed from Exterior Page 6 of 9 Unit Spec Report - Large Image UO rE NAME - _ - = Q �PRO� ' '-' - - - O -UMB rQ. N pp�R<� t U T' - ... . �.�-:= RADEID. _.-.v S':ehh'=t3..'s;;^nr3 d�>"J✓:kti:z'iac:tx`�.x'.'��' '-''!.. .ra` restoration energy RESTORATION ENERGY- 555206 905 nokomis rd. - ORDER.NOTES: _ — — DELIVERY,cNOTES — �. Room: dinning rm.will have to open up in width few " s Item MR" n Operation 1F � Y w 500 1 Left-Stationary RO Size-72"x 80" sxn Unit Size='71 1/4"x 79 1/2" Comments: 200 Series Patio Doors 2 Panel-NL, Low-E,Tempered, Instructions to Manufacturer: Unit# U-Factor SHGC y s Q S Al 0.29 0.32 WH 09 � �cr �ns � �z r �,,•r yyr�r3� �ttyt'��,r° '� :.■ � `� _�.+ r{�4�i S,�Sh .fi k, r�'"zt,t t p3_-- .r �'Y ,�����r� '' RIP Quote M 555206 Print Date: 6/2/2021 4:46:15 PM UTC All Images Viewed from Exterior Page 6 of 9 Unit Spec Report Large Image_ r..a, _ v:_ QUOTE,tJAME m� _ PROJECT N4912, ;: -�� UOTEN - <. U.M )=R�,:..�:�a� r`==�'� =GU•TOM .�,«t:. ,' .;:�:i �c.<, ._ - .:_,.x•.»..b,...e.= c•.y _ _,..'f - __.-.:Y��=.�w.:�:r ��-.:��.::�:, .wR ,:r: :�,e•> ��` �. .�.n..,�sY�,�,�v�-,�.. �• :T.IZADE.ID=:��-� ' ;. restoration energy RESTORATION ENERGY- � 5552062s 905 nokomis rd.. �- �. ERN TE .. _ ,,... ...:.,,��.,... _,,,.•.,, l` -. ERY:.N -.. .',.�aye>::. w v.�,wx..w.n�.�S,.aidea'^ec�.::�co.£s.awa•&��;�a:"'w.t�i>"�, �?"'' "w:Ss��# T i-�:`` fir,,,;"'-,t•..,.. .yxl - ,^5.;. ryt`7,:�,,.,.;lk'•'r�a"^S:' ve,.,r7.�, a-�:�}cnci.""�:;`; .. �tii.�s+�"sca'1�:,�`u.�,�....,s�Fa w�vxw�.m�:.�Sf''3aa�'. ;" .�'r`�.,ta..3�s:':rY.�•�,.:4•w.-:,,,'��a�rr°Z,°�irt�L�.«'�,;a4.•aaar.�,;-,ci.< Room: kitchen sink . Item QtL Operation 600 1 Left-Right RO Size=63 5/8"x 32 1/2" Unit Size=631/8"x 32" 4r:•?'a``�°':-"grow'''`s'�';r:: - :'✓-'r: .s., `yr iy;!i ;,��.#1'W`Nx.�9;�;eY,•::...:,_,"04; .. Comm ` 'T 400 S Casement Low-E4,Standard ,Grilles: - Series None Vertical, Facto rY Mulled 1/8.Aluminum :c`a'.r.',:�:.+�'.� .. ;�,;:,A .�•y¢;'r�'..s;"'V)k,':_Fj,7.c , fit:.',`..:'.t y$_ <'�•:�,Y�:-W �;=��. . , �'•�� -,:, Instructions to Manufacturer: . Unit# U-Factor SHGC w;:,, a�,?fir•='`�' .,,a�� ., _ �'.,, ,�� '�- - .,v:b�•:,�:tt.._ .ti:�st�=�lft';vz.::yr��;1��y 4 Al 0.28 0.32 61. 0.28 0.32 Clear Opening/Unit# Width Height, Area(Sq.Ft) --- ------------ ------------------ ------------------------------ Al 21.7980 27.1480' 4.10950 B1, 21.7980 27.1480 4.10950 Quote#: 555206 Print Date: 6/2/2021 4:46:15 PM UTC All Images Viewed from Exterior Page 7 of 9 Unit Spec Report - Lar ge Image . U•Q,-:O.nr:,aT%iE.....,....i:`.MF.'KEV:F:-:b'i.«"'✓3i:"^.A:.- rta�:r�i.UP�'Ra�}'O�..'�J.vE z.`C•."s�--� A,:s Q.� •�N `•,`a,�rsii:S��"s'sM ��a`7a a��E`3zs",�`�*.v3-.-`a.".v� `�m�.ec',^ik=a)r�GIsg`kRc.A 7&:7E4:piIsD„!;L°SY.':�:�F:t •,;:. restoration energy RESTORATION ENERGY 555206 905 nokomis rd. 53 - DELIVERY n,. �o...yse:s.,��t,.€3s�3i .�'_.�-..�,.x._::c�.,:t�...._.u ..;+�.wt_�.a�"'�a s�"'r...�a,;�.dear'?s.�'.',•.:'x?�CYai`�cu.�:dt'i�.s:vY �ai:3�..+c.3a��-�� :}�"��:zC•:?'r.2:ta`>+'�: :� Room: 2nd flr.option for egress Z "� l 'w,,.,,_.}. Item QQt Operation h. , ,4i,; AIAa 700 1 Left t*� ,, F'£w. 'r RO Size=28 7/8"x 41 5116" Unit Size.=28 3/8"x 40 13/16" Comm ents: 400 Series Casement, Low-E4,Standard , Grilles: None 141 t- <<` h` Instructions to Manufacturer: Unit# U-Factor SHGC _ a Al Clear Opening/Unit# Width Height Area(Sq. F Al 22.5660 3 <� f �.�� u,.�g��•��°�•�� 6.3810 5.70120 prx El- Quote#: 555206 Print Date: 6/2/2021 4:46:15 PM UTC All Images Viewed from Exterior Page 8 of 9 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#: 555206 - Print Date: 6/2/2021 4:46:16 PM UTC All Images Viewed from Exterior Page 9 of 9