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Home My WebLink About51618-Z 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#: 51618 Date: 02/07/2025 Permission is hereby granted to: William Leonardi PO BOX 355 Laurel, NY 11948 To: Install replacement windows in-kind to a single-family dwelling as applied for. Premises Located at: 255 Woodside Ln, Laurel, NY 11948 SCTM# 127.-9-30 Pursuant to application dated 12/11/2024 and approved by the Building Inspector. To expire on 02/07/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $250.00 CO-RESIDENTIAL $100.00 Total $350.00 �� Building Inspector �� Docusign Dwelope ID,53A644A4-1432-40FA-BBD4-D9A7F584EACB TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town 1Hall Annex 54375 Main Road P. O. Box 1 179 Southold,NY 1 1971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 htws:/(AVW AQL1 1101j or Itta Date Received APPLICATION FOR BUILDING PERMIT' " For Office Use Only ` PERMIT NO. �✓ + — Building Inspector.... Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: 12/2/24 _ OWNFRjS)Of PROPERTY: �, �,,...m.,_.....�...___. _......,. ...� �._ Name: William Leonardi SCTM# 1000 Project Address: 255 Woodside Ln. Phone#: 631-484-1031 Email: beerbill@aol.com Mailing Address: 255 Woodside Ln. Laurel NY 11948 CONTACT PERSON: Name: Scott Doughman - Go Permits Mailing Address: 105 Buttonball Ln. Glastonbury, CT 06033 Phone#: 303-946-8685 Email: permits@gopermits.org DESIGN PROFESSIONAL INFORMATION: Name:-n/a Mailing Address Phone#: Email; CONTRACTOR INFORMATION: Name: Home Depot USA Mailing Address: 2455 Paces Ferry Rd. Atlanta, GA 30339 Phone#: 303-946-8685 Email: permits@gopermits.org DESCRIPTION OF PROPOSED CONSTRUCTION C New Structure ❑Addition ❑Alteration R Repair ❑Demolition Estimated Cost of Project: E Other Remove and replace 2 windows,same size,no structural change. $ 3106 Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes BNo 1 Docusign Envelope ID:53A644A4-1432-40FA-BBD4-D9A7F584EACB PROPERTY RTY INFORMATION Existing use of property: Single family intended use of property: Single family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? DYes ❑No IF YES,PROVIDE A COPY. IN Check,Box;After Reading. ow o wnat/contr /design intri ticanal Is mpoasltde for all drama a and storm water lww5 as provided by chapter 236 of the Tom Lode tl t"ilON IS HERI rr MADE to the Building Dquttorent for the issuartm of a building Permit pursuantto the s uiltitarp Zone Ordina to of tt6wrr"rown of Southold,Suffolk,Couro,Now York end r aprpltcabla Cam,Ordinanm of li cations"tot the construction of bult' additl sr alllrwrai ana orfor ma towal Asir deasolftion as'herein described,The applicant a rM, to comply v4tb:all a pirticable laws ordfnanr.aa,building code, houft cWt and repbOmts and toalldmit auttadriteet Irmpettors on premMs,and un b4din lsl for rw t+essartr Inwettions.False statanaaarctts made herein are punldrblo riclaw anal Naxnaanidr rararratrtto actionttrr o fiatduorortrstatd Penal Law. Application Submitted By(print name): Jennifer Winke-Go Permits BAuthorized A ent ❑Owner Signature of Applicant: --, Date: S�a`� STATE OF NEW YORK) SS: COUNTY OF._wwwwwwww._._._........... ) Jennifer Winke being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before meth I s ay of uZRn Not ry ubk NOTARY PUBLIC Guilford County,NC L ommission �� UTHORIZ T ere t e applicant is not the owner) William Leonardi 255 Woodside Ln. ,, William .. _ w residing at__ www �..._..............._._........ �.._. do hereby authorize Jennifer Winke-Go Permits to apply on mabAlfto the Town of Southold Building Department for approval as described herein. WI�AiM �l bVt AYd l 12/4/2024 ; arM�" rcr ."r* Signature__. .. �._�..�,..._....�......... Date William Leonardi w Print Owner's Name . .._._._........ 2 -kogd APPROVED AS NOTED B.P 1le ! + COMPLY WITH ALL CODES OF F��6 BY: YORK STATE&TO CODES NOTIFY BUILDING DEPARTMENT AT CONDITIONSAS REQ IRED AND 631-765-1802 8AM TO 4PM FOR THE RUMTOWNZM FOLLOWING INSPECTIONS: MULDTOWNPONINGBOR FOUNDATION-TWO REQUIRED Sommm' FOR POURED CONCRETE Itys.mc ROUGH-FRAMING&PLUMBING EMIR INSULATION FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS "P CUSTOMER TOTALS COPY I1/2512024 �„ t ,w,� � 11/26/2024 QUOTATION #3060579 Denise Harris S I MONTO SOLD TO: SHIP TO: I N 1? W N The Home Depot THDiLONG[SLAND-Bauppauge EAST Accounts Payable B-12 Hauppauge Branch 2455 Paces Ferry Road NW 40 Oser Avenue Atlanta,GA 3039-4024 Hauppauge,NY 11779 Phone:631-478-6101 Phone:631-478-6101 Far: Fax: ILI 53984249 Leonardi Unassigned 1 1 6500 Double.Hung 31.75" X 53" Operation RO: Operating, Frame=Replacement,Ext. Color= White,Int. Color=White,Glass Package= 32 x 5a.5 ENERGY STAR North Central V7.ProSolar Low E Room ID: PLUS.Argon,Supercept,7I8"IGU, Glass Thickness Custom = 1/8 in- 1/8 out DS,Upper=Annealed,Lower= `" Bedroom 2 Annealed,Locks=2,White;Cam,Air Latches=2, Sill Extender,Head Expander. Screen Coverage= o` Full,Fiberglass,Extruded,U-Factor—0.25, SHGC— 0.25,VT=0.48,STC=28,CPD Number=SBP-A- 44-74448-00001,Meets Energy Star Zones=North Central,DP=50,AAMA, Initials: I 6500 Double Hung 31.75" X 53" Operation= RO: Operating, Frame=Replacement,Ext. Color= 32 x 53.5 White, lrit. Color=White,Glass Package= ENERGY STARNorth Central V7,ProSolar Low E Room ID: PLUS,Argon,Supercept, 7/8"IGU, Glass Thickness Custom = 1/8 in- 1/8 out DS,Upper=Annealed, Lower= ' ``` Bedroom 2 Annealed,Locks=2, White;Cam,Air Latches=2, " u� Sill Extender,Head Expander. Screen Coverage Full,Fiberglass,Extruded,U-Factor=0.25, SHGC= 0.25,VT=0.48,STC=28,CPD Number=SBP-A- 44-74448-00001, Meets Energy Star Zones=North Central,DP=50,AAMA, •-- RO-32 —. Initials: Page 1 Of 2 Quote#: 3060579 T521 Home Improvement Agreement: Page 1 Home Depot License#'s-For the most current Adam Friedman Salesperson Name Registration CA,CT,ME,MD,MI,NJ,DC only Home Depot U.S.A.,Inc. ("Home Depot") or its Authorized Service Provider named below will furnish, install, or service the equipment listed below at the price,terms,and conditions set forth in this Agreement. 1. Service Provider Contact Information The Home Depot The Home Depot Service Provider Contact Name Service Provider Company Name (631) 478-6101 custon,iercaric,,ellationnortheast@homedepot.com Phone# Service Provider Email Address 2. Customer Information [Le o n a—rcri ------ [Wi I—ria—m— Long Island Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO#— L— ---- -- =Lame----�= F�--= E1=94 ETi !,,d id,L,, Customer Address city State Zip I)ee(°bili@aol.com aol.corn F(631) 484-1031 E== Home Phone4l Work Phone# Cell Phone# Customer Email Address 3.NOTICE Of RIGHT TO CANCEL YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: OR DELIVEI2iNTG WRITTEN NOTICE TO HOIVTE DEPOT AT: Address C-ity State Zip MIDNIGHT ON THE THIRD BUSINESS DAY AFFER SIGNING, J . 1.1,111 THE k",TE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) '�ArILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AF-11,11 HOME DEPOT'S RECEIPT OF YOUR NOTICE. ANY MERCHANDISE OR MATERIALS DEI.,lVERED TO YOU MUST BE MADE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER AT YOUR ADDRESS LISTED ABOVE AND IN SUBSTANTIALLY 'THE SAME CONDITION AS WHEN DELIVERED. YOU MAY ALSO CONTACTHOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIV YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGNBELOW TOAC ' OW4 DGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTI Jt RIGHT T ,CA Acknowledged by: ff/18']2 Cus )nier's Signature Date 460 Standard Form HIA(13 Aug.24)(E) Generated Dare 11118/2024 Lead/P00 F47393298 v 4.0 0 Home Improvement Agreement: Page 2 4. Description of Work to be Performed A, detailed description of the work to be performed is included in the paragraph or document entitled Scope of Work, Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice, or Measure which is included in this Agreement. 5.Anticipated Delivery Date/Installation Schedule Approximate Start Date: 03/18/202� Approximate Finish Date: H/=17/2=025 All dates are approximate and subject to change due to various circumstances such as weather,manufacturing delays, obtaining pen-nits or HOA approvals. 6.Electronic Records Authorization You are entitled to a p�per arid electronic copy of this Agreement it"You, choose. If You consent to an e-mailed copy, Your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. Contact your Service Provider to update Your email address, withdraw Your consent to electronic records, or obtain a paper copy of the Agreement or related documents at no charge. By providing Your consent and verifying Your entail address above,"Vou confirm that,You have access to a computer that can receive and open emails and PDF documents. 7. Contract Price and Payment Schedule Payment of the Contract Price is due upon signing unless a different payment schedule is required by law,is specified below, or Is in a payment addendin-n. Contract Price: $ 13106.88 Includes all applicable taxes.Excludes finance charges.* Sales Tax: S 0.00 (If applicable, total amount of taxes included in Contract Price) *41axinrunp deposit OJN7L Y applicable in JID, 41A, ,VIE(33%o),JVJ' F+7(99%) Deposit% 35.63 Deposit Amount$ Remaining Balance $ [1999_9999 ww 8. .Ftnance Charges Any interest payments or other finance char Yes will be determined by Your cardholder or loan agreement, to which Home Depot is NOTa party, and will not akeect the payment due under this Agreement. You are,subject to the terms and conditions of the cardholder or loan agreement, as applicable. No ffinds should be made payable to Service Provider, however, Service Provider may collect Your payments made payable to Home Depot, 9. Acceptance and Authorization By signing below,You authorize Horne Depot to:(a)arrange for Set-vice Provider to perform the Services;or(b)order and arrange for the delivery of special order merchandise, including any custom made special order merchandise,as specified in this Agreement. Further,You acknowledge: (i) You have read and understand this Agreement; (ii)'Vou have accepted this Agreement in its entirety, including the General Conditions and State Supplement (il'any); ii) You are receiving a complete copy of this Agreement, (iv) all rights and intetests under this Agreement, including interest in the property Where Services are performed, are solely vested in the person listed as "Customer" above; and('v)electronic,signatures will be deein originals for all purposes. Do not sign if blank or inconiplete. Service P vider ,, or pennutirt, it ed to be pro to You in writing at a later date, rovider's or rmitting inform t' hima/2624 X ............ . r' Sig at re Date Custom- *s X e Depot E/18:1=2024 The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (631) 476-6101 For any other concerns-, contact The Home Depot at 1-800-466-3337 460 Standard Fomi HIA(13 Aug.24)(E) Generated Date 11/18/2024 LeaVPO-.-r' F47393298 v 40 0 ....................... Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department,board,commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department,board,commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter,notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that compensation for all employees has been secured as provided by this chapter. C-105.2(9-17)REVERSE