HomeMy WebLinkAbout51409-Z ho��pF SOUTyo`o Town of Southold
* * P.O. Box 1179
0 53095 Main Rd
uNVI Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 45828 Date: 12/13/2024
THIS CERTIFIES that the building SINGLE FAMILY DWELLING-ALTERATION
Location of Property: 11850 Sound Ave Mattituck, NY 11952
Sec/Block/Lot: 141.-3-43
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 10/01/2024
Pursuant to which Building Permit No. 51409 and dated: 11/21/2024
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 boiler and windows in-kind to existing single-family dwelling as applied for.
The certificate is issued to: Alice Funn
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51409 12/06/2024
PLUMBERS CERTIFICATION:
Aukrizu Signature
o�aoFsouryo TOWN OF SOUTHOLD
6 BUILDING DEPARTMENT
���'�Pouo-nr N�yo
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#: 51409 Date: 11/21/2024
Permission is hereby granted to:
Alice Funn
PO BOX 422
Mattituck, NY 11952
To:
Legalize the installation of a replacement boiler and windows in-kind to an existing single-family
dwelling as applied for per manufacturers specifications.
Premises Located at:
11850 Sound Ave, Mattituck, NY 11952
SCTM# 141.-3-43
Pursuant to application dated 10/01/2024 and approved by the Building Inspector.
To expire on 11/21/2026.
Contractors:
Required Inspections:
Fees:
As Built Alteration $500.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total $600.00
Building Inspector
so�ryol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 �p • �o Jamesh(a)-southoldtownny.gov
�y�4UNTY,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Alice Funn
Address: 11850 Sound Avenue city:Mattituck st: New York zip: 11952
Building Permit#: 51409 Section: 141 Block: 3 Lot: 43
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: HOMEOWNER Electrician: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor 1 st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat X Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 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 4'LED Exit Fixtures Sump Pump
Other Equipment:
Notes: BOILIER
Inspector Signature: Date: December 6, 2024
11850 sound ave
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OE SOGT 5! 6 O l 11 $6o c,5o w c #,V e,
# # . TOWN OF SOUTHOLD-BUILDING DEPT.
couto,� 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ 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: got
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DATE Al 21 INSPECTOR LAW,
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PUMILLO ELECTRIC ELEC Kit..,/AL
10470 MAIN ROAD
MATTITUCK. NY 11952 Work order/Invoice 1349
MASTER ELE M.E. *2300
516) 480-9061
r FDAT oarTEs7Eri T KEN B70 RtINO DATI AYWORK ❑;CONTRACT ❑ EXTRA
,pANAME/NO
.IOB l Of:AT
MVOICF pA'Ik, XV TEI,
C"ECKMARKS DENOTE _�,j�l' TERMS:
❑WORK TO BE DONE gF Q4
WORK PERFORMED �ryv r S,Ap -
' ) � � �QJ qQ o �' __ /v DESCRI N OF WORK ------- ,
TEMPORARY SERVK`E
LIGHT FDCTURE(S) 71
SwrTCWESI
RECEPTACLFp4..
RECEPTACI.ESS`GFC1 - ___
SERVICE PANEL ---, —
i
SUB4M►rEL
CIRCUIT BAWEAJOERiffil LABOR HRS. O AMIMP"
FUSE(S) �
ANTENNA WIRE ---
CABLE TV WIRE
I —
TELEPNGNE WIRE
SYOI�DETECTORS;
I
DOOR CHNE7S+
CEILING FAWS, TOTAL LABOR ;
BATHRDCW FAN I LIGHT OTY. MATERIAL O AMOUNT
BASEBOARD HEATERIS)
FAN DRIVEN HEATERM
RADIANT PANEL(S)
RANGE
RANGE MOOD --
DISHWASHER
DISPOSAL _
wASNEtt
WA
WEl
-NOT JODY PUMILLO
voD
MASTER ELECTRICIAN LIC.#M.E.2300
"m' 516-480-9061
HEAT 10470 MAIN ROAD,MATTITUCK,NY 11952
DtNM t`--
TOTAL h
uvtNa I FAMILY ROOM MATERIALS l�
- (hereby ackmwledge the saustaCtory cOmpletlori of u,e NM; — TOTAL
BEDROOM 01 02 described work
�.aEDROOII LABOR
►s 64
''-'♦ 11 $2 S1iiNAlURF
Thank You! TO'
TOTAL
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11410
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FIELD INSPECTION REPORT I DATE COMMENTS
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FOUNDATION (1ST)
-------------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL CO ENTS
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
'Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold, NY 11971-0959
f; ®, Telephone (631) 765-1802 Fax (631) 765-9502 https:/hwvw.southolcitownnyuov
Date Recelved
APPLICATION FOR BUILDING PERMIT D
For Office Use Only
`J OCT 1 2024
PERMIT NO. I ' 1 v Building Inspector:
Appifcatlons arid f6rms miJst be filled out In tk+elr entirety lncomplete S, -T 0i
;appif�ations gill nox bb accepted 1luhere'ths Applicant i":nox the ouuner;an°
Quvr>Ir's Atathoi�zation`:forrn(P shaA
1-be,complted,
Date.
uvi (s)alb.P19R11r:
Name: ems, _ SUM #1000-
Project Address: '
f I
Phone#: Email:
Mailing Address:
CONTACT.PERSON...,*,
Name: .
Mailing Addross: MgWL
, Al ..
Phone;: ` 'r Email: e - '
pESIGN Pf�IQFSSiAI�.AI�INFQRl1/1ATtAN:
Name:
Mailing Address:
Phone#: Email:
i
AIUTliA��'Q4 tIVF9RiVt�1TIQh1
NameVinja
: _.
Mailing Address:
Phone#: Email:
P1 SCRIPTIAN OE RltQP05f R CONSTRtITIOhI
®New Structure Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
900'the 7 .
Will the lot be re-graded? ❑Yes []No Will excess fill be removed from premises? ®Yes ®No
? 22A
1
RRAFEit 1NI~41WiOI�
J
Existing use of property: v Intended use of property
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? L]Yes ❑No IF YES, PROVIDE A COPY.
Gl r�hecit I�r�x Aft+�t°R��dfli�' The Qwner(contractor/desPgn prafe;sionafris rasp;onsiblQfor al►,'d�a(�a�e�ar�d�tos�v+oater�s�Qs as prdvrded byJ.,,�`';
BGh pt�r �sE 1h Ts�n l oA OIPP,BdGATioN is Bt�ill�y i+�AD�to tt�l3u�laln�_ra4part�'g0jot ha 4s�yansc of�'pNildiR�i?�rrrr��pur�ya�S�54 St���uildmaz9�
Ar�!Prtap�i�aB the Tows Ri south4�d,S fcalk,Coon y,yNew y and ether ppll�laie taws,grdlnanSQs ar t�s+latiansr t�rxhc�.4nstraction q�bufldiA
p��ll4iop�i�if'�r�tlgps ArfoP retn�y�i oC d�RRoBltl4R.as herelns dcscSihsd TBi�Oppiie4nt A�54��9 Sg 4P�1p1��111i19Ik�pPUc��19 i�NIS,or[I1tlaB?59�,a�f1411ng S4td9J`k::
h�auisBn��4 and rd�B�tfpn�and to admit authdrized BnspecRor�ep.prenpl�es aitd Ilt buildin�(s)#ar necessary inspe�tians Faise statemebt�tnadc heri�in\ats
purB�h�iaBB����tassA misdcariQr ur�uant<to Sectron'��0 95 of t�e,Byeu�r YprJc�ta>:�penal�auy J J
' Authorized Agent MOwner
Application Submitted B (pri t name):
Signature of Applica t: ! Dater� ,.7 ww
STATE OF N I�p r<6xi S
SS:
COUNTY OF F 13Snnd )
being duly sworn, deposes and says that(s)he is the applicant
(Name of Individual signing contract) above named, t
(S)he is thefff
(Contractor,Agent,Corporat(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 applicatiod file therewith.
Sworn before me this day of Vi '* , M L
Notary Public
,`►,u►►Py,---XAVIER 13ROWN
1�Y PL�I`'"r
PROPERTY OWNER AUTHORIZATION �e` �;.Natary PoB�lie,Stag et'
- - -- —- - .fit .q Comm.Expiroo.99.10-:
(Where the applicant is not the ®Weer)
�rrra►►��� N91@fy i4 149054I
I AjA � �
lLL� s residing atrr m = Lv ,
' do hereby authorizem� G�f� l2s, '. to apply on
m ben .If to the Town of Southold Building Department for approval as described herein.
- Owner's Signature Date
Print Owner's Name
2
D RI/172 FrA
4
.,.zrcrcxti; n i
t afFvr;� �'.x, BUILDING DEPARTMENT---El
TOWN OF SOUTH i
.. kr Town Hall Annex a 54325 Main Ro u t1
'z ti SoUthold,,.New York.1 T
Telephone (631).765-130 FAX (6D
. -
` iamesh a@SOLltholdtownny.gov - seandL4W, w o9v
P
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INI'QRMATION (Ail information Require) • Date:
Company Name: :{A
Electrician's Name: --
License No.: Elec.femail:
Elec. Phone No: 0 1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name:
Address: - ,
Cross Street:
Phone No.:
SIdg.Permit : rj 1 L40 c) email: d,
Tax Map District: 1000 Section: S14ak: Lot:
SRIFF DFSCRIPT CN OF WOR INC UDE SQUARE FOOTAGE (Please Print Clearly):
A �
. -uare Footage:
Cir6le All That Apply:
` Is job ready for inspection?: Leia'YES NO Rough In Final
Do you need a Temp Certificate?. YES [;T-NO[;-NO Issued On
Temp Information, (All information required)
Service SlzeEl1 Fah[:]3 Ph Size: A # Meters Old Meter#
E]New Service Fire keconnectoFlood Reconnect Service Reconnect[:]Underground Eloverhead
# Underground Laterals EJ 1 n2 n H Frame Bole Work done can Service? Y FIN
Additional Information:
PAYMENT DIP WITH APPLICATION
D
rat BUILDING DEPARTMENT-_E
TOWN OF SOUTH ,
D
Town Hall Annex - 54375 Main Roe
#1 VP
Southold,..-New York I
Telephone (631),765-1802 - FAX (61Uffft
lamesh@soLttholdtownny.gov - seAnd nth �v
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
Company Name: bw 00, 0.
Electrician's Name:
License No.: Elec.-email:
Elec, Phone No: 01 request an email copy of Certificate of Compliance
Elec, Address.:
JOB SITE INFORMATION (All Information Required)
Name: M)
)VV7
Cross Street:
Phone No.:
Bldg.Perm It#: Is 14 0 C) email: Lo M&
Tax Map District: 1000 Section: Block: Lot:
ORIEL-DESCRIPT)CAN OF WORE, INC DE SQUARE FOOTAGE (Please Print Cleady):
ea ff, 'X
lv--Sqware Foota
Circle All That Apply:
Is job ready for Inspection?: YES E] NO []Rough In Final
Do you need a Temp Certificate?: YES ` 10 Issued On
Temp Information: (Pdl info&nation required)
Service SizeEll Ph 03 Ph Size: A # Meters Old Meter#
E]New Serviceo Fire keconnect[]Flood Reconnect ]service Reconnect[]UndergroundE]Overhead
# Underground Laterals F1 1 R2 L] H Frame M Pole Work done on-Service? EJ Y 1h-'
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Fans Mini Fr. W/D PanelPump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Carbon Micro GrbDis Water Bond
Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit
Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments �4�11tT,
Fwd. Boiler Installation 8/15/22 Rood
From: Dlantha Jones <dlf124@gmail.com>
Sent: Mon, Sep 2, 2024 at 2:13 pm
To: Crystal Bolling
Peerless WBV brochure.pdf(2.4 MB)
Sorry,I should have forwarded this to you as Carl added specific info, model info,for the boiler in the email.
Pis discard 1st email.
---------- Forwarded message---------
From: Carl Greiner<Carl@burts.com>
Date:Thu,Aug 29, 2024 at 8:41 AM
Subject: Boiler Installation 8/15/22
To: Diantha Jones <dlfj24@gmail.com>
Hello Ms.Jones—
Here's the information about the oil-fired boiler replacement done on 8/15/2022 at 11856 Sound Ave., Mattituck. A
brochure with the boiler specifications is also attached. Let me know if you need any additional information. Regards,
Carl.
BoilerModel:�'Pee:�lesr s%WBV-.e 085=1Nn
�—'Oil'B'u'rnerFModel 4Be NX
COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODES
APPROVED AS NOTED AS REQUI ED AND CONDITIONS OF
SOUMOLD TOWN ZBA
DATE-I 1-21-24 B.P# 5� � SOUNLD TOWN PLANNING BOARD
FEE 160.00 BY SOUiHOLDTOWNTRISTEE8
N.Y.S.DEC
NOTIFY BUILDING DEPARTMENT AT
631-765-1802 BAM TO 4PM FOR THE OLD WC
FOLLOWING INSPECTIONS: SCHD
FOUNDATION-IWO REQUIRED
FOR POURED CONCRETE
ROUGH-FRAMING&PLUMBING
INSULATION ELECTRICAL
FINAL-CONSTRUCTION MUST INSPECTION REQUIRED
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 Additional
Certification
May Be Required.
Peerless° Boilers
F. .
.......................
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........... ......... .......
4�4 i,,
4 f
Series WBV° Boiler Features
✓ Up to 87.5%AFUC ✓ Wet Base Section Design
ENERGY STIR'Certified*'cartainfiring rates Ideal for Steam and Hot Water Applications
✓ All Models n DOE 2021 Compliant! ✓ Rear or Top Flue Convertibility(certain models)
✓ Natural Draft(Chimney)Renting ✓ Insulated, Deluxe Powder Coated Steel Jacket
✓ High Efficiency, Flame Retention Burners Reduces Boiler Heat Loss 0
Choice of Beckett, Carlin or Riello 0 ✓ Full Plate Swing-Out Door
✓ Cast Iron Sections- Factory Tested and For Quick and Easy Cleaning 0
Assembled with Steel Push Nipples ✓ Built-in Air Elimination Baffle
Standard Equipment - ----- �--�--�►
r...................................................... r.........................,..................................................,....,......,.........,,. P..............................,........................,.............
✓Drain Valve ✓Boiler Reset Control w/Low ✓Probe Type LWCO 0
0 0 j
✓Top Cleanout Water Cut-off(Hydrostat 3250) ✓Skim Tapping
for Increased Efficiency and Safety 0 ✓Pressure Control 0
✓Taco Circulator ✓Pressure Gauge
Peerlessftilerssc®rn ✓Temperature-Pressure Gauge 0
All residential cast iron boilers include full one-year warranty.A limited,lifetime warranty is provided for the cast Iron sections of
f `IF��I�� A 1 1 Peerless'residential hot water boilers,A limited,ten-year warranty Is provided on the cast Iron sections of residential steamboilem.
Visit PeerlessBoilers.com for complete details.
Tdchnical
Information
SAFETY RELIEF"ALOE __ __ BOILER DIMENSIONS
OR AIR ELJMINAmON 2 11/15.
R 5/10" (SUPPLY) ,O (TOP VENT) t _ _ -
(TOP VENT)- _ -- o I/14" "E"DIA. Jacket Jacket Jacket Rearof Vent Size
__ 1 1/2-NPT SUPPLY
(SUPPLY) 1 ""I TOP FLUE ' Depth Width Height Jachettoc/I Diam®ter
i I OPTIONAL I NA" NB" NC" of tfentNDn NEn
TANKLESS
4'OIA,REAR _- HEATER
'a
VENT(WOV=Oa,
WRV=04 ONLY)
LIMIT
SAFETY TEMPERATURE -o3 WIRV .04o/Mos 14-1/8"22-1/8" 35" 7.1116' 6"
+O^ VALVE PREOAUGE - Wcv-o-04.005/1=0 18-1/8"22.1/8" 35" 9.1/16' - 6"
29 7/0" -ALTERNATE 1 1/4"NPT WBV-e-05.17A/195 22-1/8''22-1/8" 35" 11-1116 7"
a 4"NPT RETURN
OZ14 VALVE �.
o a,
9 D/15"
--- -- WBv.•o3 oesnas 15-3/4"22.1/8" 35" 8 7/8" --
a,/®' -- - a I/4• 'A' APPROX. a�0 WBV-e-04-125ASO 19-3/4"22-1/8" 35" 10.7/8"
REA LEFT sloe (BONT
...................................................................................................................................................
(TOP VENT) ALTERNATE SAFETY VALVE 2 11/16' -
6" a 5/16' '�{ (SUPPLY) A
TOP VENT 4 7/a-(SUPPLY) (TOP VENT) I M�
PR€WIIR€ 7'� M
2'NPT SUPPLY-
6AWE
1 1/4'NPT _ _.. _- _ __ @"PIA.
SKIP-- WATER ONE - VMAR
ENTy�
SAFETY S/gT BQ
VALVE
PROBE - SAFETY �"I
LWOo-. - Q�21 ge(T1-A5S e° "C' VALVE
iLQA//T LW00 _ 24 7/6'
ROPPONAL
EIUflN NPT 24 I/2' _ HEATER55 1 I{4'NPT
9 9/14' a 1/a RETURN
OR
DRAIN OR
0%1 am IL
.-. a I/,V -1 T _ Is 3/4' _.A. ]1/6" - MEMBER member
-R•�_ APPROIL
ERON7 RIGHT SIDE GEAR
SERIES WBV" BOILER RATINGS - WATER Water Minimum Stack Draft
Boiler Model Input Heating Capacity'MBH Net RatingsAF1.10, Content Required,in.W.C.
_WBV•e-03.060-1111111' 0,60*0 84 75 65 87.5* 11,75 -0,03
W11111II-e-03.085-W 0.85 119 105 91 8:1" 11.75 -0,04
WBV-e-03.105-W 1,05 147 127 110 86.0 11.75 -0.05
W W11We-04.099- 0195* 133 117 102 87.0* 14.75 -0,03
WBV-0.04.125•W 1.25 175 154 134 87:1 14.75 -0,04
WBV-e-04.150-W 1,50 210 183 159 86.1 14,75 -0,05
WBV-0.05.175•WT 1,75 245 214 186 86.6 IZ75 -0,05
WBV-0.09499-V 1195 273 237 206 86.1 , 17,75 -0.06
#As an ENERGY STAR'Partner,1`8 Heat,LIX bin determined that these firing rates meet the ENERGY STAR guidelines for energy efficiency. 1 Bu In er Input based on No.2 fuel oil with a heating value of 140,000 Btu per gallon.
t Topvenlingonly, 2 Net water ratings based on an allowance o1`135,Consult Factory before selecting a boiler for Installations haying
*Nozzles forthese bring rates not provided as standard equipment,Consult Factory for price and availability, unusual piping and pickup requirements,such as intermittent system operation,extensive piping systems,etc,
*ThisfiringratecanonlybeachlevedwithaRiell6F-3bumer,Seelnstallation,OperationandMaintenanceManual, 3 Heating Capacity and Annual Fuel Utilization Efficiency(AFUE)ratings ate based onU.S,Governme.nttosts,
Chimney Size:B"It 8"x 15 ft,
SERIES WBV" BOILER RATINGS- STEAM
Water Minimum Stack Draft
Input Heating Capacity'MON Net Ratings' Content Required,In.W.C.
1 _
WBV•0.03.085.5 0.85 119 104 325 78 T 12,00 -0,04
_WBV-e-03.105.5 1.05 147 127 396 95 85,0 12.00 -0,05
WBV•e-04.125-S 1.25 175 152 475 114 85.6 14.87 •0.04
WBV-e•04.150-S 1.50 210 180 563 135 85'.0 14,87 -0,05
1 Rum@r Input based on No.2 fuel oil with a heating value of140,000 Btu per gallon,
2 Net steam ratings based on an allowance of1333,ConsultFactorybeforeselectingaboilerforInstallationshavingunusualpipingandpickuprequirements,suchaslntermitteM
System operation,extensive piping systems,etc
3 Heating Capacity and Annual Fuel Utilization Efficiency(AFUE)ratings are based onU,S,Govemmenttests.
r Chimney Size;8'x 8"x 15 it,
PeerlessBoilers.com Printed III UiSA
2021
PeOlessSollers,com
Renewal Itemized Order Receipt
byA 1dersen, dbas RcncwAl$yA,ndersca of)tong Islwad Alice Fur)n
AL.A.....'
Legal Name:Long Island Custom Windows 11850 Old Sound Ave
RAN',`
-of olk 1,16#43'99`I-H, Nassau Lic#H0810150000 NYC l,ic#'1307704 Mattituck,NY 11952
WINDO 2029 Now Highway I Farmingdale,NY 11735 H:(631)298.8081
Phone:631.843.1713 1 Fax:631.843.1717 1 sales@rbalongisland.com C:(713)854.2254
'O•
# Windows 0 W Misc: Misc-Application of TQ Foam and Nova Flex Sealment, ,
0 H All Sash:
# Windows ow Misc: Misc-Aluminum Wrap, , All Sash:
0H
101 living Room 32 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
50 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
102 living Room 32 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
56 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
103 living Roam 32 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
56 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
104 Laundry Room 24 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame;
30 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
UPDATED: 09/07/19 Page 3 / 23
newal Itemized Order Receipt
derse'n• dba;tl cucwal By Andersen of Long Island Alice Funn
+� Legal Name:Long Island Custom Windows 11850 Old Sound Ave
Suffolk 61043991-H, Nassau l-ic#H0810150000 NYC U01307704 Mattituck,NY 11952
win®®w flfl LA96MEBT 2029 Now Highway I Farmingdale,NY 11735 H:(631)298.8081
Phone:631.843.1713 1 Fax:631-843.1717 1 sales@rbalonglsland.com C,(713)854.2254
ROOM:
105 Bathroom 24 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
38 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, Obscure, Hardware: White, Standard
Color Recessed Hand Lift, Screen: Fiberglass, Full Screen,
Grille Style: No Grille, All Sash: , Misc: None
106 Dining Room 32 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
56 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
107 Dining Room AC32 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
56 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Half
Screen, Grille Style: No Grille, All Sash: , Misc: None
108 Kitchen 24 W Window: Double-Hung (DG), 1:1,.Flat Sill, Insert Frame,
36 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
100 Kitchen 24 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
UPDATED: 09/07/19 Page 4 23
Renewal Itemized Or-der Receipt
byAnderse l• 64;Rcnewel ByA,ndarsen of Long Island Alice Fenn
. 1 ,
*�r Laaal Name:Long Island Custom Windows 11850®Id Sound Ave
VAR' Lis#43991-H, Nassau Lis#H0810150000 NYC Lis#1807704 Mattituck,NY 11952
WIR®OW RG LAB&R M 2029 New Highway I Farmingdale,NY 11735 H:(631)298.8081
Phone:631.843-1713 1 Fax:631.843.1717 1 sales@rbalongisland.com C:(713)854-2254
ROOM:
110 Kitchen 24 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
36 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
111 Kitchen 24 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
36 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
112 Back Entrance 24 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
36 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style:,No Grille, All Sash: , Misc: None
113 sack Entrance 24 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
36 M Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
114 Up seftom 28 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
48 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
UPDATED: 09/07/19 Page 5 / 23
RRenewal Itemized Order Receipt
yAndersen, dbai R.cocwal By A adcrsen of Loos Island Alice Funn
i
Logol Name:Long Island Custom Windows 11850 Old Sound Ave
Suffolk U043991=11-11, Nassau MOH0810150000 NYC Lic#1307704 Mattituck,NY 11952
WINDOW fig 6AO@MINT 2029 Now Highway I Farmingdale,NY 11735 H:(631)298.8081
Phone:631.843.1713 1 Fax:631.843.1717 1 sales@rbalongisland.com C:(713)854.2254
ROOM:
115 Up Bedroom 28 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
48 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
116 Up Bedroom 28 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
48 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Half
Screen, Grille Style: No Grille, All Sash: , Misc: None
i
117 Up Bed 2 28 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
48 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
118 Up Bed a 28 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
48 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Half
Screen, Grille Style: No Grille, All Sash: , Misc: None
119 Up Oed 3 28 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
48 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
UPDATED: 09/07/19 Page 6 / 23
a p-
1E Wal Itemized Order Receipt
r?!Worse 1. 6w lRcoewal By.Anae:rsen of long island Alice FNnn
Legal Name:Long Island Custom Windows 11850 Old Sound Ave
Suffolk I_'i043991-1-1, Nassau I-ic#H01310150000 NYC L,ic#1507704 Mattituck,NY 11952
WINDOY N& MO@MINT 2029 New Highway I Farmingdale,NY 11735 H:(631)298-8081
Phone:631.843.1713 1 Fax:631.843.1717 1 sales@rbalongisland.com C:(713)854.2254
ROOK
120 Up Hallway 28 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
4$ H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
121 Up Bed 4 28 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
48 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
122 Up Bathroom 24 W Window: Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
26 H - Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
123 Cellar 20 W Window: Double-Hung (DG), 1:1, Full Frame, EJ Frame,
48 H Modern Checkrail, Exterior White, Interior White, Glass: All
Sash: High Performance, No Pattern, Hardware: White,
Standard Color Recessed Hand Lift, Screen: Fiberglass, Full
Screen, Grille Style: No Grille, All Sash: , Misc: None
WINDOWS,23 PATIO DOOK 0 SPECIALTY.0 MISC:2 TOTAL $41,201
,Renewal by Andersen is committed to our customers'safety by
complying with the rules and lead-safe work practices specified by the EPA.
UPDATED: 09/07/19 Page 7 / 23