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HomeMy WebLinkAbout50687-Z I �o��OF SOptyo`o Town of Southold * P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46032 Date: 03/12/2025 THIS CERTIFIES that the building WINDOWS IN DWELLING Location of Property: 38099 Route 25 Orient, NY 11957 Sec/Block/Lot: 15.-2-16 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: i 04/04/2024 Pursuant to which Building Permit No. 50687 and dated: 05/15/2024 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: Window replacements to existing single-family dwelling as applied for. The certificate is issued to: Martin Bancroft Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: Aut ri d ignature 'FGt TOWN OF SOUTHOLD Fn,��o ay BUILDING DEPARTMENT y 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#: 50687 Date: 5/15/2024 Permission is hereby granted to: Bancroft Jr, Martin PO BOX 483 Orient, NY 11957 To: install window replacements to existing single-family dwelling as applied for. At premises located at: 38099 Route 25, Orient SCTM #473889 Sec/Block/Lot# 15.-2-16 Pursuant to application dated 4/4/2024 and approved by the Building Inspector. To expire on 11/14/2025. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $250.00 CO-ALTERATION TO DWELLING $100.00 Total: $350.00 Building Inspector *OE SOUTH°� * * TOWN OF SOUTHOLD BUILDING. DEPT. couto, 631-765-1802 �*g-:ANSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. ( ] FOUNDATION.2ND [ ] NSULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL wivK:(� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [. ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 1 DATE II INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS ro FOUNDATION(IST) J� -------------------------------------- FOUNDATION(2ND) z �o Q ROUGH FRAMING& PLUMBING '� 1 d INSULATION PER N.Y. y STATE ENERGY CODE 12 ll �A p�v FINAL ADDITIONAL COMMENTS &ZO y z x d ro H, a Proposal - Detailed �Q Pella Window and Door Showroom of Roslyn Sales Rep Name: Arleo, Pete 0 79 Powerhouse Rd Sales Rep Phone: (631) 926-5049 Roslyn Heights, NY 11577 Sales Rep E-Mail: parleo@pellactny.com Sales Rep Fax: Customer Information Project/Delivery Address Order Information VECTOR EAST,LTD. 38099 MAIN ROAD ORIENT Quote Name: IMPERVIA BLACK/BLACK NO TRANSOMS PO Box 148 38099 MAIN ROAD 04.03.24 Order Number: 250 Greenport,NY 11944-0148 Lot# Quote Number: 17930806 Primary'Phone: (631)2766965 ORIENT, NY 11957 Order Type: Non-Installed Sales Mobile Phone: County: Wall Depth: Fax Number: Owner Name: Payment Terms: E-Mail: jared@vectoreast.com VECTOR EAST, LTD. Tax Code: SUFFOLK Contact Name: Owner Phone: (631)2766965 Cust Delivery Date: None Quoted Date: 3/13/2024 Great Plains#: 1007753441 Contracted Date: Customer Number: 1011496310 Booked Date: Customer Account: 1007753441 Customer PO#: Customer Notes: ALL SIZES AND CONFIGURATIONS TO BE CONFIRMED ON SITE. APPROVED AS NOTED DA •� B.P# COMPLY WITH ALL CODES OF JCCUPANCY OR FEE - Y. NEW YORK STATE &TOWN CODES USE IS UNLAWFUL NOTIFY BUILDING DEPARTMENT AT AS REQUIRED AND CONDITIONS OF �ITy0t1�631-765-1802 BAM TO 4PM FOR THE /YE ZBA CERTIFICA- FOLLOWING INSPECTIONS: PLANNING BOARD OF OCCUPANCY 1. FOUNDATION-TWO Se-P—^rp FOR POURED'('0NGRiE.': TRUSTEES 2. ROUGH-FRAIGiIE'�G& ':.� �� �i�INSULATION4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THEE REQUIREMENTS OFTHE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTAUCTON ERRORS For more information regarding the finishing, maintenance, service and warranty of all PellaO products, visit the Pella@ website at www.pelia.com Printed on 4/3/2024 Detailed Proposal Page 1 of 16 Customer: VECTOR EAST, LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Line# Location: Attributes 10 MAIN ENTRY s^ ' Qty r Pella Entry Doors, Entry Door, Inswing, 37.5 X 81.625, White, 6 9/16" 1 c•� ; 1:37.581.625 Entry Door PK# Frame Size:37 1/2 X 81 5/8- — -- --2161 Unit Type:Left Inswing,Standard Sill,No Fire Rati;,ng`No Fire Rating y° Dimensions:36,80 4" (: Y ~ Dimension Options: No Cut Down _ General Information:Standard,6 9/16",6 9/16" Viewed From Exterior Panel Style: Full Light --- •-- ; Rough Opening: `38 -1/4"X 82-1/8" Glass:Tempered Low-E Argon Grilles:No Grille - Panel Selection:Smooth Fiberglass, Primed, Primed n ;;, '�,�'�='�'` --` f Frame Selection: Composif:e,-Black Threshold,No:Panel Reinforcement,Smooth, Painted,White,Cora osjte,Smooth'i?�inted,Vllhite; Hardware Options: Latch Bore with Deadbolt,_2 3/8",2 1/8",No Integrated Sensor,No Handle et,Sta da d;Steeld3alt.1 e6A-ig,Satin Nickel,Mill Finish Sill ;. ., ti fr r- a-= o Performance Information: U;Factor 0 25;SHGC 0:16,VLT 0.28,CPD PEL-M 258 47984-0000 C;alculated�Positive_DJ'Rating 40,Calculated Negative DP 1==. � Rating40 ;t�•ts •f ` � ° 9 Wrapping Information:2"Brickmould,'Factory Applied„6,9/16",Pella Recommended Clearance�,,Pedme 6 L ngth=239". ;`A I�r^'—"""a"'�"-- .. r �.��.s• _- ..t C^��i •ryh V P.ey ..! Customer Notes: DOOR WILL COME PRIMED ONLY Line#.. Location: . Attributes 15 ENTRY Impervia, Casement Left, 31.5 X 71.5, Black Qty r 1 Lx " 1:3272 Left Casement PK# Frame Size:31 1/2 X 71 1/2 r General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16", 1 15/16" 2163 Exterior Color/Finish: Black Interior Color/Finish:Black ti Glass: Insulated Dual Tempered Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options:Standard,Wash Hinge Hardware, Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Rough Opening: 32"X 72" Screen:Full Screen,InViewTM Performance Information:U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001,Performance Class LC,PG 50,Calculated Positive DP Rating 50,Calculated Negative DP Rating 50,Year Rated 11,STC 28,OITC 25,Clear Opening Width 21.25,Clear Opening Height 66.75,Clear Opening Area 9.850261, Egress Meets Typical 5.7 sgft(E)(United States Only) Grille:No Grille, Wrapping Information: No Exterior Trim,3 1/4",Pella Recommended Clearance, Perimeter Length=206". i For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 4/3/2024 Detailed Proposal Page 2 of 16 Customer: VECTOR EAST, LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Line#' Location: Attributes 20 ENTRY Impervia, Casement Right, 31.5 X 71.5, Black Oty Q, 1:3272 Right Casement PK# - Frame Size:31 1/2 X 71-1/2 r� General Information:Standard, Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16",1 15/16" 2163 Exterior Color/Finish: Black tf Interior Color/Finish: Black ��. Glass: Insulated Dual Tempered Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options:Standard,Wash Hinge Hardware,Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Rough Opening: 32"X 72" Screen: Full Screen,InViewTM Performance Information:U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001,Performance Class LC,PG 50,Calculated Positive DP Rating 50,Calculated Negative DP Rating 50,Year Rated 11,STC 28,OITC 25,Clear Opening Width 21.25,Clear Opening Height 66.75,Clear Opening Area 9.850261, Egress Meets Typical 5.7 sgft(E)(United States Only) Grille:No Grille, Wrapping Information: No Exterior Trim,3 1/4",Pella Recommended Clearance,Perimeter Length=206". Line# Location: Attributes 25 EXIST BR 1 Impervia, Casement Right, 31.5 X 53.5, Black sty 2 ie7 1:3254 Right Casement PK# Frame Size:31 1/2 X 53 1/2 General Information:Standard, Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16",1 15/16" 2163 Exterior Color/Finish: Black Interior Color/Finish: Black Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options:Standard,Wash Hinge Hardware,Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Rough Opening; 32"X 54" Screen:Full Screen, InViewTM Performance Information: U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001, Performance Class LC,PG 50,Calculated Positive DP Rating 50,Calculated Negative DP Rating 60,Year Rated 11,STC 28,OITC 25,Clear Opening Width 21.25,Clear Opening Height 48.75,Clear Opening Area 7.19401,Egress Meets Typical 5.7 sgft(E)(United States Only) Grille:No Grille, Wrapping Information:No Exterior Trim,3 1/4",Pella Recommended Clearance,Perimeter Length=170". For more information regarding the finishing, maintenance, service and warranty of all Pella@ products, visit the PellaO website at www.pella.com Printed on 4/3/2024 Detailed Proposal Page 3 of 16 Customer: VECTOR EAST, LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Line# Location: Attributes 26 EXIST BR 1 Impervia, 3-Wide Casement, 100.5 X 71.5, Black Gtty 1 1:3272 Left Casement PK# Frame Size:31 1/2 X 71 1/2 r, +' 2163 General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16", 1 15/16" Exterior Color/Finish: Black • �1.0 1 Interior Color/Finish: Black Glass:Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options:Standard,Wash Hinge Hardware,Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Rough Opening: 32"X 72" Screen: Full Screen,InVieWTM Performance Information:U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001, Performance Class LC,PG 45,Calculated Positive DP Rating 45,Calculated Negative DP Rating 45,Year Rated 11,STC 28,OITC 25,Clear Opening Width 21.25,Clear Opening Height 66.75,Clear Opening Area 9.850261,Egress Meets Typical 5.7 sgft(E) (United States Only) Grille:No Grille, 2:3272 Fixed Casement Frame Size:31 112 X 71 1/2 General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16", 1 15/16" Exterior Color/Finish:Black Interior Color/Finish:Black Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Performance Information:U-Factor 0.27,SHGC 0.30,VLT 0.56,CPD PEL-N-276-00235-00001,Performance Class LC,PG 45,Calculated Positive DP Rating 45,Calculated Negative DP Rating 45,Year Rated 11,STC 28,OITC 24 Grille:No Grille, 3:3272 Right Casement Frame Size:31 1/2 X 71 1/2 General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16", 1 15/16" Exterior Color/Finish:Black Interior Color/Finish:Black Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options:Standard,Wash Hinge Hardware,Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Screen: Full Screen, InViewTM Performance Information:U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001,Performance Class LC, PG 45,Calculated Positive DP Rating 45,Calculated Negative DP Rating 45,Year Rated 11,STC 28,OITC 25,Clear Opening Width 21.25,Clear Opening Height 66.75,Clear Opening Area 9.850261,Egress Meets Typical 5.7 sgft(E)(United States Only) Grille:No Grille, Vertical Mull 1:AlignedWith,3" Vertical Mull 2:AlignedWith,3" Wrapping Information: No Exterior Trim,3 1/4",Pella Recommended Clearance,Perimeter Length=344". For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed•on 4/3/2024 Detailed Proposal Page 4 of 16 Customer:VECTOR EAST, LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Line# Location: Attributes 30 DR/LR R SIDE Impervia, Casement Right, 31.5 X 71.5, Black °ty I 5 ter, 1:3272 Right Casement _ PK# Frame Size:31 1/2 X 71 1/2 r� General Information:Standard, Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16", 1 15/16" t w, 2163 Exterior Color/Finish: Black ! r Interior Color/Finish: Black '.3 1.5 Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options:Standard,Wash Hinge Hardware,Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Rough Opening: 32'X 72" Screen: Full Screen, InViewTM Performance Information: U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001, Performance Class LC,PG 45,Calculated Positive DP Rating 45,Calculated Negative DP Rating 45,Year Rated 11,STC 28,OITC 25,Clear Opening Width 21.25,Clear Opening Height 66.75,Clear Opening Area 9.850261,Egress Meets Typical 5.7 sgft(E)(United States Only) Grille:No Grille, Wrapping Information:No Exterior Trim,3 1/4",Pella Recommended Clearance,Perimeter Length=206". Line# Location: Attributes 40 DR/LR L SIDE Impervia, Casement Left, 31.5 X 71.5, Black Oty 3 1:3272 Left Casement f 1 PK# Frame Size:31 1/2 X 71 1/2 r` General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4",1 5/16", 1 15/16" 2163 Exterior Color/Finish:Black Interior Color/Finish:Black •O Glass:Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options:Standard,Wash Hinge Hardware,Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Rough Opening: 32"X 72" Screen:Full Screen,InViewTM Performance Information:U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001,Performance Class LC,PG 45,Calculated Positive DP Rating 45,Calculated Negative DP Rating 45,Year Rated 11,STC 28,OITC 25,Clear Opening Width 21.25,Clear Opening Height 66.75,Clear Opening Area 9.850261,Egress Meets Typical 5.7 sgft(E)(United States Only) Grille:No Grille, Wrapping Information:No Exterior Trim,3 1/4",Pella Recommended Clearance,Perimeter Length=206". For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 4/3/2024 Detailed Proposal Page 5 of 16 Customer: VECTOR EAST, LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Line# Location: Attributes 45 LR/DR Lifestyle, Quad Sliding Door, Contemporary„ Fixed/Vent Left/Vent Right/Fixed, City 140.125 X 95.5,Without HGP, Black 1 1_? 1:14196 Fixed/Vent Left/Vent Right/Fixed Quad Sliding Door PK# Frame Size: 140 1/8 X 95 1/2 General Information:No Package,Without Hinged Glass Panel,Factory Assembled Vent Panel Pack Out,Clad, Pine,5 7/8",4 9/16",Oak Threshold 2163 Exterior Color/Finish:Standard Enduraclad,Black �` Interior Color/Finish: Black Stain Interior Glass:Insulated Tempered Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: Black,Standard,Handle Included,Handle Included,Matte Black,Black,No Integrated Sensor Rough Opening; 141-1/8"X 96" Screen:Sliding Screen,Black Metal Interior Black Exterior,Matte Black,InViewTM Performance Information:U-Factor 0.28,SHGC 0.27,VLT 0.51,CPD PEL-N-230-00082-00001,Performance Class R,PG 20,Calculated Positive DP Rating 20,Calculated Negative DP Rating 20,Year Rated 08111 Grille:No Grille, Wrapping Information: Foldout Fins,Factory Applied,No Exterior Trim,4 9/16",5 7/8",Factory Applied,Pella Recommended Clearance,Perimeter Length= 472". Line#., Location: . _..; _. Attributes.. 50 PORCH Impervia, Casement Right, 31.5 X 71.5, Black City ,". 5 t Lr, '•, 1:3272 Right Casement ,- PK# Frame Size:31 1/2 X 71 1/2 r` General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16", 1 15/16" 2163 Exterior Color/Finish: Black Interior Color/Finish:Black • Glass:Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options:Standard,Wash Hinge Hardware,Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Rough Opening: 32"X 72" Screen: Full Screen,InViewTM Performance Information:U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001,Performance Class LC, PG 45,Calculated Positive DP Rating 45,Calculated Negative DP Rating 45,Year Rated 11,STC 28,OITC 25,Clear Opening Width 21.25,Clear Opening Height 66.75,Clear Opening Area 9.850261,Egress Meets Typical 5.7 sgft(E)(United States Only) Grille:No Grille, Wrapping Information: No Exterior Trim,3 1/4",Pella Recommended Clearance,Perimeter Length=206". For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 4/3/2024 Detailed Proposal Page 6 of 16 Customer: VECTOR EAST, LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Line 9 Location: Attributes 55 PORCH Impervia, Casement Left, 31.5 X 71.5, Black City r 4 Q, f.� 1:3272 Left Casement PK# Frame Size:31-1/2 X 71 1/2 r- General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4",1 5/16", 1 15/16" 2163 Exterior Color/Finish:Black y Interior Color/Finish:Black 11.5 Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: Standard,Wash Hinge Hardware, Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Rough Opening: 32"X 72" Screen: Full Screen,InViewTM Performance Information: U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001,Performance Class LC,PG 45,Calculated Positive DP Rating 45,Calculated Negative DP Rating 45,Year Rated 11,STC 28,OITC 25,Clear Opening Width 21.25,Clear Opening Height 66.75,Clear Opening Area 9.850261,Egress Meets Typical 5.7 sgft(E)(United States Only) Grille:No Grille, Wrapping Information: No Exterior Trim,3 1/4%Pella Recommended Clearance, Perimeter Length=206". Line# Location: Attributes 60 PORCH Impervia, Sash Set, Fixed, 31.5 X 71.5, Black City 1 10 1:3272 Fixed Casement PK# Frame Size:31 1/2 X 71 1/2 r� General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16", 1 15/16" 2163 Exterior Color/Finish:Black _ Interior Color/Finish: Black �. Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Performance Information:U-Factor 0.27,SHGC 0.30,VLT 0.56,CPD PEL-N-276-00235-00001,Performance Class LC,PG 45,Calculated Positive DP Rough Opening: 32"X 72" Rating 45,Calculated Negative DP Rating 45,Year Rated 11,STC 28,OITC 24 Grille: No Grille, Wrapping Information: No Exterior Trim,3 1/4",Pella Recommended Clearance,Perimeter Length=206". For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.polla.com Printed on 4/3/2024 Detailed Proposal Page 7 of 16 Customer: VECTOR EAST, LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Line# Location: Attributes 65 PORCH Lifestyle, Inswing Door, Right, 30 X 81.5,Without HGP, Black City 1:3082 Right Inswing Door PK# Frame Size:30 X 81 1/2 co` 2163 Unit Type: No Program General Information:No Package,Without Hinged Glass Panel,Clad,Pine,8 5/8",7 5/16",Standard Sill,Black Finish Sill Exterior Color/Finish:Standard Enduraclad,Black Interior Color/Finish: Black Stain Interior Viewed From Exterior Glass: Insulated Tempered Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Rough Opening: 30-3/4"X 82" Hardware Options:Standard,Matte Black,Order Handle Set,Multipoint Lock,No Integrated Sensor Screen:Hinge Screen,Black,Matte Black,InViewTM Performance Information: U-Factor 0.28,SHGC 0.22,VLT 0.41,CPD PEL-N-221-00392-00001,Performance Class LC, PG 50,Calculated Positive DP Rating 50,Calculated Negative DP Rating 50,Year Rated 08111 Grille:No Grille, Wrapping Information: Foldout Fins,Factory Applied,No Exterior Trim,7 5/16",8 5/8",Factory Applied,Pella Recommended Clearance,Perimeter Length= 223". For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 4/3/2024 Detailed Proposal Page 8 of 16 Customer:VECTOR EAST, LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Line# Location: Attributes 70 EXIST BR 2 Impervia, 3-Wide Casement, 100.5 X 71.5, Black City ' 1 F_ 1:3272 Left Casement PK# Frame Size:31 1/2 X 71 1/2 r .` � F,i f-' 2163 General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16", 1 15/16" Exterior Color/Finish: Black + •��'` Interior Color/Finish:Black Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options:Standard,Wash Hinge Hardware,Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Rough Opening: 32"X 72" Screen:Full Screen,InViewTM Performance Information:U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001,Performance Class LC, PG 45,Calculated Positive DP Rating 45,Calculated Negative DP Rating 45,Year Rated 11,STC 28,OITC 25,Clear Opening Width 21.25,Clear Opening Height 66.75,Clear Opening Area 9.850261,Egress Meets Typical 5.7 sgft(E)(United States Only) Grille: No Grille, 2:3272 Fixed Casement Frame Size:31 1/2 X 71 1/2 General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16", 1 15/16" Exterior Color/Finish:Black Interior Color/Finish: Black Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Performance Information: U-Factor 0.27,SHGC 0.30,VLT 0.56,CPD PEL-N-276-00235-00001,Performance Class LC,PG 45,Calculated Positive DP Rating 45,Calculated Negative DP Rating 45,Year Rated 11,STC 28,OITC 24 Grille:No Grille, 3:3272 Right Casement Frame Size:31 1/2 X 71 1/2 General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16", 1 15/16" Exterior Color/Finish: Black Interior Color/Finish: Black Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options:Standard,Wash Hinge Hardware,Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Screen:Full Screen,InViewTA° Performance Information:U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001,Performance Class LC,PG 45,Calculated Positive DP Rating 45,Calculated Negative DP Rating 45,Year Rated 11,STC 28,OITC 25,Clear Opening Width 21.25,Clear Opening Height 66.75,Clear Opening Area 9.850261,Egress Meets Typical 5.7 sgft(E)(United States Only) Grille:No Grille, Vertical Mull 1:AlignedWith,3" Vertical Mull 2:AlignedWith,3" Wrapping Information: No Exterior Trim,3 1/4",Pella Recommended Clearance, Perimeter Length=344". For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pelia.com Printed on 4/3/2024 Detailed Proposal Page 9 of 16 Customer: VECTOR EAST,LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Line# Location: Attributes 75 EXIST BR 2 Impervia, Casement Left, 31.5 X 53.5, Black Qty 2 1:3254 Left Casement s F PK# Frame Size:31 1/2 X 53 1/2 General Information:Standard, Duracast®,Nail Fin,No Foam Insulated,3 1/4",1 5/16", 1 15/16" 2163 Exterior Color/Finish:Black Interior Color/Finish: Black Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options:Standard,Wash Hinge Hardware,Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Rough Opening: 32"X 54" Screen:Full Screen,InViewTM Performance Information: U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001,Performance Class LC,PG 50,Calculated Positive DP Rating 50,Calculated Negative DP Rating 60,Year Rated 11,STC 28,OITC 25,Clear Opening Width 21.25,Clear Opening Height 48.75,Clear Opening Area 7.19401,Egress Meets Typical 5.7 sgft(E)(United States Only) Grille:No Grille, Wrapping Information: No Exterior Trim,3 1/4",Pella Recommended Clearance,Perimeter Length=170". Line# Location: Attribute_s 80 2ND FLOOR Impervia, Casement Left, 27.5 X 35.5, Black Qty � 1 �r7 1:2836 Left Casement I PK# Frame Size:27 1/2 X 35 1/2 2163 General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4", 1 5/16", 1 15/16" Exterior Color/Finish: Black Interior Color/Finish: Black Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options:Standard,Wash Hinge Hardware,Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Rough Opening: 28"X 36" Screen: Full Screen,InViewTM Performance Information:U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001,Performance Class LC,PG 50,Calculated Positive DP Rating 50,Calculated Negative DP Rating 60,Year Rated 11,STC 28,OITC 25,Clear Opening Height 30.75,Egress Does not meet typical United States egress,but may comply with local code requirements Grille:No Grille, Wrapping Information: No Exterior Trim,3 1/4",Pella Recommended Clearance,Perimeter Length=126". For more information regarding the finishing, maintenance, service and warranty of all Pella@ products, visit the PellaO website at www.pella.com Printed on 4/3/2024 Detailed Proposal Page 10 of 16 Customer: VECTOR EAST,LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Line# Location: Attributes 85 2ND FLOOR Impervia, Casement Right, 27.5 X 35.5, Black City ' g 1 �.; 1:2836 Right Casement PK# Frame Size:27 1/2 X 35 1/2 {� 2163 General Information:Standard,Duracast®,Nail Fin,No Foam Insulated,3 1/4",1 5/16", 1 15/16" Exterior Color/Finish: Black Interior Color/Finish: Black Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options:Standard,Wash Hinge Hardware,Fold-Away Crank,Matte Black,No Window Opening Control Device,No Limited Opening Hardware Rough Opening: 28"X 36" Screen:Full Screen,InViewTM Performance Information:U-Factor 0.28,SHGC 0.26,VLT 0.49,CPD PEL-N-277-00235-00001,Performance Class LC,PG 50,Calculated Positive DP Rating 50,Calculated Negative DP Rating 60,Year Rated 11,STC 28,OITC 25,Clear Opening Height 30.75,Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: No Exterior Trim,3 1/4",Pella Recommended Clearance,Perimeter Length=126". Line# Location: Attributes 90 None Assigned ODOL6000 - Pella Sliding Door Keylock Plug Qty 2 1:Pella Parts Catalog PK# Pella Parts Selector: Door Hardware,Sliding Patio Door,Key Cylinders/Keylock Plugs, Pella Lifestyle Series,White,Unhanded,ODOL6000,Sliding Door 2163 Keylock Plug,ODOL6000, Viewed From Exterior Rough Opening: 10"X 10.5" Line# Location: Attributes 95 None Assigned OBLTC003 - Pella Wood Patio Door Keyed-Alike Cylinder Qty 1 1: Pella Parts Catalog PK# Pella Parts Selector: Door Hardware,Hinge Patio Door,Key Cylinders/Keylock Plugs,Pella Lifestyle Series,Stainless Steel,Unhanded,OBLTC003,Wood 2163 Patio Door Keyed-Alike Cylinder,OBLTC003, Viewed From Exterior Rough Opening: 10"X 10.5" For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 4/3/2024 — Detailed Proposal Page 11 of 16 Customer: VECTOR EAST, LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Line# Location: Attributes 100 None Assigned DELIVERY - Delivery Qty 1 Thank You For Your Interest In Pella® Products For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 41312024 Detailed Proposal Page 12 of 16 Customer: VECTOR EAST,LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 PELLA WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale. All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details, taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system. Neither Pella Corporation nor the Seller will be bound by any other warranty unless specifically set out in this contract. -However, Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening (egress) information does not take into consideration the addition of a Rolscreen [or any other accessory] to the product. You should consult your local building code to ensure your Pella products meet local egress requirements. Per the manufacturer's limited warranty, unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually, thereafter. Variations in wood grain, color, texture or natural characteristics are not covered under the limited warranty. INSYNCTIVE PRODUCTS: In addition, Pella Insynctive Products are covered by the Pella Insynctive Products Software License Agreement and Pella Insynctive Products Privacy Policy in effect at the time of sale, which can be found at Insynctive.pella.com. By installing or using Your Insynctive Products you are acknowledging the Insynctive Software Agreement and Privacy Policy are part of the terms of sale. Notice of Collection of Personal Information: We may collect your personal information when you interact with us. Under the California Consumer Privacy Act (CCPA), California residents have specific rights to request this information, request to delete this information, and opt out of the sharing or sale of this information to third parties. To learn more about our collection practices and your rights under the CCPA please visit our link https://www.pella.com/california- rights-policy/at pella.com. ARBITRATION AND CLASS ACTION WAIVER ("ARBITRATION AGREEMENT") YOU and Pella and its subsidiaries and the Pella Branded Distributor AGREE TO ARBITRATE DISPUTES ARISING OUT OF OR RELATING TO YOUR PELLA PRODUCTS (INCLUDES PELLA GOODS AND PELLA SERVICES)AND WAIVE THE RIGHT TO HAVE A COURT OR JURY DECIDE DISPUTES. YOU WAIVE ALL RIGHTS TO PROCEED AS A MEMBER OR REPRESENTATIVE OF A CLASS ACTION, INCLUDING CLASS ARBITRATION, REGARDING DISPUTES ARISING OUT OF OR RELATING TO YOUR PELLA PRODUCTS. You may opt out of this Arbitration Agreement by providing notice to Pella no later than ninety (90) calendar days from the date You purchased or otherwise took ownership of Your Pella Goods.To opt out, You must send notice by e-mail to pellawebsupport@pella.com , with the subject line: "Arbitration Opt Out" or by calling (877) 473-5527. Opting out of the Arbitration Agreement will not affect the coverage provided by any applicable limited warranty pertaining to Your Pella Products. For complete information, including the full terms and conditions of this Arbitration Agreement, which are incorporated herein by reference, please visit www.pella.com/arbitration or e-mail to pellawebsupport@pella.com, with the subject line: "Arbitration Details" or call (877) 473-5527. D'ARBITRAGE ET RENONCIATION AU RECOURS COLLECTIF ("convention d'arbitrage") EN FRANQAIS SEE PELLA.COM/ARBITRATION. DE ARBITRAJE Y RENUNCIA COLECTIVA ("acuerdo de arbitraje") EN ESPANOL VER PELLA.COM/ARBITRATION. Seller shall not be held liable for failure or delay in the performance of its obligations under this Agreement, if such performance is hindered or delayed by the occurrence of an act or event beyond the Seller's reasonable control (force majeure event), including but not limited to earthquakes, unusually severe weather and other Acts of God, fire, strikes and labor unrest, epidemics, riots, war, civil unrest, and government interventions. Seller shall give timely notice of a force majeure event and take such reasonable action to mitigate the impacts of such an event. Product Performance Information: U-Factor, Solar Heat Gain Coefficient (SHGC), and Visible Light Transmittance (VLT) are certified by the National Fenestration Rating Council (NFRC). For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella@ website at www.pella.com Printed on 4/3/2024 Detailed Proposal Page 13 of 16 Customer: VECTOR EAST, LTD. Project Name: . 38099 MAIN ROAD ORIENT Quote Number: 17930806 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental conditions and a specific product size. NFRC does not recommend any products and does not warrant the suitability of any product for any specific use. Design Pressure (DP), Performance Class, and Performance Grade (PG) are certified by a third party organization, in many cases the Window and Door Manufacturers Association (WDMA).The certification requires the performance of at least one product of the product line to be tested in accordance with the applicable performance standards and verified by an independent party. The certification indicates that the product(s) of the product line passed the applicable tests. The certification does not apply to mulled and/or product combinations unless noted. Actual product results will vary and change over the products life. For more performance information along with information on Florida Product Approval System (FPAS) Number and Texas Dept. of Insurance (TDI) number go to www.pella.com/performance. Including during the construction period, casement windows should never be left open and unlocked for prolong periods or during high wind conditions to avoid sash detachment/damage. Actual sizes tested for documented STC and OITC ratings may vary from the ASTM E 1425 sizes to better represent Pella product offering. STC and OITC ratings shown may be conservatively based on products tested with thinner panes of glass. STC and OITC ratings may be from test results from an equivalent product. TERMS & CONDITIONS: 1. GENERAL a) This Proposal/Contract is between the Customer,as indicated herein,(referred to as the"Buyer")and the DHD Windows&Doors LLC.(Referred to as the"Seller"). b)- This Proposal/Contract shall remain open for 30 days,after which it shall be void at Seller's option. A Proposal shall become a Contract when it is executed by the Buyer and accepted by the Seller. TheBuye� agrees thattheproduct(s) andtheconditions seforth herein supersede overalprevious representations, specifications, terms oother documents issued byhe5eller oits'employees, either written or oral and any purchase order,or other documents issued by the Buyer either before or after this contract. TheBuot r agrees notttbold theSeller responsible forincidental damages thatmay result from thebreach orthesaleoproduct(s) pursuant tah isProposal/Con tract, &consequential damages will be limited to One Hundred Dollars. ThisMroposal Contract will beconstrued inaccordance with thelaws oftheState otConnecticut. Inthecase oflitigat ion theBuyer agrees towaive theright tovenue and agrees that any such caseshall beried inheappropriate court having jurisdiction inheCounty oNew Haven, State oeonnecticut, othdJ.S.Federal District Court fortheDistrict oeonnecticut. TheprevaiLng party in such litigation shall be entitled to recover reasonable attorney's fees including those on appeal. 2. PAYMENT The B)iyer agrees that theneed date isrealistic estimate ofwhen theproduct(s) isiretcbedelivered. Onthis date theSeller may invoice theBuyer forany outstanding balance, and payment will be due according to the payment terms of this contract. TheBuNr agrees nottovithhold payment foranyitem thatibackordered odamaged ishipment, provided theSeller acknowledges such deficiency andprovides theBuyer with assurances of its'undertaking to remedy the same. c) All unpaid balances are subject to interest on the outstanding amount due of 1 r/2%per month,plus attorney's fees if the outstanding balance is forwarded to our attorneys for collection. d) The buyer agrees that payment discounts do not apply when paying with a credit card. e) The buyer agrees that if paying by credit card that authorization is granted to the seller to debit the buyers credit card by signing this contract. f) No C.O.D.Deliveries. 3. CHANGES a) The Buyer agrees that the product(s)listed herein are correct and final b) The Buyer agrees that the product cannot be changed,returned,or canceled. IBuyerckequests anychanges andSeller irit$olediscretion agrees, Buyer shall bdiable foralhdditional charges, expenses andoverhead irconnection with same. Changes ordered byBuyer after the date hereof may result in significant delays to the delivery schedule for the entire order. For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 4/3/2024 Detailed Proposal Page 14 of 16 Customer: VECTOR EAST, LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Sel)ra} shall endeavor tcprovide Buyer firm pricing athetime olBuyer's request forchanges, provided, however, that Buyer acknowledges ,that itnay not bepossible forSeller todoso. Accordingly, a0ricing provided b§eller foanyBuyer requested change i$ibject tincrease andnevent willBuyer beelieved from itebligations hereunder. Anychange ordered bj3uyer and agreed to by Seller is final,non-cancellable,and non-refundable. 4: DELIVERY The Bayer agrees toiccept delivery irsuch installments a3heSeller may make andnottdrold theSeller liable foranyclaims resulting from delays irdelivery. Buyer acknowledges andagrees thaiSeller isotesponsible fodelivery delays resulting fromsupply chain disruption, civilunrest, strikes, labor difficulties, war,pandemic, epidemic cmtherpublic health emergencies, 0overnmentimposed _ moratoriums curtailments, natural disaster, fpmotheeausesbeyond Seller's reasonable control("Force Majeure"). Buyeracknowledges analgreesthatn�dditional costs oexpenses actually incurred b)Seller awsult oForce Majeure shall bdiorne solely b)Buyer andBuyer agrees tmndemnify andhold Seller harmless from andagainst anysuch costs or expenses. b) The Buyer agrees that the product can be delivered without the Buyer being present and agrees to accept the Seller's shipping documents as proof of delivery. c) The Seller agrees to deliver the product(s)to a single location on the ground floor at the Ship-To address listed above,provided that the delivery site is accessible by the Seller's delivery vehicle. Sellerd�hall store product(s) four ftdhirty (30)days atioadditional charge onBuyer's behalf. Buyer ieepponsible forarranging to;tore product(s) alocation selected byBuyer foranyperiods beyond thirty (30)days thatBuyer ieotready taccept delivery alhedelivery site.Provided thatthestorage location designated b)Buyer iwithin Seller's trade territory, Seller shall make a tailgate delivery odiq)roduct(s) tbstored dBuyer's designated location atadditional charge tBuyer. Buyer shallensure thampresentative oBuyer ipresent toffload product(s) Abe storage site.Seller shallhaven6urther liability tBuyer following thelelivery 4roduct(s) tBuyer's designated storage location subject ttheights afejection seforthillaragraph 4(f�below. Without derogating fromthgenerality cifr6oregoing, Buyer shallbmsponsible fomoving thproduct(s) fromBuyer's designated storage sitakdelivery siteUponsuchdelivery tBuyer's designated storage location, Seller shallhavetheighttwquire immediate payment fromBuyer alBemaining installments qfurchase pricewithrespect tdietored product(s) imcordance withtheContract andsame shall bduewi thin ter(10)days following written demand. IBuyer failstprovide timely notice tcSeller foiSeller tdeliver product(s) prior tdiwxpiration ofhirty (30)days from Seller andBuyer's receipt ofiotice from themanufacturer that albanyportion ofheproduct(s) areavailable, Seller shall have theright tatore such_product(s) abcation selected b)Seller without liability t(Buyer andaBuyer's sole cost and expense. Iraddition tdheactual outopocket charges incurred b§eller irstoring product(s) orBuyer's behalf in accordance herewith, Buyer shallbbable t6eller fo(41demaining installments gfurchase price withrespect tthatored product(s) iaccordance withthrEontract, anctiljandling charge equal tdhegreater oS5,000 permonth ofivepercent (5%)ofhetotal purchase price ofheorder, andsuch amounts described irtheforegoing clauses (i)nd(ii)shall boluewithin ten(10)days following written demand. Buyer acknowledges andagrees thatsuchhandling charge iiisasonable estimate ct1halamages thatSeller i4kely tincurRuyer defaults oidebligation tarrange fostorage oproduct(s) aseforth inhisParagraph, thatthwxact damages aralifficult oimpossible tascertain, andthatsuch handling charge iettended byhq)arties aliquidated damages andnotaspenalty. Seller shall have theright tcapply anydeposit paid byBuyer t(such charges without notice td3uyer. IBuyer fails tg)ayanysums under thisSection 4(D)when dueSeller mayfollowing five(5business dayspriornotice tBuyer, treatthq)roduct(s) aabandoned, irwhich case(l�eller maydispose olhq)roduct(s) without liability tBuyer, diauyer's solecostand expense,and without relieving Buyer from its obligation to pay all sums due and owing with interest thereon in accordance with this Contract. e) The Buyer agrees not to hold the Seller responsible for any damage to driveways,sidewalks,trees,and overhead wires caused by the Seller's delivery vehicles. TheBuyf)r agrees taxamine theproduct(s) upon delivery, andwithin 7-days after delivery, provide theSeller notice invriting ofinydiscrepancy between theproduct(s) ordered andtheproduct (s)delivered. If the Buyer does not provide notice within the 7-day period,the Buyer waves any rights of rejection and accepts the product(s)as is. S. INSTALLATION a) The Buyer understands that installation is not included unless specifically stated herein. TheStljer agrees tanstall thq)roduct iaccordance withapplicable building codes andgood construction practices.Detailed installation instructions araivailable from theSeller upon written request. 6. FINISHING a) "In home"touch-ups of the finishing are not available. b) Pella offers no warranty on the paint finish;only paint manufacturer warranties apply to finish. 7. WARRANTY a) The Buyer understands that the Product Warranty,if any,is provided by the Product Manufacturer and that a copy of the warranty,if any,will be provided upon written request. b) The Buyer understands that the Laminated Glass Warranty,if any,is provided by the Laminated Glass Manufacturer and that a copy,if any,will be provided upon written request. There are NO Warranties which extend beyond the description on the face hereof. This Exclusion includes,but is not limited to,implied warranties of merchantability or fitness for a particular purpose. For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 4/3/2024 Detailed Proposal Page 15 of 16 Customer: VECTOR EAST, LTD. Project Name: 38099 MAIN ROAD ORIENT Quote Number: 17930806 Customer Name (Please print) Pella Sales Rep Name (Please print) Order Totals Taxable Subtotal $47,348.52 - Customer Signature Pella Sales Rep Signature Sales Tax @ 8.625% $4,083.81 Non-taxable Subtotal $0.00 Date Date Total $51,432.33 Deposit Received $0.00 Amount Due $51,432.33 For more information regarding the finishing, maintenance, service and warranty of all Pella@ products, visit the Pella@ website at www.pella.com Printed on 4/3/2024 Detailed Proposal Page 16 of 16 =�o�SueFoc��ooi TOWN OF SOUTHOLD—BUILDING DEPARTMENT N 2 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT n E C E Q W E rF For Office Use Only ` g E APR 4 2024 1 ` PERMIT NO. Building Inspector: e R7uRcF,"I`f�'$ Applications a46r,`ms must be filled out�in,their�entirety.incomplete " applications,will not be accepted. Where the Applicant is not the owner;an �`�"��S"` �' t�x����?tI Owner's Authorization,form'(Page 2)shall be completed. ; Date: OWNER(S).OF PROPERTY: Name: --� SCTM#1000- Project Address: Phone#: , o Email: Mailing Address: TA PERSON: ; Name: `Y Mailing Address: Phone#: Email -.. 7. DESIGN PROFESSIONAL INFORIVIATION:° Name: Mailing Address: Phone#: Email: NTRACTOR INFORMATION: Name: Mailing Address: Phone#: C Email: ,DESCRIPTION OF PROPOSED CONSTRUCTION . ❑New Structure, 71Additi n ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other G\5 $ Will the lot be re-graded? El Yes El No Will excess fill be removed from premises? ❑Yes ONO 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ONO IF YES, PROVIDE A COPY. El 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 Buildirig'Departmenf 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.hecessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print na e): J S f Authorized Agent Downer Signature of Applicant: Date: - STATE OF NEW YORK) SS: COUNTY OF SU-Wo L ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (Con�rractor,Agent, Co porate Officer, etc.) of said owner or owners, and is duly author �app rfor r have performed the said work and to make and file this application;that all statements contained in thication 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 q t� �•day of ��Y l � ,2001- Notary Public TRACEY L. DWYER PROPERTY OWNER AUTHORIZATION NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 '(Where the applicant is not the owner) QLIALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,20A�o I, l�"Y� I�� residing at VO 0 0-ftj Y9• r do hereby authorize r 1 f� C��� to apply on my behalf o th Town of Southold Building Department for approval as describe herein. Owner's Signature Date cif Otilv( -DF-T Print Owner's Name 2