HomeMy WebLinkAbout39847-Z "gUFFOt,��®� Town of Southold
11/6/2015
P.O.Box 1179
i W g 53095 Main Rd
# Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37888 Date: 11/6/2015
THIS CERTIFIES that the building ALTERATION
Location of Property: 44190 Route 25,Peconic
SCTM#: 473889 Sec/Block/Lot: 75.-6-6.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore Med in this office dated
5/28/2015 pursuant to which Building Permit No. 39847 dated 6/5/2015
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:
ALTERATION TO AN EXITING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Richmond Creek LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39847 11-02-2015
PLUMBERS CERTIFICATION DATED 09-16-15 Kevin Rempe
Au o 0.%ed S. ature
�SUFFo��co TOWN OF SOUTHOLD
o a BUILDING DEPARTMENT
y - TOWN CLERK'S OFFICE
oy SOUTHOLD, NY
- Qw i , lay,,
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#: 39847 Date: 6/5/2015
Permission is hereby granted to:
Richmond Creek LLC
515 E 72nd St Apt 8B
New York, NY 10021
To: Alterations to existing single family dwelling for laundry area and bathroom in existing
mudroom as applied for.
•
At premises located at:
44190 Route 25, Peconic
SCTM # 473889
Sec/Block/Lot# 75.-6-6.2
Pursuant to application dated 5/28/2015 and approved by the Building Inspector.
To expire on 12/4/2016.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $278.40
CO -ALTERATION TO DWELLING $50.00
Total: $328.40
Inspector
Form No_6 g 1,— 99141),
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing" land uses:
1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
—3:-3: -Copyof Ce tificate-of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. 5-a?—/5
New Construction: Old or Pre-existing Building: l$. (check one)
Location of Property: ` l` a' Om A) ;
House No. Street Hamlet
Owner or Owners of Property: -SW wt Sr.1 5 -e� 12.c<r c '
Suffolk-County Tax Map No 1000, Section Yr- Block og Lot 6"*
Subdivision Filed Map. Lot:
Permit No. 31 p0t/ 1 Date of Permit. Applicant:
Health Dept.Approval: .14 Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
`
Fee Submitted: $ V W
Imo ;
Applicant Signature
',,,, APO/a6,..
Town Hall Annex Telephone(631)765-1802
54375 Main Road i % Fax(631)765-9502
P.O.Box 1179ik ��
Southold,NY 11971-0959 ,�►3. •y®0$ roger.richertRtown.southold.ny.us
- eOUNTi A"
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Richmond Creek LLC
Address: 44190 Route 25 City: Peconic St: New York Zip: 11958
Building Permit# 39847 Section: 75 Block: 6 Lot: 6.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Wildwood Electric Inc. License No: 4836-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey Attic X Garage
INVENTORY
Service 1 ph 200A Heat GAS Duplec Recpt 23 Ceiling Fixtures 8 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 9 Wall Fixtures 22 Smoke Detectors 3
Main Panel 200A NC Condenser 2 Single Recpt Recessed Fixtures 9 CO Detectors
Sub Panel NC Blower 2 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances DW Dryer Recpt 1-30/ Emergency Fixtures Time Clocks
Disconnect 200A Switches 31 Twist Lock Exit Fixtures TVSS
Other Equipment: 2- Exhaust Fans, 1- 40A Oven, 3- Combination Smoke/CO Detectors
Notes:
Inspector Signature:" Date: November 2, 2015
Electrical 81 Compliance Form.xls
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Town Hall Annex ii C. ,,"; xa� Telephone(631)7654802
54375 Main Road „ �1 Fax Fax(631)765-9502
P.O.Box 1179 ' s' "` " 'a:~ _
Southold,NY 11971-0959 \t om!t , � , -------_
k 411 �t if-5\ �i I!7 II +i +BDINGMENT t752o5 !/2 5
_ LD( DEPT
I)leI,I,I'- ,',1 ILMI r,
CERTIFICATION
Date: I ! cQ ( Z-
- 47_) ,t,a /.., v..7
Building Permit No.
Owner: t\,&) 4.)L
{Please print)
Plumber: GW n.r '404 b ii r CG \
(Please
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
C.---r-....":—..„
( ile---7-24
Plumber Sie)
Sworn to before me this l (Q
day of a -t ‘Z, 20 5
/ Az/�// ' 1;a-�%i / r Kathleen K.Hanna
Wary Public-State of NewYNK
NO.OIHA4899O55
/ Qualified In Suffolk Co+I, O
Notary Public, 0 jIi .. County Commldoa&phut 0629 at •
31 la(f 4-) L ,
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TOWN OF SOUTHOLD BUILDING DEPT.
,
765-1802
ET N .
, , FO DATI'ON 1ST ' [ UGH PLUMBING
[ ]foUNDATION 2ND [ 4INSULATION
[ FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE 5ES1STANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ]5LICTRICAL (FINAL)
[ ] CODE VIOLATION [ CAULKING
REMARKS:
.4.46,,t 4- '
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A 411JA ,
DATE 6 ii B if s INSPECTOR
3787e--
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�'Y�OUNTY,NPP�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING`
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING /STRAPPING [eiFINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
69( -
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DATE c INSPECTOR
,,�o��oF souryolo\
# *
141 te/
01TOWN .OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION .
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) gLELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
FrXee-e_
DATE /j INSPECTOR
It
FIELD TNSI.'�C C3N 1 E ORT DA9$ _ *y „ i, Comm, TS ,Y
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' FPUilpATlON(1ST) • • • : ' .:. • .,
00
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FOUNDAI`ION(2ND) ;
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ROUGH FR WMG.& . . ' . • . . • G H
PLUMBING •
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C-X,.- -7, , .. ..___),_)___,
. anni <6.....,,INSULATION PER N.Y. y
STATE ENERGY CODE
aniai . . 117. 64€4.-.,.. . . ri 77, ,,..,...if.d ..___ .
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' FINAL
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TOWN OF SOUTHOLD .:.>,`,:,c,!,11?•toIrcc:rasi..1 BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT ,rc,Ar, �y.•..;;,1 ;aze; lut,y , Do you have or need the following,before applying?
TOWN HALL ,,,,,i,"-,,_,s.'" t""'R': Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 �� �� � Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
jr�� � Flood Permit
Examined /6.
:15
Contact:
Mail to: kr D 11.1 C�V 4 r
Disapproved a/c ` E!;6 11EP1b i
1J �'�'_D 0V:f. OF:OU T n' - -Phone: ' ),Ifs. q
'
Expiration l 11 ,20 ge2
Buil ing I ector
APPLICATION FOR BUILDING PERMIT
Date , 20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,accurate plot plan to scale. Fee according to schedule.
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months.Thereafter,a new permit shall be required.
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,or 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 for necessary inspections.
Si nature 1Df applicant or name if corporation)
g pp a
(Mailing address of applicant)
State whether applicant is owner, lesser agen architect, engineer, general contractor, electrician,plumber or builder
-J 6(-( vim C 12 c iP1P 0 c . 7'S''f z
Name of owner of premises £4114 S/p c L g.. R' .A it ek D C .t-44. c.c.
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. i b 704,h
Plumbers License No. (C-c.n 64 0-est a1, •
Electricians License No. 4l, (y a--01 E/ee f
Other Trade's License No.
1. Location of land on which proposed work will be done:
441 q0 ANA IN ZoPi �econt c- NV ( 1 ii 58
House Number Street Hamlet •
County Tax Map No. 1000 Section 70-- Block O(o Lot 0 . L
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy cs: o(evt+1 AI- .3' 1e, Mi\l
b. Intended use and occupancy IZ.e ac S ,n5 Lc ...
3. Nature of work(check which applicable):New Building Addition Alteration )
Repair Removal Demolition Other Work ['y(,9 4c tj))A-Ivo a-' ! /K gioi1
qop 13 1 fl Rea"- (Description)
4. Estimated Cost 4 3'0,000 Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
•
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7 7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front 234. CO Rear 7/Ce•if/ Depth 4 . Q 2
7 10. Date of Purchase Name of Former Owner
7 11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO K
13. Will lot be re-graded?YES NO Will excess fill be removed from premises?YES _ NOP(
14.Names of Owner of premises?t Aiito A) ace(Address Phone No.
Name of Architect U-`-Address Phone No
Name of Contractor t. -%/k C0115 tu ktoil Address 1.01 fel w/1.1)s Phone No. (r) 1 - Nog- 7310
Co ,�vC; G,R we .rkon , JU-�' t(93
33
(J 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
` b. Is this property within 300 feet of a tidal wetland? *YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale,with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF •
) /r- •
j\ C —
h� L. 0 v a",-i beng duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above Tithed,w 2, Vi
(S)He is the
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sw V.Ipefore me thi
t(
11 day of / � ' 20 /
( , tit / / 412t (-21-
Notary 'ublic Kathleen K.Hass Sature of Applicant
Notary Public•Sate tildnrlba
NO.C1HA489905
Qualified In Suffolh
Commis:Ion Expires O .29 `7
1111
STORMWATER
Scott A. Russell
SUPERVISORMAN AG)EM[)ENT
SOUTHOLD TOWN HALL-P.O.Box 1179 a Q� Town of �uthold
53095 Main Road-SOUTHOLD,NEW YORK 11971 14 �'� Cj`-
'••,' -d ,rtit,
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
Yes No . (CHECK ALL THAT APPLY) •
❑[ [ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surf ace. — -- -
❑W B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑123 C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑[J D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑[ E. Site preparation within the one-hundred-year floodplain as depicted
u on FIRM Map of any watercourse.
❑ Ci F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
' APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) .C.T.M. #: 1000 Date:
D
f. •••03.•••03.NAME.
Own(t
( ate 1,,k_ 5' /5
�� l�h �� Section Block Lot
/ FOR BUILDING DEP�-\R PPIL""F 1.f ONLY
Contact Information. f",y�'— L/
Reviewed By: jj „
Date: 5-
Property Address / Location of Construction Work:
Approved for processing Building Permit
7 Stormwater Management Control Plan Not Required
Stormwater Management Control Plan b Required.
(Forward to Engineering Department for Review)
FORM SMCP-TOS MAY 2014
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Town Hall Annex * - *i Telephone(631)765-18028
a ax(631)76 9512.
�� G O $ rooer.richert(a town.sou o .ny.us
�1 I[ 1,--1,1'.6.Box 1179 i r' O 1
I thold;NY-1197-17095 % Q4 �I•
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i JUN -5 + ••..,
J BUILDING DEPARTMENT
TOWN OF SOUTHOLD
o
i .,i aui 1a AP (CATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ep,„.,n PAss r - ,nt) �2 Date: 5- 2_1- IS
Company Name: kit)i Li)Wooer uE�Tp-tc._ z
Name: e.l,up ii Pis-c)-tlY.o "5-2
License No.: y g s6 -t
Address: 1 , O. 12, tisog W,AD,Nv 't. eL) N.‘.4. it-7C12
Phone No.: ve.F, c,e 63/- '3a9- 41c3/ I C-E2(... - 631- 236- ZZ t l
JOBSITE INFORMATION: (*Indicates required information)
*Name: P1(G(rn.e-% d1¢
*Address: yy/ 90 PMN a emD / Pc6Q")I c.
*Cross Street: 'PE,coNic Le ?'
*Phone No.: , 6.3/- 369- 73/0
Permit No.: ' 3 91.1')
Tax Map District: 1000 Section: 7 ( Block: Lot:C,�2
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) OLD Rouge iRavovn-ria,)
Kte— / I"e s'ro-- 't3c-A- o . / ini Sc.s vu"r c.e-r� ere_.
r .
2-00 AreN3C1 ON Den-6,(ZOO 17a 5e z t,icC� i to S'472%L.L A,—,o� ,
(Please Circle All That Apply)
*Is job ready for inspection: YES NO Rough In Final
*Do you need a Temp Certificate: 4a, i NO .
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect (Undergrounck Number of Meters ange of Servic Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
RE/uov.o per.) = /50 u,
seeVlc(, - 85 a„��=) PO c tio k-(
82-Request for Inspection Form # Z J5,
�g, %OE SOU,
Town Hall Annex �1 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ;
Southold,NY 11971-0959
i
a COM*CviiI
'ease. .•
October 1, 2015
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Richmond Creek LLC
Samuel Singer
515 E72nd St, Apt 8B
New York NY 10021
Re: 44190 Route 25, Peconic
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
I/ Electrical Underwriters Certificate.
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 39847 - Alterations
..----.
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._. 11*WM OF SOUTHOLD PROPERTY RECORD CARD Sti 1 .-7 .-,,,,
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OWNER STREET e/ / ( q 0 VILLAGE DIST. SUB. LOT
E Ojeei
4-6icAmert-:cV Maii-) ?„
FORMER OWNER N E
LP-601 re.!Veiontra . , ACR.I1
,4441,5 1,5-,3
JO i 5-1--afir
S W TYPE OF BUILDING
,p 0 Ion 1 6t. -tar)Wet,0) - ANNe to / c Z.
RS /
:.--7 0 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
Is /
/09..-e, if) •& , 6---,;2-e) c)V 6-727/71Z spz. i-r F FA F?ev, Al d_,
I 4-0,- 4-4-3,Q 0 E 1-a 0 5/.2 ci /8
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18/0 6 —/_ / 2.4 I V i 2J-/0 -S+Ailiket,t)t .ie 54- -61'P -1,.dalC.\blieuilQ
3-1(i06 —L )2. 1/4-ii 6 ) LH - ,E;,/, 'k #.-o is 46 Pec6-7)/c.. 1/e yriocesi5ei,,2
2-1 401 is--L 1z30.71. ))7- icto7 le, Vtriitafts 13 6thaoridOnolksoo,
••
,70
1 ,
Tillable FRONTAGE ON WATER 2
39.— ---
Woodland . FRONTAGE ON ROAD _.:.,..---,0 ' 0 e e" 0 ---. / c..) 6 ."
_ • .
Meadowland . DEPTH
.
House Plot BULKHEAD
' .
Total
• .9 / 0 h.
-2/7 0 0
7 pz 0::: ./Toy
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�8 / gold 4s I Sua00� }oo>J adAj a6oan�
'21C1l IC/ -11)91-1 (2/1/ aoold as l3 �(ornazaaag
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® DATE(MNUDDlYYI'Y)
A��® CERTIFICATE OF LIABILITY INSURANCE 03/19/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must 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).
CONTACT
PRODUCER NAME:
Timothy S Purdy (ti/cc, o.Extl; (631)821-2200 FAX Ne);(631)821-2296
45 Route 25A suite D2 E-MAIL leslie.webber@farm-family.com
Shoreham,NY 11786 INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:Farm Family Casualty Ins:Co.
INSURED INSURER e:
Owen Construction Corp INSURER C:
101 Edwards Avenue INSURER 0:
INSURER E:
Baiting Hollow NY 11933 INSURERF:
-
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDLSUBR POLICY EFF POUCY EXP
LTR TYPE OF INSURANCE JNSD MA/Q, POLICY NUMBER (MANDD/YYYYUMMIDDlYYYY)- UMITS
A X COMMERCIAL GENERAL LIABIUTY 3152X3179 04/01/14 04/01/15 EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE {X I OCCUR 04/01/15 04/01/16 PREMISES(EaoccAMAGE 10 REN urrence) $ 100,000
MED EXP(My one person) $ 5,000
PERSONAL&ADV INJURY $ 1.000,000
GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000
POLICY JECT I I LOC PRODUCTS-COMP/OP AGG $ 2,000,000
OTHER
A AUTOMOBILE LIABILITY 3152C5596 06/16/13 06/16/15 COMBIINED1SINGLE LIMIT $ 1,000,000
ANY AUTO BODILY INJURY(Per person) $
ALLOW1ED X SCHEDULE) BODILY INJURY(Per accident) $
77 NON-OWNED PROPERTY DAMAGE $
X HIRED AUTOS X AUTOS (Per accident)
$
1
A X UMBRELLA LIAB XOCCUR 3152E2658 04/01/14 04/01/15 EACH OCCURRENCE $ 5,000,000
EXCESS LIAB — CLAIMS-MADE 04/01/15 04/01/16 AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION PER
ET
AND EMPLOYERS'LIABILITY
Y/N R
E L EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE N!A
OFFICER/MEMSfft EXCLUDED?
(Mandatory in NH) , EL.DISEASE-EA EMPLOYEE $
DESGdONuOnFdOP
ERATIONSbebw EL DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
Carpentry/ Home Construction / Remodeling
Re: Project: 44190 Main Road, Peconic, NY 11958
CERTIFICATE HOLDER CANCELLATION
Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town Hall Annex THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
54375 Main Road ACCORDANCE WITH THE POLICY PROVISIONS.
Southold, NY 11971 AUTHORIZED REPRESENTATIVE
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®1988-2013 ACORD CORPORATION. All rights reserved.
ACORD 25(2013/04) The ACORD name and logo are registered marks of ACORD
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GOLDMAN73
GOLDMAN SACHS BANK USA _
`1 "" °° �� �2° n� I� STEWART TITLE INSURANCE COMPANY
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TANDARDSPEPAREDI NCE FOR N TACOREASURVEYS AS ESTABLISHED
BY THE LIALS AND APPROVED AND ADOPTED
F9,p) rn pl TIOTLE A SUSOCIATIONCH USE Y THE NEW YORK STATE LAND
FEB 10 2015
37V, °9O 1
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NYS Luc No 50467
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
EDUCLAW 7209 OF THE NEW YORK STATE
EDUCATIONNathan Taft Corwin III
COPIES OF THIS SURVEY MAP NOT BEARING Surveyor
`,
THEMLAND SURVEYOR'S INOTD SEAL OR Land Viir v e V or
EMBOSSED SEAL SHALL NOT BE CONSIDERED ..//
TO BE A VALID TRUE COPY
(; CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE Successor To Stanley J lsaksen, Jr L S
TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A Ingegno L S
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION CERTIFICATIONS ARE NOT TRANSFERABLE Title Surveys - Subdivrsrons - Site Plans - Construction Layout
PHONE (631)727-2090 Fox (631)727-1727
THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS
1 AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED 1586 Mow Rood P 0 Box 16
Jamesport, New York 11947 Jamesport, New York 11947
I
i4-277-2
'01749/6 New York State Insurance Fund
Workers'Compensation&Disability Benefits Specialists Since 1914
199 CHURCH STREET,NEW YORK,N.Y 10007-1100
Phone:(888)997-3863
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
AAAAAA 113369687
LOVELL SAFETY MGMT CO.,LLC
110 WILLIAM STREET 12TH FLR
NEW YORK NY 10038
POLICYHOLDER CERTIFICATE HOLDER
OWEN CONSTRUCTION CORP TOWN OF SOUTHOLD
101 EDWARDS AVENUE TOWN HALL ANNEX
CALVERTON NY 11933 54375 MAIN ROAD
SOUTHOLD NY 11971
POLICY NUMBER I CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE
L G 1074 544-6 669261 04/01/2014 TO 04/01/2016 3/19/2015
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO.1074 544-6 UNTIL 04/01/2016, 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 SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 04/01/2016 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE,
30 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE.
NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW
YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
MICHAEL R.OWEN-PRESIDENT
OWEN CONSTRUCTION CORP.
ONE PERSON CORP.
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
' jit eve_
DIRECTOR,INSURANCE FUND UNDERWRITING
This certificate can be validated on our web site at https://www.nysif.com/cert/certval.asp or by calling(888)875-5790
VALIDATION NUMBER:664769860
U-26 3
J
{ SUFFOLK COUNTY DEPT OF LABOR,
'17# f LICENSING 8 CONSUMER AFFAIRS
'. , HOME IMPROVEMENT
:` CONTRACTOR
i
:,I, ,:` NAME
� MICHAEL R OWEN
1:•, _ ie• '-
:..lt.LL.;.,.Y .,..',=••4*-' ' BUSINESS NAME
This certifies that the OWEN CONSTRUCTION CORP
I
bearer is duly Det.Iewed 'I
licensed by,the I LeAee NumGer 05/01/1989
County of Suffolk �6706-H
I ��.,.a��l°�
EXPIp05!0112016pTON DATE
comm..... _
h
Andersen Andersen Windows -Abbreviated Quote Report Andersen
Project Name: OWEN - SINGER -VAN BAL FTBOF 546253
Quote#• 326 Print Date 05/27/2015 Quote Date: 04/01/2015 iQ Version. 15 0
Dealer: SPEONK LUMBER CORP. Customer:
207 MONTAUK HIGHWAY Billing
SPEONK, NY 11972 (631) 325-0303 Address.
bobb@speonklumber.com Phone: Fax
Sales Rep: Administrator-DO NOT REMOVE Contact.
Created By: Order Desk — Trade ID. Promotion Code:
Item Qty Item Size(Operation) Location
Np 0002 1 244DH3036-2(AA-AA) 1ST FLOOR-KITCHEN -WEST
EINE WALL
o —
RO Size=6' 0"W x 3' 6" H Unit Size=5' 11 1/2"W x 3'5 1/2"H
Composite Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Top/Bottom*Low E Top/Bottom Glass, Removable Interior Grille Top*No Grdle(s)
Bottom*Removable Interior Grille Top*No Grille(s) Bottom, Mulling Location. Factory(Direct), Mull Type Narrow Mull, Mull Priority.Vertical
Grille, Interior, Removable, White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen,White
Zone North-Central
Unit U-Factor SHGC ENERGY STAR®Certified
1 0 30 0 32 Yes
2 0 30 0 32 Yes -
•
0007 1 244DH2849-2(AA-AA) 1ST FLOOR-MUDD ROOM-WEST
WALL
—1—1 2—
ROSize=5'4"Wx4'9"H Unit Size=5' 3 1/2"W x 4'8 1/2"H
Composite Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Top/Bottom*Low E Top/Bottom Glass, Removable Interior Grille Top/Bottom*Removable
Interior Grille Top/Bottom, Mulling Location. Factory(Direct), Mull Type: Narrow Mull, Mull Priority.Vertical
Grille,Vertical Bar, Interior, Removable,White/Maple, Specified Equal Lite,2W1 H, 3/4", Chamfer
Insect Screen, White -
Zone*North-Central
Unit U-Factor SHGC ENERGY STAR®Certified
1 0 30 0 32 Yes -
2 0 30 0 32 Yes
Quote#: 326 Print Date 05/27/2015 Page 1 Of 2 iQ Version: 15.0
Item Qty Item Size(Operation) Location
0008 2 244DH2849 (AA) 1ST FLOOR-MUDD ROOM
RO Size=2' 8"W x 4'9" H Unit Size=2'7 1/2"W x 4'8 1/2" H
Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Glass (Each Sash)
Grille,Vertical Bar, Interior, Removable, White/Maple, Specified Equal Lite, 2W1 H, 3/4", Chamfer
0 I Insect Screen,White
Zone North-Central
U-Factor 0 30, SHGC.0 32, ENERGY STAR®Certified Yes
Total Load Factor
Customer Signature 1.100 .
Dealer Signature
**All graphics 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. -
-&w Ask to see if all of the products you purchase can be upgraded to be ENERGY STAR®certified.
/ ASK ABOUT -
ENERGY STAR
19 This image indicates that the product selected is certified in the US ENERGY STAR®climate zone that you have selected.
Data is current as of August 2014 This data may change over time due to ongoing product changes or updated test results or requirements Ratings for all sizes are specified by NFRC for testing and certification Ratings
may vary depending on the use of tempered glass or different grille options or glass for high altitudes tc
Project Comments.
Quote#: 326 Print Date. 05/27/2015 Page 2 Of 2 IQ Version: 15.0
Andersen Andersen Windows -Abbreviated Quote Report Andersen
Project Name: OWEN-SINGER-WHSE FTBOF 546244
VNI•00.15 000••
Quote#. 324 Pnnt Date. 05/27/2015 Quote Date: 03/31/2015 iQ Version. 15 0
Dealer SPEONK LUMBER CORP. Customer:
207 MONTAUK HIGHWAY Billing
SPEONK, NY 11972 (631)325-0303 Address:
bobb@speonklumber.com Phone: Fax:
Sales Rep Administrator-DO NOT REMOVE Contact
Created By Order Desk Trade ID: Promotion Code-
Item Qty Item Size(Operation) Location
0001 1 244DH2436-2 (AA-AA) 1ST FLOOR-KITCHEN-SO WALL
RO Size=4' 8"W x 3'6"H Unit Size=4'71/2"Wx3'S1/2" H
N lio Composite Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Top/Bottom*Low E Top/Bottom Glass, Removable Interior Grille Top*No Grille(s)
Bottom*Removable Interior Grille Top*No Grille(s) Bottom, Mulling Location: Factory(Direct), Mull Type: Narrow Mull, Mull Priority:Vertical
Grille, Interior, Removable,White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen,White
Zone.North-Central
Unit U-Factor SHGC ENERGY STAR®Certified
1 0.30 0 32 Yes
2 0 30 0 32 Yes
0003 2 244DH3049 (AA) 1ST FLOOR-DR-BAY WINDOW
FLANDERS
RO Size=3' 0"W x 4' 9" H Unit Size=2' 11 1/2"W x 4'8 1/2"H
Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Glass (Each Sash)
Grille, Interior, Removable,White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen,White
Zone North-Central
U-Factor 0.30, SHGC•0.32, ENERGY STAR®Certified Yes
•
Quote#: 324 Print Date: 05/27/2015 Page 1 Of 7 iQ Version: 15.0
Item Qty Item Size(Operation) Location
ill WEI 0004 1 244DH3049-2(AA-AA) 1ST FLOOR-DR-BAY WINDOW
CENTER
RO Size=6' 0"W x 4' 9" H Unit Size=5' 11 1/2"W x 4'8 1/2" H
Composite Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Top/Bottom*Low E Top/Bottom Glass, Removable Interior Grille Top*No Gnlle(s)
Bottom*Removable Interior Grille Top*No Gnlle(s) Bottom, Mulling Location: Factory(Direct), Mull Type: Narrow Mull, Mull Priority:Vertical
Grille, Interior, Removable, White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen,White
Zone:North-Central
Unit U-Factor SHGC ENERGY STAR®Certified
1 0 30 0.32 Yes
2 0 30 0 32 Yes
En OM 0005 1 244DH3049-2(AA-AA) 1ST FLOOR-LR-NO WALL
• II �2U RO Size=6'0"W x 4' 9" H Unit Size=5' 11 1/2"W x 4'8 1/2" H
Composite Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Top/Bottom*Low E Top/Bottom Glass, Removable Interior Grille Top*No Grille(s)
Bottom*Removable Interior Grille Top*No Grille(s) Bottom, Mulling Location. Factory(Direct), Mull Type: Narrow Mull, Mull Priority.Vertical
Grille, Interior, Removable, White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen,White
Zone North-Central
Unit U-Factor SHGC ENERGY STAR®Certified
1 0.30 0.32 Yes
2 0 30 0 32 Yes
Quote# 324 Print Date: 05/27/2015 Page 2 Of 7 iQ Version. 15.0
Item Qty Item Size(Operation) Location
III
��� 0006 1 244DH3049-2 (AA-AA) 1ST FLOOR-LR EAST WALL
i n ROSize=6' 0"Wx4'9" H Unit Size=5' 11 1/2"W x 4'8 1/2"H
Composite Unit, 3 1/4" Frame Depth, White/Clear Pine, Low E Top/Bottom*Low E Top/Bottom Glass, Removable Interior Grille Top*No Grille(s)
Bottom*Removable Interior Grille Top*No Grille(s) Bottom, Mulling Location: Factory(Direct), Mull Type: Narrow Mull, Mull Priority:Vertical
Grille, Interior, Removable,White/Maple, Colonia1,3W2H ,3/4", Chamfer
Insect Screen,White
Zone.North-Central
Unit U-Factor SHGC ENERGY STAR®Certified
1 0 30 0 32 Yes
2 0 30 0 32 Yes
0009 1 244DH30491AA) 1ST FLOOR-GUEST BR-SOUTH
RO Size=3'0"W x 4'9" H Unit Size=2' 11 1/2"W x 4'8 1/2"H
Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Glass (Each Sash)
Grille, Interior, Removable,White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen,White
Zone North-Central
U-Factor:0.30, SHGC• 0 32, ENERGY STAR®Certified:Yes
0010 1 244DH3049 (AA) 1ST FLOOR-GUEST BR-EAST
WALL
ROSize=3'0"Wx4'9"H Unit Size=2' 11 1/2"W x 4'8 1/2"H
Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Glass (Each Sash)
•I Grille, Interior, Removable,White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen, White -
Zone North-Central
U-Factor:0 30, SHGC.0 32, ENERGY STAR®Certified Yes
Quote#: 324 Print Date 05/27/2015 Page 3 Of 7 iQ Version: 15.0
Item Qty Item Size(Operation) Location
nil Min 0011 - 1 244DH3049-2(AA-AA) 2ND FLOOR-NORTHEAST BR-
• . I . NORTH WALL
RO Size=6' 0"W x 4'9" H Unit Size=5' 11 1/2"W x 4'8 1/2" H
N" -tri Composite Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Top/Bottom*Low E Top/Bottom Glass, Removable Interior Grille Top*No Grille(s)
Bottom*Removable Interior Grille Top*No Grdle(s) Bottom, Mulling Location. Factory(Direct), Mull Type: Narrow Mull, Mull Priority:Vertical
Grille, Interior, Removable,White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen,White
Zone: North-Central
Unit U-Factor SHGC ENERGY STAR®Certified
1 0.30 0.32 Yes
2 0.30 0.32 Yes
0012 1 244DH3049 (AA) 2ND FLOOR -NORTH EAST BR-
EAST WALL
RO Size=3' 0"W x 4'9" H Unit Size=2' 11 1/2"W x 4' 8 1/2" H
Unit, 3 1/4" Frame Depth, White/Clear Pine, Low E Glass (Each Sash)
J Grille, Interior, Removable,White/Maple, Colonial,3W2H , 3/4", Chamfer -
Insect Screen, White
Zone.North-Central
U-Factor 0.30, SHGC 0.32, ENERGY STAR®Certified'Yes _
0013 1 244DH3049 (AA) 2ND FLOOR-MASTER BATH-
EAST WALL
RO Size=3' 0"W x 4'9"H Unit Size=2' 11 1/2"W x 4'8 1/2" H
Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Glass (Each Sash)
J Grille, Interior, Removable,White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen,White
Zone.North-Central
U-Factor 0.30, SHGC 0 32, ENERGY STAR®Certified Yes
Quote#: 324 Print Date: 05/27/2015 Page 4 Of 7 iQ Version: 15.0
Item Qty Item Size(Operation) Location
... ... 0014 1 244DH3049-2(AA-AA) 2ND FLOOR-NORTH WEST BR.
. . . . NORTH WALL
�I RO Size=6' 0"W x 4' 9" H Unit Size=5' 11 1/2"W x 4'8 1/2" H - ,
v Composite Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Top/Bottom*Low E Top/Bottom Glass, Removable Interior Grille Top*No Grille(s)
Bottom*Removable Interior Grille Top*No Grille(s) Bottom, Mulling Location. Factory(Direct), Mull Type Narrow Mull, Mull Priority Vertical
Grille, Interior, Removable, White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen,White
Zone North-Central -
Unit U-Factor SHGC ENERGY STAR®Certified
1 030 032 Yes
2 0 30 0 32 Yes
ME 0015 1 244DH3049 (AA) 2ND FLOOR-NORTH WEST BR-
.ill WEST WALL
RO Size=3'0"W x 4' 9"H Unit Size=2' 11 1/2"W x 4'8 1/2" H
Unit, 3 1/4"Frame Depth,White/Clear Pine, Low E Glass (Each Sash)
V Grille, Interior, Removable,White/Maple, Colonial,3W2H , 3/4", Chamfer
Insect Screen, White
Zone.North-Central
U-Factor 0.30, SHGC 0 32, ENERGY STAR®Certified Yes
10110016 1 244DH3049(AA)
- 2ND FLOOR-SOUTH WEST BR-
... - WEST WALL
ROSize=3'0"Wx4'9" H Unit Size=2' 11 1/2"W x 4'8 1/2"H
Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Glass (Each Sash)
J Grille, Interior, Removable, White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen,White
Zone North-Central
U-Factor.0 30, SHGC 0.32,; ENERGY STAR®Certified Yes
Quote#: 324 Print Date. 05/27/2015 Page 5 Of 7 iQ Version• 15.0
Item Qty Item Size(Operation) Location
0017 1 244DH3049 (AA) 2ND FLOOR-SOUTH WEST BR-
SOUTH WALL
RO Size=3'0"W x 4'9" H Unit Size=2' 11 1/2"W x 4'8 1/2" H
Unit, 3 1/4" Frame Depth, White/Clear Pine, Low E Glass (Each Sash)
N Grille, Interior, Removable,White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen,White
Zone. North-Central
U-Factor 0 30, SHGC 0 32, ENERGY STAR®Certified.Yes
0018 1 244DH2430 (AA) 2ND FLOOR HALL-SOUTH WALL
RO Size=2'4"W x 3'0"H Unit Size=2'3 1/2"W x 2' 11 1/2" H
Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Glass (Each Sash)
Grille, Interior, Removable, White/Maple, Colonia1,3W2H ,3/4", Chamfer
N Insect Screen,White
Zone North-Central
U-Factor 0 30, SHGC 0.32, ENERGY STAR®Certified Yes
0019 1 244DH2836(AA) 2ND FLOOR-BATH -SOUTH WALL
RO Size=2' 8"W x 3'6"H Unit Size=2'7 1/2"W x 3'5 1/2" H
Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Glass (Each Sash)
Grille, Interior, Removable,White/Maple, Colonia1,3W2H , 3/4", Chamfer
N Insect Screen,White
Zone* North-Central
U-Factor.0 30, SHGC•0 32, ENERGY STAR®Certified*Yes -
Quote#: 324 Print Date. 05/27/2015 Page 6 Of 7 IQ Version: 15.0
f ' �
Item Qty Item Size(Operation) " Location
NINE ET
0020 _ 1 244DH2430-2(AA-AA) ATTIC
NINE RO Size=4' 8"W x 3' 0" H Unit Size=4' 7 1/2"W x 2' 11 1/2" H
Composite Unit, 3 1/4" Frame Depth,White/Clear Pine, Low E Top/Bottom*Low E Top/Bottom Glass, Removable Interior Grille Top*No Grille(s)
Bottom*Removable Interior Grille Top*No Grille(s) Bottom, Mulling Location Factory(Direct), Mull Type Narrow Mull, Mull Priority:Vertical
Grille, Interior, Removable,White/Maple, Colonia1,3W2H , 3/4", Chamfer
Insect Screen,White
Zone North-Central
Unit U-Factor SHGC ENERGY STAR®Certified
1 0 30 0 32 Yes
2 0.30 0 32 Yes
Total Load Factor
Customer Signature4.929
Dealer Signature
**All graphics 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.
-- "Iff� Ask to see if all of the products you purchase can be upgraded to be ENERGY STAR®certified.
ASK ABOUT
ENERGY STAR
NIThis image indicates that the product selected is certified in the US ENERGY STAR®climate zone that you have selected.
Data is current as of August 2014 This data may change over time due to ongoing product changes or updated test results or requirements Ratings for all sizes are specified by NFRC for testing and certification Ratings
may vary depending on the use of tempered glass or different grille options or glass for high altitudes etc
Project Comments
Quote#: 324 Print Date' 05/27/2015 Page 7 Of 7 iQ Version: 15.0
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Charles M . Thomas
architect
PO BOX 877 JAMESPORT, NY 11947 (631) 727-7993
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Mit PLANS
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DATE: 05/20/15
PROJECT No.
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SCALE: N.T.S DWG No.
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I1 OF
THESE DRAWINGS AND ACCOMPANYING SPECIFICATIONS, AS INSTRUMENTS OF SERVICE, ARE THE EXCLUSIVE PROPERTY OF THE ARCHITECT AND THEIR USE AND PUBLICATION SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR WHICH THEY WERE PREPARED. REUSE, REPRODUCTION OR PUBLICATION BY ANY METHOD, IN WHOLE OR IN PART, IS PROHIBITED EXCEPT BY WRITTEN PERMISSION FROM THE ARCHITECT. TITLE TO THESE PLANS SHALL REMAIN WITH THE ARCHITECT.VISUAL CONTACT WITH THEM SHALL CONSTITUTE PRIMA FACIE EVIDENCE OF ACCEPTANCE OF THESE RESTRICTIONS.