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HomeMy WebLinkAbout40984-Z �o�OsuEFtld,fcoG Town of Southold 2/13/2017 0 P.O.Box 1179 53095 Main Rd p44r�+ �•a4� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38828 Date: 2/13/2017 THIS CERTIFIES that the building WINDOWS Location of Property: 250 Apple Ct, Southold SCTM#: 473889 Sec/Block/Lot: 70.4-6.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/7/2016 pursuant to which Building Permit No. 40984 dated 9/12/2016 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 REPLACEMENT IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Lyburt-Childress,Donna of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Oho d Signature 0Q, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE P, • 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#: 40984 Date: 9/12/2016 Permission is hereby granted to: Lyburt-Childress, Donna PO BOX 402 Southold, NY 11971 To: replace windows in-kind as applied for. At premises located at: 250 Apple Ct, Southold SCTM # 473889 Sec/Block/Lot# 70.-1-6.5 Pursuant to application dated 9/7/2016 and approved by the Building Inspector. To expire on 3/14/2018. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATI DWE G $50.00 To al: $250.00 Building Inspector V V pF SOU � ly �o� olo �o holy 0 NT'1,��Q TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION _ [ ] FRAMING / STRAPPING dFINA WI►V0XlJ%0 [ ] FIREPLACE & CHIMNEY [ ] FIRE AFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 1 Yvrm !&hvbiA D� pryAeAVt�'� . DATE INSPECTOR pF SOUL ��'Y�OUNTI,Nc� TOWN OF SOUTHOLD BUILDING-DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL(Wl l'"011 S [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) REMARKS: DATEB 1� INSPECTOR FIELD 1N•SP,fnga7oN lm OxIX AAS 0011 ,IN'S5 FOUND,kTxON (1ST) .. ..... . _...-.......... d FOUNDA•MON (2ND) 60 � C � ROUGES FRAMVCr& � 9 VA PLUMBING •-�— .. ', � INS.MATZON PES.N.Y. STATE RNERGY CODE rw► -®k . FJNAL • . `�rn TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL 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 Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form r Contact: Approved l 6✓ ,20 � Mail to: Disapproved a/c Phone: Expiration 1 ' ,20� �f pecto 2 ���0 V C PLICATION FOR BUILDING PERMIT Date $ 20 Er 7 2016 INSTRUCTIONS -V— a.ThA% be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plaTPRWO&SJ9ale.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 emo i ' as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,hou ng code,and r gulations,and to admit authorized inspectors on premises and in building for necessary inspe 'ons. (Signature of applicant or name,if a corporation) (Mailing addless of applicant) U AS 6l State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises �CSYItr� I (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. S 5g Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed wor will be done: 'Dso NOV-W. kCcryrA- ) 19-7 / House Number Street Hamlet County Tax Map No. 1000 Section Block I Lot �" �� ;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 i (A e,n+,.' b. Intended use and occupancy �Gk ry) ' 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work \ toad dB e- (Description) "A 5� � 4. Estimated Cost , i I)o Fee A Q so (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. 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 Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO A5 13. Will lot be re-graded? YES NO/Will excess fill be removed from premises? YES NO 14.Names of Owner otpremises \ tj(VAddress Q5D �Phone No. Name of V Address Phone No 1-31 `i Name of Contractor -T-yV)@ 41.,-� Address e No. '-3\ 5-6V- 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 BEKQUIRED. 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 urvey. 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 SA)IK-) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the t�, n- \_ (Contractor,Agent,Co ate 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. Swomi to before me t C'TP"' day of uZ)1_ 201 LP ANY MARIE CATALD0 j -State of New York ary Public NO.O1CA6269427 ant Qualified in Suffolk County My Commission Expires Sep 24,2016, - i T SUFFOLK COUNTY DEPT OF LABOR, ry LICENSING 8 CONSUMER AFFAIRS HOMEIMPROVEMENT N - CONTRACTOR LICENSE NAM DAVID N HUTCHINSON This certifies that the ausmE55NAME bearer Is duly THD AT-HOME SERVICES INC licensed by the County of Suffolk 55758-H Otl/27/2015 con,"`�" Ex�trA—OhaA 08/01/2017 �; _ a n 4 e� �i ` `lid i F� '& h•r ',° lz§ d"not" " `'•�- ��`�.�'� 4`� . ° �� ��d� 1� < �"�, .fir .\l I , "`{t %^1' i��'' Y �?q. .,�• ) ' •' �;rtSgS�� �llra�, �.y'� �r:. �, �.qi"Y,.- it"�.-� n,,''�`; ,fr'`1`�Y „♦P �iv�.'Y����Sa�C�,2b'YKyffiA�Rk:G�''A',bECDP�71'�°h`7!'tlT4FX4�4'3'`,�A.9L'SGtl;lx.'�y��AL'f�°ECaq.'�R2g.9M.1��hAdSF,YRA3KfhSAL'.,�4,iR:f%Ut.'H:@GCSW$�U�Y2Q4'rdRt'�44,�1T67F: .l' J.CR��SJl!F37Ytt3aSl7NT1RF97StS�3.7�,SYf'..'Al4Sft3SR4'X91'�"�N�F'TX9'1R.'S'1C"&CA?tk�'A'�SS��I",l'FbY;W17RF.R�X, ��%' r Qs Suffolk County Department of Labor, Licensing & D¢ xy e Consumer Affairs , 's VETERANS MEMORIAL HIGHWAY * HAUPPAUGE,NEW YORK 11788 DATE ISSUED: 8/27/2015 No. 55758-H 4 s� SUFFOLK COUNTY ,Yah Dome Improvement Contractor License This is to certify that DAVID N HUTCHINSON doing business as THD AT-HOME SERVICES INC , } having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws, rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. t 1 ' License Category a ` NOT VALID WITHOUT Additional Businesses Other DEPARTMENTAL SEAL AND A CURRENT CONSUMER AFFAIRS `4 ID CARD i� Commissioner �t �' .suras ���� ax�zza�, o s -sir ~er<b��i�xats,�z,� -s�aT41u,,, x�s,�,ctosams�z�tzrs �caaa�zat zzk�is � �, �j� t� 4 F;rR e •�..t < y nor n lx_ E� � o�� i n p e° - � �{lt`aoe � d t eb V�'r 1 e ,t ♦.� � s. a.., s�° q e. e r 'y Rpg9p 6 F .d rt f" ^°. F e `� STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier Ia. Legal Name and Address of Insured (Use street address only) lb. Business Telephone Number of Insured THD AT-HOME SERVICES,INC. (770)433-8211 DBA THE HOME DEPOT AT-HOME SERVICES lc.NYS Unemployment Insurance Employer Registration 2455 PACES FERRY ROAD NW ANumber of Insured ATLANTA,GA 30339 Id. Federal Employer Identification Number of Insured or Social Security Number 75-2698460 2 Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage (Entity Being Listed as the Certificate Holder) AETNA LIFE INSURANCE COMPANY TOWN OF SOUTHOLD 53095 ROUTE 25 3b. Policy Number of entity listed in box "1 a": SOUTHOLD,NY 11971 GS-839226-311 3c. Policy effective period: 01/01/2013 to 01/01/2018 ------------------- ----------------- 4. Policy covers: a. ® All of the employer's employees eligible under the New York Disability Benefits Law b. ❑ Only the following class or classes of the employer's employees: Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Signed November 24.2015 By (Signature of insurance carriers authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number(860)273-1237 Title Compliance Consultant IMPORTANT If box"4a" is checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carver,this certificate is COMPLETE Mad it directly to the certificate holder If box"4b" is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd. 8 of the Disability Benefits Law It must be mailed for completion to the Workers' Compensation Board, DB Plans Acceptance Unit, 328 State Street,Schenectady,NY 12305. PART 2.To be completed by NYS Workers'Compensation Board (Only if box"4b" of Part 1 has been checked) State Of New York Workers' Compensation Board According to information maintained by the NYS Workers' Compensation Board,the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed By (Signature ofNYS Workers' Compensation Board Employee) Telephone Number Title Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1 Insurance brokers are NOT authorized to issue this form. DB-120.1 (12-13) STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured THD At-Home Services,Inc 770-433-8211 2690 Cumberland Pkwy,Ste 300 Atlanta,GA 30339 lc.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically 45003895 limited to certain locations in New York State, i.e., a Wrap-Up Policy) ld.Federal Employer Identification Number of Insured or Social Security Number 75-2698460 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate) New Hampshire Insurance Company Town of Southold 3b. Policy Number of entity listed in box"la" 53095 Route 25 WC015519215 Southold,NY 11971 3c. Policy effective period 03/01/2016 to 03/01/2017. L 3d. The Proprietor,Partners or Executive Officers are ® Included. (Only check box if all partners/officers included) ❑ All excluded or certain partners/officers excluded This certifies that the insurance carrier indicated above in box "Y' insures the business referenced above in box "la" for workers' compensation under the New York State Workers'Compensation Law.(]Po use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"T'. The Insurance Carrier will also notfy the above certificate holder within 10 days IF apolicy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment ofpremiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Bill Fahrner (Print name of authorized representative or licensed agent of insurance carrier) Approved b . Febru 17 2016 pp Y (Signature) (Date) Title: AtFI IORIZED REPRESENTATIVE Telephone Number of authorized representative or licensed agent of insurance carrier:212-770-7000 Please Note. Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. / "`;;CCO�REO® CERTIFICATE OF LIABILITY INSURANCE ___E:°�T°'"'°"'°°'""""' 0=12016 THIS CERTIFICATE IS ISSUED AS A(NATTER 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 REPR SE;NTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: K�®certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WANED,subject to the tents 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). PlidbUCER CONTACT MARSH USA,INC. NAME TWO ALLIANCE CENTER PRONE ExtI! FAX 3560 LENOX ROAD,SUITE 2400 EMAIL No ATLANTA,GA 30326 ADDRESS: INSURERS AFFORDING COVERAGE (,(AICs( 100492 HomeD�P W-i6?7 INSURED INSUMA.•Steadfast Insurance Company 26387 HOME DEPOT U.SA,INC. INSURER e:Zurich American Insurance Co 16535 D1BIATHE HOME DEPOT INSURER C,New Hampshire Ins Co 23841 2455 PACES FERRY ROAD,NW BUILDING C-20 INSURER D:OGnois Nadonai Insurance Company 23817 ATLANTA,GA 30339 INSURER E- 1NSlIRBt F COVERAGES CERTIFICATE NUMBER- ATL-003746270-08 REVISION NUMBER:O 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. LMR TYPE OF INSURANCE ADOL 7G:LL48�87714�_os POLICY EFF P�D�CyERP IMIMA X COMMERCIAL GENERAL LIASIUTY NUMBER LIMBS 03/01/2016 03!01!2017 EACH OCCURRENCE $ 9,000,000 CLAMS-MADE �OCCUR D G 0 MfTS OF POLICY XS PREMIS S Ea =rrence S 11000,000 MED EXP(Anyone person) S EXCLUDED OF SIR:SIM PER OCC PERSONAL E ADV INJURY S 9,000,000 GEN'L AGGREGATE LIMBAPPLIES PER �CT F LOC GENERAL AGGREGATE $_` 9,000,000 X POLICY l OTHER PRODUCTS-COMP/OPAGG S 91000,000 — B AUTOMOBILE LIABILITYBAP2%8863-13 j $ 03101Y1016 0310112017 COMBINED SINGLEuMIT X ANY AUTO I Eaan S 11000,000 AUTOWNED _ SSCHHEDULED BODILY INJURY(Perpelson) S SELF INSURED AUTOPHYDMS BODILY S HIRED AUTOS NON-OWNED I _ AUTOS -- ` PROPERIYDAMgGE — dertt UMBRELLA UAB S Ij�OCCUR I EACH OCCURRENCE g EXCESSLIAB ! I CLAIMS-MADE AGGREGATE $ DED RETENTIONS C WORMS COMPENSATION ! WC015519215 AOS $ AND EMPLOYERS'LUUIILnY (AOS) 03101/2016 03/01/2017 X - C ANY PROPRIETORPARTNERIEXECUTIVE Y/NI C015519217(AK,KY,NH,NJ,Vn 03(0!!2016 03/01P2017 U D OFFICEMMEMSER EXCLUDED? N I N IA E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NN) WC015519216(FL)It be under 03101/2016 03!01120!7 DESCRIPTION OF OPEItAT10NSbetow I ConlinuedonAddldonalPage E•L.DISEASE-POLICY EA E $ 1,000,000 E.LDISEASE-POLICY LIMIT $ 1,000,900 DESCRIPTION OF OPERATIONS f LOCATIONS[VEHICLES(ACOND loll Additional Remarks Schedule,may be attached N more span is m4ui►ed) CERTIFICATE HOLDER CANCELLATION Tom of Southold-BuUdng Dept Toms Hal Annex Building SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 54375 Route 25,P.O.Box 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southold,NY 11971 ACCORDANCE WITH THE AOLICY PROVISIONS. AUTRORmED REPRESENTATIVE of!harsh USA hm ManashiMukherjee _1VL*_,AA40b,,; ACORD 25(2014101) The ACORD Dame and logo are registered marks of ACORD CORPORATION, AN rights reserved. .. - qocl;g a � 0c`'C:) -12-1`1.5 T01fVf+1 OF S® TOLD PROPERTY RECORD CARD -� °" � - OWNER STREET -7-75 VILLAGE DIST. SUB. LOT C=i e Q 3z i pY t Cc_vl - 1 ��c l.� `nom al 1 / q n \ b5 l Z 1 411 �.l e. Q e-n,('1.1 �i p UGc` e 2 Ili ed, ACR. RETARKS�o r� n 5 �'r C� 1 0 3 23qJ v L I f-714,o r F(-Q - Olagn d,(rt 14pi A n f N� Ssan fSlc )4 TYPE OF BLD. t t l Y P4�-, PROP. CLAS 1�1ue�r�d���Or_ LAND IMP. TOTAL DATE �I;J i o n 5�R 1 1 3/1,5/q7 p �i I ��;.v 4 ® fit u�, ��o Sane� ( �� =� oc, Z)o Z) q17 Qq Ll,,-::�?A p'3l9-ScAroe-sl4ncf 4v Work cm 0 6 z l2-7J9?- ► j zt 3-1._)2-756 2$'Z'_ - G fb_�l'�G>✓rG, ),�' a- a-jQ 4Dgsq A-e-" ru/1 (� < <� b v'?00 boo FRONTAGE ON WATER TILLABLE DS � FRONTAGE ON ROAD DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL 90 I a .. ,'AL3:-' 4'�ii a' - .,z tir � � _.♦ - - 4,<'...i. a., — A eta`.`a 1 �: �if r�[� 't.. ^.,�.�G' .:.�-•i.'"f�. COLOR is z'¢' a j%•.s?x:' _ �1�t��� - e'!f -,W ,':y v t�.�:f �Y..S ,"•.S,i. ., i\ �' - �t, ; L`i�y�,tl 4eLi IM I , " • � .° ��� � � � - '-� ` �- - - � ��,( .�., .:.t : use� ����U tj y r'CL�A Bldgv4 X��i� w �.-� Foundation � � Bath^ Dinette Extension Y� 2-0 ��p � Basement C'A SLAB Floors ! ate , Kit. Extension Ext. Walls Interior Finish sL.R. Extension Fire Place Heat - �t� (at, '� D R, / Patio Woodstove Bfir Porcl ' X = Dormer 6\ € PA Deck `( Attic r — Breezeway Rooms 1st Floor DrivewayRooms 2nd Floor 1._ Garage =� K 2 7 � 17 12f POOP 5 X (4- = -70 WINDOW SPECI ICA `J S'i"E7 - Spec.Sheet 0. .10 4 Y'/7"Y Sheezzz t, or Cas tomnr• ,-(�/A} �+Z I.�I �lG��Jrab P Y L�.fL.Sd_/ /r` Cnna ulLanr_�jl!r7V _ '>•'-� O /� Odtr. AP FF,'ue0S'�e — rteLVLYl�tdmv m " uvi gmndow tingolocatmns MediurernenU' Grtdi Product Options lobar Flem ot"' Oplfults L2 Left W R'Idl DATAr !�.xf e Rays kU, s '" L—tialL_ Color Rough ORaning iofbus aofbass Cimnl,,IPA FErc _ use 4Pcrs - - . iv,xlwms p i} it ',;�T ENT A l cldLs NOlIFY pylI`DI • J` v Hudv:nre coda FWdansuse i {-J trV I _ q ScrPenc N FOR l!� � slyta Wups § s fi N mail sW-Operatyar 768-18102 BAFi TO � FOnn rNr eade Ytrr s, leeadL �a�i ea<t6 s � � � — XnoPeraong ' t s FCLLC'��llhdG IidS°cC i IOPJS: - - F'OUNDATION - TWO REQUIRED FOR POURED CONCF T- r I old `— P y t_f�. 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D,,,,'3�IV17 R'y}+un•,tt",°nn'�fau'aas s_,__'-__—_.-- —� - .-...� —- BayFNnittTaperUH,iHoeC.nY.d ra+otw-,ndn,w.afnwAq _-__.—.....___._. --.—._ ........._ �._.�-x�.�n.._.=, J_ " ?I�-^•b tldadfe w45�:okrNwfPa mtuF,at ,_'--_y—__. _..,...�__y _,.,__ - It..n•,nier.�Jarxl a8•p gvhan,hepb at•s.{,ntBms.nwrre ana lM Cenf4wlFOU,Yn or11>) ' ��+- �- SoctlN 7.ma,y,d CrMmon,md'ehukol[M y?:.w tCvslamegeps SeitlrwJAtfmr'dryNyl,Irlt1'LVhIIeP{Gnirp B'•d,upakl ^'- w.Id lhhk..s,,cuire,t-•�—••-•••_—___,. __I Cuslm,u"SSYN„ure ff pry yp yy��o 1�9y�'pppp0p t,7y/'�'� ,rRy�(Q�,P'rY^��@, .diUlWNi ahe try.w/Nt , �..K'hi C U® A9 lil C 0 P 1� r HmnmOw••........... USE IS UNLAWFUL ..awa.M..•,,gM-r xa.vexzv Yeate•7M„c.re U,.,O 1'er'a.••Gwlurn YD 13> WITHOUT CERTIFICV1E RETAIN STORM WPIJER RU`N,OFF rf-'ng I ���� PURSUANT TO CHAPTER 236 �n C: ,")Jr} AI N� OF THE TOWN CON. .0 t _ tNIP!DDW SFFQFIChi1DIJ SH 7 - Spa Sheerv: G5 9-4: Customs+t_��!U:c_!Y" L_I/.—i! Job c.. yfEonrnitant•. �„'„ ,,,, j L! G fc7 Uale N°wY Indow EsteLig WinJOry 1,10murcm.+nn Grid° Moduct Options labor tFranr aulsIdA OpYons left to R19k NY' fko . Lpcallm Cnbt Rough Opanha] Aofb.s I&NIM Csmnt%I P'11 - 3 --- - --- -- Glass MIK lams .'"'•"_._.. __ --�-^-•„ _ Hardware Coda rartloonme ua Srresns ti _ .• ` ` - 'S'�staumary or Style YJr.tps D r $ c q E g Mun '%-=a�raun� kcwn Irn Code IYINI Scvle Cule Serles Cade �" 3 5 8 _ 3 X14 �r9 pI� c !'G �/f- w/ %Z- 3 l/ I LIZ' FZ - - - Fe, -- - r A - -- -- - - - - - -_ SPE<IN CONSIDEftAitONR tisya•UOwssindow. _�� � - '- ..... ��.... ,........_ _ SeY,boaidFto!°gapLtyl or3rBrtha Oast �--.-_..-- BrJNuder7pretDF(SNa Gmnd ---- ' Touot lduvlowtfit4trch s) '— -•-••----•---••---------__._._._ CUatl tosMht.ea'udw6.r nurcrtel`— IAsvawncwect�aya^wt:h aUthe}ohyr�l<uUnnsaM.rc+isFK 1 Crngrua Foo/1YamNnl —� i - spodatiernuarid CMduunsar Uia bsd'Cf U+aT%acN(Costanwrl<ogj . _ GsrdenW1ndmv ' ateoand M�Iah NurylesJWYhaethorvte.6smaN/) eusonu.SkA.,re ,.n.+°nr.era.an.a.r.ofa.nw msawyas. - o[+.cru Wrue_ise}Ime OepY Yeaw.•CaGnr t TM rN HO'MF.IMPROVEMENT CONTRACT PLEASE READ THIS Branch Name: Long Island Date;r/b/,j._ Sold Furnished and Installed by: THD At-Roma Services,toga d/b/a The Home Depot At-Home Services 40 Oser Avenue, Suite 17, Hauppauge.NY 11788 Branch Ntmlber: 35 Toll free 877-903-3768 Federal ID d 75-26994610.NYC Lic.#1201902 Nassau Co.Lite.9 111861650000;Westchester Co.Lic.4 WC-i 1245-H(10 p - Suli Co.Lica{27'87-H;RacklandCo tic.0H-09103-B6-00-00 Installation Address: ,S- oegZ LI �,�� �)1 ��`-7 K/ G1 City State Zip Purchaser(s): PiorkPlirute: Home Phone. Cellphone: Home Address: (If different from Installation Address) City State Zip E-mail Address(to receive project communications and Home Depot updates): ❑I DO NOT,-,4,,h to receive any,marketing emails from The Home Depot MMInforination. Pursuant to this Hume Improvement Contract,the undersigned t'Customer"),the owners of the property t the above installation address.agrees to buy.and THD At-Home Services,Inc. ("'i'he Home Depot")agrees to furnish, deliver and arrange for the Installation("111 tallatlnn")o:all materials described in'he Contract Documents. The-Contract Documents"include the following documents,which are expressly incorporated herein by this reference: (1)the Home Imptoyenimt Contract Face Page:(2)Genual Terror and Conditions;(3)Payment SUnlman;(4)IN-Home Sale or Service Notice of Cancellation:(5)Lead-Safe Work Practice amwdnteut(upon completion):(6)Specification('Spec')Sheet(s);and(7)any al)Plie,lble Stale Supplement Tho Contract Documents constitute and are collectively referred to as the"Contract," Job#-. awemm rhr,.,c.> Products: Sec shirt(s)M. Pro'eet Amount Rnofin� Siding YTmdow. Insulafkm �K 06 ❑Gut(er;/Cowers ❑Entry Danis ❑ ` �� �© �Rooturg Siding 1�>5ndutas ,InsulaL•on CGutets/Corers ❑Entry1)ourc ❑ $ DRootine USiding blrinduws Insulation r E ❑Gutters!Covers❑En n Dotrrs❑ $ Roofrnr Siclin�Windauw Insulation ❑Guttem/Covers ❑Entry Dopr, ❑ $ Witimum 25%Deposit of Contract Amount Total Contract Amount $ due upon execution of this contract Pavment Summary: The Payment Summary r"1 included as part of this Contract,sets forth the fatal Contract amount and paymen ts required for the deposits and final paymenu by Product las applicable) Estimated Start Date: Estimated Completion Date: The wort described in this Contract is estimated:o begin on die F.stunated Start Date and to be substantially completed by the Estimated Completion Date. Customer understanri ' ata chaligo.=stomer's obtaining credit approval in tine ca and delivery times that are beyond The Home Depot's corn le to provide more detailed scheduling information and advi NOTI You are entitled to a completely Tilled-in copy of the Ct Do not sign a Completion Certificate before the Installa ( iSn' Contractor may post.a bond or contract of indemnity (/f nch garments to the purpose of the contract.Home Depot il?11 pith the Attorney General of the State of New YorJL TI :)ne 1'o_sver Square,Hartford.Connecticut 06183-6014 Accentancc and Author 7ation: Cusromer aorces and on and The Home Depot with regard to the Products and tepee' oral or written,relating to said Products and and Installatioio This s l by Customer and The Home Depot CiWomer acknowledges and agrees that Customer has i d a copy of this Contract. Customer acknowledges receipt illy informed Customer of C'ustomer's right to cancel. I and execution of all Contract Documents. DO NOT SIGN Tl AcccT :d by: �LDo Y Customer's Signature Date „aacaarn una[ure D;* / CANQrtif.LA'riOM. CUSTOa]ER MAY CA.NCM, 17US CONTR.tCT XVITHOUT PFYALTY OR OBLIGATION By DEI,141 RING Sylt1 t7fiR Telephone No.��ooy-6��p 10TIC, FO THE HOME DEPOT BY&HDNIGHT ON THE THIRD �r�� �� BUSINFM DAY AFMIZ SIGNING THIS CONnL\CT. THE STATE �Ic�Consultm[Lrcense NO. S•L'PPLEMENT AITACIIED t1Enr:TCn CONTAMS a roFM To USC tacu�+hable) 11;ONF IS SPECIFICALLY PMCRIBEt)By L.I14 IN CUSTOMER'S SPATE. m NOTICE".:4DDi33ONAL TERb1S ANU CO 10113ONSARE S"r4TM ON THE REF-ERSE SIDE AND ARC PART OF THIS CONTRACT OR1i•14 Who:e-BranahFite Yelfow-Customer