HomeMy WebLinkAbout41743-Z �o�OSUF 1 p Town of Southold 4/10/2023
a y� P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39576 Date: 3/27/2018
THIS CERTIFIES that the building WINDOWS
Location of Property: 670 Ships Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 79.-3-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/12/2017 pursuant to which Building Permit No. 41743 dated 6/19/2017
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
REPLACEMENT WINDOWS IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Pavia,Gilbert&Lynn
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Autho e Si ature
TOWN OF SOUTHOLD
�gOFFO(,�CpG.
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy SOUTHOLD, NY
`J 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#: 41743 Date: 6/19/2017
Permission is hereby granted to:
Pavia, Gilbert & Lynn
670 Ships Dr
Southold, NY 11971
To: install new replacement windows on existing single-family dwelling as applied for.
At premises located at:
670 Ships Dr, Southold
SCTM # 473889
Sec/Block/Lot# 79.-3-27
Pursuant to application dated 6/12/2017 and approved by the Building Inspector.
To expire on 12/19/2018.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
Buil in pector
Form No.6
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- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00
Date. 16f 7/1 7
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 670 5 1-ll 1 A r, SOLT/W
House No. Street Hamlet
Owner or Owners of Property: t y'l, Pq
Suffolk County Tax Map No 1000, Section 9 Block 3 Lot Z7
Subdivision Filed Map. Lot:
Permit No. f Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (chec ne)
Fee Submitted: $
Appl' a ignature
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULA-TI1ON
[ ] FRAMING / STRAPPING [1�] FINAL W/AAAA-4)S
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
RENT RKS:
1�
DATE 3 ? INSPECTOR
1
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIS-
BUILDING DEPARTMENT Do you have or need the following,before applymg9
+° 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
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C O.Application
Flood Permit
Ex6mined_(P 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved h 20_q Mail to
Disapproved a/c
Phone
Expiration 20
ID ', � Ljp� in ector
APPLICATION FOR BUILDING PERMIT
JUN 12 201120/
Date
z INSTRUCTIONS
IRUILD a. DEPS�,c ST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
IMM ORVl a 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 ' g Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and o r applicable aws,Ordinances or
Regulations,for the construction of buildings,additions,or alterations or for removal r demolition herein described.The
applicant agrees to comply with all applicable laws,ordinances,build' code,and gulations,and to admit
authorized inspectors on premises and in building for necessary inspec
(Signature of applicant or name,'f a corpo ion)
(Marling address of applicant)
State whether applicant is owner,lessee,agent,arcotect,en ever,general contractor,electrician,plumber or builder 'll
C�n-�oe�er2 I P�fA��`
Name of owner of premises
(4 on the tax roll or latest deed)
If applicant-is a corporation,signature of duly authorized officer
(Name and title of co
M9pte o
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which O ch prSo�post work ypl done: S(A A dS /\)v
v I/9 7 1
House Number(� Street L� Hammle /
County Tax Map No.1000 Section_qJBlock 3 Lot a7
Subdivision Filed Map No. Lot
• 2. State existing use and occupancy of premises and innded use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy �, —
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Otirerek
(Description)
4. Estimated Cost o Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units__L_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
13.Will lot be re-graded?YES NO /Will excess fill be removed from premises?YES NO
14.Names of Owner of premises -0. Dr Phone No. Sit g2,1
Name of Architect Address Phone No
Name of Contractor Address Lib a-ZC k-- Phone No. GS I
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
—f 1 >I �_being duly swom,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the C�'"��1(C>,
/ A,;� --\-
(Contractor,Agent,Corporate Officer,qj )
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 d that the work will be
performed in the manner set forth in the application filed therewith.
Swom_ to before me this GIOVANNA ADR a NA
day ofLk D 20E" N u lic-State o
ualified i Suffolk Cc-
Notary Pub' mmission Expires AIt.'Signatur licant
'�'� 6 31 5
w, C,�
Home Deport Contractor License Numbers: � 1PS
c
NYC Lic.#1201902, Rockland Co.Lic.#H-09403-B6-00-00,Suffolk Co_Lic.#55758-H,Westchester Co.Lic.#WC-11245-H00,Nassau ~�
Co.Lic.# H18G1650000
Salesperson Name and Registration Number:
Robert Kelly: 43775-HS, R-1-128533-13-00284
Home Improvement Agreement
Home Depot U.S.A., Inc. ("Home Depot")or Service Provider named below will furnish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
Customer Information:
lynn pavia Long Island 10025185
rrst Name Last Name
ranch Name Leatl#
tus!om�erA�c-rciress
SOUTHOLD NY 11971
fly rp
(516)242-2150 (516)509-2498
Home Photleg ork Pho
ell Phone#
lynpavia@gmail.com
Customer E-Mail Address
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
40 Oser Avenue Suite 17 Hauppauge NY 11788
Address
or Email � tali zrp
CustomerCancellationNorthEast@homedepot.com
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) 1MLL, BE RETURNED WITHINTEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUc i"-&It- RLE FOR PICKUP BY HOME
DEPOT OR PROFESSIONAL, AT YOUR SERVICE!
CONDITION AS WHEN DELIVERED, ANY MERCH �� T..� SAME
OR YOU MAY CONTACT'HOME DEPOT FOR INSTI OR
HOME DEPOT'S EXPENSE. ( ENT AT
THE LAW REQUIRES THAT THE CONTRACTOR
TO CANCEL. PLEASE SIGN BELOW TO ACKNC t RIGHT
AND WRITTEN NOTICE OF YOUR RIGHT TO CAP N ORAL
Acknowledged by:
cusromees&W%awm -
CF
1
r;vri-4r-w rvrct-
WORKERS'COMPENSATION BOARD
CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE
la.Legal Name&Address of Insured(Use street address only) Ib.Business Telephone Number of Insured
(770)433-8211
Home Depot USA,Inc.
2455 Paces Ferry Rd.,C-11 1c.NYS Unemployment Insurance Employer
Atlanta,GA 30339 Registration Number of Insured
76011130
Work Location of Insured(Only required if coverage is specif cally
limited to certain locations its New York State, i.e., a Wrap-Up ld.Federal Employer Identification Number of Insured
Policy) or Social Security Number
58-1853319
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"
54375 Route 25 POB 1179 WC 023102422
Southold,NY 11971
3c. Policy effective period.
03/01/2017 to 03/01/2018
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"3" insures the business referenced above in box "la" for workers'
compensation under the New York State Workers'Compensation Law.(To 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 notes the above certificate holder within 10 days IF a policy is canceled due to nonpayment ofpremiums
or within 30 days IF there are reasons other than nonpayment of premiums 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 oneyear 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 by: /11�J& May 23,2017
(Signature) (Date)
Title: AUTHORIZED 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.
C-105.2(9-07) www.wcb.state.ny.us
v �
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
Home Depot USA,Inc. 770-433-8211
2455 Paces Ferry ltd.,C-20
Atlanta,GA 30339 lc.NYS Unemployment Insurance Employer
Registration Number of Insured
Work Location of Insured(Only required if coverage is specifically 76011130
limited to certain locations in New York State, ie-, a Wrap-Up
Policy)
Id.Federal Employer Identification Number of Insured
_ or Social Security Number
58-1853319
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 WC 023102422
Southold,NY 11971
3c. Policy effective period
03/01/2017 to 03/01/2018.
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"3" insures the business referenced above in box"1a" for workers'
compensation under the New York State Workers'Compensation Law.(To 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'2".
The Insurance Carrier will also notify the above certificate holder within 10 days IF policy is canceled due to nonpayment ofpremiums or
within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage
indicated on this Certificate. (These notices maybe sent by regular mail.) Otherwise,this Certificate is valid far oneyear after this form
is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box 19c",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 Fahmer
(Print name of authorized representative or licensed agent of insurance carrier)
Approved by: February 13 2017
Pp �'
(Signature) (Date)
Title: AUTHORIZED REPRESENTATIVE
Telephone Number of authorized representative or licensed agent of insurance carver: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.
YORK Workers' CERTIFICATE OF INSURANCE COVERAGE
STATE Compensation
Board UNDER THE NYS DISABILITY BENEFITS LAW
PART'l. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier
la_Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured
(770)433-8211
HOME DEPOT U.S.A.,INC.
2466 PACES FERRY ROAD,C-11 1 c.NYS Unemployment Insurance Employer Registration Number of
ATLANTA,GA 30339
Insured
Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security
certain locations in New York State,i.e.,a Wrap-Up Policy) Number
68-1863319
2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier
(Entity Being Listed as the Certificate Holder) AETNA LIFE INSURANCE COMPANY
TOWN OF SOUTHOLD 3b.Policy Number of Entity Listed in Box"1 a"
64376 ROUTE 26 POB 1179 GS-839226-311
SOUTHOLD,NY 11971
3c.Policy effective period
01/01/2013 to 01/01/2020
4.Policy covers:
® A.All of the employer's employees eligible under the New York Disability Benefits Law
E] B.Only the following class or classes of 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 May 16,2017 By Afal &a
(Signature of insurance carrier's authorized representative orNYS Licensed Instirence Agent oflhat 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
carrier,this certificate is COMPLETE.Mail 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 the 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-120.9. Insurance brokers are NOT authorized to issue this form.
DB-120.1 (9-15)
A o D® CERTIFICATE OF LIABILITY INSURANCE oAM"Mw"-M
F02/17017
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(Sh AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)trust be endorsed. If SUBROGATION IS WANED,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).
PRODUCER CONTACT
MARSH USA,INC. NAar>~
TWO ALLIANCE CENTER PHONE P�
3560 LENOX ROAD,SUITE 2400 GMAfL No s
ATLANTA,GA 30326
INSURERS AFFORDINGCOVEtAGE NAIC4
INSURED �H
1 omeD GAW-17-18 (NSUA.Old Republic Insurance Co 24147
HOME DEPOT U.S.A..INC. INSURER 13.Agd General k-rance Company 2757
Di81A THE HOME DEPOT INsuRER e:New Hampshire Ins Co
2455 PACES FERRY ROAD 23841
BUILDING C•20 INSURER D:
ATLANTA,GA 30339 INSURER E
INSURERP:
COVERAGES CERTIFICATE NUMBER: ATL-OD3745270-11 REVISION NUMBEI
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.
LTR TYPE OF INSURANCE L B POLICY"UI�ER POLICY EFF LIMITS
7XCOrMA7MERCUU.GENERAL LIAMLnY MWZY 310022 0310101097 03/0112018
EACH OCCURRENCE $ 9,000,000
VMS MADE ;�OCCUR PREMISE a oe a rite S 11000,000
_ I OF SIS SI POLICY XS MED EXP(An one pmson S EXCLUDED
I OF SIR:$tA4 PER OCC
PERSONAL$ADVINJURY S 9,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GFA1ERAi AGGREGATE $ 9,000,Q00
I
X I POLICY J I EC LOQ I - -
PRODUCTS-GOMPIOPAGG A— 9,0001000
OTHER-
A AUTOMOtttLELU1BILITY S —
MWT8310021 0310112017 031012018 CQMBINEDSINGLE LIMIT S
X s-2 cifernt)- _ _1,000.000
ANYAUTO BODILY INJURY(Per person) $
AI L OS SCHEDULED SELF INSURED AUTO PHY DMG
AUTOS AUTOS BODILY INJURY(Peracddent) S
HIRED AUTOS
NON-OWNED - — -
AUTOS I PROP DAMAGELLI $ - —
PeracdcLe-mi_
$
URr6RELLA LtAD , OCCUR
EXCESS L� �,,��.1�f EACH OCCURRENCE S
I I CLA1AAS-W
AGGREGATE S
DEO RETENTIONS
B I WORKERS COMPENSATION WLR C49112300 0'N) 03(0112017 0310V2018 S
C AND FJNPLOYERS'LIAB711TY YIN X STA
IANYPROPMETOR/PARTNER/EXECUTNE n WC 023102423(AK,NH NJ,VI) 03101/2017 03!01@018
TUM ER
OFFICERNEMBER EXCLUDED? N I N[A E.L.EACH ACCIDENT S 1,000,000
(Mamlatory In NH) C 023102424(W4 0310112017 03!0101018
U yes,destn6e under I E.L DISEASE-EA EMPLOYE S 1,000,000
DESCRIPTION OF OPERA71ONS belwv Continued On Add Venal Page E.L.DISEASE-POLICY LIMIT $ 1,0w,1100
DESCRIPTION OF OPERATIONS!LOCATIONS[VEHICLES(ACORD lel,AddHhi nal Renawks Sckedule,may be attacbed H amore
sp3e9 Is required}
CERTIFICATE BOLDER CANCELLATION
Town of SouWd-Budding Dept
Tom Hall Annex Buddfng SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
54375 Route 25,P.O.Box 1179 THE EXPIRATION DATE THEREOF, NOTICE VYILL BE DELIVERED IN
Southold,NY 11871 ACCORDANCE VATH THE POLICY PROVISIONS.
AUTHORIZED REPRF.SENTAVJE
of Marsh USA Inc
Marlashi Mukherjee
ACORD 25 2014!07 m 1988-2014 ACORD CORPORATION. All rights reserved.
( ) The ACORD name and logo are registered marks of ACORD
Tri'
` w SUFFOLK COUNTY DEPT OF LABOR,
LICENSING&CONSUMER AFFAIRS
HOME IMPROVEMENT
CONTRACTOR
LICENSE
e, GLENN BOSTEELS
This certifies that the
bearer is duty HOME DEPOT USA INC.OBA(14 SUPPS)
licensed by the � 707;-�55713-N
.2015
County of Suffolk
EX as-x.CA- 08101/2017
r
WINDOWS-DOORSA®0 SERIES
Andersen. `-F A-SERIES
Center of Glass Performance Data for products with Low-E4®Impact-Resistant Glass
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Awning 70% 0.47, 0.40 97" <1% ,21% 55% 53°F
'Doi16Ie-Hung-• ,- 70% •0'47 040 .97 <1% .21% 55% 53°F
StatlonaryTratlsom - - - - -� - - - 70% r 0,47-` 040 -,97,, <1% 21% 55% ..53°F
V�UrtgTramam• " 70% ;;0:47 040 97, <1% .21%,= 55% :53°F„
x,4
Picture' - • - ,.' 70% 0A7,, 0.40 97 -, <1% 21% 55%
Specialty`_- - - 70% =0.47 0.40 %97`' <1% "21%; ' 55% .'53°F,
`90DSeitas141naows: .`•�:_ _ - . -U.g�:, = - ,:s.. .a<`;.' . r'PP,
17
•.C:�`. =:1:, ` r3
Casenloiit Awning, = 71% 0.47 0.41 99 <1% 21%. 51% S1°F
IX
-ieCawtneisflA+tiafDgWeEire 68% `=0„47; 041 :96: - <1% �•22% - 62% ,-5fi°Fl:'
Tiltitiash DouLte Hungr', ;,, i'• * 71% 0 41 ti 99 <1% "•21%; 51%
:?lUtlNuh'T a®' Y,t }'r i,`'• °�:`'-, .,:a•<N }, .t: < 70% ,0, f 040 96yr <1% :2111%'.:.`
TIft•Wash Ptchrre. t _ "r.'- °.,h
_ ••ik�:•• 70% ;;r0.47a. 041 M97._�+_,' <1% 22%,`_ 57%
,.;,•,- `s; o
c-i 1% 22%`' 62%
'Clicfo,Halt Circle;oval =;7:,., 71% i0.4R• 0.41 :96 °'. <
;ni:r
Spdngllno, *zi •' 67% =•.,`11.45 ;j.: 039 93-„,`'' <1% ;2196 62%
T.S.,
tArch,flert4amejF; ;N<_ _ #: _ ti - �• gT J 67% <0,39 Y;;9 1% 21%;, 62%
SPaUo `'r
Isoms
�Aserle'sf3�Nraroud' }PaUo•DooTr`� '&Sided` an erdtD TtiarlsamtYlndows~
{ boars. -
,
id •C`.!'s.'.:?ti'a. ;Y i.• ::''j�• ,' 69% 040 ' ' <1% Y
57% .:,54°F� •,'
.f't;:` - .1•
}i"Y:” ~ct-!°-•_V ` 70% 040,Nh <1% •.f�=;N`
55%
:ifirigad'Outswing 't,'- 70% h?s=0¢7 040 ,97•? <1% .21% `;.' 55% w'r'S3"F7;,•i
/.. ,i, 9!y l`.l.. l,,ii:;r: ;'.4%•.R.f [1 -l'e'i
xi+' - 7. :••3• ''`p" - ,tu fr .")yfi;r,Y:' .t tz,ti: ..f,-'"Transom'"'� - ,�' „�i`r:`ir^"=`t•,c,r 70% 0.4y'•. . 0.40 }_ ;. 3� <
F
0.40 'V - �
';'•'''••s ,,^,;-`- 70% ��';D.47v„' .;�97=':, <1% `21%'r:� 55% 53°,F:•'
•,z. Gxi__.zy.`.*`r� n.•r�n =
<'4 ' ^.a
,:c' :`•` <
g -° ;i.s� *}_•; ,,,, °:z, •n.. K; ;<=;,,(���1. _ 70% x,`,.0.47 040 re97� 1% ;21%'%,;•v. 55% :j53°Fri
•
'Low-E4'•,%ow-E4-SmartSun°and-Low-E4'Sun'are Andersen trademarks Tor-Low-E-glass.
•Based on NFRC testing/simulation conditions using Windows 5.2 and NFRC validated spectral data.0°F outside temperature,70°F Inside temperature and a 15 mph wind.
1 Visible Transmittance(VT)measures how much light comes through the glass.The higher the value,from 0 to 1,the more daylight the glass lets In.Visible Transmittance Is measured over the 380 to 760 nanometer portion
of the solar spectrum.
2 Shading Coefficient defines the amount of heat gain through the glass compared to a single lite of clear 1/9*(3 mm)glass. Vva0I ss heat is
3 Solar Heat Gain Coefficient(SHGC)defines the fraction of solar radiation admitted through the glass both directly transmitted and absorbed and sub® d el e Iw; � e tt(¢
transmitted through the glass ,
4 Relative Heat UltraGain V of e amount Energy(UV).The trans ugh a glazing energy
In the r and 300-380lar Heat nanometer
portiofi ofth � , �1 N�,AW F U L
5 Transmission Ultra-Violet Energy(TUV).The transmission of shortwave energy in the 300-380 nanometer portion of the solar spectrum The energy c c i
6 Transmission Damage Function(TDW).The transmission of UV and visible light energy In the 300-600 nanometer portion ofthe solarspectnrm.The u b e U and vial le Ifght energythat can cause fabric
fading.This rating has also been referred to as the Krochmann Damage Function This rating better predicts fading potential than UVtransmissfon alone F n �Ino�C
wave energy through the ass th �i t b I alsoake com onent of fatlln otentlal. � ,Yr�atlJ-nE v ' G
7 Percent lativehumldi�tybefor �A' c� tfl�e Wusingce ter of glass temperature. •1� `t
!This mpe
2 to en oq gotterp duct tl ry y �y 'M�A'� �/�
•This data Is accuratete of OctOr ,2 toe en of glass ch Vpd r alts, new Indust standards,this data may change ove tl n c /,(llvd'e a glade 1Po-Ll8(,4hrJan't e9�rfonnance
Information or upgra(BAToEs,
FEE: -,PD BY: COMPLY WITH ALL CODES OF
NOTIFY BUILDING DEPAR MENT AT
765-1802 8 AM TO 4 PM FOR THE NEW YORK STATE & TOWN CODES
FOLLOWING INSPECTIONS: AS REQUIRED AND CONDITIONS OF
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE ���tnlnntl gee
2. ROUGH • FRAMING & PLUMBING SOtLPlHd��098�
3. INSULATION
4. FINAL - CONSTRUCTION MUST ES
BE COMPLETE FOR C.O. S DEC
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR RETAIN STORM WATER RUNOFF
DESIGN OR CONSTRUCTION ERRORS. PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
2014 Coastal ProductGuide Page 2 of 5
WINDOWS AND DOORS WITH
PRODUCT PERFORMANCE sOim
P N 0 T 6 0 T 1 O N
Center of Glass Performance Data for products with Low-E40 SmartSun Impact-Resistant Glass
Fading
Visible ; E. %RH
Attdaisen'Prodlfet Ught1 SC2 ,i S14GC2' i -"RHG'- t Tuvs Tdwa a center' IGST°
1'A-SertesWiadows ..
.Casement'2 - 63% :032 0.27 67 <1% '16%, 57% 541,F`
=Awning - - 63% •032 . 027 ,'67.✓. <1% .16%1. 57% -541'
63% 032 0 27 67ry' <1% 26% 57% 549E'
,StaBabary`•Ttansaai_, ` �,. 63% -0.32 027 •..:67;,•'•, <1% 16%" 57% •54"F
@untinghatisoiD„ - 63% -0.32:,, 0 27 67" <1% "16%'' 57% ' S4°F^
�daieVc:= 63% 032 027 6T= <1% i6% ' . 57% „'54°F•
Spedakq-' 63% 0.32 0.27 •;67 <1% 16%" 57% 54'F✓
„:440 Sedes 411G+daws,
Casatpeat%twnlag E 64% 0.32 028 gg c <1% 16%-- 53%
MCaseedtjAmdfigt?le6tis' -f 62% 4.31, `r 027 65 <1% 'fr16% 62% '56°F
"Jik Willi lloiibta ttm� q 64% 0.32 028 ::§8 t <i% 36%` 53%
ineaa%ai:ita om '.;s= '{ 63% tf. i, 0.27 -1i <1% is° 62%
TdE•Wash Pidute' 63% 'A.320.28 67. <1% 17%•' 57%
;I�rete;Natf(Aiele;, al t; 62% 0 31'y` 0.27 &5',• <1% :16%,`.f 62% 5&"F
SPr<n8lirta' 61% 0.31' 027 64 0 <1% <16%„a. 62% -:56
Arcti�Fleidfliiee? 61% =0.31' 027 64 - <1% 16°n 62% 56°F
cw
.A"wtench'«,w Taft`00cim0ahouoiri,tso6rasidatiloftand Venting>iclasomWuidows
s3% 0.27 .. V,-, <1% ;:14%'- 57% 54°f
o,.
Ningad,tnswloQ^ } ;;'. � 63% ''0,32"s:'t 0.27 ';fi7�^;': <1% i6%:''' 57%
Da" 0.3
y,'c 63% 0.32^` 0 27 <
Ti3tIao1A' ('; i 63% 0.321 0.27 -''67a. <i% 16% 57% s". 54OF,`
:z.
1«, T
63% 0.27 <1% 57%
Voott<tg•Ttsattsam`" z< 63% 032 0.27 %67-' <1% S16% 57%
•'Low-E4",'Low-E4'SmartSun"and'Low-E4'Sun"are Andersen trademarks for'Low-E'glass.
•Based on NFRCtesting/stmulatlon conditions using Windows 5.2 and NFRC validated spectral data.0°F outside temperature,70°F Inside temperature and a 15 mph wind.
1 Visible Transmittance(VT)measures how much light comes through the glass The higher the value,from 0 to 1,the more daylight the glass lets In.Visible Transmittance Is measured over the 380 to 760 nanometer portion
of the solar spectrum
2 Shading Coefficient defines the amount of heat gain through the glass compared to a single lite of clear 1/s(3 mm)glass
3 Solar Heat Gain Coefficient(SHGC)defines the fraction of solar radiaUon admitted through the glass both directly transmitted and absorbed and subsequently released Inward The lower the value,the less heat Is
transmitted through the glass.
4 Relative Heat Gain Is the amount of heat gain through a glazing Incorporating U-Factor and Solar Heat Gain Coefficient
5 Transmission Ultra-Violet Energy CM.The transmission of shortwave energy In the 300-380 nanometer portion ofthe solar spectrum The energy can cause fabric fading.
6 Transmission Damage Function(TDW)The transmission of W and visible light energy In the 300-600 nanometer portion of the solar spectrum.The value Includes both the UV and visible light energy that can cause fabric
fading.This rating has also been referred to as the Kmchmann Damage Function.This rating better predicts fading potential than UV transmission alone The lowerthe Damage Function rating,the less transmission of short
wave energythrough the glass that can potentially cause fabric fading.Fabric type Is also a key component of fading potential.
7 Percent relative humidity before condensation occurs at the center ofglass,taken using center of glass temperature
!This
glass surface temperatures are taken at the center of glass.
•This data Is accurate as of October,2013 Due to ongoing product changes,updated test results,or new industry standards,this data may change overtime.Contactyour Andersen supplier for current performance
Information or upgrade options
2014 Coastal Product Guide Page 3 of 5
Mdwlwoows•000es 4®Q SERIES
ersen. A-SERIES
Center of Glass Performance Data for products with Low-E4°Sun Impact-Resistant Glass
} } Fading S
Visible } %RH i
I Andersen'Product l t' SCz SHGC3 RHG4 Tui ; Tdw° i a center' j IGSTe
i''ASeriaSY(fndows . ^• - - .., '- -
'Casement- ;'., - - _ `" ' 38% 0.29 025 62 <1% 13% 55% 53°F
Awning, 38% 029 025 62 <1% 13% 55% -53°F
Double-Nutrg� ^• - 38% 029 . 025 • 62 <1% .13%. 55% 53
SfaBonarp,Traisan• '= 38% 0.29 025 62 <1% 13% 5511. 534F.`
-Vaaitng,Tronso® - - � 36% 029 0-25 - 62 <1% 13% 55% ',53°F
Pichaei --• 38% 629 025 62 <1% - "13%' 55% 53"F
SpodaKy.' 38% "029 025 62' <1% 13%' 55% "53°F`'
400 Sades Wfildavrs'
Casement,•gtvnlug;�- - 39% 030 0.26 64 <1% ,13%' 51%
Casetasnt(tlwnlrt$PN�uia: .:� •=-'",:;-; - 38% -028, - 0 25 EO _ <1% .14%` 59% -,55°F-
AIt V/asli DouWcrNung. - 39% 0,30 026 64, . <1% 13%.' 51% 51°F'"
'-lilt-WasltTtadsctti'� '��i,; - - - - 38% `0.28t 025 :60 - <1% 59%
38% _X029-' 025 _62 <1% '14%, 55%
CItNo�Ralf oda,DvsL :} )" 38% x028 025 60 <1% _14%`' 59%
Spthi�ioa,' 36% 02T•' 0 24 5T <1% 13%; 59% 55°F
36% T 024 S7-`' <1% 13% 59%
Atdy Reid(rE 02
A$Bmho if PattDoors,patio DoorTra ,s astlaptsmu;yariftTwisait�iinaaw
38% 029 025 61'-'' <1% IS%"; 55% 539E -
Hiriged 38% ;r.0,29;' 0 25 62 <1% ;13%, '.` 55%
Hinged"Outswlrig"^ 38% 029 0 25 62 <1% i3%. 55% 53°
TrartsoQi S 38% 029 0 25 62"r' <1% 13% 55%
S , -� 38% 0.29_ 025 :62• <1% - ^13%, , 55%
TtatiSOIIi, V11, 38% 0.29 025 ?62 i <1% L3% 55%
•'Low-E4",•Low-E4'SmartSun`°and'Low-E4'Sun*are Andersen trademarks for"Low-El glass.
•Based on NFRC testing/slmulaUon conditions using Windows 5.2 and NFRC validated spectral data.0°F outside temperature,70'F Inside temperature and a 15 mph wind
1 Visible Transmittance(VT)measures how much light comes through the glass The h(gherthe value,from 0 to 1,the more daylightthe glass lets In.Visible Transmittance Is measured over the 380 to 760 nanometer portion
of the solar spectrum
2 Shading Coefficient defines the amount of heat gain through the glass compared to a single lite of clear 1/e(3 mm)glass.
3 Solar Heat Gain Coefficient(SHGC)defines the fraction of solar radiation admitted through the glass both directlytransmitted and absorbed and subsequently released Inward The lower the value,the less heat Is
transmitted through the glass.
4 Relative Heat Gain Is the amount of heat gain through a glazing Incorporating U-Factor and Solar Heat Gain Coefficient.
5 Transmission Ultra-Vtolet Energy(TW)The transmission of short wave energy in the 300380 nanometer portion ofthe solar spectrum.The energy can cause fabric fading.
6 Transmission Damage Function(TOW).The transm%slon of UV and vWble light energy In the 300-600 nanometer portion of the solar spectrum.The value Includes both the UV and visible light energy that can cause fabric
fading This rating has also been referred to as the Krochmann Damage Function This rating better predicts fading potential than UV transmission alone.The lower the Damage Function rating,the less transmission ofshort
wave energy through the glass that can potentially cause fabric fading.Fabric type Is also a,key component of fading potential.
7 Percent relative humidity before condensation occurs at the center of glass,taken using center of glass temperature.
8 Inside glass surface temperatures are taken at the center of glass.
•This data Is accurate as of October,2013.Due to ongoing product changes,updated test results,or new Industry standards,this data may change over time.Contact your Andersen supplier for current performance
Information or upgrade options
2014 Coastal Product Guide Page 4of5
` WINDO Wa•DOO Ra •OO SERIES
Andersen® PRODUCT PERFORMANCE A-SERIES
SWDOWII AND D0095 WITH
my2m *
PROTECTION
Center of Glass Performance Data for products with Monolithic Impact-Resistant Glass-Clear
,-. _.,,, ,.. , - ._ - --•x :.' '__-_ .,; ', r Fading E
Visible ! %RH
Andeisen•Product Light' `` SCz SHGC' RHG' Tilts 1 'Tdw° ®center' IGST",
'400 Series Wh�aws .. ., i ,
Casemertt,Awtllug - 88% ;''0.87, 0.75 .185 <1% 23% „ 14% 19°F `
Caseateat/lt+mlDgPfGure - - - 86% :,;0.82- - 072 :<176• <1% '22%• 15% 20°F
grade,Haff prole Oval 86% 0.82 0.72 176. <1% 22% 15% 20°F
SptingHa®;Arch;flmdhame; 86% ,0.62 0.72 176 ' <1% 22% 15% 20°F
A-Se-rlesFrentflrioolf-Patlot7cors,PatloQoorTransb,ns&'Sideligirts `
1. 3
GlMing' 86% 0.82`; 072 176 <1% 22% 15% 20'F
Hinged lnswGRgA,t86% 0.82 072 176 <1% 22% 15% 20PF.,
Hfog¢d Oahvdog; c 86% 0.82` 0.72 _✓176. <1% 22% 15% 20°F
86% `0,82: 0.72 -.176 <1% .22%` 15% 20°F
'
StdcHgfit';<.r 86% 0.82.;`"' 0.72 176= ,• <1% 22% 15% 20°F ,
Center of Glass Performance Data for products with Monolithic Impact-Resistant Glass-Gray
)sible%t _ Fading, "
llitderii':Ptoduct s L)g)rt' SC :SF1GC� Rt(G. { :,<Tui�.ir Tdwa` ®center. (GST
. 1
.. ,
Gisemant'AvFNtig! 44% 076 0.61 151. <1% 17 14%
;-
CaiiifJAmifng f'ftturo" 44% 0.6F,"` 0.58 145 <1% 17%- 15%
0 58 <1 15% 2(1°F''e
refe;llal[Cfiete,.Oval; 44% 06T' 195''', % -17%' ..
Spt1ag11ne;Ardy`'fl�Nraate` ;<:; ;,5."I ,s 44% x.667.'s,<' 058 Ai i,- <1% >17% .. 15% 20ef'
:'A-Sones FrorfciltTgoC Patla Daor°,Patlo Dmtirarn�ms&8tda�igt)ts ,s
`6lldidg ' a" ;i"s; 44% 0.58 =:145'•,_ <1% 711 ' 15%
44% 0.58 -s'145� <1% 17% F
15% ;20"
s NRr oAugv.;. 44% r}.67, . 0.58 145 <1% d7% 15% 21)
^i
.21Yarom' ';` T: ;,'i•^` ,-.,s 44% f0.67'- 058 i45 <1% :17%r 15% j:, 20"F,,::
J Y tt =+
•Sfdollght''" - `' 44% <r '0,6T,. 0.58 x:15:.• 1% Y7%"` 15% ;20°F;;'1i
•
'Low-E4'",'Low-E4'SmartSun"and"Low-E4-Sun"are Andersen trademarks for'Low-El glass.
•Based on NFRC testing/slmulation conditions using Windows 5 2 and NFRC validated spectral data 0°F outside temperature,70°F Inside temperature and a 15 mph wind
1 Visible Transmittance(VT)measures how much light comes through the glass The higher the value,from 0 to 1,the mote daylight the glass lets In.Visible Transmittanee is measured over the 380 to 760 nanometer portion
of the solar spectrum
2 Shading Coefficient defines the amount of heat gain through the glass compared to a single IRe of clear'/a(3 mm)glass,
3 Solar Heat Gain Coefficient(SHGC)defines the fraction ofsolar radiation admitted through the glass both directly transmitted and absorbed and subsequently released Inward.The lowerthe value,the less heat Is
transmitted through the glass
4 Relative Heat Gain Is the amount of heat gain through a glazing Incorporating 11-Factor and Solar Heat Gain Coefficient
5 Transmission Ultra-Violet Energy(TUV),The transmission of shortwave energy In the 300-380 nanometer portion ofthe solarspectrum The energy can cause fabric fading.
6 Transmission Damage Function(TOW).The transmission of UV and visible light energy In the 300-600 nanometer portion of the solarspectrum The value includes both the UV and visible light energy that can cause fabric
fading.This rating has also been referred to as the Krochmann Damage Function This rating better predicts fading potential than UV transmission alone The lowerthe Damage Function rating,the less transmission of short
wave energy through the glass that can potentially cause fabric fading Fabric type is also a key component of fading potential.
7 Percent relative humidity before condensation occurs at the center of glass,taken using center of glass temperature.
8 Inside glass surface temperatures are taken atthe center of glass.
•This data Is accurate as of October,2013.Due to ongoing product changes,updated test results,or new Industry standards,this data may change overtime Contact your Andersen supplier for current performance
Information or upgrade options
2014 Coastal Product Guide Page 5 of 5
�+y,W,IINNDOW• AND DOORS WITH
PRODUCT PERFORMANCE 9MMO ' !
P N O T i D T 1 O N
Performance Standards Optional Higher Perkrinanee Grades(PG)&CorrespondingTest Pressures(PSF)
The Window and Door Manufacturers Association(WDMA),The American ArchitecturalPczo PG25 '-PG30 PWS,I POO : Peas I«PGS I P&% 'PG6o
Manufacturers Association(AAMA)and the Canadian Standards Association(CSA)have jointly .WrP 300 3.75 4.50 - 525 s oo s Ts 7.50 825 9.00
released AAMA/WDMA/CSA 101/I.S.2/A440-08;North American Fenestration Standard/ is DP ' , 20 -25 30 35 40 45., 5o 55 60
Specification for Windows,Doors and Skylights,which calls for using"Performance Grade"as the '." 30.0 '37.5 45.0 52.5 ' 60.0 67.5 75.0 -`82.5 90.0
new ratmg to describe products that comply to the standard.This new version dated"-08"has ;Air, ', 03 0.3"" 0.3 0.3- 03 0.3' 0.3 0,3v- 03
been adopted by the 2009 International Building Code(IBC)and the International Residential •Forced Entry Resistance(FER)Is always a performance level 10 regardless of Performance Grade(PG).
Code(IRC). •Minimum and maximum operating Force varies by product type.
Performance Grade ratings are being used to replace Design Pressure Ratings as the preferred
method of measuring product performance throughout the window,door and skylight industry to
define products that comply with all of the requirements of the 101/IS.2/A440 standard.
A product only achieves a"Performance Grade"or"PG"rating if that product complies with Hallmark Certification
not only the structural loading requirement,but all other performance requirements such as air The Window and Door Manufacturers Association(WDMA)sponsored Hallmark Certification
infiltration resistance,water penetration resistance,ease of operation and resistance to forced Program is designed to provide builders,architects,specifiers and consumers with an easily
entry.A"Design Pressure Rating"or"DP"rating will now describe a product rating that has only recogmzable means of identifying products that have been manufactured in accordance with the
been tested to structural loading and not air infiftration,watertesting or other requirements for appropriate WDMA and other referenced performance standards.Conformance is determined
Performance Grade. by periodic in-plant inspections by a third party administrator.The inspections include auditing
licensee quality control procedures and processes,and a review to confirm products are
Performance Classes manufactured in accordance with the appropriate performance standards.Periodic testing of
This Standard/Specification defines requirements for four performance classes.The performance representative product constructions and components by a third party testing laboratory is also
classes are designated R,LC,CW,and AW.This classification system provides for several levels required.When all of the program requirements are met,the licensee is authorized to use the
of performance.Product selection is always based on the performance requirements of the WDMA Hallmark registered logo on the Certification Label as a means of identifying products.
particular project. Products successfully obtaining Hallmark Certification will be labeled with a 3-part code,which
includes performance class,performance grade and maximum size tested.
Elements of Performance Grade(PG)Designations Below is a sample certification label:
In order to qualify for a given performance grade(PG),test specimens need to pass all required
performance tests for the following,in addition to all required auxiFiary(durabilay)tests(not 00 T A,�
shown here)for the applicable product type and desired performance class: Andersen Corporation
,WDMA
(a)Operating force of applicable):minimum and maximum operating force vary by product type ( 400 SERIES CASEMENT WINDOW
and performance class. Hallmark Certified Manufacturer Stipulates Conformance as Indicated below
ww wndma.rom
(b)Air leakage resistance:tested in accordance with ASTM E283 at a test pressure of 1.57 PSF. STANDARD RATING
The allowable air infiltration for R,LC&CW is 0.3 cubic feet per minute per square foot of frame CLASS LCu)-PG70(a-SIZE TESTED 31.5 x 71.9 In.(s
(cfm/ftz). AAMa/WDMA/CSA ioi/i-S2/A440-08 DP+70/•70(4)
(c)Water penetration resistance:tested in accordance with ASTM E547 With the specified test AAMA/WDMA/CSA 101/LS2/A440-05 C-LC70
pressure applied perAAMA/WDMA/CSA 101/I.S.2/A440-08.The test consists of fourcycles. DP+70/40
Each cycle consists of five minutes with pressure applied and one minute with the pressure ASTM E1886-02/ASTM E1996-02 Wind Tone 4,Merle Level D,Design Pressure 70/70 psf
released,during which the water spray is continuously applied.The water spray shall be uniformly
applied at a constant rate of 5.0 U.S.gal/f12•hr. (1)-Performance Class
III Uniform load deflection test tested in accordance with ASTM E330 for both positive (2)-Performance Grade
and negative pressure(pressure defined byAAMA/WDMA/CSA 101/I.S.2/A440-08)with the (3)-Size Tested
load maintained for a period of 60 seconds.After loads are removed there shall be no more (4)-Design'Pressure
permanent deformation in excess of 0.4%of its span and no damage to the unit which would In the example above,the performance class is LC,the performance grade(PG)is 70 PSF
make it inoperable. and the size tested is 31.5"x 71.9".What this means to the specifier is,based on the optional
Starting with the 2008 spec/flcatfon,design pressure(DP)will only represent higher performance grade chart,the laboratory tested air infiltration was less than 0.3 cfm/ftz
the"uniform load deflection test." (test pressure is always 1.57 PSF and the allowable airflow is 0.3 cfm/ft2),the product tested
(6)Uniform load structural test:tested in accordance with ASTM E330 for both positive and successfully resisted a laboratory water penetration test at a test pressure of 10.5 PSF(test
negative pressure(pressure defined by HAMA/WDMA/CSA 301/I.S.2/A440-08)with the toad pressure equals 15%of PG),the product tested successfully withstood a laboratory positive and
maintained for a period of 10 seconds.After loads are removed there shall be no damage to the negative structural test at a pressure of 105 PSF(test pressure equals 150%of performance
unit which would make It inoperable. grade)In both the positive and negative directions and the product tested passed the laboratory
requirements for operational force and forced entry resistance.Based on this test,all products
(1)Forced-entry resistance(if appllcabler tested in accordance with ASTM F588(Windows), smaller in both width and height can be labeled with this product performance rating.
F476(Swinging Doors)and F842(Sliding Doors)ata performance level 10 rating.
Maximum Size Tested(MST) Important
Test size is a factor in determining compliance with this Standard/Specification.Each product Budding codes prescribe Performance Grade(PG)based on a variety of criteria(i.e.windspeed
type and class has a defined minimum set of requirements.The minimum test size increases with zone,building height,etc.),therefore structural tepressures should PA be used for code
each class(i.e.R,LC,CW or AW). compliance.in the example above,a PG 70 performance grade rating,which passes a 70 PSF
design pressure,should be used for determining code compliance,not the structural test
Minimum Requirements pressure of 105 PSF.
The minimum requirements to obtain a Performance Grade(PG)are listed below: If you need further details about how Andersen*products perform to this standard,contact your
"Miaunum_. Mininium Water Andersen supplier.
:,Product Pedormanoe Minimdm!}esigri' MirumumSYructurai-i„,"PenetiationTest If you need further information about the AAMA/WDMA/CSA 101/I.S.2/A440-08 standard or
Performance-.. ;F:
Grad (PG)` pn sauce(DP) Test fe mp),l.<Pressure(WIP) the Hallmark Certification Program please contact:WDMA,401 N.Michigan Avenue,Suite 2200
(26ss (PSF7, "(PPSFL,... ,A (PSF)::,7.. i� {PSFl'
anAdo�s:ma DD«s > Chicago,1160611 Phone:312-321-6802 Web:wdma com
R ! 15 15 22.5 "2.25-, .-. Where designated,Andersen products are tested,certified and labeled to the requirements
Le' 25 '25 " 37.5 3.75. of the Hallmark Certification Program.Actual performance may vary based on variations
30 ;30- 45.0 4.50' in manufacturing,shipping,installation,environmental conditions and conditions of use.
AW .. 40 =" 40: 60.0 -'6.00
•
'Structural Test Pressure(STP)'is 150%of the Performance Grade(PG)forwindows and doors.
•'Water Penetration Test Pressure(WTP)'Is 15%of the Performance Grade(PG)
2014 C oa sta I P roduct G uide Pagel of5
WINDOW SPECIFICATION SHEET - Spec.Sheet/E: 10025185 Sheet: 1 of 2
Customer. lynn Pavia Job d: 10025185 Consultant: Robert Kelly Date: 04/29/2017
New Window
Existing Window Hinge Locations
Measurements Grids Product Options Labor Options From outside,
Left to Rlghl
Bays,Bowls
Location Color Rough Opening M of bars 6 of bars Camnts,f Pnl,
use L,R or S
Glass Misc Items
Hardware
Screens Code
For doom use
et tio U Mug 'S"=stationary or
style Wraps aE g aoperagn
Code (Y/N) Style Code Was Code 3 j F;. a 2 1 y§ g
TR... Fl.
1 LIV tsl DH N DH SPA-AC-66 "go While 3200 6o00 82 Flet top
2 W tat ON N DH SPR-AC-M White Whoa 3200 woo 82 Flattop
3 LIV lit DH N DH SPR-AC-96 Write Whsle 3200 6000 02 Flattop
4 tiv let DH N DH SPR-AO-ft White Wtr4e 320o 6000 82 Rat lep
5 LN tet DH N OR SPR-AG88 WNte white W-00 60100 82 Rat lop
8 KITCH list DH N OH SPR-AC-66 Willie White 3200 50,00 82 Rat top
7 10TCH let DH N DH SPR-AC-86 while WhIs 3200 0,000 02 Rat top
e 6ED1 is1 OH N DH SPR-AC-86 White while 3200 6000 82 Ret trip
SPECIAL CONSIDERAT(ONS:
rap Color SPA-1-Add.Info.:Store quote, ,SPR-2-Add.Into.:Store quote, ,SpA-3-Add,Inf
oterior Casing Type o.:Store quote,,SPR-4-Add.Info.:Stora quole, ,SPR•6-Add.Info.:Store quote,
Say or Bow window: SPR-8-Add.Into.:Store quote, ,SPR-7-Add.Info.:Store quote,,SPR-8-Add.
eatboard material(vinylsnly-Birch or Oak) Info.:Store quote,
Bay Project Angle(SOW 45)
Bay Flanker Type(OH,SH,or Camnt)
op o1 window to soffit(Inches)
1 bed to soffit,color of soffit material I have reviewed and agree with all the job specifications above and the
strucl Roof(Yes or No)' Special Terms and Conditions on the Ielbwfng page
Garden Window:
Edditblonal
d Material(Wnyl only-Whirs Plontle,Birch or Oak)
kness(Inches) Customer Signature
Shell(Yes t:rNo)__
Theta Is no guarantee that new shingles will match existing color.
WINDOW SPECIFICATION SHEET - Spec.Sheet g: 10025185 Sheet, 2 Of 2
Customer: Lynn pavla Job U: 10025185 Consultant: Robert Kelly Date: 0412912017
Existing Window
Now WindowHingeLocations
Measurements Grids Product Options Labor Options From outside,
Leh to Right
Location Color Bays,Bowls
Rough Opening H of bars N of bars Csmnfs,1 Pnl,
use L,Aor8
Gass Misc Items
Hardware Code
Screens For doors use
Gva YMull •S•-stationery or
I Wisps ; F a > "X"-operating
!= Room Floor Co1� (YIN) Style Coda Series Code
0 e201 tat ON N 0H BPR-AG99 white WMto 32.00 Moo 92 Flattop
I
BB02 let DH N DH SPR•AG86 WMto VMS 3L00 SOOa 82 Flattop
0
I
ee03 lel bH N 0H SPR-AC as W7140 WMte 32.Q0 60d10 82 flattop
1
I LIv let OR N DN SPR-ACEs White While 3200 S0,0o e2 Flattop .
2
1 BATH 151 DH NOR CPR-AC-85 White
1VMto 24.00 3900 52 Flattop
I
BATH tat DH M l»I BPR.AOM White white 74.00 3a00 62 Flat top
9
rep Color
SPECIAL CONSIDERATIONS:
nfedor Casing Type SPR-9-Add.ird0.:store quote,,SPR-10-Add.Into.:Store quote, ,SPR-11-Add,I
nfo.:Store quote,,SPR-12-Add.Into. Store quote,,SPH•13-Add,Into.:Store quo
Bay or Bow window: to, ,SPR-14-Add.Into.:Store quote,
aMboard material(vinyl onty-Birch or Oak)
Y Project Angla(30 at 45)
-- _ y Flanker lWo(DH,SH,or Camnl)
0p of window to soffit("08)
I
ped to soffit cobr of soffit material
nstttlot Roof(Yes or No)
1 have reviewed and agree with all the job specifications ail we and the
Garden i
Special Terme and Conditions on the following page
Wndow:
rThicboard Material(vinyl only-WMte Plonhe,Stich or Oak)
all
kness(inches) Customer Signature Shelf(Yes or No)
•There 13 no guarantee that now shinglas vAl match existing color.