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BP22-246
PERMIT #/,, SECTION Z TYPE OF WORK JOB LOCATIO OWNER, CONTRACTOR_ EST. COST V/CO k TCO # DATE: a� B(P:, BLOCK LOT) FEE 9f FEE DATE. INSPECTION RECORd I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C> RGH PLUMBING GAS SPRINKLER ELECTRIC CI LOW -VOLT 0 ALARM 0 AS BUILT 0 FINAL ,/ /, I osr ^THER APPROVALS ARB BOT / �/ 1 ZBA �o� 1 e voc 7;;ZP Z lSk (%/) 939- 700 le OTHER BR O 'CCu UJ I Y b 4.+ Vl�tc„ V4 Vy.L,J 190 J'� VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.rvebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE October 25,2024 The Emily Groglio Irrevocable Trust 5 Paddock Road Rye Brook,New York 10573 Re: 5 Paddock Road, Rye Brook,New York 10573 Parcel ID#: 135.34-1-23 Building Permit#22-246 issued on 12/9/2022 for Replacement Windows This certifies that the eleven new windows,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D �� � �� � r0FRYEBROCOK > For office eonI / 3BUILD � RTMENT PERMIT# act �ycp SEP Z 0 2024 VIL ISSUED:38 KING STRE OOK, �YORK 10573 DATE: 9-moo=C)y -06 0 FEE: .6 /A (- PAID{4 VILLAGE OF RYE BROOK w w ov BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION aarwwasssrrsrstw►stsswssws►•►►►wss►►s►►sss►►sassssa►s►saar►►t►s►rrrrrrrrttrrtwtstwwsws►sswwwssr►ss►►►►s►srs►►►r►►►ssssas►sasa Address: IS �(-� a t% _ '�v�� N Occupancy/Use: /7 Parcel ID#: ��� �L� - 1— �3 Zone: Owner: �y ����� �m� �o� �L LS6*dress: P.E./R.A. or Contractor: ,\7 CO \.e "u. Address: Person in responsible charge: Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: S�0.n NV ,,C\Aw being duly swom,deposes and says that he/she resides at (Print Name of Applicant) ( Q�nd�et) in U.\�R)U 0' in the County of �u G�FS f in the State of ,that (Cityrrown/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S �(--)C , for the construction or alteration of: Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this -0 Sworn to before me this of �pQ , 201q11_ day of 920 Signature of Property Owner Signature of Applicant Print Name o Owner Print Name of Applicant Notary Public Notary Public CHRISTOPHER J.BRADBURY Notary Public,State of New York 6/l/2024 No.01 BR6159985 Qualified in Westchester County Commission Expires January 29,20Z �yE BRC��. .. Zm �c /�• 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street - Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 1 1 �� �C DATE: - L_! )I_ C) Z 1 PERMIT# 0-�[ / a ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: 1 -" ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION [ ` FINAL ❑ OTHER = s ■ : � N N +� � ■ e N N P.T e N \ i � w a� i-1 'b V1 ■ en I r CA YM 41 V1 Z 0 CIA cn a � (� ° Cpl.. a O 00 v M N W v X o o U4 �� ■ W. P4 v 0 bA hLl V M w U `~ -� �° ��Wp ° a 0 o g H O p O A 3 o C y �i ■ O $ y �� W U Q yb a o ti Did 4 � Q p [ ■ � co z0Nao4 O �-LI H00 aI Z w O wVvo _ O A cu rC)s 7o U F W Z Uz � -o � �..� ■ H o F Qr c fe�? w F7 v' o a CJ� ■ A � C\ rx Fd � cQ � z x Ey o W m ll 00 U Oda vo ° zzb o u � w c � � u � v � 0 � v � z o d i� v v e� a a I1 A r W 0 G r z � ' v d V ° 14 0 p n VS ,- � V V z tl) z b : -D BUILD DEPARTMENT Vr><, x E OE RYE BIWOK DEC - 9 2022 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE: OF RYE BROOK �w ,'.r &r L'6)i BUILDING DEPARTMENT] ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK Wtacul DOES N01`REQUIRE VILLAGE ARCEIITEC URAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY-, APPROVAL DATE: QEC — q NVPER #: ' APPLICATION FEE: 6 APPROVAL SIGNATURE: PERMIT FEES: H.O.A. APPROVAL: DATE: DISAPPROVED: OTHER: Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,structures additions,alterations or fora change in use,as per detailed statement described below. 1. JobAddress: \'C_ ( lI 2. Parcel ID#: 3 7 — -S Zone: 3. Proposed Improvement(Describe in detail): ��C_e- W J40 w� s 4. Property Owner: Address: I k O le Phone# ��`\-1 �� -�g��c� Cell# e-mail List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell# e-mail Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: Address: Phone# Cell# e-mail (1} 8/12/2021 5. Occupancy (1- am 2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: l'fl: 21 fl: 3r4 fl: 10. Total Square Footage of the proposed new construction: It. For additions,total square footage added:Basement: 10 fl: 2nd fl: 3'd fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: N.Y. State Use Classification: 14. Construction Type&Location:O Typical Western Lumber Frame;O Timber Frame[TC];O Wood Truss[TT]; ()Pre-engineered wood[PW];Located;O Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];Other: 15. Number of stories: r Overall Height: Median Height: 16. Basement to be full,or partial: 17-2-e Y' finished or unfinished: 17. What material is the exterior finish:A/Gt SL ZZ:/�/ef f 18. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 19, What system of heating:� 20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 21. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes: No:_ (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 22. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of jmpervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes:_No: !_/Area: 23. Will the proposed pro require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No:= (if yes,applicant must submit a Site Plan Application, &provide detailed drawings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No:f (if yes,you must submit a Site Plan Application, &provide a detailed topographical survey) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: c'J (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: l- � (ifyes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate:TIER 1: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: $ 3,5-o 6, J Note:estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.!f the final cost exceeds7717y the ' ost,an additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: (2) 8/12/2021 BUILDING bliOARTMENT VIL iEl OF RYE BROOK 938 KING!TREET RYE BROOK,NY 10573 (914)939-0668)' wwt.r .moo -"r AFFIDAVIT OF COMPLIANCE VILLAGE CODE �216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 3, L- � � ,residing at, {[Tint name) (Address where aou live) Cl being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; GrCr OC "( le' ' Rye Brook,NY. (Jon Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. f (Signature o'' )pc +n _- -. (Print Name of Pr ,erty C� Sworn to efore me this da of ( L , 20 (� Y Pubii (3) 8/12/2021 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATF,OF NEW YORK,COUNTY OF WESTCHESTER ) as: cb ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual si 'rg as the applicant) and r states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the ��V: D for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains,sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. C'+ 0Sworn to before me this l Sworn to before me this day of �(��"\ , 20 day �` 20 SignatureMO—c 'Signature of Applicant Print Name Property Owne Print Name of Applicant Notary Public Nd lic (4) 8/12/2021 Resource Guide A N D E R S E N WINDOWS & DOORS for Andersen® Windows and Doors Included with Window or Door: lResource Guide ,Safety/Product Information 111, Warranty Important Information Proper installation and maintenance of Andersen° products is essential for optimum product performance and operation. Every installation is different, and Andersen strongly recommends consultation with the local supplier or an experienced contractor, architect or structural engineer prior to the installation of any Andersen product.The method of attachment for Andersen products, fastener selection and code compliance is the responsibility of the architect, building owner, contractor, installer and/or consumer. What Is the Installation Guide Configurator? The configurator is an innovative online tool, developed by Andersen, that uses your answers to a few simple product and construction questions to create customized installation instructions in PDF format and animated video, configured specifically for the Andersen window or door you are installing, as well as the construction of the building. The customized installation instructions include preparing the opening, sealing, shimming, fastening, flashing, and water management. P. Para obtener una version en espanol de las instrucciones de instalacion,visite andersenwindows.com For: Installation Instructions/Videos c::�-i= Go To - or,RP,ta.a„ ♦NDEYSEN "MA andersenwindows.com installationinstallation Video - or Vie rj o ❑� Nw 07:- Scan - { Installation Video • •E .+ For: Installation Questions � Call - or Installation Guide Configurator Support 1-844-293-4336 Please refer to the configured installation instructions for a list of tools required, supplies needed, opening preparation, and installation instructions for your specific window or door. Andersen.Thank you for choosing 'Andersen'and all other marks where denoted are trademarks of Andersen Corporation.©2021 Andersen Corporation. All rights reserved. RESOURCE GUIDE 9144347 BC Revised 05/11/2021 (400/200 SERIES) RESOURCE INFORMATION PACKET 9176563 BF-00 Installation Fundamentals M"JANDERSEN' WINDOWS & DOORS (See configured installation instructions for detailed and complete steps) 11 Fastening Sealing Windows and doors must be fastened to a structural Windows and doors must be sealed to the drainage plane member in the opening. Fastener type and attachment and the opening. Backer rod is used to limit the sealant method are dependent on a number of factors such as depth between the window or door frame and the opening, window or door type, assemblies, wall type, construction cladding, or trim. Sealant is used to prevent water and type, structural anchoring material, location, and fastener air infiltration by bridging the gap between the opening, embedment depth. window or door frame, and installation flange/nailing fin. Low expanding foam can also be used to provide an air Iseal between the window or door frame and the opening. Flashing Windows and doors must be flashed to integrate the ;; Shimming window or door into the drainage plane. Flashing must be applied shingle fashion to direct water to the exterior. Windows and doors must be shimmed to plumb, level, and Flashing materials may be straight or formable self-adhered square the window or door in the opening properly and to tape, rigid, or liquid applied.The water management system space the window frame off the rough sill. may be of the drainage or barrier type. 11 Weather Resistant Barrier Opening Preparation (House Wrap) Openings must be sized to accommodate the window or Windows and doors must be integrated with a weather door and to allow adequate room for squaring, shimming, resistant barrier.Weather resistant barriers can be applied insulating the window, door, or assembly, and any additional before or after window or door installation.Weather allowances that must be made to include flashing material resistant barriers can be of the house wrap type or stack-up, and joining materials and fasteners. liquid application. For more care and maintenance information, visit andersenwindows.com/support. I I i LOVE THE LIFE YOU SEE. 2 P. Para obtener la version en espanol de Informal importante sobre productos y seguridad, visite: andersenwindows.com Important Safety and E-JANDERSEW Product Information WINDOWS 8r DOORS for Andersen° Windows and Doors This is the Safety Alert Symbol used to alert you to Read this Important Safety and Product potential injury hazards. Obey all safety messages that Information completely before starting. • follow this symbol to avoid possible injury or death. Signal Word and Consequence Safety and Product Information Index COULD ±SWARNING COULD ZtCAUTION 1 Tools 1 Glass Result in: Major Injury/Death Result in: Minor Injury 1 Handling 1 Protective Film 1 Installation 1 Cleaning COULD ' IMPORTANT 1 Sealing 1 Use/Operation Result in: Product or Property Procedure and 1 Fastening 1 Joining Damage Product Information 1 Finishing 1 Product Information • Leave this installation instruction with the home/building owner. • For additional support or help please go to: andersenwindows.com and visit our Help Center. • To configure installation instructions go to: andersenwindows.com/installation Tools WARNING • Follow manufacturers' instructions for hand and power tools. Always wear safety glasses. Failure to do so could result in injury, product or property damage. Handling Installation WARNING OWARNING • Windows and doors can be heavy. Use safe lifting • Use caution when working at elevated heights and techniques and a reasonable number of people with around window and door openings. Follow the enough strength to lift, carry, and install window and manufacturers' instructions for ladders and scaffolding. door products. Heavier windows and doors will require Failure to do so could result in injury or death. mechanical assistance. Failure to do so could result in injury, product or property damage. • Support window or door in opening at all times until fully fastened. Failure to do so could result in window or • DO NOT lift or carry window or door by the exterior door falling out causing injury, property or product trim or extension jambs. Doing so could result in injury, damage. product or property damage. • Windows and doors have small parts (e.g. hole plugs, • Windows, doors, and installation components can operator spline caps,fasteners, etc.). Small parts if have sharp edges. Wear protective equipment when swallowed could pose a choking hazard to young handling. Failure to do so could result in injury. children. Dispose of unused, loose, or easily removed • DO NOT drag, rock, cartwheel, or walk windows, small parts. Failure to do so could result in injury. doors,sash, or panels across the floor. Doing so could result in product or property damage. 'Andersen"and all other marks where denoted are trademarks of Andersen Corporation.©2021 Andersen Corporation. All rights reserved. SAFETY/PRODUCT INFORMATION 9144348 BG Revised 02/24/2021 3 Installation (Continued) Fastening • ZtS WARNING • Andersen head flashing and installation flanges DO • Metal fasteners and components could corrode when NOT take the place of window and door flashing tape or exposed to preservative-treated or fire-retardant treated liquid flashing. Window or door must be properly flashed lumber. Use approved fasteners and components to and sealed with a material compatible sealant for fasten window or door. Failure to do so could cause a protection against water and air infiltration. Failure to do failure resulting in injury, product or property damage. so could result in product or property damage. • Fastener must attach to a structural framing member • DO NOT set window or door directly on installation with a 1-1/2" minimum fastener embedment. Failure to flange. Doing so could affect product performance, and do so could result in injury, product or property damage. could result in product or property damage. • DO NOT remove screws that attach installation clips or • DO NOT set window directly on sill plate. Elevate gusset plates to window or door frames. Doing so could window with shims under the side jambs. Failure to do result in injury, product or property damage. so could affect operation and product performance, and could result in product damage. • Window or door must be properly shimmed. Failure to • do so could affect operation and product performance, and could result in product damage. • Use masonry screws when fastening directly into masonry or through a buck into masonry. Failure to do • A continuous full perimeter interior seal between so could affect product performance, and could result in window or door frame and opening is required. Failure to product or property damage. do so will affect product performance, and could result in product or property damage. • DO NOT over drive screws or nails. Doing so could • Protect window and door sills during installation and result in product damage. throughout construction. Failure to do so could result in • Fasteners must be attached to a structural framing product damage. member. Failure to do so will reduce the structural • DO NOT remove window or door packaging material until performance to less than published values and could instructed to do so. Doing so could result in product damage. affect product performance, and could result in product or property damage. Sealing CAUTION • Follow instructions of foam, sealant, and flashing Finishing manufacturers regarding safety, material application, compatibility, and periodic maintenance for continued weather resistance of their products. Failure to do so • DO NOT stain or paint weatherstrip,vinyl, glass, or could result in injury, product or property damage. hardware. Doing so could result in product damage. • Read and follow finish manufacturer's instructions and safety information. Failure to do so could result in • Clean and prepare surfaces receiving sealant following product damage. sealant manufacturer's instructions. Failure to do so could result in water infiltration causing product or property damage. • DO NOT over load brush with stain or paint when finishing. Doing so could allow finish to wick between • DO NOT use abrasive cleaners or solvents when glass stop or grille, and glass. cleaning Fibrexv material. Doing so could result in product damage. Go to andersenwindows.com for a list of recommended cleaners. 4 Finishing (Continued) Protective Film • &WARNING • Finish all wood surfaces immediately after • DO NOT place suction grips over film installation. Unfinished wood will deteriorate, discolor, seams on glass. Suction grips will not \, and could bow or split. Some hold if placed over film seam to lift or surfaces are hidden from view. move window or door. Window or door will fall and could result in injury, • Some products are shipped product or property damage. unassembled,and it may be more convenient to finish • DO NOT remove any wood surfaces for these protective film near r products prior to flammable materials. ` assembly and Static charge created installation. when removing film 1000 can ignite flammable materials or cause a E shock. Doing so could result in injury, product or property damage. See warning label on glass. • Dispose of protective film immediately after Glass removing. Failure to do so could pose a suffocation hazard to children. &WARNING • Unless specifically ordered,Andersen windows are not equipped with safety glass, and if broken, could • DO NOT remove protective film from glass until after fragment causing injury. Many laws and building codes construction is completed. Doing so could allow glass to require safety glass in locations adjacent to or near be damaged. doors. Andersen windows are available with safety glass . Remove protective film from non-glass components that could reduce the likelihood of injury when broken. immediately after installation. Failure to do so could Information on safety glass is available from your local result in product damage. Andersen dealer. • Tempered or laminated safety glass is not standard for Cleaning windows and must be special ordered. Check local building codes for required locations. Failure to do so • could result in injury, product or property damage. . Acid solutions used for cleaning masonry or concrete will damage all components of window or doors. Protect window or door and follow cleaning product manufacturer's instructions. If acid contacts window or • DO NOT apply any type of film to insulating glass. door,wash all surfaces immediately with clean water. Doing so could cause thermal stress conditions and result in glass damage. Shading devices (e.g. insulated • DO NOT use or apply solvents, abrasives, harsh coverings, shutters, etc.) could also cause thermal chemicals or cleaners to window or door components. stress and condensation causing deterioration of Doing so will result in product damage. windows or doors. For a list of recommended cleaners go to: andersenwindows.com • DO NOT use sealants on exterior or interior glass surface. • DO NOT use metal razor blades to clean glass surface. Glass damage could result. 5 Use/Operation Product and General Information ! WARNING IMPORTANT • DO NOT stand in front of or near windows or doors • Buildings constructed prior to 1978 could contain lead during a storm. Doing so could result in injury. paint which could be disturbed during window or door Accessories such as grilles, art glass, and insect replacement. For more information on proper management screens could dislodge and become airborne if window of lead paint,go to: www.epa.gov/lead or door is impacted by wind-borne debris from severe • Instructions may not be right for all installations due to storms or hurricane strength winds. In the event of a building design, construction materials,or methods used storm, remove all accessories from windows or doors and/or building or site conditions. Consult a contractor or and move to a safe location. architect for recommendations. • Installation flanges may need to be removed for some • DO NOT install air conditioner in installations. (e.g. masonry, replacement), or where exterior window. Doing so could result in finish is already applied (e.g. siding, brick veneer,stucco). injury, product or property damage. '1 • Installation flange on the window or door alone will not properly flash and seal the window or door. • Wind load brackets • DO NOT remove band, plastic ties, or packing clips from must be flipped out window or door until instructed. when not tilting or • DO NOT remove performance (NFRC) label until after final cleaning. If wind load inspection. Doing so could delay final inspection and brackets are not flipped sign-off by the code official. out, window could blow • Check with your local building code official to identify and in resulting in potential confirm compliance with local building code requirements. injury and/or product Flipped Out Flipped In . Contact local authorities or waste management company damage. for proper recycling and disposal instructions for removed window or door. • For cleaning instructions for window and door components 0 CAUTION go to: andersenwindows.com. • DO NOT attach objects or accessories to window or • During construction protect products from construction door except AndersenO products specifically designed debris, harsh chemical such as brick wash, roof runoff,and for the window or door. Doing so could result in injury, cement/masonry which can cause damage to window and product or property damage. door products. • Protective film is not present on all windows or doors. Protective film is not a substitute for masking. • Remove protective film from glass within six (6) months of installation and when temperature is above 32' F. Joining • Remove protective film by peeling from seam or corner. Use a plastic scraper to start if needed. a WARNING • Extension jambs can be factory applied on some windows or field applied prior to installation. DO NOT apply extension • DO NOT join any window or door, horizontally or jambs prior to window or door installation that will be vertically,to any window or door not designed for fastened with installation clips. Doing so could prevent joining. Doing so could result in injury, product or access to installation clips for fastening. property damage. . For extension jamb application refer to • Joined windows or doors must be individually instructions included with part(s) or go to: supported in the opening. Failure to do so could affect andersenwindows.com operation and product performance, and could result in • Use painters masking tape for protecting product or property damage. products during construction. Avoid using duct or packaging tapes. 6 AndeD 0 W 5 D O 0 e 5 not included;or(2)provide a factory-authorized repair to the existing component at no '"rsen ® cost to you;or(3)refund the original purchase price.Such replacement parts or repairs are warranted for the remainder of the original limited warranty period. m e 400 SERIES Transferable Limited Warranty on Patio Doors with Shades/Blinds 200 SERIES in Insulated Glass Andersen® patio doors with shades/blinds in insulated glass (including insulated Warranty ,,,,,,,,:,.3,,,,,,. glass,shade/blind,hinges, insulated glass seal and external control mechanisms attached to OWNER20WNER• the glass,hinges, handles,insect screens,weatherstripping,and frame members)are warranted to be free from defects in manufacturing, materials and workmanship for a period of ten(10)years from the date of purchase from the retailer/dealer. In the event of a glass failure or failure in the shades or blinds between the glass as a result of a defect in manufacturing,materials or workmanship within the limited warranty period, Andersen, at its option, will: (1) provide the appropriate glass replacement Para ver la version,en espanol,de esta Garantja limitada y Proceso de product to the Andersen retailer/dealeryou specify—labor is not included;or(2)provide resolucion de controversias,visite andersenwindows.com a factory-authorized repairto the existing glass component at no cost to you;or(3)refund the original purchase price. Such replacement parts or repairs are warranted for the remainder of the original limited warranty period. LIMITED WARRANTY AND DISPUTE RESOLUTION PROCESS No Other Warranties or Representations IMPORTANT:Please carefully read the Dispute Resolution Process that appears THIS LIMITED WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES,EXPRESS OR IMPLIED, in this document after the Limited Warranty. The Dispute Resolution Process INCLUDING, BUT NOT LIMITED TO,ANY IMPLIED WARRANTIES OF MERCHANTABILITY includes class action and jury trial waivers that affect your legal rights.To opt out OR FITNESS FOR A PARTICULAR PURPOSE. ALL WARRANTIES ARE LIMITED TO THE of these waivers,you must visit our website at www.andersenwindows.com/optout APPLICABLE STATUTE OF LIMITATIONS, BUT IN NO CASE WILL EXTEND BEYOND THE and complete the opt-out form within one year from the date of purchase of your LIMITED WARRANTY PERIODS SPECIFIED ABOVE.ANDERSEN EXCLUDES AND WILL NOT Andersen®products from a dealer or retailer.The opt-out only applies to the terms BE LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES,WHETHER ARISING of the Dispute Resolution Process. OUT OF CONTRACT, TORT OR OTHERWISE. THE REMEDY OF REPAIR, REPLACEMENT 400 Series/200 Series Windows& Doors Limited Warranty OR REFUND OF THE ACTUAL PURCHASE PRICE OF THE PRODUCT PROVIDED BY THIS ty LIMITED WARRANTY IS THE EXCLUSIVE REMEDY WITH RESPECT TO ANY AND ALL LOSS Transferable Limited Warranty on Glass OR DAMAGE. The glass in Andersen®factory glazed windows and doors(including dual-pane glass, Applicable Law High-Performance Low-E4® glass, High-Performance Low-E411 Sun glass, High- This Limited Warranty is only applicable in the U.S.A. (i.e.,the fifty states and the Performance Low-E4® SmartSun'" glass, High-Performance Low-E4® PassiveSun® District of Columbia).This Limited Warranty gives you specific legal rights, and you glass, HeatLock® glass, Low-E glass, patterned glass (including obscure, pebble, may also have other rights which may vary from state to state. Some states do not fern,reed and cascade designs)),Finelight"grilles,divided light grilles and tempered allow the exclusion or limitation of incidental or consequential damages or limitation versions of these glass options is warranted to be free from defects in manufacturing, of the duration of an implied warranty, so the above limitations or exclusions may materials and workmanship for twenty (20) years from the date of purchase from not apply to you. If any specific term of this Limited Warranty is prohibited by any the retailer/dealer. It is also warranted not to develop, under normal conditions,any applicable law,it shall be null and void, but the remainder of this Limited Warranty material obstruction of vision resulting from manufacturing defects or as a result of shall remain in full force and effect. premature failure of the glass or organic seal for twenty(20)years from the date of What Is NOT Covered by this Limited Warranty: purchase from the retailer/dealer. Patterned glass(including obscure, pebble,fern, reed and cascade designs)is warranted not to develop,under normal conditions,any Specific Additional Exclusions material change in appearance resulting from manufacturing defects or as a result In addition to any other limitations or exclusions in this Limited Warranty,Andersen of premature failure of the glass or organic seal for twenty(20)years from the date shall have no obligation for product failure,damage or costs due to or related to the of purchase from the retailer/dealer.This limited warranty on glass does not apply following: to special order glazings,Andersen®art glass,insulated art glass,impact-resistant • Product modifications or glass shading devices (e.g., glass tinting, security glass, insulated glass with shades or blinds between the glass or glass that is not systems,improper painting or staining,insulated coverings,etc.). factory installed by Andersen. • Units improperly assembled or improperly mulled by others. In the event a glass failure occurs as a result of a defect in manufacturing,materials • Failure due to the application of non-Andersen hardware(e.g.,locksets,trim sets, or workmanship within the limited warranty period,Andersen,at its option,will: (1) hinges,panic hardware,closers,etc.). provide the appropriate replacement glass product to the Andersen retailer/dealer • Failure to properly install Andersen hardware and/or exterior trim. you specify— labor is not included; or (2) provide a factory-authorized repair to • Adjustments or corrections due to improper installation. the existing glass at no cost to you;or(3) refund the original purchase price.Such . Improper installation or use, including use of a non-commercial door as a main replacement parts or repair are warranted for the remainder of the original limited entrance or exit door for a building other than a single-family residential unit or warranty period. re-installing an Andersen window or door after it has been removed from a building Transferable Limited Warranty on Components Other Than Glass and re-sold and/or re-installed in a different building. Non-glass portions of Andersen®windows and doors(including non-electric operators, • Exposure to conditions beyond published performance specifications. locks,lifts,balance systems,hinges,handles,insect screens,weatherstripping,exterior • Water infiltration other than as a result of a defect in manufacturing,materials or trim,sash and frame members)are warranted to be free from defects in manufacturing, workmanship. materials and workmanship for a period of ten (10)years from the date of purchase . Condensation. from the retailer/dealer.This limited warranty does not apply to Andersen electric window operators,retractable insect screens or finishes on bright brass and satin nickel door • Improper maintenance,such as use of brick wash,razor blades,sealants,sanding hardware.The non-glass portions of Andersen®windows and doors with wood exteriors or improper washing. and commercial doors are subject to a limited warranty with a five(5)year period,but • Failing to properly seal and maintain the exposed wood portions of a product.This otherwise identical to the ten(10)year limited warranty described above. includes,but is not limited to,the exposed wood on all sides of a door panel(e.g., In the event a component other than glass fails as a result of a defect in manufacturing, exterior,interior,top,bottom,and both sides),a door frame and wood grilles. materials or workmanship within the limited warranty period,Andersen,at its option, • Chemicals or airborne pollutants,such as salt or acid rain. will:(1)provide replacement parts to the Andersen retailer/dealer you specify—labor is • Delivery by others. 4780500 BG-00 Revised 05/07/19 • Accidents. Non-Warranty Repair • Acts of God. You will be respo sible for all costs related to any repair that is not covered by this • Normal wear and tear. Limited Warranty or which is outside of the limited warranty period.When warranty coverage is unclear,Andersen may charge an inspection fee for any on-site product inspection.If the inspector determines the Andersen®product has a defect covered by Additional items excluded from this limited warranty: this Limited warranty,the inspection fee will be waived. • Labor to replace sash or door panels,glass or other components. For specific warranty information outside the United States,please contact your local • Labor and other costs related to the removal and disposal of defective product. distributor or write to: • Labor and materials to paint or stain any repaired or replaced product,component, Andersen Windows,Inc./International Division trim or other carpentry work that may be required. 100 Fourth Avenue North • Products not manufactured by Andersen. Bayport,MN 55003-1096 • The performance of the low-maintenance exterior glass coating on products with High-Performance Low-E4® glass. Performance will vary depending on DISPUTE RESOLUTION PROCESS environmental conditions. • Minor warping of wood and clad-wood doors.Andersen may defer actions on any General claim for warping for a period of up to twelve (12) months from the date of the If you are dissatisfied with the remedy provided to you under the Limited Warranty claim in order to permit conditioning and equalization to humidity and temperature set forth above or have any other claim against Andersen related to your Andersen® conditions. products, you and Andersen agree to resolve the claim using the following process • Slight glass curvature,minor scratches or other imperfections in the glass that do ("Dispute Resolution Process").This Dispute Resolution Process will apply to claims of not impair structural integrity or significantly obscure normal vision. any nature relating to your Andersen product("Dispute(s)").Disputes include,but are • Rattling of grille bars within an air space. not limited to,claims for breach of contract or breach of warranty,claims for violation • Insects passing through or around the insect screen. of state or federal laws or regulations, claims based in tort, negligence or product liability,claims based in fraud or fraud in the inducement, marketing or advertising • Tarnish or corrosion to hardware finishes. claims and claims related to the enforceability or effect of any term of the Limited • Stress cracks and broken glass. Warranty or the Dispute Resolution Process,including,but not limited to,the waivers • Special glazings.Contact us concerning the limited warranty on special glazings. of class action and jury trials. • Andersen®art glass and decorative insulated art glass, impact-resistant glass, electric window operators, retractable insect screens and bright brass and satin Notice Required nickel finishes on door hardware. Contact us or refer to the specific limited To assert a Dispute,you must first provide Andersen with written notice. warranties for these products. A Notice of Dispute form is available for your use on Andersen's website at • Other product series,some products,and accessories have their own limited www.andersenwindows.com/noticeotdispute. warranties and are not covered by this limited warranty. Visit www.andersenwindows.com/warranty for more information. Andersen Response • Service trips to provide instruction on product use. Andersen will have 60 days from receipt of your Notice of Dispute to respond to you in writing.In that response or at any later time,Andersen may make one or more written How to register your Owner-To-Owner®limited Warranty offers to you to resolve your Dispute. Andersen offers quick,easy warranty registration on our website.Just go to www.andersenwindows.com/warranty and submit No Class Action or Jury Trials your warranty information online. By registering, you YOU AGREE THAT YOU MAY ASSERT DISPUTES AGAINST ANDERSEN ONLY ON AN will expedite any warranty service you may have in the INDIVIDUAL BASIS AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY CLASS OR future. In addition,you can receive product information REPRESENTATIVE ACTION OR PROCEEDING.AS PART OF THIS DISPUTE RESOLUTION updates,safety notices and special offers regarding new PROCESS, YOU AND ANDERSEN ALSO AGREE TO WAIVE ANY RIGHT TO A JURY AND products,as well as information regarding enhancements for the windows and doors AGREE TO HAVE ALL DISPUTES HEARD AND DECIDED SOLELY BY THE FEDERAL OR you've registered.All warranty information is treated confidentially and will not be sold STATE COURT JUDGE. or traded to any person or organization outside of Andersen and the Andersen Dealer Network. Opt-Out Procedure Warranty Claim Procedure You may opt out of this Dispute Resolution Process by completing and submitting To make a claim under this Limited Warranty,contact the Andersen retailer/dealer who a written Opt-Out Notice. The Opt-Out Notice is located on Andersen's website sold you your Andersen®product.Or,you may contact us at: at www.andersenwindows.com/optout.Whether or not you opt out of the Dispute Andersen Windows,Inc./Andersen Service Center Resolution Process, all terms of the Limited Warranty set forth above remain in 100 Fourth Avenue North force and effect. Bayport,MN 55003-1096 You may also contact us using the Parts&Service section of our website at Applicable Law and Severability www.andersenwindows.com or reach us by phone at 1-888-888-7020. This Dispute Resolution Process, including, but not limited to, issues related to its enforceability and effect,will be governed by the laws of the State of Minnesota without You can help us serve you faster by providing the following important regard to conflict of law principles. If any term of this Dispute Resolution Process is information: found to be invalid or unenforceable in any particular jurisdiction,that term will not • Description of the product such as the exterior color,unit type and size and inside apply to that issue in that jurisdiction. Instead, that term will be severed with the visible glass measurements. remaining terms continuing in full force and effect. • Glass logo information etched in the inside corner of the glass. Questions • Description of product concerns. If you have questions about the Dispute Resolution Process or Opt-Out Procedure, • Documentation of the purchase date,if available. contact us at 844-332-7972. • Your name, address (with zip code)where the product is installed and telephone numbers. "Andersen"and all other marks where denoted are trademarks of Andersen Corporation. ©2019 Andersen Corporation.All rights reserved. 8 Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence "This form cannot be used to waive the workers'compensation rights or obligations of any party." Under penalty of perjury, I certify that I am the owner of the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate box): I am performing all the work for which the building permit was issued. ❑ I am not hiring,paying or compensating in any way,the individual(s)that is(are)performing all the work for which the building permit was issued or helping me perform such work. ❑ I have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite) for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if I need to hire or pay individuals a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit,or if appropriate,file a CE- 200 exemption form; OR ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums)listed on the building permit that I am applying for,provide appropriate proof of workers'compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the project takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for or in t d o e building permit. i a e omeowner) (Date Signed) L 7_ Home Telephone Number (Ho owner's Nidne Printed) Sworn to before ire this day of Property Address that requires the building permit: �O� )� ( unty�Glerk or Notary Public)------ Once notarized,this BP-1 form serves as an exemption for both workers'compensation and disability benefits insurance coverage. BP-l (12/08) NY-WCB