Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
44626-Z
����g1lfFfll, �oG� Town of Southold 10/30/2020 P.O.Box 1179 o 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41574 Date: 10/30/2020 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 3340 Westphalia Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 114.4-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/16/2020 pursuant to which Building Permit No. 44626 dated 1/27/2020 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: accessory two car garage as applied for. The certificate is issued to Horne,Kristin of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A h ' d Signature V==- c TOWN OF SOUTHOLD & BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 44626 Date: 1/27/2020 Permission is hereby granted to: Horne, Kristin 3240 Westphalia Ave Mattituck, NY 11952 To: construct accessory garage as applied for. Must maintain 5' side and rear yard setbacks. At premises located at: 3340 Westphalia Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 114.-1-11 Pursuant to application dated 1/16/2020 and approved by the Building Inspector. To expire on 7/28/2021. Fees: ACCESSORY $484.00 CO -ACCESSORY BUILDING $50.00 Total: $534.00 Building spector 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. New Construction: Old or Pre-existing Building: / (check one) Location of Property: �j C� � i Q �� a�-��:� � Ls� 1"� '� 1 °ru 1-- House No. Street Hamlet —Owner or Owners of Property: S-��T,� Ir %q Suffolk County Tax Map No 1000, Section 1 Block 0 Lot Subdivision Filed Map. Lot: Permit No. -4 q Z2),6 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ jn�± x Applicanf Signature �o�aOF SOUlyolo # * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] OUNDATION 2ND [ ] INSULATION/CAULKING [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE& CHIMNEY - [ '°] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] ,FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/ REMARKS: r I [J u S 4b k4-3 DATE `3 �� INSPECTOR VK Wk OF SOUTyo! h� O # # TOWN OF SOUTHOLD BUILDING DEPT. �ycOUMV,a 765-1802 INSPECTION [ ] FOUNDATION 1ST _ [ ] ROUGH PLBG. [ ] FOUNDATION 2ND :[ ] SULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL 6"e,, [ ] -FIREPLACE& CHIMNEY` [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O 1\\oo e4C-- ,l G REMARKS: 0 mAjo. L L& i , V I vb W^A I�A V An DATE _�3011010 INSPECTOR .s. ;,, ""S.Y- �.- � A� � A a r''�M'w• ,�Ifl� • r tea' .y s- a f' r "'Tam<'•�� t.r � � '..r �. * • �. �; , � ..- jf. � F4�,���'#.ts�, �_ �r 1 e '4'A f' `:a?' i�• ar'", Ri+r °� /` 46 IL 40 ,ja���•�f. 5j r :� J f. i .. CL,:i w r . J 4 r� f r tf" • Y i `e Y F s '� - QLD INSPECTION REPORT -DATE COMMENTS ro FOUNDATION (IST) H ------------------------------------- F ' C FOUNDATION (2ND) ::5t)ff as r w� C AqH ROUGH FRAMING& PLUMBING a ' � Q INSULATION PER N.Y. STATE ENERGY CODE Amd !1� FINAL �l I ADDITIONAL COMMENTS 6V 02 48, a _o - O Z M x d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying9 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.0 Trustees C O Application Flood Permit Examined 20_Z&U Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: I Approved 20 OV Marl to N(% S T t Disapproved o 1?a I Lg yj,Q M 0, Phone: (il I 2- Expiration Expiration 20 l E9 inspector _ _ 1 - `)APPLICATION FOR BUILDING PERMIT JAN 1 6 2020 Date I 20—Z INSTRUCTIONS a:This-,applicahon&ST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan.to,scale.Fee according to schedule V.Plot,plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. I C�y l�+ (Signature of applicant or name,i a of p ration) i `S(D ? , LO,ne (Mailing address of applicant) ` �2 State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises 1�✓I S-t"1 n " 0 1{V1 C (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: ?z3 4c) kL) o-C,k V y l-�cl l� ai N.V !k ll 1 House Number Streetp Hamlet hh County Tax Map No. 1000 Section $ L4 Block Lot II Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use an occupancy of proposed construction: a. Existing use and occupancy 5 n v\ b. Intended use and occupancy_ v� N�, �,,,((� -}-n a-t 5 uLyi c, 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work cL aL5j!�-n 4. Estimated Cost Fee (Description) (To be paid on filing this applic tion) 5. If dwelling,number of dwelling units �d Number of dwelling units on each floor I If garage, number of cars 2-- 6. 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front ZO„ Rear Depth Z 2 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 1 �/ I' Rear ► q 1 • 3 -7, Depth l O O 10.Date of Purchase p o o, ,jo gq&Name of Former Owner C;,�- l_Q—Y k-V'i L-5- 11. Zone or use district in which premises are situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NOS 13.Will lot be re-graded?YES_NO_Will �excess fill be removed from premises?YES_NO_ 14.Names of Owner of premises -�*t 4 i tt t"1 O(Address Phone No. C�`� �A C Sb Name of Architect Address Phone No Name of Contractor Address Phone No. 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 w$th respect to this property?*YES NO_ZC *IF YES,PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF SAI L V (S (n f�-uQ, 'Jj. being duly sworn,deposes and says that(s)he is the applicant (Name of individual signmg contract)above named, (S)He is the D Vj rk,P, (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application, that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith Sworn to fore me this " day of 1Ao'-aa2v ta � BONNIE L bOROSK( Notary P b is Notary Public,State Of New York Signature cdApplicant No. 01D06095328,Suffolk County Term ExpiresJuly7,20 9^1 , Scott A. Russell �C,p STO]KI��] WATJEIK SUPERVISOR J 5? z I��JCA\NAG]E1\MCJEN'7C' SOUTHOLD TOWN HALL-P.O.Box 1179 -- 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l(d 1 � CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY ®1F THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑[E[ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑© B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑ C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑F� D. Site preparation within 100 feet of wetlands, beach, bluff or coastal ; erosion hazard area. ❑ E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑m F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan completed a Building Department with your Building Permit Application. PPLICANT (Property Owner,Design Professional,Agent,Contractor, ther) S.C.T_M. #: 1000 Date Distract T NAME. \ ©eI IP-11 , Section Block Lot -5,66 FOR BUILDING DEPARTNIENT USE ONLY ••" Contact Information 1 V �J d6 Teirplionei um0.ii Reviewed By — — — — — — — — — — — — — — — — — — Date. Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — — El Approved for processingBuilding Permit Stormwater Management Control Plan Not Required. "tel Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review) FORM CP-TOS MAY 2014 G Town Hall Annex �� y Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P. O. Box 1179 CD Southold, NY 11971-0959 I COO • � BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION, PRE-ENGINEERED WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION Date:, --Zo 2 0 Owner: Location of Property: 4AIL �� G ��-- Please take notice that the (check applicable line): New commercial or residential structure Addition to existing commercial or residential structure Rehabilitation to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable line): Truss type construction (TT) Pre-engineered wood construction (PW) Timber construction (TC) in the following location(s) (check applicable line): Floor framing, including girders and beams (F) Roof framing (R) Floor and roof framing (FR) Signature:. Name (person submitting this form): Capacity(check applicable line): Owner Owner representative TrussRegMdocx Effective 1/1/2015 6" DIAMETER REFLECTIVE WHITE REFLECTIVE RED PANTONE #187 11211 STROKE The construction type designation shall be 661»9 6411955 66111"5 661VIlor iivy� to indicate the construction classification of the structure under DESIGNATION FOR STRUCTURAL section cot of the BCNYS COMPONENTS THAT ARE OF TRUSS TYPE CONSTRUCTION ■ 66F77 FLOOR FRAMING, INCLUDING ■ ■ GIRDERS AND BEAMS s ccR�� ROOF FRAMING ` EGFR" FLOOR AN13 ROOF FRAMING STANDARDS AND CODES SURVEY OF PROPERTY .■r SITUATE: MATTITUGK GRAPHIC SCALE 1"= 40' TOWN OF SOUTHOLD _ S4 FOLK GOUNTY, NY _ vrYED 01-28-99 - Q SUFFOLK COUNTY TAX #'S 1000 - 114 - 1 - 11 4 1000 - 114 - 1 - 12 p19 J� �'o 1 v?j 00 Jdc Jr, '8 q3m �i z " O( �r PQgdTaSk� �f `GCso •�r 4 ,fir' � � "� i � \ \ -✓ y1�� f lrQ.a - -'� �6 Qi f ~'„ ,� i'' �Jt'�-`�J�?.lX�-1`-•l-� rte. ,LIQ ,Li, � \` 1 \ � � •�•t : \ O`v�� %(' � i" ,let `4.3� �j� j3� coo'a 16/�. rr ^ �Q/ /�� JL 11. JIL lik Acl ILI JL z1W ilk o vvL u - •, '1 C� i� 0 00 .O �., ll3kion RL o} L a4l -1 y� 11c _ coy O�,p ; I. >< j ,aak IL IL ,ll ,!L L - 7 "/fVL J(p'- , alt '`.. .Vt 111 \te -10 YL IL ap lL ML .IL CERTIFIED TO: - . r KRISTIN HORNS \�� 1 �, Vim_�� I��-•v ui6 ik ik -1 3•.�.S', lY+au[nnrttee alt-atlm w aeettlan t.a lurvay lsnm•a lane avrrerar•a au1 fa a I /� '-'i 7 -�'• _ ..eti.n nose .uo-e1.u1.n z .r en. zj / I C^�`•f',:=:`� ���_ ^�' r �'`y i f / Nor rrt Stat.Ed...t cn tar.- `\'"- •\ 'z ✓[\ �1 "�r _ = ^O �� { �r f v -a lv cool-trap rm erlvtna3.r tnta a.rr.y �` J \�-t�� -•�\_e ^C '-'^i^ ,,t^'ll�(•� -' v C.�:y �O urt.e.1tn a .a.v[n.l.r[n.lane a 1`a.rar•a �T `=s_� 17 `\ v �� .caro•.aul snail e.caeafearee c.o.rail.crw NOTES: 11, 1 VV tY:� �\ .� cool..- ' ! 630 • = �'� ]o (� �� -Cartlrscxt.n, tn.tcabe Imes,.19.131 that the. ■ MONUMENT FOUND \ - our+•y r,.pr•aar,e in accaraanc•rich he..- �� �� \ * ey�in.v3l..�v.re sc.c.f�r nc.aeion at vrf'�.tan:i oTo _ 6 61 UY �r ` 1 y 1 tam Sur.ar.ra- Sato r.rcltacats.u snail run only p PIPE FOUND _ ,Y )� R m cn.Dorsa. u»aur+•r a vreoar•a •\ `. ) •\ t r to l,ne.n naa amalr t.[.t tlt]•clisted er....ern- `\ a.,ncT an.1.n.1n9 tn.[ftutlan 11.[e.her.... .ne' [a [n.aaat.ne•,at [n• l,netn9 In.tltu[1an. Grtl/1ca- 1 tion.aro hat tr...nra.t.m aeetu.nal tnacscuu.na AF- <<!: TAX #1000-114-1-11 = 14,35-1 SF OR 0.33 ACRES � �\ *-r � o�^� 50202 _lz TAX #1000-114-1-12 = 34,338 SF OR O.-7G ACRES ''aj S`c� LAND SJR _ UPLAND = 0.26 AGRES 14 N.Y S. LIC. N0. 50202 WETLAND = 053 ACRES ! �\ JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET RIVERHEAD• N.Y- 11901 369-8288 Fax 369-8287 REFERENCE # 99-105 i SURVEY OF PROPERTY � SITUATE: MATTITUok TOWN OF SOUTHOLD SUFFOLK COUNTY, NY N u.n Ja- i4vi suRVE'rED 01-28-aa 1 GARAGE UPDATE 06-02-2020 Ca�'� SUFFOLK GOUNTY TAX #'S CY ` 1000 - 114 - 1 - 11 ��� Tho`2o z� C 12 5 CERTIFIED TO: k°� �' KRISTIN HORNE °� �-' �0� y 7- h�� ����� ,�00• p ' 0 v o 3� O j 9 0i GA, r? qn C` ! �9 q9e 7 �O c�h he bb sh 0.Ut oV E@ z ^ •bo��y � �� O 0�11 o 0 `,)o \, O Le 4 � • �', O ✓ p9E/a LX/ � 3�Ely 2� �. �6+ • JUN 2 2 2020 a � \ �qy � .0, C unepn,ori:ad alteraeitn r addselon to o r 'I \ �� �Pt p+�,6 may hearing a ..tensed land surveyor s s..........e V1o7at ion Of sect.0Nev20Var VatevEducat,onnLawn' �� .'CI,R cppiesnfrom the or.ginat of chits vey (\ arked..th a or.ginal of the]and surveyor s atampetl sEd] aha]]be cons.tlafed t0 be vaiitl true cep.e9- \ -Certificat lops intlrtated herepn sign lfy that this -rvay Has prav_a .n accardsnca wit'the a, \ yj •f Yi ,I lating CV de of Practice for Land SulleyE adopted .tom. by the NeH York State Pesoe.ation of ProftsaionB] ' NOTE✓: Land Sur veYtrS $a1d eart.f icatlore shoal ran only l� $ to the person for or' the aur+ey .s prepared and an his behalf to the title c moony gorarnmen- i� excc �� + cal agency and]andl ng 1-tif urian""ted'ertan anb n -�. .}l to the a s.gn0ea of too lend.ng .nst.tulidn felt,l.ca- ■ MONUMENT FOUND �'LS Q 50202 J tidnasarE nat transf are'.a to atltlit.ana] .nst tat ipna Q PIPE FOUND ! LANG AREAS: TAX #1000-114-1-11 = 14,35-15F OR 0.33 AGRES 1 _--_._-- _ -_ , -, JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.502M ORAPHIG 5GALE I"= 30' RIVMUM4D.N.Y.11901 369-8288 Fax 369-8287 REFERENCE # 99-105 ® DATE(MM/DD/YY" AC� CERTIFICATE OF LIABILITY INSURANCE 08/22/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME ROI) Ferra Unruh Insurance Agency,Inc. PHONENo- . (717)335-2929 aC Nol: (717)335-2923 P.O.Box 259 EMAIL ADDRESSnCay rob unruhinsurance.com INSURERS AFFORDING COVERAGE NAIC# Denver PA 17517 INSURERA: Erie Insurance Exchange 26271 INSURED INSURER B: Flagship City Insurance Co. 35585 Shirk Pole Buildings LLC INSURERC: Erie Ins.Prop/Cas Co 26830 Allen L Shirk D/B/A INSURERD: 807 Reading Rd INSURER E: East Earl PA 17519 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP I LIMITS LTR POLICY NUMBER MM1D 1 MIDDIYYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 CLAIMS-MADEFX OCCUR PREM SESDAMAGE OEa occuence $ 1000000 MED EXP(Any one person) $ 5000 A Q45-0153561 09/01/2019 09/01/2020 PERSONAL&ADV INJURY $ 1000000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2000000 PRO-- ]LOC PRODUCTS-COMP/OP AGG S 2000000 POLICY® OTHER $ AUTOMOBILE LIABILITY I COEa aMBccINED SINGLE LIMITident S 1000000 ANY AUTO I BODILY INJURY(Per person) $ A OWNED 1XX SCHEDULED Q09-0131793 09/01/2019 09/01/20201 BODILY INJURY(Peraccdent) $ AUTOS ONLY AUTOSX HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS-ONLY Per accident X UMBRELLA UAB X OCCUR EACH OCCURRENCE s 1000000 A EXCESSLIAB CLAIMS-MADE Q33-0172188 09/01/2019 09/01/2020 AGGREGATE Is 1000000 DED I I RETENTION$ $ WORKERS COMPENSATION I STATUTE /� ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E LEACH ACCIDENT $ 500000 B OFFICERIMEMBEREXCLUDED? " N/A Q93-5101231 09/01/2019 0.9/01/2020 (Mandatory in NH) E L DISEASE-EA EMPLOYE $ 500000 If yes,describe under DESCRIPTION OF OPERATIONS below F.L.DISEASE-POLICY LIMIT $ 500000 Worker's compensation E L Each accident 1 100000 C Q93-5100926(NY) 09/01/2019 09/01/2020 E L Disease-ea erne I 100000 E L DisFase-policy I 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 53095 Route 25 AUTHORIZED REPRESENTATIVE I Southold NY 11979 Fax: Email: ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(Use street address only) 1b.Business Telephone Number of Insured Shirk Pole Buildings LLC 717-445-6888 807 Reading Rd Ic.NYS Unemployment Insurance Employer East Earl, PA 17519 Registration Number of Insured Work Location of Insured(Only required if coverage is specifically Id.Federal Employer Identification Number of Insured linuted to certain locations in New York State, i.e., a Wrap-Up or Social Security Number Policy) 26-0902567 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Erie Insurance Property& Casualty Co 3b.Policy Number of entity listed in box"Ia" Q93-5100926 Town of Southold PO Box 1179 3c. Policy effective period 53095 Route 25 09/01/2019 to 09/01/2020 Southold NY 11979 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 "W' for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(Nle must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed aggent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The Insurance Carrier will also note the above certificate holder within 10 days IFa policy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment ofpremiums that cancel the policy or eliminate the insured f tom the coverage indicated on this Certificate. (These notices maybe sent by regular mail.) Otherwise,this Certificate is valid fur one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Marc Cipriani (Prinnttnnaame of authorized representative or licensed agent of insurance carrier) Approved by: A-6 07/27/2016 (Signature) (Date) Title: Telephone Number of authorized representative or licensed agent of insurance carrier: 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) w�xw.wcb.state.ny.us INTO"RK workers' CERTIFICATE OF INSURANCE COVERAGE ATE Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b Business Telephone Number of Insured SHIRK POLE BUILDINGS LLC (717)989-5393 807 READING ROAD EAST EARL,PA 17519 1 c.Federal Employer Identification Number of Insured or Social Security Work Location of Insured(Only required d coverage is specifically limited to Number certain locations in New York State,i e.,a Wrap-Up Policy) 260-90-2567 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New York State Insurance Fund(NYSIF) TOWN OF SOUTHOLD 53095 ROUTE 95 3b.Policy Number of Entity Listed in Box"I a" SOUTHOLD,NY 11971 DBL 6026 70-3 3c.Policy effective period 01/11/2011 to 01/11/2020 4.Policy provides the following benefits: ® A.Both disability and paid family leave benefits ❑ B Disability benefits only ❑ C.Paid family leave benefits only 5 Policy covers ® A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law 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 and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 2/4/2019 By ✓� (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (866)697-4332 Name and Title Melissa Jensen,Acting Head of Disability Insurance Unit IMPORTANT: If Box 4A and 5A are 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,4C or 5B Is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, DB Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200 PART 2.To be completed by the NYS Workers'Compensation Board(Only if sox 4C or 5B 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 compiled with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance careers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) Certificate Number 533559 1 O 1 APPROVED AS NOTE® OCCUPANCY ORUSE IS UNLAWFUL -- EowITH= DATE: B.P.# DO NOT,PROCE WITHOUT CERTIFICATE . FAWNG'UNTILSURVEY ®F.FOiUNDATION LOCATION NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY HAS BEEN APPROVED. 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH —FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOP C.O. All exterior lighting ALL CONSTRUCTION SHALL MEET THE RETAIN STORM WATER RUNOFF installed,replaced or REQUIREMENTS OF THE CODES OF NEW PURSUANT TO CHAPTER 236 repaired shall conform YORK STATE. NOT RESPONSIBLE- FOR OF THE TOWN CODE, to Chapter 172 DESIGN OR CONSTRUCTION ERRORS. of the Town Code COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF TRUSS PILACARDING REQUIRE® � M a(0 4 t n 5 � OARC ,i ' 1 r Es at+-v c nGr ! ELECTRICAL ��� INSPECTION REQUIRED ACD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYM 08/22/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE-DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ' IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAM : Robyn Ferra CAI Unruh Insurance Agency,Inc. PHONE . (717)335-2929 aC Nol: (717)335-2923 P.O.Box 259 E-MAIL_AQ DRESS rObyn@unruhinsurance.com INSURERS AFFORDING COVERAGE NAIC# Denver PA 17517 INSURERA: Erie Insurance Exchange 26271 INSURED INSURERB: Flagship City Insurance Co. 35585 Shirk Pole Buildings LLC INSURER C: Erie Ins.Prop/Cas Co 26830 Allen L Shirk D/B/A INSURER D: 807 Reading Rd INSURER E East Earl PA 17519 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY,PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER MPMIDDY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 CLAIMS-MADE F;z0T1 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $ 1000000 MED EXP(Any one person) $ 5000 A Q45-0153561 09/01/2019 09/01/2020 PERSONAL&ADV INJURY $ 1000000 GEN'LAGGREGATE LIMIT APPLIES PER- GENERAL AGGREGATE s 2000000 POLICY❑X JELOC PRODUCTS-COMP/OP AGG s2000000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 000000 Ea accident ANY AUTO BODILY INJURY(Per person) $ A OWNED X SCHEDULED AUTOS ONLY /� AUTOS Q09-0131793 09/01!2019 09/01/2020 BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLA L1AB X OCCUREACH OCCURRENCE s 1000000 A EXCESS LIAB CLAIMS-MADE Q33-0172188 09/01/2019 09/01/2020 AGGREGATE $1000000 DED I I RETENTION s $ WORKERS COMPENSATION I I PER X OTH- AND EMPLOYERS'LIABILITY STATUTE E ANY PROPRIETORIPARTNERIEXECUTIVE YIN E L EACH ACCIDENT $ 500000 B OFFICERIMEMBEREXCLUDED? F—] NIA Q93-5101231 09/01/2019 09/01/2020 (Mandatory In NH) E L DISEASE-EA EMPLOY $-500000 if yes,descnbe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 500000 Worker's compensation E L Each accident 100000 C Q93-5100926(NY), 09/01/2019 09/01/2020 E L Disease-ea er,�p 100000 E L Disease-policy 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 53095 Route 25 AUTHORIZED REPRESENT - o,, �c�Crrrze/ i Southold NY 11979 Fax- Email: ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD _ STATE OF NEW YORK - WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(Use street address only) 1b.Business Telephone Number of Insured Shirk Pole Buildings LLC 717-445-6888 807 Reading Rd Ic.NYS Unemployment Insurance Employer East Earl, PA 17519 Registration Number of Insured Work Location of Insured(Only required if coverage is specifically Id.Federal Employer Identification Number of Insured limited to certain locations in New York State, Le., a Wrap-Up or Social Security Number Policy) 26-0902567 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Erie Insurance Property&Casualty Co 3b.Policy Number of entity listed in box"la" Q93-5100926 Town of Southold PO Box 1179 3c. Policy effective period `53095 Route 25 Southold NY 11979 09/01/2019 to 09/01/2020 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 ofthe 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 note the above certificate holder within 10 days IFa policy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment ofpremiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices maybe sent by regular mail.) Otherwise,this Certificate is valid fur one year after thisform 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 1 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: Marc Cipriani (Print narne of authorized representative or licensed agent of insurance carrier) Approved by: At G honLi-�Ot to. 07/27/2016 (Signature) (Date) Title: Telephone Number of authorized representative or licensed agent of insurance carrier: 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) w�.�tiv.wcb.state.ny.us NEW workers' CERTIFICATE OF INSURANCE COVERAGE �. YORK STATE Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or,Licensed Insurance Agent of that Carrier 1 a. Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured SHIRK POLE BUILDINGS LLC (717)989-5393 807 READING ROAD EAST EARL,PA 17519 1c.Federal Employer Identification Number of Insured or Social Security Work Location of Insured(Only required if coverage is specifically limited to Number certain locations in New York State,Le_a Wrap-Up Policy) 260-90-2567 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder)' New York State Insurance Fund(NYSIF) TOWN OF SOUTHOLD 53095 ROUTE 95 3b.Policy Number of Entity Listed in Box"1 a" SOUTHOLD,NY 11971 DBL 6026 70-3 3c.Policy effective period 01/11/2011 to 01/11/2020 4.Policy provides the following benefits: ® A.Both disability and paid family leave benefits B.Disability benefits only C.Paid family leave benefits only 5.Policy covers: ® A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave 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 and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 2/4/2019 By (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (866)697-4332 Name and Title Melissa Jensen,Acting Head of Disability Insurance Unit IMPORTANT: If Box 4A and 5A are 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,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, DB Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200 PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 56 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 and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and pard family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. D13-120.1 (10-17) Certificate Number 533559 ` BUILDER 32 wRz: T 8, 8, 82 �I 8, i o r � a 2-2X10 MSR SYP TRUSS CARRIERS du NEW BUILDING SPECIFICATIONS 30' X 32' X 12'5" POST & FRAME BUILDING * DESIGN 18" X 8" CONCRETE FOOTINGS (TYP) '� LLJ E ALL GABLE POSTS O 0 0 (5301 LB CAP; 5080 LB COLUMN WT) 5 � 0 EXTEND TO TOP >< LID OF ROOF TRUSS 01-3'0" X 6'8" 9-LITE FIBERGLASS ENTRY DOOR 2 0 02-12' X 10' INSULATED OVERHEAD DOORS O W/WINDOWS IZ o a- 3] - ❑3 4-36" X 48" THERMALPANE DOUBLEHUNG WINDOWS a m _ o Y J ® 3 PLY 2X6 GLULAM POSTS W/POST SAVER POST V) a PROTECTION 8' OC (TYP) d o •� s 2X8 TREATED GROUND CONTACT SKIRT BOARD � r) E 00 2X4 SPRUCE WALL GIRTS & ROOF PERLINS 24" OC 0 wN O 2-2X10 MSR SYP TRUSS CARRIERS ®8' SPANS OWNER (991 PLF CAP; 640 PLF ROOF LOAD) TRUSS CARRIER TO POST= &"X4" GRK STRUCTURAL SCREWS 8 ®EA.POST (2 PER SPLICE MIN) 2664 SHEAR RATING PRE-ENGINEERED ROOF TRUSSES- Q LLJ Z 4/12 PITCH, 48" OC, 30-5-5 LOADING m Z Y 4 ROWS 2X4 BOTTOM CHORD TIES (78" OC.) Q J V 777 LB UPLIFT; H10A HURRICANE TIES=1340 LB. 12" EAVE & GABLE OVERHANG W/ VENTED SOFFIT00 & F" IA /28 GA. G-100 PAINTED STEEL ROOFING & SIDING N N d I-- 4" FOIL FACED INSULATION UNDER THE ROOFING O Q O 12" PAINTED STEEL VENTED RIDGECAP LA 71 (2DD / 2-2X 1 O MSR SYP ALL INFORMATION IS HN T ON TI-05 DRAWNG IS THE N PROPERTY OF SHIRK TRUSS CARRIERS THISEDRAVMNGNMAY NLT 9RiiEfi@ir BE REPRODUCED NITHOUT •77 PERMISSION.BUILDER AND OF g� �r®� OMER ARE RESPQVSIBLE ��y�G'✓ p•. TO VERIFY ALL DIMENSONS BEFORE CONSTRUCTION T _ T �i' — Q STS• °a ` ORAAN BY ALS 8 8 I U REVIEW 32 J REVISIONS FLOOR PLAN DATE 12/24/19 ®�P1� SITE SABAT SCALE: 3/16" = 1'0" FLOOR PLAN BUILDER hit E n a G N Ti � 28 GA. PAINTED 12 STEEL 12"X6 " �N 41 c = a HEMMED FASCIA Z a: � -u d d 28 GA. PAINTED STEEL WALL PANELS 36•x 48• ATTACHED W/ SCREWS 36•x 48• THERMAL PANE THERMAL PANE DESIGN 9 LITE E WINDOW 3�0•% WINDOW W ENTRY jn �- U / DOOR 0, o N � o 28 GA. 6" BASE a 0 a PAINTED STEEL CORNER TRIM ANGLE Y J 6 c _ a u) co o con E � BACK SIDEWALL LEFT ENDWALL E "� 0 T'o SCALE: 1/8" = 1 b" SCALE: 1/8" = 1'0" - w 28 GA. PAINTED STEEL OWNER 12" RIDGECAP(VENTED) 28 GA. PAINTED STEEL T 6" RAKE TRIM F— W Z 28 GA. PAINTED STEEL IN 2 Q Z SCREWDOWN ROOF 28 GA. PAINTED 00 Q J V in STEEL DOUBLE PANELS 11 11 11 11 11 11 ANGLE Z TRIM U) H 'I1 1 W d I-- 36•x 48• 36•x 48• ®® ®®® O H THERMAL PANE THERMAL PANE LA Q WINDOW WINDOW ��MUD�® ������ CC I ®®FIME-11 Fm FIE-11® ®®❑�❑m M T Fl 11 �®0 ALL INFORMATION E ON TI-0S DRAWN.I. IS THTHE �®®®m® �� PROPERTY OF SHIRK POLE BUILDINGS LLC hil5 DRAYANG MAY NOT BE REPRODUCED'MTHCUT PERMISSION BUILDER AND OVNER ARE RESPONSIBLE ygBE&Sdb9$beggqq`t VERIFY ALL DIMENSION FRONT SIDEWALL RIGHT E N D W A L L OF 9 ,trt�N BEFORE CONSTRUCTION SCALE: 1/8" = 1'0" SCALE: 1/8" = 1.0" o `� Q ` REVISIONS DATE- 12/24/19 SITE.SABAT ELEVATIONS A . 2 BUILDER PAINTED PoDGECAP 6 � 2X4 ROOF PERUN 29 GA. PAINTED Mhil G n BOARD ROOF VIED OR 21WEATERRTE ROOF TRUSS PER TRUSS TRUSS STEEL ROOFING Z STDLLTITE PAINTED SCREWS 28 GA STRUCTURAL 2-31'X.120 2X4 ROOF / \ RAKE IM CLOSURE 2%41N�T OR PERLI GALV. NAILS PURUN WALL 2X6 FA PAINTED SIR 24'011 CENTER tb'f4'CRK F O r TRUSS SIRUCIURLL 2X8 HEADE 4- 'X'120 PUCE NOTCHED SO CAV. NAILS INTO rRH SIDING VIED 10 11WEATERTf1E RHEAD GABLE TR SS SOFFR TL U 2X4 ROOF? PAINTED SCREWS B'ON CENTER STRUCIURILL R AD TRIM F&J TRIM u F USSES POST DOORRADIERSTXX)P SIDING I1 SYP (IRK STRUCTURAL n 12'RIDGE CAP YETAL SIDING @ ROOF PURUN TRUSS SCREW TO POST OVERHEAD DOOR GABLE OVERHANG DETAIL ROOFING FASTENERS FASTENING DETAIL HEADER DETAIL DETAIL CARRIER FASTENER DETAIL SCALE: 1/2•- 1'O' SCALE: 1/2'- 1'0• SCALE: 1/2' 1'0' SCALE: 1/2'- 1'O' SCALE: 1/2•- 1'O• SCALE: 1/z' - 1'O' DESIGN W O 0 PAINTED STEEL T u WALL POST ROOFING WALL PoST 6 � 2X4 ROOF PERLIN DOOR JAMB 2X6 FACE BOARD ; Q � E GALV.NAILS / 2%GIRT PER TRUSS -„F,,, PAINTED t Q 2a'GALVANIZED FASCIA � < a DECK SCREWS 6-31, VCE ROOF TR VENTED o o CALK NAILS 4 NAILS PER BGA PAINTED STEEL SOFFff J EACH SIDE CHANNEL PoST F&J TRIM \TRUSS d to a 2X8 TI RIER METAL SIDING N O 0 SIDEWALL GIRT BLOCK :FASTEMIRUSS TO TIE BLOCK ENTRY DOOR 12'EAVE OVERHAND O) O - FASTENING DETAIL DETAILDETAIL �'p SCALE: 1/2•- 1.0' CALE: 1/2'- 1'0' SCALE: 1/2•- 1.O' SCALE: 1/2• - 1'0• ,D LE 28 GA. PAINTED STEEL OWNER FING 2X4 BOTTOM CHORD SKEWS do W�ASHERB PERMANENT LATERAL BRACING (SEE TRUSS WG FOR SPACING) 11 2X6 SPF Z Z 2X4 ROOF FACE BOARD 1160— URUNS 24'OC. i 2X4 S F DIAGONAL BRACE 11 FR011 RDGglE TO BOTH EAVES PRE-ENGINEERED J 4 11 g Oc.TRUSSES (n PRE-ENGINEERED ROOF PANES Y Q TRUSSES 48'OC. P SHn d 2-2X10 MSR SYP TRUSS CARRIE F&J TRIM U H Q /1 SYP TRUSS CARRIERS--- INTO POST LA Q 3 PLY 2X6 GLU-LAM 2X4 SPF SIDEWALL GIRTS 24.OC. CC cV POSTS 6' Oc. TYP. WALL BRACING REGUIREMENTS: 28 GA STRUCTURAL STEEL /' OALL N THS DRAWING SH WALL BRACING PANELS INSTALLED TO EXTERIOR AWPA U1 TREATED PoSiS B' OC.TYP. REGUIREMENTS: OF WALL PURL PROPERTY OF SHIRK NS WRH SCREWS 28GA STRUCTURAL POLE BUILDINGS LLC STEEL SIDING THIS DRAWING MAY NOT 2X4 SPF WALL GIRTS 24'OC. PANELS INSIIBE REPRODUCED WTHOUT WITH SCREW t011dba tC PERMISSION=AND GRADE GRADE 4 �>c . �tt��i OMER A E EN9BLE 2X6 PRESSURE TREATED PRESSURE TREATED s�� s .y �PlO BEFORE CONSTRUCTION ONS 5'-4000 PSI SYP SKIRT BOARD SYP GROUND CONTACT � GRADE (SOTTOOF ; CONCIIE 2XB SKIRT BOARD omm) �ti��" n DRAWN BY. ALS � �b REVIEW REVISIONS • 3/4' ONE BAS COMPACTED• \/ \T\/\T\ \\ //\`� `%?%/�`//�`i�N���i�,`✓;\`1�,�{`;\` \`�\ r- OPRONAL� SOIL BACKFlLL / CONCRETE:/\`' GO 03 FOOTING (SEE SIZE'��/� 3000 PSI. CONCRETE FOOTING i` ` `/ 3000 PSF SSOIL`T`/'\\/ / ON FLOOR PLAN)/ \ \/ \/ DATE. 12/24/19 (SEE SIZE ON FLOOR PLAN) `+ � /\\\/ /\\ SITE-� `fj�\�\` \i//\ + T ECTIONS S TYPICAL FRAME \�\ /\T T\ \\i � ��\ TYP IC.A\L FRAME SECTION i �/`jj/, /�j�//�/ SECTION IA . (ENDWALL VIEW) (SIDEWALL VIEW) //-�\ SCALE: 1/4" = 1'0" SCALE: 1/4" = 1'0" BUILDER BUILDING DESIGN NOTES AND DETAILS a� [,44.1 GRADING & EXCAVATION A4 8 CONCRETE FLOOR(OPTIONAL) FINISHED GRADE SHALL BE BELOW FLOOR LEVEL WITH ADEQUATE FALL TO CARRY FIBER REINFORCED 4000 PSI CONCRETE SLAB ON GRADE OVER COMPACTED BASE. a SURFACE WATER AWAY FROM BUILDING FOOTINGS SHALL BE CIRCULAR (UNLESS SLAB WILL BE POURED AGAINST SKIRTBOARD WITH NO TURN DOWN NOTED OTHERWISE) AUGERED TO THE DEPTH AND DIAMETER SPECIFIED, WITH ALL A4.9 STRUCTURAL DESIGN PARAMETERS n �a LOOSE FILL REMOVED BEFORE CONCRETE FOOTING MATERIAL IS PLACED. a BUILDING USE= STORAGE A4 2 FOOTINGS d USE GROUP=U STANDARD DEPTH FOR FOOTING EXCAVATION IS 44" FROM FINSIH FLOOR HEIGHT wi EXPOSURE CATEGORY= C FOOTINGS SHALL BE A MINIMUM OF 36" DEPTH FOR FROST PROTECTION OR, d HEIGHT & AREA LIMITATIONS=513 UNPROTECTED � LOCAL BUILDING CODE DEPTH REQUIREMENTS FOR FROST PROTECTION WILL BE OCCUPANCY LOAD=AS PER DESIGN FOLLOWED. DRY MIX CONCRETE HYDRATED IN-SITU WILL BE USED UNLESS TOTAL NUMBER OF FLOORS= 1 OTHERWISE SPECIFIED. TOTAL FLOOR AREA (SQ FT)=960 DESIGN A4.3 FRAMING LUMBER FOR SIDEWALL GIRTS AND PERLINS SHALL BE #2 SPRUCE OR COMPARABLE. BUILDING VOLUME (CU FT)=14,200f:L: 0 LUMBER FOR SKIRTBOARD, POSTS AND BEAMS SHALL BE #2 OR BETTER SOUTHERN STRUCTURE IS DESIGNED FOR ASCE 7-10 ULTIMATE WIND SPEED, VULT=130 MPH '7 T o a> YELLOW PINE. TIMBERVALUES FOR 3 PLY 2X6 GLU-LAM F8=2150, FC=2050 LUMBER (3 SECOND GUST) AND NOMINAL DESIGN WIND SPEED VASD=103 MPH > E> Q rn FOR TRUSS CARRIERS SHALL BE #1 OR BETTER SOUTHERN YELLOW PINE. ALL GROUND SOIL BEARING CALCULATIONS ARE BASED ON SOIL BASE CONDITION 3000 PSF CONTACT LUMBER SHALL BE TREATED TO AWPA U1-09 (COMMODITY SPECIFICATION A, ®48" BELOW GRADE UNLESS NOTED OTHERWISE. C c Q a USE CATEGORY 4B AND SECTION 5.2) AND ASAE(ASABE)EP559, .60 CCA MINIMUM AND PSF(LIVE) MIN SNOW; 5 PSF TOP CHORD & 5 PSF BOTTOM CHORD LOADS a aT- 30 PSFLIVE o SHALL BEAR AN ACCREDITED LABEL USING #1 OR BETTER SYP. A4 10 APPLICABLE BUILDING CODES Y A4 4 ROOF TRUSSES ° ROOF TRUSSES SHALL BE PRE-ENGINEERED, GROUND SNOW LOAD, DRIFT LOAD, THESE PLANS ARE DESIGNED IN ACCORDANCE WITH THE FOLLOWING BUILDING CODES: d 0 .N o COLLATERAL LOAD, AND WIND LOAD ARE TO BE IN ACCORDANCE WITH BUILDING CODE. 2015 IBC/2017 NY SUPPLEMENT CODES q o Y TRUSS ERECTION AND BRACING SHALL BE PROVIDED ACCORDING TO MANUFACTURERSA4.11 DESIGN CRITERIA: a E SPECIFICATIONS BOTTOM CHORD OF TRUSS SHALL HAVE PERMANENT LATERAL BRACING —D w OF 120" OC OR AS REQUIRED PER ROOF TRUSS DESIGN THE DESIGN PROFESSIONAL OF DESIGN REFERENCES=NFBA GUIDLINES FOR POST & FRAME CONSTRUCTION& NDS 2005 OWNER RECORD HAS REVIEWED THE PRE-ENGINEERED ROOF TRUSS DRAWINGS AS PER R502.11.1 AMERICAN FOREST & PAPER ASSOCIATION (WFCM& NDS 2005 FOR WOOD CONSTRUCTION) & IBC 107.3.4.1 AND THEY COMPLY WITH THE STRUCTURAL DESIGN REQUIREMENTS. SOUTHERN PINE COUNCIL (JOISTS & RAFTERS/ HEADERS & BEAMS) A4.5 ROOF TRUSS UPLIFT AND LATERAL CONNECTIONS THE AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC 117-93 AND 2/98 ADDENDUM) PRIMARY ROOF TRUSSES SHALL BE CONNECTED TO THE SIDE OF THE STRUCTURAL POSTS SOUTHERN BUILDING CODE CONGRESS (SSTD10) E— W Z AND INTERMEDIATE ROOF TRUSSES SHALL BE CONNECTED TO THE STRUCTURAL HEADER MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES (ASCE-7-10) Q Z WITH UPLIFT BLOCKS WITH A SUFFICIENT NUMBER OF FACE NAILS TO OFFSET THE WIND GEORGIA PACIFIC ENGINEERED LUMBER (EDITION VII) m Q Y UPLIFT FACTOR AND LATERAL LOADS NOTED ON THE ROOF TRUSS DRAWING IN Q J ACCORDANCE WITH IBC SECTION 2304.9.1, 2308.10.1, AND 2308.10.6 A4.12 WARRANTY NOTES Cl) A4.6 FASTENERS AND FRAMING CONNECTIONS STRUCTURE COMPLIES WITH ASAE(ASABE) ANY DESIGN MODIFICATION OR ANY STRUCTURAL MODIFICATION BEFORE, DURING, OR Y Q EP484 DIAPHRAM DESIGNS& ACTIONS FOR METALCLAD BUILDINGS, IBC WIND BRACING AFTER CONSTRUCTION TO BUILDING BY ANY PERSON(S) OR COMPANY OTHER THAN a/ a �- REQUIREMENTS, IBC CONSTRAINED/ UNCONSTRAINED POST REQUIREMENTS& POST TO WORK PERFORMED OR APPROVED BY SHIRK POLE BUILDINGS LLC WILL VOID ANY AND Q O FOOTING CONNECTION ALL FRAMING CONNECTIONS SHALL BE OF A SIZE AND DESIGN ALL WARRANTIES PROVIDED BY MANUFACTURERS AND/OR SHIRK POLE BUILDINGS LLC. LA Q TO MEET DESIGN LOADS SPECIFIED. NAILS USED IN .60 ACQ/CCA TREATED WOOD SUCH DESIGN MODIFICATIONS AND/OR STRUCTURAL MODIFICATIONS INCLUDE SHALL BE 12D HOT DIPPED GALVANIZED; ASTM A 153 PLATED 1.2 MIL SCREWS, AND A DRILLING, REMOVING, CUTTING, SAWING, SPLINTERING OR DAMAGING ANY 65 CLASS G 185 HARDWARE. THE MINIMUM AMOUNT OF 12D NAILS IN 2X4 ROOF STRUCTURAL MEMBERS INCLUDING FOOTINGS, POSTS, GIRTS, BEAMS, TRUSSES, PERLINS IS 2. THE MINIMUM AMOUNT OF 12D NAILS IN 2X4 WALL GIRTS IS 3. THE PERLINS, PANELS, WINDOWS, DOORS, NAILS, SCREWS, AND BOLTS. MINIMUM # OF 12D NAILS IN 1�" STRUCTURAL TIMBER IS 1 PER }" BOARD WIDTH. SUCH DESIGN MODIFICATIONS AND/OR STRUCTURAL MODIFICATIONS ALSO INCLUDEaLL INFORMATCN s DWN ON THIS DRAWING IS THE TRUSS CARRIER CONNECTION TO POST: A%4" GRK RSS STRUCTURAL SCREWS. SCREW ADDING ADDITONS, SNOW DRIFT LOAD FROM ADDITIONS, LEAN-TO'S, ATTIC PROPERTY OF SHIRK VALUES, LATERAL DESIGN VALUE=333 LB, TENSILE STRENGTH=139,000 PSI, STORAGE, CHAIN HOISTS, OPENINGS, SKYLIGHTS, ROOF VENTS, AND LOUVERS POLE BUILDINGS LLC THIS DRAWING MAY NOT PULLOUT=2644 LBS, HEAD PULL THROUGH=825 LBS, MIN. BENDING ANGLE=35' SHIRK POLE BUILDINGS LLC WILL NOT BE LIABLE FOR ANY FAILURES RESULTING BE REPRODUCED WITHOUT PERFROM THOSE MODIFICATIONS LISTED ABOVE, OR FROM ANY OTHER MODIFICATIONS OWNER IONARE'RESPONBUILDER AND A4.7 METAL SIDING AND ROOFING METAL SIDING AND ROOFING SHALL BE INSTALLED OWNER ARE RESPIXJS BLE NOT APPROVED BY A CERTIFIED ENGINEER. TO VERIFY Au DIMENSONS WITH #9 WOODGRIP, J" HEX HEAD, METAL AND RUBBER WASHERED GALVANIZED BEFORE CONSTRUCTION COLOR MATCHING SCREWS. FASTENERS SHALL COMPLY WITH THE ROOFING & SIDING 1t06iWeD°s° ®�,p DRAWN BY I ALS MFG'S REQUIREMENTS. METAL SIDING AND ROOFING SHALL BE WARRANTED ,rh � oa °B°o REVIEW #1 GRADE 80,000 PSI MIN. TENSILE STRENGTH CORRUGATED 28 GAUGE PAINTED' d Q 2 REVISIONS• ABM STEEL PANELS GALVANIZED TO A MINIMUM OF G-100. �• � tl METAL SIDING AND ROOFING SHALL BE TRIMMED WITH CORRECT FLASHINGS AT 7 EXPOSED EDGES, ROOF ENDS, CORNERS, DOORS, WINDOWS AND RIDGES, EXCEPT; DATE. 12/24/19 BOTTOM EDGE OF STANDARD ROOFING MATERIALS. , SITE.SABAT DETAILS L Job Truss Truss Type Qty Ply 30'Stock Truss 128226321 6611063 T30 FINK 1 1 Job Reference(optional) Superior Trusses, Ephrata,PA 17522 7 640 s Sep 29 2015 MTek Industries,Inc Mon Nov 07 14 17 20 2016 Page 1 ID XCCL3vaYmfVlmepn6GhTf9ygjYS-JaPBukv7yp8cluKNub67T1B2BtwDcXtrSY_k6PyLYvvj 10-8 7-104 7-2-0 7-z-0 7-10-0 10-8 Scale=1 541 5x6 = 4 00 12 2x4 11 12 2x4 3 5 1 2 6 7 Io iv C, 10 9 8 4x10= 4x6= 4x8 = 4x6= 4x10= 10-3-4 1 1Q-8-12 I 30-M I 10-3-4 9-5-8 10-3-4 Plate Offsets(X.)7— (2.0-0-0.0-0-41,[6.0-0-0.0-0-4) LOADING(psf) SPACING- 4-0-0 CSI. DEFL. In (loc) I/defl Ud PLATES GRIP TCLL 300 Plate Grip DOL 1 15 TC 1 00 Vert(LL) -0.43 2-10 >827 240 MT20 197/144 (Roof Snow=30.0) Lumber DOL 1 15 BC 0.90 Vert(CT) -0.68 2-10 >518 180 TCDL 5 0 Rep Stress Incr NO WB 038 Horz(CT) 0.17 6 n/a n/a BCLL 0 0 BCDL 5 0 Code IBC2015/TPI2014 (Matrix) Wind(LL) 0.21 8-10 >999 360 Weight 136 Ib FT=0% LUMBER- BRACING- TOP CHORD 2x6 SP No.1 TOP CHORD 2-0-0 oc purlins BOT CHORD 2x4 SPF 210OF 1.8E (Switched from sheeted Spacing>2-8-0). WEBS 2x4 SPF No.2 BOT CHORD Rigid ceiling directly applied or 6-5-15 oc bracing REACTIONS. (Ib/size) 2=2486/0-6-0,6=2486/0-6-0 Max Horz 2=162(LC 9) Max Upl&2=777(LC 10),6=-777(LC 10) FORCES. (lb)-Max.Comp/Max Ten -All forces 250(lb)or less except when shown TOP CHORD 2-3=5541/1653,3-11=4762/1428,4-11=-4585/1453,4-12=-4585/1453,5-12=-4762/1428,5-6=-5541/1653 BOT CHORD 2-10=-1445/5108,9-10=-832/3444,8-9=-832/3444,6-8=-1445/5108 WEBS 3-10=1313/532,4-10=-354/1556,4-8=-354/1556,5-8=-1313/532 NOTES- 1)Wind ASCE 7-10,Vult=130mph(3-second gust)Vasd=103mph,TCDL=3 Opsf,BCDL=3 Opsf,h=15ft,B=45ft,L=24ft,eave=4ft,Cat II, Exp C,enclosed,MWFRS(directional),cantilever left and right exposed,end vertical left and right exposed,Lumber DOL=1 60 plate grip DOL=1 60 2)TCLL-ASCE 7-10,Pf=30 0 psf(flat roof snow),Category ll,Exp C,Fully Exp,Ct=1 2 3) Unbalanced snow loads have been considered for this design 4)This truss has been designed for greater of min roof live load of 20 0 psf or 1.00 times flat roof load of 30 0 psf on overhangs non-concurrent with other live loads. 5) Dead loads shown Include weight of truss Top chord dead load of 5 0 psf(or less)is not adequate fora shingle roof Architect to verify adequacy of top chord dead load. 6) Plates checked for a plus or minus 2 degree rotation about Its center 7)This truss has been designed for a 10 0 psf bottom chord live load nonconcurrent with any other live loads. 8) Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 100 Ib uplift at Joint(s)except Qt=1b)2=777, 6=777 9)"Semi-rigid pitchbreaks including heels'Member end fixity model was used in the analysis and design of this truss 10)See Standard Industry Piggyback Truss Connection Detail for Connection to base truss as applicable,or consult qualified building Q S NT `- designer. l' 11)Graphical purlln representation does not depict the size or the orientation of the purlin along the top and/or bottom chord Q. �S�� �k YC QPEFSS1Q�1 November 7,2016 ®WARNING-Venfy design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE 11,7II-7473 rev 1010312015 BEFORE USE Design valid for use only with MiTek®connectors This design is based only upon parameters shown,and is for an individual building component,not a truss system Before use,the building designer must verify the applicability of design parameters and properly incorporate this design into the overall q building design Bracing indicated is to prevent buckling of individual truss web and/or chord members only Additional temporary and permanent bracing 6!lliTelc is always required for stability and to prevent collapse with possible personal injury and property damage For general guidance regarding the fabrication,storage,delivery,erection and bracing of trusses and truss systems,see ANSIITPI1 Quality Criteria,DSB-89 and SCSI Building Component 16023 Swingley Ridge Rd Safety Information available from Truss Plate Institute,218 N Lee Street,Suite 312,Alexandria,VA 22314 Chesterfield,MO 63017