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Home My WebLink About45513-Z �o�$l1FF�l, �OG� Town of Southold 3/14/2021 P.O.Box 1179 a o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41878 Date: 3/14/2021 THIS CERTIFIES that the building ALTERATION Location of Property: 990 Duck Pond Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 83.4-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/17/2020 pursuant to which Building Permit No. 45513 dated 12/1/2020 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: alterations to existing sin leleg_family dwelling as applied for. The certificate is issued to Lamonica,Jennifer of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45513 1/29/2021 PLUMBERS CERTIFICATION DATED t o ' e Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT a - TOWN CLERK'S OFFICE o . • 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#: 45513 Date: 12/1/2020 Permission is hereby granted to: Lamonica, Jennifer 219 Beebe Rd Mineola, NY 11501 To: construct alterations to existing single-family dwelling as applied for. At premises located at: 990 Duck Pond Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 83.-4-12 Pursuant to application dated 11/17/2020 and approved by the Building Inspector. To expire on 6/2/2022. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 Buin ctor e so Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 117 Southold,NY 11971-0959 �� sean.devlinCaD-town.southold.ny.us sr° BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Jennifer Lamonica Address: 990 Duck Pond Rd City,Cutchogue st: NY zip: 11935 Building Permit# 45513 Section: $3 Block. 4 Lot 12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: BFE Inc License No: 4211 ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 13 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 11 CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches g 4'LED Exit Fixtures 11 Pump Other Equipment, Fridge, Electric Oven, DW, Micro Notes. Kit Renovation and Bath Inspector Signature: Date: January 29, 2021 S. Devlin-Cert Electrical Compliance Form.xls SO(/1y0� l �d 1 0 '7D f # TOWN OF SOUTHOLD BUILDING DEPT `ycou765-1802 INSPECTION [ ] -FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 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/O REMARKS: DATE INSPECTOR r� ' OE SOU l 3 `' # # TOWN OF SOUTHOLD BUILDING DEPT. courm,��' 765-1802 _ INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ LAOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] "FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY ° [ ] FIRE SAFETY INSPECTION [ ] -FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] -ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: LN*pr�o�m qg DATE INSPECTOR OF SOUTyo �� l •� 99 C) ---- # # TOWN OF SOUTHOLD BUILDING DEPT. couto, 765-1802 - INSPECTION [ ] FOUNDATION IST [ _ ] ROUGH PLBG. [ ] FOUNDATION 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/O REMARKS: DATE P INSPECTOR, q6o�-j of swo # # TOWN OF SOUTHOLD- BUILDING DEPT: 765-1802 INSPECT-ION FOUNDATION IST [ ] RO GH PLBG. [ ] FOUNDATION 2ND - [ ] I ULATION/CAULKING [ ] FRAMING/STRAPPING [- FINAL [` ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION . [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ '] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: CJL- DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION(IST) -------------------------------------- FOUNDATION(2ND) ova z �o ROUGH FRAMING& y PLUMBING i INSULATION PER N.Y. STATE ENERGY CODE Com` FINAL ADDITIONAL COMMENTS a- iZAP d b H o�g1yFF0(�eaG TOWN OF SOUTHOLD—BUILDING DEPARTMENT x Town Hall Annex 54375 Main Road P. O.Box 1179 Southold;NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 htti2s://www.s6utholdtownny.gov 4 Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only i I G 5 i tT "D PERMIT NO. Building Inspector: NOV 1 7 2020 Application`s arid`f6rms must be-filled out in their entirety.Incomplete- applications will not be accepted. Where•the Applicant is`not the owner;an, Ownees Authorization form(Page 2)shall be completed.,° a°Oi i Date: November 16, 2020 OWNER(S)OF PROPERTY: I! Name: Jeffrey&Jessica Campbell SCTM#1000- 83-4-12 Physical Address: 990 Duckp_ond Road, Cutchogu_e, NY 11510 Phone#: 516-318-6403 Email: lessicacamp e _ gmal .com icampbe2@amaiii.com Mailing Address: CONTACT PERSON: Name: Sean Bechhoff, G. B. Construction and Development, Inc. Mailing Address: 870-1 Marconi Avenue, Ronkonkoma, NY 11779 Phone#: 631-878-5865 Email: sean@gbconstruction.org DESIGN PROFESSIONAL INFORMATION: Name: Stromski Architecture, P.C. Mailing Address: PO Box 1254, Jamesport, NY 11947 Phone#: 631-779-2832 Email: ^ robert@stromskiarchitecture.com ,CONTRACTOR INFORMATION: �— Name: Sean Bechhoff, G. B. Construction and Development, Inc. Mailing Address: 870-1 Marconi Avenue, Ronkonkoma, NY 11779 Phone#: 631-878-5865 Email: sean@gbconstruction.org 'DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure []Addition NAlteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ 120,000.00 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 ' •"PROPERTY INFORMATION Existing use of property: Intended use of property: , _......... ............e . %Qke0. . _.......................... .......... ._.,..........., A.vr:. Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to ._. ...... . _........_ ...........__....._.__..._................ g+N ` this property? DYes No IF YES,PROVIDE A COPY. :` Check Box After'Reading: The owner/contractor/design professional is responsible for all drainage and storrn'water lssuei,as,provld.' by Chapter 236 otthe Town Code,APPUCATION IS HEREBY MADE to the Building Department for the issuance of a Buliding Permlt pursuant to the Buildfeg 2ohe ,• ordinance of the Town of Southold,Suffolk;'County,New York and other applicable Laws,Ordinances or Regulatlo�is,for the coestnuetlon of buildings, additions,aiteratfons or for removal or demolition as herein described.rhe applicant agrees to comply with all applicable laws,ordinances,building code, housing•eode'and regulations and to admit authorised Inspoctots on premises and Iri bullding(s)for neeessary tospeetfons.False statements made hereln are- punishable as a diss A misdemeanor pursuant to Section 210A4 of the New York State Penal Low. Sean Bechhoff, Application Submitted By(print nam •:B. Construction and Development, Inc.®Authorized Agent' ❑Owner Signature of Applicant: +Date: _ - STATEbF'NEW YORK) SS: COUNTY OF I Sean Bechhoff being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this ,L�dday of L9Qc({�(Yl b e_L ,20-02 0- aujy c JOANNE C.BECHHOFF Notary Public-Stafe.of New YO* PROPERTY OWNER AUTHORIZ ION ' ' No.01t1OMS77 QttaBBed Injuff*Ootxtif► (Where the applicant is not the ow er6ycommisskmExpkes - - I, •Jeffrey&Jessica Campbell residing at 990 Duckpond Road, Cutchogue, NY 11510 Sean Bechhoff, do hereby authorize G. B. Construction and Development, Inc. to apply on My behalf to the Town of Southold Building Department for approval as described herein. } Ow er, (gn ture Date J� t L 3ESS1'CCk CCXIVN VO Print Owne s Name 2 BUILDING DEPARTMENT- Electrical Insfpector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 460 Ph- Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 r-orr southoldtow. n, av seand soh Id wn ov APPLICATfO.N FOR ELECTRICAL INSPECTIQN, ELECTRICIAN INFORMATION (All Information Required) Date: November 16, 2020 Company Name: BFE Inc. _ Name: Andrew J Kreveski Mm License No.: 4211-ME email: bfe562@gmail.com Address: PO Box 1294, Center Moriches, NY 11934 Phone No.: 631-375-9916 JOB SITE INFORMATION (All Information Required) G. B. Construction and Development, Inc. Name: _Sean Bechhoff - ---- A-ddress:-----NO3 Duckpcnd-Boad;eatcho Cross Street: Oregon Road Phone No:: 6.3i-.87$_ 865 - - - Bldg,. #: email: sean@gbconstructiion.org _ - - - - _ Tax:Nla District: 83100Block: Lo_t RRIF DESCRIPTION OF 1NORK (Please Print Clearly) - -_..- Rgmoval o#.two(2) interior walls, remodel one-bathr000m and replace a,few windows. Circle All That Apply: IS job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES /(5 Issued On -Temp Information: -- --- -- (AirinformaUon required)- - - - - - - - - -- ---- ---- -------- Service Size 1 Ph 3 Ph Size: _ -A #Meters _ Old Meter# , New Service- Fire Reconnect- Flood.Reconnect-Service Reconnected- Underground -Overhead • Under round Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information': - - PAYMENT pllE WITH-APPLICATION- "5P 6D Request for Inspection Formals `� Q 3 �" PERMIT# ; Address: Switches Outlets GFI's J Surface Sconces - I H H's I - UC Lts Fans ;�u ,�,...� _ ..__.�........ .... ..... .�.- , _ ., .Fridge�.�.. '1 ExhaustOven__ (:K�_._ .~Dryer ' Smokes- mokes-_,. pW- .Service j Carbon -Micro_ _._ .__ .I -n... _..._.. _ _ _Generator. - Combo ' Cooktop qi pnsfer; AC AH ,' 'r; , >_ :i:.. t ren Mini%` ; Special Comments .•,�;�"'��-�-, -,- , . 'F. ,_,.„° Y FDAT ACO ® E(MM/DDIYYYY) O CERTIFICATE OF LIABILITY INSURANCE 04/22/2020 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 Dawn Saviano NAME AssuredPartners Northeast,LLC PHONE (631)465 4000 FAX (631)465-4005 A/C No Ell: FAX No 100 Baylis Road E-MAIL dawn saviano@assuredpartners com ADDRESS: Suite 300 INSURER(S)AFFORDING COVERAGE NAIC# Melville NY 11747 INSURERA: Southwest Marine&General Insurance Co. 12294 INSURED INSURER B Merchants Insurance Group 10687 G.B Construction and Development Inc INSURER C: 870-1 Marconi Avenue INSURER D• INSURER E: Ronkonkoma NY 11779 INSURER F: COVERAGES CERTIFICATE NUMBER: 2020-2021 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 AULJL bUdll POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MM/DD MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 D 100,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ X Contractual Liability MED EXP(Any one person) $ 5,000 A Y GL202OLHB00175 04/14/2020 04/14/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER GENERALAGGREGATE $ 2,000,000 POLICY❑X JEF1 LOC PRODUCTS-COMP/OPAGG $ 2.000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED CAPW226903 04/14/2020 04/14/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOSONLY Peraccident Uninsured motorist $ 1,000,000 ,..,,,.....,,,�,.,,,..... 1,000,000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ A EXCESS LIAB CLAIMS-MADE EX202OLHB00036 04/14/2020 04/14/2621 AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATIONOTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder Is Included as an additional Insured 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 Town Hall Annex Building ACCORDANCE WITH THE POLICY PROVISIONS. 54375 Route 25 AUTHORIZED REPRESENTATIVE PO BOX 1179 _ Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD NYSI F New York state Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE, NEW YORK 11747-3129 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) D � ^AAAAA 113311814 COTGREAVE INSURANCE AGENCY INC 558 PORTION ROAD ' RONKONKOMA NY 11779 ' SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER GB CONSTRUCTION&DEVELOPMENT INC TOWN OF SOUTHOLD 870-1 MARCONI AVE 53095 ROUTE 25 RONKONKOMA NY 11779 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 11286948-3 747666 12/10/2020 'TO 12/10/2021 11/16/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1286 948-3, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION GB CONSTRUCTION&DEVELOPMENT INC GARY J BECHHOFF JOANNE C BECHHOFF THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE - CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 886335949 1 iaF R TA workers'Compensation CERTIFICATE OF INSURANCE COVERAGE STATE 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 G.B.CONSTRUCTION&DEVELOPMENT INC 631-878-5865 870 MARCONI AVENUE UNIT 1 RONKONKOMA,NY 11779 1 c Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is specifically limited to or Social Security Number certain locations in New York State,i e,Wrap-Up Policy) 113311814 2 Name and Address of Entity Requesting Proof of Coverage 3a Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold 3b.Policy Number of Entity Listed in Box"I a" 53095 Route 25 DBL67693 Southold, NY 11971 3c Policy effective period 12/21/2019 to 12/20/2021 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 11/16/2020 By (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT: If Boxes 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, 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 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 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) 111111111 1111111 711-10 811-20 -- PROPOSED PROPOSED 2842 CN135-P3535-CN135 (2) 1 %N9 Ya" MICROLAM LVL (2) 1 y4"x9 Y" MICROLAM LVL ANDERSEN 400 SERIES FACTORY MULLED DROP HEADER ROP HEADER VINYL DOUBLE HUNG ANDERSEN 400 ---------------------------- WINDOW UNIT FACTORY 'rte j1,/� l SERIES VINYL , " :_ " MULLED TRIPLE. S '1 R_0_' ° `S11� CASEMENT WINDOW I 5-10 51-20 architecture,p.c. UNIT I (3) " X 40 SOLID POST I I P.O.sox 1254 I PROVIDE DOUBLE KING AN PROVIDEDOUBLE KING AND JAMESPORT,N11947 DOUBLE JACK STUD N LE JACK STUD PHONE(631)779-2832 FAX(631)777 9-2833 LW -9 Proposed Floor Plan for: LU I APP OVED AS N TED I ml o $ DATE:, �� B.P.# ,j G.B. on�truction KITCHEN 8 �I � NOTIFY BUILDING SYPARTM AT evelopment o v I 765-1802- 8 AM TO 4 PM FOR THE I N FOLLOWING INSPECTIONS: z 1. FOUNDATION - TWO REQUIRED PROVIDE DOUBLE KING AND N FOR POURED CONCRETE 990 Duck Pond Road TRIPLE JACK STUD /-LINE OF TEMP -.I 2. ROUGH = FRAMIING & "LUMBING Cutchogue NY 11935 211_00 1111-50 SUPPORT �I 2011-0 3. INSULATION S.C.T.M# 71 4. FINAL - CON, ;[,v(;`I; 11 MUST SEAL --------------------------- - I BE COMPLE-c F = O. 3 I IN pp, 41 Y" MICROLAM LVL W/ ALL CONSTRUCTIG„ -ALL MEET T (2) %" FLITCH PLATES BETWEEN PLIES REQUIREMENTS OF THE CODS F NE --- --------FLUSH HEADER -- -- --- 3 YORK STATE. NOT RESPONSIBLE FCS, ARC,S� PROVIDE JOIST HANGERS ON LINE DOFF TTEMP ( ) 20 X 40 SOLID POST DESIGN OR CONSTRUCTION ERROR �� 0 STRO ALL JOIST TO FLUSH HEADER PROVIDE SOLID BLOCKING FRONT WALL CONDITIONSC®(VIPLX Vi/ITIsB ALL CODE �' s na FROM HEADER ALL THE WAY II DOWN TO BASEMENT GIRDER. NEW YORK STATE & TOWN PROVIDE TEMP SUPPORTS 12AWAY ON EACH +- 0 AS REQUIRED AND CONDITI SIDE OF HEADER TO HOLD FLOOR ABOVE 3 N WHILE THE EXISTING HEADER IS REPLACED. GARAGE LIVING ROOM ca ¢ PROVIDE TEMP SUPPORTS IN BASEMENT ALSO v u, A R •9�. 42g16� O DIRECTLY BELOW. OF N� SOUTHOLCI BOARD SOT�LUST S N.Y. . ES D C y+18bt 2020.STROMSK]arcMtectthe,p°.All 1 PROPOSED FLOOR PLANS GENERAL NOTES- b ed.T'e in e t Erolrc �`"'�" to Style: I/4" = 111-00 reproduce this design in its entirety or any portion thereof.Unauthorized alteration of these docummb is a A-I STRUCTURAL CHANGES I. FOR ALL OPENINGS OVER 480 IN WIDTH violationoftheNe-YorkStateEducationLaw These PROVIDE DOUBLE JACK AND KING STUD araw,nga ana speclficatlena are an ins4vment of service AS PER INTERNATIONAL BUILDING CODE. and P�P�'n not be wedL any and specifications are not W be used on as other project,except by written permtsnon of the Architect. 2. LOADING ON ALL POSTS AND JACK PROJECT NO. 20-AR021 STUDS TBE TRANSFERRED DOWN TO CC! p PAS pN!Y CY R FOUNDATION WITH SOLID BLOCKING UNDER �J SCALE 1^=zo� nArE llileizozo ALL SUPPORTS. \ DRAWN BY TLD CHECKM BY Rs 3. PROVIDE SOLID BLOCKING IN FLOOR E IS U I�I L® F DESIGN LOADS JOIST CAVITIES UNDER POSTS. WITHOUT CERTI USE LIVE LOAD [LB/SQFT.] DEAD LOAD [LB/SQFT.] 4. ALL DOUBLED GIRDERS TO BE F OCCUPANCY FIRST FLOOR CONTINUOUS, AND GLUED t SCREWED ATTICS WITHOUT STORAGE 10 10 TOGETHER WHEN INSTALLED. PLAN ATTICS WITH STORAGE 20 10 5. TEMPORARY SUPPORT WALLS TO BE ROOMS OTHER THAN SLEEPING ROOMS 40 10 INSTALLED PRIOR TO REMOVING OR INSTALLING ANY STRUCTURAL MEMBERS. SLEEPING ROOMS 30 10 ALL TEMPORARY SUPPORTS SHOULD SHEET ALSO TRANSFER DOWN TO FOUNDATION. STAIRS 40 10 A- 1 l� S 1 J��S1q architecture,p.c. P.O.BOX 1254 JAMESPORT,NY 11947 PHONE(631)779-2832 FAX(631)779-2833 Proposed Floor Plan for: G.B. N UNFINISED BASEMENT Construction EXISTING COLUMNS TO BE REMOVED AND Development REPLACED WITH 4" DIA. STEEL COLUMNS 16,000 Ibs. CAPACITY MINIMUM. ADD 7000xy4" STEEL BEARING PLATE ON TOP OF POSTS. 990 Duck Pond Road 61-20"'z6'-7" 20'-9' Cutchogue NY 11935 LINE OF TEMP S.C.T.M# SUPPORT SEAL IST111 L I-)Y 9 Y' ICROLAM LYL_0� GIRDER ----- ------- --- ----- --- EXISTING SLAB TO BE CUT 12'xl2'x4" DEEP TO REMOVE THE 111 8'-2 1/4't- ALINE OF TEMP gE�XISTING COLUMNS, NEW COLUMN BASE PLATE TO BE SET WITH � C�j POINT LOAD ABOVE SUPPORT 9'X4' EXPANSION BOLTS WITHIN THIS RECESS AND NEW `� 0 3TRO�is' CONCRETE TO BE POURED FLUSH WITH EXISTING SLAB. VERIFY FOOTING IS BELOW SLAB. ADD TWO ADDITIONAL 9 Y" MICROLAM LVL'S, ONCE ON EACH SIDE. THROUGH BOLTED - PROVIDE TEMP SUPPORTS 12" AWAY ON EACH TOGETHER TO CREATE A 4 PACK FROM POST N c TO POST. � SIDE OF GIRDER TIGHT TO UNDERSIDE FLOOR r o WHILE THE EXISTING COLUMNS ARE REMOVEDAND REPLACED. �q 029169 O� OF NE Copyight 2020.STROMSKI architecture,p.c.All GENERAL NOTES: righu reserved.The Architect reserves the right to reproduce thin design hs Its entirety or any portion thereof.Unauthorized altrration of these doctnnen.le a PROPOSED BASEMENT PLAN Scale:-1/4" = 1'-0' 1. FOR ALL OPENINGS OVER 48' IN WIDTH violation ofthe New York State-Education law.These PROVIDE DOUBLE JACK AND KING STUD drawings and sp`aseations are an instrument efserviee A-2 STRUCTURAL CHANGES and are the property of the Architect.These drawings AS PER INTERNATIONAL BUILDING CODE. and�aeeat as end on my�� Prot except Y permission 2. LOADING ON ALL POSTS AND JACK STUDS TO BE TRANSFERRED DOWN TO PROJECTNO. 20-AR021 FOUNDATION WITH SOLID BLOCKING UNDER SCALE 1/V"=1'-0" DATE 11/16/2020 ALL SUPPORTS. DRAWN BY TLD CHECKED BY Rs 3. PROVIDE SOLID BLOCKING IN FLOOR TITLE DESIGN LOADS JOIST CAVITIES UNDER POSTS. USE LIVE LOAD [LB/SQFTJ DEAD LOAD [LB/SQFTJ 4. ALL DOUBLED GIRDERS TO BE BASEMENT CONTINUOUS, AND GLUED 4 SCREWED ATTICS WITHOUT STORAGE 10 10 TOGETHER WHEN INSTALLED. PLAN ATTICS WITH STORAGE 20 10 5. TEMPORARY SUPPORT WALLS TO BE ROOMS OTHER THAN SLEEPING ROOMS 40 10 INSTALLED PRIOR TO REMOVING OR INSTALLING ANY STRUCTURAL MEMBERS. SLEEPING ROOMS 30 10 ALL TEMPORARY SUPPORTS SHOULD SHEET STAIRS 40 10 ALSO TRANSFER DOWN TO FOUNDATION. A- 2 u