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HomeMy WebLinkAbout46869-Z �o�o�OFFD� 1 Town of Southold 5/7/2022 P.O.Box 1179 o - 53095 Main Rd o " Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43057 Date: 5/7/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 5779 Westphalia Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 113.42-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/16/2021 pursuant to which Building Permit No. 46869 _ dated 9/23/2021 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, including recreation room,two unfinished storage rooms, one non-sleeping finished storage room and unfinished mechanical room,to existing single family dwelling as applied for. The certificate is issued to Durkin,Christopher&Danielle of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46869 3/8/2022 PLUMBERS CERTIFICATION DATED n r\ n 0 Oory Signature gtlFFQ1K TOWN OF SOUTHOLD BUILDING DEPARTMENT C* 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#: 46869 Date: 9/23/2021 Permission is hereby granted to: Durkin, Christopher 5779 Westphalia Rd Mattituck, NY 11952 To: Construct interior basement alterations at existing single family dwelling as applied for. At premises located at: 5779 Westphalia Rd,'Mattituck SCTM #473889 Sec/Block/Lot# 113.-12-7 Pursuant to application dated 9/16/2021 and approved by the Building Inspector. To expire on 3/25/2023. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $491.60 CO-ALTERATION TO DWELLING $50.00 Total: $541.60 Building Inspector pf SOUr�,ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 roper.riche rt(&-town.south old.ny.us Southold,NY 11971-0959 �Olyc®U �� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Christopher Durkin Address: 5779 Westphalia Rd City: Mattituck St: New York Zip: 11952 Building Permit* 46869 Section: 113 Block: 12 Lot: 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Hunter Electrical License No: 35476-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 15 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 17 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 5 Twist Lock Exit Fixtures 11 TVSS Other Equipment: 1-combination smoke / CO detector Notes: Inspector Signature: Date: March 8 2022 81-Cert Electrical Compliance Form.xls OE SOpTholo # * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLDG. [ ] 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 �`` 4 8q SOUIy� # # TOWN OF SOUTHOLD BUILDING-DEPT.' o`y �Q 765-1802 INSPECTION ' ] FOUNDATION IST [ ] ROUGH PLBG. VFOUNDATION 2ND ,�/ [ ] INSULATION/CAULKING FRAMING/STRAPPING 1 [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ]' FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: Y � o r DATE �' �� INSPECTOR apF SOblj°lo * TOWN OF SOUTHOLD BUILDING DEPT. coo765-1802 96, INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION_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: DATE Z %--INSPECTOR �`t r�jjf so * # TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE 3 �ZZ INSPECTOR !MELD INSPECTION REPORT RATE COMMENTS FOUNDATION(IST) H . ' C ------------------------------------- - FOUNDATION(2NA.) All UP it (� o ROUGH F t� RAMING: PLUMBING INSULATION.PER N.Y. H. STATE ENERGY CODE FINAL ADDITIONAL'CONVMENTS LZ u .. �Zo eC.-^ be�'� rn H z o�UFFO�p�oG TOWN OF SOUTHOLD-BUII.,DING DEPARTMENT 121 y�U k Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 hllps://www.southoldtoMLnny.gov Date Received For Office Use Only //� PERMIT NO. (� Building Inspector: SEP 1 6 2021 l� r Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an 13LTFf.Do t'�NO3?l'';', Owner's Authorization form(Page 2)shall be completed. TON, Date: OWNER(S)OF PROPERTY: //-- Name:ChAShD hl?r4 LetI _ -burpp�aq SCTM#1000- Project Address: -7 C( WeS -\Ca i®c I I Phone#: � 70 -��QI Email: �z Mailing Address: 6anq f CONTACT PERSON: Imo' Name: anlell e-bLu-1-cin Mailing Address: 5-71.a LL)'e5t Pkalia Avg /I,( L -tftU -/-t � 1195-2- Phone#: )95-2- Phone#: (P31 ,So t4 _ 72-9-1 Email: C1Q.0 0 JtoV1I l ✓le. pta1 DESIGN PROFESSIONAL INFORMATION: l Name: ki r-e m YDve -l'5- Mailing Address: 7t) kat I b'yivc, 6DmM 1Ck I t4Y 11-7a�9 Phone#: 5 ( to - 20J -T-7-1 Email: CONTRACTOR INFORMATION: Name: ACU re Rlb Me- J M lid if-e eJJt-S Mailing Address: -10 lAoal V rc J-c C-0m Y a -1< N (� ~ Phone#: ( le _ 2.9(v --7 -1-d Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition Vhteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ -To I oon Will the lot be re-graded? ❑Yes Cho Will excess fill be removed from premises? ❑Yes PNo 1 PROPERTY INFORMATION Existing use of property: ' _ Intended use of propertyy-O®V_ Zone or use district.in which premises is situated: Are there any covenants and restrictions with respect to R �(� this property? ❑Yes C(No IF YES, PROVIDE A COPY. [Check Box After Reading* The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): R1GL(f Du— r) ❑Authorized Agent M16wner Signature of Applicant: Date: '71 STATE OF NEW YORK) SS: COUNTY OF �v IL' ) !.ii v%t a<<C-bLLr 14i rl being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (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 .-tk 9 A day of 20 1Z 0 Notary Public JUDITH H.RISOLI Notary Public,State or New York PROPERTY OWNED AUTHORIZATION TgON No.4886269 (Where the applicant is not the owner) CommisCertifiediires Dec.I Co,1 O I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 Generated YREScheck-Web are Compliance Certificate Project DURKIN RESIDENCE Energy Code; 2018 IECC Location; Mattituck, New York Construction Type: Single-family Project Type: Alteration Climate Zone: 4 (5331 HDD) Permit Date: Permit Number; Construction Site: Owner/Agent: Designer/Contractor: 5779 Westphalia Road Christopher&Danielle Durkin Alure Home Improvements Mattituck, NY 11952 5779 Westphalia Road 70 Mall Drive Mattituck, NY 11952 Commack, New York 11725 516-296-7777 • e e e e ® • • e • Envelope Assemblies Gross Are�iAssembly, or a a Perimeter Wall: Wood Frame, 16" o.c. 164 15.0 11.0 0.040 0.060 3 5 Door: Glass Door(over 50%glazing) SHGC:0.26 48 0.270 0.320 13 15 Window: Vinyl Frame SHGC: 0.26 36 0.280 0.320 10 12 Basement: Solid Concrete or Masonry Wall height; Depth below grade: 7.3' 1,033 0.0 11.0 0.059 0.059 60 60 Insulation depth:9.3' Window:Vinyl Frame SHGC:0.26 13 0.270 0.320 4 4 Basement 1: Solid Concrete or Masonry Wall height; Depth below grade: 7.3' 70 15.0 0.0 0.058 0.059 4 4 Insulation depth: 9.3' Compliance Statement; The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2018 IECC requirements in REScheck Version ; REScheck-Web and to comply with the mandatory r q ' ements listed in the REScheck Inspection Checklist. /_'), Z L'f4 40� R`2G/ZI Name-Title Signature - Date of N E vv I' C�P Of -a_ Project Title: DURKIN RESIDENCE ' z Report date: 08/18/21 Data filename: c!� C� Pagel of 1 043595 �OFE.qC;IONP DATE(MMIDD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 09/13/2021 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: BIBERK PHONE 844-472-0967 FAx - - P.O. Box 113247 (Ac, AC Na Ext): WC No): E-MAIL customerservice@biBERK.com Stamford, CT 06911 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:Berkshire Hathaway Direct Insurance Company 10391 ISURED INSURERB: unter Electrical Services Corp INSURER C: 4528 Vernon Blvd. INSURER D: Long Island City, NY 11101 INSURER E 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 TYPEOF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMBS LTR D POLICYNUMBER MMIDD/YY MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 0 CLAIMS-MADE FlOCCUR PREMI ESES Ea occurrence S(RENTED $ 0 PREMI MED EXP(Any one person) $ 0 PERSONAL&ADV INJURY $ 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 0 POLICY❑JEC°T 1-1 LOC PRODUCTS-COMP/OP AGG $ 0 OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $ a accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATIONX PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 A OFFICER/M EMBER EXCLUDED? NIA N9WC284806 )2/04/20211)2/04/2022 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 Professional Liability (Errors& Per Occurrence/ Omissions): Claims-Made Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I 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 Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 54375 Route of ACCORDANCE WITH THE POLICY PROVISIONS. Po box 1179 AUTHORIZED REPRESENTATIVE Southold, NY 11971J �--� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Town of Southold 54375 Route 25 Po box 1179 Southold, NY 11971 r Suffolk County Dept of Labor,Licensing&Consumer Affair. w HOME IMPROVEMENT LICENSE Name �.' SALVATORE FERRO Business Name This certifies that the bearer is duty ALURE HOME IMPROVEMENTS INC I *by the County of suffolk h License Number.:H-5284 Rosalie Drago Issued: 07/01/1079 Commissioner Expires: R� 07/01/2022 IN 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 112336347 LOVELL SAFETY MGMT CO.,LLC 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 �.r Y SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ALURE HOME IMPROVEMENTS INC TOWN OF SOUTHOLD 70 MALL DRIVE 54375 ROUTE 25 COMMACK NY 11725 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z 1282 566-7 103348 04/01/2021 TO 04/01/2022 02/25/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1282 566-7, 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. 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. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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: 889318346 B' �I I�ul IIIV 111l um atm 11111 IN 111H1111111111111111N911II11119n91m mll Hill llUl 111 111lel IV 00000000000090893671 Foran WC-CERT-NOPRINT Version 3(08/29/2019)[WC Policy-]2825667] U-26.3 577 [00000000000090893671][0001-000012825667][##Z][15580-20](Cer[_NoP{ERT 1][01-00001] Client#:771714 ALUREHOM ACRD. CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDNYYY) 9/10/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: USI Insurance Services-Const A N Ft:516 419-4000 FAX arc,No): 877 727-5171 725 RXR Plaza East Tower E-MAIL 7th Floor ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Uniondale, NY 11556 INSURER A:Harleysville Insurance Co of NY 10674 INSURED Alure Home Improvements Inc INSURER B:Starr Indemnity&Liability Company 38318 70 Mall Drive INSURER C: Commack,NY 11725 INSURER D: INSURERS: 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 CONTRACTOR 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY MPA00000084078Y 11/16/2020 11/16/2021 EACHOCCURRENCE $2000000 CLAIMS-MADE ®OCCUR PREMISES Ea occurrence $600,000 X Contractual Liab MED EXP(Any one person) $16,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 PRO- POLICY F X1 ECT ®LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per.accident $ $ B UMBRELLA LIAB I X OCCUR 1000579514201 11/16/2020 11/16/2021 EACH OCCURRENCE $6,000,000 X EXCESS LIAB ri CLAIMS-MADE AGGREGATE $5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 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) The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to Town of Southold,only when there is a written contract that requires such status,and only with regard to work performed on behalf of the named insured. CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 54375 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold, NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S33246296/M30433203 AVGCW YTAT C orlrers• CERTIFICATE OF INSURANCE COVERAGE STATi Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAS! PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured ALURE HOME IMPROVEMENTS INC 516-296-7777 70 MALL DRIVE COMMACK,NY 11725 1c.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) 112336347 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 Southhold 54375 Route 25 3b.Policy Number of Entity Listed in Box"1 a" PO Box 1179 DBL54908 Southhold NY 11971 3c.Policy effective period 01/01/2021 to 12/31/2022 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. 9/10/2021 Date Signed By (� Uf (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 413,4C 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 Box 4C or SO 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-120.9.Insurance brokers are NOT authorized to issue this fonn. DB.120.1 (10-17) �I�IIPiisuo1o2i0iii1iiii(10ioi17)ii�l�l OCCUPANCY OR USE 6 UNLAWFUL WITHOUT CERTIFICATE APPROVED AS NOTED OF OCCUPANCY DAT ?-a3----J-,B.P.# W6 l FEE= BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION- TWO REQUIRED FOR POURED CONCRETEr';+r 2. ROUGH - FRAMING & PLUMBING 3. INSULATION NEIXP Ycil S ! ' .T r & T;.:iVb'J CSL 4. FINAL - CONSTRUCTION MUST A'S REQUIRED AND UCO JZITIONS L BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE SOUTHO! T04'VN ZBA REQUIREMENTS OF THE CODES OF NEW SOUTHOLG TOWN PLANNING BOARL YORK STATE. NOT RESPONSIBLE FOR SOUTHOLD TOWN TRUSTEES DESIGN OR CONSTRUCTION ERRORS. N.Y.S.DEC Fire separation required as per NYS Code ELE(,TRICAL MSPEC"ON REQUIRED CONSTRUCTION NOTES: Thomas D. Reilly, P.E. I. ALL PIANS TO CONFORM TO THE 2020 RESIDENTIAL CODE OF NEW YORK STATE. 4 BEZEL LANE 2. THE MECHANICAL SYSTEM SHALL BE INSTALLED IN ACCORDANCE WITH SMITHTOWN, NY 11787 CHAPTERS 12-24 OF THE 2020 RESIDENTIAL CODE OF NEW YORK STATE. EXISTING EXISTING EXISTING EXISTING 3. THE PLUMBING SYSTEM SHALL BE INSTALLED IN ACCORDANCE WITH CHAPTERS WINDOW WIND)W EXISTING DOORS WINDOW WINDOW 25-32 OF THE 2020 RESIDENTIAL CODE OF NEW YORK STATE AND CONFORM 1-1 TO LOCAL AND COUNTY HEALTH REQUIREMENTS. 4. ELECTRICAL EQUIPMENT AND WIRING SHALL BE INSTALLED IN ACCORDANCE _ T: 631-724-574 WITH CHAPTERS 35-41 OF THE 2020 RESIDENTIAL CODE OF NEW YORK STATE 7'-1 " R-15 INSUL. 13-0' � 1 2 I E: TDRPE@TDRPE.COM AND CONFORM TO LOCAL, N.E.C. AND UNDERWRITERS REQUIREMENTS. 5. CLOTHES DRYER EXHAUST TO BE INSTALLED IN ACCORDANCE WITH SECTION w 2 1/2" OWENS CORNING INSUL. BSMNT. M 1 501, VENT TO EXTERIOR WITH RIGID METAL, .01 G"THICK MIN.. w 2G I WALL PANEL AT EXTERIOR WALLS(R-1 1) I �(� [� FINISHED ENGINEER'S CERTIFICATION G. LANDINGS, STAIRWAYS, HANDRAILS, AND GUARDS SHALL BE INSTALLED IN � � Y � ACCES NL. ACCORDANCE WITH SECTIONS R31 I AND R312 OF THE 2020 RESIDENTIAL ---- Q _ - ———— TH15 ENGINEER CERTIFIES THAT TO THE STORAGE BEST OF HI5 KNOWLEDGE, CODE OF NY STATE. - -- - -- I O / / - - -{ I O INFORMATION AND BELIEF,THE PIANS 7. NOTIFY ENGINEER OF ALL CHANGES.THE ENGINEER SHALL NOT BE � __ RESPONSIBLE FOR ANY CHANGES WITHOUT NOTIFICATION. I UNFINISI-IED p - I m _ I EXIST. iNOTE: ARE IN ACCORDANCE WITH APPLICABLE REQUIREMENTS OF THE BUILDING 8. DO NOT SCALE THE DRAWINGS. I STORAGE -6 N ---- PROVIDE 5/8" I _z CODES)OF NEW YORK STATE. 9. INSTALL SMOKE AND CARBON MONOXIDE DETECTORS IN ACCORDANCE WITH o? I p = I - I - AI _ I I TYPE 'X' GYP. I o ALL MUNICIPAL AND STATE REQUIREMENTS. BOT. OF JOIST= 9'-3 w - = RECREATION ROOM _ ——— N z 1 I BD. @WALLS u� 3 10. EXHAUST FANS TO BE 70 cfm MIN., VENTED TO EXTERIOR — I 0- -' (GG8 S.F. AREA) ——- �(�} O r Z I I —1 1� CEILINGS I I. EXTERIOR WINDOWS AND GLASS DOORS SHALL BE INSTALLED WITH SECTION __ ~ w I BOT. OED COLG HT.=8 10" I _ ~- -H.R. R I ----LJUNDER STAIR I RG09 ��_ _-� pQ QO 1 12. IN FRAMED WALLS, FLOORS AND ROOF/CEILING COMPRISING ELEMENTS OF THE 0 � '� � BUILDING THERMAL ENVELOPE, INSULATION SHALL BE IN ACCORDANCE WITH _z O I \ c� O r UP 2G NOTICE: � O p ALL DRAWING5,SPECIFICATIONS AND COPIES SECTION 8302.10.1 0 N O R \ 3 THERE OF FURNISHED BY THE ENGINEER ARE 13. WALL AND CEILING FINISHES SHALL HAVE AFLAME-SPREAD INDEX OF NOT u'S co - -__ m AND SHALL REMAIN THE PROPERTY OF THE COI I" OWENS CORNING ENGINEER.THEY ARE TO BE U5ED ONLY WITH GREATER THAN 200 IN ACCORDANCE WITH SECTION 8302.9.1 p \ O CO , INSUL. B5MNT. WALL RESPECT TO THI5 PROJECT AND ARE NOT TO 14. WALL AND CEILING FINISHES SHALL HAVE A SMOKE-DEVELOPED INDEX OF NOT w I PANEL AT INTERIOR BE U5ED ON ANY OTHER PROJECT. GREATER THAN 450 IN ACCORDANCE WITH SECTION 8302.9.2 Ln I M O I SD I I CE SUBMISSION OR DISTRIBUTION TO MEET 15. INTERIOR WALL COVERING SHALL BE IN ACCORDANCE WITH SECTION 8702 on I WALLS (R-5) � OFFICIAL REGULATORY REQUIREMENTS OR AND EXTERIOR WALL COVERING SHALL BE IN ACCORDANCE WITH SECTION G'-G' I p w FOR OTHER PURP05E5 IN CONNECTION WITH 8703. w= / z _ THE PROJECT IS NOT TO BE CONSTRUED AS I G. THE ENGINEER HAS NOT BEEN RETAINED FOR CONSTRUCTION SUPERVISION 2"x4" MTL. STUD FRAMING I IL / PUBLICATION IN DEROGATION OF THE @ I G"O.C. W1 2 1/2" OWENS I O' I I m ENGINEER'S COMMON LAW COPYRIGHT OR SERVICES AND ASSUMES NO RESPONSIBILITY FOR CONSTRUCTION MEANS, [I/ I I OTHER RESERVED RIGHTS. CORNING INSUL. BSMNT. I p p R —1 METHODS, TECHNIQUES, SEQUENCES OR PROCEDURES, OR FOSAFETY WALL PANEL AT EXTERIOR PRECAUTIONS AND PROGRAMS IN CONNECTION WITH THE WORK.THERE ARE I z p I I z_ NO WARRANTIES NOR ANY IMPLIED IN THE USE OF THESE PLANS. AC WALLS (R-I I) -- I Ow I I 0 °L UNIT G'-O" 'z I I z O LIGHT AND VENTILATION REQUIREMENTS SHALL COMPLY WITH 2020 \ _--_-_- I 1 1 N U RESIDENTIAL CODE OF NEW YORK STATE AND THE 2020 MECHANICAL CODE 13'-0" \ \ z Q HOME IMPROVEMENTS OF NEW YORK STATE. RaGw N I O 8303.1 HABITABLE ROOMS 3o I / I N -j Since 194Fi HABITABLE ROOMS SHALL HAVE AN AGGREGATE GLAZING AREA OF NOT LE55 I — STEEL THAN 8 PERCENT OF THE FLOOR AREA OF SUCH ROOMS. NATURAL II I VENTILATION SHALL BE THROUGH WINDOWS, SKYLIGHTS, DOORS, LOUVERS HWH ", MECH RMOR OTHER APPROVED OPENINGS TO THE OUTDOOR AIR. SUCH OPENINGS (UNFINISHED) UNFINISHED BOT. OF JOIST= 9'-3" WELCOME ME SHALL BE PROVIDED WITH READY ACCESS OR SHALL OTHERWISE BE READILY ———— STORAGE { — QCONTROLLABLE BY THE BUILDING OCCUPANTS. THE OPENABLE AREA TO THE _ (NEW) in[52 IDROPPED CLC. HT.=B'-10" I es!yn OUTDOORS SHALL BE NOT LESS THAN 4 PERCENT OF THE FLOOR AREA BEING JVENTILATED. HTR � 8 4 01 II welcome.home.cie5ijn.ny@cjmaiI.com EXCEPTIONS: WELLI I I .THE GLAZED AREAS NEED NOT BE OPENABLE WHERE THE OPENING IS NOT m =1(V \ I REQUIRED BY SECTION R3 10 AND A WHOLE-HOUSE MECHANICAL VENTILATION SYSTEM 15 INSTALLED IN ACCORDANCE WITH SECTION M 1505. F �r 2. THE GLAZED AREAS NEED NOT BE INSTALLED IN ROOMS WHERE EXCEPTION LEGEND I co -� / I -1 1 IS SATISFIED AND ARTIFICIAL LIGHT 15 PROVIDED THAT 15 CAPABLE OF EXIST. L \ - NOTE: PROVIDE 5/8"TYPE'X' 6 I < PRODUCING AN AVERAGE ILLUMINATION OF G FOOTCANDLES (G51ux)OVER FRESH GYP. BD. @WALLS AND O I U THE AREA OF THE ROOM AT A HEIGHT OF 30 INCHES ABOVE THE FLOOR EXIST. FOUNDATION WALL AIR VENT CEILINGS DIRECTLY ABOVE 4 LEVEL. AROUND ALL HEAT PRODUCING I = C, U EQUIP. AND A FRESH AIR VENT \ Q (V W ® NEW 2"X 4" METAL STUD FRAMING \ // W O W @ I G"O.C. N AS PER SECTION AJGO 1 .3 OF THE RESIDENTIAL CODE OF NYS ALL NEWLY (R-15 INSUL. AT EXTERIOR WALLS) \\ 1 2'-5" // O U G CONSTRUCTED ELEMENTS, COMPONENTS, SYSTEMS AND SPACES SHALL COMPLY WITH THE REQUIRE MENTOF THIS CODE. 5/5"TYPE'X'GYP. BD. W Q _ UJ EXCEPTIONS: Q --:] 1. SPACE CREATED IN BASEMENTS MAY HAVE A CEILING THAT PROJECTS TO WITHIN G FEET 8 INCHES OF THE FINISHED FLOOR; AND BEAMS, GIRDERS NEW I" NEL FOOWENSR CORNING INSULATED O Q WALL PANEL FOR BASEMENTS (R-5) � = z AND DUCTS IN SUCH SPACE OR OTHER OBSTRUCTIONS MAY PROJECT TO �— W � J WITHIN G FEET 4 INCHES OF THE FINISHED FLOOR. EXISTING FINISHED CEILINGR Fn / Q a- HEIGHTS IN SPACES IN BASEMENTS SHALL NOT BE REDUCED. ® NEW 2 1/2" OWEN5 CORNING INSULATED VASLI V �N� PLAN —I WALL PANEL FOR BASEMENTS (R-1 1) F- 2. EXISTING STAIRS NOT OTHERWISE BEING ALTERED SHALL BE PERMITTED TO z (n U W MAINTAIN THEIR CURRENT CLEAR WIDTH AT, ABOVE, AND BELOW EXISTINLu G SCALE: 1141; —- II-0n HANDRAILS. $ NEW WALL MOUNTED SWITCH PER CODE. EXISTING z {— 3. EXISTING STAIRS NOT OTHERWISE BEING ALTERED SHALL BE PERMITTED TO 3 (839 S.F. FIdISHED AREA) WINDOW W QC MAINTAIN THEIR CURRENT RISER HEIGHTS AND TREAD DEPTHS. NEW CEILING MOUNTED LIGHT FIXTURE 4. HEADROOM HEIGHT ON EXISTING STAIRS BEING ALTERED SHALL NOT BE PER CODE. W In Q (L REDUCED BELOW THE EXISTING STAIRWAY FINISHED HEADROOM. EXISTING F— STAIRS NOT OTHERWISE BEING ALTERED SHALL BE PERMITTED TO MAINTAIN NEW CARBON MONOXIDE DETECTOR () z THE CURRENT FINISHED HEADROOM. CO AS PER CODE REQUIREMENTS Q In LLj 5. LANDINGS FOR EXISTING STAIRS NOT OTHERWISE BEING ALTERED SHALL BE W PERMITTED TO MAINTAIN CURRENT WIDTH. SD NEW CEILING MOUNTED SMOKE DETECTOR Lu AS PER CODE REQUIREMENTS Q m EXIST. FLOOR JOISTS OWENS CORNING PANEL j AORK ,+ 2 1/2"THICK= R-I I I"THICK = R-5 DROPPED CEILINGU. �* SNAP IN COVE RECREATION ROOM p 2 112" (R-1 1) OWENS CORNING INSULATED BASEMENT SYSTEM PANEL(AT EXTERIOR WALLS) EXIST. FOUND. STRUCTURAL LINEAL FASTENED WALL date: 08/ 18/2 TO 5TFUCTURE PER MANUF. EXIST. SLAB SPECIFICATIONS. sheet #: TYPICAL EXISTING EXTERIOR WALL DETAIL PARTIAL WALL SECTION AT @ OWEN5 CORNING FINISHING SYSTEM N.T.5. EXTERIOR WALLS N.T.5. of I