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�g�EFOLk�oG Town of Southold 6/16/2022 0 P.O.Box 1179 o • ? 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43162 Date: 6/16/2022 THIS CERTIFIES that the building ACCESSORY Location of Property: 9330 N Bayview Rd., Southold SCTM#: 473889 Sec/Block/Lot: 79.-8-12.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/29/2021 pursuant to which Building Permit No. 47105 dated 11/10/2021 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: accessory gazebo as applied for. The certificate is issued to Smith,Gregory&Crocker, Sally of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47105 6/1/2022 PLUMBERS CERTIFICATION DATED A riz ignature o�oSVFF' TOWN OF SOUTHOLD BUILDING DEPARTMENT cm TOWN CLERK'S OFFICE SOUTHOLD, NY y oma.s, 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#: 47105 Date: 11/10/2021 Permission is hereby granted to: Smith, Gregory 200 Shipyard Ln East Marion, NY 11939 To: � construct accessory gazebo as applied for. At premises located at: 9330 N Bayview Rd., Southold SCTM #473889 Sec/Block/Lot# 79.-8-12.4 Pursuant to application dated 10/29/2021 and approved by the Building Inspector. To expire on 5/12/2023. Fees: ACCESSORY $212.00 CO-ACCESSORY BUILDING $50.00 Total: $262.00 Building Inspector pfr SO(/j�Ql 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �o sean.devlinO-town.southold.ny.us Southold,NY 11971-0959 QIyCOU�,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Gregory Smith Address: 9330 N Bayview Rd city:Southold st: NY zip: 11971 Building Permit* 47105 section: 79 Block: 8 Lot: 12.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 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 9 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 3 4'LED Exit Fixtures Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " Gazebo Inspector Signature: Date: June 1, 2022 S.Devlin-Cert Electrical Compliance Form s a TOWN OF SOUTHOLD BUILDING DEPT. 765-1,802 I-NS-PECTIONN/11 FOUNDATION 1 ST ROUGH PL13G. FOUNDATION 2ND I .INSULATION/CAULKING FRAMING /STRAPPING FINAL FIREPLACE & CHIMNEY SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION PRE C/O REMARKS: rzo 14 DATE INSPECTOR Of SOf/T�olo TOWN OF SOUTHOLD BUILDING DEPT. `ycou765-1802 : INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING FINAL Q�a�hc�-/Cc`�r''1Q� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY'INSPECTION . [ f FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: in v -tc_ Lleerl DATE /r Z-7- INSPECTOR OF SUUIy�� 1-1 -7 105 `T 3 3 0 N• ,49&y yr a Kv # TOWN OF.SOUTHOLD BUILDING DEPT. `cco 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ '] lNSULATION/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: �A-`Z_�0 AS no-1 DATE 5/ 17 /117, INSPECTOR r OE SOUTHp �. C l /`/ AJ. # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 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) [d ELECTRICAL (FINAL) [ ] CODE VIOLATION [1 ] PRE C/O REMARKS: ' DATE INSPECTOR D JUN: 14 2022 BUILDING DEPT. Jason M. Ormond, TOWN OFSOUTHOLD r Achitect 120 Mill Road,Westhampton Beach,.NY 11978 phone(631)897-3775 fax(631)-288-o549 June 14, 2022 Town of Southold Building Department Reference: Smith Residence Southold,NY. To whore it may concern, The new cabana at 933o Bayview Road has been constructed in accordance with all applicable building codes and as per approved building plans dated 10/14/21.All structure was constructed as per plans and all footings and strapping have been completed as required. Please feel free to contact me if you have any questions. Very ruly Yours, �I Jason Or-mond,Architect FIELD.INSPECTION REP'URT. 'DATE.. COIVIlVIEN�S FOUNDATION(IST) j ----------------------------- ci FOUNDATION'(2ND) - � O Z ROUGH FRAMING:& PLUMBING' . . r INSULATION.PER:N.Y. . • H. STATE ENERGY CODE FINAL ADDITIONAL PbN41ENTS 0JS� I ` . r . .G (�.� •'act :� ; g . • �4ro ' Py , o ,,a o� fFocm�oo TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax(631)765-9502 hMs://www.southoldtownaXgov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only D C IJ PERMIT NO. 4qJn:=2_ Building Inspector: OCT 2 9 2121 ID A'pPlicit onsand forms must-be:flled,ouf;in tfieir'entirety:•IncomP�ete BUILDING DEPT. applica#ions.will not be accepted:;.Where'theApplkant is;not.the.owner,'an ;; TOWN OF SOUTHOLD "Owner's AutKorizationlform.(Page.2)shall;tie iompletei9i:= Date:October 28, 2021 E ROP R E•TY•` ,. OWN R(S)AF P Name SCTM#1000- _ Name: M. Smith ., .,, Project Address:9330 N. Bayview Rd Southold,.NY 11971 Phone#:646-206-5239 Email:techcatalyst@hotmaii.com Mailing Address:9330 N. Bayview Rd Southold, NY 11971 E O . `CONTACT;P RS N• •- ... - , _ Name:Gregory..M. Smith _ Mailing Address:9330 N. Bayview Rd Southold, NY 11971 Phone#:646-206-5239 Email:techcataivst@hotmail.com DESIGN PROFESSIONAL INFORMATION:'' Name:Jason Ormond- Architect Mailing Address:120.Mill Road,.Westhampton Beach, NY 11978 v„ Phone#:(631)897-3775 Email:Jason@ jmoarchiteet.com CTOR INFORMATION: CONTRA ;> ''• .. - - Name:Custom Island_ Homes Project lead.Tyler_Garrett Mailing Address:50. Main Street, West Hamptor>I_Beach,.NY 11978---_.,... ...._ . ..-_ Phone#:631-325-3925_. _,. _...__. Email:tyles@cihinc.com_ _.. ._.. DESCRIPTION OF PROPOSED CONSTRUCTION RNewStructure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 2 Other Pergola $65,000 Will the lot be re-graded? ❑Yes®No Will excess fill be removed from premises? ❑Yes RNo 1 tPROPERTY INFORMATION, Existing use of property:Residential.. Intended use of property: --Residential .— Zone eSld811t1al .,_ _ . Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes®No IF YES,PROVIDE A COPY. 8',Check Box After Reading:•The owner/contactor/design professional is responsible for all drainage arid 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,..4;uffolk,County,NewYork'and other appOcable.Lavis;'Oedlnances or Regulations,for the'construction of buildings, additions,alterations or for removal or demolition'as,herein described.The applicant agrees td comply with all applicable laws,ordinances,bu(Iding iode, housing code and regulations and to admit authorized'inspectors on,premises and in building(s)for•nececsary inspections.False'statements made herein are, . punishable as a Class A misdemeanor pursuant to Section410.45 of the New York State Penal Law. Application Submitted By(print ): G% oar srn i ❑Authorized Agent BOwner Signature of Applicant: Date: �- STATE OF NEW YORK) S : COUNTY OF ✓(�c'.rS 1��-t_ • being duly sworn,deposes and says that(s)he is the applicant (N a of fAdivic6al 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 OLp day of 0&+d 10 C r ,20 Notary Public REBECCA A LUCAK �lil PROPERTY OWNER AUTHORIZATItary Public-State New York No.01 LU6386882 (Where the applicant is not the owner) Qualified in Suffolk County My Commission Expires Feb.04,2023 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 ��g�Ff01 C E ILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD DEC 16-2021 o To all Annex- 54375 Main Road - PO Box 1179 BUILDING DEPT 4,, Southold, New York 11971-0959 o �ao�� owN of souTH6LD Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(@southoldtownny.gov - seanda-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: 6� - Vi- O(�C LC Electrician's Name: TA I MC-- LM GJ- License-No.: M -- -jg7 / Elec. email: Elec. Phone No:SJ - ❑I request an email copy of Certificate of Compliance Elec. Address.: ) g id El-rlj II✓1l01V d dam/ JOB SITE INFORMATION (All Information Required) Name: e�12& 57M Address: �0 N OAVmw &( ply - Cross Street: Phone No.: -2,06 - S-231 Bldg.Permit#: email: C 1 Tax Map District: 1000 Section: Block: $ Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 0 UtTL , 01 L- Lf I OCA w Square Footage: 2. Circle All That Apply: Is job ready for inspection?: YES ❑ NO tRough In ❑ Final Do you need a Temp Certificate?: ❑ YES QNO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 R H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION �` ► ��S�FFOL�co BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o i Town Hall Annex- 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a)-southoldtownnv.gov - sea nd(cb-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Inform tion Required) Name: 4 j; Address: Cross Street: Phone No.: Bldg.Permit#: -7 lei S email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# ❑New service[-]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals n 1 R2 H Frame El Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION SW SII � !�( I� 111 �F � � I a tiw S'�D,JE ` Noh'Ttr c0 L� �-4li oQ X47 o• S. -e my ' Oy. 2. ..: p"N SURVEY OF sN e LOT 4MAP OF NORTH BAYVIEW ASSOCIATES .eq ^ a! ry .. ,TEE xo.fries FRED ox u.lrcx fs.2D01 SITUATED AT BAYVIEW r p TOWN OF SOUTHOLD 0 vg" 4t SUFFOLK COUNTY, NEW YORK S.C.TAX No. 1000-79-08-12.4 v SCALE 1-=40• SEPTEMBER 26,2001 w�4300E IDLCO S+Oi OEWn¢1 1&1000 uO0 CRENSm wiUS ,3�' PNIGf 5.2000 RY60)fYOfCSFD(OUSE O ' .VF.USi 4 20�FdHM1Or1 IOfNIOn Sn 9' w.evWe 0,mf0 T2fat 9mtY e - :.:.' OQ6tE:It 10.�fC ACDHFARI BEfW'FFE+I FO'lIC SYSFEB/d WAFENdIxE b H sR JM1YUIN!21 3021 UP091E SIIMEY .:. JI �j ' ABG-1�EAxbaa�ae w.n. � .NOTES: 1.COVENANTS ARECTMa NNIS LOT HAVE BEER,TIED ?:. ry':•:; IN THE OFFICE OF THE CIEx OF SUFTOM(COURY CERTIFIED TO: GREGORY M.SMITH N SALLY CROCKER ADVOCATES ABSTRACT,Inc. y WESTCOR LAND TITLE INSURANCE COMPANY QUICKEN LOANS Q y... 0 ! :: tQ p f TO .8 2� y �/ R�Q bS ..•: .: .a Cb' fyM •F�.- .r W j o 0 4g v '-E D,, 1 f� W.y N OCT 2 9 2021 b " BUILDING DEPT. TOWN OF SOUTHOLD O ?e 4 N p3$3. zp. N• _ Nathan Taft Corwin III Land Surveyor FAwmu Y - 68. 3� LOT •-- - �' � .�N 4• s ° 3 ry w y a co— ��jjyy�� •4--•/• •E1lR`3tOk's DPo4LWRY ,- E T'l [O_ "C / a. • �. BElf1W BLOCK CWtO•" SZ .. . for— ao - ,A �... .: ... Qa,� , �,.r:"°:;A `'µ11s• � d c �d. .p y� i�� ���' ' SEPTIC SYSTEM TIE MEASUREMENT. HOUSE — HODS CORNER CORN S ,`wr Proposed Pergola k J �� �x� SEPTCOVIC TANK 25 as �� SEPTIC TANK 29• 45' (L j k..r-'•�1 ;,,`-;^v` / ' ` COVER 2 LEACHING POOL COVER 3 43•10 48• cl , LEACHING POOL 55' 43• ry<o ! N COVER 4 N N o3 I '� v DATE(MMIDDIYYYY) �. CERTIFICATE OF LIABILITY INSURANCE 10/28/2021 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. �r IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(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 Mary Lou Miner Borg 8:Borg Inc. PHGNE FAX 148 East Main Street •631-673-7600 Arc Ne:631-351-1700 Huntington NY 11743 a mss: certificates bo .com INSURER(S)AFFORDING COVERAGE NAIC# I INSURER A:Southwest,Marine and General 12294 INSURED CUSTISL-01 INSURER B: Custom Island Homes,Inc.lig Lester Walsh INSURER C: PO BOX 842 INSURER D: WestHampton Beach NY 11978 INSURE RE INSURER'F• ' COVERAGES CERTIFICATE NUMBER:402059323 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. LTRTYPEADDTYPE OF INSURANCE L SUBR POLICY NUMBER POLICY POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y GL2021LHB00039 1126/2021 1/26/2022 EACH OCCURRENCE $1,000,000 CLAIMS-MADE FX—I OCCUR PREMIS oo DAMAGETORENTEDna $100,000 MED EXP(Any one Person) $5;000 PERSONAL&ADV INJURY $1,000.000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE 52.000,000- POLICY[K]JET El LOC PRODUCTS-COMP/OPAGG 52,000,000 3• OTHER . A AUTOMOBILELIABILTTY GL2021LHB00039 1/26/2021 1/26/2022 OMBINEDSINGLELIMIT Ea wret ;110001000 ANYAUTO BODILY INJURY(Per person) $. OWNED SCHEDULED BODILY INJURY(Par aoddard) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTYDAMAGE E AUTOS ONLY AUTOS ONLY - erd $ UMBRELLALIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE E DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS•LIABILITY YIN STATUTE ER AN(PROPRIETOR/PARrNERIE)MCUTIVEEl NIA EL EACH ACCIDENT i OFFICERIMEMBEREXCLUDED7 (Mandatory In NH) EL DISEASE-EA EMPLOY $ Byes,desodbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT f DESCRIPTION OF OPERATIONS I LOCATIONS]VEHICLES(ACORD 101,Addldonal Remarks SchoduM,may ba attachad H more apaco Is required) Town of Southold is an additional Insured to the fullest extent permitted by law when required by a written executed contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Southold 54375 Route 25 AUTHGRaEoREPRESENTATIVE Southold NY 11971 h Viz` ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD N Y S ' F New York State Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 In y:Itcom CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 570739864 BORG&BORG INC 148 E MAIN ST HUNTINGTON NY 11743 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER CUSTOM ISLAND HOMES INC TOWN OF SOUTHOLD PO BOX 842 54375 ROUTE 25 WESTHAMPTON BEACH NY 11978 SOUTHOLD NY.11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12154523-1 45012 07/19/2021 TO 07/19/2022 10/28/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2154523-1, 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:IAVWW.NYSIF.COMICERT/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. LESTER WALSH,PRES OF CUSTOM BLAND HOMES INC (ONE PERSON CORP) 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:979998426 U-26.3 A4 Roe CERTIFICATE OF LIABILITY INSURANCE DATE(MNWD/YYYY) `� 1 10/28/2021 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endomemen s. PRODUCER Borg&Borg Inc. ONE M Lou Miner FAX 148 East Main Street Efl.631-673-7600 AIC. / No).631-351-1700 AWL Huntington NY 11743 RDRESS* certificates bo .com INSURE AFFORDING COVERAGE NAICA Ucensek PC-648965 INSURERA:Southwest Marine and General 12294 INSURED CUsnsL-ot INSURERB: Custom Island Homes,Inc.lig Lester Walsh INSURERC. PO BOX 842 INSURERD: WestHampton Beach NY 11978 INSURERE: 'INSURER F COVERAGES CERTIFICATE NUMBER:228805291 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSR TYPE OF INSURANCE R POL1CYNUMBER PMUD E� PMIVDD Df LIMITS A X COMMERCIAL GENERAL LIABILITY GL202ILHB00039 1/26/2021 1/26/2022 EACH OCCURRENCE 51,000,000 CLANS-MADE OCCURRENTED MISE$ $100,000 MED EXP one S 5,000 ' PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LJMITAPPLIESPER: GENERALAGGREGATE 52,000.000 POLICY JERCT LOC PRODUCTS-COMP/OPAGG 52,000,000 OTHER $- • AUTOMOBaELIABILITY GL2021LHB00039 1/26/2021 1/26/2022 COM BIN SINGLE LIMIT ;1000_,000 ANYAUTO BODILY INJURY(Perperaon) $ OWNED SCHEDULED AUTOS OBODILY INJURY(Per accident) S ON AUTOS X HIRED X NON-OWNED PROPERTI DAMAGE AUTOS ONLY AUTOS ONLY $ S UMBRELLA LMR EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIEIORIPARTNER EXECUTIVE E.L.EACH ACCIDENT f OFFICERIMEM13 EREXCLUDED9El NIA ' (Mandatory In NH) E.L.DISEASE-FA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORO 101,AddIlonal Remafkt Schtdult,maybe attached If more apace Is raqulmd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, N0710E WILL BE DELPJERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Greg Smith 9330 N Bayview Rd Southold NY 11971 AUTHORIgDREPRESENTATIVE A b,.Yl ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD N YS I F New York State Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 12 O D _ A A A A A A 870739884 r BORG&BORG INC 148 E MAIN ST O HUNTINGTON NY 11743 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER CUSTOM ISLAND HOMES INC GREG SMITH PO BOX 842 9330 N BAYVIEW RD WESTHAMPTON BEACH NY 11978 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12154523-1 45006 07/19/2021 TO 07/19/2022 10/28/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2154 523-1, 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 HTTPSJMIWW.NYSIF.COM/CERT/CERTVALASP.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. LESTER WALSH,PRES OF CUSTOM ISLAND HOMES INC (ONE PERSON CORP) THIS CERTIFICATE IS ISSUED AS A MATTER 'OF INFORMATION ONLYAND 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:1012748683 U-26.3 slFW®i`kesrs' .. . Y Com io.n CERTIFICATE OF INSURANCE COVERAGE erica# Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be com lete I by Disabilltv and Paid Family Leave Benefits Carrier or Licensed Insurance A ent or that Carrier 1a.Legal Name and Address of Insured(Use street address only) 1b.Business Telephone Number of Insured Custom Island Homes,Inc. (631)325-3925 Lester Walsh PO Box 842 1c. Federal Employer Identification Number or Social Security WestHampton Beach, NY 11978 Number On 87.0739884 Work Location of Insured (Only required if specifically limited to certain locations In New York State,i.e.a Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as Certificate Holder) Hartford Life And Accident Insurance-Company, Town of Southold 3b.Policy Number of entity listed in box"1a°:LNY816393 54375 Route 25 Southold,NY 11971 3c.Policy effective period:11112021 to 12/31/2021 4.Policy provides the following benefits: X A All for the employer's employees eligible under the-.New York Disability Law _13. Only the following class or classes of employer's employees- -C. Paid family leave benefits only 5.Policy covers: X 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 Benefits insurance coverage as described,,above. Date Signed October 28,2021 By- David M Borg (Signature of Insurance candor's authorized representative or NYS Licensed Insurance Agent ofthat Insuiance carrier) Telephone No. 631 673 7600 Name and Title: President IMPORTANT: If box 4a is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed.Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If box°4b"is checked,this certificate is NOT COMPLETE for the purposes of Section 220,Sub.8 of the Disability Benefits Law. It must be mailed for completion to the Workers'Compensation Board,DB Plans Acceptance Unit,328 State Street,.. Schenectady,New York 1230.5 PART 2.To be completed by the NYS Workers Compensation Board.Only if Box 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-insured employer has compiled with the NYS Disability Benefits Law with respect to all or his/her employees. Date Signed gy. (Signature of NYS Workers'Compensation Board Employee) Telephone No. Title: Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS license 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) Additional Instructions for Form D13-120.1 NAILING SCH EDU LE GENERAL NOTES: AS PER TABLE R602.3(1) OF 2020 RESIDENTIAL GODS OF NYS D TOWN COi"IM ANTS SECTION 1. ALL CONSTRUCTION IS TO CONFORM TO N.Y. STATE AND LOCAL BUILDING CODES. REM DESCRIPTION OF BUILDING ELEMENTS NUMBER AND TYPE SPACING AND LOCATION 2. ALL PLUMBING IS TO CONFORM TO COUNTY AND LOCAL HEALTH DEPARTMENT OF FASTENER—` REQUIREMENTS. Roof B. ALL ELECTRICAL WORK IS TO CONFORM TO LOCAL N.E.G. AND UNDERWRITERS 4-8dbox(2'/2"x 0.113"9 or DESIGN COMPLIES WITH 2020 RESIDENTIAL CODE OF NEW YORK STATE At THE 2020 NEW YORK STATE UNIFORM FIRE 3-8d box(3"x0.I28");or );or PREVENTION AND BUILDING CODE AND THE STATE ENERGY CONSERVATION CONSTRUCTION CODE REQUIREMENTS. 1 Blocking between ceiling joists or rafters to top plate 3-led box(3"x 0ommon 2128');3 Toe nail 4. CONTRACTOR SHALL VERIFY ALL DIMENSIONS AND CONDITIONS IN THE FIELD PRIOR TO CONSTRUCTION. NOTIFY THE ARCHITECT OF CONFLICTS OR 3-3"x0.131"nails DISCREPANCIES. 4-8d box(2'/2"x 0.113');or 5. DO NOT SCALE THE DRAWINGS. WRITTEN DIMENSIONS SHALL TAKE PRECEDENCE 2 Ceiling joists to top plate 3-8d common(2'/2"x 0.131');or per joist,toe nail OVER SCALED ONES. LARGER SCALE DETAILS SHALL TAKE PRECEDENCE OVER 3-1Odbox(3"x 0.128);or SMALLER DRAWINGS. IT 15 TI-E INTENTION OF THE DRAWINGS TO PROVIDE FOR 3-3"x 0.131"nails A COMPLETE JOB IN ALL RESPECTS. 4-1Od box(3"x 0.128');or Ceiling joist not attached to parallel rafter,laps over JPPRO ED AS NOT 6. THE ARCHITECT SHALL BE NOTIFIED OF ALL CHANGES TO THE DESIGN. THE 3 partitions(see Section R802.5.2 and Table R802.5.2) 3-16d common(3/."x 0.162');or Face nail ARCHITECT I5 NOT RESPONSIBLE FOR CHANGES MADE WITHOUT NOTIFICATION. 4-3"x0.131"nails PRESUMPTIVE LOAD-BEARING VALUES 7. THE CONTRACTOR SHALL BE RESPONSIBLE FOR ADEQUATELY BRACING ALL 4 Ceiling joist attached to parallel rafter(heel joint) TableR802.5.2 Face nail OF FOUNDATION MATERIALS DATD B.P.# OCCUPANCY OR WORK DURING CONSTRUCTION AGAINST BREAKING, COLLAPSE, DISTORTION AND (see Section R802.5.2 and Table R802.5.2) Cv f A MISALIGNMENT ACCORDING TO ALL CODES, STANDARDS AND GOOD PRACTICE. 4-1Od box(3"x 0.128');or (AS PER RL-51DENTIAL CODE OF NEW YORK STATE SEC. R401.4.1) 8. PROVIDE SMOKE AND CARBON MONOXIDE DETECTORS AS PER N.Y.S. CODES. Collar tie torafter,facenailorl/,"x20ga.ridgestrapto FEE: ��� `� UNLAWFUL 5 3-1Od common(3"x 0.148);or Face nail each rafter BY: f '� `Y u �l. THE INSTALLATION OF ALL MATERIALS AND PRODUCTS SHALL MEET ALL rafter 4-3"x 0.131"nails RIDGE AS NOTED MANUFACTURERS REQUIREMENTS. LOAD-BEARING ON PLANS NOTIFY BUILDING DEPARTMENT AT 10. CONCRETE 15 TO BE 3000 P.S.I. MIN. ON 1 TON PER SQUARE FOOT SOIL 3-16d box nails(3'/="x 0.135');or 2 toe nails on one side and 1 toe nail CLASS OF MATERIAL PRESSURE (POUNDS 3-1Od common nails(3"x 0.148');or PER SQUARE FOOT) 765-1802 8 AM TO 4 PM FOR HE WITH CERTI F BEARING CAPACITY. PORCHES, CARPORT SLABS AND STEPS EXPOSED TO 6 Rafter orroof truss toplate on opposite side of each rafter or ICA 4-1Od box(3"x 0.128);or /` WEATHER, AND GARAGE SLABS TO USE 3500 P.S.I. MIN. CONCRETE. VERIFY truss' FOLLOWING INSPECTIONS: 4-3"x0.131"nails CRYSTALLINE BEDROCK 12,000 PSF 1. FOUNDATION - TWO REQUIRED SOIL BEARING CAPACITY IN FIELD. 4-16d(3'J2"x 0.135');or OF OCCUPANCY 11. DOUBLE FIZAME AROUND ALL OPENINGS, UNDER PARALLEL PARTITIONS AND 3-10dcommon(Yx0.148'9;or FOR POURED CONCRETE UNDER BATHTUBS. 4-10d box(3"x 0.128'9;or Toe nail „ „ SEDIMENTARY AND FOLIATED ROCK 4,000 PSF & PLUMBING 12. 51TAD C STRONG-TIE CONNECTIONS REQUIRED AT ALL FLUSH STRUCTURAL Roof rafters to ridge,valley or hip rafters or roof rafter 4-3"x0.131"nails 2. ROUGH - FRAMING LOAD CARRYING CONDITIONS. 7 to minimum2"ridge beam 3-lbdbox3'/2"x0.135'9;or 3. INSULATION 13. ALL FRAMING LUMBER TO BE DOUG-FIR #2 FB = 1150 PSI, E=IAM. PSI 2-16dbom3'/2"xmon .1 x0.162');or SANDY GRAVEL AND/OR GRAVEL (GW GP) 3,000 PSF 14. ALL HEADERS 4 GIRDERS TO BE DOUG-FIR #2 FB - 1250 P51, E-1.7M. PSI 3-I0dbox(3"x0.128');or End nail 4. FINAL - CONSTRUCTION MUS 15. ALL LUMBER THAT COMES IN CONTACT WITH CONCRETE WILL BE ACQ PRESSURE 3-3"x0.131"nails SAND, SILTY SAND, CLAYEY SAND, SILTY BE COMPLETE FOR TREATED LUMBER. Wall GRAVEL, AND CLAYEY GRAVEL 2,000 PSF C.O. 16. ALL EXTERIOR DECK FRAMING SHALL BE AGQ TREATED LUMBER. � (SW,SP,SM,SG,GM,RGG) ALL CONSTRUCTION 17. THE ARCHITECT ALLOWS ONE STRUCTURE TO BE BUILT WITH THIS SET OF 16dcommon(3/2'"x0.162') 24"o.c.face nail SHALL MEE THE PLANS, WITH ONE BUILDING PERMIT. THE ARCHITECT SHALL NOT BE 8 Stud to stud(not at braced wall panels) lOd box(3"x 0.128'9;or REQUIREMENTS OF THE CODES 0 NEW 16"o.c.face nail CLAY, SANDY CLAY, SILTY CLAY, CLAYEY RESPONSIBLE FOR ADDITIONAL STRUCTURES BUILT USING THESE PLANS. 3"x0.131"nails SILT, SILT, t SANDY SILT (CL,ML,1'"IN,tCH) 1,500 PSF YORK STATE. t8. PREFABRICATED FIREPLACES AND FLUES SHALL BE U.L. 127 APPROVED. 6 16dbox(3'/2"x0.t35');or ADJUSTABLE LIGHT ROOF RAFTERS AS DESIGN OR NOT RESPONSIBLE FOR ELECTRICAL lq. ALL HEADERS NOT NOTED ARE TO BE (2) - 2" X 12". 9 Stud to stud and abutting studs at intersecting wall corners 3""x 0.131"nails 12"o.c.face nail CONSTRUCTION ERRORS. (at braced wall panels) HANGERS (LSSU210) NOTED ON PLANSINS?EGwION RE0UIRE'D 20.5RIDGING TO BE EITHER OF SOLID 1" X 3" OR IBCA, CROSS BRIDGING NOT TO P � EXCEED B'-O" O.C. ]6d common(3/2"x0.163) 16"o.c.face nail ALLOWABLE DEFLECTION OF STRUCTURAL MEMBERS "- 21. PROVIDE DAMPROOFING AT ALL EXTERIOR FOUNDATION WALLS. 16dcommon(3'/2'"x0.162') 16"o.c.each edge face nail STRAPPING 0) CATHEDRAL ' 1 10 Built-up '/,'spacer) 12 (AS PER ReSIDE:NTIAL CODE OF NEW YORK STATE SEG. R301.7) (RAFTER TO RIDGE) 22,ALL FLITCH PLATES L.V.L.S AND GIRDERS ARE TO SEAR ON SOLID WOOD 16dbox(3/"x0.135') 12"o.c.each edgeCacenail POSTS AND HAVE SOLID BLOCKING DOWN TO FOUNDATION WALLS. 5-8d box(2'/2"x 0.113');or 23.ALL JOISTS AND RAFTERS ARE TO BE BRIDGED @ 8'-0" O.C. 11 Continuous header to stud 4-8dcommon(2'/2"x 0.131');or Toenail SCALEr 24.INTERIOR BEARING WALLS ARE TO BE BLOCKED @ 4'-0" STRUCTURAL MEMBERS ALLOWABLE DEFLECTION O.G. 4-1Odbox(3"x0.128') COMPLY WITH ALL CC DES OF 25,5TEEL ASTM A-36 PAINTED, 5OLT5 AS NOTED (A307), WELDS-E7OXX, 16dcommon(3'/2"x0.162') 16"o.c.face nail _ NEW YORK STATE & TOWN CODES REINFORCEMENT ASTM GR. 60. 12 Top plate to top plate IOd box(3"x 0.128');or 26.RECORD ARCHITECT 15 NOT RESPONSIBLE FOR SUPERVISION, INSPECTION OR 3"x0.131"nails 12"o.c.face nail RAFTSRS 3/12 WITH HAVING IFINt51-IED SLOPES GREATER NG ATTACHED L/180 AS REQUIRED AND CONDITIONS OF ADMINISTRATION OF THIS PROJECT. 8-16dcommon(3'/2"x0.162);or TO RAFTERS 12-16d box(3'/2'"x O.I35');or Face nail on each side of end joint a NO SUBS"T 12- ITUTIONS: 13 Double top plate splice (minimum 24"lap splice length each INTERIOR WALLS AND PARTITIONS }1/180 INSTALL 11'4 W 20 GAUGE GALVINIZED RETAIN STORM WATER RUNOFF ALL FRAMING HARDWARE SHOWN ON THESE PLANS, UNLESS OTHERWISE 12-Y box(3"x 0.128");or side of end Joint) STRAPPING ® 16a W t x0.131"nails � O.G. /2-8d NAILS @' EA. END P INDICATED 15 "SIMPSON STRONG-TIE", NO SUE35TITUTIONS ARE APPROVED OR FLOORS AND PLASTERED CEILINGS L/360 \"0 MIN, 12" BEARING ON RAFTER SURFACE SGUT= 11 BOARD PURSUANT TO CHAPTER 236 AUTHORIZED DUE TO THE RELATIONSHIP OF FRAMING HARDWARE TO THE OTHER ITEM DESCRIPTION OF BUILDING ELEMENTS NUMBER AND TYPE OF FASTENER-" SPACING AND LOCATION ALL OTHER STRUCTURAL MEMBERS L/240 (� ALL UPLIFT CONNECTORS INSTALLED C� g OF THE TOWN CODE. COMPONENTS OF THE STRUCTURE, ANY FRAMING HARDWARE SUBSTITUTIONS WILL I T� RENDER THESE PLANS NULL AND VOID AND WILL RESULT IN THE INSTALLER / Bottom plate joist, 16dcommon(3/2"x0.162) 16"o.c.face nail vrr „ ittS P J J 16dbox(3'/2"x0.135');or EXTERIOR WALLS WITH PLASTER OR STUCCO TO PROVIDE CONTINUOUS LOAD CONTRACTOR ASSUMING RESPONSIBILITY FOR THE DESIGN AND PERFORMANCE OF ]4 blocking(not at braced wall panels) 12"o.c.face nail FINISH H/360 PATH FROM TOP OF RIDGE TO THE ENTIRE :SYSTEM. Yx0.131"nails FOUNDATION 50 THAT NET UPLIFT Bottom plate to joist,rim joist,band joist or 3-16d box(3'/2'"x10.135');or 3 each 16"o.c.face nail EXTERIOR WALLS-WIND LOADS IA WITH L/240 VALUE AT TOP OF WALL DOES NOT ENERGY NOTES: 15 2-16dcommon(3/2"x 0.162');or 2each16"o.c.facenail BRITTLE FINISHES EXCEED 100 PLF blocking 1. ALL CONS'T'RUCTION SHALL BE IN ACCORDANCE WITH THE REQUIREMENTS OF cking(at braced wall panel) 4-3 x 0.131nails 4 each 16 o.c.face nail CONNECTIONS CAPABLE OF fll exten0l'1P11t1n THE 2020 ENERGY CONSERVATION CONSTRUCTION CODE OF NEW YORK STATE. 4-8dbox(2'/2'x 0.113');or EXTERIOR WALLS-WIND LOADSA WITH L/120 WITHSTANDING 325 POUNDS AS PER 2. EXTERIOR DOORS AND DOORS TO GARAGE U . .40 MAX. 3-16dbox(3'/2'"x0.I35');or FLEXIBLE FINISHES TABLE R802.11 OF 2020 RESIDENTIAL installed,replaced Of 3. WINDOWS AND ALL GLASS U - .58 MAX. 4-8dcommon(2'/2"'x0.131');or Toenail CODE OF NEW YORK STATE 4. ALL FIREPLACES TO BE PROVIDED WITH A DAMPER FOR OUTSIDE COMBUSTION 4.10dbox(YxO.128") or NOTES L-SPAN LENGTH, H-SPAN HEIGHT. AIR. 150-200 G.F.M. FLUE TO HAVE TIGHT SEATED DAMPER-MAX. AIR LEAKAGE 16 Top or bottom plate to stud 4-3"x0.131"nails THE COMPONENT AND CLADDING LOADS FOR THE PURPOSE OF THE 11'RIDGE 4 lrepalre �h'u�ll con Ol"I">A A. THE WIND LOAD SHALL 20 C.F.M.. 3-16dbox(3'/2"x0.135');or PERMITTED TO HE TAKEN AS O.7 TIMES INSTALL "W 20 GAUGE to Chapter 172 5. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO SUBMIT THE SIZE, 2-16dcommon(3'/2"x 0.162'9;or DETERMING DEFLECTION LIMITS HEREIN. GALVINIZED STRAPPING & 16" O.G. DESIGN AND TYPE OF MECHANICAL SYSTEM WHICH WILL BE USED IN SUFFICIENT 3-I0dbox(3"x0.128');or End nail a of the Town Code DETAIL A5 IS REQUIRED BY THE BUILDING DEPARTMENT. 3-3"x0.131"nails MINIMBEARING UM ROOF LIVE LOADS NAILS U END MIN. 12 6. ALL THERMOSTATS SHALL BE ADJUSTABLE 45-75 DEG. F. FOR COMBINATION I SEARING ON STUDD SURFACE 3-IOd box(3"x 0.1..8');or (IN POUNDS-FORCE t-I PER SQUARE FOOT OF ORIZONTAL PROJEC ) TIONr� HEATING AND COOLING THERMOSTATS THE RANGE SHALL BE 45-85 DEG. F. 17 Top plates,laps at corners and intersections 2-16d common(3'/2"x 0.162);or Face nail �-- 7. COMBUSTION EQUIPMENT FOR SPACE HEATING AND WATER HEATING SHALL HAVE 3-3"x0.131"nails A MINIMUM COMBUSTION EFFICIENCY OF 75% AND SHALL HAVE STANDBY LOSSES 3-8dbox(2'/2"x0.1I3');or TRIBUTARY LOADED LESS THA14 THE CODE SPECIFIED MAXIMUM BASED ON ACTUAL EQUIPMENT SIZE. 2-8dcommon(2'/2"x 0.131');or AREA IN SQUARE FEET 8. INSULATE ALL PIPES AND DUCTS AS PER CODE. 18 1"brace to each stud and plate 2-I0d box(3"x 0.128');or Face nail q. WATER SERVICE TEMPERATURE CONTROLS SHALL BE SET AT 140 DEG. F MAX. 2 staples I I/," ROOF SLOPE FOR ANY STRUCTURAL 10. ALL LAVATORIES AND SHOWERS SHALL BE EQUIPPED WITH DEVICES TO LIMIT MEMBER 3-8d box(2'!2"x 0.113');or HOT WATER FLOW TO A MAXIMUM OF 3 G.P.M. @ 60 P.S.I. PRESSURE. 2-8dcommon(2'/"x0.131');or Z 11, HVAC COOLING EQUIPMENT SHALL BE RATED IN ACCORDANCE WITH TABLE 4-6 19 1"x6"sheathing to each bearing 2.1Odbox(3"x0.128');or Face nail RISE 4 INCHES PER FOOT (lea) TO LESS 45 1= OF THE ENERGY CODE: MIN. EER (EFFICIENCY) SHALL BE AS SPECIFIED IN 2staples,l"crown,16 ga.,]%"long THAN 12 INCHES PER FOOT (Irl) I-IEADER TABLES 4-8, 4-�l, AND 4-10 OF THE ENERGY CODE. 3-8d box(2'/2"x 0.113');or 12. THERMAL TRANSMITTANCE VALUES SHALL NOT BE GREATER THAN THE VALUES 3-8dcomm'/,"xon 2"x ');or);or LJ r TABULATED IN TABLE 5-1 OF THE ENERGY CODE. 3-1Odbox(3"x 0.128');or 13. ALL MATERIAL CAPABLE OF ABSORBING MOISTURE SHALL BE PROTECTED BY A 3staples,l"crown,16 ga.,1'/,"long MINIMUM UNIFORMLY DISTRIBUTED LIVE LOADS VAPOR BARRIER LOCATED ON THE WINTER WARM SIDE OF INSULATION. 20 1"x8"and wider sheathing toeach bearing Wider than]"x 8" Face nail 14. INSULATION SHALL BE INSTALLED IN A MANNER THAT PROVIDES FOR 4-8d box(2'/,"x 0.113');or (IN POUNDS PER SQUARE FOOT) CONTINUITY OF INSULATION AT PLATE LINES, BAND JOISTS AND CORNERS. 3-8dcommon(2'/2"x0.131');or 3-I0d box(3"x 0.I28'9;or TYPICAL 1/4 1 N D UPLIFT. ARA 0NM. ORMOND, ARCHITECT, STATE THAT TO THE BEST OF MY lo 4 staples,1"cwn,16 ga.,I'/,"long USE LIVE LOAD ILATERAL it SHEAR CONNECTIONS KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGMENT THAT THE PLANS AND Floor SPECIFICATIONS CONTAINED IN THESE DRAWINGS COMPLY WITH THE N.Y.S. ENERGY 4-8d box(2'n(2'/2"x0.;or CONSERVATION CONSTRUCTION CODE. REFER TO RESCHECK COMPLIANCE REPORT 21 Joist to sill,top plate or girder 3-8d common 0.1319;or Toenail EXTERIOR BALCONIES 60 FILED AS PART OF THE BUILDING PERMIT APPLICATION, ATTACHED TO THESE 3- x 0.1 1"x0.128');or SCALE: s/4u-1[_011 3-3""x 0.131"nails DECKS 40 CONSTRUCTION DOCUMENTS. 8d box(2'/2"x 0.113') 4"o.c.toenail ATTICS WITHOUT STORAGE 10 22 Rim joist,band joist or blocking to sill or top 8d common(2'/,"x 0.131');or plate(roof applications also) IOd box(3"x 0.128');or 6"o.c.toe nail ATTICS WITH STORAGE 20 n x 3" 0.131" ails - �" 3boxaix0.113'9,or ROOMS OTHER THAN SLEEPING ROOMS 400 23 1"x 6"subfloor or less to eachjoist 2-8d common(2'/2"x 0.131')[or Face nail SLEEPING ROOMS 30 Or THIS PROJECT COMPLIES WITH THE J 3-I0dbox(Yx0.128');or MECHANICAL CODE OF NY STATE, 2staples,l"crown,16 ga.,Il,"long STAIRS 40 U CHAPTERS 12 THROUGH 24, THE PLUMBING CODE OF NY STATE:, ITEM DESCRIPTION OFBUILDING ELEMENTS NUMBER AND TYPE OF FASTENER-*- SPACING AND LOCATION GUARD RAILS/ HANDRAILS 200 O CHAPTERS 25 THROUGH 32, THE Floor Q ELECTRICAL CODE OF NY STATE,1-( 3-16do "x0.135');or WEIGHTS OF MATERIALS (DEAD LOADS) CHAPTERS 33 TROUGH 42. 24 2"subfloor to joist or girder 2-16dc l6d commonmmon(3'/2"x 0.162 Blind and face nail NOT LESS THAN qO PERCENT OF 3-16dbox(3'/"x0.135"9;or (AS PER RESIDENTIAL CODE OF NEW YORK STATE SEC. R301.2.2.2.1) SII"IPLIFIED ROOF SHEATHING PERMANENTLY INSTALLED LIGHT 25 2"planks(plank&beam-floor&roof) 2-16d common(3'/2"x 0.162') At each bearing,face nail FIXTURES SHALL CONTAIN ONLY PRESSURE * NAILING ZONES HIGH EFFICIENCY LAMPS 3-16dcommon(3'/,"x0.162') AVERAGE DEAD LOADS SHALL NOT EXCEED 15 PSF (0.72kN/m') FOR 4-10 box(3"x 0.128'),or 26 Band or rim joist to joist 4-3"x0.131"nails;or End nail ROOFS/CEILING ASSEM15LIES OR 10 PSF (0.48 kN/m') FOR FLOOR _ _ „ ASSEMBLIES, EXCEPT AS FURTHER LIMITED HY SECTION R301.2.2. DEAD -�----------- �1 ------------- 20d4-3 co mon( "x0 9 crown LOADS FOR WALLS ABOVE GRADE :SHALL NOT EXCEED THE FOLLOWINGr � � 20d common(4"x 0.192');or Nail each layer as follows:32"o.c. I ---------- -at top and bottom and staggered. -- ---r-------- �--- I Od box(3"x 0.128');or 24"o.c.face nail at top and bottom POUNDS PER \ / 27 Built-up girders and beams,2-inch lumber Y x 0.131"nails staggered on opposite sides WALL TYPES SQUARE FOOT I I O IS O layers (PSF And: ) �--------------- I 2-20d common(4"x 0.192');or Face nail at ends and at each splice IS PSF 3-1Oilbox(3"x 0.128');or EXTERIOR LIGHT-FRAME WOOD WALLS (0.72 kN/m') r OI I O, 3-3"x 0.131"nails I 0/ 1 yCC 4-16dbox(3'/2"x 0.135');or EXTERIOR LIGHT-FRAME GOLD-FORMED 14 PSF `4 2 28 Ledger strip supporting joists or rafters 3-16d common(3'/,"x8';or );or At each joist or rafter,face nail STEEL WALLS (0.67 kN/m') � / 4-10d box(3"x 0.128');or I (/ I O ( O 4-3'"x 0.131"nails 10 PSF INTERIOR LIGHT-FRAME WOOD WALLS (0.48 kN/m') I ---------- I I p O 2-lOd box(3"x 0.128'),or 2-8d common I � F-� 29 Bridging or blocking to joist (2'/2"x 0.131';or 2-3'x 0.131')nails Each end,toe nail I I I / I I I4 Z INTERIOR LIGHT-FRAME GOLD-FORMED 5 PSF I O / O2 I I 4i f-� SPACING OF FASTENERS STEEL WALLS (0.24 kN/m') / DESCRIPTION NUMBER AND Intermediate - ----/----------- I ITEM OF BUILDING ELEMENTS TYPE OF FASTENER-a` Edges supports' I I Seal / Signature pnenea)" (inches) 8° THICK MASONRY WALLS (3.830 S 2 Wood structural panels,subfloor,roof and Interior wall sheathing to framing and particleboard wall sheathing to framing (sea Table R602.3(3)for wood structural panel exterfor wall sheathing to wall framing] - ' 85 PSF 1 I O I G ' 6d common(2"x 0.113')nail(subfloor,wall)' 6" THICK MASONRY WALLS (4.07 kN/m:) I I O I I I ej �a�C 30 '/„"-'/2" 8d common(2'/2"x 0.131)nail(roof);or RSRS- 6 12t I 2 I I ;'(���r' Y 01(2'/„"x0.113")nail(roofY ( Y n 31 / "-1" 8d common nail(2'!2"x 0.131');or RSRS-01; 6 12r 19 - 2 (2'/,"x 0.113")nail(ratify 1'/„"- 10d common(21"x0.148')nail;or 32 1'/," 6 12 8d(2/2"x 0.131)deformed nail L-1- - - - li` t•cJ v`y`I- F Other wall sheathing° 1'/2"galvanized roofing nail,'/16"head 's- 'j r- 33 /2"structural cellulosic fiberboard sheathing diameter,or 1'/4"long 16 ga.staple with /,,"or 3 6 oS:I"crown ROOF SHEATHING NAILING SCHEDULE t� � 34 2s/I2"structural cellulosic I Y,"galvanized roofing nail,'/, 3 6 "head diameter, fiberboard sheathing or 1'/,"long 16 ga.staple with 4/16"or 1"crown �.{1V� 35 '/2"gypsum sheathing" 1'/2"galvan i/,"screws,Type W or S zed roofing nail;staple galvanized, 7 7 Pro eei o.: 2132 ]'/,"long;t I%"galvanized roofing nail;staple galvanized, 6' DIAMETER RESIDENTIAL STRUCTURES WITH TRUSS ZONE I ZONE 2 ZONE 3 ZONE 4 SMITH 36 !„"gypsum sheathing' I'/„"long;I-`/e"screws,Type W or 7 7 TYPE CONSTRUCTION, PRE-ENGINEERED RESIDENCE Wood structural panels,combination subtfoor underlayment to framing WOOD CONSTRUCTION AND/OR TIMBER FIELD 37 '/e"and less 6d deformed(2"x 0.120')nail;or 6 12 CONSTRUCTION FOR NEW DWELLING AND/OR 8" O.G. 12" 0.C. 3" O.C. 4" 0.C. 8dcommon(2/2"x0.131')nail REFLECnVE ANY ADDITION, ALTERATION A SIGN OR 9330 Bayview Road 38 '/a"-1" 8d common(2'/,1 X 0.131')nail;or 6 12 REFLECTIVE RED WHITE 8d deformed(2/2"x0.120')nail SYMBOL DESIGNED IN ACCORDANCE WITH EDGE Southold,NY PANTONE#187 TITLE Iq NYCRR PART 1265 SHALL BE 4" 0.In_ 6" O.C. 3" O.G. 4" O.C. 39 I'/„"-1'/4" led common(3"x 0.148")nail;or 6 12Town of Southold,Suffolk County,NY 8d deformed(2/2"x0.120')nail AFFIXED TO ANY ELECTRIC BOX ATTACHED TO THE EXTERIOR OF THE STRUCTURE FOR FIELD INSPECTION. ALL Y2" EXT. PLYWOOD WALL SHEATHING TO BE SECURED S`C•T•M#: FI HTTP://WWW.DOS.NY.GOV/DCEA/NOTICADOPT.HTNL#TRUSS WITH 8d COMMON NAILS- 232" x 1034" GA. - PATTERN AS INDICATED ABOVE. TABLE R301.2(I) CLIMACTIC AND GEOGRAPHIC DESIGN CRITERIA D Architect of Record GROUND SEISMIC �4IND SUBJECT TO DAMAGE FROM WINTER ICE-SHIELD AIR MEAN Jason M. Ormond,SNOW SIDEED DESIGN FRosTLINE TERMITES DECAY DESIGN UNDER-LAYMENT FLOOD WIND ZONE EXPOSURE FREEZING ANNUAL Architect LOAD (MPH) CATEGORY WEATHERING DEPTH TEMP REQUIRED INDEX TEMP 20 PSF 130 SUFFOLK SEVERE 3'-0" MODERATE SLIGHT TO SUFFOLK YES X B 599 52.1120 Mill Road 1 1PH B TO HEAVY MODERATE 1I THE CATION SHALL BE" IE', sT)y Westhampton Beach,NY 11978 DESIalta' sAREA CALCULATIONS T:631-897-3775 INDICATEE1a, a,,,a OR THE CONSTRUCTION ON NOTE: THIS SET OF PLANS HAS BEEN DESIGNED IN ACCORDANCE WITH THE 2018 INTERNATIONAL BUILDING CLASSIFICATION OF THE F:631-288-0549 E:jason(a>jmoarchitect.com CODE AND THE 2020 NEW YORK STATE UNIFORM FIRE PREVENTION AND BUILDING CODE AND THE 5TRCT�UNDEREs ION COMPONEWT5 TRAT ARE OF DESIGNATION FOR STRUCTURAL GAZEBO 280 SQ. FT. :STATE ENERGY CONSERVATION CONSTRUCTION CODE TYPEC.ONSTRUCTIONTR Date Scale FLOOR RSNDBEAM FRAMING, DING 10/14/21 AS NOTED T- G R Elevation Latitude Winter Summer Altitude Indobr design Design Heating temperature "R" ROOF FRAMING Drawing Title heating I cooling correction factor temperature temperature cooling difference • "FR" FLOOR AND ROOF FRAMINGD � � � � �I] � NOTES 40' N 12.5 de 84 de correction 1 70' 75' (dry bulb 63'wet bulb) 57.5 V Cooling Wind Wind velocity Coincident Daily Winter Summer OCT 2 9 2021 Drawing No.: temperature difference velocity heating cooling wet bulb range humidity humidity DD 0 o BUILDING DEPT TO 9 15 7.5 71.5 range m 30% 45-55/D WN OF SODUTHOLD cl O O 6"x6" AGQ POST f (2)-%"(P THRU BOLTS PATIO SIMPSON GB566 I�-411 ROOF CONSTRUCTION COLUMN BASE A SIMPSON GBS66 30 YEAR ARCHITECTURAL GRADE ASPHALT ROOF SHINGLES TO MATCH MAIN HOUSE 15# BUILDING FELT COLUMN BASE Y2" CDX PLYWOOD SHEATHING —_—_—T.O.-ROOF 9 20' O"t 1x6 V-GROOVE TEG (GROOVE SIDE DOWN) 2x8 R.R. @ I6 O.G. 4. . . (PATIO) 12 12 1' .. •: .- _ STs«�� _�_ -� ;�-.' 16"x16" POURED / CONCRETE O 1 - PIER MIN. 36" .. e - - .. r_ "i. .f.. - _ � 4�� - :-�._•�-"`-,�"`�_ _ - i-� -;ice=i,_:�.. - a0" � BELOW GRADE -- - - -- -- - -. _ -_ - ��....-.•-..kms- �.�k-.i_..� _ _ - _- _ • .� � TYP. OF 4 CORNERS ea. (SEE DETAIL FOR I6"1" POURED g _ . ` POST ACHOR5) �-�_�- � - -- --r_ MIN. CONCRETE PIER MIN. —� 2. 36" BELOW GRADE T.O. POST -- 16"x16" POURED -8" 8'1 ------ ++ CONCRETE PIER MI 8"WIDE POURED 36" BELOW GRADE CONCRETE ffmzf I I I (4) #5 VERTICAL L' TRENCH FOOTING DECORATIVE FYPON EMBEDDED PLAN V I E W 36" BELOW GRADE BARS BEDDED I i 8 INTO FOOTING .� UNEXCAVATED BRACKETS AT ALL I I 6" x 6" AGO POSTS OI 6" REINFORCED CONCRETE O i CORNERS i BUILT OUT TO Q N SLAB W/ WIRE MESH ON IN I"fix AZ EK TPPE #4 STIRRUPS IL VAPOR BARRIER OVERRIM @ 8" O.G. COMPACTED GRAVEL FILL ' i i (FINISHED 10"x10") 24" HIGH x 12" MATCH EXISTING FOUNDATION LAN i SQUARE STONE COLUMNS MAIN BASES TO MATCH HOUSE # EXISTING STONE 4 O �j PATIO WALLS W/ -i. SCALE: BLUESTONE CAP w � FIN. PATIO FIN. PATIO WTI I I o Z I I CONCRETE PIER/FOOTINCrt - - - - - - - - - .. .�.. .:: ' - r �I - - - - - - - - - - - - m1= I I 8.0. FTG_ DEI1 AIL C� CORNERS — -------------------------------� I SCALL: 111=11-011 ( FRONT/REAR ELEVATION SCALE: 114"=11-011 EXISTING _ SPA1 - EXISTING 12 -- 12 INSTALL Q49I 20 GAUGE GiALVINIZED5-0."00 STRAPPING @ 16" O.G. III NAILS @ EA. END POOLMIN. 12" BEARING ON RAFTER SURFACE( ALL UPLIFT CONNECTORS INSTALLED TO PROVIDE CONTINUOUS LOAD PATH FROM TOP OF RIDGE TO FOUNDATION 50 TWAT NET UPLIFT VALUE AT TOP OF WALL DOES NOT EXCEED 100 PLF CONNECTIONS CAPABLE OF WITHSTANDING 325 POUNDS AS PER TABLE R802.11 OF 2020 RESIDENTIAL i CODE OF NEW YORK STATE I I I I I I 1 —1 INSTALL 1Yq"W 20 GAUGE I I GALVINIZED STRAPPING @ 16" O.G. � _ I I W/3-8d NAILS @ EA. END MIN. 12" 0 BEARING ON STUD SURFACE I I 20'-01111-4 I •�" `I 811 1°I'_4:' b:: I I I I O O z HEADER -(3)- 13/1" 1-.4 LV�HEA ER j U 6" x 6" ACQ POSTS;��e BUILT OUT TO L---------------------7K�" \7y II 11 N TYPICAL WIND UPLIFT, I Q - - ` <-- �� IX WRAPPED w L - v w IN I x AZEK TRIM LATERAL S�--I�AR CONNECTIONS I A v w I (FINISHED 10 x1o ) SIDE ELEVATIONS Q 'S, 0 GAZEBO y� Q MATCH EXISTING N BLUESTONE r+ COLUMNS @ MAIN SCALE= _ PAVERS °� HOUSE _ �11 1 11 > -- i------`-�- �� —1----- -� SCALE: 1/4" 11 0" 4 O I J 2" x 8" R.R. � 1s/q"z�y LVLI---- ry ORED J I TO 104 FOOTINGS = N Q _ (SEE DETAIL) O it 1 1 " �� --- N I I @ I6 O.G. RIDGE ?j - V' O �O s �+ I X --- —r '�4 -- z Seal / Signature. ., - -- e I FLOOR PLAN (n - — �5,--I M ROOF CONSTRUCTION , „ „ -~- I I/ x9Y LVL 30 YEAR ARCHITECTURAL GRADE ASPHALT RIDGE --- — �q - SCALE: 1/411=1'-011G^}� y x + ROOF SHINGLES TO MATCH MAIN HOUSE / `m. J �\ -- — N - F 15# BUILDING FELT j �� (� Y2" GDX PLYWOOD SHEATHING --- ' " " ' -- (3)- .1%! x 14" LV HEADER-- - Ix6 V-GROOVE TEG (GROOVE 51DE DOWN) (3) 19q x 14 - - — --- LVL HDR5. L I 2"x8" R.R. @ I6" O.G. i - -� �� - -- OMP051TE Project No.: 2132 SIMP50N ECGLEII ! , COLUMN CAPS @ 4 - --- --- --- CORNERS OF -� --- --- - --- ---- -- -- - '- -- -----�--- � -----1 ---- -- - �----_ I---- � MATERIAL GAZEBO - ---, --,-- 15" (3)-I�q" x 14" BEADED SMITH LVL HEADER VENTED RESIDENCE O.H. W/ 2"xb': SOFFIT PLATE ABOVE 9330 Bayview Road ® ® (2)-,111 THRU Southold,NY BLUESTONE PAVERS BOLTS @ EA. HDR. OVER 6" REINFORCED Town of Southold,Suffolk County,NY M CONCRETE SLAB W/ E COLUMN - — WIRE MESH ON S.C'.T.M#: EXISTING VAPOR BARRIER SPA OVER COMPACTED 611 ACQ EXISTING I GRAVEL FILL POST POOL Architect or h'tect of Record -- - - l Jason M. Ormond Lllly L n -I, ; L° Till :•Iu m L i l I u lin m c31 I"IPSON BOLTED COLUMN GAP - -- ,li1L 1 �n1�.11�, � <�11�� I , �.n� �. � I n�_����.n nl_„I_I .:., �n_�Ir��<<n I Architect 1 1 120 Mill Road J SECTION I ON f 5"W I DE POURED Westhampton Beach,NY 11978 NOT TO SCALE ✓ �1 A CONCRETE p TRENCH FOOTING T:631-897-3775 36" BELOW GRADE F:631.288-0549 E:jmn@jmoarchitect.com moarchitect.com SCALE: 1/4"=1'—O” � @� Date Scale 10/14/21 %411=1'-0" Drawing Title GAZEBO PLANS Drawing No.: I0 O