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HomeMy WebLinkAbout45615-Z o�g11FF01,�coG.t Town of Southold 1/20/2023 'a P.O.Box 1179 o _ 53095 Main Rd y Southold New York 11971 CERTIFICATE OF OCCUPANCY No: 43773 Date: 1/20/2023 THIS CERTIFIES that the building ALTERATION Location of Property: 1395 August Ln, Greenport SC TM#: 473889 Sec/Block/Lot: 53.4-44.22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/8/2020 pursuant to which Building Permit No. 45615 dated 12/29/2020 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: Additions and alterations including finished room over garage, as applied for The certificate is issued to Salmenkivi, Sami of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45615 01-05-2022 PLUMBERS CERTIFICATION DATED 09-21-2022 Ha y lumbing A ize S nature z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy . 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#: 45615 Date: 12/29/2020 Permission is hereby granted to: Ryan, Stephen 1395 August Ln Greenport, NY 11944 To: construct additions and alterations to existing single-family dwelling as applied for. At premises located at: 1395 August Ln, Greenport SCTM # 473889 Sec/Block/Lot# 53.-4-44.22 Pursuant to application dated 12/8/2020 and approved by the Building Inspector. To expire on 6/30/2022. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $221.00 CO -ADDITION TO DWELLING $50.00 Total: $271.00 B pector SO�j�Q! 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.deviina-town.southold.nv.us Southold,NY 11971-0959 QIyCOM'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Sarni Salmenkivi Address: 1395 August Ln city:Greenport st: NY zip: 11944 Building Permit#: 45615 Section: 53 Block: 4 Lot: 44.22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: G&S Electric License No: 578ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 17 Ceiling Fixtures 7 Bath Exhaust Fan 3 Service 3 ph Hot Water GFCI Recpt 6 Wall Fixtures 7 Smoke Detectors 6 Main Panel A/C Condenser Single Recpt Recessed Fixtures $ CO2 Detectors Sub Panel A/C Blower Range Recpt Gas Ceiling Fan Combo Smoke/CO 4 Transformer UC Lights $' Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 7 4'LED Exit Fixtures 11 Pump Other Equipment: Micro, Hood, Fridge, Oven, Mini Fridge Notes: Kitchen, Powder Room and Two Baths Second Floor and FROG Inspector Signature: Date: January 5, 2022 S.Devlin-Cert Electrical Compliance Form Town Hall Annex yg Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G t Southold,NY 11971-0959 BMDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION j Date:. �I 22- i Building Permit No. 45615 Owner: Sami Salmenkivi (Please print) i Plumber: (11! ase print) I I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. i (Plumbers Signature) Sworn to before me this day of 20 I GEORGE FREDRICKS Notary Public, C01111(y NOTARY PUBLIC-STATE OF NEW YORK N0.01FR6031229 Qualified in Suffolk County my CommI94I9fl pllplro OwITZ2925 �o�aOF SOUTyO6 c r A �'�` ^ f TOWN OF SOUTHOLD BUILDING(�EPT. °`y�ournv '' 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) [ ] ELECTRICAL (FINAL) ] CODE VIOLATION [ ] PRE C/O REMARKS: cl DATE INSPECTOR �o�aOFSObTyolo # TOWN OF SOUTHOLD BUILDING DEPT. �`y�ourmNF'' 765-1802 - INSPEC ON [YIFUNDATION1ST [ ROUGH PL13G. UNDATION 2ND...> [ °] INSULATION/CAULKING AMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ]--FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION' [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: c V J ok 4/ ovo- v W o DATE 'L W 1 INSPECTOR '1 OFSOUIyo� * TOWN OF SOUTHOLD BUILDING DEPT. `ycoutumv, 631-765-1802 -INSPECTION [ ] FOUNDATION 1ST [/ROH PLBG. [ ] FOUNDATION 2ND [ ATION/CAULKING FRAMING /STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: k Ila / © Y DATE Y 1/ INSPECTOR OF SOUT,�,°� # TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2NDI[ ] ULATIOWCAULKING [ ] FRAMING/STRAPPING It FINAL-4X [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: -94146 Cc, Y 0 C 6RN t /lV 5Ijms*k�) \,�Adfoyvlw DATE ql1&-PL INSPECTOR lob 1 , ho�aOF SOUIyOIo b`I 56 I `' /131 Apaur-r L # TOWN OF SOUTHOLD BUILDING DEPT. roum, 631-765-1802 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 [ ] RENTAL REMARKS: Z� �/ DATE b INSPECTOR souryo� L4 5;7c0 t S # # TOWN OF SOUTHOLD BUILDING DE `ycouto, 631-765-1802 .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) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: A4*/I1 D ttcr/— DATE S INSPECTOR ✓ i N. J. MAZZAFERRO, P.E. PO Box 57, Greenport,N.Y. 11944 Phone- 516-457-5596 Consulting Engineer November 11,2022 Design, Construction, Inspection Town of Southold-Building Department 53095 Main Road Southold NY 11971 Re: Salmenkivi 1395 August Lane, Greenport,N.Y. 11944 District-1000, Section-53,Block-04, Lot-44.22 Building Permit Number—45615 Inspection—Insulation(As Built-Alteration) On November 4,2022, 1 inspected the insulation at the noted location. The inspection covered the as built condition for the finished room above the garage. The inspection included exterior walls and the ceiling/roof for the alteration. The inspection results are: 1 —Walls—Insulation was verified in place. Insulation provided rated as R-23. The insulation provided was done in compliance with the applicable sections of the IRC,NYS and Southold Town Building Codes. In particular Section R503.1.1 of the 2018 IECC. 2—Ceiling/Roof—Insulation was verified in place. Insulation provided rated as R-30. The insulation provided was done in compliance with the applicable sections of the IRC, NYS and Southold Town Building Codes. In particular Section R503.1.1of the 2018 IECC. Result-The insulation and caulking installation as verified in place(As-Built)by the inspection on 11-4-22, is compliant with all applicable codes and conforms with the design specifications. OF N k,Y O Nicholas J. Mazzaferro,P.E. 0 a �005109y ����2 , `�b�FsS100 ' . i P iv(sRome • l� • 1 • _ L MO L X 21,44 . • 1 . 1 STATE EDU��GY • ! ,�. 1 NOW we � IFF �.'. ,IL Y / b'!4flr4WMW4PWt►s \ 1 � h o��,�yfFUtX��o TOWN OF SOUTHOLD—BUILDING DEPARTMENT w Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 :Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowM.gov Date Received APPLICATION FOR-BUILDING PERMIT LJaL a"J, For Office Use Only PERMIT NO. Building Inspector:-&\ `' DEC o 6 2820 Applications,and forms must be filled out in their entirety. Incomplete M :w- applications will not be accepted.-Where the Applicant is not the owner,an- c-­, ; ,,,rD Owner's Authorization form(Page 2)shall be,completed.-' -Date: 12/06/2020 � OWNER(S)OF PROPERTY: ' Name:Sami Salmenkivi a SCTM #s000-53-04-44.22 Physical Address:1395 August Ln, Greenport, NY, 11944 Phone#:6462506865: EmailMaMifsJ17091RUMMONi . Mailing Address:1395 August Ln, Greenport, NY, 11944 CONTACT PERSON: Name:Sarni Salmenkivi Mailing Address: 1395 August Ln, Greenport, NY, 11944 Phone#:6462506865 Email:sami.salmenkivi@gmaii.com DESIGN PROFESSIONAL INFORMATION: - Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Jason V Corp Mailing Address:418 S Ocean Ave, Freeport, NY 11520 Phone#:516 477 8966 Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $30,000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ❑No 1 -PROPERTY INFORMATION : Existing use of property:Residential Intended use of property:Residential 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. ® -Che-ck Box Aft f R6ading: .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 LOW'. Application Submitted By(print name): SA C4CA/K t0 ❑Authorized Agent XOwner Signature of Applicant: Date: j ti 12O 20 STATE OF NEW YORK) SS: COUNTY OF Su FFu I�� ) ' PAI SA V1 V\&ibeing 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 g day of 0-Ce C- rh Her 20 Notary Public PROPERTY OWNER AUTHORIZATION KAREN ROTAN NOTARY PUBLIC STATE OF NEW YORK (Where the applicant is not the owner) SUFFOLK COUNTY LIC.#01 R06066405 COMM.EXP. 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 �B-UiLDING DEPARTMENT- Electrical Inspector lzllN3F `. FEB - 4 TOWN Of SOUTHOLD i-i n Hall Annex- 54375 Main Road - PO Box 1179 43 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631). 765-9602 r6gibi4southoldtownny.gnv.�_seandCM-southoldtoWnny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali information Required) Date: i o I Company Name: Name: License No.: �''��3 rs- g email: G S( 9y ( 0— Address: .d (30,4- -24 57— Phone No.: Sl<G f <1 tL JOB SITE INFORMATION (All Information Required) Name: SAAti :5AC_ rVu AJ )t- ( ✓/ Address: 3 Cross Street: Phone No.: BIdg.Permit* email: Tax Map District: 1000 Section: 3 Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) &ATS-� $7wt F"S Circle All That Apply: a CX4 J1' J;'c a-tr Is job ready for inspection?: YES Rtp Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (Ail information required) Service Size 1 Ph 3 Ph Size: A # Meters. Old Meter# ? . New Service- Fire Reconnect-Flood Reconnect- Service Reconnected- Underground-Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 2�- Request for Inspection Form.xis O ► ,� D 3��1 gc, �rr1 �clvj ecw, o � N �°$" lyti(' I Qk INt 1N� c�w�ri 11 � q 14 Kl C,,.k 120' M ' N. J. MAZZAFERRO., P.E. PO Box 57, Greenport,N.Y. 11944 Phone- 516-457-5596 Consulting Engineer November 7,2022 Design, Construction, Inspection 'own of Southold-Building Department 53095 Main Road Southold NY 11971 Re: 1395 August Lane Greenport,N.Y. 11944 District-1000, Section-53,Block-04, Lot-44.22 Building Permit Number—45615 -Alteration This is in reference to the permit noted above. In response to the inspection performed by Mr.I Jarski on September 15, 2022 the drawings for the finished room over the garage bave been prepared. A copy of the inspection report is provided for reference. Four copies of the drawings are enclosed. 'Thanks You, N O V 5 2022 ISUMDI 3G DEPT. TOWN OF SouTlYOLl0 Nicholas J Mazzaferro,P.E. -";� •sem ti m�� gni u �„� � R uN �__— A �,,gym%*�mi3'.�,,. sin` +'`"► f �' Yx`S .^'6r,;M': a'M:tC.!'t'41""-^'LW'Cr u.KM•�rwv yraxvkwrtie•'nwv�r�w'4v"M�dY41 r`M 98e"'. iMeAl'x.ir-+n-..°•^w�Meie4'.�i�n+M•u'+dT 03Yer.rM:�4 �rh rr� Y m x _ Y� :+�:"' fi __ d.' Srv.. p ytn��:.:._ _4w�rrve�..wvp�w,—..�...r•.�,.'C�'.5�+,5""+.rags•urX.rxw.'9;W="'91^,1Y..+wt..eW,w• .w@''K@';�.ritt+.,.P.,rv.,^.a:.ev,,�en,,wA�.+«>-rvw,r±rrn,rr..y �^ ! ea �,i - __. -__ -_. _ _ __ -. - - _ - - -__ - _ - -_ _ _ _ .- __ - _-- _ ___._._____– ��.—__�_—_�____—_-_-._ ___�T—� i' mak•�/ ' Suffolk County Department of Labor, Licensing & ' .0 ixI Consumer Affairs . K Y# VETERANS MEMORIAL HIGHWAY * HAUPPAUGE,NEW YORK 11788 b r' i. DATE•ISSUED: 8/31/2016 No. 57448-H i SUFFOLK COUNTY yg k,j Home Improvement Contractor License �^ f,,d rx i i a This is to certify that HUGO VILLEDA i doing business as JASON V CORP r' having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk,State of New York is hereby licensed to conduct business as a HOME f IMPROVEMENT CONTRACTOR, in the County of Suffolk. { License Category { NOT VALID WITHOUT Additional Businesses Carpentry j ° DEPARTMENTAL SEAL i f AND A CURRENT 1 l CONSUMER AFFAIRS f j ID CAFJ) 4 t„ Acting Commissioner . 0 DATE Act CERTIFICATE OF LIABILITY INSURANCE 11/10/202 YYY) 11/10/2020 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 Consulting Insurance Agency NA ERCT Gina Englehardt 1350 Deer Park Ave PHONE 631-242-2422 FAX Suite 34 Alc NO North Babylon NY 11703 ADDRESS:Gina@consultinginsagency.com INSURER(S)AFFORDING COVERAGE NAIC If INSURERA:PENN STAR INSURANCE COMPANY INSURED GIUSEPPE DIBARTOLOMEO DBA HOME RUN ELECTRIC INSURER e:UNITED STATES LIABILITY INSURANCE CO 12 MAPLE STREET INSURER C: PORT WASHINGTON NY 11050 INSURER D: 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 TYPE OF INSURANCE AODL SUBR POLICY EFF POLICY EXP LTR POLICYNUMBER 1MWDOfYYYYI (MMIDDNYYYILIMITS A ✓ COMMERCIAL GENERAL LIABILITY ✓ PAC7161754 0/25/2020 10125/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO;TNT1513 CLAIMS-MADE a OCCUR PREMISES fie $100,000 ✓ CONTRACTUAL LIABILITY MED EXP(Any one n $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑JECT LOC PRODUCTS-COMPIOPAGG x 1,000,000 OTHER: $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITYLJ Ea accident) I$ ANY AUTO BODILY INJURY(Per person) Is OWNED SCHEDULED BODILY INJURY(Per accfdem) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE IS AUTOS ONLY AUTOS ONLY (Per eai . Is B UMBRELLA LIAR H occuR XL 1564356E 113012020 01/30/2021 EACH OCCURRENCE $5,000,000 V EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I I RETENTION S $ WORKERS COMPENSATIONPER OTH- AND EMPLOYERS'LIABILITY YIN TET71 OR ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate Holder is listed as Additional Insured. CERTIFICATE HOLDER CANCELLATION Sarni Saimenkivi 1395 August Lane SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Greenport,NY 11944 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Web software,www.FormsBoss.com;7 Impressive Publishing 500.208-1977 N Y S ' F New York state Insurance Fund 8 CORPORATE CENTER DR,2ND FLR,MELVILLE,NEW YORK 11747-3166 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE M. Ril AAAAAA 471269817 PAUL DELLA UNIVERSITA AGENCY . DBA CONSULTING INSURANCE . 1350-34 DEER PARK AVE NORTH BABYLON NY 11703 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER JASON V CORPORATION SAMI SALMENKIVI 418 S OCEAN AVENUE 1395 AUGUST LANE FREEPORT NY 11520 GREENPORT NY 11944 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE H2340121-9 730648 07/24/2020 TO 07/24/2021 11/6/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2340121-9, 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:/MIWW.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. PRESIDENT HUGO VILLEDA JASON V CORPORATION A 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:526538422 U-26.3 x 4 � P t 5. 5 LOT NUMBER REFER TO "AUGUST ACRES, SEC770N ' '�pLED IN THE SUFFOLK9 COUNTY CLERKS OFFICE ON XNE 1 AS FIE . SURVEY OF PROPERTY.- 411 AT .ARSHAMOMAQUE TO WN OF SO UTHOLD SUFFOLK COUNTY, N.Y. LOT 19' " 1000-53-04-44.22 { SCALE. 1'=40' . LOT 110 DEC 16, 2002 p { �t?v0 APRIL 16, 2003 ( cont. fndl,spxr J SET N50'06 1 D E 2,r'4. o.srr ^_ ��_ T, OCT. 9, 2003 ( final ASPHALT DRIMAY :x.::. APPRO ED AS NOTED LOT s � DATE: 013.p.It #-Z576; S PLUMBS CERTIFICATION d � �ON LEAD ONTENT BEFOR5 50-8' 24.3 -° FEE: (� BY: N so I 0 9 CERTIFICA E OF OCCUPAN oG NOTIFY BUILDING DEPARTMENT AT SOLDE USED!N WATER 765-1802 8 AM TO 4 PM FOR THE .�. ae' ,' n FOLLOWING INSPECTIONS: SUPPLY YSTEM CANNOT �' LOT 112 c 1. FOUNDATION - TWO REQUIRED EXCEED 2110 OF 1% LEAD. a 4 LOT 20 �' �' FOR POURED CONCRETE z N 02. ROUGH - FRAMING & PLUMBING DECK wow - 3. INSULATION Ln 2s� • 4. FINAL - CONSTRUCT!ON MUST 0 44'e ` BE COMPLETE F-- �.0. -PL � ���� I LOT 113 cn, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW ALL PL MB!NG WASTE. FE rc YORK STATE. NOT RESPONSIBLE FOR SWAT. R LINES NEED::' O2N s.ncx E ^'� act DESIGN OR CONSTRUCTION ERRORS. T1-S`�ING- FORE COVERING 0.95 T � s N1RE FfN� FG �� i TBAR 11 0.6—. S49 5310 W as'S 303.6. . LOT ti COMPLY WITH ALL CODES OF OCCUPANC OR NEW YOR STATE & TOWN CODES LOT 21 ' AS REQUIRED AND CONDITIONS OF USE IS UNLA FUL LOT :7.2 A WITHOUT CE TIF IC TF r 4n!!TNr'nT�N�N P ANNIN NEW y GBOARD ���oF ��� OF OCCUPAN Y AZl n rnrAlAtTD�� �t,AETZGFR Q`�ST LASE' SO�((ll� � �r � ��,STEES � or .��,,1\,r��� •� ` ELECTRICAL r N \ S. LIC. NO. 49618 C. AREA=41,634 S F. _ INSPECTION REQUIRED �'t S' P. ANY A4rrRA77ON OR ON TO Trfi5 .URVF.Y IS A VIOLA UON (631) / FAX (631) 765-1797 OF SEC1,70N 7209oF rpt. Ew YDR..5 1 A TC EDUCATION LAI. P.0. BOX 909 EXCEPT AS PER SEC09—Sll8DJV1�':ON 2. ALL CER17FICA77DNS HEREON ARE VALID FOR' S NAP AND -OPIES 7NEREV CWLY)F 1230 TRAVELER STREET�02-351 SAID MAP OR COMES TNf IdIPREi5k0 SEAL OF THE svRlrEMa4SOUTHOLD, N.Y. 11971 KNOSE S7CNA WIRE APPS NEREON. i w i - i� 1ST FLOOR / EXISTING KITCHEN 13'10" D/W o0 0 0 12'1" • FRIDGE Down Up S CF NEN/ n Lu z ZOO 0. 05 AR�FESStONP� NOTES EXISTING KITCHEN JOB 1395 AUGUST LN / ALTERATIONS&ADDITIONS PAGE 1 of 4 DRAWING FLOOR PLAN SCALE 1/4"=V DATE 12/04/2020 JOSEPH FISCHETTI,PE./PROFESSIONAL ENGINEER 1725 HOBART ROAD,SOUTHOLD,NY 11971 631-765-2954 1ST FLOOR / PROPOSED KITCHEN 13'10" Piece of the wall left to house plumbing D/W 00 FRIDGE 3)GAS RANGE 2)SINK 1)WALL REMOVED Existing Fireplace 0 0 E MICROWAVE COOLER 12'1" New hardwood floor New hardwood floor ll I D 0 New the floor No work, No work, No work, apart from new hardwood apart from new hardwood apart from new hardwood floor&cosmetic work floor&cosmetic work floor&cosmetic work No work on t, of RE / stairs C-) 4�1� I S rye co ��A, l7 �/{ ;S*• 5� I cc New front door / NOTES: YCJ`,rS S4 ,ri" 1) REMOVAL OFA NON-LOAD BEARING WALL FROM THE KITCHEN.THIS INCLUDES MOVING THE DRAIN AND HOT/COLD WATER LINES INSIDE THE WALL APPROXIMATELY 72"TO THE SIDE TO A SMALL PART OF THE WALL THAT IS LEFT INTACT TO HOUSE THE PLUMBING. 2) NEW SINK LOCATION ON THE ISLAND JOB 1395 AUGUST LN / ALTERATIONS&ADDITIONS PAGE 2 of 4 3) NEW GAS RANGE LOCATION DRAWING FLOOR PLAN 4) NEW FRONT DOOR SCALE 1/4'= 1' 5.294 pixels=l inch 5) COSMETIC WORK:NEW HARDWOOD FLOORS,NEW TILING IN THE POWDER ROOM,NEW MANTLE FOR EXISTING FIREPLACE DATE 12/04/2020 JOSEPH FISCHETTI,PE./PROFESSIONAL ENGINEER 1725 HOBART ROAD,SOUTHOLD,NY 11971 631-765-2954 1ST FLOOR/ELECTRICAL PLANPROPOSED ADDITIONS 13'10" 4) WALL LIGHT WAI1 L1GHi GFCI GFCI LED LIG TRACK GFCI GFCI LED LIG CK GFCI GFCI RANGE D/W RANGEHOOD 00 FRIDGE R R R R OUTLET 1) 0 GFCI/ (Outside wall of the slangy WINE COOLEq MICROWAVE 12'1" ) GFCI GFCI 5) -G4 R R R R 2) $$$ '0 6) No new electrical work No new electrical work No new electrical work OF NEW Ll y � F � Lu l Mt, `T NOTES y. 05251, to 1) FOUR NEW RECESSED LIGHTS 2) FOUR NEW RECESSED LIGHTS 3) THREE NEW CEILING LIGHTS JOB 1395 AUGUST LN / ALTERATIONS&ADDITIONS PAGE 3 of 4- 4) TWO NEW WALL LIGHTS+TWO LED LIGHT TRACKS UNDER SHELF DRAWING FLOOR PLAN 5) RECONNECT CEILING LIGHT(FROM WALL THAT IS REMOVED) 6) MOVE WALL LIGHT IN THE BATHROOM 12 INCHES DOWN SCALE 1/4"=1' DATE 12/04/2020 JOSEPH FISCHETTI,PE./PROFESSIONAL ENGINEER 1725 HOBART ROAD,SOUTHOLD,NY 11971 631-765-2954 9'11" 1 4'11" 1) NEW SHELF MADE OF 2X4" 2ND FLOOR/BATHROOMS PROPOSED ADDITIONS tl R R 5) • R R • 4) 2) N BATHTUB 2) V 9' R MASTER BATH R GUEST BATH 3) 2) R 4) R R 5) $D D 3) of NE NOTES MASTER BATH NOTES GUEST BATH ` ccc m- 1) 1) NEW WALL SHELF W119" X H48"X D5"TO BE CONSTRUCTED OUT OF 2X4".THE SHELF WILL BE INSULATED,BOARDED AND TILED. 1) REMOVE BATHTUB.INSTALL SHOWER PAN 2z 2) NEW BATH TUB TO REPLACE AN OLD JACUZZI.DRAIN MOVED ACCORDINGLY(=14").HOT&COLD WATER LINES MOVED TO THE INSIDE OF THE 2) NEW RECESSED LIGHTS WITH DIMMER �.Oy yG V52 "� NEW WALL SHELF.WALL MOUNTED FAUCET TO BE INSTALLED 3) NEW WALL LIGHTS WITH DIMMER ` ' " 3) NEW VANITY WITH NEW FAUCETS AT THE SAME LOCATIONS 4) NEW VANITY AND FAUCET AT THE SAME LOCATION 4) NEW SHOWER FIXTURES AT THE SAME LOCATION,DRAIN LOCATION MOVED 12 INCHES TO ACCOMMODATE FOR A LINEAR SHOWER DRAIN JOB 1395 AUGUST LN / ALTERATIONS&ADDITIONS PAGE 4 of 4 5) NEW RECESSED LIGHTS WITH A DIMMER 5) NEW SHOWER FIXTURES AT THE SAME LOCATION 6) NEW FLOOR&SHOWER TILE 6) NEW FLOOR&SHOWER TILE DRAWING PARTIAL FLOOR PLAN SCALE 1/2"=1' DATE 12/04/2020 JOSEPH FISCHETTI,PE./PROFESSIONAL ENGINEER 1725 HOBART ROAD,SOUTHOLD,NY 11971 631-765-2954 , t 25" 92" U. PROPOSED GABLED DORMERSADDITION Asphalt shingle roofing 12 18" i Versatex composite PVC trims Fiber-cement siding I I Double hung windows 26.38' ® ® 66" 24" I ' i i i � I ( i GARAGE GARAGE I bF NE co I � I III i � I i i I i I i i 89" 44" 89" qq" 75' Q C., Ar FRONT ELEVATION LEFT ELEVATION �� p ss1ov P NOTES PROPOSAL TO ADD TWO GABLED DORMERS ON THE ROOF ABOVE A ROOM ABOVE THE GARAGE JOB 1395 AUGUST LN / ALTERATIONS&ADDITIONS PAGE 1 of 2 DRAWING ELEVATIONS SCALE 1/4"=1' DATE 12/04/2020 JOSEPH FISCHETTI,PE./PROFESSIONAL ENGINEER 1725 HOBART ROAD,SOUTHOLD,NY 11971 631-765-2954 ' t � PROPOSED GABLED DORMERSADDI77ON 92" 2 x 8"header 2 x 8"Ridge \ 2x4'valley 2 x 6"Dormer ridoe rafter v o io v o 2 x 6"Rafters in iv o f 2 x 6"Collar ties Insulation R21 or similar as r r required r-, 2x4"studs Rough window framing Double 2 x 4"front studs Double 2 x 4"front studs Double 2 x 8"Header Double 2 x 8"Rafters Room height 110" Double 2x8'Rafters Window height inside from floor 54" 2x6'wall studs of NE DORMER FRAMING FRONT I DO ER O a c� �'��fiGA •yOU525{� � NOTES a��TES SIONP PROPOSAL TO ADD TWO GABLED DORMERS ON THE ROOF ABOVE A ROOM ABOVE THE GARAGE JOB 1395 AUGUST LN / ALTERATIONS&ADDITIONS PAGE 2 of 2 DRAWING DORMER FRAMING SCALE 1/2"=1' DATE 12/04/2020 JOSEPH FISCHETTI,PE./PROFESSIONAL ENGINEER 1725 HOBART ROAD,SOUTHOLD,NY 11971 631-765-2954 r � a oa ri}' : .�?• 2 x donnem with Windows .8 x Sky lights 14"x4S n sR� shh9 Se ioo r �8 {`t _ f { 1 i 1' li cern m g I .. ,. ... .•. - Wirxfows 3ftW - i - a - - 3 - - I ,i - OAIiACiE z� =-i - I I 24'31. . . .... .. .. .. ... - - .. .. _ L 'V LEFTELEYAT7ON ® W5 X622 TO';, x,«^M MOLD SCTM #100 :., ".22 ......::.::. :...:.:'.... .....: ::.%:._.... .. ,,::,... : Q.53-0 77 r'. `AS BUILT! MEDIAROOIfi. . PAGE. ]of4 O,p� DRAWING ELEVATIONS` SCALE , :• NJ:MAllAFERRO PE, • . , ' . ;..-'=cls�ij©::.' ._..:.'.::PvF!• PO BOX57,.GREEMRORT,fly,11944. ONE516=455596' 2 x 16'Ridge Asphalt shbigle 2 z 6•Rafters 15'long 2 x B•6TteS 12 CDX Plywood Sheeftwk 5/6•calling . Doubleffame for 1 R�36 1 J Sr Sheetrodc 5l6"walls 12 24 MEDL41 GMROOIW y 20 3 . - - Finished flooring" 3/4 plywood RWH in . . . � shehing - R20 22'9' 2x6'sbWs Fibeiglassir Wed R-23 2 x 6.'coling foists . Sheetrock5/6 cel(ng . GARAGE 92x10 Gert it ----------------------- . J 26;11- i FRONT ELEMYON SECTION SCT" JOB. 1-1395AUG : l::.AS;BUIL71:'MEDIA.ROOM:::: : .,'.. .. : '; PAGE: :""2 0f-4" '.1•' _ R�, DRAWING` ELEVATION '/. SECTION: > O 7777 7777 ti , ,. ;:•, `:';:.� ::*;: :,. .;::SCALE,.: MAZ7AFERROkPE:: .. FUR 5TGRfENPORT,'NYi11944 . d F N . PHONE51E45y5596'',:, GABLED DORMERS,ADD TlON 92^ 2 X 8"header 2 x 8'Ridge \ 2x4"valley 2 z8'Uamei ridge sitar _ Sxi[i c m 0 °v _ - N p 2% H _ - - 6'Raftem :? - -� ZX E CW�r U " es Insulation1 M sienlaras irearmed i r' 2X4"stud l y' 1, I R �hwindoxifrem`ut9 - �9 ' _ - 2X4`Yrandstuds Double D�ig2x4`{ _ frmt s4tds Dov " We2X8"Heads Double 2 - x8"Rafters Wuxbw sill hel - _ from boor Doub 1e2x8" Rafters Room ht 110" - - �fl 7 -r - e.r r- r.;. -- ,•••K,, .,k•, �.1 . '2x81 wall studs . 00R1UlER FRAMING FRONT DORMER;FRAM12VG LEFT 7,t t7i NOTES.:: SCTM:.:.....:#:10 : PROPS TOADDTWOGABLEDDO AL FABOVEA'R00 AD VETHEOARAG E ' JOB:: f.4 :. . .. .. it.: ...�i!.. . :..: 7395. GUS7:LN.::>I'.AL ERA IDS A _ITIO... o. DRAWING DORMER FRAt71NG:, , " •.• ,:,:.:.,..,..�.,,.... .,:; :.. '', '�: .- DATE1105/.-2022-'- °;.057 .. AO*ZA FERRO;.PE .. .:.; „ FE PORT;NYr11944. PO BOX 57;GREEN. , P FL LAN OQR - Sects _ _ on see P - :w _ _ 2x8 all '':rr` l^. , ofkshelves - - - 10.x4'- - ' '=c' rvt r ca!<nB' . Wmdow 96245' tan ... 9. ' 2 xa'Floor lci isis� Fu0 _ ,-_,. _,:. ..:•:'sic"::. 1lSEDIA GYM _ - 00 - M _ Wind 36xg5' - tiling 1 3v: ..1 r' .. _ ._.:_...:.%::�,.:=:''"'_•-.t'�:.)....,.;:._w^:...�:,.,ter ... ...:-: x. , r ._ r..•'v-tib"" uY� l.' WiridowZ x92' ow 4 - 4 Wlttd 5 G; 95'. ( �` r , .: p.: s,. Section see page$ ' D- 12 , 'A8 BUILT: /'MEDIR RDOM. .:. :: :':. ...,. ......:.... FCOORRLAN ALE'..,.. .1/4-'; s: : DAiE:: :.;::'..11 L 05Y'2U22:'.. . FERAD,PE � ..• . N,l ; " QX 57;GREENP,ORT;NY;11944 FES bNA PHDNE_51fr45F5586::