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HomeMy WebLinkAbout50281-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 50281 Date: 1/31/2024 Permission is hereby granted to: Ray, Mary Facto Ave PO BOX 507 Mattituck, NY 119520507 To: construct garage addition and install window replacements to existing single-family dwelling as applied for. At premises located at: 375 Factory Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 122.-6-6 Pursuant to application dated 12/8/2023 and approved by the Building Inspector.. To expire on 8/1/2025. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $538.00 CO -ADDITION TO DWELLING $100.00 Total: $638.00 Building Inspector TOWN OF SOUTHOLD -BUILDING DEPARTMENT Town''btl Telephonel(631)ex 765-1802802375 Main Road Fax (63 )7605-9502 )�itt9.5�vl tN ldLO lll,I Date Received APPLICATION FOR BUILDINGPERMIT For Office Use Only 4 Q . PERMIT N0. U Building Inspector: _ p_^pp 2023 Applications and forms must be filled out in their entirety. Incomplete En53rnE�t D ,� applications will not be accepted. Where She AppliMOnt cant is not the owner,an ,�ov refca "tn!'ta ' Owner's Authorization form(Page 2)shall be completed: ld I. A3Date: Y2194 OWNER(S)OF PROPERTY: Name: 5' C1fMC� roup 41. SCTM# CIO- —06 ,16 Project Address: 339 C TCS?- V C J-+ t971-1 /V C JL 10 Phone#: �M..• Email: 14 C)/U. .B&rN/ T C ,gSAJ. I, Mailing A e : -7 5A-1Q,, ' Y C A) rr CONTACT PERSON: Name: ' - Mailing Address: Phone#: Email: DESIGN PROFESSIONAL''INFORMATION:,, Name: Mailing Address 'Chemow Cl /4 ve J_ s. /91M1' Vey 1/701 Pyne : '� � �A � Email: �� 6t � M clorn qMa w Name`P)VI VRO� c Mailing Address: �, ,[ ((� 4V0 6, DPPF:�91 Ajy .��-7b-j Phone#: O Email: DESCRIPTION OF PROPOSED CONSTRUCTION Em-N* ew Structure ❑Addition ❑Aleration ❑Repairsem D olition Estimated Cost of Project: ❑Other tiLf lrr� l)u"S $ Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes [?'Ko 1 PROPERTY INFORMATION' Existing use of property; re S-;deo plf/rot,( Intended use of property: r&-ricleo f j Zone or use district in which premises is situated:. Are there any covenants and restrictions with respect to �L this property? ❑Yes 54 IF YES, PROVIDE A COPY.. n 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 To rt��� ePfI yATI 11 d Y� f tsa tha�0uildln, [department for the`Nssoanceof fluifding Permit pursuant to the Building7one ordinance of tfier,*w f rth �gi� � �f ;�ut� �dew yor egad after a ,p)ic blu Lows,ordinancesor Regulations,fprthe consixuc n of,buflnlogsr addit:{cars aitarabensfrrfcarrema�ralordelydolNti ata ne p escriNaerf IfuapplicantaWees tocomply w thall"appilciblelawirs,F,ordlnanc �building code housing code end 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): ® �® 67 ❑Authorized Agent Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF It 'APO _ mIT T) N L N1 t�r9- 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 day of. ��... Notary Public Monika Ms` ki P Rl� I �'�.r. . OWNER l E � U T)� � �I�'_gym� I C W=Y M7Bi1C.STATE OF NEW YORK (Where the applicant is not the owner) RmgWAi6w No.OIMA6M440 QWifiedis�� 050/10rr Q 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 77, W.. 7 u �M " fF 9U(LDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD ~ ` own Hall Annear . 5375 Main Road - PO Box 1179 Southold, New York 11971-0959 ry ; Telephone (631) 765-1802 - FAX (631) 765-9502 yarnesh@southoldtownny.gov -- seared southoldtownn y .ciov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: / /w 124, Company Name: - Ll tV z = T IC L AIC. El'ectrician's Name: P/L License No.: 3 22 7 /KF Elec. email: -p„2&y j tw ,lam R, -Lltrg E4Er Elec. Phone No: && Z27_ request an email copy of Certificate of Compliance Elec. Address.: 2 "P r N84YS-4 Al JOB SITE INFORMATION (All Information Required) Name: / r1i !' Address: &CT Z v ," Cross Street: Phone No.: 04( BIdg.Permit#: TO email: /VI Cdo6Y.414-c , Tax Map District: 1000 Section: / Z , Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 40 loo A-k l? Square Footage: Circle All That Apply: Is job ready for inspection?: El YES NO E]Rough In Final Do you need a Temp Certificate?: YES 0 NO Issued On Temp Information: (All information required) Service Size 1 PhF-13 Ph Size: 100 A # Meters, Old Meter# ❑New Service❑Fire Reconnect[:]Flood Reconnect❑Service Reconnect❑UndergroundE3(5verhead # Underground Laterals 1 2 H Frame Pole Work done on Service? 101 Y rJN Additional Information: PAYMENT DUE WITH APPLICATION If, 00 e Telephone 631 765-1802 Town Hafl Annex f, �,p � R ( � 54375 Main Road w4 Fax(631)765-9502 P.©. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRICTION PIKE-ENGINEERED WOOD CONSTRUCTION ANDIOR TIMBER CONSTRUCTION Date: I� "" .......uH... ...,.,.. Owner: ....... b Pa... ...... __....w..... Location of Property �.. ..,.,.� ►. .. !; Please take notice that the (check applicable line): New commercial or residential structure m Addition to existing commercial or residential structure Rehabilitation to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable line): %el_m- Truss type construction (TT) Pre-engineered wood construction (PW) ...... _.....­­ _ Timber construction (TC) in the following location(s) (check applicable line): . ba.✓. �.. Floor framing, including girders and beams (F) Roof framing (R) Floor and roof framing (FR) Signature: Name (person submitting this form); . ' Capacity appllicable line): Owner mm mm Owner representative TrussRegl5.docx Effective 1/1/2015 i NYSI New York State Insurance Fund PO Box 66699,Albany,NY 12206 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 832524333 TAKACH&ASSOCIATES INC 112 TERRY ROAD SMITHTOWN NY 11787 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER GGC REMODELING INC TOWN OF SOUTHOLD 77 OHIO AVE TOWN HALL 5309 ROUTE 25 MEDFORD NY 11763 PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12597647-3 731282 09/22/2023 TO 09/22/2024 12/4/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2597647-3, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:IIWWW.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 CARLOS GAITAN SOLE EXECUTIVE OFFICER GGC REMODELING INC 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 STAT SUR NCE FUND 4 - DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 433971975 worl rs' CERTIFICATE OF INSURANCE COVERAGE � rc Compensation Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrie 1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured GGC REMODELING CORP 631-312-4474 77 OHIO AVENUE MEDFORD, NY 11763 1 c.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is specifically limited to or Social Security Number certain locations in New York State,i.e., Wrap-Up Policy) 832524333 2. Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold Town Hall 53095 Route 25 3b.Policy Number of Entity Listed in Box"1a" PO Box 1179 DBL647872 Southold, NY 11971 3c.Policy effective period 09/22/2022 to 09/21/2024 4. Policy provides the following benefits: 91 A.Both disability and paid family leave benefits. E] B.Disability benefits only. E] 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 penatty of perjury„I certify that l 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. (4440�f Date Signed 6/16/2023 By (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title (Richard White Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can 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 4B,4C or 5B have 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(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Sighed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. DB-120.1 (12.21) 1111111,1111° °�������"��������°����!��°"IN111 CERTIFICATE OF LIABILITY INSURANCE °ATE`MM'°D/YYYY) A 12/0412023 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 CDI,F! T Takach&Associates,Inc. FAX Takach&Associates, Inc. PHONE AIC No • 6,3'1 366'2774 fAJC a' _631 366-2739 112 Terry Road Aass csrtalactlinsfarance.cam Smithtown NY 11787 INSURER S AFFORDING COVERAGE NATO# INSURER • Utica First Insurance Com an 15326 INSURED INSURER GGC REMODELING INC INSURER C 77 OHIO AVENUE suR R MEDFORD NY 11763 IN§Y ER • Shelterpoint Life Insurance 81434 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE OLI NUMBER X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE1,0001000 DAMAGE.TO RENTED 5O OOO A CLAIMS-MADE OCCUR X ART3000984870 09/21/2023 09/2112024 ME,D Exp(Anv one erson 5,000 PERSONAL&ADV INJURY 1,000,000 GENLA13GREGATE LIMIT APPLIES PER: GENERALAGGREGATE 2000, 000 X POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG 2 OOO OOO JECT OTHER� COM AUTOMOBILE LIABILITY Or..3INED SINGLE LIMIT $ .sldrxl, ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLA LAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGATE $ T WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOFOPARTNEPJEX'ECUT'IVEE.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? Li N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under JJQN TI N E.L.DISEASE-POLICY LIMIT E NYS DISABILITY&PFL D647872 09/2212023 09/22/2024 NYS LIMITS DESCRIPTION OF OPERATIONS'LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificate Holder is included as additional insured to the fullest extent permitted by law when required by a written executed contract subject to the policy terms and conditions. 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 Town Hall 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold, NY 11971 AUTHORIZED REPRESENTA <MC> TfV ©1988-2015 ACORD CORPORATION. All rights reserved.. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD /7-40—NlkN� NYSIF New York state Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE NA^^^^ 832524333 TAKACH&ASSOCIATES INC 112 TERRY ROAD i SMITHTOWN NY 11787 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER GGC REMODELING INC TOWN OF SOUTHOLD 77 OHIO AVE TOWN HALL 5309 ROUTE 25 MEDFORD NY 11763 PO BOX 1179 SOUTHOLD NY 11971 . POLICY1597 UMBER CERTI F13 2 2 NUMBER POLICY PERIOD, Df� X22/2024"'^ DATE 2/4/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WIT ,THE NEW Y RK STATE I CE FUND UNDER POLICY NO. 2597 647-3, COVERING THE ENTIRE OBLIGATION,.„ OF Tk 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 CARLOS GAITAN SOLE EXECUTIVE OFFICER GGC REMODELING INC 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 STAT SUR ,NCE FUND 4 DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:433971975 DATE(MMIDDIYYYY) a� CERTIFICATE OF LIABILITY INSURANCE 12/0412023 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 .CT Takach&Associates Inc. Takach &Associates,inc. PHONE Air. No 631 366-2774 FAX 631 366-2739 112 Terry Road E-MAIL csr'4 takachin9uraince corn Smithtown NY 11787 INSURERS AFFORDING COVERAGE N-8!9# INSURERA: Utica First Insurance Company 15326 INSURED INSURER B GGC REMODELING INC Ns • 77 OHIO AVENUE N U MEDFORD NY 11763 I E Shelter oint Life Insurance 81434 SUR. ..RF 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 TYPE OF INSURANCE ADDL SUBR' FOLIC UM POLICY EFF POLICY EXPLIE LIMITS 11111 X. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1.000,000 A CLAIMS-MADE OCCUR DAMAGE TO RENTED 50 000 X ART3000984870 09/21/2023 09/21/2024 MED FXP 1ADy oneperson) " 5000 PERS NAL&ADV INJURY $1.000,000 GXCN'L AGC REG TE LIMIT APPLIES PER: ENtRA�L AGGRE AT $ 2,000,000 POLICY�PRO-JECT F-1 LOC PRODUCTS-COMP/OP AGG _j 2,000 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT raazi $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident)-$ AUTOS ONLY -- AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EA H OCCURRENCE EXCESS LIABCLA RELATE IMS MA T WORKERS COMPENSATION PER. OTH- AND EMPLOYERS'LIABILITY I ANY PROPRIETORIPARTNERIEXE UTIVE EEACH ACCIDENT......., OFFICERIMEMBER EXCLUDED? N/A (MandatoryNH E L. ISEASE-,EA EMPLOYEE $ in ) IF yes,describe under w EL_DISEASE-POLICY LIMIT OPSCRIPTION QE QEEWONS tel E NYS DISABILITY&PFL DG47872 09/22/2023 09/22/2024 NYS LIMITS DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is included as additional insured to the fullest extent permitted by law when required by a written execjl"contract subject to the policy terms and conditions. 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 Town Hall 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold,NY 11971 AUTHORIZED REPRESENTATIViox xt �MC> ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NES workers' CERTIFICATE OF INSURANCE COVERAGE r. 5TTT5 torrL sensation Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier 1 a. Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured GGC REMODELING CORP 631-312-4474 77 OHIO AVENUE MEDFORD, NY 11763 1 c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,Wrap-Up Policy) 832524333 2. Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold Town Hall 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" PO Box 1179 DBL647872 Southold, NY 11971 3c.Policy effective period 09/22/2022 to 09/21/2024 4. Policy provides the following benefits: j © 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. g 6/16/2023 Date Signed By (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent ofthat insurance carrier) Telephone Number 516-a29-8100 Name and Title RiChard White Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd. 8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can 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 46,4C or 5B have 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(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. DB-120.1 (12-21) 1111111111°°1°1°1°°1°1°111°°°°°111°1111111 LEGEND CE =CELLARE—An Y°' 400 os✓aw°�nv°nw.an+°rw°S wr rcn:°sa 0.F =MaINtiNKFENCE _ m�.bsi vT.l3w lrn.asi.Tsrawa �,�' GMF =cONpxETE MOPKIMDJTFWNO SITE DATA �����-- Ya^9°^9b^^�°gam^• =cONNETE MONun'�P{TSET AREA=208775R.FT, wg� [p >GONCRETE Pa MEM' ""—"—""""rim c5W :caNG¢ETE STOEWRLK °j Dx� :DRaxNP x ENT �a °ie'me �• E =EDGEOFPAYEMENT o bpi n�ivewx law y�•. 3 q, ON PROPEPiY typE -WOOD fETKE W5F -W000 ST STAT W55 -WOODSraKESF' r s-��v���y_..�.z�r.-�>e•�-----.....---- a =END OF DIREGT2t%J/DISTANCE ' FACTORY AVENUE =i NIA53'2MW NI`g0't0-W ______ 5t7°53'20°E 110.3'. d�M1 3' SDyuy E" s2• , ' a V7- a 3.9Xfn E gv 24nzf` / c cmc 874r/dhc7' ,aF��.MA-rnnv,C ' B a �dLOf -lEflE�H/jC - - Z 11 Iz; 1�'OND p02H/�E` RAY DONER,ARCHITEOTDPkWINGN0: .'s g 'C 3,. ry Y ~ �7!'r•-�'J/ *9�.` __—._r�a�s"e.�.N...."39°56'20"W� %e¢�N182540W "ie `P o60p Off�' ARwCaHtiWIrTa�ECsToUPR�vAsL.PmEsFetaGr y a2 y D?A375 — _L4' ORCH0D AVENUE 4 t, S,AMfTYVILLE,NEW YORK 11 731 REV6iON5: F pF YE`N les1)"1-713 F"(6M)W-1713 EMAt4 RDARCHTMcT9YAHDacw SHOP HE CL-0'5'E MUM EUEMITE IT DEALS TOQ GOOD LASWN A 70 NOW> M MqSear(,-fh Riverhead-South Lowe's Open until 9 PM Prices,Promotions,styles,and availability may vary.Our local stores do not honor online pricing.Prices and availability of products and: Loiw�s° subject to change without notice.Errors will be corrected where discovered,and Lowe's reserves the right to revoke any stated offer and any errors,inaccuracies or omissions including after an order has been submitted. Windows&Doors /Exterior Doors( Patio Doors United Window & Door 72-in x 80-in Low-e Black Vinyl Sliding Universal Double Patio Door Item#50592121 Model#44PD7280REVBLWH 10nited Window&Doo6 • EXCLUSIVE • $998.00 ......... ...... _ .. ...... . ............. . $948.10 when you choose $167/mo suggested ® 5%savings on eligible OR payments with 6 month ' purchases every day. special financing.Learn how Learn how Pay- 12 monthly installments of$90.08 with Lowe's Pay Learn How • Fully-assembled,heavy duty patio sliding door • Onyx"black acrylic coextrusion exterior,Brilliance'"solid white vinyl interior;Will never peel,warp,blister or flake • Reversible;Left or right handing r.'. Pickup Delivery ?.;. Ready within 3 hrs As soon as Today i9 FREE Pickup at Riverhead-South Lowe's ® 2 in Stock Aisle 41 1 Bay ENDCAP BACK Check Other Stores ................... ._........ ...........__ .. ..... ............_.............................................................................. ...... El + Add to Cart .... ......................... ............ Get It Installed Easy&Free Returns Return your new,unused item in-store or ship it back to us free of charge.Learn More Here are some similar items ... nttps://www.Iowes.com/pd/United-Window-Doorl'5013484681 1/15124, 12:49 PM Page 1 of 6 z i El I{ V : .,i JELD-WEN FiniShield V- United Window&Door Pella 150 Series 72-in x JELD-WEN F-4500 72-in x JELD-WEN FiniShield V- RELIABILT 72-in x 80-in 2500 72-in x 80-in Low-... 72-in x 80-in Low-e Blin... 80-in Low-e Argon... 80-in Low-e Primed... 4500 72-in x 80-in Low-... Low-e Argon White Vin.. l'.**'t), 8 -.'.'*-A* 130 'A i1;._ „ ,' 3 -k 'k',t:.':r 1 7T:r w',:r 7,1 12 ****';i 642 $1,61606 $1,39800 51,324.55 52,100'° $2,064.63 $62862 +Add to Cart +Add to Cart +Add to Cart +Add to Cart +Add to Cart +Add to Cart BETTER TOGETHER ® ® Selected Subtotal for(2)items $1,255.36 United Window&Door 72-in x 80-in JELD-WEN V-2500 35-1/2-in x 11-1/2-in Low-e Black Vinyl Sliding Universal x 2-29/32-in Jamb Left-operable Vinyl Double Patio Door Black Sliding Window Full Screen 5998.00 $257.36 Overview A United Window and Door in-stock and special order products offer exceptional value by combining quality materials with innovative design and advanced technology. • Fully-assembled,heavy duty patio sliding door • Onyx"black acrylic coextrusion exterior,Brilliance'"solid white vinyl interior;Will never peel,warp,blister or flake • Reversible;Left or right handing • Low-E double pane glass for increased efficiency o Dual corrosion resistant rollers allow for smooth and effortless operation • Features fusion welded corners and a DP-50 structural rating • Hardware included(black exterior,white interior) • Proudly made in the USA and backed by a Lifetime,non-prorated warranty https://v4w,,v.lowes.com/polUnited-Window-Door/5013484681 1/15/24, 12:49 PM Page 2 of 6 Features 0 Brickmould Included i No Handle(s)Included Yes Collection Name I N/A— Hardware Finish Black I _ CoIcr/FinishFamily Black— �— — i IntericrColoNFinish i White ....._............................................................................._......_......................... ....................__..__...................._.........._............_....._.........._.......: Configuration Double door 1 Locking System Included No �._....._. I 11` Core Type Hollow care Lockset Bore No __ ....................... ......._........._...................... I............... ...... . ......... . Door Type I Sliding , Lowe's Exclusive Yes i Exterior Color/Finish ! Black Material Vinyl Glass Insulation Low-E Pet Door Included No — —— — - `...................................... .........................................................................�— ...................................._........_..._._...................... Glass Strength Double strength Screen Included No Glass Style Clear glass solar Heat Gain Coefficient 0.27 1 (SHGC) j .................................._.. .._..........._._..._......__................... ....... ., Handing Universal reversible--------.— WeatherstrlppingIncludedYes Handle Finish f Black Wood Species #I NIA C? Certifications CA Residents:Prop 65 I No ENERGY STAR Certified No Woming(s) _ South/Central Zone _ 1 ENERGY STAR Certified No ENERGY STAR Certified No North/Central Zone I Southern Zone ENERGY STAR Certified No U Value 0.28 Northam Zone miscellaneous UNSPSC 30171500 Compare Reviews 6 .. Community Q & A ...... . .... ......... .... ............... ...... . ...... .......... ............................ . . .................... ...... .. https://wwv, lowes.comipdiLJnited-Windrw-Door/5013484681 1/15/24, 1249 PM Page 4 of 6 rp Warranty Guide PDF fp Installation Manual PDF rp HowTo Manual PDF fp Energy Guide PDF _ Specifications (TDimensions Actual Depth(inches) 5.0625 Jamb Depth 4.8125 _._......._...__............................._.._............................ -............--- ................ ............................._._........................._............. ........ Actual Height(Inches) 79.5 v W Jamb Depth Measurement 4-9/16-in Actual Width pnches) 71.5 Rough Opening Height(Inches) 80 I Common Size(W x H) I 72-in x 80-in Rough Opening Width(Inches) i 72 Common Width(Inches) :. :- :� 72 ''-Vtleight(lbs.) 168 https://w,,vw.[owes.com/pd/United-Window-Door/5013484681 1/15,124, 12:49 PM Page 3 of 6 o ' $444.00' • $421.80 when you choose $74/mo suggested payments ® ® 5%savings on eligible OR with 6 month special purchases every day. financing.Darn how • Learn how 41 P 12 monthly installments of$40.08 with Lowe's Pay Learn How • Onyx black acrylic coextrusion delivers the most durable black finish in vinyl windows to date;Will never peel,warp,blister or flake • Low-E and Argon gas filled double pane glass for increased efficiency ' • Fully welded frame and sashes;Both top and bottom sashes open for ventilation and tilt in for easy cleaning Exterior Color/Finish.Black r. $444.00 Actual Size(W x H):35-1/2-in x 53-1/2-in J 35-1/2-in x 53-1/2-in Pickup Delivery ® Available Nearby Unavailable- wix iq Out of Stock at Riverhead-South Lowe's ® 3 in Stock at Milford Lowe's(27.5)miles Check Other Stores E T Photos do not represent actual product dimensions.Refer instead to A Product Specifications.Colors shown may differ slightly from actual product due to variance in user displays. Get It Installed Easy&Free Returns Return your new,unused item in-store or ship it back to us free of charge.Learn More .... .......................... .._... ..__...................... Here are some similar items ... https://www.lowes.com/pd/United-Windo:+i-Door/5013767177 11115124, 1254 PM Page 2 of 4 JELD-WEN V-2500 New Pella 150 Series New Construction 35-1/2-in... Construction 35-1/2-in... ru;t 4 tv:3" 37 $851.45 $509.09 +Add to Cart -I-Add to Cart Overview A United Window and Door in-stock and special order products offer exceptional value by combining quality materials with innovative design and advanced technology. • Onyx black acrylic coextrusion delivers the most durable black finish in vinyl windows to date;Will never peel,warp,blister or flake • Low-E and Argon gas filled double pane glass for increased efficiency • Fully welded frame and sashes;Both top and bottom sashes open for ventilation and tilt in for easy cleaning e Onyx black acrylic coextrusion exterior,white vinyl interior • Corrosion resistant,Teflon coated,stainless steel constant force balance system allows for smooth and effortless operation • A weather-tight true sloped sill repels water better than less advanced drainage systems • Nite locks provide added security to your home by preventing windows from being opened more than 2 inches • Full screen made of a dark fiberglass mesh,allows for ventilation and maximizes visibility while keeping insects out • Manufactured exclusively for Lowe's,proudly made in the USA and backed by a Lifetime,non-prorated warranty rQ Warranty Guide PDF rQ Energy Guide PDF rQ installation Manual PDF Specifications Compare Reviews a. 6 v Community Q &A RELATED SEARCHES iutps:/jwww.lov4es.com,ipd/United-Windo,.+;-Door/5013767177 1/15/24, 1254 PM Page 3 of 4 ' $464.00' • • $440.80 when you choose $78/mo suggested payments • ® 5%savings on eligible OR with 6 month special purchases every day. financing.Learn how • Learn how • P 12 monthly installments of$41.88 with Lowe's Pay Learn How • • Onyx black acrylic coextrusion delivers the most durable black finish in vinyl windows to date;Will never peel,warp,blister or flake • Low-E and Argon gas filled double pane glass for increased efficiency • Fully welded frame and sashes;Both top and bottom sashes open for ventilation and tilt in for easy cleaning Exterior Color/Finish:Black $464.00 0,—1.`ai';.:. Actual Size(W x H):35-1/2-in x 59-1/2-in 35-11 /2-in x 59-1/2-in Pickup Delivery Available Nearby Unavailable Out of Stock at Riverhead-South Lowe's ® 11 in Stock at Milford Lowe's(27.5)miles check Other Stares Ell + Add to Cart Photos do not represent actual product dimensions.Refer instead to A Product Specifications.Colors shown may differ slightly from actual product due to variance in user displays. Get It Installed Easy&Free Returns Return your new,unused item in-store or ship it back to us free of charge.Learn More _...._...._...........- ....... ............................ _ . ................ ................_...... . Here are some similar items ... https://www.lowes.com/pd/United-Window-Door/5013767193 1115124, 12:55 PM Page 2 of 4 Pella 150 Series New Pella 150 Series New Pella 150 Series New United Window&Door Construction 35-1/2-in... Construction 35-1/2-in... Construction 35-1/2-in... PRO Series New... ***V* 37 ** S*Y:: 80 14 $50909 $479'1 $56939 $419.00 +Add to Cart +Add to Cart +Add to Cart +Add to Cart Overview United Window and Door in-stock and special order products offer exceptional value by combining quality materials with innovative design and advanced technology. • Onyx black acrylic coextrusion delivers the most durable black finish in vinyl windows to date;Will never peel,warp,blister or flake • Low-E and Argon gas filled double pane glass for increased efficiency • Fully welded frame and sashes;Both top and bottom sashes open for ventilation and tilt in for easy cleaning o Onyx black acrylic coextrusion exterior,white vinyl interior • Corrosion resistant,Teflon coated,stainless steel constant force balance system allows for smooth and effortless operation • A weather-tight true sloped sill repels water better than less advanced drainage systems • Nite locks provide added security to your home by preventing windows from being opened more than 2 inches • Full screen made of a dark fiberglass mesh,allows for ventilation and maximizes visibility while keeping insects out • Manufactured exclusively for Lowe's,proudly made in the USA and backed by a Lifetime,non-prorated warranty r� Warranty Guide PDF rp Energy Guide PDF fp Installation Manual PDF Specifications Compare V Reviews 6 Community Q &A RELATED SEARCHES https:ll/w,,vv,,.Iowes.com,lpd,'United-Windov:-Door/50137G7193 1/15/24, 12:55 PM Page 3 of 4 OCT 2®23 . ° " • m, Dec It m e b • Low E Low E Surface 4 Surface 2 g.k ti�� �rn/moi ra ®Northern -" ONorth-Central ' f'i South-Central ■Southern "u. Low E,or low emissivity energy-effcient windows,have a thin k 4 Double transparent coating that reflects heat and UV light keeping the `t; '•'.' Paned - _ Glass temperature in your home comfortable.Our double pane windows contain Lo-E coatings in various configurations;optimized for your designated climate zone.Optional,heavier-than-air argon gas must also be Included to meet Energy Star requirements. Nor#h'Central South Central PreviousUpdate PreviousUpdate PreviousUpdate Previous •• Low-E3 Low-E2 Low-E2 Solar Low-E2 Salar !t. y 11�. �: '-U=F% "SHGG• U=F .. -SHG .U=F-�;'�fi.SHGG:% +��U=F�,'`�FSHGC:� ��U-F, ==SHGG U- SHGG ;� _ s s 23: '4• s0 25 'x0.40 2 20.17" 50. 0 : . y.. z� 35 2 0. 2 '0. 32'= 0. 3 0. 8 - ti,: 20.35 U-2 0 24 - i - 4 I. 2 U. 0 .<0 - T l' 0.26 z0"0 E7=Energy Star(version 7) W-F=U-Factor "SHGC=Solar Heat Gain Coefficient F.rUNITED window & door fNF1 Understanding, the New NFRC label N'X,0'7WFer,3SV8W ' piOGrlg CS'i(d'AiO U-Factor(UF) Solar Heat Gain Coefficient(SHGC) A rating based on how much heat is A rating based on how much heat from the sun is blocked.The allowed to transfer through the product. lower the SHGC,the more a product is blocking solar heat gain. The lower the U-factor,the less heat Blocking solar heat gain is particularly important during the transfer occurs through a product.LI-factor summer cooling season in hot Southern climates.By contrast, is particularly important during the winter people in Northern climates may want solar heat gain during the heating season in colder climates. cold winter months to lessen the cost of heating the home. ENERGY STARI Certified in Highlighted Regions T" �t` Better in ~•`r``' s«°!i r. ��i'.,a�: —Jy � lthelRla,}ti` 't:•e'=xC�,t{' r �V Zone..""`. III Certified O vine ■ �N' ! ED "i_,OYJefj�.':`:i. ".a9Y'=aYE:y�✓; h }ssra4i% r' ..,.:•::`- w I d i d o o --s;" :: g 1er4n' .' CPO#ICPO Number) c:.rfia. ;Soutlj hern+s K; Casa:>• Min Cow speciti.ell.n.i ,. �, tWintlow DpeeRioatlonal ?e>n+���-,;� ;z? 0 2 , MANCE ENERGY PERF ,>.• ga 0 CF.RATINGS �- <yy ���'+ '•` U—Factor solar Halt Gain coefficient ';.':`0•�'i. ;0.25 S^-�+'.�', Ill-Sial tu.s.11Pl _ ADDITIONAL PERFORMANCE RATINGS `'=�,5"• + "`�" •Visible'IranSmi 1 .''`; �;`. +,•. trance;l; Air I-eakaGe{t1.St1-P) AIR L u 0.65 C 0.3 tn =' ;tMemi ur," ecvlim�n 1402, ISI Ororrtrn�deneM •LD 4. im4c prrbn a..pFXC rL'rpmM-rc::pd t4oRmdrdd cTuenmotll mu@uande rpdseceslr�.IDxcdanamnuaa.r�wwadulmrawrwRrwaanihmam I ;. k :S} - paOzitrj arq aprtlb m,beta tltaAmrh��r>�tw aeulpdeA p+4¢ara fatameen, >,. - r /•� ® CeHitir.-ation No:NI 075304-02 !t rr Hl e! United Window a Veor Mt0 ° ":y}4���,t ■ "don^5800-9901)"Vinvl µis 8etferfl< c i." %'yak:s:P; i�.`a.'�s• 5�� Double Hung Window . � � � �'�• rwc a Caunoma.u..a. 4.;y 1: ,L,�;.•2 r*.L«>ui9�m.. I VV +wfo..n'"m.w,eem. a' t`"''�' ;lig 3:ti'• =r BTANOARtD a^RA-Ir t, �. '-1'{'r .�•.r �e;g�." .or a, -, Pon Orndc +OP Ct."R—P635 50 50 .,+�.,.',••.,+h. ��<<°�x+ , Aa^��_sm RHAN1.:Rrin.l"r, I � Lower t CumRtlai o1M 110DlW Durlarrn Hl IS i� er },' ------------ - ,� " h 6 u.+saromaalswea NFRC ' '.�•' � �'° /s7h1;'.! N ,urrm Visible Light Air Leakage Tran—c Mission (VLT) A rating based on how much air will enter a room A rating based on how much visible thru the product.Lower number,the lower the light comes through a product. potential for a draft. The higher the VTL,the higher the potential for day lighting. . UNITED window & door GENET ALNOTES: . Qu •t ! 'I FOTT E IYtAtVIF°S11A4T.L'ECN PREVAR BY IEt - _ _ I IYtOFkSSNtNAL 1(:U01.!SM.U[E IV CpS!PL[AtiCE WITII{TIIER7CI20R ULMhSL CHE O 60�JEI OnWUYOR"IONEE R7�1Ojµj+1DC ON Ci[I MIA •`T..;7.1 Nalllnd Bched.lu - DE IN ACCLNtI1,ttJCC\p!RI l rIE A61fe1C/tli ROOD COUNCIL WOOD Fh,V1E COKSI ItOrTION\LWUAL FpR O:1E&T51'O FMItL)' ,•�, - rw,rel N•,.br el Ir6r/•+ r'� MNr Mwklhn' - _ ,wwvrhw b.Ndl l- �N.PSredn! 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LDC IIESI-FlPt07 Olt BETTER.FV-7orS1,rD-370 FSI,E-1.100 n7 PSI..ALLSAWN BEML^. rMMa1N1••laaa•i4 • --. /� HEALTNCn Or(SL•GIRnER$4"N066NAL,SIrALLDECO±.r r:R-L.A3CK02,FV-[3 PSI,PR-821 PSI,E-1,401000 PSL PARACENT Tpvvts,irm.••+v+a,.+-+••1 !"•�i17y t"'`"a3t4 '°°°�"t Tale A-3.8 Rldfe Tono)on Strap Connection Rnqutremenlrt fo[ Exposure 9 - u� _ 5LAI3 ON•GRADE - UESWN CRtTsl_ALL TJ Da A PSI,T V-y93 PSL F-I,0v0,v5n.?XCROLLAMS A PAIEAILU!S Sl!ALL BE'TPUS-JOIST'HACMILL N OR FgLIAL .� .m.wn.rMra.•-0••aeilkl rxd y,u ae :lYlna Ja/f/$ /t/o��fGa��' 'jC� ( i (Y)C;(RIi7'};S14BRFt�FORCFDtVrG63010�7�1.DFp�11RF,F(HRLCO`FR ( '!J'1°tlrn;TquEnlNAcc°rDANCEW176a1ANUrgettlREe3srfc,regnnlI.cADc7a:s. nra•yV•n,v^•A. - pr+sc•Inlhonit ral{YntaToh!c3b1 773- 6Ai1LVAP BARRIER 01CONIPArTEDF11.r-A_T_CARAGF-,PITCH 4-TO 9 A.AlLRou6ifrRA)JFNOaiirfn-hs3nuLBEFR . :'lY':`:•:,ifec.r cv':'H,I,;....n;4i.1,.'i:. _ '1'�'I'y.-'-r`� _ -_ _ i A11t:D,ANCIIOREDA BP,ACEO SO AS TO DF.VELCP771E S7Rr1J6T11,R1OIbtTS'& ovFRUFAnnoOR. - - L tMClitlll'r{7RT1IErURrt!sSIN'MUCFf1:LYARLUSCD.NAi'NOCUNNE(TNTNSSI€ACED 'W• tu.cr,ar » p•-_'a�. it,l-1, - . Land Asctmpt(anl:Anel/Crf:ng Assem'1y0.=15 pa( -_ - !_ ` --- - -- ( - SCF!EOtq,L+,T,tDIE./l Or'111E tNTCI./xOIe EDITION- ER•tACCI1:tOANCE WITH NARINO :..r..an.•r,.lrau..,.•, ._ia.n✓,.w.r iq,w.rm,rarri O .._ . •r""' M,M w n.•1Muvn .nrr..w,.;.t..,,,h4,:.:.,.rm',r rnr'Nls:... rs..pr.r.rs ,.rr.N nuE.v,.? yy ',Ly,va„"rp niy ••••-vr rr amrrdra+Ee+w•u•epYd.r ..rn-.ra>. 1• - ... L All.SYRUC n1RAL STECI.CO1Ngr 7 tO11S SUAL•-.Hr•SIaU•SnN' ':�, • r•„•m•'u,•ArhermmY,',•,-,m,,,,,,t,r„y,,,-,•jyia,4p-irei•eh,H3L,nmA,i.«-i•,i`.,Mr• b•rr:•i " ■.mMr•l et earn,+w•b•••ttrp•NthNp,A,+1.1 f[Jt•n.•a'"••�"' . __. - - - _ i ll\!V Af:D.:1R FQI:AI_ en. . n,- r,at:rl•a:,. i • i f 1 . 7 - 3 ] . 2 G�/� - � � � a WoonlNcoMAc7 n^nI - r COYCREIETO RE ACQ TREA L.J I:Ja;O^R NSTALLTEP,A1tTE SRIEL.D R'ITIE A POLY DAI I@R 110T-Ulr .,W17.LD OR S7 AIN(SSSSI:ify Fg31'iNEI!S _�� ._ � .nrn.i/xMeT/lr••N _ � u •1 1 1 ( x f �[ •�..I..) .. 5•.tnrrli•u T =.:`^ ai•S�Sj i 'i�•••1 �.?Ta",E jlf`i ';:�+'!'Il 'T`48J;;�Itc.+,N,',n,l �,)! > (,•-� < ( it +.INSrALLrIRr.BLOCKINGAI ALLARC%ta"QL"FOASPLRSECI'roN 1302»ivml nllCBr c n/.•- usa,•n..-h�,,:[ eu ./i,:�.•:f. r,l;{s. 1,l�� irh• 1 eTi; q�,-'•�:•^.,t± 1h ,yr!•If a]iP•tueTnysV'I-•0 - - '$r. }�Lr. trv' 113112 ILL C KMORIATFItI,\lSASSPEs'IrICDINSCC. eer•hw•Arr4 , ilva•n - lape'.a ".h•f l+•e:a ✓_. _,.;l.�lf".1.•_, 11'r' Zs:s,.., ! ] ../ :1•:J?s`/�: - I `I 4 �q tit,1NSTAl LK?JD:IINC;BETWI,EN RINTC,MAX 7'.0"O.C. n!l.wl;-'S r,=k'.1`S:NS:•':I:•-�•..rAY"7 IDcii rA•l-:.•,.,r::V 1.`.";'-.."::�.!.:F•�,r.i:r� 1 x f 7 ) 'A S i 7 L • MI6.W!II:RF.CEIL'hG1015T3 APE PER?Et:DICI,?JSR TO IIAF;ERS rROVIOF-a?FTAL57ItAp .'• .,pt r,h,/ts•,e4 c_, _ anr,.o:•,r ).a r.gee lr_7r_a T'i- ?4ti:,4:7:#;•frr; Tit, _ '.f. rt;. f-.;.. !, (' i:l,Y - � n POCKING. AS,UD :.,-:�• :.; 'C,s. _ dpi-• , • "i i f �Y;.t k.l.,rR.•f,.(}i v / 5 f�sy 1 a TIES(r¢,e O.C.ACR(LSS3JOISTSrr1Cl�S ...-. 'X• ,;._"l.:n:3��� 1. rs3i€.:,:•u�Lai.:::2,6 i•rLa' .L>.'�'C; �y d o ` jC(o 1 ! - Twhta 3.2D-,Bottom Mete to Foendwllon Conneellone(Anchor _ ) ,;jppsiSQQ » a 3 ! 3 r a i T� - �.-•,�, 31.ALL WORK DURING CONSTRUcTICN WDETTEER LSTR!C L.'OR morosEU,sHAL-L DE DRAG=D&SECURE[)BY CONTRACTORTO II • Holts)11.•1.15-9 Lotaral cad Sheer Le■d■from Wlnd _ - ]s 1 - } i a i - s s G 7 ■ Ia and C N 1 1 1 1 t c 1•IIF,VFNT DAA(AGL'OR CCIL.PSE TO SAID 5 TRUL1 (IYaarlptive Altemnliv-to Tna'e 3Z) - _ � V `� •G• ` �+x;r,^. , 1:.i. i'7T,^-,?r'',i-3;I.t, '<rr, .-yt - t ONT1uCTOR Si1ALL CIICCK Ar YEW FY ALL DIbiCNQONs&CONDITIONS AT TIICJOD S ITE,TUE OWNEti&/OR '� 1�1� iii•c•- ,rc=•'� art)i'°r'r'd N; ;fr;'�I: 'L�S'.c:r:,.i"::jiiti;�'!",: �y 8 , rp/>p„Ymbac.ne olwnesr«dr , •- t''-' .!sPl,'.[.'��r - I'' �t"' ! lea, 7•,, 2` DUILDER,a1tE - '( ii'lu - jt,. >,1. y }..t! �}(4t ¢ESFONSI6I.F.FOR VCWFYINC ALLSITE&SOILCONUR[ON3AOOVF.&DELUlYPWORTO ALLCONSTRU�tON. _ Ini.Lc.n" :=L:sl :'a.. 1.Llr:•J.S:.:.:ln. _.a1s.::'Fii''r._R,.a> 1 1 f ,sRCBtTF.L7 RFCp\!11°h U5 7[uT RUILD/.•1C,STRUf.T17RF.DECKS,►ORCBFS,ADDLT7ONS&pOOL LOCAT)tsv3 DE VERIFIED DY A . M,ir.-nMdnr■ell _ ' Anah•rld3 ol.mr.P+I spr:n7 VMvA• - - , N _.--.- _ RL6R: ,FOR J)INCWITB[fJ.^.$7NLC1'ION --..__..._ • ' ,•"lI ,Y]�° ) I I t ]�-ill ...yIPPVSFDSLRVEYOR FOR rRUPF. SLfi1r5CE W:OLI YfS RT EPROCL'F : ,r,•-, ' n Toblo 3.9A 'Rafter/Cellln?;Jot+t H-1 Joint Connnnllan Rnqulrombnla - - Q I 'T ne;rdrtl..n•,n,6•b..,d-,n.„>a:;•rar.w.ta. - ormsrlu!tm Al:amm',-to Table 3.B` _ 3 I i w,we.vd••r„rm beu,.demrtwat innr,w.err•e.dsn.e.an,:m.ocr,o.l.,e:.n.oru:..r„m r..rra 1 sev!u.e teN ero:u,dsnoN t>.a p S ��//�[ 7�/� �l��Vi��N i, � rCRtFY ALL DSfpE°]StON3-ALL RRITTEN DIU-tN<_ION57.V(E PRCCEDENCCOVER SCALt:U DRASVINCA IL3lupr ofM•rrMbtN pWu trap'ml+,d,{T•!Na]Op{>trnlrna,en,l,•d•1',b!d,.101..\,6>..endw 17 - - p,l Iopd sl„I \ W/'-('` I, , 'tL NO PART OFT![GSC ARCW7C(,7l!D,\LUR,aaV7NO551IA2J,BL1[EPA000CED OR ALTHRLU 55TfiIOf1T 5VW7TFJt PFJt611SS10N BY it �( / °7 ILA DOYLIL ARCII[rLR,TBiSL DRATYINOR A nOCUNJENTS 577711711E UNDERLYING O%% r NAlI/E&ADDRESS ACT ASA lc pd { ( ICCAL&D1NDUiCCONITACT DEIIVIT TREOWNER&ARCRITECr.UYAUf[tOWZEDAI,TERATIOIISORADDrTTONSTOTIt65E � .y Rarr,2_n(In (�)xxlz QR I ` lrR.57lTNC9&DOCUAtEMT515 Aa70LATlON OFTHE NYS EDL'CA7IUN GW.COPIES OFTI[ESF DpCU6IEYT3 NOT DGSRINOTIIE hnlll,)Yl6ie,»4«:Nn,.7.5.]m4311I. TaLle 3.29 eat or Bottom Plele to Fuundwllnn c-or-lion. » 13 a Il ac x u fs u u is ]s , Ei:.posure g� - .(Anehor 8.111)RudDaU-0 Uplift Loed■from W(nA n+n•-s.'•n: `'N•.•b,dN,pEpN)tdl'r„Ilerp Na.NrA•!Ir pn 11e,11i Mfer,nptb,i�''x' - ���'�(/��(�'/Z` L✓L-[f _ (RIeSiT'plhe A:IpTJ11lY010 Teh10_4.01 -_-_ J s[,S.KI*,1 _ -I1r777 ' `/L rO, ``' Q AHCI7[rECT3 OdIG1YAL STA7.AND e1GNATCRE S1Lll.L NOT OF.USED IN A.'ry WAY, ,...��•�q - J7f{ -SI , f ■ 3 _f , 1Mw WCaP!•dn n"r!I"`:IT:•) 3N1 ss )x 1>O uq u.•I In ]le ni ur:1 .. td i A 10 i ■ » 7111 {n rr,ar-Itae lr l,uMn',s AntAn Ila° fe:st•drtNrml.r M:,'-,n Ma rren',+-r 1'n I•d ,11� 3 . i l f 7 - f 'T 10 S , 11 I ,�e SO O��V 1j :•. ie.`.Mn•Mrni•.hnnr {p 1. M_, ld ) S e ) i 6 f- G 13 a -_�•.-... '31 ) I a , . i 7 f l �. 1 �» • (J-FJ/ .d t 1•t 3.1 Na'!, , rl ST „ Js , „ )- 1 f , : - 1 4 7 » S , uPD7W4 1•+r ;•�' l7 11. 55 SI _ ... j3 ! 6- i f ■ ' �rtJ iQ �(!(./�� /6�3r' _ rl - _•• Ya-eJ)nL , ■ 4 1 la 3-is<Z ____- ac•�• lI r. ^i [o__{]_J,n_a]-.'. s G s .s , Al of TaDt.A•3.4 Ilpllft Strap ve an-anon 11wgdlreengnl■(n.6140-to•Woll," E,x'posufe C, lx� 1 7 i 7 :!s 7 a i a ) 1 f s • ,,•.•'I' IF •I f a f l_ 'd ) , 1 S' ) a c Ylatbto-1Vo11,end Wall-f-Fmindelloq) ••.I= fllu - - - (Prescl!rW,Attpm■tfm to Tel:'-I'll _-._ _ _. O -.--. - 8 n v R EL Cnod Loa'J AsesmptlarxRn_ot/Co?irg AedhrL'y71-15 F6( (' 7a61r 3111 Rnof Shaalhtn9 AH.chrnent11oqulrem.nb f.r Wlnd - -- - _ -- _ _ I'�„p r..a-_ posure' �C'L: �"4U/f�/-�r �L /■r �� f E ` le3yr.W.nl fr«! 1M; Lead- In- '110; I» In Im :i{0 1:0 til 113 I"1 - )•�)L r l /���/ - ,,,_ �•�� .� I . Au-nbrr•IEd[nn„rnei'rp)tf]">llrltl " _.. • _ -' �.,,MI fPn1'1 M1 L 4dFrd of TilPriop,eSmP-__ ,•T, -^-- »+n.algid fve.J l+wwdl•n l+rMl •»rn' :iS l)e 141 I•A .-.I l] D. D. »1 'i Cl;TITF E / [Srr.Ue[)sat`Irt'Ir'E i [ r E i [•, �'- _._-.. 69 f[ 1 I � 1 7 1 2]c• ]fry ' •T� apY° n,ltr Imo - sn<nrn,r - 3�'3 � [ r s[r.u,.,.wrtsp.rsr!•r■ac.....n N,u.plod[p A•a.pa,L.rl' I O � , •8r � rr 1( .. �'<'`.? d lwr•n Ic ,ht'd;. 51•;3,'i,.J:':h':r='!3,;:•JIF '6;. .j jo, i"a l'W:':�: !;, , ,GIJ•'+�) 1 ,r:,...,i: v_,; 4. i-•[»•)lu„.I�.1%-)t s... "A a-npa I:,-jj, �$.(��': D. .aj'•'JA I.�c',::'LIk:L)•L�a- �.a:,,•idl.Ott:-wJ._lk'is_�'r!_...5'-ifcr_n,.l...,:'Tr i i I ] i u • 1 f + I3 1 . f » E 1€ c 1t b » a 11 i 13 f 17 c S3 , {I • -� ----�� IT g R E;:'CpOSllre'tI( __' Erl 4 is a I3 [ D c 1) i 11 f » i 11 i » i M b D f 31,( Fail to 341 Raf)ar end/or Collin Joist to To Plato Later.l and- » c » c „ s D c Si c r xI c n c s s s a ehoaT Cannectlon Raqulrem■nt■ - -'jl - c_ll s n s-t; s » s u c s i s a ti f i}; - -1 (Pr-_SnlpDro AftemaYI.to 70_'In E41 __ _ �' N e »a u e n e-» f c s s e s ■ i i s a'M a 33 f f i 6 f a f f E'a / -. t,rinm.rt,rl"e I ,19.3-. L 11 [ Ile G i i i { f p 1 d t.A i / [ !1 ` 1 5} _ �.•i _ - 7J9-Yr.KT•d SpOrd 110; ifb' �1I0: Ill .11D !SL 1[E; 11a I,O. 14S - !-reevtld ac-r1.^r hf -- O.n6[rd+•,Il n,r.p O-rf e 6 a G a_ i i , t s•Ilnrte'rn{la',l Wil Au„S:,al■e[ep•n:e N•n<N lnd,•A N3Yejlornded; F•Sr T,rn,ala upror' D 't/�� _ - Irol,:a m..a .i ■ s a c ! .t r, s y I - r-d(N[.nlouoruo r,p rlA.x watt;''' I ,.l.n.. •4] S P� r fpednelnJ ■edubsdln[rrh A•11• _ -__- - _�__,_, 4 - ! l •a 1 ; I ] s f 1 ---Wail SloatlslnA•Land Cl.ddlnd ANnnhm.nt EJ(�O$(Lr@C _ O - I/`�r •J1/! __-___ /6 oaa _ ' �� a 7 7 3 ft, io x .7 1 .-7 .a ) `? Twblo 3.11 ■ 7 - F 1 '3 3 3 i -3 3 3 Ro9'+lr amnnls for Wind Loads' r_ `'..., -_.___,.__•._.*.... .,.._._- j_IC"_.�-:._. 7a,..rrs,dsrnd)-..,.,.ee,nin•Id sue• an 'n:j m 3u lsi ),q m ue m'> Tnb1a 3.46 8he1r Walls RnslsUnp,Uplift end Shen E'`'(pOsllr@ Bj - : (IVe■crtptive Altemativd to7aMe34) - a l r t r -+ Nr1mv„Nd 1pedq Mld rsr-,•n rr^,•r 102 ip N,M{],d,eai.:l". 7L fir.tJIr.A Steell-le:or�nt(mPll]��G[ =ISl2( n L W0 zr-'7,L16C 170 SG7 193 ,Nrl+ri e•mt°.,' r -- --- - -- ___-_- _ - _ _ n fa,h,r.•d Wood f3nAluul PenelSMer VAn - •• if a » f » iH11 Pinel NaRM6 Mvslrsm pool Spm(It] un1- i » a shomm-L fanrWv= Rear pr Sine" 7h!:knpl .-N•alvi Nal'! 11� -� . . 'D ad Co.mgn i° .3 36' 3I I4 32 -- - er 1 _ _ ,. - c If171•F1Ywood iseal11 l•prr;ri - wlrt,ipeder of 6 35 32 74 12 �.�'• - / /� T-. �I+"-1• lt�.J '�ei C�' ve"ipett"I'" 2' -4 35 30 36 36 36 37 2L IO 16 ,7 pro,berinl: 72'Peld saeAnL _ - - - -- G?9_,09: 3 3f. 36 3fi 36 3S37 -____ - l _ 3.2.O Sp. [at Connecllon, 2�8 TYPICAL - 2,6.1 R1r1gP Connection Requirements .eCT10N RIBI Rldg,connrclim.Ih■Il b;in F.rImd nr-will; - : DESIGN CnITERIA RfDCE REA S1. l�grti¢menl Riven in T I'k 3.6.rrezrTtive nlufione _ , '- ;lid.aha Pre ovir@d In T.blc A-3.6:VIII-P r°d e 'As'.nic!.f R?-I:.I Apilhat!un.Bm!�rgd,-d slronpa,u,3 ppsm (o•. 3 116 M A - Ia.4pRf.tNiartnlLT 'oTlnan c.1fJC L.AW TA■tC n4it.,.tl :*.c:r!,i1:Y,�be roa5:mrlry'10]>feh aupx'rl a!1 Ineds, RAFTER IBnpf ore useA,t!:ey'>tlalt aDbeh to opposing ra,^,:rs, - ��"-'--'--"'- In9aundevna^-• t t pneoVPAratc I.AoaF'Aq NO usd o,°Lcn' nice-or ratmm�voeU•hrE^'>u• i-rl:d7_Fdrto la .,i rt loads,mcf la�dr,aced loads,rnuW - • .» Rudy,wirJ h)]dz ani uilmir lor_'s ns presttibPd by Ib°s o COLLARTTEa - £XL'F.T'TIO.`I:Ridge strips ere not req.!rrd Ur.1+Iv41a5'•rLlu wllbLl afrad;...; - _ 'teRn Yn"Fe .. , n:e,or n,rUraS rows ex'c.Tie ci•as Ilion of b 'Jings'ap!lInclres{n aax_ rvhcn eolht 1io(wild:Lenme)of n-mino[1x6 er UB5RGtrr.n:.rahCrs:ad n:•;i+;I =v rn•ma.re•.a: d]r,:With the prLvisiars mr i.:is cede shit.:cult iu■systrm t 2,4 Nmbrxare loaned in the oppei lhhd a!Out �I t!•r treb,rte•nt"nt.v u.•rr+...'i+p*ee 1•In 7v cJ,,,,lr,l..,oat _ s Nuc„- Cat pmvidel a m rF!rY II path 1Snl e1tN,the ttquire- - _ -- .1110 epar a$ad alt-Ilei)to P.R.'s id aCCardartee n f 9rlm+in(enr 2l)rnl drhl• Imo - I supni=r .p)1v'nl<u raa J-il 1.•.r+ nxats for the"It,-hof MZ from(heir prim cI crigirt w1:h TnhJr(436. n:ror h 19e ioadarssd:,, ^_mento to 1':e lomldcdan.Bn::A. _ CL_Gr>pa I..' r 9:-7rtr:ern rt,c..I(t1W,•a CCI'' S.l'a7 ... - oriord c•nG rG ! 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