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HomeMy WebLinkAbout35134-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34130 I~te: 12/10/09 /~{IS CERTIFIES that the building ALTERATIONS TO BASEMENT Location of Property: 11900 SOUNDVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 54 Block 6 Lot 17 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 2009 pursuant to which Building Permit NO. 35134-Z dated NOVEMBER 6, 2009 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 ALTER BASEMENT TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL W & MARYANN GENSLER ( OWNER ) of the aforesaid building. SuFMOLK C~)~DEPAR~NT OF }~AL~{A~PRO~kL N/A ELRt-i-~IC~kL C]~RTIFIC3%~ NO. 131515C 12/04/09 PL~E~S C]~RTIFIC3kTION DA'r~u3 N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD -~ ~or ne~ b~fl~ or new n~e. 1. F~ ~ey of pmp~ wi~ a~te l~fion of ~1 buil~g~, pm~ t~es~ ~d ~usua~ 2. F~ ~pm~ ~m H~I~ Dept. of water ~upply ~d sew~ge~sposal (8-9 fora). .3. ~pmv~ of el~ffie~ ~mll~on ~m Bo~ of F~ Hnde~fitem 4. Sw0m ,~mm~ ~m plumb~ ~ffi~g ~m ~e ~older ~ ~ ~y~tem con~ Ires ~n ~10 of 1% lind. 5. Commemi~ b~l~g, ~d~ffi~ b~l~g, m~t~le ~iden~ ~d s~ b~l~ng, ~d ~lafiom, a ~fimte .Of Code.Compli~ce~m ~t~.or eng~r ~on~ible f~ ~e buil~g. 6. Submit Planning Bo~d Appro~ of eomplet~ rite pl~ r~ui~menm. "B. For e~ng b~lding~ ~dor m April 9~ 1957) non-eonfomi~ ns~, 0r b~d~g~ and ~pr~x[,ting" land n,e~: 1. 'Aee~e S~ey of prope~y showing ~I prop~y lin~, s~ts, building ~d ~usu~ na~ or to~phic ' ' fmtu~s. 2. A properly ~let~ application ~d consent to insp~t ai~ by the ~pli~t. If a Ce~ificate of Occup~cy deffi~, ~e ~uilding hspector sh~l s~te ~e r~ons ~erefor in whting to the applic~t. C. Fees - - 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.0t], Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pm-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New ConstrUction: _ ~/' Old or Pre-existing Building: Location of Property: I I dl (3 0 _~o ~ ~ ~ ,~: ~ ~ A ~ Cc__ I2li~use No. Street Owner0rOwnemofProperty: ~,C~4A~c-- [,4 (3- Date. I :~1 lei (cheek one) Hamlet ISuffolk CountyTax Map No 1000, Section subdivision Permit No..~ ff I '5 ~-( Health Dept. Approval: (..5% % · Block 0 Filed Map. DateofPermit. II I [. ,' c~ Applicant: tvt~c~,~,.. Underwriters Approval: Lot Lot: Planning Board Approval: .Request for: Temporary Certificate Fee Submitted: $ Final Certificate: x~' (check one) -/~plicant-Sig~ature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35134 Z Date NOVEMBER 6, 2009 Permission is hereby granted to: MICHAEL W & MARYANN GENSLER PO BOX 193 SOUTHOLD,NY 11971 for : FINISH BASEMENT TO HABITABLE SPACE PER APPROVED PLAI~S AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 054 pursuant to application dated OCTOBER Building Inspector to expire on MAY 11900 SOUNDVIEW AVE SOUTHOLD Block 0006 Lot No. 017 28, 2009 and approved by the 6, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 issue Date 12/4/2009 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 131515C :375 Dunton Avenue East Patchogue, New York l t 772 (631) 286-6642 Issued To: Gensler Residence Street: 11900 Soundview Avenue Village: Southhold Zip: 11991 Section: BlOck: Lot: Town: Southhold Contractor: Hunter Electrical Services Inc. (L) Lic. # 35476-ME Was examined and found to be in compliance with the National Electrical Code. [] Commercial [] NVDefectS [] Pool ~] lstFIoor [] Indoor [~ Basement ~ HotTub [] Residential ~ Det. Garage [] Attic [~ 2nd Floor [] Outdoor [~ Addition [~ Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 9 15 16 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer 2 Meter Amps Phase UG/OH Jacuzzi Television CO Detector / 1 Bldg. Permit: 35134 Other Equipment ~Ugo S. Surdi President Rough [~spection: .,'~/ // ~nspecb3r: ~ Johfi Mc Mahon Ill This certificate must not be altered in any manner. Inspectors may be identified by their credentials. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~JL~ON [ ] FRAMING / STRAPPING [,/] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~NDATION 2ND [ ] INSULATION [~] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTH~ [ ] FIFIE ~,~IT PEN~TION DATE INSPECTOR~ TOWN O1~ SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net / Examined /'? /'' L" , 20 d'" ff / / Approved // //(,r. , 20 (? ~ Disapproved a/c Expiration 8DG. DEPI. ~0WN OF SOtlTHOLD a. 'lh~s appncadun PERMIT NO. · 75-/':3 5 '2'7- Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: D&]ght&_h · Phone: 6gl-.253-2 779 N'/I}7 t9 APPLICATION FOR BUILDING PERMIT Date Oc--Jr. i,7, _,20 (.V? INSTRUCTIONS oe completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on promises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Depa~ment 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, or alterations or for removal or demolition as herein described. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on promises and in building for necessary inspections. ( ~gnature o~pllcan{'d'or name, ifa corporation) d2O 6)cJc(fo.,d bJhev-lJe, tie;chh,-, M]' (Mailing ad'dress of applttcant)/ / I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~.&l1 a. ltq f"l__~{...~'C~.5 1 e ( (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer . (Name and title of' corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License 1. Location of land on which proposed work will be done: . //qo0 %ond¥it,.o Ave , 5oo-/hok] House Number Street Hamlet County Tax Map No. 1000 Section ,5 q Block Lo Lot I '7 Subdivision Filed Map No. Lot 3. Nature of work (check which applicable): New Building Repair Removal Demolition State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy F/J,~alhn4 b. Intended use and occupancy dtOa. Addition Alteration Other Work Fee 4. Estimated Cost (Description) 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor I 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. /x//Pt 7. Dimensions of existing structures, if any: Front Rear _Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stori~ i ,?_ 8. Dimensions of entire new construction: Front P"//'q- Rear ; p Height Number of Stories 10. Date of Ptn'cnase t~.- 7,0-o6,, Name of Former Owner 11. Zone or use district in which premises are situated .... Rear t'/. 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO v 13. Will lot be re-graded? YES NO x/Will excess fill be removed from premises? YES__ NO /V/A 14. Names of Owner of premises Mtc~,~ tmn C~t.~ led Addresst~tx~,5oo.,dv.e,o Name of Architect Ph,~ho ~. le,~.rno'F Address/o'/Ce,rec..St. Name of Contractor ~ot~' 13o.se.r,-,~4s Address ~ Corn,,,~(~/~l t~[ Phone No. :Y/6~ &q~' 7./77 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~" * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O~ ~vt~,t~'. ) ~,~"~c>~ 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 tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ,',27 dayof (_.)C4~o/O.a.x.~ 20 O~ - -- r~.~u,~,~i~I;aiTALE ! r.,~ ~q N ora r~bJ~_tat_e~o f I~,., York ~c~n~i~'~i'c~h~_xpire$ ectober $, 20.~... TOWN OF SOUTHOLD PROPER?'Y RECORD CARD -' ~" OWNER STREET Il ~/~ VILLAGE DIST.' SUB. LOT J:ORMER OWNER ' N E ACR. J RES. ~/~ S~S. VL FARM COMM. CB. MlCS. Mkt. Value ~ND IMP. TOTAL DATE R~RKS Till.hie FRONTAGE ON WATER / H~,~ PI~ / ~ ~ / ~ ', '~ BULKH~D T~ / '/ J~tL ~-:~ .~X ~.~.- = ' I 0,~ ~-~ -~,b-O ~ Foundation ~ Ba~h n ~ = ~0~ ~.~. ~ Ba~ment ~L~ Fl~ors ~n ~ ~'~ ~ Ext. Walls L~ ~b~ Interior Finish Ext~sion F ire Place I Heat ~ Pool Attic O~ Patio Rooms 1~ Fl~r B~zeway Driveway Rooms 2nd Floor O.B. BASEMENT INNOVATIONS FON UVING' FINISHIN G SYSTEM SUBIIITTAL SHEET DESCRIPTION The C~vens Corning Basement Finishing System is comprised of ligl~vei~t fiber glass panels, PVC lineals (which replace convent, iona~ framing) and foamed PVC ~m rno~ings (which replace trim lumber).The ~m moldings snap into ~he lineals, holding the panels in place. Holdings and wall panels are easily removed to provide easy access to a horne's fouedatJon walls, Because trad~/ona~ wood and paper- based building materials are replaced with fiber glass and PVC materials,the Basement Finishing System offers inherent resistance to moisture, mold and milde~The system is covered by a lifetime limited tr~nsfe-able warranty* from Owens Cornin~ USES Owens Coming Basement Finlshing System is an innovative system desig~ to insulate and finish basement walls. It insulates, acou~cal~y ~reats and a~lJ~etically finishes walls in a few simple steps. The system can be installed over bo~h masonry foundation walls and interior pnrtJtion walls built with eider wood or metal members. AVAILABILITY 94' x 48' x 2-1/2' Pands 93" Uneals Trim Molding. 120" Cove Molding 93" Vertical Battens I~0" Base Holding 93' Outside Come~ 84" Casing 120" Chair Color Choices: Panels: "Linen Hist" woven fabric Trim: VVhite. Woodgrain or Fabhc-wrapped to match panel CODE COMPLIANCE 2000 BOCA Evaluation #21-24 2004 ICC Report #NER-635 ~See actual warranty for details, limitarons ond res~rlctJons, PHYSICAL PRiiErI~rOP KI'ES . . Pmpe~ty Te~t Mel~od Far Fiber Glass Board: WaterVapor SorptJon ASTM C I1~ <2~ ~ I20N~ 95~ ~ Comp~s~ S~ ~M C I ~ ~1~ d~n 25 p~ ~% def~ 90 p~ ~ R~i~ce A~ C 518 R-I I No~al Den~ A~M C 303 3.2 ~F For ~ ~ne~ Noise ~du~on C~cient A~M C 423 T~e A Mount 0.95 Surface ~ming Ch~ ~M E 84~ Cl~s A Flame Spread ~ ~ -Me~ Cl~s A Bum ~ng Smoke Develop~ ~ 450 Inte~orT~ite Finish ~m Cl~siflc~on UBC ~2 M~ Acc~ce C~e~a Mold Resi~ce A~M C 1338 ~s A~M G 21 ~s FEATURES AND BENEFITS Feature Benefit Hodu~ar wall ~/~tem In~lls in 2 weeks Snap-out moldings and panels Complete interior foundation access Resilient glass fiber constructJon Will nut dent like dr/wall Moisture resistant materia/s Resists mold and mildew growth 2 I/2" thick panels Added RI I Insulation Tackable surface Hanging pictures or papers without leaving permanent holes using picture support plates High Noise Redu~on Increased comfort, Coef~cient (NRC) outstanding sound absorption Wall panels indexed I-3/4' off of floor Helps to minimize flood damage potential Removable base molding Provides wire chase for speaker wires, TV cabS, computer, and other Iow voEage cables Lifetime limited +~'ansferable warranty Offers homeowner peace of mind Dupont Teflon~ fabric protector Stain resistant Certified installers IncrMduals trained for quality installation Ceiling design flexibility InteD-ates easily with drop or drywall ceilings INNOVA~ION~ FOR LIVING' OWENS CORNING WORLD HEADQUARTER;: ONE OWENS CORNING PARK~VAY TOLEDO, OHIO 43659 www. owenscorning.com Pub. No. § BL-44071-C. Printed in U.S.A.. April 2004. The co,or PINK ts a registered trademark of Owens Corning. ~ 2004 Owens Corning REPORT'""' ICC Evaluation Service, Inc. www.icc-es.orq ESR-1872 Issued May 1, 2007 This report is subject to re-examination in one yeac Busin~ OIItce · 5360 WonVa~an Mil Road, Wh~-, ~ia 90601 ~, (562) 699-0543 Regional Office · 900 Montdair Road, S~ite A, B~mir~am, Alabama 35213 · (205) 599-~00 ~ ~ · 4051 West F~3ssmoor Road, CouNty Club Hills, IllinO~ 60478 · (708) 799-2305 DIVISION: 09--FINISHES Section: 09770--Special Wall Surfaces REPORT HOLDER: OWENS CORNING SALES, LLC ONE OWENS CORNING PARK~VAY TOLEDO, OHIO 43659 (419) 248-8000 www.owenscorninq.com marc.kee nan~,,owen scorninf~.com EVALUATION SUBJECT: BASEMENT FINISHING SYSTEMTM 1.0 EVALUATION SCOPE Compliance with the following codes: · 20061ntemationalBuildingCode®(IBC) · 20061ntemationalResidentialCode®(IRC) · BOCA®NationalBuildingCode/1999(BNBC) · 1999 Standard Building Code© (SBC) · 1997 Uniform Building CodeTM (UBC) Properties evaluated: · Surface-burning characteristics · Flammability characteristics of textile wall coverings · Interior finish stability at elevated temperatures 2.0 USES The Owens Corning Basement Finishing SystemTM is used to cover existing basement walls. 3.0 DESCRIPTION The Owens Corning Basement Finishing SystemTM consists of PVC support lineals, snap-in-trim components, base, battens and cove moldings and prefinished glass-fiber panels (see Figure 1). Panels are preflnished with a 17.6-ounce (499 gm) polyolefln sheet with Teflon finish and acrylic backing. The panels meet the requirements for classification as a Class A intedor wall finish under the IBC and SBC (Class I under the BNBC and UBC), when tested in accordance with ASTM E 84. The panel sizes are 48 inches by 94 inches by 2~/2 inches (1219 by 2388 by 64 mm). The lineals are 93~/2 inches by 2~/~ inches (2375 mm by 64 mm). 4.0 INSTALLATION The Owens Corning Basement Finishing SystemTM must be installed in accordance with the Owens Corning published installation instructions, the applicable code and this report. The system is limited to installation over walls of concrete, concrete masonry and existing wood- or steel-framed gypsum wails. All electrical, mechanical and plumbing work must be done prior to installation of the wall panel system. Electrical boxes and wiring must be attached to existing walls in accordance with the applicable code requirements and are subject to approval of the code official. 4.1 Fastening Unaals to Concrete and Concrete Masonry Walls: Lineals are attached to concrete or concrete masonry walls using 3/~e-inch-by-l~/4-inch (5 by 32 mm) concrete screws every 24 inches to 30 inches (610 to 762 mm) on center. The trim moldings must then be snapped into the Iineals, holding the panels in place. 4.2 Fastening Lineals to Existing Wood- or Steel-framed Gypsum: Horizontal lineals are attached at every wood stud with 1 ~/4- inch-long (31.8 mm) drywall screws. Vertical lineals must be attached with construction adhesive and held in place with 1 V4-inch-long (31.8 mm) drywall screws every 24 inches to 30 inches (610 to 762 mm) on center. The vertical lineals need not be aligned with the studs. 5.0 CONDITIONS OF USE The Owens Corning Basement Finishing System ~u described in this report complies with, or is a suitable alternative to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 Installation of the Basement Finishing SystemTM must be in accordance with this report, the applicable code and the manufacturer's published installation instructions. In the event of a conflict between the manufacturer's published installation instructions and this report, lhis report governs. 5.2 Concealed electrical, mechanical or plumbing components must be instafled and inspected prior to the installation of the Basement Finishing System TM to verify compliance with the applicable code. 5.3 Attachment of the Basement Finishing SystemTM is limited to concrete, concrete masonry walls and existing wood- or steel-framed gypsum walls. 5.4 Concealed spaces must be draftstopped and fireblocked in accordance with IBC Section 717, IRC Section R 502.12, BNBC Section 721, SBC Section 705.3 and UBC Section 708. 6.0 EVIDENCE SUBMITTED 6.1 Manufacturer's published installation instructions. 6.2 Reports of tests in accordance with ASTM E 84 (UBC Standard 8-1). Copydght (g 2007 Page t of 2 Page 2 of 2 ESR-1872 6.3 Reports of tests in accordance with NFPA 265 (UBC Standard 8-2). 6.4 Reports of fire tests on panel stability at 300°F (149°C) for 30 minutes. 6,5 Aquality control manual. 7.0 IDENTIFICATION The Owens Corning Basement Finishing SystemTM components bear a label indicating the Owens Corning Sales, LLC, name, the product name, the Owens Corning product code number and the evaluation report number (ESR-1872). All Molding~;~ S. naps PVC Support Grid 2.5" Glass Fiber Board Panel with Facing PVC Support Lineal (top, bottom, vertically every 48") Existing Foundation Wall PVC Cove Molding I PVC Molding Vertical Batten PVC Molding Base FIGURE 1---OWENS CORNING BASEMENT FINISHING SYSTEM National E ,'aluadon Ser;'ice, Inc. '$,:~),3 Leesburg P:ke, Suite 600 Fails Chsr'ch ~. ~FglI1 a 22041-3401 Phor~ 7F, 3q'~-.'l ' - ;, www.nateval.org Fax: 7 3 93~-~50fi NATIONAL EVALUATION REPORT Report No. NER-635 Issued January 1. 2003 DIVISION 07 - THERMAL AND MOISTURE PROTECTION Section 07210 - BuildinqJnsulation DIVISION 09 - FINISHES Section 09770- Special Wall Surfaces REPORT HOLDER: OWENS CORNING ONE OWENS CORNING PKWY TOLEDO. OHIO 43659 EVALUATION SUBJECT: B._A_S._E._ME_N_ ~ _WALL_~.LNISH S_YST~E_M. Page 1 of 3 Products Model 2060 Mooe12062 installation Specifications ¢Jarranty Model 2067 Model 5600 Dealer Locator Distributors Marketing Tools Egress Code News Model 2062 General Information Fits 3 ft. Windows · LIFETIME LIMITED WARRANTY · EASY TO INSTALL One-piece construction, including a built-in ladder, makes installation simple and quick. · MEETS IRC EGRESS CODE We#craft Egress Window Wells are fully compliant with the IRC 2000 lower level egress requirements. 'MAINTENANCE-FREE Weather-resistant polyethylene construction stands up to freeze and thaw conditions and will never rust, rot or decay. Designed for use with 3-foot casement egress windows, model 2062 is the ideal choice for projects where space is a concern. One-piece construction makes this model simple to install. Available in the following colors. 49" . 46" T 37.5" I I 49" Products I Dealer Locator J Marketing Tools I About Us i Links i Con[act Us ©2002 - 2005 Wellcraft, Inc. t Legal and Privacy Info New York State Insurance Fund Workers' Compensation & Disability Benefits Specialists Since 1914 199 CHURCH STREET, NEW YORK, N.Y. 10007-1100 Phone: (888) 997~3863 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ALURE HOME IMPROVEMENTS INC ONE COMMERCIAL COURT PLAINVIEW NY 11803 POLICYHOLDER ALURE BASEMENTS INC. ETAL ONE COMMERCIAL COURT PLAINVIEW NY 11803 CERTIFICATE HOLDER TOWN OF SOUTHOLD 54375 ROUTE 25 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE G 1282 566-7 826517 04/01/2009 TO 04/01/2010 10/13/2009 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1282 566-7 UNTIL 04/01/2010, 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 SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 04/01/2010 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONONLYANDCONFERS 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 ACORD. CERTIFICATE OF LIABILITY INSURANCE O,,D I DATE (MM~DP(YY~ ~x~o~z-x lO/13/o9 ~ROOUCBR THIS CERI~ICATE IS ISSUED AS A MA~ I CK OF INFOR~iAllON The ~erisc Corp (a~erisc. corn) ONLY AND CONFERS NO RIGHTS UPON THE CERllF1CATE Construction Services HOLDER. THIS CERllFICATE DOES NOT AMEND, EXTEND OR 777 Zecke~dorf Blvd., Suite 2 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Garden City NY 11530 Phone: 516-745-7500 Faz: 516-745-7565 INSURERS AFFORDING COVERAGE NAIC# Alure Bas~men%s, inc. INBURERC: i Cgmmgrcxal ~C.o~u~t INSURERD: Plaznv~ew NY .LJ. UU~ COVEPAG;_$ 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 [X)CUMENT 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. AGGREGATE L~MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR NSRi TYPE OF INSURANCE POUCY NUMBER DATE ~IM/DDrV'Y) DATE {MIWDD/YY) LIMITS IENERAL Lr~BILffY E~CH OCCURRENCE S 1, 0 0 0, 0 0 0 A --XCOMMERCIALGENERALLiABILITY MPA3M3901 11/02/08 11/02/09 P~.MmES(Eao~re.~)u~='u'="'=u $100,000 I CLA~MS~E ~ OCCUR MED~P(~.~ $ 5,000 PE~&ABWNJURY $ 1,000,000 -- SEHE~ AU~RE~TE $ 2,000, 000 i POL,C¥ AUTOMOBILE UARILR'Y COMBINED SINGLE LIMIT $ 1;000t000 A X I ANYAUTO ~3H3901 11/02/08 11/02/09 EXCESS/UMbRELLA LL~BIUTY EACH OCCURRENCE $ 10,000,000 A X~ OCCUR ~ CLAIMS MADE BB3M3901 11/02/08 11/02/09 AGGREGATE $ 10,000,000 $  DEDUCTIBLE RETENTION $10,000 $ CERTIFICATE HOLDER CANCELLATION Town o~ Southold 54375 Route 25 Southold, NY 11971 ACORD 25 (2001/08) IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement on this certificate does not confer dghts to the certificate holder in lieu of such endorsement(s). 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 dghts to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 20 (2001100) .% LICENSED LAND SUR~Y~S GREEN~RT ~W YORK ~TATEMENT THE WATER SUPPLY AND SYSTEIVI~ FOR THIS CONFORM, ~TO THE ~TAND,ARDS:) SUFFOLK CO. DEPT. OF HEALTH ! {si "' APPLICANT coUNTY' DEPT, OF SERVICES -- FOR /~PPROVAI~ CONSTRUCTION ONLY DATE: OF' APPROVED: CO. TAX DIST. SECT. RS ADDRESS: SEAL tELECTP-.ICAL: I. ELECTRICAL FIXTURES ~ COMPONENTS ARE TO BE LABELED IN ACCORDANCE WITH SECTION ESEOES. INTERRUPTtNG RATING Of CIRCUIT PROTECTIONS IS TO COMPLT WITH SECTION E3304. FOR EQUIPMENT WORKING SPACE AND CLEARANCE SEE SECTION E~EOB, ELECTRICAL CONDUCTO~ ~aTERIALi ~IZEi INSULATION AND CONNECTION~ A~E TO ~MPLT ~lT~ SECTIONS E33~ AND ~507. ~. ELECTRICAL GROUND;NC 5~STEH IS TO ~HPLT ~lT~ SECTION 3, REQUIRED RECEPTACLE OUTLETS, PROTECTIONS, LIGHTIN~ OUTLETS ARE TO ~HPLT ~lTH CHAPTER 36. SUBHIT DETAILS. ENCLOSED ELECTRICAL HIRING 15 TO ~lTH TABLES EBb04 (I) THROUGH 4. ELECTRICAL D~ICES AND LIGHTIN~ F~XTURES ARE TO ~HPLT ~lTH CHAPTER 39. 6. ELECTRICAL CONDUCTOR PENET~TIONS T~ROUGH BUILDING STRUCTURAL COMPONENTS ARE TO COHPL~ ~lTH SECTION T FOR ANT PERHITS REQUIRED FOR INSULATION OF T~E SPECIFIED NOOK AND HORK RE~UIRED B~ OTHER CONT~CTORS. - ~. THE ELECTRICAL CONT~ACTO~ SHALL P~OVIDE L~ATION~ OF ~ECEPTACLES/ SHITCHES~ 5~ITCH OPERATED ~ECEPTACLE5 AND LI~TING L~ATIONS AS REQUIRED FOR PE~HITTING AND ~OPE OF HORK LIGI-IT $ VENTILATION: I. LIGHT AND VENTILATION REQUIREMENTS SHALL COMPLT HITH NTB RESIDENTIAL C. ODE SECTION RS03, PROVIDE ARTIFICIAL LIGHTING CAPABLE OF PRODUCING AN AVERAGE ILLUMINATION OF ~ FOOTCANDLES OVER THE AREA OF THE ROOM AT A HEIGHT OF 30" ABOVE THE FLOOR LEVEL. 2. ARTIFICIAL VENTILATION AND LIGHTING MAY BE USED AND SHALL COMPLY WITH RESIDENTIAL CODE SECTION R303.1 TO PROVIDE A MINUMUM OF 36 AIR CHANGE PER HOUR. HANDRAILS SHALL BE PRC~/IDED ON AT RSII.S.~.S HANDRAIL GRIP SIZE ALL RE(~UIRED HANDRAILS SHALL SE OF ONE OF THE FOLLOHING TTPE~ OR PROVIDE F.~UIVALENT GRASPA~ILITT. REScheck Software Version 4.3.0 Compliance Certificate Project Title: GENSLER RESIDENCE Energy Code Heating Type' Glazing Area Percentage: Heating Degree Days. Construction Site: t 1990 SOUNDVIEW AVENUE SOUTHOLD, NY 11971 2007 New York Energy Conservation Construction Code Suffolk County, New York Detached I or 2 Family Non-Electric 1% 5750 Owner/Agent: GENSLER RESIDENCE 11900 SOUNDVIEW AVENUE PORT JEFF STATION, NY 11971 Your UA, t97 Designer/Contractor: PKAD ARCHITECTURE & DESIGN 107 CENTER STREET BAYSHORE, NY 11706 631-943-1081 PHILIPPKAMPF{~VERIZON.N ET Floor 1. Slab-On-Grade:Unheated Insulation depth, Wall 1 Wood Frame, 16" Door, 3' INT FIRE RATED: Solid Wall 2: Sohd Concrste or Mason~y,lsteriar Insulstlon EXISTING EGRESS WINDOW Vinyl Frame, Double Pane w~th Lew-E 3' INSULATED DOOR: Sohd 122 OS 127 192 13 0 5,0 I1 20 0,250 5 653 0 0 11 0 44 9 0420 4 20 0.300 8 The proposed building represented in this document is consistent ~th the building plans~ specifications, and other calculations subm~[tod v~th this permit appllcstlen, The proposed sy~ems have been designed to meet the 2007 New York Energy Conservation Construction Cede requirements When a Registered Design Profe~ional has stamped and signed this page, they are attesting that to the best of hi~her know~edge, beJief, and professional judgment, such plans or specltication re i ompliance w~th this Code. Name- Title /x S~n~e Date / EXISTinG HALL / So ALL CONSTF~IJ(Tii£ },] SHALL MEET THE REQUIRE~?:~ '!5 0:-: THE C,C,£ L;O O' ,],' ..... ~ , ,-, E. ProJect Title. GENSLER RESIDENCE Data filename F,tBUSINESS'tSTANDARD~SYSTEM RESTORE,my documenttaChecktRESchecktGENSLER rck O[NENB CORNING PANEL ~" THICK = R-Il THICK = R-6 SNAP IN COVE Repor~ date' 10/22/09 Page 1 of 1 OCCUPANCY Gi At~.-/// BTP, UCTURAL LINEAL FASTENED ~ J~ Ul~L,~l u~ TO E ' . XISTING STRUCTURE PER HANUFACTU~ER W~THOUT C~ ~Tl~ ~1 f ICATIONS. OF OCCUPANCY U~DEBWME~S CB~TIFICA'~ ~EOUI~EO ~ PLAN ?s~ B.F. I SCALE~IZ,4"=I'-O" TABLE R301.2(1) CERTIFICATION OF CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA NAILING & CONNECTIONS APPROVED AS ROi :D HOTIFY BUILDIr a ~'~ FARTMENT AT 765-1802 8AM TO 1PM FOR THE FOLLOWING rNSPECT~OfdS: I, FOURDATION - f',VO REQUIRED FOR POURED C'5,HCBETE a, ROtJGH - FR,ahhr'iG & PLUMBING 3. INSULATION 4, FINAL - CO~"¢T~UCflON MUST BE COMPLEqb ~-Oh CO ALL CONSTRUCT[OH SHALL MEET THE REQUIREME[ITS OF THE CODES OF NEW YORK SIATE. NOT RESPONSIBLE FOR BES[GN OR CONSTRUCTION ERRORS GROUND WIND SEISMIC SUBJECT TO DAMAGE FROM: WINTER ICE SHIELD FLOOD AIR SNOW DESIGN FROST LINE DESIGN UNDERLAyMENT HAZARDS FREEZING LOAD SPEED (MPH) CATEGORY WEATHERING DEPTH TERMITE DECAY TEMP REQUIRED INDEX BROODE PEROODE 20 SEVERE 3'-0" MODERATE- SLIGHT- 11 ° YES HEAVY MODERATE OFFICIAL OFFICIAL PLAN VIEW TYPICAL DETAIL @ O ENS CORNING NISNING SYSTEM EXISTING STRUCTURE ~LEGEND PANEL FOR BABEl"lENTS BATTERY BACKUP PER NEW STATE RESIDENTIAL CODE REQUIREMENTS SEC R313. (TYP, OF ALL.) CODE SECTION RSOS.S ('U.O.N) NOTES: I. INSULATION MATERIAL lB TO COMPLY ~NITH SECTION P.~I~ AND tS TO HAVE A FLAPIE-SPREAD INDEX NOT TO EXCEED WITH a BMOK. E-DEVELOPED INDEX NOT TO EXCEED 460. TESTING AND ALTERNATE TEST METHODS MUST COPIPL¥ INITH ABTM E34 STANDARD. ALL EXPOSED INSULATION MATERIALS INSTALLED ON ATTIC FLOORS ARE TO '~AVE A MINIMUM CRITICAL RADIANT FLUX OF 0.12 INATT/CM SQUARED. TESTING IS TO BE CARRIED OUT AS PER ABTM E~?0 STANDARD. EXTERIOR INSULATION FINISH SYSTEM IS TO COMPLY WITH RTOS,q. ('THE MINIMUM REQUIRED R VALUE FOR EXTERIOR WALLS IS RIB.) THIS VALUE IS TO BE MET BY THE BUM OF THE R VALUES OF THE INSULATION MATERIALS IN ACCORDANCE HITH chpf, r, II, THE MINIMUM REQUIRED R VALUE FOE CEILING IS ESE AND TI-lIB lB TO BE MET IN ACCORDANCE INITH chp'cr, 11. THE MINIMUM REGUIRED R VALUE FOR FLOORS lB TO BE IN ACCORDANCE INITH chp%r 11. THE MINIMUM REQUIRED R VALUE FOR CELLAR P, IALLS IS TO COMPLY INITH shpt, r'. II. 2. ALL P, IORK TO BE DONE IN ACCORDANCE I, qltH ALL APPLICABLE LOCAL AND STATE CODES, 3. THE GENERAL CONTRACTOR SHALL VERIFY ALL DIMENSIONS IN THE FIELD. ANY DISCREPANCIES ~,HALL BE REPORTED TO ENGINEER BEFORE PROCEEDING. 4. THE GENERAL CONTRACTOR IS SOLELY RESPONSIBLE FOR MEANS AND METHODS OF CONSTRUCTION AND FOR SEQUENCES AND PROCEDURES TO BE USED. E. pLANS ARE TO BE USED IN CONJUNCTION I^IITH SPECIFICATIONS WHEN PROVIDED. ~. EXISTING SOIL BEARING IS ASSUMED TO BE I TON/SQ, FT. PER 7. GLASS IN SHOk, IER DOORS SIDELIGHTS AND SLIDING DOORS SHALL BE TEMPERED. ~. THESE PLANS ARE DESIGNED TO MEET OR EXCEED THE NEW YORK STATE BUILDING CODE 200'7. ~1. IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY LOCAL CODE REQUIREMENTS ~IITH THE LOCAL CODE ENFORCEMENT OFFICIAL AS REQUIRED. 10. THE PLANS ARE DESIGNED IN CONFORMANCE TO THE NY STATE ENERGY CONSERVATION CONSTRUCTION CODE. IL THE ARCHITECT HAD NOT BEEN RETAINED FOR CONSTRUCTION SUPERVISION SERVICES AND ASSUMED NO RESPONSIBILITY FOR CONSTRUCTION MEANS, METHODSI TECHNIQUESI SEQUENCES OR PROCEDURES, OR FOR SAFETY PRECAUTIONS AND PRGGRAMB IN CONNECTION WITH THE WORK. THERE ARE NO INARRANTIEB NOR ANY IMPLIED IN THE USE OF THESE PLANS. ISSUES Description Date FILING/CONST. 10/22/0 REVISIONS Description Date "IT iS A VIOLATION Of THE LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT ENGINEER, TO ALTER IN ANY WAY ANY ITEM ON THESE DRAWINGS. IF AN ITEM BEARING THE SEAL OF AN ARCHITECT/ENGINEER iS ALTERED, THE ALTERING ARCHITEC% ENGINEER SHALL AFFIX TO HIS/HER ~TEM THEIR SEAL AND THE NOTATION *ALTERED BY" FOLLOWED BY HIS/HER SIGNATURE AND THE DATE OF SUCH ALTERATION, AND A SPECIFIC DESCRIPTION OF THE ALTERA]]ON ON THE DRAWING." "THE PLANS AND SPECIFICATIONS HEREIN ARE INTENDED FOR THE SUBJECT PROJECT ONLY AS A RESULT OF CONTRACS~JAL NEGOTIATIONS BE'rWEEN THE OWNER AND PHILIPPE. RAMPF. THESE PLANS AND SPECIFICATIONS WILL BE TRE SUBJECT OF A COPYRIGHT PETmON AND MAY NOT BE REVISED OR REUSED BY ANYONE WITHOUT THE WRB'rEN AUTHORITY OF PNILIPPE. KAMPF." ARCHITECTURE & DESIBN PROPOSED BASEMENT RENOVATION FOR: GENSLER RESIDENCE 11900 SOUNDVIEW AVENUE SOUTHOLD, NY 11971 CONTRACTOR: 1 COMMERCIAL CT. PLAINVIEW, NY 11803 090119 I I ASNOTED 10/22/09 DRAWING TITLE ] J DWG No. BASEMENT PLAN A-1