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HomeMy WebLinkAbout35446-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34622 Rte: 10/25/10 THIS c~TIFIES that the building BASEMENT ALTERATION Location of Property: 1450 WICK}LAM AVE (HOUSE NO.) (STREET) County Tax ~4ap No. 473889 Section 139 Block 3 Subdivision Filed ~4ap NO. __ Lot No. __ MATTITUCK Lot 47 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 30, 2010 purs%~ant to which Build/ng Permit No. 35446-Z dated APRIL 7, 2010 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 BASEMENT ALTERATION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VALERIE DEFIO of the aforesaid building. ( OWNER ) S~FOI~C~)~DEPART~T~OF~THA~RO%r/~L N/A ELBt-rKICAL CmTIFICATE NO. 132094 06/24/10 PL[~ C~K'~IFIC3%TION DA'r~u~ 07/29/10 JOHN BURKE Rev. 1/81 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. 35446 Z Date APRIL 7, 2010 Permission is hereby granted to: VALERIE MEYER DEFIO 1450 WICKHAM AVENUE MATTITUCK,NY 11952 for : ALTERATION TO A BASEMENT OF AN EXISTING DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 139 pursuant to application dated MARCH Building Inspector to expire on OCTOBER 1450 WICKHA,MAVE MATTITUCK Block 0003 Lot NO. 047 30, 2010 and approved by the 7, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement fxom plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plsnning Board Approval of completed site plan requirements. B. For exis~ng buildings (prior to April9, 1957) non-conforminguses, or buildings and ,pre-existing' land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. Z A properly completed application and consem to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory'building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pm-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Reaidential $15.00, Commercial $15.00 New Construction: Old or Pm-existing Building: aaonofP ope y: V Ho~e No. S~ O~er or Own~ of Property: [Q/Z k ~t' ~ 0~ ~t'~ Suffo~ Co~ T~ Map No 1000, S~tion [ ~ ~ Sub~sion P~t No. ~ %~ ~ W ~ Date of Pe~it. (check one) Hamlet Filed Map. . Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~,.~-, ~ Final Certificate: (check one) L/' ,~pplicant Signature LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. 670 MIDDLE COUNTRY ROAD ST. JAMES, NEW YORK 11780 (631) 265-3075 Fax (631) 265-6057 Application No.: 132094 Permit Number: 35446Z Block: Lot: Section Owner: Defeo Residence Address: 1450 Wickham Ave Municipality: Mattituck OwnerPhone NY 11952 Agent: Address: License#: Agent: North Country Electric Corp 275 Main Street East Setauket NY nce 11733 No. ITEM SIZE No. ITEM SIZE No. ITEM SIZE 6 Switches: 0 SubFeeds: 0 PootsAbvBIo: 12 Receptacles: 0 Timers: 0 PoolslnGround: 2 GFCI Devices: 0 Transformers: 0 Pools Filter: 0 Dimmers: 0 ACEqulpmentCentral: 0 Pools Lights: 6 MediumBaseFixtures: 0 ACEquipmentWindow 0 CO Detectors: 2 FluroescentFixtures: 0 MotorsbyHP: 0 Disposal: 0 HID: 0 Generators: 0 Metal Halide Lamps: 0 RangeOvenCookTop: 0 WhirlpoolHotTub: 0 RefrigUnits: 0 DryerElectric: 0 Microwave: 0 WalkinBox: 1 ExhaustFan$: 0 WaterHeaterElectric: 0 ExhaustUnit: 0 CeilingFans: 0 SmokeDetectors: 0 StearnShower: 0 DW: 0 TrsckLIghflngStrip: 0 BreadWarmers: 0 Laundry: 0 ElectdcHeat: 0 GarbageDisp: 0 HeatingEquipMotors: 0 PumpMotor: 0 CentralVac: 0 ExitSIgns: 0 Disconnects: 0 ChandellerLIfts: 0 EmergencySigns: 0 FutursOutlets: 0 ElevatorLifts: LOCATION OFWORK: ~JBasemen ~JFirstFIoor ~ SecondFIoo ~] Outside ~/ Addition ~] Survey [~J New Const. Comments Finish Basement with O/S Entrance Final 6/21/10 Rivera / Additions ~i OH ~] UG ~ Amp: Phase: 1_ Volts: WireType: CU Conductor # Meters: MemberI.A.E.I. Electrical Certificate Certificate No. 132094 LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. THIS CERTIFIES THAT OUR LOCAL DISTRICT Certificate Issued on: 6/24/2010 issued to Defeo Residence Address: 1450 Wickham Ave Mattituck NY 11952 North Country Electric Corp 275 Main Street East Setauket NY 11733 INSPECTOR CONDUCTED AN INSPECTION OF THE VISIBLE PORTION OF THE ELECTRICAL iNSTALLATION DESCRIBED HEREIN AND IS COMPLIANT WITH THE CURRENT NATIONAL ELECTRICAL CODE. ~ IAEI Certified Inspector Town Hall Annex 54375 Main Road P.O. Box 1 t79 Southold, New York 11971-0959 Telephone (6311 765-1802 Fax (63 I) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit Owner: ,' Plumber: (Please print) (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this"~'~'7~ dayof-~.~ , 20 / o [ /(Plumbers SignaYure) KELLY BURKE-KELLY' Note~'y public, State of NeW No. 499~'74 Notary Public, ~_~..wf~-~ l ~- County TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 ~ I NSPECT/JON [ ] FOUNDATION 1ST [r/]'ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY INSULATION FINAL FIRE SAFETY INSPECTION [ ] FIRE RESISTANT C0NSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: //~/ /~'// DATE INSPECTOR~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT/ION [ ] FOUNDATION 1ST [~/J' ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] Ftn~n~m'ANTC(XIs'TmJCl'H)N [ [ ] INSULATION ] FINAL ] FIRE SAI',= I ( INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ REM~~R~K~S:~/____ ~_© .~~'~ [ ] ROUGH PLBG. DATE INSPECTOR~/~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined ~/7 ,20 /i~ App,~°ved ~t/? .20~.O Disapproved a/c Expiration t4*~ .20 ~/ PERMIT NO. 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 YSDEC Trustees Flood Permit Storm-Water Assessment Form Contact:~ (~% .¢ ~ Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 2 q. ,2010 a. This application MUST be 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 premises, relationship to adjoining premises or public streets or 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 parl 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 fi.om 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 pen,a/t for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~Signature of applicant or name, ifa c~rporation) (Mail~g add ~-ess of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractm electrician, plumber or builder Nameofownerofpremises yOl~'ir'~ j~-~,~..r' - be~'~O ' (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 No. I. 1,ocation of land OrhkVhich proposed work will be done: House Number Street County TaxMapNo. 1000 Section tt~ Subdivision Block Filed Map No. MAR S 0 BLDG. DEPI'. TOWN OF SOUTFIOLD Hamlet Lot ~'7 Lot 2. State existing use and occuloancy o~ premises and intended us~and occupanc.y of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work 4. Estimated Cost ::~-.~?)OO Fee 5. I f dwelling, number of dwelling units If garage, number of cars Alteration ~'/ (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specil~ nature and extent of each type of use. F~/l~ 7. Dimensions of existing structures, if any: F'ront Height. Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Depth. .Height Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front 5~,5"~ Rear · 5~ ,5'~ Depth _Depth Rear 10. Date of Purchase Name of Former Owner 1 I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO 14. Names of Owner ofl2re[nises~ ~f,l~ Name of Architect Name of Contractort~/~~l~Address ~ne No. 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__ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)be 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 ~'ue to the best of his. knowledge and belief; and that the work will be o - ' s-~rthinPea licationfiledther~wP~ IAURENM STANDISH ~ ,Nc' 01816164008o ? Sworn tg~efore me this .'~3r- dayof '~F'Z_~'~-,~ 20 ~/2(' -Notary Public ~-'"--~/ Signature of Applicant Tow___ n of $outhold Erosion, Sedimentatmon & Storm-Water Run-off ASSESSMENT FORM ~, ~E KTY i~A~-.~lO H: 2 'C'T'M~ ~2 THE FOM-OWINO ACTIONS MAY REQUIRE 'r~E SUBMISSION OF A DIs~c/ Section BI~ L~ STORM-WATER~ GRADING, DRAINAGE AND EROSION CONTROL pLAN (~=K, reelED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number:. (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Ye__~s,/,,1 N._.~o Will this Project Retain AIl Storm-Water Run-Off Generated by a Two (2")Inch Rainfall on S te? (This item will include all run-off created by site clearing and/or construction activities as well as al Site ~ Improvements end the permanent oraation of Impervious surfacas.) ) Does the Site Plan and/or Survey Show All Proposed Drainage Stmcturas Indicating Size & Loca~.J This Item shall include all Proposed Grade Changes and Slopes Cenbolling Surfaco Watari:low! I~ Wlil this Project Requira any Land Filling, Grading or Excavation whera thera Is a change to the I,,~atural r~ Existing Grade Involving mom than 200 Cubic Yards of Matedal within any Parcoi? Will this ApplicatiOn Require Land Disturbing Activities Encompassing an Area in Excess of r'~ Five Thousand (5,000) Square Feet of Ground Suriace? Is there a Natural Water Course RuonJng through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Hodzental Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off r~ ~./ into and/or in the direction of a'Town fight-of-way? Will this Project Require the Placement of Matedal Removal of Vegetation and/or the Construction of any Item Withtn the Town Right-of-Way or Road Shoulder Area? {This Item will NOT Include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Flcodplain of any Watercourse? O ~ NOTE: If Any Answer to Queetlons One through Nine is Answered with a Check Mark In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permltl EXEMPTION: Does this project meet the minimum standards for classiitcalion as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control ptan is NOT Requlredl Yes No STATE OF NEW YORK, COUNTY OF ........................................... SS That. I,. ............................................................................... being duly sworn, de'poses and says that he/she is the applicant for Pennit, (Name of individual signing Document) And that he/she is thc .................................................................................................................................................................... (Owner, Conlrac~or, Agent, Co~ Officer. etc.) Owner and/or representative of the Owner of Owner's, 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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed here~ REN M STANDISH Sworn to before me this; Notary F ~blic, State of New York ~ h ). 01ST6164008 /4_ Oualil ed~ Suffolk County . ~ ., .~ ........... .~...~. i .......................... day of ..~(~:~. .......................... 20.ZL3 C0mmissi (Signature of App~icaal) FORM - 06/07 OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD LAIRD SEAS, IMP. VL. A~ STP. E~ /q 5© WL~C~ mST. SUB. ~ ~ ~ ~. ~. OF BUILDING FARM vco~. CB, MICS. MEt. Value TOTAL DATE BUILDING CONDITJON NEW NOR/V~A L BE LOW ABOVE Value Per Va[ua ,Al-4' LOT FAR~ RF-~4APd<S Til[J3ble FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meodowland House Plot Total DEPTH BULKHEAD DOCK COLOR M. BOg. Extension Extension ~ ~_~ Both Porch Floors Porch Breezeway Garage Patio O. Bo Total Foundation Basement Ext. WolJs Fire Place Type Roof Recreotion Room Dormer Inter ior Finish Heat Rooms 1st Floor Floor Drivewoy ~ ~..~ ', LR, BR. FIN. B Tilwn 1 lall Annex .51373 Main Road P.O. Box 1179 Soulhold, N Y 11!)71 Telephone (631) 763-1802 Fax (63 I) 76:5-9502 I~,UILI)IN(, I)EPARTMI:~N 1 TOWN OF $OUTHOLD July 6, 2010 Valerie DeFio 1450 Wickham Avenue Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: __ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. __ Final Health Department approval. _ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. __ Final Planning Board approval, __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 35446-Z alteration to basement March 31, 2010 Bruce Wohlars Sunview Enterprises 275 Main Street East Setauket, New York 11733 RE: DeFIO Basement 1450 Wickham Mattituck, New York 11952 Dear Mr. Wohlars: Thank you for contacting me about the basement remodeling project that is proposed for the DeFtO family at the above referenced address. At your request I have reviewed the design of this basement remodel to determine compliance with the Residential Energy Code of the New York State Building Code. The wall panels used in this basement remodeling project are made from structural insulated panels. These panels have a core of polystyrene foam and exterior facings of magnesium oxide. The R values for the products are sufficient to meet the Residential Energy Code requirements. Thank you for contacting me about this project. Please contact me if yp~.ha~, _e-a~y quest ons or require additional information. ~.2 ~ ~' ~ ..... ~. ~' - ._ ~ ~LDG. 0EPr APR New York State Insurance Fund ~Forkers' Compen~,~tio~ ~ DiSability Benefits Specialists Since 1914 8 CORPORATE CENTER DR, 3RD FLR, MELVILLE, NEW YORK 11747-3129 Phone: (631) 756-4300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE SUNVIEW ENTERPRISE INC 275 MAIN STREET SETAUKET NY 11733 POLICYHOLDER SUNVIEW ENTERPRISE INC 275 MAIN STREET SETAUKET NY 11733 CERTIFICATE HOLDER TOWN OF SOUTHOLD PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER i CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE ! DATE 12050 737-2 I 985434 10/23/2009 TO 10/23/2010 ~ 3/1/2010 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2050 737-2 UNTIL 10/23/2010, 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 10/23/2010 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 INFORMATION ONLYAND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. U-26.3 NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif, comlcer+Jcedval.asp or by calling (888) 875-5790 VALIDATION NUMBER: 886340529 AC'ORb" CERTIFICATE OF LIABILITY INSURANCE IDATE(MM/DD/YYYY}03/02/2010 PRODUCER (631)821-2200 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Timothy S Purdy HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 45 Route 25A suite D2 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Shoreham, NY 11785 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Farm Family Casualty Ins, Co. Sunview Enterprise Inc. INSURER B: 275 Main Street ~NSURER C: iNSURER D: E. Setauket NY 11733 I INSURER E: COVERAGES TIlE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. No'r~NITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THtS 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A GE~N ERAL LIABILITY 3152L9412 09/25/09 09/25/10 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY ' PREMISES ~Fa O~.vn~.~) $ 100,000 I CLAIMS MADE ~ OCCUR MED EXP (Any one pemon) $ 5,000 X~ Contractual Liability PERSONAL&ADVINJURY $ 1,0oo,ooo __ GENERAL AGGREGATE $ 2,000,000 DEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/DP AGO $ 2,000,000 ~ POLICYr~ JECT ~ LOC A AUTOMODILE LIASILITY 3152C6729 11/25/09 11/25/10 __ ANY AUTO (Fa accident) $ 1,000,000 X~ NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) GARAGE UABILiTY AUTO ONLY. EA ACCIDENT $ A EXCESS / UMBRELLA UABILITY 3101El178 09/25/09 09/25/10 EACH OCCURRENCE $ 1,000,000 X OCCUR I I CLAIMS MADE AGGREGATE $ 1,000,000 I I RET~m'u" · ~.~,,,,,~_ WORKERE COMPENSATION I TORY LIMITS ) AND EMPLOYERS' LIABILITY y I N E.L EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEPJMEMBER EXCLUDED? L.J E.L. DISEASE- EA EMPLOYEII $ Sunroom, Replacemont Window Installation, Carpentry - blOC; CERTIFICATE HOLDER CA~a~:~ I ATION Town of Southold DATE THEREOF, THE ISSUING IRSU"ER WILL ENDEAVOR TO MAIL 30 DAYS w.n'r~N PO Box 1179 NOTICETOTHECERTIFICATEHOLDERNAMEDTOTHELEET, BUTFAILURETODO$OSHALL Southold,NY 11971 ,.POSE NO OBLIGATION OR UABILIW OF ANY KIND UPON T.~ ,.$URER~ frs AGENT5 OR ACORD 25 (2009101) The ACORD name and logo are registered marks of ACORD ~o~. N 70'54'40"E ~. o.2'~ r 200.00' z ~ 24'2~~ ~ ASPHALT DRIVE x x ~ x O o ~ FRAME c~c~ ~ ~ 2-sTORY ~ GARAGE ~ ~ RESIDENCE ~ ~ ~ S 70'5~'40"W N/F 81ELEWICZ 2~.0~ II ~ SURV~ED: 27 AuGusT 2002 ~ SCALE AREA = ~0,786.77 S.F. 1000-~39-03-047 MIDDLE ROAD (COUN~ ROAD 48) 0.2470~ suRv~ OF .~E ~ ~ ~o~ DESCRIBED PROPER~ ~T~ A~cK SITUATE SURV~ED BY ,~.~.~=~,o~ SUFFOLK COUNt, N.Y. P.O. BOX 294 NEW SUFFOLK. N.Y. ~c~ ~ SURV~ED FOR: VAL~RIE NOT ~tN~ VALERIE MEYER T~E SUFFOLK COUN~ NATIONAL BANK NYG bE. NO. 49275 02R1158 ._J SHEET # G1 G2 G3 ENGZNEER NG DEFIO BASEMENT -PURCHASED THROUGH- SUNVIEW ENTERPRISE DESCRIPTION PLAN VIEW GENERAL ENGINEERING GENERAL ENGINEERING PLUMBING ALL PLUMBING WASTE & ,Al'ER LINES NEED TEST;;'3 EEFORE PL UMBER CERTIFICA TIO,'~ '~J LEA D CONTENT BEFORE ?T/FA- ~- ©zOCCUPANCY Su, , : , 3~'~'T~ C4~ T EXCE~ Z ~c , ~P _ :,~. UNDERWRI~RS CF' REQUIRED . OF TH FATE. OCCUPANQ ~Ai E , C;Y ,: .- .... ., ,, ~,'zD / / FEE:__ ~.~z~ ~ B',': ..~ IX ,. NOTIFY BUILDING Dr: ~ ~ 765-1802 8AM TO 4 ,: FOR FOLLOWING INSPEC ~,'- .'~: 1. FOIJNDATION -%7) 2. [ - ;.:~;;" :;G & pi. Uf2;~NG 3. iix !Z-, :Z;,i 4. FINAL - CO~,,:~l~d~O MUST ALL C'''~'. -, ~-; ~"~: ,,_,, SHALL MEET THE R~-~ ':~g ~' 1% OF fHE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUOTION ERRORS. ol COVERI SHEET 'BASEMENT PLAN BILCO DOOR ACCESS EJECTION PUMP ,a,, /~ ,'"-~ t ,,, W HIGH HAT LIGH'DING 10' ~ DE~RMINED BY DEALER. D / DETECTOR FUR. WALLS TO ~[ ALIOATOR~ O/ BASEMENT SYSTEM / -- SHEET NDTE~ NON-COMbUSTIbLE CAULK THROUGH HDLE~ TOP PLATE DR EQUAL METAL SILL PLAT~. It SPACE fROCK CEILING GAGE TOP & BOTTOM METAL TRACK MAGNESIUM BOARD MgO 3 ~" POLYSTYRENE FOAM PLASTIC CORE 17.2 R-VALUE SECTIDN 'A' BETWEEN EXIS~NG CONCRETE WALL AND PROPOSED WALL ALAGATOR MAGNESIUM BOARD ELECTRIC CHANN£~ 45.00 6.6250 EXISTING CONCRETE BASEMENT WALL ALAGATOR MAGNESIUM BOARD FACTORY MADE CORNER SHEET 'EXISTING HOUSE PLANS BEDROOM BEDROOM HALL BATHROOM , ~ BEDROOM UPPER LEVEL 1/2 BATH F- DINING ROOM LIVING ROOM KITCHEN LOWER LEVEL O SHEET G3~