HomeMy WebLinkAbout36100-ZTown of Southoid Annex
54375 Main Road
Southold, New York 11971
10/18/2011
CERTIFICATE OF OCCUPANCY
No: 35245
Date: 10/18/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
HISTORICAL
410 HUCKLEBERRY HILL RD EAST MARION,
Sec/Block/Lot: 31.-16-3.2
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
12/2/2010 pursuant to which Building Permit No. 36100
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:
sunroom addition to an existing one family dwelling as applied for.
Lot No.
filed in this officed dated
dated 12/17/2010
The certificate is issued to
Tung, Andrea
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36100 9/30/11
Authoriz//~ignfilgu[e ~
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 36100 Z
Date DECEMBER 17, 2010
Permission is hereby granted to:
ANDREA TUNG
PO BOX 603
EAST MARION,NY 11939
for :
CONSTRUCTION OF A SUNROOM ADDITION TO AN EXISTING DWELLING
AS APPLIED FOR
at premises
located at
410 HUCKLEBERRY HILL RD
?
EAST MARION
County Tax Map No. 473889 Section 031 Block 0016
Lot No. 003.002
pursuant to application dated DECEMBER 2, 2010 and approved by the
Building Inspector to expire on JLrNE 17, 2012.
Fee $ 248.00
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, p.roperty lines, strects, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from 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 amhitect or engineer responsible for the building.
6. Submit PI.arming Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy- $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
Date.
v/ Old or Pre-existing Building: (check one)
House No. ee -~
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~ ~ ] ~
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ 50`tgC)
Date of Permit. ]~ - /'7- lC)
Block /,~, Lot
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate: /
Hamlet
(check one)
{~q~/~aCn t Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone(631)765-1802
Fax(631)765-9502
toiler, riche~town.so uthold, nv. us
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Andrea Jung
~,ddress: 410 Hucklberw Hill Rd City: East Marion St: NY Zip: 11939
3uilding Permit#: 36100 Section: 31 Block: 16 Lot: 3.002
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
.Contractor: DBA: Bec Tec Inc License No: 4814-me
SITE DETAILS
Office Use Only
Residefltial ~ Indoor ~ Basement ~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCl Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: sun room
Notes:
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures I 1l Smoke Detectors
Recessed Fixtures[~ CO Detectors
Fluorescent Fixture [~ Pumps
Emergency Fixturesl~ Time Clocks
Exit Fixtures [~ TVSS
Inspector Signature:
Date: Sept 30 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
~ 765-1802
/ NSPECTION
[p,2~I:OUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRERESIST/~I'CONSTIIUCTIOfl [ ] FIRE RESISTANT PENETRATIOfl
REMARKS: ~ ~ '?'-'/'/
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
~] F~F~NDATION 2ND [ ] INSULATION
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]F~ERES~T~T~ [ ]H.ERES~STA.T~..ETR~'nO.
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING [
[ ]FIREPLACE & CHIMNEY [
[ ]FIRE RESISTANT CONSTRUCTION [
[ ]ELECTRICAL (ROUGH)
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
~ELECTRK~AL (FINAL)
DATE ~INSPECTOR ~
INSPECTION
[ ] FO~NDATION 1ST [ ] ROUGH PLBG.
[ ]/~IJNDATION 2ND [ ] INSULATION
[~/] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE&CHIMNEY [ ] RRESA,-..~¥1NS~ECTION
[ ]RRERESISTAHTCOHSTRUCTION//~ ]RRERESISTANTPENETRATION
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS~ON
[ ] FRAMING / STRAPPING [ ~"I~INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION
[ ] ELECTRICAL (RO.~GK'I) [ ] ELECTRICAL (FINAL)
REMARKS:
TOWN OF SOUTHOLD
'BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined /=')//7, 20 /O
Approved /O~ '7, 20 / O
Disapproved a/c
Ex )iration
fl/7, 2oJ
BLDG. OEPI.
TOWN OF SOUTHOLB
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.Y.S.D.E.C.
Tmstees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date
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
areas, and waterways.
c. The work covered by this application may not be commenced betbre issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
sMll 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 Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, 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 regulatio~'~d to admit
authorized inspectors on premises and in building for necessary inspections. ~/~ ~./"// _5
(Signature of appli{.~ n_.ame, if a corporation)
t~,.,..--"-~...~ - ~Mail~ng address of atpplican~) //~ Jf
State whether applicant is owner, lessee,~, archite_~engineer, general contractor, electrician, plumber or builder
A
Name of oWner of premises /r~A/O~lr~' '4 /~ Ad ~
(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.
Location of land on which proposed work will be done:
I o iq c/ c /c. c C rZ re
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
%/
Block [(0
Filed Map No.
Lot
State existing use and occupancy of pre~mises and intended use and occupancy of proposed constructionS:
a. Existing use and occupancy
/
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition
Other Work
Alteration
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
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 Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size of lot: Front ~ ~'
Rear
Rear
Depth
Rear
.Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated ]~9 4.~O
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__
13. Will lot be re-graded? YES NO~'/Will excess fill be removed from premises? YES__
14. Names of Owner of premises ~ ~ Address ~/~C ~O PhoneNo.
Name of Architect ftc ~ ~ a Address Phone No
Name of Contractor ~ ~ ~ ~ ~ f [ ( Address Phone No.
2' 3 4'Z7
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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.
NO /~
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)
COUNTY
//~,Z~/F__' ..~ i P?/tA./~/.,/d r '7~_ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the /~ C [7t7-'~'C '-f'~'
(Contractor, A~ent, Corporate Officer, etc.)
CONNIE D. BUNCH
Notary Public, State of New York
No. 01BU6186060
Qualll~:l In Surfak County
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this applicat on;
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 therewith.
Sworn to before me tl(s ~
2-,-~& day of--.12:~-~0 l U3
Notary Public
Sign~
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 76.%1802
roger, micher t~.~ (wn~.ts) J~ti~lo~lc~.ny. us
BUrl ,DING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
6,ddmss:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: .~r) (~rP~ .~m '
*Cross Street:
*Phone No.: ~)/ ~'77'
Pe~ No.:
Tax Map Di~: 1000 Se~ion:
*BRIEF DESCRIPTION OF WORK (Please PHnt CI~Hy)
(Please Circle All That Apply)
*Is job ready for inspection: ~"~f
NO
*Do you need a Tamp Certificate: YES/(~
Tamp Information (If needed] -
*Service Size: 1 Phase 3Phase 100
*New Service: Re-connect Underground
Additional Information: p
Rough In
BLDG, DEPT.
82-Request for Inspection Form
400 Other
~ervice Overhead
:ATION /t~O, oO
Town of So.uthold
I~)~J~Er0si°n' 5edimentati°n & S~°rm'Water Run'Off ASSESSMENT FORI'~
t ~%~ J ~'( L~.:_ .S.CT.M.~__ ~E FO~O~NG A~O~ ~y ~U~ ~E
[ ~ct ~ ~k ~ ~"IGH P~E~iO~L IN THE STA~ OF N~ yo~
'b'r~ 8urfsee~)
Drainage ~ Ir~ ~
~~ ~ a ~e ~Na~
~ ~e I~g ~ ~n
of Mate~al ~n any ~ .
5 ~1 ~ ~ R~ulm ~
'~p~g ~ ~a ~
(5,~'S.F.) ~u~ F~t ~ G~
~e? Is ~ Pmj~ ~in ~ Tms~
~ ~ ~e H~ (1~) feet
~a~?
~ ~ ~e~ (15) f~t ~Ve~l Ri~ to
O~ Hu~md (1003 of H~tal ~tan~?
8 ~1 ~, Pa~ ~s ~r Im
~ ~ S~ ~ ~ ~Wat~
~ a~ In ~e dlm~n d a T~
R~~ a~ffie ~ ~
FORM - 06110
INSURANCE
L.__~ g~-KIIPICATE OF LIABILITY
J & S RISK PLANNING GROUP LLC
~, No. ~): (516) 233--1470 ~ (F~. No): (516) 233--1471
2001 Grove Street ~ss. jkantrowitz@jsrisk.com
Wantagh, NY 11793
~NSU~B) A;FO~)~Ne COWR~E ~c~
~NS~ERA: Interstate Fire & Casu~ty
~,S~D Calen~r Products Inc. &/or I~URER B:
NU West Window Co~. ,.S~ERC:
135 Ver~ Street ~, o:
East Fa~ngd~e, ~ 11735
~ - ..................... " REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLrcY PERIOD
INDICATED. NOTV~THSTANDrNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT V~TH 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 COND~IONS OF SUCH POLtCIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR 3¥PE OF INSURANCE
-- GENERAL LIABILfflY ~ ~ P~ICYNUMBER ~ ~ UM~TS
~CH ~uR~ i, 000,000
I c~E ~l~. ,.E.SES ~.~--~) ' 100,000
MED ~(~om~n) $ 5 ~ 000
A -- LHB 1001286 5/13/1C 5/13/11 PERSONAL&ADViNJURy $ 1,000,000
~EN'L ^~"E~ U~ A"PUEE ~R: ~HE~ ~E~ $ 2, 000, 000
' 1,000,000
HIRED AUT~ AU~ QIOHLflOS
CERTIFICATE HOLDER ~,~
CELLATION
Town of Southold N.Y.
Attn Building Department
P O Box 1179
Southold N.Y. 11971
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE %~LL BE DELP~ERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
~ 1988-2010 ACORD CORPORATION. ~l ~gh~ rese~ed.
ACORD25 (2010/05) The ACORD name and logo are reg~tered marks of ACORD
Suffolk County Executive's Office of Consumer Affairs
VETERANS MEMORIAl, HIGHWAY * ttAUPPAUGE, NEW YORK 11788
DATE ISSUED:
12/5/2006 No. 41603-H
SUFFOLK COUNTY
Home Improvement Contractor License
This is to certify that SION M3ZZA
doing business as CAI,ENDAR PRODUCTS INC
having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws, rules
and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME
IMPROVEMENT CONTRACTOR, in the County of Suffolk.
Additional Businesses
NOT VALID WITHOUT
DEPARTMENTAL SEAL
AND A CURRENT
CONSUMER AFFAIRS
ID CARD
Director
STATE OF NEW YORK
WORKER'S COMPENSATION BOARD
CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW
PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier
1 a. Legal Name and Address of Insured (use street address
CALENDAR PRODUCTS, INC
135 VERDI STREET
EAST FARMINGDALE, NY 11735
2. Name and Address of the Entity Requesting Proof of
Coverage (Entity Being Listed as the Certificate Holder)
TOWN OF SOUTHOLD NY
A'F]'N: BUILDING DEPT
P.O. BOX 1179
SOUTHOLD, NY 11971
lb. Business Telephone Number of Insured
631-501-1280
lc. NYS Unemployment Insurance Employer Registration
Number of Insured
ld. Federal Employer Identification Number of Insured or
Social Security Number
11-2070445
3a. Name of Insurance Carrier
The Guardian Life Insurance Company of America
3b. Policy Number of entity listed in box "1 a":
989298-0001
3c. Policy effective period:
06/26/1992 to 06/30/2011
4. Policy Covers:
a. [] All of the employer's employees eligible under the New York Disability Benefits Law
b. [] Only the following class or classes of the employer's employees:
Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier
referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above.
Date Signed: 12/07/2010 By: ? ~ ~%~,
· Shaw, FSA, MAAA
Telephone Number: 1-888-278-4542 Title: Vice President, Group Insurance
IMPORTANT:
If box "4a" Is checked, and this form is signed by the Insurance carrier's authorized mpreeentatNe or NYS Licensed
Insurance Agent of that carrier, this certificate Is COMPLETE. Mall it directly to the certificate holder.
If box "4b" Is checked, this certificate Is NOT COMPLETE for puq)oses of Section 220, Subd. 8 of the Disability
Benefits Law. It must be mailed for complstlon to the Workem' Compensation Board, DB Plans Acceptance Unit,
20 Park Street, Albany, New York 12207.
PART 2. To be completed by NYS Workers' Compensation Board (Only if box "4b" of Part I has 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 Benefits Law with respect to all of his/her employees·
Date Signed: By:
Telephone Number: Title:
Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed
insurance agents of those insurance carriers are authorized to issue Form DB- 120. 1. Insurance brokers ara NOT
authorized to issue this form.
DB-120.1 (5/06)
New York State Insurance Fund
Workers ' Compensation & Disability Benefits Specialists Since 1914
8 CORPORATE CENTER DR, 2ND FLR, MELVILLE, NEW YORK 11747-3166
Phone: (631) 756-4000
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
112070445
NU WEST WINDOW CORP
135 VERDI STREET
EAST FARMINGDALE NY 11735
POLICYHOLDER
CALENDAR PRODUCTS INC
135VERDISTREET
EAST FARMINGDALE NYl1735
CERTIFICATE HOLDER
TOWN Of SOUTHOLD NY
A'I-rN: BUILDING DEPARTMENT
POBOX 1179
SOUTHOLD NY 11971
POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE
H 1005 981-4 346504 04/12/2010 TO 04/12/2011 1 2/7/2010
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 1005 981-4 UNTIL 04/12/2011, 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 04/12/2011 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 ONLY ANDCONFERS 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, com/certJcertvaLasp or by calling (888) 875-5790
VALIDATION NUMBER: 846060995
.AT
· .133WN'C~ ~UTHOL~, ~.w,
g
MATTE~ISil
SUFFOLK CO. HEALTH DEPT. AP~OVAL
H.S. NO. ,BSrSO"|5~
STATE, MJ~NT OF INT[NT
THE WATER EPJPPLY AND SEWAG~
.SYSTEMS FOR THIS R EStOI~FICE WILL
CONFORM TO THE STANDRe~S ~ T~j
SUFFOLK ~. DE~. OF HEaLTN
{S) ,,,
A~LICANT
SUFFOL~ c°UNTV '~.
SERVICES -- FO~ APP'ROV~L',:
CONSTRUCT ~N ONLY
~VED: " ' ,' '
LO~N1
I 3"
X X ~ ;
,,. [
FLAT
ROOF
TO
DECK
FRONT VTEW LENGTH
HEIGHT IN FRONT='¢~'"
V I t w
HEIGHT IN REAR=
ELITE ROOF 3" ADD-A-ROOM MASTER PLAN SHEETI V ,LLTO ROOF SECTION I TYPICAL ELEVATION
~' ..... , CONCRETE 024" I ---- ~ · SEE TABLES 1-8 SHT S2
, · ORf~:LED /~f~SH~NG ( , OD PANEL CONNECTION: Mm WASHE" --~-
....... ~ ~ ' ~ ~X ~ ~ ~ ' ~ ~' '~Y~ ~'Z~~ EMBED +APC6N ~/ I S~E ~OO~ PANEL TA~L~ I EACH SZDE OF EACH COLUMN & 12" I ~O ~
· ,,~,O~;;~:;~,,~ ........... THROUGH ~' ~ FORS]ZE&TH]CKNESS ' DC ........ . loc' ~ PANEL,~P o PZTCHEDI! i ~ DEPTHREQU]RED ,
]~ o~ ~o ~ ~ ~o~, ~%, / I ~s~ ~ x~ ~EP-i3 ~ , ~
~GS SPACED FASC~ MIN. SPACED AT 3" ~% ~2~C~ CHANNEL I [ ~ ~x J CHANNEL ~ ~=~/~ OF BEAM INTO COLUMN A I J
HEA~ ADHESIVE ~ULK TOP & BORON CON~NUOUS ~ //-~ ~ II ~x [ I ~ ...... &~ ~ ~o o ~ / EACH COLUNN ANDjO
~ ~// ~/ ........ ' ' , PANELORG~SS
ECURE TO MASONRY US NG K"Xi~." EMBED' J ~ ~ ~/ ~' ~. ~ VY< ~ ~ ]1 S=A $ / , o / / M~HODSONLY REFERTOE~EDWG
, ~ · ~, ,'~ ~.'-'. ' ~ .,~ . ~ = , --
~ ~ ~ x/iww, wp. [ ~ ~; k'~q ~~-qml i~ ~RCI 11]/15~ t [IREQUIRFIDFRONT&SDE ~ 3AMBJ CHANNEL
~ I SEA~NT B~EEN FOOTING OR WOOD DECK -/ ] ~ ~.O0-EAC-1062
~ I *PANEL IS 3" 0 0240/0 .... '~12" H N HUN WIDTH J S~B AND EP-20 (BY OTHERS)
~.'. J (1 LB FOAM MIN), G~SS HAY REQUIRED FROM OUTS[DE I mm c~m~[ T~D~I
~( J ,' ............... CORNER OR P[R SITE ~ I CONDUITFANSUPPORT2"X3"X/~
STRUCTURAL
EXTRUSION
SPECIFICATIONS
NO*a
° ~ WALLTHK m ~ ~ --
GENERAL NOTES: -
1) THIS STRUCTURE HAS BEEN DESIGNED & COMPLIES WITH THE REQUIREMENTS OF THE 2009
INTERNATIONAL BUILDING CODE, 2009 INTERNATIONAL RESIDENTIAL CODE, & THE BUILDING CODE
OF THE STATE OF NEW YORK, CURRENT EDITION. STRUCTURE SHALL BE FABRICATED IN
ACCORDANCE WITH ALL GOVERNING CODES· CONTRACTOR SHALL INVESTIGATE AND CONFORM TO
ALL LOCAL BUILDING CODE AMENDMENTS WHICH MAY APPLY· DESIGN CRITERIA OR SPANS BEYOND
STATED HEREIN MAY REQUIRE ADDITIONAL SITE SPECIFIC SEALED ENGINEERING· ALL LOADS
BASED ON CATEGORY II (I=1.0) Kd=0.85, ENCLOSED (Gcpi=+/-0.18), 1E' MRH PER ASCE 7-05 AB
APPLICABLE· ENCLOSURES DESIGNED AS CATEGORY II PER AAMA/NPEA/NSA 21.00.
** THIS DOCUMENT SHALL NOT BE USED OR REPRODUCED WITHOUT THE ORIGINAL SIGNATURE &
RAISED SEAL OF FRANK L. BENNARDO, P.E. & MUST HAVE 'ELITE' IN RED ACROSS THE FACE OF THIS
DRAWING· ALTERATIONS, ADDITIONS, HIGHLIGHTING, OR OTHER MARKINGS TO THIS DOCUMENT
ARE NOT PERMI~FED AND INVALIDATE OUR ~ERTIFICATION.
2) THE EXISTING STRUCTURE MUST BE CAPABLE OF SUPPORTING THE LOADED COMPOSITE
ROOF-SCREEN WALL STRUCTURE AS DEl'ERMINED BY OTHERS OR BY SPECIAL ENGINEERING BY
UNDERSIGNED ENGINEER AIl'ACHED HERETO· NO WARRANTY IS CONTAINED HEREIN.
3) COMPOSITE ROOF AND WALL MEMBERS SHALL BE CONSTRUCTED USING MINIMUM TYPE
3005-H25 ALUMINUM FACINGS, (1) OR (2) PCF ASTM C-578-83 CARPENTER BRAND EPS ADHERE TO
ALUMINUM FACINGS WITH ASHLAND CHEMICAL 2020D IBC GRIP· FABRICATION TO BE BY ELITE
PANEL PRODUCTS ONLY IN ACCORDANCE WITH APPROVED FABRICATION METHODS·
4) ALL EXTRUSIONS SHALL BE ALUMINUM ALLOY TYPE 6063-T6 ONLY.
5) ALL FASTENERS TO BE 2024-T4 OR 7075-T73 ALLOY, NON-MAGNETIC STAINLESS STEEL, SAE
GRADE 5 STEEL MEN, OR CADMIUM PLATED OR OTHER CORROSION RESISTANT MATERIAL AND
SHALL COMPLY WITH 5.1.1C, 2000 ALUMINUM DESIGN MANUAL- SECTION 1, THE ALUMINUM
ASSOCIATION, INC., & APPLICABLE FEDERAL, STATE, AND LOCAL CODES.
6) FASTENERS SHALL HAVE A BEAD AND/OR BE PROVIDED WITH ~" DIAMETER WASHER MINIMUM
UNLESS NOTED OTHERWISE·
7) ANY FASTENER STRIPPED OR NOT ADEQUATELY HOLDING SHALL BE REPLACED.
8) THE CONTRACTOR IS RESPONSIBLE TO INSULATE ALUMINUM MEMBERS FROM DISSIMILAR
METALS TO PREVENT ELECTROLYSIS.
9) ALL TAPCONS MUST BE ITW CARBON STEEL TAPCONS OR EQUIVALENT W/ 13/4" EMBED, 3" MIN.
EDGE DISTANCE, FASTENED TO MINIMUM 3192PSI MIN. CONCRETE.
10) IF REQUIRED BY CODE, THE EPS CORE SHALL BE SEPARATED FROM THE BUILDING INTERIOR BY
A 15 MINUTE THERMAL BARRIER OF APPROVED 5/8 INCH GYPSUM WALLBOARD OR EQUAL. ELITE CAN
PROVIDE UL1715 (INTERIOR) OR CLASS A(EXTERIOR) PANEL TO SATISFY CODE PROVIDED ALUM. &
EPS MEET SPECS ABOVE·
/.1) WINDOWS AND DOORS SHALL BE BY OTHERS IN ACCORDANCE WITH REQUIRED WIND
PRESSURES STATED IN TABLES & SHALL MEET ALL PRODUCT APPROVAL REQUIREMENTS· THIS
ENCLOSURE IS NOT IMPACT RESISTANT· SHU]]'ERS SHALL NOT BE INSTALLED TO THIS ENCLOSURE·
WHEN REQUIRED BY CODE, AN APPROVED IMPACT PROTECTION SYSTEM SHALL BE INSTALLED AT
THE HOST STRUCTURE. HOST STRUCTURE DOORS AND WINDOWS ARE NOT TO BE REMOVED
EXITING TO THIS ENCLOSURE· THIS ENCLOSURE IS NON-HABITABLE SPACE·
12) ALUMINUM MEMBERS IN CONTACT WITH CONCRETE & WOOD SHALL BE PROTECTED BY
'KOPPERS BITUMINOUS PAINT' OR MFR. EQUAL IN ACCORDANCE WITH APPliCABLE CODE
REQUIREMENTS.
13) ELECTRICAL GROUND AND ALL RELATED WIRING AND CONSIDERATIONS TO BE DESIGNED BY
OTHERS AS REQUIRED·
14) MAXIMUM AVG. COLUMN SPACING = 5ET, MAX COLUMN HEIGHT = 9FT, MAX SOLID ROOF
SNOW/LIVE LOAD = 40PSF, MAX WIND VELOCITY & EXPOSURE = 140MPH, 'C', CONNECTIONS VALID
UP TO MAX 6IN. ROOF SPAN PER ELITE ROOF SPAN TABLE (#O0-EAC-I002) SEALED BY THIS
ENGINEER· SITE SPECIFIC ENGINEERING REQU/.RED FOR ANY DETAIL WHICH DEVIATES FROM THIS
PLAN OR BEYOND THESE LIMITATFONS.
15) ENGINEER SEAL AFFIXED HERETO VALIDATES STRUCTURAL DESIGN AS SHOWN ONLY. USE OF
THIS SPECIFICATION BY CONTRACTOR, et al. INDEMNIFIES AND SAVES HARMLESS THIS ENGINEER
FOR ALL COSTS AND DAMAGES INCLUDING LEGAL FEES AND APPELLATE FEES RESULTING FROM
MATER]AL FABRICATION, SYSTEM ERECTION~ AND CONSTRUCTION PRACTICES BEYOND THAT WHICH
IS CALLED FOR BY LOCAL, STATE, AND FEDERAL CODES AND FRbM DEVIATIONS OF THIS PLAN.
16) THIS ENGINEER HAS NOT VISITED THIS JOB-SITE. INFORMATION CONTAINED HEREIN IS
GENERIC AND DOES NOT TO PERTAIN TO ANY SPECIFIC PROJECT LOCATION. THIS ENGINEER SHALL
NOT BE HELD RESPONSIBLE OR L~ABLE IN ANY WAY FOR ERRONEOUS OR INACCURATE DATA OR
MEASUREMENTS·
17) EXCERT AS EXPRESSLY PROVIDED IN THIS SPECIFICATION, NO ADDITIONAL CERTIFICATIONS
OR AFFIRMATIONS ARE INTENDED.
COLUMN ALLOWABLE HEIGHT TABLES:
TABLE 1: 100MPH, EXPOSURE 'B' ..oPsP.^×BooE
SNOW/LIVE LOAD
I COLUMN COLUMN SPACING I MAX ROOF SPAN = 21'-1'q
I I~o' 2'-E~ 3'-0" 3'-E" I 4'-0' 4'-E" E'-0" '
3"H-Mull + DRC~ + Window Jambs j 9'-0" 9'-0" 9'-0- 9,-0,, ' 9'-0" 8'-9" 8,4,,
AVERAGE COLUMN
SPACING DEFINED
[Dogb!e H:Mu!I +gRCs + Window Jambs 9'-~;' 9'-0;' 9;:b" - ~;:~; [ 9'-0" 9'-0" 9'-0" J 'L.L COLUMN
DESIGN PRESSURE: +/-7.9,57. PSF (FOR USE WITH WINDOWS)
/%/ COLUMN 2
I I ~/ I SPACING
TABLE 2: 100MPH, EXP C, ll0MPH, EXP'B'
3" H-Mull + DRCs + Window Jambs J 9'-0" : 9%0" 9*-0" i 8'-1 ~'" J, 8%5" ~ ~'-0" j ~'-~'"
.
DESIGN PRESSURE: +/-23.64 PSF (FOR USE W~H WINDOWS)
40PSF HAX ROOF
TABLE 3: ll0MPH, EXP 'C', 120MPH, EXP 'B'
' COLUMN ~ COLUMN _SPACING ! I SNOW/LIVE LOAD
[ Double~zMulL~DRCs + Window Jambs 9'~)" ~ 9'-0" ~ 9'~)" 9'-0" 8'-10" I 8'~" ] 7'-11"
DESIGN PRESSURE: +/-28.61 PSF (FOR USE WITH WINDOWS)
TABLE 4: 120MPH, EXP 'C', 130MPH, EXP 'B'
40PSF HAX ROOF
SNOW/LIVE LOAD
COLUMN ; COLUMN SPACING ~ I
:~mbs? 2'-0" 2'-6' 3'-0" ' 3'-6" i 4L0" 4'-6" ~
3" H-Mull + DRCs + Window Jambs 9'-0" ~'-~0" ~'~2" ! 7'-6" ~ 7'-1" i 6'-8"
, ~,~,;
Doub!~H-Mgll + DRCs + Wincjgw ~ - 9'-0" ~ 9'-0" 8'-8" 8'-2" ~ 7'-7" 7'-3"
DESIGN PRESSURE: +/-34.05 PSF (FOR USE WiTH WINDOWS)
TABLE 5: 130MPH, EXPOSURE 'C'
COLUMN COLUMN SPACING
3" H-Mull + DRCs + Window Jambs 9'-0" 8'-3" T-6"
[Doub!~H-MulI+ DRCs + Windo~J_ambs~ ~':0" 9'-0" _~
DESIGN PRESSURE: +/-39,96 PSF (FOB USE WITH WINDOWS)
40PSF MAX ROOF
SNOW/LIVE LOAD
! 63,.'~6~ L 4'"0" 4'-6" 5'-0'
, -" J~'-~" [ ~q"- s'-iO"
8'-0" , 7r--6'' ~ ~;'6;r j 6'-9"
TABLE 6: 140MPH, EXPOSURE 'B'
SNOW/LIVE LOAD
J COLUMN J~N~PACING
~ 2L0" ! 2'-6" ~: 3'~)" 3'-6"
~ 3" H-Mull + DRCs + W ndow Jambs ! 9' 0" 8'-5" 7-8
I Doubi~ H-Mull + DRCs + Window J~mbs~ ~?-g"i ~ ~ ~'-o'~ 8'-10';
DESIGN PRESSURE: +/-38,25 PSF (FOR USE W~H WINDOWS)
TABLE 7: 140MPH, EXPOSURE 'C' 40PSF MAX ROOF
SNOW/LIVE LOAD
I COLUMN ] COLUM~ SPACING ~
j =-o. ~ 2,-~- !~..~. ~ ~"~' L .,0- ~,,,-~- S'-O-
3" H-~RCs + Window Jambs E'-7" j ~'-8; ,' 7'-0'? ! '67~'' ! 6'-bp' ~5'-~' ~ 5'-4"
Doubl~H_Mull+DRCs+WindowJ~mb~! glo" 8'-10" i _8'-8~ ! 7'-5" · 6'-11"~ 6'-7" 6'-2"
DESIGN PRESSURE: +/-46.34 PSF (FOR USE WiTH WINDOWS)
TABLE 1-7 NOTES:
1) 2005 ALUMINUM DESIGN MANUAL, ALLOWABLE
STRESS DESIGN METHOD USED IN ALL TABLES.
2) 2) USE APPROPRIATE TABLE REQUIRED BY THE
BUILDING CODE REFERENCED IN GENERAL NOTES. VERIFY
REQUIREMENTS WITH BUILDING DEPARTMENT.
3) DEFLECTION LIMIT = L/180.
4) LOADING CRITERIA CONSIDERED IS AS FOLLOWS:
2PSF ROOF DEADLOAD, ROOF WIND LOAD AND WALL
WIND LOAD PER ASCE 7-05 (I=1.0, MRH=iSFT).
5) CUSTOM WINDOWS SERIES 3500 WINDOW iAMBS
USED FOR CALCULATIONS, ANY ELITE ALUMINUM
WINDOWS CAN BE SUBSTITUTED, OR OTHER
MANUFACTURER EQUIVALENT WINDOW, AS VERIFIED BY
OTHERS.
6) COLUMN SPACING [S HALF THE DISTANCE TO THE LEFT
ADDED TO HALF THE DISTANCE TO THE RIGHT OF THE
BEAM (AVERAGE COLUMN SPACING).
7) VALUES BELOW ALLOWABLE CEILING HEIGHT
INTENDED TO BE BUILT ON KNEEWALLS OR OTHER
SUPPORTING STRUCTURES (CERTIFIED BY OTHERS).
8) MAX SOLID ROOF SNOW/LIVE LOAD = 40 PSF.
EAVE BEAM LIMITATIONS:
EAVE BEAM CLEAR /<.. ~.
~ ..... ~ SPAN DEFINED /C' ~.~
,c ~ 3" 4;' OR ~" EPS ~ ~ r/,. ~ EAVE BEAM 2-
~ c~ 'PANEL ~P. ~ ~.~ ~
~ ~ ' : ~ ~i: ~ EAVE BEAH
CONNECTION PER '¢u ' ; :' ' ~- 3" ELITE PANEL EAVE BEAM, ¢/~'
¢'t ONT, ..TW. N
SUPPORTS '~
TABLE 9:
EAVE BEAM LIMITATIONS:
VELOCITY & EXPOSURE MAX ROOF SPAN
.AX
LAVE BEAM SPAN
/OOMPH, EXP 'B' 21'-1"
/OOMPH, EXP 'C', 20'-5"
110MPH~ EXP 'C', 19'-4'
130MPH, ExP 'C' 17'-4"
TABLE 9 NOTES:
~) 2005 ALUMINUM DESIGN MANUAL, ALLOWABLE STRESS
DESIGN METHOD USED IN ALL TABLES.
2) DEFLECTION LIMIT = L/180.
3) MAXIMUM SOLID ROOF UPLIFT LOAD = 49AOPSF.
4) MAX LAVE BEAM SPAN IS 5FT, THE MAX AVERAGE
COLUMN SPACING IS ALSO EFT.
5) MAX ROOF SPAN REFERENCED FROM #00-EAC-~002 BY
THIS ENGINEER.
6) ~FT MAX OVERHANG CONSIDERED.
FRANK L, BENNARDO, P.E~
COPYRIGHT FRANK L. BENNARDO P.E
O0-EAC-iO14
PAGE DESCRIPTION:
SUNROOM STRUCTURE TO
BE ASSEMBLED PER MANUFACTURE'S
WRITTEN INSTRUCTIONS AND TO
NY$ + TOWN CODE
CONC. PAVERS OVER 4" THICK
CONCRETE SLAB, REINFORCED
WITH 6X6 10/10 WWM
CRUSHEE
COMPACTED SOIL
(MIN. 3000psi)
CONTINUOUS 3000psi CONCRETE
STEM ~JALL ~JITH (3) #5
SOIL CAPACITY MIN. 3000# psi
10'-0"
\ /
\ /
\ /
\ /
\ ~ ..... : /
EXISTING
FOUNDATION . f-~_/&--., .~..
.J
/
/
/
5/8" DIA., 12" LONG ANCHOR BOLTS
w/3X3 SQ. 'WASHERS AND
NUTS AT 72" CC (1 STY. BLDG.)
& w/i 1' OF CORNERS & INTERSECTIONS
MIN. 7" EMBEDMENT IN CONC. ~JALL
FOUNDATION PLAN
SCALE: 1/4": 1'-0'
CROSS SECTION
SCALE: 3/4" = 1'-0"
APPROVED AS NOTED
NOTIFy BUILDING DEP~RTMEN~A~
765-1802 8 AM TO 4 PM FOR THE
FOLLO~NG INSPECTIONS'
1. FOUNDATION- T~ REQUIRED
FOR POURED CONCRETE
STRAPP,NG, ELECTRICAL & CAULKING
~. INSULATION
4 FtNAL CONSTRUCTJON,ELECTR,CAL
MUST ~E COMPLETE FOR C O
ALL CONS rRUCTiON S~LL MEET THE
YORK STATE NOT RESPONSISLE FOR
DESIGN OR CONS~UCTION ERRORS.
RETAIN S~ORM WATER RUNOFF
PURSUANT TO CHAPTER 236