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45955-Z
�p�pS11FFDL�ce Town of Southold 5/18/2021 a y� P.O.Box 1179 o • ,c 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42032 Date: 5/18/2021 THIS CERTIFIES that the building SHED Location of Property: 1525 Shipyard Ln.,East Marion SCTM#: 473889 Sec/Block/Lot: 38.-1-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/3/2021 pursuant to which Building Permit No. 45955 dated 3/19/2021 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: accessory shed as applied for. The certificate is issued to Dimitriades,Kyriakos&Liza of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Auth r' ed S nature RIM' TOWN OF SOUTHOLD ao �ay� BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE "o • 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#: 45955 Date: 3/19/2021 Permission is hereby granted to: Dimitriades, Kyriakos 1535 84th St Brooklyn, NY 11228 To: construct accessory shed as applied for. At premises located at: 1525 Shipyard Ln., East Marion SCTM # 473889 Sec/Block/Lot# 38.-1-16 Pursuant to application dated 3/3/2021 and approved by the Building Inspector. To expire on 9/1812022. Fees: ACCESSORY $180.00 CO-ACCESSORY BUILDING $50.00 Total: $230.00 Build g nspector OF 0(/l�olo # # TOWN -OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING/STRAPPING [ FINAL SW [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE ?A INSPECTOR ell � • 7f ��� —er roll •J1 1 'fit . . 'r tan�/.• �i, ,r•a ► ; • •, � �M �ti...`_��a r tri ♦ � �-. 7 � /. -• - <� fi •i: i~' fid+ !• . '1;.:" "Mao Rk-"„�- • � T �' r vim'• ;a 1 At Not— till►, I1� y t y�. a A i _4 r •• •fes : , y .�• 6� •" r IV �•. !'Ile r - 4 { x .� l i� '• 4 , r �i , ��+' :• •: 7. '• �, .�/ � �� �r �� �� r• ��,�.. � �'a - � 't�;f�;�r'. .k,. r �= �, ,, , �.� �r� �r � � � z� Y+ H�. F R � �.. .e API � .. t' <.: '.. ��, � .. _. r�.. ���> �� . � h.. �. � �. �.. -.�. �� ,�,�. .. �' .�a,.�ii �.� �{ ,, �,�,�,/ ,. . k� f" �". � _, ,, y t ,,�� s r �� �. .I iC'' .� t ' :•¢ - . . mow. ` \ x t- �� \ f 1474000 _ 1 No 40 14000 ✓ ,•-°�'' ` �!,,'•. -rte 1 �„�.--� ;�,,.;�-M .} Al -1\< c ti i it . � f 1 + e �° �a •�, t �., a,t ' _ 9 N- °tri .�ra7 �v- �� /,• gs�,���xa� Y �;t `t �s s'ti. j„a'IfM _...ls'.�T� a,. atb - r. ♦ `.. r<<(y.► Vin. _ iAL 4k, r ' t Its r. _ � • s fey: -���� -;+ --y-�'-� `„.•.` � "�w t-'��`` N -� `,j'�''y.� ��- ��-_� `� _ "` : b.' tr.�`' , a ' `( ♦tet • - �•�'- e 7 L y� is 1•� �.v' N iw _ r}._ .., E• ♦a j® \ms' s rte, f ,• `_j 44.�' Y •r ti 4 /`+esu' FIELD INSPECTION REPORT DATE COMMENTS . ro FOUNDATION(1ST) H ----------------------------------- FOUNDATION (2ND) tai z o V A ROUGH FRAMING& v -M PLUMBING INSULATION PER N.Y. -3 STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 3F vd o` �D x z m ro H d b H TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 may, © oma ' Telephone(631) 765-1802 Fax(631)765-9502 haps://www.southoldtowrmy.gov Date Received For Office Use Only PERMIT NO. Sq,55 Building Inspector: MAR — 3 2021 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: ` . OWNERS)Of PR PERTY: Name: egKo5 + 'aS SCTM#1000-3 Project Address: "�h t 01 �0 o-e- ' sf Mor!JV, 113q Phone#: q J 3�*' 9)-o" 2- Email: ��r Al Mailing Address: 1 5 a CONTACT PERSON: Name: Mailing Address: pa Z Phone#: 6 -3 ® Email: ®® DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: TEml ail: CONTRACTOR INFORMATION: pp Name: 5 Mailing Address: �Q lILI Phone#: i ®�j Email: DESCRIPTION OF PROPOSED CONSTRUCTION New Structure ❑Addition ❑Altera ion ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ ®' Q Will the lot be re-graded? ❑Yes IYNo Will excess fill be removed from premises? ❑Yes EVIO 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Q Zone or use district in whit premises is situated: Are there any covenazlo n restrictions with respect to this property? ❑Yes IF YES,PROVIDE A COPY. 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 Town Code. APPUCATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted B4(printtme • 6qp.& �-uthorized gent Downer Signature of Applicant:-K Dat 2 STATE OF NEW YORK) SS: COUNTY OF being duly sworn,deposes and says that(s)he is the applicant (Na of individual signing contract)above named, (S)he is the G� 4c 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 pp C� day of ,20 otary Public CDCON PROPERTY OWNER AUTHORRAnON �lic,State of Plsw York (Where the applicant is not the owner) �lo.01GCY�2 Ik co linty in Suiiolk County C�arnrraleslon Er�lr,�s I,J� nr-�Y,s>~=l c>�Y �ili r �I) eD'residing at 6rZ t G ary do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. )��' Z:2=-- -?/6/z ZZ wner's Signature Date Print Owner's Name 2 .q "°3'T+" w. '.`5 a}"1"i``� fy""'a',.;,ra :tib'!ti e ,'F,'Wr,;;y t `~<-s,•"...' ;r cel.,••„r a r ",7a3"r'�;T r- '3^'tet �r-, •n rn Via` #;""hr >: ax;' ��. y'5.�, '�'", s..."{rr�<',T� ;,o ,�.•. . h"" „yr;'" Y,",2' r f >{ a x 44. ;.t�. ski,.%,.'�.1,"•�4i 5, '���t *,r t'��°s,. ��11 i AS��f'r,�"'4 �',M.s,�',"�"/-,;>: ,;C-{'7'ri ,J;1• t' �''i'1as�'wt'^�„p•'ytt`i�,>�'�i.i���}�. .��'s,�d�'LF^:Jt;{.cds" '�,'S-e�r°nY �.�,:T,", •it �'m 'r",q ar ,Qe+ ;` fife t'Ni sr.Ga tr b'e't r .y� '£, Nt�;r1' k�.ury ,.eyr: ;7 •IRi �t + x"�'v ;fit-"s'r.n„ ,,. 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'i�• e rr`rt?� ,.{f i :W' t e •.Z• Lam• :l rl - W i uY �d" •,'f`� _S;"x t' Ri�,i^b�r'�" ..� ,p. ,.�'> y c •1 t r,, 4 t •S 4, "�F•� �f'`:�#�.i„"x '�'`moi` "L' p ej'. " '�,`� VA f��$`+mo- et '�`„_r�.cv .•f(, �.` :,f 5'. "J'�r;N�I�i„ fR• ��v r'Y^. i4'.`t'akt 1 Y 3 I t1,.'�l\:r;•l"+e rt. n.e.�'tt I�v,li� ;' w .— .^-,.,,...-..,•.,.a`.,t':`^,..a,.W.as. ,. - r•-=i-==ei ,.::`'.;1 ai=r:;^i-!7„�?':,tom;,:-- ;`;.^ Suf�oWCbuM��DLD •e .abo* n�q.' •4 "' }Lr;pLiaeh'sing"&Co i' i` ffai �. ,.. „'� ;.. ,^`,�� t' -`Yc'z:.;J,��i_�,: ��'n.`�.i+^:.T,`:,,t.'`..•�A">n?"�`.nR�� HOME`IMPROVEM NT:LICENSE 1'•u ;=1 �..� _'.-- _ •�•�''�- ",` Name- „ ,. ROBERT SAETTA ' Business Name" . ROBERT SAL.CONSTRUCTION CORP ' This certifies that the` = beirer is iiuly llcensed 'License Number 'K51 311 , tiyrt le Cou6ty"of Su Ilk 03! 4/2013 "Issued:` Ex.�irca:. Commissioner p '`� �1 DATE(MMIDDIYYYY) ACOORn• CERTIFICATE OF LIABILITY INSURANCE `� 03/0102021 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 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 CONTACT Berkely Brokerage Corp Berkely Brokerage Corp. PHONE631 424-0222 FAX - 424-3910 150 Broadhollow Road E-MAIL ni3ncy@berkelybrokerage.com .Suite 212 INSURERS AFFORDING COVERAGE NAIC d Melville NY 11747 INSURER A-Evanston Insurance Company INSURED INSURER Robert Sal Construction Corp N C: 905 Little Bay Road INSURER D PO BOX 72 INSURER Greenport NY 11944 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN RE OUCED BY,PAID CLAIMS- INSR TYPE OF INSURANCE DOL UBR POLICY NUMBER POLICY EFF. POLICY EXPLTR LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $500,000 A CLAIMS-MADE a OCCUR DAMAGE TO RENTED $100,000 3EZ0317 07/01/20 07/01/21 MED EXP(Any oneperson) $5,000 PERSONAL&ADV INJURY 3500.000 GEN L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $1,000,000 POLICY a JEST FILOC PRODUCTS-COMPIOP AGG 51,0001000 OTHER- S AUTOMOBILE LIABWTY COMBINED SINGLE LIMIT $ (Fa aceldimt ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS 'AUTOS $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS •$ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ D R NT 0 5 WORKERS COMPENSATION PER OTH- AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE� N/A EL EACH ACCIDENT 5 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E L DISEASE-EA EMPLOYEE 5 If Yes.describe under DESCRIPTION OF OPERATIONS below - E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedute,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN HALL ANNEX ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 1179 SOUTHHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <DF> ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Flobed Kyriakos ® 1525.Shipyard Lane East Mari®n NY. 11939 APPR VEDAS NOTED - Proposed storage shed DATE:z B.P.# FEE: 6d - BY: NOTIFY ,BUILDING DEPARTMENT AT 12f# 765-1802 ' 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION, - TWO REQUIRED f FOR POURED CONCRETE I - 2., ROUGH - FRAMING & PLUMBING OCCUPANCY OR 3. INSULATION - � USE IS UNLAWFUL ` 4. FINAL - CONSTRUCT!7N MUST YV ITHOUT CERTI r'u V A E!F BE COMPLETE FOR C 0. p -< .- ALL CONSTRUC REQUIREM ION SHALL MEET THE NTSTOF HE CODES OF W� OF OCCUPANCY YORK STATE. NOT RESPONSIBLE FOR ~ DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CC DES - — ------- ---- -AS REQUIRED REQUIRED AND CONDITIONS OF RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 � SOUTNO!n- TQi,AIrioi NG BOARD OF THE TOWN CODE. SvT u i v1�'TRUSTEE nL FRONT ELEVA TX®N scale 3/8 1 ' i Kynakos Dimitriades 1525 Shipyard Lane East Marion NY. 11939 Proposed storage shed ' f SIDE ELEVA 7TON Scale "3/8"= 1'' . a Kvriakos Dimitriades 1525 Shipyard Lane Ridge 2x8ridgeent East Marion NY. 11-939 Strapping over ridge typ. Proposed storage shed Rafters 216 ® 161' ®C. &able and vents , Asphalt shingles architectural series 11200 CSX Til'. Hurricane straps p. ®OL. 2XI2 Versctex fascia board 2X4-1610 OC. Vinyl vented soffit Steel insulated overhead door 4 CD yqY Vinyl siding Strapping typ. Treated sill Sill sea! Termite shielde Anchor oltyP• Not to scale d 411 Monolithic poured concrete slab Kyriakos Dimitriades 1525 Shipyard Lane East Marion NY. 11939 Proposed storages ed 20'-0" 1 '-0" 2X4 16' OC.TYP. v - - m W' Monolithic conc. slab ' i V 1 '-0" F 2X4-16" OC.TYP. 5/8" X10" Anchor bolts 5' OC. 2X4 Treated _ 518" Continous Rebar Termite d Sill seal -4X4 Wire mesh 4" 12" dq — - -- Not to-scale - - 12"