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HomeMy WebLinkAbout46076-Z �Fod TOWN OF SOUTHOLD BUILDING DEPARTMENT z TOWN CLERK'S OFFICE o� • 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#: 46076 Date: 4/13/2021 Permission is hereby granted to: Coussin, Halit 66 Browning Rd Short Hills, NJ 07078 To: install deer fence as applied for. At premises located at: 550 Stirling Woods Ln., Southold SCTM #473889 Sec/Block/Lot# 88.-2-15.5 Pursuant to application dated 3/8/2021 and approved by the Building Inspector. To expire on 10/13/2022. Fees: DEER FENCE $75.00 Total: $75.00 4 -- B l ng Inspector ao�gue�o� o ' TOWN OF SOUTHOLD—BUILDING DEPARTMENT �c Gy`g Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 haps://www.southoldtownnoovv Date Received P P For Office Use Only 1 L PERMIT NO. � �{' Building Inspector: 1 ' MAR - 8 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:2/26/2021 OWNER(S)OF PROPERTY: Name: Gidon Coussin SCTM#1000-88-2-15.5 Project Address: 500 Sterling Woods Lane, Southold Phone#: 917-478-3951 Email:_gidon.coussin@ gmail.com Mailing Address: 500 Sterling Woods Lane,Southold, NY CONTACT PERSON: Name: Scott Farina Mailing Address: PO BOX 425, Remsenburg, NY 11960 Phone#:631-901-7075 Email:info@ comp rehensiveplanning_net DESIGN PROFESSIONAL INFORMATION: Name: Ken Woy_chuk LS Mailing Address: PO Box 153, Aquebogue, NY 11931 Phone#: 631-298-1588 Email:kmw250@ yahoo.Com ,CONTRACTOR INFORMATION: Name: Bill D'Agata Design and Build Mailing Address: PO BOX 848, East Quo e,NY_11942 � Phone#: 631-926-6421 Email:Bill@ williamdagata.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: D Other install deer fencing $29,000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property: single famil home Intended use of property: gv me__-___�_._____________ Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to Agriculture this property? ❑Yes ®No IF YES, PROVIDE A COPY. lg 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. 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,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 By(print name): Scott Farina IRAuthorized Agent El Owner Signature of Applicant: Date: /y 4/;j STATE OF NEW YORK) SS: COUNTY OF Su4-611 ) - !a0++ t7q'if%vt being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the 05,Eft (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 JA&day of �br�rt1 20 Nt ��� STEPHANIE Pii POUDOR0 Notary Public Notary Public,State of New'torh No.01 P-06315684 QualifM in;Suffolk County PROPERTY OWNER AUTH®RRATON COMM16,11 ora EXPh'00 01,20ad'Where the applicant is not the owner) Gidon Coussin residing at 500 Sterling Woods Lane do hereby authorize Scott Farina to apply on my behalf to the To of outhoId Building Department for approval as described herein. Owner's Sign Da e Print Owner's Name 2 C Nunemaker, Amanda From: Lanza, Heather Sent: Tuesday,April 13, 2021 9:58 AM To: Scott Farina; Nunemaker,Amanda Cc: Michaelis,Jessica Subject: RE: 550 Sterling Woods Lane Deer Fence Permit(Sterling Harbor Subdiv, Lot 5 Dear Mr. Farina: The Planning Board made a site visit on Friday,April 2 to view the proposed fence line within the buffer.The fence is proposed offset from the property line as per the wish of the property owner to be less intrusive to the neighbors. Upon review of the plan submitted and the information received at the site visit, the Planning Board agrees that the fence may be located within the buffer as generally shown on the plan, so long as no healthy trees are removed. They also wanted to caution the landowner about preserving their rights to the land outside of the fence for the future. Regards, Heather Lanza,AICP Heather Lanza,AICP Town Planning Director Southold Town Planning 53095 Route 25 P.O.Box 1179 Southold,New York 11971 Phone: (631)765-1938 E-mail: heatherl(&southoldtownng.aov From:Scott Farina [mailto:scott@williamdagata.com] Sent:Tuesday,April 06, 202112:32 PM To: Lanza, Heather<heather.lanza@town.southold.ny.us>; Nunemaker,Amanda <Amanda.Nunemaker@town.southold.ny.us> Subject:550 Sterling Farm Lane Deer Fence Permit Hello Heather and Amanda, Attached please find survey showing the proposed deer fence location that was verbally approved by the town planning board at our site visit on March 26th. Please let me know if you require anything further from me to finalize the deer fence permit. Thank you, 1 Scott William D'Agata Outdoor Living Concepts ESTATE MANAGEMENT Scott Farina 631.901.7075 scott@williamdagata.com www.williamdagata.com Studio: 58 B Old Country Rd. Quogue, MY 11959 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 2 Nunemaker, Amanda From: Lanza, Heather Sent: Tuesday,April 13, 2021 10:08 AM To: Nunemaker,Amanda Subject: FW: 550 Sterling Farm Lane Deer Fence Permit Attachments: coussin_deer fence layout.pdf From:Scott Farina [mailto:scott@williamdagata.com] Sent:Tuesday,April 06, 202112:32 PM To: Lanza, Heather<heather.lanza@town.southold.ny.us>; Nunemaker,Amanda <Amanda.Nunemaker@town.southold.ny.us> Subject: 550 Sterling Farm Lane Deer Fence Permit Hello Heather and Amanda, Attached please fmd survey showing the proposed deer fence location that was verbally approved by the town planning board at our site visit on March 26th. Please let me know if you require anything further from me to finalize the deer fence permit. Thank you, Scott William D'Agata Outdoor Living Concepts ESTATE MANAGEMENT Scott Farina 631.901.7075 scott@williamdagata.com www.williamdagata.com Studio: i 58 B Old Country Rd. Quogue, MY 11959 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 2 LAND N/F OF NORTH BAYVIEW ASSOCIATES - S 63053'20"E 615.42' I 0 I I Ln m I N I o I � I o ua I Z-- - I 2 I e N O m Z f A A LU z I G O 0 I Z Zm O z"J I 40< n T j O N I OPEN SPACE CONSERVATION EASEMENT AREA o N vwiz �Z w ,Z 0 �w I w 0 O= 0 C) I 3 I �Y I �J O renslon 00 U 0o William D'Agata Outdoor Litnng Concepts o e Y I o N . 9 9 1 L e _ 58-B Old Country Rd I 30' BUFFER TO REMAIN NATURAL (631)9Quoguc,-259 ork Voic 959 (671)909-2556 Voce (671)909-0768 Fox 250.00 bill=amdagste com I �nup I N 69026'50°W williamdageta com I COUSSIN -- 9UILDINCETNFLOPEA55lIOWONq{FpWlp-I I m RESIDENCE LQ I I I p;a I 550 Sterling Woods Rd p I I I N Southold,New York 11971 D I END OF DEER FENCEDRAWIN- L -c"Ii DOES NOT ENCROACH DEER z BEYOND FRONT OF FENCE HOUSE LAYOUT DATE APRIL4,2021 SCALE 1/8'11.0- 1 PROJ NO 11.21 I I I I DRAWN BD I I I I APPD DRAWING NO SURVEY SuffACouft y Dept ofi Labor,LicensingA Consumer Affairv), HOME IMPROVEMENT LICENSE Name ilk, WILLIAM DAGATA 111, Business Name, WILLIAM DAGIATA DESIGN This certifies,that the &BUILD CORP -bearer is duly ficented- Udense'Numbor !H-59569, by the County of Suffolk Issued- 10131120,07 Upirev t01011,2021, Corhmissioriee, T his"lic - is lh- PIPe,pfo rty of 8uffdlk CounCountyD . Iens -' epartrnent of Labor,L censing-i A Consumer Affairs. Possession of this license does not guarantee its validity. Additibmil Busiriess'Narne H4-LANDSCAPING License Category HB-MASONRY William D'Agata design + build Outdoor Living Concepts t 631.926.6421 • PO Box 848 East Ouogue NY 11942 • 58B Old Country Road Ouogue NY 11959 • f 631.909.4786 ACORO0 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 02/23/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Gene Romano Liberty Risk Management, Inc. a/c°Nl o Ext (631)569-5633 A/C No:(631)569-5636 2333 Route 112 ADDRESS. gene@libertyrisk.org Medford, NY 11763 INSURERS AFFORDING COVERAGE NAIC# INSURERA: NIP/Greenwich 22322 INSURED INSURERB• NorGuard Insurance Company William D Agata Design&Build Corp. DBA Hampton Outdoor Shower,Inc. INSURERC. PO Box 848 INSURER D• East Quogue, NY 11942-0848 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000244-652596 REVISION NUMBER: 14 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 REDUCED BY PAID CLAIMS. INSR ADDL SUBR ML POLICY NUMBER POLICY EFF MMIDDY EXP LTR TYPE OF INSURANCE LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y NPC-1001043-01 07/19/2020 07/19/2021 EACH OCCURRENCE $ 11000,000 DAMAG;To CLAIMS-MADE a OCCUR PREMISES(Ea oocur encs) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY E JECT F LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY CEa OMBINED SINGLE LIMIT $ acGdent ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acadent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WIWC119077 12/21/2020 12/21/2021 X IPER STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE YF N/A E L EACH ACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E L DISEASE-EA EMPLOYE $ 1 OO,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold, NY 11971 AUTHORIZED REPRESENTATIVE GGR ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by GGR on February 23,2021 at 12.27PM YORK workers' CERTIFICATE OF INSURANCE COVERAGE Compensation STATE Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b Business Telephone Number of Insured WILLIAM D'AGATA DESIGN &BUILD CORP. 58B OLD COUNTRY ROAD 6318355383 QUOGUE, NY 11959 Work Location of Insured(Only required if coverage is specifically limited to 1c.Federal Employer Identification Number of Insured certain locations in New York State,i.e.,wrap-Up Policy) or Social Security Number 82-1723319 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Town of Southold Standard Security Life Insurance Company of New York 53095 Route 25 3b.Policy Number of Entity Listed in Box"l a" PO Box 1179 R60547-000 Southold, NY 11971 3c.Policy effective period 7/19/2017 to 2/22/2022 4. Policy provides the following benefits: Q A.Both disability and paid family leave benefits. B.Disability benefits only C.Paid family leave benefits only. 5. Policy covers- 0 A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees- Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the Insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as de sc d above.' Date Signed 2/23/2021 By G 0it (Signature of insurance carrier's authonz d representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 413,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200,Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 4C or 56 of Part1 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 and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carders licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carvers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. p 11 DB-120.1 (10-17) 11111 i11u1111111miiiIII IIII Additional Instructions for Form D13-120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in box"1 a"for disability and/or paid family leave benefits under the New York State Disability and Paid Family Leave Benefits Law.The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is cancelled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from coverage indicated on this Certificate. (These notices my be sent by regular mail.)Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in Box 3c,whichever is earlier This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Disability and/or Paid Family Leave Benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or paid family leave benefits policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of NYS Disability and/or Paid Family Leave Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability and Paid Family Leave Benefits Law. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits and after January first,two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. D13-120.1 (10-17)Reverse xOK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1 b Business Telephone Number of Insured 631-835-5383 William D'Agata Design&Budd Corp PO Box 848 East Quogue NY 11942 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 82-1723319 2 Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) NorGuard Insurance Cc Town of Southold 53095 Route 25 3b Policy Number of Entity Listed in Box"1 a" Southold NY 11971 WIWC119077 3c.Policy effective period 12/21/2020 to 12/21/2021 3d.The Proprietor,Partners or Executive Officers are ❑ included.(only check box if all partners/officers included) ❑X all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. 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 the coverage as depicted on this form. Approved by: Alan F DeForest (Print name of authorized repres ntative or licensed agent of insurance carrier) .0-0Approved by: 2/17/2021 (Signature) (Date) Title: Principle of DeForest Group Telephone Number of authorized representative or licensed agent of insurance carrier: 845-339-2114 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www.wcb.ny.gov Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that compensation for all employees has been secured as provided by this chapter. C-105.2(9-17) REVERSE i c� I - <z>°CF---- " r:t615.El - -- - AP0 ED AS NOTED DATE: R B.P.# ((�� IK: FEE: B` . _ NOTIFY BUILDING DEPARTMENT AT _ 765-1802 8 AM TO 4 PM FOR THE c FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING i 3. INSULATION ;Y 4. FINAL - CONSTPt;''T'-.,v MUST BE COMPLETE C. ALL CONSTRUCTION SHALL MEET THE L REQUIREMENTS OF THE CODES OF NEW —' YORK STATE. NOT RESPONSIBLE FOR 'DESIGN OR CONSTRUCTION _ ERRORS. i I revision 00 William D'Agata I o, Outdoor Living Concepts COMPLY WITH ALL CODES OF - - - 1 D E B I O N t G U I L D NEW YORK STATE & TOWN CODES 11 58-B old Country Rd AS REQUIRED AND CONDITIONS OF _ __ __ _ -;- - t;;:,t+,r>, l - _ Quogue,Ne559 Voirk 1959e (631)909-2558 Voice f_ le t (631)9094768 Fax SQ TOLD tQ�� bilI@iviBiamdagata.com com 27williamdagata.com Y SOUTHOLD TOWN PLANNING BOARD I _ 69"20 '0 �� r`� EES -- - COUSSIN - _ _ `� _._:.•1,. „t F - . _ _7 M11- - RESIDENCE 550 Sterling Woods Rd Southold,New York 11971 END OF DEER FENCE cit 1 I ' I f `. •""I"; ''' DRAWING TITLE f_ T '- ,_ DOES NOT ENCROACH �-- =�' DEER BEYOND FRONT OF - --- FENCE HOUSE LAYOUT RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 - - DATE APRIL 4,2021 SCALE 1/8"=1'-0" OF THE TOWN CODE. PROJ NO 11-21 ' DRAWN BD APPD DRAWING NO SURVEY