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Home My WebLink About47114-Z � Q TOWN OF SOUTHOLD 01, BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 47114 Date: 11/17/2021 Permission is hereby granted to: Roditis, Nicholas .. ............ -w.............—.XXXX w-w-w-w---w---. 67 Mayfair Ln Manhasset, NY 11030 To: Construct accessory garage at existing single family dwelling as applied for. At premises located at: 800 West Rd., Cutchogue SCTM #w473.8.8.9................�.............__�....................��_ �nnnnnnnnnnnn��nnn _ �� Sec/Block/Lot# 110.-5-44 and approved by the Building Inspector.. Pursuant to application dated 11/3/202................................................ ...... To expire on 5/19/2023. Fees: ACCESSORY $215.20 CO-ACCESSORY BUILDING $50.00 _____.�.. _ - Total: $265.2� Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 1pa Date Received For Office Use Only E ( V PERMIT NO. _�. Building Inspector-,...—.—. _....... i Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant Is not the owner,anBoli"c..'lt�Gi P�i:r� Ok�TP 9r�k_r'� Owner's Authorization form(Page 2)shall be completed. TOU19P�b jai" Date:1/1/2021 OWNER(S)OF PROPERTY: Name:Mr. & Mrs Roditis SCTM#1000- 110.00-05.00-044.000 Project Address: 800 West Road, Cutchogue Phone#: 516-318-3866 Email:Joe@Dunndevelopmentny.com Mailing Address:39 Hampton Bays Drive, Hampton Bays N.Y. 11946 CONTACT PERSON: Name: Joseph Dunn Mailing Address:39 Hampton Bays Drive, Hampton Bays N.Y. 11946 Phone#:516-318-3866 Email:Joe@Dunndeveiopmentny.com DESIGN PROFESSIONAL INFORMATION: Name:peter Podlas, AIA Mailing Address: P.O. Box 1058 Remsenburg N.Y. 11960 Phone#: 631-325-0929 Email: ppodlas@optonline.net CONTRACTOR INFORMATION: Name: Dunn Development & Construction Corp. Mailing Address: 39 Hampton Bays Drive, Hampton Bays N.Y. 11946 Phone#: 516-318-3866 Email: Joe@Dunndevelopmentny.com DESCRIPTION OF PROPOSED CONSTRUCTION .. New Structur'� ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑otherI I "" " ��p $125,000 Will the lot be re-graded? �.. Yes ONO Will excess fill be removed from premises? ❑Yes No 1 PROPERTY INFORMATION Existing use of property: (" // '� f; Intended use of property: "r tillAt , Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to L`is property? ClYesi[1No IF YES, PROVIDE A COPY. .heck Box After,reading: The owner/contractoria"test rt professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code, APPLICAMN IS HEREBY MADE to the Building iiepartment 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 taws,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 ame): KAuthorized Agent ❑owner Signature of Applicant: Date: STATE OF NEW YORK) S. COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the CcX `� (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 m of Nove^ e ,20 , Notary Pu c KEVIN ktODfitit.pl.lEZ 4bSC RIO �Yfl ��illI�llN 11° A D II �C )IF2.Z' 11 11 �� 1"J0itlifLf:6416e'209 � . ... �,,, . . �� ,k�l7ALI�1FIED IN SSU FF'dfg;K C'OUN'.rY (Where the applicant is not the owner) 'I'ElIMEXPIRESAPR L 12,2025 I, r , �/ S residing at_w...._ �C w_�.M........._.......M.M do hereby authorize to apply on my b alf to the Town of Southold Building Department for approval as described herein. (�( I lUlf Owner's Signature Date Glc /Z ac�...... '.. .....__n_._........ Print Owner's Name 2 AF-IrokNI'll NYSUF Now"fork State Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) ""A^A A 471846079 MALONEY&MALONEY INC 108 WEST MONTAUK HIGHWAY O PO BOX 1024 HAMPTON BAYS NY 11946 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER DUNN DEVELOPMENT& TOWN OF SOUTHOLD CONSTRUCTION CORP PO BOX 1179 39 HAMPTON BAYS DRIVE 53095 ROUTE 25 HAMPTON BAYS NY 11946 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12398335-6 988105 09/05/2021 TO 09/05/2022 10/5/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2398 335-6, 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 YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://MWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 142767987 U-26.3 . 0 LIABILITY DATE(MM/DDIYYYY) 10/05/2021 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). PRODUCERc NT Jennifer McGroarty NAMEr _ Maloney and Maloney Inc. PHONE (631)728-0400 � (631)728-0695 108 West Montauk Highway ADDR SS, jennifer@maloney-maloney.com P.O.BOX 1024 INSURER(S)AFFORDING COVERAGE MAIC# Hampton Bays NY 11946 INSURER A: Southwest Marine&General ....w.. ..................._...............mwww INSURED INSURER B: Merchants Preferred Insurance Company 12901 Dunn Development&Construction Corp. INSURER C: NY State Insurance Fund 39 Hampton Bays Dr INSURER D INSURER w_�___�.............--......_. E: ........,......��w �_ ........,..._....-...___.... WINS ..._._....__...__......._...........� .�............-....._.....�.�............... Hampton Bays NY 11946 11dSt1RER F COVERAGES CERTIFICATE NUMBER: CI.217812189 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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„ it R ......... POLIC"P.ESCP w...w._._ww.�,,..,.M.-.LIMITS LTR TYPE OF INSURANCE IN POLICY NUMBER MMI D/YYYI (IM YYYY _.. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ... CLAIMS-MADE 19 OCCUR PRLNIM'E (k;E ',rerter(L¢za¢;w} $ 50,100 MED EXP An one person) $ 5,000 _. .NNNNM.M.M........ T_ 1 GL2020LHBOO516 11/24/2020 11/24/2021 PERSONAL_&_ADV INJURY. , , _ ........... $ 000000 A GEN'LAGGREGATE LIMIT APPLIES PERwNvw GENERAL AGGREGATE _ $ 2,000'000 POLICY r JPSO EILOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER _ $ WWWWW IAUTOMOBILE LIABILITY C:OMMBINEDSINGLE LIMIT $ 1,000,000 ac tEa....dentl ............. ww_........ ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED CAP1065566 09/18/2020 09/18/2021 1 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS .w ..www. HIRED NON-OWNED rrROPL`I' YDmE $ AUTOS ONLY AUTOS ONLY Tier ar„r,Jdexrorot Medical payments $ . ._............. �. UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ ,.....www. DED RETENTION$ .,...wawa ..._.w..w,... �..... .,_.,........__,-w--w-w. ....... STATI,ITE._. .. ,,�ERH ...$.m..,w_n�..............w.- .._. WORKERS COMPENSATION C AND EMPLOYERS'LIABILITY ry N/A 12398 335-6 09/05/2020 09/05/2021 m - ---m—•F EMPLOYEE $ 100,000 000 ( ry D dl A FM ANY PROPRIETOR/PARTNER/EXECUTIVE . . „_„ OFFICERIMEMBER EXCLUDED? 'm..........'W'"'�'�-''�--- Mandato In NH F,L..DISEASE- .. .,,. w If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below m..�.._mmm wwww ..M.M..,�... .wwwwwwwwww. E.L.DISEASE-POLICY LIMIT $ mmmmm,�w w .......P _..............�.�.._OPERATIONS mm-F EHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) d).M...M.M..........................~µ~µ~µ~µ~µ~µMµ �~................� .wwwww DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES_ e ulre CERTIFICATE.HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN TOWN OF SOUTHOLD ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 AUTHORIZED REPRESENTATIVE PO BOX 1179 SOUTHOLD NY 11971 ..... @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4e 19 1 0 co: m D er, Nanc From: peter <ppodlas@optonline.net> Sent: Tuesday, November 16, 2021 3:47 PM To: Dwyer, Nancy Subject: Re: Roditis 12 .. „ 1 't FT.OVERHEAD 0 FRONT ELEVATION 6ARA6E SCALE: 1/4" - V-01# 14'-0". Sorry I forgot to include. Peter Podlas From: QYt'I .._iSry Sent: Tuesday, November 16, 20213:15 PM To: ftcpi,QdJp5@p �rienet Subject: Roditis Hello Peter, I am reviewing the plans you prepared for the Roditis garage and pool house on West Road in Cutchogue. Can you please tell me what the finished height of the garage will be from average grade to top of ridge? I didn't notice any height dimensions on the plans and I just need to confirm that it is conforming. You are welcome to just email it over to me and I'll print to include it within the file. Thank you, Nancy 1 .fancy Dvyer Building Permits Examiner Town of Southold Building Department Annex Building 54375 Main Road Southold,NY 11971 (631) 765-1802 2