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HomeMy WebLinkAbout48569-Z � « TOWN OF SOUTHOLD 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#: 48569 Date: 12/8/2022 Permission is hereby granted to: Wilmerdinq ,Alexander _w_ww. .. 33 TaiTamRdwwwApt 15E .. ............ ................ Stanley, .. ........ ............. To: Construct dormer addition and alterations to an existing single family dwelling as applied for per SCHD approval. At premises located at: Reservoir Rd., Fishers Island �.............._... . TM # 473889S........................... --------- Sec/Block/Lot ............_._....� # 9.-9-3.1 Pursuant to application dated 9/1/2022www and approved by the Building Inspector. pi 6/8/2024. To expire on w_... __-...... m _ Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $597.20 CO-RESIDENTIAL $50.00 Total: $647.20 ..-Ab............................. Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 1 p ad` Telephone (631) 765-1802 Fax (631) 765-9502all r rnr�s��r�ilcltcim tl o Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector; L � } V� SEPa Applications and forms must be filled out in their entirety. incompleteapplications will not be accepted. Where the icant is Owner's Authorization form(Page )shall be completed.not the owner,an :(MIN OF DEPT P OLD Date:8/30/2022 OWNER(S)OF PROPERTY: Name:Alex/Ginny Wilmerding SCTM#1000-9-9-3.1 Project Address:4997 Equestrian Ave Fishers Island NY 06390 Phone#:860-912-9537 1 Email:mark@bdrrusa.com MailingAddress:PO Box 447 The Gloaming Fishers Island NY 06390 CONTACT PERSON: Name:Mark Richards MailingAddress:PO box 447 The Gloaming Fishers Island NY 06390 Phone#:860-912-9537 Email:mark@bdrrusa.com DESIGN PROFESSIONAL INFORMATION: Name:AR&T Architects Mailing Address:33 Union Street 4th Floor Boston Ma. 02108 Phone#:617-451-5740 Email:ARTarchitects.com CONTRACTOR INFORMATION: Name: BD Remodeling Mailing Address:PO Box 447 The Gloaming Fishers Island NY 06390 Phone#:860-912-9537 Email:mark@bdrrusa.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure EJ-Addition ®Alteration EJ-Repair [J-Demolition Estimated cost of Project: ❑Other $750,000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑YesNo 1 PROPERTY INFORMATION Existing use of property:Single family Intended use of property:Single family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R_80 I this property? ❑Yes WNo IF YES, PROVIDE A COPY. 19 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 210AS of the New York State Penal Law. Application Submitted By(print name):Ma ichards Authorized Agent ❑Owner Signature of Applicant: Date: 8/30/2022 STATE OF NEW YORK) S : COUNTY OF Ile, ) Mark Richards being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the contractor and agent (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. *001161110„", Sworn ,,before me this '`* ...... 30day of Auay,— 20 0 , I *citir�.lzi )i =°1 =v " 0 X x,P;B,fr+r, t;i� r "" "�,� •� PROPERTY OWNER AUTHORIZAT' �� (Where the applicant is not the owner) ,, Alex g residing at Wilmerding 4997Equestrian Ave Fishers Island do hereby authorize Mark Richards to apply on my be if to the Town f Southold Building Department for approval as descri ed 7z2—rein. QA Own Date Print Owner's Name 2 cl�( Generated by REScheck-Web Software J Compliance Certificate Project Wilmerding Dormer Energy Code: 2018 IECC Location: Southold,New York Construction Type: Single-family Project Type: Addition Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Fishers Island,NY 06390 Compliance: 4.5%Better Than Cods Mlaximtarn , 66 Your UA: 63 Maxlmum SHGC: 0.40 Your 5HGC: 0.29 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code tradeoff noes It DOES NOT provmo an estimate of energy use or cost relative to a minimum-code home- Slab-on-grade tradeoffs are no longer considered In the UA or performance compliance path in REScheck.Each slab-on-grade assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements, n l Gross Area Cavity cont� Prop. Req. Prop. Req� Perimeter Ceiling 1:Flat Ceiling or Scissor Truss 273 49.0 0.0 0.026 0.026 7 71 Ceiling:Cathedral Ceiling 245 49.0 0.0 0.022 0.026 5 6 Wall:Wood Frame,16"o.c. 707 20.0 0.0 0.059 0.060 39 40 Window:Wood Frame 42 0.290 0,320 12 13 SHGC:0.29 Compliance Statement., The proposed building design deScAbod here is consistent with the building plans,Spec lfiCad ons,and other calculations submitted with the permit application The proposed building has been designed to meet the 2016'IECC requirements in REScheck Version:REScheck-Web and to comply with the m vdatory requirements listed in the REScheck Inspection Checklist., Name•Tit le 'Sill ature Date ta.;ltaearrrr�, e t�ttktA N ��"� .......... apaua.�is Project Title:Wilmerding Dormer Report date: .,1 . � 21106/06/222 Data filename: Page 1 of 1 w . New York State Department of Environmental Conservation. Buildin 5 rook, New York 11790-2356 Thomas C. Jorling Harold Wilmerding Commissioner 58 Roxiticus Road Date: June 15, 1993 Mendham, NJ 07945 Re: 1-4738-00822/00001-0 Private Road , Hay Harbor Fishers Island ' SCTM 1000-9-9-3.1 Dear Mr Wilmerding, Based on the information you have/ submitted, the New York State Department of Environmental Conservation has determined that: your proposal to construct a roof top deck on top of an existing pump house in accordance with plans by Richard H Strouse of Chandler, Palmer & King Dated April 8, 1993, is not within NYSDEC Tidal_ Wetlands. Jurisdiction because the structure is located above the 10 foot contour on a natural, gradual slope . Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project'. Such precautions may include ;maintaining adequate work area between the tidal wetland jurisdictional boundary, and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does. not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. 17 A ober A C 6ee send to James V Righter Arch. MrpMy Regional Permit Administrator cc: t]primed on recycled paper L - APtp&3 La'am 91m 21 L 4p IF RE Ell Ag� 74 s yyyyy R�AA a °w I >Al r n ,. p 1. to pp O I Q O 99 1p s P d ppp m y Q _ j � FMAL LOCA Q k w rxm u m�.VCg E0.mw'PµµJµµWWW YW Y 0. � F0.5pbEY15.IS5AtdP.d 3PUN PRMARMF . yJu'sr� . P �, ,. CMESASSOCIATES SSOCIATESmEene.lntegcA�Tlnrmr lBB WILMERDING PUMP HOUSE Lend Surveying&Architecture,PL LG E9nr@Yd ANUE kCNEAR �j101/ Ev11ww oma,uq webµcTOltC9 '- 6 BEDROOM RESIDENCE NYSIF PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 760644425 LOVELL SAFETY MGMT CO.,LLC 110 WILLIAM STREET 12TH FLR NO - NEWYORK NY 10038 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER BD REMODELING&RESTORATION NY LLC TOWN OF SOUTHOLD BUILDING P 0 BOX 447 DEPARTMENT FISHERS ISLAND NY 06390 PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z 1315 495-0 455741 04/01/2022 TO 04/01/2023 03/01/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1315 495-0, 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. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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 41k 4 DIRECTOR,I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 268671155 11 111111111111110 100l 11111 IIIN 0000II0H000H1018183141001 11m11 111111111 Farm WC-CERT-NOPRINT Version 3(08/29/2019)[WC Policy-13154950] U-26.3 21 [00000000000101883400][0001-000013154950][##Z][15B35-3B][Cert_NoP{ERT 1][01-00001] DATE(MM/DD/YYYY) ACC>R" CERTIFICATE OF LIABILITY INSURANCE 12/8/2021 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 New York Risk Solutions, Inc. PHONE 631-673-1800 FAX Suite 355 hollow Rd. E-MAIL mm w_ �I�NeI631-673-1801 (Ad;Ng g dI E MAcerlitigat s n rls►tsolutions com . ..... . �m,_ Melville NY 11747 INSUREffMA^FFORDINGCOVERAGE .......,�.�-� _www ._ ..�w.. � u�su�w�R n Crum 8 Forster Indemnit�Co .____�.__...� 31348 INSURED BDREM-1 INSURER 8:James River Insurance Com ,an 12203 BD Remodeling&Restoration NY LLC e y 1420 The Gloaming C•Evanston Insurance Company/ 35378 Fishers Island NY 06390 ',..,INSURER E..i.--.............. ... ._. .._.-.................................,,,,,,,,,,._-...�...._...� , INSURER F: COVERAGES CERTIFICATE NU!MBER:997397758 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 REDUCED BY PAID CLAIMS. _ .......,_... ,,.,,, -e..r LIMITS_..- .._.-.,... _,.... /LTR TYPE OF INSURANCE _. _ POLICY NUMBER ..............._mm.MbG EFF P01. Y Y, C X COMMERC IAL GENERAL LIABILITY MKLVlPBC002032 10/3/2021 10/3/2022 EACH OCCURRENCE $1,000,000 �� CLAIMS-MADE OCCUR _PIREMI__E., 1,E ,occurrence .$50,000 X CONTRACTUAL LIAR MED EXP(Any.one person) $Excluded PERSONAL&ADV INJURY $1,000,000 G..... EN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE s2,000,000 POLICY ,X. LOC PRODUCTS-CO /O„A . PRO. MP P GG $1,000 000 dEOT __a _ ..... OTHER: $ A AUTOMOBILE LIABILITY 133-7487966 12/12/2021 1211212022 COMBINED SINGLE.LIMir $1,000,000 -,..- X� ANY AUTO BODILY INJURY(Per person) $ BODILY INJURY(P.....accide.nt) _- _---............e,,,,. OWNED SCHEDULED (Per accident) $ AUTOS ONLYLLx_ AUTOS m....m. HIRED NON-OWNED PROPERT'YDAp'�1AGE AUTOS ONLYAUTOS ONLY $ X HIRED AUTO NON-OWNED $ CUMBRELLA LIAB X OCCUR MKLV1 EUL103061 10/312021 10/3/2022 EACH OCCURRENCE $5,000.000 X EXCESS LIAB CLAIM MADE AGGREGATE �- _ $5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY Y/N STATUTE H ANYPROPRIETOR/PARTNEPJEX Mandato in NH E.L.DISEASE-EA ETPLO E $ OF ICER/MEMB REXCLU ED.ECUTIVE E.L.EACH ACCIDE,,,,,„ ..,,","'"YE - EXCLUDED? N/A .. (Mandatory 1 If yes,describe under .......�..POL�-�. ,.,,,, ...... ..-.-,,.,.....�............................. DESCRIPTION OF OPERATIONS below E.L.DISEASE- ICY LIMIT S B EXCESS AUTO 00108337-01 10/3/2021 10/3/2022 OCC.IAGG. $5,000,000 DESCRIPTION OF OPERATIONS I 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF SOUTHOLD BUILDING DEPT, PO BOX 1179 AUT ORIZED REPRESENTATIVE SOUTHOLD NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD