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HomeMy WebLinkAbout48627-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#: 48627 Date: 12/20/2022 Permission is hereby granted to: Cavounis, Michael 11 Belleview Ave PortWashin toNY 11050 To: Legalize as-built in ground swimming pool at existing single family dwelling as applied for, with Trustees #9986. Additional certification may be required. Must maintain minimum 5 foot setback to side / rear property lines from pool and equipment. At premises located at: 3475 Wells Rd, Peconic SCTM # 473889 Sec/Block/Lot# 86.-2-9 Pursuant to application dated 10/21/2022 and approved by the Building Inspector. To expire on 6/20/2024. Fees: AS BUILT- SWIMMING POOL $500.00 CO- SWIMMING POOL $50.00 Total: $550.00 Building Inspector os, 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 https://www.southoldto!A Date Received APPLICATION For Office Use Only22022 , PERMIT N0. s7Building Inspector: 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:10/21/2022 OWNER(S)OF PROPERTY: Name:Mr. & Mrs. Cavounis SCTM#1000- 86-02-09 Project Address: 3475 Wells Road, Peconic Phone#:917-362-2624 Email: mcavounis@gmail.com Mailing Address: 11 Bayview Ave., Port Washington NY 11050 CONTACT PERSON: Name: Joseph Dunn Mailing Address: 39 Hampton Bays Drive, Hampton Bays NY 11946 Phone#: 516-318-3866 Email: Joe@DunnDevelopmentny.com DESIGN PROFESSIONAL INFORMATION: Name:Peter Podlas Mailing Address: 4 Laila Lane, Remsenburg, NY 11960 Phone#:631-325-0929 Email: ppodias@optonline.net CONTRACTOR INFORMATION: Name: Dunn Development Mailing Address: 39 Hampton Bays Drive, Hampton Bays, NY 11946 Phone#: 516-318-3866 Email: Joe@DunnDevelopmentny.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 0 Other 16'x 34'swiming pool w/12"coping,1005 sq.ft,grade level masonry patio(as per trustee permit) $85,000 Will the lot be re-graded? iiYes ❑No Will excess fill be removed from premises? iiYes ONO 1 PROPERTY INFORMATION g property:S r` �t 6V(A+, property: oo Existing use of - Intended use of Zone or use district in which premises is situated: Are there any covenants and restrictions with respeP o this property? ❑Yes ❑No 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. 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 buildingis)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210A5 of the New York State Penal law. Application Submitted By(print name): �.�,/w.,, Authorized Agent ❑Owner Signature of Applicant: - Date: CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York SS: No.01 BU6185050 COUNTY OF Qualified in Suffolk County Commission Expires April 14,22954 o e-,P k being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (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 / l &-4—day of O c�b-G� 20 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, � 1 Gr1Urq'0Is residing at �"( ( �Q II S (G fl7 clZ' do hereby authorize Dyn a c+ to apply on my alf t the Town of Southold Building Department for approval as described herein. 7 Owners Signature Date 6/19 Print Owner's Name 2 DATE(MMIDD/YYYY) CC>R" CERTIFICATE OF LIABILITY INSURANCE sh " 09/27/2022 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 CAh1oity t,. Jennifer McGroarty NE:A Maloney and Maloney Inc. PHONE ext (631)728-0400 PAX aIC NaI: (631)728-0695 IAIC108 West Montauk Highway ENAIL'SS; jennifer@maloney-maloney.com ADDR P.O.BOX 1024 INSURER(S)AFFORDING COVERAGE NAIC# Hampton Bays NY 11946 INSURERA: Southwest Marine&General ............... 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 E:.. Hampton Bays NY 11946 INSURER P COVERAGE,$ CERTIFICATE NUMBER: CL21122212401 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. INSRLI EF OLICY'E7W LTR TYPE OF INSURANCE IN$O WVD POLICY NUMBERMMIDD MMIDDIYYYY LIMITS war s 1,000,000 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE GTTnrr.' 50,000 CLAIMS-MADE 17X OCCUR PREMISES Ea ocourre..nee $ • '..MED EXP(Anv one person) $ 5,000 A GL2021LHBOO462 11/24/2021 11/24/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 RRO- - 2,000,000 POLICY� IECT ❑LOO PRODUCTS-COMP/OP AGG $ OTHER: _ $ - AUTOMOBILE LIABILITY COMBINED SINGLELIMIT $ 1,000,000 Eaa acdder%n ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED CAP1065566 09/18/2021 09/1812022 BODILY INJURY Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accddEj ••••-•-•''. Medical payments $ ...WWW. . ... UMBRELLA LIAROCCUR $ ,®EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION��µ PER AND EMPLOYERS'LIABILITY X STATUTE.. ERH YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E L.EACH ACCIDENT $ 100,000 O OFFICER/MEMBER EXCLUDED? �N/A 12398 335-6 09/05/2022 09/05/2023 --- -- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500 000 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ ' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIF'IC'ATE 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 - PO BOX 1179 AUTHORIZED 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 1 w , 1 'IfII�15M" N'✓' ' 1, @'NWA M —7 IN!w�"wwiVniv^� r M r r 1 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK I ai PERMIT NO. 9986 DATE: SEPTEMBER 15,2021 ISSUED TO: MICHAEL P.,& SUSAN CA' OUNIS �' �INPROPERTY ADDRESS: 3475 WELLS ROAD,PECONIC SCTM# 1000-86-2-9 w% AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on ' epternber '15, 2021, A and in consideration of application fee in the sum of$250.00 paid by Michael P.&Susan Cavounis and subject R, r' to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and i permits the following: Wetland Permit to demolish existing 1.5-story dwelling and appurtenances,and construct 27' farther landward a new two-story, 1,757sq.ft.(footprint)single-family dwelling with 725sq.ft. attached garage/mudroom (with 60sq.ft. attached storage),a 195sq.ft. sunroom with 35sq.ft. deck and steps,a 108sq.ft front porch and steps,a 118sq.ft. rear deck and steps,and 41x14' r basement stairs; construct 161x34' swimming pool with 12"coping(equipped with saltwater filtration system),and 1,005sq.ft.grade-level masonry pool patio; install 4' high pool enclosure fencing; remove existing non-conforming septic system and install a new IA/OWTS sanitary , o system at least 114' from Richmond Creek; install a drainage system of drywells to collect and � recharge roof runoff and pool backwash; and to remove 16"tree located immediately seaward � of proposed pool patio;with the condition that the pool fence be no higher than 4' and to maximize the view shed as much as possible; and as depicted on the site plan prepared by Peter , Podlas Architect,last dated September 10,2021 and stamped approved on September 15,2021 � IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these r presents to be subscribed by a majority of the said Board as of the 15th day of September,2021. t, r � l I "�'� � w wra��+V4sa� uwrwuuuswnF�rau 'wnri� w,�suu+��rn��raa�amre'w����"arm+warn%,vtpu4^�r Nuul+¢���rrwr�,�^u��uau�wr�a+r�u+lcduswarw�olaw�w�uvwetuuu ru r�arr, alu�k�& r„�ro�ais�wraw" Wy _ dx b 0 I r,,.+ f .i/ f irl j�. �ry 1 r�� f��/�9�A��I �i�i✓: I� N �! � 'n r� flp/� � � n J r�� y r%�����✓1/i�'7��1 f '�,.�� ; ��i sl'rf f nl��ri/ r ���"rr � �''��I ,��.���i�i(^i'�r,.�J�� 1✓,�j u� > "44" . ,� rr/ Q. 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