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HomeMy WebLinkAbout48472-Z TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y z 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#: 48472 Date: 11/10/2022 Permission is hereby granted to: Mattituck Plaza LLC PO BOX 77 Mattituck, NY 11952 To: (Labcorp) install a wall mounted sign and a freestanding sign as applied for. At premises located at: 10095 Route 25, Mattituck SCTM #473889 Sec/Block/Lot# 142.-1-26 Pursuant to application dated 9/12/2022 and approved by the Building Inspector. To expire on 5/11/2024. Fees: SIGN PERMIT $75.00 SIGN PERMIT .$75.00 Total: $150.00 Building Inspector APPLICATION FOR SIGN PERMIT Date: Application# 1A �- SCTM# 1000- 142-1-26 Zone District: Fee: $75.00 per Sign Type Of Sign(s): Ground Roof[ ] Wall [ ' Other: t� Applicant: National Sign&Lighting Inc. Phone# 516-249-8960 Business Name: Labcorp Sign Property Location: 10095 Main Rd. Mattituck NY 11952 Property Owner: Cardinal Management LLC The following items are required along with the completed application. (1) Survey or accurate plot plan showing location of existing and proposed sign(s),building width facing streets. (2) Colored drawings with sizes and types of material of proposed sign(s), or photos of existing signs. Signs cannot be installed until the applicant receives a sign permit application approved and signed by the Building Inspector. After the sign(s) have been installed,the applicant shall request an inspection by the Building Inspector. If the sign(s) are in compliance, a sign permit will be issued and mailed to: Attn. Paula Ruiz-National Sign&Lighting Inc. 185 Sweet Hollow Rd.Old Bethpage NY 11804 STATE OF NEW YORK) COUNTY OF Syffol-� ) f )Applicant { )Agent for applicant, hereby agree to abide by the conditions and requirements of Article XX SIGNS of the Zoning Code of the Town of Southold and other applicable laws, rules and regulations pertaining to such signs. Signature of Applip4nt Sworn to before me this g Tµ JOSEPH S DIMAGGIO da OfI�nnt — , 20 2Z NOTARY PUBLIC,STATE OF NEW YORK y Registration No.OIDI6327606 Qualified in Suffolk County My Commission Expires Notary PO�Qj ) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Examined : 20 a?o- Approved: I 20 '22— Disapprove a/c: (4— Building Inspector MAP OF MATTITUCK SHOPPING PLAZA SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK i s S.C. TAX No. 1000-142-01-26 e6A5a 0 SCALE 1"=30' ted' 'po. JUNE 4, 2013 Jo. mToo A 21.2019 UPOA)E F, f£BflUMY),2024 U—TE AREA=381,014 sq.11. 8.747 ac. SdU169 �i le 2 . d ad' 6p \\f.ILI O dr 03119 ap �} �. 1 fr cr o'er V 4 J'. N W � 5 O 5 p0 v 5�S P� 5 o�°P tr a. s' Nathan Taft Corwin III Land Surveyor DATE(MMIODNYYY) CERTIFICATE OF LIABILITY INSURANCE os/os/zo2z THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND ORALTER 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 CONTACTRobert Mazzarella NAME: American Risk Advisors Inc. PnHCO No Ext: (516)388-5600 n/XC,,,): (516)388-5656 510 Broadhollow Road E-MAIL Rmazzarella@useara.com ADDRESS: Suite 301 INSURER(S)AFFORDING COVERAGE NAIC# Melville NY 11747 INSURERA: Ohio Security Insurance Company 24082 INSURED INSURER B: The Ohio Casualty Company 24074 National Sign and Lighting Inc.dba Spectrum Signs INSURER C: Starr Indemnity&Liability Company 38318 185 Bethpage-Sweet Hollow Road INSURER D: The State Insurance Fund 36102 INSURER E: Standard Security Life Insurance Company of New York 69078 Old Bethpage NY 11804 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2262316105 REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MMIDD MMIDD X COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE300,000 CLAIMS-MADE X OCCUR PREMISES fra occurrence $ MED EXP(Any one person) $ 15,000 A BKS(23)60 35 75 69 07/02/2022 07/02/2023 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPUES PER: GENERALAGGREGATE $ 2,000,000 POLICY Fx—]JECTPRO El Loc PRODUCTS.COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED BAS(23)60 35 75 69 07/02/2022 07/02/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY Per accident $ X UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 21000,000 B EXCESS LIAR CLAIMS-MADE USO(23)60 35 75 69 07/02/2022 07/02/2023 AGGREGATE $ 2,000,000 DED I I RETENTION S $ WORKERS COMPENSATION PER/� STATUTE EORH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 D OFFICERIMEMBER EXCLUDED? NIA Z 1327 758-7 11/01/2021 11/01/2022 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ EACH OCCURRENCE 3,000,000 C Excess Liability 1000585905211 07/02/2022 07/02/2023 AGGREGATE 3,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) As pertains to insureds operations,the certificate holder is listed as additional insured. 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 PO Box 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD NY S ' F 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 New York State Insurance Fund I nysif.cOR1 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE """""^ 113371600 Q Q DURNAN GROUP INC PO BOX 390 ROCKVILLE CENTRE NY 11571 ,9 V SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER NATIONAL SIGN&LIGHTING INC TOWN OF SOUTHOLD 185 SWEET HOLLOW ROAD 52095 ROUTE 25 OLD BETHPAGE NY 11804 PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER I CERTIFICATE NUMBER POLICY PERIOD DATE Z 1327-1 517718 11/01/2021 TO 11/01/2022 09/09/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1327 758-7, 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:/fWWW.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 DOES NOT APPLY TO THOSE JOB SITES WHICH ARE COVERED BY OTHER INSURANCE AND ARE SPECIFICALLY EXCLUDED BY ENDORSEMENT. 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 DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 683791205 11111111101lilt]111111119INIla]0111mill IIIIIIIIIIII111311111110 0 000 0 0 0 0 0 0 08 73I II I Form WC-CERT-NOPRTNC Version 3(08129/2019)[WC Policy-]3277587) U-26.3 2 [00000000000087879134][0001-000013277587][##Z][15516-02][Crst_NoP-CERT_I][01-00001] c t APPROVED AS NOTED DATE: E.P.# FEE: nn 2-y._ NOTIFY BUILDIIv;a �E TMLN qT 765-1802 8 AM COMPLY WITH ALL CODES OF ,- 4 ''M FOR THE NEW YORK STATE & TOWN CODE FOLLOWING INSPECT,,-Ns: AS REQUIRED AND CONDITIONS OF 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ,,,,T, �-�d� 2. ROUGH.- FRAMING & PLUMBING "`-~ `'"uln , D� 3. INSULATION �_. -- SO TH- C TO'NN PLA N1 INBOARD 4. FINAL - COhJSTFU; `^!^�N,. MUST S O'NPJ EESD TEE COMPLETE F� ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. �I�ECT�iICa4L N--. S CTi®N REOUIRE® Main Entrance(South)Elevation LC-REM-30-8 EXISTING SIGN SF: — PROPOSED SIGN SF: 23.5 16'-4"Leased Storefront — E01) /7/7/7/Ti 'ti 'tib .,�� >,� � • 1 1 5 labcor 12' EXISTING CONDITIONS Above SIGN BAND FASCIA: 13'-10" Grade Sherwin Williams SW 7744 1 . 'Zeus' 4 PROPOSED SIGNAGE TO BE REMOVED Scale:t1/4•=1'-0' WENT ORDER NUMBER: PROJECTNUMBER. RN#1 Req# Date/Artist Description Rw# Req# Date/Artist Decarption -- labcorp 1167973 86433 a na 375ez2 0312982 AM - Rev1A 37137d 0/108122 Z4t SITE NUMBER. PROJECT MANAGER e _e e ADDRESS. PAGE NO.. 21616 AMANDA HURLSTON - - - - 10095 MAIN RD ELECTRONIC FILE NAME: MATTITUCK,NY 3 K:IACCOUNTSLL\LABCORPILOCATIONS12022WYI 11952-1658 21616_MatlituckUl 616 Maaituck.c0r a f f FACE LIT CHANNELS-REMOTE-BLACK LC-REM-30-B Scale:3/4"=1'-0" 23.5 square feet 9'-5• 5" 7-5-3/4" 1 '-5" .......... ....................................._....._� 1'-4-3/4" 2%6" a or SIDE VIEW FACE LIT REMOTE, FLUSH I EIFS FACES: LOGO:3/16"#7328 White acrylic w/surface applied digitally printed trans blue vinyls SIMULATED NIGHT VIEW COPY:3/16"#2447 White acrylic w/surface applied dual color black vinyls; Wood Blocking or Angle EIFS To illuminate white at night Iron stringer as needed 3B'Nor cormsive labcorp All thread Ihm-bolt wl spacer -—------------- Trim cap TRIMCAP: 1"Standard white jewelite trimcap for logo&letters to ensure EIFS Is not damaged Rivnut RETURNS: 5"deep.050 alum.paint exterior White,semi-gloss. Power supply Insides painted w/light enhancement paint. housing --- Acrylic face Electronic power - - - --- Numinum backs BACKS: .063 alum.backs-insides pre-finished White supply COLOR PALETTE (RLislNdisconnec *— _-- --- LED illumination LOGO; LETTER FACES: sm - _• r ILLUM.: Internally illuminated with LED's as required by manufacturer;Remote power supplies Pantone 310 • Panton Black 6 C Greenfield conduit Lt.Blue 3M 3635222 Dual Color Black W minimum - 12 volt jacketed cable WALL MAT.: Stucco/EIFS • 12'EMTconduit LOGO: O TRIMCAP 8 RETURNS: Pantone 279 White Primary electrical Weep holes Y.'olio. INSTALL: Thru bolted using all thread into blocking as required.12'standard length of threaded rad will be supplied Med Blue source - ez error mcanons only unless otherwise noted.1/4'-3/8'threaded rod into blocking or Stratus approved equivalent; Compression sleeves required to avoid crushing the EIFS wall during installation • Paanntt�oe 2728 Ok Blue pro 'MOuNTINO METHOD: _ (U»apprid.method tdswirp cod Ir ,..) n.umv-yr.e.arsin".wwaa ma,sa"4vum rv"ve �.a' .� QUANTITY: (DONE Channel Letter set on the Storefront Leased Frontage r�*emwna�,w�a�r ALL PAINT TO HAVE SATIN FINISH/DIGITALLY PRINTED VINYL TO HAVE UV OVERLAMINATE 51ORDER NUMBERPROECT NUMBER- Rev# R # Dots/Artist Descrilon Rev# Req# Date/Artist Descriou-labco3 86433 Re nal a75ez2 04/08122-R Rev 1 377311 04106/12 Z-R MBER. PROJECT MANAGERADDRESS. AMANDAHURLSTON 10095 MAINRDRONIC MATTITUCK,NV UNTSILILABCORPILOCATIONS12022WY111952.1656atUNck121616 Mattituck.cdr SITE PLAN Scale: not to scale _ } t ! AT' (E01) r ! IX • a . Ab t' '�,' �}. .1! �� ` � ,��•. 'i•. Aye: m E02 E04 E03 CLIENT 5 );�RDER NUMBERNUMBER PROJECTNUMBER Rev# Req# Date/Artist Description Rev# R # Date/Artist Description _ labcorp ORDER3 66433 nal 375622 03100/22-R -- - - . Rev1 377374 0410BI222A SITE NUMBER. PROJECT MANAGER _ - -. ._ _ e ADDRESS. PAGE NO.. 21616 AMANDA HURLSTON — 10095 MAIN RD ELECTRONIC ENAMEr1� FILEE NAMEFILE NAM : — _ MATTITUCK,NV 2 K:\ACCOUNTSIIABCORPkLOCATIONS12022WY1 11952-1658 21616_Met6tuck121616_MeOituek.cdr i LOCATION NUMBER: 21616 TM Str t s SITE ADDRESS: 10095 MAIN RD MATTITUCK, NY str11952-1658 • - • • 888.503.1569 Orp labcorp Drug Development MATTITUCK,NY 11952-1658 KIACCOUNTSILQCORPILOCATIONS12022WY1 u REPLACEMENT FACES -Polycarbonate faces wl vinyl copy EXISTING CONDITIONS Scele:N.T.S. TBV Mattituck Plaza -Eryarr�n>; �. SASE TBV .Labcor �rW r Rpm 112,11, 0 - Ers In e�seeor- - CABINET: Existing cabinet to remain FACES: .150 flat white polycarbonate GRAPHICS: Surface applied vinyl graphics to match colors shown FONT: Source sans pro semibold Mattituck Plaza �tjtlttitilrk• QUANTITY: (2)TWO Faces for a D/F Multi-Tenant Pylon:Replacing AT&T _ �'r COLOR PALETTE - --- — A 4�unnit tLi-,.♦ OFACE• ••• - NOW OFFN White-preferred UNCXAATEO • COPY: 3M 3630-22 Matte Black AAt 11AM UUG F Pantone Black 6 C iFlzf�.reeat ALL PAINT TO HAVE SATIN FINISH I DIGITALLY PRINTED VINYL TO HAVE LIV OVERLAMINATE RBUCKS CNEE IIIIIIIIIInJ !- RENEE Simulated night view n� E04Labcorp �iC.^.rN...u.. MICNA�ANG��O a Labcorp - -OPT=ICAL verizon PROPOSED CLIENT: ORDER NUMBER PROJECTNUMBER. Rev# Req# Dc"Artist Dewliption Rev# R.q# Date/Artist DescriPtien a corp 1167973 86433 Ori,nal 375822 03129/22 AM . Rev 1 377374 104108122Z-RU Changed to Labcorp_wordw,k and SITE NUMBERS PROJECT MANAGER _ s _e ADDRESS PACENO.: 21616 AMANDA HURLSTON - - -- - 10095 MAIN RD ELECTRONIC FILE NAME. MAT ,NY 6 K.\ACCOUNTSIL\LABCORP\LOCATIONS\2022\NY\ •s 11952-16952-16 58 21616 Mattituck121616 Mattituck.edr