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HomeMy WebLinkAbout48865-Z iP TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE vg� y 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#: 48865 Date: 2/7/2023 Permission is hereby granted to:. AW Frame LLC 129_9 Ocean Ave Ste 333m ----mmmmm-..... _.... .� __._.v.... . .� SantaMonica _ ...... . __..... _ w_..----- .. CA 90401 To: Construct an accessory 54'x 114' tennis court to an existing single family dwelling as applied for per ZBA approvals. At premises located at: 640 Skippers Ln, Orient SCTM # 473889 Sec/Block/Lot# 24.-1-10 m Pursuant to application dated 1/13/2023 and approved by the Building Inspector. To expire on 2/7/2024. Fees: ACCESSORY $100.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $1._.....��.,. 50.00 � ...........a----------- �.....� ....__......._...._,. ........... Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 , mw Telephone 631 765-1802 Fax 631 765-9502 lett - w% 'w o thol towa ny.ov mm IIm p q IIII III IIII y� Date Received ,W IIII IIII MI6 ,. � I III" III"„ III �1 IIII III �d�'II ul �n q E III im r �j For Office Use Only PERMIT NO., v Building Inspector: le Applications and forms must be filled out in their entirety. Incomplete 7023 applications will not be accepted. Where the Applicant is not the owner,an ouP Owner's Authorization form(Page 2)shall be completed. TOWN®F«v vtPT. SOU�®LO Date: 1/09/2023 OWNER(S)OF PROPERTY: Name:A.W.Frame L.L.C. SCTM#1000-24-1-10 Project Address:640 Skippers Lane, Orient, NY 11967 Phone#:310-451-0744 Email:jjacobs@goodtriendjacobs.com Mailing Address:640 Skippers Lane, Orient, NY 11967 CONTACT PERSON: Name:Daniel Schillberc Mailing Address:2 Sky Drive, Cornwall, NY. 12518 Phone#:646-645-3687 Email:daniel @dado-architecture.com DESIGN PROFESSIONAL INFORMATION: Name: DADO Architecture P.L.L.C. Mailing Address:2 Sky Drive, Cornwall, NY 12518 Phone#:646-645-3687 Email:daniel @dado-architecture.com CONTRACTOR INFORMATION: Name:Century Tennis Inc. Mailing Address:56 Brook Avenue, Deer Park, NY 11729 Phone#:631-727-0097 Email:bob@centurytennis.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration []Repair ❑Demolition Estimated Cost of Project:: ROther New tennis court $100,000 Will the lot be re-graded? S@Yes ONO Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property: Residential Intended use of property: Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ❑Yes RNo IF YES, PROVIDE A COPY. 0-1ck Box,Af!Xt ar adi �"" mifm 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): Daniel Schillberg RAuthorized Agent ❑Owner Signature of Applicant: Date: d / Q V r�l wAwi STATE OF NEW YORK) SS: COUNTY OF SUFFOLK Daniel SChil(berg being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the 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. Sworn efore me this �b _—Lday ok7wou 2o,23 ., Notary Public PAMELA S STOCKTON RRQE11"rY OWNER ` U m N NOTARY PUBLIC-STATE OF NEW YORK � �. No.01 ST6393906 (Where the applicant is not the owner) Qualified in Orange County MY Commission Expires 06-24-2023 I Jeffrey Jacobs residing at 1299 Ocean Ave., #333, Santa Monica, CA Daniel Schillber do hereby authorize g to apply on my behalf to the Town of Southold Building Department for approval as described herein. 01/09/2023 Owner's Signature Date Jeffrey Jacobs Print Owner's Name 2 -Pon is Cour+ RDF5 F 11 II IE po Ar ��C'��1]E�I��/IC��VAkXIER Cassell �- � SUPERVISOR 1��JCA\1�A\tG�]EI��I[]E1�1C' SOUTHOLD TOWN HALL-P.O.Sox 1179 d Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town n o�. � ,f CHAPTER 236 - STORM,WATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT l ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) °u ib DANIEL S Date: 2/2/2023 ;a NAME: Gc, A r i Hfl i L r danield do-architecture.cornContact Information: 7e�A,��,e 646-645-3687 k C Pro -!rtv Address / Location of Construction Site: 640 Skippers Lane S.C.T.M. # 1000 District Orient, NY ' 1195 24 1 10 7 Section Block Lot 9 HOLD TOWN ENGINEERING DEPARTMENT T i' TO BE COMPLETED BY SOUTHOLD ; r — ipa } p Area of Disturbance is less than I Acre. No S.P.D.E.S. Permit ic, Re utre I l .k Project does Not Discharge to Waters of the State. No S.P.D,E.S.Permit is Re uired ! III' 0 - Area of Disturbance is Greater than l Acre & Storm mater Runoff Discharges Directly to Waters of the State of New York, THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit ' iG DIRECTLY From N,Y.S, D.E.C. Prior'to Issuarr corm a�a terdRun ff Flo s.irrra6t _ Flows Through Southold Town's Area f MS4 Systems rto Watersofthe State of Ne�v York. THE APPLICANT MUST OBTAIN a S.P.D.E S. Permit through the Southold Town Err sneer n e e � Prior to Issrra�nce of a Btrrldln Perrrritk I r, Re��iewed By: Date: " � 7n'p m emrp-'rnc nrrnhp,gnrq FDA Edward Webb,Chairperson Town Hall Annex Anne Surchin,Vice Chair 54375 Route 25 1vj114 Robert Harper PO Box 1179 Mariella Ostroski Southold,NY 11971 Joseph McCarthy Fax(631)765-9502 Tracey Dwyer,Administrative Assistant Telephone:(631)765-1802 www.southoldtowmy.gov RECEIVED Town of Southold Historic Preservation Com:missi -7 Tuesday, September 29,2020 OCT S 7 2020 RESOLUTION # 9.29.20.2 Zoning Burd O+' Certificate of Aro riateness RE: 640 Skippers Lane,Orient,NY,SCTM#1000-24.4-10 Owner: AW Frame LLC RESOLUTION: WHEREAS, 640 Skippers Lane,Orient,NY,is on the Town of Southold Registry of Historic Landmarks,and WHEREAS, as set forth in Section 56-7(b)of the Town Law(Landmarks Preservation Code)of the Town of Southold,all proposals for material change/alteration must be reviewed and granted a Certificate of Appropriateness by the Southold Town Historic Preservation Commission,and, WHEREAS, the applicant is requesting permission to construct a front and side yard fence, and, WHEREAS, the application includes the installation of a solid western cedar 4 ft.privacy gate with a � natural wood arbor and continuous 4 ft.green wire fencing that will increase up to 6 1/2 ft.in height where permitted. WHEREAS, the applicant met with the commission for a pre-submission conference on August 18, 2020. a Mom uu u� Wt comply itb ny, pnditions imposed by the zoning board of a� mauls .WjgPP ��mmWv REAS thea ➢tcant muse- � m WHEREAS, a public hearing was held on September 29,2020. NOW THEREFORE BE IT RESOLVED,that the Southold Town Historic Preservation Commission determines that the proposed work detailed in the above referenced application meets the criteria for approval under Section 170-8 (A)of the Southold Town Code and, w krinb m i µ � -, only M m BE IT FURTHER RESOLVED,that the Commission approves the request for a Certificate of Appropriateness. MOVER: Commissioner Ostroski SECONDER: Commissioner McCarthy AYES: Chairperson Edward Webb,Vice Chair Surchin,Commissioner Harper, Commissioner McCarthy, and Commissioner Ostroski. RESULT:Passed Please note that any deviation from the approved plans referenced above may require further review from the commission. Signed: j0aa,4 rz�p Tracey L Dwyer,Application Coordinator for the Historic Preservation Commission Date: October 23,2020 or � tt� Bea ,m TWO KIWI li low / f f , b � r � ralut fur ,,iii rr r� i� ( r r ' s l� ,�, ,/ >� ,l,� / r oi, / r r I r,rm�r�ra, r ✓ r, I, �: ,..o,.„ i a/,r r.. � s /ir � 1 %��� r�', ,o ,;,, ! /�, ' 1�� rJ�//ii�//"I! % i�� ��,'�i➢ % ,�//�r ��r�td/ , J%� ' �p �/s / �Ir�/F... /..%i/r , / / � �i�g /V/i"/ ! � , /,',,, FfY,� V � _:,I ,", r,r' n ,/,../ ,�. ly ,,..i, ✓ /�� „ ;�, :, „„ ,a /c a r /r ' /r, /r)li % �/�,%%�I% %///rA,�/p//�K,Y�,/; �a �.,f wl���> la,g� 1, u��' arl,; ✓ afi r rr r / a, v iljr��,r%1 �/...,, r ,, r ,o rj///� ,�:,rn/r„✓„ ,r t ,„ �'�1 ;,,,, e „°i fl r/ >; ri f.%wo � Y' '4/ ,✓p%J''i/��1(%%/'i �,�,�r/i�, /,,sl// r,,,, / Jo- ' %/., r r,,-a/,� 'j n�✓.7rr ,y!/t,/✓�/^�'"�k ,,,/i, ;' I /'�rv��%r .,. ln�,,,, 1 �; /, a�rr� j/ :� r �rF reg"W,/''1,/�° ,r,., „/ r/,,, �,/„r �,r %/ rr/,✓ lri�'1DPhd�a �' F/j'�n” Lip >. ! ✓/�%1„'�� � �. r a/,ig r / �',� ; ,,,, / fir/ / /rr � ��jt ,r;' v!,r/ o1r,yi'�'�fpjv'"�f� r a o r /�a�>��� , rdi�� ., r /r' � ,.Jr✓/,����✓,� � �,✓ r �,ull�%r�,i��r �' �� GJ % "rv,!/>� i Ir rr✓��yr%��� h, ` ,., i { r r,,,�,, „ ,i„n � f6� r r ! rr / IDpnr r f n i r//- r �� ii,f � 1 , ,rf1 ,r/,✓/// lr �r,/�i�yGrr//� (%o,,,/ ,� ,,, (� r,� ,J 6��,/ r / i�/ r, r Ir I ,. ,/ la -! r ;, „u, r, r/ ,� ,...,/!! r// /,../ r,,, %,/✓'/ia �¢(;„17 /��/Oir/r !/,rr,,:. P, i Ifllllll «, r��� ul@� ..I l r / / 1 , I, t r r r/ rr r s r ! / r r / i/o% /6rrr /,,, //r/orf , I r � r r r I Ism, ror "# I wovr / ro fall Yl roof rl/r r y r r / a �V01ffffff�ll(i«a ��{i�i �iiil�Il011iiiii � ��� �� liii iuuuuuuuu�ii�i�l�ii�iiillllllllllllllllll t. uumuu V.. I u" I / ! 1 i I 1 I r r r , / i l / r l �I I Suffolk County Oept. of Labor, Licensing &, Consumer, fir HOME I'OAPROVEMENT UCENSE r ars„; KEVIN J HEA,LION Business� Name This coifils thatthe srer is duly hoopsed CENTURY TENNIS INC n ft CcAtnty of suffolk License if bortH-12683 Rosalie r f d: 0810111986 q ,i Expires: 08/01/2023 DATE(MM/DD/YYYY) � "� CERTIFICATE OF LIABILITY INSURANCE 11/07/2022 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 07 CT Diane Anzalone SECUR-ALLAGENCY PHONE (516)576-0300 F No): (515)576-0310 [81 ,Ne Exth One Dupont Street ADDRESS* dianea@secur-all.com Suite 209 INSURERS)AFFORDING COVERAGE NAIC# Plainview NY 11803 INSURERA: Utica National Assurance Co. 10687 INSURED INSURER B: Utica National Insurance Company of Ohio 13998 Century Tennis Inc INSURER C AmTrust Insurance Company 15954 56 Brook Avenue INSURER D: INSURER E Deer Park NY 11729 INSURER F: COVERAGES CERTIFICATE NUMBER: 22-23 Master 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, TIN-SR AODL SUORPGLJE;YEPF POLICY EXP LIMITS LTR TYPE OF INSURANCE MAD D POLICY NUMBER MWDD MM/DDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMA N 100,000 CLAIMS-MADE �OCCUR !PREMISES. occurrence $ Contractual Liability MED EXP(Any one person) $ 10,000 A Y Y 5282736 08/04/2022 08/04/2023 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGMTE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC 2 000 000 PRODUCTS $ ' O"I"HER... AUTOMOBILE LIABILITY COMBWEO 6ING4.E..W..JMR $ 1,000,000 Ea a I ant X ANY AUTO BODILY INJURY(Per person) $ A OWNED I SCHEDULED 5265313 08/04/2022 08/04/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY P idem M I Medical payments s 10,000 X UMBRELLA LIAB I X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE 5282737 08/04/2022 08/04/2023 AGGREGATE $ 5'000'000 DED RETENTION$ $ WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY /�, STATUTE R YIN 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.,EACH ACCIDENT $ C OFFICER/MEMBER EXCLUDED? Y� N/A KWC1278696 02/13/2022 02/13/2023 (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 s ' DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) A.W Frame LLC is named as an additional insured on a primary and non contributory basis,waiver of subrogation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN A.W Frame LLC ACCORDANCE WITH THE POLICY PROVISIONS. 640 Skippers Lane AUTHORIZED REPRESENTATIVE Orien NY 11967 A ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Additional Named Insureds Other Named Insureds 56 f3rock Averaue LLC FEN 273533873 Lifrotod Liabil-I.Ly conapany, Insured M u V it ipLe Names Tirnbcx.po-�.nt Also csat eops Inc FjoHN 1.1.2118081 corporaiti-on, Insured Multiple Names OFAPPINF(02/2007) COPYRIGHT 2007,AMS SERVICES INC 7 -► AGENCY CUSTOMER ID: 00005733 LOC#: ADDITIONAL REMARKS SCHEDULE DULE Page of AGENCY NAMEDINSURED SECUR-ALLAGENCY Century Tennis Inc POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance:Notes Notice of Cancellation 30 Days Written Notice ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WJU Southampton down License Review Board 116 HAMPTON ROAD SOUTHAMPTON, NY 11968 NO. 000296-0 DATE ISSUED: October 13, 2021 Home Improvement License Type of Work: Tennis Court This is to certify that Kevin Healion doing business as Century Tennis Inc. having furnished the requirements set forth in accordance with and subject to the provisions of the applicable laws,rules and regulations of the Town of Southampton, State of New York, is hereby licensed to conduct business under the provisions of the Home Improvement Contractors Law,Chapter 143. THIS LICENSE EXPIRES October 13,2023 ` #of Stickers Issued: 10 1640 ti ANTHONY WITALIA,JR. Chairman License Review Board r a LITI In U...n. : I 4-�0-" - ,Eca w SURVEY OF PROPERTY AT ORIENT OCT 13 Z020 TOWN OF SOUTHOLD ¢• 'r - Zoning Board Of AI UFFOLII'' COUNTY, N.Y. ' 1000-24-01-10 SCALA 1=40' ff MARCH 10, 2005 LOT COVERAGE SEPTEMBER 6, 2007(CER77FICAnoNS) FEBRUARY 20, 2020 (PRAPOSED TENNIS COURT) LOT AREA 54536 eq.R. eee£. ' , JUNE 22 2020 TIS CART, POOL) E?I S JtX.Y 1, 2020 ) HOUSE&PORCHES 2251 eq.R. OCTA A 2=(HOUSE AS– Ull.7) BUILDINGS GARAGE 3227 sq.R. 3227/54536 s 59X ' PB B Q 9& 4 f TEST HOLE2,40/)5 ATA HOUSE&PORCHES 2231 W&nol . \. ,/f - = BUILDINGS 420 & "S GARAGE , Q .�� NOW SRTY LMU a. -°. TENNIS COURT 5155 t1. 2s' EQUIPMENT PAD 24 tL £�� r POOL So WOLAW W POOL HOUSE 350 1L 4 ` ,' r wpm J=GR tvca W SAWF 10557/54536= 114x � �-'-�. r � $ ��T•. _. _ 71 �W N Meow VaWg nA m �. � sem wm ao X arum. sw CER77nED TO: MONTAUK ABSTRACT CARRICK ROWE + _ e ,� sonmr rage m FLORA FAIR, LLC , ` Ca4fflr S" SW rs ® = WELL ¢4rq�� 4 $ ° t Ve —x—X—X—X— —ERON� s n r�oo� C€ . P y ®� pm IOU" MAL MAP R&EWED BY ZB EE DECISION# I am fomflkr retth the STANDARDS FOR APPROVAL AND coArswcaON OF sassLWACE SEWAGE �cA f 1 ' ATEI I IAL 1, VISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDEN= ¢ , and w#1 abide by the crutditkas set fortlr thervin and a1 the permit to cwstrvO r� The Iocotfon Of wWls,and S stTo- h 1 do from Freld obs&-tvtJons and or f wn data ohtalhed bvm OUTOM ANY AL7ERAIM M AOMIMTD VeS SUR4I:Y IS A VW77ON - OF we cr 7TH STATE T L* EX#PT AS PJR I CQr� r ^kr a P Ll� Na 49618 NEREON AREF'AL.X?rFR THtS M.a>9 AND G» GNY SW AULP17R FJIR THE S T (S3 FAX P.r_ 765-1797 wiasr P-a BOX 909 Elevatlons referenced to N.G.V.D. 1230 TRAVELER STREET05-120 AREA=54,326 SQ. FT. i souTHOLD, N.Y. 11971