The URL can be used to link to this page

Home My WebLink About48977-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#: 48977 Date: 3/3/2023wmmmm m �wwww Permission is hereby granted to: C.u.__......_www.rran John .w w _... ...__.._.._........... ...................... __.__._.............. ..u....... .. ww_............................. _......................... �.............. 11 Eton Rd __.........................__._... _. Rockville Centre, NY 11570 To: demolish and reconstruct an accessory in-ground swimming pool (surrounding wood deck to be removed and replaced with an on-grade patio) as applied for. At premises located at: 2005 Platt Rd, Orient SCTM # 473889 Sec/Block/Lot..#..1..8.-6-27 .�.�.�... ......._._...................._..._ .._._.�w..............�.... ...w...w ................._.............w....wv_. Pursuant to application dated 2/23/2023 and approved by the Building Inspector. To expire on w 9/1w/2024. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Total: _..... ... _.............. ...-ww-..$300.00 Building Inspector sura 4 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 lite S �Www,southol� Date Received APPLICATION FOR BUILDIN a PERMIT fl For Office Use Only MAR 0 ? PERMIT N0. Building Inspect ar; , Applications and forms must be filled out in their entirety. Indiii � k _ applications will not be accepted. Where the Applicant is not the owner,an / Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: . �.. .� � SCTM # 1000- Project Address: J 1 61DGS /t/ ff Phone#: (t Email: �V Mailing Address:. CONTACT PERSON: Name: mm Mailing Address: i Phone#: J DESIGN PROFESSIONAL i� �� FEmai y, y;^ INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: 10 A Mailing Address: � 1, �77- -' Phone#: '6Ov Email: 0 `FCL DESCRIPTION OF PROPOSED CONSTRUCTION Mew Structure ❑Addition ❑Alteration []Repair ;XDemolition Estimated Cost of Project: ❑Other t $� zdZ Will the lot be re-graded? ❑YesANo Will excess fill be removed from premises? ❑Yes ❑No PROPERTY INFORMATION Existing use of property: r Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to K 5b this property? ❑Yes ONO IF YES, PROVIDE A COPY. ❑ Check Boer 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 210.45 of the New York State Penal Law. Application Submitted By(print name): .� ��1Atahori2ed Agent ❑Owner Signature of Applicant: Date: �� t STATE OF NEW YORK) SS: COUNTY OF �) .being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing cont Act) above named, (S)he is the "� P..Q :F � :. moP (Contractor,Agent, Corpor 'e 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 a� day of Fe.brua 202�_) 411 at—W AA If-W A Lary Public TRACEY .. DWYER NOTARY PUBLIC,STATE OF NEW YORK PROPERlY(Where he app C °°1TINO. Uoo IN S QUALIFIED IN SUFFOLK AUNTY applicant is not the owner) COMkv:SSION EXPMESJUNE;30, d24i residing at do hereby authorize d"��~ "� to apply on my behalf to the Town of Southold Building Department for approval as described herein. y t Owner's Signature Date Print Owner's Name 2 4��c) Scott A. Russell SUPERVISOR N[A,N ASG IEAW1EN F SOUTHOLD TOWN HALL-P.O.Baa 1179 I Town ®f Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 . .. CHAPTER 236 -q_STpRMWATE R MANAGEMENT REFERRAL FORM M APPLIC ANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) � p _ � . Deng... APPLICANT- � PrOert % Owner, Design Professional, Agent, Contractor, Otherk I Date:NAME Al C O1 i1aC1 Ini Ci1-lllall0l i ��,.,.� �. ./ ��•.a�-�, ,,� . ,r,1i� rol.ertv Address / Location of Con truc..... ._.. _. ton �. ��.. ...� � .. .� �... S.C.T.NI. m 1000 71 ... .._...... . _.m .ry ..,,,.._ Section P,locr; TO BE COMPLETED BY SOUTI--IOLD TOWN ENGINEERING DEPARTMENT ,A,rea of Disturbance is less than 1 Acre No 1"I.� •f ` ELL x Project does Not Discharge to Waters of the State _No S,P,D.E,..,;�'r g. lo°�.�.a..�r `.m°•��g, E] - Area of Disturbance is Greater than I Ac:e RLMOH Discharges Directly APPLICANT MUS1 AIN D,E S. Permit r OBTAIN a S P....... .. ,._._ . rc '`�aters of the tate o DEC.` Prior to issuance !mit. DIRECTLY„From NAY Sf D York jo issuance of a B�uiidim, Pe aiFa of nisli�i i'hanre is �'i ale th2tl -�,f i't_' i�. \lill-f?l \;i F`I T�1 Flmv,� hhmuEh ,Southo ld L.�JF ,c _ , 2 , c - _TIE AP.� ANT N/1UST OBTAIN m �..... ,w stet to V4 t of tl e �ta�e �....Yc �m� TIE ��PPLIC Tr,��.�,., til a�� P;S� D l lssul Pei hi.,__ Permit.rut Id Town E°vt neerin c . _..... Dal-: W3 r'flRtvi - G�,1f'P - T(1. (lr�nl-,n. Ji"llq {;� � � ✓L e C e ve CERTIFICATE OF LIABILITY INSURANCE i DATE(MM/°D/YYYY) 11/18/2021 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 POLIGIES 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(les)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 #SAME° Barbara Dammers Roy H Reeve Agency,Inc. PHONE (631)298-4700Naa (631)298-3850 AIC PO Box 54 bdammers@royreeve.com ADDRESS 13400 Main Road INSURER(S)AFFORDING COVERAGE NAIC 9 Mattituck NY 11952 INSURERA: CNA Insurance Companies INSURED INSURER B: Continental Insurance Co. 35289 Eastern End Pools LLC,DBA:East End Pool King INSURER C: Transportation Insurance Co 20494 P O Box 369 INSURER D^ INSURER E Peconic NY 11958 INSURER F: COVERAGES CERTIFICATE NUMBER: CL21111815751 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, LTR TYPE OF INSURANCE POLICY NUMBER MMIDD.. MO LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 � DAVMrT0 - 100,000 CLAIMS-MADE 2 OCCUR PREM*L,5 jLa„mw" aur $ X Contractual Liability MED EXP(Any one person) S 15,000-- A Y Y 6080837145 11/15/2021 11/15/2022 PERSONAL&ADV INJURY 5...1,000,000 .. � GEWL AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY r'c"r 2,000,000 JE"„,^p' LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY Itd''dL Hdl'r $ 1,000,000 E; rc4t6'ni ANY AUTO BODILY INJURY(Per person) $ -- B OWNED SCHEDULED 6080837159 11/15/2021 11/15/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERIYDXV0E $ AUTOS ONLY AUTOS ONLY Pot LCu6 $ UMBRELLA LIAR �±OCCUR EACH OCCURRENCE S EXCESS LIAB LAS-MADE. AGGREGATE S DED RETENTION$ $, WORKERS COMPENSATIONC7 �{_ ..AND EMPLOYERS'LIABILITY YIN .STATUTE ..R � C ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $, 1,000,000 OFFICER/MEMBER EXCLUDED? NIA 6080837162 11/15/2021 11/15/2022 (Mandatory in NH) E .DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E1,DISEASE-POLICY LIMIT S 1'000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate holder is included as additional insured under General Liability as per the terms and conditions of form#CNA75079XX-Blanket Additional Insured with Products-Completed Operations Coverage Endorsement, Form CNA74705NY-Contractors GL Extension Endorsement,NY includes waiver of subrogation&primary&non-contributory coverages as required by written contract or agreement. Additional insured under the business auto is included under Form#CNA63359XX-Auto Contractors Extended Coverage Endorsement-Business Auto Plus. 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. PO Box 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 _ T. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD S 32°4540"E ! P'F'�°r'tiMMlmym... ,.I'Y'XM1Cf: MCI— WOOD P05T PENCE 277.01' X. r N P,AhdP M9� M I 4 -- o 1 ol 0 n ( n I M r ti a � f " ." Y , LIJ p L 80,4' _ _.............. � WOElO Cl(:E..5HF.0 ;q th W000`05T T."CC OWE I q1 1 ) r N � W000 PCI"T TPN E N 37°42"30'W 275.00' XtNI ✓ a.as o.zN y I Tw i 1 4 O 1 ` cI18J7,20- y w ; PLATT ROAD TAX LOT 27 u AREA= 92,957 SO FT 40 0 24 40 80 2.13 ACRES (80)-DEN07ES FILED MAP LOT NUMBERS. 1 inch =40 ft. GRAPHIC SCALE ( IN FEET ) 1.UNAMHMCM ALTERATION OR ADDITION TOTHIB SURVEY IS A VIOLATION OF SEOTION720 OF THE NEWYORK STATE EDUCATION LAW. T �SO�r LAND SURVEYOR °I I`ISiet71'"K GOIIIV'['1'DIST' 1000 COPIES OF THIS SURVEY MAP NOT BEARING THE SURVEYOR'S INKED OR 1, 1 V .1—JC 1 CBI SM SMALL Not BE CONSIDERED TOM AVALID TRUE COP, NESCONSLT HIGHWAY,.SCUTE 23G,MTSINAI NEI7 YORK 117GG 'W 18 ELK. 06 LOT 27 RATIFICATIONS INC.ATEO HEREON SHALL RUN ONLY TO THE .4MMIC PUTS PERSONS FOR WHOM THE SURNEYIS PREPARED,AND ON PI)me(631)474-2200 IFaz(431)899-9085 emai/TEAS(.)NI..V@OPTONLINE.NE!T („7,FiT};:10/20/15 1 SCALE: 1"=40' HISSIERRHEIR BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY, ANDLENVIXO INTIMPONLISTEDHEREON.CERTIFICATIOHB ARE NOT ��TT �1�)'FL\V liJT^ THANBFEMBLETOAWDMMLINSTRUTWNSORSUWEDUENTOWNERS. ,.THIS URVOYISSUBJECTMOMMMEWOPRECORDANOOTNER BOUNDARY SIJ Y ITI�.0I.;G°I NCIMYERS—Z/ ' TEA1L e PERTINENT FACTS WHICH AN ANSTMCT OF TITLE MIGHT DISCLOSE. �m EVUS S SHOWN ASONAREFORASPMS FOR ECN OF ICPURPOSOROTHERULB SURVEYED FOR JOHN CURRAN & WENDY CURRAN STRUCTURES. ,1 /'� 4.SUBSURFACE STRUCTURES ARWOR UTILITIES,IF ANY,NOT SHOWN. MAP OF: DESCRIBED PROPERTY 5.HEDGE AND FENCE OFFSETS SHOWN ARE TO CENTERLINE UNLESS ICESOTNEFIBENDTED' LOCATION, ORIENT, TOWN OF SOUTHOLD, NY OF ETHATTHF MAPD IN THE FELNTS UNDER RATEANDTRUE ON NT OF A SURVEY,PERFORMED IN THE FMLD UNDER MY 9UPERV1810N ON 1OHSXE015,OP THE LAND THEREIN PARTICULARLY DESCRIBED.THE RECORD CERTIFIED TO: JOHN CURRAN & WENDY CURRAN DESCRIPTION OF THE SUBJECT PROPERTY FORMS A MATHEMATICALLY CLBS¢B FIOURE.THIS SURVEY WAS PREPARED IN ACCORDANCE MH THE CUMENT COVE OF PRACTICE FOR LAND SURVEYORS ADOPTED BYTHE NEW YORK STATE AS WCYATION OF PROFESSIONAL"NO SURVEYORS. LIC#050452