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HomeMy WebLinkAbout49674-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 #: 49674 Date: 9/12/2023 Permission is hereby granted to: DelVa lio Cesare PO BOX 369 Peconic, NY 11958 To: construct accessory pergola as applied for. At premises located at: 4045 Bridge Ln, Cutcho ue SCTM # 473889 Sec/Block/Lot# 84.4-11.2 Pursuant to application dated 6/7/2023 and approved by the Building Inspector. To expire on 3/13/2025. Fees: ACCESSORY $253.60 CERTIFICATE OF OCCUPANCY $50.00 Total: $303.60 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Id Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 Telephone(631) 765=1802 Fax(631) 765-9502 httDS.//WWw-Southoldtownny. ov b' Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. BuildingInspector: 'JUN I'W 3 P Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant Is not the owner,an I F Owner's Authorization form(Page 2)shall be completed. Date; OWNER(S)Of PROPERTY. Name: tV w SCTM#1000- Project Address: 401—\S Phone#: l .�� � •--1 Email: Mailing Address: CONTACT PERSON: Name: Jennifer Del Vaglio Mailing Address: PO Box 369 PeconiC, NY 11958 Phone#:631-734-7600 Email:cj@eastendpoolking.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Eastern End Pools, DBA East End Pool King Mailing Address: PO Box 369 Peconic, NY 11958 Phone#: 631-734-7600 Email:cj@eastendpoolking.com ct@eastendpoolking.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑Re le I pair ❑Demolition Estimated Cost of Project: 2ONiehweStructure ❑Addition ❑ ration " 11111 1 Will the lot be re-graded? ❑Yes ii No Will excess fill be removed from premises? RYes ONO 1 PROPERTY INFORMATION. FaExistin use ofproperty: Singlemily Dwelling Intended use of property: Single Family Dwelling Zone or use district in which premises is situated: Are there any covenant and restrictions with respect to Residential this property? ❑Yes o 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. APPUCATION IS HEREBY MADE to the Building Department for the issuance of a Buliding 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 anddn building(s)for necessary Inspections,False statements made herein are punishable as a Gass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name):Jennifer Del Va lio Authorized Agent wner Signature of Appllcan A��__ Date: STATE OF NEW YORK) SS: COUNTY OF ), being duly sworn,deposes and s says that he is th Y ( ) a applicant (Name of indlvi gal signing contract)' ovenamed, (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 day of 20 Notary Public (Where the appllcant is riot the owner) a residing at 1 �,Y c" . It 9L re �' 1 do hereby authorize _to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owhe✓'e`s Signature Date Print Owner's Name 2 6OWaf1 II I F •GELVA6LIo•RSSr%VNGo- TA�F�x.l✓a'W L16TxM wf y^ . Alar YiMrs �• �'� m w.ww•r+ww i'.wry_.. R m .�..�..."y�+�`i a..�.... � waw. ......+.m......� L CFb19E Yl h '02NEWIF1JAY f "�.,..�n.„.,,,,r"w..`^^,�,.W*„""""'h.""r»'."—'"�^/'\.rv�"v"w,.�•.��:rr!�"+,Mw�xhw...�.,.rv.t"4o"n.r">*-��,r""'"r'x� *"`a.*^wr..m.v+*w�—J....r.w...,_,.i.� ❑ La ..«.rr.xrr Iff �....m ............. ...... ������....�....... ..,NIDwA'�mMAxxxx�•—..�.... .: ..�°""�..F.u.^ mrnxxrn.n.,rxni ���� . (MMI AC"RO CERTIFICATE OF LIABILITY INSURANCE DAT11/181 202D/Y1 11118! 1 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(Ie )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 NA E: Barbara Dammers Roy H Reeve Agency,Inc. PHONE ExtI. (631)298,-4700 APC Ne, (631)298-3850 IWCNo PO Box 54 E-MAILAODRss bdammers@royreeve.com 13400 Main Road INSURER(S)AFFORDING COVERAGE NAIL f( Mattituck NY 11952 INSURE'RA: 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 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. INSR AUULrXWM POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MIWUDI7,IYYY MMIDD LIMITS 00 X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE S 1, 0 tu '.,CLAIMS-MADE ®OCCUR RE E Ea rreece S 100,000 ..._.. Contractual Liability MED EXP Ara Gpersonl s 15,000� A Y Y 6080837145 11/15/2021 11/15/2022 PERSONAL&ADV INJURY s 1,000,000 GFN%AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 2"000„000 PRO LOG PRODUCTS-COMP/OPAGG S 2,050."505 POLICY �JECT OTHER: AUTOMOBILE LIABILITY Ea i4d riss1; GL i'000,000 ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 6080837159 11/15/2021 11/15/2022 BODILYINJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED RO DA IA`GE S AUTOS ONLY AUTOS ONLY Per 8 qnt $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIABCLAIMS-MADE AGGREGATE S. DED I I RETENTION S $' WORKERS COMPENSATIONO AND EMPLOYERS'LIABILITY STATUTE ER 1,0„ ANY PROPRIETORIPARTNER/EXECUTIVE — E.L,EACH ACCIDENT $ 1,0CI0 OCI C OFFICER)MEMBEREXCLUDED7 Y NIA 6080837162 11/15/2021 11/15/2022 ....00 (Mandatary in NH) E.L.DISEASE-EA EMPLOYEE S 1"000,0000 I it yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attachad 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 --�~fuolu" ©1968-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD � - I-(- I I POST ( sm Luau / I 4. A ROOF CONSTRUCTION BIMP;gN Coo., BO YEAR A.0'TECTURAL GRADE ASPHALT COWFW BASE 24'-O°s IRS»�BUILDING FELT (PATIO) 'CDX PLYWOOD SHEATHING _"_-___T.O.ROOF le6 V-GROOJE TfG(GROOVE SIDE I—N) \ IC61Qx11GRETe ED 2'xB'R.R.0 Ib'O.C. O Z} // PIER MIN.36° 12 12 Z TYP.OF 4 CORNERS L.LI1 I I W � ) (SEE DETAIL FOR V• / POST AWORB) go ^° ' b•POURED m() IN. CONCRETE PIER MIN. 3G°BELOW GRADE Ib'xlb'POURED T.O.PAST 0 0 %CRETE PIER MI 8` 18'-B° 8° "— O(J •BELOW GRADE B' PAIRED V (4)a5 VERTICAL CONCR—ETE DECORATNE FTPON BARS EMBEDDED TRENCH FOOTING p Nro FGDTMG PLAN VIEWEb•BELOW GRADE - ° o UNIXCAVATED �—Al)T ALL CORNERS 6°x 6°ACO P09T5 �f 6'REINFORCED CONCRETE UILT OUT TO SLAB W/WIRE MESH ON O d4•x8'�•b WRA�ED VAPOR BARRIER OVER - N I.x AZEK TRIM COMPACTED GRAVEL FILL (FINISHED 10•x10') 24°HIGH x 12' FOUNDATION PLAN ARE HraNE BASES NOT TO SCALE FIN.PATIO IF112PATO CONCRETE PIER/FOOTINGDETAIL C CORNERS ® m . SCALE: IIS=I I_On FRONT/REAR ELEVATION SCALE: INSTALL IY.`W 20 WUGE G4LVINILED 9TRAPPIN6 B 16'O.C.W/2-Bd NAILS D EA.END 12 SI °(ra) V MIN.12°HEARING QJ RAFTER SURFACE Br �6 1� RIDGE INSTALL lt.W 20 GAUGE GALVINIZED STRAPPING®16° W/S-0d NAILS®D END MIN.12'12' HEARING QJ STU SURFACE A 24'-0' Z _ L HEADER _________________ ___________�• W OJ _ Z O (2)-1°b'x 14°LVL HEADER --- I Z 0 2 W D N b°x 6°ACO POSTS z U) BUILT CUT TO __________________J _ TYPICAL WIND UPLIFT Iw g' / I I IyySBs a wRAPIN IM L------ ( I D Y H �Q i 0 I (FlNISHED 10'x10') ~ LATERAL $ SITEAR CONNECTIONS \t<l �, PDSTHANCHOREv SIDE ELEVATIONS i5 n SCALE. ry•�I�_pe i I' \ - GAZEBO ti S TO 16°m FOOTINGS (A 1D >»>J .0 6 j I I (SEE DETAIL) W X p BLUESTONE J I SCALES I/4°ml'-O° W O 9.. N PAVERS Q In T 11' 2'x B°R.R. PQ 14fx°IYi•LVL xl W IL d I� 0 I RIDGE O 16°O.C. T co FLOOR PLAN a' 'L L O p CO �(L I ROOF NSTRUCTION DG NOT TO SCALE R:�my— I ��TECTURAL GRADE ASPHALT BUILDING FE1T \\ I Ix6 V-GaCWE X Tt CGROOVE 91.E DOWN) LVL HORS. <?