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51443-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#: 51443 Date: 12/05/2024 Permission is hereby granted to: GH Assets 2 LLC 350 Moffit Blvd FI 2 Islip, NY 11751 To: demolish (as per Town Code definition) and reconstruct an existing single-family dwelling as applied for per SCHD approval. Work commenced prior to building permit issuance. Premises Located at: 3420 Rocky Point Rd, East Marion, NY 11939 SCTM# 21.4-8 Pursuant to application dated 04/30/2024 and approved by the Building Inspector. To expire on 12/05/2026. Contractors: Required Inspections: Fees: As Built Addition/Alteration $2,164.00 CO-RESIDENTIAL $100.00 Total $2,264.00 Building Inspector 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 It t� Iair�i . atrtlITiilllirr ° Date Recelved For Office Use Only G L � W L � { PERMIT NO. Building Inspect+r., C., Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an 4 i„W'rv1 7 I`),r.�;,�artment owner's Authorization form(Page 2)shall be completed. Tov m c, f: lq Date: OWNER(S)OF PROPERTY: Name: C-�1A A 5')P-\s Z- L.L C SCTM#l000 Project Address: 3q ZO C oMy Poi Pioqa , (fc,9+MQri orl k) 1039 Phone#: SI b 903 qd 16 Email: ()Ce,IE(P Yt -Com Mailing Address: ICi r�i,barl f or""m in vole N14 11-1 'l CONTACT PERSON: Name: u le- Mailing Address: 1Ltm ber l Aye TrwrnI+m,lie, 04 11-7 Phone#: S-« 203 ' 516 Email: (1iCUle , DESIGN PROFESSIONAL INFORMATION: Name: "" Mailing Address: 6710 wb} Norwick q It bZ Phone#: Sib' LA-1-1 0 Email: 0& diet CONTRACTOR INFORMATION: Name: Zi Ma-de-0 ev-A` Mailing Address: , � f Phone#: � Email: r DESCRIPTION OF PROPOSED CON RUC 1ON ONew Structure []Addition dAlteration UAepair 260emolition E ima ed Cost of( Project: 00ther Will the lot be re-graded? ❑Yes No Will excess fill b removed ro ernises? Yes ONo A PRoORTY INFORMATION Existing use of property: "" Intended we of property: ` Zone or use district in which premises Is situated: Are there any covenant rid restrictions with respect to this property? ❑Yes IF YES,PROVIDE A COPY, 13 IM owner/contractor/design professional Is responsible for all drainage and storm water Issues as provided by ChepW=gg of Lire Y+essrr Cede, ApphIGTION a HERESY MADE to the Building Department for the Issuance of a Building Permh pursuant to the Building Zone Crdironoe of the Town of Southold,SuRalk,Ceresty.N@w Yank and other applicable laws,Ordinances or Regulations,for the construction of buildings, eddMons,oftrations or for remwal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building cede, coda end and tb admit authorhed Inspectors on premises and In building(s)for necessary Inspections.False statements made herein are puraheble as a Class A misdemeenor pursuant to Section 210.45 of the New York State Penal law. Application Submitted By(print name): �okp er 0Authori2ed ent �Wner � Coop Signature of Applicant: Date: /ol, STATE OF NEW YORK) SS: COUNTY OF SCIPCOlt I t C IZAe cmeu being duly sworn,deposes and says that(s)he is the applicant (Name of individual'signing contract)above named, (S)he is the Q10 ME, — (Contractor,Agent,Corporate Officer,etc.) Said cw—..=or cwriers,andd is utSily taut: trued to'pca ru.�..r.i :iC sa.0��S uiw.'w TirZnC yr 'vn�Iiiw. application;that aA statements contained in this application are true to the best of his/her knowwle g a ief;and that the work will be performed in the manner set forth in the application f Ow"NETTA PAYNE Notary Public.State of New York r Sworn before me this No11� 63� 7T17' y QLe� CC nt cz `'ll v Q�Y IN��k'��@G�Ir5 //�� �^ ,[ M �t 'ti^'ruiSsgtsr ExpiresAl. 24,2 ��of!O 47 A 2U &4_ , Notary Public (Where the applicant is not the owner) i, residing at do hereby authorize to apply on MY behalf to the Town of Southold Building Department for approval as described herein. 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EFLOOR PLANS .. ^" GEM PRO m,__ "v d r, Curtis Design Group,LLC PERTY ...................11 d EAST NORTHERN 117 3420 Rocky Point Rd.EAST NORWICH,NY 11732 East Marion,NY ..,., [(8) ................ phone(516)427-1602 IND AC4 '"O CERTIFICATE ©F LIABILITY INSURANCE °A�i"1OI W2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFEi;<S 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 oertifiicate holder is an ADDITIONAL INSURED,the policy(Ie )must have ADDITIONAL INSURED provisions or be endomad:. If SUBROGATION IS WANED,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 endorsemenl(s). ouluff PRODUCER.. E DKM Insurance Agency Inc. PHO FAX No d One Rahro Drive,Suite 11 Wk., coi@dkm1ASuranoe.o0rn Hauppauge,NY 11788 IN$U s AFFOROMOCOVERAZE me INSURER ,FALLS LAKE NATIONAL INS CO 31925 .�.�... .. .._�� INSURED INSURER B U AMADEO SERVICES INC. INS-UIRERCt SR _ .. 122 MCKINLEY STREET INSUIERD: MASSAPEQUA PARK,NY 11762 INSUREREt INSURER P r COVERA aE$ CERTIFICATE NUMBER-* 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.'PERM 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.LIMIT'S SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS_ CONMERPEOFROERALLIAHAJ7Y LICY'EFP POUIC E7LP UNUTS POLICY NUIerBER I414If0 rTPEaI s6KP2or5sec►a2 2t15I2o23 21I5a2fI25 OOOvOO Y Y cLAuas�v+DE oc ; c OCCURRENCE $ 1»100000 aEDaP M 0" I S 5000 PERSONAL&ADVUTAJRY 10000o0 oEa~�.,AooR r TF LILUTAPPLIEsPE MNERALAGGREIGATE $_ 2,000,000 POLICY � El LOC PRODUCTS-r 0OW1O''AGC Al Onim: $ AUTOMOBILE LUIBILITY � $ ANY AUTO BODILY INJILRY Ip+pP peracol S OVOI ONLY A'ITHES�� ,.- S BODILY S17 S INJURY(Pv� ru�i f PR AUTOS ONLY AUIthSOhd.Y HIRED NON-OM9)ED E S UMBRELLAUAB 4 I EACH OCCURRENCE S EXCESS LIAS '.4' z,l�dc?V5AA1kU.YE I, 'AGGREGATE. Is OEO I+ETI*)nION$ i dkk $ WORKERS COMPEN SATION YIN � 'TWC40253 AND "LIABLIT 9/23/2024 9/23/2025 ANY PR ORPARTNERIE%E'C11TNE �N)A� EL EACH ACCIDENT $ � 000 A OFFICERN F�LuDEw , Y IMandalaaYlnNNI f-LDISEASE»EAEMrLOYE S QCSCRr6r'I' OFscrbe O ftATON1S bakw I IE.'L 0UCFa A S'E.-POLICY LAWT $ DISABILITY JOELS48043 9/23/2024 W312025 STAl TOR`!LIMITS .ww � k DESCRIPTION OF OPERATIONS!LOCATIONS)VEHICLES;ACORD 101,Addldornl Remarks Schedule,maybe aftched If mom Oacels mqulredj Certificate Holder is included as additional inured_ Huntington NY 11743 CERTIFICATE HOLDER CANCELLATION Town of Huntington SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 100 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Huntington NY11743 AUTHORIZED REPRESENTATIVE , 8eth.7TI.aI1ti��ov1� 01968.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD s Suffolk County Dept of Labor,Licensing &Consumer Affairs "A HOME IMPROVEMENT LICENSE Name JOHN R SCHNAKENBERG Business Name AMADEO SERVICES CORP This certifies that the bearer is duly licensed License Number R-28512 by the County of suffolk Issued: 03/31/2000 W"KP'T Rosary Expires: 03/01/2026 Commissioner T Is license is the Propatty of Suffolk County ,d Gatos ssior of Labor *Li'censl'ng&Consumer Affairs, i Fuossess on of thus tense does not guarantee its vai,dity„ tddit�ional Sueiiness NaMe License Category i r1' GC;H3 -Lead R,m,,Ol r r " l d' r if z TRADESMEN Safety Training Center 167714uroeumyu RuHn Bel iPN m My'171r. EPA lead Renovator Initial Course C�p WAN ud W14wKr a t�O"d x-V—ruo ewurxe cwgpPgdrtyri i Jobe S hn kemberp_ 12 Mci(ltrl y Street MassapcNya Para, NY 11762, Coulse S alw 101102021 f)dt :xO/j6f"2021 XIr Cate. /1 202 �`m�It'dA�'ta�•�+� laarvarl Tr4inijag Dir° ctol,-Robert F.Sturiano ti .3 f, 5u)( 'VfY of PPOPEPTY J o SHUA R. WICKS 1P . L . S . S O T T r7--� T T 7--•� T „ T Jclm� SURVEYED BY:J.R.W. DRAWN BY:J.R.W. JOB NO.:JRWzq-oo76 U 1 �1�1/J�_/ ,-(�`�Jln�// BOULEVARD rA5f NW,10N, TOWN OF 5OUTHO�V P.O. BOX 593 5urroV COUNTY NSW YO:K Center Moriches, N.Y. 11934 - JoshuaRWicks®gmail.com p �i�No #631-405-8108 I (folk Count fax Ma No, IC SCALE 5U (��„�..,, G RAPH 10 OCj . 1"00""04,00-00 ,0�!0 ° 1 00 Z("*1 3(6o) (aa) �JA� SUpV�YEt7: O�h/0612024 (�� 5C&L : 1''-20' cis Nr 00 N 88049 '00" E 2>2. 59 ' TAX LOT 7 6 STOCKADE FE. MON. FND. 00 O O � I 6 00 AC r✓ I 5 v O '� FR. .. _ 6.5' a ^y ,� 7 5 OVERHEAD WIRES ray n D cpT OH OH -OH -OH -OH -OH -OH �_) FR. l ES. 08 H� ENCL. �' �' F O #3420 10.D' r° P � �� O LO LO ,"�✓`.^"'„� �'"s�r fi�� �'�'J�'',��"rs',"�, r . �. '�, .0 ICJ LOT AREA r , 03 00 V O 58.5 METAL _ 19,068.00 S.F. O Ln COVER u? O 0.44 ACRE(S) ASPHALT DRIVEWAY N O cv WOOD REr. WALL(B* 6' PVC FE. 4' CHAIN U K FE. �pF N E , _ .. .� 6' STOCKADE FE. , V 1R. r 4' WIRE FE. TAX LOT 14.3 I I IS85°50 '40" W 211.27' 0 0510 LAND 1 UNAUTHORIZED ALTERATION OR ADDRION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209. SUB DIVISION 2, OF NEW YORK STATE EDUCATION LAW. 2. ONLY6OUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION. (3) CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP O THE CURRENT EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS, INC. THE CERTIFICATION IS LIMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED, TO THE TITLE COMPANY,.TO THE GOVERNMENTAL AGENCY,., AND TO THE LENDING INSTITUTION LISTED ON THIS W SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WTH 4 THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE. (5) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED. IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY. (6) THE OFFSET (OR DIMENSIONS SHOWN HEREON H BOUNDARY SURVEY MAP. ( ) FROM THE STRUCTURES RE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS, ADDITIONS TO BUILDINGS, AND ANY OTHER TYPE OF CONSTRUCTION. (7) PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY. (B) THIS SURVEY WAS PERFORMED WITH A TRIMBLE 55 ROBOTIC � ES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE Z TOTAL STATION. (9) THE EXISTENCE. OF RIGHT OF WAYS ANWOR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE.NOT GUARANTEED.