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Home My WebLink About51506-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#: 51506 Date: 12/27/2024 Permission is hereby granted to: Nancy E Ryan 335 Robinson Rd Greenport, NY 11944 To: construct accessory in-ground swimming pool as applied for. Premises Located at: 335 Robinson Rd, Greenport, NY 11944 SCTM#34.-5-11 Pursuant to application dated 10/31/2024 and approved by the Building Inspector. To expire on 12/27/2026. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total S400.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �1 Telephone (631)765-1802 Fax(631) 765-9502 httI '://WWW.SOLl�tholdto rin yao'v Date Received, " APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. 5/5 Building lnspect�or! � ,.. 3 1 2, " .a 024 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an 7 "4: T Owners Authorization form(Page 2)shall be completed. "^. Date:10/30/2024 OWNER(S)OF PROPERTY: Name:Nancy Ryan SCTM#1000-34.-5-11 Project Address:335 Robinson Road, Greenport Phone#:516-971-1404 1Email:nncyryann@yahoo.com Mailing Address:335 Robinson Road, Greenport NY 11944 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:Jennifer DelVaglio/East End Pool King Mailing Address:PO Box 369 Peconic NY 11958 Phone#:631-734-7600 1Email:CJ@eastendpoolking.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other 12x26 Vinyl Pool $$69,377 Will the lot be re-graded? IRYes []No Will excess fill be removed from premises? RYes ONO 1 Docusign Envelope ID:23366A79-A76C-4F13-98C3-8936D7AEIA95 PROPERTY INFORMATION Existing use of property:R-4Q Intended use of property. G'SiG# n1a Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to Residential this property? Dyes No IF YES,PROVIDE A COPY. The � amata rt r/d ,fir professional Is respoo,,Able for all drainagearni stom water a de+ by Chapter 216 of the Town Code,APPLICATION IS WREkBY MADV to the dukldimg,Dekportroent for'the Issuaanm of 1wilding Ponvot pursuant to the kktrikdlmd Zone Ordirtance of the Town of Southold,Suhiol',Couotv,Now Yorks and+other applicable'tAws,Otdiannon or ftgulations,for the construction of bolhii Ad'ditirros,aiterptioros or for removal or demolitdoo os betein descrthed.The applicant acre s to cwnply With ail appi able laws ordinaoces6 bu-Ipdt ca A, housing codeand repuiations amino adrift authoriaedi inspectors am pretnkses and to truRding1sl'kor oecpssarV Inspections.Pane statei cots made hereto are punishable as a Mit A mAiderneanor pur,"ant to Section 210AS of the New Yorke Stow fenol,UW. Application Submitted By(p e). I+9Atkthft ized fit ®Owner , g Signature of Applicant; "``'- � �" ` ONNIE D.BUNCH STATE OF NEW YORK) Ota y Public,State of,New York No.01BU618505o SS: Qualified in Suffolk Count COUNTY OF Commission Expires April 14 2 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 before me this 3-0�ddaay of "" ,2o- (4 ^,-.p Alotary Public (Where the applicant is not the owner) I Nano n residing at 3,35 Robinson road, Greenport NY 11944 Jennifer Delvaglio/East End Pool ling do hereby authorize to apply on i ;to the Town of Southold Building Department for approval as described herein. " 10/31/2024 I Ebbf�W 's Signature Date nncyryann@msn.com Print Owner's Name DATE(MM/DDIYYYY) '► " CERTIFICATE OF LIABILITY INSURANCE 11/17/2023 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 CON Barbara Barbara Dammers NAMt3: Roy H Reeve Agency,Inc. HONM Ex : (631)298-4700 Fi4AO Nu. (631)298-3850 PO Box 54 AnnREs3, bdammers@royreeve.com 13400 Main Road INSURER(S)AFFORDING COVERAGE NAIC# Mattituck NY 11952 INSURER A: Transportation Insurance Co 20494 INSURED INSURER B: Continental Insurance Co. 35289 Eastern End Pools LLC,DBA:East End Pool King INSURER C: Continental Casualty Company 20443 PO Box 369 INSURER D: INSURER E Peconic NY 11958 INSURER F: COVERAGES CERTIFICATE NUMBER: CL23111720048 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. LSR TYPE OF INSURANCE INSD WVOi POLICY NUMBER MMIDDIYYYY MM/DD LIMITS r '..COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence. $ 100,000 Contractual Liability �_Mson)ED EXP(An one per $ 15,000 A Y Y 6080837145 11/15/2023 11/15/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGRIEGAT'E'.LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 +�PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY 12,11cude�nf 1YJE0 SINGLE LIMIT $ 1,000,000 q ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 6080837159 11/15/2023 11/15/2024 BODILY INJURY(Per accident) I $ AUTOS ONLY AUTOS HIRED NON-OWNED PR'O AtptA E $ AUTOS ONLY AUTOS ONLY Per accltPanC UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION XER STATUTE ER AND EMPLOYERS'LIABILITY YI'N 100,00, �-'� 000 C 'ANY PROPRIETOR/PARTNER/EXECUTIVE T p p N/AD 6080837162 11/15/2023 11/15/2024 E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? �......... 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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(2016103) The ACORD name and logo are registered marks of ACORD w Ol L. DROSKOSKI �. - �` & CHR S IN M DROSKOSKI SURVEY OF PROPERTY SITUATE � GREENPORT TOWN OF SOUTHOLD � � >e v' SUFFOLK COUNTY, NEW YORK „ . S.C. TAX No. 1000--34-05--1 1 3r. SCALE 1"=20' FEBRUARY 5, 2020 � ' " " AREA = 12,500 sq. ft. <11 PjWfDSIL4 , 00 — .... .. ,.. _ --- ....... . . ..._ — ... � .,.. ,... �, mr , ,0 \t . �• PREPARED IN ACOOROMCE YiITH,Ta1C MININUM ° STANDARDS FOR VILE S A,S'ESTABLISHED HE ETY SUCH USE � 4 �LA�ION, r T ° T AS DCIATtl V gyp; A r : .50467 w . \ �C a I'll, I \ UNAUTHORIZED ALTERATION OR AOOIIION Nathan Taft Corwin 11,11 .„T5 NEW YORK STATE TD THIS SURVEY p 4 'WdaR.ASECTION l'fl'-Ok4 Of �I,W�I ", °•- ,, ^° EDUCATION TES THIS SURVEY MAP NOT BEARI' Lrtr' rr I • ,tea ✓'' A THE LAND SURVEYOR'S INKED, .AII.OR G.�'a •• A EMBOSSEO,SEX SHALL NOT BE CONSIDERED a Y ' TO B r� D '"D A VALID TRUE COPY '0 CEWIF D ° NrscATroNs INF76t:ATEO HEREON ST�AIL RLkN Successor To: Stanley J. Isaksen, Jr. L.S. n ONLY TO THE PERSON FOR VMM THE SURVEY Joseph A. Ingegno L.S. a IS PREPA,R Y,AND ON 141S BOOLF TO THE D° ° ° AB• T LENO1TC MM NY, G NL STED ENP O Title Surveys — Subdivsions — Site Plans — Construction Layout HEREON, AND TO THE ASSIGNEES Or THE LENDING INSTI-- PHONE (631)727-2090 Fax (631)727-1727 a p " nmDN CERnnCATIONS ARE NOT-IRANSFERASLE, OFFICES LOCATED AT MNLING ADDRESS r p York 11947 « e o ANY, NOT Spt�pVW RCI N ' WA RA James ort, New York 11947 James ort, Newx e" ^6 Ap� aP " THE E1F&SI NCE OF ARE NOT GLCA4—I EO, p