Loading...
HomeMy WebLinkAbout51509-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#: 51509 Date: 12/27/2024 Permission is hereby granted to: Panagiotis Halkidis 230 Dover Rd Manhasset, NY 11030 To: demolish and reconstruct an accessory in-ground swimming pool as applied for. Premises Located at: 860 Hillcrest Dr, Orient, NY 11957 SCTM# 13.-2-8.28 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 rryry f Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 P ( ) ( ) Gov Telephone 631 765-1802 Fax 631 765-9502�a�t :��",+�� ���r.�outl�o�clto+ nr� Date 6eN Is APPLICATION FOR BUILDINGPERMIT pw 5/5For Office Use OnlyPERMIT NO„ � Building Inspector:_ Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:10/23/24 OWNER(S)OF PROPERTY: Name:Panagiotis Halkidis SCTM#1000-13-2-8.28 Project Address:860 Hillcrest Drive, Orient, NY 11957 Phone#:917-443-7652 Email:pete@fosgrp.com Mailing Address: i CONTACT PERSON: Name: Jennifer Del Vaglio /East End Pool King Mailing Address: Po box 369 peconic ny 11958 Phone#:631-734-7600 Email:jennifer@eastendpoolking.com DESIGN PROFESSIONAL INFORMATION: Name:n/a Mailing Address Phone#: Email: CONTRACTOR INFORMATION: Name: Eastern End Pools LLC DBA East End Pool King LLC Mailing Address: po box 369 peconic ny 11958 Phone#:631-734-7600 Email:jennifer@eastendpoolking.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other Demolishion of existing inground pool and installation of new16x32 in-ground vinyl pool $91,000 Will the lot be re-graded? ®Yes El No Will excess fill be removed from premises? ❑Yes ONo 1 PROPERTY INFORMATION Existing use of property: single family Intended use of property:single family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to Residential - R-80 this property? ®Yes ❑No IF YES, PROVIDE A COPY. ❑ Check Box After Readi llg- 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. CiI�C Application Submitted By(print nam � N F�Authorized Agent ❑Owner Signature of Applicant: Date: 10/25/24 Ab6 dV sari uoissiLuwpO CONNIE D.BUNCH (Votary Public,State of New York STATE OF NEW YORK) AiunoO ottnS ul lflle�0 No.01BU6185050 o90N,1pnew,SS: Qualified In Suffolk County NJOA MGN 1ollci'n eyoCOUNTY OF l�"rf?n"mission Expires April 14,HONNN OO n MC, ,being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor/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 ay of 0C+b ,20'_21�- Notary Public PROPER- OWNER I,,,,1 1111 7AT1I N (Where the applicant is not the owner) g residing at Pana iotis Halkidis 860 Hillcrest Drive, Orient, NY do herebyauthorize Jennifer Del Vaglio and/or East End Pool King to apply on my behalf to the Town of Southold Building Department for approval as described herein, r 10/30/24 Owner's Signature Date Panagiotis Halkidis Print Owner's Name 2 CERTIFICATE OF LIABILITY INSURANCE °ATE( 11/15/202Y,") 5/2024 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 pollcy(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 NEs Barbara Dammers Roy H Reeve Agency,Inc. PHONE E (631)298-4700 Nair (631)298-3850 PO Box 54 DlaEss: bdammersr rayreeve.corn 13400 Main Road INSURER(S)AFFORDING COVERAGE NAIC# Mattituck NY 11952 INSURERA: Hartford Fire Ins Co 19682 INSURED INSURER B: Trumbull Ins Co 27120 Eastern End Pools LLC,DBA:East End Pool King INSURER C: Twin City Fire Ins Co Co 29459 PO BOX 369 INSURER D: INSURER E: Peconic NY 11958 INSURER COVERAGES CERTIFICATE NUMBER: CL24111522084 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 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. S FF C LIMITS LTR TYPE OF INSURANCE _. INS VIVO POLICY NUMBER MMIDD MMJDO COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 1 OCCUR PREMISES(Ea nccurrenoa) $ 100,000 Contractual Liability MED EXP(Any one person) $ 15,000 A Y Y 12UUNQD9CVO 11/15/2024 11/15/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE DMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY JECTT O- FLOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER,, '$ AUTOMOBILE LIABILITY COMUPNE:DSHNG'LE".LIMIT $ 1,000,000 Ea acci'd'ernC ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED Y Y 12UENQD9CV2 11/15/2024 11/15/2025 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERIY'0A'MAGE $ AUTOS ONLY AUTOS ONLY Parr:rccIdam't UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DIED RETENTION$ PER $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X STATURE ERH YIN N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ C OFFICER/MEMBEREXCLUDED? El NIA Y 12WEQD9CUV 11/15/2024 11/15/2025 (Mandatory in NH) E.L DISEASE-EAEMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE.-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) Certificate holder is included as additional insured under General Liability as per the terms and conditions of form#HS3407(01/98)-Broadened Coverage for Swimming Pools including a waiver of subrogation and primary&non-contributory coverages as required by written contract or agreement. Additional insured,Primary&Non-Contributory and a Waiver of Subrogation are included for Auto coverage under Form#HA9917(06/14)-Commercial Auto Broad Form Endorsement. Workers Compensation contains a Blanket Waiver of Subrogation. 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Ll ---------- ------- SURVEY OF LOT 26 MAP OF FILL ORE5T ESTATES — SECTION ONE FILED AUC7■ 15, K155 AS MAP No 7215 SITUATE: ORIENT LAND NON co ■ OL HAP-OLD REESE, JR., RON LD REES FORMERLY HRISTINE REESE ' TOY�IN. OR SXJF:FOLK WMT ri W SURVEYED S36059'10"� 198e46' APRIL 20, 2000 CERTIFIED TO: MICHAEL STEINMULLER ........�. JANET 5TEINMULLER d(7 �z-- 1 5UFFOLK COUNTY TAX LOT # a' 1 1 1000 - 13 - 2 - 5.28 A _ LOT LOOT I 1 25 J ® J 0 LOT N N 21 N O C) CONCRETE N FOUN'JAT10— I✓ . LO v JI °a a S Sf NE N42037 50 W 197e50 unautmreaetl alNrit iWn tlr'tltltt,tln to i'urtet nap mead",f litenfetl]mtl furvei or'wea l 'te c h vt'let tOn el satttan 7209, f b-dttlltp 2. W New vpry 9tite Etlucatisn Las,' 'onl,cobles from tm Wrta final of tnla f 'X Nraetl w to in Wr lOiml aX tA' Ifntl'Ur'l r' ctfaoNo feel'Hell be tomimvao[0 be val Opt'ufe NOTES: * -. '` . '".-.-,. " 'cetafzeatltl a tna tattm'NaraWanwt t x ''." tiYI 5 nr W '� r '^, -,�n,R ,c""�F^�., mu X an pr'abi d 0 itt4 m wtRa tfia 4a to,Gann ,r.ays momrcx+b A STAKE FOUND 'm•. 1 I I m.:° I 1� ._ m N m,tXe V. XrcXrci�..n�,at mn Wt Wra.Wa�War TiJ n a $i W KW R X cal one ani9N r n WnWi «rv:.li rxA.:ry. .a,ws...m... d....:,,�',...! �"w,:'^.Y%✓'.r^ .z "w:'t."w.�..—.-...1 ..w « tm ,... +�,.+. "N a,..�...,�. + X' x Rim tlnX®p'YPIt X aopC tit co S'x w 8,re0bre �».+���' xrvm nw rm ix Hirer to tvnm X tf.a Wflrroi x 'e..W naen- fiMi t Yap wu+sy a m 1mX WI.nO n etRM1?S aW✓b 1 t W mraWrv, mnm to t.rmm�Xir���1 tY'fidwx For MdXWin A'WbW WiR a.nr7at l' RL&wwleX 9 AREA = 40,235 SQ FT OR 0.1124 ACRES JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 6RAPHIG 5GALE 1"=40t RIVERHEAD,N.Y. 11901 _ ._ 369-8288 Fax 369-8287 REF.—HP SEI�VEIId°I7!&'R.O'S/20-152