The URL can be used to link to this page

Home My WebLink About51528-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#: 51528 Date: 01/08/2025 Permission is hereby granted to: Paul S Gilman 680 Oakwood Ct Southold, NY 11971 To Construct additions and alterations to an existing single-family dwelling as applied for to include garage conversion,finished basement, interior alterations and outdoor shower addition. Premises Located at: 680 Oakwood Ct, Southold, NY 11971 SCTM#90.-4-4 Pursuant to application dated 11/08/2024 and approved by the Building Inspector„ To expire on 01/08/2027. Contractors: Required Inspections: Fees• Single Family Dwelling- Addition&Alteration $958.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $1,058.00 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 hg s://ww"r.s()Ltt aoldt(,)wnn )o Date Received APPLICATION FOR BUILDING PERIVIrr For Office Use Only `p Gr E PERMIT NO. 5 1 1 Building Inspecta,r I Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owners Authorization form(Page 2)shall be completed. Date: 3 Z OWNER(S)OF PROPERTY: Name: F k L Ym A,N SCTM#1000- Cl O L� Project Address: ( G Phone#: B _ e _3 8 Email: N �AH V '�)M 5 N - COWL Mailing Address: G G 0 CONTACT PERSON: Name: \ .I Mailing Address: 2 0 L IV N Av al M P-S"t' 0 RT 14 r O R T 11-73 Phone#: j _ _Z Email: DESIGN PROFESSIONAL INFORMATION: Name: to Mailing Address: 2. p �, N N 1A V L AST N O T ft JP t) Phone#: Z p Email: CONTRACTOR INFORMATION: Name: G p C; p,ULA C-9 AF-E—A Co S-Tf.0 C.-rd oN Mailing Address: S `( A�vT /_/_r 14 ti NTiNeAT00 67-rAT1'K)N 1 /7_q Phone � 15 _ 5 2 " Email:G O4 p,l.�» ra G 4 S GT l/ DESCRIPTION OF PROPOSED CONSTRUCTION 4Z ov -r L.o OV5 •<_o IM ❑New Structure ❑Addition Iteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ I Solo0'{C7 Will the lot be re-graded? ❑Yes'&Ao Will excess fill be removed from premises? ❑Yes>40 1 PROPERTY INFORMATION Existing use of property: `� �' 'F�m I �' Intended use of property: S Ntp r Fjkrni ? I,��L1.1 NG Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to 9 i> - this property? ❑Yes'�glNo IF YES,PROVIDE A COPY. `Check Box After Reading: The mner/contractor/dwiin professional is responsible for all drainage and storm Ovate-issues as provided by Chapter 236 of the Town Code.APPLICATION IS HEREBY MADE to the BWkft Department for the Issuance of a Building permit pursuant to the Budding 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 aft applicable laws,o.-dinanees,building code, housing code and regulations and to admit authorized inspectors on premises and In budding(s)for necessary Inspections.False catements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Panel law. Application Submitted By(print name): Authorized Agent ❑Owner Signature of Applicant Date: (® , 2-�-f STATE OF NEW YORK) SS: COUNTY OF S b E O k- 'i.w being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the A�a e N -I- (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and so 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 ofNICAL... . .._ 20 Notary Public PATRICIA A.WALSH Nowy Public,State of Now York No,DIWA6032726 aaal;tiet in Sutfsi � PROPERTY OWNER AUTHORIZATION °rwris�►, (Where the applicant is not the owner) I, rh j1N residing at Cl AID do hereby authorize IN to apply on my beha to the Town f uthold Building Department for approval as described herein. Owners ignature Date vL ,S Print Owner's Name 2 m BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road - PO Sox 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 .° igmesh sc tl Idtc nn ', cv- Seanv8southoldt-Ainny, ov APPLICATION FOR, ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: Company Name: C l Cr, +� s0,C� Electrician's Name: License No.: 6 " Elec. email: .._. � ... 0 owl Elec. Phone No: request an email copy of Certificate of Compliance Elea Address.: N � I-' ,SOB SITE INFORMATION (All Information Required) Name: Address: Cross Street LN 0;--, S 1 Phone No.: 8 Bldg.Permit#: email:. N,o � Tax Ma-p District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Pri Clearly): Z"o t /� -r-J t) L,FwN� � Lt Circle All That Apply: Is job ready for inspection?: Li YES R NO []Rough In Final Do you need a Temp Certificate?: El YESE NO Issued On Temp Information: (All information required) Service Size[-]I Ph[]3 Ph Size: A #Meters Old Meter# ❑New Service[]Fire Reconnect[]Flood Reconnect Elservice Reconnect[]Underground[]Overhead #Under round Laterals 111 f712 O.H Frame Pole Work done on Service? MY N Additional Information: PAYMENT DU!E WITH APPLICATION rd Town Hall Annex Telephone(631)765-1802 54375 Main Road `.° Fax(631)765-9502 P.O. Box 1179 1 Southold, NY 11971-0959 o VII BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION PRIG-FNtINEFRED WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION Date: Owner: .A ... ._..�._ .1 # . _-,.._....... _. .__ . _..._.... .... w _. ....... __. Location of Property: . Please take notice that the (check applicable line): New commercial or residential structure Addition to existing commercial or residential structure . ... Rehabilitation to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable line): Truss type construction (TT) Pre-engineered wood construction (PW) Timber construction (TC) in the following location(s) (check applicable line): Floor framing, including girders and beams (F) Roof framing (R) Floor and roof framing (FR) Signature: ......... ..._._..._ ..w_k._................... ......., _.._ ...__.._....__......... _ _... .. .._ Name (person submitting this form): Capacity(check applicable line): Owner . ,. Owner representative TrussRegl5.docx Effective 1/1/2015 LOT NL44M 67 — VACANT jil Q REQUIRED fW&4WARYw 41.9 I � \ \ 29.7' � � I \ \\ TEST HOLE DWELL 12 s I s� IT •LO R I� DEPARTMENT of NZALTH SEgVICLS - A ' 8OVA1.OF CONSTRUCTiOM RORA R M p 1LN RESIDENCE OWLS Ap QED ' I I O• 4.... r _*jp"r -? + +1 .:OF APPROVAL {{ { brown Bondy th brown clayey sand \ \ I 904' watiw in brown dam sand \ \ I I I err Infirown 1PwaM+to Comm SOW �+ I 1r 1 NOTE: LOCATION OF WATER MAIN AND ANOINERS WATER SUPPLY BY OTHERS AND ARE NOT GUARANTEED. 9-14-2001 REVISED DWELLING is r�60 M mvk*OWN MWAW no 1W INAMMUS la K ='u � m lg �W ANN m J08 No. 01-231 FILE No. CEDAR S PARK s nW immilw 100WANNORAWSPOR SURVEYED FOR UWAOIBMwMM^3*Wwu as law SLOW a A VOLOW ar ." LOT NUMBER 68 law OF 1W aww"m s m MXNW UL MAP OF CEDAR BEACH PARK awMwMwwwwl�wawwwarww�$0000 MMsu."awaym 1ec 11wwawwI m am nc SITUATED AT EIAYVIEW awar a w� al Maw�as 1W 1.a�sa awwer uMMa1M SWROM uvm waft Am 10 awMwa�N ar awM waMaa raMM+rwar`aarwarw�AN Mar 11010 s 1e sMOMIL awawarfM TOWN OF SOUTHOLD — SUFFOLK COUNTY N.Y. on MMrwwwMwW w mmm _ w or laww amm sw awM rMwwMM so um swoon�WL a SCALE 1 = 40' DATE 5-21-2001 Mwr weee aft Ne"Mar Mwr C001 1ft away t A wa WE aorr. FILED MAP No. 90 DATE 12-20-1927 CERTIFIED ONLY TO: TAX MAP No.(REF ONLY)1000-90-4-4 DISK 500 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR f" F 1866 WADING RIVER—MANOR RD. WADING RIVER. 'A NEW YORK. 11792 YSF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A^^^A 300209402 C. P.GALLAGHER CONSTRUCTION CORP 154 EAST 17TH STREET HUNTINGTON STATION NY 11746 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER C. P. GALLAGHER CONSTRUCTION CORP TOWN OF SOUTHOLD-BUILDING,DEPT 154 EAST 17TH STREET TOWN HALL ANNEX,54375 MAIN HUNTINGTON STATION NY 11746 ROAD; PO BOX 1179 SOUTHHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 11318 895-8 1 333895 04/22/2024 TO 04/22/2025 10/29/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1318 895-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. CHRISTOPHER P GALLAGHER, PRESIDENT OF ONE PERSON CORPORATION C. P.GALLAGHER CONSTRUCTION CORP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,I NSU RANCE FUND UNDERWRITING VALIDATION NUMBER:43543405 U-26.3 CPGALLA-01 gjjMl' DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/29/2024 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 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 endorsements. _www. ww PRODUCER CONTACT Corinne J Lombardi Hotaling Property&Casualty LLC PHONEE, $45 2 790 5 O4k 8 Fletcher Place � C+ N., o j 8 fin net � rNel�$45�471 7494 5 Melville,NY 11747 ... _.._.. ............ _ ...... .._ .................... _bud!/R � �tL� F� q�INOS�k ��q �� _rJAlcn _..,.. ._ ..... .. IM)i9ii„A Southwest Marine&,General Insurance Co 12294 INSUREDINBUitER,,,..i....._.,_....... ..... ....-_... ..._...... .... ... ... ......... '.. w,.._..... C.P.Gallagher Construction Corp. .�ww� .... _........ w w...,,,,... � 154 East 17th Street Isu6 p Huntington Sta.,NY 11746 INSURERINSURER R ... ... ...__.�,__... ......._ ...,. ..,,,, ... ..... w_ w COV--RAGES CERTIFICATE NUMBER: R VI I f# tl BE 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, F SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.EXCLUSIONS AND CONDITIONS OF_..... .....___ .....,.... ...,..,..,..,.. ..,..,.. ..._. ... ..._...._. _..,._,.,.,,.,..__.,.. ..... . _µ. ......, .... .........._....._ ........ .... ..,,,, .... .._.. INSR TYPE OF INSURANCE ADDL,SUBR POLICY NUMBER POLICY EFF POLICY EICP LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EAL'H QCG,I,dRRFNCEw.,. $ 1 00'.0..00CLAIMS-MADE OCCUR XGL2024RLH00336 8/30/2024 8/30/2025DAaAGE TO RENTED _MnED EXP,(Anyone„person) ... 5,000 ....,. . . ..................... ... _PER30NALm&ADV INJURY .... .,000,U00 ENERALAGGREGATE, $ .. 2 GEC zw A�RF,, 1,000,000 POLICY PRQ- LOC ,,PR(DUCTS,;GQ,MP/OP„AGG ' _.. 2,000,000 L1AGE LIMIT APPLIES PER. ... .,.._ JE T OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _(EA.Midond. .,.,. w. ... ...w_, ,ODILY INJURY(Per person , _,,,,,,,ANY AUTO .... .8.,_,,.... .....„ ....... ....... ...._..... ... OWNED SCHEDULED accident AUTOS ONLY AUTyOSp D BODILY,INJU,RY„Per ,, AUTOS ONLY NR% C NNI L� acc��reI hMAGE..... � .. UMBRELLA LIAB OCCUR „.. .. .... ..ww ... EXCESS LIAB CLAIMS-MADE DED ["RETENTION$ WORKERS COMPENSATION _ - PER OTH AND EMPLOYERS'LIABILITY Y/N 5 T. ,,._EA ANY PROPRIETOR/PARTNER/EXECUTIVE E,L,m,EA,GH,AGCID,ENT w_ ,,,,,, F atory In N )EXCLUDED? ❑ N/A X. ER/MEMBER In NH) E1:DISEA$,E..EAEMP„LQYEE .. ...._ ._.... .... If yes,describe under DESCRIPTION OF QP.R 4TIP.Na below .„„__,,,, _ E I.,DISEq$E-POLICY LIMIT $,,,wwww DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) General Contractor/Remodeler (Town of Southhold is included as additional insured when required by written contract. ... CERTIFICATE HOLDER ._...........w_.._..._--------- ............WWW- ----- ..._ ..__._.... CANCELLATION ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southhold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 1179 ACCORDANCE WITH THE POLICY PROVISIONS. Southhold,NY 11971 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ®1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD b w„ NYORK EW workers'Tc Compensation CERTIFICATE OF INSURANCE COVERAGE sTA�.�..�� Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrie 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured C.P.GALLAGHER CONSTRUCTION CORP. 631-425-1327 154 EAST 17TH STREET HUNTINGTON STATION,NY 11746 1c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,Wrap-Up Policy) 300209402 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold PO Box 1179 3b.Policy Number of Entity Listed in Box"Ila" Southhold, NY 11971 DBL353785 3c.Policy effective period 04/01/2024 to 03/31/2026 4. Policy provides the following benefits: ® A.Both disability and paid family leave benefits. B.Disability benefits only. ❑ C.Paid family leave benefits only. 5. Policy covers: 21- A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. Ej B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the in 11 surance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 10/29/2024 By /4a=4s� (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Leston Welsh hief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked, and this form is signed by the insurance carriers authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 4B,4C or 5113 have been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. DB-120.1 (12-21) JI III 1111111111111111111111111111(111111111111111111111111 Suffolk County Dept. of Labor, Licensing & Consumer affairs HOMEHMP ROVE ENT LICENSE ,4ame -.; iness Name CP GAIJAGHER CONSTRUCTION This certifies thrat the CORP :)ec- rer is duly licensed by :rie County Gf suffolk License Number H-29486 wo-,!Jov� T. Rag erk Issued : 09.i20/2000 Commissioner Expires : 09/0112026