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HomeMy WebLinkAbout51582-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#: 51582 Date: 01/23/2025 Permission is hereby granted to: Likokas Family Trust 8823 Ridge Blvd Brooklyn, NY 11209 To: Construct alterations to a pre-existing two family dwelling to create proper fire separation as applied for. Premises Located at: 9775 Route 25, East Marion, NY 11939 SCTM# 31.-3-23 Pursuant to application dated 11/21/2024 and approved by the Building Inspector. To expire on 01/23/2027. Contractors: Required Inspections: Fees: Two Family Dwelling $587.00 CO-RESIDENTIAL $100.00 Total $687.00 -_2 ... �.- _. 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 Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only Jc NOV PERMIT NO. Building Mns�peckc�r. � � � 22024 Applications and forms must be filled out in their entirety.Incomplete Y, �g applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: LIKOKAS FAMILY TRUST SCTM#1000- 31-03-23 Project Address:9775 ROUTE 25 Phone#: 718-781-2739 Email:advprop@aol.eom Mailing Address: PO. BOX 792 EAST MARION NY 11939 CONTACT PERSON: Name: ROBERT SAETTA Mailing Address, P.O. BOX 72 GREEN PORT NY 11944 • utlook.com Phone#: 631-953-1427 Email: robertsaetta@o DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: ROBERT SAETTA Mailing Address: P.O. BOX 72 GREEN PORT NY 11944 Phone#: 631-953-1427 Email: robertsaetta@outlook.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: 10,000.00 ❑Other Will the lot be re-graded? Dyes NNo Will excess fill be removed from premises? ❑Yes 1%No 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes WNo IF YES,PROVIDE A COPY. 0 Check Boat After Reding: 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 Penult 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 - York Stat e Penal Law. to Seaton 210.45 of the New punishable as a Class A misdemeanor pursuant r Application Submitted By(print name): ROBERT A ®Authorized Agent [I Owner Signature of Applicant: Date: CONNIE D.BUNCH Notary Public,State of New York STATE OF NEW YORK) No.01 BU6185050 SS: Qualified In Suffolk County COUNTY OF SUFFOLK Commission Expires April 14,2=,.�/ ) ROBERT SAETTA being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the AGENT AND CONTRACTOR (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 Nw Notary Public (Where the applicant is not the owner) I, GEORGE LIKOKAS residing at 9775 MAIN RD. (ROUTE 25) EAST MARION NY 11939 do hereby authorize ROBERT SAETTA to apply on my behal the Town of S 00i. ufl ' g Department for approval as described herein. Owne s Signature Date GEORGE LIKOKAS Print Owner's Name 2 SURVEY OF PROPERTY SITUATE EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-31-03-09 wT l� 155.3" S.C. TAX No. 1000-31-03-10 S.C. TAX No. 1000-31-03-23 ,w*,�"g' "" SCALE 1"=20• L 4 AUGUST 29.2007 P�g•41�" � . AREA DATA IUUP•91-0l-09 0.1�ac 2 SC TAY Ne. 9D,110 gITK r " " i-os-la o.eez o<. 4 'S 1>%No. 14e1w' 1 G °........ _.. © Ox "-• �' ". TOTAL Sd,S1!w•11. 9 Ax Ao0 wMWfPT➢Py 9V1oMO THOlo-—A KRA'm ��. ON'.'O9'I.TMG kI.. 5M tYY.GFFK AW7'YA1dA COOxIT .. ON NTW96W'19,1969 AS iLLE Nb.186x 2 Lo1'NUY4YTAS$NI�nYN IM4Y':IAY WSTCFV YO da.ax"'� 3NPIOMISMRIM WJ1W OY'MIKdBPCA+PF A�'4,�'fiC WRVCN',lECIION 1W0.INC. E I1ldT1 5M 1YWf ORnsB OY TWO t"uLAM Vi9 4wJTA�e9Aa LOONIY N Ig-y$A0� Aw.gtiti t"k„.4apd d'F tlC%wuw'wi4a !sw Tu mrk SYd^Sr az-ea ti O s g3,s'so^ 1&O.R3" z" .aW, "aanm^u w w.rx wN t t P , -111p� Nathan Taft Corwin III Land Surveyor -* 0 DATE(MM/DDIYYYY) CC''R" CERTIFICATE OF LIABILITY INSURANCE �. 11/20/2024 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 endorsoment(s. CONTACT PRODUCER NHNdFE ,..�_( a.—. .. ...'... Borg RiskManagement Services, Inc �1) 3q 67-76 � c N� 631 .0 148 East Main Street ADORES Insurance IIr Ins crlrrn 0 35 Huntington NY 11743 m .. FOFIDING COVEt Vht3E........ NAIL .... ...—.._,_....,. Evanston Insurance C_2ta _ 35378 ..-...... tm4z INSURED i INSURER 0 4 ..., Robert Sal Construction Corp PO Box 72 er1wc .. Greenport NY 11944 D INSURER F: COVERAGES CERTIFICATE NUMBER:1345021919 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 NCE OF SUCH POLICIES LIMITS SHOwVn WN MAY HAVEBEEN REDUCED PAID CLAIMS. �--- LIMITS ILN.7R Itll ADDL&UBR. POLtCYIw:'_.._ FF POLt:CY EXr" A X COMMERCIAL GENERAL LIABILITY 3AA792664 7/1/2024 7/1/2025 EACH OCCURRENCE_ $ 000,00D ,,. CLAIMS-MADE �. OCCUR P'RR'S _Eatonn(aouo, $,�00000 I�IEO EXP(An�r one parson .m_ $5 000 ..... .....- ...... ...m ......... PERSONA � ..�._., ........ L&ADV INJURY $1 000„000 T APPLIES PER: GEN'L AGGREGATE LIMI _ AGGREGATE $GENERALA E 2,000,000 .. __.....�. .. ................ PRO... PRODUCTS COMPI AGG $1 000,000 .....�...,r X POLICY❑JECT LOC OTHEP"t. AUTOMOBILE LIABILITY ide,n) $ C Ofg EDSINGLELIMIT ANY AUTO ,BODILY„INJURY(Per person),,,,,,,.;,,$._ ........ OWNED . SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS _'Peracr,RTY'l — ..... HIRED NON-OWNED r�ROPERTw DAMAGE $ ., ,.... AUTOS ONLY AUTOSONLY UMBRELLALIAB OCCUR EACH OCCURRENCE;,, . .�yn...._.............,,,,,,.�.i EXCESS LIAB CLAIMS-MAOE�.. ...AGGREGATE ... .w.,_....$—..., ....�...-.. ......... T_ OEG [ 'RET'EN'nONS WORKERS COMPENSATION PER O7H AND EMPLOYERS'LIABILITY YIN FR,„, „. .,.,-„ .._ ...,-....._ .ANYPROPRIETOR/PARTNER/EXECUTIVE H ACCIDENT OFFICER/MEMBEREXCLUDED? FINIA EL.DISEASE EA M PLOYLr'u$ImondaloryinNH) �e e.,. II as,describe under DE.SCRIPTIONOFOPERAT10NSbWomr EL.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE.HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Southhold Town 54375 Main Road AUTHORIZED REPRESENTATIVE Southold NY 11971 '�O a:I/ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 20 Xtx ` g� z Suffolk County Department of Labor, .licensing & � s y Consumer Affairs [[ € � � VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 r W � No. H-51311 DATE ISSUED: 03/14/2013 SUFFOLK COUNTY \ Home Improvement Contractor license ROBERT SAETTA This is to certify that doing business as ROBERT SAL CONSTRUCTION CORP r3 I having furnished the requirements set forth in accordance with and subject to the provisions of applicable �_ . laws, rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct Y) business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. NOT VALID WITHOUT Restrictions Additional Businesses E DEPARTMENTAL SEAL 1110-Carpentry 1 AND A CURRENT 1 CONSUMER AFFAIRS q\� ID CARDAFA - \t t Waynie.°Ta Rogers r -- NA, � a 1