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Home My WebLink About51631-Z �aofsoaryo 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#: 51631 Date: 02/12/2025 Permission is hereby granted to: Janet E Staples 29 Middleton Rd Greenport, NY 11944 To: Demolish an existing accessory inground swimming pool as applied for. Premises Located at: 1270 Middleton Rd, Greenport, NY 11944 SCTM#41.-2-1 Pursuant to application dated 02/12/2025 and approved by the'Building Inspector. To expire on 02/12/2027. Contractors: Required Inspections: Fees: Demo- Pool $125.00 Total $125.00 Building Inspector ZIELD INSPECTION REPORT DATE COMMENTS k v FOUNDATION(1ST) ------------------------------------- FOUNDATION(2ND) _ z �J ROUGH FRAMING& 1 PLUMBING '^m1 i — � 1 •r INSULATION PER N.Y. m STATE ENERGY CODE Y FINAL ADDITIONAL COMMENTS -------- _ 111 z rn x 0 v MELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) ------ ----------------- ------- ------------------------------------- FOUNDATION (2ND) _ z --- - - --- - ----- 131 O cn ROUGH FRAMING& PLUMBING — r INSULATION PER N. Y. __ r STATE ENERGY CODE FINAL - — -- -- ADDITIONAL COMMENTS Z rn - ---._.----------- ---- -- -- - - - --- x -o d b o�OSVaFFOLt OG TOWN OF SOUTHOLD—BUILDING DEPARTMENT �� y2 H Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy�0 ao�� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov •i Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector: (/ t I J y y =•.; I Applications and forms must be filled out in their entirety.Incomplete 3 F EB 1 Z 2025 I applications will not'be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall,be completed. L71 ?.Date: : �'d OWNER(S)OF PROPERTY: ==\\ ^^- Name: _.S`3 ,— SCTM#1000= `VO 1-7 O I—_ Project Address: - Phone#: p pr ` Email: I Mailing Address: a - —.1 '_��C �4.` ax_—JC. CONTACT PERSON: Name. Mailing Address: K-__- .__.X-1__.___.. ._ _ _ _ ___ Phone#: 7 Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: 65\ ,d-1 o,C�a Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#:_�� a�7 ------...--.___-_._---- Email DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration epair B115emolition Estimated Cost of Project: ❑Other J $ Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes o 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 ❑No IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION 15 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. Application Submitted B , r' l Authorized Agent ❑Owner Signature of,A i Date: STATE OF NEW YORK) SS: COUNTY OF SO-M ) 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,Corporate Officer, etc.) of said owner or owners, and is duly authorize 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 fh �),:kvw day of U of 20 Z5 f 1 ` otary Public TRACEY L. DWYER NOTARY PUPLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION N�. N SUFDW( OL Co f`,•! L.IFIEC IU SU='FOLK COUNTY (Where the applicant is not the owner) COMMIRM91`4 MIRES JUNE30,20_o2(P I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 .01k u Dep�� r ' 4 Labor, Lice g . consumearbeF ya 9 << HOMEIMPROVEMENITLICE, ° Name COLIN1 D RATSEY Business Name RATSEY CONSTRUCTION This certifies that the hearer is duly licensed License Number N-20428 by the County of suffolk Issued .. 01101i1992 4 W-" Koe-0, Expires: 01 /01 /2026 r.. G= �t Commissioner a� AC RL® CERTIFICATE OF LIABILITY INSURANCE °ATE`MM'°°'YYYY' 02/05/2025 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(les)must have ADDITIONAL INSURED provisions or be endorsed. 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 endorsement(s), PRODUCER CONTACT Alexandria Whitney McMann Price Agency,Inc. PHONE (631)477-1680 FAX (631)477.8930 A/C No Ext: AIC.No): 828 Front Street A-MAIL : alexandria@mcmannprice.com INSURER(S)AFFORDING COVERAGE NAIC# Greenport NY 11944-1542 INSURER A: Atlantic Casualty Ins Cc INSURED INSURER B: Ratsey Construction&Retso,LLC Atima;Colin D Ratsey INSURER C: PO Box 398 INSURER D: INSURER E: Greenport NY 11944 INSURER F: COVERAGES CERTIFICATE NUMBER: CL252504384 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. LTR TYPE OF INSURANCE NS D POLICY NUMBER MM/POLICY E F MM/LDD P LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE �OCCUR DAMAGE To RENTED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,000 A M068002388-3 05/09/2024 05/09/2025 PERSONAL 8 ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY E JET LOC PRODUCTS-COMPIOPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COEa accMBINident ED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y 1 N STATUTE I ER ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 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 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Greenport ACCORDANCE WITH THE POLICY PROVISIONS. 236 Thins Street AUTHORIZED REPRESENTATIVE Greenport NY 11944 Aox—a-7 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD KYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE a%�Ww ^^^AA^ 133376596 COLIN RATSEY D/B/A RATSEY CONSTRUCTION �" PO BOX 398 GREENPORT NY 11944 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER COLIN RATSEY D/B/A VILLAGE OF GREENPORT RATSEY CONSTRUCTION 236 THIRD STREET POIBOX 398 GREENPORT NY 11944 GREENPORT NY 11944 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 11103 816-3 695123 01/09/2025 TO 01/09/2026 2/1/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1103 816-3, 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, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT H7TPS://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 THE SOLE PROPRIETOR,PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. 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. v NEW YORK STAT SUR NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:684737938 U-26.3 y MAP OF PROPERTY SIT UA TE GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK TAX No. 1000-41 -02-01 'COO �� ' SCALE 1 —20 6�e36 ��. FEBRUARY 6, 2025 CSt �O �'UNE 25, 2025 POOL REMOVED <AREA = 13,667 sq. ft. P, e16\'a 0.314 ac.% (no 0a�°, NOTE: 0. o ,`� MAP MADE FROM OFFICE RECORDS oUR � ZLID O � A N�0 � C H �' 0 / . UA da 30, W W 9" \ WATER LINE Z O G G9 Z \ PREPARED IN ACCORDANCE WITH THE MINIMUM -r1, ...... 2� STANDARDS FOR TITLE SURVEYS AS ESTABLISHED to'n .. a C'f BY THE (ROVED AND ADOPTED - .. O 9 a FOR N[tl!YORK STATE LAND O 3'51E, 14/011,NANDEZ �i�2s so s� •.'•-��: SON H •. •' �/ \\ N.Y.S. Lic. No. 50467 NEL UNAUTHORIZED ALTERATION OR ADDITION TO THIS lv A VIOLATION OF SECTION 720R9 OFSTHE NEW YORK STATE J/ ' OPIE9 OF THIS SURVEY MAP NOT BEARING ucxnoN LAW. NathifIV#414 Corwin III THE LAND SURVEYOR'S INKED SEAL Land Surveyor EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S. TITLE COMPANY,GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S. LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTI- Title Surveys - Subdivisions - Site Plans - Construction Layout TUTION.CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 AND/OR EASEMENTS S OF RECORD. IF THE EXISTENCE RIGHT WAYS OFFICES LOCATED AT MAILING ADDRESS ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 o' Of 0 1 MAP OF PROPERTY SITUATE... GREENP ORT TOWN OF SOUTHOLD SUFFOLK COUNTY NEW YORK S.C. TAX No. 1000-41 -02-01 °36'S0 0° SCALE 1 "=20' . N 6l FEBRUARY 6,. '2025 01 AREA = 13,667 sq. ft. .0.314 ac. � d NOTE: c MAP MADE FROM OFFICE RECORDS O V � UA APPROVED AS NOTED 0 ot1 H �y z DATFa-la-a5 5I�31 m _ ft IL o o $ 5 O S OF BY �� COMPL STATE WTA A&TOWLL N y o x NEW YORK a � AS REQUIRED AND CONDITIONS OF uNK tJ► NOTIFY BUILDING AT 631-765-1802 8AM TO 4PM FOR THE j' $OU1H(}IDTOWN�BA ' G ,.� ,,s ; '' ;: ',�' �, FOLLOWING INSP.LCTIONS: 1DTpyVNPIANNiNGBOARD o ::~: pp`�flv o : `'• �, FOUNDATION-"fWO REQUIRED SQ�JI}{Q(,pTOWNTmT8 o,d `� :,':v�pNeEIR ' •,:' �+ i FOR POUREDSONCRETE Dm � ROUGH-FRAMING&PLUMBING � •N , C� INSULATION w FINAL-CONSTRUCTION MUST SCHD W W'�— . BE COMPLETE FOR C.O. 0e1 J p �:' m a \ WATER LINE o RJT `• :_ ALL CONSTRUCTION SHALL MEET THE 11 w �° ��► "`''°'' ro z 'Z ;'��'' y ` REQUIREMENTS OF THE CODES OF NEW •`; G •'. ' P �� THE MINIMUM IED 9IE YORK STATE. ESTASIJM13 NOT RESPONSIBLE FOR A D ADOPTED � o � •Y9NRNV.ySTATE IAND DESIGN OR CONSTRUCTION ERRORS o� 1 O„ 0/F DEZ �e�O�Qo46.•• °58 N/ gNAN r� .`SAND S\) ySoN �� UNAUTHORIZED ALTERATxNJ OR ADDITION �� N.Y.S. ue. No. 50467 NE TO THIS SURVEY IS A VIDIATON OF �"�"�OF,HE NEW"�"STATE Nathan Taft Corwin III . SECTION 7 WV. COPIES OF THIS SURVEY MAP NOT BEARING CQ THE LAND SURVEYOR'S INIED SEAL OR Land Surveyor EMBOSSED SEAL SHALL NOT BE CONSIDERED ' '. TO 8E A VALID TRUE COPY. . CERTIFICATIONS INDICATED HEREON SIWl RUN ' . ONLY TO THE PERSON FOR WHOM THE SURVEY ' IS PREPARED.AND ON HIS BEHALF TO THE Successor To:Stanley J. Waksen,Jr.LS. 71 E COMPANY,GOVERNMENTAL AGENCY AND Josepff A. Ingegno L.S. A�OLISTED EG� TO THE ASSIGNEES F THE LENDING-[No— Me Sulwys—SubdlbWarm — Site Plans — Cansbua8on Layouf TUTION.CERTIFICATIONS ARE NOT TRANSFERABLE. . THE EXISTENCE OF RIGHT OF WAYS PHONE (631)727-2090 Fax (531)727-1727 ' AND/OR EASEMENTS OF RECORD, IF OFFICES LOPA7ED AT MAILING ADDRESS ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Moln Road P.O. Box 16 Jamespar% New York 11947 Jamesport, New York 11947