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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#: 51857 Date: 04/22/2025 Permission is hereby granted to: David Vener 315 W End Ave 4AB New York, NY 10023 To: Construct accessory pergola and replace pool fence at existing single family dwelling as applied for, with DEC approval and flood permit. Premises Located at: 2793 Cox Neck Rd, Mattituck, NY 11952 SCTM# 113.-8-7.6 Pursuant to application dated 03/14/2025 and approved by the Building Inspector. To expire on 04/22/2027. Contractors: Required Inspections: Fees: Accessory New Structure $297.50 CO Accessory Structure $100.00 Pool Fence $125.00 CO Accessory $100.00 Flood Permit $150.00 Total 772.50 Building Inspector � � TOWN OF SOUTHOLD—BUILDING DEPARTMENT lh' Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 , Telephone (631) 765-1802 Fax(631) 765-9502 itt : vwr.:�o�atlac�ldiownn cv Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only R E C EOV E PERMIT 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 Building Department Owner's Authorization form(Page 2)shall be completed. Town of Southold Date: OWNER(S)OF PROPERTY: Name:David Vener & Ellen Weinstein SCTM#1000-113.-8-7.6 Project Address:2824 (2793) Cox Neck Rd. Mattituck, NY 11952 Phone#:216.401.3473 Email:david.vener@gmail.com Mailing Address:315 West West End Ave. Apt. 4AB New York, NY 10023 CONTACT PERSON: Name:Eric Martz Mailing Address:PO Box 894 Mattituck, NY 11952 Phone#:917.916.3724 Email:eric@saltyrootsny.com DESIGN PROFESSIONAL INFORMATION: Name:Eric Martz Mailing Address:PO Box 894 Mattituck, NY 11952 Phone#:917.916.3724 Email:eric@saltyrootsny.com CONTRACTOR INFORMATION: Name:Cutting Edge Landscaping Mailing Address:PO Box 1118 Mattituck, NY 11952 Phone#:631.298.7093 Email:office.cuttingedgel @gmail.com DESCRIPTION OF PROPOSED CONSTRUCTION NNew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $17,500 Will the lot be re-graded? ❑Yes ONO Will excess fill be removed from premises? NIIMYes El No 1 PROPERTY INFORMATION Existing use of property: ,� Intended use of property: 5 i Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to ,C�o this property? ❑Yes 2(No IF YES, PROVIDE A COPY. `heck 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, APPILICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Bultding Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of bulidtngs, 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 authorltecl Inspectors on premises and In building(s)for necessary laspetflons.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal law. I Application Submitted By(print name):Eric Martz NAuthorized Agent ❑Owner Signature of Applicant: Date: J CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York SS: No.01BU618 060 COUNTY OF ) Qualified In Suffolk County Commission Expires April 14,2 Eric Martz 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 h `jay of � ,�(.�r 20 c wn Notary Public PROPERTY OWNERT ) "t (Where the applicant is not the owner) David Vener residing at 315 West End Ave Apt 4AB, New York, I , NY, 10023 Eric Martz do hereby authorize. to apply on jyb to t To n of Southold Building Department for approval as described herein. 3/11/2025 Owner's ign,ature Date David Vener Print Owner's Name 2 Albert J. Krup ski, Jr. STO][ZlMMAT]E][, SUPERVISOR - IM[A,N A�G]EIM[IEN F SOUTHOLD TOWN HALL-P.O.Box 1179 " 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) APPLICANT: (Property Ownsr, Des I �n Professional, Agent,,.. ontr�a c_t o_r, Other) NAME: C r; /ul 0.f I Z Date: is��a�unxei Contact Information• rI to off" , A- (E.Mail&Telephone Number) q(TCN Property Address / Location of Construction Site: .4(z R. J " S.C.T.M. #: 1000 NY District Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT - - - - - - - - - - - -- - - - - - — - - - — - - - - - - - - - - - - - ❑ - Area of Disturbance is less than 1 Acre. No S.P.D.E.S. Permit is Required! ❑ - Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Ike wire ! ❑ - Area of Disturbance is Greater than I Acre& Storm-water Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Building Permit. ❑ - Area of Disturbance is Greater than I Acre& Storm-water Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit through the Southold Town Engineering Department Prior to Issuance of a Building Permit. Reviewed By: Date: FORM # SMCP-TOS December 2024 � Department of KATHY HOCHUL srxr Environmental Governor Conservation SEAN MAHAR Interim Commissioner March 3, 2025 David Verner 315 W. End Avenue Apt. 4AB New York, NY 10023 Re: Application #1-4738-04455/00003 Verner Property: 2793 Cox Neck Road, Mattituck, NY 11952 SCTM# 1000-113-8-7.6 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit for the referenced activity. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions please contact us at the address below. Enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather and a Notice of Commencement/Completion of Construction. cerely, Heather Leonard Environmental Analyst Cc: Summer Looney; Cole Environmental Services WHIP File Division of Environmental Permits, Region 1 50 Circle Road, Stony Brook, NY 117901 dec.ny.gov 1 dep.rl@dec.ny.gov 1 (631)444-0365 Am tome NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04455 PERMIT Under the Environmental Conservation Law ECL Permittee and Facility Information Permit Issued To: Facility: DAVID VENER VENER PROPERTY 315 W END AVE 2793 Cox Neck RdJSctm# 1000-113-8-7.6 NEW YORK,NY 10023 MATTITUCK,NY 11952 (617) 645-1767 Facility Application Contact: COLE ENVIRONMENTAL SERVICES, INC. 425 MONTAUK HWY EAST QUOGUE,NY 11942-0471 (631)369-9445 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 705.61 NYTM-N: 4541.163 Latitude: 40°59'44.7" Longitude: 72°33'19.7" Project Location: Water-Mattituck Creek Authorized Activity: Construct new accessory structures and expand existing pool and patio for existing single family dwellings in the Tidal Wetland Adjacent Area. Replace existing driveway with gravel. The new accessory structures must be located a minimum of 75 feet landward of the wetland boundary. A Portion of proposed work existis beyond the "Limit of NYSDEC Tidal Wetland Jurisdiction"as shown on the survey by Kenneth M. Woychuk dated 9/20/2019 as well as plans produced by Eric Martz of Salty Roots, dated 1/23/2025 and stamped'NYSDEC Approved'on 3/3/2025. SAP I- 09-013 Permit Authorizations Tidal Wetlands -Under Article 25 Permit ID 1-4738-04455/00003 New Permit Effective Date: 3/3/2025 Expiration Date: 3/2/2030 Page I of 7 Aft MWO NEW PORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION low Facility DEC ID 1-4738-04455 NYSDEC Approval BY acceptance tance of this permit,the permittee agrees that the permit is oincluded as part ent upon strict this compliance with the ECL, all applicable regulations, and all conditions permit. Permit Administrator:KEVIN A KISPER.T, Deputy Regional Permit Administrator Address: NYSDEC Region I Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY 11.7' - 0 Date. l30,�2 -�� Authorized Signature: Distribution List COLE ENVIRONMENTAL SERVICES, INC. Bureau of Marine Habitat Protection Heather Leonard File Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATU RAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS" 1. Post Permit'Sign 'The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. fo 2. Conformance With Plans All activities authorized by this permit inset be in stritconarma at%ora. nce with the approved plans submitted by the applicant or applicant s agent s par permit Such approved plans were prepared by Eric Martz of Salty Roots,dated 1/2 /2025 and stamped ,NYSDEC Approved"on If225.. Page 2 of 7 in NEW PORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04455 3. Notice of Commencement At least 48 hours prior the enclosed notification f�ent of the Prm certifying that they roject,the permittCe and contractor shall sign and return the top portion are dully aware of and understand all terms and conditions of and returned aalong3with photographstof of project,the bottom portion of the form must also be signed the completed work.. regulated 4. Regulated Activities Authorized By This Permit Thisuthoit r�zorizes ed Ac only NY does not activities/structures identified under the section Description issue after-the-fact or as-built permits.This permit does not augitimize thorize pother the existence of structures, which would have required a permit butor which no permit authorization has been granted NYSDEC. 5. Accessory Structures Must Be At Least 75 Feet Landward Of The ntWethe dl�aand cent Boundareaaary eThis permit authorizes the construction of new accessory structures prescribed minimum setback only. Structures located in tidal wetlands, or structures in the adjacent area but located less than 75 feet from the wetland boundary, are not authorized. 6. Development Restrictions New accessory structure cons authorized t on ed by ands permit must meet all of the applicable development restrictions of 6 NYCR part 661 -The 75 foot minimum wetland setback requirementar for all principal structures and all non-water- dependent structures exceeding 100 square feet -The 20%maximum adjacent area coverage limitation for impervious structures and surfaces. -The 75 foot minimum wetland setback requirement for all hard surface driveways,roads,parking areas and similar impervious surfaces exceeding 500 square feet in area. 7. Area of Disturbance for Structures Disturbance to the natural vegetation or topography greater than 25 feet seaward of the approved structure is prohibited. 8. No Changes to Septic System This permit does not authorize any alteration,expansion or replacement of existing septic systems. 9. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels,solvents, lubricants,epoxy coatings,paints,concrete, leachate or any other environmentally deleterious materials associated with the project. 10. Storage of Equipment,Materials The storage ater of construction equipment 75pline fee from the tidal be confined within the project work area and/or upland areas gre wetland boundary. 11. No Construction Debris in Wetland or Adjacent Area Any adjacent excess or material from to construction of this project shall be completely removed from the h an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. Page 3 of 7 0 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC 11) 1-4738-04455 12 . hoof Runoff Directed to Dry 'ells Roof'runoff shall be directed to dryWellS with the loca ao store I recharge the runoff from a inch/'�`� hours precipitation event.. Al minimum of 75 feet landward of the tidal wetland boundary• e no tidal 13. No Disturbance to Vegetated Tidal Wetlands ershall activities.bdisturbance to vegetated wetlands or protected buffer areas as a result of the permitted all expose faces d disturbe aas 14. vegetat e All Disturbed Areas The peririittee shall revegetate date o thispeit�whichever coirnees to prevent soil erosion prior to the project completion or expiration first. w Bales or Othi�r at Tidal�etland .row of staked strara ea or175lineaes or r feet TOVable erosion 15. Strat from flee dal control devices shall be placed at the land ward edg d plan, prior of the buffer for o commencement of any regulated wetland boundary,or'as per the YSEC-approve remain in ion until the project is completed and all activities and..rem place and in good,functional condit disturbed areas are stabilized with vegetation. exposed or ll be temporarily Contain Ex osed,Stockpiled Soils All disturbed areas riuous lineere soil iof staked haybales i silt If, Loan p stockpiled for longer than 49 hours shall be contained by a co p seaward side between the fill and the curtains(or other NYSDE " approved devices)placed.on the s wetland or protected buffer area. Tarps are authorized to suipplenient these approved methods. leachate 17. Concrete into to L,ea chate luring construction,-no wet or fresh concrete on from readyall b eallowedconcrete t escape into any wetlands or waters ofl New'York State, wetland oror shall awaters- Only watertight or trucks,mixers, or other devices be allowed to enter any to displace water witliiri the forms. p waterproof forms shall be used. Wet concrete shall riot...be pourednot asphalt,slag,flyash,broken 18. dean Fill+pertly All fill shall consist of clean sand,gravel,or soil ( p concrete or demolition debris). ttee to l the conditions his 19. Failureailore to l.eet Permit Conditions Failure of the Perm' immediatelycease the pei it dtactivity periiiit is a violation of this permit and grounds fair an order to at the project site. ire Site Restoration if upon the expiration or revocation of this permit,the . State, i�eq a of been completed,the applicant shall,without expense to the State,and aY project hereby authorised has is Conservation to such extent and in such time and rnai�.rier as the Department o�i� tore o fill Environmental the site its lawfully require,remove all or any portion of the uncompleted s former condition, t o cla im shall be made against the State of New Fork on account.of airy"'such removal or alteration. Page 4 of 7 dh NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION " Facility DEC ID 1-4738-04455 21. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized,or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alter the structural work,obstructions,or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure,fill, excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require,remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 22. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation,or for other purposes, and no claim or right to compensation shall accrue from any such damage. GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility,including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions,must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms,conditions or requirements contained in such order or determination. Page 5 of 7 As NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04455 3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal,modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal,modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. b. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. Page 6 of 7 is NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION "o"' Facility DEC ID 14738-04455 NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives,employees, and agents("DEC") for all claims, suits, actions,and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with,or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions,or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits,or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permiee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees,agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title,or interest in real or personal property held or vested in a person not a party to the permit. Page 7 of 7 m CD 0 :x CD , p N Q O (D CD p O O M (D 0 C '"~ O = 'a � N < N p 3 CD 0 CD CD co m m ,tea. o �• �, --, O w � oco 3 n M o CD c CD coN � � = rn (D O O r O om w =r CD (D C) a w CD X � O O o :3BCD O Fp" � O - w rm Z O -0 � —. N cr o O �. O O. -o CQ CQ �•. p CD z '� m ccnn CD a -o o C�3 -a = v cn m rn m �• o �- m 0 � 0 . < 0) `< 0 Q CD01 — Cl) O O n cn cL O N N p � CL CD CD z " m 3 � W � �l �' D D Q `< N -D 0 � N 0 Q CD � ;-r 3 ocL3 03 CD op - !: �' O cQ w 0 0 N CD p N V) 3 O = N �* v> CD John M.Bredemeyer III,President o Town Hall Annex Michael J.Domino,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �, Telephone(631)765-1892 Charles J.Sanders � 0 , Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 30, 2016 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: JUSTIN &ALLISON SCHWARTZ 2793 COX NECK ROAD, MATTITUCK SCTM#: 1000-113-8-7.6 Dear Mr. Herrmann: The Southold Town Board of Trustees reviewed the survey prepared by Kenneth M. Woychuk, Land Surveying, PLLC last dated January 28, 2015, and determined that the proposed dwelling, swimming pool, drainage system, and sanitary system are out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the top of the bluff, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. 2 This determination is not a determination from any other agency. If ypu have any further questions, please do not hesitate to call. Sincerely, A ohn M. Br ,demeyer, III, President Board of Trustees JMB:dd WE HAVE READ THE FOREGOING AND AGREE TO ITS CO ENTS: J . IN SCH AR�.T 5 A LISbN SCHWARTZ Suffolk County Dept. of r� Labor, Licensing & Consumer Affairs �P HOME IMPROVEMENT LICENSE Name EDWARD J DANOWSKI f Business Dame i and Son Inc This certifies that the bearer is duly licensed LicenserHI-67179 by the u nty of suff olk lOB/12J2022 Expires: 1 11 Commissioner,er 0 DATE(MMIDD/YYYI) CCOR" CERTIFICATE OF LIABILITY INSURANCE 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 rl hts to the certificate holder In Ileu of such endorsements. NTACT Kirk Associates LTD Eric Kirk . ..._...... PRODUCER NAME ..... . ,-.. tF ._ 631-727 7767 wap 631-727 7941mmmm„ 18 First Street klrk.assoosvDP americall naiiorlal.com m ER{S)AFFORDING COVERAGE NAIC# Riverhead NY 11901 INSURERA, Farm FaITI Casual Insurance Company 13803 INSURED INSURERB: United Farm Family Insurance Co. 29963 E Danowski And Son INC MSURER c,,, —.. DBA Cutting Edge Landscaping _INSURER D PO BOX 1118 INSURER E. _.....__ ................. _ ......._ _.. Mattituck NY 11952 INSURER F COVERAGES CERTIFICATE NUMBER: 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 OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INlifit .........TYPE OF INSURANCE _ PO........ ........^POLICY EFd? -FFOIL Y"P` LIMITS -- ...... ............mm. LTR. POLICY NUMBER MMMg MMD A X COMMERCIAL GENERAL LIABILITY X 3103L7657 1210212024 12l0212025 EACH OCCURRENCE $�.....__....mm 1'000 000; . ...... CLAIMS-MADE X OCCUR .)'fiRaI8E ('a�la. I.V,rnSp.{p $ ........._1 • 000 X contractual liability 5X0 PERSONAL 8,ADV IN.9URY $ 1.,000,000 GEN'LAGGREGATE LIMIT APPLIES PER. S 2,000,000 GENERAL AGGREGATE .. X POLICY❑JPERO LOC PRODUCTS-COMP/OP AGG $ 2,0001,000 OTHER: B AUTOMOBILE LIABILITY 3101 C7593 12I0212024 1210212025 C..M N EO SINGLELIMIT $ 1 000,0010 X ANY AUTO BODILY INJURY(Per person) $ AUTOS ONLY AUTOS OWNED SCHEDULED BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPER rY DAMAGE $ AUTOS ONLY AUTOS ONLY ',Pr qx pn;Y,)„ •• °° I ._.-.�_ IV $ UMBRELLA LIAB OCCUR ,EACH OCCURRENCE-_ $ _...... „m, EXCESS LIAR GLAYMS-YVAIk0E AG,G�REG�ATE�. ...,mm. $ ....,..... _.. ....,....... OI:LI RETENTIONS', $ WORKERS COMPENSATION .[PER LtiTH AND EMPLOYERS'LIABILITY EI. STA UTE •" ...-..�„ . Y/N ANYPROPRI%ETORMARTNERCEXE�GUTIV ❑ N/A -V. EAG IACCIOENT OFFYCE.F�dMiEMBERE.X;CLUDED? ---..SE ..... - .,,,,,..__..... (MI andaMorylnNH) E.L.DISEASE-E4EMPLOYEF $ Ues„describe under SCRIPTION OF OP'ERAn2NS belaw IE.L.DISEASE-POLICY LIMIT $ B INLAND MARINE 310111773 12J0212024 1210212025 SCHEDULED EQUIPMENT 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 Salty Roots Garden & Landscape Design ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 894 AUTHORIZED REPRESENTATIVE Mattituck, NY 11952 Kirk Associates LTD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD /?0vN-6N1*1 New York State insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) AAAAAA 208612022 E.DANOWSKI AND SON,INC.DBA CUTTING EDGE LANDSCAPING m ..try P 0 BOX 1118 SCAN TO VALIDATE MATTITUCK NY 11952 AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER E. DANOWSKI AND SON, INC. DBA SALTY ROOTS CUTTING EDGE LANDSCAPING P.O. BOX 894 P 0 BOX 1118 MATTITUCK NY 11952 MATTITUCK NY 11952 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12215 783-8 911319 06/18/2024 TO 06/18/21 3/14/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2215 783-8, 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, 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 HTTPS:IIWWW.NYSIF.COM/ERTIC RTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. 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'OTAT SUF2�NCE FUND * DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:909613916 U-26.3 C cCRF a U&41C/'yG T , . p�Y SS I TIDgC 11 OF / 1S0' wqTFR Fes. DDO / 1 RAIL FENCE �/ D/C/ as,- o� 446.00' D O LAND NSF 100, D -Q CHARLES & DEANNA NOW REVOCABLE TRUST OF �ET�/N ADS CK RAIL P E N70052'02"E� �zp -..._.:. , 2 ___ -_. " 465.02 MoN 1 rww ." '�, ..�� �-S70°52'02"W 6 : . . 1V 9 252.91 4 ate . ^ - I M w r CQNJ uppc r SINE �� * 1a� p e STE �.�, . „"t)� I DECK sTC7NE ��^ dPp STOW WALL mE �F 18 � U�? °ate � 40 rtkaauaCd9JiEdN, r OAR ` ^- AGE UN 1 � D 1, ' �OA4 s��: � � of EL 113 P &� W '6 —c ' y . ZONE ;/244 WETLANDS SETS . 6 K 0_ °• s �°r C1 BLUESTONE PATIO 244.5' 'I MI - 2x .��. .�.�. SALTY V ROOTS EXISTING ,,,. dpAuul4kM�F'�NatiRa4'pm tam Pf?94N"GW .,, ..._..�. " BLS' Al r04 L 0r %1 ,M "I 7D (44 lq du EC^ s 04 ae ru m El Z, DD v" '-R 'Pwo '"'D/C?-/ % w�wrN�r I "0 NC" 10Jo• ;I °-A✓ - Project LIMIT OFNYSDEC o-i� � tC +Idnl�'! �"POO �1 TIDAL WELANDS JURISDICTION � 1011ktVR ['�i.+u'k��a�iliiir:,v WEINSTEIN EQP 2824 Cox Neck Rd. SHED I^ +Q� /P COT Matki uck,NY 00 / Sg Title Scale _MoN `572�54'10" y 248.28' : C T Date 0 S721100W 112 00' MoN S9 PLAN COT 66 COT 6S 40 T MAP OF/701.L.EWOOD #175 NORTH TRuNO RTH 64 � CO 63 CCT 60 ?� r' CLIry� r C GCS U MODEL C7 FREESTANDING Multiview drawing MOTORIZED OPTION INCLUDE LED LIGHTS 1C o o m o co m m o 0 C N N n N N cO N N 3610 3610 3910 3910 8 4000 9000 DRAINAGE DRAINAGE LOUVER BLADE CONNECTION BAR 0 0 o coPOST ~� N SIDE BEAM WITH ( ^ INTEGRATED GUTTER UREMOTE; ` CONTRO 4000 DRAINAGE DRAINAGE 361p 0 00 NOTE:THE PERGOLA CAN BE CUSTOMIZED.MOTORIZED AND MANUAL ARE AVAILABLE O231A �� 1 RAW MATERIAL ALUMINIUM 6063—T6 J�O F NE�-L Sectional view of louver blade + CONNECTION BAR STUFF SCREW 0*M6*5 BEAM FLASHING SUS 304 CROSS BEAD TAPPING SCREW (4.2*16) 4*14 DRILLING SCREW (SUS304) M8*16 SUS HEX BOLT SUS CROSS HEAD- DRILLING SCREW(4.2*19) SIDE BEAM WITH INTEGRATED GUTTER I ® Q �418*55 SUS HEX BOLT POST S��RED ARc . P, Pgssgy.,,. A� O23114 �OP NE��O Sectional view of pergola width SIDE BEAM WITH MOTOR CONNECTING LOUVRE BLADE IA"IEGRATED GUTTER LOUVRE BLADE WITH LED LIGHT COMMON BLADES SUS 304 CROSS HEAD TAPPING SCREW (4.2*16) M8*16 SUS O O O O O O O O O HEX BOLT SUS CROSS HEAD DRILLING SCREW(4.2*19) - a M8*55 SUS HEX BOLT INTERATED GUTTER MOTOR CABLE 'LERED Ar? A PAsS9y��� l P� ! �2311 A O fi NEB Connection with post and plate SUS 304 CROSS HEAD STUFF SCREW(b 8*M6*5 TAPPING SCREW (4.2*16) 4*14 DRILLING SCREW (SUS304) M8*16 SUS HEX:BO&T SUS CROSS HEAD r DRILLING SCREW(4.2*19) / M8*55`SUS HEX BOLT POST ® o ®o .B RED A% EOLTS M8*16 FOOT PLATE SECTION VIEW ALUMINIUM FOOT PLATE CO any FOOT PLATE material : 035 steel plate material aluminium al surface treatment: powder coating surface treatment: poflde cgs Ing-, U� 023114, OF NEB Connection bar and Louver blade SUS 304 CROSS HEAD O OQ TAPPING SCREW (4.2*16) M8*16 SUS HEX BOLT O SUS CROSS HEADTI - DRILLING SCREW(4.2*19) M8*55'SUS HEX BOLT CONNECTION BAR:20*20*2..0 material-: aluminium alloy surface treatment: ponder coating BOLTS M8*16 0 STUFF SCREW 8*M6*5 material : stainless steel 304 (�� �� PA� '�r�� 7�- q, SECTIONAL VIEW e PLASTIC CORNER IN material : AES p2311 Aluminium Profile and louver blade cap 0 SUS 304 CROSS HEAD TAPPING SCREW (4:2*16) O 0 e M8*16 SUS HEX BOLT O SUS CROSS READ TOP CORNER PLATE SECTION VIEW DRILLING SCREW(4.M9) material : aluminium alloy COMMON BLADE CAP surface treatment: powder coating material : aluminium alloy / surface treatment: powder coating M8*55 SUS HEX BOLT / � 1.5 '-1 ;1 1.6 193 COMMON LOUVRE BLADE SECTION VIEW material : aluminium alloy surface treatment: powder coating ^; w 1.7 1.6 193 MOTOR CONNECTING BLADE CAP material stainless.steel 304 LOUVRE BLADE WITH LED LIGHT material aluminium alloy BOLTS M8*16 surface treatment: powder coating Z3 � r Zt SIDE BEAM WITH INTEGRATED GUTTER POST I►. material aluminium alloy water l u surface treatment: powder coating surfa r a m c atin �T a2311 ENE - Connection with beam and post M8*16 SUS HEX BOLT SUS CROSS HEAD REINFORCE BRACKET DRILLING SCREW(4. 2*19) SIDE BEAM WITH INTEGRATED GUTTER : Lo Prr- CONNECT PLATE co MASHER M8*55 SUS: HEX BOLT GUTTER INNER BLOCK -•• POST -'' 1� .2-o9 2-o4. 5 g9s s co Lo ��� ��� REINFORCE BRACKET I �• ��� �2317 A .�O� . Connection with beam and blade LOUVRE BALDE COVER .4*14 DRILLING LOUVRE BLADE SCREW (SUS304) LOUVRE BLADE PIVOT COVER LOUVRE BLADE ROLLER PIVOT LOUVRE BLADE HOLDER M8*16 SUS HEX BOLT SUS CROSS HEAD DRILLING SCREW(4.2*19) SIDE BEAM WITH INTEGRATED GUTTER 7 �2311 AA FN Drainage hole of post BOLTS M8*16 WATER OUTFLOW 16. 45 L45-- -195 195 ® E RED'A. R Pssgy A ���` 02311 QQ� QF NEB O 00 50. Blade City: 46pcs o z s - •�-' `v 18"DIA. POURED CONCRETE 100 IS DIA. POURED CONCRETE 6' '4) PIER TO 3ro" BELOW ADJ. to a N PIER t0 36 BELOW ADJ. = CsRADE TYP. 01= 6 /� cu GRADE TYP. OF 6 '� N 11'-8" j 12'-2" _ 12'-2" _ z m 12'-B" a CD O �° L V, ai i m t �Q CQ a L�JL 3�_ 26 -2 z au� Reinforcement Beam Beam>alfier: 51 Post Past .� ost 3 5a*72 2.Qmm � 220123*15-4 5mm U a w w IDnitase. nytr "- TTA eam. 4 1 oral Blade at r.irrp �` �; •� 193*40*7.6-1.�nlm �p a��+.���� �� di it t Reinforc t Connection Bar: I 0� KA � ii Beam 5 20�`24*2,Omm I� Remol e Control _0 it H Z Post: ¢M a U Z o a o t Drill , r ,�� co Z L ze 3. oF Past 1 II a1n,W 3 am . `s : Post bratnetse Baai�[ 2^� pralinese P4St � �z'. � � _' w W Pergola cable - 26'4' U z� W 1i in this post U ;o d- ¢U, Z +� Z000�W� 00CUw�Z ,� REQUI RED �� � ��� W mom 1 Plan T5 Elevations & Iso � =C� zwo Drawing Title: w E51DENTIAL CODE LOADING Sk-1 SCALE: Not to scale Plan, Elevation & ISO TABLE R301.2 (1) Project No. CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA Date: Drawing Scale: GROUND WIND DESIGN SEISMIC SUBJECT TO DAMAGE FROM Ice Barrier 31712025 AS NOTE SNOW SPECIAL WIND DESIGN Winter Flood Air Frost Line Design Underlayment LOAD SPEED TOPOGRAPHIC WIND EXPOSURE WIND-BORNE CATEGORY 9 Hazards Freezing Drawn By: Checked By: EFFECTS DEBRIS ZONE Weathering Depth Termite Temp Required Index (mph) REGION CATEGORY MAP BM 30 PSF 140 Vult NO NO B NO EXEMPT SEVERE 3 FEET MODERATE 15, TASLE 12101 VALLEYS a FEMA 1500 Drawing No. 108 Vard TO HEAVY (NY,KENNEDY) PERIMETERS IF REQ. of co . SAL Y OR OTS \ DABS i LlEDBCSPE PO BOX 894 Mattituck,NY 11952 saltyrootsny.com 631.315.9091 /• Project WEINSTEIN 2824 Cox Neck Rd. Mattituck,NY Title �I Pergola/Pool Fence Plan I tale 3132" 1'0" Date 02.26.25 PLAN TRUE 0 BLUESTONE PAT:(0 NORTH NORTH iI I f - EXISTING POOL n EXISTING _ I I PROPOSED NEW POOL FENCE \ - 00.1 --- 4' POOL COMPLIANT FENCE TO BE REMOVED � W/ SELF CLOSING GATES I I PROPOSED ALLUMINUM • iHANSO PRE-FAB PERGOLA SET ON 18"x48" SONO TUBES. I ATTACHED WITH SUS HEX EXPANSION BOLTS (M10*100) � L a> � � I 0 0 DEC ________ i N RISDICTION -- PROPOSED BURRED 120V LINES m � TO POWER PERGOLA & OUTLET FOR REFRIDGERATOR z I Page