HomeMy WebLinkAbout51857-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#: 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
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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
/?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
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2824 Cox Neck Rd.
SHED I^ +Q� /P COT Matki uck,NY
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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 �
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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
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s
co
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REINFORCE BRACKET I
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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
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02311 QQ�
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GRADE TYP. OF 6 '� N 11'-8" j
12'-2" _ 12'-2" _ z m
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Reinforcement Beam Beam>alfier: 51
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it
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in this post U ;o
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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
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