HomeMy WebLinkAbout51858-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#: 51858 Date: 04/22/2025
Permission is hereby granted to:
David Vener
315 W End Ave 4AB
New York, NY 10023
To:
Construct outdoor shower 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 $125.00
CO Accessory $100.00
Flood Permit $150.00
Total S375.00
Building Inspector
r�G 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 hit)s:/ W%VW.S+OLitholdtcawnn ov
Date Received
APPLICATION FOR BUILDING PERMIT
I
For Office Use Only
PERMIT NO.
Building inspector: 2025
Applications and forms must be filled out in their entirety.Incomplete i 11di tg Department
applications will not be accepted. Where the Applicant is not the owner,an T0*11 O'1''80u'thold
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name:David Vener & Ellen Weinstein hCLTM#1000-113.-8-7.6
Project Address:2824 (2793) Cox Neck Rd. Mattituck, NY 11952
Phone#:216.401.3473 1 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
■New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $13,500
Will the lot be re-graded? ❑Yes ■No Will excess fill be removed from premises? ■Yes []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
r D this property? ❑Yes ®No IF YES, PROVIDE A COPY.
i3 Check Box 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 suwilding 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 bulkdingtsl for necessary Inspections,False statements trade herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal law.
Application Submitted By(print name):Eric Martz E'Authorized Agent ❑Owner
Signature of Applicant: Date: 3,
CONN'IE D.BUNCH
otary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
SS: Qualified in Suffolk County
COUNTY OF
Commission Expires April 14,2 Oa
)
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
` day of r OVL C" ,20
6 66
Notary Public
PROPERTY, AUTHORIZATION
(Where the applicant is not the owner)
I residing David Vener idin at 315 West End Ave Apt 4AB, New York,
NY, 10023 Eric Martz
do hereby authorize to apply on
jybfito t To n of Southold Building Department for approval as described herein.
-- 3/11/2025
l wn rls ignature Date
David Vener
Print Owner's Name
2
DATE(MM/DD/YYYY)
AC40 CERTIFICATE OF LIABILITY INSURANCE
03113120 ,5
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(les)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,
PRODUCER CONTACT Eric Kir,k
PHONE 631-72 7 7767.....
. .6..31 727-794..
1
AssociatesKirk LTD ....
18 First Street klrk.asS,O,,csvc american I1allonaI. m .�
S AFFORDING COVERAR _."" ,,,,,,,,. NAIC d
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INSURED INSU� �B United Farm Insurance 29963
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E Danowski And Son INC INsu ;tc .. .. ............. ..
DBA Cutting Edge Landscaping INSUIZER¢s ......_....
PO BOX 1118 kgR1!!ER E ....... ..... ..... ....
Mattituck NY 11952 WSURERFz
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,
CLAIMS.
ITS
TYPE OF INSURANCE ....... .... W...__ - ...
CLUSIONS AND CONDITIONS OF SUCH POLICIES 31103L7657 SHOWN MAY HAVE BEEN REDUCED
02B4Y P102
A COMMERCU\LGENERALLIABILITY , POLICYNUIWdBEII D LIMITS
L POLICY EF POLL '/2025 EACYN CbCC49RRENCE..,,,., ... $ _.. 1IO ,OgOITIT.
0 �I1
CLAIMS-MADE X�OCCUR PRE ES[ n } $ .....
Xcontractual liabiIiV ..ITITIT MEo XP(Anyone pens mq SIT. __ fr„OIYO
c TO
PERSONAL&AOV INJURY $ .,.,.. 1,000,000
GENLAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE ��„_m_ 2.... „QI)Q
X POLICY JECT �O ._.. $ m� �00,000
PRO- LOG PRODUCTS-CP7MPdOP AGG wm_ t)
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B AUTOMOBILE LIABILITY 3101C7593 12102t2024 12d02J2025 acr.1e ABINED 4NG°" tlMOT W..... g. u.. .1 01II1�000,...,
X ANY AUTO BODILY INJURY(Per person) $
OWNED " SCHEDULED B """""
......
BODILY INJURY(Per accident) $
AUTOS ONLY „„„„„„W„ AUTOS "'"""""""'""" """
HIRED NON-OWNED OPERTY Dd'dvflAGE $
AUTOS ONLY ^„w,„, AUTOS ONLY P„Il9'. grcCd
$
UMBRELLALIAB: OCCUR EACH OCCURRENCE S
--- .., ...�-. ......
EXCESS LIAR CLAIMS-MADE
_-..'_..CPED,... "mm' RETENTION..$ -........-
.....-....._ ,. S
OT r,
WORKERS COMPENSATION w mmITATUTE
AND EMPLOYERS'LUU3ILITY Y/N
ANYPROPRIETOPJPARI'NERIEXEC UTIVE ❑ N/A 'E,L EACH AC�.CCIDENTww _ _
'.OFFICEWMEMBEREXCLUDED7 E.L.DISEASE-EA EMPLOYEE(Mandato'ryInNH) ..A
II1yO.s�S.dosm eunder E,L DISEASE. POLICYL1Ml'T
DPSCRIPTION Or OPERATIONS below I
8 INLAND MARINE 310111773 12102J2024 1 1210 )2025 SCHEDULED
EQUIPMENT
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
CERTIFICATE HOLDER CAANCELLA"'TON
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Salty Roots Garden & Landscape Design
PO BOX 894 AUTHORIZED REPRESENTATIVE
Mattituck, NY 11952 Kirk Associates LTD
1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
NYSIF
New York State Insurance Fund PO Box 66699,Albany,NY 12206
1 nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED)
^^^^A A 208612022
E.DANOWSKI AND SON, INC.DBA
CUTTING EDGE LANDSCAPING Imil N..o: *
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 06/18/2025 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://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 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.
NEWYORKSTATTSUR NOE FUND
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER: 909613916
U-26.3
Suffolk County Dept. of
Labor, Licensing & Consumer Affairs
HOME IMPROVEMENT LICENSE
Name
» EDWARD J DANOWSKI
1 Business Name
E Danowski and Son Inc DBA
This cent fies that the
bearer is duly licensed License Number HI-67179
by :he County cf suffolk Issued: 08/12/2022
W0.y+v4' T. Rogerk Expires: 08/0112026
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631.315.9091
Project
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2824 Cox Neck Rd.
Mattituck,NY
Title
11 - - Shower Detail Plan
Exterior Exterior Interior Interior Interior Scale
Front Sides (x2) Side I Front Side II Date 1/4°=1'0"
02.26.25
co
AP R ED AS NOT
DAT B.P.# Cr"' Overhead - •>`< Overhead
r7��
,y s•w Floor OCCUPANCY OR `.'�= _ Interior Wall/Bench Detail
FEt BY: Back/Bench
NOTIFY BUILDING DEPARTMENT AT USE IS UNLAWFUL " .
W1 765-1802 8AM TO 4PM FOR THE WITHOUT CERTIFICATE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED OF OCCUPANCY .., ._
FOR POURED CONCRETE • Wall/Bench Framing: Cedar 2"x4". r
2 ROUGH•FRAMING&PLUMBING • Posts: Cedar 4"x4". Set on concretefootings. r00 !�5lI'11/Ii1UM�
!
3. INSULATION - *Plumbingto connect into existingpoints
4. FINAL-CONSTRUCTION MUST COMPLY NTH ALL CODES OF and rerouted ed behind back wall.
6E COMPLETE FOR C.O. NEW YORK STATE&TOWN CODES
ALL CONSTRUCTION SHALL MEET THEAS REQUIREMENTS OFTHE CODES OF NEW REQUIRED AND CONDITIONS OF
YORK STATE NOT RESPONSIBLE FOR
SOUIHOLD TOM ZBA
DESIGN OROONSTRUCTON ERRORS SOUTHOLDTOWN RAIMNG BOARD �UIA c6)A
SOUTHOLD TOWN TRUSTEES
���s� N.Y.S.DEC _ o
PLUMBER CERTIFICATION �'�� GZ/S FQiIPi
ON LEAD CONTENT BEFORE �P
SOUTHOLD HPC COY C. .m 143
E
CERTIFICATE OF OCCUPANCY SCHD � f Ir�E , l m
SOLDER USED IN WATER
� SUPPLY SYSTEM CANNOT _}}� �;�� ~����
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t ETAIN STORM WATER RUNOFF
EXCEED 2110 OF 1%LEAD. PURSUANT TO CHAPTER 236
OF THE TOWN CODE. Page
SALTY ROOTS
WOOD
STONE
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DECK STONE WALL PO BOX 894
STEPS Mattituck,NY 11952
cD saltyrootsny.com
z 631.315.9091
JProject
J WEINSTEIN
w 2824 Cox Neck Rd.
("J i�: Z Mattituck,NY
Q O Title
V Shower Plan
J Scale
s� M� 1182"=1'0"
V O ■ • ■ Date
11.25.24
PLAN TRUE
NORTH NORTH
PROPOSED OUTDOOR SLOWER
---- TIED INTO EXISTING STUBBED PLUMBING.
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