The URL can be used to link to this page

Home My WebLink About29361-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29432 Date: 05/13/03 THIS CERTIFIES that the building ADDITION Location of Property: 400 MIDWOOD RD CUTCHOGUE (HOUSE NO.) (STREET} (HAMLET) County Tax Map No. 473889 Section 110 Block 2 Lot 21 Subdivision Filed Map No. Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 5, 2003 pursuant to which Building Pez~nit No. 29361-Z dated MAY 5, 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN T & LENORE KLUKO (OWNER) of the aforesaid building. SI/FFOLK COOI~T"f DEPAR~4~T OF ]~]~AL~{ APPRO~-AL ELEC-rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~U N/A N/A ~/h~ z/ed S~gnature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29361 Z Date ~JIY 5, 2003 Permission is hereby granted to: JOHN T & LENORE KLUKO 400 MIDWOOD RD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF A 12 X 14 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#27282. at premises located at County Tax Map No. 473889 Section 110 pursuant to application dated MAY Building Inspector to expire on NOVEMBER 400 MIDWOOD RD CUTCHOGUE Block 0002 Lot No. 021 5, 2003 and approved by the 5, 2004. Fee $ 150.00 Authorized Signature COPY Rev. 5/8/02 FORM NO. 3 TOWN OF S0UTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27282 Z Date MAY 2, 2001 Permission is hereby granted to: JOHN T & LENORE KLUKO 55 EASTWOOD DR EXT CUTCHOGUE,NY 11935 for : NEW CONSTRUCTION OF A DECK ADDITION 12'X14' TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 55 County Tax Map No. 473889 Section 110 pursuant to application dated MARCH Building Inspector. EASTWOOD DR EXT CUTCEOGUE Block 0002 Lot No. 021 30~ 2001 and approved by the Fee $ 75.00 Authorized Signature Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department wi~.th~following: ' A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Apprnval of electrical installation £rom Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conmwrcial $15.00 New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section ~7.~37~ ~ "//d9 Block Date. ~ F-Off Old or Pre-existing Building: / (check one) Street Lot Subdivision Permit No. ~,~6/ Health Dept. Approval: Planning Board Approval: ,~//~ · Request for: Temporary Certificate Fee Submitted: $ ,~-L~-, Date of Permit. 5-- ~-t~)~ Filed Map. Applicant: Underwriters Approval: Final Certificate: Hamlet (check one) Applicant Signature Lot: BUILDING PERMIT REVIEW CHECK LIST DATE REViEWED: 5/2/01 APPLICANT NAME: LENORE DATE SUBMITTED: 3/30/01 SCTM#--- DISTRICT: 1,000 SECTION: l l0BLOCK:_2 LOT: PROJECT LOCATION AND TYPE OF PROPOSED WORK: PROJECT DESCRIPTION~Acc OR N/V: DECK 21 STREET: 55 EASTWOOD DRIVE CITY: CUTCHOGUE SUBDIV. NAME: ARCHITECT / ENGINEER: /~-"]oo~e FAST TRACK: YES o~'~ SINGLE & SEPARATE CERTIfICATION-REQUIRED: YES o~t0q~..lxlOTES:, c L~TS 4~~~~~SF~~~~-24. L~trec~gniti~n.(C~EATED bef~re June 3~~ ~983)~ UNDERS~ZED L~TS FR~M JAN.1997100-25. Merger,(A nonconforming at anytime after T/1/83 ZONING: PERMIT ESTIMATE AMOUNT: $ ~ )E_ --.00 PERMIT USE: EXISTING: .-(~ INTENDED: ~cff"Z~, ZON1NG DISTRIC~.~.~80, AC, CONFORMiNG: YESo~ REQUIRED LOT SIZE: .~o SQFT. WHERE ACTUAL LOT SIZE FROM~ ACTUAL LOT SIZE: .Z,Z3'~z SQFT. REQU~I~, .D REQUIRED ,~ .~ FRONT: 40 PROPOSED: /'t~. SIDE YD: /~ '/.?~_~.gOPOSED:22 / d~ REAR: ~'(Y PROPOSED:~/ ' LOT covE~GE: ALLOW~E~:2a) % EX~STING: .. sf °/~--NE~-.' '~- sf b~/o TOTAL:2p_~4s£ CORNER? YES oR~) WAT ER FRONT? YES ~ DESCRIPTION: FLOOD COMPLIANCE ZONE: PUE-Em~ 3/18/80 PANEL #: /~3 FLOOD ZONE: AGENCY PERMITS REQUIRED FOR REViEW INCLUDED IN ApplICATION TOWN SPETIC PERMIT: YES or~ SUFFOLK COUNTY HEALTH DEPT: YES or(N.__QJ (BED #): NEW YORK STATE DEC: PRE.DECg/I/TS YES or J~t6 SOUTHOLD TOWN TRUSTEES: YES or N(J- TOWN ZONING BOARD APPROVAL: YES or NOr-. - TOWN PLAN. BOARD APPROVAL: YES orqN'6 DTE: / / PERMIT #:R10- NYS ENERGY: YES OR~O': '~//,~ NOTES: EGRESS: VENT: LIGHT: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : SF SECOND FLR : SF TOTAL: -/~ SF INIT OTHER TOTAL FEE FEE FEE T( SF)- (__ SF)= SF X $ --$ +$ +$ -- $ NOZ~FY SUILDING DEPARTMENT AT 7~5 I~02 9 AM TO 4 PM FOR TH~ cOi LOWING iNSPECTIONS: 1 FOUNDATION - ~0 REQUIREO'~ FOR POURED CONCR~E 2 ?OUGH - FRAMING & PLUMBING 3 F!~ U LATION BE COMPLETE FOi C.O. ~,l.L CONSTRUCTIOI SHALL ~-qE OF THE STATE CO ~ODSS, NOT RESPONSIBLE OESIGN OR CONSTRUCTION ERRORS DO NOT PROCEED WITH -' ~ FRAMING UNTIL SURVEY ~ ~ ~. ~'~ OF FOUNDATION LOCATION ~. HAS BEEN APPROVED: ~,~c'". ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ]~UL~TION [,,/] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROU~pLBG. [ ] IN~LATION [ ~FINAL INSPECTOR FIELD INSPECTION =R~__PORT ~DAT~ ~c ml ,, II IN~TION ~R N. Y. CoD~ {m i!_L_J_ BUILDING DEPARTMENT M~,~ Jo ?oQ{ i ' TOWN H~L " ' SO'HOLD, ~ 11971 PEmlT NO. Approved .-~/~-'-- ,20 Disapproved a/c I:IU~I~I.)IiqU FIaRNIII At'I~LICATI{JN, CHECK. LIS' Do you have or need the following, before applying Board of Health lg 3 sets of Building Plans ~ Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Builing Irispector Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in b~ ~pewriter or in ink and submitted to the Building Inspector with. 3 sets of plans, accurate plot plan to scale. Fee according to sgt/edule. b. Plot plan showing location of lot and ofbuilding~ .?.ri'premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant· Such a permit shall be kept on the premises available for inspection througho.ut'the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is Issued by the Building Inspector. . APPLICATION IS HEREBY MADE to the BuildkxgD. epartment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, 8uffoll~County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or'alterations or for removal or demolition as herein described. The applicant agrees to coinply with all applicable laws, ordinan/es, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for ne~s~'y iuspections.* (Sigxmture of applicant or name, 'ifa co~oration) 55 EASTWOOD DRIVE EXTENTION, CUTCHOGUE, Iq5 (Mailing address of applicant) State. whether applicant is owner, lessee, agent, architect, ~ngineer, general contractor, electrician, plumber or builder OWNER , , Name ofownerofpi'emises LENORE and JOHN T. KLUKO' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authori[i~d officer (Name and title of corporate Officer) Builders LicenseNo. Plumbers License No. Electricians LicenseNo. Other Trade's LicenSe No. Location of land on which proposed work will bl dope! 55 EASTWOOD DRIVE EXTENTIO~ ' . House Number Street County Tax Map No. 1000 Subdivision 473889 110.-2-21' Section ' "Block CTTTCHDaTTF Hamlet Lot Filed Map No. ame) .. o,..,. ,.^~o..g u~ ~,~u o~;ugaacy ot premises and Intended use and occupancy of proposed construction: a. Existing use and occupancy ..,. , :PRIVATE RESIDENC.E,~ 30CCUPAI~,TS Intended use and occupancy SAME Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost $4,000.00 If dwelling, number of dwelling units If garage, number of cars Addition Alteration ,i')E C f-,, / Fee Other Work .. (Description) (to be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front I ~4 ( Rear Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth. //~ ' Height_,_ 'Number of Stories Rear Dimensions of entire new construction: Front Height Number of Stodes Rear Depth .... Size of lot: Front Rear Depth 0. Date of Purchase 8/24/95 Name of Former Owner ALAN G. HERN/~NDEZ 1. Zone or use district in which premises are situated 2. Does proposed constmcti0n violate any zoning law, ordinance or regulation: No 3. Will lot be re-graded NO Will excess fill be removed from premises: ~ NO ' LENORE and 55 EASTWOOD DR., EXT. 4. Names of Owner of premises . Addres~CUTC}mGUE. NY 1193 ~ Phone No. 6~ 1-734-4256 Name of Architect , Address Phone No N~xe of Contractor Adckess Phone No, 5. Is this property withia 100 feet ora tidal wetland?x*-2~ESx NO · IF YES, $OUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines, 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: :OUNTY 0 F_~.EE.Q/~ JOHN T.K.LUKO being duly sworn, deposes and say, that (s)he is the applicant (Name of individual signing contract) above named, ¢)He is the (Contractor, Agent, Corporate Officer, etc.) fsaid owner or owners, and is'duly authorized to perform or have performed the said work and to make and file this application; all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. worn to before me this ~ '~ Notaw Public Signature of Applicam