HomeMy WebLinkAbout1000-83.-2-13.6 RECEIVED
FORM NO. 3 Ff
FEB 13 2023 �
TOWN OF SOUTHOLD L -J'
BUILDING DEPARTMENT 56—utho `Towr
SOUTHOLD,N.Y. Planning Board
NOTICE OF DISAPPROVAL
DATE: February 9, 2023
TO: Zuhoski, David
3870 Bridge Ln
PO BOX 277
Cutchogue,NY 11935
Please take notice that your application dated December 7, 2022:
For permit to: construct a pole bani at:
Location of property: 12025 Oregon Road Cutcho ue NY
County Tax Map No. 1000—Section 83 Block 2 Lot 13.6
Is returned herewith and disapproved on the following grounds:
Pursuant to Article XXI,I:I Section 280-127,the proposed use requires siteplan approval
from the Southold Town Planning Board.
You may now apply to this agency directly.
", - 2"A
Aut rued Signature
Note to Applicant: Any change or deviation to the above referenced application,
may require further review by the Southold Town Building Department.
CC: file, Planning Board
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F' "ANE ES
FOR INTERNAL USE UrvLY ,.,,
(
JAN 18 202 311
StePLA USED R o� �n Town
........ .. Planning Board
(.ilial Deter[ inafon i ^ 23,
Date Sent: =
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Dates ,�.�23�.... .�_. .
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Project{dame: OK' ! ;.�..__ .�.�M
Project Addressor, -
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B , (D zoning Diskrlot'
Suffolk C7ounty Tax lViap
No.:1fl00 ——
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ALL
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Request" �
__ — documentation'as to
(Nc)te: Copy of Bulldit g Permit App
Iication and supporting -
proposed
p be submitted_)
ro osed use or��ses should
{nitial Determination as to whether use its permitted -�
ilia[ Determination as to whether site pian is required:_
n �5.
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Building Insp e' r
Signatur
pl-_:3 ming Department(P-D-)
Referral: -
pate of Comment:
Hate Received:
Comments: o�kki.
i,
Reviewer
Det Staff R er
Signature of P(an� P. "
Final Deterrnlnt a ion
Date: I 1
R
,,f iilciin
ct..r,�f-i�rP o IncnPc=tnr
R INTERNAL USE UNLY �n
FOR
_..
SITE
PLANT USEDETERMINATION �JAN 18 202 13
6,Gtt, 1 �=own
Planning Board
Initial Determination C � I
Sent: d' � '
o - Date —
Date. . ..... .
project sect Name:
2.t
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rhD
Project Address: . P1�3C'O-C—R6
.
-�3 & Zoning District:_ �.._ .
. i�lo .1fl00-� =—
. Suffoik County Tax Map-
Request'
=-1 documentation a5 to
(Mote- Copy of Bu`ildir�g Perrr�it app
ii cation and supporting
proposed use or uses should he s�u mitt d.) �.
-prop
' ermined:
Initial Determination as to whether use is p — -•�
_ aired:_
1nigal-Determination as to whether site Plat' is req
Si nater Building Insp of r
nt (P-D-) Refe
planning Departmerral:
f
. -
ent:
�,D.flats Received:
f pate of Comm
!Cojm�rmnen�ts:—
Det Staff Reviewer
Signature of Pianning P_
Final Det617MY'l.ation
Date--/—[—
.
ate: IIc .... t,��P nf�Riiilciina nPc-tnr
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 htjj) 8
Date Received
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F'
For Office Use Only E C
PERMrr NO. Building Inspector, ��
DEC 01 2022 DD
Applications and forms must be filled out in their entirety. Incomplete 0l
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name:Steven/David Zuhoski scrM#Z000-473889 83.-2-13.6
Project Address:12025 Oregon Rd Cutchogue NY 11935
Phone#:(631) 734-5036 Email:steven.zuhoski@optonline.net
Mailing Address:P.O. Box 277 Cutchogue NY 11935
CONTACT PERSON:
Name:Steven Zuhoski
Mailing Address:P.O. Box 277 Cutchogue NY 11935
Phone#:(631) 872-3269 Email:steven.zuhoski @optonline.net
DESIGN PROFESSIONAL INFORMATION:
Name:Fetterville Sales
Mailing Address:245 Fetterville Rd. East Earl PA 17519
Phone#:(717)354-7561 Email:larry@fettervillesales.com
CONTRACTOR INFORMATION:
Name:Same as above
Mailing Address:
Phone#: Email:.
DESCRIPTION OF PROPOSED CONSTRUCTION
RNew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition E imated Cost of Project:
$41,000.00
❑Other
Will the lot be re-graded? ❑Yes 10No Will excess fill be removed from premises? ❑Yes @0 No
1
PROPERTY INFORMATION
Existing use of property:Farm buildings Intended use of property:additional building
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
vac farmland this property? Dyes FRiNo IF YES, PROVIDE A COPY.
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 Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,
housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): OAuthorized Agent @Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF )
Steven Zuhoski
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
Corporate Officer
(S)he is the
(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 20 ZZ
N P blit
STEM LHARNED
NOO Milk State of NOW York
1140.01WAA 071848
(Where the applicant is not the owner) Qualified inS,uffolkCou*
COMMiSsion Expires MIrCh 3,
residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
O
o
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393.01'
N. z!60
34,
O
a JOHN ZH OAK +
AREA=z7871AC E
n
O ^codyy
t88: f�9,1- y R57• UO
d
JOHN ZUHOSKI , JR.
M
N/Q
l
LUG LLE ZUHOSKI
as
a
Scott A. Russell "�
IU"ER"ISOR 9 MANAGEMENT
SOUTHOLD TOWN HALL-P.O.Box 1179 Town of Southold
53095 Main Road-SOUTHOLD,NEW YORK 11971 °-� %
CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM
( APPLICANT [NF...m._ ... .... �a _a..., .. w_m__._..�.
INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
- — — - — - - — - - — — — — - - - — - — — — — — — — — - — - — - - - -
APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other)
NAME: S1 11U Z✓InSP Date:
.s�.v._
Contact Information: JVV&w. ZVj+OS l OP - w � '�T
.E-?.7a7 Z Tek-FS�re NvmFe:] 7
J a r
Pro rtv Address / Location of Construction Site:
S.C.T.M. #: 1000
District
Section Block Lot
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
- Area of Disturbance is less than I Acre. No S.P_D.E.S. Permit is Re aired l
- Project does Not Discharge to Waters of the State. No ST.D.E.S. Permit is Re wired!
- Area of Disturbance is Greater than 1 Acre& Storm-water Runoff Discharges Directly
to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.ES. Permit
DIRECTLY From N.Y.S_ D.E.C.Prior to Issuance of a Buildin Permit.
hold
I"l _ Area of Town's MS4 Sy temsance ls Greater to Watersofthe State of New York. THE APPLICANT MUS u(UB AIN
a S_P_D_E.S. Permit through the Southold Town En ineerin De artment
Prior to Issuance of a Buildin Permit.
Reviewed BY: Date:
TC)C Ck-fnhwr 9M Q
N. Y- S. DEPARTMENT OF STATE
DIVISION OF CORPORATIONS AND STATE RECORDS ,ALBANY, NY 12231-0001
CERTIFICATE OF AUTHORITY- UNDER SEC. 805 OF THE LIMITED LIABILITY COMPANY LAW
ENTITY NAME: FETTERVILLE POLE BUILDINGS, LLC
DOCUMENT TYPE: APPLICATION FOR AUTHORITY (FOR LLC) COUNTY: NEWY
FILED 03/22/2017 DURATION--*********^-CASH#:170322000009 FILM ##:170322000009
DOS ID:5106175
FILER: EXIST DATE
LIZ-DEWALT C/O BARLEY SNYDER LLP 03/22/2017
126 EAST KING STREET
LANCASTER, PA 17602
ADDRESS FOR PROCESS:
--------------------
CORPORATION SERVICE COMPANY
1133 AVENUE OF THE AMERICAS
NEW YORK, NY 10035
REGISTERED AGENT:
c c
r
The limited liability company is required to file a Biennial Statement with
the Department of State every two years pursuant to Limited Liability
Company Law Section 301. Notification, that the biennial statement is due
will only be made via email. Please go to www.em .il.ebienaial.dos.ny.gov
to prude an email address to receive an email notification when the
Biennial Statement is due.
SERVICE COMPANY: ** NO SERVICE COMPANY ** SERVICE CODE: 00
FEES 250. 00 PAYMENTS 250. 00
FILING --250. 00 CASH 0.00
TAX 0. 00 CHECK 250.00
CERT 0. 00 CHARGE 0 . 00
COPIES 0. 00 DRAWDOWN 0.00
HANDLING 0 . 00 OPAL 0.00
REFUND 0.00
DOS-1025 (04/20()7)