HomeMy WebLinkAbout17634-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17676 Date JANUARY 12~ 1989
THIS CERTIFIES that the bumldlng ADDITION
Locatmon of Property 605 HIGHWOOD RD. House No.
County Tax Map No. 1000 Sectmon 078 Block 09
Subdmvls~on HIGBWOOD - B~YVIE~ Filed Map No. 5547
SOUTHOLD~ NEW YORK
Street Hamlet
Lot 50
Lot No. 8
conforms substantmally to the Application for Bumldlng Permmt heretofore
f~led mn this offmce dated NOVEMBER 18~ 1988 pursuant to whlch
Bumldlng Permit No. 17634-Z dated NOVEMBER 25r 1988
was issued, and conforms to all of the requirements of the applicable
provmslons of the law. The occupancy for whmch thms certmfmcate ms
· ssued ~sOPEN DECK ADDITION TO EXIST ONE FAMILY D~VELLI~G ZB~APRD ~758
The certlfmcate ms issued to
(owner)
of the aforesamd building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
THEODORE & THERESA KUDLINSKI
Rev. 1/81
Building Inspector
J'OEM NO, J~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NE blYG34 Z
Perrmss~on ~s hereby granted to' [-) ,
...~.....o...a...t...o...~-..~. ....................................
.~~.~ .......... ~ ....... /... ~ v ~
,o. ~.~........~.......o¢~......~...eL ...~ ...~7~...%~ .....~....~.~.
..
~,~,,~=~ ~....~.ar....~.~.~ -~ ~.~ ........ ~.~~ ...............
Count/ Tax Map No 1000 Section .,. ~.,,~ .... Block ...... ..~.o~ ....... Lot No.....~'"~ · . .
pursuant to apphcot,on dated .... ~.~~-d~ J ~ .... , 19..~ ~.., and approved by the
Building Inspector.
Fee $ ~)..:......'~....
Building Inspector
Rev 6/30/80
TOWN OF SOU ,OL
Building Department
Town Hall
Southold, N,Y, 11971
765 - i802
APPLICATION FOR CERTIFICATE OF
instructions
A. This application must be filled in typewriter OR ink, and submitted si ~ to the Buddmg Inspec-
tor with the fo[Iowmg; for new buildmgs or new use:
I. Fmal survey of property w~th accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2.Fmal approval of Health Dept· of water supply and sewerage d~sposal-{S-9 form or equal).
3.Approval of eiectrlca[ Installation from Board of Fire Underwmters.
4. Commercml buddings, Industrial buildings, Multiple Residences and mmllar buildings and mstalla-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5.Submit Planmng Board approval of completed rote plan requirements where applicable.
B. For existmg buddings (prior to April 1957), Non-conformmg uses, or buddmgs and "pre-ex~sting"
land uses'
1. Accurate survey of property showmg all property hnes, streets, buddmgs and unusual natural or
topograph ~c features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddmgs.
3. Date of any housing code or safety inspection of buddings or premises, or otl~er pertment mforma-
tion reqmred to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Cerhflcate of occupancy New Dwelling $25.Q0, Accessory ,$10.00 Buszness $50.00
2. Certificate of occupancy on pre-existing dwelling $100.00
3. Copy of certlflcate of occupancy $ 5.00, over .5 ),ears $I0.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date .... /.-~/.o;~ff, ...............
NewC ons truc t zon ...... Old or Pre-exmtmg Budding ............ Vacant [.and .............
kocat.on of Property ~0.~.. H~'¢/4~,,~) ~Oo~ ,~OOrt4oC0
House No. Street Hamlet
Owner or Owners of Property . ."~. 9.'9.°.~.~. ¢...-77~., .~..'?../~.qD, ~./.N.-~..~./. .........................
County Tax Map No. 1000 Section .... ~.2~O ...... Block ....... ~. ...... Lot...g.. (Z':c~g~. ~¢~)
· /'/~<~a U~,~ - ~/~¥d,,~J .... Filed Map No .'~'~..~.7 .... Lot No..~. .....
Subdivision ................................
Permit No../,7.(~ .~.~., Date of Permit .///.7,~../.~...Applicant . .~./-~.~.~.'.,&..,~.,..k~P.%~'.~{i .~?.'. ........
Health Dept. Approval ..................... . . Labor Dept, Approval ...................
Underwriters Approval ....................... Planmng Board Approval .......
Request for Temporary Certificate .................. .F~nal Certificate ...~. ............... , . .
Fee Submitted $ ............................
Construction on above descmbed buddmg and permit meets all apphcable codes and regulations.
Applicant . . Lt. . . ................
Rev 10 10-78
FIE~ '~TION
FOUNDATION (1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
~ODE
FINA/
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION :)ND [ ] iN/SULATiON
/
FRAMING r~,~FINAL
REMARKS:
DATE
INSPECTOR~*'
f App
Southold Town Board o eals
APPEALS BOARD
MEMBERS
GERARD P GOEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR
SERGE DOYEN, JR
JOSEPH H SAWICKI
JAMES DINIZIO, JR
November 7, 1988
Mr. and Mrs. Theodore Kudlinski
605 Highwood Road, Box 1052
Southold, NY 11971
Re: Appeal No. 3758 - Variance
Dear Mr. and Mrs. Kudlinski:
Transmitted herewith for your file and perusal is a copy of
the determination rendered by the Board of Appeals concerning the
above application.
Please be sure to return to the Building Inspectors' Office,
for issuance of building or other permits. Copies of this
decision have also been furnished to the Building Department
Office to update their files.
Yours very truly,
Enclosure
Copy of Decision to:
Office of
GERARD P. GOEHRINGER
the Building Inspectors
$outhold Town Board of Appeals
CHARLES GRIGONIS, JR
SERGE OOYEN, JR
JOSEPH H SAWICK~
,JAMES DINIZ[O, JR
ACTION OF THE BOARD OF APPEALS
Application of THEODORE KUDLINSKI, JR. for a Variance to
the Zoning Ordinance, Article III, Section 100-31, for
permission to construct open deck addition with an insufficient
rearyard setback from existing dwelling, at premises known as
605 Hlghwood Road, "Highwood at Ba~rvlew" Subdivision Lot No. 8,
Southold, NY; County Tax Map Parcel ID No. 1000-78-9-50.
WHEREAS, a public hearing was held and concluded on
October 6, 1988 in the Matter of the Application of THEODORE
KUDLINSKI, JR. under Application No. 3758; and
WHEREAS, at said hearing all those who desired to be heard
were heard and their testimony recorded; and
WHEREAS, the Board has carefully considered all testimony
and documentation submitted concerning this application; and
WHEREAS, the Board made the following findings of fact:
1. The premises in question is located along the east side
of Hlghwood Road (House ~605), ~pproximately 550 feet south of
North Ba!rview Road in the Hamlet of Southold, Town of Southold,
and more particularly shown on the Suffolk County Tax Maps as
District 1000, Section 78, Block 9, Lot 50.
2. The subject premises is located in the "A" Residential
and Agricultural Zoning District, contains a total lot area of
20,399 sq.ft, and is improved with a single-family dwelling
structure as shown on the March 20, 1984 survey prepared by
Roderick VanTuyl, P.C.
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N Y.
NOTICE OF DISAPPROVAL
File No .............................
To ~ ,~.. ,~,,~.,,~O.~,,u, ,~.~;
.~~.~., ,..,:~. I / ?~ / ....
Date
PLEASE TAKE NOTICE that your application dated
for permit to construct c~ c~c~ a.~,r~.
County Tax Map No 1000 Section
t
at
Street Hamlet
Block ...... Lot ..
Subdivision ....... Fried Map No ...... Lot No ~,.-'~ . . .
~s returned herewith and dlsappr,oved o~1 the following grounds,~. 'e,~
Building Inspector
RV 1/80
~ ~ ' OWN bf SOUTHOLD CHECK .... s .....
I~ ~ ~ ~ :d~L BUILDING DEPARTMENT SEPTIC FORM ............. :
j~~~ ~ ........ TOWN HALL NOTIFY
................
Exam:ned
Approved ~.%~.&~, 19~g Pe~zt No ./ ~ 6 ~ % '
Disapproved a/c
(Building Inspector)
APPLICATION FOR BUfLDING PERMIT
Date ...... 19
INSTRUCTIONS
a. Tlus application must be completely filled m by typewriter orm ink and submitted to the Buildmg Inspector, w,
sets of plans, accurate plot plan to scale Fee according to schedule
b. Plot plan showmg location of lot and of braidings on premises, relationship to adjoining premises or pubhc st~
or areas, and giving a detmled description of layout of property must be drawn on the diagram which m part of this a
cation.
c The work covered by ttus application may not be commenced before issuance of Budding Permit
d. Upon approval of this application, the Building Inspector will issued a Budding Permit to the applicant Such pe
shall be kept on the premises available for inspection throughout the work
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occup
shall have been granted by the Building Inspector
APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bmldlng Permit pursuant
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmanc.
Regulations, for the construction of bmldmgs, additions or alterations, or for removal or demolition, as hereto desert
The applicant agrees to comply with all applicable laws, ordinances, budding code, housing code, and regulations, an
admit authorized inspectors on premises and m bmldmg for necessary, inspections
z ......
(Si=nature of applicant, or name, lf~ corporation)
(Maihng address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil
Ob,;,'4t ...................
Name of owner of premises ~7~ ~.ot)o~ZF'- ,~..~.oO t_t/q~;~r t- ~/'-~-' ......
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY
Bmlder's L~cense No ~ ......
LICENSED
Plumber's License No . .
Electrician's License No
Other Trade's License No
Location ot land on which proposed work will be done
., Hied-woe_va
lIouse Number Street tlamlet
County Tax Map No 1000 Section 'l ~ Block . ? . Lot
..5
0
Stab&vision Fded Map No Lot ~:~ '
(Namet
State ex,sting use and occupancy of prennses and intended use and occupancy of proposed construction
a EMstulg use and occupancy OME - F,4/'ttc~/ ,~OI~rct../.q& ..
b Intended use and occupancy OdT-D$O./~_ g3~-C/K ..
3. Nature of work (check which applicable) New Building
Repmr ... Removal ....
4 Estimated Cost .~,/.o~'~>O, o._~
5. If dwelling, number of dwelling units ..
Addmofi ...... Alteration "" '
Demolition Other Work ID
(Descnpnon)
Fee ................
' (to be paid on filing this application)
.... Number of dwelling units on each floor . .
If garage, number of cars .....................................
6 If business, commercial or raixed occupancy, specify nature and extent of each.type of use ...........
Rear ~.q .9' . . . pth. 77 .....
7 Dimensions of ex,sting structures, if any Front . ~Ot · t, De t
Height Number of Stones L~6,' -t~. ..........
D~rnensions of same structure with alteratmns or additions Front .... Rear ..........
Depth ....... Height Number of Stories
.... '' ' ' .. Dep't~ I~" .........
· 8. Dnnenslons of entire new construction Front . .3.(* Rear 3(, t
Height 1.7.. ti . Number of Storms ...
9 Slzeoflot. Front ''/,fS-t .... Rearil/~;~,oT..Fi i Depth'[/$./.,~'""-':'~
!0 Date of Purchase ,//[,4~' 15'~2 ....... Name of Former Owner DA. J-r',~"~'g~-~'./d~'~q,~4 ..
I I Zone or use d~stnct in which premises are s~tuated ........... - ............
1 2. Does proposed construction violate any zomng law, ordinance or regulation /gO ................
I3. WL!i lot be regraded ......... Will excess fill be removed from premises Yes Nc
14 Name of Owner of premises ........... Address ........ Phone No.
Name of Architect .............. Address ........ Phone No .........
Name of Contractor ............ Address ......... Phone No
15. Is this property located wzthzn 300 feet of a tidal wetland~ *Yes .....
*If yes, Southold Town Trustees Permit maybe required.
PLO~ DIAGRA~
Locate clearly and distinctly all buL!dmgs, whether existing or proposed, and indicate all set-back d~nens~ons from
property hnes Give street and block number or description according to ¢e~d, and show street names and ~ndlcate whethe,
mtenor or corner lot
,)
,q
STATE OF NEW YORK, S S
COUNTY OF .......
(Name of indiv~duaI s~gmng contract)
above named
being duly sworn, deposes and says that he xs the apphcan
He ~s the
(Contractor, agent, corporate officer, etc )
of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file th~
apphcatmn, that all statements contained m this apphcat~on are true to the best oftus knowledge and behef, and that th
work wdl be performed in the manner set forth in the apphcatlon filed therewith
Sworn to before me this
..... ~ .. , . dayof. ~. ,19~/
NotaD, Pubhc, ~. ~~ County
NOTAIW ruBl. Ic. State ~ New York
_ K~ 4707878, S,~lk
Te~'m ~pu'es March
'r'
'r
5