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51851-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#: 51851 Date: 04/21/2025 Permission is hereby granted to: David Zuhoski 3870 Bridge Ln Cutchogue, NY 11935 To: Construct additions and alterationsto an existing single-family dwelling as appliedforto include a first and second story addition and first story laundry/mudroom. Premises Located at: 3870 Bridge Ln, Cutchogue, NY 11935 SCTM#84.-5-9 Pursuant to application dated 03/14/2025 and approved by the Building Inspector. To expire on 04/21/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition&Alteration $770.50 CO Single Family Dwelling-Addition /Alteration $100.00 Total $870.50 Building Inspector 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 bt(�p,s://www.southoldtowniiygoy Date Received APPLICATION FOR BUILDING PERMIT E For Office Use Only PERMIT NO, � U Building InspectorIR 1 �025 Applications and forms must be filled out in their entirety. Incomplete Building Department applications will not be accepted. Where the Applicant is not the owner,an Town of Southold Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: tAQ I� ZO kAoSK i SCTM# 1000- - Project Address: 3b7L-) ISP-th(,E I-AtgE, CU fCH o r,(AE I JVV Phone#: 6,31 .- 17g0-- (t,®3S I Email: Mailing Address: 3(�r7() tef D[� L Mi>5l C c, -ticS LI F/ /V y CONTACT PERSON: Name: �d21ciT �LNL �/��-11. �ES iC�/�( f�SS®L, LLC . Mailing Address: 2(,s -'ASM I NF, L,9NE- SO -)H CJL-[� Phone#: &SI ,_ L132 -7()� ..( SS9N(OEy o.ill-/Me, NF DESIGN PROFESSIONAL INFORMATION: Name: l�E ��i-1C_ J�ES I u A.ssoC_ Mailing Address: 2-G S- TAs mmE LN 50�TN©LA Phone#: 631- qSK -708� Email: 5SSA,(9Si{ � �CD�'�-lrQ F,/"i�'7- CONTRACTOR INFORMATION: Name: K.A� A t TWS -'-lME Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New StructureAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other � Will the lot be re-graded? ❑Yes XNo Will excess fill be removed from premises? ❑Yes �,*Vo 1 PROPERTY INFORMATION Existing use of property: < ` I Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to A L s Ar,,�,q this property? ❑YesXNo IF YES, PROVIDE A COPY. Kheck 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. 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(pro t name): 1� v� �,, V4-2ik` MAuthorized Agent ❑Owner Signature of Applicant: f Date: d 3- 2 S CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York No.0 1 BU6185050 SS: Qualified in Suffolk CountyC)-aS COUNTY OF Commission Expires April 14,2 --P>0L-T D � Ki_4L- being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Yet ! t (Contractor, genes;` orporate 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 /3 day of !`74AC14 20 ZS Notary Public PRO,IEERTY OWNERYTIJI III III " II "' (Where the applicant is not the owner) I 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 Building ire arttfent A tientitrn AUTHORIZATION (Where the Applicant is not the Owner) I, �Ct -&kTSkj residing at 2Q-1ta Trld� Print property owner's name (Mailing Address) r .... ( P PeTtY )_ti...�..,. �. QALChM do hereby authorize (Agent) to apply on my behalf to the Southold Building Department. ._ YYlarch 13 �aa,5 (Owners Signature) (Date) ��d ZuhixSw _ (Print Owner's Name) w *L11 FFQ Albert J. Kru ski, Jr. IF O>RM[WAT]EllR, SUPERVISOR w 1\\[A�N A�G]EN411EINIF SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT 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: Iwf` 4 L- Date: 0 3- /3 z s-- rsp�n�,:�nre� Contact Informati ft 6,31- - DS `F (E-:Mail&Telephone Number) Property Address / Location of Construction Site: S<2 o S.C.T.M. #: 1000 District 3_ C L1111c Y Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT Q Area of Disturbance is less than 1 Acre. No S.P.D.E.S. Permit is Retiuired Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Re uired 1 �❑ - 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.E.S. Permit DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Building Permit. ❑ - Area of Disturbance is Greater than 1 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 En ineerin De artment Prior to Issuance of a Building Permit. Reviewed BY //y "'�' � Date: ✓ U S FORM SMCP-TOS December 2024 , 1. CNJ/ Generated by REScheck- eb Software Compliance Certificate Project Zuhoski Residence Energy Code: C 2018 IECC Location: -CIu —046e�, New York Construction Type: Single-family Project Type: Addition Project SubType: None Orientation: Bldg. faces 225 deg. from North Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: All Electric false is Renewable false Has Charger false Has Battery: false Has Heat Pump: false Construction Site: Owner/Agent: Designer/Contractor: 3870 Bridge Lane David Zuhoski Brett Kehl Cutchogue, NY 11935 3870 Bridge Lane Kehl Design Assoc. LLC. Cutchogue, NY 11935 265 jasmine Lane 631-740-6035 Southold, NY 11971 631-433-9084 ssbn654@optoniine.net GC: 0.40 Your SHGC: 0.22 Compliance: 13.3%Better Than Code Maximum Ue 3h Your Un 26 Maximum SH The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. minimum-code home. " ° " " tp"n 6�n A��:Sc:l'aecNc. F.ac:N�n sIla�a-�au'a...��p"ale Slate on-grade uade�roffs are no Ilo nge.u"con"nsided-e d ilrra�ec���unA or,p ealrn�auPgY cr�cie irnllu�14�Go�e p l � , It �ins DOES NOT provide an estimate of energy 1OR"pa.se or clon'tid.R"at nst 'N"ne��ve to the mu A OP.. .OI"�C."nV"r"nar�Pnh.e..CeDII"n"n:�lla�n�"e� :�aadal�9� and depth IY"�" n"nn�'e��ne.lnts. asse*rrr Ny era�.iac..spe.cufoe d c 1fir°mnate En v e I 0 A—Ss-QM bfies 777"7777777 Gross Area Cavity . . Perimeter MO Ceiling: Flat Ceiling or Scissor Truss 100 19.0 30.0 0.020 0.026 2 3 Wall:Wood Frame, 16" o.c. 81 21.0 0.0 0.057 0.060 4 4 Orientation: Front Window:Wood Frame 4 0.290 0.320 1 1 SHGC: 0.31 Orientation: Front Window 1:Wood Frame 6 0.290 0.320 2 2 SHGC: 0.31 Orientation: Front Wall 1:Wood Frame, 16" o.c. 81 21.0 0.0 0.057 0.060 5 5 Orientation: Left side Report date: 02/16/25 Project Title: Zuhoski Residence Page 1 of 2 Data filename: Gross Area Cavity Cont. Prop. Req. Prop. Req. Wall 2: Wood Frame, 16" o.c. 81 21.0 0.0 0.057 0.060 4 4 Orientation: Back Door:Glass Door(over 50%glazing) SHGC: 0.18 19 0.280 0.320 5 6 Orientation: Back Floor:All-Wood Joist/Truss 100 30.0 0.0 0.033 0.047 3 5 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2018 IECC requirements in REScheck Version : REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Report date: 02/16/25 Project Title: Zuhoski Residence Page 2 of 2 Data filename: 9� 0 c° NO A A�,ts1T1ON l O HOifS[ IM coos- (2,P �312i6 0 } Nl=-tiV I-AoNts�p_-l1 Mvfl •� .3 xZ �o 12uaM A�Dii1�n1 O P� u i b�lAs-_ 00 o = N F VQ M S T'F-IL $uppft � O � Spa K co MOLE FAMILY NO WE I WI TOHA ifs BE AND xv . - afttion SURVEY FOR -- - - DAVID ZUHOSKI a JACQUELINE ZUHOSKI LOT 17 ISMAR ACRES NOV 21, 1986 APR. 17,1986 AT CUTCHOGUE DATE AUG. 6, 1985 TOWN OF SOUTHOLD SCALE I" 0 50' SUFFOLK COUNTY, NEW YORK NO. 85-867 Is UHAUTHORIZE0 ALTERATION OR ADDITION TO THIS GUARANT IeOOF SURVEY 0 A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW AMER A NCE CO. II COPIES OF THIS SURVEY NOT SEARING THE LAND A. SURVEYOR'S INKED SEAL OR EMBOSSED 'SEAM SHALT SOU �O W. •�� NOT Olt CONSIDEREDTO BE A VALID TRUE COPY NGUARAIITEEII INDICATED HEREON SHALL RUN ONLY TO DA A E OS I HEALTH DEPARTMENT-DATA FOR APPROIA4L TO CONSTRUCT THEPERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- *NEAREST WAIF INI®.,-IMIF #SOURCE OF WATER=PRI%ATE—PUDIC_- MENTAL AGENCY AND LENDING INSTITUTION LISTED + N SUFF CO.TAfIN11AP CTION_114—BLI1ALOT Is2 HEREON,AND TO THE ASSIGNEES OF THE LENDING NTHERE ARE NO V#ELLINNIS WITHIN TOO FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT {I N THE WATER SUPPED AND SEWGE DISPOSAL SYSTEM FOR THIS ROI DENCE OWNERS WILL CONFORNI TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *DI STANCES SHOWN HEREON FROM PROPERTY LINES OF HEALTH SERVICE$.. TO EXISTING STRUCTURES ARE FOR A SPECIFIC APPLICANT- PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS I t�0 [ AD, lEAIRAVI�I�iUE TEL. YOUNG & YOUNG VER1�t OR NOTE : A MONUMENT =STARE _ SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG,PROFESSIONAL ENGINEER SUFF. CO.ON MAR.13,1973 AS FILE NO.5872 AND LAND SURVEYOR N.Y-S.LICENSE NO.12845 ; if THE LOCATIpIOF WELL(W),SEPTIC LANK{STIS CESIMOLs(g)SHOWN HERE HOWARD W.YOUNG, LAND SURVEYORON N.Y.S.LICENSE NO 45893 1► ARE FROM FIELD OBSERIMTIONS AND OR DATA OBTAINED FROM OTHERS BRANDIS A SONS INC. 1046 -