The URL can be used to link to this page

Home My WebLink About51983-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#: 51983 Date: 06/09/2025 Permission is hereby granted to: Eric Klodnicki 1760 Crown Land Ln Cutchogue, NY 11935 To: legalize "as built" central air conditioning and outdoor shower as applied for. Premises Located at: 1760 Crown Land Ln, Cutchogue, NY 11935 SCTM# 102.-7-8 Pursuant to application dated 05/01/2025 and approved by the Building Inspector. To expire on 06/09/2027. Contractors: Required Inspections: Fees: As Built Addition/Alteration $500.00 CO-RESIDENTIAL $100.00 Tota I $600.00 Building Inspector JN�kcct 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 bttps://www.soutboldtgw6 . � r Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only II 3PERMIT NO. 5l Building Inspector Applications and form"s must be filled o„ut in their entirety. Incomplete � Bullmdl� applications will not beaccepted: Where the Applicant Is not the'owner,an Owngr's Au6h 11zation fo m'(Page 2)shall'b'e competed. Date: Jr i 1 Zs- OWNER(S)OF,PROP,ERTY: Name: P ri C K to d nl ckv SCTM # 1000- 102.-'7—g Project Address: -760 wn Lrc)Aok 4 v-e Ny e 19 3 S Phone#: 63 4 88 S3 I, Email: k(1 C kjod n)i C�a @ 1`1 I _ WM Mailing Address: I760 UbWn [,' } Chp 0 i9'3 S CONTACT PERSON: Name: Enc Oo d nl Clvl Mailing Address: 17bo C*owtl 1-&4 LA Cul C/4/�, Ue 1 19 3 Phone#: 631 4 g 6 S31,� Email: _el'1C Iv10 G�Y11Ckit @ f�'e�� coo DESIGN PROFESSIONAL INFORMATION: Name: N Mailing Address: Phone#: Email: CONTRACTOR/INFDRMATION;, Name: N I Mailing Address: Phone#: Email: DESCRIPTION„OF,PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑ ,Iteration ❑Repair ❑Demoliti '& Estimated Cost of Project: %Other [ bcc I /C Un1i A 0 w +5'W 1 $ Will the lot be re-graded? ❑Yes,[/-]No Will excess fill be removed from premises? ❑Yes No 1 a a PROPERTY INFORMATION Existing use of property: ��S` deia1 Intended use of property: fe� �ja Zone or use district in which premises is situated: Are there any covenants apd restrictions with respect to this property? ❑Yes L�CN0 IF YES, PROVIDE A COPY. ❑ Check 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,aherations or for removal or demolition as herein described:The appricant agrees to cori�ply with all applicable laves,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises end m'building(sjfor necessary inspections.False statements made herein are punishable a Class,A'misdemeanor pursuant to Section 210.45 of the New York'State Penal law. Application Submitted B (print n e ; ' ❑Authorized Agent warner pp Y cp � .Eric K 1od hl eke► g Signature of Applicant: 7 Date: 5 ( J ZS CONNIE D. BUNCH Notary Public,State of New York STATE OF NEW YORK) No.01BU6185050 c , Qualified in Suffolk County COUNTY OF JVI1� ) Commission Expires April 14,2�V being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (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� Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) 1, 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 DEPARTMENT- Electrical Inspector � 4 /r )Nill TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 p Southold, New York 11971-0959 ` Telephone (631) 765-1802 - FAX (631) 765-9502 amesb southoldtownn ov — seand southoltownn ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Au Information Required) Date: 5 I Company Name: HOME OWNER Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: EI C KIodn is Address: 1166 cmvin L2rj LA Cross Street: SVIAr Phone No.: 631 ? . 31io � Bldg.Permit#: 5 email: eri C 10dv k� @ t 0 -WM Tax Map District: 1000 Section: 102 Block: 7 Lot: S - �] BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):. Ce*& A/C rep laum ai+ Square Foota e: Circle All That Apply: Is job ready for inspection?: Rf YES F] NO [:]Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size 01 Ph 3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y nN Additional Information- exlght\q AC * VUroti&K ZOO, rc ft_A ed tJ(1 h 2021 PAYMENT DUE 'VII'ITH APPLICATION 060 Crown La-d bn, ''. S.C.T.M. NO, DISTRICT: 7000 SECTION:102 BLOCK: 7 LOT(S):8 MAP OF MAP OF HIGHLAND ESTATES AT CUTCHOGUE HIGHLAND ESTATES AT CUTCHOGUE LOT 9 LOT 9 4'cwam',iwi,xrri^,u' 'ti Yra }�, GRpbEA DftwE6WY W � W Op ....�....... N N —J�@du.'�{' CONC(STOxE PFTD N'1 Y.....e V4CR0(PND R.4iAI�LF t®42' r,'waw. „wt o�axr� Q LIB'"N 'II Q� LOT 10 .I' ��rryyppyy }�, yyyww+ .... .. "DE�CN Iltl1 a�•NN4.M&I *"7�� dA%1' I SIY F E L: DWEl1JNC '11MN t2,y /I160 wamww 9Nm.MAX.G9dkx ° GMAGE fl AsPIY4T DYMEwAY 2' v r „_saxc a�"aN, ., P aua ,. *^ as&u u"" w MOO 3 5 VI T e N �yq�a �M 1$S.OW ®W.Y. '� .. . N 52"51 40"W °w.v. ,,.. ac rnT TOWN OF SOUTHOLD LOT COVERAGE DWELLING W/DECK 3444 S.F. CROWN LAND LANE POOL W/PATIO: 1615 S.F. SHE® 99 S. TOTAL 5758 S.F. ., 12.4% THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. AREA:41,610.52 SQ.FT. or 0.96 ACRES ELEVATION DATUM: -._.... -_ UNAUTHORIZED ALTERAnON u'}VT ADDITION TO THIS SURVEY IS A VIOLATION OF SEC77ON 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES IS THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADDITLONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECOPESCO ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF,LOT 11 M OF N CERTIFIED TO IC KLODNICKI 11 .,'y . MAP oF:CROWN LAND LANE „r. y�+ �+ WoA.. -.---. IC II NNIFE KLODNI FILED:AUG. 27, 1975 No. 6289 M ''. SITUATED AT:CUTCHOGUE r, I TOWN OF:SOUTHOLD (CLd`'(NETHH N( W0.' C£l(JK IA 1) S1ffiVFY(�C;, PLLC SUFFOLK COUNTY, NEW YORK a � sDI '5° Pro(ess(o51a1( Land Surveying and Design N ,w1 P.O. Box 153 Aquebogue, New York 11931 FILE #221-173 SCALE:I"=30' DATE:DEC. 8, 2)21 N.Y.S. LlSC N�_ PHONE (631)288-1588 FAX(631)298-1588 O. 050882 —d.tWlg the r—d.®t emb�a J.a--sy rp K—th U.eoycb„r