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Home My WebLink About29058-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29893 Date: 12/08/03 THIS CERTIFIES that the building ADDITIONS Location of Property: 11610 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 5 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 30, 2002 pursuant to which Building Permit No. 29058-Z dated JANUARY 3, 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 AND ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES A CARDONA JR & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 78164C 10/22/03 PLUMBERS CERTIFICATION DATED N/A Authorized Sign re 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 FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29058 Z Date JANUARY 3 , 2003 Permission is hereby granted to : CHARLES A JR & WF CARDONA 11610 MAIN BAYVIEW RD SOUTHOLD,NY 11971 for ADDITION/ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 11610 MAIN BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 088 Block 0005 Lot No. 026 pursuant to application dated DECEMBER 30, 2002 and approved by the Building Inspector to expire on JULY 3 , 2004 . Fee $ 150 . 00 r 7) Aut ori ed Signature ORIGINAL Rev. 5/8/02 q �P -- 4 ,`)�� 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 with the 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. Approval of electrical installation from 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,' dditions to dwelling$25.00 lterations to dwelling$25.00, Swimming pool $25.00, Accessory building$25.00, ttions 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, Commercial $15.00 Date. D E C 14 , 4 0 03, New Construction: y� Old or Pre-existing Building: (check one) Location of Property: I I to 10 h'1 r4 11-I T3 t4`1 V I E W R o t4 D Sc N T H c L D House No. Street Hamlet Owner or Owners of Property: C 11=14 P4 L E S A. T�- 4 W F Suffolk County Tax Map No 1000, Section U if .an Block p OL,v Lot o a 6 Subdivision -(-g_x p, g !j w A T Ep2C Filed Map. a 9 a I Lot: air Permit No. _7_ Date of Permit. T n N� 3 Applicant: U;r0 A q L Es tq . 0 ya R a a M Health Dept. Approval: N.v+ Underwriters Approval: ✓c o pg ✓+TTYa c W 6D Planning Board Approval: tv✓] Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ C L Applicant Signature Electrical Inspection Certificate Issue Date Electrical Inspection Service,Inc. Application 10/22/03 375 Dunton Avenue 78164C East Patchogue,New York 11772 (631)286-6642 Issued To: Charles Cardonna Street: 11610 Main Bayview Road Village: Southold Zip: 11971 Town: Southold Section: Block: Lot: Contractor: Jemm Electric (L) (cc) Lic. # 4565-E Was examined and found to be in compliance with the National Electrical Code. ❑ Commercial ❑ NV Defects ❑ Pool ❑ 1st Floor ❑ Indoor ❑ Basement ❑ Hot Tub 0 Residential ❑ Det.Garage ❑ Attic ❑ 2nd Floor ❑ Outdoor Addition ❑ Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 8 12 17 4 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves 1 1-40A 1 Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzl Television CO Detector 1 300 1 / Bldg. Permit: Other Equipment 0' Track Light 0' Baseboard Heat Kickspace Heaters Hugo S. Surdi 150Amp Panels President Rough Inspection: 07/22/2003 Inspector: Jerome Damicw Final Inspection: 10/21/2003 Inspector: Sean P.Hightower This certificate must not be altered in any manner. Inspectors may be identified by their credentials. DONALD G. FEILER * ARCHITECT 11725 Main Ra•Box 1692•Matiltuck,NY 11952•6312985453•Fox 2981380 14 May 14, 2003 i Mr. John Boufis Town Of Southold Building Department Southold Town Hall Main Road, Southold, New York Re: Proposed Addition to the Cardona Residence 11610 Main Bayview Road, Southold, NY Building Permit # 29058Z Dear Mr. Boufis: In regard to the concrete block foundation installed at the above mentioned project, I can certify that this substitution (for poured concrete) will be adequate for its use. DSE A.?•^y�er O� IN `P� 01556 O� TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREETVILLAGE DIST. LOT T— SUB. � — k�iff FORMER OWNER L ei rxlw T� 7-vR/-i E A �VUNIJ,ERS lKG�s.ES �K �.. S W TYPE OF BUILDING RES. Z�D SEAS. VL FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS -- 00 &CSD / r 1 6 ; o-v act i ^ � SF1cE 4//3/73 Sroo --- _—Lo a3 3 17 ss o G? oq�� A i r �x o spa I P 1 j R�9 eek y- AGE BUILDING CONDITION --- NEW NORMAL BELOW ABOVE FARM Acre Value Per Vclue Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD — Meadowland ��L DEPTH House Plot °r v BULKHEAD Total DOCK MME Nei �� E ■■ ■ ■■ I �l■■'i'■i■■S=i ■ NWN% NE MME til ■■■I ■N■!®■!■! MEN ME Basement .. Interior • . •• — " �'�•'4�`��Pte_ WM� 11 1*0 - • i ---rrY'I sT A ti O � _44 U i N 5l4xlo.G��•R. o I x - d • , � -- _.—gyp _p '_ _ �-=� -- � o„-- N W " G „ xm BUILDING PERMIT EXAMINER CHECK LIST V.� DATE REVIEWED: APPLICANT:/ A '' _ 2_)14i-ewr DATE SUBMITTED: /3o /02 SCTM#DISTRICT: 1_,000, SECTION: BLOCK: 5 LOT: c596 STREET ADDRESS: I(610 Me,,. 78PvtURk)CITY Dao ' SUBDIVISION: PROJECT DESCRIPTION: j444trl6.vS r r-AwT'toAtS ESTIMATED PROJECT COSO_ATIED�befoTMune .. CHITE /ENGINEER: 0qlt� FAST TRACK? 11o_ SINGLE& SEPARATE CER -REQUIRED? Aoo NOTES: LOTS 4Q000SF-100-24.Lot recognition(CR 30, 1993),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at anytime after 7/1/8. ZONING DISTRICT: A-t/) CONFORMING? A& REQ. LOT SIZE: ACT. LOT SIZE:/ REQ. LOT COV. ACT. LOT COV. REQ. FRONT ,45 PROP. FRONT_ REQ SIDE 1D 1.5' ACT. SIDE REQ. REARSri PROP. REAR REQ. H IGHT PROP. HEIGHT WATER FRONT? IOf DESCRIPTION: PANEL #: FLOOD ZONE:, — APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES o& (BED #): DTE: /_/_ PERMIT#:RIO- TOWN SEPTIC RECEIPT: Y NEW YORK STATE DEC: Pxe- c 9/1/75 YES SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES o NYS ENERGY YES R NO EGRESS (18 H nun.? 4 sq total) VENT(SQ. FT. x 4%) LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP,-)(qE3C, -Z/C/0 Z- iSK}r- �cl(lc'AI{z HAVE PRE CO'S : Y OR N BP -Z/C/o Z_ NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: awl/ SF FEE FEE FEE 1. ( SF)- (_ SF)= SF X $ _$ +$ +$ _$ 15-() 2. ( SF)- ( SF)= SF X$ _$ +$ +$ _$ 765-1802 BUILDING DEPT. INS ECTION [ ] FOATION 1ST [ ] ROUGH PLBG. [ OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP CE CHIMNEY REM DATE Ap INSIDECTO ) 05-,y M-1802 BUILDING DEPT. SPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY /� REMARKS: �� / 0 C��liri - DATE 45-A111INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ]:0UATIONN IST [ ] ROUGH PLBG. O DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY = R MARKS: G� Ale DATE INSPECTO gqo 6yj 765-1802 BUILDING DEPT. INSPECTIONL [ ] FOUNDATION IST [ ] ROU P /jOUNDATION 2NDNSULATI RAMING0 [ ] FINAL [ ] FIREPLACE & CHIMNEY RE ARKS: C�dl DATE c INSPE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLE CHIMNE REMARKS: DATE INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING [ INAL [ ] FIREPL & CHIMNEY RE RK . DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLE C IMNEY REMARKS: DATE ` �� INSPECT t 1 1 , �• , � , f I:d FOUNDATION(1,/ 0011-1-10I, / 115 FOUNDATION(2ND) ROUGH FRAMING& PLUMBING / INSULATION E. �✓/ Ifi%,G%lam_)�i i �il� S:% � STATE ENERGY CODE Lam: i Com' TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans ✓ TEL: (631) 765-1802 Planning Boo�rd approval FAX: (631) 765-9502 Survey ✓ www. northfork.net/Southold/ PERMIT NO. lChecks '161 Septic Form N.Y.S.D.E.C. Trustees_ Examined I 3 ,20 3 Contact: Approved ,20 3 Mail T. Disapproved a/c 11(016NAu+ B.4Yu1J5•vzo Sets Ma-a,NY Phone: o 31- 7 u &--16 IG Expiration n i 20 ? G' _ r��'_ Building Inspector AARP CATION FOR BUILDING PERMIT Date 0,= c 3o . 20c-), INSTRUCTIONS A a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on 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 throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the properly have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, or 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 for necessary inspections. �� (Signature of applicant e,if a corporation) lI S:Ic 14R1ry 13 AYu1r'...+; 1=J, SewikcW N-1. l/97/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OwNI=k, Name of owner of premises C A R o v 1'qi C ti A R I.1-5 R . 7r d w F (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer N . A (Name and title of corporate officer) Builders License No./ e Plumbers License No. -'-V Electricians License No. ',y Other Trade's License No. a 1. Location of land on which proposed work will be done: �c 11(010 i,4 E319-1011-=VuIzD 1- o4 r'H L:LO House Number Street Hamlet County Tax Map No. 1000 Section 0 y o o Block 0 s. J o Lot 0 't 0. e n 0 Subdivision TGz Ry w A r c As Filed Map No. ot.q c I Lot a g (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy c M r_ r- A m,w D w Ecu r Co b. Intended use and occupancy c N r_ I=A n w D W c Lz I N 4 C✓�o o I N G- D I H I N t Qv a ti) 3. Nature of work(check which applicable): New Building_ Addition ✓ Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost * Lt 0.0 oc . cc Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units c>`I r Number of dwelling units on each floor If garage, number of cars — 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. rel 4 7. Dimensions of existing structures, if any: Front SS Rear ,$ S Depth a h Height all Number of Stories I '�Z Dimensions of SS s same structure with alterations or additions: Front ' Rear 5- 110 ' Depth "l V ` Height a INumber of Stories I 'h, 8. Dimensions of entire new construction: Front_ H ' Rear--,2_H ' Depth I b Height I H Number of Stories + 9. Size of lot: Front 9 fL, e' Rear 10,I. 4 7 ' Depth / —S—o,o' 10. Date of Purchase 114 1-7.4 Name of Former Owner 11. Zone or use district in which premises are situated R R -+f o 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V. 13. Will lot be re-graded?YES ✓NO Will excess fill be removed from premises? YES ✓NO CHARLES /a. G/�Rpi+MA, 7.. e1(� �= II bIC MAJH ij ANvtfiwleo 14. Names of Owner of premises Address s.,urmpLo- Nw. 19-1. Phone No. G3i-7tis-It 76 Name of Architect pymg,,� r,. Fr ,Lre- AddreslPe A-,$ 14got Phone NooIi-,1qv-s4ss Name of Contractor P a m o, M 4 Address rn+ "y" Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO L", * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) S: COUNTY 015 L'i R--t.Ft being duly swom, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the C w I y is ✓Z, (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi day of L 20Z lJ��r t bl' Signature of App �t � i SUSAIy J.NAGY Notary public State of New York No.4696736 Qualified In Suffolk County CiOmmisslon Expires May 20-Q3 V t/14 , aLrn�y eyaturF-�v e� bez�., V(vv ft,q 621171 r4. - iv'VW; OL✓/✓L"L —� 0 OCCUPANCY OR UNDERWRITERSREQUIREDIFICATE N.r B VNLAWrUL e G`100T CERTIFICATE AP,P!OVEDASNOTED OF OCCUPANCY �f II I S v DAT 6-9.3 ' &Rtd�• �CLL OTIFY r`ro BUILDING EPATMENT AT C `� I GJ T I r-I 61 (% FOLLOWING 9 TO / PM FOR THE fiM.t h FOLLOWI1NG INSNS PECTIONS: - 3. FOUNDATION • TWO REQUIRED FOR GH - F AMINGCONCRTE 2. SOUGH - FRAMING 8 PLUMBING -A U415. ,'1: ' N�c.-E A INALATIONn V-41'.4Y7OVA »ccF ?'/= x ,yz H„c ao��n n_ Evist vccK NBE CnMPLKTr STAOCTION-M _ —I' d New rl'w'�I' 4'q•"a (.PJ i,� t 91'�i) Ul lI AL CONCTIO LL MEI} s,) 3s •-o,• b'-o,. 12 g" L-1 TH REOUM MINTTHE N.% _ _ ,� Q 9T TE COE A'6 RUC ENERGY `, (III CO ES. �LE FOR DE IGN, ORICON"n ERROE/ U w 1 i VCMT 0 C� -- - 0 2x v. e.e p do-- 1 o -e ✓ w'h Iv' i� - - O _ LOT 24 WT r ,a N�k Gf�nklL �F1� >E —a E x -,T i �iU crow r 4 --- °� 2'' Goryc gLbn - 1 c=� 2x 'o Cmc 2x1. QI I - - a_ 1 �9 IL ] � I Y x p, p I '7 � � .,C y lJ SI4A2 � �; � LOT �'P, � % c � � I I �l N 4x4 FO,-.TV-0 ow L LJ L, LILL u 2x DpTb Fcc.n Vbnl 'ju`h 7 � l3 GW IS 3 CYd 153 Ell WSF Or' TEFNz 4' WCT�F��" �PI�E N° 90 1 amu,. 6 Imo" we p� ��I 1:o II'-D" F, 40 znN>: ----� toT ar Ep G , eO-:) (*) 75F /' f) N 19 I� °/ ( +) 1 !i �s t2'. V (o C7" C+,> b, (`,. 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