HomeMy WebLinkAbout51485-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#: 51485 Date: 12/17/2024
Permission is hereby granted to:
Alan A Cardinale
PO BOX 77
Mattituck, NY 11952
To:
Install window and door replacements in-kind to an existing single-family dwelling as applied for.
Premises Located at:
795 Bayview Ave, Mattituck, NY 11952
SCTM# 106.-10-1.3
Pursuant to application dated 10/23/2024 and approved by the Building Inspector.
To expire on 12/17/2026.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Total S350.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
i � ✓ Telephone (631) 765-1802 Fax (631) 765-9502 hgps://www.southoldtomLnny.ggv
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. I Building Inspector:
_A'i�
Applications and forms must be,filled out in their entirety.Incomplete
applications will not,be accepted. Where the Applicant,is-not the owner,an BUILDING DEPTH
Owner's Authorization form(Page 2)shall be completed. TOWN OF SO z 3THOLD
Date: 10/8/24
OWNER(S);OF PROPERTY:
Name: Alan Cardinale 7[�SCTM#1000- 106-10-1.3
Project Address: 795 Bayview Avenue, Mattituck
Phone#: 631-298-8494 Email:aIan@cardinalemanagement.com
Mailing Address: 10095 Main Road, Unit 4, Mattituck
CONTACT PERSON:
Name: James McKinnon
Mailing Address: 10095 Main Road, Unit 4, Mattituck
Phone#: 631-445-9801 Email: james@cardinalemanagement.com
DESIGN PROFESSIONAL INFORMATION:
Name: n / a
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: property owner
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
0 other Exterior-new windows and doors in existing openings,new siding,trim,roofing. See below. $ 50,000
Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes ®No
Interior- new flooring throughout, new interior doors, new trim, patch drywall where needed, paint all areas.
1
PROPERTY'INFORMATION
Existing use of property: residence
Intended use of property:Same
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-80 this property? ❑Yes RNo IF YES, PROVIDE A COPY.
8 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,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 210AS of the New York State Penal Law.
Application Submitted By(print name): James McKinnon BAuthorized Agent ❑Owner
Signature of Applicant: Date: October 8, 2024
STATE OF NEW YORK)
SS:
COUNTY OF
James McKinnon
.being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Project manager
(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
A day of D ot'e' 20
tary Public
BARBARAZERVOB
NOTARYPUBLIC,STATE OF NEw Y013K
PROPERTY OWNER AUTHORIZATION Registration No.01 MC6101870
Qualified
(Where the applicant is not the owner) i Suffolk County
t
Commission Expires November 17,2B27
I
plA,>L �O✓C�� „c_ residing at 13 g1�S a*#c -Blvd 1 d w
jt'0-VsoaV' 1� ru— do hereby authorize amen M#7170A to apply on
my behalf to the Town of Southold Building Department for approval as described herein..
a/z�� /0 )10)-,)-q
07 wner's Signature Date
Ca roc
Print Owner's Name
2