HomeMy WebLinkAbout52108-Z a 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#: 52108 Date: 07/16/2025
Permission is hereby granted to:
Alan A Cardinale
PO BOX 77
Mattituck, NY 11952
To:
Legalize as built additions and alterations 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 05/14/2025 and approved by the Building Inspector.
To expire on 07/16/2027.
Contractors:
Required Inspections:
Fees:
. As Built Addition/Alteration $3,877.00
CO Single Family Dwelling-Addition/Alteration $100.00
Total S3,977.00
2A
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
' Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
M1n'r Telephone (631) 765-1802 Fax (631) 765-9502 htt %://www.southoldtoMMn . +ov
Date Received
APPLICATION FOR BUILDING PERMIT
D EC EIVE
For Office Use Only
PERMIT NO, S�I I v 3 Building Inspector.__ ."116b MAY 14 2025'
Applications and forms must be filled out in their entirety. Incomplete BuIl In DePa erg
applications will not be accepted. Where the Applicant is not the owner,an Of$OuU thold
Owner's Authorization form(Page2)shall be completed.
Date:May 1, 2025
OWNER(S)OF PROPERTY:
Name: Alan Cardinale SCTM#1000-106-10-1.3
Physical Address:795 Bayview Avenue, Mattituck, NY 11952
Phone#:631-298-8494 1 Email:
Mailing Address:10095 Main Road, Suite 1, Mattituck, NY 11952
CONTACT PERSON:
Name:James McKinnon
Mailing Address: 10095 Main Road, Suite 1, Mattituck, NY 11952
Phone#:631-445-9801 Email:james@cardinalemanagement.com
DESIGN PROFESSIONAL INFORMATION:
Name:James Deerkoski
Mailing Address:Deer Drive, Mattituck, NY 11952
Phone#:631-774-7355 Email:jamesdeerkoski@yahoo.com
CONTRACTOR INFORMATION:
Name:Property Owner
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
El New Structures i6o-n m' ation ,epair ❑Demolition Estimated Cost of Project:
❑Other L� 4- $ 195,000
g ,
rade m d�? ❑Yes �No Will excess fill be removed from premises? -]Yes ®No
Will the lot be re-
1
PROPERTY INFORMATION
Existing use of property:dwelling Intended use of property:dwelling
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-80 this property? ❑Yes NNo 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,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(print name): James McKinnon MAuthorized Agent ❑Owner
Signature of Applicant: Date:
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 Agent for Owner
(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
S.N day of In oL ,20a�'
Notafoublic
EARsAkAZERVOS
PROPERTY �,.III" .�,�1 Id a NOTARY PUBLIC,STATE OF NEW YORK
Registration No.01MC6101870
(Where the applicant is not the owner) Qualified in Suffolk County
Commission( iapires November 17,2027
I, Alan Cardinale residing at Cutchogue, NY
do hereby authorize James McKinnon to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Pq
Owner's Signature Date
Alan Cardinale
Print Owner's Name
2
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I At Mattituck, Town of Southold
R yp Suffolk County, New York
213_ °
\ County Tax Map , 1000 s.a 106 —10 w1 1.3
now or formerly PERMIT SU
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Deborah J. Reilly BUILDING RVEY
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°O Y AMENDED BUILDING PERMIT DATA MAR.12.2001 �goF
3 lAAP PREPARED FEtl 9.200I slog
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�,,,a, �2001-00133