HomeMy WebLinkAbout33371-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPANTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33644
Date: 04/13/09
T~IS CERTIFIES that the buildin9 ADDITION
Location of Property: 1134 BRIDGE LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~ap NO. 473889 Section 118 Block 1 Lot 9
S%~bdivision Filed ~ap NO. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 7, 2007 pursuant to which
Building Per,air No. 33371-Z dated SEPTES~BER 7, 2007
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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to AI~AN A JR & JEANNE CARDINALE
(OWNER)
of the aforesaid building.
SUFI~DLK CO~I~fDEPAN~R~T OF ~J~R"~D~PPRO~-~J~ N/A
EI~-i-~ICJ~L U~K'rIFICJ%~ NO. N 458864 12/03/79
I~L~ERS U~RTIFICATION DA'r~a3 N/A
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUI
This application must be filled in by typewriter or ink and submitted to the Building
A. For new building or new use:
1.
:)a/tmo,~* xx/ifh fht~ fnllnwin~:
BLDG. DEPT.
TOWN OF SOUTHOiD
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/t0 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, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions 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. 41~' 16~q
New Construction:
Location of Property ~ I ~ t4 '~ ~, Et~)~
House No.
Owner or Owners of Property: 1'~ [cT~x
Suffolk County Tax Map No 1000, Section
Subdivision ~x]&¢c~l~Lcc- ~OIt~'~
Permit No. 3.'53q i Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Old or Pre-existing Building:
(check one)
-~ Hamlet
Street
II ~' Block c :,(:i (.: t Lot
Filed Map. /lc Lot:
q Iq {O '1 Applicant: ~0c~x ~ ~
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate: ~ . (check one)
~/ Applicant Siguature
THE
Date D~ ~e~fib e~'
NEW YORK BOARD OF FIRE UNDERWRITERS
BURl=AU OF I=LECTRIClTY
85 JOHN $'I'REI=T, Nl=W YORK, NEW YORK 10058
:~, ~97~ ~pplica,io.~o.o./ile ooos~ N 4588,~4
in the followlng location; ~ B~ement ~ 1st FI. ~ 2nd FI. S~tion Bilk
~ e~.~.~ o. ~ovemb e r 30 ~ 1979 ..d fo~ to be in compliance with the requirements of this Board.
HXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS
DRYERS
SYSTEMS
NO. OFFEET
E R V ! C
NO. OF CC. COND. A.W.G. NO.OF HI-LEG A.W.G. NO. OF NEUTRALS A*W,G.
Ooodale Electric Inc.
RE1, Box 15a, '~aln
Mattltuok, ~,%Y. 11953
This certificate must not be altered in any manner;, return to the office of the Board if incorrect. Inspectors
il
be identified by
credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY. OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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. 33371 Z Date SEPTEMBER 7, 2007
Permission is hereby granted to:
ALA/qA CARDINALE
PO BOX 77
MATTITUCK,NY 11952
for :
ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
THIS PERMIT REPLACES EXPIRED BUILDING PERMIT #10092Z. CERTIFICATION MAY BE REQ.
at premises located at
1134 BRIDGE LA CUTCHOGUE
County Tax Map No. 473889 Section 118 Block 0001 Lot No. 009
pursuant to application dated SEPTEMBER 7, 2007 and approved by the
Building Inspector to expire on MARCH
Fee $ 200.00
7, 2009.
-~A-~thori:
COPY
Rev. 5/8/02
TOWN OF SOUTHOLD
OFFICF. OF BUILDING INSP£CTOR '
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
~ C~~-- Applicant
This is to advise you that the job under Building
Permit No. /ooq~_ ~-~ssued to G~.~'.~ --~p~_~-~ O.~.~
on~?~ for-~-~Jc~ is completed and
a f£nal inspection has ~ ~as not~ been done.
In order to complete this file, it is necessary that
a Certificate of Occupancy be issued. Please fill out the
enclosed form(s), return same to the above office with a
check for $5.00 payable to the Town of Southold. Please
indicate to whom the Certificate of Occupancy is to be
and arrange with this office for an inspection date.
Thank you for your prompt attention.
Very truly yours,
Victor Lessard
Administrator
VL:ec
Enclosures
mailed,
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095Route 25
P,O. Box 1179
Southold, New York 11971-0959
Telephone(631) 765-1892
Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
STOP WORK ORDER - Amended as of 7/29/08
TO: Alan Cardinale, Jr.
PO Box 561
Cutchogue, New York 11935
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT:
1134 Bridge Lane, Cutcho,que
TAX MAP NUMBER- 1000-118-1-9
Pursuant to Section 275-12(B) of the Code of the Town of Southold, New York,
you are hereby notified to immediately suspend all work and building activities
until this order has been rescinded.
BASIS OF STOP WORK ORDER:
No Trustee approval for second story work or any work on accessory
buildin~/qaraRe.
CONDITIONS UNDER WHICH WORK MAY BE RESUMED:
When the Trustees issue a permit for the second story and accessory
buildin.cl/qara,qe.
DATE: July 29 2008 ~--------~ c~.~J~
Ed Forrester ~, \
Code EnforcemeM. Dfficer
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. 33371 Z Date SEPTEMBER 7, 2007
Permission is hereby granted to:
ALAN A CARDINALE
PO BOX 77
MATTITUCK,NY 11952
for :
ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
THIS PERMIT REPLACES EXPIRED BUILDING PERMIT #10092Z. CERTIFICATION MAY BE REQ.
at premises located at
County Tax Map No. 473889 Section 118
pursuant to application dated SEPTEMBER
Building Inspector to expire on MARCH
1134 BRIDGE LA CUTCHOGUE
Block 0001 ~ot No. 009
7, 2007 and approved by the
7, 2009.
Fee $ 200.00
ORIGINAL
Rev. 5/8/02
FORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFIGE
SOUTHOLD, N~ Y.
BUILDING PERMIT
(THIs PERMIT MUST BE KEPT ON THE PP, EMISES uNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
pursuant to application dated ........................~ ...................... , approved by the'
Building Inspector..~_,~ . .~~
Fee $.L...~... ..........
I~I~LD ,INSPECTION REPORT I DATE[ COMMENTS
FOUNDATION (2~)
ROUGH F~G &
PL~G
........
~S~ATION PER N. Y.
STATE E~RGY CODE
~DITION~ COUNTS
~'0uM NO. !
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
,. /--~ .~ SOUTHOLD, N. Y.
~proved ~....Z...~ ........ , ]9~ Permit No. ~..~.~..~..
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
o. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building
Inspector, with 3 sere 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 giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application.
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 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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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, os herein described.
The applicant agrees to comply with all applicable lows, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessary inspections.
(Signature of applicant, or name, if a corporation)
(Address cfi applicant)
State whether applicant is owner, lessee, agent, architect, eng'i~ieer, general contractor, electrician, plumber or builder.
...... ...............................................................
Name of owner of premises ..... ~.~,,~. ......... ~.~.~./.~.~.~... ..........................................................................
If applicant is a corporate, signature of duly authorized officer.
..... ..........
/~ (Name and title of corporate officer)
Builder's License No...:~ ....... ~ ............ .~
Plumbers' L,cense' No. /...~....~...--~.~"~
Electrician's License No .............................................
Other Trade's License No ...............................................
1. Location of land on which proposed work will be done. Map No.: ........................................Lot No .........................
and N u m be r ~"~.~4 ~:~-~.1-.'4~.......-~,~1. ~ ~.........~'~...~?).5~;4~f_.~..., .~.~'...~ .................. .~ .........
Street
co~- ~/~ ~ Municipali~
2. State existing use and ~cupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and ~cupancy ...... ~~.~ .........................................................
b. Intended use and ~cupancy ............... ~Z~.~ ...........................................................................................
3. Nature of work (check which applicable): New Building'. ................. Addition ......~. .......... Alteration ...............
Repair .................. Removal .................. Demolitior ..................... Other Work ....................................................
(Description)
~'o o o cz> ~ ....~.~.'Z=,..~.?. .....................................................................
4. Estimated Cost ...................................... tee
(to be paid on filing this application)
5. If dwelling, number of dwelling units ......... ../. ................ 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 ............................
7. Dimensions of existing structures, if any: Front ........ ~..O.. ............. Rear ...........~...O...;. ............ Depth .~..~.. ...........
Height ..../~...'. .......... Number of Stories ......... ~. ......................................................................................................
Dimensions of same structure with alterations or additions: Front ........... ~.~2. .................. Rear .... ~.7...~. ..................
Depth .......... .~.'.~....~. ........... Height ......... /..~...~ ........... Number of Stories ...... ./.. .......................
8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................
Height .................... Number of Stories .....................................................................................................................
' ' ~
9. Size of lot: Front ....... ./.~..¢......~T'.. ............................... Rear ...... /..~.....~...~ ............ Depth
10. Date of Purchase ..~7.Z'Z'.,(-,~6/.~.~z2. Z~. ...........................Name of Former Owner .:...-: ..................................................
11. Zone or use district in which premises are situated ......... ,~'~..,~..:. ..............................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...~..~. .............................................
13. Will lot be regroded .* .......................... Will excess fill be removed from premises: ( ) Yes O(') No
14. Na me of Owner of premises Z~}~/J/~.......C~'~/f'~.//~//J/-(-='-. · ....... Add ress .~'~'.~.~, .~... Phone N o. q~/~...'.....~.~. ,~.
Name of Architect .............................................................. Address ................................Phone No .......................
Nome of Contractor ~A~.i:$¢../.~.. ....... ~...~.....~.~4~'.Address-,~G.¢~ ........ Phone No.
PLOT DIAGRAM
Locate clearly and distinctly all buildihgs, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEWr'~O~ Z/. I S S
COUNTY OF~./~. ........ f ' '
· ~ I n deposes and says that he is the opplicom
..~,~...j~.......~.. ........ ...C~.~ .~.~....~......~.~. .................... be g duly sworn,
(Name of individual signing contracf)
above named, t
He is the ...... .~C~..~..~...: ...... .,~,.,,//~'. '//...~-...~..~ .......................
(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
thor the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
'"' a Public .~'~/J' X~ounty ~J--~-~ .-~--.-~ ~.-...~. ......
No~ry -' '"""~'"~"~ ......... ~!~]~~''~ ....... .,-- ' ..... '~' ............ i~i~'~'~'~'~ ' ~ ¥"~l~p I ica n t )
ELIZABEIH f~NN NRVILLE ~
NOTARY PUBLIC, State of New Yorl~
TOWN PROPERTY RECORD CARD
OWNER
FORMER OWNER
OF $OUTHOLD
I STqEET
VILLAGE
DISTRICT SUB.
ACREAGE /~
W TYPE OF BUILDING
IMP.
TOTAL
DATE
REMARKS
AGE
NEW
Farm
NORMAL
BUILDING CONDITION
BELOW ;,~O-')~ FRONTAG~ ON WATER
Ac re
Tillable I
Value Per Acre
Value j FRONTAGE ON ROAD
T
BULKHEAD
W~dlond
Sv~omplond
Brushlond
House Plot