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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