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Home My WebLink About29347-Z FORM NO. 3 TOWN OF SOUTHOLD \ ) (D ` D 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. 29347 Z Date MAY 1, 2003 Permission is hereby granted to: ALAN A CARDINALE PO BOX 77 MATTITUCK,NY 11952 for INTERIOR ALTERATION TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR "AS BUILT" at premises located at 10095 MAIN RD MATTITUCK County Tax Map No. 473889 Section 142 Block 0001 Lot No. 026 pursuant to application dated MARCH 26, 2003 and approved by the Building Inspector to expire on NOVEMBER 1, 2004 . Fee $ 400 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 FIELD INSrECTION R19PORT DATE COMMENTS , 2 b FOUNDATION(1ST) . H ------------------ FOUNDATION(2ND) t O ROUGH FRAMING& PLUMBING H INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL CONI EK%4TS r, cC C Z' m O x C t4 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 Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. �/3�/ Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved 20 Mail to: Disapproved a/c Phone: �P3 Expiration 20 Building Inspector APPLICATION FOR BUILDING PERMIT Date , 20 INSTRUCTIONS 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 property 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. =�K� (Signature of applicant or name,if a corporation) �cX T7 M Jt&ck � II qSD-0077 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder ow n4,✓ Name of owner of premises P I a n A - (2 a rt f ►n cz l-e—, (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: (19�'wioksly err 001& 6-y� i 00 a S11'1a�rt cidcl 12+ 5� ala-6(r�t+.�1t �2 NltrC,�t�k I,` IISS 2� House Number Street Hamlet County Tax Map No. 1000 Section--!! 7 3 g g q Block I q A Lot — (� Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: . a. Existing use and occupancy M M e r e t A rk+&� I b. Intended use and occupancy 5a rn e 0A C' Z'I t- 3. Nature of work(check which applicable): New Building Addition Alteration ✓ Repair Removal Demolition Other Work (Description) 4. Estimated Cost a SU O ` Fee (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. eke c-+vie-4-5kee+oa . 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 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? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address 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 * 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) SS: COUNTY 0161A41-0' 1-9-) .4l.A s CAdZ), 4"E, being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 this 8 day ofMAa ej_ 20113 Notaryblic Signature of Applicant JANETV.STEWART NOTARY PUBLIC,State of New York No.52-460633485 Quiif d in Suffc�*.GGJnty ComfT,satin Exp-irvs N--,v-30,20 o�*oF so�ryol � o Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 20th 2006 Alan A. Cardinale P.O. Box 77 Mattituck, N.Y. 11952 RE: 10095 Main Road SCTM# 142 0001 026 Dear Mr.Cardinale, Please be advised that you have several expired Building Permits. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. BP#28866 Expired 10/04 Renewal Fee $150.00 BP#27935 Expired 12/02 Renewal Fee $200.00 BP#29830 Expired 10/05 Renewal Fee $200.00 BP#29347 Expired 05/05 Renewal Fee $400.00 Total $950.00 To renew your Building Permit, please submit the fees listed above, at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. AV i ij x S• M 6. • - 7. 10. wot 1C riisa�l�r y ! x f { i t y ! a r KI a` � r • ALL CMM=QN SHAM N OF NM YM STATE. . S - , -- - OWANCY OR }� 4,0, E UNLAWFUL WITHOUT CERTIFICATE - UPANCY vrc J_ 4-7 As MOTO DAM ! B.P.#� G DE PAR'PP AT 9 i + t4o -10.4 F!! FOR THE AL- i" i 3 ii N►{ Z �M : s . A tJ ��' t fwc.; 012644 izvt w ,,