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Home My WebLink About43447-Z � L 'gUFFO(,f Town of Southold �orA �OGya, 6/27/2020 0 P.O.Box 1179 o _ 53095 Main Rd o ; Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41214 Date: 6/27/2020 THIS CERTIFIES that the building COMMERCIAL ALTERATION Location of Property: 10095 Route 25, Mattituck SCTM#: 473889 Sec/Block/Lot: 142.4-26 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/25/2015 pursuant to which Building Permit No. 43447 dated 2/5/2019 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: commercial alteration for real estate office as applied for. The certificate is issued to Mattituck Plaza LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43447 6/16/2020 PLUMBERS CERTIFICATION DATED N'�.s Y. A tho od Signature al FfU( TOWN OF SOUTHOLD BUILDING DEPARTMENT x 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 #: 43447 Date: 2/5/2019 Permission is hereby granted to: Mattituck Plaza LLC PO BOX 77 Mattituck, NY 11952 To: Commercial alteration - interior demolition - (Starbucks/Capitol One expansion) as applied for. �� Z�A<L'e—�' Replaces BP# 39926 C6 At premises located at: 10095 Route 25, Mattituck SCTM #473889 Sec/Block/Lot# 142.-1-26 Pursuant to application dated 2/5/2019 and approved by the Building Inspector. To expire on 816/2020. Fees: PERMIT RENEWAL $300.00 Total: $300.00 Building Inspector o��uFF TOWN OF SOUTHOLD BUILDING DEPARTMENT y g TOWN CLERK'S OFFICE �y • 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#: 39926 Date: 7/7/2015 Permission is hereby granted to: Mattituck Plaza LLC PO BOX 77 Mattituck, NY 11952 To: Commercial alteration - interior demolition - (Starbucks/Capitol One expansion) as applied for At premises located at: 10095 Route 25, Mattituck SCTM #473889 Sec/Block/Lot# 142.-1-26 Pursuant to application dated 6/25/2015 and approved by the Building Inspector. To expire on 1/5/2017. Fees: COMMERCIAL ADDITION/ALTERATION $250.00 CO -COMMERCIAL $50.00 Total: $300.00 Building Inspector Form No-6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. 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 2/10 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 - 3:'-Copy of C6i-tifi60fe of O6ciipancY___$.'25 - 4. Updated Certificate of Occupancy- $50.00 --- - ----- --5.- Temporary-Certificate of-Occupancy_ $15 00 Date. �' 2 New Construction: 1 Old or Pre-existing Building: /� (check one) M C 7'��,�/L ? 10—Z-L L Location of Property: 13 0� 1 oC,--L--^ �"t e^ �-o I�c-+4 1 7 y Cc House No. Street Hamlet Owner or Owners of Property: A C --,—rc4 t ^e.I-e Suffolk County Tax Map No 1000, Section 7 Z Block Lot Z� Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature i I , J F SO�j�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 117Q Sean.deviin(a)-town.southold.n Southold,NY 119711-0959 .c" ® �® Y•us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To. Mattituck Plaza LLC Address: 10095 Route 25 city:Mattituck st: NY zip: 11952 Budding Permit# 43447 Section: 142 Block: 1 Lot: 26 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Manorville Electric LLC License No: 51495-ME SITE DETAILS Office Use Only Residential Indoor X Basement Service Only Commerical X Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 11 Ceiling Fixtures 2 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel 150A A/C Condenser Single Recpt Recessed Fixtures 3 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures 2 Time Clocks 1 Disconnect Switches 5 Twist Lock Exit Fixtures 1 Combo SD/CO 5 Other Equipment. Exterior Soffit Lights-7, 2x2 Led Panels-5, 2x4 Led Panel-1 Notes: Commercial Office Renovation Inspector Signature: Date: June 16, 2020 S.Devlin-Cert Electrical Compliance Form As oFsouT # TOWN OF SOUTHOLD BUILDING DEPT". �ycouFm '' 765-1802 INSPECTION _ [ ] FOUNDATION 1 ST [ ] OUGH PLBG. [ " ] OUNDATION 2ND [ INSULATION/CAULKING [ FRAMING,/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION �`[ ]-FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) f ] ELECTRICAL (FINAL) [ ] CODE VIOL TION [ ] PRE C/O REMARKS: W4ot,, f�jftlid � �►,.- o ` t VNAAoS rte` VA DATE INSPECTOR aOFSO"Ty y -t� q Ll # # TOWN OF SOUTHOLD BUILDING DEPT-. co 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] 'FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION '\ ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE << �i I INSPECTOR o�OF SOUTyoI � ! L` 7 16 0,15- t S il f All # TOWN OF SOUTHOLD BUIL-DING DEPT. `�couN►va�' 765-1802 INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: s DATE Z ZO INSPECTOR rsf s TOWN OF SOUTHOLD'-BUILDING DEPT. co 765-1802 INSPECTION FOUNDATION 1ST ROUGH PLBG. FOUNDATION 2ND SULATIOWCAULKING FRAMING/STRAPPING FINAL FIREPLACE & CHIMNEY_� FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION ] TIRE RESISTANT PENETRATION ELECTRICAL (ROUGH)' ELECTRICAL (FINAL) CODEVIOLATION PRE C/O REMARKS: C4�4t 4 — I fin 06&� q&k-r, -40 0 -DATE- INSPECTOR I Vi itu wl IIA : 0 IN5UL ATION wt� 7� NO DEMME MiMMEAVATISM fill 'WA U.W � � / � � ,rte/ ,.�fi /. '�� f.►l/, �� • *;i0mw • �> lip ' w�► s, r r 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 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT N �� - Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application w1 Flood Permit Examined ,20 i I Single&Separate (� Storm-Water Assessment Form ' 25 Contact: Approved ,20 _ Mail to: PT Disapproved a/c a nr 0 1 pp I TOW ! SC) �� U, U30 17-5-6 �s��-�h�� ►� 1 )�SZ Phone: 3 1 — I Le 1 Expiration ,20 uildi Inspector APPLICATION FOR BUILDING PERMIT Date ' z3 , 20�_ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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. (Signature of applicant or name,if a corporation) h-• 1 C-L,c e 1 J+o..,,,� c_+A" 1.2cli113�3 (Mailing addres of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Cp Name of owner of premises 41 eCIrd I'n I /__'N '-4�,-} �, )L .S11 0 (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: CHamlet House Number Street . County Tax Map No. 1000 Section 7 ��'1`= Bloc k• -° 13- = =+ 'Lot 2 b Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy e 'R> b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 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 4i1 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. \-z-e A,• � 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 A I Ocrdin 0-e 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O Uf1 ,C-, being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the A�4 r (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-�- a5lth day of t t�f)!E— 20 15 lAa�c� of ww�� NRACEY L. D Notary Public Si nature ofA lic NOTARY PUBLIC,STATE OF NEW YORK g pp NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2WA Scott A., Russell STO>][ AWWAT]EIK ZI SUPERVISOR 0 =� IWA\N A(G►]EMC]EN T SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑ff A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ; El[ErB. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑[3"C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. nal). Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑[Eft. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑ ] F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date n-�7 Distract NAME: !'�� t� �C T L � �Z (P„mi Section Block Lot �'S---'""' q FOR BUILDING DFPA1tTN-1ENT 1,ti;E ONLY •' Contact Information- 3 1 4..'S- 15 - Reviewed By: AW Date. j - - - - - - - - - - - - - - - - - - �,'r�JC�/-� Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — M �—�'"a^1 T't�C�� Q � �2...� a Approved for procesatng Building Permit. JStormwater Management Control Plan Not Required OC- El Stormwater Management Control Plan i�Required (Forward to Engineering Department for Review.) FORM " SM CP -TOS MAY 2014 j'1•�'-:,Pr J` y�FFtJ4/ r', WILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town_ _Hall Annex- 54375 Main road - PO Box 1179 x� "NO V ) 3 2019 Southold, New York 11971-0959 4 Telephone (631) 765-1$02 - FAX (631) 765-9502 -Tb§# southaldtownM9oW- seand[a�southaidtawnny gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ni information Required) Date: Company Name: ajl , Name: License No. �f rc'� email: Address: G Phone No.: JOB SITE INFORMATION (All Inf�matlon Required) Name: ,r4t Address: l 0 045 Crass Street: Pc_C,-{oi Ave— Phone No.: 131-.10-11�% - qq 9,4 Bldg.Permit#:_ g4Ltq - email: Qdza r?(,ne. ��-{� Tax Map Distrrct• 1000 Sectipn: f Block: �» Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: ' NO Rough In Final Do you need a Temp Cerfnccate?: YES/ NO Issued On Temp In1Ibrrt Vbn: (All informaVon required) Service Size 1 Ph 3 Ph size: A #Meters Old Meter# New Service- Fire Reconnect-Flood Reconnect-Service Reconnected-Underground-'Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: 1!AYMENT DUE WITH APPLICATION Request for Inspeetion FormAs PERMIT# Address: Switches r- ( Outlets G FI's Surface J Sconces H H's I I UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer AC AH Mini /`)\� Special: I / Comments VIM cr L \, z Southold Town Building Department �o��S�FF01 P.O.Box 1179 Permit#: 39926 a y 53095 Main Rd o _ Southold,New York 11971 Permit Date: 7/7/2015 mol �+ao 'n (631)765-1802 Expiration Date: 1/5/2017 - Parcel ID: 142.-1-26 BUILDING PERMIT RENEWAL LETTER Dated: 1/23/2019 Applicant: Mattituck Plaza LLC Location: 10095 Route 25,Mattituck Work Description: COMMERCIAL ALTERATION Commercial alteration- interior demolition-(Starbucks/Capitol One expansion)as applied for A FEE OF $300.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Mattituck Plaza LLC Address: PO BOX 77 Mattituck,NY 11952 'The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold,New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. JIM DEERKOSKI, PE A P OVER AS NOTED phone: (631) 298-7116 DATE , S.P.# vT NO IFY BUILLAI?G UEFA, )r) 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE DRIVE THRU 2. ROUGH - FRAMING & PLUMBING 3. INSULATION V) 4. FINAL - CONSTRUCTION MUST Z N BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS 0 Q a SIGN OR CONST UCTION ERRORS. OR �--~ z 1)REMERS DEMOLITION NT WALLS TBD „'•/ NEW LAYOUTTO FOLLOW./ NEW PLAN TO BE SUBMITTED �I v 4)WALLS ALONG PERIMTER WITH Lu�1 OTHER \II L ti STORES TO BE 1 HOUR F S)ELECTRICALToBE UPGRADED =-,DEMO-PREPERATION FOR I--1 AS REQUIRED D �u CAPITOL ONE EXPANSION `j H ,, __, • `fig{ OR gp^p} a ®pf rtll AWFUL - MCA TE GE _ , - Alm- DRAWN BY: JD EXISTING STARIBUCKs LOCATION 6/15/2015 OF NEW SCALE: SEE PLAN e,0t_`� WITH ALL CODES OF �� v y '-TATP � & TOWN CODES ,, T �g �. n�FR�ro�,� ga- U zr . 2 IS LLI SHEET NO: I _ �Ste, T .^y ,� •.1 r' OA 725a SC-7 �,' , , � 5 ROFEssI -® N Y.S. I 631.298.2250 michael@mchdesignservi ces.com l • t w ti WALLS / DOORS ADDED 0 ❑ 0 ❑ ❑ EXIST G BATH Y STORAGE ROOM �, TO MAIN a N � � o o OFFICE U C%14Ln z O V �D co ❑ ❑ W � �' � 4r-10/ 8'-911� ° E--� ❑ ❑ i RECEPTION /WAITING -OC.0', EXISTING BANK ! AUG 3 0 919 PROPOSED REALESTATE .7 7T.}FTP T� NEW DEF,Q� DRAWN BY: JD m- 072 z Z � 072502 � 8/30/2019 FLOOR PLAN AR° ESSl° SCALE: SEE PLAN SCALE. 1/4 - V-0" Jfl9'0 aSHEET NO: ❑