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Home My WebLink About14177-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...7~3.4~.4.3 ......... Date ...lyl.a~..2..9 ........................ 19.8..6 THIS CERTIFIES that the building .. ?.d..d~.t.5:.o..n .................................... Location of Property ~.6.4.[~0..M.a.~..n. Road Southold County Tax Map No. 1000 Section . .6..2 ........ Block . .3. ............ Lot 37 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 16 19 8.4. pursuant to which Building Permit No. 14177. Z dated . , .J.u.l.k~..3.1 .................. 19.8.5., 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 ......... ..... Addit ion..to. ~xi Sting. bll.s.J,r~ ~.s.; ....................................... The certificate is issued to ...... s.q .u?.~h~..~p..q0~pp.~..T;.o?. ............................ of the aforesaid building. Suffolk County Department of Health Approval .... .Nf.~. .................................. -UNDERWRITERS CERTIFICATE NO ~J.~. 7-11 store' #24020 Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building .... ~.99.e.s.~.9.rZ .t? .u.i.Z.d.J:..n~..~.n., .s.~.d.e.. y.a.r.d.: ...... ....... 2.8..99.5. Main Road Cutchgoue Location of Property House No. ' ................ '~'treet Hamlet County Tax Map No. 1000 Section 102 ...Block 05 .Lot 24 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... ~a..~.c.h..16 , 19 8.4. pursuant to which Building Permit No. 141767, dated July 31 19 8 5, 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 ......... Accessory building in side yard. The certificate isissued to colgate Design Corp. (Southland Corp.) ................... ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ..... lq / A Z.B.A. #3323 7-11 store ~16440 Building Inspector Rev. 1/81 ... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z.1.44~.4 .......... Date ....M.a.~..2.9 ...................... ,19.8..6 THIS CERTIFIES that the building ....... .~ddition Location of Property .... 7.47.$ 0..~.a. ~..n..R. qa..d ................ .G.r.e.e.n. ~.o?.t. .............. House No. Street Hamlet County Tax Map No. ]000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'ded in this office dated ·.. Mar ch..16 ........ , 19 .~t 4 pursuant to which Building Permit No. t. .4 .~.7.8. Z. .............. dated ... J.uly. 3.1. ................ 19.8.5., 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 ... Aa..a.~.t.~.o..n..t.q, .e.x.~.s.~..~.n.~. ?..u.s.~.n.e..s.s.. ......................................... The certificate is issued to Colcjate Desiqn Corp. (Southland Corp. ), of the aforesaid building. Suffolk County Department of Health Approval ....... N./.~ ................................ -UNDERWRITERS CERTIFICATE NO ............... N./..~ ................................ 7-11 store ~20093 Building Inspector Rev. 1/81 l~OR~[ NO. 10 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) NM 14177 Z Date Permission is hereby granted to,;, ....~...~..~/~.~. ~.. .... ...~.~.....~. ............ ~::~~.u":: : .... ...~..,.~ ~)o~. ", ' ': ...... r'~" "7 ........... "r .................... ;... , ,o...~~ ~...~....'.'.'."~- .... ~......~ ...... .¥~ at premises located at ....~...~...~.~..0. ........ .~).~...~.: .......... ..~.~..~ .......................... County Tax Map No. I000 Section ..... ..~..~...~.. ...... Block ..... ...C~....~.. ........ Lot No ........~.~ ............ pursuant to application dated ..... ..~.~ ........ /../.~ .................. , 19.~..~...~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14176 Z Permission is hereby granted to~ ~-~ ~ ..~..~........~.~.~....?..~ ................ ,~ ~. ~....~.~.~..'-,...-...~..:..¥:.....: ....... : .......... , _,, to ....................................... ,.. ............................. ~ ............ Z.-~..Z~.T...,~....~ ...................... ................ .............. .................... located at ..,~..?...to..~ ........ }~...o,~ ~ ......~ ~ ,~ .... at premises ......................... ,~ .............. County l'ax Map No. 1000 Section ...... l...O.....~.. ....... Block ...... .~ ............. Lot No. pursuant to application dated ....... ...'~..°~k....~)......L~. .................... , 19.~..~..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NR 14iT8 Z Permission is hereby granted to: .~..~..~.~..~.~ ....... .U...:.~..,. ......................... , ,o ....................... et premises located at ..~..~..~.,..~..?.......~.~....~ ...... ..~~.f..~l....:--''~ .................. County Tax Map No. 1000 Section ........ ..~...~...~.. ..... Block ....... .~ ............. Lot No......~....:.,).....: ....... pursuant to application dated ....... ...~~....'/...~. ................ , 19..~.~.'~ and approved by the Building Inspector. Building Inspector Rev. 6/30/80 ELEVEfl March 14, 1986 Ms. Helen K. DeVoe Secretary Town of Southold Office of Building Inspector P.O. Box 728 Town Hall Southold, NY 11971 Dear Ms. DeVoe: Pursuant to your letter of December 20, 1985 regarding the Certificates of Occupancy for The Southland Corporation (7-Eleven), I have enclosed a check for $15.00. Also enclosed are the application forms for the Certificates. At this time we are respectfully requesting a final inspec- tion of the storage building. Thank you for your help and cooperation in this matter. If any further information is necessary, please do not hesitate to contact me. Sincerely, ~~C~epresentative JP002:pb Enclosures 7-Eleven Stores / Zone 1189 450 Waverly Avenue / Building #3 / Patchogue, New York 11772 / Phone (516) 475-3433 THE SOUTHL/~.NO CORPORATION FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southotd, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. OEPT. TOWN OF SOUTHOLO Instructions A. This application must be filled in typewriter OR ink, and submitted I ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~perty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $1 5.00 3. Copy of certificate of occupancy $1.00 / 4.Vacant Land C.O. $5.00 / ,/~/ _.~'~/~'~-/ ~.4~, /~/ pr e~,,t o Date ..... (~/Z.~/4~...~2 ........... New Building ............. Old or .e-. ',ing Burden ................ Vacant Land ............ Location of Property ..~..~f.~,~,~.~...~ ~ .. ~.~--~./-,~L~.~. ..... House No. ~/.z~ ~. /,~ , Stroet/~ ~' //'/ Namlet County Tax Map,N~N 1000 Section// ///...~...'./.~?.~. · . Blo~k ...... ~ ..... Lot .... ............. Filed Map No ........ ;/./!?et ~ .......... i .... Permit No. /.~/[.~.. ,2.,.. DateofP~rmit 7//3..t//.'....Applicant ....... Health Dept. Approval ......... '.' .............. Labor Dept. Ap~-roval .... '.~. .................. Underwriters Approval ...... :-; ................ Planning Board Approval ..... ~.. ............ Request for Temporary Certificate ..................... Final Certificate ......... b~/ Y'.~, ............ Fee Submitted $ ..... ~. ~.~',~, ................ Construction on above described building and permit mee~s al c.o. z I YY,z ~x.~ ~~~/~licable codes and regulations. FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. OEPT. TOWN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted t~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $ :15.00 3. Copy of certificate of occupancy $1.00 / / , 4.Vacant Land C.O. $5.00 ~/ ,//,"// ~-~¢~p / _._.Date.....~/./././/'. ?..~? ........... New Building ............. Old or Pre-existing Building..~. .... ..~ ...... Vacant L~sd . ...~..~...,, .. · Location of Property..(.~...~. ~. ~7'~...~....~..~. ~.. ......... ~..~~.~, .... House No. Street . am/et Owner or Owners of Property .. ~.~../~... ~'.~~-:.~-f~./~ ....................... 1000 Section . .~..~', ¢~--~¢. ~ .... Block ...... ~ ...... Lot ..... ~-~.2 ...... County Tax Map No. Subdivision.../~.~.~.~.~....FiledMapNo'////// ..... ,~.~_~..~9~No ...... } ....... PermitNo. (~.[.~...~.Z... Date of Permit ~/~./~.~f...Applicant...~~...~_.~..~.~. ........ Health Dept. Approval ~' .Labor Dept. Approval ........................ Underwriters Approval ......... -~.~ ............. Planning Board Approval .../j//---~. .............. Request for Temporarv Certificate ...... '. .............. Final Certificate ......~/~ ~/--~.. .............. Fee Submitted $ .... ~.4~.. ................. Construction on above described building and permit meet~all aprrl~cable codes and regulations. ..--... ~/// .,- /~ z FORM NO, 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 'I APR - 2 1986 , _ T___OWN OF 9UTHOU) Instructions A. This application must be filled in typewriter OR ink, and submitted I ~ to the Building Inspec- tor with the following; for new buiidings or new use: 1, Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building, 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing a~l property ~ines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C, Fees: 1, Certificate of occupancy $5,00 2. Certificate of occupancy on pre-existing dwelling $15 o 00 3. Copy of certificate of occupancy $1.00 / 4.Vacant Land C.O. $5.00 / //~/ ~1 ~/~:, ~/ _.Date .... L~/~ .~///. ~. ~_ .......... New I~uilding .... ='. ....... Old or Pre-exist, i~g BuLIding ............ ~Vacant Land . .! Location of Property ~o.u~.~...'~.~~-. ...... }~r~;~' '~' ~? '~' ' ' .... County Tax Map No. 10OO Section,..?. dA ..... BIock~' ...../..~ ..... Lot.. ~. ,,..~=~,-~'. ..... Subdivision..(./.~~~¢~.~..) ..... Filed Map No ........... Lot No ........ . ...... PermitNo,/.?(.~'.Z'... Date i Permit ~/.~.(/*,~...Applicant. ~¢.~,~.~..~ ...... Health Dept. Approval ........................ Labor Dept. Approval .. i ..................... Request for Temporary Certificate ..................... Final Certificate ........... ' ?.... X.°'' Fee Submitted $ ..... ~. Construction on above described building and permit mej~ts aJ, F~plicable codes and regulations. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE COMMENTS ADDITIONAL CO1 lENTS: FIELD FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL COMMENTS ADDITIONAL cO~ENTS: ~-~ iDATE COMMENTS ~LD ~'~SP~CTION ~NDATION (lst) UNDATION {2nd~ UGH FRAME & PLUMBING -- SULATION FEE N. Y. STATE ENERG~ __ C,ODE -- FINAL FO 2. 3. IN 4. ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. t 197t TEL. 765-1802 December 20, 1985 DUROLINE 458 Johnson Ave. Bohemia~ N.Y. 11716 Dear Mr. Gray: I am wr±t£ng to you in regard to your letter of Dec. 11, 1985 regarding the Certificates of Occupancy for the Southoland 7/Eleven stores. I pulled the files for the permits in question. They show that no final inspection was made. In order to get the certificates we must make an inspection. Please call our off,ce to arrange this. Also I am returning your check that you sent in the amount of $30. The amount due for each certificate is $5.00. Please send us a check for $15. I am enclosing the application forms for the Certifi- cates. Please fill them out and return them with your check. If you have any questions please feel free to call our of£ice. Thank you. Yours truly, Secretary 458 iohnson ave. bohemia, n.y. 11716 (516) 56L3747 in(. December 11, 1985 Town of Southold Building Department Main Road Peconic, New York 11958 Re: Southland 7./Eleven~Cor~? Certificates of Occupancy Gentlemen: We are writing on behalf of the Southland 7/Eleven Corporation. A group of permits and certificates of occupancy were lost in the mail for bottle storage buildings that we erected for them. The following is a list of the permit numbers for which we need the certificates of occupancy. Permit 14176Z 14178Z 14177Z Store Location Main Street, Cutchogue Main Street near 9th St, Main Road, Southold Greenport We are enclosing a check for $30.00 to cover the fee of $10.00 for each certificatD. ~ Thank you for your help in this matter. Very truly yours, Thomas A. Gray Vice President Operation, s TAS/vl enCo 7GS-i,80Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~ FINAL DATE INSPECTOR 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION AND [ ] INSULATION [ ] FRAMING REMARKS: ~FINAL FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. I~OTICE OF DISAPPROVAL File No ................................Date ............. ,19 ..... To .~..~.~......C~...: .......... :I '" PLEASE TAKE NOTICE that your application dated .... ~...c~-...~.:.., ....... 19 .'~. for pe=it to const~ct..~.~.~ ~~ ................................ at Location of Property .~.~ ~.~'~P ....... '~ ~. ~J ............ ~ .~.& ......... ' Hous~ ~o. Street Hamlet County Tax Map No. 1000 Section ... ~.~ .~ ..... Block ...... ~. ...... Lot .. ~ ~ ........ Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds ~..' ~ ~ ~J ~1 .~ c~o~ ]~- [ '. ~.~.~.. ~.o..~.~:.. .~...%/.~.....~.~.. . ~ ........... Building Inspector RV 1/80 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ , ~....~., ...a~.., ~..~...~ ...... .. ......... PLEASE TAKE NOTICE that your application dated.....~.~...]..~o. ......... 19 .~.~. for pe~it to const~ct. ~~ ......... at ~s~ ~o~ .............. ~eet ~ Hamlet County Tax Map No. 1000 Section .... ~. ~ h... Block .... ~ .~ ....... Lot . .~t ~ ...... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds .~L~:c~...~.. ~ ~... ~ .~.- ~ ~:...~.~.~ ~..~..~...~.....~ .~.~..~~ . .~..~...~...~. ~..~...~.~ .......................................... ll-uilding Inspector RV 1/80 ~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No .............................. .!,...~. ~ ~ ~.~.. !?..5..~ ............ PLEASE TAKE NOTICE that yonr application dated .... '.~..%?~m. ).~. .......... ,1~ ~.}.. Location of Property ~ ~ ~ ~ ~ ~ ~ .~ -~ ~ House ~o. Steer County Tax Map No. 1000 Section .. ) .q.~ ....... Block .............. Lot .............. Subdivision .... ~ .P .% ....... Filed Map No ....... ~. ~ ...... Lot No ..... & ~ .......... is returned herewith and disapproved on the following ~ounds .~ '~ ~..~.~s.:?/...~ ..........?~, .......... ~~ ~.& ................... Building Inspector RV 1/80 T( Southold, N.Y. 11971 (516) 765-1938 July 31, 1985 Mr. William Esseks Attorney at Law 108 E. Main Street Riverhead, NY 11901 Re: Seven Elevens at Southold, Greenport and Cutchogue Dear Mr. Esseks: The following actions were taken by the Southold Town Planning Board, Monday, July 29, 1985. RESOLVED that the Southold Town Planning Board approve the site p~9~'~.f Seven Eleven located at Southold for the construction of a'~bu--~n~ ~-~n ~-~-~ a~ ~a-~ r-~sed 11/1/84 and certified by the Building Department. RESOLVED that the Southold Town Planning Board approve the site ~g~%-of Seven Eleven located at Greenport for the construction of a ~ building; plan dated 11/1/84 and certified by the Building Department. RESOLVED that the Southold Town Planning Board approve the site plan of Seven Eleven located at Cutchogue for the construction of a storage building; plan dated 3~14/84 and certified by the Building Department. Subject to the conditions of the Board of Appeals regarding variance No. 3323. If you have any questions, please don't hesitate to contact our office. Very truly yours, BENNETT ORLOWSKI, JR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary cc: ing Department and Board of Appeals Southold, N.Y. 11971 (516) 765-1938 D Mr. William Esseks Esseks, Hefter, Cuddy and Angel 108 E. Main Street Riverhead, NY 11901 May 21, 1985 Re: Seven-Eleven site plan at Cutchogue Dear Mr. Esseks: Please let this confirm the action taken by the Southold Town Planning Boar~ Monday, May 20, 1985. RESOLVED that the Southold Town Planning Board refer the site plan of Seven-Eleven at Cutchogue to the Building Department for certification. This site plan is for a storage building for returnable bottles. Would you please forward three (3) surveys indicating the easterly side yard open, with an unlocked gate, asL,per the Board of Appeals condition No. 4, for our referral to the Building Department. If you have any questions, please don't hesitate to contact our office. Very truly yours, BENNETT ORLOWSKI, JR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD cc:u~ilding Department Zoning Board of Appeals By Diane M. Schultze, Secretary Southold Town Board of Appeals ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3275 Application Dated July TO: William~W~.Essek$, 31 , l 984 Esq.-'as Attorney for SOUTHLAND'CORP .... E~~ter, ~dy & Angel 108 East Main'Street, Box 2~ ~iverhead, NY ll901, [Appellant(s)] (Public Hearing 10/25/84) At a Meeting of the the above on your Zoning Board of Appeals held on Nd~'emS~qS, 1984~ appeal was considered, and the action indic~ ~e-~.was taken [ ] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a [ ] Request for Special Exception under the Zoning Ordinance Article , Section [X] Request for Variance to the Zoning Ordinance Article VII , Section 100-71, Bulk Schedule Request for Application of SOUTHLAND CORP.~ 300 Motor Parkway, Hauppauge, 'NY (by Esseks, Hefter, Cudd~a Variance to construct building~for_ storage purposes with an insufficient sideyard setback. L6~ation of Property: South Side of Main .R6ad, Southold (7-11 Store); County T~x Map Parcel No. 1000-62-3-37. ~ .... WHEREAS, on November 14, 1984, this board received site plans as amended relocating the subject 10' by 12' storage building with a 2?-foot setback from the easterly property line (rather than a 20-foet setback as originally applied); and WHEREAS, the ~pplicant by his attorney requests that the variance application be withdrawn since it is the determination of the building in. spector that the new location would be in compliance with schedule requirements; NOW, THEREFORE, on motion by Mr. Goehringer, it was RESOLVED, be and hereby that the application of SOUTHLAND is WITHDRAWN WITHOUT PREJUDICE, as the bulk seconded by Mr. Sawicki, CORP., Appeal No. 3275, requested. Vote of the Board: Douglass and Sawicki. of all the members. Ayes: Messrs. This resolution Goehringer, Doyen, Grigonis, was adopted by unanimous vote DATED: November 23, Form ZB4 (rev. 12/81) 1984. CHAII~N, SOUTHOLD TOWN ZONING BOARD OF APPEALS FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 tpproved ...... I., 19a.g'. Permit No..I..~.1.'7~ ..~. isapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS I a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s~ts 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 oF areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/- cgtion. ! 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 issued a Building Permit to the applicant. Such permit s~all be kept on the premises available for inspection throughout the work. i e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy sfiall 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 _B[uilding 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 a~mit authorized inspectors ~tate · I ......... ............................................................................... dame of owner of premises . . .~---~..*. ~Mt~..-~..~*..-f4~./~. .~--~a~.~. ...... ?..O....4~. fo.,..~.o.4 .~ ..... .~..~...~.o/g. FT~ ./~.~..~. .... ~ (as on the tax roll or latest deed) II applicant is a corporation, signature of duly authorized officer. ...................................... (Name and title of corporate officer) on premise~ and in building for necessaE~insp0c¢gn~/) , / /'"~ ~ d~c~d/d/~r ~7c'~'~/~'' ff/(Sign_ature of al~plicanjb~9$ F~me, ff a~orporation) / (Mailing addre~df 4pplicant~ ~ ~ whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder's License No ~ Plumber's License No Electrician's License No ....................... Other Trade's License No 11 Location ofland on which proposed work will be done. /~'~'/~ /~O' ~o~-7~ .O.~.. i~e-~or .~'~' House Number Street Hamlet County Tax Map No. 1000 Section . ./..<:? .2.. .......... Block ....-~.. ............ Lot...'~....4~. ............ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 4. Estimated Cost .............................. Fee .. 5. If dwelling, number of dwelling ,units ....,~.. r..~.,. ..... Number of d If garage, number of cars ..... i ................................ 6. If business, commercial or mixed occupancy, specify nature and extent o 7, Dimensions of existing structures, ifany: Front .... (e.c~.' ....... Rear Height ... ~ .......... Number. o f Stories ...... ~.4~f. ~=T ...... Dimensions of same structure with alterationg or additions: Front .. '~ Nature of work (check which applicable): New Building 7...¢,'A~.... Ac dition Alteration Repair Removal ' Dbmolition Other Work ~'5 o ~ (Description) (to be paid on filing this application) [ling units on each floor ................ each type of use ¢.,~-o.0.~. ~-J.~..,~. ?.J..m..~'. ? .............. Depth...~ ......... ~ ~ Rear : property lines. Give street and block interior or corner lot. humber or description according to deed STATE OF NEW YORK, i~ ~ C OUNT.~.~F.~I~__J,L'I 'FT~'~'q~''~'~'~~'~'' __~__ .... J~'~ ' .... ~/~.Q.. r~ ~.~..( ................ being duly s, (Name of individual sigffing contract) / ~ (Contractor~ agent, corpo~Je off of said owner or owners, ~d is duly authorized to perform or have perfon application; that all statements contained ~ this application are true to the', t, and, indicate all set-back dimensions from and show street names and indicate whether trn, deposes and says that-tie is the applicant work will be performed in the manner set forth in the application filed therew Sworn to before me this ......... :..~..~..~.¢..~ .... dayo~' .... .~..~?.~. ?.'?.~..~. ..... 19 Notary Public, '~'~~[/ illuMES ~..~.e~...M bl~tqqE'~' .~...~...~/.~4~County. . ~~..~.~ "~10~a~¥//i/fic, s~r¢i0[ ¢~w ¥o~,x .............. j No 52-4526265 i ! ;~u~lified i. s,ttot~ County ~ (y' . (Signature f applicant Corem ss~on Expires Ma[ch 30, 19~_/; icer, etc.) ~ed the said work and to make and file this ~est of his knowledge and belief; and that the th. PLOT DIAGRAM Locate :clearly and distinctly all; buildings, whether existing or propose Depth .................... !.. Height ...................... N ~mber of Stories ...................... 8. Dimensions of ent:re new construction: Front ..../.o. ......... Rear . ./..~..t ....... Depth . t' .... Height .... /.Of. ........ 'NuL~,ber of Stories ..... O.,m,.~7. .............. > ......... 9. Size of~lot: Front .. ~'~,Oq~. Rear ... ?..7:'.7(.' ...... I ...... Depth .~.y.~.,t'~....~ Z~o, (~.o. 10. Dateofeurchase ..ii.~.~.~.'~.)/.7.'.'.'.~.'iiiiiii .... ...mameofFormer ,wner ..g/~e~,~/om,~''. .... 11. Zone or use district ~n wMch premises are situated .. .~..7. t ................ 12. Does proposed constructmn viotate any zoning law, ordinance or regulati ~n: ................................ 13. Will lot be regraded ....... ,f~'.,¢ ................. Will excess fill [ rem_9yed from premises: Yes 14. Name of Owner of premises .(~¥ ~Ar~.~)~: .x.t.~.,,.~Address .9..~.~.,:, ~.. I~..~,~P.N''. Phone No. 3. T~.-. ~t.~ .~.... Name of Architect .. ,. ..... ~ ............. Address ............. Phone No ...... Name of Contractor /4~a*,~4 ,~ ~r. q4s.r,~,~q~r/~. ~ Address/.~7.$7..~..~.~... ~.~. Phone No..x'.~..F.--'.Ca,¢~.~ .... FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 xamined...~, t~h .~'..,19.~.~-' ,proved....~..~.1.., 19~ Permit No. ' .~ ! .-].~...v%. sapproved a/c ....................... ' .............. Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins application must b~ completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s~ts 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 o~' areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. i c. The work covered by this application may not be commenced before issuance of Building Permit. id. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit stlall 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 s~all have been granted by the Building Inspector. i APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the B~ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or l~egulations, 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, ho¢~ing~ode, and regulations, and to admit authorized inspectors on premises and in building for necessary ins, l~tio~.~_~///J~. ~ ~ / \ S!ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ~..~ ~.~ t. O4z~.~.. ~-~ ,~. ~ ~ ' t (as on the tax roll or latest deed) If~ applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ...... W..; .............. 2.1 Other Trade's License No ...... . .-W77 ............ Location of land on which proposed work will be done...$j.~..//.~.. ~.t .~...~.. ~ . .~...~.~..~. ~1C..~*~..~.--. ....... .............. 9. ..... ........... . ..... ...................... House Number Street Hamlet County Tax Map No. 1000 Section ...~..~. ........... Block .... .~ ............ Lot .... X ~ ........... Subdivision ...... /g.~..e~. ........... Filed Map No ............... Lot': .............. (Name) State existing use and occupancy of premises and intended use and occnpancy of proposed construction: a. Existing use and occupancy ...7. 7-./.~...~.,~q~-..~..~.~..~.~.*- ........................................ b. Intended use and occupancy ........................ 3. Nature of work (check which ~ ' . apphcable): New Buildin~ .\: .*~..... Repair~ Removal Demolition 4. Estimated Cost ........................ , ...... Fee Ad{tition .......... Alteration .......... ............1 Other Work ................ la,<; (Description) · ........................... Dimensions of existing structure~, if any: Front .... (o .7..: ..... Rear Height ../..5'. 5 ........ Number of Stories ..... .c?t .,t<.q-~ ........ Dimensions of same structure with alterations or additions: Front ... ~( Depth .................... i.. Height ...................... N 8. Dimensions of entire new construction: Front .... ?. ~: ...... Rear . Height .../. .......... Number of Stories ..... Q,4<..c.--7 > ...... 9. Size of lot: Front .. F.4-9 ................. Rear .... (.4.~> ........ 10. ' Date of Purchase ........... , .................. Nome of Former 1 I. Zone or use district in which pr~mises are situated ....... ~5'-7 [ ......... 12. Does proposed con~,$ruction violate any zoning law, ordinance or regulatk 13. Will lot be regr~ded ....... ./3~.~., ................. Will excess fill b~ 14. Name of Owner of premises.57.o.~.O'~a~v*..~. **~. .... Address ~.o.O//e~ Name of Architect ............................ Address ........ Name of Contractor g'~,7o .~-~.e.e-,Jox.~e,,4q,~r ~ ~rAddress ~.2.~ .~.~..q (to be paid on filing this application) If dwelling, number of dwelling Cnits .... ./~.: .,~..' ..... Number of dw lling units on each floor ................ If garage, number of cars . .... i ................................................................... If business, commercial or mixed occupancy, specify nature and extent o: each type of use ~..c.-~.~. ~.n.~. ...6,. ~..: .... Depth ...$)7. ......... PLOT DIAGRAM Locate clearly and distinctly all lbuildings, whether existing or propose, property lines. Give street and block ~umber or description according to deed interior or corner lot. OF ¥ORr, .S (Name of individual sign]ng contract) alcove named. J-lc is the . ~' ,/' ! (Contractor, agent, corp6mte ofl of said owner or owners, and is duly authorized to perform or have perfon application; that all statements conthined in this application are true to the 1 work will be performed in the manner set forth in the application filed therew Sworn to before me this i ~uahhed in Suffol~ ~ounty ~ Gomm~ssion Expffes Marct~ 30, 190/ ~,~.~O~. ...... Rear .................. mber of Stories ...................... .... /..ay.~ ......Depth .... (?...t. ...... ...... Depth .../..~ 3- ~ removed froam premises: Yes No ~'tr../ff/.:'~.~..'~P~one No. 'z3-.~-:v'.Fi~ . ........... Phone No .............. ~£*,. ~4¢~¢~.,.,~Phone No. 1, and. indicate all set-back dimensions from ad show street n~es and indicate whether tm, deposes and says that-he is the applicant icer, etc.) ~ed the said work and to make and file this ,est of his knowledge and belief; and that the th. (Signature of applicant) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 xamined ..~..~, .~\ .... , 19~'7. pproved...~..~.~%., 19~.~. Permit No. ).~. ).q..~..~.. [sapproved a/c ..................................... (Building Inspector) .... APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sdts of plans, accurate plot plan to scale. Fee according to sche{Jule. ! b Plot t~lan showina location of lot and of buildings on premises, relationship to adjoining premises or puolic streets o{ ar~as, and'giving a de~ailed description of layout of proper~y must be drawn on the diagram which is part of this appli- cation. i e. 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 issued a Building Permit to the applicant. Such permit stall 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 stroll have been granted by the Building Inspector. I APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the B~ilding 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 here~ described. T~e 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 necess, ar~ insp,ecgqns/Q , i Slate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~--o.t, .~7d.~'~-~."'~. ~.oT(.~.'~....~.,.~,~., ............................................ ~ (as on the tax roi1 or latest deed) I~ applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ....... - ............... Location of Ian~hich proposed work will be done ............................... ;,- ................. · 7. ...... .... . .................. ................. House Number Street Hamlet County Tax Map No. i000 Section .... .~..~* .......... Block .... /. ............ Lot....~..'..~. .......... Subdivision ..... (~. ~ ~-.e./gt.~..,.~. ~'4~.a.) ............ Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...'~..~ ././....-C...~..~..c?..~ .~.~.4 ¥--7 ....................................... b. Intended use and occupancy .... :'. ........ i'. ........ 'J .... ~...~.~..r~..ti .-..~....~.< .rtf4~.... ,~...~..~. ,%~..~,. 3, Nature of work (check which applicable): New Building ... ~.. Ad Jition .......... Alteration .......... Repair ................ Removal .............. Demolition ............... Other Work ............... .' (Description) 4. Estimated Cost ............................ Fee ...................................... I (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ...~ .. ..... Number of dw ling units on each floor ................ If garage, number of cars ..... ~ ................................................... ~ ................ 6, If business, commercial or mixed occupancy, specify nature and extent c 'each type of use . ~-/.. 7. D~ens~ons of ex~st~ng structures, ~f any: Front....~ ........ Rear ..... ~.q ...... Depth ... ~ ........ Height ...g~ ......... Number of Stones ..... ~ ~ .............................................. D~ensmns of same structure with aiteratmns or add~hons: Front ...~ ~.~ ........ Rear .................. Depth .................... ~.. HeiSt ...................... N~ ~mber of Stories ...................... 8. Dimensions of entire new construction: Front ... ~.~ ......... Rear . (~ ......... Depth . .g ~. ~. ........ Height ~ ' ' ' ........... Number of Stones ..... ~ ~ ......... 9. Size of lot: Front .... ~'.G~.~.~.~.. Rear ..... (~,.q.q ....... Depth /6.~ .6~ ...... g~,&9... 10. Date of Purchase ..... G~(~.~ .............. Name of Foyer ~wner . .~wm ............... 11. Zone or use district in which premises are situated ...... ~ ........... . .. ................................. 12. Does proposed construction violate any zoning law, ordinance or regulat] ~n ................................. 13, Will lot be regraded ........ ~,..~ .............. Will excess fill k e removed from premises: Yes No 14. N~e of Owner of premises ~q4~ f~q~. ~ .... Address ~ ~ ~ ~.~. Phone No.. ~'Z~ ~.~ I ~... Name of Architect .......... ................. Address .................... Phone No ................ N~e ofContractor~~*4~. Address~g~ ~&. ~q~,~Phone No. ~.~.~... PLOT DIAG~M Locate clearly ~d dist~ctly ~1~ bufld~gs, whether existing or propose 1, and. indicate ~1 set-back d~ensions from property ~nes. Give street and block ~number or desc~ption according to deed ~d show street nines and indicate whether interior or corner lot. STATE OF'NEWXORK, S S COUNTY OF. ~~ ..... ' ..... I .. . ~ ~ ~ .Z ................ being duly s~ )rn, deposes and says that-~e is the applicant (Name of individual signing contract) (Contractor, agent, corpor~e of: icer, etc.) of said owner or owne~, ~d is du~y autho~zed to perform or have perfo~ aed the said work and to m~e and file this application t~at all statements contused ~ this application are true to the )est of his knowledge and belief; and that the work w~l be perfo~ed in the m~ner set forth in the application filed there~ ~th. Sworn to before me this ................ : ...... .............. Nota~ mubi}~f~ ~~ .... ~qf~ County ,~ ' ES~ MEAN~ ~ No, 52-4526265 ; ~ applic~t) (Signature o~ aified m Suffolk County L~ ,/ AP~RO~'ED ~ NOTED O~CUP,A, HCY OR USE IS IJNLAWFU[ ?~111';;;T, CERTIFICATE OF OCCUPANCY DATE://.~/~,,)~' B.P. ~ / V/? ? ~ NOTIFY BUILDING DEPARTN~ENT AT ,-765-1802 9 AM TO 4 PM I~R THE FOLLOWING INSPECTIONS: i. FOUNDATION . TWO REQUIRED FOR POURED CONCRETE 2. ROUGH ~ FRAMING & PLUMBING ;3. INSULATION 4. FINAL . CONSTRUCTION MUST BE Cr~MPLr~-E FOR C, O. ALL CON~STP~JQTION SHALL MEET THE REOUtRE'~AEN~I-$ OF THE N.Y. STATE-CONSTRUCTION & EN, ERGY CODES, NOT RESPONSIBLE FOR D[~IGN OR CONSTRUCTION ERRORS, NATIONAL PRECAST CONCRETE iNC.,,. BOHEMIA~ N.Y. 11,716 5Bg-G822