HomeMy WebLinkAbout26325-z 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. 26325 Z Date FEBRUARY 3, 2000
Permission is hereby granted to:
10898 MAIN ROAD, INC
PO BOX 274
MIDDLE ISLAND,NY 11953
for
CONSTRUCTION OF ALTERATIONS AND INTERIOR NOV TIONS FOR AN
EXISTING COMMERCIAL BUILDING AS APPL ED FO .
at premises located at 10780 MAIN D MATTITUCK
County Tax Map No. 473889 Section 143., Block 0003 Lot No. 004 . 001
pursuant to application dated JANUARY 5, 2000 and approved by the
Building Inspector.
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 2/19/98
PLANNING BOARD MEMBERS gUFFO(,�co Town Hall, 53095 Main Road
BENNETT ORLOWSKI,JR. h�0 Gy P.O. Box 1179
Chairman o Southold, New York 11971
WILLIAM J.CREMERS coFax (516) 765-3136
KENNETH L.EDWARDS Oy �� Telephone(516) 765-1935
GEORGE RITCHIE LATHAM,JR. ,L
RICHARD G.WARD
PLANNING BOARD OFFICE l' j
TOWN OF SOUTHOLD
TO: Edward Forrester, Director, Code Enforcement
FROM: Robert G. Kassner, Site Plan Reviewer
RE: Seafood Store
10780 Main Road, Mattituck
SCTM# 1000-143-3-4.1
DATE: January 31, 2000
The Planning Board has reviewed the above project.
A retail fish store is a permitted use in this General Business Zone (B) .
A review of the parking requirments was made and the required 8
parking spaces in front of the store are adequate.
The Board recommends curbing and a curb cut for ingress and regress of
traffic, or alternatively, planters should be placed to direct traffic
safely to and from the store.
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DONALD G. FEILER • ARCHITECT
11725 Main Rd•Box 1692•MaRBuck NV 11952.516-298.5453•Fax 298.1360
January 4, 2000
Mr. Al Von Hassel
Greenport, NY
Re: VON HASSEL'S FISH MARKET
10898 Main Road, Mattituck, NY
Architectural Services:
Construction Plans for building permit $500,
r
BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
(� TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
5 "wd `3 BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
BLDG.DEPT. SOUTHOLD, N.Y. 11971
��TOVViJOF5OUTHOLD 1 TEL: 765-1802 NOTIFY:
CALL �u�... . .,!�a�r. �
Ermined.................. 19.... MAIL
Approved.....'.Z......., &CP Permit No. ..c �/t'av� /`.C�. / A' 3
..........
Disapproved a/c ..................................
.... ........;cvj� . ....
Building Inspector)
LICATION FOR BUILDING PERMIT
Date. . . . . . . . . . . . . . . . . 19. . . .
INSTRUCTIONS
a. 'this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector writ
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 giving a detailed description of layout of property 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 HEIZEfA' 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
regulatipns, and to admit authorized inspectors on premises and in building for /ee !/ �ins tions.
(✓1r6....f( ..! r 44f ••.......................
(Signature of applicant, or name, if a corporation)
AO, pox 33 �j2��NPo?�...N ........
.................
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
�o.�.... ... �Y...............................................
Name of owner of premises £�G... F ..`......
..................................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Nam and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
lo-7-3o Ma77/r1
1. Location of land on which proposed work will be done..............................................................
........................................................................................................................
House timber Street �/Hamlet
County Tax Map No. 1000 Section ...D......... Block ...A......... Lot ..:7..°.�.........
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 X11
b. Intended use and occupancy .R� `.1/......FI ... Mf12KET
......................................................
4I1r�T#f)khliuf>; 4�i?yr"+cFi:?i!Y)�.t*dr4
I y
Nature of cork (check which applicable): New Building .......... Addition .......... Alteration yyV-1
Repair ............ Removal ......L...... Demolition ............ Other Work .................................I
(Description)
Estimated Cost ...................I..... fee ..............................................
(to be paid on filing this application)
If dwelling, nuhber of t
dwelling
units ............ N dher of dwelling units on each floor ... ......... ....
I
Ifgarage, number of cars ......................................
If business, commercial or adored occupancy, specify nature and extent of each type of use......................
Dimensions of existing structures,llif arty: Front...v'.......... Rear ......... Depth .;35` ...
..........
height ..........� ............. Number of Stories ....4................
Dimensions ofOsaie structure with �lterati?ns or additions: Dont ......4$.(.... Rear .. ..y .
Depth .....a............. height ,......L9 ............ Nuni)ar of Stories ...............
Dihrensions of entire new construction: Front ................ Rear ............... Depth ..............
height .................../.�..... Naber of Stories .....................
��9.:T�..IL..... Rear ...5.9..93....... Depth ..f T S.:.G Co
Size of lot: Front ......
). .................II Date of Purchase .... Nam of corner Owner ........................................
I. zone or use district in which preIses are situated ....... ...................................
2. Does proposed construction ""violate' any zoning law, ordinance or regulation: .......NU............
3. Will lot be regraded .....(Y.0.......... Will excess fill be removed from premises: YRS
'r. Nares of Owner of premises /yi4TrC5 Address ./!9�}7T�I Jam..N:.Y:... Phone Noo?�T$.:
7� _ l- /
Name of Architect ..UO/l/ E 4cE2........... Address .PI-rT/TUC/..IV. Y Phone No. .............
� / '' //
Name of.Contractor ...t��...lo ..YX�S.S€L Aciclress ✓ -r7-(72l..,N:Y..Plwne No.a2.7. rIIJ�
5. Is this property within 300 feet of a tidal wetland? * YES .......... ND ..........
*IF YES, SQIlU D TOidi TRUSIIi S PERMIT MAY BE IvgUIRED.
• I
PLOT DIAGRAM
Locate clearly and distinctly all ibuildings, whether existing or proposed, and indicate all set-back dimensions
ram property lines. Give street and block number or description according to deed, and show street nacos and indicate
hether interior or corner lot.
I
rIVIE OF NW YORK,
SS
JUNlY OF ............. ..........
••••••••.4 ► r'/!...W4 Fc L l..................being duly sworn, deposes and says that he is the applicant
Vain of individual signing contract)
have nosed,
is lhe ........ ......................L:..........................................l—....................
(Contractor, agent, corporate officer, etc.)
r. said owner or owners, and is duly aul',horized to perform or have performed the said work axl to make arx3 file this
pplicatirnh; that all statements contained in this application are true to the best of his knowledge and belief; arxl
hat the work will be performed in the manner set forth in the application filed therewith.
worn to before me this
Notary Public .. SL ......./ ........
-1 UZASEMNA#ATHi$ (Signature of A
tMARY PwUBOi�Jt�tof aINQIN' iSne ppli.cant)
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PLUMING
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BUILDING PERMI�I1_ I E -IEW CAH CK --til
Applicant/ f Date
Owners Name: h _. - -- _ _- ._-.—_- Reviewed:
Architect/ Date
Engineer: �� P.1' _ Submitted: _ IjOO
SCTM fl:
District: 1 000 Section: Block: Lot:
Project Subdivision
1 a 7 ED /� N arne
Q.C�r. k — — - - -
Location: _ _ _
7--
Sin&le&separate Required
certification:, (Yes/No)
� ^R
UK Rcq. Rc9.
Zoning District.y [Lot size Actual J [Lot coverage Proposed_
RN "XIS 1 'A� 9Vtl..QPVy ' Req.
(Front Yard Propos ] (Side Yard Proposed. ] (Rear Yard Proposed ]
P
Project Description: m S �'r 'e lie✓int 1 7TH " Se
J
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. N YES Number
Suffolk County Health Dept. x
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval: �=
Flood Plane Elevation ???
Flood Zone:
to ✓
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