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FORM NO. 3 p
TOWN OF SOUTHOLD
BUILDING DEPARTMENT M ��cruttsaaltL�.Tav�rru R ( ��
SOUTHOLD, N.Y. -G. �.
Wrrft Board
NOTICE OF DISAPPROVAL
DATE: March 21, 2017
AMENDED: March 29, 2017
TO: Beach Land Development Corp
PO Box 783
Mattituck,NY 11952
Please take notice that your application dated February 17, 2017
For permit to convert an c i�,t1ntI„mbuildin,,into a rptilti-ti e,buildin .yrw�fl ,art eats in 411e 1113mmDistrict at
Location of property: 50 Pike Street_M ttiC "r'
County Tax Map No. 1000—Section 141 Block_4 Lot 6.1
Is returned herewith and disapproved on the following grounds:
The proposed construction is not permitted pursuant to Article X 280-46 which states
"No building or premises shall be used and no building or part thereof shall be erected or altered
in the HB District unless the same conforms to the Bulk Schedule and Parking and Loading
Schedules incot• orated into this chapter by reference with the same force and effect as if such
regulations were set forth herein in full."
According to Bulk Schedule 20,000 s uare feet of property is required per principal use. There are
currently three principal uses being ro sed on this 34,168 square foot:lot.
Fui-k`hermore the proposed accessoi apartments are not permitted pursuant to Article X 28045 C. 2
C,which states,
"There shall be no more than three apartments created or maintained in any single structure."
The pro osal calls for seven apartments.
' e pa qlj eco its rc tires site.l?l q gppc� g fro the, outtiol ,Town Pla n n� Board.
This Notice of Disapproval was amended on March 29, 2017 to include required variances.
r Id" zed Sig
Cc: File,planning,zoning
FORM NO. 3
° VG p
mm.
, � l
TOWN OF SOUTHOLD
�d
BUILDING DEPARTMENT
MAR 2tl
SOUTHOLD N.Y. ���.��m � _...,��.
' a'ur ��r wr N.
NOTICE OF DISAPPROVAL
DATE: March 21, 2017
TO: Beach Land Development Corp
PO Box 783
Mattituck,NY 11952
Please take notice that your application dated February 17 2017
For permit to c?r,lrctan ctpxlcl itrt rGlltr ua11itl�witl ,gjwltct ,.ru tl 11111 :slrict at
Location of property: 50 ePike Stre ,l'4 twLtc�cl� ,NY
County Tax Map No. 1000—Section 141 Block_4 Lot 661
Is returned herewith and disapproved on the following grounds:
Tk.prc pga i der,5!�Z r 0,pire .5i1 1a,1 ►app.c y 1, c r t p rat l l wl vw n 1'Iglning..Boar .
i
------ --- -_._ _,...___. _ .__ ---------
Authorized Si, attire
Cc:File,planning
FOR INTERNAL USE UNCI
E PLAN USE DETERl1 [NATION
SITE FEB 2 8 2017
Southold Town
nin Board
Initial [�eterrr►inafion . Pbn.
Date
Date: —oI, 7_�* l� — .01,11 JINIac
Project Name:
•
project Address:
zoning Districi: _. �---- .
Suffolk county Tax Map
!"i r
. Request
licaion and supporting docurntatior►-a*to
. Note: Copy of l3uildir� Permit App
.proposed use or uses should be submitted.)
ercnitted: ��.
ini{ial Determination as to Whether use is p �.
site plan
lrfitial-Detemaination ais require
P d:
s to whether
Signat re of Building Inspector
planning Departrnent (P.D.) Referral: .
P.D. Date Received:o�
.Date of ornment~�.-
CA
Corns nts:r �; v
:.
y
Signature of pin �g
Dept.-Staff keuiewer
Final Det6 Inin tion
�a
In-c, ... _
cri,-, h PrP ..._�f Rnii(iino I .__.
k
FOR INTERNAL USE Ut�LY ,.� t�
SITE PLAN USE DETERMINATION F 01/
Soy lhWd Town
_ Initial Determination Man,mn ftard
Date SentM�.
Date: '
w
Project
Project Address:
onitig District:
No
- .100 = .
Suffolk County Tax Map 0
r ^
RegLfest
LL of luildir�g Pdrrnit n�aitted.)
Application and supporting documentation-a*to
(Note: Copy
.proposed use or cues should lie sul
ern�itted:
.initial Determination as to whether use is p „
Initial-De
terrnination as to whether site plan is required: /
Signat re of Building lns4pector
Planning Department(P.D_) Referral:
t Date of Comment:
P.D.Hate Received: � �
I ..
Comments: f'Z ; l �
pet Staff Reviewer
Signature of PIOng p
final Determination
.._ Riiilciina
c;,„afiirP of In�nector
2/15/17
To: Building Dept.
From: Beach Land Dev. Corp
Reference: tax map# 1000-141-04-2,3,61 Love Lane Capitol One
To Whom It May Concern:
I am submitting for a building denial to move the process along to the boards
needed
I would like to take the existing building that is in the Hamlet Building Zone and is
currently an"office use" and change it into the following uses. Please note the
proposed uses are permitted in this zone.
The breakdown is as follows and would fit within the current footprint, There will
be no changes the the site plan itself unless directed by the planning board and
building dept.
Proposed uses and square footage of each
First floor
1800 square feet of wet use/restaurant 32 seats
2500 square foot of office use
2500 square feet of retail use
Second floor
This we are proposing a mixed use for apartments our goal is 7 apartments
Basement
A mix of office and storage use
TOWN OF SOUTHOLD BUILDING PER '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 Pians
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form,...
N.Y.S,,D..E.(,-........_._
Trustees
C.O.Application._-,,,
Flood Permit
_.w _........ _.._. m_ gl -....................................... _........,,
Examined 20 Sin e&St to
Storm-Water Assessment Form
Contact:
A)aroved�...._.w.w__________..... 20_.� Mail tea:_......._ .... ___.__.........._...aw ww.
'�"lapprovttl c _
u Phone;.
1� "13
D
xpaarrataa:rmz...�. .........ww20- , ln
_...wuactor
APPLICATION FOR BUILDING PERMIT
F E B 1 5 2017 20
INSTRUCTIONS
b
srton MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
lan to scale.Fee according to schedule.
TO g,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 Bmlding 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. eO et>1e
(Signature oplr ant or na�ia, oration)
�pcD Z�Dx-w_ _7e�S /�lFf..w ......A:f- ._.U�' llS�S�L
(Mailing address of applicant)M
State whether applicant" tats,' assee,agent,architect,engineer,general contactor,electrician,plumber or builder
C6iL� -
Name of owner of premises_.. ._...........i% ............ ` -.........._...... __, ...�..................... ............
._.-._www_._w..
{As on the tax roll or latest deed)
�Mm "l nosignature of duly authorized officer
at as a t,:+°ice a�aratto( corporate � .................... ..... w
arne and title of officer)
Builders License No.
.,W. -
Plumbers License No
_._..
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done: so ke (�
Z�
Nouse Number . . ....._.._.....Street �.....____ ..-_ ... ...
Hamlet
County Tax Map No. 1000 Section. ...././ Block � M.......... _Lot, � � ... �� .......
_....���„���: ::.......................Filed Map No. _..._Lot
Subdivision,,,-..� .w.._._.._......_...- .._.............._._......�.�.... ..�.�.�..w..____...........
.
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..__ .. .. ......... _..........ww. ..........
b. Intended use and occupancy.__. ....... ...........
( applicable):
3. Nature of work check whichNew I' uilcliiig. _ _...............-Addition
Repair--.—.------,Removal Demolition_.....
.m Other Tork
(Description)
4. Estimated Cost V Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units . Number of dwelling units on each floor-,-,,,, __.,Hww_. ........... .
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 � _w.._w_._. ... hear � w....._...._.......G)cptli.....__ �ww..........._ H_
Height Number of Stories
t
Dimensions of same structure with alteration r additions: Front Rear
Depth_ ... Height ' Number of Stories
8. Dimensions of entire new construction:Front Depth
Height Number of StOV eke
r
9. Size of lot:Front a .Rcar Depth
10.Date of Purchasc_,,C08 Name of Former Owner
11.Zone or use district in which premises are situated te
XX4
12.Does proposed construction violate any zoning law,ordinance or regulation?YE§Z NO
13.Will lot be re-graded?YES___NC'?.�l excess fill be rcinoved from pre nises`�YES w.w......_NOu._.w_...
o
14.Names of Owner of premises � W�A res "hone No. c �
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 ., mmNO
*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 coveil is aiid restrictions with respect to this property?* YES No
*
IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
S&
COUNTY OF�Iff w
being duly sworn,deposes and says that(s)he is the applicant
(Name of individtuil signing contract)abo Na nam
(S)He is the'.... .................................•. A - iporatee Officer, ).etoww._..__... ........................................�...........................................................
.._.......
Cactor, ge
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. TRACEY L. DWYER
NO Ry PUBLIC,STATE OF NEW YORK
.
Sworn before me this � � � NO,01 DW6306900
.......,day,of F2 „f y _ 20� OO1A'JR
D IN SUFFOLK COUNTY
3tINE 30, 1 _
Nottary Publ �gnature of Applicant
TOWN OF SOUTHOLD BUILDING PL T 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. _..... ...�.....�.�.�.�.�.�.�.�.�..... .w.,.........�_.
SoutholdTown.NorthFork.net PERMIT NO. Check
SepticForm............-_..�.�........ .............�......_.,��.
N.Y.S.D_E.C.�.�.�.�_........_..M..---.._......
Trustees
C.0.AppBic atior i,,.W.vv......._..���......�......,
Flood Permit
Examined.,....._.w_.... ........_.,.�_M 2Q.............. Single&Selparateww...m.w_ ................. ..
Storm-Water Assessment Form
Contact:
Approved 20 Mail to:,
Disapproved a/c
Phone:
C!'x�lris�atittn_,._._..-....www...�.�w....._..........._....20_.�.
�DDBuilding Inspector
APPLICATION FOR BUILDING PERMIT
F E B 1 5 2017 Dates �! ........................._ 20
1 -7
INSTRUCTIONS
,,=Vbs1yE"ion MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
dart to scale.Fee according to schedule.
VN g,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.
orke.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.
w(Signaturc o: ppharraor name,if a corporation)
j)E> ,<......._7� � � .Uy
(Mailing address of applicant)
State whether applicant" ner, *ssee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises .. e ,
- ... w_..................................._......__..........__.....
(As on the tax roll or latest deed)
W;M�t tt� letitan s orate duly authorized officer
It is a cor)'wa , ignature of d( � of corp officer)
Builders License No.
.......
Plumbers License No.
Electricians License N w........ „_.......... .
w.v ......
o.
er Trade's License No
OthLocation of land on whichcased rt'a. work wall ..www ._._.w_...___...�.
1. p p . be done: so Pj ke S
.......................
House Number Street Hamlet
CountyTax Ma No. 1000 Section ,wl'�llrac�k�mmmm„ Lot "
p ._... .� .. �...wm. ... � Lot.,
Subdivision _................... _.._..w....vw.........Filed Map No. ._........._.._Lot
2. State existing
nuse g useand occupancy
d occupancy
lrrerncl occupancyintended use of proposed construction
a. Existing +*
b. Intended use and occupancy..................................... /— ......... 1���
3. Nature of work(check which applicable):New Building_..... __ Addition _ w w ww ltera�t�on w ........
Repair Removal _ Demolition._...._. _Other Work _....._............. _.. _.__...._.
(Description)
4. Estimated Gast-w/ --
_
� ...w_�.... µ __. _................._._...................__ Fee.....................................................................................................ww___................................
(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.
�._ :... .........__...M
7. Dimensions of existing structures,if any:Front _ w Rear ___Depth.__._
Height Number of Stories
Dimensions of same structure with alteration r additions: Front � bear
Depth___ /)5� Height Number of Stories
8. Dimensions of entire new construction:Front i )"Depth
Height Number of w
r .
9. Size of lot:Front �� _ Rear ekDepth 10
10.Date of Purchase � 'Name of Former Owner n'
11.Zone or use district in which premises are situated � i1� 6212 g!N e 57 S' .
12.Does proposed construction violate any zoning law,ordinance or regulation?YE)4—NO
13.Will lot be re-graded?'YES, 'NO/ I excess fill be removed from premise:;.?YES NO
14.Names of Owner of prcmiscs C 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----.-
*
O„___ _*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 covei and restrictions with respect to this property?*YES NO��
* IF YES,PRO II"JI COPY.
STATE OF NEW YORK)
COUNTY
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing,contract)abo e nanr.
(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. TRACEY L. DWYER
NO RY PUBLIC,STATE OF NEW YORK
Sworn before me thi NO.01 DW6306900
..........day of 20 CO �� SUFFOLK COUNTY
7 �D 1N
JUNE 30,2011.
Not�utrl� S.ww
tary ignature of Applicant