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1000-114.-12-3.1
P0K1� 5/"leS/fioP S-© t-1 NY It 751 off rCL fee+- 4c ti r 4-4 v fi Cl9pf� ko oM PT � sPI ays My vo cUyts-��2uL�io� i 3 (jF 7 r - — ' '-Of iO Uj ��'� ��Gac�►fur�zC& �, Por AS wtv-n QtJ WA't b Nor V _. OFFICE LOCATION: AIMLI G ADDRESS: 0Town Hall Annex P.C . Box 1179 54375 Mate Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 1 765-1938 VjWW.southo1dtowrmy.gov OWN), PLANNING.BOARD OFFICE TOWN OF SCJLTTHOLD PRIORITY MEMORANDUM To: Scott Russell, Supervisor Members of the Torn.Board From: Donald J. Wilcenski, Chairman Members of Planning Board Date: June 21, 201 Re: Smoke and.Vapor (:Electronic Cigarette) Retail Shops The Planning Beard. would like to bring to your attention.that recently a Site Plan Use Determination(SPUD)was sent to the Planning Board for a Vapor and Smoke Shop retail use on New Suffolk Avenue in the Hamlet of Mattituck. The Planning Board has serious concerns with the use that need to be discussed vwith.the Town Board; including the potential risk of increased public nuisance complaints and criminal activity surrounding smoke shops, impacts to community character and quality of life,theincompatibility of these uses with existing businesses within the hamlet and the potential health risks on the general population, especially youth. The location is within biking/walking distance of a public school. We feel this is an urgent.matter that needs immediate attention and we suggest convening a code committee to discuss the matter at the earliest time possible. Cc: William Duffy, Town.Attorney FORM NO. 3 . .'. _ . TOWN OF SOUTHOLD )UP' 9018 BUILDING DEPARTMENT SOUTHOLD,N.Y. OUNVId Town Planning Beard NOTICE OF DISAPPROVAL DATE: June 20, 2018 TO: Ashokkumar B. Patel (Handy Pantry Stores) 930 Ostrander Avenue Riverhead,NY 11901 Please take notice that your application dated May 29, 2018: For permit to alter e :isfin, s pce to retail sna ��.. kWj..at: Location of property: .150 New Suffi)l .v�nn, . Itlit��e;k1y County Tax Map No. 1000—Section 114 Block 12 Lot 3_1 Is returned herewith and disapproved on the following grounds: Pursuant to Article X II , Section 2 80 12"7,__ e pro 2osed use require sites pt 1 511apA al from the Southold Town Planning Board. You may now apply to this agency directly. Authorize Signature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Planning Board 'aAb�- FOR INTERNAL USE UNLY MAY 3 01 018 ION " ". n�..... SITE PLAN USE DETEf�iVilhlA� .hok Rov�n P�ann�ng Bond L. --"-I.... ------ initial Dete afina� i Q- Date Sent:_ _f-- 1 — Date:__� ` Project-Name:.. Project Add ress:_,_..15CL._.- Jv Suffolk County Tax Map No.:1 g 0G..JI � 3. Zoning District: 4113 _. R.equest� .m _. .._... .�-.�_ orcin docun�e�� . . ._.. r-= � Cation-as to (Note: Copy of Building Permit Application and supe g -proposed use or uses should be submitted.) i A� -Initial Determination as to whether use is permitted: - . � lin �e�u� Initial-Determination as to whether site plan is required:�/- p _ la-w-y Signature of Building Inspector Cornmentw / Department (P.D.) eft,rra:� Planning Dep (� "Date of p.1)..IDate Received: —=-- C mments: _~ Dept.-Staff Reviewer Signature of Plan p F=in .1 D t rmillation pate:, ... —.—w_.. Decision:_.�__._....�. ._.�._.�.._._�.. .._�.. .._�µ .. �.�._..�.... of Rua iidinIn-,nPctor C'.�natllrP.�. n4 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you h. 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 Southoldtownny.gov PERMIT NO. Check Septic Form Trustees C.O.Application FIood Permit Examined 20' Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: kpproved 20 Maihto: disapproved a/c Phone: J J 3xpiration ,20 B ' , Spector PLICATION FOR BUILDING PERMIT MAY 2 9 2018 Date 20 BMDUiG DEPT. INSTRUCTIONS a.T AFAC!F a completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 >ets 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 Thal I be kept on the premises available for inspection throuffhoufthe 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. ssuance or has not been completed within 18 months from such date.Ifno'zoning amendments or other regulations affecting the Droperty 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 Ie parnnept 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) 9Z,<> — c S R eI ,2 \y� \k A-,) t\po i (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises— r' — 141JC.� U (As on4he 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: House Number Street Lot County Tax Map No. 1000 SectionIdck ?J 2. State existing use and occupancy u, premises and intended use and oceuparwy of proposed construction: a. Existing use and occupancy { >l ;08&V.P? sina'o b. Intended use and occupancy 1p 6 g, P�LlA t,,.C,I,= e 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 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 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 �, F] 8. Dimensions of entire new construction:Front Rear Lbepth Height Number of 5fories - 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 freshwatevwetland?*YES NO *IF YES,SOI.;THOLD TOWNTRUSTEES D.E.C:PERMITS'1 AY BE REQUIRED. b.Is this property within 300 feet ofa tidal wetland?*YES NO *IF YES,D.E.C.:PERMITS N1AY 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 OF Svc oft} 1-�,KK,jMAf- 13 _ 1 PAS l being duly swom,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the � o (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 r day of ti. 20 OLDEN `—" -- NOTARY PUBLIC,STATE OF NEW C v Notary Public 1JC,-"1G0633118q Signature of Applicant COMMISSION EXPIRES 10/05/2019 qurFn1 K rn4 jN Y