HomeMy WebLinkAbout22539-zFORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCcumANC~
No Z-23715
Date JUNE 19, 1995
THIS CERTIFIES that the buildin~
Location of Propert~ 7400 MAIN ROAD
House No.
County Tax Map No. 1000 Section 112
Subdivision
ALTERATION
M~TTIT~CK, N.Y.
Street Hamlet
Block 7 Lot 1
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 13, 1994 pursuant to which
Building Permit No. 22539-Z dated DECEMBER 21, 1994
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 ALTERATION TO & FOR AN ACCESSORY CONVENIENCE STORE IN AN
EXISTING GASOLINE SERVICE STATION *
The certificate is issued to AMAC, INC.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-352335 - MAY 19, 1995
PLUMBERS CERTIFICATION DATED N/A
· USE SHALL COMPLY WITH CONDITIONS ZONING BOARD OF APPEALS --
i%PPEAL %4074 & AS REAFFIRMED BY ZBA LETTER OF DEC. 9, 1994.
Bu ~ig 5 n%~66t ~
Rev. 1/81
FORM NO.$
'TOWN OF $OIJIHOt. D
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
22539 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date .../....~.,~ .~. ........................................... 19...~'.~.....
at premises located at,.,,,,Z. ,~.z~. ~;~....,..~..~
CounlyTax Map No. ] 000 Section ........ ~....;~r... .... Block ....... ~ ............... Lot No ...... ~ ..................
pursuant to application dated ..,../../....~..~...,'?,, ....................................
Bulldlng Inspector.
19~....~,.. ..... and approved by the
Rev. 6/30/80
~'Y ' ~' Form No. 6 ,~'i]i ' '2 !' ~:
TOI.IN OF SOUTIIOLD t i' '
BUILDINC DEP6RTHENT ,., MAY £ 2 1995
TOf,IN HALL ~
765-1802 ~ - . ~--:' :
A. This application must be filled in by typewriter OR ink and submitted to ~be building
inspector with the following: for now building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unnsuai natural or topographic features.
2. Final Approval from Hehlth Dept. of water supply and sewerago-disposa.l(s-9 form).
3. Approval of electric~ installation from Board of Fire Underwriters.
6.' Sworn statement from/plumber certifying that the solder used in system contairs
less than 2/10 of 1% lead.
5. Co~erczal buzldin,g, industrial building, multiple residences and similar bu~ld~n s
and ~nstallations,[a certificate of Cod~ Co~ ~ .. . ' ' g
6. responsible for th~ building, e~,,~e ~rom arcnmtect or engineer
, Submit Planning Board Approval of completed site plan requirements.
B. F~r existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
pre-exzsting 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 a consent to inspect signed by ebe applicant.
If a Certificate of Occupancy is denied, the ~uilding Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
I. Certificate of Occupancy - New dwelling 525.00, Addizions to dwelling 525.00,
Alterations to dwelling 525.00, Swimming pool 525.00, Accessory building 525.00,
Additions to accessory building 525.00. Businesses 550.00.
2. Certificate of Occupancy on ~re-existing guildin~ - $i00.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5.
Temporary Certificate of Occupancy - Residential $~15.00., Co~ercial 515.00'
.......... .......
New Construction ..... ~'.''.iOl~or Pre-e6is~ing Building...~ , ...
. ,, ,, ' '. ......... ~.I./~'.4I.'.~V.-,I .... t ~.k%...~.Xq ~
. %
~o,~,, ~ ,~, ~o ,000, ~o~,~o~..z/~ ..... ~,,~ .... ~.~ ...... ~o,..o~1 ............
................ ............ ..... , ............
pt Appro al
............ Underwriters Approval .........................
Planning Board Approval....~ ....~ ~0 ~ '
q for: Temporary Certificate ........... Final Certicate '.~ ....
APPEALS BOARD MEMBERS
Gerard P. Goehringer, Chairman
Serge Doyen, Jr.
James Dinizlo, Jr.
Robert A. Villa
Richard C. Wilton
BOARD OF APPEALS
TOWN OF SOUTHOLD
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1809
December 9, 1994
Mr. Garrett A. Strang, Architect
P.O. Box 1412
Southold, NY 11971-1412
Re. IlginJEmpire Service Station Alterations
Your Letter Dated December 5, 1994 .
SCTM #1000-112-07-001 at Route 25, Laurel
Dear Mr. Strang:
In response to your December 5, 1994 and inquiries from the Building
Inspector, this will confirm that the alterations shown on the A-]
Drawing revised 12/5/94 do conform with the ZBA decision and conditions
previously rendered on this property for use in selling of packaged foods
and non-food items usually found in a convenience store. The m~in
concerns for parking have been addressed by preventing vehicles from
exitinq on~othe Main (SR 25) Road from the available parking on the
eastePly side of the property (barrier behind telephone and extending to building).
The concerns for interior building access have been addressed by
providing a common counter at the doorway for access in both rooms by
employees or for emergencids only_. The public must gain access to the
accessory convenience sales area from the easterly outsld-~ 'e entrance door
and not from the westerly entrance door. The public must also be
directed to use the parking area on the easterly side of the building
when using the convenience store, and access through the westerly
entrance shah be for gas purchases only.
As you. a{~'e aware, all other conditions of the Marc~ 25, 1992 ZBA
determination must be complied with - such as the limitation of 600 sq.
ft. for the convenience sales area; no food, service or preparation of
foods; no expansion of floor area; no repairs for the public in the
remaining bay area; no cooking; no drive-thru or drive in services; no
table service or seating for public ,use. Any deviation from these
conditions wili require ffurther approval, by re-application to the Board
of Appeals.
Also, you are required to apply to the Building Inspector for other
appropriate permit(s) or approval(s).
Very truly yours,
GERARD P. GOEtlRINGER
Garrett A, Strang
Architect
Main Road, P.O. Box 1412, Southold, NY 11971
(516) 765-5455
~March 8, 1994
Mr. Thomas Fisher
Senior Building Inspector
Town of Southold
Main Road
Southold, New York
Re:
Empire Service
N.Y. State Rt.
$CTM 91000-122-07-~1
Station/Convenience Sto~e '~ -'?
25, Laurel, New York
Dear Mr. Fisher:
Enclosed is a copy of the approval received from the Southold
Town Board of Appeals with respect to an application for a
building permit to convert a portion of the existing
principal building from vehicle/engine repairs to convenience
store use, which permits this conversion as an accessory use.
Please note that the plans submitted indicate that the
existing structure will remain unchanged. The proposed work
is not an expansion of the footprint of the existing
structure, nor is it a change in use or intensity of use,
which would affect the characteristics of the site in terms
of parking, loading access, drainage, open spaces or
utilities. In fact, the conversion of the service bays from
engine/vehicle repair to the accessory use of convenience
store requires fewer parking spaces for the ~ conveniencve
store use than are required for the service ~ bays.
Specifically, the parking requirements for this accessory
convenience store are five (5) spaces, while the existing
service bay use requires eight (8) spaces.
As you can see, the conversion to the convenience store
lessens the impact of the use of the property, and more
importantly, the ZBA has permitted this use as an accessory
use indicidental to the principal use.
Please advise my office as'to what additional documentation
you may require, if any, to issue requisite building permit.
Thank you for your courtesy in this matter.
very truly yours,
GAS/bs Garrett A. Strang
Eno. Architect
SOUTHOLD TOWN PLANNING BOARD 21 APRIL 27, 1992
Mr. Orlowski: There is nothing left on my agenda tonight. Does
anyone have any questions?
Ms. Geraghty: I have the homeowner of Summit Estates and
perhaps he could answer some questions that were not answered if
we may have another moment?
Mr. McDonald: At this point, from my standpoint, I would like
to see what we can put down in writing to get a written
response. We need to digest what the neighbors have to say and
see if we can make any sense out of that.
Mr. Fakiris: I am not going to produce the project if we delay
it any longer. The time is very critical so if you want to
postpone it for another year, I don't think I am going to be
able to provide the expenses.
Mr. Orlowski: I don't see it being postponed for another year,
we have some questions that were brought up tonight in the
public hearing process.
Mr. Fakiris: I am here to answer your questions.
Mr. Orlowski: Well, like Mr. McDonald said, we are going to
review everything and then we will get back and put our
questions in writing and get an answer back in writing.
Mr. Fakiris: O.K.
Mr. Orlowski: Anyone else have any questions?
Mr. McDonald: Our attempt would be to get the answers to make
a resolution on this subdivision for the next meeting right?
Would that be our intent?
Mr. Orlowski: Yes, our next meeting.
any comments or questions for us?
Does anyone else have
Mr. Orlowski: Mr. Strang did you have some questions?
Mr. Strang: Good evening, I addressed a letter to the Board
this past week and attached with it a copy of a sketch of a
proposed amendment to the site plan that has been before the
Board for discussion on the subject premises in Laurel, the
present Empire Service Station with the intent to put the
convenience store in the present service space now. As per the
comment the Board presented the last time with respect to
waiting for the input from the State DOT, it became evident
when we received that letter from the DOT that the extent of
SOUTHOLD TOWN PLANNING BOARD 22 APRIL 27, 1992
improvements that they want along NYS Route 25 is considerably
disproportionate in cost to the extent of the allowed
development of the convenience store which has already been
red~ced to 600 square feet. It was our position that the input
from the State DOT was prompted by the fact that we had asked
for a curb cut entrance from State Route 25 to service this
particular facility. At this point, we feel with the reduction
of the size of the convenience facility allowing us to reduce
the amount of parking to be provided to that facility that we
can serve that facility with a single entrance from the Town
road as opposed to the State road. This really provides several
different situations. 1. The existing use that presently
exists, that being gasoline sales and fuel sales, will remain as
it is with no modification to the site plan required. The new
use which the Zoning Board has in giving its variance has
requested the access strictly from the East side of the
building. Basically, it dictates that the entrance to that area
will be from the East side of the building and the parking to
service will be to the East side of the building. As shown on
the sketch, entrance to that parking will be from the town
road. It is obvious that what we are attempting to do here is
access that parking and
deal with the Town and not the State, since the State seems
unwilling to discuss further anything with respect to the State
road other than these very expensive improvements. This is the
reason for this presentation as an alternate and to see what
the Board's input on that might be.
Mr. Orlowski: So, access to the store is going to be off Old
Main Road?
Mr. Strang: The access to the parking area to service the
convenience store will be from Old Main Road which I have been
told is a Town road and not a State road.
Mr. Orlowski: Everything to the north will be planted in grass
and there will be no access on to the Main Road.
Mr. McDonald: 'Is it your understanding that that would take
this out of the jurisdiction of the DOT?
Mr. Strang: Well, I am hoping that that is the case. I am
hoping and I believe it if we don't make an application for a
curb cut from them we don't have to touch the DOT and we're not'
looking for a curb cut from it because we are not trying to gain
access for this particular use or purpose on to the State
highway. The other thing from a circulation point of view, I
felt that the way it was set up originally was with the access
from the Main Road and when.the ZBA came along and said well,
you can only have a door entering a convenience store from the'
East side, it is dictative that someone obtaining gasoline when
they are finished would have to exit onto the Main Road for
approximately fifty feet or so and then zip right back into that
parking lot. You are running out onto the highway where traffic
SOUTHOLDTOWN PLANNING BOARD
24' APRIL 27, 1992
Mr. Strang: I think that condition was predicated on the old
site plan which was the desire of this Board and again not a
problem with us to have it as a one-way traffic flow through
there and it certainly made sense.
Mr. McDonald: But, I imagine I will have to touch base with
them. I am not talking about a formal application.
Mr. Orlowski: What are you going to sell in this store?
Mr. Strang: The usual convenience store items, bread, milk,
eggs, beverages.
Mr. McDonald: While you are here, I noticed on the plan that
you attached the letter that shows the planter boxes in front of
the storage area. How are you going access the storage area?
Will it be from the rear along with the convenience store?
Mr. Strang: There is presently a door from the storage area on
the south side of the building or to the storage area from the
south side of the building.
Mr. McDonald: The overhead doors are not functional?
Mr. Strang: The overhead doors are going to be removed and
replaced with store front glass.
Mr. McDonald: There is an arrow that says pavement there but
there is an arrow that one might think was a entrance way going
into the convenience store from the gasoline side.
Mr. Strang: That is a carry over from the former site plan,
that Will be eradicated.
Mr. McDonald: So, you wouldn't actually have an opposition to
moving the planter boxes right along to the gas station Office?
Mr. Strang: No.
Mr. Latham: Fifteen feet seems very narrow to go in there.
Mr. Strang: It is a standard town criteria fo~ a parking area
of.this size. Fifteen foot isle for two way traffic. Up to, I
believe if I am not mistaken, up to nineteen cars can be
serviced with a fifteen foot entrance in and egress and if you
were to go to twenty cars or more then it enlarges to twenty
feet in width. If the.Board felt that they wanted a twenty foot
we could give you a twenty.foot opening, it is just again there
is only parking there for three cars, it is not like it is a
major parking facility.
Mr. McDonald: You haven't made any estimates about what you
expect in the way of flow here?
SOUTHOLD TOWN PLANNING BOARD 25 APRIL 27, 1992
Mr. Strang: Again, it is just a minimal situation and I think
you will notice that to be the case in any of the service
stations in the area that have convenience stores that every
once in a while someone will pull in and make use of it. Most
of the time it is people who are getting gasoline and in this
case, we are all aware it is going be a little bit of a
inconvenience for them to have to go around to the back of the
building since there will be no door facing the gasoline side.
Mr. McDonald: Can we take it over to our work session?
Mr. Orlowski: We will review this.
Mr. Strang: I just wanted to present it to the Board and see
what their initial input was and answer any questions that you
may have at this time.
Mr. Orlowski: He does realize that he can't access it from the
West side.
Mr. Strang: He realizes that, he is happy with it but he
realizes that that is t~e condition of his variance and he is
willing to accept it.
Mr. Orlowski: I know there is a door going into the office
which then goes into this building but that would have to be
closed off.
Mr. Strang: It is closed presently and will continue to remain
as such. He is aware of the conditions, it is quite explicit
from the ZBA and he was aware of that condition.
Mr. Orl~wski: O.K., we will get back to you. Anyone else?
Mr. Mudd, I know you are here .tonight with a question.
Mr. Mudd: I would just like to chat a minute about a piece of
property I own up here on Route 48 and try to explain this
twenty-nine acres and I would just like to get the feeling of
the Board before I proceed and get my shoe laces tied too tight
down the road. The lots up and down that road are all one-half
acre and on the south and also on the east of that road all one
hundred by two hundred and I would like to get the feeling of
the Board to see how we could proceed and make the rest of
those lots up there on 48 to half acre lots and by dedicating
the other acre and a half as open farm space and it will remain
that way as part of a commitment to keep the area in farmland
preservation up there with it. At the present time, there is a
water main that comes down to the last lot from the south. A
one inch water main and I discussed it with the water company
and they were interested in running a main from the Main Road
over to Route 48 so they kind of are very interested in doing it
but it was going to take more money than I am prepared to
APPEALS BOARD MEMBERS
Gerard P. Goehringer, Chairman
Charles Grigonis, Jr.
Serge Doyen, Jr.
James Dinizio, Jr.
Robert A. Villa
Telephone (516) 765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
SCOTT L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
ACTION OF THE BOARD
Appl. No. 4074.
Upon application of AMAC, INC. (Sukru Ilgin) for a Variance
to the Zoning Ordinance, Article X, Section 100-101B(12) and
Section 100-102, Bulk, Area and Parking Schedule, for permission
to establish retail sales of packaged food and non-food items as
usually found in a convenience store, as an accessory to the
existing gasoline service station, eliminating the service and
repair areas (which were conducted in the existing bay areas of
this one-story building.) Subject premises is nonconforming as
to total lot area and depth in this "B" General Business Zone
District. Location of Property: 7400 Main Road, Mattituck
(Laurel School Dstrict), NY; County Tax Map Parcel No.
1000-122-7-1.
WHEREAS, a public hearing was held on March 5, 1992, at
which time all those who desired to be heard were heard and
their testimony recorded; and
WHEREAS, the Board has carefully considered all testimony
and documentation submitted concerning this application; and
WHEREAS, Board Members have personally viewed and are
familiar with the premises in question, its present zoning, and
the surrounding areas; and
WHEREAS, the Board made the following findings of fact:
1. By this appeal, appellant requests a variance under the
Provisions of Article X, Section 101B(12) and Section 100-102,
Bulk, Area and Parking Schedules, for permission to convert a
portion of the existing principal building (presently three
service bays with an approximate floor area of 1160 sq. ft.)
from vehicle/engine repairs to convenience store use, limited
to on-premises sales of packaged food and nonfood items, without
on-premises food services, only as accessory use incidental to
and in conjunction with the existing gasoline sales/office use.
Page 2 - Appl. No. 4074
Matter of AMAC, INC. (SUKRU ILGIN)
Decision Rendered ~4arch 25, 1992
2. The premises in question ms a described parcel of land
located in the "B" General Business Zone District containing a
total lot area of 11,984 sq. ft. and is triangular in shape with
frontage along three streets: the Main Road (State Route 25),
the old Main Road to the south, and Bray Avenue to the (south)
west at its intersection with the Main Road, in the Hamlet of
Mattituck, Town of Southold. This parcel is more particularly
identified on the Suffolk County Tax Maps as District 1000,
Section 122, Block 7, Lot 1.
3. The subject premises is improved with the following
structures: (a) two islands'with full-service fuel-dispensing
pumps; (b) gasoline station office and service bays in the
principal building structure, all as shown on the survey
prepared February 13, 1987 by Peconic Surveyors and Engineers,
P.Co and shown on the site plan map prepared by Garrett A.
Strang dated December 12, 1991 (Map SP-1).
4. The location of the existing principal building is
shown to be set back 42 feet from the easterly property line,
six feet from the northerly property line at its closest
point, lc) approximately three feet from the southerly
property line. To the west of the principal building are two
gasoline service islands, each with two service pumps, and
blacktop areas utilized for egress, ingress, and parking.
5. The size of the principal building is 27.6 ft. x 28.9
feet (1595 sq. ft. of floor area). The. southerly portion of the
building is proposed fo~ the "convenience store" sales and the
northerly portion of the building will remain as a business
office use related to the sales of the gasoline service.
6. For the record, it is noted that under previous Action
of this Board under Appl. No. 3618 rendered April 23, 1987, an
area variance was granted for similar relief, with a time
limitation of two years from the date of the variance. The time
limit for that area variance expired in April 1988 and no
building permits were obtained in reliance on this variance.
7. In considering this application, it is the
understanding of the Board Members that the items to be sold
will include small variety store items, such as packaged and
canned foods, magazines, refrigerated items, microwaved items,
and the like. Requests for clarification or interpretation
concerning the type of products to be sold shall be referred to
this Board if necessary.
8. The following information is also noted for the record:
Page 3 - Appl. No. 4074
Matter of AMAC, INC. (SU~RU ILGIN)
Decision Rendered ~rch 25 ~ 1992
(a) the premises has continuously for the past 22
years been used as an office for sales of gasoline and other
incidental merchandise, with small engine/vehicle repairs within
the enclosed service bay areas of the principal building, and
gasoline sales at the service pumps;
(b) the use as a convenience store is to be used
accessory and incidental-to the gasoline-service station and not
as a separate principal use or business establishment;
(c) the existing vehicle lifts and (three) bay areas
will be eliminated and replaced with the accessory convenience
store use;
(d) the principal building.will not be enlarged
without prior approval of the Board of Appeals by subsequent
application.
9. In considering this application, the Board also finds
and determines:
(a) the subject parcel is surrounded by other
properties to the north, west, east, and south of the Main Road
which are also located in the General Business "B" Zone District;
(b) the variance, as conditionally and alternatively
noted below, is the minimum necessary to afford relief;
(c) the accessory use as authorized will not alter
the essential character of the neighborhood or this zone
district;
(d) the difficulties claimed are uniquely related to
the land and building in question - the difficulties are not due
to the general conditions of the neighborhood, are not personal
to the landowner, and have not been created by the landowner;
(e) there is no other method feasible for appellant
to pursue other than a variance due to the nonconformities of
the land;
(f) the relief as conditionally and alternatively
granted will be compatible with the overall plan and policy for
development in the Town and would not create conditions
distinctly different from those existing in the locality or
essentially alter the character or reasonable permitted uses in
this district or of adjacent use districts;
~age 4 - Appl. No. 4074
Matter of AMAC, INC. (SUKRU ILGIN)
Decision Rendered LWarch 25, 1992
(g) the safety, health, welfare, comfort, convenience
and order of the Town will not be adversely affected by the
proposed business alteration from aotomobile repair to sales of
small food and non-food products;
(h) that in light of all of the above, the interests
of justice will be served by granting the variances requested
and as conditionally noted below.
Accordingly, on motion by Mr. Dinizio, seconded by
Mr. Grigonis, it was
RESOLVED, to GRANT a Variance for permission to convert the
existing service area within the existing principal building for
"convenience sales" SUBJECT TO THE FOLLOWING CONDITIONS:
1. Floor ~area of proposed convenience store area shall be
limited to a total of 600 sq. ft.;
2. Convenience store shall be accessory and incidental to
the gasoline service station use presently established, and not
as a separate principal business use;
3. There shall be only one entrance for the convenience
store area, that being located only at the east side of the
existing building;
4. There shall be no entrance way between the gasoline
sales area of the building to the convenience store area;
5. There shall be an entrance from the north side of the
property and an exit from the south side of the subject premises
onto the Old Main Road -- no exiting will be allowed onto the
Main Road at the easterly yard area;
6. This variance is temporary for a period of three (3)
years from the date of the filing of this decision with the
Southold Town Clerk, EXCEPT where a building permit has been
properly issued and construction commenced to convert this
building as proposed herein.
7. No food service or sales of prepared foods, no cold
cut-deli items, or other food services (except pre-packaged);
8. No expansion, further construction or other service
areas without a new application for consideration to both the
Page 5 - Appl. No. 4074
~4atter of ~4AC, INC. (SUKRU ILGIN)
Decision Rendered ~ch 25, 1992
Planning Board and Zoning Board of Appeals, and any other
department or agency having jurisdiction thereof.
9. Parking for the convenience store area shall be
provided at the easterly yard area with ingress (entrance)
Route 25 and egress (exiting) onto the Old Main Road only.
10. No table service or seating for public use;
11. No cooking, except by portable microwave;
12. No drive-thru or (window) drive-in services (for
accessory convenience store);
from
Vote of the Board: Ayes: Messrs. Goehringer, Doyen,
Grigonis, Dinizio and Villa. This resolution was duly adopted.
lk
RARD P. GOEHRINGE~//CHAIRMAN
Town Hall, 53095 Main Road
P, O, Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 23, 1994
Garrett A. Strang, Architect
P.O. Box 1412
Southold, N.Y. 11971
Re: Empire Service Station/Convenience Store
Dear Mr. Strang:
In reply to your request of March 8, 1994, there weren't
any items included with your letter as stated. Never the less,
this use will require site plan approval by the Planning Board.
It might also require approval by the Zoning Board of Appeals.
Very truly yours,
SOUTHOLD TOWN BUIldING DEPT.
Thomas' J. ~Fisher,
Building Inspector
TJF:gar
FOUNDATION ( ls t)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
~FLUMBING'
INSULATION FERN.
STATE ENERGY
CODE
Ye
FINAL
THE NEW YORK BOARD OF FIRE UNDERWRITERS 1
1195197 BUREAU OF ELECTRICITY
[--~ 85 JOHN STREET. NEW yORK, NEW YORK 1OO3B
Date [~,AY [9 ~ 1995 Application ~o.o.ft~ 881~695/95 N 352335
THIS CE~IFIES THAT
o~y t~ el~trical equipment ~ ~scrlb~ below a~ intr~uc~ by t~ applicant ~ on the a~ application number in the prem~es of
EMPIRE GE, ROUTE 25, MATTITUCK, N.Y.
in ~he foHotvlng location~ [] Be~sement [] Ist FI. [] 2nd FL OUT Section Block
~s exatnlned on ~O~'~ 19,1995 and found to be in compliance with the National Electrical Code.
Lot
FIXTURE FIXTURES RANGES ' OVENS DISH WASHERS EXHAUST FANS
SYSTEMS
NO. OF FEET
OTHER APPARATUS~
MOTORS ~ 3-F H.P.
E E V I C
NO. OF CC. COND
AWG.
OF CC. COND,
NO. OF HI.LEG
OF HI-LEG
NO OF NEUTRALS
SABAT ~L~CTRIC
50 PAT LAN~
MATTITUCK, NY, 11952
V
LIC.#4204E
GENEI~AL MANAGER
Per-
This certificate must not be altered in any manner; return to the office of the Board if incor!'ect/ Iqspectors may be identified by their credentials.
FORM NO. 1
TOWN OF $OU~:HOLD
BUILDING DEP-ART, M ENT"
TOWN HALL
~,9.u~.~,OF ~otJ~rM ~ TEL.: 765-1802
....... :9¢.¢' ' ' ' '
Approved./...~.~Z ....... ,: 9~enni, No. fl...~..~..~...~.~~
Disapproved a/c ......... 7:. . ' .
SOUTHOLD, N.Y. 11971
. (Bpifdin~,ja~pector)
APPLICATION FOR BUILDING'PERMIT
INSTRUCTIONS
B ,A OF HEALTH .,~..t. ....
3 SETS OF PLANS ........ -.,,
SURV£Y "
SEPTIC F 0 R,~I
CALL
NAIL TO:
Date November 14 19~.4
a. Ttds application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 sfi'eets
or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli-
cation.
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
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 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 insp. t, etio~_.'_ //2 .
~~e f. qa~p~c~a~nt,tq'~~r name, if a corporation)
orre~ A. Strongt Architect .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ...... S. qkr~... I J. gj..rl .... , ............ /..~..~,.: .....................
tas on the tax roll or lates~ deed)
If applicant is a corporation, signature of duly authori2ed officer.
(Name and title of corporate officer)
BmldersLzcenseNo. Not 5elected Yet
Plumber's License No. " " "
El ' ' 's L'ec No" " "
triclan lcense .......................
Other Trade's License No. " "
1. Location of la'nd on which proposed work will be done ....................................
7400 Main Road ' Laurel '
Itouse Number Street / Hamlet
Cou'nty Tax Map No. 1000 Section ... :.. ] 2~ ......... Block ...... 07. ' Lot ..... 9.1 ............
Subdivision ........ . ............................ '. Filed Map No ............... Lot ...............
(Name)
~- State existing use and occupa_,.:v . ·~:,..~. s, ,~a ,tended use and occupa,ncy of proposed construction:
a. Existing use and occupancy Retail Sales Gasoline and'related accessories/Service
b. Intended use and occupancy Sgm. e. - "
· 3 Nature of work (check whic;t applicable): New Buildin~ Addition X.X
Repair Removal Alteration '
Demolition . Other Work
4 Estimated Cost $.1~ 9.o0 09 . ' (Description)
(to be paid on filing this application)
5. If dwelling, number of dwelli:ng units ............ Number of dwelling units on each floor·.
· If garage, number of cars . ' ' '" .............
· uslness coln nercbl
7 Dimens; .... w_=.. . . cupancy, specny nature and extent of.eac e o use mm czo
· s,aa~ uA ~;~l;Stlng s[ructures if 55 ~ ~. ~ ~, ........... ~ ....
H ' ] 7' an,,' ~r,,,,
ght N' mb J .................. liear ~.o. D
D f i ith It ti 55 '" '33
Imenslons o same structur w a era ons or a OhS: Front Rear ............
D pth ~ P' Hight ' 17 [ .............
.............. , .... e ........ St O.N,E .....
8 Di ti new cods ........... ,. Number of cries . ' '
ti
. mensions of en re trnc on: Front... ........... : Rear ............... Depth ...............
.Height ............... N~pmber of Stories ............ ;. ..
9. Size of lot:Front ' . · ' Rear .... 2 ' ' .......... ~ ....
I0. DateofPurchase .. ( · . . . 108
....... I ........... ' ......... cqame of Former Owner .......
1 I. Zone cruse district in which premises are situated. .qenera- t~u$.:tnes~ ' .
12. Does proposed construction violate an ..... :-,~ ~ ....... ' ' . ·
13. Will lot be regraded N.o ; ..... · ........................
...... 1 ............... wm excess fill be removed from premises'NrA Ye
Name of Owner of premises 'Sukrv I1 ~.r~ . · s No
~l ............... ^uaress ...... .% .n. q49. Phone No. 5. ] 6-765-545.
Name of Contractor .... i':lo.....5¢ le$:.t~c.l. Y;e.t,... Address ...; ......... . ...... Phone No ............ '., !.
15.' I.s this property w±thir 300 feet of a tidal wetland? *Yes ........ No~ ..... '
· If yes,'Southol~ Town Trustees Permit may be required· '
'~' PLOT DIAGRAM
Locate clearly and distinctly'"~ll buildings, Whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and bloc ~ number or description according to deed, and show street names and indicate whether
interior or corner lot.
SEE A!TACHED !!
STATE OF NEW YORK,
COUNTY OF..S.qf. fg~.k ...... .S.S
Gb~'re'c~ A..Sirana
(Name of individual signing contract)
above named·
...... being duly sworn, deposes and says that he is the applicant
He is the ' Archi%ecl Agen¢ ' (Contractor agent corporate officer etc )
of s.aid .owner or owners, and is duii autho ' d to parCnrnl c~r '
Y nze ......... have performed the said work and to make.
apphcat,on; that all statements contained ~.- ,~: ..... ,._ ,. and file this
, -, --~ ~v~ncauon are ~rue 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
No 4725089 Suffolk ~u .~' . ' (Signature of applicant)
/A .?..-,~' la-.
GARRETT A, STRANG
architect
Main Road P.O. Box 1412 Southold N.Y. 11971
516 - 765 - 5455
1
0
£!F OOC~?~CY
UNDERWRITERS ~RTIFI~TE
REQUIRED
,,., /'./,
,: t~__ ~__u', ~-
A 14,1t4 IN d
('-[~4~b)
GARRETT
A, STRANG
architect
Main Road P.O. Box 1412 Southold N.Y. 11971
516- 765 - 5455
r
GARRETT A. STRANG
architect
Main Road P.O. Box 1412 Southold N.Y. 11971
516- 765 - 5455