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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21080 Date OCTOBER 9, 1992
THIS CERTIFIES that the building ALTERATION
Location of Property 19625 MAIN ROAD MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 108 Block 4 Lot 10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 29, 1992 pursuant to which
Building Permit No. 20785-Z dated JULY 6, 1992
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 EXISTING STRUCTURE FOR DOORS & WINDOWS AS
APPLIED FOR.
The certificate is issued to WILLIAM J. BAXTER & ORS.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-247429 - AUGUST 20, 1992
PLUMBERS CERTIFICATION DATED N/A
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B di g Inspector
Rev. 1/81
Foam NO, A
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)
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N°N° 20785Z Date ...........1.
;
i Permission is hereby granted to:,
?.X...~e ~v.. ............................................1
to ...>,.CiC.fk
i at premises located at ....1..9. ~.a~ ......S.~t~ l4 Vii.:...................
F ....MY.. i. K~r i.~......... • •
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County Tax Map No. 1000 Section I..Q.*2 Block ......Q ..q Lot No..JI t.sti........
pursuant to application dated .....a.7 1991-':, and approved by the
Building Inspector.
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Fee $.I..W
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uil ng Inspector
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Rev. 6130180
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APPEALS BOARD MEMBERS ~O\4gOFFO(,(eoG SCOTT L. HARRIS
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Gerard P. Goehringer, Chairman Supervisor
c
Charles Grigonis, Jr, y x
to nr Town Hall, 53095 Main Road
Serge Doyen, Jr. O P.O. Box 1179
James Dinizio, Jr. d,A~~ Southold, New York 11971
Robert A. Villa Fax (516) 765-1823
Telephone(516)765-1809 Telephone(516)765-1800
BOARD OF APPEALS
TOWN OF SOUTHOLD
May 7, 1992
JUN 2 9 i {
Mr. William L. Lindsay - sa
P.O. Box 662
Mattituck, NY 11952
Re: Your Inquiry Received May 4, 1992 - Auto Parts Business
Limited Business (LB) Zone District as of 1/10/89
Dear Mr. Lindsay:
We are in receipt of your communications pursuant to
contact you have had recently with the Planning Board or its
staff and your proposed occupancy of the Baxter Bros. building
at the westerly corner of Elijah's Lane and northerly side of
Main Road in cutchogue (1000-108-4-10. The subject premises is
presently zoned LB (Limited Business).
t
In checking with the Planning Board, we find that there was
a conditional site plan approval rendered March 13, 1989 for
an "as built" building layout (as of January 30, 1989) and upon
which is noted the Special Exception granted under Appl. No.
3801 (for manufacture and assembly of classic cars).
Based on the use granted in the Special Exception for
assembly and manufacture of classic cars, and the fact that the
Limited Business zone district permits auto parts wholesaling
and warehousing, as well as motorcycle shop repairs and
services, and retail uses supplemental to the above services, it
is our position that an auto parts business is not prohibited.
It is recommended that you file a written request for a
waiver or for other approval before the Southold Town Planning
Board since this requirement was imposed by them at the time of
i endorsing the site plan in 1989. Also, you will not be
permitted to have outside storage in any manner and will be
required to apply to the Building Department for appropriate
certificate of occupancy/use as amended and/or building permits
Page 2- May 7, 1992
To: Mr. William L. Lindsay
Re: Auto Parts Business in LB Zone (1000-108-4-10)
as may be deemed necessary based upon the nature of the work to
be performed.
Very-truly yours,
GERARD P. ~OEHR IG R
CHAIRMAN
lk
cc: Chairman and Membe z0f
the Southold Town Planning Board
Building Department (Attn: Mr. Lessard and Mr. Fisher)
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PLANNING BOARD MfiMI3F,l2S SCOTT L HARRIS
Supetvisor
Bennett Orlowski, Jr., Chainnmc
George Ritchie Latham, h. Town Mill. 51095 Main R,,tO
Richard G. Ward Mark r McDonald P O Box 1179
Mar
Mak S I, Hdwnrds Southold, New York 119'1
Kenneth PLANNING BOARD OFFICE
Idephonc (516) 765-193ft TOWN OF SOUTHOLD Pax t516t 765 IS'1
June 18, 1992
William L. Lindsay JUN 2 9 i Jt
P.O. Box 662 Mattituck NY 11952 s
'TCbtaP~ ( a r p. a ° .
RE: Waiver for ciange of~use
for premises of William
Baxter, Main Road and
Elijah's Lane, Mattituck
Zoning District: Limited
Business (LB)
SCTM# 1000-108-4-10
Dear Mr. Lindsay:
The Planning Board has reviewed your letter of June 15,
1992, in which you propose an 8' by 30' landscaped area at the
midway point of the 130' wide parking area on Elijah's Lane.
The Board will waive site plan requirements provided the
parking and landscaping, as shown on your sketch received by the
Board on June 15, 1992, copy enclosed, is installed prior to the
issuance of a new Certificate of Occupancy for the site.
If you have any questions, or require further information,
please contact this office.
Sincerely yours,
Bennett Orlowski, Jr. '
Chairman
cc: William Baxter
Victor Lessard, Principal Building Inspector.
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STATE ENERGY
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ADDITIONAL COMMENTS: V x
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Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building 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 from Health Dept, of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" 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 the applicant.
If a Certificate of Occupancy is denied, the Building inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date A(JGcJS7?M 149?-
New Construction ......../.y.. Old Or Pre-existing Building...
Location of Property ...Ig~oc~S M!~7N. (24YZi, , M/- "77M)
House No/.' p~ Street Hamlet
Onwer or Owners of Property.. U;l P14W~..7:. *B?X7fV_. V-9
County Tax Map No 1000, Section.... /9.g.....Block 7.......... Lot.... /0
Subdivision......... ........................Filed Map....... .Lot..
Permit No.~~~J.... .Date Of Permit. Applicant
.`5~.~~~pp..,,~//:.~/«~.4'f'lJ....... p.,
Health Dept. Approval ..........................Underwriters Approval o,~~[9 f7
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $...V~'~ ~
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Qac~L/47VD (llJ
ato8"0 APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 'I.
1185077 BUREAU OF ELECTRICITY
1- 85 JOHN STREET. NEW YORK, NEW YORK 10038
Date AUGUST 20,1.992 Application No. onfile `18141992192 A 247429
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in thepremises of
BILL LINOSSY, SLIJA LANE-COR.RTR.25, NATTITUCK, NY,
in thefollowinq location; ? Basement ® Ist Fl. ? 2nd Fl. Section Block Lot
wasexarninedon AUGUST 18,1992 andfound to be in compliance with the requirements o/this Board.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W AMT K W AMi KW PMi K.W AMT H P
12
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT K. W. OIL H. P. GAS W P. AMT. NO. A. W. G AMT AMP AMT. AMPS TRANS. AMT H P NO.ST SYSTEMS FEET AMT WATTS
SERVICE DISCONNECT NO. OF
S E R V I C E
METER No. of cc coND p w G.
AMT. AMP TYPE ~V,P 1.6'tW I,e JW 383W 3,a 4W NO OF HbLEG A W G. NO. OF NEUTRALS A.W G
PER .e OF CC. COND. OF HbLEG OF NEUTRAL
OTHER APPARATUS: -
(/~2~aticvti ~cY~
ROSLA.H ELECTRIC LtC43677-11
P.O.AOX 164
CUTCH'OGUE, NY, 11935 GENERAL MANAGER
11
Per.
L'
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
BOARD OF HEALTH
FORM NO. 1 3 SETS OF PL At1S
TOWN OF SOUTHOLD SURVEY " " " " " " " " " '
s$ , JUN 2 BUILDING DEPARTMENT CHECK .
l TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971 qp
!7 6
1 TOi'~~~•i,:-' TEL.: 765-1802 t:oT, FY ,
CAL 29B =5_268..........
Examined 19 MAIL TO
Box 662
Approved t, , 199?. Permit No.aO?, $S, . .
Mattituck:NY 11952
Disapproved a/c .
;
V0
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(Building Inspector) 'V '
APPLICATION FOR BUILDING PERMIT
Date June,24,,,.,,,,,,1992.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
lets 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
gr areas, and giving a detailed description of layout of property must 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 inspections.
,Lindsay's,AUto Parts ,,Jnc;
(Signature of applicant, or name, if a corporation)
1?0. Box, 662, , Mattituckf, N.,Y: 11952
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
I,qss,ee.......................................................................
Name of owner of premises W l]iam,J;,Baxter,,,_Jr;,,,,,,,,,,,,,,,,,,,,,,„..-
(as on the tax roll or latest deed)
If app icant is a corporation, signature of duly authorized officer.
(Name and title of corrate officer)
Builder's License No.
Plumber's License No .
Electrician's License No .
Other Trade's License No .
I. Location of land on which proposed work will be done. westerly, corner, of E1 i j ah' s Lane and
northerl side of Rt. 25 in Mattituck
House Number Street Hamlet
County Tax Map No. 1000 Section ,108, , , , , , , , , . Block ......4........... Lot ....:.0191..... .
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 . -Cglr dJ t.iQpaa, ,Sj to slsl 1 ."as..builtA,;t, ya.caut........ .
iY'.t , J yaJY•si~.°i1
b. Intended use and occupancy Auto Parts Jobber : whohesale%j,Xet:i i;° ry> .1
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3. Nature of work check which applicable): New Building Addition Alteration . X.
Repair Removal . Demolition Other Work
4. Estimated Cost ..$10.,,QQ0,0 0 (Description)
Fee..$100.00......,.....................
(to be paid on filing this application)
5. If dwelling, number of dwelling nits Number of dwelling units on each floor
If garage, number of cars : .
6. If business, commercial or mixed', occupancy, specify nature and extent of each type of use AQUtYi.gU. ;1•/2 .
7. Dimensions of existing structures, if any: Front 8.Q'.......... Rear 8Q ; . • ; • Depth . ,120'
Height . . . . , um
Dimensions of same structure m with of Stories one • .
Dee ions of s • , h alterations or additions: Front ...80'........... Rear .....$Q: , . , , , , . , . .
Depth , • Height Number of Stories QPA . .
8. Dimensions of entire new construction: Front, . , same Rear . Same Depth same
. . . . .
Height ..same Number of Stories'.. . , ,same.
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 .•I,imit.eQ.13p.sjirei3.-c~
12. Does proposed construction violate any zoning law, ordinance or regulation: Ia.o . . .
13. Will lot be regraded no, . . . I Will excess fill be removed from premises: ffity No
14. Name of Owner of promises X, , r3.1$tPr.,.. Jr:.. Address Phone No............... .
Name of Contractor . . • . . . • . • • • ' ' • ' • Address Phone No............... .
J ................Address Phone No................
property within 3
15. Is this 00 feet of a tidal wetland? *yes,....... No.. .
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from ,
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
Attached
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STATE OF NEW Y(~I S
, , . S.
COUNTY OF. . . .
W A,GtnnR. . . 1-.. S .
• • • • ' . • • • • . • • being duly sworn, deposes and says that he is the applicant
(Name of individual signing contact)
above named.
He is the awRY_......................................... ,
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly '~uthoriied 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 er set forth in the application filed therewith.
Swam to before me this
19
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Notary Public,
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ROBEffr 1.
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NOTi1t089. KY.
/ 1~a:.29 (Siggature of applicant)
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SOUTHOLD TOWN
PLANNING BOARD
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APPROVED AS NOTED OCCUPANCY OR
DATE: A-B.P 0 USE IS UNLAWFUL
FEE ' By WITHOUT CERTIFICATE NOT! BUILDING DEPARTMENT AT
765-1802 9 AM TO 9 PM FOR THE OF OCCUPANCY
FOLLOWING INSPECTIO'NS'
1, FOUNDATION - fVJO REQUIRED
FOR POURED CONCRETE 2. ROUGH FRAMING & PLUMBING '
3 INSULATION
4 FINAL - CONSTRUCTION MUST
RF COMPLETE FOR C.O
• ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
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