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Home My WebLink About20334-z R ti r^ORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20753 Date MAY 22, 1992 THIS CERTIFIES that the building INTERIOR RENOVATION Location of Property 12250 MAIN ROAD MATTITUCK, NY House No. Street Hamlet County Tax Map No. 1000 Section 114 Block I2 Lat 3.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 17, 1991 gursuant to which Building Permit No. 20334-Z dated DECEMBER 17, 1991 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 REMOVE PARTITIONS & RENOVATE EXISTING STRUCTURE (INTERIOR ONLY) AS APPLIEB FOR AND AMENDED. The certificate is issued to HAt3DY PANTRY STORES, INC. (STORE 1-A} (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C 10-91-O11 MAY 21, 1992 UNDERWRITERS CERTIFICATE NO. EIS INC. APP #1188 MAY 6 1992 PLUMBERS CERTIFICATION DATED MAY 18, 1992 Building Inspector Rev. 1/81 cosec xo. s 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) N°- 20334 Z Date ...~s~.~:~,.~......1...7 19.9.1. Permission is hereby gmntedjjt~~o: 1 to ...1~v!:~,o::!~,..~ ::~:!k~.4ilr.:?....~`:..hua:rn...~ ..W.V.sd:t:sd.~lv...t~ :t:.,.~u,a.;c.. . wt at premises located at ../..red,. t3,.`~?~.........!:1..4:!^:t.....~. .............~..~i~lr.{r1:t:~ . . County Tax Map No. 1000 Section j.T.........gBlock ~..~~a......... Lot No.....~,..~ pursuant to application doted ...(...~hR1?~tx.~~A,A.......1 19.~.~.., and approved by the Building Inspector. Fee 5..~.P~.S:..: ....i. ~.~:1...~.. Bu ding inspector ' Rev. 6/30/80 - . ~ Form No. 6 - ~>~`F,•~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 / / r/ APPLICATION FOR CERTIFICATE OP OCCUPANCY A. This application must be filled in by typecariter 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 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......~f~ New Construction........... Old Or Pre-exi(~sting Building......?......... Location of Property...~.22:~~...........J~9x1~~?:.~~ ................~l~~k'T..CtT~S-~w.......... House No. Street Hamlet JJJ Onwer or Owners of Property..1/ 14!>>.~,`~... ! f~:~c~:~v~~"f . ,~r2,~,5, , , ~;r;~c; , , , , , f®2~, ~'"1~ :ounty Tax Map No 1000, Section..~j:~~',;;~,,,,,Blouk„(~,I,~;,Df),,,,,Lot. ~,FJ..~; ~Q,r,,,,,,,,, Subdivision ....................................F(ileyd Map.........`)...Lot.I....i................. 'ermit No...`•':~~.~~,~,?;„Date Of Permit..~Z~.l:~.l,~'.A.,,.Applicant,l+hN~~`!~/~J~:~/J3'?+,{,j~/~??~F5„~;v,!~_• fealCh Dept. Approval , f 1~, , , , , , , , , , , U/nderwriters Approva]G,iIG JFGr4L~:~F`.. t~y.'~7:.A2~~?+~ e-c Tanning Board Approval :e quest for: Temporary Certificate........... Final Certicate...~/., 'ee Submitted: $,,,,,,,~,0;;;~,,,,. /'tee-e~~ ~ 7~'`'/r° Z7 ° ' . APPLICANT C TEL. 765-18f)2 o D~ TOWN OF SOYJ~'~Ob.D , ' . ~ OFFICE OF BUILDII•IG INSPECTOR o P.O. BOX 728 =c TOWN HALL ,~p'~" SOUTHOLD, N.Y. 11971 Ol ~ y, C E R T I F I C A T I O N Date___~~~-- Building Permit No. J~ Owner ( ease t) Plumbe (i `c C41 ~ h r~ • (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1`0 lead. (plum er' siynatu e) Sworn to before me this ,~/G'ffrE~yr/ ay of ~~1~_, _ 19~. / Notary P I7otary Public, County EoI1HF.JACK3ala ~ 'as~2oiss~ew vork QuepAed M Suffolk Cao~1~~ Term Expires FcS, f?o •9:99 r - - ~ _ of ' I ~ • - ~Q~ I ~ A y?,,1~;~ m ~ ~ ~ w .q ~ ° 'ef, ~ w ro _ _ ro A o ro a~ w H - ' •ri R7 N N N ,q ~ 'P. N a ~ ' ~ ~ w U N ~ •rl a' . 'Ci v • q p •.i ~ I 3 W N o'. V o O~ ~ W .!4 C fx a H W E ~n~ Z O - - 'n~ i< U I 8 cu ° a ~ ~ E ~ a Ga > ~ ro as z x° v - N x as m a pciu r. Z~Z a~•a AE;~ ~ ~•v a AAa1'oN N N' NN N N 0= LLJ 'd A H z w W x .c7 N I I N N~ . W ~V O , yQ U"N Hri ri ri N N s^"f4 U~ C7 U A p ro q 'I' f,~x •~~I ~+Osq d qqO qC H N lL Q O H •N b o a` 3 G1 d ro ro rt~ to ~ .1 ~ U+~ ro~ q H wH, H o~7Eaaw•~ a Ea N~O o N ro N o o o; N yoo Z~Ia- +H+roa•ro w vtl o ~ ~a~~a~a~yaw Q r~ N ,dj rob I ~ ro N ~ _ oooo~oo+~xx ; V W ~ w q N b •.C A N to ~ ~~NNOOOeN Ill ~r (y1~} ~ ~ ~ p ~ H ~,'_VTayC_,' ,~/Y~7.1 .-1 .-1 e-i N .-i .-I .-i N 1,~I.J 'T ~JJ ~ A'' a ro 0 .r{ ~~y ~ f~J7 W ~ U W v N b W ~ ~ ro \v ~ ~ ~ ~ ~ ~ ~ .1~4 F ~-i E N O ~•1 W W 3 ~ N~ 0 ~ SNt x U O 3~ U U N ~ a ~-i ~ y ~ ,q q J ' +Oro+ H Nb.z G q N E p 3 ~ _ N N ~ O~PCpr'°a', l"' Q H ~ rtl y.l O 'd N UW N x~Ni _ O H ~ ~ W ~ ~ H vq roW a a a ~ ~~uro w ~~ro~ yo rn a'~~a~'m~ H O ro •ri a 7• ~ O N N rl to W I '1~,JS. ~ t1 z~~i € a Nnr h I c'IcLD I;:S:`c:,:iU;J ~~Un:E I~ COM;'1CNT° "'"t, 1 . ~ ~ ~m o a ~ _ H FOUI7DATION (1st) '~r' c FOUIJDATIOtJ (2nd) c~ P.OUGH FRAME & Uz~,a ~ PLUMBING ~ ~ 3. ~ y ~ m F- IIdSULATI0t1 PER N, y, m H STATE ENERGY CODE 'S ~ D ~ a. .may FI;JAL ~ `v ADDTTIOhIAL COMh1E~ITS: x r ~ H a • a1 _ H o~ ~ 5Y y a M ~ A r • y S d . _ ~ _ ^u H r t , f~y~~,~Ur~iD~~S' ~ ~~~a f ~ ~ j' t , ~ ~ G h'""", p#~~a ~ 'F h k (~~t PLANNING BOARD MEMBERS o r.9 ~ 6h6y ~ ~ ~ SCOTT L. HARRIS Berme[[ Orlowski, Jr., Chairman ~ ~ \ --„sYaa ,""'~`i~t ~ Supervisor ti n>,r George Ritchie Latham, Jr. d~~ :¢!j ~F° Richard G. Ward ~r 'I ~'',,~}j' Town Hall, 53095 Main Road Mark S. McDonald "Q'~`r~`z~ P.O. Box 1179 Kenneth L. Edwards pLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 14, 1992 Joseph Stocken Handy Pantry Stores, Inc. 183 Smithtown Boulevard Nesconset, New York 11767 RE: Handy Pantry Store S/W/c New Suffolk Avenue & SR 25, Mattituck SCTM # 1000-114-12-3.1 Dear. Mr. Stocken: At last night's Planning Board meeting, your agent, Henry Raynor, spoke with the Board about your letter of January 10th in which you requested permission to continue with your renovation of the building sans pending site plan approval. This is to confirm the Planning Board's understanding that you have obtained clearance from Victor Lessard of the Building Department to remove the mansard and stonework over the front entrance in order to install the new windows and front doors. The Planning Board has no objection to this work so long as it is conducted in accordance with the elevation plan that you have submitted as part of your site plan amendment application. I trust this will resolve your concerns. If further information is needed, please contact Valerie Scopaz. Sincerely, Bennett Orlowski, Jr. Chairman cc: Victor Lessard, Principal Building Inspector ~,pFFOC,~-~ ~ F ~ ' O n ~ ~ ~ ' NOV - 4199! y!? PLANNING BOARD MEMBERS .yv ;T ~1 ~5.~: TT L. HARRIS Bennett Orlowski, Jr., Chairman ~ " ~ 'S IJI rya,3, (~G~~t-, Supervisor George Ritchie Latham, Jr. ~~Q ~ ,80~ T®Vdll~ ~3~ ~C?517N€;I;S7 „ Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards pLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 November 1, 1991 Henry Raynor 320 Love Lane Mattituck, New York 11952 RE: Proposed Amended Site Plan for Tolendal (Handy/Pantry). S/W/c New Suffolk Avenue & SR 25, Mattituck SCTM # 1000-114-12-3.1 Dear Mr. Raynor: This is to confirm a telephone conversation earlier today between Ms. 5copaz and yourself. The Planning Board has reviewed Mr. Stocken's October 17th letter which was addressed to you. The Board's responses to each of Mr. Stocken's objections are: 1. The existing brick facade which has been painted white can be left as painted brick. However, on the remainder of the building, the concrete block is to be covered with stucco and painted white to match the brick. The rear and west side of the building should be stuccoed because of this building's prominent location. The rear portion of the building is of particular concern, whether an entrance is placed here or not, because of its visibility from New Suffolk Avenue. SIC ,L 2. A mansard roof is to be placed an all three sides of aA the flat roof so that all roof equipment is screened ``~4o>n ~ e~ from view and there is a four foot overhang. It is G possible to install the roof without interfering with roof drainage and without creating a fire hazard. I recommend that you call Victor Lessard, Principal Building Inspector for further details and guidance. 3. The sample shingle is not acceptable, as it does not match what is on the main part of the building. Y Unless Mr. Stocken intends to reroof the entire building with new shingles, it is suggested that he use a black shingle that resembles what is there now. 4. The Board does not want Mr. Stocken to remove the trees in front of the building and the concrete planters which surround them. The trees are an attractive landscaping element. Also, since there will be a sufficient number of conveniently located parking spaces on the site, it will not be necessary to incur the expense of relocating the trees and removing the planters. I trust this will resolve Mr. 5tocken's concerns. If assistance is needed in completing the site plan application please contact Valerie Scopaz. Sincerely, ,girt-Qi~" lS~i:f',,.D~'v~'~~-;/ Bennett Orlowski, Jr. Chairman cc: Victor Lessard, Principal Building Inspector P.S. Thank you for the shingle sample. It can be picked up at your convenience. ~ ..i.. 1. a ~ ~ _ I i I ~ - - - - - - N I' I I~ ..I - - - j ' - - rI i I '/H oh K o.E ~ I V - II - - - - - I ~ ~ - , , j i I i I ~ j I I Ili - ~ n, ~ ~ ~ - i i i i i I 1 ~ i - - 1~ 1~1 ~ 1 ~ - ~ i - - ~ ~ ! i i n~ I i _ _ _ _ ,~I ~ t - - - i , ,I I -.L, 6i i _ IA ~ I - - I I I ao, ! i I i~ i I ; ~ . - ~ ~ i j i~ ~ - - ~ ~ ; y~ i i I I~I ~l s p { 8+. ~ ~ I - A - - ~ - - 'i 1 y? Mfg. # ~ { - - ~ - - I i I - ii _ I - - - I - ~ - - - - - - - - I • i ~ ~ I - - I ~ ~ ~ ~ ~ I ~ ~ - SI: ~ ~ - i I I I i . ' ~ _ f_... ~ i - - - ~ . l i I' - - - I ~ - _ - ~ 3~~ ~ i I _ _ fi, _ _ s , c. t j _ _ _ - _ _ - - T ~ _ - - I I~ ~ ~ _ _ I f _ _ _ _ - _ I , I - . _ _ _ _ _ _ ~ _ - _ - - - _ - _ I I I I i ~ I I ~I i'. :.I-..I.. I-_--__I 1 .~._i i j _~I_ .I - ~ _ ~ I - PLUMBER CERT/F/CAT/OAI ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANC SOLDER USED /N WATER SUPPLYSYSTEM CANNpT I~ EXCEED x/10 OF 1 % LEAD. j , If Dogger tubing is creed for v~tsr distributing system; piping shalt bs of types K or I. only ~,,,.,;,~a err- 1.~2.S~,.r_--_ l/. G~.4. PLUMBiIVG IUCF3iF'Y pwlu_.Irrr-i;.. ti~~ s~ ALLPLUMBINDWASTE 7+'~"-,-3$t3°t 'i x~~=9 6~ + ~ ~ & WATER 41NES NEED F~elai.,+nrdrs~~C; r~,,:-.:~i . ~ j TESTIfJGBEPORECOVERINCi 2. I~d3al~li ~ 6°f4ial~;li.ifd ;t, ,C"; 3. rnrsu~nrrc7nr r~rr~~er. - r~or~ ~~srarrr;rrr~r+i r~~~rr ~ UNDERWRITERSI~RTIflCATE c,c~nn~rn~.r~ Fa3~a a;.t~ ~~a, ccar~ 4r~urrra~3 ~~r_~ n~~~r_r REQUIRED 'rr~>r }~EQUINkMENi'S C)F 7l~E N Y, S1A7"E Cl7R1STRUCTEpN ~ EAJ~r7C;'t asgr~tES. PdC17 RESF'ONSiEtLIE ~(:3H axssrorv oar co~sr~a,r..~rrJr~ ~~ran;,,<.: QCGJP~~3~~ q 115 &~'~~~,~~~,r~~~~. 9THgq~ 0~ ggCqP~i~~~1" j, ~ 1yJ/ , m..d~,,.,. :`:v... qUi f ~ ~ ~„"O -a , ~n . PLANNING BOARD MEMB ~S ~~~'jaf.t,[~.'SiC6=i; t,= . " » C7 SCOTT L. HARRIS Bennett Orlowski, Jr., Chair, Tv[PUg~4'YF e; SE%';'„r2~ :'y,' ~ ' ~~i~ Supervisor George Ritchie Latham, 7r. ~ yy`~~,`j1~ Richard G. Ward ~r.-~ s"~ Town Hall, 53095 Main Road Mark S. McDonald `~"zz~rr~~ P.O. Box 1179 Kenneth L. Edwards pLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 December 11, 1991 Joe Stocken Handy Pantry Stores, Inc. 183 Smithtown Boulevard Nesconset, New York 11767 Re: Tolendal Catering Hall/ Handy Pantry Store S/W/c New Suffolk Avenue & S.R. 25 Mattituck, N.Y. SCTM # 1000-114-12-3.1 Dear Mr. Stocken: The Planning Board has reviewed your letter of December 3, 1991, in which you asked if we would object to your beginning working on the interior of the former Tolendal building without site plan approval. As we understand it, you wish to remove partitions, structures, equipment and facilities that will not be needed in the proposed grocery store. You also wish to begin interior construction relevant to a grocery store. Further, it is our understanding based on your letter and on your agent`s conversations with Planning staff, that you are in the process of putting together your site 'plan application for this property. The Planning Board's posiCion is that if Victor Lessard of the Building Department is able to issue the necessary permit for the interior work only, we will have no objections to your proceeding with the interior demolition and reconstruction. However, the Board still reserves all its rights under the site plan review procedure to require additional site changes or modifications to any interior work you may undertake prior to obtaining site plan approval. If you have any questions, please do not hesitate to contact the Planning staff. Sincerely, ~~2vx ems- ~ov~a-~v ennett Orlowski, Jr. Chairman c;c:`~Victor Lessard, Principal Building Inspector Henry Raynor, Agent ..i^ " x ~U(~l""'(~„~ ~k'1ri'p>~!-;?C NF_Ft~j~j.3^^i..111 ~iJ'1 P//~~ 9 s >e 'Yfi~ i-f llc, (`.f %1. 1~ dl_^if'iE3 ~ i"(xi .~'~3 ~.Y. `17n7 Lec. 3. ig9~ ~~~J t.lLf:!>1_cj ;rn~•y,r, ~'9 t:7:ii i!~~ Ca (i 2, C?; ~a r _ r 3 ~~^t1 i'Jt-'.i1t Ya Tf)(k';if-'a3 LLh °'CV s~ 1 'I1 ~y) a.l~ IA~~ R ~ U L l~ 3 .~t 1~ } 55 , G' 4:1 ski Q(,'v t'~~ hLYlt ~:3~:~ 3f.i t` 1LCr$S7i ;'r'~:i? 071 ,+^a;,, :i-- -tee' [i d" Vl,~tti »1 i,:d ih 4GY4v'CYC7ii ~ :j°.° q• - r ,L. ~.;Zl V;'_j . ,'\.t Ct YI iti ~,-'.aa „ya r. ~Y w ~f t TV° r;~ ~r_ ~r:g'3 i l~ Ciil 1 03' ''i3 E.j F7ar. a~,l;rnv:tl, Huh %rr .s "';~i rL -.1 :i It l.S f? 't1 r, Z1i~]>"`e?2' L>L' d Sys. Si.`~Ere7.y, f Joa Storket2 IS p UFC-4f~Si SO1r77IC1 p TOW Pf~'4~+'++r aOt1ftiD r .I AY~~- 1 1 -92 FR I 2 42 ~ P El 1 TELEPHONE 516.381.9440 FAX d 518.381.9441 ~~~t~~p ~txp tore, ~9~c, "THE FRIENDLY STORES OF FINER FOODS" ' 183 SMITHTONlN BWD„ NESCONSET, N.Y. 11787 ~Z. `~°'y~ ~J ate iii S ~ i :~°~f ~ JA4~ i 3 ~ - 1-;, tF.. ° f~~ ~ ~ 1 • 4 hu 54U 'H Y.~~ 5~ ~ ..lvlSy ~r ~ a< .~5y f ,.i, r t.. q ~ ~ 4~ • ~ ~ 1 - as n..~,, ~ r:'~ ~ i Y,b' m 521 ~.i07.',41'o`a ra t 1 Yf ~ Q ;~I kr b~~ ~ z ' ''~a1bA't11, do ~ „~1 N 1~1 ~ ~ X41 ~ , ~ ' '4 . ~ A . r - Q 0 I ~ r d I Z z, fl ~ Q ~ r. ~ ~ 3 ~ ~ ? 4 Z~. 11. r~ t 7., e.~ ~~Q,d ~o~~ I Fr a, ~Y shS I_ ~xY ova z ,I. r' , Fk ~ I w ~ ~ I ~ J. ~ ~ ` ~ r~ ;I . ~ I. ~ I , p ~ s ~ ~ h' ~I a ~ 9a~ i ;;`a~' z ~ ~ ~ ~ ,f~„ r ~~n~vn~. ~rvr Nnvlby u«+',n ~ ~ c v v~. t Yp+ C N, p H ,r a c ~ > w. - ~ d.. ~}r- o.`O~ p .m r. ,r ~,4' i ~ ~ r uS ~"'~P!MA ~ . ~ .,..+ee ,m °gi E c~~: 5 ¢ + i; r ~ s• ~ jr' ~o a 0 0 I ~ »n - 9j ~.5 ..1 ~ f+ ~ t ~ 4 (f~~4~ 7`. ~~~'.rd~.. ~ ~Q t ~s°m- u :~c~. xYp,A ~ ~ .N; ~.b .li m i' I Tz~ y~ - c o`er f e n d 'O- err. ~ Q'd, h S nz' ~ °3 co y t' _ ~r~ r:, u 9l ~J 4 (r 1v. Ilr ,~,,i d P v'4~ ~ ~:s ._1' ~ ~ } r 5Y ~ ~ p f. ~ ~p~ n J~ ( ~ 1~ ~ p .WNM/~ ` 'LL V U~ 1. i .Q- ~ 1Rf / ~ ~ DrnS ~ ~Y - ~ \ ~ ~ '.m7J ~ k r, G .r,'., ~ ~ 8q ' W ? ,':mom ~ 3 ~ +1a ~ 6j ~~p• 1 a ' Y H , ~ 1 ~ Y 1 k~ ~ H r e r1'r r t 1 a it ~yW.. ~ `-<ir„~,,,®, ~ ~ ~r} 0 s,.. , t ~ ~ , ..hj.~ h r1C ~ _ ai ~ it yfr ~ 'r,'. v r ~~V~ ~ ~~~e'd _ _ ~Q ~ ~ r WWW~ ~s v `'l . f ~ ~ 11 ° to>,:~. r1 r r` r ' ~tT~,,,J ~.4~ a, z'I ,r a M ~rr ~ ~ M " 'G ~ r~ r i ~.q A ~ r ~ p !pl ~ ~ V ~.a7r Yq ~ ~W 'V~~ !s ~ tM\ V~ t is u 3 ~y~~ { ye n i ur ' t y ~ r< f° r.w u I ~ 1y~ ~ !n vftaY+d2 s~,. „ bs ~ i ~ ' ~ C 'y,r r' F ~ r~ i 1 rY`.~i', `..,'arm. YL!,'~7~ t :q .ryY~,et,+,,p;~ ~`_ffi',r~. - . Q ~ ~ad ~ ~7~~~ , / ~ ,s", ~ o ~~U~;a a ~ ~ Gatti G~~ ~ ~ 7 ~ , o B0.\RD OF HEALTH FORMN0.1 3 SETS OF PL.\:i5 TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CIIECi` . . TOWN HALL SEPTIC FORD! SOUTHOLD, N.Y. 11971 TEL.: 765-1802 r:oT I FY ( CALL Examined . !o~?.~Yp lM~,~,~. 19 9. ( Pin I L TO Approved .c..~.an~..~ 194 Permit No. 3 3:'~ Disapproved a/c G~ ~i~'~L (Building Inspector) ~ ~ ~ ~ ~ ~ APPLICATION FOR BUILDING PERMIT~~ Date 19 . INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .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 x areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ~ation. 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 ha;l be kept on the premises available for inspection throughout the work. No building shall be occupied or wed in whole or in part for any purpose whatever until a Certificate of Occupancy hall 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 ' Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Zegulations, for the construction of buIldings, additions or alterations, or for removal or demolition, as herein described. fhe applicant agrees to comply with all applicable laws, ordinances, buIlding code, housing code, and regulations, and to !dmit authorized inspectors on premises and in building for necessary inspections. ~ (Signature~of applicant, dr name, if a corporation) ~b'..3 . ~~yn.,.1CM~:~~~~~. Bl~r4 n(~S c~~.r5~:.~ y/~(76 ~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. W/ ~ ~....(~.....`.........l.............................................. . \ame of owner of premises J7f!N. b.y . , .{.Arir' ?.F ~r ~,l.q f.'.r ~ ;-1; r?c ; f (as on the tax roll or latest deed) If ?ppl~ n[ is a corpo tton, signature of y authorized officer. ` (Na e and title of corporate officer) Bui der's License No . . Plumber's License No . . Electrician's License No. ...ISUf:~.7 - . Uthcr Trade'; License No . . I . Location of land on which proposed work will be done . . [louse Number Street Hamlet County Tax Map 1`!0. 1000 Section v Black ~I [ , , , _ Lot ..L7, h....Q L.' . Subdivision Filed Map No. Lot . (Name) State existing use and occupancy of premises and intended use and occu ancy of proposed construction: J~ ~ ~ -n a. Existing use and occupancy • f e.,2.%:ti'r~ A.-~~ . ~p S~~ .f'U~/YL/f'.~.. .~s , ~~`.~~~P~ b. Intended use and occupancy ~.^i'J/.~': c~.:~~.~~~'.~k~C... ~~..+1}, . ICc>~r}~ , p!E .l-n~~: Z~ +C.. . 3. I~'a[ure of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work . 1Tu77 (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 cazs . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use Er(~cc¢~ 7. Dimensions of existing structures, if any: Front ,.~-p, , ~ ~ • • ~ • ' ' ' ' ' .......Rear Depth z z-....... Height Number of Stories Dimensions of same structure with alterations,or additions: Front . Rear Depth ......................Height ......................Number of Stories . 8. Dimensions of entire new construction: Front ~ ~ • • • • Rear Depth Height Number of Stones , . Size of lot: Front Rear Depth 0. Date of Purchase .............................Name of Former Owner . Zone or use district in which premises are situated .....I.1.f~kw~. ~C>~:...~~~,,,'tiJ,~.~S , , . Does proposed construction violate any zoning law, ordinance or regulation: ~.t 13. Will lot be regraded Will excess till bey~r~gmoved from premises: Yes No ~y ~1... 14. Name of Owner of premises . 1~l?N~ .~gw,~,, ~J~~ddress l~i.3. `j,+t,: ~1ou;c~ ~lwF, phone No. ~lv/.-~Y.~f4... . Name of Architect ~~2. o/rj.~1(E1(~q~(.~t~~;,,. , • Address ~v4r ~t~"~~lC{.r~r~r!(~.,.~phone No. ~°.Y':l.y!~ Name of Contractor ~ ' ' ' ' ' ' • • • • . • .......Address Phone No. 15. Is this property within 300 feet of a tidal wetland? * ~ " " " " ' *If yes, Southold Town Trustees Permit may be required. No...Y..... 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. K >TATE OF NEW YORK, 'OUNT O S.S r ~ k J~~tf'EV' ' ' ' ' ' ' ' • ~ 5~~ • • • . • being duly sworn, deposes and says that he is the applicant Na e o indtvidual signing contract) bove na d. le is the........../.Lid:4c~`W (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. wom to before me t~ ///~j~ ~~i ..day ~ •fhSw'~ ~ 19~~ otary Public, ~i,~~~.. County pLAN.SEADER !OTARY PU641C, State of New Yor . No. 4682737 Qualified in Suffolk County (Signature of applicant) -.,,,,n,:gc:n.. cxn~rap M~~p-~ 30. l~v~ /FTC `U 9~~id~ ~ ~f--I i(xa Z l t ;ll f) ~j„ 1 PLANNING BOARD MEMBERS ~ a ` nt [ ~ i, - SCOTT L. HARRIS ~ ~ ~ Supervisor Bennett Orlowski, Jr., Chairman h>r ~ _ ~'N George Ritchie Latham, Jr. ~~FJ;~~~ ,w~ ji1~'~ Town Hall, 53095 Main Road Richard G. Ward Mark S. McDonald ~~`~~rz""~ P.O. Box 1179 Kenneth L. Edwards pLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 14, 1992 Joseph Stocken Handy Pantry Stores, Inc. 183 Smithtown Boulevard Nesconset, New York 11767 RE: Handy Pantry Store S/w/c New Suffolk Avenue & SR 25, Mattituck SCTM # 1000-114-12-3.1 Dear. Mr. Stocken: At last night's Planning Board meeting, your agent, Henry Raynor, spoke with the Board about your letter of January 10th in which you requested permission to continue with your renovation of the building sans pending site plan approval. This is to confirm the Planning Board's understanding that you have obtained clearance from Victor Lessard of the Building Department to remove the mansard and stonework over the front entrance in order to install the new windows and front doors. The Planning Board has no objection to this work so long as it is conducted in accordance with the elevation plan that you have submitted as part of your site plan amendment application. I trust this will resolve your concerns. If further information is needed, please contact Valerie Scopaz. Sincerely, Bennett Orlowski, Jr. Chairman cc: Victor Lessard, Principal Building Inspector t/ I f . - -- ,, /,- ~ , ,.., ~.- - ~ ~,-,o, , I k ~ , I Zll~/ ,~ ...... ~,- .(, ) ,. -I~ ,,, . ~ I ~ ~o~. ~- ~ . Z I I '~ ~ ...... . , . ... ~,~-~,~. ~ . . . ~o~ co~c.w~ , _ --7~ I -- ' ~ -- ~ SUFFOLK COUN~ DEPARTMENT OF HEALTH SERVIC~ ~o.,~,~.~.~. ,,,,, ,~ ~ ~m~ ? ~0~"~0 ~l~" I~-J--~ ~" 4~1~l~%) M~ ~M FRONT ELEVATION MAIN ROAD $.R. 2__5 ELEVATION REAR ~I~T LEFT SIDE ELEVATION NEW SUFFOLK AVE. OCCUPANCY OR USE IS UNLAWFUL ~ - - _-: -- __-- ' __ ~-_ _ - - =_~ -- -- ~N. WITHOUT CERTIFICATE ~' Z-- = =-- . - =---"_ - ---- ='"= ----~' .... ~ - - -------_~_~ OF OCCUPANCY RIGHT SID~ ELEVATION JU . / .............. _: ............I ............... LUMBING DIAGRAM ~ ,,*~,,e, SINGLE LAV PERMIT REQUIRED FOR ALARM SYSTEii/Le; UNDER ALARM LAW If copper tubing is used for water distributing system; piping shall be of types K or L only UNDERWRITERS CERTIFICATE REQUIRED ^V 4~T¢~. F~TA FIRE INSPE~ION REQUIRED BEFORE riPENING OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ]"' I~" p~IA FA2 PLUMBING DIAGRAM ,~ -,,.¢.4.. SINGLE LAV A Iii If COpper tubing is used for water distributing system; piping shall be of types K or L o_nl~ UNDERWRITERS CERTIFICAfE REQUIRED JLA JUI ~ ARCHITECTS 1 PLANNERS FRONT t ELEVATION MAIN ROAD S.R, 25 REAR ELEVATION LEFT SIDE ELEVATION ~JEw SUFFOLK AVE. ff copper tubing ia used for watar distribating · ystem; piping shall be of types Kor L only UNDERWRITERS CERTIFICATE REQUIRED . ~ ~,,.~,a~.~, u:~. Iii UNLAWFUL WITHOUT CERTIFICATE r - __ -~_- ~= ....... ~-~ ' -- --_ --. == ~___ OF OCCUPANCY /' ' ,''' ~RM SYSTEM~ IJNOE RI',3HT SIDE ELEVATION