HomeMy WebLinkAbout18026-zTOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
Q'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°- 18026 Z
Perm~ss,on is hereby granted Jo: ('~ ~ . r'--'h~ ^ /
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County Tax Map No. 1000 Section . ~. L~?~,_ .... Block ..... ..~....! .......... Lot No . ..~.6..
pursuant to opplication dated .... ~...../~. ................ , 19.~.CJ, and approved by the
Building Inspector.
Fee $./ ....... C ..........
Building Insl:~ctor
Rev 6/30/80
Building Department
Town of Southold
Town Hall
Main Road, $outhold
11971
Gentlemen:
I am in the process of opening a one-hour photo
lab in store 10A of the A&P shopping center, Main Road,
Mattituck. We currently operate a similar facility in
Greenport.
The owner of the shopping center, klan A. Cardinale,
has already secured a town bulldin~ permit to partition off
the 500-square-foot space we will occupy.
Our work will consist of building two sections of
formica-topped counter, installing a sink and addin~
electrical outlets (see enclosed plan). The plumbing and
electrical work will be certified by the respective
contractors.
One final note: Photoprocessing uses several different
chemicals, and these should not be introduced into the
groundwater supply without treatment. Our equipment is
"washless" (non-plumbed) and fully replenished -- that is,
chemicals are not changed by draining each tank and
replacing solution but fresh chemicals are automatically
added as needed -- so they produce very little effluent.
What they do produce, however, will be stored in drums and
removed for treatment by a company licensed to handle these
~aterials.
ITlmot~y E. Gould
NORTH FORK ONE HOUR PHOTO INC.
6 April 1989
TEG/c3r
FORM NC). 1
TOWN OF SOUTHOLD
RUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N Y. 11971
TEL: 765-1802
Approved IJ .... 19 S. PenmtNol.?.~ .~..~.
(Budding Inspector)
.APPLICATION FOR BIJILDING PERMIT
BOARD OF HEALTH ...........
3 SETS OF PLANS ....'~. ......
SURVEY ....................
CHECK .~/~. ..................
SEPTIC FORM ...............
NOTIFY
.LL..V. :Z. 7:..74. C..'¢': ....
MAIL TO:
INSTRUCTIONS
a. Tins apphcat~on must be completely filled ~n by typewriter or m znk and submitted to the Budding Inspector, with
lets of plans, accurate plot plan to scale Fee according to schedule.
b. Plot plan showing locatzon of lot and of buddings on premises, relatIonship to adlommg premises or pubhc stree
or areas, and giving a detmled descnptmn of layout of property must be drawn on the dmgram winch ss part of tins app
c. The work covered by tins apphcation may not be commenced before issuance of Buddzng Permzt.
d. Upon approval of flus apphcatmn, the Budding Inspector wdl zSsued a Budding Permit to the apphcant. Such perm
shall be kept on the premises available for mspection throughout the work.
e. No braiding shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupant
shall have been granted by the Bmldmg Inspector.
APPLICATION IS HEREBY MADE to the Bmldmg Department for the ~ssuance of a Bmldtng Permit pursuant to t?
Budding Zone Ordinance of the Town of Southold, Suffolk County, New~Z~rk, and other applicable Laws, Ordinances c
Reeulations, for the construction of bm/drags, a~d~tions or alteranons, of for removal or demolition, as hereto describer
Thg apphcant agrees to comply with all apphcable laws. ordinances, l~fldmg code,r'houm~n~r~de, and regulations, and t
admit authomzed inspectors on premises and m bmldmg for necessary ~{[sr~ectu~.%-~'\_ ~ [ ]
(Sigdature o(~apphcant, or nam e~, If a corporarlon)
(Madmg address of apphcant)
State whether applmant m owner, lessee, agent, archttect, engineer, general contractor, electrician, plumber or budde~
Nameoro:vnerorpremlse$. Pr
(as on the tax roll or latest deed)
I[ apphcant is a corporatmn, agnature of duly anthor~zed officer.
(Name and title of corporate officer)
Budder's License No ~ ..... ..~t~..
Plumber'sL,ceuseNo..~..4. J<...~~.°
Other Trade's License No .....................
1. Location ofland on wtnch proposed work w,ll be done. .
}louse ......................... Num her --~ r; }~,' .......... ' ...... ' '" ""Hamlet .............................
Countyrax MapNo 1000Section .... /..~..~. ....... Block ..
Subdivision ................................ Fdcd Map No ............... Lot ...............
(Name)
State existing usc and occupancy of premlses and intended use alld occupancy of proposed construction.
a. Existing use and occupancy
b. Intended use and occupancy ............... ,
3. Nature of work (check x,,hlch applicable)' New Budding ......... Addition ......... /alteration ..~. .....
Rep:ur ............. Removal ............. Demolition ............. Other Work ...........
4. Estlmate'd Cost .... t ................................ Fee ... Lr-D
(to be pard on filing this application)
5. If dwelling, number o f dwelling units ............ Number o f dwelhng 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 ~.~.~.-'.~.~.~.~.¢ ~r~..¢,
7. Dtmensions of existing structures, if any Front. 1 ~.( ¥.~[ .o.~ .... Rear . lP.~.c.'"J.P.?... Depth ~.q/. ..... ~
~t .............. Number of Stones ..................................................
~Dlm,e,~f same stmctnre w~th alteratmns or addmons' Front ................ Rear ................
?epth . . . ~ ......... Height ..................... Number of Stones ..................
8. ~osofentlm ~m~ction. Front ............... Rear .............. Depth .............
9. ~ ............ ''~'~h~' Re~. :lJ''t' ~'~ ........... Depth ....................
10. .... Owner ..........................
1 1. ~s are s~tuated..~.~.. ...........................................
12. ~ng law, ordma~r~regulatmn: .............................
13. ~,..W, lll exce~ removed from premises Yes ~
14. ~d. ress. . . . _ . . .~'~¢.h ...... Phone No ..............
.......... hon - No .............
Name of Contractor... ...... ~ .............. . .-'.~P.~ne No ........ V~...
15.Is this property located wlthln~OO feet of a tidal wetland. ES .... NO~..
*If yes, Southold Iowa Trustees Permit may be required.
PLOT DIAG RA~{
Locate clearly and d~stmctly all buildings, whether ex~stmg or proposed, and. zndlcate all set-back dunensmns frc
property hnes. G~ve street and block number or descnptmn according to deed, and show street names and red,cate whetb
interior or comer lot.
STATE OF NEW (Y~_RK~_r.--- ti ~ ~
COUNTYOF x,,.,_~¢,~.i..~.t? (.,~ .. 5~
..........
(Name of md~vldual signing contract)
above named.
being duly sworn, deposes and says that he ~s the applic'
Itc is the ....................... ~.~ ~e.¢. ....................................................
(Contractor, agent, corporate of freer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file
apphcatlon, that all statements contained m this apphcation are true to the best oflus knowledge and behef; and that
Work will be performed ~n the manner set forth in the apphcat~on filed therewith.
Sworn to before me this
. .~.~
~)DI~8. NOT
DESIGN OR,~