HomeMy WebLinkAbout1000-85.-2-31 AY 18 2016
FORM NO. 3
Outh ad I"owil
NOTICE OF DISAPPROVAL Plarinioq Board
DATE:May 18,2016
TO: Van's Family Farm,LLC
PO Box 2
Peconic,NY 11958
Please take notice that your application dated May 11, 2016
For permit to open a farm brewery at
Location of property: 39195 Main Road,Peconic,NY
County Tax Map No. 1000—Section 85 Block 2 Lot 31
Is returned herewith and disapproved on the following grounds:
'[he.prqjjq,Vr1 ,L_is 11ot p rpitted..l Mr.,gant to Article 11, tion 28,U, I "Permitted Uses,"
arm brewer is n( 'tted use in the AC:"7x)nc,
Authorized Signattr
Note to Applicant:Any change or deviation to the above referenced application may require further review by the
Southold Town Building Department
CC: file,Z.B.A.,planning
TOWN OF SOUTHOLD BUILDING P—RMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do yf,.nave or need the following,before applying?
TOWN HALL Board of Health—........
SOUTHOLD,NY 11971 4 sets of Building
TEL: (631)765-1802 Planning Board approval
FAX: (631)765-9502 Survey.
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.____._
Trustees
C.O.Application . __,M_
Flood Permit
Examined 20__ Single&Separate____........
Storm-Water Assessment Forin
Contact:
20_ Mail
Disapproved a/c..
Phone:hone:
Expiration.... __...._. ._"_,20--
r-%,Z'Bunini nspector ®R
APP TION FOR BUILDING PERMIT
MAY 1 2016
Date —5 J
BUILDING DEPT. INSTRUCTIONS 1 1
TOWN
a.This application'W", �tely filled in by typewriter or in ink and submitted to,I the Building Inspector with 4
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 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
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 purpok 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
iSSLIEUICe or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for all
addition six months.Thereafter,a new permit shall be required.
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,Su6bkboim`ty,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.
(Signa��,efapplia*Nname,if a corp tion)
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises av" C",
(As on the tax roll or latest deed)
If applicants a corporation,signature of duly authorized officer
(Name and t tle of corporate officer)
Builders License
Plumbers License NO.
Electricians License
Other Trade's License
1. Loci lionof land onwh!J;h`,I`)'99"
pose( tli ca s 11 be done:
M
House Number Street Hamlet
County Tax Map No. 1000 Section ql?1�779 Block Lot 31
Subdivision Filed Map No, Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy r au
b. Intended use and occupancy F;11-YVN r e-v,,
3. Nature of work(check which applicable):New Building yy
uildingy( Addition Alteration
Repair---Removal DemolitionOtherWork
I., (Description)
4. Estimated Cost tj- �0 ,� Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling unitsNumberof 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 RearDepth
Height Number of Stories
Dimensions of same structure with alterations or additions: Frot-,
Rear
Depth, Height N Ln 6 egf,§fo fjes
8 D imehiions of entire new construction:Front, <�6 J�
Rear �Sc
Height 11J.S. ft Number of Stories
9. SizAf lot:Front Zko C —Rear -2-o,0 Depth
10, Date of Purchase-200 A
Name of Former Owner
11.Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law,ordinanceor,regulation?YES NO
13. V.7ill lot be re-graded?YES—NO V/ Will excess,fill be removed from premises?YES—NO V
14.Names of Owner of premises 041% ddress '13 X '�L -7 3'4 3g o
I 6A 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 wetlan'd or a,freshwater wetland?*YES NO ✓
IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C;PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? YES NO
IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16. Provide survey,to kale,with accurate founddtion 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 N/-
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
. Ss.,
COUNTY OF
being Only sworn,deposes and says that(s)he is the applicant
(Name of individual Fsigning contract)above named,
(S)He is the Car
or
(Contractor,Agent,Corporate Of�ficr,
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 knoNvjqjMSVWjtjtjMd that the work will be
performed in the manner set forth in the application filed therewith. VAWY— YA
PU
Na
coffm4fasuffiacour4y
Sworn to before me this
day If—LA�_2010
W-A � _ -Paw SL's
Notary Si nit re of Applicant
pplic.nt