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Home My WebLink About1000-125.-1-19.7SUFFOLK CO. HEALTH DEPT. APPROVAL H,S. NO. ,, cONFORM ~0 T~E STANDAR~ ~F THE SUFFOLK CO. ~P'T, OF ~ACT~'S'ER~C~ (si ...... , SUF?OLK s~v~cEs ~ ~e~ am.~Ovau :: REC=A ED DATE TOWN CLERK - . ' ' TOWN OF SOUTHOLD ' ' Suffolk Couniy, New York 516- 765-1801 N.0 ~. 1 3 3 So.thola, N. Y. 1197~:g~ /~ 19~ ~ ~ ~&~ JudHh T. Terry, Vow~' Clerk PLANNING BOARD MEMB~ JERILYN B. WOODHOUSE Chair RICHARD CAGGIANO WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR P.O. Box 1179 Town Hall, 53095 State Route 25 Southold, New York 11971-0959 Telephone (631) 765~1938 Fax (631) 765-3136 MEMORANDUM PLANNING BOARD OFFICE TOWN OF SOUTHOLD Date: To: From: May 3, 2004 Damon Rallis, Building Permits Examiner Bruno Semon, Senior Site Plan Reviewer~ Re: Shipman (Shamrock Tree) 6619 Main Road, Mattituck, NY SCTM #: 1000-125-1-19.7 ,/ This is in response to your memo dated April 14, 2004, which wr~ received by the Planning Board on April 28, 2004. The Planning Board (PB)files contain an approved site plan dated April 9, 1964. The PB approval included construction of a building 35'x 50' for a Tree Service Business with parking in the rear. The site plan file is available for review at the Planning Boards Office. Enclosed is a copy of the approved site plan, PB resolution dated 4/10/84 and the Building Inspector certification dated 4/5/84. Thank you in advance. Cc: file Eno.: map, res. let, copy of correspondence. 473889 SOUTHOLD 125.-1-19.7 6619 blAIN RD = OWNER & MAILING INFO === SHIP~L~N JOSEPH 985 ELIJAHS LANE MATTITUCK NY 11952 ==DIMENSIONS ACRES 1.16 IBOOK IPAGE ....... TOTAL EXEMPTIONS CODE AMOUNT PCT INIT Fi=NEXT PARCEL 75.10- 03-050 NYSRPS ASSESSMENT INQUIRY~ DATE : 05/03/2004 SCHOOL MATTITUCK SCHO~ ROLL SEC TAXABLE PRCLS 484 i USE SM BLD TOTAL RES SITE TOTAL COM SITE ACCT NO 14 =MISC I .............. ASSESSMENT DATA ........... RS-SS I **CURRENT** RES PERCENT i ILAND 1,200 **TAXABLE** BANK ITOTAL 6,200 COUNTY 6,200 **PRIOR** TOWN 6,200 ILAND 1,200 SCHOOL 6,200 ITOTAL 6,200 SALES INFORMATION .................................. 9392 SALE DATE 00/00/00 00206 PR OWNER 0 ............. I== TOTAL SPECIAL DISTRICTS 4 ..... TERM VLG HC OWN CODE UNITS PCT TYPE VALUE I FD030 IPK071 IWW020 ISW011 F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC F6=GO TO INVENTORY F9=GO TO XREF F10=GO TO MENU ./TOWN OF SOUTHOLD PROPERI"Y~tiECORD CARD "" '" OWNER STREET :, , '~ VILLAGE DIST. SUB. LoT FORMER OWNI~R N S W TYPE OF BUILDING R~.__ S~S. VL FARM CO~ ~CB. M ICS. Mkt. Value ~ND IMP. TOTAL DATE R~RKS Till~bl~ FRONTAGE ON WATER W~lond FRONTAGE ON ROAD ~d ~EPTH H~ PI~ BULKH~D T~ I Extension Foundation Basement Ext. Wails Fire Place I Bath F/o~rs Interior Finish Heat Porch Deck B reezewa' Garage Pool Attic Patio Driveway Rooms 1st Floor Rooms 2nd Floo BPX01 *** BUZLDIN~RNZT APPLICATION *** O 5/03/04 09:48:02 OWNER: SHIPMAN, JOSEPH ADDR: RD 1 BOX 107 ELIJAHS LA LOC: MATTITUCK, NY 11952 HAMLET APPLY DATE: 0/00/00 PERMIT DATE: VERIFIED BY: VERIFY DATE: USE CODE: USE: MAP: LOT: 6615 MAIN ROAD/ROUTE 25 4/13/84 DENY DATE: 0/00/00 0/00/00 EXPIRATION: ~ BUILDING#: 0 OF: 0 SUBDIVISION RO#: ZONING DISTRICT: YARDS SETBACK FRONT: PERMIT OWNER/AGENT: ADDRESS: CITY: DESCRIPTION: BP #13035- BP MAX HGT: PLOT SIZE: AREA: SIDES: REAR: SHIPMAN, JOSEPH RD 1 BOX 107 ELIJAHS LA MATTITUCK STATE: NY ZIP: #13035-CO Z-13116-CONST. BLDGT-- 11952 WETLANDS Y/N: COASTAL EROSION Y/N: TRUSTEES APPROVAL DATE: --0/00/00 PLANNING BOARD APPROVAL DATE: -0/00/00 DEC APPROVAL DATE: ~ ZBA APPROVAL DATE: ~ FLOOR AREA: ~ VALUE OF WORK: .00 FEE CODE: FEE: .00 ADD/CHG/DEL: CHANGE Fl=Next Permit F~--Summary F3=Exit F7=Reprint F8=CO F9=Denial F12=Clear 473889 125.-1-19.7 N~R~ DATE TYPE 1303~ 4/13/84 PERMIT 13116 15794 3/27/87 PERMIT 19130 6/12/90 PERMIT 17431 19332 0/00/00 0/00/00 0/00/00 0/00/00 0/00/00 0/00/00 0/00/00 OWNER: SHIPMAN, USE/DESCRIPTION' BP %13035- BP #13035-CO Z-1311 BP #15794- BP #15794-CO Z-1743 ALT & ADD PREFAB ALT & ADD PRE Fl=More F7=Permit Detail F8=Co Detail F9=Preco F12=New Swis/Parcel F3=Exit TOWN OF $OU'FHOU) BUILDINO DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PEP. MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COJ~PLETiON OF THE WORK AUTHORIZED) N? 13035 Z Permission Is hereby granted ~: , ............. co..~ Tox Mop ~o. ~000 S~.o..../...~...~...i ..... B,o~k ...... 1 ............... Lot No..~.!~. .............. pursuant to a~lication ~ ........... ~.../.~ ................ , 19~.~I.., and a~mv~ ~ the Bulling Ink.tot. B~ildlng mf4:ector Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.l. 3..1.1.~ .........Date Jan. 8 ,o85 THIS CERTIFIES that the building New Building Location of Property 6615.. Rt..2.5 Laurel Street Ham/et County 'Fax Map No. 1000 Section ]-25 .Block 0! ........ Lot P/O ~L9 SubdivLsion X ............................... Filed Map No ......... Lot No .............. conforms su§sta~tiaJly to the Application for Bui/ding Permit heretofore t'~ed iA this office dated .A.p. r i 1 4 19 84 ........ , ·.. pursuant to which Building Permit No. 13035 Z dated ......... .Ap.r.i. 1....%3. ........ 19 .8.4., was issued, and conforms to a~ of the r~tuirements Of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Ne.w Building in a Business Zoned Area The certificate is issued to JOSEPH SHIPMAN of tho aforesaid building. Suffolk County Department of Health Approval i~LA-33 UNDERWRITERS CERTIFICATE NO .................. N66.8.339. ..................... Building Inspector Rev. 1/81 IPOIL~ NO. S TOWN OF SOUTHDLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15794 Z Permission Is hereby granted to: .... ~...~ ....... ~..:..,¢..: ....... ./../..?..~.~. ........ .%....~¢~..:~....:......; ............. :.....: ............... ~ ......... ~ ....................................... ,,t .r, ml~- to,:~ed ot .....'G..G../..~.........~.~...f,~. ........... ~..~.....~.:..(f., ...................... County Tox Map No. 1000 Section ..../....O....~. .........Block ....... .~..~. ...... Lot No...'2..:.~...,.., ....... ,,,,,o., ,o o~.,,~,,o. ,~ .... .~~......z.~. ............. ~.., ,,~.~.., °,~ °,,wed ~, ,~. Building Inspector. Fee $.~ ......... ................................. Building Inspector Rev, 6/30/80 Ik, FORM NO. 4 TOW~OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17431 Date OCTOBER20, 1988 THIS CERTIFIES that the buildieg ACCESSORY Location of Property ~615 MAIN ROAD I~BEL~ BEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 04 Lot 7.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 10, 1987 pursuant to which Building Permit No. 15794-Z dated MARCH 27, 1987 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 ACCESSORY STORAGE BUTL~INGAS APPLIED FOR The certificate is issued to of the aforesaid building. P. SHIP~ (owner, SUFFOLK COUNTYDEPARTMENTOF HEALTHAPPROVAL . N/A UNDERWRITERS CERTIFICATE NO. N 821158 - JULY 22~ 1987 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOY~N HAL/. SOUTHOLD, N. Y. BUILDING PERMIT ~I'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHOR/ZED) Permission is hereby granted to: ....... ~.~.~.,..~.~......g.~ .......... ....... ~.~,z~.~...~...~:.~.:...u..t~':..~,. ~ ....... .............................. ~ ...~~. ~..<.~, A...~~~. ~ .~ .... : . ......... _ ........... &..~'/....~['..~.L2~[[[[~~ pursuant to application dated ........ ...~..~....L..-~... ................. 19.~...o..., and approved by the Building Insl0ector. F. s/..~.:..~ ~~;;: ......................... Rev. 6/30/80 NO. ~ TO~N OF SOUTHOLD BUfLDING DEPAR~MEN~ Dffice o~ the Building Inspector Town Hall Southold, N.Y. CER~IFICJ~ OF OCCUPANCY No Z19332 Date SEPTEMBER4, 1990 THIS CERTi~'I~S that the building ALTERATION Location of Property 6615 MAIN ROAD LAUREL House No. Street Hamlet County Tax Map No. 1000 Section 125 Block 01 Lot 19.7 Subdivision Filed Map No. Lot No. conforms ~ubstantially to the Application for Building Permit heretofore filed in this office ~ated JUNE 8r 1990 pursuant to which Building Permit No. 19130Z dated JUNE 12, 1990 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 INSULATE AND SHEETROCK EXISTING COMmeRCIAL B~I~DING AND CONSTRUCT A 15 X 15 PREFABRICATED Coor.~. The certificate is issued to (o~ner) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTHAPPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOSEPH SHIPMAN (SHAMROCK TREE EXPERT CO. } Rev. 1/81 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone APR 2 8 2O04 $0uth01d Tow~ Plannin~ Boartl 802 MEMORANDUM TO: Jerilyn B. Woodhouse, Chairperson, Southold Town Planning Board FROM: Damon Rallis, Permit Examiner, Building Departme~ DATE: April 14, 2004 INFORMATION REQUESTED Project: Shipman Commercial Buildings (125-1-19.7) Location: 6619 Main Road, Mattituck SCTM# 100 - Section 125 - Block 1__ - Lot 19.7 Please advise as to whether or not the above referenced property has an approved site plan. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD MEMORANDUM TO: FROM: DATE: Bruno Semon, Planning Department Damon Rallis, Permit Examiner, Building Departme~.~ April 14, 2004 INFORMATION REQUESTED Project: Shipman Commercial Buildings (125.~ Location: 6619 Main Road, Mattituck SCTM# 100-Section 125- Block 1_-Lot 19.7 Please advise as to whether or not the above reft SU~y Southold, N.Y. 11971 (516) 765-1938 April 10, 1984 Mr. Joseph Shipman 985 Elijah's Lane Mattituck, NY 11952 Re: Joseph Shipman Site plan Dear Mr. Shipman: The following action was taken by the Southold Town Planning Board at the regular meeting of april 9, 1984. RESOLVED that the South~ld Town Planning Board approve the site plan of Joseph Shipman located at Laurel for the construction of a tree service business subject to a one-year review of the Planning Board. If you have any questions, please contact this office. Very truly yours, HENRY E. RAYNOR, JR. , CHAIRMAN S~UTHOLD TQ~N PLANNINC~ BOARD ~ M~ ,~ecretary TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 April 5, 1984 Planning Board Town of Southold Main Road Southold, NY 11971 Subject: Joseph Shipman, site plan Gentlemen: The subject premises is located in a B-1 zoned district. The proposed use of office for tree servicing business is a permitted use for this district. This will certify site plan for above, meeting the require- ments of zoning regulations. You~s~ trul~ / Edward F. Hindermann Building & Housing Inspector EFH:ec Attch. Southold, N.Y. 11971 (516) 765-1938 April 3, 1984 Mr. Victor Lessard Executive Building Administrator Town Hall Southold, NY 11971 Re: Joseph Shipman Site Plan at Laurel Dear Mr. Lessard: Upon review of the above captioned site plan, the Board noted that the correspondence from the Building Inspector, George Fisher, states that the proposed building is to be retail. However, the applicant indicated at the December 5, 1983 .Planning Board meeting that there would be no retail sales on the property. (see minutes attached) The Board requests that the site plan be referred back t0 the Building Department for certification based on the above information. Enclosed are three copies of the map. Very truly yours, HENRY E. RAYNOR, JR. ,CHAIRMAN S. OUTHOLD TO~N PLANNISiG BOARD ~y~e ~. S~Ze~ecretary enc. pg. (2) 12/5./83 Mr. Richard Gassner met with the Board for a presubmission conference to discuss construction of a fiberglass roof on an existing building for protection from whether when repairing boats. On motion made by Mr. Orlowski, seconded by Mr. Latham, it was RESOLVED that the Southold Town Planning Board approve the site plan "Richard Gassner" to construct a fiberglass roof, 12 feet by the width of the existing building, for the purpose of a shelter to re- pair boats, thus amending existing site plan. Vote of the Board: Ayes: Raynor, Latham, Mullen, Orlowski, Wa Mr. Joseph Shipman met with the Board for a presubmission conference to construct a commercial sign. Mr. Raynor advised Mr. Shipman to submit revised plans to the office showing his proposed building, any office space, parking area, ingress and egress and setbacks. Mr Shipman was asked to stake the four corners of the proposed building for an inspection by the Board. Mr. Shipman stated this business would have three employees and no retail sales would be on the prop- erty as it would be a tree service business. Mr. Shipman stated the easement would not be obstructed in any way. On motion made by Mr. Wall, seconded by Mr. Orlowski, it was RESOLVED that the Southold Town Planning Board refer the site plan "Joseph Shipman" to the Building Inspector's Office for certificatic subject to receipt of three copies of revised plans from the applica Vote of the Board: Ayes: Raynor, Latham, Mullen, Orlowski, Wc Elizabeth Diefendorf - The Board reviewed correspondence from the applicant and the proposed covenants and restrictions for this prop~ It was noted the property would be restricted to contain not more than four lots and no where in the restrictions does it mention the two lots that were approved. The applicant also proposed that no residential structure would be constructed near the wetlands in acco dance with Article 25 of the New York State Department of Environme~ Conservation (requesting amendment to Planning Board condition of a 100 foot setback); the board questioned whether this would leave thc board open to changes the DEC might have in the future regarding se~ back requirement. It was the concensus of the Board to forward inf~ mation to the Town Attorney and request his opinion. PERM 42e (1/83) STATE OF NEW i~JJ~K - DEPARTMENT OF TRANSPORTATI(~ '~S'HNo, 8229 '~ $ N[C Est. Compl. Date $ 2.50 $ ~.50 zz2658 (CR) Perm,t No10--83--0609 Permit Fee Ins. F~e .~ Total Received Check or M.O. No, Liability Insurance Policy No. Disability Benefit Coverage Policy No. HIGHWAY WORK PERMIT Expiring Permittee ,In~e,nh ~h~.nm~n Address 9_~R El.~J~h's Pl._ncc City ~ State .-. J~Y Zip ~ Mailing Address for Return of Bond or Deposit (Complete only if different from above.) Name Name Address Address City State Zip City State Zip __ Deposit Rec. for $ Check or M.O. No. Dated or $ ~ :_Eft0 Chargeable to Bond No. or U ndertaking on F i lc Workmen's Compensation Policy No. Return of Deposit Made Payable To: (Complete Only ~f D~fferenl From PermilIee) Under the provisions of the Highway Law or Vehicle & Traffic Law permission is hereby granted to the permittee to * ......... -~-~ ~--~** e· ~" ~--~ ~sph~t --~ ~'' ~ top; ~ph~!t (~.,H)nthecountyof ~"~0] k as ~t forth and repre~nted in the attached application; at the pa~icular location or area, or Date Signed M~-~r ~a~oR~ ' ~ / // ~ / ............. IMPORTANT J THIS PERMIT, WITH APPLICATION AND DRAWING (OR COPIES THEREOF) ATTACHED, J J SHALL BE PLACED IN THE HANDS OF THE CONTRACTOR BEFORE ANY WORK IS STARTED.J NOTICE - It is absolutely necessary that the permittee notify ~ ~ ~ ~YR[D~ NY~ ~T ,~Eng neet, whose address is ~Y~ ~ Cm ~ V~.~llp~t~ NY ~7~ ?~ h~. R~[~ ¢~t~On ~OI1~ ~d Tel. No. ~O-R~ before work is sta~ed and upgn its completion. (SEE OTHER SIDE) in front of new curb 2½" base asphalt and 1½" of top. N OTI CE 24 HR NOTIFICATION REQUIRED PRIOR START OF WORK. TO ANY PERMIT ~.: 360-6025 [ I J L PERM 33d (3/81 Application is hereby made for a highway work permit 985 £1tja#'$ Place ~tatttt.ck, NY 11901 STATE OF NEW YORK- DEPARTMENT OF TRANSPORTATION PREPARE HIGHWAY WORK PERMIT APPLICATION FOR NON-UTILITY WORK 3COPIES Highway Permit No. Effective Dote 3,/23[84 ENTER NAME AND MAILING ADDRESS IN THIS 5PACE ]. Requested duration from 19 __ 2. Protective Liability Insurance covered by Policy No. 3. Workmen's Compensation ~nsurance Policy No. 4. Disability Benefits Coverage Policy No. thru $3,500 J530130 10325 84 4 Indef. 19 exp;rlng , to apply to the operation(s) checked below: expires on 19 Check Type Permit Show Ins. Fee in otal Amount Guarani Fee Amt. or PERM- of Fee and/ Dep~slt An of Operation 17 pr Under* or Insurance and/or taking on file ~]4. Single job - Permit issued for each job []a. Driveway or roadway []Private NC ~ C .... rclaJ $100 [] Subdivision Street $200 ~ Temporary access road or street $ 20__ .... []Private N C [] Commercial $ 20 Check additlanal description below: [] ~nstall sidewalk, curb, paving, stabilized shoulder,drainage, etc. ]Grade, seed, improve land contour, clear land of brush, etc. []Resurface existing roadway or driveway [] Commercial (not required for pruning if $ 20 utility has annual maintenance permit) Check additional description below: ]Removal or planting ] Pruning, applying chemicals to stumps, etc. -- ~. Miscellaneous Construction ~1~ Beautifying ROW -(for Civic Groups only) NC ~ Temporary signs, banners, Christmas decorations $ 20 L..~ Traffic control signals $200 [ Warning and entrance signs $ 20 [] Demolition -- [~ Mo~vin~g -- -- N C -- -- ~r~%. I-'-mpro-'-v .... tto meet Department standards-- .......... NC - TOTAL PAiD Work may be described briefly as follows: To _.e~e~_n the aOrth side Of Rte, 26A l,OOO' vie Beay Ave. ~tttt~k foe ~e ~e ef heath tn ~t~ a~, lns~11 c~te ~ ~ as~alt tn e~ ~ f~ I dts~ ~ ~ Ad~itionel work description is ettuched; ~ Plans pages and/or ~ep is filed showing wor~ p~rmed at: LOCATION ( ~ ~ ~ State Hi.hway No. 8~ bet ..... ration and station in the Town of ~Id County o~ Siffolk Acceptance of the requested per 't subiec permitter to the restrictions, regulations and obligations stated on this application and on the permit. ~/~ppli cant Signature Approve, r. ..... d£ ) '20' 1nra tn ent~'lmCe area $hall cmts st/st e~ 4 base as~al~ and 2" ) propm', ry, Asph~lt top; asphalt tn trent o1' ne~ curb 2'~" base asphalt and 1%" of tala. PERM33d (3/8't) RESPONSIBILITIES OF PERMITTER REVERSE 1. PROTECTIVE LIAJ~II. ITY INSURANCE COVERAGE Permittee must have protective liability insurance coverage in accordanc~ with Department requirements. (See JrifoJ- marion on Protective Liability Insurance Required for Highway Work Permits and/or Special Hauling Permits, Form PERM-27). Expiration of, or Jack of, liability insurance automatically terminates the permit. Insurance coverage may be provided by furnishing the Department with one of the raj Jawing: a. A Certificate of Protective Liability Insurance for Permits on State Highways (Form PERM 17, NYSDoT) b. A $2.50 remittance (check drawn on a New York State Bank or Certified) for coverage under the Departmental Blanket Policy. c. An Undertaking may be furnished by Public Service Corporations and Government Units only and must include the wording required by the Department. 2. COMPENSATION INSURANCE AND DISABILITY COVERAGE The applicant is required to have compensation insurance and disability coverage as noted inthe provisions of the Workmen's Compensation kawand Acts amendatorythereof forthe entire period of the permit, m the permit,s 3. NOTIFICATIONS Notify Commissioner, through Regional Office, one week prior to commencing work, except emergency' work by public service utilities which should be reported the next work day. Work must start within 30 days from date of permit. Notify area gas distributors 72 hours prior to any blasting. Notify Utility Companies with facilities in work area (permission must be obtained before doing work affecting ufihties · facilities) before starting work. Notify land owners of abutting lands, before disturbing trees. Notify Department of Transportation at conclusion of work and return original copy of permit to Regional Office. Annual Maintenance Permit Notifications: Notify by telephone the District or Resident Office, one week in advance, each time regular maintenance work is to be performed. In emergencies, notification by telephone should be made the next work day. SITE CARE AND RESTORATION An Undertaking, a bond or certified check in an amount designated by the DepartmentofZransportation may berequired by theRegionaJOffice, before a permit is issued, to guarantee restoration of the site to its original condition. Jf the Department is obliged to restore the site of its original condition, the costs to the Department will be deducted from the amount of the permittee's guarantee deposit at the conclusion of the work. The permittee is responsible for traffic protection and maintenance, including adequate use of signs and barriers during work and evening hours. Anyone working within the R.O.W. will wear an orange vest and hard hat. No unnecessary obstruction is to be left on the pavement or the right of way or in such a position os to block warning signs during or between work hours. No work shall be done to obstruct drainage or divert creeks, water courses or sluices onto the rightof way~ All falsework must be removed and all e×cavations must be filled in and restored to the satisfaction of the Regional Traffic Engineer. COSTS INCURRED BY ISSUANCE OF THIS PERMIT All costs beyond the limits of the protective liability insurance, surety deposits, etc., are the responsibility of the permittee. The State shall be held free of any costs incurred by the issuance of this permit, direct or indirect SUBMITTING WORK PLANS The applicant will submit work plans and/or a map as required by the Department. This shall include such details ax measurements of driveways with relation to nearest corner, positions of guys supporting poles and a schedule of the number of poles and feet of excavation necessary for completion of the work on the State right of way. A description of the proposed method of construction will be included. Plan work with future adjustments in mind, as any relocation, replacement or removal of the installation authorized by this permit and made necessary by future highway rnaintenance~ reconstruction or new construction, will be the respon sibiJity of the permittee. The permittee must coordinate his work with an}, state construction being conducted. TRAFFIC MAINTENANCE Traffic shall be maintained by the permittee on the highway, in a safe manner, during working and non working hours until c:o~ struction is completed. Suitable safeguards, to reduce conditions dangerous to life, limb and property to ~ minimum, mus[ De vialed by the permittee (including flagmen when requested by the Dep~rtment). COST OF INSPECTION AND SUPERVISION If, in the accounts kept by the Department, costs of supervision are found to be exceedingly high, the Department serves the right to bill the permittee for actual expenses incurred by the supervision and inspection of the permittee's project. SCOPE a. ~,reas Covered Permits issued are for highways, bridges and culverts over which the New York State Department of Zransportatio~ has jurisdiction. (~-ocal governments issue permits for their own jurisdiction.) b. Le~lal The privilege granted by the permit does not authorize any infringement of federal, state or local laws or regulations, is limited to the extent of the authority of this_Department in the premises and is transferable and assignable only with the written consent of theCommissioner jofTransport?ion. c. Commissioner's Reservations The Commissioner of, Transportation reserves ~he right to modify fees and to revoke or annul the permit at any time, at his discretion without a hearing or the necessity of showing cause. d. Locations Work locations must meet approval of the Department. (Additional pages to this opplicbtion vary according to the purpose and type of work to be permitted) / ~ SIDEWALK RAMP TYPE PER3;_ 58 (7/80) NEW YORK STALE E}EPARTHE]~T OF TRAIISPORTATION CONSTRUCTIOI~ SPECZFICATIO~S FOR HIGHWAY WORK PERMIT e Highway pavement is not to be opened unless authorized on front sheet (Perm 42b) of this Permit. Sleeves shall be jacked under the highway for all highway crossings, unless permission to cross in any other manner is given in writing by the Department of Transportation; and jacking and receiving pits must be kept a minimum of 5 feet from the edge of pavement. As a general rule, the "open cut" method for crossing a highway will not be permitted; the need for any such open cut must be substantiated by the-permittee and permission granted from the Depart- ment of Transportation on the basis of satisfactory sheeting, maintenance and protection of traffic, compaction equipment, etc. Any excavation in excess of 5 feet in depth must be sheeted in accordance with Code Rule 23 and OSHA. Any e>~cava~ion closer than 5 fee~ to the edge of pave- ment must be sheeted as directed by the Department of Transportation. All backfill must be compacted in a manner satisfactory to the Department of Transportation. Adequate signs, barricades, and lights, in accordance with the standards of the New York State Manual of Oniform Traffic Control Devices, Subchapter G, shall be provided. Barricades, whether in sidewalk or roadway area, shall have prominently displayed, for police convenience, the address and telephone number of 24-hour availability of son~eone who can reset the lights and barricades if it should become necessary. Pedestrian and vehicular traffic is to be maintained and protected at all times. There shall be no unprotected or unlighted drop-offs or obstacles. No pavement openings will be permitted to remain open overnight. They must be backfilled or plated at the end of the workday. Open holes outside the pavement shall be fenced or guarded. The permittee agrees to pay all costs incurred by the State, including man-hours and equipment use, necessary to correct any unsafe conditions on a Permit site. In the event that the permittee has permission from the Department of Transpor- tation to open the pavement, only one lane at a time may be opened provided safe two-way traffic is maintained a~ all times, with adequate signs and barricades to warn the public whenever work is performed on the highway. As stated above, no pavement area may be left open overnight or on weekends. Adequate access to adjacent properties must be provided. Pavement and Paved Shoulders Minimum size replacements in finished concrete or asphalt on concrete base shall be 10 feet X width of panel. In all cases, if the replacement is within five feet of a joint, or five feet of a major crack, the replacement must extend to the joint or crack. Any opening in con- crete pavement shall be saw cut and final restoration m~s~ be done with High Early Class F concrete mix. In the case of an opening In asphalt, the minimum size replacement shall be 4 feet × 4 feet or at least 18 inch cutback beyond the size of the hole. Asphalt restoration shall be made by cutting, with a wheel or jackhammer the existing adjacent asphalt square, painting the exposed face with hot asphalt, placing the new asphalt, and compacting with a ten-ton roller. Surface variations in excess of 1/4 inch shall be eliminated or the pavement relaid. Unless otherwise directed by the Department of Transportation, asphalt shoulder restoration shall be 4 inches Item 403 (2 1/2 inch Binder and 1 1/2 inch Top) on a sound base. Sidewalk, where disturbed, shall be replaced to full panels of a minimum size 4 feet X 4 feet or as marked when found. Concrete curb where worked on, as in the case of the installation of a new curb cut in an area of existing full curb, or vice versa, shall be removed to its full depth and replaced in accordance with Typical Sections from the Department of Transportation. P ERr,! 58 REVERSE 10. ti. 13. 14. 15o 16. 17. permanent res::oration, ' : .d.~= 5hal Le useable cond~ Drainage along Ere the pet':rtl ~f. ee ~lt to the No crees wll:hi ~.ue _~J .,. below grourld 'lhe Regiona r_alqdscaDe inspection firranged. '- [ne wur, agrees, oy 2cdeD(a~c6 permission of NOT be 3erm,c~[:, The permi~ee timbers, and ocn~ of material carried vehicle resulting From public-traveled wa,. sh~- thereafter De mainCaine4 All materials inusz: some crete delivered DY trans~ concre~:e mus'c oe covered with a canvas No official State Department of ir,~,nspor-tatior', ~idns ~ay be ,?!;turbed without approval from the Pe~it:" In State Contract areas the permittee must conduct ilis work ;n conformity with the schedule of the State's Ehg~neer-]n-Lna~¥e and contriccor, an~ al! work must be done to the satisfaction of the c .... Jto~E: ~n?i~eer-in~.~ilarqe, The permittee shall furnish the 3epartmens of Transportation with a telephone number of 24-hour availability, where a demand for emergency repairs will be immediately honored. Furthermore, the oermittee agrees to assume al! responsi- bility for emergency repairs required, whether the need arises as a result of his contractor's work, by storm damage, or by any osher means which renders his contractor's work area unsafe in ~he ol)irt~on of th~s Departme[it or the Police Department. in the event that it becomes necessary to {:all ou~ State Highway Maintenance forces to restore a permit sste ~o 3 safe ~ondition, the permittee will be back-charged for all manpower an(! equi~mens charges if!voived, 18. All work must be done ir'., accordance~ ~,>' New York "*,,~,te- 3epartment <)1'- Transportation speci ficat ~,ons, HENRY E. RAYNOR, Jr., Chairman JAMES WALL BENNETT ORLOWSKI, Jr. GEORGE RITCHIE LATHAM, Jr. WILLIAM F. MULLEN, Jr. P L~~ ~ Southold. N.Y. 11971 January 12, 1984 TELEPHONE 765- 1938 Joseph Shipman 985 Elijah's Lane Mattituck, NY 11952 Re: Jospeh Shipman Site Plan Dear Mr. Shipman: On review of the above referenced site plan file, it has come to our attention that the application fee of $50.00 has not been received. Would you please forward a check, payable to the Southold Town Clerk, as soon as possible. Thank you for your cooperation. Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 DATE: TO: FROM: SUBJECT: OWNER: LOCATION: LOT I.D.: SUBDIVISION: ZONE: INFORMATION January 12, 1984 Planning Board Members George H. Fisher, Sr. Building Inspector "Joseph Shipman" Site Plan Joseph Shipman 6615 Main Road, Laurel School District Section 125, Block 01, Lot 19.7 Mattituck Holding Co.'s Minor Sub #274, lot B-1 Zoned District Mr. Hindermann informed me the use is to be retail sale. Retail stores is a permitted use subject to site plan approval, 100-70 (1)(C). The building building's use to an office area. plans attached to the site plan indicates the be "Landscape equipment Repair" which also shows SITE PLAN Reasonable off-street parking shall be approved by the Planning Board, 100-112. Regarding the access, the State needs to approve the access to the highway. The access location is indicated in a different location than what is shown on the Planning Board's approved Minor Subdivision #274 (100-112 D). There is no infor- mation about the parking area being drained within the premises other than blue stone. Again I found the site plan lacking information such as owner, location, section-block-lot number, scale, etc. This requires extra research for the Building Inspector. GHF:ec HENRY E. RAYNOR, Jr., Chairman JAMES WALL BENNETT ORLOWSKI, Jr. GEORGE RITCHIE LATHAM, Jr. WILLIAM F. MULLEN, Jr. Southold, N.Y. 11971 TELEPHONE 765 - 1938 December 7, 1983 Mr. Victor Lessard Building Administrator Southold Town Hall Southold, New York 11971 Re: Joseph Shipman Site Plan Dear Mr. Lessard: The following action was taken by the Southold Town Planning Board, Monday, December 5, 1983. RESOLVED that the Southold Town Planning Board refer the site plan "Joseph Shipman" to the Building Inspector's Office for certification subject to receipt of three copies of revised plans from the applicant. Three copies of the above plan have been attached. Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD cc: Joseph Shipman By Susan E. Long, Secretary - Please forward $50 fee to our office at your earliest convenience. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL fritz. ;7.~. ~../. *.~.~.. ....... LEASE TAKE NOTICE that your application dated .... ~. ~.~..~..~.../. $''.... ., 1~ mit to construct .... ~~~ .... .~(~ ................... on of Property ~... ~. ,~. .............. ~<e~. House No. St~et y Tax Map ~0 Section.. ~ ..... Block .... ~ ...... Lot .~(.~'.~ fisio~. ~(~[~ Filed Map No ................. Lot No ....... ~. rned herewith and disapproved on the following grounds. ~.. ~.~. ~ ~. ~ ~.. ~ .... ~z~~... ~~.. ~ BuildMg Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 zed ................ , 19... ,ed ................. 19 . . . ?ermit No ............ roved a/c ..................................... Received .......... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspect ~lans, accurate plot plan to scale. Fee according to schedule. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pul ;, and giving a detailed description of layout of property must be drawn on the diagram which is part of The work covered by this application may not be commenced before issuance of Biailding Permit. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. St kept on the premises available for inspection throughout the work. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of C ye been granted by the Building Inspector. 'LICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursu ; Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ord ions, for the constn, ction of buildings, additions or alterations, or for removal or demolition, as herein . ~licant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulation athorized inspectors on premises and in building for necessary inspections, r, _ '(Mailing address of applicant) ,hether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber o (as on the tax roll or latest deed) zant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ilder's License No....~.~.~ .~ ................. mber s License No ......................... :ctrician's License No ....................... ~er Trade's License No ...................... ~tion of land on which proposed work will be done ........................................... se Number · Street Hamlet 0d .~°~/~] ~ty Tax Map No. 1000 Section . ./~,fi~ r ............ Block .../ .............. Lot.. '/- 'ff~7. .... livision..~7..~.+~."[..t.-~. ?..C--. ~.~. .... .~../~.~D.].d. t ~4 .... Filed Map No ............... Lot....~. .... (NaIne) · existing use and occupancy of premises and intended use and occupancy of proposed constrnction: occupancy ·../'~'f~....~ . . .~ ........ dsting use and .ure of work (check which applicable): New Building ......... \ddition ....... \Itel -pair .............. Removal .............. Demolition ......... Other Work timated Cost ~0"O t~r Fee (to be paid on filing tilis dwelling, number of dwelling units ............... Number of dwelling units on each floor garage, number of cars .................................................... business, commercial or mixed occupancy, specify nature and extent of each type of use mensions of existing structures, if any: Front ............... Rear ............ Depth qght ............... Number of Stories ............................ ~nensions of same structure with alterations or additions: Front ............... Rear :pth ...................... Height . . Number of Stories mensions of entire new construction: Fr~; i i~!i~ i/~i( iiii R;ar .......... Dentt: :ight ............... Number of Stories .............................. -e of lot: Front ...................... Rear ...................... Depth ~te of Purchase ............................. Name of Former Owner ,ne or use district in which premises are situated ...... ~) 5. \ .................. /es proposed construction violate any zoning law, ordinance or regulation: I1 lot be regraded ....... ,x .....t. - .r-,~. · ..-~ ..... ... Will excess fill be removed from premises: Yes' me of Owner of premises~a~:-~ .h.( .~['-ddress . .~.?~.-.~?Z.q~?.t:/.~...L.~.'. Phone No. me of Architect ...... ~ · ...- .............. Address .................. Phone No me of Contractor .......................... Address ................... Phone No ...... PLOT DIAGRAM ate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensi y lines. Give street and block number or description according to deed, and show street names and indicat* or corner lot. ~vidual signing con~a~ ' ~raed. being duly sworn, deposes and says that he is the: 7. (Contrac~gent, corporate officer, etc.) owner or owners, and is duly authorized to perform or have performed the said work and to make and on; that all statements contained in this application are true to the best of his knowledge and belief; and I be performed in the manner set forth in the application filed therewith. ~ before me this ~o~ ~uc. st,t, o~l~,~, Yo~ / / ~ (Signature of ai LASER FICHE FORM Planning Board Site Plans and Amended Site Plans Print Date: 5/3/2004 Site Plan File Type: Approved Proiect Type: Site Plans Status: Final Approval SCTM #: 1000 - 125-1-19.1 Proiect Name: Shipman (Shamrock Tree) Address: 6619 Main Road Location: Mattituck Hamlet: Mattituck Applicant Name: Shipman, Joseph Owner Name: Shipman, Joseph Zone 1: B File Date: 4/9/1984 /OPTIONAL ADDITIONAL INFORMATION A date indicates that we have received the related information Endorse Site Plan Date: 4/9/1984 Zone 2: Zone 3: County Filing Date: C and R's: Homeowners Association: R and M A,qreement: SCANNED AUG 4 2O06 Records Management DETcqlL. :1 SUFFOLK CO HEALTH DEPT APPROVAL H. S NO. STATF. MENT OF INTENT T~E W~tTER SUI~q~Y AND SEWAGE DISPOSAL ,, SYSTEMS FOR THIS RESIDENCE WlI. L ,ICONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT, OF HEALTH SERVICES, {'SI APPLicANT SERVICES -- FOt~ APPROVED: , , COUNTY DEPT, OF HEALTH APPROVAL OF r OWNERS ~ravel SEAL' RECEIVED BY ilAR 1 1984 _ me 4,7-0400 Main Road CI- L~C_ FD FENCE E 0.4' MAPLE RED OAK CESSPOOLS L ' FIELD M~/N RL2. , S.~ 25 TIMBER CURBING· SITE PL,4N//$U V£ Y OF ~ PROPERTY SITUATE MATT/TUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y SURVEYED FO~ JOSEPH SHIPMAN RD~;i , BOX 107 ELIJAHS LANE, MATTITUCK, N. Y SURVEYED 19 dULY, 1,991 SCALE: I" = ZO' GUARANTEED TO dOSEPN SHIPMAN TOWN OF' SOUTHOLD NO TES: /, TA¥ MAP NO. 1000-125-01-019007 2. PREI~',,_ES IN ZONING CODE B-I · ~.TOTAL AREA OF PREMISES. 50,725 SF or 1.1645 ACRES L E GEND · = EXIS TING SPRINKLER HEAD SURVEYED BY STANLEY d. ISAKSEN, , RO, BOX Z94 NEW SUFFOLK~ ~,~ I15 .516; 72.