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HomeMy WebLinkAbout1000-122.-3-7 (2)PROPOSED ASPHALT PAVEMENT C::3 . FUTURE ~ CROSS ACCESS FRtBI-pG. ONE STORY STORAGE BLDG. EMPEOYEE PARKING - ~ 300' WOOD PATIO OUTDOOR SITTING AREA ONE II I I I I FORM NO. 3 NOTICE OF DISAPPROVAL DATE: September 7, 2006 AMENDED: September 12, 2006 TO: Champa Shamulzai 167 Hallock Street Riverhead, NY 11901 Please take notice that your application dated August 30, 2006 For permit for to convert an existing retail fish market with seating to a restaurant at Location of property: 11400 Main Road, Mattituck, NY County Tax Map No. 1000 - Section 122 Block3 Lot 7 Is returned herewith and disapproved on the following grounds: The prouosed use requires site plan approval from the Southold Town Planning Board. ~~ ~--rov'-~Fas amended on September 12, 2006 to correct an error. Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Planning Board FORM NO. 3 NOTICE OF DISAPPROVAL DATE: September 7, 2006 TO: Champa Shamulzai 167 Hallock Street Riverhead, NY 11901 Please take notice that your application dated August 30, 2006 For permit for to convert an existing landscape retail fish market with seating to a restaurant, at Location of property: .11400 Main Road, Mattituck, NY__ County Tax Map No. 1000 - Section 122 Block_3 Lot 7_ Is returned herewith and disapproved on the following grounds: The ro osed use re uires site lan a royal from the Southold Town Plannin Board: · Authorized Signature Note to Applicant: Any change or deviation to the above referenced application, may reqmre further review by the Southold Town Building Department. CC: file, Planning Board TOWN OF SOUTHOLD BUILDING DEPARTMENT · TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined 20__ Approved 20__ Disapproved a/c Expiration ,20 PERMIT NO. BUILDING ~I~MIT APPLICATION CHECKLIST Do y~P'nave or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date 7/'--/ INSTRUCTIONS ,20 06 a. This application MUST be completely filled in by typewriter or in ink and submitted to 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 purpose 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 issuance 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 an 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, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the constmction 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. (Sig[ature of applicant or nanlgd'if a corporation) (Mailing address of applicanO \ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of prmnises T°----~ 5v ~9-~A -C (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which prpposed work wi!l be done: House Number Street lx3 X-~Hamlet County Tax Map No. 1000 Section / "2-D~ © O Subdivision (Name) Block ~ 0 0 Filed Map No. Lot ~ O0 0 Lot 2. State existing use and occupancyl~lll~0remises and intended use and a. Existing use and occupancy [2]0C O~ 2~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Addition Repair Removal Demolition Other Work 4. Estimated Cost Fee 5. If dwelling, number of dwelling units 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. 7. Dimensions of existing structures, if any: Front Rear Depth 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 Stories 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 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO __ 13. Will lot be re-graded? YES__ NO __ Will excess fill be removed fi.om premises? YES__ NO__ occupaO of proposed construction: Alteration (Description) (To be paid on filing this application) 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland 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 scale, with accurate foundation 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. STATE OF NEW YORK) SS: COUNTY OF ) ~ ~--~ ~ ]'~ ..~ ~ 1:~ w~ ~ I... 2- ~- ~ being duly swam, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) 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 tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swam ~fore me th~- . ~_ day of ~JLe~/ 2G3~ Notary Public -- Signature of Applic~t BARBARA ^IIH RUDDER Note~/Publio, State of New York Ho. 4855805 Qualified in Satfotk Coun~:)~ gemmteeion S~lilta. April 1 , ~ State existing use and occupancy ol~remises and intended use and occupanc~Y'of proposed construction: a. Existing use and occupancy [//0(" ~l,,4 '~ b. Intended use and occupancy g ~.~tXA x--~ ~k2~ 3. Nature of work (check which applicable): New Building Repair Removal 4. Estimated Cost 5. If dwelling, number of dwelling units ff garage, number of cars Demolition Fee Number of dwelling units on each floor Addition Alteration Other Work (Description) (To be paid on filing this application) 6. If business, commercial or mixed occupancy, speci£y nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Depth. Height Number of Stories 8. Dimensions o f entire new construction: Front Rear Depth Height Number of Stodes Size of lot: Front Rear 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES__ NO__Will excess fill be removed fi.om premises? YES Address Phone No. Address Phone No Address Phone No. NO 14. Names of Owner of premises Name of Architect Name of Contractor 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. NO 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) ~14~ ~ ~ ~h --~'[4 4h v,~ ,& [.. 2- ~/1-~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the L (Contractor, Agent, Corporate Officer, etc.) 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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn ~fore me thci~ ~ day of ~:¢JLe~-/ Notary Public -- Signature ofApplic~t/ BARBARA Al'IN RUDDER Notlq Publlo, State of New York No. 4855805 Qualifted in Suffolk Coun~ " OUTDOOR SEATING AREA ~ (8 SEATS) ADVANCE TABCO HAND SINK MODEL 7-PS-60 WITH SIDE SPLASH GUARDS TABLES AND CHAIRS AB SELECTED BY OWNER SEATING AREA (t2 SEATS) PAINTED SHEETROCKED WALLS AND CEILINGS TILE FLOO~ -CABHREGISTER SELF CLOSING DOOR EMPLOYEES ONLY Sk3-.-.-~ EAGLE GROUP GAS HOT FOOD TABLE GUARDS MODEL #, BS2-HT3 CUSTOM OOOL SELF CONTAINED /g COU~TER TOP._~COOLER MODEL CD4SC - CHIMNEY _~/ DRYIN~ B~E~ MEN'S BATH CUSTOMER SERVICE ;BATH BATHROOM DOORS TO BE SElF CLOSING SOAP DISPENSER VENT FAN ADVANCE TABCO REGALINE 3 COMPARTMENT S~NK WITH ONE DRAINBOARD MODEL 94-23-60-18L D DRYI'NG RACK MODEL PS-1~84 TRU FOOD SERVtOE EQuiPMENT, INC. FOOD COOKUNE TABLE -- MOOEL TSSLL48-12 FOOD TABLE GARLAND STARFIRE SERIES GAS RANGE MODEL H286 PREP~ _~ PffCOTUBEFIREDGAB FRYERMODEL45C STORAGE RACKS R DRAIN I TILE FLOOR VENT HOOD WITH SIDE WALL FAN & ANETS GOLDEN GRILLE VALUIE LI,NE REFRIG~I~,TCR ~ TWO SECTION REACH- N WALK IN REFRIGERATOR STORAGE RACKS -- ROOF OVER MOP EMPLOYEE · SOAP DISPENSER WALK IN COOLER (NOT OPERATION;~L) Town of Southold - Proposed Site Plan Shamulzai/Greene 11400 Main Rd, Mattituck Tax Map # 1000-122-3-7 Town of Southold - Proposed Site Plan Shamulzai/Greene 11400 Main Rd, Mattituck Tax Map # 1000-122-3-7 Town of Southold - Proposed Site Plan Shamulzai/Greene 11400 Main Rd, Mattituck Tax Map # 1000-122-3-7 'arch Breezeway 3arage j Patio COLOR TRIM Fo~rndation Walls Fire Place Type Roof Recreation Room Dormer ~Driveway Bath Floors Interior Finish Heat Rooms I st Floor Rooms 2nd Floor Dinette LR. DR. ,:Z>o~-/.~a-.?- ? TOWN OF SOUTHOLD TY RECORD CARD ~NER STRE~ ~/~/ ~ VIL~GE ~DIST. SUB. 'FO~ER~NER ' I N ~(~ ~,,.t : E ~)~ ~.~S J ~ ~/ S~S. VL ~ ~ARM COMM. CB. MISC. Mkt. Value ~D IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION ~ NOR~L BELOW ABovE Acre Value Per Value L ' Acre Tilje 1 Tilde 2 TJllable 3 ~pland FRONTAGE ON WATER Bmshland FRONTAGE ON ROAD ~ ~ ~ou~ ~lot D[PTH ~ ~ 0 BULKH~D r~al , - DOCK Tax Map Designation Dist. 1000 See. 122 Blk. 03 Lot(s) 007 NY005 - Bargain and Sale Deed gS~"Covenant against Gmntor's A¢Is Individual or Corporatio3~'ingle Sheet) (NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 1 0 th day of BETWEEN June ,intheyear 2002 LAWRENCE SUTER, residing at 442 Ridgewood Road, Ke~ Biscane, FL 33149 party of the first part, and 240 LAND COMPANY LLC, a limited liability company doing business in the State of New York, with offices at 240 Jericho Turnpike, Syosset, NY 11791, party of the second part, WITNESSETH, that the party of the first part, in consideration ofTen Dollars and other valuable consideration ?aid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, at Mattituck, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a point on the southeasterly line of Main Road at the northeasterly corner of the premises herein described adjoining land of Mattituck Auto Parts, Inc., on the east; THENCE along said last mentioned land, south 27 degrees 45 minutes 40 seconds east, 196.71 feet; THENCE south 51 degrees 41 minutes west, 90.00 feet to land now or formerly of Miller; THENCE along said lands in a northwesterly direction 200.00 feet more or less to the southerly line of Main Road; THENCE along said Main Road, north 51 degrees 41 minutes east 75.00 feet to the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated April 23, 1981, recorded May 22, 1981, in Liber 9006, page 588, made by George Worth Newell. TOGETHER with all fight, title and interest, if any, of the party of the first part of, in and~[o any streets and roads abutting the above-described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the fn'st part will receive the consideration for this conveyance and will hold the right to receive such consideration as a Ixugt fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if'it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party oYthe first part has duly executed this deed the day and year first above written. SUTER FOR INTERNAL USE ONLY SITE PLAN USE DETERMINATION Initial Determination Date: 06' / q~ ( / (.. .&~. Date Sent: ProjectAddress:{l~00 ~,~'J~_ _. ~. ~;~,,.~. ._ Suffolk County Tax Map No.:1000- 12~'Z- ..~ 3r Zoning District: Request: Con~c.~rs~n¢, ~ ~. o_~--~JZ l._~]~J,... ~~ (Note: Copy of Building Permit Application and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use is permitted: Uss Initial Determination as to whether site plan is required: Planning Department (P.D.) Referral: P.D. Date Received: ~ / ~ / (~ Date of Comment: ¢ / ~ Comments: /~ ~¢,U Final Determination Date: / / Decision: Reviewer Signature of Building Inspector 'i '~"""'"~"~'%;?":~"~ ......... ~;" ---~'~'"~ FOR INTERNAL USE ONLy PLAN USE DETERMIN AT ION ~~r~ ,Initial Determl i1~ i Project Address: IIz-t/-oc) ~L~,~ Date Sent: Suffolk County Tax Map No.:1000- /Zz.. - '~ - ~ Zoning District: (Note: Copy of Building Permit Application and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use is permitted: Initial Determination as to whether site plan is required: '~rr'~ Signatur~ of'Building Inspector Planning Department (P.D.) Referral: P.D. Date Received: q' / ~ / 0 ~ Date of Comment: Final Determination Date: / / ~~. Staff Reviewer Decision: Signature of Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ,20__ Approved _, 20__ Disapproved aJc Exp/ration 20__ PERMIT NO. BUILDING~RMIT APPLICATION CHECKLIST Do yo-fi have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees ,btact: ~/~/-,0'tg//$/7 Mail to: /~ -'/~/0 C~ ff Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS /;z9 ,:006 a. This application MUST be completely filled in by typewriter or in ink and submitted to 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 water,rays. 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 purpose 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 aRer the date of issuance 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 an addition six months. Thereafier, 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, 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. re of applicant ~7-~ame, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~ ~..~/~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which l~roposed work will,b? done: House Number Stree~ Hamlet County Tax Map No. 1000 Section t 2-"4- b 0 Subdivision (Name) Block ~ 0 6) Lot "700 Z:> Filed Map No. Lot 2. ~l/~e existing use and occupancy c~emis,e~ and intended use and occupanef proposed ,/~ a. Existing use and occupancy U~f__~/,,A~-' . b. Intended use and occupancy T-'(~ ~_ L/.2 ! ~ _.~_~_.,_~L! ~ q construction: 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Depth. Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 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 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES__ NO Will excess fill be remove~l from premises? YES NO Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland 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 scale, with accurate foundation plan and distances to property lines. ~. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF f_.~-~ ~ I~,'~ ~ .~ ~ pVkL.~.'L_.D._ l~r I being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) 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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. 20 7t~ l'~otary Public KIE~N M. CORCO~N QUALIFIED IN SUFFO~ COUN~ NOTA~ ~C~ 119~ MY COMMISSION EXPIRES DEO, 6, 2 ~ Si ant OUTDOOR SEATING AREA (8 SEATS) ADVANCE TABCO HAND SINK MODEL 7~PS-60 WITH SIDE SPLASH GUARDS I I TABLES AND CHA~S 4S SELECTED BY O~NER REGISTER SELF CLOSING DOOR EMPLOYEES ONLY SIGN SEATING AREA (12 SEATS) S ,TE,,,E E LOO. EAGLE GROUP ~ HOT F~D T~  MOBEL ¢ HT~NG WITH SNE~ GU~S MODEL ~, ~2-HT3 B~ CUSTOM ~ SELF CONTNNED R~RI~T~ ~ COUNTER T~R MODEL TOWELS MEN'S BATH CUSTOMERSERVICE BATH BATHROOM DOORS TO BE SELF CLOSING SOAP DISPENSER ADVANCE TABOO REGALIN E 3 COMPARTMENT SINK WITH ONE DRAINBOARD MODEL 94-2~18L D DRY,~IG RACK MODEL PS-18-84 TRU FOOD SERVIOE EQUIPMENT, lng, FOOD COOKLINE TABLE -- MODEL TSSU-4&12 MOP FOOD -- FLOOR DRAIN EMPLOYEE TABLE VENT HOOD WITH SIDE WALL FAN & GARLAND STAP, FIRE SERIES GAS PREP ANETS GOLDEN GRILLE MODEL H286 MODEL SG-24X24 VALgE~ LI~E REFRIG~f;fATQ~ TWO SEOT~ REACH- N g~ ~ STORAGE RACK__S / ~ WALK IN REFRIGERATOR STORAGE RACKS~ ROOF OVER II ~ SOAP SUTER ~(D SUT~R., ~ · TOWN~HALI~: souT.o~b, (THIS PER/~,IT MUST "E KEPT ON ~HE ., C~PLETIdN OF THE WORK AUTH6RIZ~:~' N? 11195,'Z ,~._,~.~ Pe~ission is hereby g~ted to: ~ . . ...................................... ,o ...~.Z~....~..~....~ .,.,.~~, .~..,~.....z~z~....~.~...z~~.L at premises I~ated at ...~,~ ........... ~,~.~ ~, ,o. ,~oo s~,,o, ....z2.~..,L;. ,,~. p[~r~cmt tO application! dat.d .~..~..(. B,~ildlng Inspector. Fee ......~ ................ and approved by the ,{ , 6/30/80 . ~ : . _j } . . FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. 510970 Date F,e. bruary. 24 ., 19 83. THIS CERTIFIES that the building a...(.a l ......................................... Location of Property ~ 11600 Main Road Mattituck County Tax Map No. 1000 Section ...1.2..2 ...... Block .... 0.3. ......... Lot ...0.0.7 ........... Subdivision ..... X. ........................ Filed Map No..X ....... Lot No...X ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... l'l.a.y.. ~.0 ........ ,19 8.1. pursuant to which Building Permit No... ! ! .1.9.5. .Z ........... dated ..... .J.u, qe..1.7. .............. 19 .8.1., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certfficate is issued is ......... .a retail fish market with an existing accessory garage. The certfficate ls issued to Lawrence ~uter (Blue Water Lobster) .................... ioV,.'~;, ¥~ ¥~;~'~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ...N.o.,..0.1.6. 2. ~I,I ............................ UNDERWRITERS CERTIFICATE NO ...... N.. ~ .27.3.3. 9 .............................. The Southold Town ~lanning Board granted'an approval of the parkxng plan for this retail store at a meeting held 6/~/81. Rev. 1/81 FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .~..1.09.7.0... Date .......... .~p.r./.1..2.9. ............. 19 .8.2. THIS CERTIFIES that the buddingS.., l ~.) .......................................... Location of Property . .1.1.4. 00 ............... I$..a .~a..13. 9 .a.d ........ ga t t i t u c k House No. Street .................. County Tax Map No. ]000 Section . .1 ~.~ ....... Block .. ~)~3 ........... Lot ....0.0.7 .......... Subdivision ...~ ........................... Filed Map No...X ...... Lot No...X. .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~$~ty..~Q .......... ,19/3 .q. pursuant to which Building Permit No...q.1. ~. ~..Z. ........... dated ...d. qO.e..1.7 ................. 19 .~ .~, was issued, and conforms to all of the requirements of the applicable prowsions of the law. The occupancy for which this certificate is issued/s . .e4..n ..... · ~-~-4^~ ~dlt~ ~3~ tho con~r~icn cf an cxlcting-~w~i-Ddi~g~t~ a retail fish market wzth an exzstzng accessory garage. Thc certificate is ~ssned to .h aw~.e.~Q ¢. ~.q t. 9 r·.. ( .B.l,u.e...Wa t e r Lobster) [owner. &~.et' of the aforesaid building. Suffolk County Department of Health Approval ........ *..~ ..~. ,.. UNDERWRITERS CERTIFICATE NO ........... 1~. ~ .27.3..~ 9 .............................. Building Inspector Rev. 1/81 F,ORM NO. 6 TOWN OF SOUTHOLD Building Department; Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage,disposel-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and instell~ tachs, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5,Submit Planning Board approval of completed site plan requirements where applicable. 8. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pm-existing" land uses: I. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings, 3. Date of any housing code or safety inspection of buildings Or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1,00 o-, ..... ....... / New Building ...L ...... Old or Pra-existing Building ............ Vacant Land ............. Location of Property ..J. Hou~ No. Street Ham/at Owner or Owners of Property ... ~%~: ¢~....~.-.. c.~/-~,~,.: ......................... County Tax Map No. 1000 Section ./..~. ~,~ ...... Block .. ~.. 3 ........ Lot... ~. ~...'~.. .... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. / / J. ,~, .~.~- Date of Permit Health Dept, Approval ~//J..~./..~ ~L. ~-.. ~/ ...... Labor Dept. Approval ........................ Underwriters Approval .~J.~.~...~.~.~.~-~ ...... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... ~ ............. Fee Submitted $,...~....(:;~. .................. Construction on above described building and permit meets all applicable codes and regulations. Apphcant .... Memorandum from.. ,.. BUILDING INSPECTORS OFFICE Tows o~ TOWN HALL, SOUI'HOLD, N. Y. 11971 765-1802 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU DP EL£CTRICMTY FIXTURES RANGES DISH WASHERS EXHAUST FAIJ~, SERVICE DISCONNECT S E R OTHER APPARATUS 3/0 C AWG OF NEUTRAL ~ktn I~L ~o~ 8] 7 Sour. h~!cl, N, Y. 1197J. Thts certlf,cate must ~ot be altered in eny m=nner, return to t~e office of the Board If OENEI~U. MANAGER Inspectors may be idenhfjed r cmdenhals COPY FOR BUILDING THIS SWORN TO THIS 28th day of May, 1981. HENRY E RAYNOR, 3r,, 3A~ ~ALL BENNETT ORLOW~KI. GEORGE ~HIE LATHA~. William F. Mullen, Jr. TO' D $ Southold, N.Y. 11971 TELEPHONE 765-1988 June 4, 1981 Mr. George Fisher Senior Building Inspector Town Hall Southold, New York 11971 Dear Mr. Fisher: The following action was taken by the Southold Town Planning Board at a regular meeting held June 1, 1981. APPROVAL of the parking plan for the subject of Larry Suter's retail fish store. This approval is subject to a one year review. Yours truly, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Linda Kimmins, Secretary FORM NO. 3 ToWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ........... ,~.. ,ZJ~..,..[.~.., 19..~../. File No To .......... ~..~.,. ..?~....~...~' ~,, P~ASE TAKE NOTICE that your application dated ........... .... for pe~it to const~ct ..... ~... t ..... ~ ....... ~ ........ , ............ ,' · Locatmn of Property , . /-~ .... - · ', .............. ~',' ';: Subdivision ................. Fil~ Map No ....... ~ ...... Lot No .................. .. .x ....... i-""'z ............................... ~"'" ......... ~ ..... '% .... ' ......... ' .......................... 2"L': ........ ¢ ................. ~" .......... ¢...~. .... fl. ......... - ............................................ . ............. f~'] 3~ ' / . ~ ~ ' Bmlding Inspector ~ ~$~ ~ ~4 tt C~ ~ RV 1/80 FOUNDATION FOUNDATION 2, ROUGH FRAME & PLUM: 3o INSULATION FER STATE ENE] ~ODE FINAL FOI~M 1~0. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION TO ' '~(owner or authonzed agent of o ) ............. (address of owner or ou-thorize~;F~agent ol' owner~ PLEASE TAKE NOTICE there exists a violahon of: Zoning Ordinance ....... '"'~'"~" ~"-'~' ............ Other Applicable Laws, Ordinances'or Regulations ............................................ // (state cha rg~-.Irer OT violation), ,~,q ' ~ //. . , '.. _/ . :_. x,~_ A~-T:_ _ ~: ' ......................................... /Iff ~ -... f'~...~. [..~....~.~ , (State sectton or paragraph of apphcable law, oramance or regutahon) YOU ARE THEREFORE DIRECTED AND ORDERED to comply, with the law and to remedy the conditions above mentioned forthwith on or before the .~..~~~ .................... The premises to which this ORDER TO REMEDY VIOLA ON refes s'tu ed o o, s,,fo,k, New ark. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may conshtute an offense punishable by fine or imprisonment or both. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-1803 E,,mined ..... AppilcationNo. ..... Disapproved a/c ,~.. ~.. ~~ (B~fldin~nsD¢ctor) APPLICATION FOR BUILDING PERMIT Date ...... ~ ...... l? ~/ INS'I'RUC'rIONS a. This application must be completely filled'in by typewriter or in ink and submitted in triplicate to the Buildl Inspector, with 3 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl: cation. c, The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approvaJ of this appbcation, the Building Inspector will issue, a Building Pen:nit to the applicanL Such pein shall be kept on the premises available for inspcctmn throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the liuilding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and.other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or ,for rem~al or demolition, as herein describ~ The applicant agrees to comply with all applicable laws, ordinances, building cod~ houoing eode,~nd regulations, and State whether applicant is owner, lessee, agent, arclfltect, engineer, general contractor, electrician, plumber or build, ......... .o.~.~..~. .......................................................................... ~e of ow.er o~pre~is~s./~ ~..~,.-...~.,~.dr. .................................................. (as on the tax roll or latest deed) If apphcant is a co~poratlon, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..~;~-,,C~"... ! .~., ,~.. ........ Plumber's License NO. · l~.(~'~...~, ,~. i~,~,/C, ..... ~ectfic~an', License No. ~.Y..~f~. ·. Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................ ... ]4.¢?.o. ......... z~... ,4&.. ~ .................... , .~...-~: ...~,...~.' .............. House Number Street - Hamlet County Tax Ivlap No. 1000 Section . ~..a~..'.0- ·v ......... Block . Q.?.o..o ........... Lot..@.~. ~: ..0..° .... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: n. E,isting use and occupa.c~-a..~.'..&~.. ~ .................... . ........ , ........................... ~/,a,~,,~ ~. ~..,/-,,,'/ ,~,,~ ,,'~ ................. b. Intended use and occUpancy ..~-,.-,- ........... ~;. ......... ~ ........... Natur0 of work (check wliicb applicable): ~Building .......... Addition ........... /~ ...... Repair . ~ .......... Remo~val .............. Demoliti.on ................ Other ~¥ork ............... Estimaled Cost ...... , ......................... Fan .................... : (to bo paid on filing this application) If dwelling, number o f dwal~n/~nits:. ~ .'.~ ~ Numbe: o f dwelling uni~ on each, floor ................ If gara~, number of ca~ ..... , ................................................................ If bu~ness, commerc~l or m~ed o~upancy, ~,cffy nature and ext~nt of anch ty~ of uso. a~[.~ ..... D~ensmns o~ emstmt stmcture~, ff any: Front... ~ .......... Rear ...~q ........ Depth. J. ~ .......... He~t .~. 9. ~ .......... Number of Stori~...~ ............................ ~ ..................... D~anlions of s~e structure with altera~ons or additions: Front ..... ~.~ ...... R~ar ...~ .......... Depth... ~'. .......... ~Y ..... Height ., ..... ~ ............. Number of Stories ..... ~ ............... Dimensions oi entire n~w construction: Front. ~~. Rant .... ~ .... DoptH ,~.~ .... HeiSt .. ~ .~ .... Number of Stories ......................... Size of lot: Front ..... ~...~ .... ~ ...... Re~ .... .~ ................ Depth .. ~ ............... Date of Purchase ~.. (~.~.1.~! ............ ~am~ of Fo~ar Owner ~..~f~.~(( ........... Zone or use dlstfiet in w~ieh pr~mises are situated .... .~.l .......................... ...q ................. Does proposed eon~truelion vmlate any zon~g law, ordinance or regalation: .~ ............ ] .............. W~l lot be reg~aded ......... ~ ................... Will excess fill be removed from premiss: Yes N~e of Owner of premises ~... ~... Addre= ~} ~.~. ~ Phone No~?~:~l~ ...... N~ of ~ehiteet .......... ~ ................. Address ............... Co,tr, tor PLOT DIAGRAM Locate clearly and distinctly allI buildings, whether existing or proposed, andAndlcate all set-back dimensions from .'operty Lines. Give street and block number or description according to deed, and show street names and indicate whether ~terior or corner lot. ! k rATE OF NEWc%~RK., .., .. OUNTY OF~'~z~'~... ~.o ...... (Namo of individual signing contract) ~ove named. ' being duly sworn, deposes and says that ho is the applicant f said owner or owners, and is du y authorized to perform or have performed the sliid work and to make and file this .~plication that all statements contained in this application am true to the best of his knowled~ and belief; and that the 'ork will be performed ill the manner set forth in the appliealion filed therewith. worn to before me this ....................... day oe .... · ~A~N ROAO [NX.s. 25) WOOD PATIO OUTDOOR SITTING AREA ONE STORY BLDG. II PROPOSED I I FUTURE "~'"'---CROSS ACCESS FR(BLpG. (8~F.) ONE STORY STORAGE BLDG. EMPLOYEE PARKING L PARKING AREA ONE STORY 19' GRAVEL PARKING ~EA 10' ONESTORY STORAGE BLDG. FUTURE CROSS ACCESS REMOVE EXISTING STRUCTURE EMPLOYEE PARKING OR APPLY FOR PLANNIt~3 BOARD PARKING RELAXATION OF 2 STALLS, ~.ASER FICHE FORM Planning Board Site Plans and Amended Site Plans SPFile Type: Project Type: Site Plans Status: Incomplete Application - In Active SCTM #: 1000 - 122.-3-7 Project Name: Shamulzai/Greene(Blue Water Cafe) Address: 11400 Main Road, Mattituck Hamlet: Mattituck Applicant Name: Champa Shamulzai Owner Name: Jeff Greene Zone 1: B Approval Date: /V~: ~-~:?r'~ ~ ~ OPTIONAL ADDITIONAL INFORMATION End SP Date: Zone 2: Location: SC Filin.q Date: C and R's: Home Assoc: R and M A.qreement: A date indicates that we have received the related information Zone 3: SCAN Date: SCANNED I JUL283000 I Records Management