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HomeMy WebLinkAbout1000-114.-11-4 (2)FORM NO. 3 NOTICE OF DISAPPROVAL TO: Mazzella Holding (Red Door) 13550 Route 25 Mattituck, NY 11952 Please take notice that your application dated April 11, 2007 For permit to construct a deck addition to an existing restaurant at Location of property: 13550 Route, Mattituck, NY County Tax Map No. 1000 - Section 114 Block 11 Lot 4 DATE: April 13, 2007 ; Is returned herewith and disapproved on the following grounds: The proposed construction requires site plan approval from the Southold Town Planning Board. Authorized Si 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 FOR INTERNAL USE ONLY SITE PLAN USE DETERMINATION Initial Determination Date: y / // / Project Name: Project Address: /.~_~--5~__) Date Sent: // / // / ~- Suffolk County Tax Map No,:lO00, II~/ Zoning District: (Note: Copy of Building Permit Application and supporting documentation as to proposed use ~or~u~~~ed.) Initial ~~~i]~ permitted: Determi ' ~ eis ~,~ initial Dbl~ination as to.,w~ether,~ plan is required: 5z~ ~ S~n P.D. Date Received: '¢ / /2- / d),) Date of Comment: 'Cz I/~ I~',~ Comm/ents: ~'~ig~at~re ~ Pla~nin~ Dept.'~taff Reviewer Final Determination Date: / / Decision: Signature of Building Inspector T~OWN OF SOUTHOLD BUILDING DEPARTMEi~T,-, - TOWN HALL ' ~-~ ~ 0 2! SOUTHOLD, NY 11971 TEL: (631) 765-!802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ,20 Approved ,20__ Disapproved a/c Expiration 20__ PERMIT NO. BUILD1NG~RMIT APPLICATION CHECKLIST Do ~'nave or need the tbllowing, 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: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date ,~ -<30 ,2007 INSTRUCTIONS 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 J MAZZ RESTAURANT, LTD. ........ o,,ced before issuance of Building Permit. it to the applicant. Such a permit 50-546/214 ,o~o~ 4 5 21 DATE ~ /er until the Building Inspector ~ 12 months after the date of ts or other regulations affecting the ~e extension of the permit for an a Building Permit pursuant to the plicable Laws, Ordinances or olition as herein described. The , and regulations, and to admit ..... of appl~f~'or name, 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 -..~7C}0 k/4, 4 (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 proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Lot Lot State existing use and occupancy of prergises and intended use and occupancy of~prpposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost~.,(~ffgO6) 5. If dwelling, number of dwelling units (~ If garage, number of cars .,¢¢ Addition / Alteration Other Work Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor O 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 ,<~F_. ~%; ¢-.- p/,q,,Z. Rear Depth Height Number of Stories Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear 10. Date of Purchase .ff~-/r~ I //)oO_5~ Name of Former Owner .Depth 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 6~Will excess fill be removed from premises? YES NO 14. Names of Owner of premises ,~'re¢)~ ,q~ .rn, t~,z~ ( ~gAddress / ctf~ [ ~t,~v e t2v,~ Phone No. ~31~ ) ~ ~- -~ ( q O Name of Architect Address ,-~t,~-kt,-o (g ,~ l t~2 1 Phone No Name of Contractor 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 ~UIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO f * 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.- (J/~QLL) _~'../L~p ~ O fl /~ ~/'L~ ~ ~ being duly sworn, deposes and says that (s)he is the applicant (Nanle of individual signing contract) above named, (S~ the DfD)q ~ (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 pertbrmed in the manner set forth in the application filed therewith. Swo~l~before me this ~ _ day of / N~otary Public llNI~F, ffi~,N.SK! ' / ' ~u~e of Applicant QUALIFIED IN ~,JFFOLK COUNT~,' $outho~d Town "{355© Re~tce 25 Ma/?'~uck NY 2~}©4, Aera Date Prepared: 04/13/07