HomeMy WebLinkAbout1000-97.-1-6.1'FO:
FORM NO. 3
NOTICE OF DISAPPROVAI~
Joseph Lukas A/C Jin Fang Zhao
250 Cox Lane
Cutchogue, NY 11935
Please take notice that your application dated February 8, 2006
DATE: February 13, 2006
,o' perm t for to convert an existing business building to a Chinese restaurant at
Location of property: 250 Cox I ;ne, Cutchoguc
('ounty Tax Map No. 1000 - Section 9~ Block I Lot 6.1
Is returned herewith and disapproved on the lbllowing grounds:
The proposed restaurant use requires site plan approval fi'om the Southold Town Plannin.~ Board.
Auth~ize~
Note Io Applicant: Any change or deviation to the above referenced application, may require
fnrther review by the Southold Town Building Department.
C(*: file, Planning Board
FOR INTERNAL USE ONLY
SITE PLAN USE DETERMINATION
Initial Determination
Date:~2 / ~ / ~
Project Name: ~-u~
Project Address: ,¢'n.¢'8
Suffolk County Tax Map No.:1000- ?:~ I ~, / Zoning ..District:
Request: ¢_~n~--r A~,~ ,Z.,,/J~T~,,-____ ~:¢-,'~-'~,5 ""~,~r:~,~,.~C~
(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:~'-T,¢
Signature of Building Inspector
Planning Department (P.D.) Referral:
P.D. Date Received:
Date of Comment: ~ / ~ /
Com ts:
Final Determination
Date: / /
Decision:
signature of Plannir~ Dept. Staff Reviewer
Signature of Building Inspector
FOI~M NO. 4 ~
Certificate
TOWN O;.' $OUTHOLD i
BUILDING ' OEPARTMEN~
Town Clerk's Ottice
Southold, N. Y.
Of Occupancy
No. Z..3511 ..... Date .......... ~une .... 23.,. ..... , 19.69.
THIS CERTIFIES that the building located at . ~g/~.. Cox. I~ne ........... Street
,,
Map No ............. Block No ........... Lot No..C~lt~chog~le,. l~lew...York ........
conforms substantially to the Application for Building Per. mit heretofore filed in this office
dated .... Smptemhelc.. 13,., 19 68. pursuant to which Building Permit No. 40.41. Z..
dated .... S~pterahe:.. l~,.., 19.68., was issued, and conforms to all of lhe require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ..... husinsss .bllildillg ................. ~ ............................
The certificate is issued to .... ~eo~ge. Ahlexs ........ i .............................
(oWner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval J. une. 1~0,. 1.969,. Robelr.t .Villa...
;
~ Building Inspector
BUILDING PERJ~41T
(THIS PERMIT MUST BE KEPT ON THE, PREMISeS UNTIL F,ULL
COMPLETION OF THE wORK AUTHORIZED) i
N? ~t0tl Z ~* ............ ,' .............. '~ ........... ;~ ......... , ~'"-~"'~
Permission Is hereby granted to:
......................
io ..... ~a~..a~,.l~m~,..~e~g..,.{~.~..~,:~a~ .~ ......... ;.., ....................
................................... ~ .................................................... L.....d~ ................. ~ .......................................
pursu~ to opplicati~ ~ed
Building Inspector.
473889 97.-5-4.5
NUMBER# DATE
31275 7/13/05 PERM
0/00/00
0/00/00
OWNER: STANLEY & CHRISTINE MALON
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
TYPE CO #
USE/DESCRIPTION
NEW COMMERCIAL
Fl=More F7=Permit Detail F8=Co Detail F9=Preco F12=New Swis/Parcel F3=Exit
OWNER: GANBE ASSOC INC
CO # USE/DESCRIPTION~
B.P.#4041Z BUIL~NEW BUSINESS
473889 97.-1-6.1
~UMBER# DATE TYPE~
4041 9/13/68 PERMIT~
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
Fl=More F7=Permit Detail F8=Co Detail F9=Preco F12=New Swis/Parcel F3=Exit
OWNER
FORMERFOWNER '
AGE
NEW
FARM
TillabJe
SEAS.
IMP.
NORMAL
Acre
TOWN OF SOUTHOLD
TOTAL
VL
STREET
, O ox
S
BUILDING CONDITION
PROPERTY RECORD CARD
VILLAGE
ER,D;/-/~/,'^
w
SUB. LOT
DIST.
ACR.
TYPE OF BUILDING
Total ~ ,' DOCK
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
FRONTAGE ON WATER
Value Per Value
Acre
BELOW ABOVE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
w~vw. northfork.net/Southold/
Exam/ned ,20
:\pp~ oved ,20
Disapproved ac
Expiration ,20
PERMIT NO.
BU1LDiN~ERMIT APPLICATION CHECKLIST
D'~u have or need the following, betbre applying')
Board of Health
4 sets of Building Plans
Planning Board approval
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
ehone~'~/~"glkI ~
..... ..., Building Inspector
"~ ~APPLICATION FOR BUILDING PERMIT
Date ,20
INSTRUCTIONS
a. ~[h~i6~ti~n 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.
c. 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 Buildipg Inspector may authorize, in writing, the extension of the pem~it for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department fbr 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.
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ~TI b/ T,~ ~'I/A0
· '" (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 pr, oposed work will be.._d, one:
House Number Street
Hamle(-/
Block ~ ~-~
County Tax Map No. 1000 Section (~-2
Subdivision Filed Map No ......
(Name)
Lot ;'~2
Lot ;~
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building_
, IF?
Addition Alteration.
Repair Removal
Estimated Cost ?
If dwelling, number of dwelling units
If garage, number of cars
Demolition Other Work
(Description)
Fee
(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 removed from premises? YES NO__
14. Names of'Owner of premises
Namer of Architect
Name of Contractor
Add ~ss Phone No.
Address Phone No
Address Phone No.
15 a. Is tiffs 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 X~.~0t.~C )
,~[~x~ ~. ~"[Pt'~ being duly sworn, deposes and says that es)he is the applicant
(~ame of individual signing contract) above named,
eS)He is she ~.)~
(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.
N~bli~
rE DOROSK1
NOTARY PUBLIC, State of New
No. 01D046,,4870
(lualified in Suffolk County ~..qr',
Commission Expires September 30,,dLJ~J_
SignatureUof Applicant
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