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1000-63.-3-8
FOR INTERNAL USE ONLY SITE PLAN USE DETERMINATION Initial Determination Date: e / /CP / O Date Sent: lv f /ep / o Project Name: Rev Cc) 6:1k J1-,.s A/or-H', y Project Address:551 C S ioIA.4-e o2s ot,c4-GJold Suffolk County Tax Map No.:1000- 603 - 3 - Zoning District 146 quest. Y€-/- cs/ ti' s 1-1, 111 -i-t"X h Leo, eyi-e7(/.-/_ X: D v_er ea al i.() - 'aS �Sr ?Le. of Z i u'� (Note: Copy of Building Perm' -Application and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use i per itted: P D • . / - � •_ :r PM asp • ..Li Gro '�[��' r - v -e , Initial Determination as to whether aite plan is required: J'S t 5 - .!_S r.�M-a,i.P — n© tYl-1=e� s► • c f s L.PF p/ail leg La re., Sfigfiaafure of Burl ''• Inspector Planning Department (P D ) '� "' P.D. Date Received: / '` Date C rnment: / ��/ 09 7 2 u� Comments: ..k "3 a �• ,Aa 4 1_n O/) Vie. . / = .� /70- 111111W/' A , C) . 7;#4.,v,‘ a 5 /o.'1 /f 4071,.._.e ."7!";:"-- 071 ,' ; Signature of Pla n' Dept. Staff Reviewer Final Determination Date: / / Decision • • tit:7:km 44:4,....(4,,.....„,"! 4 • f\ ' - - .. . ...at .41P7- lk._ ' - - do - 7 • i, ito 143-1 li.. ''. I} 4 ,., 1.1 11 .,... 4 IA, % .- . 40. ' I ogrtli4- ‘ -ilk 11101111 ° t * . I* r. . ..„ t \V'OArii . .of. .... te, ' -...,. . . ' 41 tex, 14 * ‘ , ' ' , l• II,' * 1 6 -3-22. *I • Itt -------\ N =',. ., ...-- 8 3 1 + 1 1.,.6 , .,t \ It" 6 i!I'd" • i •,a - • 100 v - i • ' 4 lb '' mirfs7.. '` . ire" ". 2103-8r *ee#1* i‘ ... 1r - . . , 1 ,. i , it. L TOWN OF SOUTHOLD BUILDING RMIT APPLICATION CHECKLIST BUILDING DEPARTMENT • DoWhave or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20 Sto -Water Assessment Form Contact: Approved ,20 .it to: /-#R Asso c.(A-re, l,G .1.A Its, ••.-- • •• .,3 Disapproved a/c ® '•*-G+K 'MPS� •'/ ►19 Phone: (D3 ^ 3-3(0oa Expiration ,20 - 71 ri DECEME -: Building Inspector HI JUN 5 2009 APPLICATION FOR BUILDING PERMIT Date uN C , 200°) BLDG.DEPT. INSTRUCTIONS TOWN OF SOUTHOLD 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 cr 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 Of other regulations affecting he 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 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. .*/l e0/Cs 1.4C– tf4t Si na ( g tore of applicant or name,if a corpo tion) 17.0 SOY let Soo-r A tqI'TUIJ `(. 1 t (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder LE SS�- Name of owner of premises S I O C(LG 1J �L'l�C'N1�]� Lt.-C (As on the tax roll or latest deed) If c is a o ►•ration, signature of duly authorize l fficer e '�, !T teoPo Vcc.Ys( vfie-Q-606-(7- ( ame 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 proposed work will be done: �i� D SOOT House Number Street Hamlet County Tax Map No. 1000 Section 7 Bl Lot �O Subdivision Ml . vwle14 Lot SileatiNdt0.aM r ? M ._. 0 e 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 1€Yi c l 1... b. Intended use and occupancy -RE i 141L. VikAOC_eS14k LL 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 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 trl/ 7 f1 JrS -'1 Dimensions of same structure with alterations or additions: Front I ' alp - -„ — 1 Depth Height Number of Stories,' 8. Dimensions of entire new construction: Front Rear i P De th � Height Number of Stories -- �- 9. Size of lot: Front a� Rear (2(0 Depth /C-C - 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO N/ 13. Will lot be re-graded? YES NO /Will excess fill be removed from premises? YES NO 7 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO a/ * 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) r k4gODokA V Li-IS being duly sworn, deposes and says that(s)he is the applicant i (Name of individual signing contract) above named, (S)--le is the 4,/ ontractor, Agent, Corporate Officer, etc.) of a aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; tha 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. Sw')m before me this p r 4 day of d64I7,G 20 O / Air / Z--- *iv lyis . Notary ubhc Signs re of Applicant N a n er N.r. OnN1140 In SNP bust* - - :-,,,',,,,1 '',-,,„,-14: s'-'::i,,,1 '1°' h.:,,,..,:,,,,,,,...4,,,,,,, 4:,,rt ii June 5, 2009 Town of Southold Building Department Main Street Southold,N.Y. 1 1971 Dear Michael J. Verity, I am sending this letter of intent in reference to the property 55765 Main Street, Southold, which was formally known as Thompson's Emporium. Revco Electrical Supply, Inc. wishes to lease the property with the intent of operating a branch location, selling electrical supplies and lighting fixtures. Our customer base would be a mix of contractors and the general public. We wish to install a garage door on the east side of the building. Its size will be approximately 8'X8'. Within the interior we would be constructing a partition wall. Its size will be approximately 60' long, to create a 30'X60' warehouse space towards the back of the building. All work will be performed by professional contractors, conforming to local building codes. Please consider our letter of intent as quickly as possible as we are anxious to move forward with our plans. I trust Revco Electrical supply, Inc. would be a positive addition to Main Street, Southold. Sincerely, • / Theodora Velys President 403 Griffing Avenue 360 County Road 39A PO.Box 119 PO.Box 1539 Riverhead,NY 11901-0119 30 Gingerbread Lane Southampton,NY 11969-1539 (800)244-7297 East Hampton,NY 11937 (800)722-0244 (516)369-1900 (516)329-4600 (516)283-3600 FAX No.(516)369-1904 FAX No.(516)329-2429 FAX No.(516)283-6326 t1 File Edit View Toolbar Window Help is - • )63_-3-8 473889 Southold Active R/S;1 School: Southold School • Stocken Devi ill Roll Year: 2009 Curr Yr Det row bldg LandA',t: 4,100 55765 Raute 25 Land Size:1-07 acres TotalAV: 23.200 u Parcel,63.-3-8 ' . Owner I Tax.Bill Mailirigpddr:es, 1 3rd PartyMddress 1 Bank — Lr,s"sc::rnent "1",t.1'I i.�1.� � �, ,. : Add • U Spec Di°t( Q-� � ' t L !�.rL?� la :._,.�YY �ht ! en Stocken Dev I LLC Owner T e: Primar Desia Status: • • L. Description I Owner(s) In-iage; • J Cris Site(1)Lon-i Last Name;'Company: First Name. M1_ Jr,Sr.,etc: Stocken Dev I LLC r 1 Site(11 1:;" Attention T u/In Care Of: r:: Additional ddress- Sale. 7/19/01 f Street No Prefix Dir: Street/Rural Route: :St S uflix: _ Post Dir UnitName: .Unit No. 1 .3 .2]1Smithtown :Blvd i1 Po Boy;N0: L.it / of tn: State. Zip Lode: �Nesconset NY 111767- Country:enter if not"USA" Bar Cd I F Nnership:e.q.Life Use Owner Type: I I I P = Primary 1/0 , ±.� . _ I d Ready Start.1•:: e,, :T1-b0x-Micro Oft.Outleak 1." ,Session>A-[24 a 80] .jt&J 0PS'Version 4-.[Own... .. :2009(Read-Only)-Lase.., - • • • C7 D 1/ ,p1- . •. Y. \\A,(5‘i\A \•---..)-/ A{ . . . . wV \I • '...a,‘,•Iar . „AS k'''' /,,,,erti-Nd`' .4,11.•:,i gsesE YIX,S5E- s4 SS' . • • br4.094)1;-4••,‘1 1 -9* '?II"'-..:-. ---'1 . ..,,SVISVt•-•\ i/V.,,,,,vt i \ . • -7.,,,,/..,....„• ,..2„, . :IA C2b-''Xkl>v‘ , ,,,firgt va.' --t, • ,.1.4Z.A.co.1.1.0C. . . .- -...„--..., 4.:• . _.;----- ---- - ,... ---_••aigarlso..„,,,...t.„,„... 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