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Home My WebLink About1000-74.-5-9.2 (2) TOWN OF SOUTHOLD FORM NO. 3 NOTICE OF DISAPPROVAL DATE: February 5, 2009 TO: Hector Velasquez for John Rosko 637 3' St. Greenport, NY 1 1944 u Please take notice that your application dated January 22, 2009 For pen-nit to alter an existing coffee shop to a deli at Location of property: 2745 Peconic La., Peconic County Tax Map No. 1000 - Section 74 Block 5 Lot 9.2 Is returned herewith and disapproved on the following grounds: The proposed construction in this HB Zone, requires Site Plan review per Section 280-127 of the Town Code. � ( Authorized Signature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file. FOR INTERNAL USE ONLY SITE PLAN USE DETERMINATION Initial Determination Date: / I xo l �4. Date Sent:_/.? / Project Name: X�, Project Address: 7 Y,51 Suffolk County Tax Map No.:I 000-_Z -_252-Zoning DistriG6/6 Request: 04 ` (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: S' nature of Building Inspector Planning Department (P.D.) Referral: P.D. Date Received:_1 / 2+10q Date of Comment: Co ments. Signature of Planning Dept. Staff,Reviewer Final Determination JAN, 2 7 L"C"'019 Date: / / Decision: SionaturP of Ruildina IncnAntnr AT VORK STE-TCA4N�OODFS E11IRED AND CCNDITK7N$OF e OCCUPANCYOR samun a6Nnl APp90VFDASN%t 's USE IS UNLAWFUL. S�Na01anlRn�ceOw DA E�T�,,,/Y Wfi}iOUTCERTIFiCATE EgmuowrN R6£5 REE�_R.- & OF OCCUPANCY 6raom ieo-18M IM M 4N F TTNET fAIIAMlG NSa'EATgN6: 1`AGENT SPACE ALL°�IIOTRUCTION"I t.EO++oAT v fOfi PpfED OONOREfE FE6IDEMIAL WIT MEET THE RECt1IP.£NENTSOFTRE LNgKiI-FRWNCa P�LY6wG COC_a Cr N1'.6 olU STAT r. i w6WR(Ml �S+�C=fir Nr R.FYAE-WNSIt WN MUST 6�Lc',EieS - E GONKEIE FOO CA. R lly OONSIRUCIYJN 615111 YEEf 11E � C REWwElBJf8 OFTNEC/JOE90FNEW F ioTi�I t'..¢r crEcw ,+LL csttT.tK_ TfIM 6TA1F.NOT flf6POHS1&F FOR c I Y OFSGV tli ACf6TRUCTXMI BWQTS I PLUMBINQ riN i+a�.-.t_�uuE F - Fcr�ri-la� WA NFA PLUMUER CER71FlCA71GN Y ON LEAD CONTEN78EFOAE lE9fT1O BEFTMECOY91P0 ^ CERTIRC4TE OF OCCUPANCY N( EXISTING EATF-ROOM f� Or 1 9q�CR USED M WATER SUPPLYSYSTENCANNOT pi1B6000L � a H sEK DEEMM00FT%LF40. D y .. FIRE INSPECTION FIAODIM '46'— g 0 ° - REQUIRED BEFORE mp., ' ' - - - FLODD DNAAGE vlieienloN A JAUNT s ac -tw-„^ _ i... OPENING � T°r�NcoDE. POET OFF'GE 5 C yV1 a UJ P_R.O POSED 5PAGE o exiSE FF.'� T-1 F L O O R PLA N LEGEND ,_.�rG To�-uN Al OF • FORM N0. 4 • TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30499 Date: 10/09/04 THIS CERTIFIES that the building ALTERATIONS Location of Property: 2745 PECONIC LA PECONIC (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 5 Lot 9.2 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 21, 2004 pursuant to which Building Permit No_ 30497-Z dated JULY 20, 2004 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 gal Hill �. The certificate is issued to JOHN ROSKO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF IIEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2022594 09/14/04 PLUMBERS CERTIFICATION DATED 10/08/04 CUTCHOGUE EAST PLUMB-HEAT ,x"/ A t riz d Si nature Rev. 1/81 TOWN OF SOUTHOLD ! BUILDING SkMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have 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 120 Storm-Water Assessment Form Contact: ++ ,r Approved 120 Mail to:1 e-C..\o.( V 2�CtS7�eE Z Disapproved a/c po)-16eh G-dlc— Phone Expiration ,20 DBuilding Inspector JAN 2 2 M APPLICATION FOR BUILDING PERMIT BLDG.DEPT. Date ,.._�, ii nua c ,� `l v , 20 0� TOWN OF SOUTHOLD 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 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 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) G2 c�e� ��ce e��cc! T y (Mailing address of applicant) \ 9AL� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder �e��S�� 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 wi h proposed wo will be done: ,a_,AL\ e C-oy,; (2 �� e, ccor�C' House Number Street Hamlet County Tax Map No. 1000 Section Block Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of Remises and intended use and occupancy ofXroposed construction: a. Existing use and occupancy \ c cz a b. Intended use and occupancy \)t\. 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 r+ IN Number of dwelling units on each floor__N_ If garage, number of cars t4\ p,, 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 et __ --- Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories '?"`'" _! 1 S. Dimensions of entire new construction: Front Rear i eptTi "" Height Number of Stories `I.T_�...� .. 9. Size of lot: Front 1Rear \\A .�� Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated �a 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO V Will excess fill be removed from premises? YES NO 14.Names-of Owner of prernises'�'o\,Z ' vs :tom 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 V * 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. '6. 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 V, * IF YES, PROVIDE A COPY. STATE OF NEW YORK) ��11 SS: COUNTY FJ TY O _ 4 -e_+�b rL- 4�-� '40 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing cont ) 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. Swo to before me this 2- day of 20 VICKI TOTH V o Notary Public State of New York No.O1�'0619 Notary Public Qualified in Suffolk Count Si 're of Applicant Commission Expires July+)v ? l 2- FOR INTERNAL USE ONLY SITE PLAN USE DETERMINATION Initial Determination Date: / / ( / Date Sent:_t, / Project Name: ,,- , Project Address: Suffolk County Tax Map No.:1000-Z4 Zoning Distric&/6 Req est: (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: S' nature of Building Inspector Planning Department (P.D.) Referral: P.D. Date Received: / / Date of Comment: Comments: Signature of Planning Dept. Staff Reviewer Final Determination Date: / / Decision: Cinnn i ira of Ri dldinn Inenar`tnr