The URL can be used to link to this page

Home My WebLink About40341-Z ofFOL 4-. ,,1Q�O :t��,: Town of Southold 6/8/2016 ° P.O.Box 1179 l o x' 53095 Main Rd :s .4 ,a0.:0 Southold,New York 11971 s CERTIFICATE OF OCCUPANCY No: 38838 Date: 6/8/2016 THIS CERTIFIES that the building COMMERCIAL ALTERATION Location of Property: 74825 Route 25, Greenport SCTM#: 473889 Sec/Block/Lot: 45.-4-8.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/19/2015 pursuant to which Building Permit No. 40341 dated 12/11/2015 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: interior alterations to an existing office use to retail use(pharmacy)as applied for. The certificate is issued to 74825 Main Road LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40341 4-19-2016 PLUMBERS CERTIFICATION DATED Aj ik-------- Authorized Signature WOOCp` a. Town of Southold �, 5/12/2016 P.O.Box 1179 • o. 53095 Main Rd ,7�1 �4 Southold,New York 11971 CERTIFICATE OF OCCUPA►'CY No: 38319 Date: 5/12/2016 THIS CERTIFIES t i a • building COMMERCIAL ALTE' TION Location of Property: 74825 Route "w Greenport SCTM#: 473889 Sec/Block/Lot: . t.3 Subdivision: File, ap • . Lot No. conforms substantially to the Application for Bu. +•I g Permit heretofo filed in this office dated 11/19/2015 pursuant to which B ':ding Permit No. 41 41 dated 12/11/2015 was issued, and conforms to all of the r-.'uirements of the applicable provisions of tlaw. The occupancy for which this certificate is issued is: INTERIOR ALTERATIONS I EXISTING OFFICE USE TO RETAIL USE(PHARMA AS APPLIED FOR D s 1 Lc The certificate is issued to 74825 Main Road LLC L (VS -C.11 bv -Eire.,Ma46hoL( of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40341 0449-2016 PLUMBERS CERTIFICATION DATED tryid igna`�h i SU' .. TOWN OF SOUTHOLD r �4"Vs BUILDING DEPARTMENT TOWN CLERK'S OFFICE .o0 cf., SOUTHOLD, NY ~_91•* ya,, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 40341 Date: 12/11/2015 Permission is hereby granted to: 74825 Main Road LLC PO BOX 1675 Southold, NY 11971 To: interior alterations to an existing office use to retail use (pharmacy) as appl d for . f/ At premises located at: 74825 Route 25, Greenport SCTM # 473889 Sec/Block/Lot# 45.-4-8.3 Pursuant to application dated 11/19/2015 and approved by the Building Inspector. • To expire on 6/11/2017. Fees: COMMERCIAL ADDITION/ALTERATION $200.00 CO -COMMERCIAL $50.00 • To al: $250.00 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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 from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 New Construction: Old or Pre-existing Building: (check one) Location of PropertSAO ti\e‘ta l ' � G //990 , /19* House No. Street Hamlet Owner or Owners of Pro.-f : � i / A D Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. 46341 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Town Hall Annex . Telephone(631)765-1802 I 14;e 54375 Main Road i lig 412 Fax(631)765-9502 P.O.Box 1179 G Q % Southold,NY 11971-0959 \`;r®l� �orrr� roger.richertatown.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: 74825 Main Road LLC Address: 74825 Route 25 City: Greenport St: New York Zip: 11944 Building Permit#: 40341 Section: 45 Block: 4 Lot: 8 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Jim Shaw Electric License No: 33381-ME SITE DETAILS Office Use Only Residential Indoor Basement Service Only Commerical X Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures 24 HID Fixtures Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT"- "ELECTRICAL SURVEY"-"NO VISUAL DEFECTS" 24 LED Ceiling Lights,Security Gate with Controls Notes: Inspector Signature: Date: April 19, 2016 Electrical 81 Compliance Form.xls SOpTyolo # #; cf, o TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [KFIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMA : S: i/ Il 07/ 444, DATE 3-r / INSPECTOR 41r7 �� 1 -I Y-6).3 (72_---- ,,,,!;0soutAz--_, , ', .'f.c/<,\ Q1 eo, ',_3,,, �yC0UNiY ��,, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] RO GH PLUMBING [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION _ [ ] CAULKING REMARKS: �G i'itic2c qjnyed C- gy kA ct,-6, g:1 il6 4 W04 4946(7t, -( 4-----4 V e-P/W2A-) Ce-A-07?' 1/ 0 r :_ I DATE /.5 1° INSPECTOR '' ,o��pF SOp of o # * TOWN OF SOUTHOLD BUILDING DEPT.. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ - ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: frk — ‘19- , . l j !4lm(2_ DATE1/' / /6. INSPECTO w w 1,03e# 'o i �'�UOUNT`,,,,,,•' TOWN OF 'SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION - [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ r INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY IRE SAFETY INSPECTION - [ ] FIRE RESISTANT CONSTRUCTION IPF RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) >41%9...ODE VIOLATION ] CAULKI REMARKS: Mjia CSS MCZU12.,ict Rt)212,4-170-/ '�}4- Rice- sEpAR,A-reb 1-6-ES 1 IC 1AIkL T BE P__,EPAIREt 1_161-1-er5 -t) -65E- iousTiil To flF4 f fCW elLhETECreg- / cP,:eTA-1 L_ DATE 5;/7151!INSPECTOR 1. - AI •1,,.��pF SOUTy� �� f' U 1* !* o . TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSP-ECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL 1--- [ ] FIREPLACE & CHIMNEY VFIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION KEIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) CO ›]`CODE VIOLATION [ ] CAULKING REMARKS: -CA c __ L t_ _ 00 P Uc ei CEP- be--' 3aj is t As pF bit---r-&- c) - Tths i, .� sa iki+610 ' die -le----. i ' LEAP ' 4: b i 1.:b - -3) 6-'P-e--T—e,...__n ..."Ti..- DATE 5' I (b INSPECTOR . 4(��,, ' SO(/ryol �` , 4 o ,,,, ' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY idLEas,SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: CP a DATEINSPECTOR • P s' F., i E .}� °G ';1 N E E ;R 1N G 11 May 2016 Re 74825 Rt 25, Green IR [ECIE NE BP#40341 MAY 1 1 2016 Town of Southold Building Inspector BUILDING DEPT. Main Road TOWN OF SOUTHOLD Southold, NY 11971 The interior alterations for the above Building Permit consisted of the removal of one non- structural interior partition located at the proposed counter. The interior partitions as shown on floor plan submitted for the building permit were all constructed in accordance to the plan to form a new Break Room and Consulting Room. The sink shown to be located in the Break Room was eliminated and not installed. The only plumbing installed was to install the sink behind the counter and shown on the plan.The supply piping used was PEX and the waste line installed is PVC,which connected to the existing PVC waste located in the basement. To the best of my knowledge and experience,all work as noted above were completed in accordance with New York State Building Codes. ' \01 r '- s`' � 7 t. ., ,i,...\ Atv, ,,,",‘4, 4 ., .,,,, -..‘i 1,$, .,,, A ..,:_;,,J.-__ 0 14ty 4 Via:.. 14-' �0 QbOOd . BOARD CERTIFIED IN STRUCTURAL ENGINEERING JOSEPH@Q FISCHETTI.COM FISCHETTIENGINEERING.COM 631 -765-2954 1 725 H O B A R T ROAD S O U T H O L D , N E W YORK 1 1 9 7 1 ','' (CJ cam.. rwf,iJ ,E N `,G 1 ;N1 E E R'1 N G 11 May 2016 Re 74825 Rt 25, Greenport BP#40341 Town of Southold Building Inspector Main Road Southold,NY 11971 The interior alterations for the above Building Permit consisted of the removal of one non- structural interior partition located at the proposed counter. The interior partitions as shown on floor plan submitted for the building permit were all constructed in accordance to the plan to form a new Break Room and Consulting Room. The sink shown to be located in the Break Room was eliminated and not installed. The only plumbing installed was to install the sink behind the counter and shown on the plan.The supply piping used was PEX and the waste line installed is PVC,which connected to the existing PVC waste located in the basement. To the best of my knowledge and experience,all work as noted above were completed in accordance with New York State Building Codes. ;or (ft Ai \\15 69 CP • BOARD CERTIFIED IN STRUCTURAL ENGINEERING JOSEPH@FISCHETTI.COM FISCHETTIENGINEERING.COM 631 -765-2954 1 725 HOBART ROAD SOUTHOLD , N EW YORK 1 1 97 1 � r' . FIELD 1N'SPg QN nE1'Ogx D•ATE .� COZ ,NM",CS :2; •-'• - -,,.,)... ,:.. % ? .,4 ... all'zi +'OUNDAA ON(1ST) , a, - . . . V3 FOtJNDATTQN(2ND) -- _ ....t, _ , • � o.. ° ?,•*+.+tet-.�+�� . --,_�.�.....r.. _�'-' .. .._......_ .. . . ,. , . . U\ i3 PLUMBING . -, . • , . . • • ' ' 1 ' . . _ —.r---� IN�U7JATSON PE1t N.Y. � � y STATE ENERGY CODE 11111111111111111111 �• !/ � �Z •6'-�c 3 cis. MI , ' 7 -- -. ... ) /e3,,c4/41_450,-, ,A,-/-4i/fgej . • -/-/ .Q ... : t , : -_ C .. ,,t; . • ' r y�`�' a X' �Ry M 'lia'�. , •..,.•s....-.•,-,+••--.. , , �. ,2- /-I • ; "0 .O o. . _ : 77 1 1 •. • O • WISP , . N �- � , 00 , . , 0. 1 �''� `'� - sir �� G ,. C0 , , t 3- `L F - GSA�,• ,fir `0 1 • • _ m , • , . . . li • ''"7-41. 5_ 10_ ( � • (Peen GR:Lf s , ®' �/?-°� - l , '' '_ . ' �� , r` . . . Irt.... ,,,,, .., . ,. i ,-..-- . ... ' -- t __ ii�� Milirie7 114.=. le-' igi iltAr - i...1 ► �� ;s u i_ Pof f 'X d .., ,..... i 1 t i J r 1.7'1', .. TOWN OF SOUTHOLD - BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL , • , , , A 4-0„(.- ., . - _- ',7r; ri' ,,,,Board,ofiHealth .., . SOUTHOLD, NY 11971 ,.:4 sets of Building Plans, i._ • TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 �( 'f•Survey:•.r i : SoutholdTown.NorthFork.net - PERMIT NO. '( 0-3 CO 2 Check _ '63•}',ii:1'' .'.f•, . . .. Septic,Form • . , , r' N.Y.S.D.E .C._ ' N.Y.S.D.E.C. -- Trustees - C.O.Application ,•., t Flood Permit ' ' Examined /,7 , _ , ,20- ,, ', ,,- Single&Separate ( /v "'•.i ''• -'_"• - ' Ai ./ ' St'o'rm=Water•Assessment Form / ( /� • -- -- -- -- Contact: " Approved ((( ,20Mail to: Disapproved a/c ,E, ,, f - _,,, : 63 i— 48o— - --S Phone: (ii ,20 , e' , ,,,. Expiration - - • - ' - - I,,i , • ;, n Ins.-- ' ' Li L iAPPLICATION FOR BUILDING.PERMIT f. • Li {1 NOV 1 9 2015' _ _ ..i Date --Ole , 201 S� 1;1Dt; :1FPi , ' ,INSTRUCTIO_NS, _ 1; .. _._. . . , , ,),noisoh ,,,, is a.This application MUST be completely filled in by,typewriter.or in ink and submitted to_ the. B_uilding Inspector with,4 sets of plans,-accurate-plot plan to scale.Fee acc`ofding to schedule. - b.Plot plan showing location of lot and of buildings on premises,relationslup 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;tlielihilding InSpeb or`will issue Buildmg Permit'tb t1 e'applic'ant. Sha permit shall be kept on the premises available for inspection throughout the work. e.No building shall°be ocotipied'or used in whole`dr-in`part fdFany'piirpose what so ever until the Building Inspector ' issues a Certificate of Occupancy. £,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. Jl (SignatuCre o applicant orn me,if a corporation) 7i-825 1W6-to !e'd , Creapp&7L, I NI-61 _ (Mailiiigladdress of applicant) • State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder L. eg-s t- C Name of owner of premises 74-0 26- /1//1-1ri P d, LL . (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) . .__ ,.., ,r., ; ; Builders License No. Plumbers License No. ., :,;:', : aI t Electricians.License No. . + • '; .1„i. • - , <: "tr,, _ �°.6:e:1". . :J;' • i Other Trade's License No. ,,i,,' . , 1. Location of land on which pro osed work will be done: 724-025- 44fri rri 6 Ho+trseNumber StreetHam et i., i-= fir• i +: _ County Tax Map No. 100'0 ,Section '4. ' ;, B'lock= ;,j•, Lot g•3 Subdivision Filed Map No. Lot f• ' 2. State existing'use and occupancy:of premises and ' to ded,use and occupancy of proposed construction: a. Existing use an&o`c'cuparicy td : I b. Intended use and_occuparicy /4a 9 ' ' ` ' . " ' 3. Nature of work(check which'applicable):New Building Addition Alteration Repair Removal `' Demolition Other Work (Description) 4. Estimated Cost Z(9i. D1) 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 —7/.it Rear Depth Height' Number of Stories / Dimensions of same structure with alterations or-additions:-Front /Y/4 Rear Depth Height ;+'"' ;"'° ''' Number of Stories 8. Dimensions of entire new construction Front - :-:g ''i %= ; ''_'Rearr'••-•qLiDepth Height Number of Stories 9. Size of lot: Front Rear -,f p .' I s r -Depth 10. Date of Purchase r" Name of FornieF'OWnei'f '`' iv=1'.°I - -."; 11. Zorie'or tfse'district'ifi vhich premises'ar'e'`situated''"`f'' i" '" 1)." '''-` ' " ' 't, rrj i'; t. s f".• .r, 12. Does proposed construction viplate`any,zoning;law,,ordmance ortregulation?;•YES . NO 13. Will lot be re-graded? YES . . NOX:,,Will�excess;fi11,ii 3beiremoyed frotn,premiss? YES., NO � 14. Names of Owner of.premises 740,2,3'= 1 91,1,?:4,�'r•; Address,7¢�?' P'"Q ,r .i •.' 'Phones Z/2_4 --- 668 Name df Architect LT,:r95che�t• L—;,•/� ,,, ,;„ ;;,; , , AAddress-ll'Obi►-;--.(2c1;50.0Adiil4=phone,NoF 76.C729s� ' Name of Contractors • ."s • sAddress- , ' Pliorie No: 15 a. Is this property within'-100'fee't of a°tidal`wefland ox a'frehwater wetland?-*YES ' '' 'NO' - * IF YES, SOUTHOLD'TOWN'TRUS'1'I✓ES'&`D.E:C`. PER' TS'MAY'BE`REQUIRED:-' b. Is this property within-300s feet"ofa tidal wetland? *,`YES * IF YES, D.E.C. PERMITS MAY BE RE(5UIRED: 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 ) L // ,AuDtfAR`" to. /a/AbufA-Z— - being duly sworn,deposes and-says-that(s)he is the applicant (Name of individual signing contract)above`named, (S)He is the Je (Contractor,Agent, Corporate Officer, etc.) f'7' '°°” '' ° 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 k nowled ge and belief; and that the work will be. performed in the manner set forth in the application filed therewith. S orn o before me this ;; day ofkeYvz: 20 1 Notary Public CONNIE D.BUNG Notary Public,Mate of New Yortc Signature of Applicant No.01i3U6186 C�� - Qualified In I ur _ b Commiaefon Expires A -- FOR INTERNAL USE ONLY SITE PLAN USE DETERN11NATION Initial Determination 11 / 1°1 , 15 - .: Date Sent: la f 1 / 1 � . Date: -- — . L}.25- lit. 1=t ----== Projeot Name: -- Project Address. __-b:_____--- � c r ,�Q - Suffolk County Tax Map No.:1000- -� S 4=3 Zoning sma - Request'. e04) e12.f , of Building Permit Application and supporting documentation'as to (Note: Copy proposed use or uses should be submitted.) . Initial Determination as to Whether use is permitted: - fired: }1ce4 �pr'av�s l�-P PAW-Initial Determination as to whether site plan is rl�__-2 7 Signature of Building Inspector - Planning Department (P.D.) Referral: - / Date of Comment: f --/— • P.p.Date Received:=_-- - • Comments: • Signature of Planning Dept.-Staff Reviewer • . • Final Determination - . Date: /= • Decision: C:,rnntllrP of Ruildino Insnectnr c �� . `t-e4�/l�. L FOR INTERNAL- USE UNLY • D -- --- - — SITE-PLAN_UE- DETERM(NAT10 � c o 205-- ____ _ __ ----- _ - - Southold Town Planning Board Initial Determination I a �= 1 � 1 5 . - Date Sent: Date: ti / l — Project-Nage Project Address: epr fikj a Suffolk County Tax Map No.:1fl00- -___ 5__---- L3 t_ — M k% Requestcoveis ! D _ , _ eta - �.Z1--- supporting documentation as to of 6uildirig hermit Application and supe (Note: Copy -� -propoed use or uses should be submitted.) Determination as to whether use is permitted: y� app r'av�s 11---e RA"-lan is r-qu red:_ , - ? _ Initial-Determination as to whether site Ilan ,�_� , �, �, ,. �,� : ''r -gyp ff �t\1 1 • ' • Signature of Building Inspector � I . Referral: - - - planning Department(PD.) Date of Comment:- _g__- � l.- D.Date Received:1f 3!-5 J 15. - Comments: P142.0. - Signature of Planning D4_.-Staff Reviewer . . Final peterminaion - Date: 1 Decision: Addraviruir_� . ArillAviluow c:,nafiirn of RIiildin❑ InsnPntnr OFFICE LOCATION: ,,w ""- MAILING ADDRESS: Town Hall Annex �� ®F SO(17 _ P.O. Box 1179 54375 State Route 25 � ®4 0l Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold,NY ; * 4 Telephone: 631 765-1938 www.southoldtownny.gov '4)°' � 1�, ®l'c®uNry,01 de PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Michael J. Verity, Chief Building Inspector From: Heather M. Lanza, AICP, Planning Director )4\1710" Date: December 10, 2015 Re: Site Plan Use Determination (SPUD) for 74825 Main Road LLC SCTM#1000-45.-4-8.3 As an addendum to the attached SPUD, the Planning Board has reviewed the approved Site Plan from 2006 to determine whether the change in use from office to retail in a portion of the 1st floor of the building on the east side of the property would trigger the need for a Site Plan amendment. An amended Site Plan will not be required for this change. It appears from the plans submitted that the area to be converted would consist of approximately 1,500 sq.ft. The parking requirement for the retail space is less than that for the office space. The original Site Plan approved this area of the first floor for general office use, and required 1 parking space per 100 sq. ft. of office area, requiring about 15 spaces. The new retail area will require only 1 space per 200 sq. ft. or 8 parking spaces. It should be noted that there have been changes to the use to the second floor (in the past) that have increased the overall parking requirement by removing one of the three apartments and adding office space, which results in an increase in the parking required. The net result of both changes, however, is that the addition of the retail use likely makes up for this addition. Any future proposed changes in use to the site must be reviewed by the Planning Board to ensure compliance with the Site Plan requirements. Thank you for your cooperation. End.: SPUD form Y i; 7.1 A .1 rr. y0 2015 . 05 . 18 i. kr • • 11.11111.111111111 _ Qpflizpqr> t2�`� U uL� 1 • • 2015 . 05 . 18 4 • Scott A. Russell ;••�'��°s 'r�°-_ NORM\WA\TlER SUPERVISOR g MANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179 O C� 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surf ace. ❑ 0 B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑® C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑I D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑M E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑M F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. * If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. * If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date District NAME µ eR A 1.1a1AA - 45 4 8 3 445— Section Block Lot FOR BUILDING DEPARTMENT USE ONLY**** Contact Information b ff Reviewed By: 0--173'(\ -1 6-4"-a) Date: II_(9__/ s Property Address/ Location of Construction Work: 7482,5 1 � 12Approved for processing Building Permit. V ^/t Stormwater Management Control Plan Not Required. 6:YN OW p th f / /11 n Stoi mwater Management Control Plan is Required. LJ (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 ,�o1OOf , 4 ' Town Hall Annex * Telephone(631)765-1802 54375 Main Road (631)76595Q2 P.O.Box 1179 G �� rogersichert(cvlown.southolltlQ.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION - REQUESTEDBY: `siai-1) Date: 4 _4, Company Name: f e. spo i r`71 #143 - Name: License No.: Address: .1 ' /'4 ie • Phone No.: 6.3k -- JOBSITE INFORMATION: (*Indicates required information) *Name: GP. i\‘ibi2.- *Address: -71-825- � *Cross Street: *Phone No.: Permit No.: 4-0 3+4 ( r Tax.Map District: 1000 Section: L(5-- - Block: 4 Lot: .5.3 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YES/ NO Rough In Final *Do.you need a Temp Certificate: YES/ NO Temp Information(If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: - PAYMENT DUE WITH APPLICATION 82-Request for Inspection FormC0_ • i cC 1` r C' VIE k /r 4 s p�.. 1 t:,s�E. DAT! • K?///://5:: P,:-----::-:::::::),.7T;;77— P. '. (!..J'I/ ' - i - ----- Z el :v U II a. ,-, T .._ O 766-1202 n AM , , F , THE FOLLC'"!'N:: INS ECT.O, i'• Cir) 1. FO'U.;DATIO�? - T',""o r cIJRED FOR Pt1�;",:D Cr'i: ;RE.TE 2. ROUGH FR 1'..' I,!.4. V W 3. r''ICULATICN < 0 FINAL P'' COMPLETE C},: C.O. 7(GENC\\ P ALL COI,STRUCT1C SHALL MEET THE I EXIT W A REQUIREMENTS S OFT-IF CODES OF NEW �1 ZYOR{ "TATE, d0; :.; SFONSIBLE FOR COUNTER SHELVES 44 DESIGN OR CONSTRUCTION ERRORS. ^ C�r p4 H ";? O\', CC,DES EX, BATH 3 O A. 's iL" tv nt — a 0in /� � I 7e i 1.1) N 4.1 _. ..- T.._ ^^a ;} p REF, Z 00 Z 44 izi ..._. .... . -w A O COLUMN h+-1 � � . ___ - - -� lel 7 _ �io CASH I ! .`,=D EX. UTILITY REGISTERRx COUNTER CZ c �.re ,t�y CLOSET immimm" . / I Z ATL J OUT CERTIFICATE - �� OCCUPANCY _ BREAK ROOM j _ \i, i--- 2 , ' O / FIRE INSPECTION ` REQUIRED BEFORE N ;. ;;./ 3"A�" OPENING SI-31It 1,1 4I-1II / • I " P- 10 -21/ / 0 4 .0 0 0 0 0 0 0 W Z _ X _, � < 00 (00 CASH 0 GNTR. rn Q ° M CL W a. 0 COril N u N / CONSULTING COFFEE STATION ROOM VESTIBULE WAITING AREA , 164 IC — 1641 0 DRAWN BY: JF 11/17/2015 ENT- •NCE SCALE: SEE PLAN 1\ 0 o � �� . SHEET NO: FLOOR PLAN �� \S R> ° :. SCALE: 1/4" = 1'-0" �`` ,q `{ 0 @r 6 , liic� J Zr;O lb; 05255° r�