HomeMy WebLinkAbout53253-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
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#: 53253 Date: 09/09/2026
Permission is hereby granted to:
Nofomoto LLC
455 Vanston Rd
Cutchogue, NY 11935
To:
Construct commercial interior alteration to an existing service station as applied for.
Premises Located at:
32930 Route 25, Cutchogue, NY 11935
SCTM#97.-2-15.1
Pursuant to application dated 08/17/2026 and approved by the Building Inspector.
To expire on 09/08/2028.
Contractors:
Required Inspections:
DRAINAGE, FOOTING/REBAR, FOUNDATION 1ST, FOUNDATION 2ND, FRAMING/STRAPPING, PLUMBING ,
ELECTRICAL- ROUGH, FIRE RESISTANT PENETRATION, ELECTRICAL- FINAL, INSULATION, FIRE SAFETY
INSPECTION, FIRE RESISTANT CONSTRUCTION, FINAL,
Fees:
Commercial-Alteration $403.50
CO Commercial-Addition/Alteration $100.00
Total $503.50
Building Inspector
e, , TOWN OF SOUTHOLD—BUILDING DEPARTMENT
A Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
; q f",° Telephone (631) 765-1802 Fax (631) 765-9502 https://www.sotitholdtowtiny.ggy
Date Received
APPLICATION
For Office Use Only
pp
PERMIT NO, 5 Building Inspectors
Applications and farms must be filled out in their entirety.Incomplete
s �� rA:
applications will not be accepted. Where the Applicant is not the owner,an t"x;pis'zl� ""�
Owner's Authorization farm(Page 2)shall be completed.
Date:$.13.26
OWNER(S)OF PROPERTY:
Name:Justin Mirro (Eastern Tire LLC) :1sc �#1000-97-02-15.1
Project Address:32930 Main Rd. Cuchogue
Phone#:1-646-382-5153 Email:jmirro@kensington-cap.com
Mailing Address:
CONTACT PERSON:
Name:Joan Chambers
Mailing Address:PO Box 49 Southold NY 11971
Phone#:631-294-4241 Email:joanchambers10@gmail.com
DESIGN PROFESSIONAL INFORMATION:
I
Name:Lou Schwartz Tiderunner Engineering
Mailing Address:? Ridgewood St, Bay Shore, NY 11706
Phone#:(631) 410-6838 Email:tiderunnereng@gmail.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition BAlteration ❑Repair ODemolition Estimated Cost of Project:
O 0ther $
Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? ❑Yes ANo
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PROPERTY INFORMATION
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� WSC of f`ty lerC
� � 1�� tt�.,fA! � intencfod use ofpropdrt
-...� �"� Are there any covenants and restrictions wtritPi respe�tto
- 'i��✓ this ro crt� ?
p P W YesNo IF YL"S, PI�Ot1It7i A CCJPtrr,
Thq OwnOr/Contraclor/design Prolpssionm is k r rorl drM YftP and storrrr x��atro rr E u s�s ar wdd dad
6of pae TOWn Code APPLICATION TIO lS flC�dby rVIAUE tOI the building oop irtarrent for Pia r5 laance aP�Building Canrrnit pursuant to ro de
ai ttltc fcswarn afSauiltaid,SuffattC„ aarntyr, ao Carle aa�td'attlsC r rt'faiM ble l.at�rs,Ordinantes OrRogulations,for the car�si�ruttiara ar' ldirf9 zone;.
alterilions or for removal or demolition as hereira described,fire 4Pplicantodroos to�annfrfy vxiEfr<sll appfica6le k�v✓�,ordinances, buildings,
E c f tfu anai roSufatiaots rand to a nest autiearirod in�eotcar cart promises and in bufldirsSisi far necossaryr inspoc¢ions.false stetenroenfs w�aatwdeaq r 6n ra„
tat, aM sc�a Class fl rnisde aareaa� urs "t to Sectia'rs zip„dS of tite Now,York State penal C.at*r.
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ApilI-Ation5ubMitted By(print name),.Jo ►n Siarit e Chambers
e of Applicant: Authorized Agent Qpwner
CONNIE D. BUNCH Date.
NEVV V0RfC) Notary Public,State of New York
No.01BU6185050
Qualified In Suffolk Count
Ct)UgjTy F�.�. } Commission Expires April 14, 2
joan Chambers
n ttttitp€9ti�1. vino-; . . behig duly Sworn
ci. i�os�:s and sep,rs that (,)he is the a lic.
airla:: �• � r7ntr�7(.t) <�:lr�4r,-.� u�-.uit:�ar�a, pP ant
Agent
(pie i
1.0 I1 f Y,w rt r a Y Agent, .� --'� _.m-....._......�.�.....e..
r.w°rrtsrm isrtiiw,�r, 9r.}
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Cyr said 0 t� P or owners,��Ptii to Ckui�wr�kdlttp"taw r �,Pf Cc� tr;cwr cw-w rya. have Performed the said Work and to make and file thisafapiic� tielrf7r tilat all statr�flit WS rtMnlauf�er zPi finis ,j r6 fi ,,tIon are tlile to the best of his/her knoMed e and tfyat tilt r t�ktvril be performed
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in tli ;lrrstersM�t fryw�fh uri R�i��:,ai�l?ii[iltion file tllerev�ithl g betieF,and
vrrlr n } gz,re me this
affin
Notary Public y-�.. .
(Where the applicant is not the Owner"')'""'
i Justin M i rra 3 Greenacre Court Great neck
residing at M NY 1101
hereby authorize joan�Charnbers
fnY . ng Department for approval as described _......to apply on
tiei�ak� to t!�e Town of Southold Building�, ff herein,
is Signature
Date
„7
Print (Dvvner's Name
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LEGEND '\
CLF =CHAIN LINK FENCE �\ /cMF
CMF =CONCRETE MONUMENT FOUND
CM5 =CONCRETE MONUMENT SET '\
DI -DRAINAGE INLET \\ \
EOP =EDGE OF PAVEMENT - \
GV =GAS VALVE
IPF =IRON PIPE FOUND
MMF =MARBLE MONUMENT FOUND
MW =MONITOR WELL
OL =ON PROPERTY LINE 1\�
S RCF =REBAR&CAP FOUND `\�
RCS =REBAR&CAP SET
WSF =WOOD STAKE FOUND
W55 =WOOD STAKE SET
m rQ, =UTILITY POLE
FIRE HYDRANT
• =END OF DIRECTION/DISTANCE
-� =SIGN