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52611-Z
�o4,mof soOryo`o Town of Southold * * P.O. Box 1179 o� 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46813 Date: 01/23/2026 THIS CERTIFIES that the building COMMERCIAL ALTERATION Location of Property: 13520 Route 25 Mattituck, NY 11952 Sec/Block/Lot: 114.41-5 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 11/21/2025 Pursuant to which Building Permit No. 52611 and dated: 01/16/2026 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: Alter an existing commercial space to a retail store as applied for. The certificate is issued to: Joseph Hardy,Betty Hardy Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: uth a Si ature ofsoUryo�c TOWN OF SOUTHOLD BUILDING DEPARTMENT N Y • SOUTHOLD, NY �o 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#: 52611 Date: 01/16/2026 Permission is hereby granted to: Joseph Hardy 21 Middleton Gardens PI Bluffton, SC 29910 To: alter an existing commercial space to a retail store as applied for.Additional certification may be required. Any exterior signage will require additional permits. Premises Located at: 13520 Route 25, Mattituck, IVY 11952 SCTM# 114.-11-5 Pursuant to application dated 11/21/2025 and approved by the Building Inspector. To expire on 01/16/2028. Contractors: Required Inspections: DRAINAGE, FOOTING/REBAR, FOUNDATION 1ST, FOUNDATION 2ND, FRAMING/STRAPPING , Fees: Commercial-Alteration $660.00 kOComnmercial—-------$100.00 Total $760.00 --- --- Building Inspector *OF SO(/jyo # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [XROUH PLBG. FOUNDATION 2ND [ ATION/CAULKING FRAMING /STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL l REMA S: l 1vt_ S AL4A nS a4 o--;n O DATE l INSPECTOR IOU ho�aoe souTyo� # # TOWN OF SOUTHOLD BUILDING DEPT. o m,��' 631-765-1802 S-Wt INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ . Y'KI'RE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION. [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE Z<3 �2� INSPECTO 2 � `" FIELD INSPECTION REPORT DATE COMMENTS r FOUNDATION (1ST) ------------------------------------ N4 FOUNDATION (2ND) 3� z 0 a � ROUGH FRAMING.& PLUMBING 1 71 C1� - 1 8r INSULATION PER N.Y. STATE ENERGY CODE FINALfil u ' ADDITION4 CO MENTS 5 f z m X � r O �z r� r b If-`oo TOWN OF SOUTHOLD—BUILDING DEPARTMENT y z Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy�o oo� ti Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only C, PERMIT NO. Building Inspector:' t { . Applications.and forms must be filled out in their entirety.Incomplete N 0 V 2 1 2025 >� applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. '"`"iE rr` ha old Date: OWNERS)OF PROPERTY: Name: / // ` o SCTM#1000- N Project Address: / Phone#: Email: Mailing Address: - ►:-- -- -.. _1.✓_er.�_eo�f_.._. l`Vew._ GYtE--_-__ .f..Lgb/-----_._---- -_,_------ CONTACT PERSON: Nam _ --_e:..- r.SF. n . . _l_� Mailing Address: 33.. . S� - 1-•_..._ __ �:I/ .. -ead- Phone#:_.6.3 /- _S_ .b -_3-�(2.._..- - - - -- -- Email: old<S.Soh M��•�ri SZrV 2.5dV �j cdrn DESIGN PROFESSIONAL-INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: 'DESCRIPTION OF PROPOSED CONSTRUCTION. El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolit'on Estimated Cost of Project: Nether .Q. skelwcs c�a5 /4 e �► ?- $ Will the lot be re-graded? Dyes ©No Will excess fill be removed from premises? ❑Yes ©No 1 `PROPERTY INFORMATION bb Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property. ❑Yes ❑No IF YES, PROVIDE A COPY. ❑ Check Box After Reading:' The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236'of the Town Code. 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,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(s)for necessary inspections:False statements made herein are punishable as'a'Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.. 1 Application Submitted By(print name): ❑Authorized Agent El Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) 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/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of , 20 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is riot the owner) I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes ONO IF YES, PROVIDE A COPY. Check Box After Reading,'The owner/contractor/deslgn'prafesslonal is responsible for all dralnage and storm water Issues as provide by;, Chapter 236 of the;Town Code APPLICATION1S,HEREBY MADEto the Building Department,for the7ssuance of a Building Permit pursuant�to.the Building Zone' Ordinance ofthe.Town of Southold;Suffolk County New York and other applicable Laws;Ordinances orlRegulations;forthe 'Jon of buildings; addklons;alterations or for iemoval ordemolttlon as herein described The appllcantagrees to comply with`all applicable laws,oidlnances,;building code, housin`code and,regulatio'ns,and to admit authorised inspettors orti premises and'in building(sl foF necessaryinspections°False statements made herein are g pynlshable as a.Class A misdemeanor.pursuant'ta 5ettiori`210:45 of the New York State Penal Law: Application Submitted By(print name): `ljn V II�A�pr � 1�. ❑Authorized Agent ❑Owner Signature of Applicant: CONNIE D.BUN&te: Notary Public,State of New York No.01BU6185050 STATE OF NEW YORK) Qualified In Suffolk County SS: Commission Expires April 14,2 D;:4' COUNTY OF ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this &�aay of C7V�i✓yl 20 c � / , ° ��l (�1 j Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, Af residing at ildo hereby authorizeA] to apply on my behalf to the Town of Southold Building Department for approval as described herein. r Owner's.Signature Date Print Owner's Name 2 r 'ou AV) 66,k7 LD 37'.50 1 .. m jj 77 1/ pa— > 0 i ,4, no moll 0 Ay Ln 0 v c c') ul L4 -4 06 AREA 21, 906 SQ F c C, z jolrid 'Z moo. 14 fi Z 0 1 fj 'tax hi 0 0. SURVEY OF PROPER' 'o AT Z MATTI TUC K TOWN OF SOUTHOLI t Oct, c SUFFOLK COUNTY, f _6� 1000 November'20, 2025 Town.Hall,Management Southold, NY To.whom,.it ma y,concern: My name is Alisson Villacorta Mejia,and I am�writing to respectfully express my interest in opening a small'retail business inside Towri Hall.'l believe this,store,.would be a valuable addition to the community.and provide convenient options for both,visitors and residents... My business will offer a variety of products, including: • .A refrigerated section with.cold beverages such as water, sodas, and juices. • A snack station featuring chips, candy,and other quick treats. - , • A.selection,of:clothing items. • A small cultural section that highlights and celebrates my Hispanic heritage. My goal is to.create a clean, organized, and welcoming environment that serves.the needs of,the community,while introducing a unique cultural touch.. I am committed to following all -required guidelines, permits, and regulations to operate professionally within Tunnel Hall: ; I would greatly appreciate the opportunity to discuss available space; rental terms, and,any steps'needed to.move forward with this proposal. Please feel free to contact me at your earliest convenience. Thank you for your time and d'consideration. I look forward.to the-possibility of working together. Sincerely,.. _. Alisson Villacorta Mejia (631)508-3612 FORM NO,4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . .Z995Q. . . . . . Date . . . . . . 144Y. M . . . . . . . . . . . . . . . . . .. 1900 THIS CERTIFIES that th6 building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . 354Q.WU.RP,Ad. . . . . . . . . . . . . .N?aA t3.RPIS N.Y. , . House No. Street Hamlet County Tax Map No. 1000 Section . . . . .114 . . .Block . . . . .11. . . . . . . .Lot . . . . . .5. . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated }may .G. . . . . . . . . . 19$A pursuant to which Building Permit No. . . . . .10650?. , , , . , , , , dated . . . . . . lqeY.7. . . . . . . . . . . . . . . . 1980. ,was issued,and conforms to all of the requirements of the applicable provisions of the law.The occupancy for which this certificate is issued is . . . . . . . . . . . . . . . . . . .Two . tor,�s. ;�ndlox. .4ff;.ge.t1p.e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . 1 � �. arid,x?3.a13G �'r$ lriOrie , of the aforesaid building. Suffolk County Department of Health Approval . . . . . . .FIR , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . .N47???0. . . . . . , . . . , , , , , , , , . , , , . , , t r ' , .. Building Inspector Rev 4/79 a 1. . .t •. ....IA • '- ti ;'� .. ,•is g�•�5���, Y �'=- � r '� i K < I 1 a \ WoKK Cou.r.rES' f I' �• ' 1 i E 0 Qb � ® I 11V h 3 , APPR VED AS NOTED FIRE INSPECTION oA e.P# REQUIRED BEFORE FEE , BY: OPENING . NOTIFY BUILDING DEPARTMENTAT 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: All exterior lighting 1. FOUNDATION-TWO REQUIRED ghting FOR POURED CONCRETE installed, replaced or 2. ROUGH-FRAMING&PLUMBING repaired shall conform 3. INSULATION to Chapter 172 4. FINAL-CONSTRUCTION MUST of the Town Code BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OFTHE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR [�n -N �'� 15) n� e DESIGN OR CONSTRUCTON ERRORS / I FroVI'de (�2) ;ke- ty, n ur'shers COMPLY WITH ALL CODES OF: NEW YORK STATE &TOWN COI.>ES -f D code smok&1 AS REQUIRED AND ONDITIOII', : .�- LL �� ,..`...._.� SOUTHO TOWN ZBA f(Y� r r)� l f Il g SOUTH D TOWN. LANV M:Ear, Sjns .,w...._�SO OLD TOWN TRLSTEE S'Y OLD HPC Paper (1 ea rn n� CHD / -pj&K OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE Additional Certification OF OCCUPANCY May Be Required, ELECTRICAL INSPECTION REQUIRED r V\I 1 pies j�elue C ©6w► �,rdp�tic� ccicrl� ij �vS. �'� 5 � 5 ray vi`tY"Op . v � a r a (�1 T I�u 5 a P�i InCi�a pool.