HomeMy WebLinkAbout1000-4.-4-14.1 -' FOR INTERNAL USE ONLY
SITE PLAN USE DETERMINATION
Initial Determination
Date: JI l� l iD Date Sent:% 2
Project Name:
Project Address:
Suffolk County Tax Map No.:1000- 1{' - �- - L Zoning District: 63-0 pfCiv�-n•
Request: ytivv' ou
(Note: Copy of Building Permit Application and supporting docurn.entation"as to
proposed use or uses should be submitted.) is F
Initial Determination as to whether use is permitted: ��1
itl
_
Initial Determination as to whether site plan is required: D EC T 4 2007
Si nature of Building Inspector
Planning Department (P.D.) Referral:
P.D. Date Received: 1.2-/ /6_ Date of Comment: /Z /Zo�/�
Comments: &JC J11C r« Q
Sign re of Planning e t. Staff Reviewer
Final Determination
Date:
Decision:
Signature of Building Inspector
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTNfENT 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
www. northfork.net/Southold/ PERMIT NO. Check _
Septic Form
N.Y.S.D.E.C.
Trustees
Examined ,20 Contact: ` f
Approved 20 Mail to: K o b r V
Disapproved a/c o- Df-Aw R , 5s y
Phone:�3/-� $fJ-702J/ 66390
Expiration ,20
77�
Building Inspector
r�
5 APPLICATION FOR BUILDING PERMIT
Date �� 7 ,20 6 7
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
0 V"e
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a co orat.on, signature of duly authorized officer
a an tle of corporate officer)
Builders License No. Al, ��,�r' d (j��,1W.,,
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section D U �y Block Lot
Subdivision Filed Map No. Lot"
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of propokd construction:
a. Existing use and occupancy
b. Intended use and occupancy %ell".s '444 — / ex 14am4liro
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost '2a, Ddd Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units it/ 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 S ec a vi Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height s cc Dla.!4 Number of Stories
8. Dimensions of entire new construction: Front sae plavi Rear Depth
Height Number of Stories
9. Size of lot: Front Rear 5 .t Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO b(
13. Will lot be re-graded?YES NO_;�,_Will excess fill be removed from premises?YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor /r/ Z D�{PTHR,'" Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO Y
* 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.
STATE OF NEW YORK)
SS:
COUNTY OF 5u(::o(k )
G %1eS S'c' 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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
7y�` day of JJoygrA Lev, 200 7
6. �L
otary Public iffl9t'uweKApplicant
MARY B PANKtEWICZ
Notary Public State of New York
No 52-8267950
Commission Expires o y 13 bI,a
23E)Ud 20S6S9ZZ29Z 1d30 JNITUI ]ioHinos 8t7:tiI z002-10-2T
Fishers Island Club, Inc.
Southold Town Building Dept. Dec. 7,2007
Attn: Pat Conklin
Town Hall
Southold,NY
Dear Ms.Conklin,
'Thank you for your guidance in regards to the new tennis court abutting the existing three
at the Fishers Island Club.I researched the minutes and found that the existing three were
built in 197g. I contacted Tony Bussman who was the General Manager at the time as
asked why no building permit was issued.He told me that at that time the building
inspector just had to be notified of the intention of building the courts and that after
reviewing the location the inspector granted the go ahead on the project.
As far as the planning board,the three courts were on the approved site plan of two years
ago when we built the tennis pavilion.
Please feel free to contact me with any questions at 516-790-5813
Sincerely,
Paul Giles
Agent
FIDCO
P. O. Box 605 •Fishers Island,NY 06390
(631) 788-7225
2 nn7 I n Dan
Site Plan Aerial from the
2004 GIS System for
Fishers Island CountryClub
SCTM 1000-4-4-14.1
R-120
F l
f
Prepared by Bruno Semon for
Southold Town Planning Board on 12/18/07
Site Plan Aerial from the
2004 GIS System for
Fishers Island CountryClub
SCTM 1000-4-4-14.1
ALA
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Off
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Prepared by Bruno Semon for
Southold Town Planning Board on 12/18/07
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SAP REFERENCES
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MAIN ,, ,;r.• ^jF^ s`';,,<z'� °� ;ke n r} PROWX WN SUPPORM AS
NECESSARY `� \ 1.) TOPOGRAPHIC MAP PREPARED FOR FISHERS ISLAND CLUB; EAST END ROAD;
LEACHING O ;;�f��:: '"1c=1: ,,.? -:;a:.. °;.;_;,i,; �\ FISHERS ISLAND NEW YORK' ,:,E,=�,•_, : _q ;.:, ,,.,..: :::.:,..:;:;:;;:_°:;::. , CHANDLER PALMER & KING; NORWICH, CT.; DATE:
o s 0 LEACHING srrt?rs1. <. ::,., w, f ',:;;.,., _
POOL ;y ;=r;<rr:: `-i . a; "`4 ` 0 , SCALE: 1"=20'; SHEETS 1-4 OF 4
%' a•. JANUARY 19 2 01
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:';; 2.) ASBUILT LOCATION PLAN; KITCHEN ADDITION; FISHERS ISLAND CLUB; EAST
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w \\ END ROAD; FISHERS ISLAND, NEW YORK; CHANDLER, PALMER & KING; NORWICH,
LEACHING CT.; DATE: MARCH 13, 2000; SCALE: 1"=40'; SHEET 1 OF 1
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1.) THIS SURVEY WAS PR Q SEPTIC M.H. a' ? zy=�r• 'y� #°::=:.t=; PREPARED FOR THE PARTIES AN z
D PURPOSE INDICATED
HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO
BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE
\ :3y,N&r < -''^.'_C.,nfa •.F_.3^„1.s'?`' Y j,5':: <J�?;:•4;;�i„-,
ENGAGEMENT.
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2. !T !, A VInLh"r!ON OF THE STnTE �'Dl.ir IO n�u R } pc + I �c
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SEPTIC TANK ` \ Of I#A�N P1f OR TO ?}f�s��: :��;i�.'•$?;?y;;�^':s�`i:,c.;:?;' "rs..*`t
k , �,u. ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN
II�STALAA790N OF Ef1E7�CE - _
\ SEPTIC M.H. AND SLWPORTS. CL ITEM IN ANY WAY.
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`'� �`'''`x=`'`'''" 3.1 ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S W
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SIGNATUR !_-
E AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE: PRODUCT OF CL '—
> THE LAND SURV —SURVEYOR. w O
.,.... TENNIS COURT OC Q
......: ..:...:;.:::: TENNIS COURT
4., SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000,
W SECTION 004, BLOCK 4, LOT 14.1. �'�
CORNER POST
W Z
5.) TOTAL AREA = 30.7f ACRES.
`n BENCH MARK
6.) SITE IS LOCATED IN R-120 ZONE. z
P.K. NAIL (_ z
APPROXIMATELY ELEV. - 11.4W 7.) APPLICANT: FISHERS ISLAND CLUB Lij
1000' TO NEXT �` �, EDAIUM: N= 1929 C/O PAT SCHIESTL
�`�T END FISHERS ISLAND, N.Y. 06390
ROAD ROAD
8.) BASE FOR LEVELS: NGVD 1929•
RAIL
FENCE � APPROXIMATELY
RAIL
EDGE 2000" TO NEXT
FENCE N OF PAVEMENT ROAD
LAWN _
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GrNn DATE: 09/28/2007
,'y n I F.
FF FIRST FLOOR
QUALITY CONTROL CERTIFICATION � ELEV ELEVATION SCALE: 1 = 20
'. SF SQUARE FEET
GROUP REVIEWED J
�.
PROJECT MANAGER f �' � �� BRUSH JUNIPER �.K STONE WALL
SURVEY A �� Yj:R- EXISTING TREELINE
ENVIRONMENTAL �y @
CIVIL r0 , SHEET
STRUCTURAL
ARCHITECTURAL ZO 10 0 20MENMEW
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FILE 34821 GRAPHIC SCALE IN FEET