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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19992 Date JUNE 14~ 1991 THIS CERTIFIES that the building_ ALTERATION Location of Propert~ PRIVATE ROAD, EAST END House No. Street County Tax Map No. 1000 Section 5 Block 2 Subdivision Filed Map No. FISHERS ISLAND~ N.Y. H~mlet Lot 7.5 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7, 1981 pursuant to which Building Permit No. i2825-Z dated DECEMBER~ 1983 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 CONVERT EAST END OF 2ND FLOOR OF EXISTING BEACH HOUSE TO HABITABLE USE (SEASONAL ONLY)~ AS PER ZBA APPROVAL. The certificate is issued to FISHERS ISLAND DEVELOPMENT CORP. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED FI-12A - MAY 8, 1991 N-534946 - SEPT. 11, 1981 N/A Building ~ns~e%to~ ' ~ Rev. 1/81 FORM NO. 2 TOWN O~ $O~THOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12825 Z Permission is hereby granted to: ... .f./£/.~..~/.~..,.,,~,,,,~!y.~ ....... ~.E,.?, ~?~.,o..~...M..~:.~r C~) (F/ ~ ..... ~ ~.~ ....... ',~L ~ /,~.~.c:.:,~. . ........ ~,,~ ~ ........... ~o .~.~ ........ ~...~ ........................................ ~ ......... ~....~....~ .............................................. .~..~....~ ............................................................................. ~ ........... ~t premises I~ted ....................................................... L..~<~.... ~.~.~ ....~.~ .~. f.~.~ ..................................... ....................................................................... .~¢~ ....~...~..., .......... ~L....~ .............. CounW Tox Mop No. 1000 Section ~ Bilk ~ Lot No. ~'~ pursuant to opplicotion doted .......................................... ~....~., Building Inspector. Fee ~ ...... (2 ............. Building Inspector Rev. 6/30/80 : Form No. 6 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN ILALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 archiuect or engineer responsible for the building. 6, Submif Planning Board Approval of completed site plan requirements. 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 er topographic features. 2. A properly completed application and a 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. ]. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swirmming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00 Date .~..//~...~.. J .......... House No. Street Hai~!-Ct--- awer or Owners of Property. ,. . ....... ounty Tax Map No 1000, Section....~.. ...... Block .... ~ ........ Lot..~.Ji.~.. .......... ~bdivision .................................... Filed Map ............ Lot ...................... ' ' '~ ¥ · · ' ppr val~3.~.~.~.~ ..... Lanning Board Approval .... ~.~... o'"~. ~.~ ~..~ ~ ~7~' .~ /"/~ ~ ~_~......~ ~ ' ............... ...,. , c,'0% ~ ~ t ~ ol - ~/ ........ J~£~'" ~ ....... 1~oo1127 THE NEW YORK BOARD OF FIRE UNDERWRITERS SUREAU OF ELECTRICITY ~,L~ 85 JOHN STREET, NEW YORK, NEVV YORK 10038 THIS CERTIFIES THAT Fist.s Is~ ~ Glub, ga~t ~, Fte~s Is~, ~. Y. in the/ollo~ing locatlon; ~ Basemen~ ~ 1st FI. ~ 2.4 FL Section BIoc~ Lot was exa,nined o,~ $~pE~7 ~ ~ ~9~ and found to be in co,npliance with the requirements of this Board. FIXTURE OUTLETS 13 ~ECEPTACLES~7 SWITCHES~0 FIXTURES RANGES OVENS EXHAUST FANS NCANDESCENT FLUORESCENT VAPOR SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E 506 Fi~l~r~ Isl~, N. Y~ 06390 Lic=#2030E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be their credentials. Memorandum from.... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD Tow~ H~,LL, SOUTHOLD, N. Y. 11971 James 'Vblncy A r c h i t Righter e C t S 58 Winter Street Boston Massachusetts · 02108 · telephone · 617.451.5740 New York State Department of Health APPLICATION FOR A PERMIT TO OPERATE A TEMPORARY RESIDENCE (To be submitted at least thirty days before the first day of operation or at least thirty days prior to the expiration of an existing permit/~ IDate 1'5 I Name of property Detailed Location (e.g., RoadoSto~ldg. No. *Distance from some well.known point) Town Village or City County Mailing Address -- Name of Owner Permanent Moiling Address ~.e Jap. hone Number Pe~anent Mailing Address Seasonal Mailing Address & Telephone Number Seasonal Mailing Address Expected Opening Expected Closin ] Capacity of temporary Date Date residence Names and addresses of other 'epersons' who are expecfed to operate proper~ during the current year or subsequent years Was property operated in previous If '*Yes" give name years? of proper~ and operator below No Yes b.~'. Previous name of property and operator IF THIS APPLICATION IS APPROVED, THE UNDERSIGNED APPLICANT HEREBY AGREES TO OPERATE THE TEMPORARY RESIDENCE DESCRIBED ABOVE IN COMPLETE COMPLIANCE WITH THE REQUIREMENTS OF PART 7 OF THE NEW YORK STATE SANITARY CODE, COPY OF WHICH THE APPLICANT HAS RECEIVED AND ACKNOWLEDGES THAT HE IS ACQUAINTED WITH ITS CONTENTS. Signature of individual operator or of official operating "person" If not an individual operator, give official connection with the operating '*person*' Mail address of the individua~ signing this appH cation No_._~t to be filled out by applicant Issuance recommended by: IExpiration date: OPERATION OF A TEMPORARY RESIDENCE WITHOUT A PERMIT CONSTITUTES A V~OLATION OF PART 7 OF THE NE'// YORK STATE SANITARY CODE AND MAY BE SUBJECT TO A $250 FINE OR IMPRISONMENT FOR A PERIOD NOT EXCEEDING 15 DAYS, OR BOTH, FOR THE FIRST OFFENSE. /1 For further information, see reverse side. Fona GEN 141 (Rev. 12/74) James X,{)lney Righter A r c h i t e c t s ~ ,. bo.y. ttqot 58 Winter Street. Boston Massachusetts 02108 telephone 617.451.5740 NEW YORK STATE DEPARTMENT OF ENVU~ONHENTAL CONSERVATION API~LICATION FORM "D" FOR A STATE POLLUTANT DISCHARGE ELIMINATION SYSTEM {SPDES) PERMIT (Becomes A SPDES Permit When Signed By Permit ssuing Official) New ~ Renewal ~ ModlficatJo¢, Ny - OWNER'S NAME (Corporate, Partnership or Individual) NATURE OF BUSINESS OR TYPE OF FACILITY TYFE OF OWNERSHIP ~Corporate F-1lndividua (-iParmership []PubHc (Street or Road) TELEPHONE NO. (Include Area Code) CITY, TOWN OR VILLAGE POPULATIO~ SERVED (See Instructions) All Year~ [] Yes J~NO If "NO", SDecify NO, of ~onths · ' All Week? ~ Yes ~ No If '*No~', Specify NO. of Days DOES YOUR DISCHARGE CONTAIN OR IS IT POSSIBLE FOR YObR YOtJR OPERATIONS~ ACTIVITIES OR PROCESSESJ ~ ~ease Check: ~ Aluminum ~ Ammonia ~ Beryllium ~ Cadmium ~ Chlorine ~ Chromium ~ Co~r ~ Cyanide ~ Grease ~ Lead ..~ ~ercury ~ Nickel ~ Oil ~ Phenols ~ Selenium ~ Zinc ~ None at These DtscRA~G~ DATA (Use a4aitia~t fo~s, it ~c~sary) (See OUT[ALL NO. J ~ pto~osed ~ ReD ace~nt JTY~ OF W~T~ JT~~ ~ SURFACE DISCHARGE If "Yes", Na~ af ~ceivi~ Waters ~'?es ~ NO DESIGN PLOW ~'q OOG~UDay SUBSURFACE DISCHARG~I --.If "Yes", Name of nearest Surface Water ' J L.I. J [] Yes [] NO J [~ Yes [] NO I [--I Yes [] NO I jClassification jwate~s Index NO. Distance ,. SOIL TYPE J l Ft. jClassification jWaters Index NO. Depth to Water Table Distance. Ft. [ SOIL TYPE Depth to Water Tabte J DESIGN PLOW' J TYPE OF TREAT~IENT Gal/Day jClassificalion jW,Iere ,edex NO. gis~r~:s · ~ SOIL TYPE SUBSURFACE DISCHARGE If "Yes", Name of nearest Sud&ce Water i Depth to Water Table []Yes r'~ao [ ! Ft' l, ,,, I hereby affirm under penalty of perjurY that information provided on this form and any attached supplementaJ forms is true to the best of my knowledlje and belief. --' FaJse statements rode herein are punishable as a Class A misdemeanor pursL~nt to Section 210.45 of the Penal Law. X,xPLICNT'SSIGNATURE (See Ins~uc.tions) Oat,e / ,Printed Name ; pERMIT VAI. IDATION SECTION (Depa~tomet ef Environmental Canservatlan Use Only) This SPDES permit ia issued in compliance with Title 8 of Asticle 17 of the Environmental Conservatiofl Law of New Yor~ State and in compliance with the provisions of the Federal Water Pollution Control Act, aa amended by the Federal Water Pollution Con~'ol Act Amendments of. 1972, P.L 92-500, October I8, 1972 (33 U.S.C. §J.25! et. seq.) (hereinafter referred tO, as ~the~ Act"), and subiect to the attactte~ conditions. Signature of Permit Issuin~ Official Date CARDJType JType rsic co~e J. Out JDis JCA~JDJRe$~on JCounty j~alor jSub JComp~ct Esr Own Falls Class Basin Basin Area 1 /66r 168 170 7374 IR71 7, APPLICATION NO. NY- EFFECTIVE DATE ATTACHMENTS: EXPIRATION DATE :ARa Latitude Longtitucle JCAeOiLim COUNTY OF SUFFOLK DEPAIRTMENT OF' HEALTH SERVICE5 PROJECT PERk.~IT REqU, IREM_~NT QUESTIONNAIRE Type o'f Operation .... ~ ~ Total Total Project Industrial ~ flow GPD Gent lemen: The following additional permits ~o rh~ b~st of our knowledge are needed/not needed as i~ has been indicated in =he column provided. TYPE,, PERMIT WHICH MAY BE REQUIRED I. Mining Permit - NYS Dep't. Environmental Conservation 2. Air Contamination Permi~ - Suffolk County Dep't. Env. Control 3. Solid Waste Permit - Suffolk County Dep't. of Health '4. Wild Scenic and Recreation Rivers Permit - ,~YSDEC 5. Water Supply Permit - NYSDEC 6. Long Island Well Permit - }~SDEC 7. Protection of Waters Permit - NYSDEC 8. Tidal Wetlands Permit - .hPfSDEC 9. Fresh Water Wetlands Permit - NYSDEC I0. Water Quality Certification letter - NYSDEC Il. Industrial wastes - NYSDEC 12. SEQRA Determination - SCDH 13.'SPDES Permit - SCDH If any difficulty is encountered in completing this particular permit~ contact that agency at: YES 1. 3, 4. 5. 6. 7. 8. 9. 12. form, .where applicable to a NYSDEC - SUrf Campus, Bldg. 40, Stony Brook SCDEC - 65 Jetson Lane, Hauppauge SCDHS - County Center, Riverhead 751-7900 234-2622 727-4700 S-40 APPENDIX B., NAME OF PROJECT ~HORT ENVIROI~]ENTAL ASoEo~>LE,]T FO~4 INSTRUCTION~.: (a) In order to answer the questions in %his short EAF is is assumed that the preparer will use currently available ~formation concerning the project and She likely impacts ~f the action. It is nob expected t~t additional studies, research or other investigations will be undertaken. (b) If any Guestion has been answered Yes the proJec~ may be significant and a completed Envirommental Assessment Form is necessary. (e) If all questions have been answered No ~ot significant. (d) Environmental Assessmen.t 1. Will project result in a large physical change to the project site or physically alter more than 10 acres of land? 2, Will ~here be a mmjor change to any unique or unusual land form found on the site? , · , , · .. Yes ~/ No Yes ~" No Yes ~" No .,, Yes w" No Yes ~" No Yes ~-" No Yes w' No Yes ~'~ No Yes ~ No Yes ~" No Yes / No Yes .k~ No Yes Yes Yes ,,W/ No 3. Will project alter or have a large effect on an existing body of water? · . · · . Will project have a potentially large impacb on groundwater quality? · · · . · · · · · · · · Will project significantly effect drainage flow on adjacent sites? . , , . · · . , · , , , 6, Will project affect any threatened or endangered plant or animal species? ...... , · , . , 7, Will project result in a r~ajor adverse effect on air quality? , · · Will project have a major effect on visual char- ~cter of the community or scenic vie~s or vistas now~ bo be important to the com. muni~y? . . . 9. Will project adversely Lmpact any site or struct- ure of historic, pre-hisooric, or paleontological importance or any site designated as a critical environmental area by a local agency? . . . 10. Will project have a major effect on existing or future recreational opportunities? . . . ll. Will project result in major traffic problems or cause a major effect to existing transportation systems? . . · . · 12. Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturb- ance as a result of the project's operation? . 13. Will proJ~=t have any Lmpact on public health or safety? . . · . · . . l&. Will project ~ffect the existing community by directly causing a growth in permanen~ popula- tion of more than 5 percen% over & one-yeast PREP~ER'S SIGNATURE: ~-J~ v REPRESENTING: James Volney Righter A r c h i t e c t 58 Winler Slreet Boston Massachusetts 02108 · telephone Gl7 451 5740 m~ ql P; TO D HENRY E, RAYNOR. ,Ir,, Chairman JAMES WALL BENNETT ORLOWSKI, .Ir, GEORGE RITCHIE LATHAM, .Ir. William F. Mullen, Jr. Southold. N.Y. 11971 TELEPHONE 765- 1938 June 4, 1981 Mr. George Fisher Senior Building Inspector Town Hall Southold, New York 11971 Dear Mr. Fisher: The following action was taken by the Southold Town Planning Board at a regular meeting held June 1, 1981. APPROVAL of the parking plan for th~ subject of the Fishers Island Beach Club. This approval is subject to a one year review. Yours truly, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Linda Kimmins, Secretary The Board finds and determine~ as By this Appeal, Appellant seeks a special exception to the zoning ordinance for permission to create additional employee housing for personnel working at the beach club and golf course. The beach club is in an isolated area and the board agrees with the reasoning of the appellant, and a special exception as permitted by Art. III, Sec. 100-30(B) (8) of the Zoning Code shall be permitted subject to the below-specified conditions. On motion by Mr. Doyen, seconded by Mr~ Douglass, it was RESOLVED, that James V. RJ~.~.hter (for Fishers Island Devel©p- ment ~r_~l_) be gra_n~ a Special Exception to the Zoning Ordin- nance, Art. III, Sec. 100-30(B) (8) to create additional housing for employees at Beach Club as applied for 2~D SUBJECT TO THE FOLLOWING CONDITIONS: (1) Site Plan approval of the Southold Town Planning Board~ (2) Suffolk County Health Department approval; (3) Not more than 18 employees or persons m~y be housed on the premises; (4) The living quarters shall be used for seasonal use only which shall be from March through December of each year; (5) In the event a conveyance o~ this beach club and property is being made, this variance will automatically become void and its effect thereof will be ceased. Location of Property: South road to the East End of Fishers Island, NY; more particularly designated as County Tax Map Item Nos. 1000-5-2~-7.3; 1000-4-4-12~ 1000~1-1-3.6; 1000-.4-6-9. Vote of the Board: Ayes: Messrs. Grigonis, Doyen~ Douglass~ Goehringer and Sawicki. APPROVED TI ~ SOUl ~ MESSAGE FORM Suffqlk County Government TO: George Fischer Town of Southold Please be advised that the plans Subject Fishers island Country Club & Beach Club Second Floor Remodeling FROM: Richard ~. Sandstrom Senior sanitarian Housinq & General Sanitation submitted,for the ~enovations, dated March 2, 1981, plus the amendments included in the ~ttached copy of a letter dated March 4, 1981 meet the fire safgty requirements of the New York State Sanitary Code Part 7-1. cc: Jacob Albert May 6, 1981 REPLY TO: FROM: Signature of Replier Date which ma . 58 \Vintcr Strcct · Boston Massachusctts 02108 · tclcphonc 617.451.5740 Winter Street · Boston Massachusetts 02108 tclephonc · 617.-451.5740 EAdH WIH DOW. 6ILL HT. Fl~,O/~ FLOQP~, /! FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ~xamined ................ , ...... Approved ................ , ........... Application No .................. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 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 pml0ose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. e, if a corporation) ....... (Mailing address of applicant) State whether applicant is owner, lessee, agen~rchitect,)gineer, general contractor, electrician, plumber or builder. (as"' "'on the tax roll or latest deed) If applicant is a corporation, signature of duly anthorized officer. (Name and title of corporate officer) Builder's License No ........... ' ............... Plmnber's License No .......... : .............. Electrician's License No ........ : .............. Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street County Tax Map No. 1000 Section ....O.0..~. .......... Block ...O..~. ........... Lot...7:5 ........... Subdivision ..................................... Filed Map No ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: · psi. ) ~' 3. Nature of work (check which a ~cable: New Building .......... Addition .......... Alteration ......... Repair. ............. Removal .............. Demolition .............. Other Work .............. ' /' (Descriptio) 4. Estimated Cost ...................................................................... : (to be paid on Filing this application) 5. If dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor ..... .......... If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify pature and extent of each type of use ................. :. · 7. Dimensions of ~xisting st~ctur~s, if any: Front .... ~.~ ....... Rear .............. Depth ... ~ ....... Height ~.~ ........ Number of Stories .... ~ ...................................... - ........... '* Dimensions of same st~cture w~th alterations or additiQns: Front .... [~ ......... Rear .................. Depth."- .... ~% ............ ~.. HeiSt ...... ~.-''~ ............. Number of Stories ..... ~ .............. 8. Dimensions of entire new const~ction: Front ............... Rear ............... Depth .............. Height ............... Number of Stories ....................................................... 9. Size of lot: Front .......... , ........... Rear ...................... Depth ..................... 10. Date of Purchase .......... ' .................. Name of Eonner~neg ...... ,. ....~ ............... . , 11. Zone or use dlstrlc~ m which pr~mises a~e s~tuated .................... 12. Does ploposed constructio~o~ate any zoning law, ordinance or regulation: ............................. ~ Will lot be regraded .... ~ ,~ ................... Will excess fill be r~moved fr9~ premises: , Yes, ~N~ N~ of Contractor .~..~.~.V~ ....... ~OU,e~ ~ 9 q. O.e $.~O .... P~on~ ~o. ~t &,7~'.7~, PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing 9r proposed, and, indicate all set-back dimensions iron property lines. Give street and block'm~mber or description according to deed, and show street names and indicate whethe interior or corner lot. STATE OF N~K, S,S COUNTY OF .................. ..... .'-~....-~.. ((~.45 .... .t~.... ~'.~ .~. ?.'?: .~. ............ being duty sworn, deposes and says that he is the appli~an (Name of individual sigping contract) above named. .eisthe ............. .......................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is drily authorized to perform or have performed the said work and to make and file thi application; that all statements con}ained in this application are true to the best of his knowledge and belief; and that th{ work will be performed in the man~er set forth in the application filed therewith. Sworn to before me this ........... ~f...~..(.~'~:: .day ~f ...... /Y~W~.Ct, t.4.. ?f.d 19 ~.-~/ Notary Public ........... County , ....... O''(iilnYdie'i, ; i I¥1~ t~:.lm~l~l~ ~pl*e~ AU[IU~I 13, 1~1}, f ppli ant ToIIrN OF SOUTHOLD, NEW YORK ACTION OF THE ZONING BOAKD OF APPEALS Appeal No. 2797 Application . Dated March 4, 1981 ACTION OF THE ZONING BOARD OF APPEALS O~ 'I"HE TOWN OF SOUTHOLD To Mr. James V. Righter 58 Winter Street Boston,. MA 02108 Appellant at a meeting of the Zoning Board of Appeals on April 2, 1981 was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property (X) Reqt~est for a special exception lsJader the Zoning Ordh%ance Art. III, ( ) Request for a variance to the Zoning Ordinance ( ) the appeal Sec. 100-30 (B) (8) 1. S~F~f~i~g~{~:~:F, eY~&Y~{~~K~~X~~~tinn ( ) be granted ( ) be denied pursuant to ~cticle .................... Section .................... Subsection .................... paragraph .................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be cordirmed because Public Hearing: 4/2/81: Application of James V. Righter (for Fishers Island Development Corp.), 58 Winter Street, Boston, MA 02108 for a Special Exception to the Zoning Ordinance, Art. III, Sec. 100-30(B) (8) for permission to create additional employee housing on second floor of Beach Club to match the exist- ing housing on the west end of Club (also known as labor camp), to be located on the south road to the East End of Fishers Island, NY; more particularly designated as County Tax Map Item Nos. 1000- 5-2-7.3; 1000-4-4-12; 1000-1-1-3.6; 1000-4-6-9. (SEE REVERSE SIDE) 2. VARIANCE. By resolution of the Board ii was determined that (a) Strict application of the Ordinance (would) (would not) produce practica1 hardship because (SEE REVERSE SIDE) difficulties or unnecessary (b) The hardship created (is) (i~ not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because (SEE REVERSE SIDE) (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) change the character of the distrlct because (would not) (SEE REVERSE SIDE) and therefore, it was fmlther determined that the requested variance ( ) be granted ( that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. ) be denied and CG:lk FORM ZB4 ZONING BOARD OF APPEALS The Board finds and determine~ as follows: By this Appeal, Appellant seeks a special exception to the zoning ordinance for permission to oreate additional employee housing for personnel working at the beach club and golf course. The beach club is in an isolated area and the board agrees with the reasoning of the appellant, and a special exo~ptlon as permitted by Art. III, Sec. 100-30(B) (8) of the Zoning Code shall be permitted subject to the below-specified!conditions. On motion by Mr. Doyen, seconded by Mr. Douglass, it was RESOLVED, that James V.. Righter (for Fishers! Island Develop- ment Corp.) be .granted a Special Exception to thei Zoning Ordin- nance, Art. III, Sec. 100-30(B) (8) to create additional housing for employees at Beach Club as applied for AND SUBJECT TO THE FOLLOWING CONDITIONS: (1) Site Plan approval of the Southold Town:Planning Board; (2) Suffolk County Health Department approval; (3) Not more than 18 employees or persons m~y be housed on the premises; (4) The living quarters shall be used for s~asonal use only which shall be from March through December of each year; (5) In the event a conveyance o~ this beachl club and property is being made, this variance will automatically become void and its effect thereof will be ceased. Location of Property: South road to the Eas~ End of Fishers. Island, NY; more particularly designated as County Tax Map Item Nos. 1000-5-2-7.3; 100074-4-12; 1000-1-1-3.6; 1000-4-6-9. Vote of the Board: Ayes: -Messrs. Grigonis,i Doyen, Douglass~ Goehringer and Sawicki. APPROVED ' Chmrma'n Bobrd of~(ppeat$ FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-18013 Examined ................. 19. J. Approved ................ , 19 -.< t'ermxt No ............ ptication l~o .................. Disapproved a/c ..................................... ...................................... .... .4×i .~¢..~. ~..~...,.,.,.,.,.,.,., .,z~..,f.t?j ......... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 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 whatever until a Certificate Of Occupancy shall have been granted by the Building Inspector. 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 buildings for necessary inspections. ....... . . . .ho. m, % ..... (Mailing address of applicant) ~)r~O~) State whether applicant is owner, lessee, agen~"~chitec}¢gi~eer, general contractor, electrician, plumber or builder. Nmne of owner of premises ..... ~'U)~.. l~)~.... ~-!5.t-..~.. '..~0., ............................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ? Builder's License No ........... ' ............... Plumber's License No .......... : .............. Electrician's License No ........ : .............. Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street County Tax Map No. 1000 Section ....~.O..~. .......... Block ...O..~.. ~ ............ Lot...*.f: .~. ........... Subdivision ..................................... Filed Map N6 ............... . Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... ~'1/~5~-~I' [~ / (Description) 4. Estimated Cost. i~d.~O ...................... 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. D~mens~ons of ~x~st~ng structures, ~f any: Front .... I .%.14- ....... Rear .............. Depth ....~. ~ ........ Heigh~ . . .1.~ ~ ........ Number of Stories .... .~. .................................................. Dimensions of same structure With alterations or addi~i~,ns: Front .... I?t'~. ......... Rear Depth .... .~. ........... i'" Height ...... ~.~..~. ........... Number of Stories .... ?;~ 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Nu~nber of Stories ........................................................ 9. Sizeoflot: Front .......... l ............ Rear ...................... Depth ...................... 10. Date of Purchase .......... ~'. .................. Na~me~fF~°.rm~rOj~ne/r, ;' .":. 'ti:: ',,'~ ................ 11. Zone or use district in which piemises are situated ...... I. 1,~ ./.~...1~.. ................. 12. Does proposed construction_viOlate any zoning law, ordinance or regulation: ............................. 13. Will lot be regraded ..... ~..l/3&-°.. ................... Will excess f_ill be rqmoved.from premises: , Y~s (_No~,) ~ ...... Address ~'~19. ~O .'PhoneNo. St~.';~.~.~.i~/.~.~~ Name of Cont actor . , ................. ' i i PLOT DIAGRAM Locate clearly and distinctly al! buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NICK, i S.S COUNTY OF . . ....................... ~ ..................... being duly sworn, deposes and says that he is the applicant (Name of individual sig¢ing contract) above named, He is the. ............ ............................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is ddly 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 t, he work will be performed in the man,er set forth in the application filed therewith. Sworn to before me this ........... ,,,f...~...,~..7...day Of ...... ,~..2,'7.~...//...~'..~, 19 .~e/ N°taryPublic' '"~"'~''"5~' ~' C°unty ~~