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HomeMy WebLinkAbout24721-z 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25748 Date: 06/01/98 THIS CERTIFIES that the building ADDITION Location of Property: 26342 MAIN RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 4 Lot 8.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 9, 1998 pursuant to which Building Permit No. 24721-Z dated FEBRUARY 26, 1998 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 ADDITION TO EXISTING ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to N.F. COUNTRY CLUB (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 05/21/98 PLUMBERS CERTIFICATION DATED N/A Builc ng Inspe for Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24721 Z Date FEBRUARY 26, 1998 Permission is hereby granted to: N.F. COUNTRY CLUB MOORES LANE PO 725 CUTCHOGUE,NY 11935 for : CONSTRUCT AN ADDITION TO AN EXISTING ACCY STORAGE BUILDING AS APPLIED FOR. at premises located at 26342 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0004 Lot No. 008 . 003 pursuant to application dated FEBRUARY 9 1998, and approved by the Building Inspector. Fee $ 211 . 00 Bud. i Inspector ORIGINAL Rev. 2/19/98 Form No. b A, n A ate/ TOWN OF SOUTHOLD - ' BUILDING DEPARTMENT TOWN HALL 765-1802 a ,Tf.t?i/!J dirk' i)Ol'F1(iLSJ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 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 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Agcgssory building $25.00, Additions to accessory building $25.00. Businesses ,$50.0 ) 2. Certificate of Occupancy on Pre-existing Buildine - $W.-bO 3. Copy of Certificate of Occupancy - .25G. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . New Construction. . . . O(ld Or Pr existing Building. .. . . . . . . . . . . . . .. Location of Property.a . .. . . ?L��. . ?`. .Lc�j House �Y/G:.� No. Street �S9treetr� Hamlet . S !� . .t .l �.� . .. . ../. . . . . . . . . . . . . . . Onwer or Owners of Property.C/ O County Tax Map No 1000, Section. . . . ..Block. . . . . . . . . . .Lot. . . .L( . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .FileC�d// Map. ?/ fr.f. .Lot� Q//. . ., .. . . . . . . . . . . . Permit No� t.'2d.l. l. . .Date Of Permit.(9.p� Z . . .Applicant. . "1?1i✓o')� - dv . . . . . PU00k r" Q�J6 �o u y cL y� Health Dept. Approval. . . . . . . . . . . .. . . . . . . . . . . . . .Underwriters Approva . . . . . . . . . . . . . . . !. . . . . . Planning Board Approval. . . . .'.--... . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . ., Final Certicate. . . .,�. . Fee Submitted: $. .s: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r�wl. . . . . . . . . . . . . . . . . . . . {(�0, / APPLICANT 1ELD IKS:' C='lU: D ' ^.E COMMENTS _ II -- -0U14 DATION. ( 1st ) '�I `— 9i 1 =� FOUNDATIO14 ( 2nd ) m 2 . 0 ROUGH FRAME & s C) PLUMBING Rj H a 3 . m Z m INSULATION PER N . Y. 'y STATE ENERGY CODE I CJ 3 4 . RI FINAL O � Tl ADDITIONAL COMMENT,M o J C � 4 C7 ' X .9 . a O Z v� 7 r m .a 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ Cl 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: �DATE ��Z I�� INSPECTOR `�� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ u-]' RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: C- e DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [vrFOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �99�' DATE� INSPECTOR �p M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �� 9S INSPECTOR /ZG2 �`- PLANNING BOARD MEMBERS BENNETT ORLOWSKI,JR. Town Hall, 53095 Main Road y P.O. Box 1179 Chairman v, Southold,New York 11971 WILLIAM J. CREMERS Fax(516) 765-3136 GEORGE RITCHIE LATHAM,JR. yTH L.EDWARDS �a! ��0� Telephone (516) 765-1935 RICHARD G.WARD PLANNING BOARD OFFICE TOWN OF SOUTHOLD TO: Gary Fish, Building Inspector FROM: Robert G. Kassner, Site Plan Reviewer RE: North Fork Country Club Main Road, Cutchogue SCTM# 1000-109-4-8.3 DATE: February 24, 1998 The Planning Board at its work session on February 23, 1998, had decided to correct the size of the storage addition for the above applicant, from 410 square feet to 1,380 square, feet by amending the minutes of the Planning Board meeting of January 26, 1998, to reflect this correction. cc: Edward Forrester 0 � FEB 25 D ''7�`1BLDG.DE P '. L'� ' )— o 357 b' THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 F BUREAU OF ELECTRICITY I 40 FULTON STREET, NEW YORK, NY 10038 Date MAY 29,1998 Application No. on file 16089498/98 N 454832 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of NF COUNTRY CLUB, MOORES LA, CUTCHOGUE, NY in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. Section Block Lot was examined on MAY 21,1998 and found to be in compliance with the National Electrical Code. FIXTURERECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDUC 1i FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT, K.W. AMT. N.P. 14 2 5 1 13 111 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS I SYSTEMS AMi. K.W. OIL H.P. GAS H.P. AMi. NO. A.W.G AMT AMP. AMT. AMPS. TRANS. AMT H.P NO.OF FEET AMT wATis SERVICE DISCONNECT No.oP - S" -"`-E R- V 1-- C E ----. - METER NO OF CC COND. A.W.G. A W.G. A.W G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER h OF CO.FANO. NO.OF HI-LEG OF 11146NO.OF NEUTRAL$ OF NEUTRAL OTHER APPARATUS: ADDITION TO STORAGE BLDG.-1 JIM SAGE ELEC. INC. LIC.#3635—E L L PO BOX 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER 11 Per This certificate must not be altered in any manner;return to the office at the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY. OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 47,1 j?per PLANNING BOARD MEMBERS ��� �OGy`• fWNNRT'r ORLOWSKI,JIt_ O Town Roll, 53095 Main Rond Chnirmnn V3 P.O. Box 1179 WILLIAM.I. CRGDISRS O • , .`4 Soukhold, New York 11971 KENNP'1'II L.EDWARDS �a `V 4�' Fix (516)765-3136 t:R,gRGI✓ RITCHIE LATI[Ahl,.IR, f � iffffo Telephone(516)765-1938 WMARD(1.WARD PLANNING BOARD OFFICE TOWN OF SUUTHOLD January 27, 1998 Thomas McGwire North Fork Country Club P.O. Box 725 Cutchogue, NY 11935 Re: Request for site plan waiver for North Fork Country Club SCTM# 1000-109-4-8.3 Dear Mr. McGwire: The following took place at a meeting of the Southold Town Planning Board on Monday, January 26, 1998: WHEREAS, North Fork Country Club is the owner of the property known and designated as SCTM# 1000-109-4-8.3 located at Main Road, Cutchogue; and o WHEREAS, a not for profit country club is a permitted use, by spec'pl-oxception, in this Agricultural-Conservation (AC) zone; and / r WHEREAS, an examination has been made of all use's and the existing parking was determined to be adequate for all uses; and / 38e) et,( WHEREAS, the proposed 410 square foot addition to an existing storage building will not be a more intensive use of this property; and WHEREAS, the Architectural Review Committee has approved the elevation drawings on January 22, 1998; and WHEREAS, any violation of the conditions of this resolution may be grounds for rescinding this waiver; be it therefore s b Page 7_ Site plan waiver for North Fork Country Club January 27, 1998 RESOLVED, that the Southold Town Planning Board grant a waiver of site plan requirements. Please contact this office if you have any questions regarding the above. Sincerely, l YBennett Orlowski, Jr. Chairman cc: Ed Forrester, Director of Code Enforcement o ruse Truss Type ty y J182404 36373 T1 FINK 23 1 omponents, ester, s ar r e Fn-c ustries, Inc. Wed Apr age -Q^0 7.8-11 15-0.0 I 22-3.5 I 30-0-0 39-140 6-8-0 7.8-11 7.3-5 7-3-5 7-8-11 0--8-b 4x4- \\\\\\ 4 5x50 5x5,- 3 5 v1 67 v 0 0 — - 4x4=-- - -- - - -- - 10 -- - ------9-- -- --3 - - 4x4-=--- --- - - 3x4= 3x4= 3x4= 10.2-10 19-9-6 30-0.0- 10.2.10 9-6.13 10-2-10 Plate Offsets ,e e, ,e e LOADING (psf) SPACING 2-0-0 CSI DEFL (in) (loo) I/deft PLATES GRIP TCLL 30.0 Plates Increase 1.15 TC 0.94 Vert(LL) -0.16 10 >999 M20 248/190 TCDL 7.0 Lumber Increase 1.15 BC 0.94 Vert(TU -0.46 8-10 >767 BCLL 0.0 Rep Stress Incr YES WB 0.26 Hon(TL) 0.09 6 n/a BCDL 10.0 Code BOCA/ANSI96 1st LC LL Min I/defl = 240 Weight: 130 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2 "Except" TOP CHORD Sheathed. 1-3 2 X 4 SYP No.1, 5-7 2 X 4 SYP No.1 BOT CHORD Rigid ceiling directly applied or 7-0-2 on center bracing. BOT CHORD 2 X 4 SYP No.2 WEBS 2 X 4 SYP Na.3 REACTIONS(Ib/size) 2=1456/0-3-8, 6=1456/0-3-8 Max Horz 2=24(1oad case 3) Max Uplfft2=-471(load case 41,6=-471{load case 41 FORCES(Ib)-First Load Case Only TOP CHORD 1.2=9, 2-3=-2579, 3-4=-2233,4.5=-2233, 5-6=-2579,6-7=9 BOTCHORD 2-10=2370.9-10=1614,8-9=1614,6-8=2370 WEBS 3-10=-498, 4-10=739,4-8=739, 5-8=-498 NOTES 1)This truss has been checked for unbalanced Loading conditions. 2)This truss has been designed for the wind loads generated by 90 mph winds at 25 ft above ground level,using 5.0 pet top chord dead load and 5.0 pal bottom chord dead load, 10 mi from hurricane oceanline,on an occupancy category I,condition I enclosed building,of dimensions 45 ft by 24 It with exposure C ASCE 7-93 per BOCA/ANS195 If end verticals or cantilevers exist,they are exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.33,and the plate grip increase is 1.33 3)All plates are M20 plates unless otherwise indicated. 4)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 471 Ib uplift at joint 2 and 471 Ib uplift at joint 6. 5)This truss has been designed with ANSI/TPI 1-1995 criteria. LOAD CASEIS) Standard Of lye 'Z'(\VS W. of, OPS 09 O • al m N� Q WARMNG-VerW design parameters and READ NOTES ONTWS AND RBVERSE SCBE BEFORE USE. Design valid lot use only with Millet:connectors.This design b based only upon parameters shown,and is for an Individual building component to t>e � Installed and boded vedbally. AppilocW ty o1 desson parameters and proper Incorporation of component k responsibility of bullcling designer-not truss designer.Bracing shown B for lateral support of Individual web mamba¢only.Additional temporary bracing to Inswe stabllBy during construction Is the responsibility of the erector.Additional permanent bacing of the overall structure k the responsibility of the building designer.For general guidance regarding fabrication,quality control,storage,delivery,erection and bracing,consult OST-a8 Quality Standard.DSB-89 Bracing specification,and 1111141 Mirek® Handling Installing and Bradrq Reeammendalbn avaNable from Suss Plofe InsfB W e,5s3 V Orofile Drive,Madison,W)53719 Symbols Numbering System AGeneral Safety Notes PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property 0 W *Center plate on joint unless Damage or Personal Injury dimensions indicate otherwise. Dimensions are in inches. Apply 1. Provide copies of this truss design to the plates To both sides of truss and building designer,erection supervisor,property securely seat. J2 J3 J4 owner and all other interested parties.. TOP CHORDS 2. Cut members to bear tightly against each other. O WEBS NJ5o 0 3. Place plates on each face of truss at each For 4 x 2 orientation,locate = K ¢ joint and embed fully.Avoid knots and wane 1 v O_ at joint locations. plates Ja"from outside_edgeof d,-Unless ottierw se-no#ed,_locate_chord_ hces_truss and vertical web. � _ --- - - - _ - a - I sp i - �, �, o at /a panel length(*6'from adjacent joint.) *This symbol indicates the BOTTOM CHORDS 5. Unless otherwise noted,moisture content of required direction of slots in J1 J8 J7 J6 lumber shall not exceed 19%at time of connector plates. fabrication' 6. Unless expressly noted,this design is not applicable for use with fire retardant or JOINTS AND CHORDS ARE NUMBERED CLOCKWISE preservative heated lumber. * For tabular plating formal refer to the AROUND THE TRUSS STARTING ATTHE LOWEST JOINT 7, Camber is a non-structural consideration and MITek/Gang-Nail Joint/Plate Placement Chart. FARTHEST TO THE LEFT. is fhe responsibility of truss fabricator.General WEBS ARE NUMBERED FROM LEFTTO RIGHT. practice is to camber for dead load deflection. 8. Plate type,size and location dimensions PLATE SIZE shown indicate minimum plating requirements. The first dimension is the width CONNECTOR PLATE CODE APPROVALS 9. Lumber shall be of The species and size,and 4 X 4 perpendicular To slots.Second in all respects,equal to or better than the dimension is the length parallel grade specified. to slots. BOCA 8&93,85-75,91-28 10.Top chords must be sheathed or purlins LATERAL BRACING HUD/FHA TCB 17.08 provided at spacing shown on design. A Indicates location of required 11.Bottom chords require lateral bracing at 70 SJ//�/ continuous lateral bracing. ICBO 1591, 1329,4922 ft.spacing,or less,if no ceiling is installed, unless otherwise noted. SBCCI 87206,862T7,9190 12.Anchorage and/or load transferring WISC/DILHR 870040-N,930013-N,910080-N connections to trusses are the responsibility of BEARING others unless shown. Indicates location of joints at13.Do not overload roof or floor trusses with Wk which bearings(supports)occur. stacks of construction materials. �® 14.Do not cut or alter truss member or plate — without prior approval of a professional engineer. MiTek® 15.Care should be exercised in handling, ® erection and installation of trusses. @ PANEL ,M © 1993 Mitek Holdings, Inc. CLIP roem01e.019 - ® NYDROA/R® BOARD OF HEALTH . . . 'D 15 D FORM NO. 1 3 SETS OF LANS . 4!. . . . . . . . . . TOWN OF SOUTHOLD SURVEY � . . . . . . . . . . . . BUILDING DEPARTMENT CHECK .I.Y 29.?. . . . . . . . . . . . . . TOWN HALT. SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 BLDG.DEPT. TEL: 765-1802 NOTIFY:1rn-cN rr N F TN CALL. �v ^�. . . . . . . : 9� 9 Examined.... ? ......I 191/y�'y�p� !/ ... MAIL. TO: . . . . . . . . . . . . . . . . . . . . Approved.....66666. ..., 19•[.0. Pennit No. 077 Z .................................... Disapproveda/c .................................. ............•....................... ...................................................... Zo II (Ikilld- 9 n ) APPLICATION FOR BUILDING PERMIT Date Feb:. .9. . . . . . . . 1199?. . INS'T'RUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector Witt 3 sets of plans, accurate plot plan to scale. Fee according to Schedule. b. Plot plan slowing 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 application. c. 'Nie 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 arty purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS 1EIREBY MME to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tam 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. North Fork Country Club ......... ..... ........................ (Signature of applicant, or name, if a corporation) P .O . Box 725 , Cutchogue , N.Y. 11935 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......Awnex.......................................................................................................... Name of owner of premises North Fork Country Club, 26392 Main Road, Cutchogue : N. 11935 .... .... .. (as on the tax roll or latest deed) If licant is aco ra-lab, signature of duly authorized officer. � Vice President (Name and title of corporate officer) Builders License No. - - ,-. Plumbers License No. ' -� - Electricians License No. OUor Trade's License No. .................. 390 feet South of the Southeast I. Location of land on which proposed work will be done.............................................................. corner of the Main Road and Moores LanetCutchogue,Southold , N.Y. .................... at ...................... Manse Number Street hamlet Cannty Tax Map No. 1000 section . 109.......... Block ..4.•.......... Lot .g:3.......... Subdivision ................•..................... Filed Map No. ............... Tot ............... (Nam) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .Golf Cart Stora e b. Lrterded use and occupancy .Golf.•Cart. Storage.................................................. .,., 3. Nhurce of work (check hihich applicable). New IkhildinX g .......... Addition .......... 'Alter t� A Repair ............ llemoval ;......... Ilemlition ............ Other Work U. ... (Description) 4, Estimated Cost A7 0,, 0 0 0 '....'I........ Fee ...........................:.................. _.. (Lo be paid on filing this ajrIt4Cl009",",j;l rl 10vt;m u; In!qb 5. if ckaelling, nnirer of dwellinylunits ............ Nnix:r of. dw-Iling units on eaci floor r:�^;-w^ rfgarage, number of cars .....j................................. 6. If business, commercial mixed n occupay, specify nature and extent of each type of use...................... 7. Dimensions of existing es, if any: rhont.,130 :,......_ Rear .36............ Depth 130!.,........, Dimensions of sane structure with alterations of stories 1 ions.. Ileigi ..5.. ......I...I... ............. ... �th alteratkns or additions: Front ..17A:....... Rear ...�Q.'......... Depth ... 76 '............ Height 15............... Naber of Stories ..1..... ... 8. Dinmenernbs of entire new consC Yuctiom Front „176.....,..., Rear ...3Q......... Depth 1761........ Reigllt .....15.1 ...............I. Nidrer of Stories .1.................. 9. Size of lot: Front ............;,......... Rear .................... Depth .................... 10. hate of Purchase ..................... Nam of Former Owner ........................................ 11. 'Lone or use district in vAddh premises are situated ... A,-.0 ...................................................... 12. Dnea proposed rtxhstnbrtion violate any oohing law, ordinance or regulation: „NO 13. Will lot be regraded .... .......... Will excess fill be removed from premises: YRS O 14. Nares of: Owner of premises North Fork CCAcklresa ?.:0; Box 725 ,Cutehogt�a No ...., Nameof Architect ............1....................... Acklress .............................. plane No. .............� Nameof Contractor ........... ....................... Address ...............................Phone No. .......+...... 15. Is this property within 300 feet of a tidal wetland? * YF.S .......... 1X1 ,X..., *]C YES, S(IUIIKXD IMN IMSIRES PRIMIT MAY BE RRQtIIRIM. PI.0'I' DIAGRAM fixate clearly and distinctly e11 buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block nml)er or description according to deed, and show street nares and indicate lAiellier interior or corner lot. See Accompaning Site Plan STAIR (XP NW Aft, � c �. ................ ..:...........being duly swrn, cdepx>.ses and says that he is Ube apps icant. (hare of individual. signi mgccniC4 ...ALLfh� C. Dix I above named, lie is the .......0 o,2 Pa R,!I T�...IQ F Fc e E l'............................................................ (CrnbtracLor, agent, corporate officer, etc.) of said owner or owners, and is ckclylauthorized to perform or hive perforaed the said work and to rake and file this application; that: all statements contained in this application are true to the best of his knsalecdge and b6lieF; and that the ark will be performed in tube harmer ML forth in the application filed therewith. Sworn to before me this y .........clay of: ........U�!iey...l9..�. .. �/� I Notary Alblic ........... LINDA J.IORNELL (Sigunt:ure of Applicant) Notary Public,State of New York No.62.4827224 I Qualified in Suffolk Coun#Y Commission Expires iz/x//99 I g � s ( pt 2 M uF 1�v9 4N P�Po \�V 1 w z J SITE W rind of existing LO Parking row ASPHALT PARKING co KEY MAP (not to scale) 30. 1 ' PROPOSED GONG. BLOCK ADDITION 30. 1 z � � cfD � -6 ro ® 3 v - ASPHALT c v Q PARKING �0) U � 6 z >� 51TE PLAN q NORTH FORK COUNTRY GLUE PROPOSED CART EARN ,ADDITION SITUATE: CUTCHOGUE x TOWN OF SOUTHOLD SUFFOLK COUNTY, NY PRFFARE ): I2/ 14 411/ 98 LAND NOW R ORMERLYAMMEOF: APPLICANT: C�®F YO NORTH FORK COUNTRY CLUB y®+$ G.F �F NOTES: SUFFOLK COUNTY TAX #: Ary exterior Ilghtlnq that Is added to the P/O 1000 109 4 8.3 mation must be shielded to the property ' �l r GRAPHIC SCALE 1 "= 30 ' �y 602 J�®� N.Y's. LIC. N0. 50202 JON A RVEYOR 6 A MA pI RHEAO, N.Y. 71901 0 30 60 90 069-8288 Fax 369-8287 REFERENCE # 97-0107 p J 1 � 4 Z of �2 t• Ixcp N 1 I hl pi tilc.l LL Y — ----->— I _ - " meq I , I � � IiO �Ir Y� �. ri - fii n;. m � o� 032-- UNDERWRITERS CERTIFICATE F REQUIRED OA1! 13 � op9Fr W. P� �r �-6� NOTIFY /IRONS �Mwlm Ar i(,0 iIS 761I-IM to AN 10 4/M M 10III ✓I �/ bl"' 9u, OCCUPANCY OR FOR POUM 00NW 1E 2 ROUGH - FMNINO 0 ILIO USE IS UNLAWFUL i INSULATION WITHOUT CERTIFICATE `7 CLOMP ETTE FINAL OR CO.1ON MUST OF OCCUPANCY n. NSTRUCTION SHALL MEET RP.MENTS -OF THE NN. q V m � /a?FI - — - ---- -- — -------- — - - - -- - — - - - JCi>L-5-- �J/luny SIG iI ---`-- — _ v Ch1 (aAF'✓j-E- E-k iQ t AL BoTtt for-S `71 1 m cc r I t FEE - � � �: r �` MII•-� �" Gc-F-�c.�E�"I�- I � � I { 'a /�yc_.;�ETj'_x?`.,^�G' CY�CJ,FC- �. GLt GEII_.I}.I G,1� z �. , _,_ \� - �I"�:.^R� '�'11—IGG"'�"��"f=`' '1�1 • � I I - �� - r aPE-rJ�+Gu I;r ,� �� � cd Ic�C>' c•"�av Wi�e'i�1 I ' � � i r � r4 v 2- gooi - e ecr F- ve nl r= Tc I 1 iE:,u�j(''r.4 raw, CA r' � ' i" Pr_msrr-n. � aotusloc f OI � rl Cr.'xc N7 win( To • - I k 3 Ik4q"0.�iaN^t"e� � � ' � � E r ' �.� �',i L��Tf: • —. —. __ ._ _ _ __ I I _ �i LL -' �''r� f//j a'1� X 9/(G 4 �I�.. ap - ,.LI 0.lT'E�• �..(y n�,i�-' X/r+L ,b. 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