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HomeMy WebLinkAbout24582-zFORM TOWN OF BOUTHOLO BUILDING DEPAETMEN~ tom ~ $OUTHOLD, N.Y, 24582 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTiL FULL COMPLETION OF THE WORK AUTHORIZED) Z D- DECEMBER 29 ale .............................................................. IV,,.:,:, .... Permission Is hereby granted to: CLUB MARRATOOKA PO BOX 1441 MATTITUCK,NY 11952 ~, 2670 PARK AVE MATTITUCK at premises located u, ............................................................................................................................... Counfl/TaxMap No. 475889 Section 123 Block 0008 Lot No. 014 NOVEMBER 26 97 pursuant to application dated ..........................................................19 ................ arld approved by the Building Inspector, Fee $ ........ ~..5. :,..0.,0, ..... Rev, 6/30/80 Albert J. Krupsld, President lohn Holzapfel, ¥ice President Jim King Martin H. Garrell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 November 20, 1997 Raymond Nine P.O. Box 1401 Mattituck, NY 11952 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BLDG. DEPT.~ 30 OUT.OtD RE: MARRATOOKA CLUB SCTM 9123-8-14 Dear Mr. Nine, The following action was taken at the Southold Town Board Trustees meeting on November 18, 1997: RESOLVe, that the Southol~ Town Boar~ of T:ustees approve the request for a Waiver to install about 500' of split rail fence on east side of property. However, this does not constitute approval from any other agencies. If you have any questions, please call our office at 765-1892. Sincerely, Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. Bldg. Dept. BLDG. DEPT. ~OWN OF SOUTHOLD FORH NO. I TOWN OF SOUTIlOLD BUll. DING DEPARTHENT TOWN tlALL SOUTIIOI.D, N.Y. 1197 I TEl.: 765-1802 Di sappro~ed a/c .................................. (l~ildmg Inspec or APPLICATION FOR BUIL1)IND PERHIT INSTRUCTIONS BOARD OF HEALTll ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORN ................... NOTIFY CALL HAIL TO: .................... Date../j.~z/ /,' ./ ........ 9.~.~ a. 'ibis application ,,mt be c~pletely filled in by typcaeriter or in ink and selmitted to tim lluilding Inspector will'. 3 sets of plans, accurate plot plan to scale. Fee according to sdmdule. b. Plot plan slmwing location of lot, and of lmildiags on premises, relationship to adjoining premises or peblic streets or areas, and giving a detailed description of layout of property must be drawn on the diagram ~dch is pert of this application. c. '11m work covered by this application may not be co,neoced before issuance of P*]ildiag Permit. d. Dim approval of this auPlication, tim lklilding Irmpector will issue a Building Permit to the applicant. Such permit shall be kept on tim premises available for inspectian thrm~hont tim work. e. No Imiiding shall be occupied or used in ~ole or in pert for mr] purpose whatever until a Certificate of Occupancy shall have been granted by tim lkfildiag Inspector. APPLICATIC[~ IS IIglIEBY M~[E to tim Building Depertment for fl~e issuance of a l~aildiag Pemit perstmnt to the l~ildiag Zone Ordinance of the To~ of Stmthold, Suffolk Connty, Ne~ York, and other applicable La~s, Ordimmees or Regulations, for the construction of lm~ldmg , additions or alterations, or for removal or demolition, as herein described. Tbe appllcant agrees to ccmply with all appllcable laws, ordlnancee, beilding code, ho~siag code, and regulatlans, m~l m ad~it authorized inspectors c~ premises and in Imilding for neeessary~inspeftlons. /~,f . . .......... .... ............. : .... (Slgnature/6f applicant, or nam, if a eorporstmn) (Mailing address of applicant) State whether applicaut is o~er, lessee, agent, architect, engineer, general ...... ...................................................... ....... (;s'an .;;'t;;'Zii';Ti;;;s;'d~3 ............. If aPlflicant is a corporation, signature of duly auO~rized officer. .... .... ......... (~ tim title o[ to.rate of[leer) l~dlders I,ieense No .......................... Plambers License No .......................... Electricians Lieerme No ...................... ]o 4. FINAl.. ~"~t1,1~'10# MUST ALI. CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODE~,. NOT RESPONSIBLE FOR DEB~'N OR CONSTRUCTION ERRORS Other Trade's License No ..................... ]~tion of la~ on ~,icl, ~o~ work ,nj ~ ~oee ..... a~.~.~.r.:/...u.~/..~. ...... ~..a.&..~..<~ ............... llause limber Street ll~nlet C~ty ~p No. lO00 S~tion ..... /.'?). ....... ~k .... ~. ......... '--~ ../~. .......... ~ivisi~ .............................. .. . . . ... Fil~ ~p ~. ............... lot ............... 2. State existi~ u~ a~ ~y of ~ani~s a~ inte~ ~e ard ~cu~ of pro~ c~stmctim: a. Existing tm a~ ~y ............................................................................. b. Intended use and occupeocy ............................................................................. I0. 12. 15. Dzitnre of ~0ork (cl~°ck ~{lidt appl icable); Ne~ II~dlding .......... ~kliti~ .......... ...~ ~ ___ ~__Alteratl°n .~: ...... I~l~ir ............ ~al .... . ......... I~lition ..... Other ~,rk .~k~..K.~A~..~Z~ .... i ~ripti~).. (to I~ ~id on filing this al~licati~) &~lli~, m~imr of ~lli~ mits ............ t~r off tk~lling ~mits on each ~r garage~ t~imr of cars ...... I I~mi~mss, ~mrcial or mi~ ~ol~y~ s~ci~ ~l:ure and ~tent of eacl~ ty~ o~ u~ ...................... I)in~nsions of ~iating atn~res~ iff any: ~ont ................ l~ar ............... ~pth IhiOst .......................... ~dmr of Stories ...................... Bin~nsi~m of sam stature ~it~ alterations or ~itions: Fret ............... ~ar ............... ~pth .................... lh~OI,t .................... ~d~r of Storie~ ............... Di.~nai~m of entire ~ ~st~l:ion: l~t ................ ~ar ............... ~pth IhiO~t ......................... ~ ~dmr of Stories lhte of hffdm~ ............... i ...... ~ of Fonmr ~r ........................................ h~ or m district in ~lid~ prmi~s am sit~t~ ~ma prol~l ~mtn~ti~ viola?e any ~fing 1~, ordinate or regulatf~: fp i . ................ ~ o~ Arddt~t [ ~ress .............................. ~ ~ ............... lids p~lmrry wiOdn ~ ~ ota ~i~l ~tl~l~ ~ ~.~ .......... ~ .......... PLOT I)IAGIIAH ltx:ate clearly aJxl distinctly al.l hdldi~s, ~hetlmr existing or proposed, and indicate all set-lmck din~nsions property lines. Gix~ street and !blnck r~lmr or description according to deed, and ~hc~ street nares ar~l indicate ~d~etlmr interior or corner lot. .~f ............. beieg dnly s~nz, delx)ses snd ~ys that he is the applicant of said t~mr or ~rs, and is duly ~t iorlv~ to ~rfonn or have l~rforn~ the ~[d ~rk orgl to n~ke a~ file this Splflit:atlon; that al.[ stat~mnts conL~iT~ in Ellis al~tication are tn~ to the Iraqi: of his lu~l~e and Imtief~ that the ~rk ~itI I~ ~rfon~l in thq ~mn~mr ~t forth in U~e al~l. ication filed ,c~)rn Lo befo[e n~ Lhls i ... ....... ,,ay oE 9.¢ HELENE D, HO~NE Not. fy Public, S~ale of New York No, 4951354 Ouafified in ~h.~ffoll~County ~ Commission Exbiros [,:I~ 22, 19 .(~. NOV I 2 19gl ~ IlOWN 5UI~V~'¢ OF F'~O~F~TY ~ITUATE: IvIATTI TbIC, K TOIAIN OF' ~OUTHOI_D 5Ut=t=OLK. C, OUN"r"T', N'T' GRAPHIC SCALE 0 6O CE~TIFIEI2 TO," HA~ATOCKA CLUB IN~. NOTE~, · ~ENOTE~ MONL~4ENT FOUN~ ~ENOTE~ PIPE ~OUN~ l'= 60' ~20 '180 LIC. NO. 50202 REFERENCE # 97-0075