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