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HomeMy WebLinkAbout29448-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30569 Date: 11/22/04 THIS CERTIFIES that the building ACCY BUILDING Location of Property: PVT RD OFF E END RD FISHERS ISLAND (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 1 Block 1 Lot 3 .13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 2003 pursuant to which Building Permit No. 29448-Z dated MAY 30, 2003 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 ACCESSORY METAL STORAGE BUILDING AS APPLIED FOR & AS PER CERTIFICATION OF RICHARD P.STROUSE, P.E. DATED 10/07/04. The certificate is issued to FISHERS ISLAND DEVELOPMENT CORP. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1196793 05/05/04 PLUMBERS CERTIFICATION DATED 07/29/04 EMERY NEMESKY tho ized ignature 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. 29448 Z Date MAY 30, 2003 Permission is hereby granted to: ISLAND DEV CORP FISHERS DRAWER E FISHERS ISLAND,NY 06390 for CONSTRUCTION OF AN ACCESSORY STORAGE BUILDING AS APPLIED FOR at premises located at PVT RD OFF E END RD FISHERS ISLAND County Tax Map No. 473889 Section 001 Block 0001 Lot No. 003 . 013 pursuant to application dated MAY 13 , 2003 and approved by the Building Inspector to expire on NOVEMBER 30, 2004 . Fee $ 1, 100 . 00 tho ize Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT I TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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,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- $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. Zw�O New Construction: Ll_� / Old or Pre-existing Building: (check one) Location of Property: ✓ ,e�j / e5-0ay &M_� F15 he.t-s Ss I House No. t Street Hamlet }' Owner or Owners of Property: i S h e r s = 5�a%�J E)e v 4_0o p ft e�— C o r p. Suffolk County Tax Map No 1000,Section Q 0/ Block / Lot 3. 13 Subdivision Filed Map. Lot: Permit No. 9 yy Z Date of Permit. 503-0 D 3 Applicant: /moi s�le rs IS�«•.� P v�/o1p •P �vr�0 Health Dept.Approval: IyI1j4 Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Ap cant ature �s eH7— CME CME Associates Engineering, Land Surveying &Architecture PLLC -formerly Chandler, Palmer& King WT 2o 4032 Crabtree Lane, P.O.Box 849 110 Broadway Woodstock, CT 06281 Norwich,CT 06360 (860)928-7848 FAX(860)928-7846 (860)889-3397 FAX(860)886-7801 October 7, 2004 Building Department Town of Southold,New York 53095 Main Road Southold,NY 11971 Subject: Final Construction Certification Metal Storage Building at the Fishers Island Club To Whom It May Concern: The construction of the metal storage building at the Fishers Island Club has been completed. A structural engineer from my staff completed an on-site final inspection of the structure on September 30,2004. We hereby certify th t the building was constructed according to the plans. If you have any questions concernin this matter,please fee free to contact me at any time. Sincerel Richard . Strouse,P.E Director of Private and Commercial Development Mpe Cc: Fishers Island Club CME File 2004842 Toll Free 1-888-291-3227 An Equal Opportunity Employer www.cmeengineering.com i ii Jill I it BY THIS CERTIFICATE OF COMPLIANCE THE _ EW, YORKIWOP FIRE IM ' Y'IfR E*R' BUREAU -OF ELECTRICITY ` 40. FULTON STREET NEW YORK, NY 1005$ CERTIFIES THAT I : Upon the application of upon premises owned by ZELEK ELECTRIC CO., INC FISHERS ISLAND CLUB 11 OAK STREETV1I flSTLER AVE LYIVIE,-CT 06371 FIS14ERS ISLAND;NY.06390 Located at vVF�ISTLI=R AVE NEV11 MAIf�tT. BLDG Ft$HERS ISL,ARkD,.ftlY 06390 Application=Number: 1196793 Certificate Number: t k9G7�3 g Section; Block: Lot: Building Permit: BDC: ns11 Described a5 a Commercial occupancy,iwherein thet premises electrical system consisting of eleCtriCal devices and wiring, describe}below, located'_iMt. th413ierriis s at'' First Floor,Outside; - A visual inspection.of the,premises electrical.sy-stedt, limitedto alectricl � viees end w�ritt to tie axten 'tletgiled = here was-' car l64 d tri accdrdartCa .wit . .the. ,req{urrer is o#': the appliAabl� pal fi r l� l� d p y '_ p State.,Code 6nfdreiement and l�di�ia>grstratlgn :qr other -' York, De ar#mgnt of � thgreWrth on#tie _ rtfto y e S Jt toib o d found rhp44nc _5th Qat bf " � dtobemco authorrt haven `uKisdicfibn tand' Name OTY 'Rate Karin Circuit - AXat iii amtx Ile lit =. Co bb Uit and nisi gene fight 2 U E PPS_ - _ r� ilaacesankt Accessar�s Pup✓ atpt 1 0 - itfn a�0 De ices ltecegti{cle 12 -0 ire ectal Pu"se Switch. 5 0 general"Purpose _. i = - - � { y htx_#►re`` 2 b .'. Incandescent = F`7xture_. ', _6 b ,. Fluorescent _i 1 k It Y of 1 Y ay and is validated only bythe presence of a raetl seal atthe location.indicated. 6 Ttr e not be altered in any w s ertificate ma !, I TEL. 765-1802 �SVFF��Cp TOWN OF SOUTHOLD �... � OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL �+0 SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date n i-, 2 G 04 Building Permit No. � g L Owner (", I , (please print) Plumber �{r�+'11,0�=^S -f— (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( lumbers gnature) Sworn to before me this ^ �--day of Notary ublic .r J log► 1 0. County Notary Public, VERONICA HAtOILTON STFjr O-. YORK NO. 01 HAGO37785 OUALIFIED IN SUFFOLK COUNTY TERM EXPIRES... / 7/0� PLANNINGBOARD MEMBERS ERS ENNETORLOo��SUFFO(�►COG p,0. Box 1179 Chairman =� 'y� Town Hall, 53095 State Route 25 O - Southold, New York 11971-0959 RICHARD CAGGLANO W Telephone (631) 765-1938 WILLIAM J.CREMERS O � � KENNETH L.EDWARDS Fax (631) 765-3136 y 0� MARTIN H.SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD 1, t. \--Mla—' 13, 2003 Stephen L. Ham, III, Esq. 45 Hampton Road Southampton, New York 11968 RE: Proposed Site Plan for Fishers Island Club, Inc. Located on East End Road, Fishers Island SCTM#1000-1-1-3.13 Zone: R-120 Dear Mr. Ham: The Southold Town Planning Board, at a meeting held on Monday, May 12, 2003, adopted the following resolution: The final public hearing was closed. The following resolution was adopted: WHEREAS, this proposed site plan, to be known as site plan for Fishers Island Club, is to construct a 3,200 square foot maintenance/storage building and adjacent covered washdown area on an existing golf course, located on East End Road; and WHEREAS, the Fishers Island Development Corp., is the owner of the property known and designated as Fishers Island Golf Club, Inc., SCTM#1000-1-1-3.13; and WHEREAS, a formal application for the approval of this site plan was submitted on October 21, 2002; and WHEREAS, the Southold Town Planning Board has determined that this action is a Type II Action and not subject to review under the State Environmental Quality Review Act, (Article 8), Part 617; and WHEREAS, the Zoning Board of Appeals granted a Special Exception (Application No. 5290) on May 1, 2003 to allow a maintenance building on a golf course within an R-120 Zone; and *5Q_go i F.I. Club— Page Two — 5/13/03 WHEREAS, on November 19, 2002, the Architectural Review Committee reviewed and approved the design elements of the proposed site plan; and WHEREAS, the Town Engineer has reviewed the drainage calculations and the Planning Board has accepted his recommendation for approval; and WHEREAS, this site plan, dated July 18, 2000 and last revised September 18, 2002, was certified by the Building Inspector on May 10, 2003; and WHEREAS, a final public hearing was closed on said application at Town Hall, Southold, New York on May 12, 2003; and WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; be it therefore RESOLVED, that the Southold Town Planning Board grant final approval on the surveys, dated July 18, 2000 and last revised on September 18, 2002, and authorize the Chairman to endorse the final surveys subject to a one year review from the date of the building permit. Enclosed please find two copies of the approved site plan: one for your records and one to be submitted to the Building Department when you apply for your building permit. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. Chairman encl. cc: Building Dept. Tax Assessors BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: S_/.x/03 APPLICANT: {-AD �iSHE/9f �j �� 6244 DATE SUBMITTED: v/J /03 SCTM# DISTRICT: 1,000, SECTION: , BLOCK: _]_, LOT: 'y•13 SUBDIVISION: NIp- F 1 C FCoL:c:�-r- ADDRESS: CITY: _Tscgv,) ZONING DISTRICT:,P-/;b CONFORMING? YF�- BUILDING PERMITS OPEN/EXPIRED: BPS-Z/ C/0 Z-sem, INFO /BP -Z/C/0 Z- , INFO BPS_-Z/C/0 Z , INF /BP -Z/C/0 Z- , INFO PRE CO: Y OR N BP -Z/ /0 Z- , SINGLE & SEPARATE CERTIFICATION-REQUMED Mo NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/F REQ. LOT SIZE: ACT. LOT SIZE:/ovAce6REQ. LOT COV. /0 % ACT. LOT COV. 'l REQ. FRONT ,/ PROP. FRONT--4,/ REQ SIDE ./ ACT. SIDE ✓ REQ. REAR ✓ PROP. REAR ✓ REQ. HEIGHT ✓PROP. HEIGHT ✓ PROJECT DESCRIPTION: ESTIMATED PROJECT COST/ L ARCHITECT : A#&ZWE FAST TRACK NVQ WATER FRONT? DESCRIPTION: � s PANEL #: FLOOD ZONE: COMPLIANCE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES orQi�BED #): DTE: /_/ PERMIT #: TOWN SEPTIC RECEIPT: Y ori AJ/4 NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO SOUTHOLD TOWN TRUSTEES: YES or NO TOWN ZONING BOARD APPROVAL r NO -#5agC> 5er-0ac. 67X-C ?0n-0N /I'1Qg /,O-Octg A� TOWN PLAN. BOARD APPROVAf�r NO MAI I3,a�a3 TOWN HISTORICAL PRE (SPLIA): YES orQ� NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: #000 SF FEE FE 1. oo a SF)- ( /0&0 SF)= J,00-4 SFX $-36 =$ 90o +$ �`�'`' +$ _ $ 1 loG 2. ( SF)- ( SF)= SFX $ _$ +$ +$ _ $ 3. (SF)- ( SF)= SFX $ =$ +$ +$ _ $ FINAL TOTAL: $ NEW YORK STATE CODE COMPLIANCE CHECKLIST USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: `''TYPE OF CONSTRUCTION: S-r�,Aw tr4qma 'DESIGN CRITE NGINEE RESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: HEADERS: Y/N WALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOF RAFTERS: Y!N LUMBER SPECIES AND GRADE: Y/N DESIGN LOAD CALCULATION&ON SHOULD INCLUDE LIVE,DEAD,SNOW,SEISMIC AND WIND(INCLUDING UPLIFT AND EXPOSURE) WINDOW AND DOOR SCHEDULE: MISSLE TEST REQUIREMENTS: Y/& U/w EGRESS, LIGHT, VENT: YZ9 LOAD PATHS: Y/N ROOF TO FOUNDATION NAILING/CONSTRUCTION SCHEDULEO/N MEANS OF EGRESS: Yo NIA PLUMBING RISER DIAGRAM: Yo VA 9 LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N m TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: We OV14 TOTAL COMPLIENCE? Y/ (RETURN TO PAGE ONE) SPO"/D HZ5 754-ee 007 -78G CODE i Coy-sT�Z vc�lo�v `7��� BUILDING PERMIT EXAMINER CHECK LIST . DATE REVIEWED: _/_/03 APPLICANT: DATE SUBMITTED: _/_/03 SCTM# DISTRICT: 1,000, SECTION: , BLOCK: , LOT: SUBDIVISION: ADDRESS: CITY: ZONING DISTRICT: CONFORMING? BUILDING PERMITS OPEN/EXPIRED- BP -Z/C/0 Z- , INFO _/BP -Z/C/0 Z- , INFO BP -Z/C/0 Z- , INFO /BP -Z/C/0 Z- , INFO PRE CO: Y OR N BP -Z/ C/o Z- , SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at anytime after 7/1/1 REQ. LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE ACT, SIDE REQ. REAR PROP. REAR REQ. HEIGHT PROP. HEIGHT PROJECT DESCRIPTION: ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: FAST TRACK WATER FRONT? DESCRIPTION: PANEL #: FLOOD ZONE: , COMPLIANCE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): DTE: / / PERMIT#: TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO SOUTHOLD TOWN TRUSTEES: YES or NO TOWN ZONING BOARD APPROVAL: YES or NO TOWN PLAN. BOARD APPROVAL: YES or NO TOWN HISTORICAL PRE (SPLIA): YES or NO NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. (—SF)- (— SF)= SFX $ =$ +$ +$ _ $ 2. ( SF)- (—SF)— SF X $ =$ +$ +$ _ $ 3. ( SF)- (_ SF)= SF X $ =$ +$ _+$ _ $ • FINAL TOTAL: $ TOWN OF SOUTHOLD PROPERTY RECORD CARD - - J• I COUNTY NTY TAX MAP NO. �NER 1 STREET 1 VILLAGE 1 DIST. 1 .r r 1 1 Go/ `Qu pe DATE REMARKS: TOTAL LAND IMP. _ 3CIL Z3 .Sorg foo0 /o L o L I. icttoYs 5 i Ono 2- 2s 900 , r ah 30 2.Qc� ii 22 Q ��✓`� - '�a Cod' - _ f .. ., � 3 z �� ' to© J �1 � tom LAND IMP. TOTAL DATE REMARKS: i ■■■■■ ■■■■■■■■■■■■■■ ■� �■moXeAi�`�L�.�"'.��1�■Loth � ,. ■■■r�Q�! ■■�:■ee'i■■■ ■� ■■l41�■NCi®■�I��Ci�;i��l . ■■■■■■ ■■■■■■■■■■ ■■ •• i ' ' o , Foundation :•th ! 0 100- Extai . • 0Y BasementFloors Extension ® I Walls Extension Fire Place Heat AOX- i -ate Porch Attic RoomsPorch .. Breezeway .. Garage Driveway i B. -71 • ,r CARD CARD a, 6WNER STREET VILLAGE DISTRICT SUB. LOT FORMER OWNIX N E ACREAGE w TYPE OF BUILDING :ES. SEAS. VL. FARM COMM. IND. I CB. LAND IMP. TOTAL DATE REMARKS P Q e o ✓ 7, z 'T.sZS Z L P �r.SC r /7 Alav / SpG,i- /z.(+f! ReeLs A 7,��F r 47�'77S9LP 1-Z d o / 0 7`" - v Vii✓moi`` u' A Akk'PISIf + ,i acs `zn U vAll 1p,$` L.T 7 �G vrg e s' ao 1=�� .0 0.`t � TC r y "U D f U �Q U Z/17 '�' Ay ., X11 Y dlc : O GE B LDING,CON ITIO So-dt� �OONORMAL BR OW y ABOVE Farm Acre Value Per Acre Value k Tillable 1 Tillable 2 Tillable 3 Woodland v L Swampland Brushland 4C 7&1 O House Plot Y Total _ -- �. . e.• C� 9 A�� g Z_ BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FIREPLACE 8 CHIMNEY REMARKS• DATE �/� � INSPECTOW09450 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 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 3v ,20 Contact: Approved ,20 Mail to: Disapproved a/c Phone: Expiration // 20 uil h Inspector APPLICATION FOR BUILDING PERMIT APR 2 5 M INSTRUCTIONS Date April 22 , 20 03 a. This application MIJS,T be ompletely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of urate plot plan to sca e. 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. Mattern Construction Inc. (Signature of applicant or name,if a corporation) 26M Bushnell Hollow Road Baltic, CT 06330 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder General Contractor Name of owner mises Fishers Island Development Corp (As on the tax roll or latest deed) If a an ion, signature of duly authorized officer Mice President (Name and title of corporate officer) Builders License No. 566816 Plumbers License No. 2563-P (Emery Nemeskay Plumbing) Electricians License No. 31886-ME (Zelek Electric) Other Trade's License No. 1. Location of land on which proposed work will be done: Fishers Island Golf Course House Number Street Hamlet County Tax Map No. 1000 Section 001 Block 1 Lot 3.13 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancyGolf Course with existing maintenance buildings b. Intended use and occupancy New equipment wash down and storage building 3. Nature of work(check which applicable): New Building XXX Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost $150,000 Fee $200.00 (To be paid on filing this application) 5. If dwelling,number of dwelling units N/A Number of dwelling units on each floor N/A If garage, number of cars N/A 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front N/p, Rear N/A Depth N/A Height N/A Number of Stories N/A Dimensions of same structure with alterations or additions: Front N/A Rear N/A Depth N/A Height N/A Number of Stories N/A 8. Dimensions of entire new construction: Front 100 feet Rear 100 feet ak6o k,feet Height 14 foot eave Number of Stories 2 9. Size of lot: Front 154+ acres Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated R-120 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14.Names of Owner of premisefidiers Island Dev address Fishmrs Is1&d, NY Phone No.631-788-6225 Name of Architectd''/CFK Dmign G=P Address110 midway Nawirh, CPhone No860-886,-7801 Name of Contractor matte n 0315 cn Im• Address26M Budrei i Ho11.ow P4 Phone No.%04W-1998 Baltic, Cr 06330 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO W * 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 n �=BR•K)�L3Y1h SS: COUNTY OF David L. Labonne being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Contractor (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 efore me thLori' ol�N rd day of 20 :'1 N tary PJqc Signature of Applicant I L E m (J a N C POND--/ N To `O c C7 m 'm e-1 6-2 U m h l o LIMITS OF � C/) d E WETLANDS EXISTINGI I 0 TURF WATER LINE / // GREEN MAINTENANCE BUILDING m W m \/\// / / _ R •'� o� O o EXISTING DRIVE / \\ 1-12 . v " s-1 W Z = 0 xBO' STORAGE BUILDING a7-11 m Lo 7-7 m �f ` ou U LIMITS OF p��,� TEE WETLANDS r_a `(BRUSH LINE (TYPICAL) J n-q r-"e e-� p T-efl R-4 r l �PONDJ � n LOCATION MAP SCALE 1 "=400' EXISTING BARRACKS V \ o •\ o SHED AV O� sEr 4U Hoy z m z \\ U, _ V EXISTING MAINTENANCE FACILITY WITH CHEMICAL STORAGE AREA EXISTING \ `` SEPTIC SYSTEM LOCATION PLAN _ 100 50 0 100 GRAPHIC SCALE N FEET 1 _ \\ W 1 Of Ed Cy 2 O I \ µs, hMoAK - K a - \ CL wa V) Q eel CHERRY + ELEC. BOX 'I * ,WgTFR - _ -\ O- VI U J F F W V) Q w Z_ I 8'0 X 8' DEEP DRYWELLS LL- (ROOF L(ROOF DRAINS ONLY) / C'F, v4, - \ LA- b MAP REFERENCES tit, ARG°S m9q P3/ 1,) SITE DEVELOPMENT PLAN; PROPOSED GOLF COURSE STORAGE BUILDING; PREPARED FOR FISHERS ISLAND CLUB; FISHERS ISLAND, NEW YORK; CHANDLER, Pp {,}1��� Z� PALMER & KING; NORWICH, CT.; DATE: 07/18/2000; SCALE: 1"=20'; SHEET 1 \ `YWELL 0` 1 -STD - 80• - \ m�°v /c�9�+'s \` 0 GI o��c N/F MILLIKEN 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED N z N, - _ . �� HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO 0 BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE z 0- ENGAGEMENT. p 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS V \ _ lyFpU�pF ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. - \ N58'50'10"W > 18.44' SIGNATUREONLY OAND AN ORIGNALOPIES OF THIS UEMBOSSED OR RVEY MARKED WITH SEAL ARE THER PRODUCT OF w \ - IRON PIPE THE LAND SURVEYOR. � EXISTING PROPANE TANKS N 87 t8.64 0 W 445.93 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION STATION "EAST END 2" \\ STONE RETAINING WALL5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000, z WASH PAD EQUIPMENT AREA SECTION 001, BLOCK 1, LOT 3,13 /M \ � �"QO \ A� 6.) TOTAL AREA = 1543 ACRES, Q 7.) SITE IS LOCATED IN R-120 ZONE. a m h ui a o e \ S58'5O'10"E m o I I R I $ •\ 17.00' �/����� O F d o LO I EGFNI1 1 W Z Z ZY Y V N O O Q W 00 W APPROXIMATE /F NOW OR FORMERLY a m o o u m ( ( 100' BUFFER moroca:xma STONE WALL DATE: 08/12/2004 FROM PONDI RETAINING WALL " = QUALITY CONTROL CERTIFICATION I 0 •�" BLOCK 7 LOT 3 SCALE: 1 20'N/F GROUP REVIEWED DATE ao ANDREWS PROJECT MANAGER P. A GO Y SHEET ENVIRO ...TAIL I 20 10 0 20 crva I GRAPHIC SCALE IN FEET 1 OF 1 STRUCTURAL , ARCHITECTURAL FILE J