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Home My WebLink About28501-Z FORM NO. 3 D TOWN OF 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. 28501 Z Date JUNE 25, 2002 Permission is hereby granted to: FORK COUNTRY CLUB NORTH PO BOX 725 CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN ACCESSORY GAZEBO 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 JUNE 25, 2002 and approved by the Building Inspector to expire on DECEMBER 25, 2 Fee $ 75 . 00 Auth zed Signa re ORIGINAL Rev. 5/8/02 NORTH FORK COUNTRY CLUB • P.O.BOX 725 • CUTCHOGUE,NEW YORK 11935-0725 (631)734-7139 FAX(631)734-9004 May 16, 2006 Southold Town Building Department PO Box 1179 Southold,NY 11971 RE: 26342 Main Road SCTM# 109 0004 008.003 To Whom It May Concern: With regard to our expired Building Permit#28501 issued June 25', 2002,please be advised that the construction of the GAZEBO never took place as the planned location was not consistent with what the Town authorized. Please advise if there is any further action that the Club would need to take regarding this matter. Respectfully, �)e —J&4�X� o-Ann LoBue Controller FIELD INSPECTION REPORT DATE CONIl4IMM �d kiA t�7 FOUNDATION (1ST) y ----------------------------------- O FOUNDATION(2ND) n z o s ' u �3 ROUGH FRAMING& PLUMBING y INSULATION PER N.Y. y STATE ENERGY CODE C FINAL ADDMONAL COBEWMM - O Z rn X y O ' z x H x d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIS BUILDING DEPARTMENT Do you have or need the following,before applyinj 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 PERMPI'NO. TJ V Check (/ Septic Form N.Y.S.DX.C. F Examined 2� ,20ContachTrustees Approvedl l 20 Z/ Mail to: Disapproved a/c I� Expiration 20 .Phone: � ra (5 Building r 4 t ,JUN 2 4 APPLICATION FOR BUILDING PERMIT iir 1 :T4.��o Date June 20, 2002 �---- INSTRUCTIONS ' a. This application MUST be completely filled in by typewriter or in ink and submitted 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 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 property have been enacted in the interim,the Buil �or other regulations affecting the addition six months. Thereafter,a new permit shall begreguii recd. �y a�0�e'm��e extension of the permit for an 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. '_'ork Country Club (Sigmum+e of applicant or name,if a corporation) P.O. Box 725 Cutchogue, N.Y. 11935 (Mas7ing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Owner Name of o er of premises North Fork Countr b lub (As on the tax roll-or latest deed) If applic coror ture of y�uthorized officer (Name and title of corporate officer) Builders License No. NA Plumbers License No. NA Electricians License No. NA Other Trade's License No. NA 1. Location of land on which proposed work will be done: 25650 Rte 25 Cutchogue House Number Street Hamlet County Tax Map No. 1000 Section 109 Block 4 Lot 8 . 3 (Name) Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Gazebo for use by golfers for resting during practice 3. Nature of work(check which applicable):New Building Addition Alteration Repair. Removal=emolition Other Work Pre built gazebo (Description) �. Estimated Cost $3,000 Fee $75.00 (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. Dimensions of existing structures,if any.Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Fear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories 9. Size of lot: Front 12 5 Acres Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated A-C 12. Doesro osed construction violate any zoning law, ordinance orregulation?YES NO� P P Will lot be re- Will excess fill be removed from premises?YES No 13 graded?YES NO 14. Names of Owner of premises Address _ Phone No. Name of Architect Address Phone No , Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, OUTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAY 7 REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAYBE 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 NEW YORK) SS: COUNTY OF S u f f o l k) At lan G Dic- ke r S o n being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, f�8'SHe is the Lgn�,O r p0 r'Ate OVIC i C ear (Ghtractor,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 before me this Z I Sr clay of Tunr- 20oZ Notary Public Signa o licant Jo-Ann M.Lo Bue Notary Public,State of New York Registration#01 L05047404 Qualified in Suffolk.County. My Commission Expires_q3JOE nrf UPPICY OR art - IS UNLAWFUL j CE,RTIFICt"'4TE C,v QCCUPANCY LG710PLS (app. 7'x10'). Options include screens, no cupola, � C and the gdzebo only (no swing).a Z.�'moo Kit v S T SE SECU��cSj A oa-k-, c�t I A P OVED AS NOTED DATE: ` 25 Ti B.P.# �� FEE: NOTIFY BUILDING DEPARTMENT AT ' 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. rO MI)ATION - TWO REQUIRED 1-1= ,, -10URED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS MAP OF THE PRAGT I GE AREA 1 AT NORTH FORK GOUNTRY GLUE N TO 5HOY4 A PROP05ED (5AZEB0 51TUATE: CUTCHOCGUE '� E TOWN: 5OUTHOLD 5LFFOLK COMM NY MAP PREPARED 05-22-02 i SUFFOLK GOUNTY TAX # 25 P/O 1000 — IOC — 4 — 8.3 5 g' 5OUTHOLD TOWN ZONE A—r- 1 cZ ' [l, / Q E I O= IO ) ' C _w nq Z e / Q . ' LLQ I `, I ° °, of oo � � I gI� c vj� —p 1V D 1:274A2' l ------------ __GAVEL; M , O REAR PROPERTY PROJECTION � p : LL ZQ s o° J11q. II PROP.DRY/ G�l a E 10' X 16'GAZEBO v �� C. EN ` ad e.tarnt,cn a—t—tc" 0 mop `rx;,,y o sad lo•,d w �2C9,s�r:Vds cn 2 the NOTES: y y clot) _f sa ,r rk 5tota E—t—L— 'Gnly copes from tha criynal of this si V MONUMENT * * armed a�l" r ;er d a a 'e / w-pies" THIS MAP ONLY 5HOW5 5TRUGTURE5 THAT ARE ON art f,otf F—ti otadx" e nlfy tHnt r Q F F o�atl - �� O Istn�L�^e cr Hca fcr Lmd veys o cptetl CLUB PROPERTY WITHIN 100' FEET OF THE PROPOS D ua York to As o_;at,on cf Fr,fa,a�l Lcnd 5,r.:ayc-s. Sold cert.itcotlonz sMll ren cnly 5 O Cc fire person fc whom the wrvey is preporad. GAZEBO AND 15 ONLY TO BE U5ED A5 STATED IN HE TITLE BLOCK tsl ogan_y o,d la�ar�g.nt;t�t�cn rstad Harsco.cne �A ND Sv �ss�aa, Cartiflco- t;cns not tronsf�oem w oddrt-�cnol a,srt�t;ons JO N C. EHLERS LAND SURVEYOR GRAPHIC, 5GALE I"= 1(90 N.Y.S.LIC.NO. 50202 REF.—\\Hp server\d\PROS\Nfcc2.pro BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: 7 1 ,12 /01 DATE SUBMITTED:./,r /01 APPLICANT NAME: e 5;m ji clyz SCTM# --- DISTRICT: 1,000 SECTION: /lay BLOCK: LOT: STREET: L 6-3 /4a. 1 /(e CITY: Lure 4 0SUBDIV. NAME: 0 PROJECT DESCRIPTION: ADD.ALT,KENR N/D: ARCHITECT/ ENGINEER: /-i o FAST TRACK: YES o N SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES OR O NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS OM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/8 ZONING: PERMIT ESTIMATE AMOUNT:—$ .00 PERMIT USE: EXISTING: e0°- .4./CU- INTENDED: kl- ZONING DISTRICT R80 C) CONFORMING: YES OR NO REQUIRED LOT SIZE: SQFT. WHERE ACTUAL LOT SIZE FROM?TAx cmw ACTUAL LOT SIZE: SQFT. REQUIRED REQUIRED REQUIRED IST FOUND:FRONT: 'PROPOSED: SIDE YD:,W '/ ' PROPOSED: '/ REAR:'PROPOSED: ' 2ND FOUND:FRONT: ACTUAL: SIDE YD: '/ ' ACTUAL: '/ ' REAR: ACTUAL: ' LOT COVERAGE: ALLOWED:_% EXISTING: sf_% NEW: sf_% TOTAL: sf_% CORNER? YES OR NO WAT ER FRONT? YES OR NO DESCRIPTION: FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: FLOOD ZONE: , AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED IN APP CATION TOWN SPETIC PERMIT: YES o SUFFOLK COUNTY HEALTH DEPT: YES or ig(BED#): DTE: / / PERMIT#:R10- APERDVALS REQUIRED: NEW YORK STATE DEC: PRE-DEC 9/1/75 YESNd SOUTHOLD TOWN TRUSTEES: YES o o-.3 lk TOWN ZONING BOARD APPROVAL: YES or O " TOWN PLAN. BOARD APPROVAL: YES or 40T s K .1/d TOWN HISTORICAL PRE (SPLIA): or NO NYS ENERGY: YES OO EGRESS: VENT: LIGHT: BUILDING PERMITS O EXPIRED: BP -Z/C/0 Z- , HAVE PRE CC'S : Y OR N BP -Z/ C/0 Z- , 40TES. oxe qA og 41' 0.4 et..r - STRUCTURE: FOUNDATION: SF FIRST FLOOR : SF /o x/6 SECOND FLR : SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE —SF)- ( SF)= SFX$ =$ +$ +$ _$ 4•_# Q,rr R C7>11 BUILDING PERMIT EXAMINER CHECK LIST � ) 64* DATE REVIEWED: 6*1Z102 APPLICANT: A)r CowrQy _ DATE SUBMITTED:—c< /l-5'/02 SCTM# DISTRICT: 1,000, SECTION: _p , BLOCK: 4, LOT: STREET ADDRESS:, 4541-AN �1,9mb CITY: Cure_ SUBDIVISION: N PROJECT DESCRIPTION: t ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: FAST TRACK? NO , SINGLE & SEPARATE CERTIFICATION-REQUIRED? Ab 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/. ZONING DISTRICT: AC CONFORMING? `'« REQ. LOT SIZE: TACT. T SIZE: _✓/� .E LOT COV. ,✓CT. LOT COV. REQ. FRONT ,/ PROP. FRONT RE IDE ✓ ACT. Sjot REQ. REAR PROP. REAR REQ. HEIGHT PROP. HEIGHT WATER FRONT? ko- DESCRIPTION: PANEL #: (10V FLOOD ZONE-7�, f APPROVALS REQUIRED SUFFOLK COUNTY HEALTH : YES 00 (BED #): DTE:—/ / PERMIT#:R10- TOWN SEPTIC RECEIPT: Y or NEW YORK STATE DEC: PRE-DEC 9/1/75 YES SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERGY: YES O EGRESS (18 H min.? 4 s tal) .t/ VENT(SQ. FT. x 4%) '- LIGHT(SQ. FT. x 8%) ..,Z-O BUILDING PERMITS OPEN/E IED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/CIO Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE �FEEE 1. ( SF)- ASF)= SFX$ =$ +$ +$ = $ 4J 2. ( SF)- ( _SF)= SFX$ =$ +$ +$ = $