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Home My WebLink About1000-4.-4-14.1FOR INTERNAL USE ONLY SITE PLAN USE DETERMINATION Initial Determination Date: /~' / l~ /-~'1 Project Name: ¢1~-~C 0 Project Address: ~ 'dl--~'-~., Date Sent: Suffolk CountyTax Map No.:lO00- U¢ _ /~ -_L~. Zoning District:6;~tD ,~0~-o/-~. Request: ~'~v4,~ ~¢'vv~ ~ (Note: Copy of Building Permit Application and suppoding documentatk),n as to proposed use or uses should be submitted.) Initial Determination as to whether use is permitted: ~f~ Initial Determination as to whether site plan is required: Planning Department (P.D.) Referral: P.D. Date Received: Signature of Budding In.spe,ct?-' Date of Comment: Final Determination Date: / / Decision: /.z //F / Signature of Building Inspector TOWN OF SOUTHOLD ~BUILJ~ING DEPART~VfENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ,20___ Approved ,20__ Disapproved afc Expiration 20__ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~obe c lc Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS //7 ,2037 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 pan 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 fo[ 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. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corgoratj, on, signature of duly authorized officer ,~~4~le of corpora/re officer) Builders License No. A/a~ Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: / / House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) /¢/. Block z/ Lot Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of propo~efl construction: a. Existing use and occupancy b. Intended use and occupancy ~'e~,~,,J ~'~,~,*-J'- / ,~qJa/,;z~,,~/' - / cx'~n~dto 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ,-2t'.3., ~oo ~ 5. If dwelling, number of dwelling units If 9arage, number of cars Addition Alteration Other Work /qc, o ~ (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7'~-,qt> ff4}o,,~q- 7. Dimensions of existing structures, if any: Front See Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth. Height .~ ¢¢ Di~ Number of Stories 8. Dimensions of entire new construction: Front ~e p~,~v, Rear .Depth Height Number of Stories Rear 9. Size of lot: Front Rear se~ i>~ Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO 13. Will lot be re-graded? YES__ NO /'q Will excess fill be removed from premises? YES NO J( 14. Names of Owner of premises Address Name of Architect Address Name of Contractor/v/o/ v,J /9~-~r~-,~ Address Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO __ * 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 NEW YORK) SS: COUNTY OF St~l ~( ) ?/4 ~l I: G ~ ~'x~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Hc is the /4q,/~'~°'t~fl"-- ontractor,' (C Ageut, 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 ali statements contained in this application are true to the best of his knowledge and belief; and that the work will be perforated in the manner set forth in the application filed therewith. Swom to before me this -D&' dayof )J'0}(~¢~ [o.~,/' 200"/ -~Xrotary Public MARY B PANKIEWICZ Note~/Public State of New York No 52-8267950 Commission Expires ~Si~r~f~Applicant ~3~d 1830 BNIOgI~]OH].~OS 8b:~I shersIsland Club, Inc. Soutbold Town Building Dept. Attn: Pat Conklin Town Hall Southold, NY Dec. 7, 2007 Dear Ms. Conklin, Thank you for your guidance in regards to the new tennis court abutting the existing three at the Fishers Island Club. I researched the minutes and found that the existing three were built in 1978. I contacted Tony Bussman who was the General Manager at the time as asked why no building permit was issued. He told me that at that time the building inspector just had to be notified of the intention of building the courts and that aRer reviewing the location the inspector granted the go ahead on the project. As far as the planning board, the three courts were on the approved site plan of two years ago when we built the tennis pavilion. Please feel free to contact me with any questions at 516-790-5813 Sincerely, Paul Giles Agent FIt)CO P. O. Box 605 * Fishers Island, NY 06390 (631) 788-7225 Site Plan Aerial from the 2004 GIS System for Fishers Island CountryClub SCTM 1000-4~4-14,1 Prepared by Bruno Semon for Southotd Town Planning Board on 12/18/07 Site Plan Aerial from the 2004 GIS System for Fishers Island CountryClub SCTM 1000-4-4~14.1 Prepared by Bruno Semon for Southold Town Planning Board on 12118107 LFACHING CONCRETE L~CHING PO0~ ~ SUE '' ( ') LOCATION MAP SCALE 1 POOL ~ / ~ ~~PUMPED~ ~ S~S S -s ~CORNER PO~ X X X X X ~ ~ ~ ~ ~ ~ MAIN ;~!~ ~'~' ~ 1.) TO~G.~HIO .~ PREPARED FOR FISHERS ,S~D CLM~; EAST END ROAD; %~ ~ ~ ~s~~~ o ~ POOL ' ~~~~ ~- > ~ 1.) THIS SURV~ W~ PREPARED FOR THE PARTIES AND PURPOSE INDICATED ~ ~ Z N ~O ~SEPTIC "'H' ~~ H~REON' ANY EXfENSION OF ~E USE B~OND THE PURPOSED AGREED TO ~ ~ X SEPTIC TANK ~ ~ ITEM IN ~Y WAY. ~ ~ ~ ~ ~ ~ 5./ ONLY COPIES OF THIS SURV~ M~KED WITH THE ~ND SUR~YOR'S 5.) TOTAL AR~ = 30.7~ ACRES. ~ 6.) SITE IS LOCATED IN R-i20 ZONE. ~ Z P~ ~ 7.) APPLICANT: FISHERS IS~ND CLUB J I J PA ROAD ~ ExiSTING CES J E~ ~ RKING ~ o (TOTAL- HAND ~ BRUSH , ,* ~' ~ DATE: 09/28/2007 EL~ ELEVATION SCALE: 1" : 20' ~ROUP ~-~O ~,, ~ ~ STONE WALL SHEET FILE ]482~ I