HomeMy WebLinkAboutSchubert/Reed c
Albert J. Krupski, President Q�. QG Town Hall
James King,Vice-President �� 'y� 53095 Route 25
Artie Foster - P.O.Box 1179
coKen Poliwoda = Southold,New York 11971-0959
Peggy A. Dickerson
O'yijJO aQ� Telephone(631) 765-1892
1 `1► Fax(631)765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
October 6, 2004
Ms. Amy Martin
Fairweather-Brown Associates, Inc.
205 Bay Ave.
Greenport, NY 11944
RE: SCHUBERT/REED
FIRE RD. #3, EAST MARION
SCTM#21-1-2
Dear Ms. Martin:
The Southold Town Board of Trustees reviewed the plan prepared by Robert I. Brown
dated September 17, 2004 and determined the proposed addition to the existing
storage shed to be out of the Wetland jurisdiction under Chapter 97 of the Town
Wetland Code and Chapter 37 of the Town Code.
Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the
Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised,
however, that no construction, sedimentation, or disturbance of any kind may take place
seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion
hazard area as indicated above, without a permit. It is your responsibility to ensure that
all necessary precautions are taken to prevent any sedimentation-or other alteration or
disturbance to.the ground surface or vegetation within Tidal Wetlands jurisdiction and
Coastal Erosion Hazard Area, which may result from your project. Such precautions
may include maintaining adequate work area between the tidal wetland jurisdictional
boundary and the coastal erosion hazard area and your project or erecting a temporary
fence, barrier, or hay bale berm.
However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion
Hazard Area would require permits from this.office.
2
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to call.
Sincerely,
Albert J. Krups i, Jr., President
Board of Trustees
AJK:Ims
FAIRWEATHER-BROWN
DESIGN ASSOCIATES,INC.
205 Bay Avenue
Greenport,N.Y. 11944
477-9752 (fax)477-0973
September 21, 2004
Board of Town Trustees R
EC E P U E
Town of Southold
P.O. Box 1179 SEP 4
Southold,New York 11971 2 2Q04
i
Re: Schubert/Reed Southold Town
SCTax Map# 1000-21-1-2 Board of Trustees j
Administrative Permit Application
Dear Lauren,
As per our recent conversation enclosed please find the site plan indicating the proposed
shed addition to the above named property.
This is the adjoining property to Reed as permitted 1/21/04 #5854 Building permit
#30637 dated 9/15/04. Apparently a 90sq.ft addition to the existing 82 sq. foot structure
is needed to store the furniture from the renovation next door. As this is greater than
100sq ft structure we need your approval or letter of NJ to apply for a building permit.
The shed is at the 50' contour and approximately 200' from the high water mark.
If anything else is needed,please do not hesitate to call me.
Respectfully submitted,
Amy Mart'
' *SOIFFO(�-..
Albert J. Krupski,President CO Town Hall
James King,Vice-President �`Z` Gy 53095 Route 25
Artie Foster cz P.O.Box 1179
Ken Poliwoda �? Southold,New York 11971-0959
Peggy A.Dickerson �ij. Telephone(631) 765-1892
�0.( , `1►a Fax(631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
/ Office Use Only
V Coastal Erosion Permit Application
_Wetland Permit Application Major Minor
_Waiver/Amendment/Changes
_Received Application:
_Received Fee:$
_Completed Application
_Incomplete
_SEQRA Classification:
Type I Type II Unlisted
_Coordination:(date sent)
_CAC Referral Sent:
_Date of Inspection:
_Receipt of CAC Report:
_Lead Agency Determination:
_Technical Review:
_Public Hearing Held:
Resolution:
Name of Applicant 1& 1,1 � ,y�a- m-m . &d
Address !0 Q 7 [Aze, o ►) /YLI
Phone Number:( ) J!A— �� '� Coo
Suffolk County Tax Map Number: 1000-
Property Location:
(provide LILCOAP�ole#, distance to cross streets, and location)
AGENT: lNl —bybwri o� h
(If applicable)
Address: 40 6 Ak nyI '
Greie n 12®r� Phone:
Board of Trustees Application
GENERAL DATA
Land Area(in square feet): DLO, 0A 0
Area Zoning:
Previous use of property: ��e ;� Y�51CdpiYl Go� t�'�
Intended use of property: q
Prior permits/approvals for site improvements:
Agency Date
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
✓✓ No Yes
If yes, provide explanation:
Project Description(use attachments if necessary):
obY o
_ red o Aanlu Mem-i 10 a:w
-UAN*n4� Abi-A 49 Pir In f door
� W)l
Board of Trustees Application
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: WkGff a�$Q, 5a 22 0` e,
b g qo 1� dh t-o g J s(de, o-F eyoiAt rj q 51rL)4rive-
Are wetlands present within 100 feet of the proposed activity?
d No Yes
Does the
project involve excavation or filling?
V No Yes
If Yes, how much material will be excavated? (cubic yards)
How much material will be filled? (cubic yards)
Manner in which material will be removed or deposited:
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
from implementation of the project as proposed. (Use attachments if necessary)
n ®V)qFi
C�� �5W.
J/
�I Board of Trustees Application
County of Suffolk
State of New York
BEING DULY SWORN
DE OSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HISMER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY
BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES
HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
Signature
SWORN TO BEFORE ME THIS / DAY OF 20 0y'
ublic
NOTARY PUBLICS ATE OF NEW YORK
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES NOVEMBER 3,20,Q�
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of
this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOUR NAME: I�[ I'Y�I V1Y1fiVi K
(Last name,first name, iddle initial,unless you are applying rn the name of
someone else or other entity,such as a company.If so,indicate,the.other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building "
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other",name the activity.)
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee
of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business,
including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation
in which the town officer or employee owns more than 5%of the shares.
YES NO
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check
the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her,spouse,sibling,parent,or child is(check all that apply):
A)the owner of greater than 5%of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
B)the legal or beneficial owner of any interest in a non-corporate entity(when the
applicant is not a corporation); .
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
OIL_
Submitted thi d ® Zoo
Signature-
Print Name v�
Form TS I
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12/11/2003 14:32 6314770973 FAIRWEATHER BROWN PAGE 02
A„ITTHOIUZATION
(where applicant is not the owner)
residing at
(a►ailin6 a s)
do hereby authorize Amy K. or other of
Fairweather-Brown Design Associates,Iac.
to act as my agent to epply for all permits necessary for the proposed work to be
performed at gr rr'v�e f W a-v( 3 `'�'"'t'r 1�•
I ( 53 `1
19
(Own swatiue)
14.164(12/97) -q
PROJECT ID NUMBER 617.20 SEOR
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 1—PROJECT INFORMATION (ro be completed by Applicant or Project Sponsor)
1. A/PIPUCANT/SPONSOR 2. PROJECT NAME
tam �l -TI� �(1���1� •-,� o��. �L'�I v r�I2'� �-�r� Q
3. PROJEOT LOCATION:
Municipality o/ J /1-(e[O/1) lCountyC':'5)�O
4. PRECISE LOCATION:(Street address and road intersections,prominent landmarks,etc.,or provide map)
FIB road3 -� E�sra FB �S NIo KNOu: '
OFF Pv city PT R l> Lo e 5t S 1 6 C' A D J o 1 n 1 n l
5. IS PROPOSED ACTION:
❑ New YExpansion ❑ Modification/alteration
6. DESCRIBE PROJECT BRIEFLY.
A bb RD ;o� 6 '• -to -e- stj gal /a� � �-�-� t" b e Y epu r e-eLl
7. AMOUNT OF LAND AFFECTED: /`�
Initially 0 acres Ultimately `� acres
8. WILL PROPOSED/CTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
❑ Yes No If no,describe briefly
9. WHA S PRESENT LAND USE IN VICINITY OF PROJECT?
Residential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Park/Forest/Open Space. ❑ Other
Describe:
$`um me�v rt- L f Ba-V Y c��1•'1 d r e a r Gp E h��-`� �.1 o h cj `�I e �o���
10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(Federal,State or
Logo?
Glu Yes ❑ No • If yes,list agency(s)and permit/approvals
Awl, IJt5rRAT1,VC PERMIT FTOrn Tows, _rI?UsreE_S p lI
e>UI L.D fQ 6,- riMrn'► r . From SOJTWOLL�,*TbLc h
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL?
❑ Yes [g�No If yes,list agency name and permit/approval
12. AS A RESULT O PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
❑ Yes No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/Sponsor �i�✓Y)�/ m f�IQ T/�U Date `1 Z( O
Signature
If the action is In the Coastal Area, and you are a state agency,
Complete the Coastal Assessment Form before proceeding with this assessment
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