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Home My WebLink AboutTR-5680 Albert J.Krupski,President Town Hall James King,Vice-President OS�FFU(,�c 53095 Route 25 Artie Foster P.O.Box 117,9 'y Southold,New York 11971-0959 Ken Poliwoda C Peggy A.Dickerson y = Telephone(631) 765-1892 Op Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction % constructed �Project complete, compliance inspection. r. . �1 �SQFF0j/( Albert J. Krupski, President ��. �G Town Hall James King,Vice-President = y< 53095 Route 25 Artie Foster P.O.Box 1179 W Z Southold,New York 11971-0959 Ken Poliwoda � • Peggy A. Dickerson y 0� Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 21, 2004 Mr. Peter C. Sterling Plantings by the Sea, Inc. 5100 Cox Lane Cutchogue, NY 11935 RE: CHARLES BANK 1385 BAYSHORE RD., GREENPORT SCTM#53-4-3 Dear Mr. Sterling: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, April 21, 2004: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit#5680 to include a low stone wall and small arbor, and as depicted on the site plan prepared by Plantings by the Sea, Inc. received on March 29, 2004. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, f° @ Albert J. Krupski, Jr. President, Board of Trustees AJK:Ims FF0 �oGy Town Hall Telephone y Z 53095 Route 25 (631)765-1892 P.O.Box 1179 Southold,New York 11971-0959 �01 � Sao CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, April 13, 2004, the following recommendation was made: CHARLES BANK to Amend Permit#5680 to include a low stone wall and small arbor. Located: 1385 Bayshore Rd., Greenport. SCTM#53-4-3 The CAC did not make an inspection, therefore no recommendation was made. SUFFoc� - Albert J.Krupski,President ��,0 . C� Town Hall `Z G James King,Vice-President 53095 Route 25 Artie Foster � y P.O.Box 1179 y � Ken Poliwoda Z Southold,New York 11971-0959 IS Peggy A.Dickerson ij� O�� Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 25, 2004 Mr. Charles Bank CBJB LLC 1965 Broadway New York,NY 10023 RE: 1385 BAYSHORE RD., GREENPORT- SCTM#53-4-3 Dear Mr. Bank: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday,February 25, 2004: RESOLVED,that the Southold Town Board of Trustees APPROVE the request for a Transfer of Permit#5680 from Mark Gordon to CBJB LLC. Permit issued to lift and reset existing brick walk and construct new brick patio with sand base, and as depicted on the plan dated November 2002. If you have any questions,please contact our office at(631) 765..1892. Sincerely, m Albert J. Krupski, Jr. President,Board of Trustees AJK:hns ' �FFU� Town Hall Albert J.Krupski,President Q �CO James King,Vice-President lj 53095Main Road 'y P.O.Box 1179 Henry Smith o Southold,New York l 1971 Artie Foster H Z Ken Poliwoda Oy Telephone(516)765-1892 �Ol �aQ Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Please be advised that your application, dated has ben eviewed by this Board, at the regular meeting of and the following action was taken: ( ✓) Application Approved (see below) ( ) Application Denied (see below) ( ) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 9'0 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ <J- 0� �c e a ttoo fLed) 0 SIGNED: PRESIDENT, BOARD OF TRUSTEES BY: n r la ti t!LTRX, BOARD OF TRUSTEES 4/98 y`y� .� .>,� ��l��P,«,�,�'� au,��.�.'�H� �•C.•'FCF'. �`�x'`°'+�' Y Fes. .� 'Y�S�''ic;a:..i� �..�:. ��S. ,7.Y` :mac. � • y ._ m.: `' ',�.`�,� � ��C /!. �.V %/ems• � _ yh-tie^•. _ ' }".'.? - 77 Board Of Southold Town Trustees , - a SOUTHOLD, NEW YORK -. : Dec. 19,. 2002 :.. " SOTO... DATE•PERMIT NO � F: i.' MARK GORDON ' nz. ISSUED TOa Au#I t ttftun -S y Pursuant to the provisions of Chapter 615 of the Laws of. the State of New York, 1893; and Chapter 404 of the Laws of the r� State of New York 1952; and the Southold Town Ordinance en- �* titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and ` REMOV AL OF SAND, GRAVEL-OR OTHER MATERIALS FROM \ LANDS UNDER TOWN WATERS;", and in accordance with the ec 18 Resolution of The Board adopted at a meeting held on ......D.......�..-...--...,-. 2002 50 00 < .......... , and in. consideration of the sum of .............�-- paid by Is t dax ...............................Plantin s by Sea...for..Mark...Goxg. .. ..... - - . . �y. of ........Cutchogue.................................................... N. Y. and, subject to the 'Fr Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: ' Wetland Permit to lift and reset existing brick walk and , t r construct new brick patio laid in sand base as per the approved plan dated November 2002. all in accordance with the detailed specifications as presented in 1 y the originating application. The said Board of Trustees Mere- t IN WITNESS WHEREOF, .- by causes its Corporate Seal to be affixed, and these presents to ie be subscribed by a majority of the said Board as of this date. •l 1 x,' 7 Y Trustee: -- ``� �;'E'txY �� '�`6 �S. .4Y"•�.%.�qp•-..� r,,*�y P�\Q` `�i.`rPnr '... �R&S t '-.:.... TERMS and CONDITIONS ,The Permittee Mark Gordon residing at 146 Central Park West, Apt. 24E, NY 10023 N. Y., as part;of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowiag i. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper- ation performed pursuant to this permit, and the said Permittee will, at his or her awn expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability' with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of : 24 mo& which is considered to be the estimated time'required to complete the work invohvd, but should draunstanas warrant, request for an extension may be made to the Board at a later date. I That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that auth orization was originally obtained 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with.the provisions of the originating application, may be cause for revocation of this permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the.removal and/or alterations . in the location of the work herein anthorbTd, or if, in the opinion of the Boatel of Trustees, the. work shall cause unreasonable .obstruction to free navigation, the said Permittee will be requiftd, Upon due notice, to remove or.alter this work or project herein stated without expenses to the Town Of Southold 8. That the said Board will be notified by„the Permittee of the completion.of the work auth- orized. 9. That the Permittee will obtain all other permits and consents that may be required sup' plemental to this permit which may be subject to revoke upon failure to obtain same. Albert J.Krupski,President Town Hall James King,Vice-President OS�FFO(�C 53095 Route 25 0�► O P.O.Box 1179 Artie Foster �� GV Southold,New York 11971-0959 Ken Poliwoda o= Peggy A.Dickerson y = Telephone(631) 765-1892 Oy �� Fax(631) 765-1366 col � Sao BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 19, 2002 Mr. Peter Stirling Plantings by the Sea,Inc. 5100 Cox Lane Cutchogue,NY 11935 RE: MARK GORDON 1385 BAYSHORE RD., GREENPORT SCTM#53-4-3 Dear Mr. Stirling: The Board of Town Trustees took the following action during its regular meeting held on Wednesday,December 18, 2002 regarding the above matter: WHEREAS, Plantings by the Sea, Inc. on behalf of MARK GORDON applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code,the Wetland Ordinance of the Town of Southold, application dated November 18, 2002, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 18, 2002, at which time all interested persons were given an opportunity to be heard, and, WHEREAS,the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, 2 NOW THEREFORE BE IT, RESOLVED,that the Board of Trustees approve the application of MARK GORDON to lift and reset existing brick walk and construct new brick patio laid in sand base and as per the approved plan dated November 2002. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$5.00 per inspection. (See attached schedule.) Fees: None Very truly yours, Albert J. Krupski, Jr. President,Board of Trustees AJK/lms Town Hall, 53095 Main Road ,T P.O. Box 1179 Telephone O �� Southold. New York 11971 (631) 765-1892 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Thursday, December 12, 2002, the following recommendation was made: MARK GORDON to lift-and reset existing brick walk and construct new brick patio laid in sand base. Located: 1385 Bayshore Rd., Greenport. SCTM#53-4-3 The CAC did not make an inspection, therefore no recommendation was made. SURVEY OF LOT 20 8c P/O LOT 21 AMENDED MAP A LP,CIO % PECONIC BAY ESTATES \ 'W FILE No. 1124 FILED' MAY 19, 1933 m2 \ SITUATED AT \ ARSHAMOMAQUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 04V.oy1 � Un S.C. TAX No. 1000-53-04-03 SCALE 1 03=2' 1 E C E Q P 4 DECEMBER 7, Ff• o ti" �„ / / ,� AREA = 14,856.21 t. v MAR 2oa4 '. e9 * (TO TIE LINE) 0.341 aC. Southold Town I Board of Trustees CERTIFIED TO: s9. °? / �O CHICAGO TITLE INSURANCE COMPANY o ry / DECISION, 2000 REAL ESTATE SERVICES *• \ / 4� MARK GORDON ELLIE GORDON (�O ti SURVEYS AS ESTABLISHED \ �, STANDARDS FOR TITLE SURV PREPARED IN ACCORDANCE WITH THE MINIMUM BY THE I S. AND APPROVED OR SUCH - SE BY THE NEW K�YORK LAND OJel' / D ADOPTED � OQ` ` •fi�- \ � a v � ry / TITLE ASS IATION. OT q Gp F k rok �y 49 Ao / L N.Y.S. Lic. No. 49668 ° Jo h A. In a no O f 0 , P J 9 yc UNATHORIZED ALTERATION OR ADDITION L n d Surveyor • TO THIS SURVEY IS A VIOLATION OF +� SECTION 7209 OF THE NEW YORK STATE v ` EDUCATION LAW. .• • �A �� COPIES OF THIS SURVEY MAP NOT BEARING \ THE EMBOSS D SEAL SHALL INKED NOT BE CONSIDERED Title Surveys — Subdivisions — Site Plans — Construction Layout ,O To BE A vALlo TRUE COPY. PHONE (631)727-2090 Fax (631)727-1727 �' CERTIFICATIONS INDICATED HEREON SHALL RUN • ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE OFFICES LOCATED AT MAILING ADDRESS • • THE EXISTENCE OF RIGHTS OF WAY TITLE COMPANY, GOVERNMENTAL AGENCY AND 1380 ROANOKE AVENUE P.O. Box 1931 AND/OR EASEMENTS OF RECORD, IF LENDING INSTITUTION LISTED HEREON, AND RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 a � TO THE ASSIGNEES OF THE LENDING INSTI— ANY, NOT SHOWN ARE NOT GUARANTEED. TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. 21 -585 - I ' :e� s a Ilk i 1 his-�ti `y \ , •a �1 F} � r i •tea...y 3 \ t GRr L �.yy LI1�111II: �TLLIT�ITII ITf T1�1-�1TTL�1111�TITLI M, - •Sp CD � RD. RD. AOR P 411 ,� /`' :.r- �� F� DLO\ `\\.�f N LL• '< 4 P �+ ,�;�,�. �f♦f yFgse, P ,�a 6' 'W's Y �t. 'A', r j0 4 ` t � ,sa i (f Is r r F @\qa ra \ f. St — - Albert J. Krupski,President 0�0 CO Town Hall James King,Vice-President h� Gym 53095 Route 25 •� P.O.Box 1179 Artie Foster h = Southold,New York 11971-0959 Ken Poliwoda Peggy A. Dickerson �j. �� Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENER MAR 2 2004 Southold Town DATE March 26, 2004 ! Board of Trustees OWNER Charles Bank PHONE ( 212 ) 712-041 A ADDRESS1965 Broadway Apt 6A New York, NY 19023 AGENT Peter C. Sterling PHONJ631 ) 734-6755 ADDRESSPlantings by the Sea, Inc . 5100 Cox Ln Cu rogue , NY 11935 PROPERTY LOCATION 1385 Bayshore Rd Greenportr, NY 11944 TAX MAP NO. SCTM#53-4-3 I/We Peter C. S . _r l i n g request an Amendment to Permit# 5 6 8 0 to include a low stone wall and small arbor Rc r,Pr pia Signed By: suFFot� Albert J. Krupski,President 0�� CMG Town Hall James King,Vice-President �`Z` �f. 53095 Route 25 Artie Foster o 1 P.O.Box 1179 y = Southold,New York 11971-0959 Ken Poliwoda �Peggy A.Dickerson ,l,� O�� Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES __ TOWN OF SOUTHOLD p17 BOARD OF TRUST EES: TOWN OF SOUTHOLD E C E U ---------------- In the Matter of the Application APR - 6 2004 of h� Southold Town --- '-�==-` -- = ------------------------------ Board of Trustees COUNTY OF SUFFOLK) STATE OF NEW YORK) 1 AFFIDAVIT OF POSTING I, e , residing at being duly sworn, depose and say: That on the ` day of -1V , 200 y I personally posted the property known as 3--7_yS46i,o—e A/ ®m-- by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held 0,1?� oW o2f z 2w-/'- 0'l a6A_L_t (x oo M, Dated: � e (signature) Sworn to before me this day ofkielL 200 ry P is ItAHCY T.f1J800 .ft"No601F1 9IQuavila4p7pS r Lbn �.l�tt20. PROOF OF MAILING OF NOTICE ATTACH'CERTIFIED MAIL RECEIPTS Address: re Rd. Greenport, NY 11944 [� CERTIFIED MAIL-nm RECEIPT � �• . Provided) . St. New York, NY 10028 co ru Postage $ 0.37 UNIT ID:_-0935 r=1 Certified Fee `J�G�0 0 Return Reclept Fee / G Postmarks M (Endorsement Required) 1.7.5 1 Here co Restricted Delivery Fee K"WKMDV ,co (EndorsementntRequired) � C erk: Total Postage&Fees s 4.42 03 m 0 Sent To ArJ ATE 6oi- Ej Street,Apt.No.: or PO Box No. r�.3� � , ------------------ City State,ZlP+4 '/ V---- - /v N 1� being duly sworn,deposes an says that on the G u t c o 20_� deponent mailed a true copy of the Notice - _ -d-ay of.. set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names;that the addresses set shown on the current opposite the names of said persons are the at said Noticess of were ma led at e United t States Post assessment roll of the Town of Southold;that ,that said Notices were mailed to each of said persons by Office at Cu t c h o a u P NY (certified) (registered)mail. Sworn to before me this Day of�l,� — ,202y Notary Public Notary Public Sttate off New York No.4948506 Qualified in Suffolk Caun Commission Wires March 201 U. 7 Mar 28 04 02: 00p Shelter Rock Holdings 212`99777 p. 2 Boar if 'Trustees Application AVIMORI ZAT1oN (where t1le applicant is not L-he owner) g� Charles ..bank residing at_.19.b5__Hs .. 26?� (print owner of property) (Mailinga� r s s� -New York, NY 10023 do hereby authorize Peter C.. Sterla.ng ( Agent) Plantings by the Sea, Lng. to apply for permit( s) from the Southold Board of Town Trustees on any behalf. _�_ (owner's signature)) s Mar 28 04 02: 03p Shelter Rock Holdings 2125889777 p. 1 Bo"-- of rvrustees Application WE county of $»€ftatk State of ].New York Charles Rank BEING •DULY' SWORN DEPOSES AND AFFIRMS THAT H SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE- AND BELIEF, AND THAT' ALL WORE 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 TOWtt 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 PMER ONTO MY PROPERTY. TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF- .THIS APPLICATION. :;, Signature DAY OF f`�i1RC �� r '9ZGay SWORN TO BEFORE ME THIS Notary/Public ,;ary Pwiio,state of Mew Vwk NO.01GLe=3D2 Qusfitied in Kings County cpmmirs®lon Expir®s July 16,2007 7 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 emioyees.The pumose 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. YOURNAME: sterling, Pete IncI n C for (Last name,first name,middle initial,unless you are appl 'ng in e name of . Agent n t someone else or other entity,such as a company.If so,indicate the other Charles Bank person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If"Other",name the activity.) Am e n rl m an t +p_ � 7Z--U--Z--1—LL- .L 6 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 X 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 Submitted thi ay of, va",-t- 200 Signature Print Name ;�� ......,. ., . $11FFU�� Albert J.Krupski,President 0 C Town Hall James King,Vice-President � �r/y 53095 Route 25 Henry„Smith o P.O.Box 1179 CODSouthold,New York 11971-0959 Artie Foster Ken Poliwoda - Telephone(631) 765-1892 A. �a0� Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Major Minor _Waiver/Amendment/Chan es �eceived Application:_-//_I .Received Fee:$ ' ..-Eompleted Application / _Incomplete _SEQRA Classification: Type I Type II Unlisted __,`:_ _ Coordination:(date sent)_ .EAC Referral Sent: a a� _ 8 2�a2 j /15ate of Inspection: /a.J//f 1? i,' I� _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: .�i lic Hearing Held: I 1 Resolution: Name of Applicant Mark Gordon Address 146 Central Park West, Apt. 24E New York, NY 10023 Phone Number:( ) 212 957-2000 Suffolk County Tax Map Number: 1000 - 5 3-04-0 3 Property Location: Bayshore Rd . , Greenport Lilco #26 ' 2/10 mile from Kerwin Blvd . (provide LILCO Pole# distance-to cross streets, and location) AGENT: . Plantings by the Sea , Inc. (If applicable) 5100 Cox Ln. Address: Cutchogue, NY 11935 Phone: 734-6755 Board of Trustees Application GENERAL DATA Land Area(in square feet): 14, 856 . 21 sq. f t . Area Zoning: Residential Previous use of property: Private Residence Intended use of property: same as above Prior permits/approvals for site improvements: Agency Date x No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: New Ownership/Not to our knowledge Project Description(use attachments if necessary): Lift and R P S e t Existing Brick Walk And Construct New Brick Patio Laid In Sand Base 1.4-16-4(2187)—Text 12 ' PROJECT I.D. NUMBER 617.21 SEO Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Plantings by the Sea, Inc. I Mark Gordon/Homeowner 3. PROJECT LOCATION: Municipality Green port County Suffolk d. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) Bayshore 'Rd. Greenport , NY 11944 2/10 mile from Kerwin Blvd . 5. IS PROPOSED ACTION: p CHNew ❑Expansion tX Modificationialteration 6. DESCRIBE PROJECT BRIEFLY: Lift and Reset Existing brick Walk And Construct New Brick Patio Laid In Sand Base 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 1 ,068 sq. ft . a. WILL FROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ❑No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑,!ndustrial ❑Commercial ❑Agriculture Li Park/Forest/Open space i!Other . Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? ❑Yes 91 No If yes, list agency(s) and permitlapprovals 1.1. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes' L` No If yes, list aaency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE.MOOIFICA T ION? ❑Yes a Nd I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNCWLEDCGE Applicant/sponsor naman Pl/aantin S b ea Inc . Date: 11/07/2002 Signature: If the actionis in the Coastal Area, and you are a state agency, completa the ICoastal Assessment Form before proceeding with this assessment OVER i PART II—=V'llnCilti1E`li'.' _ SMENT i^0 be C0r 0)ete0 by .�yenC 1 O DES ACTiCN EXCEED ANY -E:_Hi 25HOL'J!N 3 NYCRn. PART 3:7.:<? :f yes, cocrainate ine review process and use the F° L_ _s�F. iEl Yas IE No B. 'NILL ACTICN 3E•JciVE CCR0I1NAT20 REVIEW AS PROVIDED =OR UNLISTED ....TICNS iN 3 N'(C=R, ?.ART 357.57 if No, a negative _ec:ara may be sucersedeC by another;nvolvea agency. { l'"es No 1 C. COULD ACT!GN RESULT:N ANY ROVE=SE E`cCTS ASSCC:ATED'NIT;'. -HE F'OLL„WING: tAnswers may ce nancwritten. if ;egrble) I C1. Existing air quality, surface or'grounawater cuality or cuanuty, noise ieveis. ex:sting :,affic -atterns. solid .vasta prccuc:ion or alscc potential for erosion, grainage or :loading problems? :=lain briefly: No C2- Aesthetic, agricultural, arc;taeological,historic, or other natural or cultural resources:or community or neighborhood cnarac-ar? Explain c, No CO. Vegetation or fauna- flsn. snellfisn or wildlife species, significant na=itats, or threatened or endangered =_cec:es? Exclain orlatly: No C;. A community's existing plans or goals as otfic:ally adopted,or a change in use or intensity of use of land or other natural resources?Explain cr No 05. Growth, subsequent:avelooment.or related activities likely to be induced by the crebosea action? Explain oriefly. No iiiS. Long :arm, short term. cumuiadve,or other erfects not identified in C;-CS? Explain brteily. No Cuter imoac:s;inc:acing changes in Ise of ether quantity or type or energy)? -:oia!n crietly. No 7HERE. ' iS THERE _:KE_Y 70 SE.CONTROVERSY RELATED TC POTENTIAL A_-VERSE =_`IVIRCNMENTAL;,-APACTS? Yes X:.Ja If Yes, explain ariefty ?ART III—CETERMINATION OF SiGNIFiCANCE (To be completed by Agency) INSTRUCTIONS. For eac:t adverse effect identified above,determine whether it is substantial,large, imponant or athermise signific. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occo..ing; (c) duration: irreversibility: (e) geograenic scope: and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure exoianaticns contain sufficient detail to snow that ail relevant adverse impacts have been identified and adequately addressec- Check this box if you have identified one or more potentially large or significant acverse imoac:s ,union 'ri..'.' occur. Then oreceed directly to the FULL E.AF anolor prepare a positive-declaration. i �i C) eck this box if you have determined, based on the information and analysis above and any supoor;icc documentation, :hat the proposed action WILL ;40T result inlay significant adverse environmental impacts AND orovice on attac.iments as necessary, the reasons supporting this determination: +i Plantings by the Sea, Inc . v„me nr _%:ju.A Gcnc,, Peter C. Sterlincf president - ;,,in( it IC `Jine 71 )Iricer.n L• a AgerIC! tale or :1v.00ns,oie 011-1 n lesccnt,cie•_incer n .C3a Asency i,4na;ure Jf ?!.darer or :,::Brent :rorn resoonsiote OrnC2rl 1 1 /07/�002 JJ[C .y NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Mark Gordon SCTM#1000- 53-04-03 YOU ARE HEREBY GIVEN NOTICE: 1 . That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Lift and Reset Existing Brick Walk And Construct New Brick Patio Laid In Sand Base 2 . That the property which is the subject of Environmental Review--is located adjacent to your property and is. described as follows : 3 . That the project which is subject to Environmental Review under Chapters 32, 37 , or 97 of the Town Code is open to public comment on: .12/18/2002 You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal . OWNERS NAME: Mark Gordon MAILING ADDRESS •� Cen 46 tral Park West Apt . 24E New York, NY 10 PHONE #: - Enc. : Copy of sketch or plan showing proposal for your convenience. S PROOF OF MAILING OF NOTICE ATTACK CERTIFIED MAIL, RECEIPTS Name: Address: Ms . Annette Golden 430 E. 57th. St . New York, NY 10028 Ms . Katharine oliver 12555 Bay Shore Rd .Greenport, NY 11944 STATE OF NEW YORK COUNTY OF SUFFOLK residing at S-/ors sae 41- Id G4T being duly sworn, deposes and says that on the oZS�S day of A10V , 20oa-, deponent mailed a true copy of the Notice set forth.in the Board of Trustees Application,directed to each of the above named "persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at that said Notices were mailed to each of said persons by (certified)(registered)mail. Sworn to before me this ,1F>AlE E.5A1'Rlo Day of Nfo4embf r , 20 O.D— W01tu'Y Pubb,State of Now Yc No.4948MS CAMT led in Suffolk C. Of, E Gornr %loa BOA 3aL a3 Notary Public Albert J.Krupski,President oS ,�c Town Hall James King, � O .53095 Route 25 Vice-President = l/,y� Henry Smith o P.O.Box 1179 Z Southold,New York 11971-0959 Artie Foster coo Ken Poliwoda Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application of --�rl5-Ot ngn— ----------------- COUNTY OF SUFFOLK) STATE OF NEW YORK) ®*A-r1Af& S ��,�� AFFIDAVIT OF POSTING I,��Zc,e S129Z4/A16 , residing at .52o0 COX 4.4. -c-rel—M&14 4�- being duly sworn, depose and say: That on the Z day of Dze. , 200 , I personally posted the property known as GOrGDd J P1419E2T✓' �'�Y-�� 61teE '`j'Qotl' by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public earing. Date of hearing noted thereon to be held�p(��g � aco , to CC t -�lob P rn Dated: (signature) Sworn to before me this day ,of 200 a-- Notary Public •�I�.',,. a r� r� 0-5 1BCCT. 31• 20G2112;56PM6317SHCT SOX or Trmtmr. �' -Lac A (where the applicant is not tha ®der) 1�q .&, I residing at era WAL4112 �� do hereby authari�� - $Agent I to app1Y tar pexmit(s) from the /,, rutoken an aY behalf. v�rner's ature) B , .1 Board of Trustees Application County of S State of New York VBEING DULY SWORN DEPOSES 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 HIS/HER 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 RE OF THI LICATION. f ignature SWORN TO BEFORE ME THIS I DAY OF 91 ,20 d (� _�-- ALAN SCHNUER O1SC4991025 NOTARY PUBLIC STATE OF NEW YOB K Notary Public QUALIFIED IN NEW YORK,COUNTY COMMISSION EXPIRES JAN 212006 Southold Town Trustees February,6,2004 P O Box 1179 Southold,NY 11971 Re: 1385 Bayshore Road Greenport,NY 11935 Permit# 5680, SCTM# 53-4-3. Dear Trustees, On behalf of CBJB LLC, address 1965 Broadway,NY,NY 10023,Phone# 212 2074515, the current owners, I hereby request a change of name on the above mentioned permit from Mark Gordon to CBJB LLC. Yours Sincerely, E C D FEB - 9 2004 Charles Bank Southold Town President. Board of Trustees c C 3 .� NEvJ { � EcE vE MAR 2 9 2004 "I X Southold Town k �t Board of Trustees y A• 2 F C)" Pi G 1-4 SiLLJ ``W cep s i f / LL. N O Q- C LO, Z Q J. f 3; f A i Y ' i I � I 1, fig, i < •'� .�of Y.r�' ,rti:�' �'.�a.� Ch��:C�t,��'�."/;'��" �'r.. SCALE' y APPROVED BY: �y.y • / �'� irr DRAWN BY /; �.•-„� DATE: `}�-�- �� REVISED t � 1,.r•''./�"/.°rts.` F+..:'`f-i.•�.'�'�A� ,•�l✓(,,' ,�`'�:ter;./ .., . _r ,.w.•..—,. _� .� _,... .-. ._ w_ .. .•_ J-7-['�tl li-- E.,Rs'1 c t— A YtiC W It y y r„ �. t. << r.•^�.�.+�'+ "�`�.._� � DRAWING NUMBER 17%22 PRINTED ON NO.IOOOH CLEARPRINT• � 1 ! t� FFCj 2004 r�'lc � �� /a�� ; Town ustees p,Ga r'i p 1 + I � {{ Ste-Y,,,..i "� '7 �• � •7��i Jr`,•`�l!i I WA U!' itn L--nrn � I 7 1I i v i 1 : 1 i r 6 ` � f S , l� f{fE I (1( . J ti i SCALE: M �l1�i APPROVED BY: DRAWN BY ` DATE: REVISED 1 .4...•-..n•*.•.,..fi...,•,_....rv-d.A.-.,.,,,,r.,..-.r........,.„:...-..r--• ,....... - ^,--' _..,,.,-�... w.. �)"�+c�9P1✓l� Lt,r'i?f.6.r �1��i��C^l�t;� DRAWING NUMBER --------------- 17 X 22 PRINTED ON NO.1000H CLEARPRINT• > _._.....__fir.,.. :e....._.._...__ i i i f I f mrv.1 -i � t;�.�fc.�;- oN s•�Mo j t P/fs € IL I t/ X :AA 2 9 '200� 11 I } y a seutnoia rd� ufT�o A.Att) I,'a:ST P f' Board of.Trus4ees it Y ( ( I a i i 1 � 1 , f f r SCALE: APPROVED BY: y-y DRAWN BY ` DATE: �5 l�'�, REVISED . ` \ (Y•fF �`�4w16,. �4 fi` �':o/fit N/'�� 'r> f�7�f r "K" ti,. p,t +K. K J ��. M _,.K�' t' >... :Y` "1 � DRAWING NUMBER 17 X 22 PRINTED ON NO.1000H CLEARPRtNT• `