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HomeMy WebLinkAboutTR-5953 James F.King,President QF so(/jyo Town Hall Annex Jill M.Doherty,Vice-President 1 54375 Main Road . Peggy A: Dickerson P.O. Box 1179Southold,New York 11971-0959 Dave.Bergen G Bob Ghosio;Jr. %�` �Q Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0420C Date April 27, 2009 THIS CERTIFIES that the i artial demolition of the existing dwelling, expansion of the first floor, second floor addition, gutters and drywells At 165 Bungalow Lane, Mattituck Suffolk County Tax Map#123-3-4.1 Conforms.to the application for a Trustees Permit heretofore filed in this office Dated 6/25/64 pursuant to which.Trustees Wetland Permit#5953 Dated 7/21/04 was issued and conforms to aff_of the requirements and conditions of the applicable provisions of law.The project for which this certificate is being issued is for the paftial demolition of the existing dwelling, expansion of-the first floor, second floor addition, gutters and drywells. The certificate is issued to DAWN RYAN owners of the aforesaid property. o� ' Authorized Signature. I James F. King,President ti Town Hall,53095 Main Rd. Jill M. Doherty,Vice-President ,�. P.O.Box 1179 Peggy A.Dickerson Southold,NY 11971 Dave Bergen �f� �� Telephone(631)765-1892 Bob Ghosio,Jr. �' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: o�-\ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction % constructed Project complete, compliance inspection. 4 INSPECTED BY: —71A M, COMMENTS: O �W� CERTIFICATE OF COMPLIANCE: Albert J.Krupski,President Town Hall James King,Vice-President �S IFF01/( 53095 Route 25 Artie Foster, �. P.O.Box 1179 Ken Poliwotla 'y� Southold,New York 11971-0959 .. • o= Peggy A.Dickerson y Z Telephone(631) 765-1892 Oy �4w Fax(631)765-1366 col 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 1 st day of construction Y2 constructed ✓ Project complete, compliance inspection. r PW -41 _. Board Of Southold Town Trustees �.' SOUTHOLD, NEW YORK :` 1t PERMIT NO. ... . .........{.3::: DATE: .....JulY..2.1,....2004 x` . ..... ' DAWN RYAN ISSUED TO .... ...................... x ............. t. 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 �< State of New York 1952; and the Southold Town Ordinance en- titled ."REGULATING AND THE-PLACING.OF..OBSTRUCZh4NS. IN AND ON TOWN WATERS AND PUBLIC LANDS and--the REMOVAL OF SAND, GRAVEL-OR OTHER MATERIALS:FR--OM �s LANDS .UNDER TOWN WATERS;"" and in. accordance with 'the Resolution of The Board adopted at a meeting held on ...July„2.1�... 2 � .......004....., and in consideration of the sum of $.......250..00.... paid by Dawn Ryan ..............._..... ; t ...................................................................................................................................... . 4 Mattitu �- of ................................c...k....................................................... N. Y. and. subject to, the Terms and Conditions listed on the reverse side hereof, , of Southold Town Trustees authorizes and permits the following: :�.. Wetland Permit for a partial demolition of the existing single- 1 family dwelling, expansion of the first floor, and second- floor addition, with the condition drywells' and gutters are ' M installed to contain the roof run-pff, and all as depicted on all in accordance with the detailed specifications' as presented in the on inatiag application. the survey prepared by Stanley ? Isaksen, Jr. last dated August 3, 2004. IN WITNESS WHEREOF, The said Board of Trustees Mere- 1 by causes its Corporate Seal to be affixed, and these presents to I be subscribed by a majority of the said Board .as of this date. Oc���FU(��D TERMS and CONDMONS Peraaittee Dawn Ryan 165 Bungalow Lane, Mattituck residing at - . .._. N. 'Yy . of the consideration for the issuance of the Permit does understand and prescribe to the foI- lowing: I. That the said Board of Trustees and the Town of Southold are released from any and all damages, or daims for damages, of suits arising.directly or indirectly as a trwh of any open. sdod-performed .pursuan �:.�is-..,per t,..end..,the.said 3'eraviteoe.gill, at �s or fur awe e:pease, defend any and all such suits`inidated by third patties, and the said Permittee assumes fall liability with respect thereto, so-the�ete emdusion of the Claud of Trustees. of the Town of Southold. 2. That this 1lheulhit is valid for a period of 24 : Woe. which is dtit�idetbd to be the estimated time-required to oc implete the wotk involved, but should cirtumstanocs warrant, request ;for an extension :may be nude to the board at a .later date: - 3. That this Permit should be retained indefinitely, or as long as the said Pettola a wishes to.maintain the structure or project involved, to provide evidence to anyone concerned that auth- vrizadon was originally obtained. 4. That the work involved will.be subject to the inspectim and approval of the Board or Its agents, and non-compliance with the provisions of the originating application, maybe 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 wodt herein authorized. G. That there shall be no interference with the right of :the public to pass and repass along the beach between#sigh and low water marks. 7. That if future operations of the Town of Southold reguire the.removal mWor alteradons In the location of the wotk terda-authotized, or if, in the opinion of Ahe.Board of Tnutees the. work.shall cause unreasonable obstruction to free navigatioa, the said Permtttee will be rogvired, Ripon-due nods, to remove or alter this work or project herein stated without to the Town` of $ostthold. 8. That the said Board will be notified by the Permittee of the aonVedon of the work antdh- odzed. 9. That the Penuittee will obtain all other permits and consents that may be required tap- elemental to this permit which may-be subject to revoke upon failute to obtain tame. SUFFo�� Albert J.Krupski, President QUO COG Town Hall James King,Vice-President:"' 53095 Route 25 - Artie Foster y - P.O.Box 1119 Ken Poliwoda Southold,New York 11971-0959 Peggy A. Dickerson 'yijJO aQ� Telephone(631)765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 21, 2004 Mr. Frank Notaro 13405 Main Rd. P.O. Box 93 Mattituck, NY 11952 RE: DAWN RYAN 165 BUNGALOW LANE, MATTITUCK SCTM#123-3-4.1 Dear Mr. Notaro: The Board of Town Trustees took the following action during its regular meeting held on Thursday, July 21, 2004 regarding the above matter: WHEREAS, Frank Notaro on behalf of DAWN RYAN 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 June 25, 2004, 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 July 21, 2004, 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, 2 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, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of DAWN RYAN for a partial demolition of the existing single-family dwelling, expansion of the first floor, and second-floor addition, with the condition drywelfs and gutters are installed to contain the roof run-off, and all as depicted on the survey prepared by Stanley J. Isaksen, Jr. last dated August 3, 2004. 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$50.00 per inspection. (See attached schedule.) Fees: $100.00 Very truly yours, /Ia"_ r m • Albert J. Krupski, Jr. President, Board of Trustees AJK/Ims Albert J. Krupski, President :.:, .. D�,OSuFF01/r Town Hall James King,Vjce-President 53095 Route 25 Artie Foster Co P.O.Box 1179 Ken Poliwodayy, �? Southold, New York 11971-0959 Peggy A. Dickerson Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ba--WK R an Please be advised that your application dated 1p l has been reviewed by this Board at the regular meeting of O Andthe following action was taken: LZApplication 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 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: �pc�c�i`oc,s lac h = Imo. cx7 (�Pe C�-�{QC►hQd� piLOo SoeL P16Ln— CkNU-V[IS � S� TOTAL FEES DUE: $ SIGNED: PRESIDENT, BOARD OF TRUSTEES ✓ sr a 4 f d, 14 Field Inspection r yy}}�ryyr r � ems_ � *�"' � d '.4 aNas, a *��s�p',�• gyp�' �f�A ,� •� �f; � � � � �;, 4. a e q t .s 7/15/04 Field Inspection ..A Ili � $r I„ 1 r .w,.,, � ..�✓":T r bb N. ..4 � BiH�YP�Bk,;,'��.^�� -.. ., wan",.iRli�' .wF'T$r+?5"1� .. Yr a,; g�e Aryc.� 7/15/04 Field Inspection z �$ r 6�G 7/15/04 Field Inspection i F ,a �.�OM� 'bon '_ ... _ £•/ +dJ��.3$' V � �.. � r ..� � �: IT 4f d 'p1\ �;74 IPA ,r-p.A�.•vr�-mod ar�a�- r ..i��!'� .L';5 ,',. � �,+ ,T, a. ,... ' 77,` o�oSOF�ot,��o _ Telephone p Town Hall (631)765-1892 y Z 53095 Route 25 p P.O.Box 1179 Southold,New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, July 13, 2004, the following recommendation was made: Moved by Bill Cook, seconded by Doris McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of DAWN RYAN for a partial demolition of the existing single-family dwelling, expansion of the first floor, and second- floor addition. Located: 165 Bungalow Lane, Mattituck. SCTM#123-3-4.1 The CAC recommends Approval of the application with the Condition dryw ells and gutters are installed to contain the roof run-off, away from the water. Vote of Council: Ayes: All Motion Carried N e � m,°p �% Rea Property lax Service Agency �e p r.... a — rr. ,moi o2xrr ^etmr° Wash Now or.. to um tr..,. w — ,.,.r nocxa ,nrrtx ♦ wa x r¢r u m ..' •:-. ._tzt Sw n...w. . mow,.— -:.:, .. ....,., ,.�.,.. .-..•. iu.:maWlra Fsg+ci..mRt �.. >a e�o�'r—= � vs�rw 0-�2-00 sEE slc.xo.vs ' eo o).i1-oi w,a scP�� sss-asaa + /V/ s+,.jp� /m O 1 a LEm p` ♦v' •§ •gI �7 l m O + ♦ f+lb l+ s 12 'SOS. 'ov 2 5 Otsv SIRE is a w ♦ CREEK B 9 � 1 vcud a) Y � •D s _ � s�9' 7 —N— as S) W 2t 37 ~ 2 �q a Ysn � .gSB 9 °�♦�.g/'" � � r e ` P!1•fm-l5� a 7V� RAJ . \\� \\ I v �ywle ll 12.3 6 � �5 it jO P\•O.4C " U FO �O is y t ,ry zo 49 „♦� BAY F CONIC ai�� REAT a O �Y a� 4 — — ..�. Izv �,, O —_ —_ —_ —_ K�,„ NaTICE COUNTY OF SUFFOLK © K an a SOUTHOLD SecTnoN No xatxwq urtn+noµ eac cx Rem Property Tax Service Agency rW E µ-- -- -- — -- oa, w a+xr vm,a�a,a o Carty Center Povertnad,N Y IL901 12 3 N. .. ..... —_— —_ —_ —_ —_ a.,al to.m ru aw s ewoe.rm sua x rm� u jl �taz um.r tv+ �.. —__— —_ —_ ..v x.—..-- .,m. nrwur rmtw rtwam�a m ♦ A mt•iv xa... ----- -- -- It<.l xiamm,u esawE+axn. e.2o p 06mT Ne IOOO � PROPERTY MPP . tlIM11,t91 Waa xn4xa " I • I;TECNO;LCJGIE'S ARCHITECTURE kANNiNG com!RLTmoN,sE Runs ' 13405 Main Road.Mat ift ck,-New Yak.11952 $31.298.1129' fax:63f:298.1128 August 4;2004 Southold Town Board of Trustees, �. � E � �"I� 1'3 Re Steven k Dawn Kramer 165.BungalowLane ` AUG, 6 2,^�1 Mattituck;N Y. ,11952 S:C.T.1VI#1000=123-03 004.1 Southold Town :Board of.Trustees To Whom It May Concern = We have enclosed the following information for your review - •." Updated site survey with locaiions`for the required drywells on site. , The drywells will collect the water runoff�from the roof :Leaders and;gutters will be noted.on ahe final!construct action.documents prepared by our office Pleas( Fde1 ree;,to,"contact our office with any questions at 631 :298 1129 sv IM r ou°r��tirre and conslderatlon; ; Fa" 64 , r GUARANTEES INDICATED HERE ON SHALL RUN SURVEY OF ONLY TO THE PERSON FOR WHOM THE SURVEY - ' ' '� - DESCRIBED PROPERTY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY, - LENDING INSTITUTION, IF E LE HEREON, AND APPROVED BY SITUATE TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. MATTITUCK f TOWN OF SOUTHOLD UNAUTHORIZED ALTERA770N OR AD01770N TO THIS BOARD OF TRUSTEES SUFFOLK COUNTY, I-, N.Y.U, SURVEY IS A V10LA7)ON OF AT70N N W. OF TOWN N OF SOUTHOLD THE NEW PORK STATE-EDUCATION LAW. TIDAL WETLANDS BOUNDARY AS DELINEATED BY EN-CONSULTANTS, INC. SURVEYED FOR: STEVEN KRAMER COPIES OF THIS SURVEY MAP NOT BEARING p ON MARCH 12, 2004. THE LAND SURVEYORS EMBOSSED SEAL SHALL DATE E g l DAWN RYAN NOT BE CONSIDERED TO BE A VALID TRUE / d COPY. 0-I GUSTTEVENEDKR MER 48 nWOOO DOCK Ttiis yic DAWN RYAN �- _ _ \ E ;; O ,� LIBERTY TITLE INS. •� STERLING NATIONAL MORTGAGE, CO. —•--_.�-• � \\fie` \ � \ \ D \\ \ \\ \ \ 7 CONE - \ \ \ .19 INSPECTION RESULTS FROM PECONIC CESSPOOLS MON ` ` MAT77 TUCK,N.Y. AS TO CONDITION OF EXIS77NG — \ n - 6 2004 SANITARY SYSTEM: — —— —£�12� \\ \ \ \ AUG CESSPOOL #1 7'X7' BLOCK POOL CESSPOOL #2 6.5X6.5' BLOCK POOL CESSPOOL #3 7'X8'PRECAST CESSPOOL — — — EL 14 NOTE., OVERFLOW LINE TOO HIGH BETWEEN oti 2 12' r \�\\ \\ Southold Town POOLS 2 & 3 ,�� CESSPOOLS (3) \\ Board of Trustees GENERAL CONDITION OF SANITARY SYSTEM \\ \\ FAIR TO GOOD" Q�'000 I — EL=B �O q NCO• 000aol� F B TM#1000-123-03-004.1 P CONE (� O MON WDRY FLOOD ZONE DATA IS FROM PANEL 482 OF 1026 MAP NUMBER 36103CO482 G, DATED 4 MAY 1998. Aso \ 1 DRY WELLS FOR ,OO /•s 3 �, \�O O ROOF RUN-OFF (� �' Fo,F -0 AT HOUSE CORNERS (4) O '� _ £L ZO WE PGAO poor y ELEVATIONS SHOWN HEREON ARE IN 7 929 NGVD. TG9 sr \\O,y h' EL 20 - \ SO mac?O / O °;P��� F NOTE: RESIDENCE TO HAVE A TOTAL OF FOUR BEDROOMS FO �. ,� E�• �� AP SO Mp,�, � �j_ �Rgc�,�`L ryti1 p0gos�o 4401 ERs WOOD STEPS UnurY I� T23 �P� GF. WIPAUNG DRY POLE �r •do ; 0 WELL BRICK PATIO GP �• EL 22 W/TRELLES OVER/ 1, — —— — — \I( T SURVEYED: 11 NOVEMBER 2003 1 V j / //£ARPY ov y 15 6� DRIVE (�ryh O OVERHEAD WIRES SCALE 1"= 40 l.✓ WELL �••J AREA = 31,031.68 S.F. OR 0.712 ACRES 7 1,oN SURVEYED BY POLE,P STANLEY J. ISAKSEN, JR. POLE P.O. BOX 294 NEW SU -FOLK. N.Y. 119 631 -73 --5835 3. 3 AUG 04 ADD PROP. DRY WELL',. �.. ,EN_i D AN JIJI' EYDR 2. 9 JUNE 04 EXTEND WC 11-ANO I_INf S TO THE WFST. 1. 29 MARCI I 04 ADD CON10lI1`6, 1-1 )OD ZONE, Cf_"Cf'OOL EVALUATION, I'ROf'U`I I1 Af)f)fIlONS. 11- Y' L_Ic, r."f. ;-)f/`I Q 5R 1278 W ■ r} Date W r>< r,,.. gx 2'�, A',� -.".w�'.,A z��z '' ,�•a-r'.c� � a < '„Sg�` F t* r'a� $, 0 ReCeiVetl Fro OT Qf�C�IeSS p' w 2v r s B O D011 .,, '@ IF Y-fAi nR jA rr O ��, k'�.'` r `x �k s° :v k t 3, 3A a' /fe s a &.g bi,4 �d�'�f 10 IL U)'O t x3 -• O 01 O OZ .�" .t`•.u 'rS 4.?3; sy ,? x y �lhr s 'r^ to ,.t',�w'�yr ,r.�i ? In,OACC NT HOW PAID R 4 w M - (¢J m �MT PAID -t 'h 1 V Or � � ���.CHECK %'Y��r y,�%'� �A��g�'�"''•�� � � �f.r�tf �� ��rs ' ANANCE fr✓aa t `t"MCNEYDRDEli❑ . PC , C�iEDJARD i I Y II I 1 I Albert J.Krupski,President OSVFF�(�C Town Hall James King,Vice-President hy��► OG,y 53095 Route 25 HenryO.Box 1179 m3'Smith o Southold,New York 11971-0959 Artie Foster co = Ken Poliwoda 0 • Telephone(631)765-1892 y?fol �a0� Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application etland Permit Application i Major Minor _Waiver/Amendment/Changes 01eceived Application: deceived Fee:$.3 completed Application E fl:" E Incomplete ® U 15 _SEQRA Classification: Type I Type H Unlisted J U N 2 5 2004 Coordination:(date sent SAC Referral Sent: 00 w-Date of Inspection: /� Southold Town Board of Trustees _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: _TZINic Hearing Held. 7 A40 Resolution: . Name of Applica o�n Address 6,2 TQLZT IPPM-R MOKIC-NES, IW 4- Phone Number:(63) 2a a s�►Zq Suffolk County Tax Map Number: 1000- la - C) nou 6 Property Location: I &U A)G R LQ 0 /-Yfo F i j&ET-1 TU 01 yi (provide LILCO Pole#, distance to cross streets, and location) AGENT: 'F Aft K-)V, I.310 T►11W (If applicable) Address: 1 4 M del 0 Ra VA ���� Phone: 6 1- AQ9- � Board of Trustees Application GENERAL DATA Land Area(in square feet): S.-P: Area Zoning: -P 4 0 Re s LT2r--r pg-i IL Previous use of property: &i OG4P- PA i,.A►Ld��}T7E C t= Intended use of property: G I A^.Gt p A M I►`/ RCS 1T +�C Prior permits/approvals for site improvements: Agency Date V No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? V No Yes If yes, provide explanation: Project Description(use attachments if necessary): 1. Vkgn ta-L Y-I MOUT100 (--)C- ; G EM 106 LZ 'U U Dtdk-LA-)0C,. 2,0 1-I RST- F LDO R VQQ1T?RI Q-F �xY�+lv..71OIV/W � JG�V�� 0—L•�fC� IT I]dJ�T�IJNm Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Adck;A on - Area of wetlands on lot: �' "�..�� square feet Percent coverage of lot: S,-!-> 5 % Closest distance between nearest existing structure and upland edge of wetlands: ._"q�4 —feet Closest distance between nearest proposed structure and upland edge of wetlands: iaA o 3 feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? -7 0 cubic yards How much material will be filled? _70 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: % ba Manner in which material will be removed or deposited: e xcam d or -I- Ak_ C-C`_ )�j CA+c� }Lan Ir S�vts tv�ll 1'�� iin�--,�112� �v- c�xx..�-2� ✓'�x�-o� ct� V1P�,� �.�'c� ��C���►ati1„S. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): k)o(U_o_j1n'js ���„e,� ua'1l -�- �newe_ 0-41u n otizors ConA-ro\ bo_urr�QA c-LA1k be. ,Vn5-�0Lllpcl o.5 r� ir2.A -Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ,ActAA on -�b A r-,-- 4— Are wetlands present within 100 feet of the proposed activity? No ✓ Yes Does the project involve excavation or filling? No ✓ Yes If Yes, how much material will be excavated? 'l (cubic yards) How much material will be filled? ^1 O (cubic yards) Manner in which material will be removed or deposited:-qiy c-ice-a i �xnQ,aaria SZ Llu 9►1 k�er c usQ� n �i-1� for ha�1��` 1 + G od nc] G1 es cn l=c om Fv►x�do :on 6-0 ba-s� S �`�1 b� n c 11e 4 Fdr � , -0 t o c.o_-ti rng. Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) j 2�'OSai1n eon a PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Ln , kloj�k'k-�uc,1c_ , N�� 0 1 t01 sz �5 , ��v lei -`-unr��Se,►� 5a C-n q0. i STATE OF NEW YORK COUNTY OF SUFFOLK A-04V�-A-SZKA ►7y-ozdouL)s)(r_A residing at 9 b U OS M IDI O F,0( 1:�-> — n i,RT-r)TATX I 1 Q 1 IQSo2 ,being duly sworn, deposes and says that on the i day of 20gL�, 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 shown on the current opposite the names of said persons are the address of s persons, assessment roll of the Town of Southold;that said Notices were mailed at the United States Post Office at 'R.111-T i%113 Q,)r,.) that said Notices were mailed to each of said persons by (certified) (registered)mail. �A -ems V� Sworn to fore me this Day of �V 20 0 Notary Public YELANIE V.BROWN N*q P N�o.lo0it7 2Now York OueM in Sul*Comfy � Commbsion Expires Od.19, DIVv SAFFOI/Albert J.Krupski,President Town Hall 0�� C� James King,Vice-President h`Z` Gy 53095 Route 25 Artie Foster o :c P.O.Box 1179 Ken Poliwoda W Z Southold, New York 11971-0959 Peggy A.Dickerson �,l,� Telephone(631) 765-1592 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ----ka-k ---------------------------- COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I,Ae n%e.s-zkfr -pp r vnr,I_q ,residing at Cy V_oor�b k—k 0v:M\k UV. a k 101 being duly sworn, depose and say: That on the vt'`day of SuL-( , 2004 I personally posted the property known as 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 Or1 or O Dated: - _ 13 —12�( Q5 (si ature) Sworn to before me s day ofJV)j 200 V Notary Public ti MELANGE V.BROWN NoWr� QNw Yak *nN Commbebn Expires Od,19 � r . 14-16.4(2187)—Text 12 •� ' PROJECT I.D.NUMBER 611.21 SEC 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 Dyli 0-7 0 i - -P Luio 6R14441EP_, 3. PROJECT LOCATION: Municipality M WF T County 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks, etc-,or provide map) r 6� 19?0 tDGq l0L43 L41_1 E QJS Cr>l� ' t500"L0uo L%�� - MPr-TTITW, l.Dy• ll��a 1a3. p' .C►�srt- ®� M I� R� Td�Ok , 5. IS PROPOSED ACTION: �� ❑New El Expansion L Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: a i- c4 Pa,a,C' of , f-koor Cl-dAll-k an )-por opvSea now e0vexe-d 7. AMOUNT OF LAND AFFECTED: Initially v acres Ultimately o acres a. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ❑Yes l:'No It No,describe briefly epo POSEFP &P 7-j44F -&/�-7 S'rJADC 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?_Nr _ Residential 04ndustrial ❑Commercial (�agriculture `Ell Park/ForestlOoen space C]Other Describe: �,>' I1.-�GI� �'�MI Ly /'cSTt/• �Cc9L1.11�- to. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAQ?-- _KYes ❑No If yes,list agency(s)and permit/approvals f.�y.°v• �.�.C• ��(„��-fGL� -�fiZc9,� ✓'jL�l��G 4JEPF��i��� 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ,m No if yes,list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MOOIFICATION? ❑Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanUsponsor name: Piz 1(, uOT)'-R0 Date: ` 'f✓ 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 OVER • y - PART II—=NVIRONMENTA' ,SSMENT _o be cdr:oieteo by •Ageric, A. TOES AC::C:t =XCccO ANY :Ir'�s ii=E FCjLD!N o NYGRR. ?ART 5t7.:2? :f yes. note :he review process and use the =O'L_=-AF. ! Yes 1FE No B. WILL ACTION ?ECG V=COCR0INA7c]REVIEW AS PROVIDED=CR UNL:STEJ ,CNS iN 3 MYCRR. ?ART 57;.31 !t t40. a negauve cec:ara may be sudersedec my ancimer involved agency. I LE Yes i_Vo I C. COULD ACTiCN RESULT iN ANY ADVERSE===cCTS ASSCC:,;TE7•KITH-:c FOLLOW1114G.'Answers may =e nandwritten. if:egible) I Cl. Existing air quality, surface or'grounawater cualily or wuantity. noise :eveis. ex:sting :raific patterns, solid -.vaste procuc:ion or dlscc I potential far arosion. cramags or'loading problems? :plain ;3neily: jC2 Aesthetic, agricultural. archaeological•historic• or other natural or cultural resources:or community or neignt:crnood c:arac:er? =xolain CO. Vegetation or fauna. ilsn• srellfisn or wildlife species•significant habitats,or threatened or endangered scenes? Exclain orfarly. C;. A community's existing plans or goals as officially adooted.or a cnange in use or intensity of use of!and or other natural resources?Explain�r C5. Growth, subsequent aevelooment.or related activities likely to be induced by the orobosea action? Explain oneily. CS. Long :arm,snort :afire.CUrnuiative,or other erfec:s not identified in C.-C-? =xplain bftefly. 1 i • 1 i Cthef;moat-s.'inc:king _ anges In use of a!ther quantity or type or -anercy)? =xaiain orief:y. l THERE, OR i5-THERE :Xci'TO BF_ .pNT:ONE?S'( RELATE: .O POTENTIAL ADVERSE =.`JVIRON:AENTAL::.',PACTS? 0 i . S _ ._.Yes _NO !f Yes. explain oriefly ! ?ART III—OMERMINATION OF SiGVIFICANCE Ciro be completed by Agency) INSTRUCTIONS: i=or eac:t adverse effect identified at:ove,determine whether it is substantial,large.Important or otherwise signifit Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b)_probability of occa-rittg; (c) duratior irreversibility:Ile) geogracnic Scope;and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure exotanations contain sufficient detail to snow that all relevant adverse impacts have been identified and adeGuateiy aCdressec. Ctiec!c thtS bOX If you have identified one or more potentially large or significant adverse imoa= whicn IMA _ u occur. Then Droceed directly to the FULL EAF analor prepare a positivfe declaration. Ctiec:t this box if you have determined, based on the information and analysis doc:rn:entaticrl. :hat the Proposed action WILL NOT above and any sucportir• ! ' OT result in�ny significant adverse environmental impact AND provice on aitac:ients as necessary, the reasons SU);corting this determination: nt I i V..1ne U _CJU A1;ef1C•/ i I Jrint Ot vpe `.ant: Ji -ct)aOnu Ole—tracer:n Le •da %;tin C'/ IfIC Of :Zv:OOnSIOIC I)I tIC I'r i ,1gnatwe-)t lescontlole'_I.ICer,n Lela.1Gtnt:Y )��n d:ufC.Jf t:!•oaf Cr;It 11t:t.•Cnt 'ram fe500n$101e O[f 1C2f1 Fic J 'd of Trustees Applicat:LOD AUTHORIZATION (where the applicant is not the owner) residing .at bl Z4JL `r �(}-T}f - (print owner of property) (mailing address) 1�N i� 41F� do hereby authorize FSh±� !Y (Agent) 0OT1+R_n V to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner s sign e) Q t r a . Y a$ti � � � .. ems•;-'.. i� Sr - 0 .,f r �' .: '*` - Nes... 'W'•�^�a �.„�pt'�z.; vow - ♦jaJ?� y r y • o- lie 4 ° +i ue' 49t 4 uw one ,7 Ao ©424:1'200.91`4 ^49 .., . aw r- '�to r•.- �a, 7' '` �041/241200-9 11 49 a ° c s 6� "i� , ..___..._ i 3 � ti f . 1 04/ 4 f 2009 14 a.51 i now MEOW t K. Ff N I N r+r w OF ty {r 1 ���ip�ll�esw k I ' 11 _ I I r v� �r °�� . • •�, �. �,;.� > > ` � � ,. . .,�. . � � • �Of4/�24h2+009�1�4/.•�4,8 '. i� { 1�W x a All I mw TZoo � - � Aft t „P , 04/24/2009 14 , 49 PROP. NEW DECK 13-7" PROP. NEW ADDITION EXSTING DECK TO BE REMOVED 25-9" 53-4" 47-9" PROP. COVERED PORCH 35-2" 36-1" PROP NEW ADDITION 30'-1 1" EXISTING EXTERIORWALL. FOOTPRINT UNCHANGED. WINDOWS/DOORS TO BE REPLACED. FOUNDATION TO BE REPAIREWREIPLACED AS REQ'D. NEW FOOTPRINT ADDITION. PROPOSED NEW ADDITON AND DECK. - r THESE DRAWINGS AS INSTRUMENTS OF SERVICE, ARE THE SOLE PROPERTY OF THE ARCHITECT. NO REVISIONS,CHANGES,AND/OR MODIFICATIONS SHALL BE ALLOWED WITHOUT WRITTEN AUTHORIZATION BY THE ARCHITECT. ANY REPRODUCTION IN PART OR WHOLE IS STRICTLY PROHIBITED BY LAW. DWG. NAME: ISSUED: ISSUED: DWG. No.: EXISTING FIRST ISSUED TO BOARD OF �T 6 22 04 TRUSTEES FOR REVIEW RESIDENCE l�FLOOR W/ PROP. �� " KRAMER ADDITIONS „ MATTITU�K NEW YO R K ARCHITECTURE PLANNING CONSTRUCTION SERVICES SCALE: P.O.Box 93 Mattituck, New York 11952 1 1/8" = 1'-0" 631.298.1129 Fax: 631.298.1128 L71- 11 PROPOSED PROPOSED DECK DECK DECK 9'-0"X 22'-6" 13'-6"X 35'-0" 8'-0"X 22'-4" 13-7" ® SUN ROOM 21'-6"X 21'-6" (EXISTING) I M.BATHROOM 19 r 1 Nil � u BRICK PATIO E.I. KITCHEN i 12'-2"x 16'-9" IE 14'-10"X 24'-10" (PROPOSED) Milli M.BEDROOM 13'-6"X 20'-6" DINING RM cco 1 O'-0"X 15'-0" 25 EMOLIVING RM. O 14'-10"x 15'-0" P'ERGOLA r I BEDROOM #1 U 11'-0"X 17'-0" O LAUNDRY RM. 5'-6"X 9'6" PROPOSED DN COV. PORCH 8 O"X 22'-4" i oN If114 I I 36-1" BATHROOM STUDY 12-0"X 17'-0' 26-9" BEDROOM 02 I BATH 11'-6"X 11'-8" 5'-0"X 6'-4" _4 7- BEDROOM #3 11'-6"X 11'-8" FOYER NJ 7-1 " PROPOSED 1 ST. FLOOR PROPOSED 2ND. FLOOR THESE DRAWINGS AS INSTRUMENTS OF SERVICE, ARE THE SOLE PROPERTY OF THE ARCHITECT. NO REVISIONS, CHANGES,AND/OR MODIFICATIONS SHALL BE ALLOWED WITHOUT WRITTEN AUTHORIZATION BY THE ARCHITECT. ANY REPRODUCTION IN PART OR WHOLE IS STRICTLY PROHIBITED BY LAW. DWG. NAME: ISSUED: ISSUED: PROPOSED 1ST ISSUED TO BOARD OF - DWG. No.: & 2ND FLOOR 6.22.04 TRUSTEES FOR REVIEW. ITECNOLOGIESR� RESIDENCE PLANS 1 ' A . 2 C=CTURE PLANNING CONSTRUCTION SERVICES MATTITUCK AR SCALE: NEW YO R K P.O. Box 93 Mattituck, New York 11952 1/8" 1'-O" 631.298.1129 Fax: 631.298.1128 Lffla,FITis UHHHHHHH rm -jig I I I il N UL H Mul HUHHHH rF T WATERFRONT ELEVATION NORTHWEST ELEVATION L:j If 1! LLL1 I I j ® 6 Li -All Lj F-1 NORTHEAST ELEVATION SOUTHEAST ELEVATION THESE DRAWINGS AS INSTRUMENTS OF SERVICE, ARE THE SOLE PROPERTY OF THE ARCHITECT. NO REVISIONS, CHANCES,AND/OR MODIFICATIONS SHALL BE ALLOWED WITHOUT WRITTEN AUTHORIZATION BY THE ARCHITECT. ANY REPRODUCTION IN PART OR WHOLE IS STRICTLY PROHIBITED BY LAW. DWG. NAME: ISSUED: ISSUED: DWG. NO.: PROPOSED ISSUED TO BOARD OF 622.04 ELEVATIONS TRUSTEES FOR REVIEW. ITECNOLOGIES KRAMER RESIDENCE ARCHITECTURE PLANNING CONSTRUCTION SERVICES A - 3 SCALE: MATTITUCK, NEW YORK P.O. Box 93 Mattituck, New York 11952 631.298.1129 Fax: 631.298.1128