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HomeMy WebLinkAboutTR-6218A Albert J.Krupski,President *OF SOUTyo Town Hall James King,Vice-President O l0 53095 Route 25 Artie Foster - P.O.Box 1179 Ken Poliwoda N Southold,New York 11971-0959 Peggy A. Dickerson Q � �� Telephone(631)765-1892 COU � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6218A Date of Receipt of Application: Oct.18, 2005 Applicant: Allan Goodman SCTM#: 52-5-11.1 Project Location: 1555 Bayview Ave., Greenport Date of Resolution/Issuance: October 19, 2005 Date of Expiration: October 19, 2007 Reviewed by: Board of Trustees Project Description: Administrative Permit to remove the garage door and add a window, and replace the siding on the garage as per plans surveyed by John Metzger last dated Dec. 19, 2001. Findings: The project meets all the requirements.for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. Special Conditions: None. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Albert J. Krupski, Jr., President Board of Trustees I VT]-RO 'a\. 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LSA - as[-oL-ov.[s 4 i 56-01-OIl.l+ [s[Gw. -Ox+ AT ll w SEESEC.N0.056 SEE SEC.N0.066 Rsx �.ew u. _zz— �.._ l01) •P O �''- __ _—_ "' __,__ •R rcn• NOTICE � COUNTY OF SUFFOLK © E ,,,,�✓"-' ,�;] H"' SDUTHOLD SECTION ND •- .a. --•-- -...aa.•.,a.—»:.-- Fa• .•„ ..v... _ ,uJN�ANDKSA�Dq _us..a Real Property Tax Servire Aaencv . �l _ _'�4 . 1 t INLET PT r.[Cr 5 T HE GREENPO T PARK NCE3 0 d' HOME E AV ° ( t BE ar 41 D 9 < SM Sq �l may. 7. .. ..A �, v N Q V• MSON W 5 J l RF ilo I` ST ST RA 50 J 7C I SH O k, S> A ` ' �y -'��'. t•.--_. -�` �"• y,,, ..^"..'-".•,,r•R ,q�� � O'�7Jrti �• '� J � l F b q, P f P E S C 01/E ���� ' :' Q�� YOUNGS<FT S r T _ 4 _ G • �RLIN DR AGE ` w; • '. PUR A FANNING (� i. Pr �0 . OCT 1 8�2005 southold Town Board of Trustees EXISTING DECK EXISTING DECK — — — — — — — — — — — — — — — — — — — — — - — — — — — — — — — — — — — — — — — — — — - 1 I ` EXISTING , I 1 \ADD SEASONAL NEW CLOSET L EXISTING DOOR I ° POWDER RM. _ _ _ _ _ _ NO CHANGES ul Ir 1 Ac \ ADD TILE FLOOR =I , �o I I w 1 O LAV bTEP •Q ti III EXISTING KITCHEN I \ , ®�I J I I I NO CHANGES I , �III �r1N ` \ x, I EXISTING 2 X 4 @ 16'O.C.\ I WALL FRAMING. \ \ / w I I x I ADD R-15 BATT INSUL.& I 1/2"SHEETROCK. 1 p , ti EXISTING ENTRY o) I Z c , 6 I NO CHANGES 9% I z o , } — \ REPLACE EXIST. F=O w z JU EXIST.2 X 8 RAFTERS / \ \ \ y ;3TCHROOM. ANDED 1 I @ 16.O.C. / 1 I SHOWER 1 NEW 11-7180 TJI CEILING JOISTS \ \ y I hq @ 16'O.C. I �ry+/ � I STEP 1 DOWN -' v I EXISTING DECK X rn AA 12 HEADER REMOVE EXIST.O.H.GARAGE DOOR— — — BE_USE€XISTI�IG wwm— — — — — L __ _ _ _ _ I / ADD NEW 3'-0' 1 PELLA CASEMENTS 2442CC3 DOOR ` I I INSULATED 7'3-1/2'X V11-3/4"R,O. ` I EXTERIOR — — DOppr — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -y STOOP GOODMAN SEIBERT RESIDENCE GARAGE CONVERSION 9.29.05 1/4" = Is-On ENVIRONMENT EAST INC. REVISED 10.15.05 Albert J.Krupski,President ��OF S�UJyO Town Hall James King,Vice-President �� l0 53095 Route 25 Artie Foster P.O. Box 1179 Ken Poliwoda Southold,New York 11971-0959 Peggy A.Dickerson � Telephone(631)765-1892 COUffN� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES ------ - - --- -- - - - - - - --- TOWN OF SOUTHOLD- Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application ✓Administrative Permit Amendment/Transfer/Extdnsio ~ girl r eceived Application: !0,, /C) t deceived Fee:$ r'—'�^-�� _t&ompleted Application OC� _ 1 4j Incomplete _SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) Souti o,d Town Board of Trustees _LWRP Consistency Assessment Form n�� -AE�AC Referral Sent: t)to- -Date of Inspection: . _Receipt of CAC Report: _Lead Agency Determination: Technical Review: ,public Hearing Held: Resolution: Name of Applicant_ L-��N G-O©L�Ri A� t Address �(� R-OA00 A'r t k e w� i QQ 2 Phone Number: E 2 Z i 2J� "' �3 Of 9 Suffolk County Tax Map Number: 1000 - Property Location: G K EE 3 f 0 CZT. Oro � SOU-4 O F COLON 0 . Orel W t=,57 s i D E b F� 8�Ykil jEui (provide LI1,C0 Tole#,._distance to.cross streets, and location) (SEC ..Mtk- AGENT: � CZ �T�UT�I � Fb K b%W(C{00rnEMT iEAcTT tNC. (If applicable)�p Address: i z) ° box (q Phone:-Lo3 ( 73 4 •-7 7` - 11 rd of Trustees Applicatic GENERAL DATA //�� Land Area(in square feet): 0J '�2'° � ° f—+ ' Area Zoning: K ES l D663 1-1 A Previous use of property: SW G ua FA-m I l.J b[/i��r ,1 M Intended use of property: -SW C- L,� EATA YtJ N F- Prior permits/approvals for site improvements: Agency Date SOyTTOLO Sup. PeT: q3D EC �U 3ME � L�DiSDU �UO e3 .D�� U N� F U ftXXJ (e L D. IrY►R Ct B L�P• t>EPT. KEL- 19q 0. ;SOU 7 — AJ0U - 01 C1 6 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspenqed by a governmental agency? No Yes If yes,provide explanation: Project Description(use attachments if necessary): 1 rd of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose of the proposed operations: I WrF,&10K ? ei40\1 --Tt0Q OF LANDW/P A 9 EVUS7-cry kTT&c�tF-D, C,&lzAiGe; ` D I M Ci..u1De:5 Fzl✓moQ1AJG- (MOR 4!c AC>PttJG- A wtN00W UNLT AS WeC. AS 1F,6PLAC(NG E)cLST(,\lG- ^6[DTSl a Area of wetlands on lot: square feet Percent coverage of lot: ® % Closest distance between nearest existing structure and upland edge of wetlands: feet `P Fz 0 FEtzzY 15 SE f eRATED FRo iM 1aN i✓ + coN Cf,eF� Stal l,[r Closest distance between nearest proposed structure and upland edge,of wetlands: feet N-C> ti G-W - IF RO e0S5P S-Mo Ccv R-E�S_' Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? ® cubic yards How much material will be filled? ® cubic yards Depth of which material will be removed or deposited: ® feet Proposed slope throughout the area of operations: �J N0 f:7 A-J&Tl O CZ CL-k1WGE E�c1sT �Lo PE' Manner in which material will be removed or deposited: ikrJ 1 f J T Ee-(O R F ek5 O Q AT1 Qftf 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): (-lti t�l; W i L.L. b la n1 b n1 ZAK D i5't u 0,60XE :TQ TRts s ME. WE EcPECt- Tti i P,,,kJ f(UTE (k J O fi `EN6Q6VKK—L 01Q IN(L.l_ 4AUE MO 1 AFACT Q l T E( E W(N DOWS S 1°tDA_-)Utf Gr A-KE ( M F&c_ T�-tE �3 (TE, fZJaPLAc(M G �ZcCc�• S (�tJ1GG Lr�✓ Etc 1ST. c3TPWC RE W(LL., NUT ( ryOPA-CT S ( . PROJECT ID NUMBER 617.20 SEQR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME V(Room t N C . rJm, ���0ENc� 3.PROJECT�LOCATION: t�J CJ/lYol.�(��e MunicipalityTW o rV County So f FO .rK i . 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map i 555 ,t,&`CU(0VJ &�E) 1D0° S60-ot-t OF cz"rv`C K o. W W Os-k s L P e D f F>PrYu elud S•EC AMIKeH.o MA n 5. IS PROPOSED ACTION: ❑ New ❑Expansion modification/alteration 6.DESCRIBE PROJECT BRIEFLY: I NTi E(3,LOK fEP06VA-tA00 OF Q,—AST, CA-RIA6-6 TO CR-ENM A Fi-m l Or fp©M o Re M O\E Ov OR..t-�D CA R.AC-1E Zj001- Or\Y LAMOWAK0 SLD6 OF S-MUCM R E 4 RERL AC-S I,U T" W c D0 uJ u N (T; `REP LACE &q ST(t'-3 Cr `S LD( 13 & OM �xt NCB 5-�-2UcToRE- 7.AMOUNT OF LAND AFFECTED: L-Ur L 5 30) Z24 tq- FT. V J E�' e?cP`12r--C "D r mPAc'C Initially acres Ultimately acres Om 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? E!rYes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ❑Industrial Commercial Agriculture ❑Park/Forest/Open Space ❑Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) !W`'r-�� ��},�1—lJ D TOwN RrYes ❑No If yes, list agency name and permit / approval: D(J � �U t cA I N Cr D EST 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes fl�;-,TJo If yes, list agency name and permit / approval: 12. AS A RE LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes nNo I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: Signaturlc:::������ �hlo If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment WS 6,)c Fe 00 E:,kJ'4(KomMc40 r - IMPACT 1-0 S rC XTAD IMPACT ASSESSMENT(To be completed b Lead Agency) ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. es D No B. WILL A TION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declarati ay be superseded by another involved agency. m Yes ❑ No C. COULD ACTT N RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing aiNquality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for osion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultAk archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shNIfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals"Ns officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or relate activities likely to be induced by the proposed action?Explain briefly: C6. Longterm,short term,cumulative,or other effects of identified in C1-05? Explain briefly: N................... .......... C7. Other impacts(including changes in use of either quantitylgr type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL HARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA)? If es,ex lain briefl : Yes No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POT TIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes ex lain: Yes No PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is su tantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)pro bility of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and (f) magnitude. If necessary, add attachments or reference supp rting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequat y addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impact of the proposed actin n the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts A h MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any suppo g documentation,that the proposed actin WILL NOT result in any significant adverse environmental impacts AND provide, on attachments necessary, the reasons supporting thi determination. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible O i er Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from respo ible officer) zoard of Trustees Application County of Suffolk State of New York ��7U S V CY BEING 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 REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS �S DAY OF C ,20 O�S' Notary Public BARBARA ANN RUDDER Notary Public,State of New York No.4855805 Quallfled In Suffolk County� Commission Expires April 14, ,_�,1 J 10/18/2005 08:50 212-8461975 NICKELODEON PAGE 01/01 Alan Goodman 684 Broadway #11E New York, New York 10012 To whom it may concern: I authorize Environments East to file building plans in association with work to be done at my property in Southold at 1555 Bayview Avenue, Southold' 11971. Sincerely, Alan Goodman 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 necessga to avoid same. YOUR NAME: 6—M Oo RG4 (Last name,first name,riddle initial,unless you are applying in 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 South Id ?�� 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 this day of 200_ Signature Print Name G CEO S"�10cJT $l?(tG_J( Form TS 1 r T�t fp .ti Xe Environment East, Inc. 2885 Indian Neck Lane P.O.Box 197_ Peconic,New York 11958-0197 11 _- 631-734-7474 0 Fax: 631-734-5812 Southold Town Trustees October 18, 2005 Concerning our application on behalf of Allan Goodman of 1555 Bayview Ave.: We request that the Trustees grant us a waiver on the grounds that this project, being the replacement of a garage door with a window unit and the replacement of siding, has no potential for adverse impact on the site. Sincerely, ® E C E V h OCT 18 2005 =° oa Chambers Southold Town eld Manager Board of Trustees i SURVEY OF ' PROPERTY AT ARSHAMOMAQUE TO TAN OF SO UTHOLD - _SUFFOLK CO UNTY N. Y. 1000-52-05- 11 . 1 SCALE: 1 " =20' I n r DEC i12, `c.;, =I iPJ r3 I o COLONY I _ OWD L. LOT 59 r :Z II N 52°30'00' E I B6.14' \ 1ti HEPi,E r��7 LOT 58 o a 1)tl � - - - - - - - - - - - -- - 7 —11ss - - - - - - - - - - -- W ti P, J \ 3 4 O �7 O I I, C—) � I LOT 57 — ^ f' A S P H 4 L y L T 56 �J AZI r-u ,^� r T ^, cn r'1 15 4 D LOT 55 weal v Q � � 14 i I 4 C�y D e z Ln LOT 54 o n D rn 24 3' ` 1eo' �I I LOT 53 rn ---� Fc h' HEDGE LOT NUMBERS REFER TO 'MAP OF SUMMER HAVEN" urlLrTr FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE UTILITY Ov£.HEA AS MAP NO 11 �3 WIRES POLE S 52°30'00' W POLE 2.13,17' 3 tt�fjF I�E�, o LOT 52 S� 0o t.me), o F Y. _IC. N(7, �518 ELEVA TIONS ARE REFERENCED TO N.G.V.D. � . ,, ANY ALTERATION DR ADDITION TLJ T�iIS SURVEY IS A VIOLATION -Er'QNIC " ? �NVE C, . 4Y4 OF SECTION 7209 OF THE NEW 'K'OKK SATE EDUCATION LAW, ALL CERTIFICATIONS (621) 76-) �G�pl 1S X (631) 765-1797 AREA = .�0,224 sq: ft. EXCEPT AS PER SECTION 7209—Sl�BL'iVISION 2 A` P, —, BMX 90 TO TIE LINES HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE l!4PRESSED SEAL OF THE SURVEYOR 1230 TR4VELER STREET 04 _ 2Q2 WHOSE SIGNATURE APPEARS HERE'7N. SDJT HC D, N, Y, 11971