HomeMy WebLinkAboutKoff, Howard Glenn Goldsmith,President �QF SOUITown Hall Annex
Michael J.Domino ,`Q ��� 54375 Route 25
P.O.Box 1179
Y
John M.Bredeme III
er k
� � Southold,New York 119,71
A.Nicholas Krupski G Telephone(631) 765-1892
Greg Williams Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
October 8, 2020
Brooke Epperson
AMP Architecture, PLLC
1075 Franklinville Road
Laurel, NY 11948
RE: HOWARD & LISA KOFF
1380 OAKWOOD DRIVE, SOUTHOLD
SCTM#: 1000-70-12-32
Dear Ms. Epperson:
The Southold Town Board of Trustees reviewed your letter received in this office on
October 8, 2020 and the survey prepared by Peconic Surveyors, P.C., last dated
November 28, 2005, and the site plan prepared by AMP Architecture LLC dated ,
October 1, 2020 and determined that the proposed interior renovations and work within
foundation footprint are out of the Wetland jurisdiction under Chapter 275 of the Town
Wetland Code and Chapter 111 of the Town Code.
Therefore, in accordance with the current Wetlands Code (Chapter 275) and the
Coastal Erosion Hazard Area (Chapter 111) no permit is required.
Please be advised, however, that no clearing, no removal of vegetation, no cut or
fill of land or removal of sod, no construction, sedimentation, or disturbance of
any kind may take place within 100' landward from the top of the bluff, or seaward
of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the
coastal erosion hazard area as indicated above, without further application to,
and written authorization from, the Southold Town Board of Trustees pursuant to
Chapter 275 and/or Chapter 111 of the Town Code.
It is your responsibility to ensure that all necessary precautions are taken to prevent any
-sedimentation or other-alteration-or-disturbance-tri-the-ground-surface or vege-ation
within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result
2
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.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to call.
Sincerely,
_ec 4"
Glenn Goldsmith, President
Board of Trustees
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1230 TRAVELER STREET
SOUTHOLD,NY 114'11
(631)765-5020
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Glenn Goldsmith,President �QF SU(/TTown Hall Annex
Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25
P.O.Box 1179
John M.Bredemeyer III [ [ Southold, New York 11971
A.Nicholas Krupski G Telephone (631) 765-1892
Greg Williams Fax(631) 765-6641
�lyCl-UNTI
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
NON-JURISDICTION INSPECTION
DATE OF INSPECTION:
INSPECTED BY:
✓ Ch. 275 Ch. 111
COMMENTS: e
RCHITECTURE Operating Business Address:1075 Franklinville Road,Laurel,N.Y.11948
Business Phone:(516)214-0160
LLC
Date: October 6,2020
Southold Town Trustees
P.O. Box 1179 r
Southold, N.Y. 11971
s -
EI
RE: Non-Jurisdiction Application for:
Howard and Lisa Koff
i
1380 Oakwood Drive
Southold, N.Y. 11971 --
SCTIVI: 1000-70-12-32
Dear Trustees,
We are applying on behalf of the owners and property listed above for a letter of Non-Jurisdiction for
proposed work within the existing single family residence.
The proposed work which we will be applying to get a building permit from Southold Town involves the
following:
- Interior renovations to existing first floor of residence which include the removal of(1) bay
window and (3)8'-0"x6'-8"sliding glass door on the Southern wall of the house to be replaced
with
(2) 16'-0"wide x8'-0" high sliding glass doors. All work remains within the existing footprint of
the building.
I have included a Site Plan as well as an exterior elevation of the proposed work for you reference.
Thank You
Brooke Epperson
AMP Architecture,PLLC
Senior Architect
E:bepperson@amparchitect.com
0: 516-214-0160 _ _ ---
www.amparchitect.com
OCT --�
2020
yard of fns z!'e-
Board of Trustees Application
AFFIDAVIT
Il ow a p d T Ko 9 Q-^,i-- 1-1§k- L• Koff BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SITE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN
ARE TRUE TO THE BEST OF ITIS/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
BOARD OF 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,INCLUDING THE
CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO
INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION,
INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF
TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE
COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL
EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM
OF THE PERMIT.
144 k
• Jl�� X
Signature of Pr erty Owner Signature of Property Own/6r
SWORN TO BEFORE ME THIS�.DAY O - F_ 2p `
LISA CABRERA
Notary Public, State of New York
Registration #OtCA8294852
Qualified In Queens County
Notary Public commission Expires December 23,2 ��
Board of Trustees Application
AUTHORIZATION
(Where the applicant is not the owner)
I/We, f-�oLJa-� d Xcdff d.✓t„( le Z• �o�T ,
owners of the property identified as SCTM# 1000- in the town of
New York, hereby authorizes
to act as my agent and handle all
necessary work involved with the application process for permit(s)from the Southold Town
Board of Trustees for this property.
i
Property Owner's Signature Property Owner's Signa re
l�
SWORN TO BEFORE T IS DAY O 20 o2C�
ENotary
CABRERA
c,State of New York
Notary Public n #01CA6294852
n Queens County
pires December 23,2
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The To—4 �s C#�.fl-th
-1 i,
f Southold
which es rcan i�alert this
necessary
nf
0 n
form s to provide
to
_-avoid same"
YOUR NAME:
(Last name,first name,griddle 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 grievanceBuilding
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(if"Othee*,name the activity.)
Do you personally(or through your company,spowsc,sibling,parent,or child)haven relationghip with any officer or employee
of the Town or Southold? "Relationship"includes by blood,njarriagc,or business interest"Busificss iiileresC means a business,
inchiding a partnership,in which(lie town officer or employee has even a partial ownership of(or emPloYnicilt by)a corporation
in which the town olricer or employee owns more than 5%of[lie Shares
YES NO .-7
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 applicantlag(:iiYrepresentative)and the town officer or employee.Either check
the appropriate line A)through D)and/or desefibe in the space proVided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
the owner of greater than 5%of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
the legal or beneficial owner of any interest in a non-corporate entity(when the
applicant is not a corporation);
an officer,director,partner,or employee of the applicant;or
—D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Subniittcd this da of 'Ca*PY 20 ft
Signature
Print Name d
Form TS 1
'c
{
APPLICANT/AGENUREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
f
The Town of Southold's Code of Ethics prohibits conflicts of interest on the-part of town officors and emtL1& s.The:oMpse of
this form is to provide information which can alert the town of possible conflicts of interest and allow rt to take whatever action is
necessary to avoid same. ,
YOUR NAME: Brooke Epperson
(Last name,first name,griddle initial,unless you are applying in the name of c
someone else or other entity,such as a company.If so,indicate the other s
person's or company's name.)
NAME OF APPLICATION:'(Check all that apply.)
Tax grievance Building X '
Variance
Change of Zone - Coastal Erosion
Approval of plat Mooring t
Exemption from plat or official map Planning
Other
(If"Other',name the activity.)
Do you personally(or through your company,'spodse,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 employmerit`by)a corporation
in which the town officer'or employee owns more than 50?o 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 ofgreaterA i`an 5%6 of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
B)the legal orbeneficial owner of any interest in a non-corporate entity(when the
applicant is not a corporation);
C)an offcer,director,partner,or'employee-f the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this 6th og October 20 20
Signature
Print Name Brooke_ Et7rson
Form TS 1