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Home My WebLink AboutTR-4978Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18~/2 Fax (516) 765-1823 BOAlm OF TOW Tl sTEES TOWN OF HOUTHOLD Grandfather Permit Application Office Use Coastal Erosion Permit Applicat~ Waiver/~en~ent/Changes Re~-ived Application: Received Fee:$~O - f Completed Application Incomplete SEQRA Classification: ~pe I ~e II Unlisted Coordination:(date sent) RCAC Referral Sent: ate of Inspection{ ~f~~ eceipt of CAC Report: .... Lead Agency Dete~ination:__ Technical Review: ~Resolution:~Public Hearing Held: ff~/~-~ i~~ Name of Applicant Address ~ ~kt-~-~ %~, ~~(1~ Phone N~ber: (~{~) Suffolk County Tax Map Number: 1000 - %~-,O~--~%-- Property Location: Z%~%%~ ~~%~.~ %Q~ t~ ~.~ · ~ (provide LILCO Pole #. distance to cross streets, and location) AGENT: (If applicable) Address: Phone: FAX#: SUMMARY OF WORK PLANNED Site A - Repair or replace as necessary: The foundation for the covered porch; stairs leading to the porch; porch decking; railing and roof. Site B - Convert 10' x 24' crawl space to full basement (existing full basement cross- hatched); remove two chimney's; install fireplace and two flue chimney; relocate bilco cellar entrance. Site C - Enlarge front entry and cellar, convert 3' x 8' and 6' x 8' crawl spaces to full cellar resulting in additional first floor space apprOximately 66 sq. ft. and cellar 138 sq. ft. Site D - Expand one car + garage and carport to two car garage. Bc '"d of Trustees Application WETLAND/TRUSTRF. LANDS APPLICATION DATA Purpose of the proposed operations: ~%~ ~%~- Area of wetlands on lot: .square feet Percent coverage of lot: ~,~ % Closest distance between.nearest existing structure and upland edge of wetlands: ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: ~k~,~~ feet 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: Manner in which material will be removed or deposited: Statement of the e~fect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): .. ij~ B' rd of Trustees Application"' GENERAL DATA Land Area (in square feet): Area Zoning: ~%~1A~ Previous use of property: Intended use of property: Prior permits/approvals for site improvements: ~Q_~%~ 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): t'PR~JECTI.D, NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Proiect sponsor) SEC 1. APPLICANT/SPONSOR 2. PROJECT NAME , 3. PROJECT LOCATION: 4. PRECISE LOCATION (Street address aha road intersections, prominent landmarks, etc., or ~rovide mai=) 5. iS PROPOSED ACTION: F-~ Ne',,,, ~NEx~*nsion ~ Modification/a~teradon DESCRIBE PROJECT BRIEFLY: AMOUNT CF LAND AFFECTED: WILL PROPOSED ACTION COMPLY WITH ~XIST1NG ZONING OR OTHER ~ISTING ~ND USE ~E~RICTtONS? ~ Yes ~ NO If No, describe briefly 9. WHAT IS PRESENT LA/'4D USa iN VICINITY OF PROJECT? ~ Residential I~,',!n du s t rial ~ LJ Commerc£at Describe: ~ Agriculture ~ ! Rark;Fores[~'Ooen si=ace b~ Ott~er ~0. DOES ACTION INVOLVE A PC-RMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (F~D~RAL, STATE O~ LOCAL)? --~Yes [] No If yes, list agency(e) a. nd Cermit/approv~le 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes' ~No If yes, list agency name and permitlac~proval ~ 12. AS A RESULT OF PROPOSED A~TION WILL EXISTING PERMIT/APPROVAL REQUIRE ,~4OOIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE tS TRUE TO THE B~ST OF MY KNOWLEDGE 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 ! PART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) ~-.. A. DOES ACTION EXCEED ANY TYF ,HRESHOLD IN 8 NYCRR, PART 617.727 tt yes, ¢ ~mate the review 2rocees and use the F~L 8. WILL ACTION RECEIVE COORDINATED REVIEW AS PRQViOED FOR UNLISTED ACTIONS IN 8 NYCRR, PART ~7.~? if NO. · neQa~lve dect~raIk m~y De superseded Dy ~other involved ag~cy. g Yes ~ No C. COULD ACTION RESULT IN ANY AOVERSE EFFE6TS ASSOCIATED WITH THE FOLLOWING: (Answers may be r~andwritten, if legible~ 01. Existing air quality, surface or' groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or dlsoos~ potential for erosion, drainage or floc, ding probleme? ~Dlain brietiy: Aesthetic, agricultur~,l, archaeological, historic, or other natura~ or c~lturai resources; or commun t¥ or neighbbrhood character? ~.zplain brio C.~. Vegetation or fauna, fts/~, s/~etlfish or wildlife species, significant habitats; or threatened or enda,~gered Acacias? Exola e Or e y: Growth, subsequent development, or related activities likely to be ihduced by th:e qroposed Action? ExDtain briefly. Long term, short te.:'m, cumulative, or other effects not identified in 0%C57 Explain briefly. C7. Other impacts (incliading changes in use of either quantity or type of energy)? ~xplain briefly, O. iS THERE, OR tS TN~RE LIKELY TO BE. CONTROVERSY P, ELATEO TO POTENTIAL ADVERS~ -~NWP, ONMENTAL ~MPACT$? ~ Yes J"-] NO If Yes, explain briefly PART Ill--DETERMINATION OF' SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS." For each ~dverse e(fect identified above, determine whether it is substantial, large, important or otherwise signific~ E~ch effect should be as§eased in connection with its (a) setting (i.e. urban or rural);'(15} probability of occm~r._ J_ng; Cc) duration; irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. E~sure tt explanations contain sufficient deZail to show that ail relevant adverse impacts have been identified and adequately addresseb. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAr and/or prepare a positive-declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that ~he proposed action WILL NOT result in..c~y significant adverse environmental impacts AND provide on attac~tments as necessary, the reasons supporting this determination: 'rd of Trustees Application" County of Suffolk State of New York" 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 BELIE~, AND T~AT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION D/~D 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 PERM_IT(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 APPLI CATION. S i gnatu~ swo To BEFORE THIS DAY OF Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YO~ COUNTY OF SUFFOLK ~%'~ ~--~ , bglngduly sworn, deposes, and says that On the~ ~ day of ..~J ~ ,~ , deponent mailed a true copy ~-~e Notice set forth~in~the B6ard of Tr~tees ~plication, directed to each of ~e above n~ed persons at the addresses set opposite there respective.n~es;~that the addresses set opposite the n~es of said persons are. the address of said persons as sho~ on the c~rent 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 perfons by (certified) (registered) mail. L~~~-~ Albert J. Krupski, President James King, Vice-President Henry Smith AFcie Foster Ken Poiiwoda Town Hail 53095 Main Road P.O. Box 1179 Southo]d, New York 11971 Telephone (516) 765-18~2 Fax (516) 765-1823 BO2u~D OF TOV~N TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) ~%~~ AFFIDAVIT OF POSTING I, ~ , residing at ~0%~ elng Guiy sworn, ~epose and say: That on the~ day of ~ ~99~ I p9rso~lly.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 seven days prior to the date of ~ public hearing. (date of hearing noted thereon to be held Sworn to befor~e~ m~ this CLAmE L. G~ ~i~ St~ ~ N~ York Ou~ in Suffo~ C~n~[~/~ (signature) NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: SCTM 1000- % 0%-O YOU ARE HEREBY GIVENNOTICE: t. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 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. 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. ~ENDER: , a Complete items 1 and/or 2 for additional se~ces, · Complete items 3, 4a, and 4b. a CardPrint toY°Uryou.~ame e. nd eddreas on the reveme of this form so that we can return this Affach this Rrm to the front of the mai/piece, or on the back Jf spade does not pe;mit. aWnte 'Return Reca~pt Requested'on the malip~ece~below the aNmle number, ·The Return Receipt ~lJ show to whom the a~e was delivered and fl~e date delivered. 3. Article AddreSSed to: Received By: (P#n! Name) .~xignatur~: (Adclr~se~ or Agent) PS Form 3811, December 1994 I also wish to receive the following services (for an extra fee): 1, [] Addrsssee's Address 2. [] Restricted Delivery Consult postmaster for fee. 14a. ArliCje N, r~ber ]4b. Service Type' , _ .-- Iii Registered '~ Certi,ed ~ii Express Mall ~ [] Insured Return Receipt for Merchandise [] COD 7. Date of'Delivery' / 8. Addressse s Address (Only if req~e sted' and fee ie paid) Domestic Return c your TRANSACTIONAL DISCLOSURE FORH The Town of Southold's Code of Ethics prohibits con£1icts in~e~esb on the par~ o~ 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 NA~Ef '"::'~: .... :' ~ ~ ~:~':'"~:~'" {Last name, ~irst name, middle initial, Unl~' .... you are applying tn the name of someone else or other 'en~iby, such as a company. If so, [~dicate the other person's or company's name.) NATORB OF APPLI~ATION~ (Check all ~ha~ apply.) Tax grievance Variance change of zone Approval of pla~' . ~xemption from pl~t o~ o~ficia! map Other Do you p~rsonallF (or ehrough you~ ~ompany, spouse, eibling~ patenS, or child) have a re~attonehip wi~h any of Eieer or employee of the Town cE Southold? 'Rela~ionship- includes by blood, marriage, or business ineeree~. 'Business inkeres~' means a business, including a partnership, in ~hich She ko~n oiliest or employee has even a partial ownership of (or employment by) a corpora~ion in ~hich ehe town officer or employee owns more than §% o£ She ahare~. If you answered "YRS,#. ~omple,?.e ~.he balance =0~ thte"'£orm' and date and sign vhere indicated. Name of person employed by the Town of Southold Title or position of that person Describe ~he relationship behween Yourself (~he appiieant) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK DATE: November 1.9, 19~ Pursuant fo the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the I.~ws of the · State of New York 1952; and the Southold ToWn Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUGTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;~.'. and in accordance with the Resolution of The Board adopted at a meeting held on ...]..!/~.!~/.~.8.- ..... 19...~..8.L., and in consideration of the sum of $..15.0...fl0 ........ paid by ...... ~ ~!~.~.r....!(,....Wihn of ............ Gu, t.c~g.ue ............................................... N. Y. a,d subject to the Terms and Condfflons listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to repair or replace as necessary foundation for covered porch, stairs to porch, p~rch decking, railing & roof, convert 10~X24; crawl space to full base., remove 2 chimneys, in- stall fireplace & 2 flue chimneys, relocate bilco entrance, enlarge frontall in accordance with the detailed specifications as presented in entr3ihe originating application. & cellar; with addit, first floor spac~.~ secX~a~d a. one car garage to a 2 car garage, install 24IX30' land- pe~re~ai~h~VlTNESS WHEREOF, The saicFBoard of Trustees here- wall causes ;rs Corporate Seal fo be affixed, end these presents fo ;ubscr;bed.by a 'majority of the sam Board as of this date. and haybale g constr, on north a~soutB~ side o£~perty. - ' Trusteex Albert J. Krupski; President James I~ing, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hail 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 19, 1998 Walter F. Wilm 4605 Stillwater Ave. Cutchogue NY 11935 Re: SCTM ~137-3-5 Dear Mr. Wilm, The following action was taken by the Board of Town Trustees during a Regular Meeting,'held on November 18, 1998, regarding the above matter: WHEREAS, WALTER F. WILM, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated November 2, 1998 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 November 18, 1998, 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 standard set forth in Chapter 97-18 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, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of WALTER F. WILM to repair or replace as necessary the foundation for the covered porch, stairs leading to porch, porch decking, railing and roof, convert a 10' X 24' crawl space to full basement, remove two chimney's, install fireplace and two flue chimney's, relocate bilco cellar entrance, enlarge front entry and cellar, convert a 3' X 8' and a 6' X 8' crawl space to full cellar resulting in additional first floor space, expand a one car garage to a two car garage, and install a 24' X 30' landscape retaining wall, all with stipulation that drywells be placed to hold runoff and haybales be placed on the north and south side of property during construction, and, 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 it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification ....... Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: None Very truly yours, Albert J. pski, Jr. President, Board of Trustees AJK/djh cc. DEC Dept. of State Bldg. Dept. Telephone (516) 765-1801 Town Hall, 53095 Main Road P.O, Box 1179 Southold, New York 11971 SOUT}IOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Thursday, November 12, 1998 the following recommendation was made: No. 1606 Moved by Melvyn Morris, seconded by Kenneth Meskill, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROYAL WITH A SUGGESTION 6f the Wetland Permit Application of WALTER WlM 137-3-5 to repair or replace as necessary the foundation for the covered porch, stairs leading to the porch, porch decking, railing and roof; convert 10' x 2Lt' crawl space to full basement, remove two chimneys, install fireplace and two flue chimneys, relocate bilco cellar entrance; enlarge front entry and cellar, convert 3' x 8' and 6' x 8' crawl spaces to full cellar resulting in additional first floor space approximately 66 s.f. and cellar 138 s.f.; expand one car+ garage and carport to two care garage; install 2L[" to 30" landscape retaining wall (stone). 4605 Stillwater Ave., Cutchogue The CAC recommends approval and suggests that a non-turf buffer be placed behind the bulkhead. Vote of Council: Ayes: All Motion Carried Telephone (516) 765-1801 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION Ar~VISORY COUNC~ The following recommendation was made at the meeting of the Southold Town Conservation Advisory Council held Monday, January 26, 1998: WR-97 WALTER WILM 137-3-5 to repair the founciation, replace stairs and replace the roof of the porch attached to residence 4605 Stillwater Avenue, Cutchogue The CAC has NO COMMENT concerning this waiver request. decking, replace Albert J. Krupski, President James King, Vice-President Henry Smith AFeie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1882 Fax (516) 765-1823 January 29, 1998 BOARD OF TOWN TRUSTEES TOV~N OF SOUTHOLD Dear Mr. Wilm: The following action was taken by the Southold Town Board of Trustees at the regular meeting on Wednesday, January 28, 1998: RESOLVED that the Southold Town Board of Trustees Grants a Waiver to repair the foundation, replace decking, replace stairs and replace the roof of the porch attached to existing house. Located 4605 Stillwater Ave., Cutchogue. This does not constitute approval from any other agencies. If you have any further questions, please do not hesitate to contact this office. Albert J. Krupski, Jr. President,-Board of Trustees AJK: jmd