HomeMy WebLinkAboutCHRISTIANSON, DANAlbert J. Kmpsld, President
John HolzapfeI, Vice President
Jim King
Martin H. Garrell
Peter Wenczel
Town Hail
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosmon Permit Applicat:
Wetland Permit Application
~ather Permit Application
~;r~ai~Amendment/ChangDS
/~eceived Application:
~eceived Fee:$~O -
6,,'Completed Application ~h~/~?
- Incomplete t t
SEQRA Classification:
-~pe I Type ii Unlisted__
Coordination:(date ~e~nt~
'CAC Referral Sent: ~/3:/~?.~_.__
~te of Inspection:
Receipt of CAC Report:
Lead Agency Determination:
Technical Review:
i~'"" Public Hearing Held:
Resolution: ~ /
TOWN O[ SOUTHOLD:
Phone ~er: (~%) ~- ~
(pr'ovide ~ILCO Po~ff ~, distance to c~oss streets, and location)
k.L .
(If applic~bZe) '
~ard of Trustees ApplicatiO,
GENERAL DATA
Land Area (in square feet): ~0. ~
Area Zoning:
Previous use of propertv:
Intended use of property:
Prior permits/approvals for site improvements:
Agency Date
~ 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Has any permit/approval ever been revoked or.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):
i~ ~rd of Trustees App!icatic
County of Su~_=olk
State of New York
BEING DULY SWORN
DEPOSES ~ND AFFirMS THAT HE/~E IS THE~APPLiCANT FORT~EABOVE
DESCRIBED PEPaMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ~E
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIER, AND THAT ALL
WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS ~AY BE APPROVED BY THE SOUT_HOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD A/~D ~ TOWN
~RUSTEES HARMLESS AN~ FREE FROM ANYAND ALL DAMAGES ~D CLALMS
ARISING UNDER OR BY VIRilE OF SAID PErMIT(S), IF GRA~TED. IN
COM--OLETING THIS APPLICATION, i F_EREBY AUTHORIZE THE TRUSTEES,
THEIR AGENT(S) OR REPRESEnTATIVES(S), TO ENTER ONTO MY PROPERTY
TO iNSPECT THE PR~MISES iN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
Signature
SWOP=N TO BEFORE ME THIS
DAY OF
,19
Notary Public
FAIRWEATHER-BROWN
Box 521
413 Main Street
Greenpol~, NY 11944
Attn: Robert Brown, A.I.A
To whom it may concern:
This authorizes Robert Brown, A.I.A.,
me, any and all permit applications and simil
"Christianson Residence" project, involving
Deep Hole Drive, Mattimck, NY.
Sincerely,
Daniel T. Christianson, Trustee
Anna B. Christianson Trust
I232 Old Concord Road
Monroeville, PA 15146
April 20, 1997
Architect / Designers, to sign, for
facilitate the
and upgrading of the residence at 1220
Albert J. Kmpski, President
John Holzapfel, Vice President
Jim King
Martin H. Garrell
Peter Wenczel
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
.~Teleph0ne (516) 765-1892
Fax (516) 765-1823
July 31, 1997
Robert Brown A.I.A.
P~O. Box 521
Greenport N~ 11944
RE: DAN CHRISTIANSON
SCTM 9115-12-17
Dear Mr. Brown,
The following action was taken by the Southold Town Trustees on
Wednesday, July 30~ 1997, at their Regula~ MeetSng:
RESOLVED, that the Southotd Town Board of Trustees grant a
Waiver for renovations to an existing house and porch.
This approval does not constitute appruvals frum any other
agency.
If you have any questions, please feel free to contact our
office at 765-1892.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
aJK/djh
cc. Bldg. Dept.
Telephone
(516) 765-i801
Town HaLl. 53095 Main goad
P.O. Box 1179
Southotd. New York 11971
SOUTHOLD TOWN
C0tNSERVATION ADVISORY COUNCIL
The following recommendation was passed by the Southold Town Conservation
Advisory Council at its July 28, 1997 meeting:
WR-76
Moved by Melvyn Morris, seconded by Mary Griffin, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL
of the Waiver Request of DAN CHRISTIANSON 115-12 17 to renovate existing
house and porch within 75' of wetlands.
Deep Hole Drive, Mattituck
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 ADVISORY COUNCIL
The following recommendation was made at the meeting of the Southold Town
Conservation Advisory Council held June 23, 1997:
WR-77
DAN CHRISTIANSON 115-12-17 to renovate existing house and porch.
Deep Hole Drive, Mattituck
The CAC did not receive the application in time to make an inspection and
therefore, does not have a recommendation.
6~ '~*-~