HomeMy WebLinkAboutVan Adelsberg, Janet Glenn Goldsmith,President �`�®f.S®U� Town Hall Annex
V► ® 54375 Route 25
A. Nicholas Krupski,Vice President �® �® P.O. Box 1179
Eric Sepenoski l l Southold,New York 11971
Liz Gillooly seg Telephone(631) 765-1892
Elizabeth Peeples � �� Fax(631) 765-6641
evu;M,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
July 28, 2023
Ural Talgat, RA
439 7th Street
Greenport, NY 11944
RE: JANET VAN ADELSBERG
4297 WELLS ROAD, PECONIC
SCTM#: 1000-86-1-9.5
Dear Mr. Talgat:
The Southold Town Board of Trustees reviewed your letter dated June 20, 2023, along
with the site plan you prepared, last dated June 15, 2023, and determined that the
proposed construction is 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.
Any construction activity or disturbance seaward of the limit of Trustee jurisdiction will
require an application for full permit. Additionally, any structure proposed seaward of
the line of jurisdiction will require a permit as well. With any future permits it would be
looked favorably upon if there was a plan for tree replacement and a non-turf buffer.
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 to the ground surface or vegetation
2
within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result
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,
Glenn Goldsmith, President
Board of Trustees
GG:dd
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EXISTING RESIDENCE
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WELLS
15.00' SCTM # '1000-86.-1-9.5
` WETLAND FLAGS ♦ ROAD PROPERTY: 4297 Wells Rd
BY SHAWN BARRON
ADDRESS Peconic, NY 11958
9-18-2013 OWNER: van Adelsberg, Janet
o ` 420 Riverside Dr Apt 513
New York, NY 10025
SD \
766
SITE: 114,253.5 sf = 2.6229 ac
'S Gy ♦ ZONING: R 80
S \ \ 2 SURVEYOR: PAUL BARYLSKI LAND SURVEYING
RICHMOND
PATCHOGUE NY 11772
CREEK 0. 0 LICENSE # 44224
DATED 2 / 512023
ELEVATIONS ARE REFERENCED
TO N.A.V.D. 1988 DATUM
SITE PLAN
SCALE: 1 "=30'-0"
V A N A E L SO om E R G R"Em I 1%0113 1 Em x` Lim I V, L-m
[[SOUTHOLDNEW YORK
DATE: 5 / 3 / 2023
REVISED DATE: 6 / 15 / 2023
JUN 2 0 20%3
URAL TALGAT
F-
ARCHITECT
DEC PERMIT APPLICATION 436 7th STREET
GREENPORT, NEW YORK 11944
TOWN PERMIT APPLICATIONS (631)477-8963 zt�
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SCALE: 1/2 - V-0" SCALE: 1/2 - V-0" SCALE: 1/2 - V-0"
15 ROOF
STRUCTURE
2 'q 2�'`� ABOVE
13 E3 (bx(b
\ / I TYPICALT
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so4fd wall for hanging tools solid wall for hanging GARDEN Ga ZEffimvSBO STRUCTURE
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VAN AUL
� — — - - - — � SOUTHOLD, NEW YORK
DATE: 6 / 15 12023
F L(O 0 R" 0 vml k L Al M'_
SCALE: 1/2" = 1'-0" URAL TALGAT
ARCHITECT
LANDSCAPE ARCHITECT
436 7th STREET
GREENPORT, NEW YORK 11944
(631)477-8963
Glenn Goldsmith, President ��®� S®(/_� Town Hall Annex
A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25
P.O. Box 1179
Eric Sepenoski6E Southold, New York 11971
Liz Gillooly coy =+ee
Elizabeth Peeples � ® � Telephone(631) 765-1892
Fax(631) 765-6641
UNT`I,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
NON-JURISDICTION INSPECTION
DATE OF INSPECTION: 12-1123
INSPECTED BY: ,�IZGI
Ch. 275 Ch. 111
COMMENTS:
Ural Talgat RA, RLA
Architect and Landscape Architect
4367 1h Street
Greenport NY, 11944
June 20, 2023
Board of Town Trustees
Town of Southold
Town Hall, 53095 Main Road
P.O. Box 728
Southold New York 11971
Re: van Adelsberg Residence
4297 Wells Rd
Peconic, NY 11958
SCTM # 1000-86-1-9.5
Dear Trustees:
Enclosed please find two Site Plan drawings, Trustees Application and a check for$50, for
the property referenced above. The proposed construction is greater than 100 feet from the
edge of wetlands; we are therefore requesting a letter of non jurisdiction from the Board of
Trustees.
If you have any questions, please do not hesitate to call us.
Sincerely,
Ural Talgat
RDECEIVE
FJUN2 0 2023
Southold Town
Board of Trustees
GlennGolds*i�ith;President . _ Town Hall Annex .
A.Nricholas Krupski,price Presidentf= J`:_ 5¢375 Route 25+
P.O.Box 23^r9
lric5 eriaski. _
Southold,New York 11974
Liz Gillooly .
Tele
plane(631) 785-1892Elizabeth Peeples. -664
1Fax(631) 765
ARD OF TOWN.TRUS .
T OWN"OF SOUTHOLD
. .. This 8eetion For(Dffee'Y.Jse Only .
saa�srul;o��gog
Coastal.Erosion Parniit Application-
Wetland Permit Application ..
_ .,."._Administrative Permit Y 22
_ Amendment/TransferlExtension -
Received Application:. ... - _
;.
Reeesved Fee. 1 �~
. . :
Completed Application::
Incomplete::._�
SEQRA Classification: Type I�_.`Type*ll -. Unlisted:�-- Negative Dec*. Positive Dec::..F� ,
Lead Agency Determination Bate:.
Coordination:(date sent):
LWRP Consistency Assessment Foran Sent:
: .
...-.—,—CAC Referral Sent:
. Date of Inspection:
Receipt of CAC Report: — ..
_._....n....Technical Review:
Public Rearing, Held: ..
Resolution: .........
OwrierW Legal Marne of Property (as shown on Deed):.Janet vpn,Adelsberg..:..
iv$ailisag Ad 420 Riye_rside DrApt 5S, New Yorlt;NY.10025
T (91 -2
7) 822961 -
Pborie Iurrrl3er: ...:. ... .. .. . ..
guffolk Coilrity Tan MaW p Nu,m* en 3000
Property Location::4297.-VVeli$.Rd. Pecornc, IVY-11958.. .
(If necessary;provide LILCO Pole R, distance to cross streets; and locati 11)
AGENT(If applicabli Ural:Talgac :
Mailing Adorers:.:436 7fh:,Stre0 ;:Greenport;..NY 14 1944 .
Phone hiti ber: ._631 X477=8963.::.. ail::j vanadelsber
9@9niail;corn . . .
Board of Trust–ad Application
AUTHORIZATION
(Where the applicant is not the owner)
Janet van Adelsberg
owners of the property identified as SCTM# 1000-86701-9.5 in the town of
Peconic ;New York, hereby authorizes..Ural Talgat
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.
.. .
operty Owner's Signa Property Owner's Signature
+net van Adelsberg
SWORN TO BEFORE ME THIS._. . .. PeF....:....DAY OF..
L2�/— NZ! y Public
Notary PuMY MA
blic,c,State of New York
Qual6017
ified in 01Npw York county
''ommission Expires Sept,20,2024
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCL®SURE FORM
T1ie..Toiva bf5tinthold's Code,of Ethics_nfohibats conlliets ofiriteiestatt the iiait af_ioi�in offecers aitd empilbvees:Tfie titictiose of:
this form is to Drovide infoririatioti which cari alert-thetoisn:of possibly;conflictsof intePestand allow:it:io sake whatever action is
necrts9ry-to avoid saris.
YOUR NAME:._....van ArJP_l_c;ht-rq .lanPt
(Last name;first name,giiddle initial,unless you are applying imthe 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
(]f"Other",name the acti My.)
Do you persdtit ily(n'r through your;company,spouseF si);ling;.parent orctiild}fiadte a 1 relatt ii§fiip:ivith Tiny offs-df of employee
ofthe Town ofSotithold? "Relationship"includes 6:y:biodd;:tnarriage,of bits"sness:intetest:":Biisiriess iriteresP'means:a:bi�siness,
including a.partnership;:in.which the toWniiflicei orerriployct has etiena partial ownership of:(oremployrirent 4y)a:coipoia#ion
in which theaawri officer or employee owns more than:5a/oof the-shares.
YES nNO
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):
fA)the owner of:greasecthan-5°ib of ttic shares of the coro0rate.stock oFthe;applic nt-
ja (when the applicant is a corporation);
B)the legal or beneficial owner of any interest in a non-eoriTeorate entity:(wfien.the
—Rapplicant is not a corporation);
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted till day of 20_2_3
Signature...
Print Nam .anet va-.Adels,erg
Forth TS 1
Board :of"Trust_i,Agpllcati6n
EM
Janet van-Adelsberg: BEING IDCJI;I'SWORN
DEPOSES AND AFFIRMS THAT BE,/SHEE IS THE APPLICANT FOR TETE ABOVE
DESCRIBED PERMITS)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 1MDANNER-SET FORTH-IN-.THIS APPLICATION:
AND AS MAY REAPPROVED.BY THE SOUTHOLD TO"BOARD OF TRUSTEES
. . . .. THE APPLICANT AGREES TO HOLD THE'TOWN OF SOUT]HOLD)AND THE':.
BOARD OF TRUSTEES HA MLESS AND FREE-FROM-ANY-AND.ALL DAMAGES
AND CLAIMS_ARISING.UNDER-OR BY VIRTUE OF.SAID.PERMIT(S),IF
GRANTED. IN'COMPLETING THIS.APPLICAT;I ON;I HEREBY.AUTHORIZE TRE.
... :.:.TRUSTEES,THEIR.AGE:N'T(S)*OR:REPRESENDA,TI'VES;INCLUDING.THEIE : :
CONSERVATION ADVISORY COUNCIL;TO ENTER ONTO MY.PROPERTY.TO
. INSPECT THE PREMISE SIN CONJUNCTION WITH THIS APPLICATION;
INCLUDING A FINAL.INSPECTION;:I FURTHER AUTHORIZE THE BOARD OE
TRUSTEES:'TO ENTERONTO MY:PROPERTY AND:AS REQUIRED.T4 II�ISURE.: : : : . ::
COMPLIANCE.WITH-ANY.CONDITION:OF.ANY.WETLAND.OR.COASTAL.
EROSION.PERMIT ISSUED.BY THE-BOARD OF TRUSTEES.DURING THE TERM
OF-THE-PERMIT..
_'y2nature of.Property Owner.__ :.:,,:... Signature of Property Owner.
Janet'van Adelsberg
SWORN TO:BEFORE.NIE-THIS:: : 9k I?AY OF
to ublic . ...-
JIMMY:MA . :.:
Notary Public,State of Now York
No.01 MA611.6017
- .
. . ..Qualified.in New York Cou._ty
Commission Expires Sept:20,2024::
Bo-ttm <4-•. / may; �-_.- ` `` - ,- � yi i< J
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