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Home My WebLink AboutBender Family1996 Trust Glenn Goldsmith,President 0��'uFt Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski Co ,? P.O.Box 1179 Liz Gillooly 9y • ��}1 Southold,NY 11971 O Elizabeth Peeples �� ' Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: ZDz3 Completed in field by: M12a6r,& Pteok Mark Schwartz, Architect on behalf of HH BENDER FAMILY 1996 TRUST requests a Pre- Submission Inspection to discuss a possible one-story addition, interior alterations, and proposed deck area that exceed the pier line. Located: 803 Maple Lane, Southold. SCTM# 1000-64-1-30.1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: ✓Chapt. 275 Chapt. 111 other Type of Application: ✓Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: G v--1 +a �e."W i2 dry w\e l(x , tywL&iln -ire t s. eA" \1e�l6 W K40"-i-jVt Vg4 Present Were: v"'G. G ldsmith V/"N. Krupski ✓ E. Sepenoski L. Gillooly ✓E. Peeples -4=`-_ :-_-_- - �. p65�ED bl2312� r r _, •^ .r _-. "" -_ -^ - — ._ - — - l.• ._ r , _ ._ _ _ TOP OF SLOPE - I ' t 8RICKBORDER -- Poo A LI j Alt WOOD DECK to r71 LFA v ..._ -._ _- —. ._ _.. — .-- — '— 6'" �' •J ly ILINE 1. �aJOCD jj s f d I j � v J BRICK W la P / _S109>= ROOF OVERHANG L BRICK C WOOD �! OVERE Qf r STOOP STORAGE !i BRICK PATIO � — J JUL 3 ! 2020 COD l Ci �; WATER METER i BRICK !� WALL 1If ARICK LRCHITECT MARK SCHWARTZ &ASSOCIATES 28495 Ntain Road•PO Box 933•Cutchoguc, NY 11935 631.734.4185 www.mksarchitcct.com July 31,2023 Southold Town Trustees Department 54375 Main Road Southold,New York 11971 Re: Gregory Hubbert and Marianna Bender property 803 Maple Lane Southold,NY To whom this may concern, We are requesting a pre-inspection site visit on August 8th and submitting completed forms and check. The Owners and I plan to be there for the inspection. Greg Hubbert Marianna Bender Mark Schwartz 631374 4624 Sincerely, � S d,,t Mark Schwartz � i J U L 3 1 2023 AIA N,emflcr American tnshWte of Aj'chtleclure CJI�LIIJI.1 t'.:�vrl Boar;of Trustees �J Board of Tz .e, Application AUTHORIZATION (Where the applicant is not the owner) I/We Marianna Bender owners of the property identified as SCTM# 1000- 803 Maple Lane in the town of Southold ,New York, hereby authorizes Mark Schwartz 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. Property Owner's Si Property Owner's Signature SWORN TO BEFORE ME THIS 2 C, DAY OF I 120 Z Notary Public BENJAMIN A.ATKINS Notary Public,State of New York NO.01AT6380048 Qualified in Queens County -7 Commission Expires,August 27,20 2b Board of T*e Application AFFIDAVIT Marianna Bender 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 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. Signature of Property wner Signature of Property Owner SWORN TO BEFORE ME THIS 6 \ DAY OF Jy 20 2 Notary Public BENJAMIN A.ATKINS Notary Public,State of Ivew York NO.01,676380048 Qualified in Queens County Commission Expires,August 27,20 APPLICANT/AGENT/REPRESENTA.TIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the art of town othcers and employees.The nurnose 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"toavoid same. YOURNAME: Bender, Marianna C (Last name,first name,.rpiddle 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 Tie 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 sharps. YES NO X . If.ydu 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 of greater than 5%of the shares of the corporate stock of the applicon.t (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 officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 200 Signature Print Name Marianna Bender Form TS 1