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HomeMy WebLinkAbout19645-z I~OB, M NO. It TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEBMIT (THIS PERMIT MUST BE K:EPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK: AUTHORIZED) NO 19645 Z J Permission is hereby granted to: ~ /l~a..~ ~.' c,~.~ J~:,' ' .................. .................. ..~....~¥.~.9......~..~.~.....~ ................ , ~ , ~. _ /~ ~u ~ UV % ............... ~.;.....~. ........ :.~.....~.....~..~.~ ......................... : ......... ~ ...... ~...~.. at remises I~at~ at ........ ~ .......... ~ ................ ~.d ......... ' County Tax Map No. 1000 Sect~l~)....!..!..~. .......... Block .......~....~..~.. ........ Lot No.....~.J[ ............... pursuant to application dated .~.~...~.. .......................... , 19.~t..C~.., and approved by the Building Inspector. B;31trdlng Inspector Rev. 6/30/80 Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD scott L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT. EFFECT ON THE ENVIRONMENT APPLICATION NO. 5-3-90-117-5-31 NAME: Joseph Fidjinksi DATE: December 26, 1990 RESOLVED that pursuant to Article 8 of Law, State Environmental Quality Review and 6NYCRR Part 617, Section 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. the Environmental Conservation P'lease take further notice that this declaration 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. TYPE OF ACTION: Unlisted Action DESCRIPTION OF ACTION: To ~uct a 4' X 30' fixed dock; 3' X 10' ramp; 6' X 20' float and a~ence)surrounding property. LOCATION: Tax map No. 1000-117-5-31 REASONS SUPPORTING THIS DETERMINATION: 1. An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. 3. A report was received from the Conservation Advisory Council approving this project as long as no dredging will take place. cc: Planning Brd., Bldg. Dept.~ ZBA, CAC, NYSDEC, COE TRUSTEES John M. Bredemeyer, II1, President Henry P. Smith, Vice President Albert .L Krupski, Jr. John L. Bednoski. Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 January 22, 1991 John H. Geideman P.O. Box 416 East Marion, NY 11939 Re: Joseph Fidjinski Dear Mr. Geideman: The following action was taken by the Board of Town Trustees during its regular meeting held on January 17, 1991 regarding the above matter: WHEREAS, JOHN GEIDEMAN IN BEHALF OF JOSEPH FIDJINSKI applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated May 22, 1990 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 January 17, 1991 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 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 JOHN GEIDEMAN ON BEHALF JOSEPH FIDJINSKI OF BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: construct a 4' X 30' fixed dock; 3' X 10' ramp; 6' X 20' float and fence surrounding property as per revised plan of John H. Geideman dated January 18, 1991. This permit 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. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:jt cc: Bldg. Dept. Conservation Advisory Council file Memorandum from .... BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N. Y, 11971 Joseph Fudjinski P. O. Box 104 New Suffolk, NY 765-1802 August 31, 1990 11956 Dear Hr. Fudjinski: We cannot process your application for a fen~ for the following reasons: / shown o ~ /~2. The type & height of the fence is not known. Please resubmit your application with the above infdrmation & we will process it as soon as possible. Building Department FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY .................. .................. SEPTIC FORH ................ TEL.: 765-1802 Examined q~..~.].., 19 .~.1. ., 19' 1 , . ..... Disapproved a/c .... (Bt~ding Inspector) APPLICATION FOR BUI,LDING PERM IT NOTIFY ~ CALL ~;i .................. MAIL ?. .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Ifispeetor, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street.,, or areas, and giving a detailed description of lfiyout of property must be drawn on the diagram which is part of th. is appli- cation. ¢. The work covered by tl'ds applleation may not be commenced before issuance of Building Permit. , d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~hall be kept on the premises available for inspection throughout the work. ~. No building shall be occupied or used in whole or in part for any purpose whatever unt 1 a Certificate of Occupancy shall have been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit purs,./ant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicabl~ Laws, Ordinances or Regulations, £or the construction of buildings, ad, ditions or alterations; or for ~;emoval or demolition; as herein de,~cribed. The applicant agrees to comply with all applicable laws, ordinances, building code, housin~ co3~e, and reguiations~ and to admit authorized inspectors on premises and in building for necessary(i~ectioy/ 1/ .~/_~ ,~.. // ' . ~gnat_ufe of .applicant, or name, if a corpora''''~ .... -";' ~' ......tiaa')' ' ' (Mailing address of applicant) State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a co{pdration, signature ~f duly ~uthorized officer· (Name and title of corporate officer) Builder's License No ........................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done; llouse Number 0 ' ' Street. ................ County Tax Map No. 1000 Section .................. Block ........... Lot fi/q, 1000-fl/r/_~._~[ Subdivision ..................................... Eilcd Map No. (Name) .............. Lot ....... 2 State e" · · x Shng nsc and occupancy of premises and intemlcd use and occnpancy of proposed construction: A. Existing use and occupancy...[/(.-~..d-'~.N. ~....~'/.~..~/.{~r..' .................................. B. Intended use and occupancy ......... 3. Nature of work (check which applicable): New Building ..; ....... Addition .......... /alteration ......... Repair .............. R~moval .............. Demolition .............. Swi,.~ning pool. ........ ;,.. Tennis Court ......... Accessory Building .......... Fence ~ ..... Other Work .......... 4. Estimated Cost 4.~ 0 0,~ ~/ ~ '.'.. Fee .. ~. ~ ....... (to be paid on filing this application) 5. If dwelling, number of dv.'clIing units ............... Number of dwelling units on each floor ................ If garage, number of cars ..................................................... ~ ................. . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............ ~. ........ 7. Dimensions of existing structures,' if any: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ............................................... ~ ........ Dimensions of same structure xvith alterations or additions: Front ................. Rear .................. Depth ...................... tleight ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of StoNes ............................................ ' ............ 9. Size of lot: Front~: .~. I~1,~ ~/,~,./~.r~,v Rea: ...................... Depth ' 5 ....... " ..... 10. Date of Purchase ../.q..'7..~. .................... Name of Former Owner .~.t..&/.~.t~'~q¢¢.~: ............ 1 I. Zone or use district in which premises are situated..~.; .~..o....,/f~ ~6/.~,..z4..,~. ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ./~'.o ............................. 13. Will lot be regraded .... Y'~.. ..................... Will excess fill be removed from premises: Yes .... No~ 14. Name of Owner of premises .~: .~.'?.EZn'...c.,e./...: .... Address .~¢:'.' .K.O'.~..~'. .A?.'¥.J.~.~./~Phone No. ~..$ ~- -'-~-~.°.L · · . Name of Architect ........................... Address ................... Phone No ................ Nome of Contractor .... ' ' ~5 'r~ ~-h;u property lo'eater with£n ..... Address ................... Phon~No. ''t,' .......... ..... 300 feet: of a tidal wetland? ~yE$."~.HO .... fmIf yes, Southold Town Trustees Permit may be required. PLOT DIAG R. AM Locate clearly and distinctly all buildings, whether existing or proposed, amd. indicate all set-back dimensions from property Hnes. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. APF,::.','~[~ "" fDTED 7~,.-)8,, .~ T( PM FOR ~H~ FOL.LOV,;INC .PE{ 'NS: 1. gOL)NDA' ' .' VO REQUIRED FOR )"O~ ' "CO 'ETE h,)d,-~ .. ,M; & PLUMBING STATE OF NEXV YORK, 2. '"'" ,. COUNTY OF..~ ~.o~.. S.S 3. ~;g[~ ~ ...... 4. F :'A.. .:~N~ CTION MUST .... ~- ~ ~ ~. ~-~.. · ~ .... ~.~'J -' ~ ~ ~% I ............ being dul~,~; depo~ ~d says that hc is thc applicant (Name of individual signin~ contract) ALL CO~'~%r' rio- . ~ALL MEET abovc named. THE REQU~'.. ,,'.SN~ F THE N ', ~isfl~e ~ ~ STATE CON~U~;J~. ~ ENERGv ................................................ ~ ,,.;.... ..... :E~. .... ~t~.. ;-..; .......... -.. (Contractor, agent, corpora~'C' arficdr, etc.);~- ON ERno~. of said owner or owners, ~d is duly authorized to perform or have perfumed the said tvork and to m~e and file this application: that all statements contained in this application are true to tt~e best of his knoxvledge and belief; and that the Work will be perforated in the m~ner set forth in the application Qled therewith. Swum to before me this ........................ ........ NOTARY PUBLIC, S~te of New Y~ (SignatUre of applic~ t) No. 4853108. Suffolk ~0unl~ Gammma~0n Eau,ma Fabruae~ 18, 1~