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Home My WebLink AboutTR-5235 Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO...5~.3 S ISSUED TO .......~.IJ..:r.f:I:A.~~....&..~<:).I3¡¡;~T DATE:C?(;~ober BRAMSON . .....-.......... l\utqnrilutintt Pursullnt to the provisions of Chllpter 615 of the Laws of the Stllte of New York, 1893: IInd Chllpter 404 of the Laws .of the Stllte of New York 1952: IInd the Southold Town Ordlnllnc:e en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS IInd the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:". IInd In 1Ic:c:ordllnc:e with the Resolution of The BOllrd IIdopted lit II meeting held on ....<:>,,~.~2?.~.. 2000., IInd In c:onslderlltion of the sum of $ ..15.0..:..0.0 .... pllld by Peter E. Bullis for RUTH ANN & ROBERT BRAMSON ....................................-..... of..M":r.:~~':'~".":c:I'M..1\ ~]C,. IInd subjec:t to the Terms IInd Conditions listed on the reverse sIde hereof, of Southold Town Trustees luthorlzes Ind permits the following: Wetland Permit for the complete renovation of the -existing house including a porch addition to the south and one-story additions to the east and north, with' the condition that there be hay ,.,. bales during construction on the top gf the bank and that tliel'e ,1I1I.ln 1Ic:c:ordllnc:e with the detlliled spec:itiC:lltlons 115 presented In thê origlnlltlrig iippllc:atlon; "'r .. ¡, : ..' .~f:. ''0"'" -i I'll ., . ,I .., .. be no chan&.~.in the ex}~tin&.....i'ra.de:...··-" .,~, Ir"\..:~ ~ ,,;;.. "'i~u l:.-,~......~ . I IN wiTNESS WHERt:Uf', The sllld BOllrd of Trustees here- .: .." . bX 'c:lluse.:ltS~Co,rpO:~lIf~·S~lIlto·bé' affixéd,:lIndthese"Þresents..,o~~ ,;~! " . . be subsc:rlbed.·bYII mll(orlty of the såld 'Bollrd-lIs of"hln:lllt.e.I""'A¡; ,..< ~ '-' ,,~·.1illal:':. ,J'-' I." .1' ..- ",,) . II" "" '·1·'..·... ""'}' .. - , . ." ¡·~~~rft¡:;:·:\. ¡/~,~~r Hem:y Smith. - Absent Trust..s ' .. . . '. r.' '. .., ,.,' r. r., (a' '.' '. I.... fa r.· r. f. f. II fl').· f. 'I ,. {It, " 00,. 'I II \ I. ",- I. I. '. I" '. I. r. fl '. '. ~ '. I. .. .. .. '. . '. .. '. .. . '.. '. . TERMS IInd CONDITIONS The Permittee Ruth Ann I., Robert Bramson'" reslcling at 12040 Main Rd.. East Marion N. Y.. .. pan of the cOII5lderation for the Issuance of the Permit does undentand and prescribe to the fol- lowing: 1. That the said Board of Trustees and ehe Town of Souehold ale Ieleased from aøy and aU damages, or claims for damages, of snits arising clliectly or indirec:dy II a result of aøy oper- adon performed punullDt to this permit, and the Did Permittee will, at his or her own ~ defend 80y and all such suits 'initiated by third þarties, and the said Permittee a_ full UabI1lty with respect thereto, to ehe complete ex:clnsion of the Board of Trustees of ehe Town of S0uth01ð. 2. That this Permit Is va1Id for .. petlod of 24 mos. which Is consIdeted to be the estimated time required to mmplete the work involved, but should circwiIstances wárrant, request for an extenSion may be made to ehe Board at a later date. 3. 11tat this Permit should be retained indefinitely, or as long II the said Permittee wishes to maintain the structUre or project Involved, to provide evidence to aøyone concerned that auth- orization was originally obtained. 4. That the wotk involved will be subject to the .inspectlon and approval of the Board at Its agents, and non-compUance with the provisioDS of the originating application, may be cause for revocation of this Permit by resolution of the said Board. S. That there will be no UIIfeaSODable Interference with navlgatlnn II a result of the walk herein aUthorized. 6. That ehere shall be 110 interfetence with the right of the pub1Ic to pass and repass aloag' the beach betWeen high and low water marks. . " 7. That II fublre operations of the Town of Southold requhe the removal and/or alteratiobs . In the location of the work herein aulhott..ed, or U, In the oplnioa of the Board of Trustees, die. work shall cause unreasonable obsttuctJon to free navigation, the Did Pemthtee will be required, npon due notice, to remove or alter this work or project herein stated without ex:penses to the Town of Souehold. /. f . . 8. That ehe said Board. ",III be notified by the Permittee ot the c:ompletloa of the work audI- omd. 9. That tbe Permittee will obtaln all other permits and coasents dtat may be required sup- plemental to this permit which may be subject to revoke upon fal1we to obtain woe. . . Albert J. Krupski, President James King, Vice· President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 30, 2000 Mr. Peter E. Bullis 128 Front Street Marblehead, MA 01945 Re: RUTH ANN & ROBERT BRAMSON SCTM#31-l4-4.5 Dear Mr. Bullis: The following action was taken by the Board of Town Trustees during its regular meeting held on October 25, 2000 regarding the above matter: WHEREAS, Peter F. Bullis on behalf of RUTH ANN & ROBERT BRAMSON applied to the Southold Town Trustees for a per~it under the provisions of the Wetland Ordinance of the Town of Southold, application dated October 5, 2000, 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 October 25, 2000 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 of the Southo1d Town Code, . . WHEREAS, the Board has determined that will not affect the health, safety and people of the town, the project as proposed general welfare of the NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of RUTH ANN & ROBERT BRAMSON for the complete renovation of the existing house including a porch addition to the south and one-story additions to the east and north, with the condition that there be hay bales during construction on the top of the bank and that there be no change in the existing grade. 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, ~9· /~~.~ Albert J. Krupski, Jr. President, Board of Trustees AJK/lms cc: DEC Building Dept. . . Telephone (516) 765-1gq¡ Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, October 23, 2000, the following recommendation was made: RUTHANN & ROBERT BRAMSON 31-13-4.5 for the complete renovation of the existing house including a porch addition to the south and one-story additions to the east and north. 12040 Main Rd., East Marion . The CAC did not make an inspection, therefore no recommendation was made. . . Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 30, 2000 Mr. Peter Bullis 128 Front Street Marblehead, MA 01945 RE: RUTH ANN & ROBERT BRAMSON SCTMIt31-14-4.4 Dear Mr. Bullis: The Southold Town Board of Trustees reviewed the plot plan dated September 2000 and determined the proposed renovations to the existing cottage to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100' of the Wetland line would require a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Aipç:ere\y, ~~ Albert J. Krupski, Jr. President, Board of Trustees /~~.~ AJK:lms , . PETER E. BULLIS. ARCI:IJTECT r:~ (: - :'-'~7'-\~~""-, ': r" --} L I ., \ I 128 Front Street Marblehead, MA 01945 (781) 631-8680 , , OCT - 5 2000 i ~,t ," " \ 1- , . ~ I,' ". . ,..:, I."j lh, ",' i '. __.'. H: . -'" October 4, 2000 Board of Trustees latt: Lauren Standish TOWN OF SOUTH OLD PO BOX 1179 53095 Main Road Southold NY 11971 re: Renovations and Additions to the Cottage - Dr. + Mrs. Robert Bramson, East Marion MA Gentlepeople: As discussed with you on Tuesday, October 3, 2000, we hereby request "a letter of no jurisdiction" from you with regards to "the Cottage" property, Lot 4A - S.C. TAX No. 1000-31-14-4.4. Please advise if you require additional information. cc: Dr. + Mrs. Robert Bramson . . .;ez' ii{~o¡,\)fFOl.t ~ i(~~.~ ,y ,:§ ~ 15 ""g en :æ: 'ð. ~ ~'O ....~ {i './ + -t.... Town Hall 53095 Main Road P.O. Box 1179 Southold, N ew York 11971 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Telephone (516) 765-18,'12 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~Wetland Permit Application ---Grandfather Permit Application Waiver/Amendment/Cha ges ~eceived Application: ecei ved Fee: $ ,rD" ~ompleted Applicatio Incomplete SEQRA Classification: Type I Type II Unlisted hc_ Coordination: (date_ent- AC Referral Sent: ~ ate of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: ~Public Hearing He~ Resolution: OCT -.5 Name of Applicant ¡:2ùT~\ ANr-J 1ò(:2.6(J\e::>ot--J + ~o1òbiZ-I' Q:r2ANISoN Address LOT 4~1''2040 M~N IZÐAO /EA~T M.Af2lo,..J N--( I q '-'? Phone Number: ( ) Suffolk County Tax Map Number: 1000 - :?, l- I.4..::..A ,t:> Property Location: 1'2ð40 MAlt--> r-¿oAQ I ~T MAfZLOt-J t-.J'-f II q?L:> I (provide LILCO Pole #, distance to cross streets, and location) AGENT:--E§:..TSl2 E'. r2>ùLL1c;. Ar2cl-!lï=GT ( I f applicable) Address: 1'2€> =H:<o~T ¿;.Tr25-ET MAI2J2.L...E.t-IEi'Ar? MA ø !Cf4? Phone:(?8Ù ~;I- A~~O FAX#: AppL,cr\,wT'S A^AILI,.Jc:3t- A¡;)Dr2es? ?4 CE:?DAr.2 LAo..jE? I,J<../A--( ~ON MA o21e;:¡S-I'il4 TEL (ú>17) 7'2o-?47?J :¡::-A~ C&>~-V 720-47 ~rd of Trustees APPlicatiOtþ üENERAL DATA Land Area (in square feet): '2I,S:;;.qq Area Zoning: (.2~\QEf-1TJAL Previous use of property: SI~G¡L& -FAN\, L'Í ~,~c.b Intended use of property: C:;;:1~GiLE:- ~,L'i ~1C'f':a..~Ce Prior permits/approvals for site improvements: Agency Date TOIN~ of ~ù1ì-4OLD CÞoA,'2c::> of Appe-At.. rec 1 t--Jo,-I .\ùl2l";;DIC.f,o,....) A¡:::t2IL IC\ I '2.e>OD AÇ>Q,L '2000 ;>( 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): C~1JLe:re r2¡;:~D-IATlo~ OF' 1>-112 £:)G,,;"n~ HA.)<¡E l¡.Jc;LvolµG{ A. pc;!)t2¿.L-f 4Ç>QITI~ TD "ío.i& ~-r~-+ ONG' ~TÐf2ý ÄDL?I r'Ot-l$ TCI T...-tE:- f:Ahí + ¡-~r2ï1-I ~ee AïT"ACI-/E?O pL.o! PL-A,...J . 2 - Board of Trustees APPlication- WE'.rLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: C2~OVAïioN~-t A"PITIÐ~ TD T,....,~ E'}C1<;í.,..) c;;¡ I-icû-se + c:::¡AtZAG2 Percent coverage of lot: t-.JA ¡""A square feet Area of wetlands on lot: % Closest distance between nearest existing structure and upland edge of wetlands: ~.? feet T~ 'íóuU!..I-{eAr? Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve >< excavation or filling? No Yes If yes, how much material will be excavated? 40 cubic yardsAPPl70>"' How much material will be filled? cubic yards , II deposited: ~-~ Depth of which material will be removed or feet To ELevA.íIDN II,'-?+ Proposed slope throughout the area of operations:__fLAT Manner in which material will be removed or deposited: MACHIt--lG- - -Fc:>/"2.. -fooí'.....\:::;¡<;' + f"~¡....)DATI~ AÇ-rerz QA¿:'\C.hLL,~q. E)GcE<% w.LL- rt.E- r2ê'Mouep _FaONI ~ líe . Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): t-JDN~ 3 . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: awry ,ANN T l2o~f.ZT ï. r:6I2.AM<S>ot-l SCTM#1000-~I_ 14 -~ YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 121:;1--Jc:>vAT(:)N"'S + AC:>OIT"IOt-Jf;. To <:71~~L-t:: i?Torz-( r2~LI::>~fo,.jœ + éiAr2A-<:::(G 2. That the property which is the subject of Environmental Review--.is located adjacent to your property and is described as follows: C::>,C. .,.~')" t-.JO 1000 -:;1- 14-4.$ 3. That the project which is subject to Environmental Review under Chapters 3~ 37, or 97 of the Town Code is open to public comment on: IO-'l~·OO 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. / OWNERS NAME: J2...st"H AN"" + r2e>rë>6CZT -r. e:rzAIV\'60)...J MAILING ADDRESS: '?4 C;¡;¡DAt'2 I..Á¡..JG WA'-( J'.;o"E> r O,..J 0'21 0 t!Þ - '2. I PHONE it: IZO _ FA)G 71.P- 4-ï?~ Enc.: Copy of sketch or plan showing proposal for your convenience. c:;í;:r;:;A1TA~He-c::::> pLOí pLAN' s . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: l20NAL D r:2y20F'F CPYø~1' +0 e~t) 1'2-;40 MA I,..) r:z.OAD EAc;.ï M,4t2lo~ N'-f 1C7jq NoTE: p T¡...-IG pr2ðpG'l2r ~or:21-{ + w&Sí íb'j r.2ùTI-i ~NN To r..-¡e -:Sooíl-! To T......tE AQE: óL';;' 0 Ð'¥1'--INE'¡z' + 1200B2T T. r.br7~<50N 10 6.£:\r291r-Ja:?-,? r?;A'-f STATE OF NEW YORK COUNTY OF SUFFOLK P=-íEr:r? E' !'2>0LLI4 , residing at l'Ze, .:¡::r<ot-Jí O<?Tt2E:eT lv\.Arz~t:'He-AÇ MA c::»~ , being duly sworn, deposes and says that on the ~ day of Dc:. íoCþ6'r:z. ,'VIJ.t:JO, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at MA/2(;LI:?HEilK? MA, that said Notices were mailed to each of said persons by (certified) (registered) mail. Andrew D. Colby rk '}y Plibl:c Comm;~ë''',\ Lp:rzs March 24, 2006 ~rd of Trustees APPlicatiotþ County of Suffolk State of New York c::t:I8'Z~ E 130 LLl"? BEING DULY SWORN DiPosEs 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 TOWN 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 ( S), TO ER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTIO I REVIEW OF THIS APPLICATION. , SWORN TO BEFORE ME THIS 1/ .J~ DAY OF Mere','! D, Celby (:-"'ry Plj;ll:~ My Comm;3jü,; t"~;r:;,, ¡,ìarch 24, 2006 7 /}~ ~- vcl ,~ :<œt, B~rd of Trustees APPlicatioÂIÞ AUTHORIZATION (where the applicant is not the owner) .. I '~J '-f-¡" ÂV1 n~t? M çi'JY1 (print owner of property) residing at /20'1-ò fta¡n 7?d. (mailing address) fa yf /f~V'(~ ))y /I 73 c¡ / do hereby authorize (Agent) pEõ'Te:12. E:. P.:> ùL Llo? to apply for permit(s) from the Southold Board of Town Trustees on my behalf. {4,r& CLå1.~'~ (OWner's si nature) f 8 . . Ic·!6·oi ¡2/8¡")-T~(! 12 PAOJEC, I.D. "u.'"a2" 61 ;.21 SEC Appendix C Stale Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLIS,ED ACTIONS Only PART I-PROJECT INFORMATION (To be comDleted by ADplicant or Prolect soonsor! ,. APPl.ICANT ¡SPONSOR I 2. PAOJE·:7.\lAME a;ð"->SE DJtoJ 12V'f1-oi ,Ar-lt-J + Q/!J T· ~AM";Q.J rz~ ,r-J"Ó> -t AC::>C7' 3. PROJECT LOCATION: Munlclpal"V .;;t)-.)-....Ið,..ot::> CounlV oGu &;L.c, 4. PRECISE LOCATION (Street address and road in!erseCIICrlS, prominent landmarks, elC., or pravloe map) LeT 4P.> l'Zo4e> MAIN I2oAI? 1E:A?í MAr2Io,....1 (r-JY Ilq~G ~..c. TAY' t-J0 ooo-?:>I-4·4.~ 5. IS PROPOSED ACTION- D New ExpansiQn odlficalion/aUera[ion 6. DESCRIBE PROJECT BAIEi=L Y: CcMpLeTr=: 12e-...Jo.IAíIÐ,...J Ðf TL--\E- E'>,-\~TI..JGì ¡.....c>ù...& 1-\t:,Lt.>OIlJC:::¡ A POC2e>1-l AC::O TI~ To íc.{E ?~ùíl-( + oµe- ¿¡,.ïor2--t. ADDITI ot-J~ T0 r'-t~ E'~ + r--J .::>r:2T..../ . ~EG .AÍÎ EO pLo- pl-~ 0.1? 7. AMOUNT OF LAND AF;::ëCTED: O.? Initially acres Ullimalely acres d. ~,:::~O?0Së:Ù ~C';"ION CQMPL':' 'NlTH ë:XJS';"ING ZONING OR OTHER eXISTING LAND USë: RESír:1IC710NS? ?' Yes 0 No If No. aescnbe brle/ly ~E~ ÎÐwr-J OF cSooùTr10LD k)At2.D of APPC?AL' y'Af2}I!!¡~CE AL NO 47C¡9. ~...¡ Ao-Jo..) ~nAM'70N 9. ~ IS ?RESE~IT L.·U:O IJ:::¡; IN '/ICINITY OF ,:JF=lOJECT" ~,:::¡eSdenual [J.!naustnat [] CoJrnmercla! Descrlbo: o Agriculture CJ Park/ForeslfOcen space L.J Other to. DOeS ACTION INVOLVE A PERMIT APPROVAL OR FUNQING. NOW OR ULTIMATeLY FROM ANY OTHER GOVERNMENTAl. AGENCY (FEDERAL, ST;;J? LOCAL)? , Yes 0 No If yes. list agency(s) and permillapprovðls TðWr-J OF -'SôL.1f¡;...c9t.D 16v\LC;:>I~ QEpAl2íMEf0..3T '.". 11. ,~ES ANY ASPECT OF THE ACTlOU HAVe A CURRENTLY VALID PERMIT OR APPROVAL? rYes' 0 No It y"!s. IIsl agency name and permlUapprova.1 , To~""; c::>F- ?.o~'ÇHO(..D ~p.rzl? ~F A-Ç'peÄL 12. AS A RESULT OF ROPOSED ACTION WILL E(ISflNG PERMIT/APPROVAL MEaUIAE .'v100IFIC~ïON? Dves 0 I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE eESï OF MY KNOWLEDGE '-'\, ,/ SIQnalure: Dd,e, 'O/'foo .,),pplicanlJsponsor If the action is in the Cons/al Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this a~~essment OVER 1 . . PETER E. BULLIS. ARCHITECT October 4, 2000 . ..-., , . .. 128 Front Street Marblehead, MA 01945 (781) 631-8680 Board of Trustees lat!: Lauren Standish TOWN OF SOUTHOLD POBOX 1179 53095 Main Road Southold NY 11971 ! re: Renovations and Additions to the House on The Bay_IT '--- Dr. + Mrs. Robert Bramson, East Marion MA Gentlepeople: ær - 5 2000 _d_.__._ ___ _. Attached are the following original documents plus two copies for a hearing on October 25, 2000 concerning the above noted property: * * * * * * * * * Board of Town Trustees- Applicant information form Board of Trustees Application - GENERAL DATA WETLANDfTRUSTEE LANDS APPLICATION DATA NOTICE TO ADJACENT PROPERTY OWNER PROOF OF MAILING OF NOTICE DEPOSITION FORM AUTHOR IZA TION SHORT ENVIRONMENTAL ASSESSMENT FORM TRANSACTIONAL DISCLOSURE FORM PLOT PLAN page 1 page 2 page 3 page 5 one page page 7 page 8 one page one page one page The Notice to Adjacent Property Owner, Ronald I. Ryzoff was mailed by me today; Ihe proof of mailing form along with the certified mail receipt will be sent when the receipt is received by me. Please advise me promptly if any documents are missing or require additional information. ~' cc: Dr. + Mrs. Robert Bramson . . PETER E. BULLIS. ARCHITECT 128 Front Street Marblehead, MA 01945 (781) 631-8680 October 4, 2000 1b1~ e"'~ Board of Trustees latt: Lauren Standish -,..¡-LoceQ _ """A~ TOWN OF SOUTH OLD ..' - PO BOX 1179 ""'elf I.... cL" olft::Þ Ie-.) 53095 Main Road r:,..pcre4<S MA'I.. Southold NY 11971 P",t...... ~..Iic:::Þ re: Renovations and Additions to the House on The Bay....aaetZo TeOM1 Dr. + Mrs. Robert Bramson, East Marion MA Ii> IO~Ø~ 1:0.,.. Gentlepeople: Attached are the following original documents plus two copies for a hearing on October 25, 2000 concerning the above noted property: · Board of Town Trustees- Applicant information form Board of Trustees Application - GENERAL DATA WETLANDfTRUSTEE LANDS APPLICATION DATA NOTICE TO ADJACENT PROPERTY OWNER PROOF OF MAILING OF NOTICE DEPOSITION FORM AUTHORIZATION SHORT ENVIRONMENTAL ASSESSMENT FORM TRANSACTIONAL DISCLOSURE FORM PLOT PLAN page 2 page 3 page 5 one page page 7 page 8 one page one page one page page 1 · · · · · · · · The Notice to Adjacent Property Owner, Ronald I. Ryzoff was mailed by me today; the proof of mailing form along with the certified mail receipt will be sent when the receipt is received by me. Please advise me promptly if any documents are missing or require additional information. Very truly yours, Peter E. Bullis :-'-:.:'-;r.'~-. ~-~~_._~ I }r' "1 I... f I' -- ~ ~ ' OCï -- 6 ~ j!J; .\ I I cc: Dr. + Mrs. Robert Bramson . . APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Soubhold's Code of g~hics prohibi~s contlic~s of in~eres~ on ~he par~ of ~own officers and employees. The purpose of ~his form is ~o provide informa~ion which can alert the town of possible conflic~s of interest and allow it to ~ake wha~ever action is necessary to avoid same. ",'.;{" .. . .L+::~'~. ~ YOUR NAMEI -6. e,ùLU-s Las~ name, first name, m dd~e you are applying in the name of someone else or o~her enti~y, such as a company. If so, indicate the o~her person's or company's name.) ...;~);J:.. -" !.~ ¡':.;'. r~ NATURE or APPLICATION I (Check all ~ha~ apply.) Tax grievance Variance Change of zone ^p'p~~al of pla~ . gxemption from pla~ or official map O~her ~ (If "o~h.r," nam. bh. acbiviby.) W&-r LAt-H? pe:r.2MLL Do you personally (or through your eOMpany, spouse, sibling, parent, or child) have a relationship lIi~h any officer or employee of the Tovn of Southold? "Relationship" includes by blood, marriage, or business interest. "Dusiness interes~· means a bueineBs, including a partnership, in vhich ~he tovn officer or employee has even a par~ial ovnership of (or employment by) a corporat:ion in vhich the tovn officer or employee ovns more than 5% of the shares. YES NO >< If you answered "YES,·. complete the bálance of ihis form and date and sign where indicated. '..-~! .. Name of person employed by the Town of Sou~hold Title or position of tha~ person Describe bhe re1a~ionship be~ween yourself (~he applican~) and the ~own officer Qr employee. gi~her check the appropriate line ^) through D) and/or describe in ~he space provided. The town officer or employee or his or her spouss, sibling, parent, or child is (check all ~hat apply). h) the owner of grea~er than 5% of ~he shares of the corpora~e stock of the applicán~ (when ~he app1ican~' is a corpora~ion)/ B) ~he legal or beneficial owner of any in~erest in a noncorpora~e'entity (when the applicant is not a corpora~ion)/ c) an officer, director, par~ner, or employee of ~he applicant/ or D) bhe ac~ua1 applicant. , " :'1.. ....... ".. DESCRIPTION OF ItELATIONSIIIP .. ...:..~. ¡' ¡ ... ...... .....:..~a.I...~~..... .....~..:,.~~. submi Hed . ,...I.~:.' ._., :..f.?~,~~ .' ~ ~ ..~ :"':~'~'! ;,·~!:t~~!ær ~:~~'Ð D ...·,r Sighature .... ," 'print name" ". '. ' :", ,:;'.,;{.' "..·..·;·~<;Hï;¡,. i? . ... .~~_. .. '~,.. ,. ,".~ ","r ""\1,(- "'t~. ~f.¡,~...''''.. '~", I ....""~(~.;\~";,(.M' :"i1! ." ' . ,*q~:¡t.~::, -":"'T~....:. . -. 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