The URL can be used to link to this page

Home My WebLink AboutCampanelli, FrankAlbert J. Krupski, President James King, Vice-President Henry Smith Arkie Poster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18,~2 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//~'aendment/C~anges ~Rec--~ved Application:3 o~' O d ~-Received Fee.$/~-O ~_Completed Application ~-~-O O Incomplete SEQRA Classification: Type I__Type II Unlisted Coordination:(date sent) ~CAC Referral Sent: ~ Date of Inspection--/~-oo~ Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ~Public Hearing Held: ~-~--O 0 Resolution: Name of Applicant ~ ~k~ ~ ~ ~A~~ I Address '~{ ~ --~'~(4 I I~ Phone Number:(6~l) ~--~- Suffolk County Tax Map Number: 1000 Property Location: / ~ ~ t%~ L[~co (provide LILCO ~old 9, distance t° cross streets, and location) (If applicable) Address: ~ ~T-~CL Phone: FAX9: of Trustees Applicatio~ GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Prior permits/approvals Agency for site improvements: Date 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 Has any permit/approval ever been revoked or suspended by a governmental agency?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): Bo~oi Trustees Application WETSANI)/TRUS~W~E I.g~DS A~PLICATION DATA Purpose of the proposed operations: T%~} ~0 ,0 Area of wetlands on lot: ~ ~3 square feet Percent coverage of lot: .~--~ % Closest distance between nearest existing structure and upland edge of wetlands: ~- feet ~00~.~ '~o-/~ ;~OO~ 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? How much material will be filled? ~ ~O cubic yards cubic yards Depth of which material will be removed or deposited: "~/( (~//~c;~-~]'~0~3 feet / / / Proposed slope throughout the area of operations: ~.~y~,~/~-~.~%~ ' ' Manner in which material will be removed or deposited: 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): Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be comDleted by ADDlicant or Project sponsor) SEQ §, iS PROPOSED ACTION: ~New [] E×Dansion [] Modification~alteradon 5, DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF ~NO AFFECTED; Yes [] NO If No, describe brmfl¥ .j~ Yes No fl yes. Iisi agencylsl and ~ermdlaoprovals DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ,___ / '~, :,// If the action is in the Coastal Area. and you are a state agency, complete the Coastsl Assessment Form before proceeding with this as~,sessment OVER ! PART III--DET~RMINATICN OF SiGNIFICANC.~ JTo .~e comoleted by Agency) Bud of Trustees Applicatio~ AUT~ORI ZATION (where the applicant is not the owner) (print owner of property) (mailing address) ~,~[ C~ug&3~ , ~ ~, t /~5 do hereby authorize ( Agent ) ~-~--~ ~~%/ to apply for pe~it(s) from the Southold Board of Town Trustees on my behalf. 8 ~d of Trustees Applicatio~ County of Suffolk State of New York TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AiqD 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 SOLVi"HOLD 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 ENTER ONT~ MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature swo TO BEFORE THIS 13F DAY OF Notary Public FOSALIE SALEMME ....... I J 3LI ~. ,~t~le Ol Nevi York 01-SA4800818 Qualified in Suffolk Coun[y/.~ -- · -.~ '.. :~ ~:!r~s Junuary31,. ~'Oi~. Tetephone (516) 765-tiq~ Town Hall. 5309.5 Main 11oa~i P.O. Box 1179 Southold. New Yor~. llg?t $OUTHOLD TOWN CONSERVATION ~DV'ISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, March 20, 2000, the following recommendation was made: Moved by Scott Hilary, seconded by Ken Meski!l, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of me Wetland Permit application of FRANK CAMPANELLI 90-1-2 to construct a one-family dwelling, septic system, deck and floating dock with ramp. 1275 Cedar Point West, Southold The CAC recommends Disapproval because of the following reasons: l Concerns with the read setback and septic setback. 2. l'he proposed house is within 18' of open water. Vote of Cotmcil: .~-:'es. A:I Motion Carried TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 3587 Z Permission Is hereby granted to: C~.~:bOr Inc at premises ocated at~,O.~ t~. ~.~ ~.~tJ~,3~' ~.fl~,~..~ ........................................... pursuan¢ to application dated ................... &l~.t, ......... ~.J~ ............ , 19.~.~..., and approved by the Building Inspector. Fee $.'! (~,.'.~ ........... Building Inspector J Z W n 0 j ~ ° APPLX~ANT TRANSACTIONAL PORN The Town of Southold's Code of Ethics prohibits conflicts of interest on the par5 of town officers and employees. ,The purpose 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 to avoid same. YOUR NAMEr (Last name, Eirst name, you are applying in the other the NATURE OF APPLX~ATIONe ~idd.le in lti~i, unless name of someone else or entity, such aea company. [~ so, indicate other person's or company's name.) i · '.~ ~...." %, (Check all tha Tax grievance Variance change of zone Approval of plat .... E~e~ption from plat or official map o the r _ (If "other," name the activity,) ~J~"~..0~ Do you pnreonelly (or through your ~ompeny~ spou#e, sibling, parent, or child) have a relationship vlth any officer employee of the Town of Southold7 -Relationship" includes by blood, marriage, or business interest. "Business interest' meann a bue~n~ee, including a par~nerehip~ in which the town off,car or employee has ~ven a pertial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% cE the shares. YES __ NO If you answered "TES,#.complete the balanoe of ~h{e 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) 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 ia (check all that apply)~ A) the owner of greater than 5% of the shares of the corporate stock of the applic~nt (when tho applicant' is a corporation)t B) the legal or bkneficial owner noncorporate'entity (when the corporation)t C) an officer~ director, pa~tner, applicantt or ,D) the actual applicant. DESCRIPTION OF RELATIONSII~P of any interest in a applicant ia not a or employee of the MAP NUMBER 36103C0167 G EFFECTIVE DATE: TEST $ou hold 3608 3 OROUND EL, B O' BROWN SANDY LOAM Z Z 0 CEDAR ssg'42'40"E 40 , (LOT 133) SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY VACANT N/F NANCY ELFLEIN THE EXISTENCE OF RLGNT OF WAYS AND/OR EASEMENTS OR RECORD, IF ANY, NOT SHOW'~ ARE NOT GUARANTEED TH~$ SURVEY WAS PREPARED ~N ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS bNAUTHORIBED ALTERATION OR ADDItiON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 SUBDIVISION 2 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S ~NKDD SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY, CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM qn4E SURVEY IS PREPARED, AND ON BIS BEHALF TO I~E lqq%E COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICA~IONS ARE NOT TRANSFERABLE TO ADDI'9ONAL INSTITUTIONS OR SUBSEQUENT OWNERS VACANT ~ POINT DRIVE WEST (35'WIDE RIOHT OF WAY) pO~E LILIO ii AcruAL LOW WATER LINE N61 05 50 WEST (LOT 135) IP, FNDo~/ LAKE CEDAR BEACH PARK ROOF AREA %575±5F / 2 = 787.5 VOLFT REQ'D INFO BASED ON FILED MAP Of 767 5/14 7FT=56,25LF OF INFILT~RATDRS NEEDED MAX 4£ 51 10~00 GA~LLON p_RECAST SEPTIC TANK NTS 0 SHAL OW SANIT~R LEACH NO pOOL DATUM 0 O 0 0 0 0 SHT, 1 OF