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Home My WebLink AboutTR-5890 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 16, 2008 Mr. James Fitzgerald, Jr. Proper-T Permit Services P.O. Box 617 Cutchogue, NY 11935 RE: NEIL STRONSKI & PATRICIA PEREZ 1060 WILLOW TERRACE LANE, ORIENT SCTM#26-2-22 Dear Mr. Fitzgerald: The following action was taken at the Southold Town Board of Trustees Regular Meeting held on Wed., April 16, 2008: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #5890 from Stephen Matteini to Neil Stronski & Patricia Perez, as issued on April 24, 2004. If you have any questions, please contact our office at (631) 765-1892. Sincere~_~~ c;;r 6- Jame~.-tZ~~ ~ ;/ President, Board of Trustees JFK:lms # '" Jaml~s F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 18, 2006 Mr. James E. Fitzgerald, Jr. Propl3r-T Permit Services P.O. Box 617 Cutchogue, NY 11935 RE: 1060 WILLOW TERRACE LANE, ORIENT SCTM#26-2-22 Dear Mr. Fitzgerald: The following action was taken at the South old Town Board of Trustees regular meeting held on Wednesday, October 18. 2006: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Penmit #5890 from Helen W. Keith to Stephen Matteini, as issued on April 24, 2004. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Jame~ c;< ~ President, Board of Trustees JFK:lms . KINe ;-;T\{l:I,T .' \ , '\ 0' . ";t," .~ " ; '>.... ~:r ~:~-;,.:'ti " OJ~""\\ " .,::-, I ~,,\- ..~ ~ '"~ y""c, "'"" 't- \I>>~ ~..<i..'" ~1~1 '11\1..\' fji,~~;-"y. ~~ .,:, \ Lf '" \,;.... '>.,1, !>.. " r/ '.."4- \, ~ -'t;,.~ "'~ .,p < '" Vu". '-':0- ,,~, ~6'" '; ... -~J ...;.., I /, \, X 'l_~ < ""'.~ ' <,..... \ .....,,/ I,~ , \, ",.~~~' 'I:;':, ~';,,,'''\ ',,- ,,<.< " " " , , /..-- -/ --l-- 0- o --to ,~~ 'l " ,~ " )-,. i ,.. < "" ", W,r ~':" T1::ST HUU" DATA ,..0': ,to -~:;:ro~'::;:~ '>I""''''~~ ~ ,,""I! , SI'R\'EY OF f' () un :l N /' I) I.OT \1A./' (Jf WiLl,OW T~f/R,\n: sf'r.T/n.... ON/': fla Mo ::'-\.01 ;Il[l) 'tO~U.tBEr. 28. '9~9 Sin'AnI} .4;' OHW.\JT TOWN Of' SOUTHOLD SUFFOLK COUNTY, NEW tQh'r s.c. TAX No. 1000-26-02-22 ';(ALE 1" = ~u' OCTOB[R 6. 200~ l ',',.n.,,, ~ .:. "".I,",W, <, ,w'n .'," '<1.,." r'~'W1 ,'c.:' "l '.".f ~_ "'" 'P~y", : .f',.....- "\_ t< , J"",. ".,..., ",. _~...... "'REA ~ 16.81~L.ll SQ II ,-, ~~."il'" 0_381 '1<: .~'JlrJ.:.:,~ H(~AIION'i .~( ~HnIUlCEO 10 N G ,'[l 1929 OOTU'" nl~lIl<r, III vUION<" OR' ~I<O_ I"U'; UI$lING (00N10lJ'RS ~R( SHoWN niU~ i.1 WIN'''UW <;[PTIC 10Nk "OPOCITIES 'O~ 0 , '0 4 BHllfOOlo "O\'SI I~ '.oar. GJ. lO.... , l~N... a ,,,.~c.. f -J W,I:'I. ~'_,'- ~lf' lotIN"-fUU lUCIlIN(; STSTE.. r-o~ ^ ' TQ . IllDROOU ..ousr IS ~ao .~ " ~IO!"'41L OREO , ~OCl{S_ a' O('('P, S' 1'~ t;~~ .~ , ....,P~EO (.....<;oa. F'OOl Pl>Of'OSIr, lU.(""'(,I'I.>O, ~:J PlIOf'<J5'O'S(Pf', ,.... ~ ,2, ~~' -f '~~.,,-. '--' (;;.~.-:\ ..~~::'v' ,r~. ~ .'" -t;" ~ - ~~'[~., +., ')'~'? \:.. // ,-~-2', ....', ,''\, "'G.~ t, ,x .;:, '-...~":::=... . ).'< -tt,?, ~~ ~>'~.. ,\.~ , ~i\,: '\""" "'/ F-. ~. J ....1 1/, /, /,/ '0 I,. ./ i I' , , I ~'~ I>-{ \O(:>_lION :;r "'E""~ ONe :E:.:'.'~'J,~ :'Hv"" IlE~r,1N ORE r~cJ" rln~ 'll!';f....."Otl<; ,,"lIfO~ lI.ro ')Bl"..(', '~II\o (<'''[II''; r:oo[; ZONt ItlrQflI,lAIIO" TH[~ rRtl.. "LO(l~ 1".Sl'I!~~Cr IIAn ","" ~.' :6 '{JJCli06B '-- I ....\ f' oIfL.., '" '.," "."f, .~,^ .( .,,~ """ ., "'. . ~""'.., .u',... ....,. 'J", -'~"'" ,. d, ".IE', :~~'I '~f.., '''-~~''''''''''~' ,...., ',,,. 'L.~ "l'iOf>r"... ~ lI'fl{W"" tU"'(R~(,{ .-.Po."~ ,Q " ~'R If, "II; u( hJUl ")1 AR,. OR1'W[LLS rOR ~()Or RllN-'JH VI'~ ".' ~-'J'r , .', "<)"'.""'" [B)IECi:I\YJIE f1 tnl) APR' 2 2"4 iM SllutholdTown BOlrdgfT'u,tees <ropr,."'> IlR...,.. ,,'I" R,-"-,, . "'-"~ "." _.,',,,- ~~"~. ~..;;., -.r.:'f ":.;'~,'...,".':,-~<"'",~,.t, .,......""''''','''..<;,.. 'tJ:'..:;........... "1'1'" " , ~~.::'.:~;.,............ v' ...."..."........:;.":.. 1\' :r~'. .....".....,,~ .."....... "" ""'''... ~~,E..:?~::',~, '::;~. '," "...,,,,,...,""....._""'-..-. """"""""""""'_'bo'" '~_"'''''''.-J''''''''''"",,",,' 'r'"" ......' ""~,_ '~"",~eooo ..,..~"', .....". .""'. "" ,...."..""....""",,"'"""''''',,''''. ,.-........_~......- ",'" "'-'0""'_,,_,.....,.,.,._ u,._..."."..,...,.>'ftI..,III'...._ '~""--",...,.".-..." ,.~" .,....-...-..,......, '............. ..~ "'~"" ...........,,> ""0"- ~'lO~1 IU'-'2'.l1111Q '''''''''''00"''-_0'''." ....D/"''"''OL>IUo''''-.r~,_ ...'.'ID,_"..""..........,,'" .,,,,.....,......LH '<M:I!H\...,....,.....,." " ......,~", .... '0" -~,' :>:1 ~r,-'; ~., -"''''.. /, /, ,/. r/.; 1,_/ _ '( > ,I, ,k "-' t--< ' '" "' '.) 0 )> J ~. '" ~ :>- '" c Z '" '" .~- " C ;:a , 0 0 0 , "'- ." ." / 0 '" ... < '/ , 0 m " '" c: c: CI ... '" :J: ... ..... 0 m ~ " r " , ..~-' '),,, ., ~~ " ":.+ 0' ,. ,'0 ,\ v. \'::-.0 ~ ,\. \:,' ~~'.{~~:~ \\:.\\\\4<-'- . \ . -+= I /\ , -N- I 'I . '\-~ . ".... l __.,~~,.. E......K.o-o- ~I-..'.. N ,"-,..... D""." --?---- 121! o ~'" '''," ""'""". ..c ^" .,,~ '", ,,,,,.,,, ''''~''', ~';'" ---+-- ::;,~, _'"'__'L-__ ..".-===== ".. " ':.';;'.'.;;;0- .,,"""~ NOTICE (i) COUNTY OF SUFFOLK <D Real Property Tox Service Agency Cantl Centor Rfv<<I1oad,~ I 11~1 . . ,. ."'''~'''''.. '" 026 ~~~ ,,_,...,... 12." '-,o. ".1'<<' ,_,.. "''''''''''',,,TEm'''''''-'!N OSTIO-'T"" ",,,,. """oo.:J' T'" """":<wnu""""""..,,,, "!"""'~1T!""'_""'''THl """"",,,,,,,,.,,,,,.,,,,,, 1000 PROPERTY ~/,P '-- ,'''''',,''',,,,,-'''_''.'',, -----! "' ''''-''''''~'",><.c~.", :--. -.~~*~'!_~- .-~-~ 'ii'_~_~-~:~ "~:~oj" . . Proper- T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 (631) 734-5800 March 17, 2008 President Southold Board of Town Trustees Post Office Box 1179 Southold, New York 11971 ~ /I: !: /I: , iIJ II: ~ lIAR 2 J al18 ~ I Southhold Town Board of Trustees Re: Transfer Permit No. 5890 and Permit No. 6723 Dear Sir: Please transfer to referenced permits from Stephen Matteini to: Neil P. Stronski and Patricia M. Perez 24 Tanglewylde Avenue Bronxville, NY 10708 A check in the amount of $1 00 is enclosed. Sincerely, cc: Stephen Matteini ~. '" E. F;~g'''d~ a subsidiary of THE PECONIC EASTERN CORPORATION Ii . . fa ~ ;:) 9 _ J!:~H ~a:- ~Sl.i~ Ou.::;,; !-oillo II.. z S!'<: O~t6~ CO Ul a:>- g m Dal~ 3/~/Zfr'" I c.. z:; r; Address 045294 For 0"-' Dollars $ /(J:::) ~ AMT.PAID B,ALANCE DUE ONEYORDERO GRED1T'CAAO By t~ &/lk~ . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0161C THIS CERTIFIES that the At Date October 19.2006 single-familv dwelling. drivewav & 10' non-turfbuffer 1060 Willow Terrace Lane. Orient Suffolk County Tax Map # 26-2-22 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 3/25/04 pursuant to which Trustees Permit # 5890 Dated 4/21/04 'Vas issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for a single-familv dwelling. drivewav & 10' non-turf buffer owner ofthe The certificate is issued to STEPHEN MATTEINI afon~said property. r-~~ Authorized Signature . . Jaml~S F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 18, 2006 Mr. James E. Fitzgerald, Jr. Propl3r-T Permit Services P.O. Box 617 Cutchogue, NY 11935 RE: 1060 WILLOW TERRACE LANE, ORIENT SCTM#26-2-22 Dear Mr. Fitzgerald: The following action was taken at the South old Town Board of Trustees regular meeting held on Wednesday, October 18, 2006: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Permit #5890 from Helen W. Keith to Stephen Matleini, as issued on April 24, 2004. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Jame~ 07 ~ President, Board of Trustees JFK:lms . . Proper.. T Permit Services (631) 734-5800 POST OFFICE ,BOX 617, CUTCHOGUE, NEW YORK 11935-0617 October 3, 2006 Pn,sident Board of Town Trustees Town of South old Town Hall, 53095 Main Road Southold, New York 11971 Re: Transfer of Permit No. 5890 De:ar Sir: Please transfer Trustee Permit No. 5890 from Helen W. Keith to Stephen Matteini, the present owner of the property. Our check in the amount of $50 is enclosed. O ('T, " ~G ''-' I ,) , a subsidiary of THE PECONIC EASTERN CORPORATION .~"""""""I'::... TERMS ilnd CONDmONS "Die Prrmitœe Helen Keith 995 Willis Creek Dr.. Mattituck ~u ~~u part of the coosideratioa for the Jse..""" of che Pemùt does WIdentaod and prescribe 10 the fo1. Jowio&: 1. That the said Ðoard of Trustees and the Town 01 Sowbold _ rdcoscd from my and aU damages. or claims for damages. of AÚØ adsiog. dúecdy or Iodùec:dy as a ~ of my oper- atIoo performed punuant 10 this permit, and !he said t>ermitœe will, &( IIis or her own ~ delead...y and allaKh luhs·lnlt/·ted by Ibhd.,ardes, and the said Permittee ,_ fuU liability with reSpect thereto. 10 the mftIP1o:te esdusioo of the Ðoard of Trustees of the Town 01 ~ 2. That this PeöDIt is valid for . pedod of 24 . mas. which is ~ to be me estimated time required to complete the work inwl¥Cd, but shoa1d åro..-........ wunot, ~ for an exœosioQ may be made to the Ðoard at a bier d.œ. 3. That this Pemùt should be retained indefmitely. or as 1008 as the said Pemdttee wishes 10 maint.;n the lttuCtUle or project Involved, to provide evidenœ to anyone roncemed chat anIh- orizatioo was origiøally obtained. 4. That the wad< inwlved will be subject to the inspectioo and approval of me Boørd or its ~ts. and IlOI><IO"'pUa"C" with the proWioøs of the origi...t/ng applicatioa, may be canse for œvocaâon of this Pemùt by resolution of the laid Board. S. That chetc will be no unreasonable Interference with oavigatioo IS . cesult of the work beteIn aUthorized. . 6. That there oball be DO interference with the right of the public to pass and repass aloag the beach between bigh and low water marks. 7. That If future operatioos 01 the Town of Southo1d require the œmon1 and/or alteradoas In the location of the wod< herein aa"'oH--\ or If, in the opinion ol1be Ðoard 01 T1'I1SteeS, che. wodc shall cause DDP"..,......t OOsttuaJOD 10 free øavigmoa, che said Permittee will be nquIred, IIpo<1 due ootÏœ, to remove or alter this work or project berein stated ~iIhUUt ~ 10 the Town of Southold. . 8. That the said Board will be ootif"lCd by tbe Penniuee at the cooupJedoo Of the work anIh- 0ri2ed. 9. That the pemùttee will obtain all other permits and COOSCIIcicbat may be required sup- p1emeotal to this pem1Ït which _y be subject to revoIce upoo {allure to obtain aame. :. ~. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson . . 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 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. Ije"~ INSPECTION SCHEDULE ./' Pre-construction, hay bale line 1st day of construction Y. constructed ~roject complete, compliance inspection. . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631"1 765-1892 Fax (6311 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 21 , 2004 Mrs. Helen W. Keith 995 Willis Creek Dr. Mattituck, NY 11952 RE: 1060 WILLOW TERRACE LANE, ORIENT SCTM#26-2-22 Dear Mrs. Keith: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 21, 2004 regarding the above matter: WHEREAS, HELEN W. KEITH applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated March 25, 2004 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 April 21, 2004, 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 standards set forth in Chapter 97 of the Southold Town Code, 2 . . 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 the Board of Trustees approve the application of HELEN W. KEITH to construct a new residence with a pervious driveway, with the condition of a 10' non-turf buffer landward of the bulkhead and as depicted on the survey prepared by Joseph A. Ingegno last dated March 29, 2004. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $100.00 Very truly yours, ~.j f/~. (j. Albert J. Krupski, Jr. President, Board of Trustees AJKllms . . fJ'~ Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold. New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the South old Town Conservation Advisory Council held Tuesday, April 13, 2004, the following recommendation was made: HELEN W. KEITH to construct a new residence with a pervious driveway. Located: 1060 Willow Terrace Lane, Orient. SCTM#26-2-22 The CAC did not make an inspection, therefore no recommendation was made. ~ . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD mce Use Only Of -- Minor ~H ~ Ú ·c ~ W I MÞ-R . . I- ,. Southold Tuwn Board of TrllstF,P'S ---~-------~-- o Coastal Erosion Permit Applicahon ~tland Permit Applicahon rt1aj ---- --- __ Wai\'cf/ArnendrnenVf~ges_ __~ecei\'ed Applicahon:~~ ~eceived Fee:$ ~~, -","",ompleted AppJicahon :5/~ _lncomplete__~_.___~ __SEQRA Classification: Type 1__ Type JI__Unlisted___ __Coordmation:(date sentL _ .,¿AC Referral Sent:~ _.-r1ãte of Inspection: -....!l/-~~ .._.Recelpt ofCAC Report:_ ._Lead Agency Determination:__ Technical Review: - ....-t'ublic Hearing Held:_m'JfJ( Resolution: --------~- ---------~----~- Name of Applicant--.1:ie.~ W, KG! t-V\ AddressC¥i( OLII¡, c.lU-~Iv<0~*,tuc..(..fJV· flqJv Phone Number: ( ) ~3 /1rLJ8. fS0t? Suffolk County Tax Map Nwnber: 1000 - .1:-~~ Property Location: 10 l.:>o Lù 'dl O~ Të.,..,..;ol.¿L, Ll,¡1l Ch ,~ / ( {.{\..Q., &"IlA.. UCl.Gt1,,j- lot- evv 0~ 5'~ ~;.k, - W,l O¡,I.!"TQ.¡,r¡,t<.JL "IJ..~<...L (provide LILCO Pole #, distance to cross streets, and locatio ) ~t '''li cd- I< ,vIe-¡ St-~ AGENT:_-.6l. (fWL- (If applicable) c.tf6. ~~~\~ Address: Phone: J ~ard of Trustees ApPlicati!! GENERAL DATA Land Area (in square feet):~lt I R1{ 31 Area Zoning: Q . L-to Previous use of property: ~ 11L.>. - VíLa.J: t-.a-.J Intended use of property: R ·es ,.1 VV\Le (u., ~,Lo\..\ (AI, I ~ S; ~v'l{.~ -+fu. S~lMD_ lŸ-.s. fu 5/" öfLu- fL{)()>.e..>. {.d~ +U IM.~ Prior permits/approvals for site improvements: ._Agency r 'l'v.\;t,> ,,!:. D~ 0. ._ Date 0u...u. 'vV, <1 fq Jvà.3i Iqqo \ I i?dt.~ - Gul~ _ 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): GðYlS+-\I~d- u... ,'\&..u k!es.<k.u2..., U,¡,.l-h t.L. r~ýv"(ýLA d.VIu.t....¿"~ w A.¿,.", -+iu.. Eou¡J~ i +1~ b,/, \&~ €MVéÜ;'f!<- . Board of Trustees . Application WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: c,0Y\ .) t-wc.t" dL. t1 ft.U h ~ Area of wetlands on lot: v square feet Percent coverage of lot: ó % Closest distance between nearest existing structure and upland edge of wetlands: ¡J t'\,l..O..-- feet Closest distance between nearest proposed structure and upland edge of wetlands: 1 (", 5" feet Does the project involve excavation or filling? No 'I.... Yes {[)__. . L Q' ,la' 3'):}' If yes, how much material will be excavated? /;)oJ:XJ cubic yards ~'^ <:) ¡t.. ·TI >< ' How much material will be filled? o cubic yards ({j)t Depth of which material will be removed or deposited: fþ feet Proposed slope throughout the area of operations: (fY..J¿.. t='a,-t- Manner in which material will be removed or deposited: ~os Acl ,.\ (J- --¡-"",elL &~{ 'ÔIMI',LliJ b 1M UfittM.. s .-t~ Statement of the effect, ¡fany, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): ^)(}.LP-~ ~~ ~~JI.u l1);l! b-e- {outfj IS' ~J.ell(~ +lw, e--i.d-~~~ 1,11 Ù/~ £; 4J.. úv\ kUc2J ~,~ . . , '·~6·., (2/87)- T~xt 12 I PROJ·Ecr 1.0. NUMBE" 617.21 Appendix C Sfate Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Aoolicant or Project sDonsor) ,. APPLlcA~YONSOR W -eo ; Ht\ I 2. 7 J. PROJECT LOC"\T~: . Municipality t....All~ I PL C.:>umy ..'Jv ç.Ç() I t:::: '. PRE/c~E~~~Ar~s:rll~: :e1- ~: ;:~set;¿:;:':enða~;;~;. 0ë'~~o/\ 1-1-1 UCL ~~ (vi"" ~ ~ ~<1 S.~. W. \\~U \è~ J-..&;\L.L,:ç, ~ ~ v~"t- R,Cf.J- I UIÍV\ \Oçç ~,V\" St~ &..h ¡ +- l&vJ.-e~ ùdla¡ J...\QAA.J..) SEa 5. IS PROPOSED ACTION: ~ew 0 Expansion 6. DESCRIBE PROJECT BRIEFLY: ~()Y\\)t"vuct- /L... kcç '~'I\"'-I L.V:J-\.. (Jt r~~""OA d"l~~ I Wt..\-v¡;V\ . ~ P'¡DS,CJ. ~ ß\..f. (~\4,\/e)Q~ o MOClificallon;aJleration 7. AMOUNT OF LAND AF¡::ECTED: Imtlally 0 . acres Ultimatelv Q. acres 3. VIIL!.... "...qO?QSEiJ AC¡10N COMPLY WITH ¿;(JSilNG ZONING OR OTHER EXISTING '-AND USE ~E57¡:¡IC7'IONS"':' r&. Yes U No If ~o. descnbe briefly 9. '!.¡-¡AT IS ?RE5ENT LAt~0 :';~i::: iN \/lC:NIT:' OF ?ROJECT? ~;::¡esdentJa [J,!ndustnar L C0mmerCJal 0 Agriculture oes~ W-<... ~t..C-L'~ ~,m,l <N 1",\ ~ \'+-v",;;'t"",~ ¡' 5 ~ Q..,\ \~ V &.Ct.J. I "t-. ~ ParK/ForesUODen ~pace li.ICH~ ~ ~ ~O!her . 'T1\:J 10. DOES ACTION INVOLVe A P¡;:RMIT ~PPROVAL OR '=UNOING. NOW OR ULTIMATELY ~ROM ANY OTHER GovERNME!'<7'AL AGENCY (F::ûERAL. STATE C¡:¡ LOCAL]? '¿Û2c U~~ç 1f~~~~Jt~a:Jm~:::r;;~ 0/" J:,vtk~'GbM. ~, V!1':!+. Sur-- ,t-(L- v 11. DOES ANY ASP!:GT OF THE ACT¡or~ HAVE A CURRENTLY VALID PERMIT OR APPROVAL? j2(Yes 0 No I' y@s. list agel'lcy name and permlUapproval ß0\t.~~&1i kJe~L¡vt~ ~ ~¡;,.~~ 1"1 Iqf'ft¡,J.{--£c.L - " . 12. AS A RESUL";" OF PROPOSED hcnON WILL !:;(ISTING PERMIT/APPROVAL MECUIRE .VlODJFICAIICN? o Yes No I CEiiTIF'( THAi THE INFORMATION PROVIDED A80VE IS TRUE 7"0 TH!: 3ES. OF MY KNQWL.=.OGE Applicant/sponsor ,lame: O,He: Signature: If the action is in the Co"stal Area. and '{ou are a state agency, ~omplete the Coastal Assessmen~ Form before proceeding with this a~~essment OVER ?"':"?ï 11_::N\/I¡;C~J:\1EN-;-,0.· ..s3ME~Jï -:- J :)e r:::::r.;:¡e[ec: :y ~:;e!".C" . .:... ~O¿3 .:..C7:C\l ::'.\C-==:: .:....JY ,.:~. -¡"".::::E3i-:CLJ 'N .''~:;::.;;=. =>:"r.1 oj:"!".'::" ,I ¡f!:S. :~cr,::::lna!'3 ::1e "~VI~W :roces::I ana 'Jsa :r.e ='..;L_ ~.,:¡,~ ':'~s .·~O :!. 'N!L~ .:.C-;-;C,'I ~E'::;:;\'= :'::C?CINA, cJ .~E'I!E'N ":"S .=:::;C'JICEJ -.:.:::¡ '..)NL.S7:::J .:.C7:C.'\IS :01 :nay :Ie sucerseceo:: :,y ?nct;":er .n'to¡'tea açenc'" "" ~ '0 ! C. ':'::ULO ':'C7:CrJ =>.ESi....:L7" N ),NY J..Qve?=SE ::~=::·:73 ,.I,SSCC;..;7:::) N17!-! -:-,=. .=·JL~:WfNG. -::1. :::.~Istlng ¡lIr ::uallt'(, 3urrac3 Jr '1rOt.:nawater .:ua¡iIY Jr ::t:an!!ty, .1QISe ·e'¡~ls. ~):.:s:¡ng :Jo!entlal 'er ~ros¡on, .::ralnaçe or 'Ioocznq :Jrot;lems'~ ~~c!aln :\nerly: .\·(C::;R. :;1.\;:;, ~".::' f ·jo. :!. le-;.:;,t:·¡6 -:: :!c~.?f:;' :~ns-ners :':"Ia'( ::e l;;.ncwrll:e!1. .t e:;ICIë!1 'rarfic ;a!'erns. ~aliQ .vas'e ::;rCCl,;c:;::;n Jr ::31::;.:= KJo C~_ ..J.es!he!lc. Jçnc:.¡lturCiI. :!.~c:aealaq¡ç.J.l. .1IS'Qnç. Jr ::Itner .1;H:Jral ::Ir C:Jllurat :esourc::!s: ::Ir ::~mï.1un'ty :If ,1elç:'1CCrncoa .:::arac:u'" ~c!aln ~ tJO ~. leç~{a{lon .;Ir :auna. ·Isn. 3r:ellfisn or '.·"ratite s~ec:es. 3u;n¡ii.::anr ~aDllat:::;. ::Ir :hre3lerted or ~ncaIlçerea !::ec:es? Secram :mall'f: NO c~. ). c.:;mmunl["s o:!xls;::ng ;Hans cr ~oals as Ofl!c:õ!':' adOOteC. or a cnange in use or IntensIty ~r use at land or other natural resoun::ss7 ::xpl3Jn _. /Jo c=:. 3rowln. w~seQuent :evelaomenl. .Jr relalea ac::vllles likelY !O ~e ,naucea ~y ~ne :::rooosea aC:lon? =xoraln Jrlel!v. ¡Jt) ·:S. '_cng ~erm. 3nort :êr::1. ::.¡murallve. ;::;r ::Hner '!Ifec:s ,10( Icentdu:o ,n C>,:,s" ::x;)larn :mell'f. ¡J Ü\jJ--- :tr:~! moaC:5 .lnc:..;c:nç ::':ançes ,n 'Jse ;::;1 ~!tner :JL!anmy ")r :yçe or ~!'1e~çï)? ~;;)I;;'Lr: :;nell·I. ~~\ +-ko~ 'l'0b0~ ~ 0..... 'ÌlQ.<.u \k2...f, ~c....R.... J. S -;-!E:=:='. :R S -~E:::;E _::<:::""':' :-C 3E. '::;:::NT.::¡CVE?=S'( ::¡E:...A, ëJ :--0 ~QT::~m;..... ;.~\,==!SE =~I'/IRCNME~ I.'..L :.',:Pe..C.3? _ '~es ,;:¡(, 0 I ·J~s. :!xc,]ln ::Ine!tv .~AR7 !II-OEï'ERMINA7ICN OF SiGNIFICANC~ (To :Ie comoletaa ~y Agency) fNS7RUCTI0NS; For ~3C:1 aa'ferse erfec: identified accve. determine wnetner it is sucstamiaJ, large. ;mcon:ant orotllerNise siçnlfic :.ac;, ~itec: si"louJd ~e assessed m connec:ion WI III Its (aJ setting tL~. urcan or ;ural); (I:;I ,Jrooacllity of occo-~g: (C1 duration' jrre'fers¡Ollity; íel geogracnic 3coce: ana (f) magnttude. If necessa~t. add attacnments or reference supporting materials. =:1sure :!XClanaticns C:Jnr21n surfic:ent ðeIali to snow that all ~e!e'fant adverse impacts nave been idemifiea ana aaequately acC:ressec. C;'eck :nis ~ox :f '(au have identijjea cne or more ::otenciall'l larçe or significant ac'/erS2 ifi1oac:s '.....hIC:1 ,'r1A':' oC::::.Jr. '7"hen :Jrcc=~a airec~ly to :he ,=UlL =AF ,maJor prepare a positive- deçararicn. C:ïec:-< :his ::;ox 'f you ;-¡ave de!ermined. :Jasea on the information and analysis above and any S:.Jooor~i~c coc:.Jr.:enrar¡cr:, :hê.! :r.e :Jrooosea ac:ioí1 WIL!.. ~JOT result in-ß.,ny significant acverse e-nvlrcnmentë.1 imc.a.c:: AND .JrovlGe 'In ;i:!3.c:1l71enCS 3S necessary, the :-e3.S0ns supcorring i.hlS determination: "'.,,"~ 11 _.:...J ....;"'nC'f ...."n[.). ~~'" .....ITIP.' )[ -(,',;:;on\,OI'" ~rr"~f n ...:..0 ''':I:n,,:, :,t!o: :>r -(~·,oon\IOI~ urr'Cè'f ;I\;n..llu,e )[ {..'con.,o~ ":¡:'~~r It _....t( ....;..nc't ;'I(n..:,-,.~ )I ...·..·J.H~r 'Ir ":":è"~n( :rom 'è'~Oon~lOl~ :1n,c¿n J..¡C 2 - . . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 9 (0 tD c..u ; it <DLU Te v vita.. I... Q U¿ Ðv ,.e\A-'t { ¡oJ Ý II é{j1 w .11 ~ (LVV\ Iî . I-à LL-~ >", S--. !-tv t ,lL,~ UJlll\.aw. ~e'ÏlLllÎ.J ~\lJ T&.'.<tì." i-:Qt~ J. r ,... /'::3. lS-)\I ~ t.. '.%:. J ,'¿ r -tT f1v I 5" 3ð'o 0"&,.st- hlð..."~Jý Jll\~ 19/1\L-L \)<2> 10 ~J,.\ F!- 3 y "1 {? 7 STATE OF NEW YORK COUNTY OF SUFFOLK ,residing at q i{.( WI UlSG ¡ ë.eiL t~hv.Z. " V, being duly sworn, deposes and says that on the '}..\ _ day of , 20-º1, 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 assessmelJ::1 of the Town 0, Southold; that said Notices were mailed at the United States Post Office at ;tt- itv r...,~ Ny' , that said Notices were mailed to each of said persons by (certified) (registered) mail~ y;ji4{¡V ú-<.r:.. Sworn to before me tlús dI..,Ç Day of 0"~tLJ<.- ' ,20~ .. ) J-â2u~¿~~ Notary Public __ ~'IRICIA RIaIERT -. I'UIIIIc. SIIIII vI....1brtI ~~=~ r . -.."'-..'. I" '.. ' .. ~ :~ - _'oj _I " ~ ,. ~ I:t!~ . ,. . " L', . -. ..., I·· o , ..",. .......,.~>--_.~·~"':'l~~J1:.-:)~ ê'i~ I,.i __...__.~u-.;.......J..i. [¡- cD [¡- en ru D CJ D D r' ,.., m m D 1- 0 r·· I I r~- ,. - - - - ----- -~-- -- ':"c' ,'~ _': I F'o'I, ] ~,-. ,,:-, ,-,r ",,-tJ L :' I-' I "'~, ¡--- -0,·~ $ L__ _ -~--- --- ----- -------- t· 1\· '\ I. I '": '.v l" \ ''lIt f';, "tv,...... J. 'I ¡;'c U l\Q~,' !:cv/";4-kw"-- ...~.i;~d: IvY \ \{157 '. .i!Z_~- ~ -I-~L~~i~.Ir-:.fjTJI~~ [¡- "" a- ~, ru ,.., a- D ru D D D ,-T,r",'I'-""_1 F-ò Jrn !6'~ltPlf·!!~ r-----~ IE. ,>, m",! R&I"'¡d' I . o R Irc",1 ¡·,.Ef'r1e<o r------- ~ ,E' ¡".,T,e ~le'II.'''·]' ~___ m I I T ] ~ '"f _,t." f:'·es l~_______~___j (T1 o 1-:;;;-· ----------;--------.----- ~ 10;/ ~.:'I{I,.'·~·d~"'", ~f...ll/ i';' "'.. ~ )1fC Lo f-(t.!bv¡ \.. "¡<~{]-,...- œ~c" ~i~.·'2.c..¡¡/1 Ç'L- ~Ì"i,-,l . \ .~. !.. o JJ_ _ " 'I I SH flew'''« ........._ . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631ì 765-1892 F~x(6311 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the ]\Ialter of the Application of _____~4l1.!~-tJ,;t.__\t.)~~~.______........_______.... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDA VIT OF POSTING I, ;")~bt',.t Lt.!. (~d-{· , residing at qq (' Lu: tI.~ C "ode-(_ f)¡ I...... ~lR..tti rv'"-II.... ¡J)l 1\ (1.5Y being duly sworn, deposé and say: That on the 3 day of A-f' \ , 200t!, I personally posted the property known as !(' (;7 ( Lt \ I I L'W Ted [(<.:.. NW- . lC'Y IÖ,J-, It! 'I by placing the Board of Trustees official poster wheré it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held ~1iJ ~l~ - on. r::r Q bcut t')',QO PW), Dated: ~ ¡q, v.;)0+ ~t4'í/~ (signature) .sworn. t;Jfoœ me tqiJ / 1 day - 0 /f ,/ a ~ 1," -"1 . . , ~ ~ A~R ~ : ~,I" ~ tary Public . eromca F. Cldone Notary Public, State of New York No: 52-4661406 Qualified in Suffolk Count}\ _ Commission Expires Dec.31,.dJ)f)!;. Southold To,," Board of Trustees . . Board of Trustees Application County of Suffolk State of New York H-e.l-tl.t 10. \(.e ;·~'h BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMlT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER 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 PERMlT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATlVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. 'di. /~ . . J<-""..) 1,) cf:<if ./;¡V Signature SWORN TO BEFORE ME THIS do/ DAY OF )JJÚA~ ,20~ 4Þ/u</' ~ JJ~ . Notary Pù ic MARIE A. \\IOODS Nota~ ¡ P¡J!)!ic, S·ata of New YOrk Na. Q"V..;j5D;k~Q QU?I;I~':: j:l ;!lr:,:~. County .A / _ My CC~lÎr.~ssi~n t..~ ire.; A:Jg. 15, 20.fL./t:7 . . APPLlCANT/ AGENTIREPRESENT A TIVE TRANSACTIONAL DISCLOSURE FORM The Town of South old's Code of Ethics Drohibits conflicts of interest on the Dart of town officers and emDlovees. The Durnase of this form is to Drovide information \vhich can alert the to\'>11 of Dossible conflicts of interest and allow it to take whatever action is necessary to avoid same. ¡"h W. (Last name, fi t name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. Ifso, indicate the other person's or company's name.) YOUR NAME: NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map O~r \ L ([f"Other", name the activiry.) W¿..tl tlA./ PevW\: t- Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of South old? "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 o,^'TIership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO i-.. If you answered "YES", complete the balance of this fom1 and date and sign where indicated. Name of person employed by the TO\\'n of Sour hold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative) and the W\\11 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 applicant (when the applicant is a corporation); _B) the legal or beneficial 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 n 200±- Signature '1:t7i;J~). q/JŽ:~~ Pnnt Name ~~ _ W 1_ .__ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson 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 TO: ~ (6 n /i.11; h Please be advised that your application dated ~JJ-~Jl reviewed by this Board at the regular meeting of 'II I M following action was taken: has been and the L0Application Approved (see below) L-) Application Denied (see below) L-) Application Tabled (see below) If your application is approved as noted above. a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: -f15b.OO 'filL- _CO{\Dt1l.J-tC."i..L0r> t--u- (Jl..U (J.:t:ft:tC h(7CJ/ ) ~ SO I OD - 6e no.) I NJ~ct<<)ru Yw Sj w co ~ <no';' :) -J co .... a:o"""S; ~5~:: ~o~> ".(fJ . o "z I-LL8-,; 00::0 ~ ~.~~ t c ~~c'iS ~ ~ m III 041991 Ollila,. $ AMT. 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