HomeMy WebLinkAboutTR-5709Albert 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) 765-6641
# 0088C
At
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
Date 1/5/06
THIS CERTIFIES thatthe single-family dwelling
875 Gull Pond Lane, Greenport
Suffolk County Tax Map # 35-4-7.4&28.22
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 1/30/03 pursuant to which Trustees Permit # 5709 Dated 2/26/03
Was 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-family dwelling
The certificate is issued to
aforesaid property.
ELAINE NESIN
owner of the
Adthorized Signature
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.
INSPECTION SCHEDULE
V//Pre-construction, hay bale line
st day of construction
constructed
~-"~oject complete, compliance inspection.
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO..
DATE:
ISSUED TO ELAINE NESIN .............................................
kut'horizali n
Pursuant to the provisions of Chapter 615 of the Laws of
the State ~f New Yore 1893' and Chanter ~ of the Laws of the
State of New York 19~i2: and the Southold Town Ordinance en-
titled ."RE~ULATINC~ AND THE PLACING OF OBSTRUGTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, C~RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;?. and in accordance with the
Resolution of The B6ard adopted at a meeting held on ....~.~.~...~..6..,..
. 2g.??..., and 'in consideration of the sum of $....~.~.~.~Q ..... paid by
Elaine Nesin
of ....~P~]~Y~J~....~.~ ....................... N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Wetland Permi~ to construct a modular home with the condition
the sanitary system is relocated closer to the road,gutters &
drywells are installed to contain roof run-off, staked line of hay
bales installed along top of bank before project begins, and ag
~1e' in accordance with the detailed specifications as presented in
od lnatin ~oplication. depicted on the survey prepared by
Johz~ T. ~Jtzge? last dated January 23, 2003.
IN WITNESS WHEREOF, The said Board of Trustees here-
~ causes ifs Corporate. Se. al to b.e affixed, and these ~.resenfs fo
subscribed by a 'malorHy of the sald Board as of fhts dafm
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. 5.9.0~ . DATE: .~e.k~ g.6,.....~.0.03
ISSUED TO r&,^TNr. NESIN ................................................
9,ut-l ari atiau
Pursuant to the provisions of Ohapter 615 of the L~ws of
the State of New York, 1893; and C,h~pfer ~ of the L~ws of the
State of New York 19521 end the Southold Town Ordinance en-
titled ."REGULATING AND THE PLAOING OF OBSTRUOTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, ~P~,VEL OR OTHER IdATERIALS FROM
LANDS UNDER TOWN WATERS;?. and in accordance with the
Resolution of The B~>ard adopted afa meeting held on ....~'.eb .....~..6....
20.0.~..., and 'in consideration of the sum of $....~.p~.,..0.p .... paid by
Elaine Nesin ................................. : ........... : .........
of ....~P.q~Y~]~-.--~P~ ...................... N. Y. end subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:..
Wetland Permit to construct a modular home with the condition
the sanitary system is relocated closer to the road,gutters &
drywells are installed to contain roof run-off, staked line of hay
bales installed along top of bank before project begins, and ag
nil' in eccordnnce w.!fh .the de, tei.b~, specific.?tions es presented in,
the or; ;natin ---hcahon oep~c~eo on the survey preparea by
John T. ~t~eltzger ~asJt dated January 23, 2003.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes, its Corporate. Se. al to be affixed, and these presents to
be subscribed by a malor'fy of the sa,d Board as of this date.
TERMS end CONDITIONS
Elaine Nesin
Lexington St., l~ockville Centre
pan of the conskle~atlon for the i.~,,-r,, of ~he permit does understand and ptescrlbe to the fol-
lowing:
1. That the saki Board of Tn~_~__--~__ and the Tmvn of ,.gouthold a~ teka~d 6~om say and
2. That thls Petmlt i~' valld ~o~ J period of 24 m~. ~vhlch ~ ~omtdetod to be t~e
for an e~e~4~n may be ta~de, to the ~ at a latex daw..
~. That th~ Peun~t should be t-e~l indefinlmly, or as long as the said Petmin'ee
to maintain the ,tractate or project involved, to provide evidet~e to anyone cot~emed that aud~-
o~.atlon was o~gh~lly
4. That the work
5. That t~ere will be no unteuonable interference with ntvig~__~ as a result of the work
7. That if future ol~tati°°s °f the T°wn °f S°uth°ld t~l~ite t~e tem°val and/°t altex'atl°a~
wo~ shall cause unreasonable
upon ~ notice, to remove ot alter this work ot project herein stated without ezpem~ to the To~n
8, That the saldB4~rd w~H be n°fified by the Pe'emit~e °t ~he c°mple~°n' 0f the ~4t auth'
orlzed.
9. Th,t the pexmit~e will o~ain ,al other petmlts and coments d~at n~y be teqult~d raP'
plemental to th~ permit which may be subject to revoke upon failure to o~aln same.
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.
INSPECTION SCHEDULE
V//Pre-construction, hay bale line
st day of construction
constructed
~15'~oject complete, compliance inspection.
Albert J. Krupski, President
James King, Vice-President
Attic 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
February 26, 2003
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Mr. Richard Saetta
P.O. Box 2047
Greenport, NY 11944
ELAINE NESIN
875 GULL POND LANE, GREENPORT
SCTM#35-4-7.4&28.22
Dear Mr. Saetta:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, February 26, 2003 regarding the above matter:
WHEREAS, Richard Saetta, General Contractor, on behalf of ELAINE NE SIN 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 January 30, 2003, 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
February 26, 2003, 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,
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 ELAINE NESIN to
construct a modular home with the condition that the sanitary system is relocated closer to the
road, gutters and drywells are installed to contain the roof run-off, a staked line of hay hales is
installed along the top of bank before the project begins, and as depicted on the survey prepared
by John T. Metzger last dated January 23, 2003.
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 $5.00 per inspection. (See attached schedule.)
Fees: $10.00
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/lms
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hail
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Please be advised that your application, dated
has begn reviewed by this Board, at the regular meeting of
~]6~6~ and the following action was taken:
( ~) Application Approved
( ) Application Denied
(__) Application Tabled
(see below)
(see below)
(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:
SIGNED:
PRESIDENT, BOARD OF TRUSTEES
BY:
4/98
BOARD QF.TR___USTEES, TOW~N. OF $OUTHQL-D
In the matter of applicant:
ELAINE NKSIN SCTM~L000~S-°4-7'~'&~28'32
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention o5 the undersigned
permit from the Board o~ Trustees to:
to request a
2, That the p~operty which is the subjeCt of Environmental
RevieW.~ located adjacent to your property and is described as
follOWS:
LILCO POLl # 7
875 GULL ~OND t~NE, G~KNPORT, N~ 11944
· ' ct to ~nvironmenCal Review
.... ~ ~o~ect which Ks sub]e .... ~d is open %0 public
3. Tna~ =,,~ ~- · .... ~7 ~ the ~u~ ~__e - -
under chapters 32, ~7, u~ = ~ contaCt the Trustees
765-1892 or in wrltlng.
The above re£erencod proposal is under review o~ the Board of
Trustees of the Town of Southold and does not reference any
other agency %hat migh~ have to review same
0WNw-RS NAME:
MAILING ADDRESS
]l, OCn~VT~.t~ C][~IT~R. ~ ~11'~70 ......
Enc.: Copy of sketch or plan showing proposal for your
~ l~ ~oo~ ~
Smlthnld Tnwn
Telephone
(631) 765-1892
Town HaJ/. 53095 Main Road
P.O. Box 11'~9
Southold, Ne~v Y~xk 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Wednesday,
February 19, 2003, the following recommendation was made:
Moved by Donald Wilder, seconded by Tom Schlichter, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH
A CONDITION of the Wetland Permit application of ELAINE NESlN for a new modular
home.
Located: 875 Gull Pond Lane, Greenport. SCTM#35-4-7.4&28.22
The CAC recommends Approval of the application with the Condition that a 25'
vegetated buffer is established and maintained and hay bales are placed down prior to
construction.
Vote of Council: Ayes: All
Motion Carried
~oc~y ~
-- i
S
0
U N D
RLING
?
FHOLD
PIPES
. ConkLtnjp~: .
"<.~. o../
1964
Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO.. 5909
DATE: ~.b.. ~.6,...~.093
ISSUED TO ... ELAINE NESIN
nt'l rizatian
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New YorE, 1893; end Chapter ~ of the Laws of the
Stere of New York 1952; and the Southeld Town Ordinance en-
titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
'LANDS UNDER TOWN'WATERS?. and in accordance with the
Resolution of The B~ard adopted at a meeting held on ....?.eJq.t..
20.~.., and in consideration of the sum of $ ....~.P(b.(~ ..... paid by
Elaine Nesin
.................................................... ~e.Y. and subject to the
of Rockville Centre .......... t reverse side hereof,
Terms and Conditions listed on
WetlOfn Southold Town Trustees authorizes and permits the following:
a d Permit to construct a modular home with the condition
the sanitary system is relocated closer to the road,gutters &
drywells are installed to contain roof run-off, staked line of hay
bales installed along top of bank before project begins, and ag
' all in .actor.dance with .the detailed specifications as presented in
~he omq:natlng applicahon, depzctea on the survey prepared by
John T. M'etzger last dated January 23, 2003. '
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these presents to
be subscribed by a'maiority of the said Board as of this date.
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.
INSPECTION SCHEDULE
V~Pre-construction, hay bale line st day of construction
constructed
ect complete, compliance inspection.
APPEALS BOARD MEMBERS
Ruth D. Oliva, Chairwoman
Gerard P. Goehringer
Lydia A. Tortora
Vincent Orlando
James Dinizio
TOWN MEMO
TO:
FROM:
DATE:
SUBJECT:
BOARD OF APPEALS
Southold Town Trustees
Ruth Oliva, Chairwoman, Zoning Board of Appeals
June 3, 2004
Request for Comments
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1809
ZBA Fax (631) 765-9064
http://southoldtown.northfork.net
JUN - 3 2OO4
Southokl Town
Board of Trustees
Presently, the Board of Appeals is reviewing the following application for a June 22, 2004 public
hearing. Enclosed is the Notice of Disapproval and ZBA application.
The file is available for review at your convenience.
CONTRACTING [ R40 ~
Your comments are appreciated.
Thank you.
4/23/04
5/25/04
UILD NEW HOUSE-
BULKHEAD SETBACK
AND PRIOR ZBA
DECISION
RESTRICTING
BUILDING #2480
~EVISED
)ATE
10-16-03
ETZGER,
SURVEYOR
TO:
FORM NO. 3
NOTICE OF DISAPPROVAL
Rich Saetta Contracting for
Elaine Nesin
PO Box 2047
Greenport, NY 11944
DATE: April 23, 2004
Amended: May 25, 2004
Please take notice that your application dated April 13, 2004
For a permit for construction of a single family dwelling, at
Location of property: 875 Gull Pond La., Greenport, NY
County Tax Map No. 1000 - Section 35 Block 4 Lot 28.42
Is returned herewith and disapproved on the following grounds:
Pursuant to the ZBA Decision #2480(1978), condition #4 which states: "Covenanted
agreements restricting or prohibiting this property for residential use, without prior
a~proval of the Board of Appeals shall be filed in the County Clerk's Office."
The proposed construction of a single family dwelling on a non-conforming, 23,777sq. It
parcel, is not permitted pursuant to ArticleXXIII Section 100-239.4B, which states:
All buildings or structures located on lots upon which a bulkhead.., exists & which are
adjacent to tidal water bodies other than sounds shall be set back not less than 75' from
the bulkhead."
The proposed survey indicates construction at a distance of 51' to the bulkhead.
Furthermore, pursuant to Section100-33 the placement of the proposed dwelling as
indicated on the survey places the existing accessory structure in the side yard.
Total lot coverage is less than 20 percent
uthorized Signature
//%~o ed APPLICATIO~TO THE SOUTHOLD TOWN BOARD OF APPEALS
~ ~' ..... )t~"~ ,~ ~J ~, or Office Use Only -- -- --
NESIN, ELAIN ($AETTA)35~4-28.42 ~48 VO ~Oc ~')~0
APPEAL ZBA 2480 - NO RESIDENTIAL -
CONSTRUC. 875 GULL POND LA GNPT
Parcel Location: House No. 875 Street G~.ane Hamlet Green orr
SCTM 1000Section35 Bl°ck3 Lot(s)28__.42LotSize23777 Zone District R-40
I (~,VE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED: Hay 25, 2004
Al~plieant/Owner(s): co,,rt~xey aallaghex. Age~l~ ~ ~ ~a~~; ~
Maai~g
Address: P.O. Box 2067 Greenpor~, New York 1~944
Telephone: 63 t-;65-6900 ~ 631-Y65-4999
Auth°rlzed~epresentative:~2skard Saetia, C~b~ac~or. ~,,~kd~
Address: P. O. Box 2047, Greenpor~, ~ t1966
Telephone: 631-765-4900 ~-~ '~ 631-765-4999
Please specify who you wish correspondence tb be mailed to, from the above listed names: ~0 Applicant/Owner(s) E] Authorized Representative [3 Other:'
WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED ~ 25 L_2.004
EOR:
~Buiidlng Permit
[] Certificate of Occupancy [] Pre-Certificate of Occupancy
[] Change of Use
[] Permit for As-Built Construction
Other:
Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection and paragraph
of Zoning Ordinance by numbers. Do not quote the code.
Article
Section 100- Subsection
Type of Appeal. An Appeal ds made for:
El A Variance to the Zoning Code or Zoning Map.
[] A Variance due to lack of access required by New York Town Law-Section 280-A.
13 Interpretation of tlj~_Town Code, Article
.~(Reversal or OtherX),Fiqr,O(=, ~ ~,+. Seetl0n
A prior appeal [] has ~has not been made with respect to this property UNDER Appeal
No. Year~
Page 2 of 3 - Appeal Application
Part A: AREA VARIANCE REASONS (attach extra sheet as needed):
(1) An undesirable change will not be produced in the CHARACTER o! the neighborhood or a
defdmenft, o nearby propertles, lf granfed, because:This tot is the last lot that are subje¢l:
rescrictea residential use. Ail other lots are built on with current residential home~
This house is set back approximately the same distance as the other houses in the
un in ea *
~:L~I'[" ~"~*l~[s°Oght bS~]~'a~)~clrtc°aSnetaCANNOT be achieved by some method feasible for the
applicant fo pursue, other than an area variance, because: There are salt and £resh waLe]: set
backs as per the D.E.C. and Southold Town Trustees Requirments. There are also
residential homes in the area and this is the last lot without a residential home loc~
(~ ~hee~t~f relief requesfed Is nor subsfanflal because:This is a modestly sized home th~
would not be able to be built unless a varience is granted do to other permits we have.
(4) The variance will NOT have an adverse effect or Impact on the physical or environmental
conditions In the neighborhood or district because: npp]:oval ?ermits have beeu granted allow
this home to be built. The neighborhood is completely residential.
(5) Has the variance been self-created? (x) Yes, or ( ) No. If not, Is the construclion
exlsting, asbuilt? ( ) Yes, or ( ) No.
(6) Additional Information about the surrounding topography and building areas that relate to
the difficulty In meeting the code requirements: (attach extra sheet as needed)
See attached surveys and permits. As per the accessory building located in the side
~:-~ ~ct prier to ~ ~ .... ~.~ T]',~'. ~,,~ ic c!csor to the bulkhead than home.
This Is Jhe MINIMUM ;hal Js neCessa~ and ~dequa~e, and a~ ~e same ~me prese~es add
pr~lecfs lhe character o[ ;he neighborhood and lhe healfb, safe~, and weffare o; the
¢ommunJ~.
( ) Check this box and complete PART B, Questions on next page fo apply~
~ (Please consult your altomey.)~ Otherwise, 131ease ~roceed to the signature arid
nora area below· ~.~1~/~._~
Sworn fo befor~ me this
; 3'rd,ay of ..... ~..., 200_~ ,
Signature of Ap-~J~Jlanf or Authorized Agent
(Agent must submll A~ufhorizaflon from Owner)
(*) see attatched page
JOYCE M. W1LKINS
Notary Public, State of New York
i~eo. 4952246, Suffolk County
rm Expire~ June 12.,
ZBA App 9/~0/02
'(*) The accessory building is up due to the house being located in a flood zone. No basement
can be built so the building is only storage, not habitable.
ET,IT.&BETH A. NEV~,T,F.
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, Hew York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nort h£ork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3158 R Residential X NOn-Residential
Septic x Cesspool
Fee $ 10.00
PERMIT ISSUED TO:
Name :
Address 1:
City St zip
RICHARD SAETTA
PO BOX 2047
GREENPORT
NY 11944
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTNENT
OF HEALTH SERVICES. REF #R10-03-0039
Name Of Owner NESIN, ELAINE
Mailing Address I 32 LEXINGTON STREET
City St Zfp
Property Address 1
ROCKVILLE CENTER NY 11570
875 GULL POND LANE
city st zip
TaX Map NO. section
Cross Street
Building Permit Number Cross Reference:
GREENPORT NY 11944
35.00 block 4 lot 28.042
COUNTY ROAD 48
Issue Date: 4/15/04
Elizabeth A. Neville
southold Town Clerk
(TOWN SEAL)
NEW YO~.. STATE
I DEC PERMIT NUMBER
DEPARTMENT OF ENVIRONMENTAL C-.. ,SERVATION
PERMIT
Under the Environmental
Conservation Law
EFFECTIVE DATE
, October 30, 2003
EXPIRATION DATE(S)
October 30, 2008
TYPE OF PERMIT · New [3 Renewal [] Modification [] Permit to Construct [3 Permit to Operate
[] Article 15, Title 15: Water Transport
[] Article 15, Title 15: Long Island Wells
[3 Article 15, Title 27: Wild, Scenic and
Recreational Rivers
[] Article 15, Title 5: Protection of Waters [] Art/cie 17, Titles 7, 8: SPDES [] Article 27, Title 9; 6NYCRR 373:
[] Article 15, Title 15: Water Supply [] Article 19: Air Pollution Control Hazardous Waste Management
[] Article 34: Coastal Erosion
[] Article 23, Title 27: Mined Land Management
Reclamation
[] Article24: Freshwater Wetlands [] Article 36: Floodplain Management
[] Articles 1, 3, 17, 19, 27, 37;6NYCRR
· Article 25: Tidal Wetlands 380: Radiation Control
[] 6NYCRR 608: Water Quality Certifica- [] Article 27, Title 7; 6NYCRR 360:
tion
Solid Waste Management
PERMIT ISSUED TO --- 1..__~.,,_.. ~
ADDRESS OF PERMFFrEE
~ton Street, Rockville Centre, New York 11570
CONTACT PERSON FOR PERMI3q'ED WORK
Richard Saetta, P.O. Box 2047, Green_port, NY 11944
NAME AND ADDRESS OF PROJECT/FACILITY
NE NUMBER
5-4900
~ 875 Gull P~ort
COUNTY TOWN
Suffolk Southold
DESCRIPTION OF AUTHORIZED ACTIVITY:
WATERCOURSE
Fordham Canal
'-OORDINATES
Construct a two-story single family dwelling, septic system and pervious driveway. Remove existing
driveway. All work must be done in accordance with the attached plans stamped NYSDEC approved.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL,
applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part
of this permit.
PERMIT ADMINISTRATOR:
W. Hammarth
AUTHORIZED SIGNATURE
ADDRESS
ion 1 Head
DATE
October 30, 2003
3rook, NY 11790-2356
Page 1 of 4
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
February 26, 2003
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Mr. Richard Saetta
P.O. Box 2047
Greenport, NY 11944
ELAINE NESIN
875 GULL POND LANE, GREENPORT
SCTM#35-4-7.4&28.22
Dear Mr. Saetta:
The Board of Toxvn Trustees took the following action during its regular meeting held on
Wednesday, February 26, 2003 regarding the above matter:
WHEREAS, Richard Saetta, General Contractor, on behalf of ELAINE NESIN 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 January 30, 2003, and,
WHEREAS, said application was referred to the Southold Town Conservation Advisory Council
for their fmdings and recommendations, and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on
February 26, 2003, at which time all interested persons were g/yen 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 ELAINE NESIN to
construct a modular home with the condition that the sanitary system is relocated closer to the
road, gutters and drywells are installed to contain the roof run-off, a staked line of hay bales is
installed along the top of bank before the project begins, and as depicted on the survey prepared
by John T. Metzger last dated January 23, 2003.
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 $5.00 per inspection. (See attached schedule.)
Fees: $10.00
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/lms
Albert J. Iirupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone(631) 765-1892
Fax(631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OFSOUTHOLD
Office Use Only
Coastal Erosion Permit Application
~____----Nqetland Permit Application ~ Major
Waiver/Amendment/Changes
,.,Received Application:
~eceived Fee:$ ~t~'_ .
· ,'Completed Application/~0~_~
Incomplete
SEQRA Classification:
Type I Type II Unlisted
Coordination:(date sent)
· ,,CAC Referral Sent:/~~_
,~Date of Inspection:~.]~.~_ Receipt of CAC Report:
Lead Agency Determination:__
Technical Review:
~ublic Hearing Held: ~/1~
Resolution:
Minor
Name of Applicant
Address
EI.A llqR I~]ES I}I
32 T.~'~T~qGTOI, I ST. ROC1CV'ILLE CEIqTER. Wi' 11570
Phone Number:( )5~6 766 ~667
Suffolk County Tax Map Number: 1000- 35-04-7.4 & 28.22
Property Location: 875 gtmL POSO ~m. a~£mmO~T, mr
LILCO POLE ~ 7. 777_R?~ 'I~ ~rm'r~ onan
(provide LILCO Pole #, distance to cross streets, and location)
AGENT: gxc~nRn SA~ITA Gm~,AL C0m'RACX0R
1 I
(If applicable)
Address: P.O. BOX 2067 GREEI{POR'~, W/ 11966
Board of Trustees Application
GENERAL DATA
Land Area (in square feet): 27,777 sq. ft.
Area Zoning:
Previous use of property:
Intended use of property:
RES II)~',ITIAL
RESIDI~ITIAL
Prior permits/approvals for site improvements:
Agency
DEC 1979
Date
__ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
x No Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Area of wetlands on lot: 7,005 square feet
Percent coverage of lot: 7 aa %
Closest distance between nearest existing structure and upland
edge of wetlands: 65 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: 51 feet
Does the project involve excavation or filling?
No x Yes
If yes, how much material will be excavated? 100 cubic yards
How much material will be filled? 0 cubic yards
Depth of which material will be removed or deposited: I feet
Proposed slope throughout the area of operations: r.~.~.~ ,wAn ~ vnox
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);
NONE
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
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
In the Matter of the Application
of
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
KA'rimYN SAETTA
, residing at
SOUTHOLD, NY 11971
being duly sworn, depose and say:
That on the day of , 200 , I personally posted the
property known as 875 GULL POND LAI~E. FESIN
by placing the Board of Trustees official poster where 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 ~aring. ~ake of hearing noted thereon to be
Dated:
Sworn to before me this
/f day of ~_z~- 200~
ho ic
JOYCE M. WILK NS
Notary Public, State of New York
No. 4952246, Suffo k Coun~
Term ExpiresJurm 12, ~oo3
tS lgnatu~e')
Board of Trustees Application
County of Suffolk
State of New York
RtC~am SA~TTA 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 1N 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
UNT)ER OR BY VIRTUE OF SAID PERM_IT(S), IF GRANTED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
SWORN TO BEFORE ME THIS
U- ~'~'LSi~nature
/L~lot ary Pu61ic
ELIZABETH A STATHIS
NOTARY PUBLIC, State of New
No. 01ST6008173, Suffolk Co_u~ty
Term Expires June 8, 20o~
of Trustees Applicati4
AUT~ORIZATION
(where the applicant is not the owner)
ELAINE NESIN
(print owner of property)
residing at a? T.~XTWCT~N ~T
(mailing address)
RO{;I~vlLLE CENTER, NY 11570
RIC~A~ SAETIA
do hereby authorize
(Agent)
to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
( Owner ' s signature )
· PROJECT i.D. NUMBER
617.21
Appendix C
State Environmental Quallty Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I--PROJECT INFORMATION (To be completed Oy Aepdcant or Project sDonsor)
SE~
3. PROJECT LOCATION;
875 GULL POI~I)
[ILCO POLE
SEE AT~Aca ~]
5, IS PROPOSED ACTION:
~New [] Expansion [] M(3dificafionlalterallon
5. DESCRIBE PROJECT eRIEFLY:
~ I~ODULAE HOI~E
Yes ~_, NO If NO, describe brmtly
DEC, SOUT~OLD TOI~I BUILDING DF.?AE~IEt~
12. AS A RESULT OF PROPOSED ACTION WILL =_XISTING PERMIT/APPROVAL REOUIRE ~IOOIFICATION?
[] Yes I~ No N/A ...
[f the action is in the Coostal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this as~s, essment
OVER
I
=aRT [iI--OETERMINATICN CF SIGNIFICANCE ~To .~e comole[ed Dy Agency)
RPPLt~RNT
TRANSACTIONAL DISCLOSURE FORH
The Town o~ S~u~holdta Code of Ethico prohibits conflicts of
interest on the part o[ town of£icere 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.
TOUR N~Jig! SAIS'L=fA RICHAR~ W~".."'~. .-,, ..... ,~.~-':
(~aat name, first name, midd.le initial, onleae
other entity, auch ~a a company, lg em, i.dicate
NATURR OF APPLICATION~ (check all thee apply,)
Tax grievance
Varianoe
change of ~one.
App~l~val of plat ,
Bxeiption from plat or official map
other X
(If "other," name the activity.) TRUSTEE$.PERNIT...
parent, or child} have a relationship with any o£gicer or
interest" ~eans a businees~ including a partnership~ in
nhich ~he tone officer or employee ham even a partial
ownership of (or employmene by) a corporabion in whiclm
the torn ofricer or employee myna more than 5~ og the
NO X
If you answered "YEs,".cmmplnte the balance o~ ~his ~orm and
date sod 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 ~) through D) and/or deter[be in the space
provided.
The town officer or employee or hie or her spouee~ sibling,
parent, or child is (check all that apply)l
A) the owner o~ greater than 5% of the shares og the
corporate stock of the applic~nt (shah the applicant
ia a corporation)i
B) the legal or bbneficial owner of any interest in a
noncorporate'entity (when the applicant le not a
corporation)~
C) an ofticer~ director~ pa~tner~ or employee o£ the
applican~t or
D) the actual applicant.
!,,.;'
Submitted th~ aa~cf'3'~ ~ '--
' sit'ha ~ure ';"" ".: '