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Home My WebLink AboutTR-6009AAlbert 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) 765-6641 # 0090C At BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE Date January 9, 2006 THIS CERTIFIES that the second story addition 330 South Lane, East Marion Suffolk County Tax Map # 38-6-14 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 9/30/05 pursuant to which Trustees Permit # 6009A Dated Oct. 20, 2004 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 Construct a second story addition to the existing dwelling. Edward Flannigan owner of the The certificate is issued to aforesaid property. Authorized Sigl Albert J. Krupski, President James King, Vice-President Attic Foster Ken Poliwoda Peg~' 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 TOVFN OF SOUTHOLD Permit No.: 6009A Date of Receipt of Application: September 30, 2004 Applicant: Edward Flannigan SCTM#: 38-6-14 Project Location: 330 South Lane, East Marion Date of Resolution/Issuance: October 20, 2004 Date of Expiration: October 20, 2006 Reviewed by: Trustee Poliwoda Project Description: Construct a second-story addition to the existing dwelling to increase the bedroom space. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. The issuance of the Administrative Permit allows for the operations as indicated on the plan prepared by Fairweather-Brown Design Associates dated August 20, 2004. Special Conditions: None If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Albert J. Krupski, Jr., President Board of Trustees N 15ADPD ON MAP OF .SUP-..VEYED LAND FOP.. WILLIAM IV ¢ NADA R. 15EHP-,, &ITUATE AT EA&T MAP. ION TOWN OF &OUTHOLD, N.Y. & U P..VEYED [5Y VAN TUYL ¢ SON JULY 9, 1 9G9 ,SITE PLAN &CALF: I "=30' PLANNIGAN 0,5120104 PAl P-.WEAT H ER-DP. OWN DE,~IGN A.~,~OCIATE&,INC. 205 15AY AVENUE GIREENPORT, N.Y. 11944 63 I -477-9752 (Pax) G3 I -477-0973 Albert J. Krupski, President James King, Vice-President Attic Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Office Use Only ...Coastal Erosion Permit Application J Wetland Permit Application M,~.,- __ Waiver/Amendmenl~Chan~e$ ~d Application'~~ __Received Fce:$ ,~'CSompleted Applic a~-fi"'-n lnconcvplete SEQRA Classification: T~e I T~e II U~isted Coordina6on:(date sent) ~CAC ~fe~l Sent: ate of ~pec~on: ~Receipt of CAC Repom __Lead Agency Detemtion: Tec~cal Review: --~blic HeaNng Held: __Resolution: Southold ]own Beard 0f Trustees Name of Applicant F~./d,/C~/... -7~~ PhoncNumber:( ) Suffolk Co~W T~ Map Nmber: 1000 - ~g ~ ~ - / ~ Prope~ ~cation: ~~ ~ .~~ - ,/ ~rovide L~CO Pole ~, ~s~ce to cross s~eets, ~d location) AGENT: (If applicable) Address: Phone: Board of Trustees Application Land Area (in square feet): Area Zoning: /~ w Previous use of property: Intended use of property: GENERAL DATA Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspende)J by a governmental agency? v' No Yes If yes, provide explanation: Project Description (use attachments if necessary): . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: Area of wetlands on lot: ~7 / a a square feet ~ Percent coverage of lot: // % Closest distance between nearest existing structure and upland edge of wetlands: ' ~ ~ feet ~ ,~/Z/~e.~C Closest distance between nearest proposed structure and upland edge of wetlands: 0fi' feet -/o 2n,/~ Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: feet 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): 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by A[3plicant or Project Sponsor) t. APPLICANTISPON.SOR . 0~= /2. PROJECT NAME 3. PROJECT LOCATION: Municipality County 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 5. PROPOSEDACI'ION IS: / [] New [~Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LANJ~ AFFECTED: Initially ~ acres Ultimately ac~es 8. WILL PRO/POSED ACTION COMPLY W1TH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~'/Ye$ [] No If No, describe briefly 9. WHAT, T_~IIS P~RESENT LAND USE IN VICINITY OF PROJECT? [~'~=~esidentia, [] Industrial [] Commercial [] Agriculture [] PartdForest/Open Space [] Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FE~ERAL, STATE OR LOCAL)? [] Yes [] No If Yes, list agency(s) name and permit/approvals: 11. DOES ANY ASPECT OF. THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [~No If Yes, list agency(s) name and permit/approvals: 12. AS A RESULT OF PROPOSED ACTION WiLL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? DYes •No If the action i~'in the Coastal Area, and you are a state agency, complete the [ Coastal Assessment Form before proceeding with ,s assessment I OVER 1 PART II - IMPACT ASSESSMENT ~1'o be completed by Load A~lency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. E~]Yes E~]No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR. PART 617.67 If No, a negative declaration may be superseded by another involved agency. [~Yes r'~No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible} C1. Existing air quality, sudaca or groundwater quality or quantity, noise levels, existing traffic pattam, solid waste production or disposal, potential for erosion, drainage or flo<xling problems? Explain briefly: I C2. Aesthetic, agricultural, amhaeological, historiC, or otherrnatural or cultural resources; or community or neighb~rho~l character? ~xplair~ briefly: C3. Vegeta ~on or fauna. ~sh, shelffish or wil~llife' s'p~c es. s gniflcant habitats, or threatened or endangered sPecies? Explain br~tiy: C4. A commumty s exrshng plans or goals as otficial y adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: I C6. Ling ~ern~: short tarm, ~iative, or other,~ffects not id~ntitied in C1.C57 EX~in bdeny;, C7. Other mpac s {inc uthn~ chanties n use of either quanti~ or ~pe of energy? Explain bhefl}': ENVIRONMENTAL AREA ICEA~? IIf yes. explain bflefl~: E. IS THERE, OR IS THERE LIKELY TO BEr CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If },es explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve'determinewhetheritissubstan~a~~~arge'imp~rtant~r~~herwisesigni~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f} magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directJy to the FULl EAF and/or prepare a positive declaration. Chock this box if you have determined, bas~l on the information and analysis above and any supporting documentation, that the proposed act~or WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi! determination. Name of Lead Agency Date Title of Responsible Officer Pdnt or Type Name of Responsible Officer In Lead Agency Signature et Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) 15:41 ~Z4770975 Board of Trustees Application County of SufFolk State of New York swo DEPOSES HE 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 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 ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ture swo ,ro Public JOYCE n. STEVENS NOTARY PUBLIC, STATE OE NEW YORK NO. 4875122 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES NOVEMBER 3, APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of R~nthnld's Code of Ethics nrohibits conflicts of interest on the cart of town officers and cmnlovccs. The ooranse of Sis form is m nrovide information which can alert thc town of oossible conflicts of interest and allow it to take whatever action is (Last name, fu~t name, ~nid~le m!uat, un]ess you are applying in th~ name of someone elss or other entity, such as a company. If so, indicate, thc other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee '~' Change of Zone Coastal Erosion Approval of plat Mooring Exemption from pla~ or official map Planning Other (lf"other', name the activity.) Do you personally (or through your compaay, spouse, sibling, parent, or child) have a mlafioaship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interesL "Business interest" means a business, including a partnership, in which the ~own officer or employee has even n partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO ~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name ofpers0n employed by the Town of Soothold Title or position of that peraon Describe thc mlatioaship between yourself(the applicant/agent/repreacntative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space presided. The town officer or employee or his or her spouse, sibling, parent, or ~hild is (cheek all that apply): __~) the owner of greater than 5% of the shares of thc corporate swck of the applicant (when the applicant is a corporation); __.B) the Icgal or beneficial owner of any interest in a non--coq~oratc entity (when thc applicant is not a corporation); C) an officer, director, partner, or employee of thc applicant; or __~)) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Subm{t~ed this ~_day of/~: 200.~/ Signature ~~r)v~j . PrintNam~'-"~ ' .,~,~'~ ~"-~'~'~ FAIRWEATHER-BROWN DESIGN ASSOCIATES, INC. 205 Bay Avenue Greenport, N.Y. 11944 477-9752 (fax) 477-0973 September 28, 2004 Board of Town Trustees Town of Southold P.O. Box 1179 Southold, New York 11971 Re: Edward Flannigan Residence 330 South Lane, East Marion 1000-38-6-14 SEP 3 0 $outhold Town Board of Trustees Att: Lauren, Heather Attached please fred our application on behalf of the above named client. As per our recent conversation we are applying for an administrative permit to add onto the existing waterside second story of this residence. There is no work to be done that changes or expands the existing footprint of this home. There is an existing bulkhead on the property that was put in place prior to 1969. The home is approximately 65' fi.om the bulkhead at it closest point. There is a CO for work that was completed in 1992 that I believe added the covered porch shown on our site plan. The deck area shown on the old survey is enclosed and I believe that had been done at the same time or before the Flannigans purchased this property about 1990. If you have any questions or need further information, please do not hesitate to contact me. Respectfully submitted, ~y a~in'~ I \ I \ I \ FIRST FLOOR PLAN q J SECOND FLOOR PLAN EXISTING BEDROOM I I I I I I ~ I I BEDROOM / / / LIVlNGROOM M CLOSET M,BATH FIRST FLOOR PLAN PROPOSED SECOND FLOOR PLAN I DWG. NO,, DWG. NAME, FILE NO,: DESCRIPTION' Z 1CF CUR 1 ST & 2ND -3/16/:1 k 2 PROP. ALTERATION TO ZIMMERMAN RESIDENCE ~,~C~.','~CTU~ pLmC~ CONS~UC' FLOOR P~NS so,~: EAST MARION NEW YORK ~~ d31,298.1t29 r~:631.298.1128 1/8"= 1'0" BAYSIDE ELEVATION LEFT ELEVATION EXISTI N G BAYSIDE ELEVATION LEFT ELEVATION PROPOSED DWG NO,, DWG. NAME- FILE NO,; DESCRIPTION' Z_4ELEV_CU R 3/16/0~ ~, ~gl ¢~ I TE C NOLOGi E S A 2 ELEVATIONS SCALE PROP. ALTERATION TO ZIMMERMAN RESIDENCE EAST MARION NEW YORK ARCI~TECTURE PLANNING CONSTRUCTION SERVICES 1/8" = 1 '0" 13405 Main Road, Mattituck, New York 11952 631.298.1129 fax: 631.298.1128