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Home My WebLink AboutTR-5836Board Of $outhold Town Trustees SOUTHOLD, NEW YORK ,aJ~ ~__ PERMIT NO. .Oi~l'~I' DATE: ...~o:v..19~'~..,.. 2003 ISSUED TO ......... ~.~.:.....~L~.6.M...b.q [~ ........................................... Pursuant fo the provisions of Chapter 615 of the L~ws of the State of New YorE, 1893; and Ol~pfer 40~ of the L~ws of the State of New YorE 1952; and the Soufhold Town Ordinance en- titled "RE--~ULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and fha REMOVAL OF SAND, GRAVEL. OR OTHER IvlATERIALS FROM LANDS UNDER TOWN WATERS;!.!. and in accordance with the Resolution of The Board adopted at a meeting held on ...1~.9.~:~. .20.0~.., and in consideration of the sum of $.-..200.~-e0 ..... paid by · 1~at~cia...G... Moo~ce.,.. E~q.. on be~a~., o£-..D~.~----W~½~i.~m.-.~',o~s .... o[ ........ ~..o..uth~ld .................................... N. Y. and sublet, to the Terms and Conditions Iis~ed on the reverse slde hereof, of Southold Town Trustees authorizes and ~ermits the all m accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The sald Board of Trustees here- by causes ifs Corporate Seal to be affixed, and these presents to be subscribed by ~s 'majority of the said Board as of this date. ,Ken Poliwoda (.Ah,s~n~) Trustees TERMS end CONDITIONS The PeImlitee Dr. William- Lois ~st. 51020 North Rn~cl o[ the c~fi~ f~ ~e ~ of ~e ~ wish n~ect thereto, to the ,:o~l, kte exclusion of the Board of Tr~.,~_ of the Town of ~t~ola 2. Thst this Petmi~ is' valid ~ot a l~'iod of . ~,4 m0s. which is coasidm~ to be t~ es~ted tlme'requim/ to comldete the work ia~obed, b~'should clm~i~ances wan-a~ mtvest ~or an ex~en~oa may be made to d~e B<:~rd st s lst~r dste. ~. That *hl. Permit should be ret*i~'xi iaddlnltdy, or'~s loog ss fl~e said Pe~mittee ~ishes to maintain the structure or,project involved, to provide evld,mce m anyone concerned that amh- ociz~do~ w~ orlg~'~lly ~ 4. 'rl~t d~e wo~ hvolved w~l be subject to .the impect/~ *ad approval of the Boezd ar its agen~ and non-compI/ance ~th. the pmvislom o~ d~ or~ff,,~,g *ppt/cado~ ~ be ,'-.~. fo~ rerocstic~ of ~ P~t by xesolufion of the said Board. 5. That there will be no unreasonable intexfe~ence with ntvlgstloo as ~t result of the work 7. ~ if ~utu~e ol~-stlons of the Town of 8outbold x~luire t~e mxa~xl smd/o~ alterations inthe location of ~he ,~oflc het~ suthoE~ or if, in the opinion of the Bo~d o~ Tms~e~ the. wodl shall cause unreasonable obsmsmon to f~ee navigstioa, the said Pem~ee ~ be ~ S. Tha~ the said B~xd wilt be notified by the P~nnktee ot ~he compledoa'of the ~ auih- orlzed. 9. That the Pe~mittee will ~ota~n aH other ~its and consents that nmy be recluh~[ mp- plementxt m this permit wht~ may be subject to ~evoke upon failure to ~:~ta~. raane. ,.,,,._-~....-..._-~,,,._-- --_.~--'--""'-~""'~--"'''"--''''''''-~~'''"~~-'''''''''-'' 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 November 24, 2003 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: SCTM#44-02-08 Dr. William Lois 58105 North Road Greenport, NY Dear Ms. Moore: The Board of Town Trustees took the following action during a Regular Meeting, held on November 19th 2003 regarding the above matter. WHEREAS, Patricia C. Moore, Esq.. on behalf of Dr. William Lois applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated October 31, 2003 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 November 19th, 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, ,..-, \,.".t 2 :) WHEREAS, the structure complies with the standard set forth in Chapter 97-18 ofthe Southold Town Code. WHEREAS, the Board has determined that the project as proposed will not affect the health, Safety and general welfare ofthe people ofthe town. NOW, THEREFORE BE IT, RESOLVED, that the Board of Trustees Approved Wetland Permit for DR. WILLIAM LOIS for renovations to existing residence and detached garage - proposed covered porch along waterfront and all sides of house, 8xl5 addition on west side of house in line with existing residence, dormer second floor, garage landward of existing residence, sanitary if required by Health Department, raise foundation if required, removal of drainage pipe going off the lawn- towards the Sound. Drywells and leaders for roof run-off. 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 proj ecl. Fee must be paid, if applicable and permit issued within six months of the date of this notification. If inspections are required, at a fee of$5.00 per inspection (See attached schedule). FEES: $5.00 Very truly yours, ~.I t7. ~.- (/tL-l. rL. /. 7 "1 Albert J. Krupski, J r. President, Board of Trustees AJK!cjc cc: DEC Building Department Albert J. Krupski, President James J{ing, Vice-President Hemy Smith Artie Foster Ken poliwoda I Town Hall 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 TO: P~t""1"';":l r ),~QQr~" ESE!- e ~ If f B ~fHi 8ft e.La 6 1.' 1 g.U-J LU~i::l Please be advised that your application, dated October 31, 2003 has been reviewed by this Board, at the regular meeting of and the following action was taken: tlo., l5.wbG.l 19th, 2993 ( X) Application Approved (see below) (____) Application Denied (____) Application Tabled (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: CONe Inspection @$5.00 ~ ~ 4/98 Albert J. Krupski, president James King, Vice-president Artie Foster Ken poliwoda Peggy A. Dickerson o Town Hall O 53095 Route 25 , P.o. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 yOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOI~TMENT FOR A PRE-CONSTRUCTlON INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. - BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DR. WILLIAM LOIS INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of cOnstruction y. constructed x Project complete. compliance inspection. , Field Inspection 11/11/03 ;AI \...._1 t , o Albert J. Krupski, President ~ James King, Vice-President \~! Artie Foster \; Ken Poliwoda Peggy A. Dickerson o 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. L 0-1 J INSPECTION SCHEDULE Pre-construction, hay bale line 1 sl day of construction Yo constructed V Project complete, compliance inspection. " , d .- 't Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-W59 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Monday, November 17, 2003, the following recommendation was made: Moved by Don Wilder, seconded by William Cook, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH STIPULATIONS of the Wetland Permit application of WILLIAM LOIS to renovate the . existing residence and an 8'X 15' addition to the existing residence, covered porch added and garage in front yard, and new sanitary system in front yard if required by the Health Dept. Located: 58105 North Rd., Greenport. SCTM#44-2-8 The CAC recommends Approval of the application with the following Stipulations: 1. . There is no encroachment seaward of the existing residence. 2. Rip-rap should be installed to slow down the erosion. 3. A mound and swale should be installed above the coastal erosion hazard line to prevent run-off. Vote of Council: Ayes: All Motion Carried \ .~ .--. 't..J PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 .,,- ~ Tel: (631) 765-4330 Fax: (631) 765-4643 ~i: !: Ie alii E ~ OCT 3 1 2003 Southold Town Board 01 lrustees October 30, 2003 Southold Town Trustees P.O.Box 1179 Southold Town Hall Main Road, Southold, NY 11971 Re: Dr. William Lois' Renovation to existing residence Dear President Krupski and Board: Enclosed is my check and an application for renovation to owner~ s existing residence. The renovation includes a covered ~orch and 8 x 15 addition on the west side of the house. 'Also proposed is a garage which is to be constructed landward of the existing residence. I have also include items which may be required by other agencies: new sanitary, and raised foundation due to the Flood Zone requirements. The renovation will be less then 50% of the market value of the structures therefore we do not intend to raise the foundation, however, during construction unexpected repairs may be required. \ Since the house will be exposed to the Long Island Sound Iwe do not want the language of the wetland permit to beGQme an issue which could interfere with the constructio~~ork. Thank you for your anticipated courte~ies., very,tA yours, ~......--..../..1f '.. ..".r <---. '/ ~ricia C. Moore ~1) ,\ I ~ cc: Dr. Lois - 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 Office Use Only _Coastal Erosion Permit Applicati9n _Wetland Permit Application .!t- Major Waiver! Amendmentlfha(ies _Received Application: I 0 ~ to..) Received Fee:$VJ..I -- I fii!l -Completed Application -1'0 I ~ I -Incomplete I , _ SEQRA Classification: Type I_Type II_ Unlisted_ Coordination:( date sent} CAC Referral Sent:' ?>I Date ofInspection: ~eceipt of CAC Repo _Lead Agency Determination: Technical Review: , Public Hearing Held1LfJi III ; Resolution: Minor Name of Applicant william Lois Address 2233 E. 65 Street, NY, NY 11234 Phone Number:() 718-968-8857 44-02-08 "'-1~~ ,; Suffolk County Tax Map Number: 1000- Property Location: North Road, Rt 48 lown Boa~oth1il9sM<<t'. "lli'~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Patricia C. Moore 51020 Main Road, Southold NY 11971 Address: 631-765-4330 Phone: - ~ ~ '- Board of Trustees Application GENERAL DATA Land Area (in square feet): r-40 25588 Area Zoning: Previous use of property: Residence Intended use of property: Residence Prior permits/approvals for site improvements: Agency Date u/l/OJ 7RA DEC 11/1/03 _ 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: adjacent property cleaned, rubbish removed fill added to property with a permit- ~; a~ount OCl 3 1 2003 ~ in dispute. Permit obtained Project Description (use attachments if necessary): Sou\llolll '!ow\I Existing residence and detached garage proposed. Covered porch along waterfront and all sides of house, 8x15 addition on west side of house in line with existing residence, dormer second floor, garage landward of existing residence. Sanitary if required by Health Department. ~ .fz>V^o.~ ',.{ I"tfvlord . - ,-," Board of Trustees Application "'"'\ ",-,,' WETLANDfTRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: renovation to existing residence and 8 x IS addition to existing residence. Covered porch added and garage in front yard new sanitary in front yard if required by Health Department Area of wetlands on lot: LISound square feet Percent coverage of lot: 10 % Closest distance between nearest existing structure and upland edge of wetlands: 36 to bank feet 84 to LISound Closest distance between nearest proposed structure and upland edge of wetlands: 36 feet Does the project involve excavation or filling? x No Yes for addition and porch foundation If yes, how much material will be excavated? cubic yards How much material will be filled? none cubic yards Depth of which material will be removed or deposited: footings and foundation repair ~ ~ . feet:;. "8.f C f'"" ,:,+cM-" (mI\.l'Iu<hoY' :r 7S C.F Vb~d'I"''' j: 7"" 0 e-r-:' jtw"4" Proposed slope throughout the area of operations: _.f la t ~.....' truck away excess material/re rade as re OCT 3 1 2003 Manner in which material will be removed or deposite $Outbollllown 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): no effect of wetlands, renovations to existing structure, placement of Hay Bales for erosion control, drywel1s for roof runoff - """ '<wi "- Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: renovation to existing residence new garage landward of house, 8 x 15 addition on west side of existing residence. Foundation reRair Rod sanita~y replacement as required Are wetlands present within 100 teet ot the proposea activlty'! x No Yes Does the project involve excavation or filling? No x Yes foundation/sanitary as required rfYes, how much material will be excavated? (cubic yards) 1<:.-I4en ~B s-- c<='" f'orc.t<... 7~ GF" How much material will be filled?6nN-cp" 710 u:- (cubic yards) Manner in which material will be removed or deposited: 61Y10A Me<W'~ / H<tMcl Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) No c.w'''-OYIrYle~ II'\AfC'C.:ts - renova.:t"<e,.... ","",,0\ _po-rc.h adcl.J<0Y> tv .lj(ll;~ rer.ld~cc Cc-1\ & tv (..J ctloY, ,,.-, I, YVl- W d-vv ~ ( Eo tl.-Y> Cj i;,lv u d-v re.. N~ a~ IN"' lNe>T S.,d.. 0] i2J'(f&ftNl, h01A~. c ~ PATRICIA C. MOORE Attorney at Law 51020 Main Road Soulhold, New York 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 November 13 , 2003 RE: William Lois Premises: 58105 North Road, Greenpor SCTM: 1000-044,00-02.00-008.000 NOV 1 4 2003 o Board of Trustees Town of Southold P . O. Box 11 7 9 Southold, NY 11971 N Sov\IIOId _ Board of TNIIen Dear Sir or Madam: Enclosed please find the Affidavit of Mailing, Affidavit of Posting and three (3) Certified Mail Receipts for the above referenced matter. We will forward the signed Return Receipt Cards to you upon our receipt of same. Very truly yours, PoJJu.-eia e. moM.! patricia C. Moore By: Melissa McGowan, Secretary /mm Enclosures . . . PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 Margaret Rutkowski Secretary November 12, 2003 BY CERTIFIED MAIL RETURN RECEIPT REQUESTED Neighbors Re: William Lois 58105 North Road Greenport, NY SCTM# 1000-44-2-8 Dear Neighbor: I represent William Lois with regard to his located at 58105 North Road, Greenport, NY. seeking a wetland permit to renovate the residence, an 8 x 15 addition, a covered garage in the front yard. Enclosed is a survey showing the proposed additions. property He is existing porch and copy of the The hearing on Wednesday, November Town Hall. this matter 19, 2003 at has 7:00 been p.m. scheduled for at Southold If you have this application, any questions, please do not or you hesitate wish to support to contact me. Very truly yours, <)'It. . ._liatricia C. Moore PCM/mm Enclosures . . /~,I) ( (' \ / /1: II \\ ~ SOUND J I l) ISLAND \ ~ L LONG I 7/ / .J) f ,,/ ( . E ~ 100,67 /' ) 80'36'30':r-- ~ ~ ~~ ..... ~ ';:;0-'6 VE(../ IS) "-6 E ~c _~_ 'l , "Z:<>N€ VE (~/ I~J .. ... " ~ roe...y_lA~ -~- ~ ')00 ~ ? 'Z. l!O '0 ~ ~ ')00 ~ ~ m 'Z. , N -<- m .....0 0 <'''':;' 'it. · """~':IJ "\ III ~ ~ iQ ~ 'Z. ')00 _ e Q. m ..... r- l!O r- ~ ')00 't \ ~ 4 ')00 III ~ , ...:....,..;.......'...'.c...f '" ~ E~1S0~ 10 ~~B NO~''''' ~OAO CCRTIFIED TO' WILLIAM A. LOIS \O)I~ ~ ~ U Vi ~ l~ NOV \ 4 2003 SUR.VEY .oF PROPERTY , AT ' A~HAMOMOOUE .WN OF SOUTHOLD F9LK COONT't. N. Y. 7UfJO - 44 - .. fJlJ ''''''''(1 c. tor ,.' ~'fil' Oc:d';--'~" " ~ ,; Soulhold Town A_ = 25;588 q. ft. to ti fintl Board of Trustee. Ci.";~~_1 ;r~~UI"'l H_oza..ra. L''''e: iO", C_~t..l E"D~r:J^ /-la-7.4/'_ AhA<- N,:tr.p ...~~t:-,-4I5!...s"...'!o AN YALTERAT./ONOR A/1DI TJON TO '1liIS_ $lIIiVEY.IIY"l1. .1I(6!.AT./ON 'f'f1/lJ~'cfJ ~TIONA$ kW' SE,{rlJif7'f,,:-~YORK $'A Tt~. .~. icATIONS ,f)N, "1f{ ,VAl.tI FOR TIIS lIAl' . . . y s.t.os'f:a'!fllJlf~/lt1"I':::t::t . L OF 'fItt. . vlYOR AIIDITIONALLY TO COlII'L Y WIT erNe TCRM ~AL TCRCD BY' IlUST BC'_O BY AN.~~ . 'uT_1fII$ A can l/fR'&rftJlfMf/frt-Y'1!ll ii'/Jfl t f.t'rH"'frl~:ff AND . /N. Y.S. LIC. NO. 496/8 Fj$,'P.C. FAX /6311 76' - /797 t/( S7:REE:T MY. 11:91' Sf}: - 185 .' .):C::./;.';~~iM 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ~-;-~~~----------~--------------- COUNTY OF SUFFOLK) STATE OF NEW YORK) . AFFIDAVIT OF POSTING I, Patricia C. Moore . residing at 370 Terry Lane, Southold, New York being duly sworn, depose and say: That on the 10 day of Novenbet; 2003, I personally posted the property known as 58105 North Road, Greenport, New York 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 Plac~ prior to the date of the public ,.1_" '^ hearing. Date of hearing noted thereon to be held ! ("rt, W? A{ I'vilfnut. ~ff ~'-Ir If7 , Dated: November II, 2003 .~, (Signature) Patricia C. Moore Sworn to before me this 11 day of Nov. 2003 '7Jt.l /t '..t..111 (?/rffi'l JIll- Notary Public MEUSSA McGOWAN NolIIry Public. State of New'" No. 4995913 CulIllfied In Suffolk ~ Commission Expir.. May 4, v Boat of Trustees Application . County of Suffolk State of New York ? /J172A U A em 00 /"ZlS BEING DULY SWORN DEPOSES AND AFFIRMS THAT HElSHE 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 REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~ SWORN TO BEFORE ME THIS 3/ DAY OF ()C101!>42-,2003> --~~C1:~4 MARGARET C. RUTKOWSIO Notary Public, Slate of New Vllll No. 4982528 Qualified In Suffolk Counli_h"1 Commls8lon ExpIlllII JUI1lI s,~ 617.21 Appendix C Slate Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) . I . .' 1.4.16.4 121Bn- Text 12 I PROJECT 1.0. NUMBER SEQ I 2. PROJECT NAME -y rc~(~ 3. PROJECT LOCATION: sa 105 C. '" I" Municipality County Ul.:;(t'Z> \.'-- 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or proviae map) tooc- L{'-/-Oz.-O?5 5. IS PROPOSED ACTIDN:'ihi 'Jb o New ~ Expansion 6. DESCRIBE PROJECT BRIEFLY: of ex (~~" l'er;. ~ - add c o-ve--u.d o..ctc\..twTI tz,- ~. ~ST SlcU if) e-t1'r>-+vVtl ~ Modification/alteration ~V\ ov.jl.,...., CAMJ. b~ (S" f~<-k..e5 re'i>t~ 7. AMOUNT OF LAND AFFECTED: Initially S lii;:;'s Ultimately a. WILL ?RO?IJSED ACTION COMPLY WITH CXISTING ZONING OR OTHER EXISTING LAND US~ A.ESTnICTIQNS? C Yes ~NO If No. describe briefly ~"i V.~ s-ctVx< ~ "W L..I SO II.ttc::l. . 9. V/HAT 1$ PRESENT LAND tJSi:. IN VICINlrf OF PROJECT? ;KI ReSid~tial D.!ndustrial 0 Commercial Describe: o Agriculture U ParkJForestJOoen space UOther 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OM LOCAL)? lSj'Yes 0 No If yes. list agency(s) and permitJapprovals z.e, A '.::r 11. DOES ANY ASPECT OF THE ACTlOl~ HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? o Yes' ~ No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? o Yes NO I CERTIFY THAT THE INFORMATION PROVIDED AeOVE IS TRUE TO THE 3EST OF MY KNOWLEDGE LOTS ?a 1Yt.-H a C ~ Date: /~/~c/M . Signature: If the action is in the CO<lstal Area, and 'lou are a state agency, complete the Coastal Assessment Form before proceeding with this a_:?~essment OVER 1 ..:... :JOES AC:iC~ :.:\C:;;~:J ':'NY I ,?!:. , T;.;~c: ny~s r~o '1-, ,"70 h~ c..............'e'e,.,~" ,\""'Qo""C. ~ . " ...,<; ....,,,...1 . .. '-'1 '-'';:1-'' .OLJ!N d .'I'~'Cr.R. _:l;F.T 5i7.~:<'? It yes. :ocrOlOa e review ::;rocess ana 'Jsa!fle FlJL:.. ::~'=. PART 11_::NVtRONMEN7A' 3. 'NIU... ..:..C7:CN ~e.-:~:VS ':::CROJNA~:J ~EVIEW ;.,s ?RC'J1DED ;::,:R U1'lL;ST~0 .:..C7lCNS iN 5 ~'(C;:::R. .:l.o.;;'. 5; i.57 may be suoersecec ::lY anotl':er onvolVea a~ency. U Yes L:~o C. C'::ULO ACTlCN ~e.SUL7 ~N ,,\,NY ADVERSe. ::=:==.GiS ASSCC:':"T~D WITH ":":-iE :=.:JLLCWING: !;l..nswers :nay ::e :"IanclwrHten. il :eglclel C1. :xiSling air Quality, surface or- grounOw21er cualilV or ::!uantity. i"loise ;e'/els. .;!x:siinq :raitic ::aHerns. sOlid was.e ;Jroocc:J:;:n.Jr JIs.:;c potential for ~rosion, ::ralnaqe or :loocinq ~roblems? E.:'(olaln ::uieily: it .'~o. ! .,eqatlve ~ec:.u<:. C2. AesttletJc, agric:.Jltural. UC:1aeological, :1iSiOrlC. :Jr omer :13t:.Jral or cuilural :esoure:::s: or community or "eu;nccrnood c~arae:er1 :xctaJn .' c:l. Vegela.tlon or :auna. ~Isn. "roellfisn or wIldlife soecies. slgmiieam :'aoitals. or :tlre3tened or '!ndant;ered scec:es? :;cclaln Jrtelly: C~. A community's existing ;)/ans or goals as offlc:aily adooted. or a cnange in use or intensity ot use 01 land or ctner natural resources? :;cplain ,::, CS. Growlh. subseQuent ~evelooment. or related ac:ivities likelY to oe induceo by the oroooseo ac:ion? :;c013m ;,nelly. 0:5. I..ong :erm, snort ,arm. C:.Jmuiative. or other elfee;:s net identified in C-;.C5? :xOlaln :lrJefly. ..... Ctner imeac:s ;jnc;~c:nI; :::an~es In '..Ise of altner quantity tJr :ype or anergy)? :X:Jiam ~riefly. i: .J. ;5 ,HE~E. -::)A:S 7HERE ,_::<;;:!....:' 7'0 aE, CONT:=lOVE~SY =!ELATE:J 7'0 ?OTENT!Ai.. ,.:.Qv:~se :::NVIRONME~lT;'L iMP,o.C7S? ,--' 'fes i.-: ,'~O :t ':'es. ~xclain ~riefly PARi IlI_OEiERMINAiION OF SiGNIFICANCE (To ~e comoleted ~y Agency) INSTRUCTIONS; For e3C:"1 adverse effect identified atove, determine whether it is substantial~ large. important or otherwise signific. :aen eifec~ snould tJe assessed in connection 'NUn its (a) setting (i.e. urban or rural); (bJ. probaoility ot occ:J.F!n9; (e) duration' irreversibility; (el geogracnic ~cope: ana {f} magnitude. If necessary, add attachmentS or reference supporting materials. Ensure ~xOlanations contain sufficient deuB !o snow tnat all relevant adverse impacts have been identified and adequately addressee. -' C:'eck this box if 'fOU have identified ene or more potentially lan;:e or significant aaversa imoac~s whicil MA ':' oc::ur. Then ;Jrcceea direc:ly to :he r=ULL EAr anaJor prepare a positive- declaration. CZ,ecK this ~ox if you have determined, based on the information and analysis above and any sUDoortinc doc:Jmenraclcn, :hat :t1e oroo0520 ac:ion "'\IILL ~~OT result in~ny significant adverse environmental jmcac~.3 AND provlce on artacilments as necessary. che reasons supconing this determinacion: ......,,'<!()f:...:.Hj,.....t:I1C.' ~.<nl <.)1 : v~t:' -.:..mf! ,)1 ,(~'~OO(l\;OIt:' ''';ll,c~r :n ~':olO ,....;t:nC'1 r'llt:' Of ,{..:~pon\'olt:' 0Ir,c~f ;,..nJIUIC' '}/ .("~conuCIl~ ,':;r~'(~T.n :'C'JC ....\i.mc'! )',<1'\..:1.11" .)T r'..~~.1t..r \Ir ~11:~r",nt ITem r..soomIO'~ "",e"!,! ,).lIC 2 ~2/14/2003 08:57 "'-""-"~ ~+, ~ .:=.E4 $'. ..eL""E1(A 71 ON PAGE 01 Lj r _ "' '. I .r~)(/ST/"'C. , ,/ -=R~Of".AI/:)aE.. - --. " /..qAyWi) ..:2 .s~70//Vr; . n'.._..,._.~ n. t__ -~....~--_.. .. :..~.:-69jj~X-I8LVt.. . " "~'~'. ._~!:J$.t~~ ~.. I ' . "'--. ""-..-- . 'EW ,cost: 5 70~esrON . WdLt.. l3e/..t:)~t/ . 8..:8 ~.Y~r," : ..C~";t~~r~ ~ \~ ,-I t-- i ~ -..;lJ('c;.M'~.!.i p2e4/).s; (Po r. J- ~ . P~/Hn:-&J :; 1<L2 -2."W ~ ,. -. .7'D CXlJ 100. .~~ uJ~u.. x.:z. I . , !: . -:::6Kc...P. To , '. IIS7.snwe.;,v,,;:~~ ~ ONCrkl!:f4C" '. "'~'. ' I'~/) ..soft. . . _~KI.2 Cfl..S'/'.41A,)~ '.PoT..4- -Q O.c... j' . .. " . 0 ) I' __^_:.' 'L ~.._. -.. . 1"~.(fL;..:~ c "~If IV S';:~ ~.. o " Ih Ii OCT 3 1 2003 ~ r Soutl1old TOWA Board of Trustees , 0 82/14/2883 88:57 215-538-1638 I--P-" ~.~C-H ! . PAGE 82 . I -4 .1 ~. .' . I I. ..- ., I . . t-- - 2- . , " I , . I ~~J , . '.. ~~.:' :.1::, "f ,3~ ~ J :L. '.-ow' ..... .. .-.. .., ~ - --"....-. ...,,-_..,--'_..,.......,.,~'"'"..- .-... ....... ...-. .-..............:- .2 \. ~;1 ~' I. ~ ; . .<LI. T-O I' I ......--__""'.L I I ~ I! -._...__w____wo______.__.. A- .'...,....~-_......- . ';tt ~! . "'.". _.-'- . .-. ._-- 02/14/2003 08:57 215-538-1638 , , ID ~V& I' ~:"pcxes;,:H..! I 2) I _--1 , ; ------F, - .----.... ," , ~ ..i). ~:: .4 -. . ._..~.._, _..._..._.~--.. '----- ~ -. , " PAGE 03 u 'I~ '~z __1..... "'. ". 'n._...'__ . __....._ _.:._..____.. ,'," t'~l~~' ~"I'1'~...-h ; . , ~ ..-FIRST rLOOR PLAN SC~'6 . ,~~=/~o~ 02/14/2003 08:57 J.1I\lil.p: " o , . ~ f . ~.Z ;sa. , . /5-0 215-538-1638 ..'. ,. I:. '.,'. , " ~'-c!-O i I,' ',I .,j '~'I: I:', 0: . . ::' ~., ~'~)('IO !- ,: i i i l ~ ~ .", '<! :JlCld t!! I' 0,' . ... ~- p,f:1t>f '/2tJ FrE/.:S . If ~ , " , , f " ., ;1.. ,'f. ". ~. ( ;,1 ~ :,;r. ~ : , )1...., .\.' i . .I,,'J .d~:;'~ 3 \ z!w 0, . PAGE 04 . I I b In... ,-,_... -~ I, l) ID I I I I 1--- ,. f:, ,..-.....-..,.._'~-- r- i) A Southold Town Board of Tru t ", SENT BY: MOORE; 631 765 4643; OCT.29.02 11 :52; . . October 29,2002 William A. Lois 2233 East 65'" Street Brooklyn, ]I,;l' 11234 Patricia C. Moore, Esq. 51020 Mail] Road SoutlJOld, NY 11971 Dear Ms. Moore: PAGE 2/2 J, William A. .,--ois, residing at 2233 East 65'" Street, Brooklyn, NY hereby authonze you to make any and all applications lor my property at 57875 & 58105 NOlth ROlld, Greenpolt, J\ry (SCTM #1000-44-2-8 and 9) to the Suffolk County Health Department, of South old Zoning Board, Town of Southold and any other necessary agencies 0 chalf f myself. Z f/\TORB ....,... .........,0::... t-''''''''' 00..,'. go ....... '-......"pu..J a IIQU.og., oJ! ^PPLI~ATIORI~~heck a11 that apply.) . ..."........"'.,.'.... . . .r)'~.'.....;:. l'"~..., ~I.:, _,"_, ... ~ .. ~ Tax grievance Variance Change of zone Ap'p~~al of plat , Exe~ption from plat or official map Ol:her 'I.. (If "other," name the activity.) ,~ [J J(."q ?~ Do you personally (or through your cb~pany. spbuse, sibling, parent, or child) have a relal:ionship vith any officer or employee of the Town 01.' Southold1 -Relationship- inCludes by blood, marriage, or business interest. MDusineBs interestM MeanR a busin.BB. including a partnership. in which ~he town officer or employee haB even a partial ownership of (or employment by) a corp.oratlon in which the town of ricer or employee owns more than 5% of the shares. YES NO X .: :.~:l .. If you answered aYES,". complete the balance ~f ~hi~ torm and date and sign vhere indicated. Name of perBon Bmployed by the Town of Soutl1old Title or pOBition of that per Bon Describe the relationBhip between yourBe'lf (the appHcant) and the town officer Qr employee. Either check the appropriate line h) through D) and/or. deecribe in the Bpace provided. The town officer or employee ot hiB or her BpOUBBi sibling, parent, or child iB (check all that applY)l h) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporationf, - B) the legal or beneficial owner of any interest in a noncorporate'entity (when the applicant is nob a corpora tion) , _ C) an Officer. director, p~rtner, or employee ot the applicant, or D) the actual applicant. . ~.' DESCRIPTION 01;' RELATIONSll!P ., ~., \ "-""'i ',. .~ .. . , _ .: ~ '_.;. to, ..Jt.."..,. ~.. ~'~~'~i';~ ~'_"._' ", . ".~..~.. ;;:_l~.'.' f..I. I . . VERA. S. RAMR0015ublni tted tl}J~~1.,~~.I'~~~~.'t.'~.;':~;'Y' l~.;i!1t(1 Not...ry Publlc, State of New YOlk J:iJs I".iI' - "_. -' . _ _ ' No 01RA5088931 'j.o 'f-.'," ~'...;".: ,";"" .". OUa""ed,"K,"os~9frature. . kk.\.,.,...:....,.-:-..,:':., . .. "'. .: :omnm,on E""",e" /0 . . ..li..:J " Ii ,", .,\ :];::il~~,,""'''f;::>i,i/!;,' X ;Z print name",..,,,. ... ~JI;.._. .., ;1.~......:......d~.;;.,'I'r: .'{, j /h,;J ,. , '.. "'."}~I!. ~;J):_""".",..,. " I. V!-L- i-f/TIfV-t"','.\/!o<:\,e,,,;,(.!'i9, . :t-'A<' ~.;i,;:K;~' ':','" v . :7' ",,~; '. . ,-~' ',_";'., 'r'~ 'i...hf.~ :.:~~:s._r,t},;p~.G..Bit. ,:.,j~Hf . . PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 October 30, 2003 Southold Town Trustees P.O.Box 1179 Southold Town Hall Main Road, Southold, NY 11971 Re: Dr. William Lois Renovation to existing residence Dear President Krupski and Board: Enclosed is my check and an application for renovation to owner's existing residence. The renovation includes a covered porch and 8 x 15 addition on the west side of the house. Also proposed is a garage which is to be constructed landward of the existing residence. I have also include items which may be required by other agencies: new sanitary, and raised foundation due to the Flood Zone requirements. The renovation will be less then 50% of the market value of the structures therefore we do not intend to raise the foundation, however, during construction unexpected repairs may be required. Since the house will be exposed to the Long Island Sound we do not want the language of the wetland permit to become an issue which could interfere with the construction work. Thank you for your anticipated courtesie~. v",J;y..tcrucl ~~ ~ ~ Wi ~ ~ ooOJ:J 3 1 2003 lldJ .,/ /t:;....~...... 1/ .....-~ " - L-~/ 't-/ "P;;'tricia cc: Dr. Lois Southold Town Board of Trustees Achille Raspantini and Marian J. Raspantini "- ru U} PROOF OF MAILING OF NOTJ~ ATTACH CERTIFIED MAIL RE( m o ~ Address: ..... ru 57705 Count) g Greenport, ~ 0 ......~'rOTlWrtl:' ~lh'j~~.~:~ . . . . JI~~'''''.'''.':'.l.__.".",,,,.._!1m1ItI1iff' William Lois o 2233 East 6:"" U} Brooklyn, Wi ru ,." P.O. Box 61(0 o Hauppauge, ~ "- Certified Fee Name: Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Tollll POWIg. &. F... $entTa William Lois Suffolk County Division of Real Estate - Planning Department c/o Christopher Wrede ----------------.----.-..-....-.................... 'SiiMi:;';';'i:'NO;"'2'233"i~"'~ 65th Street o~ ~_~~.~?:____._.___...._.......~........._._..._____ ________________________ 'CI;y,S"".ZIP,4 Brooklyn, NY 11234 - --....--.... STATE OF NEW YORK COUNTY OF SUFFOLK Margaret Rutkowski , residing at 695 Theresa Drive, Mattituck, New York , being duly sworn, deposes and says that on the 12th day of November ,:k9 2003, 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 Southold , that said Notices were mailed to each of said persons by (certified) *~~~ mail. ~~~~if~~ Ma garet Rutkowski _. Sworn to before me day of November this I 3 'I-!! , ldi! 2003 'lku~ 'mrilowaJ- Notary Public , MEUSSA McGOWAN Notary PubliC. Stale of New 'IbIII No. 4995913 OlHdIfied In Suffolk Coull!r. ., CoINnIa8lon Explrel May 4,_ :1 ~I 6 ~~/ \( -\\OUI'D j :)/ / _______ 61' ) . ( Yj ( __ /00. /' J N. 80'36~:r- ~ :::.-- ~ LflE Z'ON~ VE(~I IS) A c H B E _ LONG ~ ...- ~ \ , -\ ~ ~ ~ ~ t"" 'Z. - o - ~ CjlD t"" ~ ~ ~ ~ ~ \ CERTIFIED TO' WILLIAN A. LOIS 'to 'l> -J ,+' I ZoNE VE (,I I~J ~ 1 ~ -,0 o 9 '%. CjlD "0 ~ ~ \ "' 'Z. r N -<-. If\ -00 0 , <'....~ 'in ~ "".-,0 _ TOt. JlF .IIA!!! -~.~ a:.....3r..' elf,o.J1."" HAZA.... (. --..- ~..,. -\ ~ 4 ~ \ , gaO'$ ~ fjElI,-satl ,-0 AL. NO~1'''' SURVEY OF PROPERTY AT A RSHAMOMOQUE TOWN OF SOUTHOLD SUFFOLK COUNT~ N r 1000 - 44 - 02 - 011 SCALE: 1" = 30' MA Y 18 1998 SEPT. 9, 200.3 ( prop. adtIl. ) 0."" "'9 20()3(~dIPW AREA = 25,588 q. ft. to tie line cO...,J "_I &r4~/'U' J..Ia"Zet/cL L,,u AD""; C-.ot_1 cro","^ Nt1V'2.AI".. AI'W..... ~P - PIN.;o '" 5~ - 5"-~!o ANY AI. TERA TION OR AlXltTION TO TH$ SI.NlVEY IS A VIOLA noN OF SECTION 7209 OF THE NEW YClIWl' STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIIIISION 2. ALl. CERTIFICA TIONS 'fEREtm ARC VALl) FOR TH$ MAP AND COPIES THEREOF ON/.. Y IF SAID flAP OR COPIES BEAR THE IIIPRESSEO SEAL OF THE SURVEYOR WHOSE SIGNA TIJRE AI'PCAIlS HEREON. ADDlTIONALL Y TO CQKl't Y WITH SAI) LAW THE TERAI 'AL TERED Br >lUST BE LlSEO BY ANY AND ALL SURVEYORS UTI./ZING A COf'Y OF ANOTHER SURVEYOIrS flAP. TERI1IS SUCH AS "NSI'ECTEO' AND 'BROU6HT-T,o-OATE' ARE NOT IN COW'L/ANCE WITH THE LAW. \ ; ~ .S. LlC. NO. 496/8 98 - 185 '", -.-.._.r-