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Home My WebLink AboutTR-5529 Michael J.Domino,President OFS0(/r�o Town Hall Annex l John M.Bredemeyer III,Vice-President 54375 Route 25 h0 0 P.O.Box 1179 Glenn Goldsmith l [ Southold,,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams �Q Fax(631) 765-6641 olyCOM,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 19, 2019 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: JOEL SINGER 20575 SOUNDVIEW AVENUE, SOUTHOLD SCTM# 1000-51-4-11 Dear Mrs. Moore: The following action was taken at the Southold,Town Board of Trustees regular meeting held on Wednesday, June 19, 2019: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#5529 from Robert Erenthal, (sic) as issued on April 26, 2002. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd c,VFFOL� A'_ Michael J. Domino, Presiden O�Q �'OG `+ Town Hall Annex John M. Bredemeyer III,Vice-Presiaent y� 54375 Route 25 Glenn Goldsmith o ` P.O.Box 1179 Vi Z A.Nicholas Krupski Southold,NY 11971 Greg Williams pl,�f Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time:_ 1K 2,d1 �1 Completed in field by: Q11 i Patricia C. Moore, Esq., on behalf of JOEL SINGER requests a Transfer of Wetland Permit#5529 from Robert Erenthal, (sic) as issued on April 26, 2002. Located: 20575 Soundview Avenue, Southold. SCTM#: 1000-51-4-11 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N J Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: ��- Awe Reviceu/ tyl ADW I have read & acknowledged the foregoing Trustees comments: Agent/Owner: /// Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 '' r ' r Tel: (631) 765-4330 Fax: (631) 765-4643 MAY Sauthni�Tom May-l;2019 Board of Trustees Town of Southold PO Box 1179 Southold NY 11971 hand delivered RE: PERMIT TRANSFER Dear President Domino and Board: Please let this serve as a permit transfer request of permits (copy enclosed): # 5592 dated July 24, 2002 #5529 April 26,2002 #4732 May 2,1997 Property located at 20575 Soundview Avenue, Southold (sctm: 100-51-4-11) from Robert Erenthal to JOEL B. SINGER. I am enclosing the owner's authorization together with my check in the amount of $ oo for said fee. Thank you and please do not hesitate to call should you have any questions. Very truly yours, Patricia C. Moore PCM/bp encls. Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) JOEL B. SINGER, as owner of premises 20575 Soundview Avenue, Southold, NY(sctm: 1000-51-4-11)residing at 100 W. 57" Street Apt 19D,New York,NY 10019 do hereby authorize my attorney, Patricia C.Moore,to apply for permit(s) and appear before the Southold Board of Town Trustees on my behalf. (owner's signature) JOEL B. SINGER o�� Uryol Michael J. Domino,President rg soTown Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski �pQ Telephone(631) 765-1892 Greg Williams �COU NTY,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1536C Date:November 9,2018 THIS CERTIFIES that the expansion of existing residence by 60 sq. ft. on the southeast side and to construct a trellis, At 20575 Soundview Avenue, Southold Suffolk County Tax Map#1000-51-4-11 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 18,2002, pursuant to which Trustees Wetland Permit#5529 Dated April 26,2002,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 the expansion of existing residence by 60 sq ft on the southeast side and to construct a trellis. The certificate is issued to ROBERT EHRENTHAL owner of the aforesaid property. a Authorized Signature Michael J. Domino,President oE S0Ujy0 Town Hall Annex John M. Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 COO A.Nicholas Krupski • Telephone (631) 765-1892 Greg WilliamsO Fax(631) 765-6641 �'YOOUNTY,�c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: T1,1vV 1, V Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: U - �I COMMENTS: CERTIFICATE OF COMPLIANCE: PATRICIA C.MIOOREiJ,� Attorney at Law 51020 Main Road Southold, New York 11971 Tel; (631) 765-4330 Fax: (631) 765-4643 www.mooreattvs.com November 7, 2018 Board of Trustees Town of Southold Main Road (Town Hall Annex) Southold NY 11971 via email RE: CERTIFICATE OF COMPLIANCE 1000-51-4-11 Dear President and Board members: With reference to the above property, I am respectfully requesting a "Certificate of Compliance" The following Trustees permits were issued: Permit#5592 July 24, 2002 Permit#5529 April 26, 2002 Permit#4732 May 2, 1997 The owner is selling the property and the Buyer, after closing,will be requesting alr Iisfe of the permits into their name. Please advise if there are any structures which require a permit. If a fee is required,please give me a call and I will drop it off immediately. Thok,you. Very ,curs, i PRf C. Moore PCM/bp Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. DATE: April 2.6,_._.2002 ROBERT ERENTHAL ISSUEDTO .................................................................. . ...... ....................... ..... a Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the e State of New York 1952; and the Southold Town Ordinance an-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 Board adopted at a meeting held an April 24, 2002 and in consideration of the sum of $...200.00 paid by u '•. Robert E.renthal....... _. . ...._....... of -....... Southold ... 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 Permit to expand the existing residence by 60 sq.ft. �s on the southeast side and to construct a trellis. all in accordance with the detailed specifications as presented in the originating application. K f IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and thesepresents to ? be subscribed by a majority of the said Board as of this date. Trustees w Y TERMS and CONDITIONS 1-he Permittee Robert Erenthal raiding At 19575 Soundview Ave. , Southold N. Y, as part of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of say oper- ation performed pursuant to this petnilt, and the said Petmitoee will, at his or her own expense, defend any and all inch suits'ioitiated by third patties, and the said Permittee assumes full Babllky with respect thereto, to die complete exclusion of the Board of Trustees of the Towel of Southold 2. That this Permit is valid for a period of 24 mm which is considered to be the estimated time required to complete the work involved, but should circumstances wsttamt request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maimain the structure or project involved, to provide evidence to anyone concerned that anth- orizadon was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there dull be no interference with the right of the public to pus ad repast along the beach between high and low water marks. I 7. That if finite operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the. work shall cause unreasonable obstruction to free navigation, the said Petmiuee will be required, upon due notice, to remove or alter this work or project herein sated without expenses to the Town of Southold 8. That the said Bard will be notified by the Permittee of the completion.of the work an& orized 9. That the Permittee will obtain all other permits and consents that may be required shp- ptmenta to chis permit which may be subject to revoke upon failure to obtain same. Albert J. Krupski, President • • Town Hall James King,Vice-President �gUFFOj,�c 53095 Route 25 Artie Foster �O arj P.O. Box 1179 Ken Poliwoda yJ� Southold, New York 11971-0959 PegU A. Dickerson 6 Z Telephone(631) 765-1892 W Fax(631) 765-1366 oy�o! IV- BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 26, 2002 Mr. Sanford Hanauer P.O. Box 1430 Mattituck, NY 11952 RE: ROBERT ERENTHAI. 19575 Souudview Ave., Southold SCTM#51-4-11 Dear Mr. Hanauer: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 24, 2002 regarding the above matter: WHEREAS, Sanford Hanauer on behalf of ROBERT ERENTHAL applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated March 18, 2002, 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 24, 2002, 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, 2 • i NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of ROBERT FRENTH.AL to expand the existing residence by 60 sq. ft. on the southeast side and to construct a trellis. 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 project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Fees: None Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/Ims • o��SUFFQL��oD Q Lte4 Town Hall. SMS Main Road rTr P.O. Boz 1179 Telephone IS (631) 765-1592 Southold, New Yak 11971 *�7�1 s��0� SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL. At the meeting of the Southold Town Conservation Advisory Council held Thursday, April 18, 2002, the following recommendation was made: ROBERT ERENTHAL to expand the existing residence by 60 sq. ft. on the southeast side and to construct a trellis. Located: 19575 Soundview Ave., Southold. SCTM#51-4-11 The CAC did not make an inspection, therefore no recommendation was made. -- -- ---- ------TJA AN K _Y o. Tom .2 575 �K-- -------�--- ��_42y til ____--- - ----------- - ----------------- ------ A TRS' --Ltil=1; 2.��- ---- ----- o u E- - --�3 i 2-9a- -40 0 1 1 4 . I � m{ I 4 jI a i A 7- Ali/ �� \1.•. 4 e� �r `� �iP� � �w ,� IIT" Nw e /, � _. •( ,� � �= as �% ( ; ' of ,• 1\ 5 1�1�.� ! ,F f f.eC' -'a S ` • C / Ike iT yy _ r 1 1 { s If 1 Will it l3, S _ � `ra a_iT1iIiIiI i_ iiI! 71 Ui7i R I Mm iTiF1 FI Fl TijliTiliill l 1 i iii 1 17M W 41 " I I '71 r. 7 Ell 2 N T O » 1 IFi : I o. i cc > � a f � K �I 0 - ry N W Z I Q I oa a in NAOQ z U i QIA N ou if) a z u yrZ. y US N oz r� ry .-� o cv 61S Z/ a vl O t�� . . -•oo�o W��CQ to st o' arn U] oao 2 ¢rW co O S �.1 to Jb¢ a C '^rll J La W y¢ JLa X W�` >W N =W N�huN ^ Saw � A¢aY a,4,afa D2o � W W oVlti = ... ��T O�" N/O/F LAND OF FERRARO a W a W¢ 210.33' toy JdW hoz Ya - to u W It Q Wyayyy LQ. y Sr�C10C:�QQ vu { J �n Ufa ni q u kI4.0 CK ' i f a ¢ N d N ,62' m iZD W y yl 'f7fS v C e i 3 .00.Z`.ZO N W700 JO ONC'7 .172I3IY�lOd XMA 'V '!O?l6�J 8 Q�Og hi 3a10003H1 j10/N Albert J. Krupski, President ��gUFFO(,�c • Town Hall James King, Vice-President �.r0 �Gy 53095 Route 25 Henry Smith o P.O. Box 1179 Artie Foster to Z Southold, New York 11971-0959 Ken PoliwodaCOP Telephone(631) 165-1892 '1101 * a0 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application �� ..-Wetland Permit Application Major Minor —Waiver/Amendment/Changes __eReceived Applicq 1 k 09_ ,Received Fee:$CQry-) Ji _Completed Applica ton _Incomplete _SEQRA Classification: Type IType II_Unlisted v,00rdination:(date sent) ✓rACDate Referral Sent _/Date of Inspection: l '}� Rec::ipt of CAC Report: _Lead Agency Determination: _Technical Review: ✓Public Hearing Held: 0 Resolution: Name of Applicant C,ac5er E,e -ti7_11Ac Address 7,S:( 71 - A✓r� R I � Al?y Phone Number:(LJ4 Suffolk County Tax Map Number: 1000 - S Property Location: /9j lS SZ A / �D✓T/10 �O (provide LILCO Pole #, distance to cross streets, and location) AGENT: q A e I (If applicable) Address: ;-,'z /yidti' Phone: e,3/ - 2-q3= - ii i 0 Board of Trustees Application GENERAL DATA Land Area (in square feet): 2 ' 1 7 3 h _ Area Zoning:_ k- go Previous use of property:--'-<<1 Intended use of property w, rrl �(�ELLI$ Prior permits/approvals for site improvements: Agency Date ta:i. . •�„ c r !c,, r ` r�-.� �s.u:v z IO? ':� C o Z I a 7 5 0 i G — 29- fi t 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): - rte.., : 7- Al .fir, - r T W•rH -12� L1(j Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 6 o T— Area of wetlands on lot: .i /i 5" square feet Percent coverage of lot: — S % Closest distance between nearest existing structure and upland edge of wetlands:_ _feet LA,NO .4rha-il cF enc,5nni = rz . cz 'ZcS Closest distance between nearest proposed structure and upland p edge of wetlands: J D t feet Does the project involve/excavation or filling? No ✓ Yes If yes, how much material will be excavated? `-f _cubic yards How much material will be filled? L+ cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: ?,3 N Manner in which material will be removed or deposited: – sNoyE 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): Board of Trustees Application County of Suffolk State of New York t�/tNT-�--e'O 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 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 REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THI PLICATION. h:' 1g re SWORN TO BEFORE ME THIS_ /N DAY OF 446 %r /1 1206-2- Notary 20D-2-Notary Public PATRICIA C.MOORE Notary Public,State of New York Suffolk County-No.4861668 Commission Expires June l6,,-2-CL),;!- ZClilE!rd of Trustees Applicatio* l✓lC( �C 'Cl "�� / 1 Y c, KStCttr e k_l'�V r i,��1^(Y1r;�yi`{\ c.��S r J C t_(1 t,Y� AUTHORIZATION (where the applicant is not the owner) Cho JEN::Ear L E^J.S ^O residing at e9 7".4 ,_ (print owner of property) (mailing address) do hereby authorize (Agent) A,, 4-rte�-,Zj N/--..r-AA Lb to apply for permit( s) from the Southold Board of Town Trustees on my behalf. �J (Owner's signature) 8 14-16-4 08:1-7act 12 '0 PROJECT I.D. NUMBER 617.21 SEC Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project soonsor) 1. APPLICANT SPONSOR 1 2. PROJECT NAME - =1n' t. i,•� it 12C. i?>L-112 - L.12LTi i HiiL_ L'L lS htl it 1. PROJECT LOCATION: J Mun¢IoalitY lzsc.i,'VT"�"\� ted County --it-.�1 a. PRECISE LOCATION (Street address and road intersections. prominent Ianam,arKs, etc., or provide mapl 5. IS PSE/ PROPOSED ACTION: J New Esoansion l7 Moaificatiomalteraiion S. DESCRIBE PROJECT BRIEFLY: @FISprcvo- I�r=sliDFrvCr. �o4iv0 1IZCLLS ,. AMOUNT OF LAND AFFECTED: 1 initially •27v 6 21 S%f Z 3e*eT Ultimately �- 7 7,8 ;c 3. VAL_;-ROPOSEO ACTION COMPLY WITH ECSTING ZONING OR CTHE:7 EUSTING 'L:ND USE REST RIC7IGNS? ,_Yes I_No It No. descnoe briefly 3. '::MAT IS PRESENT LAND VSE_ W VICINITY OF PROJECT? 'Residential rrndusinal .Commercial L—,'Agncwtura _'?arKrroresvOoen soave _Other Desc:Ibe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDPi G. .NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY,FEvERA L, STATE OR LOCAU? LJ Yes IJ No If yes. 'isi agencyls) and permit(aoorovals � 1 17FC v7_ u r5rlicttcr Il ��iiOlf' Cii9irl rl C3 M.,✓.-Ir 11. DOES ANY ASPE_T OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR .APPROVAL? ❑Yes tJ t!o It yes, list agency name and permit/aoproval 12. AS A RESULT OFF POSED ACTION WILL 1XISTING PERMIT/APPROVAL RE^_UIRE MODIFICATION? ❑YCS No I CERTIFY THAT THE INFORMATION P90VIDED ABOVE IS TRUE -O THE 3EST OF MY KNCWLEDGE AOPlican aspdn5or name: , Odle: Signature: o - If the action is in the Coastal Area, and you are a state acency, complete the ` iCoastal Assessmen' Form before proceeding with this a%sessment OVER 0.4 FT II—°NVIF.CNI ENTr, WSSM-_NT -.] _Jr-c;err=c c'i Agenc' • coni 5:7 Z- . 'es. =ccrcl ate tn2 "evlew ]:oces9 3na asd '.ns ='_'L_ _N= .'es —:+c _. 'NIL_.>C_'CN 95C2i'r= ].,C RCINA'7 'iE`IE'N -S j-C ICED =_.R UPIL.STED i.Vv^_?R. c>PT ? _t' f `to. a.i egac-e eae.3r r-: nay De supersee'c ]y 3ncmer:nvclvea agencv. I "?S VO C. _CULO .>CT:CN ?ES:L- 'N ANY >DVE-Sc -==ETA AS tiC:A-EO NM- `_ - JLL::VING. .Ans,e,s -ay ze �ancvvm:en. r .egrc,e, EVsung ],r ]ualrr;. ;u Caca or ;ralno•xater :uatrty nr ]uannty. noise .evels. ?%:s:ing :ra;:ic ]anu.^.s, :clic yas:e Olocucncn or JISL- ootennal lc: ±ms;on. ]rainaSe or 'loading orOclems' _;blain JPelly: I C2. Aesmerlc. agncuitursr. rcaaaological, .vs:orc, cr ptner iaural Or ;unurai 'eseurces: or .ommumty or ielg.,,cmaco c-araca0 =.clar.n 'Jege[a[lon or sauna. 'Jan. ;:oil fish or uddlife ;pece<_, 3igmricant naortats, or tnreat=_ned a encang exec 3cec:es? Exclam 3nany: C_. A ccrimunlCy s exi sling plans of;oats as orflc!ally 30ooted.or a cnange In use or Intensity or use of land or airier natural resouressi Explain ]. I I _5. 3row tri. sunseeueni :evereontent. or related 3c::vrnes likely !o ce ncucea Dy the =oosaa action? E.iojain onenv. :o. '_trig 'arm. sncr: :u.m. :ur..wao-+e, or oriel ertecs not rcentuieo n C:C57 2svam 3nerly. _-. �tner meac:S inc:jc:r.g a-angss n sse of ?!tner auanuty or :vice or ?nergy)? °:o lain or:etly. _ UR .S ' E?E -C EE. :CN-RCVEPaY -EELATED 'O =CTEVMAL ,,,.ERSE =)l ViRCrN"F_N7+ l .6:F4C-S ?ART III—DE;ERMINATICN OF SJGNIFICANCE ITo oe comoleted by agency) INSTft UCTICNS: For?acn adverse effect denpfied accve,determine•.vfletner it is substantial,large. iMCCnanr orotnerxise stgnlfic Each ?nett SlOuld be assessed in connection '.vnh Its (a) setting (i._. urban or :urall; I,b) probaodity of occagng; (C) duration - Irreversiail ty: ;el geographic scpce: and (f) magnitude. If necessary, add attacnments or reference supporting materials. Ensure excianatiCns Ccntdln Sufficient 7etdll !O snow that all relevant adverse Impacts (lave been Identified and avec Ualely acdressec. — '-hecx 'his DCX .r you have Idenrified one or more ootenually large or significant acverse ;moat:s wnlch MA" - occur. -nen orcceec cirec:ly to :he FULL EAF ane/or prepare a :Dosirive-declaraticn. Checx :his lex :f you nave determined, basad on the information and analysis above and any suooer:iCc cocurcentancn, :nat :be oreoosec acUen 'VILL NOT result in—,ny significant aeverse envlrnmenral imcac:_ AND arcvice on ai:acnments as necessary, the reasons suoccrring this cetermlnation: I o, .,;anmrort•�r not. �i rr.r.. .r frCEn�.c re _r au n _utl +gencv i.pn c;urc :r l'�n y+r•v _,n Y<nt .nm :CSpOMrO� Lrcln PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: 7-iTV 4Au17- Address: Pa BOX 5-0/147 MAOATrbv4, FLAI B 30 50- C.flQiSToPf/E1e F/A/,4Z7CP /' AE*kk ST w¢s7AaRy, Ny. as90 SAIL CAIaLA - 51-3-12- 5 23oe ITS'"IST ®ET-rjN'A CAto1.R 31-3-111 -3 f✓.y, N,y, Im0%4 STATE OF NEW YORK COUNTY OF SUFFOLK SAN#URD NANAuEp residing at '?o ®rX 16JVc MAT-fit T"Ctc being duly sworn, deposes and says that on the 2 day of hAAEk+ 3 , 206 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 "A.T-r i rue K that said Notices were mailed to each of said persons by (certified) (registered)mail. Sworn to before me this Day of^ kA O^zk 20 0 y Notary Public MS AME V.BROWN Nary Par,Stec al New Yak No.4OW12 OwMedIn9ttlbltOtttt* i CommMm E*kw OCL 19, ��S • NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Roltr-KS r(4Pr-JT41A%.- SCTM#1000- 51- n 4 - 11 YOU ARE HEREBY GIVEN NOTICE: 1 . That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Aon 60 ',4� JTDDiTION To TMC 3SouCl1EAS7 coRwCQ, oT' 70C V� t%-r Iu[T ya ousc i,rLUOINf -MC41i3 2 . That the . property which is the subject of Environmental Review-is located adjacent to your property and is described as follows : srof /eS s,oe vim_ - �,rH ACCESSoR 3 . That the project which is subject to Environmental Review under Chapters 337, or 97 of the Town Code is open to public comment ona W0NI, You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal . OWNERS NAME: eo6ELT ,G`96AIi NAL MAILING ADDRESS: 0JEAJ-5c.V 4&015" co PHONE Enc. : Copy of sketch or plan showing proposal for your convenience. fl S w . Albert J. Krupski,President • �OC�Vf f0(�C • Town Hall James King,Vice-President 53095 Route 25 Henry Smith c P.O.Box 1179- Artie Foster W Southold, New York 11971-0959 Ken Poliwoda O 'F Telephone(631)765-1892 'y�jpl �aO� Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Applicatinn of _ Qb2rt_�CQftic�------------ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, Rof3rf_T residing at 19575 SosyoJIE Avg . SoU.Y'R OL0 IJ•�/ . 114-11 v being duly sworn, d pose and say: That on the ?!Ob day ofIVk)L- , 200Z, I personally posted the property known as 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 ublic hearing. Date of hearing noted thereon to be held (lw- fiQC11" oXx apt —►�.c�u Pm Dated: (signat e) i Sworn to before me this day of00.2 No ry Public JONATHAN DALMSI NOTARY PUBLIC. State of New York No. Ol DA6048115 Qualified in Bronx County o Commission Expires Sept.18,20_ a • March 26, 2002 Sanford Hanauer P.O. Box 1430 Mattituck, NY 11952 631-298-0119 NY State Dept. of Environmental Conservation Division of Envr. Permits, Region One Building 40 SUNY Stony Brook, NY 11790-2356 Project: Robert Ehrenthal 19575 Soundview Ave. Southold, NY 1 1971 Tax Map #51-04-11 To Whom It May Concern: This is a request for a letter of non-jurisdiction for work to be done on the above property. This work involves a 60 square foot addition, on the land side and includes a trellis added to the southwest corner of the existing house. Enclosed you will find: 1 . Attachments-two (2) copies of survey indicating additions, marked in yellow; 2. Two (2) copies of topographical survey; 3. Four (4) photographs including: One (1 ) of bulkheading One (I )of bulkheading with stair One(1 ) of front of house looking north One (1 ) of front of house looking east L+- Twa (i)c.aftes Op TrLc cQ pL.A" &r "{o LSS utc, crTw4 pvoa en} We would appreciate it if you could expedite the above request. Please send all correspondence to Sanford Hanauer, P.O. Box 1430, Mattituck, NY 11952, 631-298-0119. Thanking you very much for your cooperation, I am Very truly yours, Sanford Hanauer Enclosures APPLICANT TRANSACTIONAL DISCLOSURE PORN The Town of SOuthold ' s Code of Ethics prohibits conflicts of nterest on the part of town off cera and emp12 ees , The purpose of this form is to rovide information wh ch can alert the town of pose ble conflicts of interest and allow it to take whatever action is necessary to avoid same . YOUR NAN6 t Lset name , first name , middle n t al , unless you are applying in the name of someone else or other entity, such as a company . If so, indicate the other person ' s or company ' s name. ) NATURE Ota APPLICATION: (Check all that apply . ) Tax grievance Variance Change of zone App�wal of plat 4 Exemption from plat or official map Other %ru Sk,c'S, c nl/ !// cyyl: ,-,�r„r , I s ( if "Other, ” name the activity , ) Do you personally (or through your company, spouse, sibling, parent, or child ) have a relationship with any officer or employee of the Town of Southold? "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 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 "TES, ". complete the balance of thisformand date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person _ Describe the relationship between yourself ( the applicant ) and the town officer or employee. Either check the appropriate line A ) through D) and/or describe in the space provided . The town officer or employee or his or her spouse, sibling, parent , or child is (check all that apply ) t 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 noncorporate 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 if . submitted thi • day of� zodY� Signatur ' Prin Hams ;:, ' t