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HomeMy WebLinkAboutTR-5988AJill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southeld, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0601C Date November 8, 2010 THIS CERTIFIES that the covered entry porch At 1230 Ruch Lane, Southold Suffolk County Tax Map #52-2-36 Conforms to thc application for a Trustees Permit heretofore filed in this office Dated 8/18/04 pursuant to which Trustees Wetland Permit #5988A dated 9/22/04 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 covered entry porch. The certificate is issued to ~DAVID HOFFMAN owner of the aforesaid property. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE INSPECTED BY: COMMENTS: Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ~ constructed Project complete, COmpliance inspection. CERTIFICATE OF COMPLIANCE:, Albert J. Krupski, President James King, Vice-President zM't ie Foster Ken Po[iwoda 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 TOWN OF SOUTHOLD Permit No,: 5988A Date of Receipt of Application: August 18, 2004 Applicant: David Hoffman SCTM#: 52-2-36 Project Location: 1230 Ruch Lane, Southold Date of Resolution/Issuance: September 22, 2004 Date of Expiration: September 22, 2006 Reviewed by: Trustee Ken Poliwoda Project Description: To renovate interior spaces of residence with new 5'-10" deep X 8' wide covered entry porch. 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 site plan prepared by Samuels & Steelman Architects dated June 15, 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 ' / TOi,~I, 50UTHOLD 5b'FF, OL~ COUNT'C, 1,1"¢ SU~',,/EYEE) 02-11-04, Ai'dENE)EE) 0-/-1(::,-04 SUFFOLK COUNT'f' TAX # N W + S E David ~. Hoffmaa Commonwealth ~ .snd Title hsursnce Company \ I /o NOTES: MONUMENT ELEVATIONS REF:ERENCE US~S N®VE) Iq2q [2ATUM FLOOI~ ZONE AS ANNOTATED FROt"1 FIRI"I MAP No.~610DC015~~ MAY 4, JOHN C. EHLERS LAND SURVEYOR AREA = 15,qT/ SF OR O.~2 AC.~.E~ 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 ®~APHIC., SC, ALE I"= ~50' RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\~-Ip server~d~PROS\04-113.pro .Mbert J. Krupski, President James King, Vice-President Henry Smith Axtie 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 Application ~/Wetland Permit Application __ Major Waiver/Amendment/Changes '~Received Application: .--Received Fee:$ L~,~) (:~o~1~)( /' Completed Application ~'~-'~' Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date scm). ../CAC Referral Sent:' _.. Date of Inspection: Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ,~4~ublic Hearing Held: ~/~a bl'] Resolution: NameofApplicant David G. Hoffman Address Charter House Group International 535 Madison Ave. NY, NY 10022 Phone Number:( ) 212-584-3234 Suffolk County Tax Map Number: 1000 - 52-2-36 Property Location: 1230 Ruch Lane Southold, NY 11971 (provide LILCO Pole #, distance to cross streets, and location) AGENT: Tom Samuels, Samuels & Steelman Architects (If applicable) Address: 25235 Main Rd. Cutchogue, NY 11935 Phone:_ 7b~-tt¥0%" Board of Trustees Application Land Area (in square feet): Area Zoning: R- 4 0 GENERAL DATA 15,977 S.F./0.37 Acres Previous use of property: Residential Intended use of property:__Same Prior permits/approvals for site improvements: Agency Date x 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): To renovate interior spaces of residence with new 5'-10"deep X 8' wide covered entry porch. (see attached) Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To renovate interior spaces of residence with new 5'-10" x 8' wide covered entry porch. Area of wetlands on lot: 840 square feet Percent coverage of lot: 5.25 % Closest distance between nearest existing structure and upland edge of wetlands: 66 ' - 10" feet Closest distance between nearest proposed structure and upland edge of wetlands: 66 ' - 10" feet Does the project involve excavation or filling? x No Yes If yes, how much material will be excavated? .25 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 3 Proposed slope throughout the area of operations: oxl s t i ~g Manner in which material will be removed or deposited: manually with shovel 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): None Board of Trustees Application County of Suffolk State of New York "]~,~J C' S'fiJ$'[ O~ ~ BEING D~Y SWO~ DEPOSES ~ ~F~S mAT ~/S~ IS ~ ~PLIC~T FOR T~ ~0~ DESC~EO PE~T(S) ~ ~Z ~L STA~NTS CONT~D ~m ~ TR~ TO T~ BEST OF ~S~R ~O~EDGE ~ BEL~F, ~ ~T ~L WO~ ~LL BE DO~ ~ ~ ~R SET FORTH ~ T~S ~PLICATION A~ AS MAY BE ~PRO~D BY T~ SO'HOLD TO~ BO~ OF TRUSSES ~ ~PLIC~T AG~ES TO HOLD T~ TO~ OF SOU~OLD ~ T~ TO~ TRUSTEES ~ESS ~ F~E FROM ~ ~ ~L D~AGES ~ CL~S ~S~G ~ER OR BY ~T~ OF S~ PE~T(S), W G~D. ~ CO~LET~G THIS ~PLICATION, I ~BY AUTHO~E ~ ~US~ES, ~ AGENT(S) OR ~P~SENTATI~S(S), TO EN~R ONTO ~ PROPERTY TO ~SPECT T~ P~SES ~ CON~CTION ~TH ~W OF T~S ~PLICATION. SWORN TO BEFORE ME THIS Notary Public PATRICIA RICHARDS Notary Public, State of New York No, 01 RI6042467 Qualified in Suffolk County Commleaion Expires May 30, 20~ 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART J--PROJECT INFORMATION (To be comple[ed by Applicant or Project sponsor) SEC STATE CR LOCALLY ~Yes bio It yes, list agency(s) and ~ermll/aDDrava~s 11. DOES ANY ASEECT OF THE ACTZON HAVE A CURRENTLY VALID PERMIT OR APRROVAL? Yes' ~No If yes list aoency name and perm~t/aDproval If the action is in the Coastal Area, and you are a state agency, complete [he Coastsl Assessment Form before proceeding with this as.s, essment OVER PART III--OETERMINATION OF SIGNIFICANCE ~To 3e comole[ed by Agency) '-~ Checx mis box if you have identified one er more .3o[entlally large or $ignifican[ ~cverse imaac:s .~vRion ¢.~A': occur. Then oroceed directly {o :ne FULL E.AF ~nalor preg~re a posiJive declaration. ~ Checx :hms Pox :f 7Ou h~ve de,ermined, based on (he iniarmadon ~nd analysis ~Oove and any suooor~i~( documem~[~cn. :~ :Re ~rogosed ~c:ion WILL ¢4OT result ~n~a'/ significant ~dverse enwronmen[~l imcac:: AND 2rowce on ~c~men[s zs necessary. (he reasons sugcordng IRis de~ermlns[ion: David G. Hoffman Charterhouse Group International, Inc. 535 Madison Avenue New York, NY 10022 August12,2004 I hereby authorize Tom Samuels of Samuels & Steelman Architects to act as my agent in obtaining all required permits from the State of New York, Suffolk County and Southold Town for the renovation of my residence at 1230 Ruch Lane in Southold, NY. Hoffman TRANSACTIONAL DISCLOSURE FORH The Town oi S~u~hold's Coda of Ethica prohibits conflicts of interest on the part of town officers and emploFee~. The purpose of this form is to provide information which can alert 5ha town of possible conflicts of interest and allow take whatever action ia necessary to avoid same. LL (Lagt name, first name, m~dd.le initial, unless you are applying in the name of someone alee or ~ther entity, such ~s a company° If so, Indicate NATURE aP APPbICATIOHt (Check all tha5 apply~') A~p~i>~ai of pint , "other," .sma the aoti lt .) parent, or child) have a relationship with any officer or interest" mesnn u business, including a partnership, in ownership of (or employment by) a corporation in which the town officer or employee owna more than 5% of the If ~ou answered aT,S,# complete the balance of ~h{e'form and date and sign where indicated. Name of parson employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the spplioant) and the town officer er employee. Either che~k the appropriate line A) through D) and/or describe in the apace provided. The town officer or employee or tits or her Spouse, sibling, parent, or child is (check ail that appiy)~ __A) the owner of greater than 5% of the ehsrea o~ the corporate stook of the applic~nt (when the applicant' · iea uorporabion)~ .B) the legal or bhnafiolal owner of any interest in a nonoorporate'entlty (uheu 5he appiioan~ ia not a corporation)~ C) an officer, director, pa~tUsr~ or employee of the applican~t or D) ~he actual applicant. S A M U E L S & S T E E L M A N August 17, 2004 Board of Town Trustees P.O. Box 728 Southold New York 11971 RE: HOFFMAN RESIDENCE 1230 Ruch Lane, Southold SCTM# 1000-$2-2-36 Dear Trustees: Enclosed please find two SITE PLANs, a SURVEY and on Arshamomaque Pond in Southold. We are planni~ AUP¢ ] ~ L~J4 APPLIC&~I~CI. f~lWns for a p ect Iving interior renovations, replacement of a few windows/exterior doors, and the enclosure of a small existing porch on the north-west corner of the house. The entire house is greater than 75 feet from the high tide line; the proposed porch enclosure is greater than 100 feet from the high tide line. We are therefore requesting a waiver from the Board of Trustees. If you have any questions, please do not hesitate to call us. Sincerely, SAMUELS & STEELMAN ARCHITECTS Thomas C. Samuels Principal Architect cc: Hoffman NEF~ COV'E~-.E~ FRONT PO~.CH CONFO~IN® LOCATION ~NO~/ATE EXtSTIN® SITE ~_ PROPERTY: 1230 Ruch Lar~e.._~.~. L--~ ADDRESS Greenport, NY 119~ OWNER: David G. Hoffman 535 Mad son Ave., NY, NY 10022 SITE: 15,977 SQ. FT. = 0.37 ACRES ZONING: R-40 SURVEYOR: John C. Ehlers 6 East Main St. Riverhead, NY 11901 LICENSE# 50202 DATED 02-11-04 SITE PLAN 0411 ts DATE 6/15/04 SCALE 1 "=20"-0" SITE PLAN SHEET NO SP