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Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO.
ScUD
DATE: .F",bruary 23,
BARBARA DEFINA
ISSUED TO .....
AutqnriZ!utinu
Pursuant to the provisions of Chapter b 15 of the Laws of
the State of New York, 1 893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold 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 Board adopted at a meeting held on .. Feb.. 2J,.
20oL. and in consideration of the sum of $ ..200...00 paid by
Suffolk EnvironIIlental for Barbara Def\n,!"
of. Br.icig",l1.ampton N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southolcl Town Trustees authorizes and permits the following:
Wetland PermIt to construct an addition to a one-story smgle-
family residence, including a 24'X 26' second story addition and
. the enclosure of a 12'X 12' breezeway. Two 8' dia. drywells are
tQ . be installe~ i.o. order to J:~h1oof run-off. Remove the exist.
chImJ;\ey and mId a ,¡¡et of ;.1' ste~s towards the ~st,
all 1M accor ance wIth tlie e aIm specifIcatIons as presentea 1M
the originating application.
elevation of the eXIsting house.
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 majority of the said Board as of this dat.e,
Trustees
TERMS and CONDmONS
The Permittee
Barbara DeFina
residing at
part of the
[owing:
192 Willow Terrace Lane, Orient N. y~ as
coosideratioD for the issuance of the Permit does understaod and prescribe to the fo[·
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 indirecdy as a result of aoy oper'
atioa performed porsuant to this permit, and the said Permittee will, at his or her own expeose,
delead any and all such suits· initiated by tbùd parties, and the said Permittee a...·...... full liability
with respect thereto, to the complete exclusion of the Board of Trustees of the Town of SoutboId
2. That this Permit is wlid for a period of 24 mas. which is COa5idered to be the
estimated time required to complete the work invo[Yed, but ohould circumstances warrant, request
for an exœnsion may be made to the Board at a later date.
3. That this Permit should be retaioed indefinitely, or as long as the said Permittee wishes
to maiotaio tbe struauce or project involved, to provide evidence to anyone concerned that anth·
orization was originally obtained.
i
"
4. That the work involved will be subject to the inspecr;OD and approval of the Board or
its agents, and non-compliance with the provisions of the originating application, may be cause for
=ocation of this Permit by resolution of the said Board.
5. That there will be no uoreasonab[e interference with navigatioa as a result of the work
herein authorized.
6. That there shall be no interference with the right of the public to pass and repass along
the beach between high and [ow water marks.
7. That if future operacioos of the Town of Southo[d require the removal and/or alterations
in the locacioo of the work herein authorized, or if, in the opinion of the Board of Trustees, the
work shall cause uoreasonab[e obstrucl1on to free navigacioo, the said Permittee will be required,
upon due DOۜ, to remove or aller this work or project herein stated without expenses to the Town
of Southo[d.
8. That the said Board will be notified by t he Permittee 01 the comp1etioa of the work auth·
orized.
9. That the Permittee will obtain all other permits aod coosents that may be required sup-
p[emental to this permit which may be subject to revoke upon failure to obtain same.
.
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Board Of Southold Town Trustees
SOUTH OLD, NEW YORK
PERMIT NO.
I~SUED TO
'17,r
DATE: . 9/29/97
BARBARA DE FIN A
Aut11nriZ!utinn
Pursuant to the provisions of Chapter b 15 of the L-';'';s of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952: and the Southold Town Ordinance en·
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOV AL 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 on 9/24/97
19 97 ,and in consideration of the sum of $150.00 paid by
Suffolk Envion. for BARBARA DE FlNA
of Orient 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 constl'. an addition to a single fam. dwell. '.
including a 2B.5'X25' second story addit. & enclosure of a 12'XI2~1:
breezeway, with 2- 9' drywells to catch roof run-off. ~
all in accordance with the detailed specifications as presented in :.,
the originating application. :~
~
~
IN WITNESS WHERE9F, The said Board of Trustees h,ere-
by causes its Corporate Seal to be affixed, and these presents to
be subscribed by a majority of the said Board as of this dat,e.
J1
... .~_. t..~._~._. ._.----!_...
TERMS and CONDITIONS
The Permittee
I\AKI\AHA IHTINA
residing at
part of ,he
lowing:
192 Willow Terracc Lane, Oricnt. N. Y., U
consideration for the issuance of thl'! Pennit does understand and prescribe to the fol-
1. That the said Board of Trustees :md the TowD of Southold are released from any and
aU damages, or claims lor damages. of suiu arising directly or indirectly as a result of any oper~
ation performed pursuant to this permit, and the said Permittee will, at his or her own expense,
defend any and all such suits initiated by thitd parties, and the said Pennitt.. assumes full liability
wi,h respec' there'o, to the romple'e exclusion of the Board of Trustees of the Town of Southold
;
2. Tha' this Pe,mit is valid for a period of 24 mos. wbich is considered to be the
estimated time required to complete the work involved, but should circumstances warrant, request
for an extension ma}' be made to the Board at a later date.
I
.1
.\. ·n,., this Permi, should be retained indefinitely, or as long as the said Permittee wishes
to maintain the strucmre or project involved, to provide evidence to anyone concerned that auth·
orization was originally obtained.
4. lnat the work involved will be subject to the inspection and approyal of the Board or
its agents, and non·compUance with the provisions of the originating application, may be cause for
revocation of this Pennit by resolution of the said Doard.
,
5. 11l3t there will he no unreasonahle interference with navigation a"" a result of the work
herein auùlOrized.
G. That there shall be no illterference with the right of the public to pass and repass along
the beach between high and low water marks.
7 That if future operations of the Town of Southold require the removal and/or alterations
in the location of die work herein authorized, or if, in the opinion of the Board of Trustee., the
work sha.1l cause unrea.sonahlc oh<;tructlOn to ftee navigation, the said Pennittee will be required,
upon due notice, to remove or alter this work or projrcr herein stated without expenses tu the Town
of South old.
B. That ,he said Board will be no,ified by ,he Permittee 01 the completioD of the wo,k auth·
orized.
9. 111at the Permittee will obtain all other permits and consent!: that may be required !Up-
plemental to dlis permit which may be suhject to revoke upon failure to obtain same.
·~'1.\'11~\') '):'j\'j.~\'I\'! " 'I '1.\',.\'1,"1\" \'I\~') 'I'I'J '1"'1'1 " .----.----.----.~,,_._ ¡ .¡-.-----.--.--.......--.-... ''',
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
.
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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
February 23,2001
Mr. Matt D. Ivans
Suffolk Environmental Consulting, Inc.
P.O. Box 2003
Bridgehampton, NY 11932
RE: BARBARA DEFINA
192 Willow Terrace Lane, Orient
SCTM#26-2-7.1
Dear Mr. Ivans:
The following action was taken by the Board of Town Trustees during its regular meeting held
on Wednesday, February 21,2001 regarding the above matter:
WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of BARBARA DEFINA applied
to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the
Town of Southold, application dated January 18, 2001, 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 21,2001 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
2
.
.
Town Code,
WHEREAS, the Board has detennined that the project as proposed will not affect the health,
safety and general welfare of the people ofthe town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approve the application of BARBARA DEFINA to
construct an addition to a one-story single-family residence, including a 24'X 26' second story
addition and the enclosure ofa 12'X 12' breezeway. Two 8' diameter drywells are to be
installed in order to catch roof run-off. Remove the existing chimney and build a set of6'X 10'
steps towards the east elevation of the existing house.
BE IT FURTHER RESOLVED that this detennination should not be considered a detennination
made for any other Department or Agency which may also have an application pending for the
same or similar project.
Pennit to construct and complete project will expire two years from the date it is signed. Fees
must be paid, if applicable, and pennit 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,
(Lad ~ /~~~.~.
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/lms
cc: DEC
Building Dept.
.
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Telephone
(631) 765-1892
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Thursday,
February 15, 2001, the following recommendation was made:
BARBARA DEFINA 26-2-7.1 to construct an addition to a one-story, single-family
residence, including a 24'X 26' second story addition and the enclosure of a 12'X 12'
breezeway. Two 8' diameter drywells are to be installed in order to catch roof run-off.
Remove the existing chimney and build a set of 6'X 10' steps towards the east elevation
of the existing house.
192 Willow Terrace, Orient
The CAC attempted to make an inspection but the site was unidentified due to the lack
of posting.
1
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Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town HslI
53095 Main Road
P.O. Box II 79
Southold, New York 11971
Telephone (5 [6) 765- [8'2
Fax (5[6) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
March 26, 1998
Bruce Anderson
Suffolk Environmental Consulting
P.O. Box 2003
.B~idgehampton NY 11932
JAI".: c
RE: BARBARA DE FINA
SCTM 1126-2-7.1
Dear Mr. Anderson,
The following action was taken at the Southo1d Town Board of
Trustees meeting on March 25, 1998:
RESOLVED, that the Southo1d Town Board of Trustees approve the
request for an Amendment to Permit *4798 to relocate the
proposed second story towards the center of house, remove
existing chimney and build a set of 6' X 10' steps towards the
east elevation of house, Located: 192 Willow Terrace, Orient.
,
However, this does not constitute approval from any other
agencies.
If you have any,questions, please call our office at 765-1892.
Sincerely, ".
Sincerely,
~9· /~~~~
Albert J, Krupski, Jr.
President, Board of Trustees
AJK/djh
cc, Bldg. Dept.
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BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLlJ
.
Albert J. Krupski. President
John Holzapfel. Vice President
Jim King
Martin H. Garrell
Peter Wenczel
Town Hall
53095 Main Road
P.O. Box 1179
Southold. New York 11971
Telephone (516) 765-1 H92
Fax (516) 765-IH23
~"ptember ?9.. 1997
Suffolk Environmental Consultinq Inc,
Bruce Anderson
P.O. Box 2003
Bridgehampton NY 11932
Re': BARBARA DEFINA
SCTM 1126-2-7,1
JAN 8
Dear Mr, Anderson,
The following action was taken by the Board of Town Trustees
during its Regular Meeting held on September 24, 1997, regarding
the above matter:
WHEREAS, BARBARA DERINA, applied to the Southold Town
Trustees for a permit under the provisions of the Wetland
Ordinance of the Town of Southold, application dated August 22,
1997, 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 September 24, 1997, 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 standard set forth in
Chapter 97-18 of the Southold Town Code,
.
.
#QF.REAS, the Board has determined that
~ill not affect the health. safety and
people of the town,
the project as proposed
general welfare of the
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approves the application of
BARBARA DEFINA to construct an addition to a single family
residence to include a 28,S' X 25' second story addition and
enclosure of a 12' X 12' breezeway, with 2- 9' drywells to catch
roof fun-off, Located: 192 Willow Terrace Lane, Orient.
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,
~9· /~'9·
Albert J, Krupski, Jr,
President, Board of Trustees
f
..
1\JK/djh
cc. DEC
ACE
Dept, of ·State
Bldg, Dept.
.
.
Albert J. Krupski, President
John Holzapfel, Vice President
Jim King
Martin H. Garrell
Peter Wenczel
Town Hall
53095 Main Road
P. O. Box 1179
Southold, New York 11971
Telephone (63[) 765-1892
Fax (631) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use only
Coastal Erosion Permit App
X Wetland Permit Applicatio
Grandfather Permit Applic
Waiver/Amendment/Changes
I/' Received Application: ¡!J9JQI
,/ Received Fee: $ 1!17) -O-¿4'f> Jf_,)T' ~
..., Completed Application JI/,Ið/
Incomplete '
SEQRA Classification:
Type I Type II Unlisted
Coordination: (date sent)
,r CAC Referral Sent: ¡Ji2)Di
vr Date of Inspection: J,{IÝ/OI
Receipt of CAC Reporf:
Lead Agency Determination:
Technical Review:
,r Public Hearing Held: ;)./rJ/ð1
Resolution:
rNI'\Ot
.IAN ¡ B;
Name of Applicant Barbara DeFina
Suffolk County Tax Map Number:
1000-026-02-007,1
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Address
PO Box 2040; Orient, NY 11957
Phone Number (631) 323 - 1338
Property Location:R.O,W, off of King Street; Orient, NY
(provide LILCO Pole #, distance to cross streets, and location)
AGENT: Suffolk Environmental Consulting, Inc.
Address:
P.O. Box 2003 Bridgehampton, NY 11932
Phone Number: (631) 537-5160
Fax: #(631) 537-5198
· .
Board of Trustees Application
GENERAL DATA
Land Area ( in square feet)
Area Zoning: R-40
Previous use of property:
Intended use of property:
11, 254,51 Square Feet
Single Family Residence
Single Family Residence
Prior permits/approvals for site improvements:
Agency
Date
Southold Town Trustees
Southold Town Trustees
(modification)
9/29/97
3/26/98
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)
Applicant proposes to construct an addition to a one-story,
single family residence, including a 24.0' x 26.0' second story
addition and the enclosure of a 12' x 12' breezeway. Two 8'
diameter drywells are to be installed in order to catch roof
run-off, In addition, applicant wishes to remove the existing
chimney and build a set of 6' x 10' steps towards the east
elevation of the existing house.
2
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Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
An addition to a single family residence.
Area of wetlands on lot: 0 square feet
Percent coverage of wetlands on lot: 0%
Closest distance between nearest existing structure and upland
edge of wetlands: +38,8 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: +40.0 feet
Does the project involve excavation or filling:
X No
Yes
If yes, how much material will be excavated? n/acubic yards
How much material will be filled? n/a cubic yards
Depth of which material will be removed or deposited: n/a
feet
Proposed slope throughout the area of operations: 0
Manner in which material will be removed or deposited:
N/A
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 impact to the tidal wetlands ~s anticipated due to the
proposed project not increasing the overall footprint of the
existing residence.
3
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14-16-4 (9.95)- Text 12
r-PROJECT 1.0. NUMBER
617.20
I Appendix C
State Environmental Qualrty Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
SEQR
PART 1- PROJECT INFORMATION
L APPLICANT/SPONSOR
Suffolk Environmental Consulting. Inc.
3. PROJECT LOCATION:
Municipality Southold County Suffolk
4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc. or provide map)
A Ijcant or Pro·eet s
2. PROJECT NAME
DEFINA
ansar
R.O. W. off of King Street: Orient, NY
5. IS PROPOSED ACTION:
IZI New 0 Expansion
6. DESCRIBE PROJECT BRIEFLY:
D Modification/alteration
Applicant proposes to construct an addition to a one-story, single family residence, inctuding a 2~.0' x 26.0' second story
addition and the enctosure ofa [2'" 12' breezeway. Two 8' diameter dJ}'Wells are to be installed in order to catch roof
run-off. In addition, applicant wishes to remove the existing chinmey and build a set of 6' " 10' steps to\\ards the east
elevation of the existin house.
7. AMOUNT OF LAND EFFECTED:
Initially < 0.02 acres Ultimatel < 0.02 acres
8. WILL PROPOSED ACTION COMPLY WITH EXiSTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
IZI Yes 0 No If No, describe briefly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
rg]Residential Dlndustrial DCommercial DAgriculture
Describe:
o ParklForesUOpen space
o other
Single family residential dwellings with relatcd appurtenances.
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENT
AGENCY (FEDERAL, STATE OR LOCAL)?
rg¡ Yes DNa If yes, list agency(s) and permit/approvals
I L DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL 7
DYes D No If yes. list agency(s) and permit/approvals
Town of Southold Trustees Approval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
o Yes IZI No
I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE
nvironmental Consultin Inc. Date:
o 1/0910 I
Signature:
If the action is in the Coastal Area, and you are a state agency, com plate the Coastal
Assessment Form before proceeding with this assessment
OVER
PART 11- ENVIRONMENTAl ASSESSMENT (To be camnleted bv Anencv'
A. DOES ACTION EXCEED ANV TYPE I THRESHOLD IN 6 NVCRR, PART 617.12? If yes, coordinate the revIew process and -I
use the FULL EAF.
DVes DNa
13. WiLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NVCRR. PART 617 6? IfNo,
a negative declaration may be superseded by another involved agency ,
o Ves DNa
C. COULD ACTION RESULT IN ANV ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING· (Answers may be handwrItten.
if legible)
C 1. Existing air quality, surface or groundwater quality, noise levels, existing traffic patterns, solid waste production or disposal.
potential for erosion, drainage or flooding problems? Explain briefly:
C2. Aesthetic. agricultural, archeological, historical or other natural or cultural resources' or community or neighborhood character?
Explain briefly:
C3. Vegetation or fauna, fish, shellfish or wildlife species. significant habitat. or threatened or endangered species? Explain briefly'
C4. A community's existing plans or goals as officially adopted. or change in use or intensity of use of land or natural resources?
Explain briefly:
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly
C6. Long term, short term. cumulative, or other effects not identified in C1-C5? Explain briefly:
C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly I
,
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA?
DVes DNa
D. IS THERE. OR IS THERE LlKEL V TO BE. CONTROVERSV RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
o Ves DNa If yes, explain briefly i
PART 111- DETERMINATION OF SIGNIFICANCE (To be campleled by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it IS substantial. large, important. or otherwise sIgnifIcant. Each
effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (C) duration; (d) irreversibility: Ie)
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 and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA
D Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur Then proceed
directly to the FULL EAF and/or prepare a positive declaration.
D Check this box if you have determined. based on the information and analysis above and any supporting documentation, that the
proposed action WILL NOT result in any signifICant adverse environmental impacts AND provide on attachments as necessary. the reasons
supporting this determination:
Name of Lead Agency
Print or Type Name of Responsible Officer
Title of Responsible Officer
Signature of Preparer (if different From responsIble officen
Signature of Responsible Officer in Lead Agency
2
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NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
Barbara Defina
SCTM# 1000-026-02-007.1
YOU ARE HEREBY GIVEN NOTICE:
1. That is the intention of the undersigned to request a Permit
from the Board of Trustees to:
Construct a 24,0' x 26,0' second story addition, enclose a 12'
x 12' breezeway, to remove the existing chimney and build a set
of 6' x 10' steps towards the east elevation of the existing
house,
2. That the property which is the subject of Environmental
Review is located adjacent to your property and is described as
follows:
192 Willow Terrace; Orient, NY
3, That the project which is subject to Environmental Review
under Chapters 32, 37, or 97 of the Town Code is open to public
comment. 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:
Barabara DeFina
MAILING ADDRESS:
PO Box 2040; Orient, NY 11957
PHONE #
(631) 323-1338
Enc,: Copy of sketch or plan showing proposal for your
convenience,
5
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Board of Tru~tee~ Ap 1. .
~ 0 P lCatlon
COunty of SUffolk
State of New York
6b~ Øúf0~
ï Signature
?,-rÁ
D^, OF~_20CC
Barbara Defina BEING DULY SWORD DEPOSES AND '""IRM, 'HAL
HE/SBE IS TBE APPLICANT FOB 'HE ABOVE DESCRIBED PERMIlr" 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 Wi
VIRTUE OF SAID PERMIT¡'S), IF GRANTED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
,
'tu
Veronkm F. Cldone
Notary Public, State of New York
No: 52-4$61406
Q~aJi.fie< :n Suffolk County dOO /
CommISSion "..'-LifC,S Dec. 31 _
7
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.
Board of Trustees Application
AUTHORIZATION
(where applicant is not the owner)
I, Barbara Defina residing at 192 Willow Terrace, do hereby
authorize:
Suffolk Environmental Consulting, Inc.
¡Agent)
to apply for
a Wetland permit\s) from the Southold Board of Trustees on my
behalf.
/f/}¡//Irudlv i/1?ÞL£A-
¡Owner's signature)
8
J Krupski. President
"ng, Vice-President
anry Smith
Artie Foster
Ken Poliwoda
Town Hall
. 53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Te[ephone (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
_ _ßc»: tnfCA JJaBmu_ _ _ _ _ _ _ _ _ __
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
, residing at
¡j ('- R.o J /J
depose and say:
That on the IOy/{ da of ~ , 2~/, I personally posted the
property known as -,.-1.... { ,i<J~
by placing the Board of Trustees offi ~al 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-tqe _
public þ..earing, Dat~ of hearing noted thereon to be held ~1/aOOl
on ~ Î',ro pn'\.
AFFIDAVIT OF POS
W,.-u.Q=.- CJDò·
/lr ~
I,
Dated:
Sworn to before me this
¿}/JJ day of Fé/:JrvárV 200 I
~.['KG/T¡U)~ e('/{~0(
N·tary Publ~
GINA M. SGANGA
NOTARY PUBLIC, STATE OF NEW YORK
OUAUFED IN SUFFOLK COUNTY
ICCUI8GtM7U2 ()c:;0
CCtIIIIIICN EXPIREII SEPr, OI,20Jo:¡