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Home My WebLink AboutTR-5680 r 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 . A BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD 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. Cß3ß INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction Yo constructed ~ Proj,ct com,I"'. com,I',"oo ,",,""00. b\\~\b~ é) ~ ~ I Ii ~, I 1 .i fß '" ~9J_ t=°2~ ~o- ~oit> ~'" . E"-~': For O~32 IS ~.o; ~ ~ Q o~'¡¡ 5 g>-~ III '" CASH RECEIPT 041947 ReceIved From 1 .c..ß Addrees -;tnH Dollers $ 3,- - AMT PAJO ::) BAlANCE DUE . . 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 SOUTH OLD April 21,2004 Mr. Peter C. Sterling Plantings by the Sea, Inc. 5100 Cox lane Cutchogue, NY 11935 RE: CHARLES BANK 1385 BAYSHORE RD., GREENPORT SCTM#53-4-3 Dear Mr. Sterling: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, April 21,2004: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5680 to include a low stone wall and small arbor, and as depicted on the site plan prepared by Plantings by the Sea, Inc. received on March 29, 2004. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, Jt~~~ (l ~'C}. Albert J. Krupski, Jr. President, Board of Trustees AJK:lms . . }V.{¡~ Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, April 13, 2004, the following recommendation was made: CHARLES BANK to Amend Permit #5680 to include a low stone wall and small arbor. Located: 1385 Bayshore Rd., Greenport. SCTM#53-4-3 The CAC did not make an inspection, therefore no recommendation was made. . . 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 February 25, 2004 Mr. Charles Bank CBJB LLC 1965 Broadway New York, NY 10023 RE: 1385 BAYSHORE RD., GREENPORT SCTM#53-4-3 Dear Mr. Bank: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, February 25,2004: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Permit #5680 ftom Mark Gordon to CBJB LLC. Permit issued to lift and reset existing brick walk and construct new brick patio with sand base, and as depicted on the plan dated November 2002. If you have any questions, please contact our office at (631) 765-1892. Sincerely, dI~·$ 9· ~.t).. Albert J. Krupski, Jr. President, Board of Trustees AJK:lms Albert J. Krupaki, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . . Town Hall 53095Main Road P.O. &x 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: (I fb. Î LA¡) tJn.(L~ C-&<¡. 13, LL~ Please be advised that your application, dated 6LlqJo~ has b~e~~1iewed by this Board, at the regular meeting of ,;LLf},510'l and the following action was taken: . Application Approved (see below) (1/1aru:>IJ/L) ( ¡/"") (-) (-) 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: TOTAL FEES DUE: $ 5.0D (Jl.u at::tMlud) tla~~1 /J" ~ f·.A-- n¡ SIGNED: y. , PRESIDENT, BOARD OF TRUSTEES BY: . ..¿;¡;fCLû..D n ~ÜJlJ,,- C , BOARD OF TRUSTEES 4/98 . . TERMS and CONDmONS Mark Gordon The Permittee residiag at 146 Central Park West. Apt. 24E. NY 10023 N. y~ as put of the coasideradoo for che /sCo..~ of die Permit does uødenÞod and ptueribe to che fo1- lowiòg: I. That the said Board of Trustees and che Town of SouchoId are released ham my and aU damages, or daims for damages, of suits arising direcdy 01: indûeody as . rauk of my <>pet- adoo pedom>ed punuaøt to this permit, and che aid P--'_ wiI1, at his (It her own exre-. defend my and aU such suilS' iøitia1ed by thhd patties, and the said p.. .;........ .........., fa1IlW1Uiq wich teSp«t thereto, to the comp1ete c:xdusion of the Board 01 Tmstèa of the Town of ~ 2. That this PermIt is ..and for . period of 24 moo. which is coDfIAp')C! to be the estimated time requùed to comp1ete the work invohoed, but shoald cirmmstances wuraat, ~ for an exœasion may be made to the Board at a Iaœr cIaœ. 3. That this Permit should be retained indefinitely. or as loog as the said PamIttee wishes to m.;nt.;n the structure or project involved, to provide evideøœ to anyone roøœmed that auth- orizatioo was originally obtained. 4. That die work involved will be subject to the iøspectioo. and approval of the Board 01: ics agents, and øoø-œmpliance wi!h.!he provisions of the originating appIicatioo, _y be cause fOl: revocadoo of this Permit by resolution of the said Board. s. That there will be no uøreasooable interference wich navigation as a rauk of the work bereIø authorized. 6. That there shall be 110 interference wich the right 01 the public to pass and repass e100g the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alœratioas in the location of the work bereiø ..cJ.oH--I, or if, in the opIøIoa of the Board of T.-, the . wo<k shall cause IJI1lUS()Qable obstruœon to free navigalioo, the said Peøøittee will be requùed, upoo. clue notice, to remove or alter this work or project bereIø stated wiIbout a::peøses to the Town 01 Southold. 8. That !he said Board will be notified by the Permittee ot the oomp1edoo of the work auth- orized. 9. That !he Permittee will obtain all other petmits and consenlS chat rmy be ttquûed sup- plemental to chis permit which may be subject to revoke upon failøre to obtain wne. 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 December 19,2002 Mr. Peter Stirling Plantings by the Sea, Inc. 5100 Cox Lane Cutchogue, NY 11935 RE: MARK GORDON 1385 BAYSHORE RD., GREENPORT SCTM#53-4-3 Dear Mr. Stirling: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 18,2002 regarding the above matter: WHEREAS, Plantings by the Sea, Inc. on behalf of MARK GORDON applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold ToviIJ Code, the Wetland Ordinance of the Town of South old, application dated November 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 December 18, 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 . . NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MARK GORDON to lift and reset existing brick walk and construct new brick patio laid in sand base and as per the approved plan dated November 2002. 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 rrom the date the pennit is signed. Fees must be paid, if applicable, and pennit issued within six months of the date of this notification. Inspections are required at a fee of$5.00 per inspection. (See attached schedule.) Fees: None Very truly yours, (I.~-~I r? /.!t..~~~. ~ Albert J. KrupSki, Jr. ; President, Board of Trustees AJKllms . . '\ 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, December 12, 2002, the following recommendation was made: MARK GORDON to lift-and reset existing brick walk and construct new brick patio laW in sand base. Located: 1385 Bayshore Rd., Greenport. SCTM#53-4-3 The CAC did not make an inspection, therefore no recommendation was made. CO "tf> -o-cS ., ~ / D 1 r p 7-'; .. ~ ;:::; '-'" r s ~~~ \'ò.,:>",.",~.. t. ~~ S ':>':>~~ \ ------- ~ ~,\ :----:;:; ~ ~ ~ø' ~ \ " \ \, \'-- \"'" \ ' .;/ \ ~ /JJ'l ,( 41' ..~. / ~ ~ , ..~" ~ ~ ~ ~ ~ .......-I N rn ~ ~ ~~", a:::t") 0'" 00 .,~<r:~ ~o>-~ ......... ~. ~ 0 ~ Q"rn~ ~ o~ I oo~~>- e...Q"::CWt") "- ~ ~~<:r:I-ZIO ~ "- >-- ~:::E::) IN ~ P-. "" <d to 0 5S >" g ," ..:: ~ _'>l ~ p:¡ Lo. ~ :::E lL. ~ ~ - 5 ~ q,¡ ~ . '-I <:r: ::) UJ m r.n. ~U~~::r::ooö~i3 O~-- (/)[j) ZUZ~U N~Z~ ~~~x ~ o <:r:o~<{ L-... u~ 1-0.... ¡:--' ~ ¡;: lL. . o 0... ~~ .....:¡ V1(/) ~ eft .... 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" ~ -E ~ ii' x I C u.. ~ e ;!1 " ~ :~ ~ 2 ð! Õ ... ~~ ~ "I( Z"- I " (3~-f N ~ '< 0 f ~ ~....: ð! ~ ~ il. ~ ~ ~ ~i IL -~ '" í ! I !~!!¡I' ~;i i;~ !:~i~¡ ~~~ ~~ lii~;~i ~~! !!i~ ~~,I~~w !~¡~ ~;~~ il;~i;i N~"'~ \!¡ ~ I~~~ ~§ I~h ~~&; ;i~~~' ~~~~ ~~I~ ~~ê~~~ ~ 0, ~ <>" 4-"" ~ Q<r% ~ Õ" 0, "4>Ý"" ~ 4-~ <>" co1þ " ~ OIrBS ~...'.~ Þ r S'2..~~.-/ 'Ôr;,4Â~" t. ~~ S\r;,r;,~~ \ _____~-"" ~ ø" ' \ ..---:;; ~ Ø'";itr"" ~ \ ,\ ), \'~ , ./ \ .ø \~/ < q..~. / ~ , , -It "0 ~ '<~ .~ ~ ~ , ~ '>:Cij, ..,.~ () ,¿'<t> ~+þ, ~"'ó~ 4- ~ "1::.."/ / :ë"'I' ;a - ~§ ..II!¡ I~¡ ~~I Iii 1ft¡ . >-:¡S / . . 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 APPLlCAnON FOR AN AMENDMEN ~ MAR 2' ~'~I~ Southold Town Board of Tfl.:stees DATE March 26, 2004 OWNER Charles Bank PHONE(212) 712-041R ADDRESS1965 Broadway Apt. ;Ifill M<>'" York. NY 10023 AGENT Peter C. Sterling PHON!í631) 734-fi755 ADDRESSPlantings by the Sea, Inc. 5100 Cox Ln. Cutr:hng"<>, NY 11935 PROPERTY LOCATION 1385 Bayshore Rd. r,rf!f!npnrr MY 11944 TAX MAP NO. SCTM#53-4-3 VVVe Peter C. Stf!rling request an Amendment to Pennit # 5680 to include a low stone wall and small arhnr ~~ p<>r plan . ~ d-10' (\: ...;ß ~;}~ \6\ Si,"edB~ ¡J«1(1~ . . 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 ~~ A~R~: :"'~ ~ --------------------------------------------------------------- In the Matter of the Application of ___~~~1.~__~~!1.~______________________________ COUNTY OF SUFFOLK) STATE OF NEW YORK) Soutliold Town Board of Tru,toes AFFIDAVIT OF POSTING I, ßiivS-h,.¡;ñ t ,residing at ?L~u,j;;~i,¡ 6r-fhe-Sèa-. if~c--. J/C'C' ('-0;(: £.a... {,~dch"9'" e- t<./ y . being duly sworn, depose and say: That on the I day of /1p;¡f ,200'/, I personally posted the pro erty known as i avl~' '!Jc..., k /3 e J 13",- .(#¡.,..- e æ . r:Y.u-.n r-l-- M r: 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 public hearing. Date of hearing noted thereon to be held {f..bc( (If'LL; ,;;)./1 ;}tx.~ .- {)f1v ()1 '() {:.ad 'ì; ()O flÎ, Dated: .~f~- (signature) Sworn to before me this / day of ¡þÆ/L 200' l _; 7 ~ð. __fjÁlj&) P ic IIMCY T. FUlCO ...,........_- -""..... ClllllllII SlMQIØf ~,. . ,....-..~ ... . . PROOF OF MAILING OF NOTICE ATTACH (;ERTIFlED MAIL RECEIPTS 1I.Tn.......n· U.&.,Postal Service", ~ CERTIFIED MAIL" RECEIPT ~ (DomesúcMailOnlY'N I r:() .. . ' 0 nsurance Coverage Provided) ru ...0 "" "" Address: re Rd. Greenport, NY 11944 . St. New York, NY 10028 Jl'f .-10028. Postage -- -- - . 0.37 ? '^ 1.'/5 C $ - 4.42 UNIT ID: 09J5 ,..." o o o Return Reclepl Fee (Endorsement Required) c::J Restricted Delivery Fee c[) (Endorsement Required) ...0 n Tolal Postage & Fees rn g entTo A"JM 1'- Si¡';';ÇAP{NiiJ{rt~n6.o.i:_~t.!___. o~PIJ""X"":.n<f30 C. J 1& Ji-:nnnnnnnnnnnnn___ City, State, ZfP+4 iJ--y-----}f¡n-hu.ëXjhU----hU-----------______h_ .~..r.'~"...I.IIJ...~,\'i'r_?M? I V I ).. cgr .L ....... II U ..L 1.1::J '-' J,Jl v See Reverse for Instructions .it u. ...,...., _. C\lOQ Cex L . ~utcbogI1P. NY 11935 . being duly sworn, d~ses ana says that on the. _ d'ayof . 20_. deponent malled a true copy of the Nonce 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 Cutchoal1P FY . that said Notices were mailed to each of said persons by (certified) (registered) mail. Certified Fee ('. Postmark Here jerk: ¡¡í.<pm... ~04 .~ (}A'& Sworn to before me this ,97 ...u-.- Dayof7k~ ,20~ ~J - J / A, ~~-<- 'y - / c: 7~,,-j Notary Public LINDA s. TAGGART NoI8Iy Plmlic. State of New '1brk No. 4948506 ~Ified if! Suffolk C'AlunlJ. _. ÐrpAI MIn:Ii 20. ït:;;Ej¿ 7 Mar 28 04 02:03p S~ter Rock Holdings 2J2~89777 Boar"f Trustees }\ppU.caU.on . P ~ . - J\UTRORIZ}\T!ON (where the applica.nt is not the owner:) .' I r Cha~l es .J::anl<: (print owner of property) residing at L9""...E ~ _.- -'-'-' I.c.. j<.-_ . "pt... 26A (mailing ad ress! New York, NY 10023 do hereby authorize~~~er c~ Eterli~g (Agent) Plantings by the Sea, r~c. to apply for permit(s) from the southold Board of Town Trustees on my behalf. /~.-;--;J ./ ../ ..-cc A ---- I ':;>' .~..----- -><::......-- . - (OWner's signature) B Mar 28 04 02:031" Shelter Rock Holdings 2125889777 Boa of 'l'rustees Application . N'E- vv "( ~ ',~ .1........' County of Suffnlk State of New York Charles Bdnk BEING-DULY SWORN VEPOSES 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 DlIMAGES 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 P£VIEW OF THIS APPLICATION. ------, /-. /'" ~.~<~ ____1,- . ......- ~--- \.. -...- - Signature SWORN TO BEFP.RE ME THIS ,-,-.J.-..... "",'1 DAY OF 1'-1 ¡)RC" ±9-20(:. L¡ .'-" 0L--L::'~ )ti'\.i"- Notar~/Public >lATINA GLO\/SI ,ni.1f'l PliJI"w:. Stattt of Hør Vork No. 01GU!02":IM lJus.fled In KIn&S County ¡,;omrrllllon ~plr'l July 16. 2007 7 1".1 ;' . . APPLICANT/ AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold 's Code of Ethics Drohibits conflicts of interest on the oart of town officers and enmlovees. The Durnase of this Conn is to Drovide information which can alert the town of DOssible conflicts of interest and allow it to take whatever action is necessarY to avoid same. YOUR NAME: Sterlin Pe (Last name, first name, middle initial, unless you are app g In e name ot someone else or other entity, such as a company. If so. indicate the other person's or company's name.) Inc.___Agent for Charles Bank NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or officiaJ map Other (If "Other", name the activity.) Ampnrimant tQ Exi8tiRg re 'L .LIU.L Do you personaJly (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 x If you answered "YES", complete the baJance of this fonn and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yoursetf (the applicanUagenUrepresentative) 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 aJl that apply): _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 non-corporate 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 S~bmitted ~ ,¡¡ia~ Itl~,,·J... SIgnature ~ _ ~ PnntName Pat'i'r C SterliR§' 200'1- . . . Town Hall 53095 Route 25 P.O. Box 1179 Southold. New York 11971-0959 A\Þert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application ;'\¥etland Permit Application _ Major ".- Minor _ W aiverl Amendmentl!~f;¡,e;~~ ,,¿:Received Application:_ II _Ateceived Fee:$ Sb- Æompleted Application J J J 18jn:J.J _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ _ _Coordination:(date sentL ...€AC Referral Sent: 'if,f¡0!5 .....-15ate ofInspection: I 0 NOV I 8 2fjD2 _Receipt ofCAC Report: _Lead Agency Determination: Technical Review: --Plf6lic Hearing Held: I ~1181D y Resolution: Name of Applicant Mark Gordon Address 146 Central Park West, Apt. 24E New York, NY 10023 PhoneNumber:( )212 957 2000 Suffolk County Tax Map Number: 1000 - 53-04-03 \ "_'6'::> Property Location: Bayshore Rd., Greenport Lilco #26 2/10 mile from Kerwin Blvd. (provide LILCO Pole #, distance to cross streets, and location) AGENT: Plantings by the Sea, Inc. (If applicable) 5100 Cox Ln. Address: Cutchogue, NY 11935 Phone: 734-6755 ~v ~~\\~~ . . Board of Trustees Application GENERAL DATA Land Area (in square feet): 14,856.21 sq.ft. Area Zoning: Residential Previous use of property: Private Residence Intended use of property: same as above Prior permits/approvals for site improvements. Agency Date ---1L. 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: New Ownership/Not to our knowledge Project Description (use attachments if necessary): r.i ft and !<PRPr Existing Brick Walk And Construct New Brick Patio Laid In Sand Base U·~5·..I. (2187)-T~xl 12 I PROJECT 1.0. NUMBEM . . 617.21 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 sponsorl SEa 1. APPUCANT ,SPONSOR Plant in s b the Sea, Inc. J. PROJECT LOCATION: MUnlc!caHty Green ort C,:¡unty Suffolk 4. PAEC:SE LOCATION (Street aadress ana road IntersectIons. prominent landmancs. ;!!C.. .:Ir ;:HOVlde :nap 2. ?AOJEC7 NAME Mark Gordon Homeowner Bayshore Rd. Greenport, NY 11944 2/10 mile from Kerwin Blvd. 5. IS PROPOSED ACTION: ex New 0 Expansion 5. DESCRIBE PROJECT SRIEFL Y: 52 Modificationialteralion Lift and Reset Existing ~rick Walk And Construct New Brick Patio Laid In Sand Base .., AMOUNT OF L.3.NO ,"F¡:~CTED: Initially acres Ultimately acres ~ '/IILL ,::90?0SEiJ ACTION C::)MPL'f WITH 2<!Sì!NG Z.ONING OR OTHE~ E..':(I$TING ~,\10 US2 ~E5TrI!C-;-IGNS? ~ Yes L! No If ~o. describe Cner!y 1,068 sq. ft. 3. '."'¡-¡AT IS ?RESENT ~,.;O !Æë'N \/lC:N!TV OF ?ROJECT? ~ ;:¡es.dentlar r-;.!naus~Tlat 1= C..JmmerClêl ::Jesc~loe; 1--"': .;grrcvl!ure ~ Daf)<:IForestfOOe!1 ~Dace ~O!t1er TO. DOES ACTION INVOLVE A ?SRMIT APPROVAL OR r=UNOING. .'WW OR ULiJMAiELf ~MOM ANY on..¡E¡:¡ GOVE¡::¡NME~iAL AGENCY Ir=ùE:=IAL, ST A IE Crt LOGAL)? o Y~s g:¡ No If yes, ~ist agenc'(tsJ ana iJermrtfacprovals - 11. DOES ANY ÄSPSCT OF THE ACTl0!4 HAVE A CURRENTLY 'lAUD PERMIT OR !),PPROVAL? o Yes ~ No It '~s. list agency name and permit/approval 12. AS A RESUL7 OF PROPOSED ACTION WIL!.... SOSTING ?=rlMtTlAPP!=IOVAL HEOUIAE '.1QDIFIC:"ICN? DYes lXNO ! CEii.TIFY THAT ¡HE INFORMATION PROVIDED AeOVE IS TrlUE -:""0 THE 3ESï OF MY KNCWL::'GGE Apprlcan[/s¡Jonsor Inc. D.:.ile: 11/07/2002 Signature: If the action is in the C02stal Area, and fOU are a state ac;ency, complete Ihe Coastal Assessmen~ Form before proceeding with this a~~essment OVE:R ?Aí=,1 !t_~N\JI;;C~JM=:~.I;'" .33;.1E~Jï ,: fõ!5, :JcrQ\na!9 ".:"It! r~VI<'!''''' :~~C~S.s 'lnc 'JSd 're '::'jL_ ;:.µ,.= . ..... -::CE5 .:.C-;C;... ::\CZ:=:: ;.:~y ,-=S. 7¡...=E.5i-:CL.:' '~I '5 :I":,~? ~:"¡;.ï -3:ì.-:'~ ._ "~5 ~ .'~O _" .vIL~ :.C-;-;CN ::¡E':~."'= :::C?CIN':"-;'"c] ~E.'f!E'N"'5 ,:::::.C'JICE] ::.:,:; 'JrIL.S-;'"=':J :..C-:-:::;,'S,~ ') \'(S?R. :I,"r;, .:.¡" .::' :nay :Je sucersece':: ':.Y ..nct:·~er ,nvclvec1 açenc'I, :,~ r::::~::;-=~e8 J'J :";e:'.c r ·~o, ! le-:;';'l:'/A :ecai ~ _.....~$ x.... ,'10 c. :::ULù .':"C7:CrJ ,:.ESõ...;L-:" ~ .j"NY ..C;VE:=SE. ::==::,:75 "S:3Cc:;..7':::J N17~ ---£ .::'JL~':WI"G" :)..nS"Ners ~a'(::!! -:anc.....rtI:e~..1 ·e~¡:;I':!1 ':1. ::'(IS!lnq :SIr :ual;t'{, sur'ac2 Jr 'JrOl..:nawat!!~ :ualdy ~r :t:antl!y, .101se .e'¡,:!IS. :õ!:cs:lnq ·~;;.t~¡c ;al:er!ls. ~C¡jC ....as.e JrCCl.c:::;.î Jr ~Is;: 'Jo!enUal fer :õ!rosõcn. :raLnaçe Jr "Ioocmq 'JrOC!em5 ~ =--;O!aLn ~nerly: No c:;:. Aesthe!lc, 1Çrlc:..;I!Ural. HC:1aeo1cglc.J.\, .115'QfIC. Jr alher îal:.Hal :Jr ,::.IITUr::l1 :eSQurc:=,s: ::Ir :::Jmmunlty ':Jr îelç:1CCrnooc .::-:arac:u" :::(;:)Iall"l No ~O. 'feçelallon :;::r :auna, ·Isn. ~r:el[f;sn or '.vIIc1I,le ~~ec:es. ~Iqmiicanf ,"\acEtal!:;. ::Ir :nfea!~~e~ ,:Jr ~ncanc;erea ~;:ec:e5' ~~cta~n Jrtel\y: No C..:., A .::;mmunlt."s eXls,:ng ,tans or ~oals as atflc:;;.!lv 1000ted_ ::Ir a cnange In use or Intensity lJi use of !anc1 or amer natural resourcss? :xotaln :" No .:S. Growln. 5Uoseouent ~eveloomen!. ::If relalec1 ac:ivEtles likelY ~o ~e ,nduceo -:Jy ~ne :;rccosea aC:lon? s.'(~laln :;::ne¡!v" No :3. '_cng :erm. :no{~ :er:TI. ::,¡mulat:'..e. Jr ::;tner ':!tfec:s net Icent!!iea :n C~,,':5? ::.\:Jlaln ::rterl',,, No :tr.~~ moac::s ;f1c;....::.nc; ::-:3nç~s ,n 'Jsa :)t :õ!,tller :Jt:antHy .~r :yce ::II ~nerç'f¡'" ::'\:)I;;'ln :;rl!!r\'{" No :J" S -;...rE:=E" -:R S -:-:-e::::.::: _,:,.::::...':'" -C 3E. :'::'17::;cvE=SY ~E:...;..-;,"::J -:-.'J ?QT=~7!;'L. .:.':VË.=!SË :':-IVI;:;CN,'.1eI7':'L .·,~F;C73? _':'~s X- ,'10 f "~S. :õ!;\ClalM Jnellv ?).R7 III_OETE?:MINAïICN C1F SiGN1¡:¡C.).NC=: \-:-0 Je c:JmoleIed jy ,l.genC'l) INS7RUC-:-IONS: .=or -=3C:'I aQ'ferSe ~~fec: ident¡¡Jeo .!ccve, aetermine wnetner It is sucstantial, large, ;mcortant or otnerNlse Slçnlfic =3.C:'l ~ifec: SilouJd tie .:issesseO ,n c:Jnnecnon 'N1I11 Its (a) 5etting ',i.~. uroan or :ural}; lb} ;:¡robacll¡ty oi oc:::J:;;1.Dg; \.c duration ,rre'/erslbllitï; :e .;eQqracnlc 3Coce: ana (t) magnltuce. If ;¡ecessary, ada auac:1ments or reference supporting marenals, =:1SUP~ ~xc!ana[cns c::ntaln 5urtic:ent ðetall (0 snow that all 'e!evant adverse imcacts ;'lave been taentitieC! ana adeGU3tery ac:~ressec. C:-Jecx :hls =OX :f ',IOU .,ave icenriiiea ane 'Jr ;,-:ore :::;otenualJ'I larç;e ,Jr Significant aC'/2!"sa ifï'.oac:s .....hic:1 .·.L~ ':' QC:::;r. ïhen 'Jrcce2C Girec:1'l :0 :he ,=UL!.... =AF ::.ncfor ¡::r2oare a posiIive' dec~aratjcn. x.....: C;-;ec:< :hls ~ox .f 'fOU :lave 'J8-rermined, :Jasad on the inrcrmation and analysis .above and any s;jcoor~::-:ç coc:Jr.:.enlar!cr.. ~nê.¡: :r,e :JroDosea ac~jan :'"/IL!... ~JOT result in~r.y slgndicant acverse envlrcnmenral :mcac: .).NO JrD'Jlce ':::n 3.i.:ac:lr:1enIS 3S necessar", ¡he ~easons 5UGconing thiS dete:-mlnation: Plantings by the Sea, Inc. .......,'I~' " _,,~u '..;t:"C·' h,nr Peter c. Sterlinq M~?/~o_'''''' " _....~;J - .;<.'n,;:, pr.p~i npn-t :,(I~ :)1 -<~",oon~.QI~ ,..;Irocer ;'>.;"~II,;'~ / <..<con',OI!!' _I:'':~f n _"..(] ~~",nr;v .,'(n..:....."~ H .~·':":J.Jro:."r If ';1I:e'':"'{ .r')m '!!,~Oon\lo,,, J,r,,::..n /07/?007 .J~IC - . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Mark Gordon SCTM#1000- 53-04-03 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Lift and Reset Existing Brick Walk And Construct New Brick Patio Laid In Sand Base 2. That the property which is the subject of Environmental Review.-is located adjacent to your property and is described as follows: 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 on: 12/18/2007 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: Mark Gordon MAILING ADDRESS: 146 Central Park West Apt. 24E New York, NY 10U2J PHONE #: (¿1¿) ~~I 2UUU Enc.: copy of sketch or plan showing proposal for your convenience. s . ~ GOtz:f)ON e.rc:J~C T ~ 1)~ ¿3!-ø/' !RÌ). -3CuLW rf- .' PROOF OF MAILING OF N()TI(1~ ATIACII CERTIFIED MAli. RF.(,F.II'TS Ms. Katharine oliver Address: 430 E. 57th. st. New York, NY 10028 1255 Bay Shore Rd.Greenport, NY 11944 Name: Ms. Annette Golden 0t.G - 2 'ðj\J¿ STATE OF NEW YORK COUNTY OF SUFFOLK P/A-H"f//\/GoS 6" ¡/'eS-../"c... _, residing at .$7éJc) 0:!K_£.-r-A/<f.__ -_.- . ------ c..,(re-fféJ&"-E. ,being duly sworn, deposcs and says that on thc .zJ~ day of ¡,/ov ,20"1-, deponent mailed a tme eopy of the Notice set forth in the Board of Trustees Application, directed to each of the ahove 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 ofthe Town of South old; that said Notices were mailed at the United States Post Offiee at t:..<-rJI~"~f!.. , that said Notices were mailctl to cach of said persons by (certified) (registered) mail. ~ Sworn toNefore me this ;}..- I Day of o-JPv-J:¡( ( ,20 ~ ~No[ryd~ .me E. SAYRI!. Nø1aIY pgIc, $tIÞ 01 New Yœ Nø.4~ QudtIed III SUlak ~ r:om.AllIIv &J¡¡re&?>(;).:Sf ¡ß 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application of __~~~-t)~¿LQ~----------------- COUNTY OF SUFFOLK) STATE OF NEW YORK) ~tA~7/NGS ß~~~1-AFFIDAVIT I ,;PetER. S-rEIlL ".It-. ,residing OF POSTING at SÎðO Co,- /,Â. c-« ?c.¡-fð & <A ¿ being duly sworn, depose and say: That on the z.. day of De.é.. , 200 , I personally posted the property known as GOiZ.DðJ PlLop£/Z-rý J3~Y .(WJIl{; 4J (Jt2.é¡:;Ai¡7o£r 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 ò~lèfåßK.tng. Date of hearing noted thereon to be held~t(,\(,~CO). ~ ,¡Ob ~ '«). Dated: ,¡¿ß4ó Sworn to before me this ~ day of~ 200';/-- NO~b~ ,6· Y4~1 tJ!-~...~.'r:~.~"".f\~ NIt.:,,'.. -. " ,., ..:""IVIIIk f':.·· "":3 . ~:>\',';t;oun'!¡ A Cor;¡;-.I........, r-"t....... i.,...I.;.i20.'-iJ,t)O~ O£c - 2 '~~: I'''' , 211:'2117' :6P'·~6~173cCT ·0 . .': _.j I I' ).X 11,... ·.l.rREI aT ¡Me. =:1"1 ~ of ~ APP·~ti, r~J. ~ :.: 6 p ,~ U.L /'. Au4....'..~ (wÞere tb8 .pjIUcan~ i. ncrt the oWner) I, J1/fRK ðÏ;?R£JON rlilsiding at/f/-b ~ ~ /.(JeT -¡pdmt owner of p:ropeñÌ') ¡mailiq addreaa) ~4 J'fe AlIW' ''¡;'¡' ¡v. t/ / ~~ 2:z ;:'e7"i?L S7l,ÆL/ 4ItJ-j ¡-Ir~ ¡'~ ~ ~ ðo hereby authOrize , ,PtIIJ1"1l,Vp.5',$o/ /?ftÇ 5&4- ( Agent) to apply for permit(.) frcx\\ the tee. on 'øtr bet1alf. tur. .,. 8 . . Board of Trustees Application o Countyof~ State of New York v1.".,/lé. Vc1vÅQ'--..." 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 illSIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TillS 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.RE OF T~I;ATION. / " SWORN TO BEFORE ME TillS '1 v DAY OF AL,J 20 ()~ ,~ w~ Notary Public --...----- ALAN SCHNUER 01SC4991C~3 NOTARY PUBLIC STATE OF NEVI yo1.:< QUALIFIED IN NEW YORK COUNTY COMMISSION EXPIRES.IAN 21 2006