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HomeMy WebLinkAboutTR-5937 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 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. /-1 e i& e V'1 r- 'j INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction y. constructed V Project complete, compliance inspection. Board Of Southold . Town Trustees SOUTHOLD, NEW YORK PERMIT NO... 5937 DATE: ......bf2.4/.<f4·.. ISSUED TO .........0..~~9.~~¡;:.!...Ij.E.:rP.¡;:NRX. . ................... 1\ulQorii£ution Pursuant to the provisions of Chapter 615 of the Lam 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 ·ÁNDTHE PLACING.OF OBSTRUCILONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND. GRAVEL OR OTHER MATERIALS.FADM LANDS UNDER TOWN WATERS;!'. and in accordance witiithe Resolution of The Board adopted at a meeting held on .......J.",I1,'i'~?1. . 2~.~.~... and in consideration of the sum of $....250·........· . paid by . Margaret Heidenry .. ....................G'r.ee.;:;p;:;~t..·...·······.....···· ...... ................................................................... of ...... ................................. ............ ............... .... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof. of Southold Town Trustees authorizes and permits the foftowlnCJ: wet1~nd permit to remove and· rebuilt:! the existing porch repalr roof and repair -siding on existing dwelling and' replace ·doors and windows. .' prepared by Warren Sambaéí\:nfas'ìlld~îege~:g~'ð~ on the surv aU in accordance with the detai\ed specifications as présented In . the originating application. IN WITNESS WHEREOF. The Aid Board Of Trustees here- by causes its Coc- 3orat~ ~al to be a«:lXed. and these presents to be subscn'bed by a malority of the Aid Board as of this dat.e. ~ . . TERMS and CONDmONS ne Pctmittec Margaret Heidenry' 29 Sage Blvd., Greenport, N. Y. midillg at . N. Y.. as put of the coosi&raûoa (or the iSa··~ of che Petmit does uødetstaod iInd prescribe to the fol- Iowiog: 1. That the said J!oud of Trustees aad che Town of Souchold are ttI~(.- any aad aU damages, oe: claims foe: damages, of suits uùiø&. clhecd.y « ioditecdy lIS . ~ of any opec· at/oa{>edcnmed putsU,nt-,jD-Gis.pemdt,aDd .:Ihudll. t>.ormI~~ f.C1¡fs oe:t>er OWD~. delead MJY aad aU JUCh IUiU' nl(l.te<t by Ibhdf'atties, aad the said ~ __ fall IiobIIIty wIch reSpect cheœto. fO·the ~ "'I'pll'(eesdusioo of the Board of TrustèeS of the Town of ~ 2. That this Pe1IDk is ~ for .. period of . 24: ØIIOS. -wbJd¡. Is (iI1r~ttl! to be the estimated time· equired to coinpIete the 1IOtk IowlYeCl, t>utihoaId ~"'"'" wamm, request for an exœusioo -may be made to che Ðoud at . later ùce. . 3. That chis Peanit sbould be œiaIøed indef"lOitely. or lIS Ioog lIS the said Peanittee wIshès . to .....¡""'In the lttIICQIte or project Involved, to provide evideace to aayooe œaœmed ch2t ouch- a:lzadon was originally obtØaed. .. That che 1IOtk åmllm will be lUbject to the /a$pectioo aDd approval of the Boatd oe: Ia agents, aad ~II...,.,. wich the prcmsïoøs of the Mgln.tI..g applicatioa, may be CIDSe lot mocaûon of chis Petmit by resollldon of the said Bœtd. 5. That tbeœ will be DO Wlm5<X', ,Ie Ioted_ wIch aavigotioa. lIS . ~ of the wock bada aichorIzed. - · . '6. That tbeœ shall be 00 iøted_ wich the rirJu of the (IUbUc to pass aad ft(IUS aIœg- the bead> benveœ fIIgb aad low waœr mub. . 7. That if fucure opeadoas of the Town of Sootf>9L! teqahe cbe. cemcmI Ulll/oe: alW"IWM In the Iocftln,o of -the wock tJereIo ..11>0- !'f!, or If, 10 the opIaIoa d.cbc Board of n-, the_ ...xk sba11 cause _«)".Id~ obsttactIoo to free øa~ the said p...-mI..... will be œquired. apoo. due oodœ, to remove or alter chis wock or project herein staled witboat ~I to the Town . of SoIacholcl. . . . 8. That the aid Board will be oodfIed by tbe PermItœe at tbe owT"&"" of the wad< ouch- orbed. 9. That the .p.;...... ~ will dJta10 aU ocher petmIa aad conoen';' 6It may be nqahed .p; ..--'" to chis peønIt ~ maybe aabjea to revoIre apoð úIIaue to obc:aIo ame. - . . Albert J. Krupski, President James Kingl Vice· President Artie F~ster 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 June 24, 2004 Ms. Margaret Heidenry 29 Sage Blvd - P.O. Box 51 Greenport, NY 11944 RE: 29 SAGE BLVD., GREENPORT SCTM # 53-5·12.6 Dear Ms. Heidenry: The Board of Town Trustees took the following action during its regular meeting held on Thursday, June 24, 2004 regarding the above matter: WHEREAS, MARGARET HEIDENRY applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 2, 2004, 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 June 24, 2004, 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 MARGARET HEIDENRY to remove and rebuild the existing porch, repair roof and repair siding on existing dwelling, and replace doors and windows and all as depicted on the survey prepared by Warren Sambach last dated 6-6-03. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, ~.j 9, 4'7'~'9n, Albert J. Krupski, Jr. President, Board of Trustees AJKlhct . . ...... ~ . C\J I 0 .,.....¡ C\J oo::t <It 0 ; = Q C ~ ~L6~~ 'Å 'N 'Plo4lnoS ~6B ~ -99L euo4d peolj u!eVj 960€S OlOH.LflOS ~O NMOl. S33.LSnl:l.L NMO.L :10 al:lYOB L ¡:-~ ~ ~ 81:1':) J . . {)jL~ Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERV A nON ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the South old Town Conservation Advisory Council held Tuesday, June 15, 2004, the following recommendation was made: Moved by Doris McGreevy, seconded by Don Wilder, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of MARGARET HEIDENRY to remove and re-build the existing porch, repair roof and repair siding on existing dwelling, and replace doors and windows. Located: 29 Sage Blvd., Greenport. SCTM#53-5-12.6 Vote of Council: Ayes: All Motion Carried -. . + + I =>Z I 5<"'" s¡J:JID StlELTEfI t , j . e , .! ¡I ( '-.:::::: ~.:Jçb'-' S. - ~. t" t I 4 , . 'ì . \II ~ 51 f",. I :: ~ ,I ' 1 ~ :31 '<;;- sZ'I>"S ... ,./ + + 8 .. 'Ot' ~. 'Ot' IÐ 8 õ!i. a éJ "<- cq, & -\ 8 VJ IÐ c:SJ C c) <xl '" cSJ c5J \ ... a O~~ ... ... >: ..e<. " ~ " .. ~ \\ GO a : <:> '" <:> 'Ot' " . 0=J t-. '" . \ 'Ot' \\ IÐ G:J õ!i. 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'; " - "" ,>,..¡ . ~ ,I " ' ~ . > '"1.", r ~'-:. - ,,,~. :.._.' . .' ........ , . - ----- ... - . Albert J. Krupski, President James King, Vice- Presiden t Henry Smith Artie Foster Ken Poliwoda BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ...w-etland Permit Application ""-Major Minor W aiverl Amendment/Changes ...-Rêceived Application: ftÞI~1 'f:¡1J -1{éceived Fee:$ ti'Sb- -=:completed Application ftJlJ.-I'f:j~ _Incomplete SEQRA Classification: Type I_Type II_Unlisted_ Coordination:(date sent) -TAC Referral Sent: ~y Southold TewI ~te ofInspection: "'111d It:JV Board of Trust"" _Receipt ofCAC Report: _Lead Agency Determination: Technical Review: ..A'ublic Hearing Held: b¡"" I c;¡ Resolution: . Town Hall 53095 Route 25 P,O, Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 Name of Applicant I'v1 Æ ~C; P. )¡ t"í ~ I ~ EN P¡ 1 Address 1- q ç /:k'-t E?- 1'1.,. \I 0 - -r. D. ~ [) r i:J I ~Ç¡tfrJF'oÇ¡í. N V 114t4-PhoneNumber( ) q 11 15"4- - 2-q ~'1 t Suffolk County Tax Map Number: 1000- Property Location: (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: c.tI' q~I~' . . Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: ") -¡::: Ä > D N kL C' 0 11 A- Ç¡ F.:ii'- Intended use of property: c; F------ A- .5 C) N A /..- C' oT\ Æ G tZ- Prior pennits/approvals for site improvements: Agency tv&-N~ Date /N' .s! I ti . . _ 0 pnor pennlt approva s or site Improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? 1 No_Yes If yes, provide explanation:- Project Description (use attachments if necessary)(j) P, 'E 1'-10 v-A:-t- '" N () p,~13IAIL D¡';-..¡¡;' of PcPJc.t+ (e:)(lSTlivc,") ø BoofIN~ 11(PA\!'I (j) '"SIOIf'it1 (J¡f'F'Ä-IP¡ Ð El.-Bè'Pi'LÅ-L UP- t) ~ © WIN Þ 0 vJ þ.. tJ ¡) t:>o 0 P¡ p.., IS I? L-~'E \,fÇ'VT (NO ~~"'N"~ -s:¡.J '5~~FS) (i) l1ti'N~kL-- {l¡~?A"ßJ . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of apPlt'cant: , MA-~Gl>d'tT f\-E't DFN ¡;¡; j ~ !-\-Ao/í:'-t-\--ðL--Dt::'R J eP1ffZ-, <S!\-cp,€-s CDMM, X'Ne. - SCTMitlOOO YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: êJ "''E'?L--Þ.;ce 'EX.t<;TIÑ(7 'Pbø.c..\,t éV GiE\'J£:;tJ,k'L- 'RE'f'''''ìp.,S/P7r:::PL-~C£cME'ÑI,Ç 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 1---"'1 SA(¡E ßL\lÙ, ~ f1 t::"EN P1>f¡,( N 1 II q4--4- 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: 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: Mf\MlIdìf-( !tEl \7ENFI't MAILING ADDRESS: y. 0, ßO X t;} I ' t.1f1¡ffNPcf\T, N-{ I\q +~ PHONE #: q 11-- 1--' ~4-- 1/ 2-- q $\ "I ct 11--- '1S+ '1-'1 g 4 Enc.: Copy of sketch or plan showing proposal for your convenience. s . . Board of Trustees Application County of Suffolk State of New York MI\:I1.~AlZ-d /-IEIi) tv! ,7itrn BEING DULY SWORN DEPOSE AND AFFIRMS THAT HE/ IS TIlE APPLICANT FOR TIlE 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 TIllS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. TIlE 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 TIlE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION, .1YJ Vr. j CN1 /--[;,'J ~4- Signature U SWORN TO BEFORE ME THIS 1;l DAY OF '}'vI a. ) ,20Q.!1 sta.~ofCah~~ (, (bJ"t-ê, æ Lc/:. / ov¡ <¡¡e.u. 5 OM 00&)/- Notary Pubhc 6'12.. 0'/ .r:l''' ,__~.= .!f~ .. -- --- -- ----- -- -- ----------- ---- . . '.4-!6-4 2f67)-T~xt 12 I PROJECT I,D, NUMBE'1 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by ADPlicant or Project sponsor) SEa , APPLlCAN;'BEr~R tl-el PE NI Çh 2r~R~J~T NAMf7~ pL---Ai! ~t1 f;?t.J í 3. PROJECT LOCATION: Municipality êi ffNfCI4T County :) /..1'PFDl.-/L... 4. PAEC;SE LOCATION (Street aeJdress ana road Intersections. prominent lanamarks. ~[c.. Clf provlae map) Zq <>Pc0FJo 13~"O. $'DlÆ-rt+ OF H"'-'f\J 'F)oAD (f',T. 25) 5. IS PROPOSED ACTION: o New 0 Expansion Moaificallon/a!teralion E: ~ ~T" ft;2 poC ~-/Il- FN"f 6. DESCRIBE PROJECT BRIEFLY: . r \.. f;)(I~TI'ÑC, 6pCp.,c{.\- eN N. Ç,Dr:;-- öF !-\(}IASF WtLL (J-E:-- l-o",^p--£'i'£I-'ì T~¡<..EI\I PO""N Ne'N FCCÎIÌ\¡G,S./pIl£-S . 100 f'T?()¡ EN 6... ~-r-A-'I"f&'" DI\..-h1I·ÑC, s- ~L-L NFL-'\I.CCNSTIt"-CTlíJr) l.'" +b\- t?xc--c;íR)N OF 'P7tEu.SE: ÐP Ptf'1/Q¡) \N1 ND~ 5 LðPÍÌ4/,..¡f(t..) .. AMOUNT OF LAND AFi=ECTED: Inilially , ð 0 ~ acres UI!imarerv ' () 0 , acres 3. VJlL!.... ¡;ROPI'JSEiJ AC":'"10N COMPLY WITH ëX/STING Z.ONING OR OTHER EXISTING LAND USE :=ì.ES7r:tIC7:0NS? res L.; No If "0, 'deSCMe ""elly I 9, ~:¡H TIS ?RE3ENT LA/"~Q IJ::.C: IN '/ICINITY OF ?ROJECT? eSldenual r [j.!naustnaJ C CommercIal . esc"l 7 (AS' ('( KL o Agriculture ~ ParK/ForesUOoen space L......;Olher 10. DOES ACTION INVOLVE A P:F!MIT APPROVAL OR FUNDING. ,~OW OR ULTIMATELY !=ROM ANY OTHER GOVE¡:¡NME?-4TAL AGENCY íF=iJERAL, STATE vM LOCAL)? ~es 0 No If yes. list agency(s) ana permil/aoprovals ~ ~ /. ( "Dl><-rI-ÞÐLþ'-- ---t,IÁJN J!,L-iILP¡N"7 "'-"''''~M\..I) --fc"".- ..,-......sn::;;æ:-S (}~T - þul LD;I\II{ PE1>JM;T l"v..>"¡ l""'S~ kf'p.-....c...~ ':r- 11. DOES ANY ~CT OF THE ACTlor., HAVE A CURRENTLY VALID PERMIT OR APpqQvAL? o Yes TO If yp.s, list agency name and permlUapproval 12. AS A RESUL":'" OF PROPOSED ACTION WILL =;.<ISTING PEAMtT/APPI:10VAL HEOUIRE \,OOlfIC),.!CN? o Yes No ! CEMTlFY THAT ,HE INFORMATION PROVIDED AeOVE IS TRUE "':'"0 THS BEST OF MY KNQWL:;ùGE Applicant/sponsor Vlþ.~4,a..l"d?( ) ~I Of-NfJ1 O..lIe: tY' \It 0 SIgnature: If the action is in the Co,,"tal Area, and fOU are a slate ac;ency, complete the Coastal Assessment Form before proceeding with this a~~essment OV!õR :;:)Añï II_=NVI¡;O:"JM:=:Jï ;"'&ë.s3i.tE~Jï J "'¡;> ,-...,,....-·.:>~e~ "I ~~Q,..,c· . .J~ _.....'..~I_. _... . ':r~" :1 FilS. :':crClnõt9 ::1e r~VII~'N :rOC~S3 :lnc 'Jsa :r.e =;JL_ :':')\r I :... ~CE5 :..C-:-:':;,\ ::..........::::.... :..... "( ., -=S ;-....:=.E3r:CLJ :~I oj ~~.,.:;:::;:. :¡':'F.ï 5:7.·:~ . 'J ~s ~o =. ','IJIL~ ..:.C7:C,\ :¡e.'::::'IS; :::CPCINÀ. I '2:J .~E'IIEW ':"S .:¡<::.C'J!OE:J _.:¡:;¡ UI'IL.S7:=.J ':'C7iCNS .N 3 .\ '(':?R, :¡.J.ñ I j".:;' :f ·~o. .1 1eç.l¡:·¡e :::ec:.lr.=. TI~ eJe su::erse~ .:y :!.nc¡:-:er .n~cLvea ac;enc"f. L y~s t=-. :--10 C. S'::ULD ":"C7iCN .~.ESUL7·~ ),i'/y ,.I,DVE:=Së ::.:::::;:':75 AS5CC;,.:.,ï=J ·.vlï~ -:-,S .-JL~,:;v'J[:'<IG_ :~nswers ."a'/ :e 1anC'.~nt:e!1. l.e::;ICle! :1. =-"\Istlng 3.lr ~uallt"f. :iurraca ,:Jr 'Jro~no'Naeer :U3lity ':Jr :::~antLty, .101se e'/~IS. ~x~s:Jng :~a¡fic :::al'ems. :;¡olic .yas:e JrcQI,;C::::;:<l Jr JIS'::: ~ctentlal fer erosion. :ralnac;e Jr :Iooolnq ,roC:lems'? ¿:'tOlaln ::Jnelty: ~o C2.. AN'~e"e,~"~'~u~.~ "ß;:g~t'or;J'~':'I~~aI or~X'kt~U'~~~~~~~V """"e:.,? ~lJlaJn . .......... 'leçela!len or :auna. ·Isn. :;r:eUfisn ,Jr '/W'llolila gQec~es. ~Iqnl¡icant :"IaOllals. :Jr :nre::H'2!1ed or ~nc:ançerea :õ::;ec:es? Sxc a~n 'Jrlar!'(: ND '~-. >. c:::mmumt.(s ¿XIS'lOg ;:¡Ians or ·~cals as otflc:õ.lly aaooted. -:lr a cnange In use or intenSity at use of lant3 .or .other natural resQurces? Sxplaln :; Nt! C~. Growen. SIJDSeOuenl :eyelocmenl. :Jr related aC:lvliles likelY ~o ~e ,,1aueea 'JY !he ::reeosea aC:lcn? :x:)laln .:weiJv. No :5. I_cng :erm. :>nort :¿rm. '::.JmUlatlve, ;Jr ·:JtMer ~¡jec:s net Icenlltied In C~-":.5? ~:J¡aln ::Jnefl'l. NO ~D Nþ ,;n;:¡,n ';.;' "'(::;"/;; 6, 0< '(;'~~o;;;,~e~4<(.1 r L W M 8 ; AI h Of)¡ If v' kt-- .:Hv ~ r IZ- U-e-r1I A(Ç __ :tr:e~ :moac:s .tnC:.Jc:nc; _':'es ·s -. ;;;~~. ''''=:'J -c -E --,,-"cuE=<::'( ~'-1 '--.J _0 'OT::·',-,·' ·......1("'5- ::"'Vl-CNME,,"'L "p",--"'-:O ~~" -~~:;, "e:..~ ::'e':~ ,-"~,-,. ... .~~ -- - e.. ~ . '-" ,.0 .J_ s. HE;e. :::R PARi lit-DETERMINATION O~SiGNI¡=¡CANC:: (To :Je completed jy Agency) INS7RUCT¡ONS~ ;:or ~3C~ adverse ~rfect idenIlfie::I .accve. aetermine wnetner It is substantial, large, ;mcortant or otnerwise siçnlfic =2.C~ ~ifec~ silould tie assessed in c:Jnnec:ton 'Nun Its (al setting ti.~. urban or ¡ural); ¡b) ¡Jrocacility ot OCCo.;t1!1g; (C) duration' irre'¡erSLCllity; :e JeogracOlc 3C:Jce: ana (f) magmtuce. If ,1ecessary, add attac:1ments or reference 3upponing ma[enals. ~:1sure ~xolan3t10ns .::::nt3In suitic:enr aeIail 10 snow ¡hat all ie!e'¡ant aClverse impactS nave been identified and adec:uatelY accressec. C~ecx :his box ;f you I,ave identifiec:. one 'Jr ;nare :JotentiaJly larçe ;Jr significant aC'Ierse imo2c:s 'NhIC:1 ,·.1Å·~ JC:::.Jr. T;'en ::>rccesa cireç~ y to ;he I-ULL EAr lna/or prepare a positive- ceclara!icn. C~ec~{ :his :::ox :r 'IOU :lave de!ermined, :Jasea on ¡he infcrmation and analysis a.bove and any suooor~¡nç coc'Jr.:enrat!cn. :ì1at :t';e :Jraoosed ac~jon \,"JILl.. ~lOT result in....:;:;.ny significant acverse envtrcnrr:enral ¡mcac:: ~NO JrCV!ce :::n 3,;:r3.c:"!r.lenrs as nec.essar'l, the ;easons succoning U1JS oeterminarion: ..."".....). _O':.JoJ....;O':l1c·, bll1!)1 '¡';'" .....rT"Of!' )1 {c·,':;O<1\.a'", ·~tt'c~r <1 _c·....:3 '';0.:11("' : ,¡I~ 'JI ..:c·ooon\.a.", ,jlllc~r ;,..<1..Hl;r~ ~""ccn',a'<!' ':'I:,(.;>r 11 .~.H .....;~ncy ,,-:n..!.:uro!' H r",:,,~.,l{..r 'Ir ..:r::<!'."",I1{ .r~m ."~~oa<1,·a,~ )/',c..n J.J((~ o . . PROOF OF MAILING OF NOTICE ATIACH-CERTIFIED MAIL RECEIPTS Address: Name: '. STATE OF NEW YORK COUNTY OF SUFFOLK MM¿tMe-I Heln~(\i2-.J ,residing at ;;¿q So. (;,{!, give / G~e.e-(1pDPÕ Y J I q <-I '-/ ' being duly sworn, deposes and says iliat on the day of ' 20_, 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 G e i' ., (' ð Il. í . that said Notices were mailed to each of said persons by (certified) (registered) mail. ¡yv¡~) ~ tl~)~4 Sworn to before me this ~ / ~ Dayo~~ .20~ ~ ~,ø¿¿..L Notary Public CHRISTIE HALLOCK Notary Public, State of New York No, 4831950, Suffolk,CounlY £ommission ExpllBS May 31, 20 ð 7 *. . . 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 SOUTH OLD --------------------------------------------------------------- In the Matter of the Application of ___~~~j2.~___J!ir_~~~(\~JL---------------- COUNTY OF SUFFOLK) ST ATE OF NEW YORK) AFFIDAVIT OF POSTING I, fY) fiR. 9 A (2. e .¡ t/ ~ \ De "~_, residing at Gfl<2e...Pr(2.í (l 'j being duly sworn, depose and say: 21 5119<': I!q '/'1 BlvD. That on the day of ,200 ,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 da);:s prior to the date of the public hearing. Date of hearing noted thereon to be held -I.~, ~\J.\'\Q. "'4 ~ ,. OC"\ or 'ø.b ~ t t'). . Dated: ~ff /~i 7J~~ f-[;, J ~ (signature) Sworn to before me this =--,,//day 0~200 ~ ~..-L Notary Public =.bt ~~MIy~Œ.7 . APPLtCANT . TRANSACTIONAL DISCLOSURE FORN The Town of S~uthold'e Code of E~hice rohibi~e contlic~e ot n~eree~ on the part of town off cere and employeee. The purpose ot this form is to provide information which can alert the town oC possible conflicts of interest and allow it to take whatever action is necessary to avoid same. TOUR N/\HB ~l VfNn Last name, fi other entity, such tho other persohls .. ,:;.,:~')4:,. :.~··~.:·~:J.f}·:··!_"¿· NATURB UP APPLICATIUN, (Check all ~ha~ apply.) Tax grievance Variance Change of zone Ap'p~pwal of pla~ ~ Exe~p~ion from pla~ or official map (~~e~O~her.. nJÎ. ~he activity.) ~E'Qu.BíFoA 13Lo6, Ff'P)tI,1/r ,~ Do you perøona11r (or ~hrough your ~ö.p."r, dpoude, ølbl1ng, parent, 0[" child) have a relat.ionship vit.h any officer or employee or the Town of 50uthold1 -Relationship· includes by blood, .arriage, or business intereBt.~ "Uuslness in~ereet· ..eans a bURlness, including a partnership. in vhich ~he tovn officer or e..ployee has even a partial ovn..rship of (or e..ploy....nt by) a corp,oration in which the town officer or employee owns more than 5% of the øh'ares .. YES NU L ." If you answered ·YES,· compl..t.. the balance of ihid form and date and sign where indicated.. Name of parson employed by ~he Tovn or SouUlold Ti~la or poei~ion of tha~ person Describe the relationehip be~veen yoursalf (the applican~) Bnd the town offlce~ er employee. Ei~her check ~he appropriate line A) through D) and/or. describe 1n the space prov~ed . The town officer or employee or hie or her dPoUea, elbllng, parent, or child is (check all tha~ apply), ~) ~he ovner of grea~er than 5% of the aharee or ~he ----- corporate stock of ~he applicant (vhen ~he applican~' is a corporation), _____B) the legal or beneficial ovnsr of any In~ersst in a noncorporate'entlty (when the appl1can~ 18 not B corporation), _____C) an officer, direc~or, par~ner, or employes of ~hB appllcan~, or _____D) ~he actual applicant. .... " ..,~:.~ . : " DESCRIPTION OF REL~TIONSIIIP .... ".,¥. ..~ .. ... . ..,.;......,g. 1,·1. . ; ;.S:,'· ,.,.._,,,... ... subl1\itted tIlf}J' Signa~UrS~ ' ",",:: 'LlLn.IA.. ".'", , prln~ nam9.L ~\J'I " .' '_"'Wi"'; '.~ ""':'IK~~'ifli\t.'J'" ,fl .. , '\', ."~>"(!'''''~. ';j'! <\is',,' ,,' ',' ,'1>'__':"',' - ".' ~ '.J ':. ~ f". 10 ,... "~.'. ',' " ' . . CD[ Breezy Shores Community Inc. P.O. Box 548 Greenport, NY 11944 To: Southold Town Trustees JUN - 2 2004' From: The Office of The Coop Board of Directors at :'a,..'Suutllold, "DatI( of frust... To Whom It May Concern, The Board of Breezy Shores Community Inc. (BSCI) has received. and voted upon, a request by BSCI Shareholder Margaret Heidenry to replace the dilapidated existing rear porch on cottage 1'29 and make general repairs to the home. Stamped engineer's drawings were requested and reviewed. This letter is to authorize, on behalf of the Corporation, approval of above project to any Town/State or Federal office, As a side note, let it be known that Breezy Shores community wishes to establish a good relationship with your office by internally enforcing all codes and procedures for permits, The Board at Breezy Shores has made it clear to the Shareholders that any work done to their cottage must be approved first by the BSCI Board before applying for a permit from the town. Our community requirements are the same as those set by local standards of Building code and the like, Our intention is to unburden the town by presenting any request from Breezy Shores in an organized and professional manner. Thank you for your help. Sincerely. fhvl- Ó~ H, Michael Otaño President-Coop Board of Breezy Shores Community Inc, 917-796-3997 Otano@mac,com --- . . . lJ l-tU\ &'lOv'Y~ elu Qci. '\ - March II, 2004 .. ,- Southold Town Trustees PO Box 1179 Southold, NY 11971 IE C ~ U \iJ ltF~~ ... \ WJ\ ,8 2004 tS Soutbolð 10wn B03rd of 1ru,tee, Dear Board Trustees, I am a resident of the cooperative Breezy Shores Community Incorporated located at the end of Sage Boulevard in Southold Town. Our cooperative purchased the property, which consists of 31 cottages on 90 acres, ITom the Sage family several years ago, At the time, we were all renters who banded together to stop the family ITom selling the property to developers. Now as owners, we are dedicated to preserving our wonderful homes and would like to be able to make some very necessary repaIrs. In trying to get a pennit to do repairs to my home, I was told by Lauren that Breezy Shores must first establish how Breezy Shores ownership works with your office. Enclosed please find a copy of our deed and our proprietary lease. In the summer of 2003, I brought in our survey and Lauren made a copy for you to reference. I hope these materials will be helpfuL Please call me at (917) 754-2989 with any questions. Thank you very much for your time and attention to this matter. Sincerely, 'l ~ of " l pc¡ ,'tV- rr;~",,(J t ' \. \ -þO 1'1 V"" LL tU:;\ - o.rr· / 1fJ~yNd H;,J~ Margaret Heidenry P.O. Box 51 Greenport, NY 11944 (917) 754-2989