HomeMy WebLinkAboutTR-5776Board Of Southold Town Trdstees
SOUTHOLD, NEW YORK
PERMIT NO.. 6.? '') ~ DATE: .~-..u. ge ..~8,....~g~)3
ISSUED TO L, TNDA FASBAGH .....................................................
ntl ari atian
Pursuant to the provisions of C;hapter 615 of the Laws of
the Stale 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 PLAC;ING OF OBSTRUOTIONS
IN AND ON TOWN WATERS AND PUBLIC; LANDS and the
REMOVAL OF SAND, GRAVEL'OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;'", and in a¢¢c~clance with the
Resolution of The BEmrd adopted at a meeting held on .....J.~Ln,.¢.
z003 and in consideration of the sum. of $....~.~.0.~.0.0 ....... Peld by
Linda Fashact~ ......................................................................... : ........... : .........
of GreenI~°rt ' . ............ N. Y. and suNe t to the
Terms and Conditions lided on the reverse side hereof,
of Southold Town Trustees authorizes and permits the fallowing:
Wetland Permit to construct a one-story master bedroom
with the condition drywells are installed to contain the roof
run-o£f, and as depicted on the site plan prepared by
Mary.1..Kramer, Arc h.i, tteqt: ~ele~edN~f~e%lr~o~io2~,a~.~ented in
all in ancordan~e WITh Tn~
.the odglnafing application.
IN WITNESS WHEREOF, The said Board of Trustees here-
causes its C;orporate Seal to be affixed, and these ~.resents to
~ subscribed by a'majodty of the said Board as of thts darn.
TERMS and C. ONDffiONS
Linda Fasbach.
2905 Bayshore Rd., Greenport
N.Y. a~
M E R Y L K R A M E R
a r c h i t e c t
November 20, 2003
Board of Town Trustees
Town of Southold
Town Hall, 53095 Main Road
P.O. Box 728
Southold New York 11971
RE:
Fasbach Residence
Tax Map # 1000-53-6-4
NOV 2 ~ ''r
Board of Trustees
Dear Trus~res: ~/
AS per your request, I am submitting a check for $5.00 and a revised site plan (approved by
Town of Southold ZBA) indicating the location of existing septic system.
If you have any questions, please do not hesitate to call me.
Sincerely,
Cc: Linda and Richard Fasbach
124 BROAD STREET G R EE N PO RT, N~ 11944 63 I -4 77- 8 736 631 477-8936 FAX
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 ~.E REOU~RED TO CO.T^CT THE OFFICE OF THE BO~D OF TRUSTEES
HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN
7A2DDnluTUENT FOR A PRE-CONSTRUCTION INSPECTION. FNLURE~[E~.~O
~H~[ ~E'c~hs~o~,~. A WO~T~O. ~ ,OSS~S~ ,~VOCAT~O. o~ ..~
PERMIT.
INSPECTION SCHEDULE
Pre-construction, hay bale line
1st day of construction
% constructed
Project complete, compliance inspection.
Albert J. Krupski, President
James King, Vice-President
Attic Fester
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095Route 25
P.O. Box 1179
Southold, NewYork 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OFTOWNT~USTEES
TOWN OFSOUTHOLD
June 18, 2003
Mcryl Kramer, Architect
124 Broad St.
Greenport, NY 11944
LINDA FASBACH
2905 BAYSHORE RD., GREENPORT
SCTM#53-6-4
Dear Ms. Kramer:
The Board of Town Trustees took thc following action during its regular meeting held on
Wednesday, June 18, 2003 regarding the above matter:
WHEREAS, Meryl Kramer on behalf of LINDA FASBACH 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 May 22, 2003, 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 18, 2003, 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,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approve the application of LINDA FASBACH to
construct a one-story master bedroom addition with the condition drywells are installed to
contain the roof run-off, and as depicted on the site plan prepared by Meryl Kramer, Architect,
dated November 20, 2003.
Permit to construct and complete project will expire two years fi.om 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 $5.00 per inspection. (See attached schedule.)
Fees: $5.00
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/lms
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken PoLiwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Please be advised that your application, dated
has be~n reviewed by this Board, at the regular meeting of
~//,~.103 and the following action was taken:
( ~/) Application Approved
(__) Application Denied
(__) Application Tabled
(see below
(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:
SIGNED:
PRESIDENT, BOARD OF TRUSTEES
BY:
'~LERK, BOARD OF TRUSTEES
4~98
Telephoue
(631) 765-1892
Town H',QI. 53095 Main Road
P.O. Box 1179
Southokl. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Monday,
June16, 2003, the following recommendation was made:
Moved by Bob Ghosio, seconded by Bill Cook, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the
Wetland Permit application of LINDA FASBACH to construct a one-story master
bedroom addition.
Located: 2905 Bayshore Rd., Greenport. SCTM#53-6-4
Vote of Council: Ayes: All
Motion Carried
June 9. 2003
Board of Trustees
Town of Southold
.53095 Main Road
Southold, New York 11971
To }~7~om It Ma3' Concern:
I have reviewed the plans submitted by Linda Fasbach for the proposed extension to her
home at 2905 Bayshore Road, Greenport.
l have no objection to the addition. I think that the extension will enhance the looks of
the house.
Should you have any questions, please feel free to contact me.
~fe~' truly yours,
Ann Lorenzo
2920 Bayshore Road
Greenport, NY 11944
11 Riverside Ddve
New York, NY 10023
212-874-7817
Board of Trustees
Town of Southold
Village Hall
Main Road
$outhold, NY 11971
Dear Board Members:
We understand that Mrs. Linda Fasbach has applied to the Board of
Trustees for a permit to make an addition to her house at 2905 Bayshore
Road, Greenport. (SCTM~1000-53-6-4).
We have found the Fasbach family to be good neighbors who have made
marked improvements to their property and their house since taking it over
from the previous owners.
As owners of the adjacent property at 2955 Bayshore Road, we want to
notify you that we have no objection to the application.
Sincerely,
Ann and George Nelson
5outhold Town
Board of Trustees
LOT 49
o
z
i PECONIC BAY
S 2,3:51 E 50.0
BULKHEAD
LOT 50
EXIST.
I BRICK PATIO I
' ' DECK ...... I
EXIST. l 1/2 STORY
~-~ · HOUSE '
~1_ PROPOSED t 5TO~
Q ~ : EXISTING GR~E TR~
= GARA'IE I
~ ' ~ EXISTING CESSF
FENCE 5'N
-LINE OF E~iSTING DECK STEPS
AND PLATFORM
~I:>ROPOSED STEPS
..... PROPOSED DRYWELL
LOT 51
EXIST. BRICK WALK
- FENCE 6 ~ N
'~ ADDmON
Z
- - PROPOSED DRYWELL
IL
FENCE 6 ° S
1390.64 TO ISLAND VIEW LANE
""' 51 E 500
BAYSHORE ROAD
FASBACH RESIDENCE
REVISED SITE PLAN
SCHEMATIC DESIGN
1,: 30' '-~1~20/03
,.-"18 1/2
12
'Town
dLJL
~nr NHH HHH
FASBACH RESIDENCE
FRONT ELEVATION
SCHEMATIC DESIGN
1/4"=1'-0'' 05/05/03
M E R Y L K R A M E R
o · o h I t e o t
124 BROAD STREET GREENPORT, NY 11944
631-477-8736
MA"(
Snuthold Town
(~o3rd of Trustees
15'-6"
45-P4045-20
rr
II
II
WINDOW
SEAT
MASTER BR.
CL.
F C~.
I n I
I"///,/~
--II
FASBACH RESIDENCE
PLAN
BATHROOM
SCHEMATIC DESIGN
1/4"=1'-0" 05/05/03
M E R Y L K R A M E R
~ r o h I t e c t
124 BROAD STREET GREENPORT. NY 11944
631-477-8738
.,.. ;,.
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
Office Use Only
Coastal Erosion Permit Application
,,,'"¢?etland Permit Application __ Major
Waiver/Amendment/Changes'
Incomplete
SEQRA Classification:
Type I Type II Unlisted
Coordination:(date sent)
,.~AC Referral Sent: ~'~-~
,,,~Date of Inspection:
Receipt of CAC Report: _
Lead Agency Determination:.__
Technical Review:
..,.~ublic Hearing Held:
Resolution:
Minor
Name of Applicant
Address
Suffolk County Tax Map Number: 1000- ~ '7~ - & - ,~
Property Location: (2.-°1~) 5 b~Kxlt~{''~ 0~:~?-'' '~. ]
~50Y. ¢1% j ~-t.t~N~4~/~h_, N"( 11545
VhoneNumber:( ) 5\ (~ (.jgq I - 11'3'4
~F,F~E~ Po&T ,b~tg~
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone: ,~t;_'~l'x~ .~O~*~x- ,'9~ql ' ~'~
Board of Trustees Application
Land Area (in square feet):
Area Zoning:
Previous use of property:
Intended use of property:
GENERAL DATA
Prior permits/approvals for site improvements:
Agency
Date
__ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
6~Xlo Yes
If yes, provide explanation:
Project Description (use attachments i£ necessary): ON~_~
Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Area ofwetlands on lot: 1550 square feet
Percent coverage of lot: i (~) %
Closest distance between nearest existing structure and upland
edge of wetlands: ~ ~ feet
Closest distance between nearest proposed structure and upland
edge of wetlands:. ~(t9 feet
Does the project involve excavation or filling7
No ~/Yes
If yes, how much material will be excavated? '~---I cubic yards
How much material will be filled? cubic yards
Depth of which material will be removed or deposited: .~ feet
Proposed slope throughout the area of operations: 1~)
Manner in which material will be removed or deposited:
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):
I PROJECT
~D NUMBER
APPENDIX ~
STATE ENVIRONMENTAL ~LITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 1 - PROJECT INFORMATION ( To be completed by .a ~ticant or Project Sponsor)
1. APPLICANT ! SPONSOR 2. PROJECT NAME
LINDA FASBACH FASBACH RESIDENCE ADDITION
3.PROJECT LOCATION:
GREENPORT SUFFOLK
Municipality County
4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map
2905 BAYSHORE ROAD
5. IS PROPOSED ACTION: ~-} New ~-~-IExpansion E~Modification/aiteration
6. DESCRIBE PROJECT BRIEFLY:
ONE STORY ADDITION TO EXISTING SINGLE FAMILY RESIDENCE
7. AMOUNT OF LAND AFFECTED:
initially .04 acres Ultimately .01 acres
8. VVILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~l Yes [] No If no, describe briefly:
ZONING VARIANCE APPLIED FOR
9. VVHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many asapply.)
I~Roa!dentlal Nl.dustrial I~lCommemial E~Agriculture I-'lParklFomstlOp~nSpace
~l Other (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal. State or Local)
I-~Yes [] No If yes, list agency name and permit / approval:
SOUTHOLD TOWN ZONING BOARD OF APPEALS AND BUILDING PERMIT
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
{~']Yes r']No If yes, list agency name and permit / approval:
NYS DEC Lt:'l"~ ER OF NON-JURISDICTION
1 ..LAS A R~;ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? es~No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Signature--_ - Io
stal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
'ART II - IMPACT ASSESSMENT (To be completed by Lead A~lenc¥)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, cnordinate the review process and uss the FULL EAF.
E~] Yes r~No
B. WILL ACTION RECEIVE COORDINATED REVlEVV AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative
declaration may be superseded by another invoNed agency.
E~Yee r'~No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED V~TH THE FOLLOVVING: (Answers may be handwritten, if legible)
C1. Existing air quality, sudane or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste produstiott or dlapesal,
potential for erosion, drainage or flooding problems? Explain briefly:
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or communi{y or neighborhood charactar? Explain bdefly:
c3. Vegetation or fauna, fish, shellfich or wildlife species, significant habitate, or threatened or endangered species? Explain briefly:
C4. A community's exis~ng pla r,.~ or goals as offtc~lly adopted, or ;~ dnange in use or Intensity of use of land or other natural resources? Explain briefly:
C5. Growth, subsequent development, or related ac6vlbos likely to be induced by the prnposed action? Explain briefly:
C6. Long term, short term, cumulative, or other effects not identified in Cl -CE,? Explain briefly:
! ........ t
C7. Othar impecfa (indudi~ chan~a inues of aithor qu~n~or lype of sner~? Ex~ain ~sflyi
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONM E NTAL AREA (~C EA~? ~lf ~/ss, ex~la!n b~lefi~:
E3ves r--INsI
..........................................................................
E. IS THERE, OR IS THERE LIKELY TO BE~ CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If~es explein:
F-I Yes r--iN°I
~ART Iti- DFT£RMI~ATIO~ O~ $10~I~ANCF (To ba complated by Agent)
INSTRUCTIONS: For e~ch adveree e ff~-'~t identifisd aboYa~ determine whsthar it is ~ub~antial, Iorga, important or otherwise significent. Each
effect *hould be asse~aed in connec~on wflh ito (a) ee~ng (Lc. u~an or rum~); (b) probabili~ of o~curfing; (¢) duration: (d) irreYsrsibilfly; (e)
geographic .~:ope; and (0 magnitude. If n~a~, add a~chmento or reIerencs ~upporting matarial~. Ensure that e×plan~ions contain
sufficient detail to show that all relevant adverse impects have been identified and adequately addressed. If question d of part ii was checked
yes, th e determination of significance must evalu ate the potential impact of the proposed action on th e environmental ch aractedstics of the C EA.
Check thle bex if you have identified o~e or more potentially lerge or significant adverce Impacte which MAY occur. Then proceed directly to the FULl
FAF and/or prepare a positive declaration.
Check this I~x if you have determined, based on the information and analysis above and any supporting documentation, [hat the proposed actiol
WILL NOT result In any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi~
determination.
Name of Lead Agency
Date
T'n'le of Responsible Officer
Print or Type Name of Responsible Officer in Lead Agency
Signature of Responsible Officer in Lead Agency Signature of Preparer (If different llrom rasponsible officer)
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
U.S. Postal Servic~
CERTIFIED MAIL RECEIPT
(Domestic Mail Only; No hTsurance Coverage Prov ded)
o,~.Bo%~, l~c&" ~ ..... ~"~ ...............
STAT, O, .................. ..... J
COUNTY OF SUFFOLK (t~~-
m~, residing at
0 ~], being duly swprn, deposes and says
that on the O.g. day ~'~,~_~, 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 rummes;
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 ~/~,~ , that
said Notices were mailed to each of said persons b~ (certified)
(registered) mail.
Swot
Notary Public, State of N~w ¥o~k
No: 52-~o81408
Qualified in Suffolk County_
..ommi~sion Expires Deo,3l ,~r'~?. ~)5
PROOF OFf'AILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
STATE OF NEW YORK
COUNTY OF SUFFOLK
U.S. Postal Service
CERTIFIED MAIL RECEIPT
(Oomestlc Mall O~ly; No Insurance Cove~'n(je Provided)
[residing at
~ duly sworn, deposes and says
that on the _~._da¥ ,~_~_, 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 ~~o~T , ~ , that
said Notices were mailed to each of said persons by (certified)
(registered) mail.
c~to b_~~,t~,s O~C~,-~ Vero,icaF. Cidone
Z Nota~ Public, State of New Y~k
/ .o:
Qualified in Suffolk Count[_ ~ ~
Commission Expires Dec.31, ~
~ / Nota~ Parc
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
STATE OF NEW YORK
COUNTY OF SUFFOLK
$ 3,1;]
· residing at
[~~O~T ;~( ,j~g duly sworn, deposes and says
that on the ~ day of~.,,~__ ,~, 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 ~~ , that
said Notices were mailed to each of said persons by (certified)
(registered) mall.
Swor~to~ore me this
Veronica F. Cidone
Notary Public, Sta+e of New York
No: 52-4661406
Qualified in Suffolk County
Commission Expires
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name: Address:
STATE OF NEW YORK
COUNTY OF SUFFOLK
U.S. Postal Service
CERTIFIED MAIL RECEIPT
IDomestlc Marl On/y; No Insursnce Coverage Provided)
I
Ros=rict~ Do~i~e~y Fee gl~: ~
[4'~~0~ ~ , being duly sworn, deposes and says
that on the ~.' day of ~ ,*~. de~nent
mailed a t~e copy of the Notice set forth in the Board of
T~stees Application, directed to each of the above n~
persons at the ad~esses set opposite there res~ct~ve n~es;
that the addresses set opposite the n~es of said persons are
the add. ss of said ~rsons as sho~ on the current assessment
roll of the ~ of Southold; that said Notices were ~1~ at
the U.ited Offi=e Nf ,
said Notices were mailed to each of said ~rsons by (certified)
(registered) mail.
Sworn ~ b~f~)re me this
~ / Nota~ Pu61~
Veronica F. Oldone
Notary Public, Stme of New York
No: 52-4661406
Qualified in Suffolk County
Commission Expires Dec.31,
Albert J. Krupski, President
James King, Vice-President
Attic 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
In the Matter of the Application of
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I, ~J~,~..~ I ~*~aJ4q. g~ . residing at l "~z~ ~) ~V~
being duly sworn, depose and say:
That on the [0 day olX]0~ , 200~I personally, posted the property, known as
by placing the Board of.~mstees official poster whet~ it can easily be se~n, an~:l' 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~ !1~ !ID_'Z. Om ~1" O. bOJ.'t "}'~D ~.
Dated: JI~/u[F /v, ~StooB
Sworn to before me this
/o day of,)~,aC 2003
Board of Trustees Application
County of Suffolk
State of New York
~X~.~;~D,,x~[.,, R~~-~ BEINGDULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY
BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES
HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREIVI~SES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. v 5~laature
SWORN TO BEFORE ME THIS ~c~ DAY OF ('~ ~
20
LYNDA M. BOHN
NOTARY PUBLIC, State of New Yo~
No. 01 BO6020932
Qualified in Suffolk County_
Term Expires March 8, 2{) ~
LETTER OF AUTHORZZATZON
r. lr. and M~s. RJchmd Fad)e~
PO Booc 215
Glenhead, NY 11545
April 21, 2003
05/21/2003
~ 13 03
12:84 ~,317S59064 ZONINGAPPEALSBOARD .: P,~GE 81
M E R Y L K R A M E R
a r c h i t e c t
May 21, 2003
Board of Town Trustees
Town of Southold
Town Hall, 53095 Main Road
P.O. Box 728
Southold New York 1197~.
RE:
Fasbach Residence
Tax Map # 1000-53-6-4
Dear Trustees:
I am requesting a permit for the above referenced property. For your review I am submittingthe
following documents:
1. Three copies of Completed Application for Permit including General Data,
Wetland/Trustee Land Data, Notarized Affidavit and Transactional Disclosure Forms
2. Three Copies of Completed Part ~. of Short Environmental Assessment Form
3. Three Site Plans prepared by Meryl Kramer Architect dated May 5, 2003
4. Three surveys dated July 5, 1978 prepared by Roderick VanTuyl, PC.
5. Authorization Letter
6. Proof of Mailing of Notices to adjacent property owners to be sent under separate
cover after date of hearing has been established.
If you have any questions, please do not hesitate to call me.
Sincerely,
Cc: Linda and Richard Fasbach
124 BROAD STREET G R E E N PO RT, NY ~- 1944 63 I -4 77-8 736 631-477 8936 CAX
DRAWING LIST
SHEET NO DRAWING TITLE DATE
I TITLE PAGE ~ SITE Pt. Nq 05/05/03
SITE DATA
OWNER
GREEN;~RT, NY
LOT COVER~E
ZONING
SURVEYOR
F~, HOUSE~
EXIST. GN~AGE:
E~ST. DECt<:
EXIST, BI~tCI'( RATIO:.
EYJejT, SHED:
TorN.:
PROFOSED N)Drfl0N:
ALL(~t/APAE lOT COVERAGE:
. P.O.
GREENPORT,flY
JULY 5, t978
2O%
BUILDING HEIGHT ALI. OW~iLE- 35 FEEt
E~IST,- 17'-~' PROPOSEDAODI*110N- 14'-3"
BI.I~LDING EXCEEDS MIN. REQUIREMENT~ ~ FORTH BY N.Y.
ENERGY GODE STATE RESIDEBfilN. BUILDING CODE
DESJGN GPa'TERIA TYPE OF C(~I~'TRUCTION - WO~O PLATFORM FRAMING - DOUGI.A5 F1R #2
~W LO~D - 45 PSF., RRS~ PLOOR - LL 40 PSF,, SECOND FLOOR - LL 30 PSF.
WIND sPEED- 120 MPH., FROST UNE DEPTH - 36'
SEI~IC ZONE - B
WEA~ING - SEVERE
~ D.tt~GE - MODERA3E/HE. AW
DESIGN IN ACCORDANCE ~TH ,M~IERI~'4 F~ PRODUC~ ~ FRAME
CONSTRUC'T~N MANUAL FOR 1 & 2 F~tLY HOUSE * ENGINJ~ERED DE~
LOCATION MAP
N,T,S,
S23' 5~.'=I~'Y , l ~0~'
LOTe~
LOT 5~
BAYSHORE ROAD
50.0~
SITE, PLAN
1"=20'-0"
LEGEND
SECTION
__ ~ECRON NUMBER
ELEVATION S'~
ELEI,~TIGN NUMBER
gHEET NUMBER
DETNL FLAG SYMBOL
DETNL NUMBER
SHEET NUMBER
COLUMN UNE
ELEVATION MN;~K
Ei~UIPMENT NUMBER
R~V;SioN SYMe~L
Q W~HD0W
S~eOL
~il~
DOOR' NUMBER
PN~rITIGN TYPE
GYPSUM WALL BOARD
ROUGH WOOD BLOCKING
SECTION)
LOCKING
F~NISH WOOD
PLYWOOD (LARGE SCALE)
NEW WAL~
E~STING WALL
ABBRE~A~ON