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Home My WebLink AboutTR-6061 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0508C Date: January 19, 2010 THIS CERTIFIES that the expansion of the existing dwelling by converting decks and front stoop into interior living space At 7345 Soundview Avenue, Southold, New York Suffolk County Tax Map # 59-6-5.2 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 12/29/04 pursuant to which Trustees Wetland Permit # 6061 Dated 1/19/05 was issued conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the expansion of existing dwellin~ by converting decks and front stoop into interior living space The certificate is issued to Zbigniew Kozlowski owner of the aforesaid property.' Authorized Signature James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DAT,~O F INSPECTION: Ch. 275 .Ch. 111 INSPECTION SCHEDULE __ Pre-construction, hay bale line/silt boom/silt Curtain __ lSt day of construction ¢/~/rc°nstructed eject cOmplete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: 0L ~ Albert J. Ki'upski, James King, Vice-President .krt ie Fester Ken Poliwoda Pegg5~ A. Dickerson BOARD OF TOW!~ TOWN OF SOUTHOLI~ Town Hall 53095 Route 25 P.O. Box 1179 S.outhold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 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. INSPECTION SCHEDULE __ Pre-construction, hay bale line __ 1st day of construction % constructed ~"Project complete, compliance inspection. TERMS ,ncl CONDITIONS ~ ~ Zbigniew Kozlowski ~lt 7345 Soundview Ave.. Sn,,rhnld . . . .~-~ N. Y~ ~ 1. Tim theuid~T~~eT~~d~ ~~ 4. ~t~~l~~to ~ ~~m 7. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peg~, A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 January 19, 2005 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Zbigniew Kozlowski 7345 Soundview Ave. Southold, NY 11971 RE: 7345 SOUNDVIEWAVE., SOUTHOLD SCTM#59-6-5.2 Dear Mr. Kozlowski: The Board of Town Trustees took the following action during its regular meeting held on Wed., January 19, 2005 regarding the above matter: WHEREAS, ZBIGNIEW KOZLOWSKI 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 December 29, 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 January 19, 2005, 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 ZBIGNIEW KOZLOWSKI to expand the existing single-family dwelling by converting decks and the front stoop into interior living space, and all as depicted on the survey prepared by John T. Metzger last dated August 25, 2004. 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, Albert J. Krupski, Jr. President, Board of Trustees AJK/Ims Albert J. Krupski, President James K~ng, Vice-President ... -,M't ie 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 Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: has been and the ( '")Application Approved (see below) ( )Application Denied (see below) ( )Application Tabled (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 l 1 / 15/04 Field Inspection Telephone 1.63 I) 765-1892 Town Hall 53095 Route 25 ~} P.O. Bo~: 1179 Southold, New York 11971-~}959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD TO: Southold Town Board of Trustees FROM: Southold Town Conservation Advisory Council DATE: January 11,2005 RE: Recommendations A meeting of the Southold Town Conservation Advisory Council was held Tues., January 11,2005. The following recommendations were made: DISCUSSION AND RECOMMENDATION OF WETLAND PERMIT & COASTAL EROSION PERMIT APPLICATIONS Moved by William Cook, seconded by Don Wilder, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of ZBIGNIEW KOZLOWSKI to expand the existing single- family dwelling by converting decks and the front stoop into interior living space. Located: 7345 Soundview Ave., Southold. SCTM#59-6-5.2 Vote of Council: Ayes: All Motion Carried DEPARTMENT OF ENVIRONMENTAL RVATION EFFECTIVE DATE 16 November 2004 EXPIRATION DATE(S) 30 November 2009 DEC PERMIT NUMBER 1-4738-03360/00001 FACILITY/PROGRAM NUMBER(S) PERMIT Under the Environmental Conservation Law TYPE OF PERMIT · New [] Renewal [] Modification [] Permit to Construct [] Permit to Operate [] Article 15, Title 5: Protection of Waters [] 6NYCRR 608: Water Quality Certification [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management [] Article 15, Title 15: Water Supply [] Article 15, Title 15: Water Transport [] Adicle 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Potlubon Control [] Article 23. Title 27: Mined Land Reclamation · Adicle 24: Freshwater Wetlands [] Article 25: Tidal Wetlands [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Adicle 36: Floodplain Management [] Adicles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Zbi~niew Kozlowski 631-765-5040 ADDRESS OF PERMllq-EE 7345 Soundview Avenue, Southold, NY 11971 CONTACT PERSON FOR PERMITTED WORK I TELEPHONE NUMBER , Zbi9niew Kozlowski I 'NAME AND ADDRESS OF PROJECT/FACILITY · Kozlowski Property, 7345 Soundview Avenue, Southold LOCATION OF PROJECT/FACILITY SCTM: 1000-059-06-5.2 COUNTY I TOWN Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY: WATERCOURSE NYTM COORDINATES Great Pond E: 713.9 N: 4549.0 Expand the existing single family dwelling by converting decks and the front stoop into interior living space. Install an additional drywell to capture roof runoff. All work is to be done in accordance with the attached plans stamped NYSDEC approved. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS George W. Hammarth, Region 1 Headquarters Deputy Permit Adminstrator Bldg. ¢h4.0, SUNY, Stony Brook, NY 11790-2356 Page 1 of 4 N 'C FLOOD ZONES FROM FIRM SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000 - 59 - 06 - 5.2 SCALE' 1" = 30' JUNE 27, 2O03 Dec. 9, PO03 trevisionsl Au]. 25, 2004 (LIMITS OF CLEARING) LOT COVERAGE F/ETLANDS- 8397 / 3P373 . 25% HOUSE (existing] = 4.4% oiler conslruclion . 7% (631) 765 - flOP0 F~X (631) 765 - 1797 P. O. BOX 909 1230 TRAVELER STREET o~ ~.CT~V 7~o9 OF T~. ~ y~ STATE ~ ~CEPT AS ~ ~CT~ 7E09- S~,~ 2. ALL ~TF~TIO~ SAD ~P ~ C~S B~R ~ ~E~ S~L ~ ~ ~VEYOR A~TI~LL Y TO C~L Y WITH ~ LAW TERM ~ST ~ ~ BY ~Y A~ ALL S~VEY~$ UT~ A C~Y ' 8ROU~T - TO - DATE ' A~ ~T ~ C~ WITH T~ LAW. SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNT~ ooo - JU~ 2~ 2003 ~c. 9, ~003 frevis~s) LOT COVERAGE WETLA~S- ~7 /~373 = ~6~ ...: ~. =~ ~ /. : ~ ,,.,~..;~ ~ -" ." ~ LIC. NO. zt961e AREA = 32,375 sq. ft.-* " .."' ~0~ ZONES FROM FIRM ~d ~ ~OR~ ...'"" ~ · 3~03C0154 G (6~ '.~ ~l) 765 - 1797 ..-' Moy ~ 1998 P. o. ~ I ~3 0 ?EE T C~TO~ L~$ A~ REFERENCED TO N.~.V,D. SOUTHOL ~. 11971 03- ~53 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 I~ceived Applicat~ ~4~eceived Fee:$ .oc ~,~ ,-'C'ompleted Application~ Incomplete SEQRA Classification: Type I Type II Unlisted.__ Coordination:(date se,nt~. ,,~o'~C Referral Sent: ~i~ate of Inspection:_ Illql~ .Receipt of CAC Report: Lead Agency Determination:__ Technical Review: 7Public Hearing Held: Resolution: Minor Name of Applicant ~. ~ i ~.-~b4 Address ~ 5 ~O~ VI~ ~1 IIq~l Phone Number:( Suffolk County Tax Map Number: Property Location: ~ 3 hff ~OO ~ ~VlffW (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): 32 5la _C'(~.. qQ~ Area Zoning: (~e~,'tJeaar[o-{ Previous use of property: Intended use of property: (.53c~cn e .~ 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? · t- No Yes If yes, provide explanation: Project Description (use attachments if necessary): fe jo_~ct . of Trustees Applicat WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: E nco ca e p.i ~c ixe ~x t~ ~x n Area of wetlands on lot: .square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands:. ~./5' ± feet Closest distance between nearest proposed structure and upland edge of wetlands: ~5- t feet Does the project involve excavation or filling? No v/ Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited:. Proposed slope throughout the area of operations: t~ - I o c.[ ~ Manner in which material will be removed or deposited: feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peg~, A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southo!d, 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) JAN o ~?,.5 S0uth01d Town Bo3rd of Trustees being dui)' swum, depose and sa3': That on they / day of ~ ~_ ,20 )0~, I personally posted the property known as by placing the Board of Trustees official poster xvhere 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 k_lJ~J.,3O t'}, ftC] ;o~ ,.. _ . Dated: Swum to before me this day of 34-~,~200 S' [' o 0 dU6059400 Cow,..ss~on Exp res May 29, 20 O~ NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: Z~,e~ 1~O~lO~3~( YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review~is located adjacent to your property and is described as follows: ~{~C~c~+~.~O..t~'5 O_~ ~'J~,O~ ~O 49o~ k~,-:~.~,~ e~e~,'~I ,-~ga~. over I 3. That the project which is subject to ~nvironment~l Rev±ew under Chapters 32, 37, or 97 of the Town Code is open to public comment on: ;ltql~o.D~ 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. MAILING ADDRESS ~.'37~ ~oc~013 , MY Ilqql PHONE Enc.: Copy of sketch or plan showing proposal for your convenience. ~oard of Trustees ApplicatiOn County of Suffolk State of New York ' ?..t..gt.O$/'CI BEING DULY SWORN DEPOSES'A~ND 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 PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS 20/4~ DAYOF ~'3~ce~,gecc ,200,0 ot~a~ Public~~ John M. Judge NOTARY PUBLIC State ot New York No. 01JU605940~ Oualified ~n SuWolk County Commission Expires May ~)9, 20 10. 617.2.1 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION {To be completed by Applicant or Proiect s0onsor) 1. APPLICANT/SPONSOR PROPOSED ACTION: [] New [] Expansion ~MoPdicatlonialleration OESCRIBE PI~OJECT 8RIE~FLY: ~ WILL -ROPOSED ACTION COMPLY WITH -~'(ISTING E. ONING OR ~Yes [] NO I[ NO. describe briefly OTHER EXISTING ~.~,ND USE RESTRICTIONS? WHAT IS RRE=~ENT LAI';O IJSE IN VICINITY OF PROJECT? DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNCING. NOW OR ULTIMA~'ELY FROM ANY OTHER G(~VERNMENTAL AGENCY (FEDERAL, 11. SEQ STATE o. LOCAU? ~'Yes ~]No Ifyes. llstagency~,and~ermitlaoorovals ~)I'IC~' ~_ ODES ANY ASPECT OF TH~ ACTIOI4 HAVE A CURRENTLY VALIO PERMIT OR APPROVAL? " ~Yes' ~ NO If yes. mist agency name and permit/aPproval ~ ~ 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION') ] CERTIFY THAT THE INFORMATION PROVIDED ASOVE E TRUE TO T~E 3EST OF MY KNOWLEDGE ]Yes If the action is Jn the Coastal Area, and you are a state agency, complete the j Coastal Assessment Form before.proceeding with this a.s._.,sessment OVER 1, APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to vrovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption fi.om plat or official map Other (If "Other", name the activity.) Do you personally (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 / If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold /0 ~,~ Title or position of that person Describe the relationship between yourself(the applicant/agent/representative) 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 all that apply): A) the owner of greater than 5% of the shares of the coq~orate 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 Submitted this ,~t~-- d~ay of ,.~' , sig at e Print Name ~.-.o-,/.w~.-