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HomeMy WebLinkAboutTR-5777 , 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¿v8/!ct; ActQ INSPECTION SCHEDULE V Pre-construction, hay bale line \ \ \ -t\~<j b v... J ~ 1 sl day of construction Yo constructed V Project complete, compliance inspection. . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Roule 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 Ms. Anna Acker P.O. Box 429 Shoreham, NY 11786 RE: 855 PINE NECK RD., SOUTHOLD SCTM#70-5-33 Dear Ms. Acker: 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 South old Town Board of Trustees APPROVE the Amendment to Permit #5777 to renovate the existing dwelling and convert the crawl space to a full basement, with the condition drywells and gutters are installed and hay bales are placed down prior to construction, and all as depicted on the site plan prepared by Jeffrey T. Butler dated April 23, 2004. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, b~·19· ~.t}. Albert J. Krupski, Jr. President, Board of Trustees AJK:lms . . 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 Dr. Anna Acker P.O. Box 429 Shoreham, NY 11786 RE: 855 PINE NECK RD., SOUTHOLD SCTM#70-S-33 Dear Dr. Acker: 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 #5777 from Michael D. Anerella to Anna Acker. If you have any questions, please contact our office at (631) 765-1892. Sincerely, ~.i9 ~'(}. Albert J. Krupski, Jr. President, Board of Trustees AJK:1ms Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. $1'1 DATE: June 18, 2003 ISSUED TO... MICHAEI...P.:..!\t-iERELLA ................ Aut~nrilntinn Pursuant to the provisions of Chapter 615 of the Laws 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 "REGULA TING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;!'. and in accordance with the Resolution of The BOard adopted at a meeting held on ..J.\l.n~..)ª.L. ZO~.~....., and 'in consideration of the sum. of $.490....0.0.. .... pðid by .. .....Mic4.ª.~LP.,.. .Ama:ella.... . ... ............................................ of ....J"II!"-:Íc:":..!"~~":t"'s. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the foftowing: Wetland Permit to rebuild the existing kitchen at the rear of th . house, .on the original footprint, providing proper foundation & roof, wlth the condition that gutters & drywells are installed and a.s depicted on .the sit~ plan. preR¡¡,red by Michael An~rell~ aM In accordance with the defailed 1peçltlcationr as presentea In the originating tpplication. last revised June 30, 2003 IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a.majority of the said Board as of this dat.e. . . -,.....-. '.'. ,."1. '. '. ....,. ."'., .. '.". . 'fa 1,',. III I.'. .. '. .,. .. .." ....,. .. .. .. .. ..'. .. .-. .. .. .. .. .. .. '. .. .. .. "'::... TERMS and CONDmONS The PemW:tee Michael D. Anerella residingJ84-38 Aberdeen Rd., Jamaica Estates. NY 1l4~2 N. y~ as part of the coosiden.ûoo for the ¡.....,.,... of the Permit dots ÞødenIaod and presc:dbe to the fol- lowing: 1. That the said Baud of Trustees and the Town 01 Soud>oId _ released &om ur¡ and aU damages. or cWms fot damages, of suIu arisiøg dUecdy or iaditecdy as . rauIt of ur¡ ~. .ûoa peáom>ed pinumt to this permit. and the said r.-...J'tCoc will, It his or her own ~. defend ur¡ and aU ouch Mtdniûaœd by third ponies, and the said .......II\oN! ........... £aU Jiabi1/ty with respect thereto, to the complete c:xdusion of the Baud 01 TIIIStI:eS of the Town 01 SnndJoId 2. That this Peønic is ...ud fOr . period of 24 mos. which is coasideœd to be the estimated time· requked to complete the work ¡"wMcI, but sboaId åt<miIstmces warraat, ~ for an exœasioo may be mode to the Board at . b1er c!aI>e. 3. That this Permit should be retaiøed indeCUJite/.y. or as loag as the said Permhtee 'II'ishCs to ,.,.¡....õn tbe strueture or project ¡"volved, to provide evidence to anJOOe cooœmed chat auth- .orizaûoo was originally obtaioed. 4. That the work involm will be IUbject to the inspectioo and approval of the Booud or ¡IS ~ and """""""III.",.,. with. the ptoYisioas of the oMgi....fÕ»g appIkatioa, _y be øase f« revocaûon of this Permit by raoIutioo of the said Board. S. That there will be no ........son."~e ¡"terfereoce with navigation as a rauIt of the woå: beœIn authorized. . . 6. That there oba1J. be no interference with the right of the public to pass and RpUS a1oag. the beach between high and low _let marks. . 7. That if future operarloas of the Town of SoutboId tequire the remooa1 and/« altetations ¡" the location of the 190<1< herein ...tJonrI-I, or if. ¡" the opiøioo 01 the Board 01 TIUSteeS, the . wod<: shall cause _sonable obsttucøon to free navigatioo. the said P-nõ~ will be rec¡uhed. apoa due noûa; to remove or alter this 190tk or project beœIn lUted wicbout f"1'Ol>U'I to the Town of Souehold. 8. That the said Board ""ill be nocified by the Permittee ot the ~ of the work auth- orized. 9. That the Permittee will obtain aU other permia and consenlS that may be requùed sap; plementa1 to chis permit wbich _y be subject to revolœ upon fallure to obtain same. :. . . .. '.....-,.....,....,.,..\.,..,...,..\... . .. .... .. ..1.,..'....,..,'.. .. .. '. a._ ......,. .. A.. .... _ . _ _ . ,. . ,- -..,-.,-.. . . 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 June 18, 2003 Mr. Michael D. Anerella 184-38 Aberdeen Rd. Jamaica Estates, NY 11432 RE: 855 Pine Neck Rd., South old SCTM#70-S-33 Dear Mr. Anerella: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 18,2003 regarding the above matter: WHEREAS, MICHAEL D. ANERELLA 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 South old, application dated May 29,2003, 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, 2 . . NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MICHAEL D. ANERELLA to rebuild the existing kitchen at the rear of the house, on the original footprint, providing proper foundation and roof, with the condition that gutters and drywells are installed, and as depicted on the site plan prepared by Michael D. Anerella, last revised June 30, 2003. 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 ofthe date of this notification. Inspections are required at a fee of$5.00 per inspection. (See attached schedule.) Fees: $10.00 Very truly yours, b~-I 17. 4. f a..~' It. /' 7 r Albert J. Krupski, Jr. President, Board of Trustees AJK/lms - r ") IYYI ~ ~ II - N I Ii ...... :;:) ~ cj .0: .\1 ,., c - om", E . .'ii o ~'" 0 " . !- æ~~ ~ Go t... - ~~~ j - Q "........ . Q.VI ,... ~. ~ -~ l~ z -II N t ui \/I Q/ ~ "t U ä.:¡; d :>.. "" ""0 d O>~ o CO> ~ =c ~ d"L d .'"::5 T'tJ..c"'ð ." ""Q/Q>t d "'~- o QI g..c~ Q!M ~L.1It L .;t'? ~""~8 UIf') <[ (¡,I-- 010 GluGlL.g ~ 21 ""u> 'G.t R d din... C ~I ~Q.I~~'. >0 '-0... L~O""oC C Q.. 0 '" a.. +" a._ L o...J 0 OJ .... \.. Q.I tn; <[ ¡, +",,:.: 't:J::i C Q.I..s::..c If) '" _ CL. Q.I E+' "0 CO%£OLd"- u",£d - t-::5 Q.~.::o dC""'Z - ~u~ ~ E~d~~ ~v; t-?QQ..t=u>~ <[....CÜ M "" ~-4 Ñri..f=lfi\Ó ,...: >= Z ." Õ .í: "" ::. o '" " - ::.;:0 WO W(Y) Ck: U, >- + W~ ::';:.¡.> U-o 0'- J J< v (Y) , '<t '<t - II . - (ìJ W ..J <[ U (/) .....--i . APPr:.OVED b I .-~- BOARD OF T" i TOW: 1/t?/ð ~ 12dJ?-~1 ~ ~ , i i!I I I ~ ..J o LL LL ~:J ft(/) o W I- o Z ~ ~ i~~ -"0 0_ _ I""¥ ~ fU" _ co - i ä:i ~ ~ i g ~ 0 ~ I ~ j ~ 0 :a rJ) I ° V II . ..... W ..J <[ U (I) . . Telephone (631) 765-1892 Town Hall 53095 Roule 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 Monday, February 23, 2004, the following recommendation was made: ANNA ACKER requests an Amendment to Permit #5777 to convert the crawl space of the existing dwelling to a full 8' basement. Located: 855 Pine Neck Rd., Southold. SCTM#70-5-33 APPLICATION POSTPONED UNTIL FURTHER NOTICE . . 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 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 DISAPPROVAL of the Wetland Permit application of MICHAEL D. ANERELLA to rebuild the existing kitchen at the rear of the house, on the original footprint, providing proper foundation and roof. Located: 855 Pine Neck Rd., Southold. SCTM#70-5-33 The CAC recommends Disapproval of the application because the existing structure shown on the plans does not match what actually exists on the site. Vote of Council: Ayes: All Motion Carried . c o ~ o 1) c ) o k t ~ t-¡-t ..... .._.......... : p r: I"" II" II' ,"" I ! l..ª'...... '"') ---*..·..,;..........·t· ~~IT'CJ]Œî I~ j '.(~ i!!~ + [, J l' ,.......13["'= ....~__.... .BD I I ~f'"'-""" 4: ~l'! L~....1r ~ ,., I ( '\.., i 0 1- ¡ mm ....................................... jll . y. ~ $ ~ L J c r ¡: c ,~ ~ U $ (,1 ,., I J 0 ^ I 0 ..i I.. () 0 LL ~ q¡ Z hi pI U\ r " +' ( )( hj ~ if t Jf¡' lJ9f I ¡¡ ,g i¡:: ~ ", g!lg ¡¡¡tlo II ,; ~. ¡a ~t.. VI ii' J L mtrli .. . _II 1~j'sJ.lt - - [ o ... o > q¡ (;j ,., [ o " L fõ) lE lC; lE ~ WI lE fñì lIìl MAY 2 9 2003 lW ~ 0 > ill ,., c () L lL ( ! ( ,., ( ~~ x w i . ANY ¡&L J'DIA TION OR ADDITION TO T1"IS stfiVEr IS A VIOLA T10N ~~~~ 1lf~,[rNr'g.~T£t.~lC'riØ.'r1oNs HEReON ARE VALID FOR TH$ MAP A/I) COPES T1£R£OF OM. Y F SAID MAP OR COPIES B~R TT-IE IMPReSSED SEAL OF THE SUR'iêYOR WHOSE SIGNA TURE APPEARS 1£1fEON. ADDlT1ON¡&LL Y TO COMPL Y Wfm SAD LAir T1E TERM "AL TŒEO BY· UUST BE USUJ BY ANY ¡¡.NO ALL SURVEYORS UTILIZING A COPy OF A/KJTHEfl SURVEYOR'S MAP. 7'ERIIS SUCH AS "'SPFCTED" AfÐ "BROUGHT-TO--OA~ ARE NOT IN COAfl..WK:E",T71 T~ LAIf'. AREA = 7. 2017 Be. The localions of weUs and cesspools shown hereon are Irorn field observallotrs and or (rom dalo obtained from others. ¡ I ./OC-b '.'.'" <!:"ÿ \. " " CJB ~..,,~ ~~Jf- ~B:5'.J'.~ ~~ ~"'.e-- ~ .""...t. ( amlatrllrl ,,¡n, Hre ST~fI()ARDS FOR APPROVAL ANf) COIISTRUCTiON OF _ACE $£rA(;£ OISPOSAL Sysroo FOR smLE rAMI. r IlESŒNŒS «td..t1bIœÞl"" ~ HIlmI! l/Iøf'eJrœdon"" pMIIiffocDt!Jfrvc/, N . . -- '- . " (J .... 1 ~ ~ '0 ',. 1 ¡$ n Ij 0:" ~. c, ... '" " " "i ; ¡" '" cS g] ;¡, ~ ~ ð '::ER rIFlED 1'0' .\,(fCHA£,,- D. ':',·JEl~£:...,-A R08ÝN CANNARIA TO ANERELLA SUTTON LAND SERVICES. INC. S) '" .... '" .... ç:¡ ct: ~ ~ ).. ~ ~ ~. L I 1 I I i$ ~ <.; ~ c, ~ " ~ '" " ~ \? ~ fö)~~~~Wl~rñì ml MAY 2 9 2003 lW SUi VEY OF PROP RT n T SUFFOLK COUNTY, NY 1000-70-05-33 SCALE, 1" = 50' OCT 1, 7998 9/5" z ----.,,¡-----~ ~ " '" '" a C vi JUL y /6, 1999 r'CQIJ/OtJr IlntH ...- N. 83~45·oO· If'. -- 5. LIe. NO. 49618 PINE NECK /33.97' ROAD CONTOUR LINES IJ.RE c;E~ERE....cEO TO ....¡.:;.1/ D. N.Y. u__·_____·_ _ " " "~~} .;" ~.' ì ',' ~ <>-z' ~---:c-/- ~ 't~I" ., ~ ª .? "- ~ ~ '.', - ...-.J;~, _I ,...--- ~ . ~, " ~ -~q '., ~ _ !..V' .~" I, " . .¡--...... ----f'~- !!~ , \' ~'.." .. YI'> '1_ J 'I ;¡ I , - ",,-,~. ", ~~ ."'\"'~,'i' "~I f--J . . ,)- I 2::; J~-: ;;;¡ II' ".~kJJ ~ /" ~ ;:. \,.~ ~ . . I . - /- .¡~\,... '''.\' -' dll J II' ',,~,,;.v-~.:. ~ ;~\ ~,l ~. 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III , '-4 ~. 2' ~Ie.,¡ , , ,,:..._~.,~.-:-, i I Iii . = if' 1 i , r "ì r;- ~ 11i~:' Ui¡ ~!~ i" ':.....j"! e J] f:t-;f- ~-r·-.~.R=,~trF:i:'~ir=~ :tl : 1~1·'i.~~ ·t,.¡·~::.¡~·:-, F·· ·~\~j.(,...:;.}~Ü\~ .j '~', e ~". m :J0!~ '--oJ..,., e '-_ I . ~ ~¡.-.- I ni i . ¡ - ~ ~ j!; + .~" ,.,,-- '-- ~ i~. -~ ~, '. .\ I ~~¥B";I~~ .,- , - a-" 1,:, ~..-,' I !!L~! .' rl;I~B~ II 11/111111111111111 1111111111111111111//1111 n 11//1/11111111111111111111111111111111 · C> : ~ r-- " ~ c> i '. 'J: ! i ,j I i · I í p ¡: , : .¡ i , ,. ., .' .-;11 i"~ , ",. " .;' " ..~ j ~ ¡ I a!e I I 16 I" ,'111 - ~! lEi-I. , Ij ª j I II ¡j /Ii/ j!i~ . . ~IU:EIH 0 APR 1 3 2004 ~ Southold Town Board 01 Trusten April 12,2004 To: Town of Southold Trustees From: Anna Acker in reference to 855 Pine Neck Rd. Southold, NY. For the April 21, 2004 meeting I am submitting revised plans for the above property. By the determination of my engineer, Jeffrey Butler, and the Southold building department, the existing structure would probably not withstand a renovation to present day code. I am now applying for approval for construction of the submitted plans with a full basement for a year round home. According to the Southold building department these house plans conform to the existing building envelope and require no variances to build. I have also spoken to the DEC and as long as I keep the approved seaward house dimensions they have no problem with building landward. The DEC has also approved removing 29 yards of soil to allow for a full basement on the already trustee approved extension. I am submitting this DEC approval as well. I know this all sounds very confusing, confusing to me too. If you have any questions before April 21,2004 please do not hesitate to call me at 516-818-7103. Sincerely, /' ~ ~a.rJ Anna Acker -. ~ 4JEFFREYT. BUTLER, P.E. .. P.O. Box 634 Shoreham, New York 11786 (631) 208-8850 Member National Society of Professional Engineers Licensed Professional Engineer April 15, 2004 Anna Acker P.O. Box 429 Shoreham, NY 11786 Re: Residence at Pine Neck Road SCTM # 1000-70-05-33 Anna: An inspection was made on your behalf at the above referenced address for the purpose of an engineering and code evaluation relating to a proposed first and seoond story addition to the existing structure. The existing structure was built on locust posts buried in the ground with a 2x6 floor system. This existing structure can bearly handle it's own weight let alone the loads imposed by a second floor addition. If fact, the existing structure does not meet the current building code for foundation requirements and load requirements as it presently sits. Any minor addition to this structure outside the existing footprint would require only that portion of the structure to be compliant with the new building code provided that the existing structure was not altered. However, any addition above the existing structure or any alteration of the existing space would require that the new portion, as well as the existing structure, be compliant with the code. Based upon the existing conditions observed, in my professional opinion it would be technically infeasible to alter this structure in such an manner so that it would comply with the code. Any plans for alteration of existing space or a second floor addition would require complete demolition and rebuild. Please feel free to contact this office if we can be of further assistance. _r"·~":':";""·l..o ~'.-'~\.. .:. , t'f rlf,,; , ':'~ .;;;" '(i:"~ :~'~ . a¡ ~.... ,\-", ...,. . i~' 'ii':. ,.I : '..' , ~ ....\' :1'11' '" . ~ f, -p ,:. .!' "t..f-\~' .~ ,> :II ,~ '\ ~" ;-,"'I,r ,t:-: I,~ .~ .:" 3JÞ~~ <,~ '1 ..' . ';'')' ¡~ l. ',~. (, ,~. ,,~j--.) l.~~ ¡J4 'l'. .' ~,,,,..~ ",\ ~, '-. ·__-._.c_,:-·.~·" .1"'- r,,;.> ")""r: '-'\\.J..._~..,,-i. . ~, , .' .1'",,-'1 . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hal! 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 APPLICATION FOR AN AMENDMENT TO A PERMIT DATE ~lJ (Oc( ~ ~ f~B ~: ~~ ~ 5"' \ \0 '6l . I D.;) Southold Town rustees OWNER A Y\ "'0.. Ac-k ekL PHONE ADDRESS p,o 80'>'. 4"";\.9 S\"o~~ "''1i. \I{~ A"""" A~ PHONE 'S~ AGENT ADDRESS s~ PROPERTY LOCATION 'í3S5 ¡"'''''o:.- v'\ec.k Q,ct. S OJ'I--lo\ct_ TAX MAP NO. 70-5-3""3 (j)w e (0 ÄV'\",O- A~ request an Amendment to Permit # S '1 '1 Î 10 ~ ~ ~ h ~* . (2) A '.sf) -\-0 Mi~ A",~~ -\0 c...... ~ '(sf ~""'"'*. ~ L~~~, ,A ""'0- ~,>k Å ~'C.. , Signed By: ,-. /1 ~~- ~ C,ttA ~\~\O~t/ . Board Of Southold Town Trustees SOUTH OLD, NEW YORK PERMIT NO. 5711 DATE: Jlme 18,2003 ISSUED TO. MICHAEL D. ANERELLA Autl1orilatiott Pursuant to the provisions of Chapter b I 5 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;". and in accordance with the Resolution of The Bòard adopted at a meeting held on J1J.Il",)8.. .. 2003., and in consideration of the sum of $ 2QO.Q,Q.. paid by Mich"e.LP. A!J.erella of. Jamaica Estates N, Y. and subjec:t to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to rebuild the existing kitchen at the rear of th . house, on the original footprint, providing proper foundation & roof. with the condition that gutters & drywells are installed, ' and as depicted on the sit~ p~iln pre¡:¡ared bv Michael A '" ella all in accordance with the defalleà speeit'cationr as presenteêr,if the originating application. last revised June 30, 2003, IN WITNESS WHEREOF, The said Board of Trustees here· by causes its Corporate Seal to be affixed, and these presents to be subscribed by ð majority of the said Board as of this dat.e, d~~AÁp . :; . , r:bP.LJ: (.. r 6'. '¿(;:'.---k~~ I . Trustees . . h6USe 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 ___l:JlJr\~<:Il___~~_~~Jr:______________________________ COUNTY OF SUFFOLK) ST ATE OF NEW YORK) AFFIDAVIT OF POSTING I, Av--V"\.Oo- A~ , residing at p <). ~o><- 4d-.C1 \\l~ Si-..~ l Y'\'d being duly sworn, depose and say: Dated: That on the 11 day of Fe h , 200'1-, I personally posted the property known as ~J'5" ¡J ,~ ~ 'R-d So v'ltvo l.eA I 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 ei~t days prior to the date of the public hearing. Date of hearing noted thereon to be held l)Jt2d., &..b.. ~,..'I ("y"'.lc.t - 0('\ r::r a.a C),..t:t· r'): 00 P N\ . ~~ (signature) Sworn to before me this I L day ofQýJÒ \ 200 ï ~'Cl Notary b1 c ;-... !". .,"¡ ~~::~;4 ,~. ,~'. -, " ,-,~ ;":':-,.'1 York J,¡::.-.I'··,;,~C():,;.l:y /' 11."..;,:, ..~!:¡:;.:>l;)n Ò,;~118S 1:"21/?O~ . . 184-38 Aberdeen Road Jamaica Estates, NY 11432 January 29, 2004 Albert J. Krupski. Jr. President. Board of Trustees Town of South old Town Hall 53095 Route 25 P.O. Box 1179 Southold, NY 11971-0959 Re: Permit Number 5777 Dear Mr. Krupski: Please be advised that effective January 30, 2004, [ will transfer ownership of the property (855 Pine Neck Road, Southold, NY) for which the above referenced pennit has been issued. to Anna Andrews-Acker, P.O. Box 429, Shoreham, NY 11786. Therefore. as of that date [ request that your permit be transferred to Ms. Andrews-Acker accordingly. Sincerely. if,aQ~QO Michael D. Anerella BoartlÞf Trustees Application 4IÞ County of Suffolk State of New York .. , . A-","\.o-.. A J~ 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 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 'iIRTUE 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. .. ( /i ~~ l./'-<::/7.....ßA/l.-- Signature SWORN TO_BEFORE ME THIS 3 DAY OF ~~ ,19 ~D7' ~(hM~ Not y Publ c I'AT1IfCfA CORWIN Notary MII~ Sf:!te of New YoJtI No.OlCOS0178S2 Qual.i,d in Suffolk County Comm"Slon Expi... S.pt. J3,~m 7 . . APPLICANT/AGENTnREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town ofSoutbold's Code of Ethics Drohibits conflicts of interest on the cart of town officers and enmlovees. The DUmose of this fonn is to Dcovide infonnation which can alert the town of DOssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: A \'\ "" 0-- M. A c.kj.Y2... (Last name, first name, middle inilial, 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 ~on fi"om plat or official map \Q!I!Y (If "Other", name the aclivity.) ^ ~ ~+ -k f'~. 5'111 Do you personally (or through your company, spouse, sibling, parenl, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, maniage, or business interest "Business interest" means a business, including a partnership, in which the lown officer or employee has even a partial ownership of (or employmenl by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO V If you answered "YES", complete the balance of this fonn and date and sign where indicaled. Name of person employed by the Town of South old Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check Ihe appropriale line A) Ihrough D) and/or describe in the space provided. The lown officer or employee or his or her spouse, sibling, parent, or child is (check all thaI apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applicanl (when the applicanl 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 3~d ~ooY Signature C "2- Print Name . A>1""", Achr.> I'KIIICIA CORWIN Notary MIle. SIll..'..... M No. 011:05017152 c""I,ed in SuIIoIIICau!III "" -" ,-- Come,.:.'· ExpiraS' lI.IJ, .;vOJ ~IL~ . . 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 ....w-etland Permit Application ~Major _ W aiver/ Amendment/Changes -LReceived Application: S/a9/03 'Received Fee:$~lY)"'" _ÇQmpleted Application $QIQ.3 _Incomplete _ SEQRA Classification: Type I_Type II_Unlisted_ Coordination:( date sent) _.e:AC Referral Sent:· ~9/03 _ ..B1íte of Inspection: (ø/I I /0..3 _Receipt ofCAC Report: _Lead Agency Determination: Technical Review: /'{1Úblic Hearing Held: ~ /11 /O~ Resolution: Minor þ--....... . . I \? IE 0 S thOld Town 80 d 01 Trustees < Name of Applicant_V\ I~~ D, AY\-e..d'_U~ Address IS4-~ž3 Ab.e.vcl.p,p"",ßd, J4>^^B-cU t'stJ-~ Nt.¡ I\U?'2. Phone Numberte? ~D - (,,o,B6 ~ Ú;;J, I) -, 4'1 -1~ \ h...) ~~ N~ 11"'171 ~\'ð--~ Suffolk County Tax Map Number: 1000- 70 -o5-~3 Property Location: 9.s-ç RoM? Nd íÙ s.,u~ .1 ( ~Ir. 0> \Jl~' ~kJ<>vJ'" (provide LILCO Pole #, distance to cros streets, and location) AGENT: (If applicable) Address: Phone: . . Board of Trustees Application GENERAL DATA Land Area (in square feet): J. 2.0 t7 ti "- v-e6 Area Zoning: eAt? ~,ø;5J ~ '~ cL-DQ , ~ ~ Previous use of property: Intended use of property: Prior permits/approvals for site improvements: L ~ate M &;Þ¥TI ~.$BtJ ) _ 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: Project Description (use attachments if necessary): "' MAY 2 9 20m ~ ~ 0'VAL- ðF- P«,{NjO()S("; uBÐ .... . . Board of Trustees Application WETLANDffRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:~, () J ~~ß L -I ~-e.Y ~Þ-FCM-~ ~ Area of wetlands on lot: Þ square feet Percent coverage oflot: ð. / % Closest distance between nearest existing structure and upland edge of wetlands: 7 ¿ feet Closest distance between nearest proposed structure and upland edge of wetlands: 7 c. feet Does the project involve excavation or filling? No V Yes If yes, how much material will be excavated? 2- cubic yards How much material will be filled? C> cubic yards Depth of which material will be removed or deposited: ~ feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: M~ w--cØ Þ- ~ ~ ~Ai:; ~~~~ Statement of the effect, ifany, on the wetlands and tidal waters oftheJown that may result by reason of such proposed operations (use attachments ifappropri'ate): - N"" ~~~'W~ 9 2.003 ... old Town Board of Truslees . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: J.11Jv.e-PV. A,~flø.. SCTMuooo-7o-o~-33 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: ~b ,/} r~ 17-( ~ c>Y~ ~~U.I á. ....1"\ 11'~Jll /2ßN E£V(;Á l.- '" F PIU5Y / &-U 5l.- '1 / S 5lA e:-o P€1<-fVl,-r 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 8 ~ P/'¡1€- tJ'e¿.~ ~C2 d NJYfl- s~ S¿ p~ ~~) ~ ~ ~~ 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, Enc.: Copy of sketch or plan showing proposal for your convenience. .,. D¡e«:[Š~WlE ~ D LlAY 2 9 2003 Southold Town Board of Trustees s . . '.4-16-4 (2/87)- Tex! 12 I PROJECT 1.0, NUM8E.' 617.21 Appendix C State Environmental Quality Review SHORTEN~RONMENTALASSESSMENTFORM For UNLJSíED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Projecl sponsor) SEa I 2. J. PROJECT LOCATION: n J Municlpalllv ~cL County S&4'T,11t::.- J. PAECtSE LO~lrep:::'S~j~n'ii!1tions. prominent landmarks. etc., or ,:¡rovlce map) N.rt..H... 5~ z( P.M-. Na.4-- f2-J, ~ ~ß~~~ Oa~ 5. IS PROPOSED ACTION: o New 0 Expansion 6. DESCRIBE PAOJEC"i BRIEFLY: ~dificatIOn¡a teraljOn ~~f~>{~ cz:t ó"Y1 ~-f'~ ~ W-f~ 7. AMOUNT OF U.NO ;,F¡:;:'CTED; Initially ð acres Ultimatelv ð acres 3. ·N.IL~ .=:.aOrI)SE~ ACTION CGMPL':' 'NITH EXISTING ZONING OR CTHE~ EXISTING '",.;.,..0 IJSë .=:Ë.37~IC7ICNS? ~es U No !r No. describe briefly '3. '.".HAT!ß ?RESENT LAt~D UEë. IN VICINITY OF ?ROJECT? ~s¡denUa [J.~ncus:naJ C Commercial Qesc:,be: o .~gricUlture -.-J Parl<:/ForesUOcen space UOther 10. DOES ACTION INVOLVe A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMAiELY ~ROM ANY OTHER GOVERNMENTAL AGENCY (FË.iJERAl, STATE OM: LOC.3.LJ? ~s DNa If yes, list agency(s) and permit/acprovals 11. DOES ANY ASPECT OF THe ACTIOH HAve A CURRENTLY VALID PERMIT OR APCAOVAL? o Yes· ~ No If yes. list ageracy name and permIt/approval 12. AS ~ESULT OF PROPOSED ACTJON WILL EXISTING PERMIT/APPROVAL i1.EQUIRE .'-1QOIFIC,3.ïtCN? ~es DNa _.. " I CEiiTIF"( THAT THE INFORMATION PROVIDED A80VE [S TRUE:O THI; ),pclicant/sponsor \lI1-'i Signature: If the action is in the COc::!$tal Area. and 'Iou are a stat Coastal Assessment Form beiore proceeding with agency e a.:;.~essmenl .Id ¡.... d· ¡he OVER ;:I..~¡;ï 1'_~~'PJlRC~JME:-Jï.~· .ëS3~11E~Jï ,.J ::Ie C::r."'.:¡-=~e':J. -:.'( .l;;e:""\c . .... ::c.::.:s ..;..::-;C,'~ =.H...-=.::'_ :"~"{ ,.-"c:.. 7¡....?=.~r:ClJ 'N '5 ,'i'~C:=.? :¡:..r:, 5';.';:""' '/ ¡i!S. ::)crOIf1atB :1'103 r':V'I!'N :roc~ss ana 'Jsa '.~B .=:JL_ 2'¡.\;:; _ '~~s I_,\¡O 3. .'J\L~ :..C-;-:Ci'l .~E·::::;\¡:: :::CPDIN':" 7'2.J ~E'.f!E'N ...5 ;J=:C'JI[jE~ =.:;:1; '.JNl.37~0 :"C7:CNS ,N 5 ·\ '(S:=.R. :J .1,';, -3 ~ ;-.S7 -nay ,~e sucersece':: ~y ~nc{:-:et ,nvOlvea ac;enc'" .1 ·~O. .3. 1p.'::;.3c·¡e :~C;,!r': l_v!S '- ~o C. S'::UlD ,;C7tCN :¡.ESUL-;-·N .1.NY .J.DVE;::ïS¡: :::=:::~,:75 ..\5;SCC:.:..7=:;:) ',vIiI-! -:-::= '=·JL:"":"NI:-.iG. ,,~nswers :;la" ':9 ianc:wrn:e!1. .f :e';JcCêl :,. :::tlstlng :ilr cuallty, :>urrac:~ .)t 'JrOl.:nCWate~ :ualily Jr ,:cantlty. .10lse ,ev~IS. ~;o::s'lng ~~a:fic :at~¿rns. SOIIC ,v.¡s¡e Jrcc~c::::n Jr jls:: :JO!enrlal fer !ros.on. :.ralna¡;e at :Iooc!lOq JroOlems'! S-;Olal" ::1nerly: r:z. Aesmetlc, 3¡;flc:,¡Uurat. :irc:'Ia.eoloq!Cal. :'IStonc. Jt JLher .1at:,¡ral :lr C:.lltur31 ;eSOUtces: :It ':::Jmmumt', :It ,leLl;:'Iccrnooa ':~<i.rac:er? =:XolaLn _, '--I. 'Je¡;elatton .)r :auna. :15n_ 3r.eltfisn or 'Nllallle soec¡es. .iLgnuicant :"Iamta!!>. :lr :nre3C¿ne<J or ~ncanc;erea .!cec::es? Sct.un ~nðrly~ c~_ A c::mmum('f'S ¿xls.:ng ;:lIans or .¡oats as otflc:..lly at2eoted. ·:lr a cnange In use or intensity ':It use of !ancJ or atrler nacural resourcS5? Ë.'CoJaJn :.: "'~. Giowth. 5u:)seCtJen( :eveloomenc. :)r relatea aC::VltLes likelY ~o :Ie ,noucec -:;y ~he :rcooseo .3.c:ion? ;::X¡)rasn -:;rreilv. ....0. '_.::ng ·erm. .!nor: :~r;;l. ::,¡rr.Ulàtlve. )r ather glfec:s n.el ,ce:1tltieo 'n C~·':5? ::.\:Jla!n ~nef!'f. ....'. ·::tr:2! moac:z inC:.JCLnç =:-:ançes ,n 'Jse 01 ~Ither q\)anuty <?r :y¡:e af ~ne!çï ' ~'(::I!a.!n :tLen·f. J. S -~~:;E.:R ,S :-¡.,€:;;:;.E _:K2:!.::' 70 :iE. :::::.'lï:=lCVE:=S'( ~E!...A7E::J 7'0 ?QT::;:-JT!;..,- ~:\I=;::¡,S2 ::.'I'JIRCNME~I';'L ·,·.~P~G7S? __ ':'es ·_,~o :f ·~es. ~xclaln :Jne!ly "ART III-DETERMINATION OF SiGNIFIC-\NCE (To oe comoleled oy Agency) INS7RUCiJONS: For ~3C:¡ adverse ~rfec: Idemified at::ove. determine wnetner It is Slibsranrial. large. ;mcortãm or OtnerNlse signlfic :3.c:1 ~ifec: silould be assessed in connection witn Its (a setting ¡Le. urcan or rural); (tl .Jraoacility of o<;:::~q; (C) duration irre'¡erslbllity; :e geogracnic zcoce; ana (f) magnltuc:e. If l1ecessarv add attachmentS or reference supponing materials. ::1SUr8 ~xclanaticns c~ntaln suttic:ent deIail !o snow that all re!e'lant adv~rse impacts have been idemifiea and ac1eQuat8lY accressec_ C:--JeCK :his box if you have Icenrifiea ene ~r more .:::otenrially larçe ar significant aC'Iarse oc:::.;r. Then :Jraceea Qirec~ly to :he FULL :¿.J.,r :ma/or prepare a positive- aeclaraticn. C:--Jec~< ~his ~ox :r 'fOU ì1ave determined, ~ased On the inrc(mátit:Jn 3.nd an dac:.;men¡arlcn. :në:.t :r.e :nooosea action WILL ~JOT reslJ tin~ny SI t AND JrcvICe sn attaC:1menrs :IS necessary. the ~easons SUDcorti m '<....'....11_.....<..1 '.;t:'I1C·' ac:s whic:l t.1A ': "'"nl JI . ..!.:t:' ~..,n.. JI -<L·~;¿cn'.Oh~ ~Ir'c~r n :.........:1 ~"cnC"' :,<;n.ItUf~ / {"'~CO(".o,t:' ':r:,.:;:'r " .~Ja .,.;",ncv :rom ft:',oon\.o,<! ..)rr'(~r' J..IC 2 . . 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 --------------------------------------------------------------- In the Matter of the Application of _~_~_~CLi___(;)_~__~~_~~_\.\~__________________ COUNTY OF SUFFOLK) ST ATE OF NEW YORK) AFFIDAVIT OF POSTING I,~ QpoJ]¿ , residing at Ilq1/ That on the by placing the Board of Trustees official poster wlìere it can easily be seen, and that I have checked 10 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 ~ l t , ao~ ()I"\.;y:- o.k1ß..lt 11:û. fm . Dated: Sworn to before me this /Ddayof9~200.J ~a.~ ~ Notary ublic LINDA J. COOPER Notary Public. Stata of New York No. 41!22563. Sdfolk CwrUY 1 _ ~ 1~rr;. :::~¡:>¡;"es DeceiTlüer :; 1, ~,.b . Arrtt~^N't TRANSACTIONAL DISCLOSURE FORM . The To~n of Soukhold's Code of Ebhice Prohibibs contlicbs of inberesb on the part of bo~n officers and employeeS. The purpose of this form ie to provide information which can alert ~he town of possible conflicts of interest and allow it to take whatever action is tlÐcessarv to avoid same. TOUR NAHE. Ån-e Last name, fir m ddle you Bre applying in the name of someone else or Qt.her entity, Buch ~s a company. If BO, indicate the other persoh's or company's name.) '., ;.:~":~.'.::/. "i'.~-:·;;,:f~.:,!:t· NATURE Or APrLI~ATION. (Check all thab apply.) Tlix grievancs Variance Change of Eone Ap'p~~al of plat _____ Exs.ption from platvor other /' (If "other," name the activity.) ,~ officlal map b~ oR-lv....r~ Do YOd personally (or through your cbMpsny, _pöuøe, bibl1hg. parent, or child) hove a relationship vith BnT officer or e.ployea o~ the Town of Southold? -RelatIonshIp· includes by blood, .arriage, or business intere8~. -Ðusin@sø intereet" Means a budneRs, including a partnernhip, in which Ehe town officer or employee han even a partial ownership of (or eMploYMenl: by) a corporation in which the town officer or e_ployee ovnø ~ore than 5% of the sh"areø .. TES NO / If you snewered "TES,". complete the balance of thin form and da~e aDd sign where indica~ed. Nam.. of person employed by the Town of Soubhold TI~le or position of that p..reon D....crlb.. the relationship bebween youre..lf (th.. applicant) and the town officer ør employee. Either check the appropriate line ~) ~hrough D) and/or descrlb.. In the space provided, The town officer or employe.. or hla or her apousa, eibling, parent, or child is (check all that apply), _____A) the own"r of graater bhan 5% ~f the shares of the corporate etock of the applicant (when the applicant· Is a corporation), _____B) the legal or beneficlal owner o"f..any" int..rea~ in a noncorporate'entity (when the appLicant is not a corpora tion), _____C) an officer, director, pa.rbl;l"r, ~2'1t'¡::.1 W ~ .... applicant, or a _____D) the !lptual applicsnb, MAY 2 ~ 2003 DESCRIPTION OF RELATIONSIIIP ,.1. I . ... .. .. ..- .. .. ~~h~T~Jt.": '.._.~.~.. ':.~'." RMlrn of. Trlt!\tp.p.~ sublftiu..d utl~,iE~~t~~~11 ~é Slgnatur"~r"I' '~ . 'Print name _ . ..." .:' !.~ <,' i. .·t·,~,\~,· ~.. ' . .' .'<,~ :....MÌ-,i~l.· . . ~.:\ .~ :. ..q~,;,:.~~..,. - I . -.... ¡ ;".. r 'I' ~ú". !: '