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Home My WebLink AboutTR-5956 (2)Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Pegg~ A. Dickerson Town Hall 53096 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. INSPECTION SCHEDULE __ Pre-construction, hay bale line __ 1st day of construction % constructed j/Project complete, compliance inspection. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO... ~'~'-~'... DATE: July 21, 2004 ISSUED TO CONSTANTINOS MARKOTSIS Pursuant to the provisions of Chapter 615 of the L~ws of the State of New York, 1893: and Chapter 404 of the ~ of the · State of New Yo~ 19~2: and ~e So~hdd To t~ ."R~U~N~ AND ~E ~GIN~ OF OBSTRUC~S IN AND ON TOWN WATERS AND PUBLIC ~DS RE~OVAL OF SAND, ~VEL. OR O~ER ~ATERIA~ ~DS UNDER TOWN WA~RS:~. and in ec~an~ ~dh '~e Re~ldlo~ of ~e B~rd adopted et ~ meeting he~ ~ ......~.~.;~.,. '. ~..'.., and Jn consideration of the sum of $...~.~.~.:..~?. ....... ~Id by of ................. ~.~.~.~.~ .........................' ...................... N. Y. and ~ubject to the Te~s ~nd ~nd~i~s li~ed on the ~ve~ ride ~f, ~ of~hdd To~' T~s authorizes and to the existing dwelling, with the' condition drywells & gutters are installed to contain th~ roof run-off, and all as depicted on the survey prepared by John T. Metzger last dated 9/15/04.- ~ ~ e~e~ w~h the defend IN W~S WHERe, by causes 1ts Corporate Seal to be affixed, and these prese~fls to b~ subsc~ff~d by a'majorlty of the ~akl Board .as of thh date. TEP~S ,nd CONDITIONS P~,,~_~e. Constantinos. Markotsis 145 Williams, burg Rd., Southol,~i m'.,,.~,~- the stm~ute et ptoiect Involved. to pmv~le ~ to *nyone eoncemed dm ~ ~xfmdo~ wu od~in,ll? ~tdned. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poli~voda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Seuthold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 July 21,2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Vicki Toth P.O. Box 61 Shoreham, NY 11786-0061 RE: CONSTANTINOS MARKOTSIS 145 WILLIAMSBURG RD., SOUTHOLD SCTM#78-5-12 Dear Ms. Toth: The Board of Town Trustees took the following action during its regular meeting held on Thursday, July 21, 2004 regarding the above matter: WHEREAS, Vicki Toth on behalf of CONSTANTINOS MARKOTSIS 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 8, 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 July 21, 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, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of CONSTANTINOS MARKOTSIS to construct a one-story addition with a fireplace to the existing dwelling, with the condition dryweils and gutters are installed to contain the roof run-off, and all as depicted on the survey prepared by John T. Metzger last dated September 15, 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 King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 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 TO: Please be advised that your application dated (o1%} .C~ reviewed by this Board at the regular meeting of Q [~)-t ~ 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 for[h 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 Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, July 13, 2004, the following recommendation was made: Moved by Don Wilder, seconded by Bill Cook, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of CONSTANTINO$ MARKOT$1S to construct a 25'X 25' one-story addition with a fireplace to the existing house. Located: 145 Williamsburg Rd., Southold. SCTM#78-5-12 The CAC recommends Approval of the application with the Condition drywells and gutters are installed to contain the roof run-off and a 10' non-turf buffer is installed landward of the bulkhead. Vote of Council: Ayes: All Motion Carried Albert J. Krupski, President James King, Vice-President Artie Foster I<en 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 $OUTHOLD Office Use Only Coastal Erosion Permit Application _~etland pernUt Application ~'~vlajor W aiv er/Amendm, e/$/Cl~ng _e ~ ~--"Rece~vved Application: &'g'ceived Fee:$ ~1~,~-''~-~'~'-'- ~ompleted Application ~ __Incomplete __SEQRA Classification: Type I Type II Unlisted __Coordmation:(date sent) ~AC Referral Sent~ ~ate of Inspection: __Receipt of CAC Report: __Lead Agency Determination:__ Technical Review: ~---"911blic Hearing Held: ?/dl/O] Resolution: Minor Name of Applicant 00/3 ~'~L.~ nO Address /~5-' W, I] ~am~,a ~ rar~,.e ~30t'//~Phone Number:5~ ' Suffolk Co=tyT~ Map Number: 1000- Prope~Location: O~Ol~ ~ ~rovide L~CO Pole g, distance to cross streets, (If applicable) Address: ~0 Phone: ! Board of Trustees Application Land Area (in square feet): Area Zoning: ~r~/~ Previous use of property: ~) I ~ lntendeduseofproperty: %((36t~/e 4(~ 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? ~( No Yes If yes, provide explanation: Project Description (use attachments if necessary): oudZ- . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: ~ (~~ ir~- ~(D~! Area of wetlands on lot: square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: ~7/, c~ ' feet Closest distance between nearest proposed structure and upland edge of wetlands: ~_ ~. ~ ' feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards ~)¥~tv, · How much material will be filled? (~) cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: 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): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME ' . County SEQR 3.PROJECT LOCATION: Municipeli~ PRECISE LOCATION: S~eet addess and Road Inte~fions, Prominent landmass etc -or provide map IS PROPOSED ACTION: [] New [] Expansion [] Modification / alleration DESCRIBE PROJECT BRIEFLY: Con - ce o._ ' 7. AMOUNT OF N AFFECTED: Initially ~(~ ~N~cros U ,timately (./~z'~ S'~' acres 8. ~LL PROPOSED ACTION COMPLY ~TN ~ISTING ZONING OR OTHER RESTRICTIONS? ~Yes ~ No If no. des~ bdefly: 9 WHAT IS PRESENT ~ND USE IN VlGINI~ OF PROJECT? (Ch~seasmanyasapply.) ~Residential ~lndustdal ~Commercial ~ricultum ~Pa~lforest/O.nSpace ~O,er (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) r'~']Yes ~]No If yes, list agency name and permit/ approval: 50L~.'~I(~'~'~L.~"~ ~J~ p~-[~U.'J(- coa o a ',o PERM,T OR APPRbV^C? lt. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY V L ]Yes [--~No If yes. list agency name and permit / approval: 12. AS A RESULT Of PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/ S~onsor Name~'~' (~l"~iA/7~/~~S ~vl~."~[~S Date: ~7/~/'~'~ Signature - . _ If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT {To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordifiate the review process and use the FULL EAF. [~] Yes E~No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1 Existing air quaifiy, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production o~ disposal, potential for erosion, drainage or flooding problems? Explain briefly: I C2 Aesthetic, agricultural, amhaeotogical, historic, or other r~tural or cultural resources; or community or neighbe~hood character? Explain bdetty: C3. Vegetation o~ fauna fish shellfish or wildlife species, significant hab'tats, or threa ened or endangered sgec'es p ' y: I I C4. A commu n~ty's existing '~la ns or ~3als as '~'~c~lly a~r~{ed, ~;' a chan~]~ in' us~ or intensity of use 0 lanai or other r;etu~'al r~SOU~;? Explain brietly: I C5. Growth', subsequent devel(~pment, ~ related activities like['y t~) be ind~ca~l bi the p~ro~o~e~ acfion~ Explain briefly: I C6. Long term, short term, cumulative, oi other e~fec~' n~i'identifie~l in (~1-C5'~ 'Explain bdefly: C7. Other imp~'cts' (includin~ chanties in use of eith~errqu~nU~'c~r ~)e of energia/? Explain bdefl}': D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ICEAI? IIf )'es, explain briefly': E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completad by Agency) INSTRUCTIONS: Foreachadversee~ectideeti~edabeve~detarminewhetheritissubstantia~Iarge~imp~¢tantor~therwisesigni~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of par~ ii was checked yes, the determination of significance must evaluata the potential impact of the proposed action on the environmental characteristics of the C EA. Check this box if you have identified one or mom potentially large or significant adverse impacts which MAY occur. Then proceed direly to the FULl EAF and/or prepare a positiv~ declaration. Check this box if you have determined, based on the information and analysis above and any suppoding documentation, that the proposed actior WILL NOT result in any significant adverse environmental impacts AND provide, on atlechments as necessary, the reasons supporting thi= determination. Name of Lead Agency Date Title of Responsible Officer Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Board of Trustees Application County of Suffolk State of New York ~ ~ %4<kf% ~' :30=~ ~r~Oq~t'~ 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 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. Signature SWORN TO BEFORE ME THIS /~ DAYOF //~ Notar~'Public - - - PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~/, L/C, -?-o440 , residing at ~ -~cvb~ ~:~-~_ ..~._-~,o[ d ~0"~... I I el'r/ , bein.~ duly sworn, deposes and says that on the ~ day of ~'"['tx~c~ ,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 ~~oc~0411._~ , that said Notices were mailed to each of said persons by ~registered) mail. (~A .Q~ ~'~ Sworn to before me this Day of -..~ ,20 Notary Public suSAN K TOOl(ER NOTARY PUP ~ Commission Exp~es May l 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 COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, 0 [ C~.( --~C~ , residing at k-~'~ ~-~-'~0J.~o~-) ~ ( O ~ being duly sworn, depose ~d say:k That~on the[~ay o~, 200~I perso~lly postedJhe prope~ ~own ~ by ~lacing the Bo~d of ~stees/official poster where it c~ e~ily be seen, ~d ~at I have checked to be s~e the poster h~ rem~ned in place for ei~t days prior to the date of~e public he~ng. Date ofhe~ng noted thereon to be held I ~. ~ ~ , ~ ~ · Dated: Swom to before me this day o f,.~bL/.~200 t/ #OTKq? PUBLIg, Slate d No. 4852500, Suffolk ~rd of Trustees Applicati~ AUTHORI ZATTON (where the applicant is not the owner) I, d~~f%0~ ~'~('I~::D~LS(~ residing at 40 /~'k (print owner of property) (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the nert of town officem and emolov~s. The oumo~ Of this form is to orovidc information which can alc~ thc town of oossible conflicts of interest and allow it to ~ whatever ac~;ion iT pccessarv to avoid same. (Last name, f~t nmfle, 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 corepany's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee ~- Change of Zone Coastal Erosion Apl~oval of plat Mooring F~emptioo from plat or official reap Planning Other Do you personelly (or throt~h your company, spouse, sibling, parent, or child) have a rel~ouship with any officer or employee of the Town of Soothold? "Relationship" includes by blood, ro~-ia~e, or business intere~ "Business interest" reenns a husinasr,, including a p~,nership, in which the town officer or ereployce has even a pattial ownership of (or ereployment by) a coq~oration in which the town officer or employce owns more than 5% of the shams. 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 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 flum 5% of the shares of the corporate stock oftl~ applicant (when *he applicant is a corporation); __B) the legal or beneficial owne~ of any interest in a non-corporat~ entity (when the applicant is not a corporation); C) an officer, director, patmer, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted th_is ...~._d~y of~J__.~d_~200,~. Print Name ~,~.~.77~