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Home My WebLink AboutTR-6088A . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 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 Date: May 13,2008 # 03l2C THIS CERTIFIES that the construction of a covered porch and mudroom At 245 Pine Place, East Marion, New York Suffolk County Tax Map # 37-4-13 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 3/8/05 pursuant to which Trustees Permit # 6088A Dated 3/23/05. Was issued, and conforms to all ofthe requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a covered porch and mudroom The certificate is issued to JOANNE BRANCATO owner of the aforesaid property. r~~ Authorized Signature Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda PegK~ 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 Permit No.: 6088a Date of Receipt of Application: March 8, 2005 Applicant: Joanne Brancato SCTM#: 37-4-13 Project Location: 245 Pine Place, East Marion Date of Resolution/Issuance: March 23, 2005 Date of Expiration: March 23, 2007 Reviewed by: Board of Trustees Project Description: Construct a covered porch and mudroom on the landward side of the dwelling and all as per plans surveyed by John Ehlers and revised 2-28-05, with the condition of a drywell to contain roof runoff. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. The issuance of the Administrative Permit allows for the operations as indicated in the project description. Special Conditions: Dry well to contain roof runoff. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Albert J. Krupski, Jr., President Board of Trustees iI Sou~ ~md lown Bo3rd of Trustees LI.! ro Iii Office Use Only __Coaslal Erosion Permit Application/ __Wetland P~rmit ApplicationV Administrative Permit AmendmeoffTrans fer/E xten sion ~.~Completed Application ,~ [~/~ __Incomplete __SEQRA Classification: Type I __Type II Unlisted __Coordination:(dam sent). CAC Referral S~nt: __Rec.~ipt of CAC Report: __Lead Agency Dotcnv. ination: Technical Review: Rcsolation: ~c..' :.',3 [['.'~ll B~3rcl of Trtlstees Name of Applicant Address (J~) Phone Number:( ) ~-~ Suffolk County Tax Map Number: 1000- ~ ~ - 4 ~' t'Z~ Property Location: ~' C~'~ Pi("LC 0~"~0_~ ~ (provide LILCO Pole #, distance to cross streets, and Iocmion) AGENT: (If applicable) Address: Phone: of Trustees ApplicationO Land Area (in square feet): Area Zoning: Previous use of property: Imended 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? ~' No Yes If yes, provide explanation: Project Description (use attachments if necessary): ~lJ~,.~) ~/~.~ of Trustees Applications WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~0~ f)~ ~~ Area of wetlands on lot: -- square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: _'~ ~f feet Closest distance between nearest proposed slxueture and upland edge of wetlands: (~ ~ 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: 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 opm'ations (use attachments if appropriate): N6'N~ ~oard of Trustees Applicati~ County of Suffolk State of New York z.qO EINO DULY swo 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 CLAEVIS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THE1R AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMlSES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~ ~] Signa~ture SWORN TO BEFORE ME THIS John M. Judge NOTARY PUBLIC State of No~t Yorl( No. 01JL 6059400 Qualih~d Iq Suffolk County Comln~ss~on Expires May ~9, 20 02,'04/2005 01:1~ FA~ 212 7518437 ~,~ANCATO ~)ESIGF AUTHORIZATION (wh~rg d~ applicant is ~ot thc owm~r) owner Of~r~) (~.ili.~ ~) apply for permit(s) from t~c ~1ooi 02/04/2005 0%'1'1 FAX 212 ~001 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Fo~m TS I M e R Y L K R A M E R a r c h i t e c t March 8, 2005 Board of Town Trustees Town of Southold Town Hall, 53095 Main Road P.O. Box 728 Southold New York 11971 RE: Brancato/Wirtz Residence Tax Map # 1000-37-4-13 Dear Trustees: I am requesting an administrative permit for the above referenced property. For your review I am submitting the following documents: 1. Three copies of Completed Application for Permit including General Data, Wetland/Trustee Lands Application Data, Notarized Affidavit and Transactional Disclosure Forms 2. Three Copies of Completed Part i of Short Environmental Assessment Form 3. Three surveys dated FebruapJ 28, 2005 prepared by John C, Ehlers, Land Surveyor 4. Three copies of plans and elevations prepared by Meryl Kramer Architect 5. Application fee of $250.00 6. Authorization Letter If you have any questions, please do not hesitate to call me. Sincerely, Cc: Joann Brancato 31 SOUTH SIREEI P.O. BO'~ 683 GREENPORT. h~ ] L944 631-477-8736 631-4~7-8936 FA'~