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Home My WebLink AboutTR-5475Albert J. Krupski, President James tGng, 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 June 18, 2003 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Mr. & Mrs. Joseph Como 40300 Main Rd. Peconic, NY 11958 800 LAKESIDE DR. NORTH, SOUTHOLD SCTM#90-3-6 Dear Mr.& Mrs. Como: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 18, 2003: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5475 to change the location of the garage and driveway, and as depicted on the survey prepared by Stanley J. Isaksen, Jr. dated January 8, 2001 and approved J-ane-t-87g003. ?l ?1o2¢ This is not a determination from any other agency. If you have any questions, please call our office at (631) 765 - 1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms Telephone (631) 765-1892 Town H',dl, 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 Drew Dillingham, seconded by Melvyn Morris, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Amendment application of JOSEPH & CRISTINA COMO to Amend Permit #5475 to change the location of the garage and driveway. Located: 800 Lakeside Drive North, Southold. SCTM#90-3-6 The CAC recommends Disapproval of the application because the project was not staked. Vote of Council: Ayes: All Motion Carried Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hull 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 May 1, 2003 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. & Mrs. Joseph Como 40300 Main Rd. Peconic, NY 11958 RE: 800 LAKESIDE DR. NORTH, SOUTHOLD SCTM#90-3-6 Dear Mr. & Mrs. Como: The following action was taken by the Southold Toxvn Board of Trustees at their Regular Meeting held on Wednesday, April 30, 2003: RESOLVED, that the Southold Town Board of Trustees APPROVE the Transfer of Permit #5475 from Ernest Schneider to Joseph & Cristina Como. This is not a determination from any other agency. If you have any questions, please call our office at (63 I) 765-1892. Sincerely, President, Board of Trustees AJK:lms Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 January 23, 2003 Land Use Ecological Sen'ices, Inc 2576 Sound Avenue Baiting Hollow, NY 11933 SCTM#90-3-6 Ernest Schneider 800 Lakeside Drive North Southold, NY Gentlemen: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, January 22, 2003. RESOLVED, that the Southold Town Board of Trustees Approve an .~nendmcnt to Permit #5475 to reduce dwelling size and locate said dwelling further landward If you have any questions, please call our office at 765-1892. Sincerely, Albert J. Kru0ski, Jr. President, Board of Trustees cc: Building Department AJK:cjc Talephone (631) 765-1892 H',~. 5309.5 Ma/a Road P.O. Box 11'79 Southold, New Yo~k 11971 SOUTHOLD T 0 ~l'~ C01NSER¥.~-TI0~ ADVISORY COUI"ICIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, January 15, 2003. the following recommendation was made: ERNEST SCHNEIDER to Amend Permit #5475 to reflect a reduced dwelling and locates said dwelling further landward than previously proposed. Located: 800 Lakeside Dr., Southold. SCTM#90-3-6 The CAC did not make an inspection, therefore no recommendation was made. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK DATE: ..~.?~ '. :~2... 2.00],. ISSUED TO ERNEST H. SCHNEIDER Pursuant to the provisions of Chapter 615 of the I~ws of the State of New YorE, 1893; and Chapter 40~ of the Lavn of the State of New Yore 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 Board adopted at a meeting held on ..]~.~.~....):.c~r, .. 2(~., and in consideration of the sum of $......~.L?... mid by ...... Er9:~.. H,..$~bneicte. r ........................................... . of .................. ~.9~h9~ .......................N. Y. and subject to the Terms and Conditions listed on the reverse slde hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to construct a single-family dwelling(2,000 sf.), 24'X24' garage, assoc, sanitary system and pervious driveway, with the condition that a row of staked hay bales is placed down at the 50' non-disturbance line before construction and gutter~ & all in accordance with the detailed specifications as presented in the odginatlna al~pfication. drywells mstalle~ for the roof run-off. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these ~,resents to be subscribed by a'majorlty of the smd Board as of this date. 'z ri ' ~r~stee$ TERMS and CONDmONS Ernest H. Schneider 915 Lakeside Dr., North, Southold patz of the consideradoa for the i~,~,~e of the p,n~, does umle~l and presto'be to the fol- lowiag: respect there., to the complete ~dnsioa of the Boml of Trustees ot the Town 2. That ~, Permit is' vaBd loc a peziod o~ 24 mo~ wblch b cornmeal to be dxe estimated ~,~-' required to COmlgete the wodc involved, b~t'~mld clrcumstaac~ wamu~ ~ for an ~on may be made to the Boerd at a !=*,'- al=h-_ ~. That r~i~ Pennlt should be t~ained indefmltdy, or as long ts the _--H P.~nee wislm to maintain the structure o~ project involved, to pt~:~vicle evidence to atizado~ was originally 4. That &e work involved will be subject to the impecfi0o and app~al of ~ Bocci or iu agcat3, aad non-mmpliance with. the provisions of the ori~g application, may be ~,~ for rcyocado(z of this Petmlt by resolution of thc saki Boazd. 7. That ff future ope~tlom of flze Town of 5~uthold recluire the temov~ and/oe sleetmtaes in the Iocatio~ of the wodc bercla audxodzed, or if. ia the ot~ ~ the Bo~d o~ Tmstee~ the work ~ cause unreasonable ob~tx~Izon to f~ee navlgatloo, the said Pexmi~tee will be upo~ due notice, to remove or alter ~ work o~ project heteln totted without ezpen~ to the 8, That the said Board wif! be notified by the Permitxee ot ~e c0alp[e~kmof the ~ozk mxth- orized. That the Permittee will obtain ~11 other pe,~;- and cot~ne~ d~t may be piementa/ to this permit w~i~_ may be m~ject to revoke upon failure to o~ala 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 December 28, 2001 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Mr. Charles W. Bowman Land Use Ecological Services, Inc. 2576 Sound Ave. Baiting Hollow, NY 11933 ERNEST H. SCHNEIDER 800 Lakeside Dr. North, Southold SCTM#90-3-6 Dear Mr. Bowman: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 19, 2001 regarding the above matter: WHEREAS, Land Use Ecological Services, Inc. on behalf of ERNEST H. SCHNEIDER applied to the Southold Toxvn Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated September 26, 2001, and, WHEREAS, said application xvas 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 December 19, 2001, 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 ERNEST H. SCHNEIDER to construct a single-family dwelling (2,000 sf. footprint), 24'X 24' garage, associated sanitary system and pervious driveway, with the condition that a row of staked hay bales is placed down at the 50' non-disturbance buffer line before construction, and gutters and drywells installed for the roof mn-off. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Fees: None Very truly yours, Albert J. Krup~ki, Jr. President, Board of Trustees AJK/lms cc: DEC Health Dept. Bldg. Dept. 143 ~ ,00 k ,'Fl ,00 IP .ZZ S L. c6 e~ 2,(21~N V 7 · ,00 t, .Z6 S S331A; 3S iiig'V]H AINflO ~904_-Ifl$ O3AI-qO3W : (631) 765-1892 Town H',dl. 53095 Mxin Road P.O. Box Southold. New York 11971 SOUTHOLD TO'~N CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, October 15, 2001, the following recommendation was made: Moved by Scott Hilary, seconded by Melvyn Morris, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Permit Application of ERNEST H. SCHNEIDER, SR. to construct a'single- family dwelling (2,000 sr.) a min. of 43' landward of the tidal wetland boundary, 24'X 24' garage a min. of 59' landward of the tidal wetland boundary, associated sanitary system a min. of 103' landward of the tidal wetland boundary. Expansion pool to be relocated and pervious driveway. Located: 800 Lakeside Dr. North, Southold. SCTM#90-3-6 The CAC recommends Disapproval of the application as submitted. The project should include a 75' non-disturbance buffer. Vote of Council: Ayes: All Motion Carried THE JEAN SCHNEIDER REVOCABLE TRUST Trust Agreement, made and entered into the 10~ day of February, 2000, by and between JEAN SCI-II, EIDER, residing at 915 Lakeside Drive Nornh, Southold, New York 11971, (hereinaf- ter referred to as Grantor) and said JEAN SCPINEIDER and ERNEST SCHNEIDER, residing at 915 Lakeside Drive North, Sou~hold, New York 11971, (hereinafner referred to as the Trustee). - WI TNE S S E TH: The Grantor does hereby assign, transfer, pay over and deliver to the Trustee the property set forth on Schedule A hereof, receipt of which the Trustee hereby acknowledges. The Trust shall consist of the said property and any other property acquired through investment or reinvestment of the proceeds thereof; and any additions thereto, whether ac_cD/ired from the Grantor or by gift, bequest, inheritance, corporate action or from any individual or corporation who may desire to place funds or property in the trust for the purposes herein specified by the Grantor and accepted by the Trustee, to be held, administered and disposed of by the Trustee in accord- ance with the terms hereof. ARTICLE FIRST: Revocability. The Grantor reserves the right and power by instrument in writing signed and acknowledged by the Grantor and delivered to the Trustee at any time and from time to time to revoke this Agreement in whole or in any part, or to alter or amend alt or any of the terms of this Agreement. ,/ Town Hail 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 Albert J. Krupski, President James King, Vice-President Ar'cie Foster Ken Poliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A DATE ADDRESS AGENT ADDRESS PHONE PROPERTY LOCATION TAX MAP NO. 1000.. request an Amendment to Permit # Signed By: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK _~ ~'--~,residingat_~~/ )'~. '~. ~A , being duly sworn, deposes and says that on the ~ o _ day of £ ~ ,20O~ , 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 Df the Town of Southold; that said Notices were m~Jled at the United ~_¢tes Post Office at ~ , that said Notices~d ~o ~~t~ons by (certified) (registered) mail. Sworn to be[~re me this '~ 0 Day of _ff ~ ,20. ~ ~ NOtsW Public, State of New No. 4952246, 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 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 being duly sworn, depose and say: / Thaj, oMlxe/ day of ~ 200 , I ~ersonallv posled th~pr, gperty knmvn as . f . //?)/ ~'y'~la~f'ng th4 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~ht days prior to the date of the g. ublic hearing. Date of hearing noted thereon to be held JM I~ ]~ Ot~ ~ ~{bOL,t{ ')',0O ~ IYI . Dated: ~ ~//;~ Sxvom to before me this c~' day of,~-~z 200) Not'ary Pub~ ~ ! LINDA J. COO~ER Notary ?~ublic, State o! New Y~k Boa~.of Trustees Application County of Suffolk State of New York BEING-DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FORT HE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STNI'~ENTS 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 THUST~ES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF S~ID PERMIT(S)', IF GRANTED. IN TO INS~EOT THE P~ISES I. coMJ~OTiON wITH APPLIO~TIOM-- . .~~__~ SWORN TO BEFORE ME THIS DAY OF ~ Notary Public JOYCE M. WILKINS Notary Public, State of New York No. 4952246, Suffolk County Term Fx~ires June 12, ~c..~ (9 HARVEST INN B&B Avril'22, 2003 51Ir. Afgert J. Krupsf~ Jr. ~resident, CBoard of Trustees To,wa of Southofd 53095 5*lain Road $out hof~, ~. ~. 11971 APR 2 2 2003 Southold Town Board of Trustees RE: $07yff#90-3-6 Ernest Schneider 800 Lakeside CDrive Horth Sout hold,, 9¢YI1971 qoear Mr. Krupsk~' ffhis is to request a transfer of Permit # 5475 granted to Mr. E Schneider last January 23, 2003. qVe, Joseph and Odstina Como, are the contract vendees of the abave lot. q, Ve plan to 6uild our prima~y residence .with no changes to the plans or any of the pei~fdts already granted to 9err. ~ Schneider (qyEC and ~ard of Tlealth) Bnclosed is the $I0 check to process this request. Thankyou very much for your prompt attention to the above. Cristina ~ Joseph Como 40300 Main Road - Peconic, NY 11958 · 631-765-94~2 · email:har,.,estinn0andt~,aol.¢om - www. narvestinnbandb.com LandUse December 17, 2002 Town of Southold Board of Trustees Town Hall, 53095 Main Road PO Box 1179 Southold, NY 11971 Re: Permit No. 5475 Ernest Schneider 800 Lakeside Ddve Southold, NY SCTM No. 1000-90-03-006 Dear Ladies/Gentlemen: Enclosed please find (3) copies of the project survey/site plan revised to reflect a new dwelling configuration and location. Said survey/site plan reflects a reduced dwelling size and locates said dwelling further landward than previous/y proposed. At your earliest convenience, kindly issue a permit amendment to reflect these changes. Should you have any questions or require additional information, please don't hesitate to contact this office. Sincerely, TL enc. cc: Emie Schneider z_~,., So(Jr,,J ~.,,'er, ue · Bu}itiqg ht:dl,o'... Ne,,,., ;,rk 1 ~':',~ i-7, ~4, ~, · F,Xd'; ~,:, 1-727 Land,se November 26, 2001 Town of Southold Board of Town Trustees P.O. Box 1179 Southold, N.Y. 11971 '~L, "* .'(-" "'!" Attn: Al Kmpski; President Re: Schneider - 800 Lakeside Dr. North Southold, N.Y. S.C.T.M. # 1000-90-3~ Dear Mr. Krupski: Enclosed please find (7) sets of revised surveys in regards to the above referenced project. These surveys have been revised as per a recent trustee meeting to indicate a 50' buffer area from the wetlands line. If there are any questions please do not hesitate to contact this office. Sincerely, Land Use Ecological Services, Inc. DH Eric. 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 e~Wetland Permit Application fMajor Waiver/AmendmenqChanges ,~Received Application: ~'Received Fee:$ ~ ~ ~ompleted Application Incomplete ~SEQ~ Classification: T~e I T~e II Unlisted Coordination:(date sent) ~AC Refe~al Sent: ~l~ ~ate of Inspection: Receipt of CAC Re~o~: ~d ~ency Dete~ination: TecMical Review: ~ublic Hearing Held: Resolution: Minor ll~12)(,}O.... Name of Applicant Ernest H. Schneider, Sr. Address 91 5 Lakeside Drive North, Southold, NY 11971 Phone Number:( ) 631-734-5653 Suffolk County Tax Map Number: 1000 - 090-3-6 Propeay Location: 800 Lakeside Drive North Southold, NY 11 971 (provide LILCO Pole #, distance to cross streets, and location) AGENT: Tanya Lacherm~yer/ Land Use Ecological Services, Inc. (If applicable) Address: 2576 Sound Avenue, Baiting Hollow, NY 11933 Phone: 631-727-2400 Board of Trustees Application GENERAL DATA Land Area (in square £eet):. 29, 334.934 s.f. Area Zoning:.. residential (~40 ~ Previous use of property: Vacant Intended use of property: Single family residence Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes It' yes, provide explanation: Project Description (use attachments if necessary): Please see attached project descriotion. SCHNEIDER - 800 LAKESIDE DRIVE, SOUTHOLD, NY PROJECT DESCRIPTION: Applicant proposes construct a single family dwelling (2,000 s.f. footprint) a minimum of 43' landward of the tidal wetland boundary, 24'x24' garage a minimum of 59' landward of the tidal wetland boundary, associated sanitary system a minimum of 103' landward of the tidal wetland boundary (Note: expansion pool to be relocated) & pervious driveway. Proposed project will require a variance from structural Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To construct a single family residence. Area of wetlands on lot: 6909 +/- _square feet Percent coverage of lot: 24 +/- % Closest distance between nearest existing structure and upland edge of wetlands: n/a feet Closest distance between nearest proposed structure and upland edge of wetlands: 45 +/- feet Does the project involve excavation or filling? x No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: n/a Proposed slope throughout the area of operations: n/a Manner in which material will be removed or deposited:_ n/a 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): Proposed project will not have any siqnificant adverse impact on the wetlands and/or tidal waters. Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT iNFORMATION (To be complel:ed by Applicant or Project sponsor) SEQ 1, APPLICANT /SPONSOR j 2. PROJECT NAME Ernest H. Schneider, Sr. I Proposed Single Family Dwelling 3. PROJECT LOCATION: Municipality Southold County Suffolk 800 Lakeside Drive North Sou~hold, ~ 5. IS PROPOSED ACTION: ~ New [] Expansfon [] Modificaliontalteralion 5. DEECRISE PROJECT ERIEFLY; Please see attached project description. 7. AMOUNT OF LAND AFFECTED: · 67 acres Ultimately , 67 acres Yes ~ NO It No. describe t~r,etly 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCALLY ~[Yes [] NO Jf yes, Iist agency(s) and permit/approvals NYSDEC 11. DOES ANY ASPECT OF THE ACTIOt4 HAVE A CURRENTLY VALIO PERMIT OR APPROVAL? Yes' [~ NO II yes. Iisi agency name and permltlaDproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL ,REQUIRE ~,tOOIFICATION? [] Yes [~ NO Tanya Lachenmeyer / 9/14/01 If the action is in the Coastal Area, and you are a state agency, complete the CoastsJ Assessm.n: Form before proceeding with this assessment OVER ! PART II--ENVIRONME?.~TA' 'SSE~ ,-..7 ~'~e,._m~e.e~ s'/ a,genc' ?ART Ill--DETERMINATION CF S~GNIFICANCE ~To ~e comoleteo by Agency) INSTRUCTIONS; For .~3cn adverse erfec*. ~dent~tiee -=cove. deterrntne wneU~er ~t is SUDS~Ilt[a.t. large, imcor~snK or od~erw,se signific ~3cn -=ffec: should be assessed in connection .~v~tl~ ~[$ (a) setting [La. ur~3an or rural); (b) probal3dity of OCC=.,'-lDg; (c) duration' ;rrevers,d,liiy; ~el ,~eograDnic ~coce; and (t~ rnagnt~uce, if ~ecessa~, a(3d attacnmen[s or reference SU0Oordng maledals. =nsure ~.XDI;~t~aKIC~S CCRtalt'i suf;ic:ent ~letall [o s~ow d~at all relevant ~dverse imdacts have been iden[ified and adectJateiy accressec. of Trustees Application AU'£~ORIZA'I'£ON (where the applicant is not the owner) Ernest H. Schneider, Sr. (print owner of property) residing at 915Lakeside (mailing address) Drive No.~ Southold, NY 11971 LandUse Ecological Services, Inc. do hereby authorize (Agent) to apply for permit(s) from the southold Board of Town Trustees on my behalf. ':-~ ( OwnFe~ s~ ~fgnature ) 8 Board of Trustees Application County of Suffolk State of New York Ernest H. Schneider, Sr. 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 . DAY OF ~ ~4~,21X53 -"--3 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poli~voda Town Hall 53095 Route 25 P.O. Box 1179 Seuthold, 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) Jason D. Esper AFFIDAVIT OF POSTING 284OverhillRd., , residing at Wading River, NY 11792 being duly sworn, depose and say: That on the 16th day ofOct°ber, 2001, I personally posted the property known as 800 Lakeside Drive North, Southold~ NY 11971 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 eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Dated: 10/16/01 (signature) Sworn to before me this 16th day of October 200 1 Name: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: Regina A. Melly 119 Tweed Blvd. Nyack, NY 10960 STATE OF NEW YORK COUNTY OF SUFFOLK Jason D. Esper 284 Overhill 98. Wading River: ~ 11799 that on the 16th day of · residing at , being duly sworn, deposes and says ,~k2001, 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 Calve_rtoq , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this 16th day of October ,~ 2001 ry Public Tanya Lachenmc¥? NOTARY PUBLIC, Sta? ci ,':~'v York No, 01 LA5032219, Sufic:~ G ;';~t'/, Come.on ~pl~, ~gu~t ~2, LandUse September 25, 2001 Town of Southold Board of Trustees 53095 Main Road PO Box 1179 Southold, NY 11971 t Re: Schneider Southold, NY SCTM 1000-090-03-6 Dear Ladies/Gentlemen: Enclosed please find the following: 1.) 2.) 3.) 6.) 5.) (1) Odginal and (3) copies of a completed application. Signed and notarized affidavit. Authorization Letter (6) copies of the project survey/site plan Application fee in the amount of $200.00. 5bp 2 6; Should you have any questions or require additional information, please don't hesitate to contact this office. TL Enc Sincerely, Tanya La(~r~Land Use Ec-'~lo;iYc~rl Services, Inc. ~. ,~, S'~dnd,'~,'enue" · Bamn,g Hc, llo.'. Ne.,, r;c, rk · ~,o" ~ ' 727-2400 · FA.:,' 03 I 7Z.~7 z,~,~