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Home My WebLink AboutTR-5868Albert J. Krupski, President James IGng, 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 CERTIFICATE OF COMPLIANCE # 0032C Date April 18, 2005 At THIS CERTIFIES that the second-story addition, steps and deck 1120 West Lane, Southold is The certificate is issued to aforesaid property.. Suffolk County. Tax Map # 88-6-16 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 1/14/04 pursuant to which Trustees Permit # 5868 Dated 2/25/04 Was issued, and conforms to ali of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued to construct a second-story addition to dwelling, steps and deck Carol Stancs owner of the - kuthori/'ed S'ignatUfee 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. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construct/on % constructed Project complete, compliance inspection. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~"~'~:~. DATE:..'~eb-.. 25~.. ~J)o4 ISSUED TO .......................................... ~,~C~ ..$.T.A~'.~ ................................. Pursuant to the provisions of Chapter 61!~ of the Lew~ of the State of New York, 18931 end C~apter 40~ of the ,L~. ws 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?, end in acco~ance with the Resolution of The Board adopted at a meeting held on ...~.~. ~5..t.. 20(~...., and in consideration of the sum of $...~)~.:.~O... paid by Carol Stones of .......... '~0~'.'~.?~d .......................... N. Y. and subject to the Terms end Conditions listed on the reverse slde he,eof, of Southold Town Trustees authorizes end permits the following: Wetland Permit to construct a two-story addition with main entry, steps and deck, and new access to basement, with the condition a I0' non-turf buffer is maintained landward of the bulkhead, and as depicted on the survey .prepared by all in accordance with the detailed specifications es pfesented in the originating epplicaf;o~. Joseph A. Ingegno last dated May 12, 2004. IN WITNESS WHEREOF, The said Board of Trustees here- by c~uses its C~orporate Seal to be affixed, and these presents to be subserved by a majority of the s~id Board as of this date. Artie Foster (absent) and CONDITIONS ~ Penni~e Carol Stancs ~,~ at 1120 West Lane. Southold N. ¥, ~ pan of the conside~tion for the issuance of the l~-~,i~ does understand smd ~ t~ the lowing: with respect ~be~o, m d~ cam~ ~on of the Boaxd of Trustees of the Town c~ .~d~d 2. That this Permk h valid fo~ a period of 24. ma~ ~ich Is c~kzed m be ~he · stimated time ~lUff~i to compile d~e sv~k involve1, lint should for aa ex~,~on may be made to the Board ac · I.,~r date. ~. That ~ Pett~c should be retained Jnde~'m~tely, or as long as the _--!,l permlttee wishes to maintain the structure o~ project involved, to provide evidence to anyone concerned that auth- otlzatloo was originally o~alned. 4. That the work involved will be mbject to the inspection and approval of the Boatxl its agents, and non-compUa~ce with the ptovlslom of dsc or~,,H-g application, may be revocation of this Permit by resolution of the said Boa~L 5. That there will be no unreasonable intexfetence with navigation ss · result of the work hetela a~thotlzed. 6. That there shall be no interfexence with the ~ht o~ the pul~c to the be~ch between high and low water ma~ks. 7. That if future operations of the Town of Son,hold mtuh'e the mnowl and/o~ al~etatlom in the location of t~e wofic herein anthottzed, or if~ in the oplnlon of the Bo~d of Trustee% the work sh,II cause u~reasonable obstx'uctmn to free navlgatioo, the said Pennlttez will be tequit~d~ upon due notice, to remove or alter a,i, work or project herein st~ed without ezlxams to the Town 9. That the Pet~nittee will obtain all other permits and consents ~at. may be tequlved plemental to this 'permit w~i,4, may be subject to revoke upon failure to obr~ same. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggs' A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 SouthoId, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 February 25, 2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mark K. Schwartz, AIA P.O. Box 933 Cutchogue, NY 11935 RE: CAROL STANCS 1120 WEST LANE, SOUTHOLD SCTM#88-6-16 Dear Mr. Schwartz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 25, 2004 regarding the above matter: WHEREAS, Mark K. Schwartz on behalf of CAROL STANCS 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 January 14, 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 February 25, 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 CAROL STANCS to construct a two-story addition with main entry, steps and deck, and new access to basement, with the condition a 10' non-turf buffer is maintained landward of the bulkhead, and as depicted on the survey prepared by Joseph A. Ingegno last dated May 12, 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 $5.00 per inspection. (See attached schedule.) Fees: $5.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/Ims Telephone (631)765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Monday, February 23, 2004, the following recommendation was made: Moved by Don Wilder, seconded by Nicholas Dickerson, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of RICHARD & CAROL STANCS to construct a two-story addition with main entry, steps and deck, and new access to basement. Located: 1120 West Lane, Southold. SCTM#88-6-16 The CAC recommends Approval of the application with the Condition hay bales are installed during construction. Vote of Council: Ayes: All Motion Carried FROM : MarkSchwartz,AIA-Arohite~ PHONE NO. : 631734418S Mar. 03 2004 08:25AM Pi p.(). Ik~x 933 Cu~chogue, New York ll~S Mark K. Schwartz, AIA - Architect, PLLC Phone: (631) 734 - 4183 March 02~ 2004 To: TRA~$MITrAL Southold Town Board of Trustees 53095 Route 2S P.O. Box 1179 Southold, New York 11971 ~R - 3 Southo~ Board d Trustees Project Fronl: · Additions & Alterations to Carol S~ancs Residence 1120 West Lane Southold, New York 11971 (SCTM# 1000-8S4~-16) Mark Schwartz, AIA Please review ltae following information: · Landowner: Carol Stancs 40 Kerwood Road Garden City, New York 11530 (516-742-7875) Please note the Owner is Carol $~anes only. I had mis~kenlv identified the Owner as Richard and Carol on previous transmittals. Please idenlify Carol Stancs as sole Owner on all corresvondence and permits. Albert J. Krupski, President James King, Vice-President Attic 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 Office Use Only ~..~. Coastal Erosion Permit Application Wetland Permit Application ~ ~'"'~ajor Waiver/Amendment/Chan~es '~ece~tvved Application: I[[~[0~[ ~ompleted Application_l.[~ __Incomplete __SEQRA Classification: Type I Type II Urflisted _~Coordination:(date sent~.,_~_+_=.,._,~_ ~AC Referral Sent: I IL~IO~ .,,"Date of Inspection:~ Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ~ll~lic Hearing He~ Resolution: Minor $outhold Board of 1 Property Location: //Z-~ c-~ csv (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Board of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: ' GENERAL DATA 4-33.77 4-0 ~F.YT~£~ 774~C 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): Board of Trustees Application %~ETLANDfrRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations~ /~ 00 [ '/7 d ~ f /~A/ ~; /' Area of wetlands on lot: Percent coverage of lot: / .square feet Closest distance between nearest existing structure and upland edge of wetlands: 4-. ~'. 0, feet Closest distance between nearest proposed structure and upland edge of wetlands: ~, ). a~ feet Does the project involve excavation or filling? No ~' Yes If yes, how much material will be excavated? f~_.~t9 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: ~' L ! ~ t7t Y Manner in which material will be removed or deposited: 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): A/Ob'Y., 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART l--PROJECT INFORMATION (To be completed by Aoplicant or Proiect sponsor) SEC, I 1. APPLICANTISPONSOR I 2. PROJECT NAME I 3. PROJECT LOCATION: 4, pReCiSE LOC~T~ON (Stree[ address an~ road i~ters~tiens, gro~inent land~arks, IS PROPOSED ACTION: /~M [] New [] Expansion oclificadonla~teration DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: I ~ 5~ 5. WIL' =ROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE ~ESTRICTIONS? es No If NO. describe btlet[y [] g' ~es,denlml b'~.!ncuslnal [] Commercial I'~ Aqr,cu,ture ~ Pat~lFOrest/Ooen s~ace ~ Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATEL." FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STAT R LOCAL}? es ~ No If yes. list agency(s) and oermitlaDorovals 11 · OOES ANY ASPECT OF THE ACTIOI4 HAVE A CURRENTLY VALID PERMIT OR APPROVAL. list name and yes. perm~tlaporoval ~-~ Yes ~No I CERTIFY THAT THE INFORMATION PROVIDED AEOVE IS TRUE ?0 THE 5EST OF MY KNOWLEDGE the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this as_s, essmem OVER NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEESt TOWN OF SOUTHOLD In the matter of applicant: ~_~;~& /~xc~ ~-~SCTM#1000- YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned ~to request a Permit from the Board. of Trustees to: ~'~-~'~ ~ ~'~ ~ ~'~7 2. That the property which is the subject of Environmental Review--is located adjacent to your property and is described as follows: 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. OWNERS NAME: MAILING ADDRESS: PHONE #: ~'~1 Enc.: Copy of sketch or plan showing proposal for your convenience. Richard & Carol Stancs 1120 West Lane Southold, New York 11971 (631) 765 4942 To Whom It May C0ncem: We, Carol and Richard Stancs, authorize Mark Schwartz, AIA - Architect, to act as agent for the Southold Zorting Board of Appeals, Southold Town Trustees and New York State Department of Environmental Conservation. This proposed construction project is located at 1120 West Lane Southold New York (SCrM#1000-88-06-16). Carol Stancs Richard Stands Board of Trustees Application County of Suffolk State of New York /]Q~,~f~ k~ ~CA ~_~c~c v~ BE~GD~YSWO~ DEPOSES ~ ~F~S ~T ~S~ IS ~ ~PLIC~ FOR ~ ~O~ DESC~ED PE~T(S) ~ ~T ~L STA~S CO~ ~ ~ ~ TO ~ BEST OF ~S~R ~O~GE ~ BEL~F, ~ ~T ~L WO~ ~L BE DO~ ~ ~ ~R SET FOR~ ~ ~S ~PLICATION ~ AS MAY BE ~PRO~D BY ~ SO--OLD TO~ BO~ OF ~US~S. ~ ~PLIC~ AG~ES TO HOLD ~ TO~ OF SO--OLD ~ ~ TO~ ~US~S ~ESS ~D ~E ~OM ~ ~ ~L D~AGES ~ CL~S ~S~G ~ER OR BY ~ OF S~ PE~T(S), W G~D. ~ CO~LE~G ~S ~PLICATION, I ~BY A~O~ ~ ~US~ES, ~ AG~(S) OR ~P~S~ATI~S(S), TO E~R O~O ~ PROPERTY TO ~SPECT ~ P~SES ~ CON~CTION ~ ~W OF ~5 ~PLICATION Signature SWOKN TO BEFOKE ME TH~S .~*,5 DAYOF Not Public County of Suffolk State of New York ~oard of Trustees AtDplicati~ [?5,~,~.l~ ~C ff c_ ~ ~..~.-, o_..-/-L__ BEINGDULYSWORN 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 TBE 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 VSign~-(urI SWORN TO BEFORE ME THIS ..~' .'.~4DAY OF ,20 4) V Notary Pubhc Li[qL%~ .," c" .-' Notary Public, State ~f ~v~,,' Yc~rk -,~,.. ~. ~ .......... ,~ ;. ~Zc/~ o ~, Albert J. Krupski, President James King, Vice-President Arkie Foster Ken Poli~voda 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) AFFIDAVrr OF POSTING residing at 3 -~ ~ ,. being duly sworn, depose and say: That on the day of ,200 , I personally posted the property known as 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 eighLdays prior to the date of the public heating. Date of hearing noted thereon to be held {_D 0..d).i J;'~.J~. ~: o~{~. - ~I~ ~¢ 0.~ I~. ~' Q ~0 J~. Dated: Sworn to before me this ? day of)%~200 ~/ ('A. WILKIi'IS Suffolk County !res June 12, (signature) Stancs Adjacent Property Owners: 88-6-15 Peter & Averil Wertz 524 Silver Lane Oceanside, New York 11572 88-6-17 Peter C. & Diane L. Leverich 28 Whistler Road Manhasset, New York 11030 88-6-8 Isabel G. Thompson as Trustee 1085 West Lane Southold, NewYork 11971 88-6-7 Mr. & Mrs. James E. Mullins 444 East 20th Street New York, NY 10009 88-6-9 Peter C. Leverich 28 Whistler Road Manhasset, New York 11030 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nmhibits conflicts of interest on the oart of town officers and employees. The purpesc of this form is to provide information which can alert the town of possible conflicts of intereat 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.) Variance Change of Zone Approval of plat Exemption from plat or official map Other (If"Other",nametheactivity.) ~o, T J'Pt, c ~-~ ~r~,. ,~,, ~"~..v $'l~..~. ,4 ~P't. I ~_,s"PIo~O t~a~.. Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or en~loyee of the Town of Southold? "Relationship" includes by blood, mamage, 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 ~x If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person arc~ployed by the Town of Southold ~ Title or position of that person ~ Describe the relationship betw~ yourself (the applicunt/agen~Jrepresentative) 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 enq~loyec or his or her spouse, sibling, parent, or child is (check all that apply): __A) the owner of granter than 5% of the shares of the corporate 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 t~is ~.~day of Signature k''~t~c'~l (~ ~c, ~ e.~x~ , -- 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 emnloyees. The purpose of this form is to provide information which can ale~ the town of possible conflicts Of interest and allow it to take whatever action is necass toavoid ,' 4 CtC (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 com0any's name.) NAME OF APPLICATION: (Check all that apply.) Variance Change of Zone Approval of plat Exemption from 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 blo~d, 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 of'fleer or employee owns more than 5°/gmfthe shares. YES NO ~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name ofpotson employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agentIrepresentative) 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 gzeater than 5% of the shares of the corporate 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, parmer, or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this~ ~ day of -~'-, ..... ?200 ~' PrintName ~,.-~.r'Lt~.Z &'-- Mark K. Schwartz, AIA - Architect, PLLC P.O. Box 933 Cutchogue, New York 11935 Phone: (631) 734 - 4185 Fax: (631) 734 - 4185 January 08, 2004 TRANSMI'ITAL To: Project:. From: Southold Town Board of Trustees 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Mr. & Mrs. Richard Stancs Additions & Alterations 1120 West Lane Southold, New York 11971 (SCTM# 1000-88-06-16) Mark Schwartz, AIA We transmit the following by USPS Priority mail: One original and two copies oh 1. General Data and Wetland/Trustee Lands Permit Data 2. Notice to Adjacent Property Owners 3. Short Environmental Assessment Form 4. $200 Payment for application fee 5. (5) Surveys with proposed additions and alterations 6. Letter of Authorization to act as agent for Mr. and Mrs. Stancs · Landowner: Richard and Carol Stancs 40 Kerwood Road Garden City, New York 11530 (516-742 7875) Remarks: Please review this application and call this office with any questions that you may have. Stanc sTmst eesAp plica tion X