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HomeMy WebLinkAboutTR-5904 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town H~lAnnex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD CERTIFICATE OF COMPLIANCE # 0401C Date February 9, 2009 THIS CERTIFIES that the two-story dwelling, deck, attached garage, pervious driveway, sanitary system, drywells & gutters, and 25'X 100' non-turf buffer area with 6" high concrete retaining wall At 1355 Shore Dr., Greenport Suffolk County Tax Map #47-2-27 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 3/31/04 pursuant to which Trustees Wetland Permit #5904 Dated 4/21/04 was issued and Amended on 3/22/06 ,and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for a two-story dwelling deck, attached garage, pervious driveway, sanitary system, drywells & gutters and 25'X 100' non-turf buffer area with 6" high concrete retaining wall. The certificate is issued to EVAN AKSELRAD owner of the aforesaid property. Authorized Signature James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF. INSPECTION: ~ :~' Q:, -c~ ( xV? Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction I/~ constructed Project cOmplete, compliance inspection. INSPECTED BY: ~\~-~ ~ <~)~ CERTIFICATE OF COMPLIANCE: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapf¢l Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 March 22, 2006 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Catherine Mesiano Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches, NY 11940 RE: EVAN AKSELRAD 1355 SHORE DR., GREENPORT SCTM~47-2-27 Dear Ms. Mesiano: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 22, 2006: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5904 to include regrading and creation of a non-turf buffer area 25'X 100' at the seaward edge of the property to be contained by the installation of a 6" high concrete retaining wall and metal landscape edging, and plantings as illustrated on the approved plan prepared by Landscape Architecture P.C. last dated March 1,2006. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, President, Board of Trustees JFK:lms James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Ho]_zapfe]_ 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 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Name of Applicant: Name of Agent: Property Location: SCTM# & Street Brief Description of proposed action: Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Front ~Bay Front Distance of proposed work to edge of above: P~C of Town Code proposed work falls under: hapt.97 Chapt. 37 other Type of Application: V/Wetland __Coastal Erosion ~Amendment __Administrative __Emergency it ~9I~ Info needed: 3~ ~ ~(Az~ (~,J~ 1~©~ c,~ Ot~xt, z ~ Modifications: Conditions: ~ent Were .King __J.Doherty __P.Dickerson D. Bergen__J.Holzapfel __Other: C~ _~., ! ~M'~r',n~ Mailed/Faxed to: Date: Mar 21 06 01:13p qSCKEMZIE DOORS .261S188S % March21,2006 Reference # SCTM # 1000-47-2-27 Property Location - 1355 Shore Drive, Greenport New York Dear Board of Trustees, I have been asked by my parents, Joseph & Barbara Dai located at 1465 Shore Drive, and my Aunt and Uncle, John and Marie Shack, located at 1265 Shore Drive to send a letter to your office to address some concerns we have regarding the property my family sold to the petitioners and that we are adjacent to in Greenport. We have both received letters showing a sketch of the intentions of the property owner to "cut back" the land and level it off approximately 25' from the existing bulkhead location toward the new house. Our concerns are these: 1. The drawings and letter make reference to a 6" retaining wall. As we read the drawings it is uncertain where this wall will be located. The slop to the bulkhead over 25 feet would seem to be significantly more than 6 inches. Additionally, we could not determine what if any thing has been planned to accommodate a potentially significant change in water flow when the grass has been removed. 2. We would ask that the board of trustees ensure that the permit require adequate retaining walls at both sides of the subject property to retain the integrity of our properties 3. Finally, we are concerned that any significant change in the existing slopes of the land will cause runoff that could find its way to the area behind our bulkheads at the comers of our property. We bring this to your attention Continued page 2 ..... Mar 21 06 01:13p 4RCKENZIE DOORS 261S188S p.3 Page 2 because, in the 40 years we have lived on these lots drainage has always been a concern and has impacted the strength and longevity of the very expensive bulkheads. We request that the Trustees ensure the leveling of the property show where the runoff is going and that it does not drain to the comers of our property. This may require installations of drains through the petitioner's bulkhead to prevent the runoff from damaging our bulkhead. We would all like to thank the Board of Trustees for there time with this matter and addressing out concerns. On Behalf Of Joseph Dai Barbara Dai John Shack Made Shack Hat 21 05 01:12p ~tRCKEHZIE DOORS 626191885 p.1 facsimile transmittal To: Lauren Fax: 631-765-6641 From: Joe Dai Dam: March 21, 2006 Re: 1355 Shore Ddve Pages: 3 Phone # 917-881-2617 X Urgent X For [] Please [] Please .Review. Con~ment . Reply [] Please .Recycle. Lauren, Attached for your use is a letter I have wrli~n atthe request of my parents and Aunt and Uncle. We would request this letler he presented and mad at the hearings tomorrow regarding the property adjoining ours at t355 Shore Drive. Thank you very much in this matter. If you need to speak with me feel free to call me on my cell phone at 917418t-2617. Thanks Again, Joe Dai PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: From: Town of Southold Board of Trustees Mark Terry, Senior Environmental Planner LWRP Coordinator Date: March 20, 2006 Re: Request for Wetland Permit for Evan Akselrad 1355 Shore Dr., Greenport SCTM# 47-2-27 EVAN AKSELRAD requests an Amendment to Permit #5904 to include regrading and creation of a non-turf buffer area 25'X 100' at seaward edge of property to be contained by the installation of a 6" high concrete retaining wall and metal landscape edging; and plantings as illustrated on plan. The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. The following will make this project further consistent: 1. All plantings will be native, indigenous and will not require fertilization within 50' of the wetland edge. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at (631) 765-1938 if you have any questions regarding the above. Office Use Only Coastal Erosion Pemfit Application Wetland Permit Application Administrative Permit JAmendment/Trans fer/Extension ~Received Application: ~ Il J Ob .~Received Fee:$ /O0- Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordinafion:(date sent). CAC Referral Sent: .~4)ate of Inspection: ~%/'/~70g Receipt of CAC Report: Lead Agency Determination: Technical Review: ...3~nblic Hearing Held: ~ j~3.0- ~0 ~, Resolution: Name of Applicant EVAN AKSELRAD Address 19 Murray Street 4th FI., New York, NY 10007-2240 Phone Number: (212) 267-9385 x21 Suffolk County Tax Map Number: t000 - 47-2-27 Property Location: 1355 Shore Drive~ Greenport, NY (provide LILCO Pole #, distance to cross streets, and location) AGENT: Catherine Mesiano, Inc. Address: 12 Mill Pond Lane East Moriches, NY 11940 Phone: 631 878 8951 Land Area (in square feet): Area Zoning: R40 Board of Trustees Application GENERAL DATA 13,262 sq.ft. Previous use of property: Intended use of property: vacant residential site single family dwellin.q Prior permits/approvals for site improvements: Agency Date Southold Board of Town Trustees Wetlands Permit #5904 dated April 21, 2004 __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a govermnental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): RENEW EXISTING PERMIT; AMEND TO INCLUDE REGRADING AND CREATION OF NON-TURF BUFFER AREA 25' X 100' AT SEAWARD EDGE OF PROPERTY TO BE CONTAINED BY INSTALLATION OF 6' HIGH CONCRETE RETAINING WALL AND METAL LANDSCAPE EDGING; PLANTINGS AS ILLUSTRATED ON THE ATTACHED PLAN Board of Trustees Application Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: re-grade and landscape site Area of wetlands on lot: 0 _square feet Percent coverage of lot: 0 % 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? No X Yes If yes, how much material will be excavated? How much material will be filled? ~ ~ Depth of which material will be removed or deposited: ~ Proposed slope throughout the area of operations: level Manner in which material will be removed or deposited: ~ cubic yards cubic yards 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): NO NEGATIVE EFFECT ON WETLANDS OR TOWN WATERS IS ANTICIPATED AS A RESULT OF THE PROPOSED ACTION. THE PROPOSED ACTIVITY WILL, IN FACT, SERVE TO PROTECT THE WETLANDS SINCE A NON-TURF BUFFER WILL BE ESTABLISHED. County of State of New York EVAN AKSELRAD BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/ SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT 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 ARRISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVE(S) , TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONdUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS ~-/ DAY OF~X~/2-x~ , 200__~ RATNA BHA,I. JMIK NO. 01BN6138~75 Notary Public James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ..... ........................... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFiDAVIT OF POSTING residing at /2 ~A~ , ]] I/riO-rid being duly sworn, depose and say: That on thel,~ day of ]~O, tr.~, 200¢, I personally posted the property known as by placing the Bo~d of Trustees official poster where it can easily be seen, and ~at I have checked to be sure the poster has remained in place for eight days prior to the date of the public heating. Date ofhe~ng noted thereon to be held ~l- ~ h &g, ~ - Dated: ~/ ~. (si~aturc) Sworn to before me this ~c.,q day of/~aqr~00 (f Notary Public ~ ' Survey for: EVAN AKSELRAD 47,0 TEST HOLE DATA McDONALD GEO$CIENCE FEB. 6, 2004 EL=I$,0 0.0 BARK BROWN CLAYEY LOAM 1.0 BROWN CLAY EL=3.4 9.6 WATER IN BROWN CLAY WA~ER IN BROWN FINE TO COARSE SAND / 55.0 \ / \ / \ \ PROPOSED LOT COVERAGE: HOUSE & GARAGE = 1820 S.F. DECK = 684 S,F. TOTAL = 2504 S.F. OR 18.9~ YASMINE D. ANA VI Lot 18 & 19 "Greer~port Shores, Section I' At Oreenport lown of Southold Suffolk County, New York S.C.T.M.: 1000- 047.00-02.00- 027.000 30 0 30 SCALE: 1 NOTES: 1. AREA = 13,262 S.F. 2. · = MONUMENT FOUND, A = STAKE FOUND, 5. SUBDIVISION MAP "GREENPORT SHORES, SECTION 1" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JUNE 29, 1950 AS FILE NO. 1759. 4. ZONING USE DISTRICT = R-40 5. 0 YARDS OF FILL REQUIRED 6. THIS PARCEL IS WITHIN FIRM BOUNOARY ZONE AE(EL 8) & ZONE X AS SHOWN ON FIRM BOUNDARY MAP NO. 36103C0159 G LAST DATED MAY 04, 1998. DEC. 28, 2005 A~,D~ ~'. S~UC]UR[S MAY 10, 2005 AaoeEo L~L APR. 18, 2005 ~s~ moP. HOUSE JAN. 11, 2005 RmSE~ ~aoos[o DEC. 29. 2004 ,E~S~ ,,O,O~D SEPT. 15, 2004 ~a[,om ~aoP. OEC~ APR. 7, 2004 L~, m~Fo. MAR. 50, 2004 ~OEO ~0~'. smuc~,~ MAR. 19, 2004 ^OO~D rotes ~ DW~LL~O DATE: FEB. 19, 2004 JOB NO: 2004-053 CERTIFIED TO: EVAN AKSELRAD & YASMINE D. ANAV1 DAVID H. FOX N,Y.S.LS. #50254 FOX I~4ND SURVEYIN~ 64 SUNSEI AVENUE ~STHAMPION BEACH, N.Y. 11978 (631) 288-0022 DWG: 2004-055 march 15, 2006 Field~pection march 15, 2006 Field~pection march 15, 2006 Fieldepection march 15, 2006 Fieldl~ection march 15, 2006 Field~l~ection 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 Wed., March 15, 2006, the following recommendation was made: £VAN AKSELRAD to Amend Permit #5904 to include regrading and creation of a non- turf buffer area 25'X 100' at seaward edge of property to be contained by the installation of a 6' high concrete retaining,wall and metal landscape edging; plantings as illustrated on plan. Located: 1355 Shore Dr., Greenport. SCTM#47-2-27 The CAC did not make an inspection, therefore no recommendation was made. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Pegg~ A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town tfall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 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 ¼ constructed Project complete, compliance inspection. Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERIvlIT NO. .,~.0~.. DATE: .~.? t-.!]. ," 1.L ?004 ISSUED TO EVAN AKSELRAD Pursuant to the provisions of Chapter 615 of the Jews fha State of New Yorl~ 1893; and Chapter 40~ of the Jews of fha State of New York 1952: and fha SouthoJd Town Ordlnence eh- rifled "REGULATING AND Tt~ PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and REIviOVAL OF SAND, C~RAVEL OR OTHER IvlATERIALS FROM LANDS UNDER TOWN WATERS:". and in accordance with fha Resolution of The Board adopted afa meeting held on ... :~'[?~!]...2.1.., · 20g.~.., and in consideration of the sum of $. ~5.c~:.O0 . paid by Evan Akselrad of New York N.Y. and subject to the Terms ~nd ~.ditions listed on the revere slde ~r~f, W . of~thold ~]~ authorizes end permits the etL~no t'erm~ t a two-story,single-family dwelJing, deck,and attached garage,pervious 'driveway,and sanitary system, all with the condition dryw~lls are installed to contain the roof run-off,a line of hay bales is placed do~ prior to const. ~e ~gl.afing app~fi~. [)avid H. Fox last dated May 10, 2005. IN WITNESS WHER~F, ~e said Board of Trustees ~re- by ~u~s ifs Cor~raie Seal to be a~xed, and ~ese.~esen~ Ken TERMS and C, ONDmONS ~ ~m~ Evan Akse]rad' res/d/rig at 19 Murray St., 4th Fl, NY NY 10007 ., , N.Y. ns pan oi the consMes~doa to~ the is~,~e ot the 1~¢ does uadetstami ~nd'pm~/be to the I. That the said %ksard of Tn~tees smd the Town o~ .Soud~old sue ~ f~ ~y ~ 2. That this P,"m~ is vatid ~x~ a period of 24. mo~ wl~i~ Is ~ to be the es~m~ted t/me required to eomplete the work involved, Ixtt ~ould citom~ances wax-cant, request for an eactens~on may be made to t~e Bo~d at ~ I_,~-r d~_*,- 3. That this Permit should be retnlned i~iei'mitely, or as lon~ ~s the said P~emlttee wi~hes to m~im~i~ the structure or pwject involved, to provide evidence to anyone mncemed that 4. That cbc wmlc involved will be subject to the impection and approval of the its agents, and non-compli--~e with the ptovislons of the od~n~ng sppE~ado~ may be ,'-,,~ tx'vocation of this Petmlt by tesolu~on of the said 5. That there will be no ~le interference with mtvlgatlon as · xesult of the wade bevdn add~otlzed. 6. That there shah be no iaterfetence ~ the tight of the public to ~ and repass along the beach betweea ~,;Ljh and low wate~ marks. 7. Th~ if future opemioas of the Town of So~thold req~e d~e t~aov~ m~l,/oc dmmiaes in the Ioc~tloo of the work here/a ~utho~ized, or I/, i~ the ol~/akm or,he Bo~lof Tnutees, the. work _~kdl cause ~le obstzumon to free navi~ the said P*~ttee ~11 be tecl~ upoo due notice, to remove or alter d~L* wodc m project herein ~-~ ~ ~ to the To~n of Southold. 8. That the said Bo~d will be notified by the Pennktee ot the c0mptedan of the wot-k ~- od~ed. 9. That the Permlttee wilt c~x:,t~an ~ other p~mks and c~,mts that may be plemental eo d~s permit w ~hich may be subject to ~evol~ upoo faille to obc~fia ~ 7 Albert J. Krupski, President James King, Vice-President .aA-tie Foster Ken Poliwoda Peg~' A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 $outhold, New York 1J_971-0959 Telephone ~631 ~ 765-1892 F~x i631~ 765-1366 April 21,2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Catherine Mesiano Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches, NY 11940 RE: EVAN AKSELRAD 1355 SHORE DR., GREENPORT SCTM#47-2-27 Dear Ms. Mesiano: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 21,2004 regarding the above matter: WHEREAS, Catherine Mesiano on behalf of EVAN AKSELRAD 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 March 31, 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 April 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 EVAN AKSELRAD to construct a two-story single-family dwelling, deck, and attached garage, pervious driveway and on-site sewage disposal system, all with the condition dp/wells are installed to contain the roof run-off, a line of hay bales is placed down prior to construction, and all as depicted on the survey prepared by David H. Fox last dated May 10, 2005. 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 ANCHOR CONSULTING architects + ensinears JUN 2 5 2004 _' Southold Town Albert J. Krupski, President James King, Vice-President .~J~t ie 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 Please be advised that your application dated reviewed by this Board at the regular meeting following action was taken: has been and the ~pplication 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 forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: oO TOTAL FEES DUE: $ SIGNED: PRESIDENT, BOARD OF TRUSTEES Albert J. Krupski, President James King. Vice-President Artie Foster Ken Poliwoda Pegg~ A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (63 I) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~__ I ~ I (~ , reviewed by this Board at the regular meeting of ~/I~l Oq 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 forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary, COMPUTATION OF PERMIT FEES: 042039 Dollars $ ~_~ '~ Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1 179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, April 13, 2004, the following recommendation was made: EVAN AKSELRAD to construct a 30'X 62 two-story single-fam~ y dwel ing and attached garage, approx. 504 sq.ft, deck, pervious driveway, and on-site sewage disposal system. Located: 1355 Shore Dr., Greenport. SCTM#47-2-27 The CAC did not make an inspection, therefore no recommendation was made. Albert d Krupski, Presidelnt }Ken PolI',voda Peg~- A Dickersoa T,,wa Hall 530q5 Route 75 t'.O Box 1179 South{,ld. New 'fork 1197!.09.-,q Telephone ~631~ 765-1392 Fax ,6hl~ 76.5-I366 EIO.4,1~D OP T()~2~r T ' ' RUSTEEs TOV~N OF SOUTHoLD Office {:se ()hi) ('oastal Frosxm Pemut .-\pphcatmn ~'4~'etlant! Pcmnt .Apphcatmn ~la~o~ Minor ' a~ er .-kmendmen~ k hal~ges T5I~e 11 [ ;nh.~wd 'oordmatlot/.l date sent I },",,-';, ~)atc ot'ln,~pccimn. cchm~a[ Rcv~e,,~ County fax Map Number: Ic~ ~ - _Z ' 27 [ fk(~O [olc., d/stance to cross streets, a}~i location) 12 MILL PO O Board of Trustees Application GENERAL DATA Land Area (in square feet): I ~, 2_ ~, 'L ~ Area Zoning:__ ~ - 4 0 Previous use of property: VA t, a~,~ Intended use of property: ~/~fi]~ ~-~,t/r~_ t t 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): EVAN AKSELRAD 1355 SHORE DRIVE, GREENPORT SCTM # 1000-47-2-27 Proposed activity: Construction of a 30' x 62' two-story single family dwelling and attached garage, approximately 504 sq.ft, deck, pervious driveway and on-site sewage disposal system. The proposed dwelling is setback 48' from the existing bulkhead at its nearest point. The septic system is setback 100' from the bulkhead/AHW. The site is presently cleared and mowed to the existing bulkhead, Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: (~Ao~5-~L~c.c.J- ~2~30' o~ Area of wetlands on lot: ~- ~ 40 P square feet Percent coverage of lot:.o;~>~:~ % Closest distance between nearest existing structure and upland edge of wetlands: o~'~ o._ feet Closest distance between nearest proposed structure and upland edge of wetlands:_ 4- 7' 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: '~ feet Proposed slope throughout the area of operations: ~..~ ~_ y ,5 ~ 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): PROJECT ID NUMBER SEQR PART 1 - PROJECT INFORMATION 1. APPLICANT 1 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 Ca~ 3.PROJECT LOCATION: Municipality ~_~ ~.~-gt..~ PO ~'~ 4. PRECISE LOCATION: Street Addess and Road tatersaclions. Prominent landmarks etc -or I~rovide map 5. IS PROPOSED ACTION: [~ New [] Expansion [] Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially . ~:) acres Ultimately .~-;~ acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? E~Yos [] No Ir no. describe briefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) J-~]Residential [~lndustdal []Commercia, r-~Agriculture [~ Park l Forest / Open Space []Other(describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) []Yes []No If yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? E~Yes ~]No If yes. list agency name and permit / approval: 12. AS A RESULT OF PROPOSED A~TION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant /,.Sp~ns°r Name ~ Date: ;~ ~ :~¢ If the action Js 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 rN 6 NYCRR. PART617.47 Ii' yes, coordinate the review process and use the FULL EAF. E~TM ElNO B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 It' No, a negative declaration may be superseded by another involved agency. E Yes rqNo C COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCrATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, sun'ace or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or tlooding problems? Explain bdetly: C2. Aesthetic. agricultural, amhaeological, historic, or other natUral'dr c~ltu~al r~source~; or co~nunJty or ~eighborhood character? 'Explain bde~ly: C3 ~eg~tati~n ~r fauna~ tlsh~ sh~$h ~r wiid~ife specJes~ s~gn~icant habi~als~ ~r thmatened ~r e~dang~red sp~ci~s? Exp~ain brie~y: I , C4. A commu~ity'r~'~xi~ting' plans or goals as officially adopted, or a change in u~s~ or'in t~n'si~j of "u'se of land or o'the r natural resources? Explain briefly: I C5 Growth. subsequent develop~nent, or related actlvitie~s likely to be ihduc~d b~; th'~ I~r~po~' a~tion? Explain briery: C6. Long term. short term. cumulative, or other eh'eels not identified in C1 -C57 Explain bfieliy: I C7. Other~ impacts (includin~l chan~es in use or either ~uanti I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMEN~AL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA~? IIf yes, explain bdefl~,: E. IS THERE. OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL iMPACTS? ff },es explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substanfial, large, important or otherwise significant. Each eh'act 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; end (t) magnitude, if necessary, add attachments or reference supporting materials. Ensure that exptanattans contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or signiticant adverse impacts which MAY occur. Then proceed directly to the FULt EAF and/or prepare a posibve declarafion. Check this box if you have determffied, based on the information and analysis above and any supporting documentation, that the proposed aclJor WILL NOT result in any slgnificaot adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi~ determination. Name of Lead Agency Date Title of Responsible Officer Print or Type Name o~' 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 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__ ,20_____ Notary Public FROM : C MESIANO FRX NO, : 631-87B-895~ Mac. 30 2004 Oi:12PM P2 Board of Trustees A~Dlic~tion County of Suffolk State of New York ~Y~ ~/~a~-c~qA-~ ~.~ D~¥ swo~ ~os~s ~ ~s ~ ~sm Is ~ ~v[ic~ vo~ ~ ~o~ DESC~ED P~T(S) ~ ~AT ~L STATE--S CONT~D ~ ~ ~ TO ~ ~ST O~ ~S~ ~O~Da~ ~ ~, ~ ~T ~L WO~ ~L BE DO~ ~ ~ ~ SET FOR~ ~ ~S ~PLICATION ~ AS ~Y ~ ~o~ ~Y ~ SOlOeD TO~ ~O~ O~ ~US%~S. ~ ~UC~ AGeS TO HOLD ~ TO~ OF SO~O~ ~ ~ TO~ ~US~ES ~SS ~ ~E FROM ~ A~ ~L D~AGES ~ CL~S ~S~G ~R o~ ~Y m~ o~ s~ v~(s), ~ e~. ~ co~o ~s ~PLICATION, I ~BY A~O~E T~ ~Ug~ES, T~ AG~(S) OR ~SE~AT~S(S), TO EN ~R O~O ~ PROP~TY TO ~SPECT ~ P~SES ~ CON~CTION. ~~~ ~W OF ~S ~PLICA~O . S~a~e l~(otary Public fl' - BEVERLY HARTSTF~N No. 24-4872993 Qualified in Kings County ~mmJssion ~lres Oct. 6, ~ STATE OF NEW YORK) COUNTY OF ) SS: EVAN AKSELRAD In the County of , being duly sworn, deposes and says: and the State of /'~.,.~ And I am CONTRACT VENDEE of the premises described in the foregoing application and that I have authorized CATHERINE MESIANO, INC. to make the foregoing application as described herein. EVAN AKSELRAD Sworn before me this ~ day of ~'~-'~ ,20 © ~ Notary Public SUSAN ~ Notap/Public, State o~ New Y=~ No. 01 JO6054594 Qualified in Queens County My Commission Expires March 24, 2007 APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part; of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: EVAN AKSELRAD NATURE OF APPLICATION: (Check all that apply.) Tax gdevanco Variance Change of zone Approval of plat_ Exemption from pJat or officiaJ map Other (if "Other," name the activity) VARINACE, WETLANDS PERMIT, BUILDNG PERMIT 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 blood, 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 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 employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant) 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 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 Jn a noncorporate entity (when the applicant is not a corporation); __C) an officer, direcfor, partner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Signature .(---" Print name EVAN AKSELRAD CATHERINE MESIANO, INC. 12 MILL POND LANE EAST MORICHES, NY 11940 PHONE/FAX: 631 -878-8951 e-mail: cmeaiano~optonline.net April 26, 2004 Town of Southold Board of Trustees Box 1179 Southold, NY 1197~ ATT: Lauren Re: A. Akselrad 1355 Shore Drive, Greenport Dear Lauren: Enclosed please find the replacement check for $250 and the executed release. Thank you for your attention to this matter. Very truly yours, Catherine Mesiano President CATHERINE MESIANO, INC. 12 MILL POND LANE EAST MORICHES, NEW YORK 11940 631-878-8951 March 30, 2004 Town of Southold Board of Trustees Box 1179 Southold, NY 11971 Re: Evan Akselrad 1355 Shore Drive, Greenport SCTM # 1000-47-2-27 Gentlemen: I am the agent for the above referenced applicant who is seeking a Wetlands Permit for construction of a 30' x 62' two-story single family dwelling and attached garage, approximately 504 sq. ft deck, pervious driveway and on-site sewage disposal system. The proposed dwelling is setback 48' from the existing bulkhead at its nearest point. The septic system is setback 100' from the bulkhead/AHW. Enclosed please find three sets of the following: 1. Application for Permit 2. Short FAF 3. Survey by Fox Land Surveying last dated 3/30/04 4. Owner's authorization 5. Transactional disclosure Sn[][i]01d ~0wfl The executed owner's release is being sent to me. I will forward it to you as soon as possible. Also enclosed is the applicant's check for the application fee. Kindly direct any requests for additional information to my attention. Thank you for your consideration. Ve/~ly yours, //~ Erlclosures TEST HOLE DATA McDONALD G£OSClENCE PROPOSED LOT COVERAGE: HOUSE · GARAGE = 1820 S.F. DECK = 684 S,F, TOTAL = 2504 S,F, OR 18,9~ Survey for: ~ EVAN AKSELRAD dc YASMINE D. ANA VI Lot 18 & 19 "Greenport Shores, Section l" At Greenport Town of Southolcl Suffolk County, New York S.C.T,M.: 1000-047.00-02,00 027.000 SCALE: 1"=30' NOTES: 2, · = MONUMENT FOUND, ~, = STAKE FOUND 3, SUBDIVISION MAP "GREENPORT SHORES, SECTION 1" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JUNE 29, 1950 AS FILE NO. 1759, 4 ZONING USE DISTRICT = R-40 5, 0 YARDS OF FILL REQUIRED 6. THIS PARCEL IS WITHIN FIRM BOUNDARY ZONE AR(EL S) · ZONE X AS SHOWN ON FIRM BOUNDARY MAP NO, 56~D3C0159 G LAST DATED MAY 04, 19gB. (631) 288-0022 (VACANT LOT) (13.4) EDGE OF PAVEMENT UTILI~OLE 0 (NYT 14) GATE HEDGE (1, W (11) TW 10,1 BW 9,5 + SITE PLAN SCALE: 1" = 10'-0" OP ROUGH[AWN KITCHEN w- LEGEND [ ~ EXISTING SPOT ELEVATION + (2,2) EXISTING DECIDUOUS TREE W PROPOSED SPOT ELEVATION + 8.8 EXISTING DECIDUOUS TREE TO SE REMOVED ~ S H O R E D R / V E FENCB POST W~T. ~X~ST~NG CONTOUR UNE (10> LOW-VOLTAGE LIGHT ON + (12,9) ONE OR BOTH END POSTS. PROPOSED CONTOUR LINE 10 PROPOSED DECIDUOUS TREE 3' WIDE MOWED PATH FOR NEIGHBORS + (13.1) PROPERTY LINE THREE BOARD FENCE ~ , SETBACK LINE FORACCESSORY PROPOSED SHRUB OR -'-' BUILDINGS ORSTRUCTURES GROUNDCOVER PLANTING I ~ -- -- FEMALINE - I ' W/GUY WIRE - - - (NYT 14) -- -- OVERHEAD UTILITY WIRES PROPOSED ROUGH [AWN J ' I / N PROPOSED DUNE GRASSES - - ~ / I SANITARY SYSTEM \ / ~ TIMES PERYEAR. NO HEDGE / '\ FE IRRIGATION, NO PROPOSED DRY WELL { DW / PLANTING KEY / FERTILIZER, ·; MOWED PATH ,GARAGENALL FE.oE X' TI"GSPL'TRA'L PAT.PROPOSEDSTEPP'"GSTO"E FFE 15.75 GARAGE FFE 14,5 LIVING ROOM STUDY PROPOSED L DECK + BS 14.30 MANICURED LAWN IRRIGATED, FERTILIZED, MOWED REGULARLY, TW 13,0 12" TREE - (~D- _.w 13.0 TW 13.5 + BW 12.9 (9.5) SPA .j_ 10.1 SAND BEACH TW 13,5 1tt} + BW 9,4 CONCRETE WALL BEACH GRASS ZONE X STEEL EDGING ZONE AE (EL 8) -- EXISTING WOOD BULKHEAD PROPOSED PLANT LIST IOU^.T.T, ESAPPROX,MATE. SPEO.ESA.DS,ZESASAVA,[A. LEI SYMBOL I QTY INAME ICOMMON NAME I SIZE I ROOT ICOMMENTB Trees Am Ca I 4 Amelanohiercanadensis Shadblow 8er~lceberry 14'-16' ht. B&B Multi-stemmed, specimen. Local harvest. Am Ca 2 2 Arnelenchiercanadensis Shadblow Servfceberry 12'~14' hi. B&B Multi-stemmed, specimen. Local harvest. II Me I I Ilex x meservaa 'China Girl' Meserve Holly 8'-10' hi. B&B Bpecimen. II Me 2 I Ilex x meservae 'China Bey' Meserve Holly 6~-8' hi, B&B Specimen. Ny Sy I Nyssa sylvatica Tupelo 1/2'-4" cal. B&B Specimen. Qu Ru 1 2 Quercus rubra Red Oak 3"-3 1/2" cai, B&B Specimen. Qu Ru 1 1 Guercus rubra Red Oak 112"-3" cai, B&B Specimen. Sh~ubsand Vines :o Ga 7 Foth~rg#1a gardenii Dwarf Fothergllla 2'-3' ht. B&B Heaw. .o Se 8 Lontcera sempervlrens 'Sutphurea' Trumpet Honeysuckle I gal. cont. HeaW. 2o Me t 1 Rosa Me~diland 'The Fairy~ Meidiland Rose 3 gal, cont, Heavy. Sp Ni 35 Spiraea nipponioa 'Snowmound' Snowmound Spirea 4'-4 1/2' hi. B&B Heavy, Mt. 35 Lonleera frangrantisslma Winter Honeysuckle 4'-4 1/2~ hi. B&B Heaw. Vi De 35 Viburnum dentatum Arrowood Viburnum 4'-4 1/2' ~t. B&B Heavy, NOTES 1. ALL PROPOSED GRADING TO BE VERIFIED IN FIELD BY LANDSCAPE ARCHITECT PRIOR TO CONSTRUCTION. ALL GRADING INFORMATION BASED ON A SURVEY BY FOX LAND SURVEYING AS PER REFERENCED DRAWINGS IN TITLE BLOCK. 2, CUT/FILL CALCULATIONS (BETVVEEN CONCRETE WALL AND BULKHEAD),: TOTAL CUT (AND REMOVED OFF-SITE): (t 29 C.Y.) TOTAL FiLL (SAND AND SANDY LOAM): 68 C,Y. BALANCE: (61 C.Y,) -- TIE LINE ALONG FACE OF BULKHEAD AND HIGH WATER MARK TIE LINE ALONG APPROXIMATE HIGH WATER MARK PROPOSED DOCK EXISTING STEPS PIPES COVE STONE JETTY EXISTING SITE CONDITION PHOTOS R/F Landscape Architecture P,C. 46-44 Vernon Boulevard LIC NY 11101 T 718.706,9800 F 718,706.85~5 ffland.corn Anavi Residence 1355 Shore Drive Greenport, NY 13056 Schematic Landscape Plan ISSUe: NOT FOR CONSTRUCTION. For Discussion Purposes Only. Minor ravlslons 01.17.06 Minor revisions 02.27.06 Minor revisions 03.01.06 Referenced Drawings: At01 (02.01.06), First Floor Plan and TI00 (04.12.05), Proposed Topography by Anchor Consulting. Date: 1t.29.03 Drawn b: CL EP Checke~by: Sheet: PS1 Drawing Location/Name: U:~Akselrad\Drawings and Models\Working Drawings\Drawing Files\Working Plan Drawings~Ac6ve Plan\akselrad working plan,dwg. Printed on: Wed, 1 Mar 2006