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Home My WebLink AboutTR-6149AAlbert J. Krupski, James King, Vice-President Artie Fester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (63I) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction % constructed Project complete, compliance inspection. 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 (631i 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6149A Date of Receipt of Application: June 21, 2005 Applicant: Marilyn Pasierb & Matthew Bloch SCTM#: 31-12-2 Project Location: 680 Truman's Path, East Marion Date of Resolution/Issuance: July 20, 2005 Date of Expiration: July 20, 2007 Reviewed by: Trustee Artie Foster Project Description: To construct a second-floor addition to the existing dwelling and install a new sanitary system on the landward side of the dwelling. 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 on the survey prepared by Joseph A. Ingegno dated July 14, 2004. Special Conditions: Drywells and gutters must be installed to contain the roof run-off. 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 Albert J. Kxupski, President James King, Vice-President At'tie 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) 765-6641 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 ( '")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: TOTAL FEES DUE: SIGNED: PRESIDENT, BOARD OF TRUSTEES 54.H r~ Z Z~- '-~ I---- I,I N 28'14'05" W 74.21' MARION LAKE Office Use Only __.Coastal Erosion Permit Application Wetland Permit Application Amendrnentffransfer/Exter~ion ~'c eiv-v exl Application:~9./o~//$S '-~ . ~"'6'mple~ed Application ~ [ __Incomplete ___SEQRA Classification: __~ Coordination:(date sent) CAC Referral Sent: Date of Inspection: Q//,3/O,~' Receipt of CAC Report! Lead Agency Detet'nUnation:__ Technical Review: ~'~ublic Heating Held:. t~ Resolution: r · Name of Applicant Address ~'~ ehoneNum~:( L2.t~' ~iq. · ~l l Suffolk County Tax Map Number: 1000- 3 t -' 1 2" O ~2 Property Location: ~-~ -FROM~,H'~ PA;l-~ / ~. MAR loIv (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone:~__ of Trustees Applicatioe GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property:~ Intended use of property: Prior permits/approvals for site improvements: Agency I Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? Yes If yes, provide explanation: Project Description (use attachments if necessary): ~ard of Trustees ApplicatioO WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~J~-/'~) .~'L..,~r.~. _! .~__t~. Area of wetlands on lot: 2 ~'~ [ff square feet Percent coverage of lot: .~ % Closest distance between nearest existing structure and upland edge of wetlands: '~ ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: '~ feet Does the project involve excavation or filling? No Yes glla' If yes, how much material will be excavated? ~ ~" cubic yards How much material will be filled? 't2,- cubic yards Depth of which material will be removed or deposited: t~ feet Proposed slope throughout the area of operations: '[~X[~T 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): LE'ITER OF AUTHORIZATION MARILYN PASIERB & MATTHEW BLOCH 675 Wa~er Street ADL 19F NewYo~, NY 10002 our r~,iclence ~: ~80 TRIJli4ANS PATH, F__.AST MARION, NY '-- Owner ~oard of Trustees Applicatio~ County of Suffolk State of New York 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. ~/X~.j/~gnatur~ swo~ TO BEFO~ ME THIS ~t)~ DAY OF ~,~ ,20 C~ ~ Notary Public / SALLY BI,ADOS A~PLICANT/AGF~T/REPRESENYATIVE TRANSACTIONAL DISCLOSURE FOi~f M E R Y L K R A M E R a r c h i t e c t June 21, 2005 Board of Town Trustees Town of Southold Town Halt, 53095 Main Road P.O. Box 728 Southold New York 11971 RE: Pasierb Residence Tax Map # 1000-31-12-02 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 Land Data 2. Three Site Plans prepared by Meryl Kramer Architect dated May 31, 2005 3. Application fee of $250.00 4. Authorization Letter If you have any questions, please do not hesitate to call me. Sincerely, Mery er~ Bloch ~sierb and Matthew 31 SO[JT~ STREET P.O. BO', 683 GREEI~PORT. N~ 11944 631-477-8736 63i J, 77 8936 FA~