HomeMy WebLinkAboutTR-5530 Glenn Goldsmith,President �g SOUTH Town Hall Annex
A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25
P.O. Box 1179
Eric Sepenoski Southold, New York 11971
Liz Gillooly =�
� � Telephone(631) 765-1892
Elizabeth Peeples Fax(631) 765-6641
CpUNTI,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
September 15, 2022
Martin D. Finnegan, Esq.
Finnegan Law, P.C.
P.O. Box 1452
Mattituck, NY 1-1952
RE: DEBRA A. ROTH 2012 FAMILY TRUST c/o
WILLIAM M. ROTH, TRUSTEE
670 MASON DRIVE, CUTCHOGUE
SCTM# 1000-104-7-2
Dear Mr. Finnegan:
The following action was taken at the Southold Town Board of Trustees regular meeting
held on Wednesday, September 14, 2022:
RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a
Transfer of Wetland Permit #5530 from Geoffry & Domenica Penny to Debra A. Roth
2012 Family Trust c/o William M. Roth, Trustee, as issued on April 26, 2002.
Any other activity within 100' of the wetland boundary requires a permit from this office.
This is not a determination from any other agency.
If you have any questions, please contact our office at (631) 765-1892.
Sin erely,
Glenn Goldsmith, President
Board of Trustees
GG/dd
` ,y�gl1FF�Ol�
Glenn Goldsmith,President '�Sj� �OGy Town Hall Annex
A.Nicholas Krupski,Vice President �c 54375 Route 25
Eric Sepenoski a ,? P.O.Box 1179
Liz Gillooly 1py • 40Southold,NY 11971
Elizabeth Peeples �lnY� '
Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time: 9f zi Completed in field by: N, gpk.
Martin D. Finnegan on behalf of DEBRA A. ROTH 2012 FAMILY TRUST c/o WILLIAM
M. ROTH, TRUSTEE requests a Transfer of Wetland Permit#5530 from Geoffry &
Domenica Penny to Debra A. Roth 2012 Family Trust c/o William M. Roth, Trustee, as
issued on April 26, 2002. Located.: 570 Mason Drive, Cutchogue. SCTM#: 1000-104-
7-2
Ty{ of area to be impacted:
✓✓ Saltwater Wetland Freshwater Wetland Sound Bay
Part of Town Code propose work falls under: Chapt.275 Chapt. 111 other
Type of Application: Wetland Coastal Erosion Amendment
Administrative Emergency Pre-Submission Violation
Notice of Hearing card posted on property: Yes No V Not Applicable
Info needed/Modifications/Conditions/ tc.:
0y, .
Present Were: G. Goldsmithy N. Krupski E. Sepenoski
L. Gillooly E. Peeples
FII NEGAN LAS/, P.C.
13250 MAIN ROAD
P.O. BOX 1452
MATTITUCK, NEW YORK 11952
(631) 315-6070
MARTIN D. FINNEGAN, ESQ.
MFINNEGAN@N�R.THFORK.LAW
Via USPS Regular Mail1 E
D]
D UL
August 2, 202207
Town of Southold
Board of Trustees
54375 Route 25 - i Southold Town
Board of TrusteesPost Office Box 1179
Southold, NY 11971
Attn: Glenn Goldsmith, President
Re: Transfer of Trustees Permits
570 Mason Drive, Cutchogue
SCTM 1000-104.00-07.00-002.000
Permit Nos. 1921C; 0083C/5530; 10-88-104-7-2; 1898; 1155
Dear Trustee Goldsmith:
Please consider this letter a request to transfer the referenced permits from
Geoffroy Penny and Henry and Ann Wong to the Debra A. Roth 2012 Family Trust, as
they are the new owner of the subject parcel effective July 14th, 2022.
I have enclosed a copy of the executed deed for your records, along with an
executed Affidavit, Owner's Authorization, Owner's Transactional Disclosure Form,
Agent's Transactional Disclosure Form, and an attorney escrow check payable to the
Town of Southold in the amount of$250.00 for the required transfer fees for all five (5)
permits.
Kindly advise our office if you require anything further to process this request.
Very y o -rs,
Martin D. Finnegan
MDF/as
Encl.
cc: William M. Roth
and of Trustees App mti�-__
AFFIDAVIT
WILLIAM M. ROTH, AS TRUSTEE OF THE
DEBRA A. ROTH 2012 FAMILY TRUST 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 WORD 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
BOARD OF 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
TRUS'T'EES, THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE
CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO
INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION,
INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF
TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE
COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL
EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM
OF THE PERMIT.
Signature of Property Owner Signature of Property Owner
SWORN TO BEFORE ME THIS 14TH DAY OF JULY , 20 22
Notary Public
MARTIN D. FINNEGAN
Notary Public, State of New York
No. 01 F16056707
Qua1ifiad in Suffolk Coun
Commis.-•-j Ex ire N'tarch 26,%7-0-
3rd of Trustees App`, ,ati__
AUTHORIZATION
(Where the applicant is not the owner)
WILLIAM M. ROTH, AS TRUSTEE OF THE
I/We, DEBRA A. ROTH 2012 FAMILY TRUST
owners of the property identified as SCTM# 1000- 104.00-07.00-002.000 in the town of
SOUTHOLD New York, hereby authorizes
MARTIN D. FINNEGAN, ESQ.
to act as my agent and handle all
necessary work involved with the application process for permit(s) from the Southold Town
Board of Trustees for this property.
Property Owner's Signa e Property Owner's Signature
SWORN TO BEFORE ME THIS 14TH DAY OF JULY 2022
Notary Public
Ni;,RTiN D. FiNNEGAN
Notary Public, State of New York
No. 01F16056707
Qualified in Sufiolk County
Commission Expires?viarch 26,20
ADPL,ICANT/AGlEN'T/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The.Town of Southold's Code of Ethics prohibits conflict.,of intcrest on the part of town officers and cmplovecs.'1'hepurpose of
this form is torovide'nforination which can alert the town of ssible conflicts o!intcrest and allow it to take whatever action is
necessary to avoid same. WILLIAM M. ROTH, AS TRUSTEE OF THE
YOUR NAME: DEBRA A. ROTH 2012 FAMILY TRUST
(Last name,first name,.iliiddle initial,unless you are applying iii 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.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other'',name the activity.)
Do you personally(or through your company,spouse,sibling,paint,or chile()have a relationship with any officer or employee
of the Town of Soutliold? "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 S%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/agent/representative)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 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
2022
Submitted this 14 d4y o LY
Signature
Print Name WILLIAM M. ROTH, AS_TRUSTEE OF THE
Form TS 1 BRA A. ROTH 2012 FAMILY TRUST
APPLICANT/AGENT/REPRESENTA.TIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts orin on tlae art of town officers and employees.The pw-pose of
this form into provide information which can alert the town of WssibI6 conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOURNAME: MARTIN D. FINNEGAN
(Last name,fust name,ipiddle 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.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
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 blood,marriage,or business hiteresL"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 V
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/agGnVrepresentative)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(cheek 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 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 this "4th d JULY 24@ 2022
Signature
Print Name MA D.FIN EGAN
Form TS 1 f
NY 0 1 -ib V--w,;-,!! u-I Gk':wt At:,tip Sil.,-I ,N,-i HTV$412
COSSULT YOURLAWYER RITORP (117 VSTD FIV 1AM11tS ONLI
THIS INDE""TURE..made the Gj tree}of Jul% in the yowl 2022
BETWEEN
Penny,residing ata 0 N'lason Drive,Cutchogue.New York. 1193-5
pully ill tho j"irm pari.and
William M.Rolh,as Trustee or the Debra A.Roth 2012 Family Trust,
j?�?k �A,J-Ta+' P14C.R, 1JAPle S rL 3WOS'
pall%of ilic.,econd pan.
WITNESSETII,that the parlyol'the lir,,i part.in consideration ol-rcti Dollar,and other valmilile consideration paid by the.
part,.ofthL,sect end part.does hereby grant:end releasc unto the palIN of"llewcolld Part.dw heirs or%ticceswi-S and assign,ill
the pmty or owccomi part forLvcr.
ALL that ccilaill pkii.piece or parcel of land.xviih the huildilw,alul mtpratentem,Illovoll Vrected,siutate.lying and tiring Ill(11'.
Hamlet of Cutchogue,Town of Southold,County of Suffolk and State or New York,and more
particularly described al Schedule A attached hereto and made a part hereof.
Premises- 570 jMason Drive,Cutchogue,Ne%% York 11935.
AUG � g 2022
Id"VOWn
Board 01.1rustees
TOGETHER w 1111.111 mhk.lilk-aild Imercst.liairy.of the pao,(,I the lint part illa in ill,,]to tnxts and mads abutting the
'I� 1!
;tb,)VQ-dc.,cl i bell Prc fill Nc,lulliecelliel line'llicre'll'CrOCE filt-, witli the-api-itirte nanco;and ail the l:\utie;litd n.hes oldie
patty ill*Hit:last prat in and to t,md premises:TO HAVE E AND To i I oi.i)the piemisc%Ito t:iii i!rantctl tints tiro party of clic
Second Pan.the it—ign,ill'lite pally of ilicsecowl part Foi.%cr.
AND the pail.d'the li:,l p-111 cl,%Cuillll,111.1(01v pally of the 1-11"t prat ha.-4 not ]title w tillcretl any thine%%hetchN the smil
patnillw,,Race been uwtimbeicti lit any xk:i% it ba(vver.cwvpt:I,altireszild.
AND the party of the["it,,part.lit wittl3liano:with Sevoisn 13 ol'ilie Licit 1.11W. that the party tit the fir,l Plitt%%ill
r"t.kc the con,idcralion lily toil anirry uni ana will hold the rty-lit to rt L,:I%V 11101 et 11111CIVI'lltit Ol as-1 Ifil-It I'LlIld a*he iii"Plit:J
first for the porlio,c of payint!IN,coq offlic 1111priwellivill and will apply the'aille first to[lie 1);Iylll--.nl of the Cost of the
imprimcin"t before uswg,any part of the tw.fl of the smile for anpother purPO'c.
'I'lle%wri]"priv-,ball beo,tistnied;6 11 it reset"garlic:" 111V n>c ill tills Ijuk-gluilt:No lctjttire,.
IN wrrNESS AVT-IrREOR the pang of the fires pari lin,duly e%e,uied till,decd the tiny and year firm above wrilleit.
—---------
FIDELITY NATIONAL TITLE INSURANCE COMPANY _ TITLE NO.7404-0`14383
SCHEDULE A-1
(Description of the Land)
For Tax Map ID(s): 1000-104.00-07.00-002.000
AMENDED 7/13/2022
ALL that certain plot,piece or parcel of land.situate,lying and being at Bayview,in the Town of Southold.County of Suffolk
and State of New York,bounded and described as follows:
BEGINNING at a found concrete monument on the Southerly line of Mason Drive said monument being distant 678.06 feet
Westerly from the intersection formed by the Westerly tine of said Broadwaters Drive and the Southerly line of Mason
Drive:
THENCE South 12 degrees 08 minutes 10 seconds East 326.50 feet to tie line along mean high water mark of Haywaters
Cove:
THENCE Southwesterly along said high water mark of Haywaters Cove along two(2)tie lines:
1. South 72 degrees 16 minutes 52 seconds West 42.75 feet:
2. South 63 degrees 32 minutes 56 seconds West 12154 feet to lands now or formerly of Patrick Sweeney:
THENCE,along said lands,North 8 degrees 05 minutes 30 seconds West 337.03 feet to the Southerly line of Mason
Drive:
RUNNING THENCE along said Southerly line of Mason Drive the following two(3)courses and distances:
1.North 62 degrees 24 minutes 30 seconds East 65.76 feet:
2.North 72 degrees 24 minutes 30 seconds East 73.49 feet to the point and place of BEGINNING.
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the
premises which by law constitute real property.
FOR CONVEYANCING ONLY: Together with all the right.title and interest of the party of the first part, of in and to the
land lying in the street in front of and adjoining said premises
END OF SCHEDULE A
Cor.mment for Title Insurance Primed 07 13 22 @ 03 02 ft
Sctxoule A-1 Cescqpt:on %Y---FRVM-0!030 431004-SPS-1-22.7404.014383
i
Sweaf N*c%v Vork.County of Suffolk ss.: state of York.County orSuffolk
A
on theW day o1july in lite year2022 On the day tit' in the%car
Before me.the undersigned.rieronally apiwared before me.the undersigned.personally apricared
Geoffroy L.Peniv
personally known to me or pnived to me on tile basis of satisfactory rwrsonally known to lite or proved it)me on the basis ol'salisfilclory
evidence tote the individuals)whimL,namets)i%(arc)subscribed to the evidence it)be die individual(s)whose name(s)is(are)subscribed to tile
A and acknowiLdged to me that he/she/they executed
within instrument and acknowledged to me that belsliLldwy exceutic within instrument.
the same in histheTAheir cap acity(res). and that by his/ler/their the same in hisher/their capacily(ics)• and that by hi'Aler/dwir
signal alfs).or the flerson upin signature(s)on the instrument.the individualist.or(lie Person tiptill
bLhalljtd*wl h1lD\JApM1_1M-executed lite instruntent, belialftif which the individual(s)acted,eXCCULLd the insirinlient,
NOTARY PUBLIC.STATE OF Nr-WYORK*
stration
h
No.02JAS052585
[ ed in Sufbotk Conary
C.Mi.'i'.` Expires February 13. !'Gi3
rn
/Sir}iris Suh..rrihine Vilam-Artnuulydginrnr 101'r afkal,
state of New York.Counkyof ............................... ..................
hh Mal,%Cru an.
Oil lite day of in lite Year
before mer the undersigned.personally appeared Oil the day of in the year
tw1bre me.tile undcr%iytied.itemnindly all[varLd
the subscribing witness to the foregoing instrument.with whom I;ill' c try
liersonally m-quainwil.who.being by me thily%vaim.did dLixiscand peronally kiwivit in nw or proved I()me on tile basis of satisill It
say that lie/she/they residels)in evideiht:e til tit•lite'Individttnl(%)w11t1.K nahnce(s)is(arc)subscribed to the
within instrument and acknomdedeed to Hie that he/she/they excetiled
lij thephic-C,(Y*residellet,is ill(I -ily. tile Nanic in his/her/their capacily(les).dial by histher/their signatUrCIN)
if fllv,therer?f):that he/she/they laiow(N) on flic instrument,the individual(s),or the person Upon he iall"A'which
the individual(s)acted.emcuted to instrument.and that such individual
in lie the individual described in and who excLuiLd (lie foregoing made such aliNarance befory the undersigned in the
instalment.that said stibscrihing witness wits tircs4BLaildsante said
excelite to same:and that said witness at the same(line subscribed (hisert rhe
his/her/their name(%)as a witness dienclo. other plare the arknon-ledgment it-its takell).
BARGAIN&SAix M.F.it,
All) %V11114"Al DisTRim.100
SFC-TION 129.00
Bl.oCK01.00
lArr 006.000
CoU',-rY Olt TOWN Suffolk
TO
Fidelity National Title Insurance Company
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RDFLI'n,NATIONAL.Trnx
lN%t'RANWF'COMPANY
Fidelity-Dyl--
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WILLIAM C. GOGGINS
Attorney at Law i
13235 Main Road, P.O. Box 65
Mattituck New York 11952Southold Town
Board of Trustees
` Phone: (631) 298-4818 -
Fax: (631) 298-4214
Email: gogginslaw@gmail.com
June 3, 2022
Southold Town Board of Trustees
53095 Main Road, P.O. Box. 1179
Southold, New York. 11971
Attn: Diane DiSalvo
Re: Geoffroy L. Penny
Premises: 570 Mason Drive, Cutchogue, New York
SCTM No.: 1000-104.000-07.00-002.000
Dear Ms. DiSalvo:
Mr. Penny is selling the above residence.
We request a certificate of compliance. Attached please find a check in the
amount of$50.00.
Thank you.
Vel truly yours,
O
WILLIAM . GO GINS
WCG/dmp
i
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) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0083C Dme 11/29/05
single-family dwelling
THIS CERTIFIES that the
At 570 Mason Dr., Cutchogue
Suffolk County Tax Map # 104-7-2
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 3/27/02 pursuant to which Trustees Permit # 5530 Dated 4/24/02
Was issued, and conforms to all of the requirements and conditions of the applicable
provisions of law. The project for which this certificate is being issued
for a single-family dwelling
owner of the
is
The certificate is issued to GEOFFRY AND DOMENICA PENNY
aforesaid property.
Authorized Signature
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
DATE: ....A.p{~:]:. 2§..~....~002
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New YorE, 1893; and Chapter 404 of the Lave; of the
State of New Yore 1952; and the Southeld ToWn Ordinance
titled ."REGULATING AND THE PLAC;ING OF OBSTRUC;TIONS
IN AND ON TOWN WATERS AND PUBLIC; LANDS and the
REMOVAL OF SAND, GRAVEL-OR OTHER MATERIALS FROIvl
LANDS UNDER TOWN WATERS;~.". end in accordance with the
Resolution of The B6ard adopted at a meeting held on ...-~R~. 2.R.,.
~?~, and in ¢onslderatlon of the sum of $....~.,.~.0 ...... peld by
Geoffry & Domenica Penn~
of Cutchogue ... N. Y. and subject to the
Ter~'"'",~'"'"~'n~'i~;~ns'" ii~i'""~' the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Wetland Permit to demolish the ekisting dwelling and construct
a new house.
all in accordance with the detai~ed spec;fications as presented in
the originating application.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes ifs Corporate SeaJ to be affixed, and these ~,resen~x to
be subscribed by a 'majority of the sa,d Board as of th~s date.
TERMS and CONDITIONS
T~ ~ Geoffry & Domenica Penny
570 Mason Dr., Cutchogue
resMi-~ at IN. Y~ as
1~ o~ zhe co.slder~o, fo~ ~ ~,~ of ~e ~t ~ ~ ~ ~ ~ ~e f~-
:'. Thatd~Pecmith'valid/ots.pedodof, 24 a~.~akbheomi~tobethe
for an ~on may be made to t~e Bo~d *t a !~ dam.
That t~s Petmlt should be retained indefinitely, or as long as the said Pemgtt~e wi~bes
· --;,~a. the structure o~ project involved, to wovide evidence to anyone co~d m.~ auth-
4. That the wo& involved will be subject to d~e imt~doa and approval o~ the ]~axl et
its agents, and no~ampli,,~e with the provisions d d~e o~--a-g q,ldl_,,~tioa, maI be _~,~- f~
tevocatloa of this P.,.mlt by temlution of the said ~
7. That E ~'m~'e opetadom or' t~e Town ot 8oud~dd requi~ the tanoval and/'o¢ al~sdons
in the io~don of
upon clue notice, to remove or alte~ lhJs wofic ot project heteln stated ~thout es~mn~es to the Town
s. That the said Boazd will be notified by the Petmlttee ot the cempiet~n o~ the ~0dt sud~-
orlzed.
9. That the Permktee ~ eh--;- all o~et permits .-4 consems d,st ma7 be tequL-ed s,,
plementd to aris pem~t w~lch may be subject to revoke upon fsli.~ to obtain
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
April 26, 2002
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
Mr. Thomas Samuels
Samuels & Steclman Architects
25235 Main Road
Cutchogue, NY 11935
GEOFFRY & DOMENICA PENNY
570 Mason Dr., Cutchogue
SCTM#104-7-2
Dear Mr. Samuels:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, April 24, 2002 regarding the above matter:
WHEREAS, Samuels & Steelman Architects on behalf of GEOFFRY & DOMENICA PENNY
applied to the Southold Town Trustees for a permit under the provisions of the Wetland
Ordinance of the Town of Southold, application dated March 27, 2002, and,
WHEREAS, said application was referred to the Southold Town Conservation Advisory Council
for their findings and recommendations, and,
WHEREAS, a Public Heating was held by the Town Trustees with respect to said application on
April 24, 2002, 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 GEOFFRY & DOMENICA
PENNY to demolish the existing dwelling and construct a new house.
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. Kmpski, Jr.
President, Board of Trustees
AJK/lms
Telephone
(631) 765-1892
Tawu H~B. 53095 ~
P.O. Box 1179
Scut. hold. New Yo~k
$OUTHOLD TOWN
C0~$ERYATION ADVISORY COUNCIL
At the meeting of the Southold Town Cons(~rvation Advisory Council held Thursday,
April 18, 2002, the following recommendation was made:
Moved by Melvyn Mords, seconded by Scott Hilary, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the
Wetland Permit Application of GEOFFRY & DOMENICA PENNY to demolish the
existing dwelling and construct a new house.
Located: 570 Mason Dr., Cutchogue. SCTM#104-7-2
Vote of Council: Ayes: All
Motion Carried
SURVE"r' OF= PROPERTY
SI'I'UATE: F~C, ONIG
TO~N: ~OUTHOLD
5Ui=I=OLK C,01~'1~, 1,ti'
SURVE'r'ED 01-12-00
At-dENDED 02-0S-02
prop. odd. 0D-02-02
SUFFOLK COUNT'( TAX :~
1000-104-~-2
CERTIFIED TO,
®EOFFROY L. PENNY
7
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N
W
S
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·
NOTES:
I ~ONUMENT
FLO0~ ZON~ INEO~MATION ANNOTAT~
F~O~ FI~ ~10~01~4 ~ DATED HA~ 4, I~q~
CONTOUR INFO. I~
~OUTHOL~ TO~N ZONE ~- 40
AREA = 53,q46 5F OR 1.24 A~E~
~APHI~ 5GALE 1"=40'
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901 REF.\~I-Ip server\d~PROS\99-266J.pro
369-8288 Fax 369-8287
Jim King
Martin H. Garrell
Peter Wenczel
BOARD OF TOWN_TRUSTEES . -
TOWN OF SOUTHOLD
Town Hall
53095 Main Road
P.O. Bo~ 1179
Southold, New York 11971
Telephone (516) 765 - 1892
Fax (516) 765-1823
Office Use Only
~wOaStal Erosion Permit Application
etland Permit Application
Grandfather Permit Application,
Waiver/Amendment/Changes
-~recefved Appli~atign: ~0~
~-Received Fee:$~-- · --'
,--Completed Application~
Incomplete
SEQRA Classification:
Type I__.Type II Unlisted
Coordination:(date sent)
--~f~C Referral Sent:_~_~__
~ate of Inspection:
R~ceipt of CAC Report::
Lead Agency Determination:
Technical Review:
,'Public Hearing Held:~l~-~
Resolution:
N~ne of Applicant
Ad.¢~',e s.s 570 Mason
Geoffr_v and Domenica Penny
Dr., Cutchoque, NY 11935
Phone N~umb'~r':§31 ) 734-5689
Suffolk County Tax Map Number: 1000 104-7-2
Property LocatioN: 570 Mason Drive, Cutchogue, NY
At corner of Haywaters & Mason Drive
(provide LILCO Pole #, distance to cross
· ~-);,~. . . . ..... ~_.~
AGENT: Samuels & Steelman Architects
streets, and location)
(If applicable)
Address: 25235 Main Rd.
Cutchoque, NY 11935
Phone: 734-6405
--r~--FAX~:',.-734-6407
Boa~of Trustees Application
Land Area (in square
Area Zoning:
Previous use of property:
Intended use of property:
GENERAL DATA
feet): 53~948 S.F.
/ 1.24 Acres
Single Family Dwelling
~inale Family Dwellinq
Prior permits;apprOVals 'for sit~' improvementS: ....
Agency D_a_~e
x .No prior permits/approvals for site improvements.
~;WHas any perm~t/~ppr0v~l' ~ver been feqo~d 9r suspended by a
governmental agency?
x No Yes
If yes, provide explanation:
Project Description (use attachments if necessary)~
To demolish existing dwelling and construct new house.
Boar~f Trustees Application
WETLAND/~RUS~EE LA/~DS A]PPLICATION DATA
Purpose of the proposed operations: Tn ~mml{~h ~Y~{n~
dwelling and construct new house.
Area of wetlands on lot: 14,948 square feet (including Lagoon)
Percent coverage of lot: 27.7 %
Closest dista~ce between nearest existing structure and upland
edge of wetlands: 116.5 feet
Closest distance.between nearest proposed structure and upland
edge of wetlands: 1~?.5 feet
Does the project involve excavation or filling?
No X Yes
If yes, how much material will be excavated? 150 cufoic yards
How much material will be filled? ],240 cubic yards
Depth of which material will be removed or deposited:
feet
Proposed slope throughout the area of operations: · ' e plan)
Manner in which material will be removed or deposited:
MachiB~
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"attacb~nents if appropriate):
None
517.21
Appendix C
Slate Environmental Qualit'! Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ,ACTIONS Only
PART f--PROJECT /NFORMATfON .;q-o ce comvle,,ed by Aooffcan[ or ?oeec; soonsorl
SE~
Samuels & Steelman Architects
Penny
MumcloslIW Town of Southold 3auni',, Suffolk
570 Mason Dr, Cutchogue, NY 11935
at corner of Haywaters Dr. & Mason Dr.
5. OESCalSE .=ROJECT ~RIEFL~: i
To demolish existing dwelling and construct new house.
Suffolk County Health Depb.
Town of Southold Board of Trustees, Southold Building Dept.
If the action is in :he Cor:s,'al Area. and )'au are a state agency, complete the
Coas:21 .Assessment Form oeiore proceedJn~ '.rich this 3¢~s, essment
OVER
PART H--ENVIRONMEN ASSESSMENT itc be como~e,~e~ cy &g~
C2. Aesnletlc, a~ficMJluraJ. ]rcnaeolo(jIcal, historic, .~r o(her natural or CultUral resources: or ¢=rnmun)(v or nelgrlbofnood ¢.'larac:er? .~.~o[a~n ~rlaf
PART III--OETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS; For eac.~ aQverse effec[ ~dentif[ed acove, determine wnetMer it is substantial, large. [mportae£ or otllerw~se sJCJnl[iCaF
EJicn eifec: Should be assessed in connection w~t~ its (a) set[lng (i.e. urban or rural); (b) proOaDilit¥ of occa~"Lng; (c) duration; (.
irrevers[bHJty; (el geegr~priic ~cooe: anu (0 megm[ude, [~ necessa~, add &rtachmen[$ or reference supporting materials. Ensure ~h.
excl~nallons c~nlam sutficien[ detail ~o ~ncw U~a[ all relevant adverse impacts have ~een identified and adequately addressed.
'-~ Chec,k :his box if you have identified one or more potentially large or significant adverse impacts ',vh~ch MAY
occur. Then proceed direcdy (o t~e FULL -~AF ~ndlor prepare a positive-declaration.
_ Chec',< (his ;ox ~f you have de(ermined, based on ~he intormadon and analysis Above and any supporting
documentation. :hat ;he 3rocoseo acdon WILL ,',lOT result in_p. ny significant adverse environmental impac:s
'LETTER OF AUTHORIZATION
Geoffry and Domenica Penny
570 Mason Drive
Cutchogue, New York, 11935
Tel # (631) 734-5689
Date March 5, 2002
We hereby authorize Tom Samuels of SAMUELS & STEELMAN ARCHITECTS to act as
our agent in obtaining all permits required by TOWN, SUFFOLK COUNTY and NEW
YORK STATE for the construction of our residence on 570 Mason Drive, Cutchogue,
N.Y.11935
Da(e
Date
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
STATE OF NEW 'fORK
~31q'1~'}0,..-,~'~;(-~'~/3 , residing at ~ ~~ ~
~c~L~ j;~ , being duly sworn, deposes and says
t~at on the,~ day of ~% ,~ deponent mailed
a true copy of the Notice set forth in the Board of Trustees
Application, directed to each of the ~ove n~ed persons at ~he
addresses set opposite there respective n~es; that the
addresses set opposite the n~es 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 ~~~ , that said Notices
were mailed to each of said"'~pe~ons by (certified) (registered)
mail.
Sworn to kefor~ me this ~ 9~-I~
day of ~Cx~ , ~9-.~C~%.-~_
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
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
In the Matter of the Application
of
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
, residing at . , -
being duly sworn, depose aha say:
That on the/~ day of~f~_, 2002, ~ perso~nally 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 eight days prior to the date of the .
public he. aring..Date_of hearing noted thereon to be held
Dated: ~/~ ~//0~
Sworn to before me this
~-day of/~'I 2002
Notary Public
PATRICIA RICHARDS
Notary Public, State of New York
No. 01RI6042467
Qualified in Suffolk County
Commission Expires May 30, 2002
_ _ _
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SITE DATA
SCTM # 1000.104-7-2
f i.,,
PROPERTY: PENNY RESIDENCE
ADRESS 570 MASON DRIVE
r, CUTCHOGUE, 'NEW YORK
SITE: 53,948 SO. FT. = 1.2385 AC.
AREA Pi
Land now or formerly of: ZONING: R-40
Charles Boyer, Jr.
1 '1'
FLOOD: X !Ill
SERVED BY
ZONE
PUBLIC WATER 0
SURVEYOR: JOHN C. EHLERS
RIVERHEAD, NY.
LICENSE # 50202
DATED: 1-12-2000 Z z ,z
F/00 NOTES: FOR ELEVATIONS AND
d - ;
= O, TOPOGRAPHIC CONTOURS REFER,TO 0 "i
/ /O a \O� ` \ 9ulkhecd \ O M.S.L. DATUM $ RESULT FROM TOPOGRAPHIC Q Q
0 @ MAPS OF THE FIVE TOWNS.
_ . _
/ \ �O�e �\8" " — _ _— _ _- —{ �``�— � p ', PROP56D RESIDENCE WILL BE TIED INTO Q
pad _ — — wall \ `� * PUBLIC WATER SUPPLIED BY S.C.W.A,
f �� —� i timber retaining i�
THE LOCATIONS OF WELLS AND CESSPOOLS
£ \ ` ,.mi cord. block wall / / y � y \ I liSHOWN ARE FROM FIELD
O ,'
` I " TYPE"K" COPPER ' ' _ 5 / / ;a \1 * / I\ OBSE VATO SN AND OR DATA OBTAINED
WATER LINE FROM z e . - 6 \ / / t� FROM OTHERS Q
S.G.W.A. VAULT Fr. �'. \ ` ~ / / / g I \
Shed 8 \ 7 // / 1 �l / //yf ,11 \ 0
LOCA_10TION MAP o ' '
W
+ \ 9 \
91A, / * ly. `,r' \ :, , k e •"1 #Y " gr.s.'.t,-a r" p W
10.0' \ dt- a, ! -,i' {L _'^^
.T
°\ � •••111
REE \ W /r • * . x., < Q
_ g
A }fir r�sisl :,.k
,�yy #Z1111
'1' �. "I' I .� -' I ' 10.01 '� rn,LOCATION O>~ , - - \ EXISTING HOUSE TO"EXISTING WELL TO\ BE DEMOLISHEDe,\ I r +f' > L TIMI 0BE ABANDONED __ ((� ppCy' / _154
P� ?{
1 'r.!I..., I / IO2.� x!. . cutS�rH +V .
1'0`
LOCATION S.G.W.A. VAULT o
y 1'I F" ,, I 1 1 ,`'�` p• `v 1 1 \ 'r r' \ s'r,{h`,
DASHED LINE INDICATES 4'.
+ -T� °� EXISTING DWELLINGV",
r to
\ asp O 4 b T EXISTING TIMBER 1
� t r F', d RETAINING WALL •J.x \ a(\\ V `,'� -i., ' J '.r �p ryer .v " '. •di
� -
rrT -. ,,1. . tP \ \ \ Z.
VEHICLE ACCE55 � ' : -T �\ y
TEST HQ.L . �Ia.o f \ \
ROUTE - -L SYSTEM (TO BE
LYJGATICJN ; 1 6,• \ \ Q
TEST HOLE
81'McOONALD t S
REMOVED) I , � \ \ +r - �;\ sEDEueNce yt J• u
EXISTING DRI VEWA
\ COVERED �' / - - - id ° \ - / / / N TEST HOLE DATA ( 2/ �8 / 02 ) GRADE EL. + B.Oft.
TO BE REMOVED ? , /yy
R 8 1 .. / *.' "� \ o Fr, PARK eRowN SANDY LOAM OL W
i�nc 8�!_-T 7 ��_ timber retaining wall �r \ _ / _ (� Q F.•• u 8
EXISTING PROPERTY LINE 75 FT. BROANLOAMYSAND sM y �
�{ s. - - - - "
cc
S.T Fr. PALE BROWN FINE TO MEDIUM SAND EP Q
5EPTIG 5Y5TEM
/ (1) 1000 GAL 5EPTIG TANK Land now or formerly of: WATER IN PALE BROWN
FINE TO MEDIUM SAND 5P
(a) s FT. HIGH x a FT. DIA Jane Sweeney
LEAGHING POOLS SERVED BY
Al (2) s FT. HIGH x a FT DIA. PUBLIC WATER
EXPAN51ON POOLS TO Fr
WATER ENOOUNTERED AT 6.1 FT. BELOW SURFACE r 6�
fw1Nk Z 7 III '' yip
BUILDING WALL ' r aecr o:
2105 - a
PROPOSED GRADE LINE ELEVATION ± 10' . 0 FT. Df#AwNeY: RJB
I ' MIN., 2 ' MAX CHECKED BY: 'II
i DATE: 3122/02
SCALE:
, 1" = 20.! "
SMEErTITLE:
LEACHING
POOL r
TP�NK It
Q
`rr I1=. +q .0' IE .+B.��i ' SIT8 PLAN
, 1
+8.23 ' o z
5.0 ft. - �- -- 15.0 ft. m
SHEET NO.:
GROUND WATER EL. 1.5„FT.
,
A ,
i
SITE PLAN
SEPTIC PROFILE
SCALE: V = 20'-0” N.T.S:
f ft
.....a-., z.E 't.L v