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HomeMy WebLinkAboutTR-5934 James F. King, President Bob Ghosio Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone(631) 765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 18, 2012 Mr. Ed Viola Broadwaters Cove Madna 8000 Bay Ave. Cutchogue, NY 11935 RE: WETLAND PERMIT #5934 8000 SKUNK LANE, CUTCHOGUE SCTM#104-8-2.5 Dear Mr. Viola: The following action was taken at the Southold Town Board of Trustees Regular Meeting held on Wed., January 18, 2012: RESOLVED, that the Southold Town Board of Trustees APPROVES the request for a Transfer of Wetland Permit #5934 from Broadwaters Cove Marina to Bay Avenue Holdings, LLC, as issued on May 26, 2004. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Jam(j~F. King, Pres~.~,~ Board of Trustees JFK:lms James F. King, President Bob Ghosio. Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Ed Viola on behalf of BAY AVENUE HOLDINGS, LLC requests a Transfer of Wetland Permit #5934 from Broadwaters Cove Marina to Bay Avenue Holdings, LLC, as issued on May 26, 2004. Located: 8000 Skunk Lane, Cutchogue. SCTM# 104-8-2.5 Type ,(if area to be impacted: //'k..Sa Itwate r Wetland __ Freshwater Wetland__ Sound __ Bay Distance of proposed work to edge of wetland: Part ~)f Town Code proposed work falls under: ~ Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Administrative Emergency Pre-Submission Amendment Violation Info needed: l/ ,5. Modifications: Conditions: Present Were: .,~d. King .._.rvl. Domino Form filled out in the field by: B. Ghosio, Jr..--'"D. Bergen ~ Bredemeyer D. Dzenkowski Mark Terry other Mailed/Faxed to: Date: BROADWATERS COVE: ,,.- 4 2012 January 3, 2012 Board of Town Trustees Town of Southold Town Hall Annex PO box 1179 Southold, NY 11971 To whom it may concern, As operating manager and member of Bay Avenue Holdings, LLC, owners of Broadwaters Cove Marina of Cutchogue, NY and with the permission of Carol Zito, past owner, this letter is a request to transfer permits #s 4526 & 5934 into our names at the next scheduled meeting. Sinfie~e!Y, J )Q Bay Avenue Holdings, LLC 8000 BAY AVENUE CUTCHOGUE, NY 11935 (631) 734 6323 BROADWA I ERSCOVE~GMAII .COM BAY AVENUE INVESTORS LLC ~ ~ RESOLUTIONS OF THE DIRECTORS OF THE COMPANY AND THE APPOINTMENT OF EXECUTIVE OFFICERS~ WHEREAS, the Company, Bay Avenue Investors LLC (thc "Company"), was duly formed on or about January 19, 2011 under the laws of the State of Delaware; and, WHEREAS, the Members of the Company duly held and conducted an Organizational Meeting of the Company on thc 19th day of January, 2011 (thc "Initial Member Meeting"); and, WHEREAS, the Members of the Company appointed Edward J. Viola, Anthony Lomangino and Stanley Lomangino as the Directors of the Company pursuant to the Company's Operating Agreement, and such appointment was consented and agreed to by Edward J. Viola, Anthony Lomangino and Stanley Lomangino at thc Initial Member Meeting; and, WHEREAS, on the 19th day of January, 2011, the Directors duly called and held a meeting of thc Board of Directors (the "Initial Board Meeting") to consider, among other things, thc appointment of Executive Officers of the Company, the acquisition and ownership of wholly owned subsidiary companies ("Subsidiaries"), the appointment of anthorizcd persons of the Subsidiaries, the Company's entering into loan agreements with certain Members of the Company, and such other matters as the Directors deemed necessary and appropriate for the operations and affairs of the Company; and, WHEREAS, at the Initial Board Meeting, the Directors duly appointed Executive Officers of the Company, approved and ratified the Company's ownership of the Subsidiaries, duly appointed Managers of the Subsidiaries, approved and ratified the Company's capital contributions to thc Subsidiaries, authorized the Managers of the Subsidiaries to enter into such agreements and instruments as may be necessary for the efficient operations and affairs of the Subsidiaries, and approved and ratified a "Guaranteed Payment to Principal" with respect to Edward J. Viola. NOW, THEREFORE, IT IS HEREBY UNANIMOUSLY RESOLVED BY THE DIRECTORS OF THE COMPANY AS FOLLLOWS: 1. The following persons shall be appointed Executive officers of the Company and shall act in such capacity in accordance with the directives, and consent of the Directors: Chairman: Charles Gusmano President: Charles Lomangino Treasurer: Stanley Lomangino Secretary: Edward J. Viola. 2. The foregoing Executive Officers shall serve without compensation, but shall be entitled to be reimbursed for reasonable costs and expenses incurred by them in the performance of their duties as officers of the Company. 3. Only the Directors, the Chairman and the President shall be authorized to bind the Company to contractual obligations, provided the stated term of such contractual agreements and obligations does not exceed one calendar year, unless a longer term may otherwise be resolved, agreed and consented to by the Directors of the Company. 4. No Executive Officer of the Company shall be authorized to open or maintain any financial or banking accounts on behalf of the Company unless approved and consented to in advance by the Board of Directors. 5. The Company shall be authorized to acquire and hold all issued and outstanding Membership interests in the following Companies: BAY AVENUE HOLDINGS LLC, a New York Limited Liability Company and BROADWATERS COVE MARINA LLC, a New York Limited Liability Company (collectively and singularly, the "Subsidiaries"), provided that the Company is the sole Member of each of the Subsidiaries. 6. Charles Gusmano shall be exclusively authorized and appointed to act and vote as and on behalf of the Member of each of the Subsidiaries, and to execute, acknowledge, deliver and file any and all instruments and documents related to the corporate existence of each of the Subsidiaries. 7. Charles Gusmano is hereby authorized to appoint the following persons as respective Managers of the Subsidiaries: Bay Avenue Holdings LLC - Stanley Lomangino, Manager Broadwaters Cove Marina LLC - Charles Lomangino, Manager 8. The Company is authorized to make Capital Contributions to each of the Subsidiaries in the following amounts: Bay Avenue Holdings LLC - $ .; and, Broadwaters Cove Marina LLC - $ 9. The Managers of the Subsidiaries are authorized and directed to enter into, on behalf of the Subsidiaries, such mutual agreements and instruments as are reasonably required to enable Broadwaters Cove Marina LLC to occupy and possess such portion or portions of the real property and improvements owned by Bay Avenue Holdings LLC that are reasonably required for Broadwaters Cove Marina LLC to operate a full-service marina pursuant to license or use & occupancy agreements; and, further authorized to enter into use & occupancy agreements with Edward J. Viola with respect to the residential dwelling(s) owned by Bay Avenue Holdings LLC. 10. The Company is authorized to enter into those certain loan agreements with Members of the Company dated January 19, 2011, and hereby ratifies its obligations under the Member Notes in the aggregate principal amount of ONE MILLION THREE HUNDRED FORTYFIVE THOUSAND DOLLARS ($1,345,000.00), as Borrower, copies of which have been or are to be affixed to the Company's minute book (the "Member Notes"). 11. The Company shall only distribute profits to Members once annually, if authorized by the Board of Directors in accordance with the Company's Operating Agreement, provided however that no distributions shall be made until after each annual anniversary of the Member Notes, and further provided that at such time or times, the Company is not in default of any payment obligations under the Member Notes. 12. The Company hereby authorizes and agrees that a "Guaranteed Payment to Partner" shall be made to Edward J. Viola upon the following terms: The sum of $800.00 a week shall be a Guaranteed Payment to Partner delivered and payable to Edward J. Viola commencing on _, 2011, and thereafter on each consecutive Friday until such time as may be terminated or revoked by the Board of Directors (the "Viola Payment"); The Company's obligation to make the Viola Payment shall be at all times subject to the discretion of the Board of Directors, which may be withdrawn in the sole and exclusive discretion of the Board of Directors; The Company's obligation to make the Viola Payment shall only be made provided the Company has the funds available to make such payment, and the Company shall not be authorized to declare, nor shall Edward J. Viola have the right to demand, additional capital contributions from Members or additional loans from third parties, in order to meet the Viola Payment; and, Nothing shall prevent the Company from making the Viola Payments through one or both of the Subsidiaries, in which event the Company shall be deemed to have made any and all Viola Payments otherwise made by the Subsidiaries. All of the foregoing constitutes the UNANIMOUS actions of the Board of Directors of the Company at the Initial Board Meeting duly held and presided over by the Chairman of the Company pursuant to the Operating Agreement. There having been no further business or matters considered or acted upon at the Initial Board Meeting, said Meeting was concluded and closed, and the Secretary is directed to affix this Resolution to the Corporate Minute Books of the Company. Dated And Effective As Off January 19, 2011 Charles Gusmano, Chairman Edward J. Viola, Director Anthony Lomangino, Director Stanley Lomangino, Director BROADWATERS COVE MARINA LLC RESOLUTIONS OF THE MANAGER OF THE COMPANY AND THE APPOINTMENT OF OFFICERS WHEREAS, the Company, Broadwaters Cove Marina LLC (the "Company"), was duly formed on or about November 16, 2010, under the laws of the State of New York; and, WHEREAS, the sole Member of the Company, Bay Avenue Investors LLC, a Delaware limited liability company, duly held and conducted an Organizational Meeting of the Company on the 19th day of January, 2011 (the "Initial Member Meeting"); and, WHEREAS, the Member of the Company appointed Stanley Lomangino as the "Manager" of the Company pursuant to the Company's Operating Agreement, and such appointment was consented and agreed to by Charles Lomangino at the Initial Member Meeting; and, WHEREAS, on the 19th day of January, 2011, the Manager duly called and held a meeting of the Manager (the "Initial Manager Meeting") to consider, among other things, the appointment of Officers of the Company and the delegation of the Manager's authority by, through and under the Officers of the Company, the authorization of banking and financial matters on behalf of the Company, and such other matters as the Manager deemed necessary and appropriate for the operations and affairs of the Company. NOW, THEREFORE, IT IS HEREBY RESOLVED BY THE MANAGER OF THE COMPANY AS FOLLLOWS: 1. The following persons shall be appointed Officers of the Company, and shall act in such capacity in accordance with the directives, and consent of the Manager: President/Chief Operating Officer: Edward J. Viola Vice President: Anthony Lomangino Treasurer: Stanley Lomangino Secretary: Edward J. Viola. 2. The foregoing Officers shall serve: (i) at the sole and exclusive discretion of the Manager unless and until terminated by the Manager; and, (ii) without compensation, but shall be entitled to be reimbursed for reasonable costs and expenses incurred by them in the performance of their duties as officers of the Company. 3. Only the Manager, the President/COO and the Vice President shall be authorized to bind the Company to contractual obligations, provided the stated term of such contractual agreements and obligations does not exceed one calendar year, unless a longer term may otherwise be resolved, agreed and consented to by the Manager of the Company. 4. The President/COO and Vice President are hereby authorized and directed to open and maintain one or more bank accounts in the name of the Company at a national banking institution located in, and licensed under the banking laws and regulations of, the State of New York, and that each of the Officers of the Company shall be signatories to such accounts, singularly or collectively. 5. The Company is hereby authorized to enter into a license agreement with Bay Avenue Holdings LLC for the purpose of granting the Company the right and authority under license to occupy, possess and operate its business as a full-service marina from all or a portion of the premises owned by Bay Avenue Holdings LLC and located at 8000 Skunk Lane, Cutchogue, NY, a copy of which is attached hereto and made a part of these Resolutions. 6. The President/COO of the Company shall operate, manage and oversee the day-today business affairs of the Company in its operation of a full-service boating marina, and shall devote such time, expertise and involvement as is reasonably required to ensure the continued, un-interrupted, safe and efficient operation of such business. No employment agreements or agreements for services by contractors or consultants shall be entered into without the prior written consent of the Manager. The President/COO shall not be entitled to monetary remuneration for such services notwithstanding the due performance of his obligations as President/COO. 7. To the extent any Officer is deemed an employee of the Company, such designation shall be deemed an "employee at will," and shall be subject to termination as and upon such terms or no terms as the Manager of the Company shall determine in his sole and exclusive discretion, with or without cause. All of the foregoing constitutes the Resolution and action of the Manager of the Company at the Initial Manager Meeting and, there having been no further business or matters considered or acted upon at the Initial Manager Meeting, said Meeting was concluded and closed, and the Secretary is directed to affix this Resolution to the Corporate Minute Books of the Company. Mattituck, NY Effective As Of: January 19, 2011 Charles Lomangino, Manager Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson To~vn 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 March 23, 2005 Mr. Tom Iwanecko Suffolk County Vector Control 335 Yaphank Ave. Yaphank, NY 11980 RE: Replacement of Pipe located under Skunk Lane, Cutchogue Dear Mr. Iwanecko: With regard to the above-referenced, the Board of Trustees authorizes the replacement of the pipe running under Skunk Lake, in front of Bmadwaters Cove Marina. Please inform the Southold Town Highway Dept. of this project. If you have any questions, please don't hesitate to contact our office. Thank you. Very truly yours, Albert J. Krupski, Jr., President Board of Trustees AJK:lms Nar 11 O~ 12:l~p p.1 Broadwaters Cove Marina PO Box 432/8000 Skunk Lane Cutchogue, NY 11935 tel: 631-734-6323 fax: 631-734=2566 e-mail: broadwaters~peconic~net Fax Cover Sheet: TO: Albert Krupski, President Trustees Fax #: 765-6641 From: Frank Zito Date: 3/il/05 Pages (including cover sheet): 2 Dear Mr. Kmpski: As of receiving my permit from the DEC, they have approved thc retaining wall on the dock behind my house. We have spoken about it, in-depth with the Trustees, as you decline this section of thc permit. Chris Arafsten, DEC Marine Biologist, approved this section of the permit. I am hoping, therefore, that the Trustees will be in agreement with Mr. Arafsten and the DEC Office's recommendations. As of this fax, I am sending you a copy of the drawing oftbe area signed offby the DEC. Your comments and suggestions will be most appreciated. Thank you for your assistance in this matter. Should you have any questions, feel free to call me or stop by. ~ T "1 CLtRP~i OF F, NGINICF_A~ DATA PURPOSE: Repair bulkhead in c~nm~*clal marina. DATUM: MLW 'iN: Urondw~t~s Cove AT: ~.:t~Chogllc CO~.JN'I~': Suffolk STATE: New York Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK PERMIT NO.... ~i~ .... I~¢HBn T~ BROADWATERS COVE MARINA utl ri atia. Pursuant ~o the provisions of Chapter 615 of the Laws of the State of New York, 1893; and C~apfer 404 of ~e ~ of fha Slate of New York 19~2; emi fha Soulhdd ToWn Ordinenee ~d PR~U~TING- ~D'~E~NG -OF OBtRUdeS IN AND ON TOWN WATERS AND PUBLIC ~DS ami REMOVAL OF SAND, G~VEL' OR O~ER MATERIA~.F~M ~NDS UNDER TOWN WA~RS;~. and in acc~an~ w~h 'the ResoJ~ion of ~e B~rd adopted at a meeting held ~ .~.~....~'~ ........ Broadwaters Cove Marina Terms and ~.dif;ons l;~ed on the revere ~lde ~f, August 25, l~g. a~ m a~orda~ ~ fha defa~ s~.s as IN W~S WH~, ~e ~id ~rd 0f T~ees ~e- i~ causes i~ Corporate Seal fo be affixed, ami tfnese presenh fo suJ~'t'be~ .by ~.imai°dlY of ~ze sa|.d Board .as ef.~hls daf~. TERMS a~l CONDITIONS Broadwaters Cave Marina ~ ~ .,. 8000 Skun,k Lane, Cut, chogue ~ .... No ~'~ Z. I1~ rigs P~ b'~dld for ~ {~ of. ', ,24', mo~ ~tdch Is ~tde~ed to be ~he. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Diekerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 May 26, 2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Thomas McHenry Liberty Permit & Research P.O. Box 5 Center Moriches, NY 11934 RE: BROADWATERS COVE MARINA 8000 SKUNK LANE, CUTCHOGUE SCTM#104-8-2.5 Dear Mr. McHenry: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 26, 2004 regarding the above matter: WHEREAS, Thomas McHenry on behalf of BROADWATERS COVE MARINA 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 April 28, 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 May 26, 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, 2 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 BROADWATERS COVE MARINA to remove and replace existing 160' of bulkhead and 4' wood walk, remove existing shrub hedge, restore retaining wall and wood steps as necessary and install 5' wide X 160' wood walk at parking lot level. Remove and replace existing 320' of bulkhead and wood walk (5' wide) and repair +/-3' retaining wall with wood steps where necessary. Re-deck existing 4'X 40' dock and install vinyl sheathing on north side of 4'X 40' dock, remove and replace the existing 140' of bulkhead and install 5'X 140' wood walk, all with the condition of a 10' non-turf buffer along the bulkhead, and all as depicted on the survey prepared by John T. Metzger last dated August 25, 1999. 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: None 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 Tuesday, May 11,2004, the following recommendation was made: Moved by Don Wilder, seconded by Doris McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of BROADWATERS COVE MARINA to remove and replace existing 160' of bulkhead and 4' wood walk, remove existing shrub hedge, restore retaining wall and wood steps as necessary and install 5' wide X 160' wood walk at parking lot level. Remove and replace existing 320' of bulkhead and wood walk (5' wide) and repair +/-3' retaining wall with wood steps where necessary. Re-deck existing 4'X 40' dock and install vinyl sheathing on north side of 4' X 40' dock to prevent further erosion. Remove and replace existing 140' of bulkhead and install 5'X 140' wood walk. Located: 8000 Skunk Lane, Cutchogue. SCTM#104-8-2.5 The CAC recommends Approval of the application with the Condition no CCA materials are used and the water is protected during construction. Vote of Council: Ayes: All Motion Carried 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 OFSOUTHOLD Office Use Only Coastal Erosion Permit Application e,~Wetland Permit Application ,."~iMajor Waiver/Amendmen~Changes ,'"Keceived Application: q].,9-f] -,'~eceived · 4~mpleted Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) · '"CAC Referral Sent: · ,"'Date of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: .,,'"gublic Hearing Held: ,~o~ Resolution: Minor Southold Towfl _ Board of Trustees Name of Applicant Address ~6~ ~.~,o\~_ L-~-~ Phone Number:(630 Suffolk County Tax Map Number: Property Location: ,.~vx~x ~xc~L (provide L1LCO Pole #, distance to cross streets, and location) (If applicable) Address: Board of Trustees Application Land Area (in square feet): Area Zoning: ~ Z GENERAL DATA 2. 706 Previous use of property: p'X P, e4 n 4 Intended use of property: Mfig~ ~t~ Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements· Has any permit/approval ever been revoked or suspende~E[y a governmental agency? · / (No'h Yes Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 3~ ~ ~,, ~k~ ~.~, ~ ~e ~ t~ a ~ ~ ~ [ v,'~ Area of wetlands on lot: 4_ ~_, 5'2 0 ~ square feet Percent coverage of lot: > I0 % Closest distance between nearest existing structure and upland edge of wetlands: 2~ feet Closest distance between nearest proposed structure and upland edge of wetlands: 2 0 feet Does the project involve excavation or filling? q' (~ Yes If yes, how much material will be excavated? ~J I ~ cubic yards How much material will be filled? N ~ t~ cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 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): ' Board of Trustees Application COASTAL EROSION APPLICATION DATA Pul~.oses of proposed activity: Are wetlands present within 100 feet of the proposed activity? No Does the project involve excavation or filling? ,/ (~ Yes If Yes, how much material will be excavated? How much material will be filled?_ Manner in which material will be removed or deposited: _(cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 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 Enc.: Copy of sketch or plan showing proposal for your convenience. Print or Type: 1) 2) 3) 4) ACCESS CONSENT FORM FOR ACCESS THROUGH PRIVATE PROPERTY (Name of Applicant) (Address) (Name & Address of Oontractor Involved) (Project Location) JOffice use Only I File #: Permit #: : o0o-10q - 8 (S.C.T.M. #) ( Ham1 et ) (Name of Road or Private Property Involved) 5) 6) (Name & Address of Homeowners Association / Property Owner) (Brief Job Description) 7) 8) 9) Starting Date: ~J~ Z0o% Completion Date: Estimated Cost of Proposed Work: ~7~0~.°° Insurance Coverage: A. The coverage required to be extended to the Property Owner: Bodily injury & Property Damage; $300,000/$500,000 Bodily Injury & $50,000 Property Damage. B. Insurance Company: C. Insurance Agent Name &Te]ephone # : D. Policy # : State whether policy or certification is on file with the Trustees Office: (If no, Provide a copy witj~?App]ic~ation) (yes/no) r nt) (Date) To be completed by the Property Owner: I/We the undersigned, fully understand the nature of the Proposed Work referenced above and have no objection to allowing the Applicant to cross My/Our Property to do the work. (Signature of the Property Owner ordulyauthorized representative) Board of Trustees Application County of Suffolk State of New York '~c~tJk ~.,~D BEINGDULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND TI-LAT 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 SOLrH-IOLD 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. SWORN TO BEFORE ME THIS i Notary Publi~ cO ,20 C~ AUTHORI ZA~IO~ (where the applicant is not the owner) (print owner of property) residing at~ S~ L~._ (mailing address) do hereby authorize ~0m~& Mt~%n~ (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. Albert J. Krupski, President 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 (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) I, kt--q'~e r.3/Y~C~, n ~"-~, residing at J~x~r being duly sworn, depose and say: AFFIDAVIT OF POSTING That on the/~'-day of,44 ,%/ ,200q, I personally posted the prope,rt7 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 t~.he public heahng. Date of hearing noted thereon to be held k,k] ~. ~Xt.] ~o ,~].l~t~3 . Dated: Sworn to before me this day of~ 200~2t '~l%tary Public ~ is~:nature) ~- ' NOtary Publl~ The Gre~t State of ~wVo~ STATE OF NEW COUNTY OF SUFFOLK) I, ~_J'~[-~,~.J IU 1[1(; IHII. Y SWUP, r,J S^YS, I ArJ riVER ON ~%u ~ ..... 200% I SERVEI~IlIF WlilI[N N~ICE OF PUBLKIIEAR[NG, A L]OPY OF WH]~S ~ACHED HEREI[), UPON IIIF PERSONS LISTED BELOW, CONSTH'U1 ALL CON~GUOUS AND ADJACEN1 OWNERS ~)F PROPER~ WITHIN 200 F I. ()F PERIM~ER OF THE PROPERLY ItlA['Iq IIIF qlI~IlFCTOF TIHSAPPLI(~II~)N, HY DEPOS~NG A TRUE ~OPY IIIERF{)F EN(]I_()qED iN A POST-PAID WRAPPFP, iN AN OFFICIAL DE~Sll'ORY UNDER IIIF EX(]I USIVE CUS[ODY OF TIlE U.S.-P(}SIAL SERVI~ E. SAID NO~CE~ WERE SEN T CFR ~ H'IE[ ~ ¢.IAII, I~E'i URN RECEIPr REQ; IFS ~ ~ ~ IF MORE SPACE IS NEEDED, CONTINUE ON A SEPARATE PAGE. SWORN TO BEFORE ME ON Notary ~bl~ The Great State ~ New York exp. ~ FROM : LIBERTY PERMIT AND RESEARO FAX NO. P2 NATORE OF AP'PLI~ATIONt (ch~ck ali ~ha~'applY·) ~ha~e e£ AEp[~val e~ pla~ , , , Name o~ person e~p~oyad by Elte To~n or Sou Ti[la or poaJbion o~ [ha~ parao~ appropriate line A) ~hrou~h ~) ~he ovneF o~ is a corpo~ak[on)l appli~eflb; or lnteree~ on the part uf town.o~licera and employaea. The purpose of this form is to provide information which can alert the town of possible conflicts of tnterea~ end allow it to take whatever action ia necesaar~i to avoid same. (~ae~ acme, El~e~ name, mldd.19 o~her earthy, 8uch ~m a company. Ig oO, indicate NATURR O~ APPLI~A~ION~ (check all ~haE apply',') ' ~ ......... Tax grlavanua Variance Ex~p~ion from pla) or o~giulal map . inbe~eeb" meang a buglnens, l.~ludlng a par~netehlp. whluh 6ho ~own officer or employee has uvmn a partial ovn~rohip o~ (or employmen~ by) a corporabiun In ~hiuh ~he ~ovn o~ficer ur ~mpioye~ o~ns more than 5% u~ ~he If you anew*red "YRS," eompl~b~ ~h~ balane~ o( ~hie ~orm and date and nigh where Indicated. Name of pec~on e~ployed by ~h~ ToWn Uf Degcrlbe ~e relationship between youca~f (the applieanb) and the town ogfiuer er employee. Eit~r cheek appropriate line ~) ~hcough D) and/et ~ee~tbe in the ~paee provided. . The ~uwn officer or empluy~ or his~r h~r parent, or child t~ (eheuk all kha~apply)t A) khe uwner og 9reak~r khanS% qf ~he shnre~ of khe corporate s~oek of ~he a~licAn~ (when khe applluank is a corpora~lon)~ / . ~B) khe legal or b~ne~leia~ownar of any in,creak In a nun~o~porake'~nkl~y (w~n kite appli~ang la nu~ a ' corporation) ~ / . / APR 2 8 2U04 R E D G NIO/F I'AND OF BUBANY PARKIHG CAI. CULA TIONIS N. 87' Z6' 50' SITE INFORMATION ZON/NG DIS TR/C T , M L 0 T COVERA GE- AREA = 2. 706 Acres to h'e fine )OD ZONE B 8 A4 (el. 8) HO~U~.E, & GARA~£ 2709 ~q. fl. T~L' ~DG, . ,~ ,, ~t ~.fl. MARINA I SPACE PER BOA T SLIP PARKING SPACES REQUIRED 47 SLIPS { REPAIRS ) 47 SPACES DICELLING 2 12 61 Spoces Spocos * 2 Gar, STORAGE 4714 PROVIDED 58 HANDICAPPED SPACES,PROVIDED 284,57' DRAINA GE CRITERIA AREA UPLAND = 1.62 Acres c 0,3 , ~.5 - t,36,, 0.3 ,~' ', ~OV~ 6 &,P.$ ~' ~ ~ ' ', ,, KEY MAP Scale, I"= 600' 3~581//7,878 I0' O.C. f OIDNER OPERA TER FRANK ZITO 8A Y A VENUE CLITCkiOCdJE, N. Y. FIRE DIS TR(C D R9 $Ck~OL DISTRICT ' 9 f ® ~, PROPOSEO EvERr.,RE~£1~ e'