HomeMy WebLinkAboutTR-5872
~~.!-~~~-'~~~~~-~._~_._~. .
TERMS IInd CONDITIONS
The Pe£mittœ
...,Idl.,g at 3825 Camp Mineola Rd.. Mattituck N. Y.. as
pan of !be coosideratioo for me issuaoœ of die I\ennit does IHICIeøtaod and pæscribe to the foI-
1oMag:
Hans Scheideler
,
1. That the said Boud of Trustees and me Town of Southold are releøed from my and
all cIamap, or claims for cIamap, of SIlks 8risJøg direcdy or iøditecdy as a RSUIt of my opet-
adoo perlormed ~t to chis .-.. and me aicI~_ will, at Lis or bet own npC"K,
defeod my and all such IlÚlSiaidated b7 cbúdparda, and the said 11 ..,,(~ _ faI1 UaIIiUt7
with respect thereto, to die ~ ~ of die Øoud of T_ of die Town of SoIochQId
2. That this -PenaIt Is· ft1id foe . period of 24 moo. whId1 Is œasideœd to be die
estimated time m¡uited to complete !he WOtk inwl..ed, tJut should CÍlœøIStanceS warraat, request
for an ezœosion may be made to die Boud at a IaIer cIaœ.
3. That this Permit should be retaiøed indeîmltely, or as long as tbe said Permiaee wishes
to m.ine.in the structUte or project involved, to provide eviclenœ to anyoae ronœmed !hat aum-
orizadon was originally obtaioed.
4. That die wnrk involved will be subject to !he inspection and approval of !he BoercI or
lIS agents, and non-complianœ with !he proVisions of !he ori8i".tlng app1iadoa, may be cause f«
teVOOItion of this Peønit by resolution of tbe said Boud.
5. That !here will be no unreasonable interference wid> œvigation as a result of !he wod<
berein au'lhorized.
6. That tbere &baU be no interference wid> the right of !he puh1ic to pass and ftPISS IIong
!be beach between high and low _ter marks.
7. That if future openâoas of die Towu of Southold require !he œmcmI aod/or altetadoøs
In !he location of !he work herein ..ð>otl. ed, or if, in die opiaiaa of !he Board of T.-, die
wod< shaH cause unre<I""".h\e obsttudlOCl to free œvigation, !he said Pemdttee will he tø¡.dred.
upon due notiœ, to remove or alter this work or project herein stated witboœ eJl'C""" to the Towø
of Southold.
B. That the said Board will be notif"Jed by the Peøninee Ot the ~ of !he wock auth-
orized.
9. That the Permittee will obcain all other permits and ~.. d1at may be requited sup-
plemental to this permit which may he subject to revoke upon faiJuœ to obtain same.
~....\......,..,......,.................---.--."
.
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Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
February 25, 2004
David Bers, RA
David Bers Architecture
39 West 14th St., St. 504
New York, NY 10011
RE: HANS SCHEIDELER
3825 CAMP MINEOLA RD., MATTITUCK
SCTM#123-5-32
Dear Mr. Bers:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, February 25, 2004 regarding the above matter:
WHEREAS, David Bers, RA on behalf of HANS SCHEIDELER 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 February 4,
2004 and,
WHEREAS, said application was referred to the South old Town Conservation Advisory
Council for their findings and recommendations, and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on February 25, 2004, at which time all interested persons were given an
opportunity to be heard, and.
WHEREAS, the Board members have personally viewed and are familiar with the
premises in question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
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 HANS
SCHEIDELER to construct a new first floor extension with second floor constructed
above at northeast comer of the existing house, with the condition drywells and gutters
are installed, and as depicted on the plan prepared by David Bers last revised March
24, 2004.
Permit to construct and complete project will expire two years from the date the permit
is signed. Fees must be paid, if applicable, and permit issued within six months of the
date of this notification.
Inspections are required at a fee of $5.00 per inspection. (See attached schedule.)
Fees: $5.00
Very truly yours,
d~·-tL? ~.r;.
Albert J. Krupski, Jr.
President, Board of Trustees
AJKllms
.
.
Telephone
(631) 765-1892
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
CONSERVATION ADVISORY COUNCIL
TOWN OF SOUTH OLD
At the meeting of the Southold Town Conservation Advisory Council held Monday,
February 23, 2004, the following recommendation was made:
Moved by Don Wilder, seconded by William Cook, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH
A CONDITION of the Wetland Permit application of HANS SCHEIDELER to construct a
new first floor extension with second floor constructed above at northeast corner of the
existing house.
Located: 3825 Camp Mineola Rd., Mattituck. SCTM#123-5-32
The CAC recommends Approval of the application with the Condition all drainage is
directed landward.
Vote of Council: Ayes: All
Motion Carried
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
# 0061C
Date Sept. 20, 2005
THIS CERTIFIES that the
first and second floor additions to dwelling
At 3825 Camp Mineola Rd., Mattituck
Suffolk County Tax Map #
123-5-32
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 2/4/04 pursuant to which Trustees Permit #
5872
Dated 2/25/04
Was issued, and conforms to all ofthe requirements and conditions of the applicable
provisions of law. The project for which this certificate is being issued
is for a first and second floor additions to the existing dwelling
The certificate is issued to
Hans Scheideler
owner of the
aforesaid property.
_~ _I 9. Á~s«-i' ~_.
Authorized Signature
.
.
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
Office Use Only
Coastal Erosion Permit Application
.............Wetland Permit Applicalion r Major - Minor
W aiverl Amendment/Changes
......-Keceived Application:~
_Received Fee:$ .:JJ:: :)-
-LCompleted APplication~ ~ECEIV"
._Incomplete
_SEQRA Classification: FEB - 4 2004
Type I_Type II_Unlisted -
Coordination:( date sent)
A:AC Referral Sent:~ I:1J Southold Town
~ate oflnspection:~ Board of Trustees
_Receipt ofCAC Report:
_Lead Agency Determination:__
Technical Review:
-~blic Hearing He~
Resolution:
ß1ûQ.-PC%\\
:JÌ3d--lcD
Name of Applicant~ Þ\~ ~ 5CI-\E \ D€L..E.\2...
Address 9D F;. C.l..IfTo~ ^"er-1l,\€, 1TENAf1...Y \ N J <:::IT~l'O
Phone Number ( ) 6~1 - 2ø¡e>- "S"t '?":f-
Suffolk County Tax Map Number: 1000 - I z,,?- o'S --:;'2..
Property Location: NYí 2. 'ðZ.'"'t'co r......tvc> VOv.J o(z.. 'fo~ DF'
"1'ð'Z.1) CAMP MI~
"""1T\1W-t<- . "''<
II "II) 'Z.
"'\,.ICE .~ .1W\Å2/A1Z.. " Jolt .,) MÞlZUQ.." JrL '1 Fo,<I.MeIRJ,Y P.o(2...'f..../J"T".... C.OJ-)\C.L.tr-1
(provide LILCO Pole #, dislance to cross streets, and location)
r,¡J
e ,t¥-~~\Ø
AGENT DA.VID ~? ¡<.A . DÞ\VIO ~$ ,¥..C1-hï\Sc¡\.\e.e'
(If applicable) .
Address ~ '1 W6?f I~ 11t 6~ I ~\. '?O~
\VevJ~\ t-J'\' IOOL\ Phone 2-\'2.~.Z-~2 -ð~ðl
.
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Board of Trustees Application
GENERAL DATA
Land Area (in square feet): I \ I q ~~ $Q. ff.
Area Zoning: /z.£<? I ~!f1-J 11A.t..
Intended use of property:
\2.E '& \ DetVc::e
~ 61 'De ~CE
Previous use of property:
Prior permils/approvals for site improvements:
Agency
Date
~ No prior permits/approvals for site improvemenls.
Has any permit/approval ever been revoked or suspended by a governmental agency?
~No_ Yes
If yes, provide explanation:
Project Description (use atlachments ¡fnecessary):
NEiN FIf2,.~í Ft..ODI2... e)(íeNSI~ Nlnt '5EC,,~p FL,DDfZ..
C b¡.}~í¡:a..\.\C1ëD ABOVe AT ~þ a.1"l\ ISAST C'ølUJ~
OF -mE EX 1"Þ11 10,)", I-\ou....e .
.
.
Board of Trustees Application
WETLANDrrRUSTEE LANDS APPLICA nON DATA
Purpose ofthe proposed operations: €~l,..~~ "'IíatetJ o¡.,) F Z$1'
F/..00ft'2- .....µD Þ..DD aISO 2ÞOM WrtM &\TH~otJ\ o~
~ec:or-.!o ,.\.CoP-..
Area of wetlands on 101:
21f)'D*' square feet.µO o.)-V6~ I!'6"k:1-I. ~f:AJN¡..¡&D
(jIP~I~'t) OF ~I"'>1'INGo. BoU'-"'IW5AD.
IT %
Percent coverage oflot:
Closest distance between nearest existing structure and upland
edge of wetlands: Z. \ . 'Z,.. feet 1"0 &1""'»1'. ~I'-l\e.-.o, tø? ' '"' M~ 1\16I .I¡ ""'~-nm.. t'I~
Closest distance between nearest proposed structure and upland
edge of wetlands: 2.1.Z. feet 'fC eXI-:\1". ~LI'-t'rN), ~''T"Þ Mt'~ 1'\\...1'1 ""'~~I>'\~
Does the project involve excavalion or filling?
No
.;
Yes
?? cubic yards
A"r.o~·
cubic yards
If yes, how much material will be excavated?
How much material will be filled? 0
Depth of which material will be removed or deposited:
LIe
feet
Proposed slope throughout the area ofoperations:l£~~ 11+~ 10'7.
Manner in which material will be removed or deposited:
eXC-A\lNœD ^t-JD ÞI"'>p'þ~e;D of OFF" ?,~. W\í\!¡
t'> I\C,~I-\ce Þr1-J D DIA 1-'\1' 'f'1Z.W:: "- .
Statement ofthe effect, if any, on the wetlands and tidal waters of the town that may result by
reason of such proposed operations (use altachments if appropriate):
~ SFJ"EGT' Fott.~ - AU. Co"","T\'2JI\C'i\oN AcTI\tIT''Y
W'<t-.3DWAn"-P Df" 6")(\'"ioT1I-Jc", ~~eAO.
.
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Board of Trustees Application
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: ~IDe;~c.e'
Are wetlands present within 100 feet of the proposed activity?
No ,j
Yes ~~-"GG.e1ì'\~D ,"-,e'A(;¡J¡. tJ.6'k-) 1'1\611-1 'N~ ïb S\AU'.~O.
Does the project involve excavation or filling?
No '" Yes
--
If Yes, how much material will be excavated? ~? (cubic yards)
~~.
How much material will be filled? DC> (cubic yards)
Manner in which material will be removed or deposited
~\'-Itoe ^t.JD 1?,,^J..\P~CI'-
Describe the nature and extent of the environmental impacts reasonably anticipated resul1ing
trom implementation of the project as proposed. (Use attachments if necessary)
~IZ.B \~ ~t> ANl1C¡P,Þ,TW fN\JI~ÑME~(...
I"'\PAC'" f 2.þt-\ T*~ Pf2.0PcsëD l¡Jo~. ït\efZ.,E. ~I u..
Be No CI'\AÑ6\e' .0 Wllt'íerz. f2.UtJofF ~op..W\l,.L..
The CAPACITY OF IMe c~<S¢ POOl.. ...)eeD \¡..) c~A~INcr¡.
N..l,.. CON""~cnoN ^'T1v~T'( v,A.NPI.UM-D oÇ'
e (I"':IT1~ ~1A~\t6,eo.
.
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NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
I-\^~ '5>C I\€ ID E"1.£'oQ..
SCTM#lOOO- I'Z.?-DCS-~z..
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
Cot-J~.,... A FIIZ.~T FL.ooP- e'IITE~~oN W\iJoI¡ ~CO o.)D rc.ooç:¿.,
CO/V'SoT 2.IA.C.TIDr-J ¡.sO"¡S\ ot-) lJ'or .JD\Io.IÞd&.O ~ \De oF' ~Ø~e
2. That the property which is the subject of Environmental
Review-is located adjacent to your property and is described as
follows:
?~'Z.C; CNJ,p M\~~ ItOPe, ""ÞnT~C4(.I~T)\oI..oD I ,=,v,t=I"ol,f-,!-J6'\I.J 'lø~
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: HAÑ'::o 6(:"'EIOEL€R
MAILING ADDRESS: '10 e. Cl.l P\'bf.J A"e~lAE'
"Te¡..)l'\fL.'(' N J OÎ'tI'=tO
PHONE IF: i.~I- 2.."lf> - S':J '!.T
Ene.: Copy of sketch or plan showing proposal for your
convenience.
~E"6' "'~~t\9D ~\AIL\rEf'( ~\'n' fV<t..,.o.
s
~rd of Trustees APp1icatiotIÞ
AUTHORIZATION
(where the applicant is not the owner)
...
I, Hþ, .J'& SCI-\e;ID61..6R.
(print owner of property)
residing at t:tO E. Cu F"'íD!'J ^\JE.
(mailing address)
"Tet-JIIIFc..'I' t-J J 01,,1-0
I
do hereby authorize DAVID 6e Z.~ ft...... oF'
(Agent)
D"'V I t> e.e~S ^[ZCttrre:c::ru Po€'
to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
...¡-< ~ .s Çh, ~
(Owner's signature)
8
.
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1-4-15·4 12187)- T~:d 12
PROJECT ID. ~U",,8EA
617.21
Appendix C
State Environmental QuaJity Review
SHORTEN~RONMENTALASSESSMENTFORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or PrOject sponsor)
SEQ
,. .J.PPUCANT ¡SPONSOR
~...t.)~ oSCI16IDEL.6r¿.
3. PROJECT LOCATION:
""umclDallly íOlk'LI 1")1'" too .. D County Su.FF()U'.
J. PREC:SE LOCATION (Street address and road Intersections. prominent landmarks. :!Ic., ,Jr .crovlce :nap)
':!>5Z-C:> cþ.I>"I" ""I~owo. ~""O I """,m'fU.&I'-,"''I \1"1';1.
12
PROJEC7 NAME
SC.\o\gIDe-L.t::~ ~~IPeJ-J¿e- AÞ )mot.)
5. !S PROPOSED ACT~~
o New ~E;(pansion
5. DESCRIBE PROJECT BflIE:=LY:
New FIMT" F....,.,....e"~LaN wITh-=-eC<>Np fl,cc(l..I'<P.#>JE'.
'¡""í \"~DW"'*-P~IP6 ¡Of' 6~WT1~ 1\OwÞ6.
rø'MOdifiCation/alteralion
acres Ultimatelv
3. V/::.). .=RO?0SE~ ACTION COMPl'! WITH 8(!Sì!NG ZONING OR eTHER E..':(rSTING ~,'\ D US2 :iE.:ï7"¡:;¡¡C71QNS'?
~ Yes L! No If ,"Jo. descnbe one/ly
'. AMOUNT OF !..PoND AF¡::ECTED:
Initially .00115'5
.00'5'5
a«es (t.'> ) ......-r:)
'3, '¡¡hAT 1$ ?RE3ENT LA/":Q !J~ë. IN '/ICINITY OF ?ROJECT?
;~::¡eSldentJal O.!naustnaJ C C.Jmmerciô.1
Oesc~lbe:
L.: ..l.grlculture
--..! ?arK/ForesuOoen '5oace
~Otl'1er
10. DOES ,J.CTION INVOLVE A P'=RMIT ....PPROVAL OA FUNDING. ,~OW OA UlTIMATEl'f ~¡::¡OM ANY OTHER GOVE?NME~TAL AGENCY \FEùEFlAL,
STATE Gn LOCALJ?
o Yes ~'O
If yes. lis! agency(s) ana permit/aoprovaJs
11. DOES ANY ASPECT OF THE ACTlOH HAVE A CURRENTLY VALJD PERMIT OR APPROVAL?
o Yes ~'O II y"1s. list agency name and permJUapprOval
-0-
12. AS A RESULT OF PROPOSED ACTION WILL ~XJSTlNG PERMIT/APPFlOVAL r:1EOUIRE .'vIOorFICAI ION?
Om ~D ~.
I CEi1TIFY THA T "THE INFQAMA TlON PROVIDED AeOVE IS TRUE :0 TH!: 3ESr OF MY !<:NOWl'::DGE
Applicant/sponsor ,1ame-:
HA~ 'SGt\e-IPI?L..eJQ..
.--' S'" 0.'1
O.ue: :::: 7
SlgnalUre:
/~
(~~
If the action is in the Co"stal Area, and you are a state agency, complete the
Coastal Assessmen! Form before proceeding with this a'i..~essment
OVE:R
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:"ay :Ie sucersec~!: :::;y ~ncc:-:er .nva¡Vea açenc·,.
L Y~s ~-;;¡'.\IO
.,.;s' :-"":::E~i-:CLJ 'tJ l"~·J·:;::? :J:,r:.'l:ì .::-:-
;f ¡es. ::; cto,(1a!9 ::"Ie "!:!V'~'N ::Qce.:s.s ana 'Jsa :r.e ='.:L_ ;:--,lr
:1 .'10. .1 le';3.t:'iB :~,:;;:"r~_
c. Ç;:ULD ..;C:-:CN .:J.ESvL7" N ,.1NY J..QVE?S¡:; ::::=:=:::-:73 "\'SSCC:":" 72:J ',Vlï~ -:-:. .=·JL:.....:....'/I.\IG. :,.1nswers ::-:a.'( ::e lancwm:e!1. .t :eçr::le
C1. ~uS!lng 3rt c:uaI1ty. surt:ac.2 :¡r ·JrOL.:nCWarer :uahtv ::u :!.:anClly, .,arse ,e',,;:!s. ~X~$:¡ng ::-..ific :a[:erl"s, zOlia .yas'e ::IrvCL:'c::cn Jr JI'3':::
::IOCenn31 fef ~ros;on. ::ralnaçe- Of 'rooamq ::Iroclems? Ë;'(clarn ::werly:
t-Jo
C2.. ..1.eslhe!fc, a.gnc:,¡lturar. Jtc::aeoJogIC3.I. ,lIS'OrlC. Jr 'j1!'1.er lat~ral Jr C:JttUt;] ,·esaurc~s: or :::JmmunJty 'jr ,ielç:1CCrnoOd .;:-::arac:er? =-'tL;'!aln ~.
1-.\0. 1~ \'-eE'PI ..)~ \/-lInt ~6 \J~CI^\o¥..
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'feç!:!!atlon or :auna. ;Jsn. ~r:ellfisn or 1flldll/e 30ec:eS. 51gmiicanr 'ao ta!~. :Jr :nre.3(2nea or ~n"::anr;erea ~;:;ec:e.s') =,::cla~n :lrlar!'{;
NO
C~. '" c.:mrnunll"f'S eXlst:ng ;¡Ians Qr 10ars as arflC:"llv aaoOted. ·:)r a cnange ,n usa or intensity Of use of !a.nd ::;r :; tMer naturaJ resaurcss? :.xplaJn ::
t-JO
C.5. <]towfn. :;uosecuenc -:eyelaoment. :¡r relate!] .a.c:,vllles likelY ~o :Je ,nauc~a ,:;y ~ne :rccosea aC:lon? £.'t;:J!azn JfTe(Jv.
~o
·:3. '_cng :erm, ,,;'lor: :~r:;'l. ::,¡mUlaUve. Jr ''jcner ~rfec:s not ,cenlJfiea ,n C:·C5? :::.cII3Jn JrJefly.
No
...
:t~er .rT'Ioac:s ·Jt1C:..Jc:nç :;-:anç~s rn 'Jse at ~nnet quarHlly .Jf :y¡:e OT ~nergYI? ~t:lrã Îo ::r;ell'(.
No
_'fe::>
·S 7¡...E:::E "--:K'=:.:~ :-0 3E. :::roj ;:¡evE'=S'{ ~E~7':;:J
.:::7'.' o .f ·J,!s. ~XClaln J(lerly
7'"0 :JQT2N71;"L .:.C', :::::!SE :':IVlFìCNME~17':'L .,'.:PJoC73?
oJ. S -~=;E. :R
'ART III-OET;::;1MINATJON OF SiGNIFICANCS ,To oe camoleted jy Agency)
fNSï¡::¡UC¡ICNS: For ~.3C:1 ad'(erse !!!fec: identlfie~ accve. jetermine whetner It is substantiaJ, large, :mcor1õ.nt orottlerwise siçnific
::3C:-! ~ifec~ si'loutd :3e .assessed in connection 'Nun Its ía) setting li.~. urban Of rural); (b) ;Jrocacllity of oCC~"'1.I1g; (c duration
irre'/erslbllity: iet geoqracmc 3c.:::ce: ana {f} magnuuae. It necessary, add altac!1ments or reference supporting malerialS. :::1sure
~xcrana[]cns ccntarn 5uttic:ent JeIa11 to snow that all "'e!e'lant adverse impacts ."Iave been iaentifieð ana adequately accressec.
C~ecx: ;his :::ox if you ,1ave rdemifiea one 'Jr "'ore :Jotemially lafçe or significant aG';erse :moac:s ·....nic:1 M':"':
oc::;r. Then :::)(ccesd. airec:ly :0 :he ,=üLL =AF .3.nd/or prepare a posnjve- declaraticn.
C:--:eç~{ :I"IIS :;OX :¡ :fOU ,"lave de!ermined, ::Jased ':In the infcrmation and analysis above and any Süccor~i,~ç
coc:Jmenrac:cn. :ha.¡ :r.e Jrocosaa ac:ion WILL ,"lOT result in-.).f1Y sIgnificant aCVerse anvrr,:nmenral imcac:::
~NO Jrevlce :n 3.¡¡aC:1ments 3S necessary, the "'e.3sons su¡:;coning [hIS (jete:-mlnõ.rion:
....",,'-" 11 ."..oJ ....;I.'n(·'
"',(11':" ,¡;" '·..m.. )1 ~c""O"\.OI~ ·",tr,c~r n ~"..Q ......t.'~("1
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">:""::..Ifl.' H r"~;.JJf~( rf ~';',,"'''n{ .r,')m ·,,"~OO,"' Q,~ )1','<'''
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2
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APPLICANT/AGENTIREPRESENT A TIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of South old's Code of Ethics oTohibits conflicts of interest on the Dart of town officers and emolovees. The Dumose of
this form is to oTovide information which can alert the town of DOS sible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOUR NAME: Mµ~ -sc..\o\€IOIfL.6'tol..
(Last name, first name, middle initial, unless you are applying in the name of
someone else or other entity, such as a company. If so, indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance
Variance
Change of Zone
Approval of plat
Exemption from plat or official map
Other
(If "Other", name the activity.)
Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee
of the To\l,'T1 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% ofthe shares.
YES
NO
../
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 applicanUagenUrepresentative) and the to\\'ß 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
Submitted this 3 .,..rd'ayof q.ek~ 200.'±
Signature ~ h;zz, or..-Uv
Print Name \-\"'~~ ~I1E\DIS(.EIt....
.
.
February 22004
To: Board of Town Trustees
Town of Southold
Town Hall
53095 Route 25
P.O. Box 1179
Southold, NY 11971-0959
From: David Bers, RA
David Bers Architecture
39 West 14'h Street
Suite 504
New York, NY 10011
Ph:
Fax:
Email:
212-242-8401
212-242-8402
DavidBArch@aol.com
Re:
Mr. Hans Scheideler Residence
3825 Camp Mineola Road, Mattituk, New York
rõ)~(c~~Wl~rru
ln1 FEB - 4 2004 l!dJ
Soulhold Town
Board of Trustees
Dear Board of Trustees,
We respectfully submit our application for approval by the board for renovations and
improvements to the existing residence in Mattituk, New York.
The proposed renovations include a two-story extension at the landward side of the existing
residence. It is our intention in planning these renovations to keep the structure within the
character of the slreet and vernacular of the house and minimize the impact of the new
structure on the waterfront site.
We have included all the necessary forms and site surveys for review. It is our hope to
receive from the Trustees a Waiver for having no environmental impacl if the work is
implemented. We would also like to make the next scheduled meeting on February 25,
2004. If we need to supply you with any additional information, please do not hesitate to
contact us as soon as possible.
David Bers RA
cc: Hans and Katerina Scheideler
Albert J. Krupski, President .
James King, Vice-President
Artie Foster
Ken Poliwnda
Peggy A. Dickerson
.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES
72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN
APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO
SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE
PERMIT.
«o.n~ ~ì~Q ("
INSPECTION SCHEDULE
Pre-construction, hay bale line
1st day of construction
Yo constructed
t./'P'ro¡ect complete, compliance inspection. cr/ta./OS " 7- ~
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View Landward Side of House
Scheideler Residence
3825 Camp Mineola Road, Mattituk, NY
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View Landward Side of House
Scheideler Residence
3825 Camp Mineola Road, Mattituk, NY
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DAVID HERS ARCHITECTURE
39 WEST14TH STREET SUITE 504 NEW YORK. NY 10011
PH: (212)-242-6401 FAX: (212)-242-8402 E: DAVIDBARCH@AOLCOM
TRANSMITTAL
DATE:
FROM:
INCLUDED:
April 14, 2004
Board of Town Trustees
Town of Southold
Town Hall
53095 Route 25
P.O. Box 1179
Southold, NY 11971-0959
Scheideler Residence
3825 Camp Mineola Road, Mattituk, NY
Michael Tower
TO:
RE:
Revised Floor Plan
Dear Board of Trustees,
Enclosed you will find a revised plan per the Board's comments and request for leaders
with drywells. Should you need any additional information we will be happy to provide it.
Kind Regards, /+--/-
----- J/\~~ L~
Michael Tower,
David Bers Architecture
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SURVEY OF
DESCR/BE£) PROPERTY
SITUA TE AT
MA IT/TUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. T.M. DIST. 1000 SEC. 123 BLK. 05 LOT 32
" , , , , , ,
10 20 30 40 50 60 70
PROPOSED IMPROVEMENTS DEPICTED ON THIS MAP ARE
BASED ON APPROXIMA TE DIMENSIONS DERIVED FROM ~~~
CLIENT'S DESIGN AND/OR SITE PLAN. THE PROPOSED IMPROVEMENTS ~~,..;·,,~':~u
ARE SHOWN AS AN ACCOMODATION TO THE CLIENT AND NO æ!~~M
RESPONSIBILITY IS ASSUMED BY THE SURVEYOR FOR CHECKING :=~~~""':;'"
~rs.--a."-
THE COMPLIANCE OF THE PROPOSAL WITH ZONING OR OTHER =::::.;,:;~
REGULATIONS ==.=--
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SCALE: 1" = 20'
DATE: DECEMBER 11, 2003
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LO AR : 11,983 SQ.FT. = 0.2 E ( AREA TO MEAN HIGH WATER MARK)
LO AR . 15 SQ. T. = 0.210 ACRE
Southold Town
AL ' . . 397 Q.FT. = 20 % (AREA TO MHW.)
EXISTING LOT COVERAGE: 1,770 .FT. = 14.8 %
PROPOSED ADDITIONAL LOT COVERAGE: 214 SQ.FT.
PROPOSED LOT COVERAGE(EXISTING & PROPOSED}: 1,984 SQ.FT. = 16.6 %
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MAP NO.
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REVISIONS:
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CERTIFIED TO: HANS SCHEIDELER
BRIDGET B. SCHEIDELER
LICENSE NO. 050363
,
HANDS ON SURVEYING
46 NORTH ROAD .
HAMPTON BA YS, NEW YORK ..
11946 ..
TEL: (631}-723-1954_- FAX:(631}-723-1329
MARTIN D. HAND L.S
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