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Home My WebLink AboutTR-5948A James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #_ 0150C Date September 6. 2006 THIS CERTIFIES that the enclosed porch & pergola over existing deck At 855 Fisherman's Beach Rd.. Cutchogue Suffolk County Tax Map # 111-1-20&30 Conforms to the application for a Trustees Permit heretofore filed in this office Dated June 29. 2004 pursuant to which Trustees Permit # 5948A Dated Ju1v 21. 2004 Was issued, and conforms to all ofthe requirements and conditions ofthe applicable provisions of law. The project for which this certificate is being issued is for an enclosed porch & pergola over existing deck The certificate is issued to Bobette Suter owner ofthe aforesaid property. r-~~ Authorized Signature Albert J. Krupski, President James King, Vice-Pr~sld~nt Artie Foster Ken Poliwod~~' 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 $OUTHOLD Permit No.: 5948A Date of Receipt of Application: June 29, 2004 Applicant: Bobette Suter SCTM#: 111-1-20&30 Project Location: 855 Fisherman's Beach Rd., Cutchogue Date of Resolution/Issuance: July 21, 2004 Date of Expiration: July 21, 2006 Reviewed by: Trustee Peggy Dickerson Project Description: To install glass and screens on the existing porch and to construct a pergola over the existing deck. 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 attached survey prepared by Joseph A. Ingegno last dated March 13, 2002. Special Conditions: None If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the $outhold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James King, Vice-President Board of Trustees 'S UTE . R AND , UTE R ARCHITECTURE. LANDSCAPE. DESIGN DATE: ~Ij\? I[p; I 1co4 TO: ~S~----.r COMPANY: J()t9.Kt-lLJ OF <Y;h ffi(, FROM: &J~\?~ ,Sl nefZ- -f L)J2Qf $' PttPCOOJl A- RE: Soutlteld Town Board 01 flUS,," MEMO: ~ ~D())F -ro&J S-~\, :c AM ~RQ I~STT;J0 AA.! t t:"- '1'0 J;JjJ S .tf..tAs\' 1 s~s :t:N W PG12CM ]:::- ~aJW f1l.~ LrK'Q? /2J 0lut/ A- .~OLA ov~ /H~ 8KtrrvJo, tOJ?ct< AT ~€? \21xf\TfAJO( rfbS7T I~ Ch.J Faf2. ~l( WtGJJ/ 4 CllRJ \lQ; kJl~ €ua6B-"'iTF scnBtC ~. 'lIo ~ ll.u.-mn tU !'Jfl~f<- ~ P.O. BOX 1709 631 653 3877 WWW.SUTERANDSUTER.COM QUOGUE, NEW YORK 11959 FAX 6 3 1 6 5 3 3 8 7 8 . . Board of Trustees Application Land Area (in square feet): GENERAL DATA ~1t ~f/L · q q ,SGt Pi: Area Zoning: Previous use of property: ~tcO~1iAL ~S\~T\AL Intended use of property: Prior permits/approvals for site improvements: Jab)~r ICZu 5T8:f I)EC. ~te PJ r 1-cJ:::' --AA;t-a( 1.r18/'O( __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~No_YeS If yes, provide explanation: Project Description (use attachments if necessary): 5 ~5 --+ r p( f3:!:kJ '-1 l' S. Ca2EQIAJ J fL1dZCH t! COJ-J\.\1'{DlllCT QrP~fB:f2()JaLA AT Bzt~TW rLIDITf AT ~ll1ThJa ~-a<~ ::t:Y-J tK'lITI,0 0 . Board of Trustees . Application WETLANDffRUSTEE LANDS APPLlCA nON DATA Purpose of the proposed operations: ~ TlA-UL (7)<LA) \" t vif2B:MJ5 ~ 8X\, T(UC, -:=f 'K \::r~ (O~ eat2C~, CO'-J~ ~IC\ aP~ ~~ ~ -tK\.S\(,.J or~T El<\m C:CI Area of wetlands on lot: square feet o Percent coverage oflot: % Closest distance b~n nerest existing structure and upland edge of wetlands: c:::; feet Closest distance between nearest proposed structure and upland edge of wetlands: 90' feet Does the project involve excavation or filling? No C><. Yes If yes, how much material will be excavated? G cubic yards How much material will be filled? d cubic yards Depth of which material will be removed or deposited: n feet Proposed slope throughout the area of operations: 0 Manner in which material will be removed or deposited: 0 Statement of the effect, ifany, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): n ~~ . . Board of Trustees Application COASTAL EROSION APPLICATION DATA Yes 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? 0 (cubic yards) 1.\ ~/', IL"--" Manner in which material will be removed or deposited: NLaV C Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) ~.~ . . SEQR I PROJECT ID NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR 3.PROJECT LOCATION: u~SrF() t-( 4. PRECISE LOCATION: Street Addess and Road 2:155 P~SK~.r T'='"tL &( County &~mina~~M1,tc -CUvTd{oau~ jJ~ tL 5. IS PROPOSED ACTION: 0 New D Expansion ocIiflCation I alteration 6. DESCRIBE PROJECT BRIEFLY: t- 601~ paf'Q-{ {CJ ALSO tt4\J\; 0LA~s eJW~s . 1.: . CO.1Js'Tlf&lc~ (Jef2&10LA A-'t 9>zt 5TCNC? ~-a( ~o.)TS, 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres Br:'lf- PRDPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? I !PJ..ves D No If no, describe briefly: g. HAT IS PRESENT LAND USE IN VICINITY Residential D Industrial D Commercial OF PROJECT? (Choose as many as apply.) DAgriculture D Park I Forest I Open Space o Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR UL TIMATEL Y FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) DYes ~o If yes, list agency name and pennie I approval: ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? o No If yes, list agency name and pannit I approval: out? ~(rJ PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? Applicant CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE PT'TF ~un:72- BEST OF MY KNO~EDGE Date~~1B-O Signat Ifthe action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . PART II. IMPACT ASSESSMENT /To be completed bv Lead Agency) A. DOES ACTIO~ED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? tf yes, coordinate the review process and U$o8 the FULL EAF. DYes B. Will ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative dedaration ;"~Nsuperseded by another invotved agency. o Yes No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOllOWING: (Answers may be handwritten, if legible) C1. Existing air quality, sulface or groundwater quality or quantity, noise levels. existing traffic pattern, solid waste production or disposal, potential for erosion. drainage or flooding problems? Explain briefly: I W I C2. Aesthetic, agricultural, archaeological, historic. or other natural or cultural resources; or community or neighborhood character? Explain briefly: I /JO I C3. Vegetation or fauna, fish. shellfish or wildlife species, significant habitats. or threatened or endangered species? Explain briefly: I No I C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: I p.jO I C5. Growth. subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: Wo I C6. Long term, short term, cumulative, or other effects not identified in C1-CS? Explain briefly: I ~O I C7. Other imoacts lindudi chanoes In use of either auantitv or tvoe of eneraY? Exolain brieflv: I tv c? D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONME~REA (CEA)? (If ves, explain briefly: I DYes 0 I E. IS THERE, ~HERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ves exnlain: DYes 0 PART 111- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, detenmine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) selling (i.e. urban or rural); (b) probability of occurring: (c) duration; (d) irreversibility; (e) geographic scope; and (I) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impadofthe proposed action on the environmental characteristics of the eEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting doaunentation. that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attadlments as necessary, the reasons supporting thj determination. Name of Lead Agency Date pnnt or Type Name of ResponSible Officer In Lead Agency Title of Responsible Officer Signature 01 Responsible Officer in Lead Agency Signature of Preparer (If different from respon~ble officer) . . Board of Trustees Application County of Suffolk State of New Yark ~~ .sQj~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HElSHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF IDSIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TIllS 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 TIllS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENT ATlVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF TIllS APPLICATION. SWORN TO BEFORE ME TIDS A q DAYOF ~n.e 200J '- ~u,J( ;;;L 'NOtary Public SUSAN K TOOKER NOTARY PUBLIC, Slale of New Vorl< No OlT05078120 Qualified in Suffolk Co ty CommISSion Expires May l' Cj t "2.JJCl7 . . APPLlCANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM ~ ~c;: o~~':::~ ~ ~fEthi,:" nrohibits cooflicts ofin~ on the..-m of~wn rifficers and ~DIo_. The numo:", o~ fi IS I I fi atlon WhICh can alert the town of DOSS.ble conflicts of mterest and allow It to take whatever action IS necessarv to avoid same. . YOUR NAME: Sc \TBl2-, ~F"T~ G.. (Last name, fllSt namc,'",iddle initiol, unless you are appl~ing in the name of someone else or other entity, such as a company. Ifso, indicate the other person's or company's name.) NAME OF APPLICATION: (Check 011 that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) Buil4jpl! c:frustee ::;> Coastal Erosion Mooring Planning Do you personally (or through your company, spouse, sibling, paren~ or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES ~ If you answered "YES", complete the balance of this fonn and date and sign where indicated. Name of person employed by the Town ofSouthold Title or position of that person Descrihe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) andlor describe in the space provided. The town officer or employee or his or her spouse, sibling, paren~ ot child is (check 011 that apply): A) the owner of greater than 5% of the shares of the corporate stock of the appli"",t - (when the applicant is a corporation); _B) the Iego! or beneficial owner of any interest in a OOlKOrporate entity (when the applicant is not a corporation); _ C) an officer, director, partner, or employee of the applicant; or _D) the actooI applicant DESCRIPTION OF RELATIONSHIP =~",c4 Print Name ~(7 Fonn TS ] SURVEY OF LOT 13, P,/O 14 & P/O 22 SUBDIVISION MAP OF P~,CONIC BAY PROPERTIES, Inc. F~LE No. 786 F~LED APRIL 5, 1931 SITUA TED A T NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-111-01-20 1000-111-01-30 SCALE 1"=20' NOVEMBER 27, 1998 NOVEMBER 27, 2000 REVISED BITE PLAN DECEMBER 18, 2000 ADDED PROPOSED GRADES MARCH ~B, 2002 FINAL SURVE~ FOR CO CERTIFIED TO RiCK SUTER BOBETTE SUTER NORTH FORK BANK AQUEBOGUE ABSTRACT Corp. % APPROVED [' BOARD OF TRU$1EE$ TOWN OF SOUTHOLD DATE ',~/ ,/¢z_ 2oov Cops TAX No, 1000-111-01-20 NOTES: I 1. TNIS PROPERTY ~S IN FLOOD ZONE AE (EL 8) AS SHOWN FLOOD INSURANCE RATE MAP No. 36103C0t64 G ZONE AE (EL 8) BASE FLOOD ELEVATIONS DETERMINED 2. LOT COVERAGE WITH ADDITIONS = 9% ON o~ .& NYS Lic No 49668 0 Joseph A. Ingegno Land Surveyor PHONE (631)727-2090 Fox (631)727-1727 98-593U