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Home My WebLink AboutTR-5821 . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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 # OI92C Date: Aori119, 2007 THIS CERTIFIES that the reconstruction of existing single story dwelling into a two story dwelling and sanitary system At 855 Kimongenor Point Road, New Suffolk, New York Suffolk County Tax Map # 116-6-24.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 09/25/03 pursuant to which Trustees Permit # 5821 Dated 10/22/03. 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 the reconstruction of existing single stOry dwelling into a two story dwelling and sanitary system. The certificate is issued to William W. Archer owner of the aforesaid property. r~~ Authorized Signature . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 151 day of construction % constructed L pmject oempt,I,. oempl',"", '",p""", ~I \ ~I b1 CJ ): J~~ Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO...~J ........ DATE: ...o_c.~q]~.~...~.,.. 2003 Pursuant to the provislo~s of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of ttm Laws of the Slate of New York 19521 and the Soblhold Tovm Ordinance rifled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL-OR OTHER IdATERIALS FROId LANDS UNDER TOWN'WATERS;t~. and in ecceedanc, e with the Resolution of The B6ard adopted el a meeting ~ on ...O...g.~g..b..~.L..~.Z, .~Q..0_~_....., and in consideration of the sum of $......~..0.~.:...0..~...... peld by William W. Archer of ............ ?~.~.....s.~.f~Lk, ......................................... N. Y. end. ,ubje~ te the Terms end Cond~fkms ~dnd on the reverse side hereof, of Soufl~d To~''~' Trudges eU~r~zes end perm~ the folloMm~:. W~g Pc'rm~t to raise thc exis2n2 r~side~ce, con~ruct a new fo~mdation, Jnfill comer of foot~dnt with new emc*story addition, new ~cond-floor over exists, new siding, windows, ~md sani~y system, with the comiitioa ~utte~s and th~,ells arc thsmlled to contort the roof mn-off, ~d ~s depic~d o~ thc site pk~m prepared by Thomas C. SamueJs last ~cbru~y 10, 2004. IN WITNESS WHEP, EOF, The ,~td Boerd of Trus~ee~ subscribed .by aima, lodty of the said Board as of .this date. Artie Fos - Absent ~ l~eak~ee ~gilliam ~/. &rcber Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 October 22, 2003 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Thomas C. Samuels Samuels & Steelman Architects 25235 Main Rd. Cutcbogue, NY 11935 WILLIAM W. ARCHER 855 KIMONGENOR POINT RD., NEW SUFFOLK SCTM#116-6-24.1 Dear Mr. Samuels: The Board of Town Trustees took the follow'rog action during its regular meeting held on Wednesday, October 22, 2003 regarding the above matter: WHEREAS, Samuels & Steelman Architects on behalf of WILLIAM W. ARCHER 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 S~ptember 25, 2003, 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 October 22, 2003, at which time all interested persons were given an oppommity 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 WILLIAM W. ARCItER to raise the existing residence, construct a new foundation, infill coruer of footprint with new one- story addition, new second-floor over existing, new siding, roofing, windows, and sanitary system, with the condition gutters and drywells are installed to contain the roof mn-off, and as depicted on the site plan prepared by Thomas C. Samuels last revised February 10, 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: None Very truly yours, Albert J. Kmpski, Jr. President, Board of Trustees AJK/lms Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, NewYorkl1971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, October 14, 2003, the following recommendation was made: Moved by Drew Dillingham, seconded by Tom Schlichter, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of WILLIAM W. ARCHER to raise the existing residence, construct a new foundation, infill corner of footprint with new one-story addition, new second floor over existing, new siding, roofing, windows, and DISAPPROVAL of the proposed location of the sanitary system. Located: 855 Kimogenor Point Rd., New Suffolk. SCTM#116-6-24.1 The CAC recommends the septic system be moved to the east side of the house. Vote of Council: Ayes: All Motion Carried -! -! .l!il ,ii il S A M U E L S & S T E E L M A N February 10, 2004 Southold Town Board of Trustees Town Hall Main Road Southold, NY 11971 RE: ARCHER RESIDENCE 855 Kimogenor Point Road New Suffolk, NY t'1956 TAX MAP # 1000-1t6-06-24.1 Attn: Lauren Standish Enclosed please find three stamped SITE PLANS of the above referenced project, revised to include drywells, which would be attached to roof gutters, as per the Trustees. If this is sufficient, please process the Trustee permit. Thank you, T6m Samuels FEB l l 2004 Southo~d lowfl Board of Trustees ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 11935 ~63H734-6405 EA×~6311734-6407 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Fester 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 ~qetland Permit Application ~"Major Minor Waiver/AmendmenjJCha, nges ~'Received Application: v'Received Fee:$ -"~ompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(datesent~ .,,CAC Referral Sent:' .~Date of Inspection: Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ~blic Hearing Held: Resolution: Name of Applicant Phone Number:( Suffolk County T~ Map Number: 1000- Pmpe~Location: ~~ ~0~ ,~T ~. , ~o~ POINT,, n~ (provide L~CO Pole ~, dist~ce to'~oss str~s, (If applicable) Address: 1/¢¢3 Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: ~(~- Previous use of property: e/~F~ Intended use of propertyL Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspen~l~d by a governmental agency? eNo Yes If yes, provide explanation: Proj~t Description (use attachments if necessary): ~r ~7~/}~./~7k~7~ __ Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~e/ioffd~)/TJ 4 6~t'JT~OF/ ~ Area of'wetlands on lot: ~qO,.OOO V- square feet Percent coverage of lot: C~t~ % ~ Closest distance between nearest existing structure and upland edge of wetlands: "fO/- /-~/ feet Closest distance between nearest proposed structure and upland edge of wetlands: ~>/'/M-O feet Does the project involve excavation or filling? No ~/ Yes If yes, how much material will be excavated? How much material will be filled? ~00 A/~/ cubic yards 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: ~ 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): ~/ V ~ · , Board of Trustees Application County of Suffolk State of New York & C, BEING DraY SWO DEPOSES ~ ~F~S ~T ~S~ IS ~ ~PLIC~ FOR ~ ~O~ DESC~ P~T(S) ~ ~T ~L STA~NTS CO~D ~ ~ ~ TO ~ BEST OF ~S~R ~O~EDGE ~ BEL~, ~ ~T ~L WO~ ~L BE DO~ ~ ~ ~R SET FORTH ~ ~S ~PLICATION ~ AS MAY BE ~PRO~D BY ~ SOU~OLD TO~ BO~ OF ~US~ES. ~ ~PLIC~ AGRF. ES TO HOLD ~ TO~ OF SO--OLD ~ ~ TO~ ~US~ES ~ESS ~ ~E ~OM ~ ~ ~L D~AGES ~ CL~S ~S~G ~ER OR BY ~ OF S~ PE~(S), ~ G~D. ~ CO~LET~G T~S ~PLICATION, I ~BY A~O~E ~ ~US~ES, ~ AG~(S) OR ~P~SENTATI~S(S), TO EN~R O~O ~ PROPERTY TO ~SPECT ~ P~SES ~ CON~CTION ~ ~W OF T~S ~PLICATION ~ Signat~e SWORN TO BEFORE ME THIS DAY OF .~/..~.~ ,20 C_..3 ~;~ Notary Public PATRICIA RICHARDS Notary Public, State of New York No. 01 RI6042467 Qualified in Suffolk County Commlaaion Expires May 30, 20~ 14. t~-4 (2/87)--Text 12 PROJECT I.D. NUMBER w I 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed Py Applicant or Project sponsor} I. APPLICANT/SPONSOR 2 PROJECT NAME 3. PROJECT LOCATION: Municipality 4. PRECISE LOCATION (Street address and road Intar~eetlon,, prominent landmarks, etc., or provide map) PROPOSEOACT'D 5''S[]..w 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF ~ND AFFE~ED: ,niti.,iy J/~ acre, Ultim.t.ly ~ .cre, 8. WIL=.~PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXI~'ING LAND USE RESTRICTIONS? ]u,1 Yes [] No If No, deecribe briefly SEQR ' 9. WHAT IS PRESENT LAND USE IN VIDINITY OF PROJECT? [!L~'flesldentlal [] Indu,trlal [] Commercial [] ~grlcultum ~ Pl~oml~n ~paGe ~ Other 10. DOES AGTION INVOLVE A PERMIT APPROVA~ OR FUNDING, N~ OR ULTIMA~LY FROM ANY OTHER GOVERNMENTAL AGENCY {FEDE~ STATE ~ L~L)? ~Yee ~ No If ~s, lilt agenc~J) a~ ~l~p~ll, _. ~. ~ Yes ~o If yes, lilt agency nl~ and ~lU~proval 12. A~ A RESULT OF PROP~ED A~ION WILL ~ISTING PERMITIA~PROVAL REQUIRE MODIFICATION~ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature: ~ If the action la In the Coeatal Area, and you ere a state agency, complete the J Coastal Assessment Form before proceeding with this assessment OVER 1 PART II--ENVIRONMENTAL ASSL=~MENT (To be completed by Agenoy) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 If yea, onordlnate tl~ review procela and uae the FULL EAF. [] Yes [] No B. WILL ACTION RECEIVE COORDINATED REVIEqN AS PROVIDED FOR UNLISTED AGTION$ IN 6 NYCRR, PART 617,67 If No, a negative declaration may be suhera~:leq by another involved agency. [] Yes [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Anewam may be handwritten, if legible) Cl. Existing air quality, surface or groundwater quality or quantity, nol~e levels, existing traffic patterns, solid waste production or dJeqoaal, polential for erosion, drainage Or flooding problems? Explain briefly: C2. Aesthetic, egrlcultural, archaeological, historic, or other natural or oultural ra~ourcec; or oommunity or neighborhood oheracter? Explain briefly: C3. Vegefatlon or fauna, fish, shellfish or wildlife species, significant habitats, or fhreafenad or endangered species? Explain briefly: C4. A community's existing plans or goals ss of flclslly adopted, or a change in use o; Intensity of uae of land or other nstufal reaourGe8? Explain briefl C5. Growth, subsequent development, or related activities likely to be induced by the proposed aotlon? Explain briefly. C6. Long term, short term, cumulative, or other effects not identified In C1-C57 Explain briefly. C7. Other impacts (including ohangsa In u~e of either quantity or ty~ of energy)? Explain briefly, D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If Yes, explain briefly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether It is substantial, large, important or otherwise significant. Each effect should be assessed In connection with It,, fa) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) lrreverslbility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materiels. Ensure that · explanations contain sufficient detail to show that all relevant aclveme Impacts have been Identified and adequately acldreseed. [] Check this box If you have Identified one or more potentially large or 81gnlflcant adverse impacts which MAY occur. Then proceed directly to the FULL EAF end/or prepare a positive deolaratlon. [] Check this box If you have determined, based on the Information and analysis above '~nd any supporting documentation, that the proposed action WILL NOT result In any significant adverse environmental Impacts AND provide on attachments as necessary, the reasons supporting this determination: Print or Type Name of Responsible Officer in Lead A~ency Name of Lead Agency Title of Responsible Officer ~ignature of prelhtter (If different from responsible officer) LETTER OF AUTHORIZATION William W. Archer 29 Green Meadow Lane Huntington, NY 11743 I hereby authorize Thomas C. Samuels of SAMUELS & STEELMAN ARCHITECTS to act as my agent in obtaining all permits required by SOUTHOLD TOWN, SUFFOLK COUNTY and NEW YORK STATE for the renovation and addition of the ARCHER RESIDENCE located at 855 Kimogenor Point Road, New Suffolk, N.Y. William W. Archer Date 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I,~"s~////~ . residing at '~Oc/~- /~,~P-'/] ~,,/~/~ ~. being duly sworn, depose ~d say: on the~ay of 0~ , 200~ pe~onally posted That ~C~ by placing the Bo~d of T~tces official poster where it c~ c~ily be seen, ~d ~at I have checked to be s~e ~e poster h~ rema~ed ~ pl~e for ci~t ~ prior to ~c ~te of~e public hc~g. Date of being noted ~ereon to bo held ~.~ (siMa~e) Swom to bef?re me this day of ~C.~' 2003 Notary Public PATRICIA RICHARDS Notary Public, State of New York No. 01RI6042467 Qualified in Suffolk County Commission Expires May 30, 20~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Namc: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~a6~ b-aL'l , being duly sworn, deposes and says that on the lC) dayof CZ.d~31o..~.-.,..-, 20a3, deponent mailed a true copy of the Notice · set forthin the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll pfthe Town of Southold; that said Notices were mailed at the United States Post Office at ~(,47.,//~v'c'~, , that said Notices were mailed to each of said persons by (certified) (registered) ~nail. Sworn to before me this Dayof Oc+ob~ r' , 2(~ Notary Public LISA K. GLUCK NOTARY PUBLIC- STATE OF NEW YORK I'~O. 01-0LI10~340 QUALIFIED IN SUFFOLK CQUNTY MY COMMISSION EXPIRES 12-11-20~ 0.~ WIT I~: 2.30 ~PPBiUANT TRANSACTIONAb DISCLOSURE FomIH The Town o2 5~u~hold'a Coda of ~thlcs ~ohibI~a conflicts sE interest on the par~ si town o[ficors and omploFees. The ~vrpose of ~hio ~orm Ia to provide information which can alert the torn si poeeible conlllcba si Interest and a~ow it to take whatever action Ia necessary bo avoid same. (Las~ name, first name, m{dd.l~ {nib{al, unless' you are applying in th~ name o~ someone else or uther entity, such ~a a company, l~ so, indicate the other pereon~s or compsny*s name.) NATURE OF APPLI~ATIOMt (Check all ~ha~ apply.) Rx~tption from plaB o~ ofilcial map Do Fou p~rson~llF (or ~h~ough ~our ~mpany~ ~u~, sibling, employee si ~he Town o[ Sou~hold? vhich 6he toys o~icer or employee has even a partial ovnerohip o~ (or employment by) a corporaBlon In vhich the ~ovn o~[lcer o~ employee oyes YgS~ N~ ~ da~e and sign where Name og psrso~ employed by ~h~ TOW~ og Son,hold TI~Ie or position o~ ~b~ person Describe the relationship be~vee, yourself (~he applicant) and ~he town o~iuer ~r employee. Either appropriate li~e ~) through D) provided. parent, or uhlld Is (~heck all ~ha~ apply)~ __.A) ~he owner of grea~er ~han corporate e~o~k o~ ~he appllcin~ (vhen ~he . lB a uorpora~ion)l .~) ~hs lsgtl or bknm~iulal nunuorpora~e'en~l~y (vhen ~he corpora~lon)~ appliua.~{ or S A M U E L S & S T E E L M A N September 24, 2003 Southold Town Board of Trustees Town Hall Main Road Southold, NY 11971 RE: ARCHER RESIDENCE 855 Kimogenor Point Road New Suffolk, NY 11956 TAX MAP # 1000-116-06-24.1 8EP 2 5 .~ Southoid Town Dear Sir/Madam: We are requesting a Permit for the above reference project. For your review we are submitting the following documents: 1. Application 2. Short Environmental Assessment Form 3. Application Affidavit 4, Three Site Plans prepared by Samuels & Steelman Architects 5. Current Survey 6. Letter of authorization from Owner 7. Check for $200. Please call us with any questions or concerns. Sincerely, SAMUELS & STEELMAN ARCHITECTS Thomas C. Samuels, Principal Architect enc. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEYVYORK 11935