Loading...
HomeMy WebLinkAboutTR-5801Board Of $outhold Town Trustees ISSUED TO ......~.!,~:.,.,K.~'.~t..s..c...~.e.~,...!.~.e.~:F]~a~) ................................................. Authorizatio Pursuant to the provisions of Chapter 615 of the L~ws of the Stele of New Yor~, 1893; and Chapter ~ of the Laws of the State of New Yor~ 19521 and the Southokl Town Ordinance e~ titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and ~ REMOVAL OF SAND, GRAVEL. OR OTHER MATERIALS FROId LANDS UNDER TOWN'WATERS;.,'.~. and in accordance with the Resolution of The B~Mrd edopted et · meeting held on .~.~.~...~.~..~ 2~.~... end In consideration of the sum of $........2~.._ I~uld by ..... Eileen...~in~-at e...o~....b ehatf .. of-.Moniea ..K-~e-i$ h e r ---{.~l~m art). of ........ ~°..~?.~.~.f.r ...................................................... N. ¥. and. ,~-t to the Term~ ~nd Conditions ~ded on the revere ride hereof. W~tland P~nnit to consh'uct a 13~.0 ~lU~ foot +/- bedroom addition 644.0 square foot +/- kitchen addition aad n~v sanitary system with the 0Aditioa of dryw¢ll~ for roof run off with roof gutt~'s and down spouts and a ~take row of hay balcz outside of the const~fion line. all in accordance with the defelnd Specifications as preseafed in · the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- ~ nauses ifs Corporate Seal to be afl?nd, and these presenh to subscrt~oed by a 'majority of the said Board as of this darn. Fester, (Abgont) Trmte¢$ TERMS a~ C~K~IIONS Harbor Lights Drive, Southold, t. N. ~ =~ Suffolk Environmental Consulting, Inc. Newman Village, Main Street. EO. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (63l) 537-5198 Bruce Anderson, M.S., President August 24, 2004 Albert Krupski, Jr., President Southold Town Trustees P. O. Box 1179 Southold, NY 11971 Re: Feldman/Kreischer Situate: Harbor Lights Drive, Southold SCTM # 1000-71-2-16 Dear Mr. Kruspski, AUG 2 5 2004 Enclosed herewith please find a check made payable to the Town of Southold in the amount of $10.00 covering your inspection fee for the above referenced permit matter now approved. Kindly forward the aproved permit to this office. Bruce A. Anderson cc. A. Feldman MODIFICATION DESCRIPTION for the KREISCHER Application Situate: 825 Harbor Lights Drive; Southold, NY SCTM #: 1000-071-02-016 Applicant proposes to modify the existing and "in-force" Town of Southold Board of Trustees Wetlands Permit (No. 5801) to reflect design revisions driven by the New York State Department of Environmental Conservation regulatory requirements. The original permit authorized for the construction of: ...a 135. 0 square foot ~- bedroom addition 644. 0 square foot kitchen addition and new sanitary system... Applicant requests to modify subject permit as follows: (1) JUL 2 8 2004 Construct a total off our (4) additions to the existing containing a total of 925 square feet :~resulting in a mtnimum structural setbacl~ from wetlands of 80. O' ~, an increase in setback from the initial wetlands permit; Southold Town Board of Trostees Construct a detached garage within the northeastern section of subject property, containing 320 square feet ~, resulting in a structural setback from wetlands of 190.0' ~' Abandonment of the existing septic system within the northern section of subject property, and construction of a more conforming sanitary system within the central section of subject property, resulting in a setback from wetlands of140. O' ~' and Removal of the existing asphalt (impervious) driveway and installation ora gravel (pervious) driveaay. Please note that the modified proposal results in greater wetlands setbacks than previously approved within the initial wetlands permit. Suffolk Environmental Consulting, Inc. Newman Village, Main Street. P.O. Box 2003, Bridgehampton. New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson, M.S., President July 26, 2004 Mr. Albert J. Krupski, Presidem Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re-' Situate: SCTM #: Permit #: KREISCHER (FELDMAN) permit 825 Harbor Lights Drive Southold, NY 1000-071-02-016 5801 Dear Mr. Krupski, As you know, this Firm represents the property owner referenced above, who is in receipt of the Board of Trnstees Wetlands Permit referenced above, issued September 24, 2003, authorizing for the construction of a "... 135. 0 square foot ± bedroom addition 644. 0 square foot ± kitchen addition and new sanitary system with the addition of drywells for roof fun off with roof gutters and down spouts and a stake row of hay bales outside of the construction line." In the interim, this office has secured approval from the New York State Departmem of Environmental Conservation (NYSDEC) for subject improvements, however, certain design changes were required in order to further comply with the regulations of the NYSDEC. Consequently, these changes are required to be clarified with your Board, and subsequemly, modification approval concerning same is sought. Accordingly, please find enclosed: (i) Modification Description concerning subject proposal (four [4] copies); (2) Site Plan of subject property, prepared by Suffolk £nvironmantai Consultin§, lnG. and adapted from the survey of subject property as provided by FOX LAND $0RVEYllqG, dated May 3, 2004, stamped approved by the ~IYSDEC, indicating all proposed and existing structures thereon (two [2] copies); and Hammarth/ 2 (3) Cheek in the mount of $ 40.00 to cover the requisite application fee. Please note that we are currently awaiting the survey revisions which will reflect the enclosed site plan, and upon receipt, same will immediately be submitted to your attention. In the interim, kindly review the enclosed items and resolve to issue the requested permit modification approval conditional upon the receipt of the revised surveys. Should you have any questions concerning this matter, please feel free to contact this office at any time. Thank you in advance for your attention and consideration. Matt D. Ivans e/lc. cc: A. Feldman PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Nflllle; STATE OF NEW YORK COUNTY OF ~Ofil(~ }~'-q~ , residing at ~°~)~ ~of ll~3[ ,beingdulyswom, d~oses~dsa~haton~e ,20 , d~n~t m~l~ a ~e copy of ~e Notice s~ fo~.~ ~e Bo~d of Trust.s App~cafio~ ~ted to e~h of~e above n~ pemom at ~e ~ses set op~site ~em re~tive nines; ~at ~e ad~esses set op~site ~e n~es ofs~d pe~om ~e ~e ad.ess ofs~d p~so~ ~ sho~ on ~e e~nt ~s~sment mil of ~e Tom ~ Sou~old; ~at s~d Notic~ were m~l~ at ~e U~ted States Post Office at ~ ~ ~ , ~at s~d N~fi~ ~ m~l~ to each ofs~d penons by (e~ified) (re~stered) mail. Sworn to b. efore I~ this Day offiq~ ,20~ Notary Public ABRAHAM HAROONt fiotaW public, State ol flewYork No. 41.10343~1 Qu .... =~ires ~une 6, 2~ PROOF OF MAILING OF NOTICE ATTACH'CERTIFIED MAIL RECEIPTS Name:. Address: STATE OF NEW YORK COUNTY OF SIdF'FOY~K *,t~;-~, ~5~)3'pO~: /0 ~, 119'/I m, being duly sworn, deposes and say~'that on the ~tI,~da~of ' fi'g~r~',ff~-,20~,b,deponentmailedatruecopyoftheNofice set forth, in 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 to. Il of the Town 5TSouthold; that said Notices were mailed at the United States Post Office at //~/(~ , that sm.~d lq/qtices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me. this Day of ~ , 20 Notary Public ABRAHAM HAROONI Notary Public, State of NewYork No. 41-4934341 C Qua. llfl. ed In Nassau County omm;~Jslon Expires June 6, '5008 Albert J. Krupski. President James King, Vice-President Attic Foster Ken Poliwoda Peggy,, A. Dickm'son Towu Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone 1631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTIIOLD BOARD OF TRUSTEES: TOWN OF SOUTItOLD In lhc Matter of the Application COUNTY OF SUF/OEK) STATE OF NEW YORK) AFFIDAVIT OF POSTING gei~ duly sworn, depose ami say: TImt on thc ~'day ol'~C, 2,,(~, I i,e,'sonally i,oslcd thc i,,'Ol,crty know,, as by placing Iht Board of Trustees omcial poslcr where il can casily bc sccn, and Ihat I bare checked lo [)c Stll'C thc poster bas remained in place lin' cight days prior lo thc d~tc of Iht imblic hearing. I)alc of hearing noted thereon Io bc ]lcld  ~ture) Sworn to before me tiffs /~'~lay of ~:'. 200 ~ Matthew O. Ivans #o~ary Public o! New Yo~ No 011V6053859 Oualifled in Suffolk County Commission Expires January 22, 200 Albert J. Krupski, President John Holzapfel, Vice President Jim King Martin H. Gan'ell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P. O. Box 1179 Southold, New York 11971 Telephone (631 ) 765-1892 Fax (63 l) 765-1823 Office Use only X Waiver/Amendment/Changes /Received Application:~l~|~ ~Received Fee: $ ~ Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: (date sentk ~CAC Referral Sent: ~'I)ate of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: ~.-Public Hearing Held: Resolution: Coastal Erosion Permit Application Wetland Permit Application Grandfather Permit Application ECEIVE AUG 21 2003 Name of Applicant Monioa l~reis~her Address 252 7~ Avenue; Apartment 6 V; Phone Number( 212 ) 39~ 7266 Suffolk County Tax Map Number: New Yo~kt NY 10001 1000-071--02-016 Property Location: 825 Harbor Lights Drive; Sout~oldt NY provide LILCO Pole #, distance to cross streets, and location) AGENT: Suffolk Environmental Consultin~ Inc. Address: P.O. Box 2003 Bric~eb~m?tont NY 11932 Phone Number: (631) 537-5160 Fax: (631) 537-5198 Board of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: Intended use of property: 28~ 381 scluare feet A - C Improved lot Expansion of existingdwellin~ Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary) : Applicant proposes to construct a 135.0 square foot ± bedroom addition, a 644.0 square foot ± kitchen addition and new sanitary system. 2 Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Construction of two (2) additions to the existing dwelling and construction of new sanitar~ system. Area of wetlands on lot: 0.0 Percent coverage of lot: 0.0 .square feet % Closest distance between nearest existing structure and upland edge of wetlands: ?6.0 · feet Closest distance between nearest proposed structure and upland edge of wetlands: 6?.6 ± feet Does the project involve excavation or filling: X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed/deposited: ~/A · feet Proposed slope throughout the area of operations: N/A · Manner in which material will be removed or deposited: N/A 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): No ~.&~t to the wetlands are anticipated due to the project design and location~ as well as the dwelling itself existing for years without an~ negative environmental 4~.aots to the surrounding area. Board of Trustees Application co~?~ EROS~O~ ~PL~¢AT~O~ DATA N/A Purpose of Proposed Activity: Are wetlands present within 75 feet of the proposed activity? No Yes If Yes, how much material will be How much material will be filled? excavated? (cubic yards) (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from the 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: N~nica Kreiucher SCTM% 1000-071-02-016 YOU ARE HEREBY GIVEN NOTICE: 1. That is the intention of the undersigned to request a Permit from the Board of Trustees to: Applicant proposes to construct a t35.0 square foot ± bedroom addition, a 644.0 square foot ± kitchen addition and new sanitary system. 2. That the property which is the subject of Environmental Review is located, adjacent to your property and is described as follows: 825 Harbor Lights Drive; Town of Southoldt NX 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. 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: Monica Kreis~her 252 7~ Avenue; Apartment 6 V; NY, NY 10001 PHONE # : (212) 391 - 7266 Enc.: Copy of sketch or plan showing proposal for your convenience. 14-16-4 (9195)-Text 12 617.20 PROJECT I.D. NUMBER Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNUSTED Ac'noNs Only SEQR PART 1- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) I. APPLICANT/SPONSOR I 2. PROJECT NAUE Suffolk Environmental Consulting, Inc. [ KREISCHER 3, PROJECT LOCATION: Municipality Southold County Suffolk 4. PRECISE LOCATION (Street address and road intmsections, prominent landmarks, etc. or provide map) 825 Harbor Lights Drive; Southold, NY 5. IS PROPOSED ACTION: [] New [] Expansion [] Modificatio~/altm'ation 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to construct a 135.0 square foot · bedroom addition, a 644.0 square foot ± kitchen addition and new sanita~/system. 7. AMOUNT OF LAND EFFECTED: Initially < 0.1 acres Ultimately < 0..~.J..l acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? []Residential []Industrial []Commemial []Agriculture []Park/Forest/Open space []Other Describe: Private single family residential dwellings with related appurtenances. 10. D~E~ A~TI~N ~NV~LVE A PERM~T A~~R~~~L~ ~R FUND~NG~ N~~ ~R ULT~MATELY FR~M ANY ~THER G~VERNMENT AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes []No If yes, list agency(s) and permit/approvals Town of Sunthold Board of Trustees & Building Permit; Suffolk County Dept. of Health Services approval. l 1. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, list agency(s) and permit/approvals 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes [] No I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Matt D. lvans - Suffolk Environmental Consulting, Inc. Date: 01/29/03 Signature: If the action is in the Coastal Area, and you am a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER (J~l~JJO alqisuodseJ LUOJ-I iue~e~p ti) JgJladeJcl Jo eJnleu§ls XoueSv peel u! JeoU~O elq!Suodse~d jo eJnleul~S JeOU~O elq!suodse~l ~o etUeN ed{j. Jo lu!Jd Je'~UO elq!Suodse~ jo elILL /~oueSv pee'l jo etaeN :UO!~U!LLUe:Iep S~Lli 5u!~Joddns SuoseeJ eq~, 'XJesseoeu se siuetuqoel~ uo ep!~Jd (3NV s~edtu! i~luetuuoJ~ue esJ~pe lue'~q u6!$/~u~ u! llnse~ .LON 'I'llAA uo!loe pesodoJd eql leqt 'uo!leluemnoop 5u!~oddns ,{ua pue e~qe a.S,(l~Ue pu~ uo!lemJOjU! eqi uo peseq 'peu!tu~elep e^eq noX ~ xoq s!qt ~oeq:3 [] · uo!~JelOep ~]~Od e eJedeJd Jo/pue _-IV=J -l~n=J eql Ot/q~J!P peeooJd UeLI/ 'Jnooo AVI~I qo!u~R s~oedtu! esJeApe lue:~j~u§!s Jo e§J~I *{lle!luetod eJotu ~o euo peU!~ep~ e^eq no,( J~ xoq siqI qoeqo [] '~'-JO eqi p sof~speioe~qo le~JetUUOJ~Ue e[ll uo uo!~oe pesodoJd eql jo ~oedtu! le!lUelocl eql elenl~Ae lsntu eoue:~.~ u5!$ pue uo!~eu!uuezep eqi 'se,{ peNoeqo SeA~ II IJed JO (3 uo!lsenb Jl 'pesseJpl3e/qe~enbepe pue pe~ue~ ueeq eAeq s~oedtu! esJe^pe lue~eleJ Ila ~eql ~oqs ot I!e~ep lue!:~.~lns u!~luoo suo!leueldXe ~eLll eJnsu:~ 'SlE!Jeletu ~u!~oddns eoue~ejeJ JO SlUeLUqO~p,e pp~ '/desseoeu Jl 'epn3!u§euJ (j) puE '.edoos :3!qdeJ6Oe§ (p) :uo!~eJnp (3) :5upJnooo Jo/q~l!qeqoJd (q) :(leJnJ Jo ueclJn 'e'!) 6u!lies (e) si! q~ uo!ioeuuoo u! pes~esse eq plnoqs 13ej~e 'lUeO~uS!s es?ueqlo ~o '~UelJOdtU! 'e~Jel 'le!luelsqns s~ 1~ Jeqleu~ euftuJelep 'e^oqe pe~luep~ loej~e es~eApe qoee Jo:~ (XoueSv Xq peleldtUOO eq O.L) ~tON¥OIdlN~)IS dO NOI,I.~NIItlta~,LaQ - III J. aYd · (k~uq U!eldxe 'se~ Jl ON [] sea [] 4S£OYdlNI 'IV.LN=JINNO~II^N=~ =IS~I=I^QV'IVI.LN~3.LOd 05. (3:a.LV-I=I~I AS~I=I^O~I.LNO:3 '=l~a O.L A'I=I){I'I =I~I;gH.L SI ~10 '=I~d=IH.L SI '(] ONE seAi-~ :,(Ue!Jq U!~ldX3 &(XSJeue jo ed/q Jo ~qlu~nb JeLIl!e JO esn u! seSueq3 5u!pnlou!) sioed~u! JeLIlO :Xuepq U!eldX:~ &GO'~O u! pe~luep~ lou sloej~e Jeqlo Jo 'e^!ielntuno 'tuJel Uoqs 'tuJet §UO'l '90 :~[Uepq U!eldx:l &uoi~oe pesodoJd eql~q p~onpuf eq ol,{le~t!l Se!l!^!loe pa:leleJ Jo 'luetUdOleAep luenbesqns 'q~A~O~D 'GO :~l~e!Jq U!eldX3 /~seoJnoseJ leJn;leu JO puel jo esn Jo/q~suelu! JO esn u! e§ueqo JO 'pep~ope ,(II~PLUO se sleo5 Jo Sueld 5UilSiXe s,/q~untutuo3 ¥ 'tO :/,Iaepq U!eldX;3 ~se!oeds peJe§uepue JO peUeleeJqi JO 'le~!qeq luemj~ul~s 'se!oeds eJ!ll~lY~ JO qsUIleqs 'qsy 'eunej JO uo!~ele~eA :~U~!Jq U!eldX:a ~Je)~e~eqo pooqJoqq~eu Jo Xl!untuuJoo JO '.seoJnOSej iEJnllno JO i~Jn3Eu Jeq~o Jo le:~Jolslq 'l~O!~oloeLl~Je 'l~Jn~InouISe 'o!leq3se¥ 'EO :~[Ue~Jq U!eldX=l ~,sUJelqoJd §u!poou JO e~eu!eJp 'uo!so~e Joj le!:lUe~Od 'lesods~p Jo uo!lonpoJd eisea~ pgos 'su~etaed :)l~eJl §u!iqxe 'sie~q es~ou ',{l~lenb Jele~punoJ§ Jo eoe~ns 'Rt~lenb J!e §u!lqxa '~O (elq!6el j~ 'ue~Ja~pueq eq ~[~uJ sdea~$uv) :~)NIN~O'I'IOd ~3HJ. HJ.IN~ Q~.L¥1OOSSV SJ.O;3=I=t~ 3S~I3AQV ANY NI J.'ll'tS~l~l NOLLO¥ Q'll'tOO '~) ON [] sex [] -,(oue~e pe^lo^u! ~eq~oue ,~q pepesJedns eq ,{e~u uo!~ejOloep e*!~e~eu · 'ON Jl c9'Z~9 J.)4¥d '~I~IOAN 9 NI SNOI.LOV Q~3.LSI'INI'I ~10.-I Q=lQl^O~dd SV/V~IA~I Q=IIVNIQ~IOOO =lAIqO~l NOIJ.O¥'I'IlN~ pue s~oJd A~e!^aJ aq~. eleu!pJooo 'sea JI ON [] sea [] '::lYg -rln::l eql ash ~,E~ 'Z L9 .I.HVd '~I~I:3AN 9 NI Q'IOHS=I~IH£ I gdA.L ANV Q=I:g OX=1 NOIJ.OV S=IOQ (Xoue§v Xq pe~dtuoo eq o~) ZNaeISSgSSV 'IYZNgmNOUlANa -II Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P~O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~wOaStal Erosion Permit Application etland Permit Application ~" Major Waiver/Amendment/.Chapges ,,,,~Received Application: ,,.d~eceived Fee:$~" .,C/ompleted 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: ~"~)ublic Hearing Held: ~ Resolution: Minor dUL 3 1 2OO3 Name of Applicant Address Suffolk County Tax Map Number: '"'7 't'fTr Ph°ne Number:( ) ooo- -71 - Property Location: (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application Land Area (in square feet): Area Zoning: GENERAL DATA Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspen~'a governmental agency? ~-~ No Yes If yes, provide explanatiom- Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: /j~3, Trc ,~ , c Area of wetlands on lot: O square feet Percent coverage of lot: lq.qo Closest distance between nearest existing structure and upland edge of wetlands: '7~' feet Closest distance between nearest proposed structure and upland edge of wetlands: '7 ~' feet Does the project involve excavation or filling? No t// Yes If yes, how much material will b6 excavated? '~ cubic yards How much material will be filled? O cubic yards Depth of which material will be remove.~d or deposited: -a_~', C~I feet Pro. posed slope throughout~the area of operations: ( Mann;/'in, which material will be removed or deposited3 [~_~,/.~ ._[J_tr,~, 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): 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 T~tUSTEES 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,~f~Ol~lt~~ ~'~:~ , residing at ~ ~ L,~ ~. berg duly sw~m, depose ~d say: ~on t~ ~ day of ~, 20~ I pe~onally~osta ~e orop~o~ ~ by placin~ th~ ~o~d of~t~s o~cial poster wh~r~ it c~ ~ily b~ s~n, ~ ~at I checked to be sure the post~ h~ r~ in place for ei~t ~ys prior to the date of~e public he~g. Date ofhe~g not~ ~e~on to be held~- Dat~l~(~ ~ ~ (silage) Swom to before me this t~.'~, dayof~ 200~ Notary Public ABRAHAM HAROONI Notary Publle, State of NewYork I~Jo. 414934341 Qualified in Nassau County Coramlssion Explre~ June 6, 2006 APPLICANT/AGENTflREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Town of Svuthold's C,,odc of Ethics prohibits conflicts of intere~ on thc nsrt of town officers and employec~. The pm'pose of this form is to orovide ~nformatiun which can alert thc town of oossiblc conflicts of iatercst and allow it to take whatever action is ~ecessarv to avoid same. (Last narae, first name, middle initial, unless you are applying in the name of someone else or other entfiy, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Variance Change of Zone Approval of plat Exemption from plat or official map Other (If '%)ther', name the activity.) ~-~l ~' ~-~'-~ ~'~ 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, maniage, or business interest. "Business interest" means a businegs, including a partnership, ia which the town officer or employee has cyan 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 If you answered "YI~' 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 .-.~-~ ~,e,.--- Describe the relationship belwe~n yourself (the applicant/agent/representative) and the town officer or employee. Either check ~he appropriate line A) flu'ough D) and/or descfihe in the space provided. The town officer or employee or his or her spouse, sibling, pmunt, or child is (check all that apply): _A) thc owner of groater than 5% of the shares of the corporate stock of the applicant (when the applicant is a coq:oratiun); B) thc legal or beneficial owner of any interest ia a non-coq)orate entity (when thc applicant is not a corporation); .C) an officer, director, parmer, or employee of the applicant; or ___.D) the aclual applicant. DESCRIPTION OF RELATIONSHIP Si~v~ Print of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRM~ THAT ~E/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 WORK 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 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. ~ Signature SWORN TO BEFORE ME THIS --Notary Publi~ PA'f~IOA CtmWIN Ne~q i~b(~ State ~ New Ymt No, Qualified in Suffolk County _ _ Commission Expires SepL ).3, 7 Board of Trustees Application County of State of New York [~t~bfllC~r ~/1~ 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 WORK 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 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 ~VIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS D^¥ Notary Public ABRA. HA-~ HAROONi Notary public, State o1 New¥ork No. 41-~934341 Qualified i~ NassaU County Co~-nmission Ex,'~r~s June 6, 2006 ~rd of Trustees Applicati~ Ab'l~OP~I ZATIO~ (where the applicant is not the owner) ~,~ ~~ residing at ~ ~ LI~"~ ~ (print owner of property) (mailing address~ do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner' s signature) in~eres~ on ~he per~ of to~n officer~ and employees. The purpose of ~his ~o=m ~a go provide ln£o=mation shich can alert the town of possible cosflic~e o£ in~erest and alloy t~ ~o take whatever action lenecesaar to avoid same. (Lhat name, ~lra~ same, m~dd.~o you are applying In ~he name o~her en~tty, such ps a company, If so; indicate bho other psreos*e or company*e name.) ~x~p~ion from pXa~ o~ official map tn~eres~' ~ans u business, including a pa~2ne~sbip, vhich ihs ~oun officer or employee has even a par2tal ounership o~ (or employm~u2 by) a corporation la which If you annuered 'YgS,#. template the balance o[ ~hie'torm and date and sign where indicated. Name of person employed by ~hu To~n o~ Sou~hold T~Xe or position oE ~ha~ person O~scribe ~hs rela~ionahip between yoursel~ (~he applicant) appropriate line A) through D) and/o~ desorlbe In ~he spac~ parent; or child Is (cite~k all Eha~ apply)t ~A) ~he owne~ o[ grea~e~ t~an 5~ of ~he shares o~ the co~pora~e stock oE ~he applicin~ (shes ~ha ~ppliean~' . la a eo~pora~ion); B) Ehe legal or bbne~lelal ovner oE afly in~ree~ In a noncorpora~e'en~i~y (when ~he applica,~ is no~ a corpor~ion ); C) an officer; dire~or, Pa~a~r; or employee of Ehe applican~ ~ or ~.o) ~he actual applicant. DSSCalPTION OF RELATIONSIIXP ' 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 # 0085C Date Nov. 30, 2005 THIS CERTIFIES that the additions to existing dwelling At 825 Harbor Lights Drive, Southold Suffolk Count)' Tax Map # 7 1-2-16 Conforms to the application for a Trustees Permit heretofore filed in this office Dated ?/3t/03 pursuant to which Trustees Permit # 5801 Dated 9/24/03 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 four additions to existing dwelling, detached garage, new septic system Monica Kreischer Feldman owner of the is The certificate is issued to aforesaid property. Authorized ~i~natur~-~Ov-~ ~- 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 August18,2004 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Mr. Ma~lvans Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932-2003 RE: MONICA KREISCHER FELDMAN 825 HARBOR LIGHTS DR., SOUTHOLD SCTM#71-2-16 Dear Mr. Ivans: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 18, 2004: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5801 to construct a total of four (4) additions to the existing dwelling, containing a total of 925 sq. ft.; construct a detached garage within the northeastem section of subject property, containing 320 sq. ft.; abandon the existing septic system within the northem section of the subject property, and construct a more conforming sanitary system within the central section of the subject property, resulting in a setback from wetlands of 140'; and remove the existing asphalt (impervious) driveway and install a gravel (pervious) driveway, and all as depicted on the plan prepared by Suffolk Environmental Consulting, Inc. last dated May 3, 2004. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJbert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 South~ld, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: '//l~oru¢~ ~/~j.~_¢~), ~-~l~ man Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: has been and the ( .~)~Application Approved (see below) (__.) Application Denied (see below) (___.) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephofie' (63 I) 765-1892 · %wn Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 C~)NSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, August 10, 2004, the following recommendation was made: Moved by William Cook, seconded by Doris McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Amendment application of MONICA KREISCHER FELDMAN to Amend Permit #5801 to construct a total of four (4) additions to the existing dwelling, containing a total of 925 sq. ft.; construct a detached garage within the northeastern section of subject property, containing 320 sq. ft.; abandon the existing septic system within the northern section of the subject property, and construct a more conforming sanitary system within the central section of the subject property, resulting in a setback from wetlands of 140'; and remove the existing asphalt (impervious) driveway and install a gravel (pervious) driveway. Located: 825 Harbor Lights Dr., Southold. SCTM#71-2-16 The CAC recommends Disapproval of the application because of insufficient information. The applicant should provide the actual measurements of each addition, and no addition should extend any further seaward than the neighboring houses. In addition, a 25' non-turf buffer should be installed and all efforts should be made to save the large trees. Vote of Council: Ayes: All Motion Carried Alber~ J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda PeEEy A, Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1692 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~:~ONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE ~/Pre-construction, hay bale line 1st day of construction % constructed Project complete, compliance inspection. Albert J. Krupski, President James King, Vice-President \ ,~-~tie Foster Ken Poliwoda Peggy A. Dickereon 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 September 29, 2003 Mr. Brace Anderson Suffolk Environmental Consulting, Inc. PO Box 2003 Bridgehampton, NY 11932 RE: SCTM#71-02-16 Monica Kreischer (Feldman) 825 Harbor Lights Road Southold, NY Dear Mr. Anderson: The Board of Town Trustees took the following action during a Regular Meeting, held on September 24th, 2003 regarding the above matter. WHEREAS, Suffolk Environmental Consulting, Ina. on behalf of Monica Kreischer (Feldman) applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated July 31,2003 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 thc Town.Trustees with respect to said application on September 24, 2003 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 standard set forth in Chapter 97-18 of the Southold 2 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 approved a Wetland Permit for MONICA KREISCHER (FELDMAN) to construct a 135.0 square foot +/- bedroom addition 644.0 square foot +/- kitchen addition and new sanitary system with the addition of drywells for roof run off with roof gutters and down spouts and a stake row of hay bales outside of the construction line. 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. Fee must be paid, if applicable and permit issued within six months of the date of this notification. If inspections are required, at a fee of $5.00 per inspection (See attached schedule). FEES: $10.00 Vel~ truly yours, AJK/cjc cc: DEC Building Department Telephoae (631) 765-1892 Town HaU.. ~3095 Main Road P.O. Box 1179 Sour. hold. New York 11971 SOUTHOLD TO~FN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Tuesday, August 12, 2003, the following recommendation was made: Moved by Bob Ghosio, seconded by Nicholas Dickerson, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of MONICA KREI$CHER FELDMAN to construct an addition to the existing single-family dwelling. Located: 825 Harbor Lights Dr., Southold. SCTM#71-2-16 The CAC recommends Approval of the application with the condition of a 25' non-turf buffer. Vote of Council: Ayes:' All Motion Carried Suffolk Environmental Const .;ng, Inc. Newman Village. Main Street, P.O. Box 2003, Bridgehampt, 5, New York 11932-2003 (6311 537-5160 l~ax: 1631) 537-5198 Bruce Anderson, M.S., President October 22, 2003 Ms. Charlotte Cunningham, Clerk Southold Town Trustees P.O. Box 1179 Southold, NY 11971 Re.' Situate: SCTM #: Kreischer Permit 82~ Harbor Lights Drive; Southoid, NY 1000-071-02-016 ECEIVE DEC - 1 2003 Dear Ms. Cunningham, Enclosed herewith is a copy of the computation ofpesmit fees along with a check made payable to the Southold Town Trustees in the mount of $10.00, for the property referenced above. Upon receipt, please release the permits to our office at your earliest convenience. Thank you for your cooperation in this matter. B~.~e~K._ wtmly yours, Encl. Cc: Mr. Feldman Albert J. Krupsld, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (51~ '7~- 1892 _ TO: Suffolk Environmental Cons.lting: In.. an l~.h=Te e~ WEE!$CHEP. P~lbPERTY Please be advised that your application, dated T'd~ ~l ?nfl3 has been reviewed by this Board, at the regular mee~t£n~ and the following action was taken: ( X) Application Approved (see below) (___) Application Denied (see below) (___) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: Two Inspections @$5.00 TOTAL FEES DUE: $ 10.00 BY: PRESIDENT, BOARD OF TRUSTEES CLERK, BOARD OF TRUST~EES ECEgVE/ DEC - 1 2O03 Seu~o~ Tewn Board of Trustees 4/98 Ru~ 20 O~ 03:~3p STR H RERL ESTRTE S31~37~5198 Suffolk Environmental Consulting, Inc. Newmasi Village. Mare Street. P.O. Box 2003. Bridgehampton. Ne~ Yark II 9x2-2003 (631) 537-5160 Fax: (671 Bruce Anderson. M.S.. President Via Telecopier August 20, 2003 Albert Kmpski, Jr., President Southold Town Trustees P O. Box 1179 Southold, NY 11971 Re~ Kreischer (Feldman) Situate: Harbor Lights Drive, Southold SC, TM # 1000-71-2-16 Dear Mr. Kmspski, I hereby request that the public hearing on the matter referenced above be postponed to the next regular meeting of your Board. I also, request a fall Board inspection of the property prior to the nexl regular meeting Please contact this office and let me know when the Board can inspect the property. cc. A. Feldman i~E1Tr~[LTEEE1E~ [TI] ,tiT[ill I KREISCHER Property Situate: 825 Harbor Lights Drive; Southoldi NY SCTM #: 1000~071-02~016 (Photo taken on August 27~ 2003) PECON]C BAY Location of the proposed Kitchen Addition Photo indicating the location of the proposed Kitchen Addition o~~ the northeastern section of the existing dwelling. Photo taken from the rear deck of the existing dwelling to the immediate east, facing north~ viewing Peconic Bay in the background. 9~9-~00Z ~3H:3513~>~ YOlNOI~ :01 031_-ILL ~I3:D 9~'9-E00~ :ON 8or ~00~ 'gl 'AON :31VO ,0~ =. ~. SI 'S '~. :S3/ON