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Home My WebLink AboutTR-6099Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 F~x(631) 765-1366 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 st 1 day of construction ½ constructed Project complete, compliance inspection. Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK DATE: ...A.~.T.~!.. ~.~......2.005 ISSUED TO KEVIN & F~AI~GARET ~HITI~0CK Pursuant to the provisions of Chapter 61~ of ~e ~ of the Sta~ of New YorE, 1893; and ~apfer ~ of ~e ~ of fha Sfafe of New Yo~ 19~2~ and ~e Sodhold To~n Ordman~ en- t~ed/'R~U~TIN~ AND ~E ~OlN~ OF .OBtRUdeS IN AND ON TOWN WATERS AND PUBLIO ~DS REMOVAL OF SAND, ~VEL-O~ OTHER ~NDS UNDER TOWN WA~RS?. and in aCc~an~ w~h 'the Resold~on of ~e Board adopted afa meeting held ~ . 2g.~.~.., and in condderafi~ of the sum of $...~.~.:.~.0. ...... pald by Terms ~nd ~ndifions llsted on ihe ~vem of ~uthold Town Tr~es ~utflorizes ~n~ pe~ the .,' ~' ~~ 1T:RIvlS end CONDITIONS ~J~s~,d~e_ Kevin & Marsaret Whitrock .~ 580 Private Rd., #17, M~ttituck · .......· , ~ N. ¥~ ~ 5. Timt dcR~ P.'m,~,' should be ~'a-~! imlefmltely, or as lm~ as d~ said P,.ff,~ee ~ m',~-~,~.l~ the stt~m~ or pmjcc~ ~nvolved, to p~.~le ed&ace m anyone mmemed tim and~ 4. That ~he ~k involved w~l be subject to the Jnspec~n taxi StOl?royal Of (he lSaerd et ks ft~ and non-comi~f;.n,,- wttl~ the ptoyislons of d~e ~-l~flt~ tppHcad~ Ii,Ur be ~ f~ revoeal~on of this Pe~mlt I~ resolu~ioa o~ the rmM ~ ?. That i/~umte opetatlons o~ the Town of SouthoM ~ d~ removal and/or ahecadoms hthe k~_~_ oldie vmdr. be~ln md],0d~ or~hd~eol~loao~.dsel3oL,~lo~Ttuste~dm' wade. ~.U c~use uamtsamble obstmctmn to f~e s~ d~ ~ P~-g~e ~ be ~ upa~ due no~ m remo~e or alter dds work or p_roject bmgn 1~**~_ widlo~ eqx~e, to the Town, 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, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 April 20, 2005 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. William Hutchinson Building New Lifestyles, Ltd. 427 Route 25A Rocky Point, NY 11778 RE: KEVIN & MARGARET WHITROCK 580 PRIVATE RD. #17, MATTITUCK SCTM#123-6-20 Dear Mr. Hutchinson: The Board of Town Trustees took the following action during its regular meeting held on Wed., April 20, 2005 regarding the above matter: WHEREAS, William Hutchinson on behalf of KEVIN & MARGARET WHITROCK 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 March 18, 2005 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 April 20, 2005, 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 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 KEVIN & MARGARET WHITROCK to renovate and construct an addition to the existing single- family dwelling, with the condition a line of staked hay bales is placed along the top of the bank before construction begins, and all as depicted on the plan prepared by Bill Hutchinson, ASID dated October 18, 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 $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Albert J. Krupski, Jr., President Board of Trustees AJK/Ims 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) BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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: TOTALFEES DUE: $ ~,~ SIGNED: PRESIDENT, BOARD OF TRUSTEES March 17, 2005 Field] Telephone (631) 765-1892 Towa Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Mon., April 11, 2005, the following recommendation was made: KEVIN & MARGARET WHITROCK to renovate and construct an addition to the existing single-family dwelling. Located: 580 Private Rd. #17,, Mattituck. SCTM#123-6-20 The CAC could not locate the property, therefore no recommendation was made. Albert J. Krupski, President James King, Vice-President Attic Foster Ken Foliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (651) 765-'!'~'~ l BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosio~ Penrfit Application --~tland Permit Application . __ Aflminislxative Permit -- Amendment/Trans f~t~x~t~smn 4~ece~v~d Application:~_ __~npleted Application~ Incomplete_ --SEQRA Classification: ~e l~Type II__Unlisted~ Coordination:(date sen~wr~l~l~ --,~AC Referral --Receipt of CAC Report:__ --Lead Agency Determination:___ --Technical Review: --.4~blic Hearing He~ Resolution: Name of Applicant g~l/'r/O ,~ ?hone Suffolk County Tax Map Number: 1000 Property Location: ~-~~~. ~/7 - (provide LILCO Pole #, distance to cross streets, and location) (Ifapplicable)~./cd)~F~ AP, d/x) /.~ef3~ ~ Phone: ~ :~' Board of Trustees Application Land Area (in square feet): Area Zoning:_ GENERAL DATA ,raB, q aa.. Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date ff No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? _ ,f No Yes If yes, provide explanation: Project Description (use attachments if necessary):. ~x~ Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~/~r~Oa;/ +t~l')/)l[!OAIg I'D Area of wetlands on lot: Percent coverage of l ot:?a~ square feet Closest distance between nearest existing structure and upland edge of wetlands: qo ~' feet Closest distance between nearest proposed structure and upland edge of wetlands: 3'0 ~' feet Does the project involve excavation or filling? No /~/ Yes If yes, how much material will be excavated?/,~o cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: ~ kG ' feet 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity:~ ~ ,Z~ ~ ~'~tQ ~ Are wetlands present within 100 feet of the proposed activity? No ~( Yes Does the project involve excavation or filling? No l' Yes If Yes, how much material will be excavated? 57 How much material will be filled? O Manner in which material will be removed or deposited: .(cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PROJECT IO NUMBER PART I - PROJECT INFORMATION 1 APPLICANT / SPONSOR 3PROJECT LOCATION:.~ ~///~¢~-~:~ /'7 Municipalib/ 617.20 APPENDIX C STATE ENVIRONMENTAL QUAL]TY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME Coumy PRECISE LOCATION: Street Addess and Road Intersections, Prominent Jandmarks etc -or provide mad SEQR 5.1S PROPOSED ACTION: [] New j-~Expansion J~ModificatJon/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: =~f~:~/*S~,(J'~ ~4::~¢~--~ .~/'~E~"- Initially ?'~* Z 8 acres ~ Ultimately ,' -~-~ acres 5. WILL PROPOSED ACTION COMPLY W]TH EXiSTiNG ZONING OR OTHER RESTRICTIONS? 9. WHAT ~S PRESENT ~ND USE ~N VICINI~ OF PROJECT? (C~seas many as apply.) ~Re~iden6al ~lndustrial ~Commercial ~Agrica~ture ~Park/Forest/OpenSpace ~Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Stateor Local) X ~,¢.~//.aO/'~,fa~.-,~2~. ~,/~./~/~'~ ~4~ ~Yes ~No If yes, list agency name and permit / appmval:~,~~¢-~/~ ~' 1~, ~OES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~Yes ~No If yes, iisi agency name and permit / approval: I CERTIFY THAT THE INFORMATION PROVIDED AE~OVE IS TRUE TO THE BEST OE MY KNOWLEDGE Applicant / Sponsor Name I~/' ~'~.~/~'J'~ Date: If the 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 by Lead A~lenc¥) A DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. []Yes [~No B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 61767 If No, a negative declaration may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise leveifi, existing traffic paffem, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeotagical, historic, or other natural or cultural resoumes; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change ia use or intensity of use of land or other natura~ resources? Explain briefly: C5, Growth, subsequent deve~epreent, or related activities likely to be induced by the proposed action? Explain briefly: C6 Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: C7. Other impacts (includin~ chan~es in use of either quanfit~ or type of ene~? Explain D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTALAREA (CEA~? (ff es explain briefly- [~Yes r'--j No }~ ' ' E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If~,es explain'. PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhethergissubstanfia~~Iarge~imp~rtant~r~therwisesignI~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) durationl (d) irreversibility; (e) geographic scope; and (f) 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 wes checked yes, the determination of significance must eva~uate the potential impact of the proposed a cfion on the environmenta[ chara cteristics of the CEA. Check this box if you have identified one or more potenflally large or significant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/or prepare a positive declamfies. Check this box if you have determined, based on the information and analysis above and any suppoRing documentation, that the proposed acttar WILL NOT result in any significar~t adverse enviro~lmental impacta AND provide, on attachments as necessary, the reasons suppoding thi., determination, Name of Lead Agency Date Title of Responsible Officer Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from responsibta officer) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK residing at ¢:~7 ~eT- 3;~ ~ct'FxVJV- ~: ????d~ ', being duly sworn, deposes and says that on the ~77.-- day of ff~q.~ L ,2065'~, deponent mailed a tree copy of the Notice 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 roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ~/~6t...¢~7~ , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to ~gfifore {ne this Day of -/, ~/7~ :[ | ,20--(~)/~h Albert J. Krupskl, 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.t,~ J~l~/ 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 ,res~tlingat ~>7 ~ ~ being duly sworn, depose and say: , That on the d~ day of~/'£~/ ,2005'~1 personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the (late of the public hearing. Date of hearing noted thereon to be held ~00~ ' Or1 . on a YOu't 9;0 Pm, Sworn to be~re me this G~ day? f,~0fl'200~ ~' NVotary Public , No. OJ Opali~ied M ~ County Board of Trustees Application County of Suffolk State of New York o~pos~s ~ ::~s maT ~/s~ ~s ~ ~PL~C~T FOR T: ~O~ OESCmBEO PE~IT(S) ~ THAT ~L STATEmNTS CONT~D ~ ~ TR~ TO T~ BEST OF mS~R KNO~EDGE ~ BELmF, ~ T~T ~L WO~ WlL[ ~E DOm m T~ ~ S~ FORTH m TInS ~PLIC~TION ~ AS MaY AG~ES TO HOLD T~ TO~ OF SOUTHOLD ~ T~ TO~ TRUSTEES ~PLICATION, I ~BY AUTHO~E T~ ~US~ES, T~ AGENT(S) OR ~~- ~fg~atura / , S OR T BEF ~ HI{ ~/] A F ~q/// 20 W N 0 0 ~T S /{/ D YO ~ff~/ , ~ ~- ~"l~otary PubliC// -- / of Trustees Applicat] (where AUTaORIZATION the applicant is not the owner) (print owner of property) residing at ~A~P~/e~/O;~W~ (mailing address) ~/~7/rL6~ /~y~ do hereby authorize ~ (Agent) ~0~ ~L ~/~~o apply for permit(s) from the / Southold Board of Town Trustees on my behalf. (Owner's signature) 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohibits conflicts of interest on the Dart of town officers and emvlovees. The numose of this form is to nrovide information which can alert the town of ocssible conflicts of interest and allow it to take whatever action is YOUR NAME: ~-~' I (Lust name, first name, middle initial, unless you are applying in the name of' someone else or other entity, such as a company, lfso, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning 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 Town of Southold? "Relationship" includes by blood, nlarriage, 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 NO t)~ lfyou 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 applicant/agent/representative) and the town 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 (cheek 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, parlner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 ] .] MAR ~"~'~"~ ~ -- LIN5 ~ EXNST. ~ ~ m m m LAND SU~TO~, 0 .... :FULL ] EXISTIN~ EXISTIN~ t::LJLL tS~,SEMENT ION PLAN d mm COVE ~IN~ KITONI=N ,~TUD"r' FLOOR LINE ALCOVE OF:'EN TO ABOV~ DINING LIVING ~ROOM INDIC,~,TEE LINE OF EXISTING ~OUEE III J / ! O0',/Et~.ED POf~C:N ~ / ',z ~ ~00~ DECK - ~ . i - ____ I I , ~:'-¢" ,, ~'-~" , i 5I~2 ELEVATION 169 -J im -J Lli L1 _J