HomeMy WebLinkAboutTR-6357A
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James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Joho 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
Permit No.: 6357 A
Date of Receipt of Application: May 4, 2006
Applicant: Joseph Finora
SCTM#: 122-3-13
Project Location: 135 E. Legion Ave., Mattituck
Date of Resolution/lssuance: May 17, 2006
Date of Expiration: May 17, 2008
Reviewed by: Board of Trustees
Project Description: Replace the existing shed with a new 8'x12' shed in a
new location as depicted on the plans approved 5/17/06 by the Board of
Trustees.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth by the Board of Trustees.
Special Conditions: None.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth by the Board of Trustees, a Wetland Permit will be
required.
This is not a determination from any other agency.
~r><~
James F. King, President
Board of Trustees
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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) 765-6641
,-.;
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
MA.Y - 4 2006
Office Use Only
:)'1
_Coastal Erosion Pennit Applic~
_Wetland Pennit Application ---'---- Administrative Pennit
Amendment/TransferlExtension
_-t<eceived Application: 5Nl0j,
-=::::Received Fee:$ ::5\)'
...L'Completed Application Slll! Oh
_Incomplete
_SEQRA Classification:
Type I_Type "_ UnIisted_
_ Coordination:( date sent)
_LWRP Consistency Assessment Form
CAC Referral Sent:
,Date ofInspection:~ot..
_Receipt ofCAC Report:
'> _Lead Agency Detennination:_
Technical Review:
./Public Hearing He~
_Resolution:
Address
1$'-,) 8fJ'I
JOSEPU T- PllvoR~
Ave. l1~rnrvz:.l< A/.Y
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Name of Applicant
Phone Number:(tJ, z- 9 Y - J I qr
Suffolk County Tax Map Number: 1000-
11-2.--"3-}2. <;1-/3
Property Location:
13~ ft_ t..15-C-lo.v live.. /1#rrTl'TI/Ck.._
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
~oard of Trustees APPlica~
GENERAL DATA
Land Area (in square feet):
Area Zoning:
Intended use of property:
f(ff 31 !} (ZJV'T711 L
r<€.51 (}1f'Nr/~ L
Previous use of property:
Prior permits/approvals for site improvements:
Agency
:5bvf71 "l..J) y7w,." 97l.vsrIi6?
Date
9.Fpr; ?-'1-, ;7 ""'I fEfI/ffr Co. uS--
u:y.S, J./2rc:.,
Tn"", / {, '2.,-"1
" 1~473~.O)'+.'tI",O"O(
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
-L No_ Yes
If yes, provide explanation:
Project Description (use attachments ifnecessary):
/7./E'PL./JCE/'1/E.v1 "F EXlsr/JVC;-
/2.tS4fl...
Y/'TRD Sr;,p,,I/ z;..E
I
S; ,.., 69
J-f,'XIZ.
~oard of Trustees APPlica~n
'.
WETLANDrrRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
1:, R/zptlJcc ~;Ji.I>'7I/V6- >'1bfl,./.>l::e 5r/IZP
f ,
wln+ P-XI"J. .91<>A,!/t=E 5HEtr
,
Area of wetlands on lot:
square feet
Percent coverage oflot:
%
Closest distance between nearest existing structure and upland
edge of wetlands: feet
Closest distance between nearest proposed structure and upland
edge of wetlands: feet
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?
cubic yards
Depth of which material will be removed or deposited:
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):
.,/
..
4Ilard of Trustees APPlicati~
County of Suffolk
State of New York
;j 0..5 fP 1/ .:r rl IV 6 "-;4 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 SOUTH OLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD THE TOWl\[ 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
REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
~~
t1 .S' ture
SWORN TO BEFORE ME THIS 7~
.,
DAYOF #/('
2006
'-
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, Notary Public
KEVIN PODLA8
NotarY Pubic. State of New York
No.01081S2OO&
QUllllfllln Suftllk CounlY 200lI
My Comml88lon Expires AugUlt22.
MAY - 9 2006