HomeMy WebLinkAboutTR-6025
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Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
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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
CERTIFICATE OF COMPLIANCE
# 0021C Date Nov. 17, 2004
THIS CERTIFIES that the e.wting de.c.k atta.c.he.d j;o j;he. dwe..e..eJ.ng
At 1240 Love. La.ne., Ma..tti.tu.c.k
Suffolk County Tax Map # 140-1-23.1
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 10/26/04 pursuant to which Trustees Permit # 6025
Dated 11/17/04
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 bOlt j;he. e.wting de.c.k atta.c.he.d w j;he. dwe..e..eJ.ng
The certificate is issued to ThomM Andvwon & ThomM Ke.v.{.11 Andvwon
owner of the
aforesaid property.
J~tdr~s~4-A ;,-
Board Of Southold . Town Trustees
SOUTH OLD, NEW YORK
PERMIT NO. .' fo.~. DATE: J.JL1VQA....
ISSUED TO .!.~O'':!~..!..N.?~~g;N.....&...:r.~9.M.~..~EVI~..ANPf)3$Qt-:J ........
Aut~nrilatinu
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York. 1893: and Chapter 404 of the Laws of the
. State of New York 1952: and the Southold Town Ordinance en.
titled "REGULATING AND THE PLACING OF OBSTRUCllONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND. GRAVEL OR OTHER MATERIALS.f.Jl.OM
LANDS .UNDER TOWN WATERS;~~. and in accordance with the
Resolution of The Board adopted at a meeting held on ...~.?v.:,".l.~!...
.2 O.o..~... and in consideration of the sum of $...5..0..0..,.0..0.... paid by
.. .J.h..'!.I1I~....~~4..~o.~._~...Th9..m~....~~IJ.:i,Xl....Attg~.Q.11...._.-.......,..............-.....
of .......M~~"....._.............................. N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof.
of Southold Town Trustees authorizes and permits the foUowing:
We.:Uand p~ 1101t the eti.6ung ~eC'.k. aftaehed to the dwe1.Ung,
and M dep-<.c.ted on the J.>Wtyey pltepa.lted by RodvUC'./G VanTuyl
.tMt dated Ma.ltC'.h 1 8, 1994. .
al in acc:ordance with the detailed specifications as presented in
. the originating apptlCation. .
IN WITNESS WHEREOF. The said Board Of Trustees htere.
by causes its CorPorate Seal to be affIXed, and these presents to
be su\)scn'bed by a . majority of the said Board .lIS of this date.
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TERMS end CONDlTIQNS
Thoma6 And~otl & Thoma6 Kev~n And~on
ne Pumitue
.rdlllg at 1240 Lave La.ne, Ma..t.tUu.el< " , '. N. Y.. 'IS
f'Ut, of die coasideradon lor che l......~ of ch~ PCauk does ~ &ocI pt'C$Cdbe to cbe fol~'
1owiot:
1. That cbe J&idPoarcl of Trustees aad ch~ TO'II'Il of Soulhold ~ Id~ lIWD any II1Cl
aU cIamages, or dalms fot: ~ of sullJ uWog. dIRcd.y or tadincdy as . result of any opet'.
adoapedoaaedpullllllt~..tIib,....-t, g.i!!e f&I!I. f"r,..:lf~'~ ~ Ids or bet own apmK.
delead.asJf aad aU JUCh sulls'lnI(I,teltbr tbhd.,atdet. aad cbe said l'<r...I.~ _ Iu11 JlIhilky
wftb reSpect chcteto. fq cbe ..QI,''PI-teexdusloo of die Baud of TlUSlte$ of die Town of ~
2. That this l'et6dt .' "IIid lot << pedod of ,N / k_ -whkh Is ciO'IJSMellecl to be the
-....ted time. nqulted 110 .aiiuplete cbe 1iOdc lo'tDlvcd, tJUt 'i:hoaJd ~ -. nqaest .
for ao ~oo _y be IIlIde 110 ch~ PoarcI at . .btu _ .
.' 3. That this PetIDlt sbould be rei:alaccl lncIdial~y, or as loag as die nld p... I..~ ~ .
IX! 'm.lntol" cbe ItI:\ICQUe or PIXIject lmolvcd, to proYide nide1>a. (0 anyone 00<KletlJed that IIIth-
~QQ was orfBlaalll obtaIoed.
.. That che wodc lmol~ will be subject to cbe ~ II1Cl apprcmI of the Iloatd ex
Ia a&ents, aad ~Il....... with cbe prcMsioas of cbe nol&l,;"",,, applicatioa, maybe CIl!se for
mocation of this Pamit br resol1atloa of cbe said Board.
S. That tbete will be DO __""Ie lated_ with aa'ligat/oo as . result of cbe wodc
berela ~. . .
'6. That tbete shall be 110 lataf_ with the dgtJt of the pdJIk to pus II1Cl repas aIcaf
the beach betlieeA t!l8baad low water lIoatb.
7. That if fucure orer-lIcn of cbe TO'II'Il of ~ nqake tbe. ftlDOYIlll1Cl/ex ........~
In the Iocrdoo of. wotk hetelo ....d '" I" ~. or tf, la the opI"'oo C1f., Jloarc1 CIf TIaseeer, dae,
.vad;. bU caiISe IIIImsonoble obstrucuoa to f~ ~ the IIld p.rmI..... will be ~
apoadoe ootb, to reame ex alter this wotk or proJect befela stated wkholJt "fellSCl to the TowIr
, CIf SoPchold. . " .
, 8. That the said Iloard will be notlflecl by tbe l\ rp.1aft ot die ~' Of cbe wotk IIIth-
odzecI.
9. That die 'fHml~ will GbtIla aU ocber peaaks aad .........,;. 6It may be rerpdrecI ..
pIemeotal to this pemUt ~ maybe IlIbJect to mWe apoo UlIan to oIltIJn lime.
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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) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
November 17, 2004
Mr. George Tsunis
1174 Veterans Highway
Hauppauge,NY 11788
RE: THOMAS ANDERSON AND THOMAS KEVIN ANDERSON
1240 LOVE LANE, MATTITUCK
SCTM#140-1-23.1
Dear Mr. Tsunis:
The Board of Town Trustees took the following action during its regular meeting held on
November 17, 2004 regarding the above matter:
WHEREAS, George Tsunis on behalf of THOMAS ANDERSON AND THOMAS KEVIN
ANDERSON 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 October 26, 2004, 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 November 17, 2004, 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,
2
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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 THOMAS
ANDERSON AND THOMAS KEVIN ANDERSON for the existing deck attached to the
dwelling, and as depicted on the sUNey prepared by Roderick VanTuyl last dated March
18,1994.
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: None
Very truly yours,
J~J,c-'; 1/ ~. 9n .
Albert J. Krupski, Jr.
President, Board of Trustees
AJKllms
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Telephone
(631) 765-1892
Town 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 Tues.,
November 9, 2004, the following recommendation was made:
Moved by Don Wilder, seconded by Nick Dickerson, it was
RESOLVED to recommend to the Southold Town Board ofTrustees APPROVAL WITH
A CONDITION of the Wetland Permit application of THOMAS ANDERSON & THOMAS
KEVIN ANDERSON for the existing deck.
Located: 1240 Love Lane, Mattituck. SCTM#140-1-23.1
The CAC recommends Approval of the application with the Condition the concrete wall
remains as a buffer.
Vote of Council: Ayes: All
Motion Carried
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THE FIRST REPUBLIC CORPORATION OF AMERICA
302 FIFTH AVENUE. NEW YORK, N. Y. 10001 . (212) 279-6100
FAX: (212) 629 - 6848
October 18, 2004
Town Hall
5395 Route 25
Southold, NY 11971-0959
Board of Town Trustees
Re: 124:0 Love Lane
Mattituck. NY
To Whom It May Concern:
In view of the fact that the attached survey is more than one year old would you be kind
enough to waive the ruling that the survey be less than one year old to be considered
valid.
Thank you for your attention in this matter.
Sincerely yours,
THE FIRST REPUBLIC CORPORATION
OF AMERICA
..~.~
Miles 1. ~an
Vice President
MJB/mm
Attachment
Wordldoe.TownHaIIl
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THE. FIRST REPUBLIC CORPORATION OF AMERICA
." :'02 F"1i'TH ",VENUE -. ~NEW YORK, N. Y. 10001 . '(2~2)' 27g .
"''''X:(?12) \'l-6fl.4fl
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TELEcOPIER TRANSMJBSION CO'VER. B.BJ.mT
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T.ELEcOPIEB:NO.: . & '7/- f ~ r- - & (, <-f f
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DATE:
,- TmS TRANSMISSION CONTAINS Ii- PAGES, INCL'(iDING- THIS PAGE.
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rF .lJ:1.t!<l<.E .ABE 'ANY PROBLEl\:[S W.l..LJ:I. THIS TRANSMISSION, '
PLEASE CONTAC'l' US. A'l' 0.12) 279..()100. '
, .
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NOTE: THE INFORMATION CONTAINED IN THLS FACSIMILE MESS..A.GB IS
nITENDED ONLY FOR THBINDIVIDUALTO WHOM IT ISADDRBSSED ORAGENT
_ RBSP~SIBLE TO DELIVBl\ IT TO.TIm INTENDED RBCIPmN'I'. IF.YOU,HAVE-.
RECE.!YBD THIS COM:NruNl-cATIaN'IN ERROR, I'U3.I\SB!MMBDIATBLyNO'TIFYUS.
BY TELEPHONE.
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Albert J, Ei:upm, President
James King, VlOfil-President
Arti" FOlltar
Ken Poliwoda
Peggy A. Dic'k=<m
~
Town Hall
.,.. ;'58095 Route 25
P.O, B"" 1119
Southald, New York 11971-P959,
Telephone (681) 765-1892
Fax (681) 765.1366
'-.:.-!-"
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
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Office Use OIIly
_CoaStal B:osionPemlit~licaticm
"Wet1andPmcit <-"coDon Ma'Qt
__ ......... _ J
_ Waivor/J."",,"~/Changes
_Received ApplitatiQn:
Received Pee:S "
Camplt:r.edApplic;atioiJ.
_lilromplete
_SEQIV>. C1assificatiim:
Type I_Type n.:....-Unlisted~
_ CoordiDa1i=(dau -l
CAC~SIW:
Date ofI:nspecticm;
_Receipt of CAe Report
_Lead AgtDf1yDel:emllmtian:_
TecllIlical Review:
-Public E: ' Hel4:
-' eanng
_Resoltltian:
Mlnor '
N80le of ApplicantBluepoints Co.. Inc. C/O FiIst Republic Corpo:rauon Of America Inc.
.Address 302 Fifth Avenue.. NY. NY 10001
Phone N'llJD.ber:( ~12) 279-6100
Suffolk County Tax Map Number:, ~Q.OO-=140,-1~23.1
Property wcation:
:1.246:: love Lane:Mattituck, NY
(provide LILCO Pole #, distance-to cross streets, and' location)
AGENT:
fJi applicable)
N/A
,~,
Address:
'Phone:
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Board .of Trustees Application
GENERAL DATA
Land Area (m square feet): 32,620 sq:. ft.
Area Zoning: A - Residential ~ Agricultural
Previous use of property:
Intended use of property:
Prior permits/approvals for site improvements:
Agency
Permit 44276
Permit *29667-2
Date
3/22/00
8/25/03
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
---L-No_ Yes
w/in 5 yrs.
If yes, provide explanation:
Project Description (use ~,,'hments ifn
construction
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Board of Trustees Jlpplioation
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WElLANDtrRUSTEE LANDS APPLICA nON DATA' -
Purpose of the proposed operations: Residential (house wi th dA"k)
Area ofwetla:nds on lot
o
square feet
Percent coverage of lot:
o
%
Closest distance bet:wllen nearest eJlisting structure and upland measure from wetland. to declt
edge ofwetla.nds; over 100 feet deck & water
Closest distance between nearest proposed structure snd upland
edge of wetlands: feet
Does the project involve excavation or filling?
I
No
Yes
If yes, how much material will be excavated?
How much material will be filled? n/a
n/14
,
cubic yards
cubic yards
Depth of which material will be removed or deposited: n/a feet
Proposed slope throughout the area of operations: n(a
Manner in which material will be removed or deposited: n/ a
Statement ofme effect, if sny. on the wetlands snd tidal waters of the town that may result by
reason of such proposed operations (use attach""""t~ if appropriate):
None - deck already built
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Board of Trustees Application
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COASTAL EROSION Al'PLICATION DATA
Pwposes of proposed activity: N/A
Are wetlands present within 100 feet of the proposed activity?
No
No
Yes
Does the project involve excawtion or filling?
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No
Yes
If Yes, how much material will be excavated? N/A (cubic yards)
How much material will be filled? N fa.
(cubic yards)
Manner in which material will be removed rJr deposited: N/A
Describe the Datute and extent of the environmental impacts reasonably 8.lIl:icipated rC'.lUlting
from implementation of the project as proposed. (Use attaclunents ifnecessary)
None
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'1. ~>:O~~CT
10 NUMBER
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617.20
APPENDIX C
': .'", ST~TE ENVIRONMENTAL QUALITY REVIEW
SHO~T ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
SEQR
PART 1 - PROJECT INFORMATION (To be completed by A p1icallt or Project Sponsor)
1.APPLlCANT/SPONSOR Bl . tel 2- PROJECT NAME!
. .l:,i.: uepo1n s ~ . nc , ca
C/O 'rst Republic Corp. 0 Ameri
'3:PlrOJECT'i.O It>N:",ew %or"" 1'1% .l.UUU.l. '.
Municipality Mattituck County Suffolk
4. PR!;CISE LOCATION; Slreot Add_ and IWad ln1er8ection.s. Promilent landmalts etc - or Drovide maD
5. IS PROPOSED ACTION; DNew D Expansion [Z] Modificalion I a1tarotion
S. DESCRIBE PROJECT BRIEFLY:
'-.,~TION TO E~ISTING HOME
7. AMOUNT O~ LAND AFFECTED:
lnililllly - Ultimataly acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER R!STRICTlONS?
DYe. QNo W no. dOlcribe b~olIy:
B. WHAT IS PRESENT LAND USI! IN VICINITY OF PROJECT? (ChooM 0$ many a. apply.)
D R..identia' Dlndu.utal DCommo- ~CUIlu'" D P8I1</ FolOOt/ Open Spaca [ZJother (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR ~UIIIDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, _ or Local)
!:;ZlY.. DNO ~ YOI. list agency name and p'lm~ / approval:
11.00ES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes IZJNo ~ yoI, Dot agency name and pelmll / approval:
1[t:.A F,:f~T OF PROPOSEtl ACTION WILL EXISTING PERMIT / APPROVAL REQUIRE MODIFICATION?
I CiRllFY lHAT THI! INFORMATION PROVIDED ABOVE IS TRUE TO THI! BEST OF MY I<NOWl.I!DGE
Applicant I Sponsor Name Date: 10/14/04
S"IQIIOOJ",
If the action is a CO$ta1 Area, and you are a state agency.
complete the Coastal Ass......ment Form before procaadlng with this _sassment
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PART II . IMPACT ASSESSMENT (To be com leted b Lead en
A. DOes ACTION EXC!I!D />Nf TYPE I THReSHOLD IN 6 NYCRFl. PART 817.4? ~ ye., coordinate tho revlow prccoso and """ tho FULL EAF.
o Yo. No
II. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN' NYCRR. PART 817.81 ~ No, I neJ/lU""
deClaration may b. .upers.dod by another Involved agency.
Y.. D No
C. COULD ACTION RESULT IN />Nf ADVERSE EFl'ECTS ASSOCIATED WITH THE FOLLOWING: (AnOWOl'S may he hon_, if legible)
Cl. ElO$1ing air quali!>'.lllJfaca or groundwater quality or quantity, noise Ilvel., ..iofing b'aftlc 1l'lU'8/lI. solid waste producUon or 0",,""'1,
potont!al {or .....ion. drainage or ftooding problema? Explain briofly;
02. r' CIJIllI"'~ .rehaoologlcal, M_~toric' or other ~1ll1 orcullul8lresource,; or commu~1ty or ~bol!lood ctI.....cler? Explain briefly: I
C3'IBll-on or llluna~ llih, ohelmsh or wpalife o",ties, ,ignlftcant nallllall. or threa10ned Of on<llngo"'d speW? ExplaIn Ilriefty: I
01. i cammunity'1_g plan.. ~r go~ .. :ciall~ _pled, ora -g, In U" or intsnoily Of... ~ - or - na_1 roooun:o.&? Explain bridy: j
ca. Growth, subsequent clevelopmen~ or relateCl actiViUO, rokoly II) bo indlJC8d by the proposed aclion? EXPlain btlofty:
I . J
Cli. LOng 1IOtI'I\, .J;.~ 1I/IlI. cumulaUve, or olher olleols not ldentlllOd in CloC!i? ~ain briofly:
in use of either QUIPtib' or , at ane
D. WILL 1HE PROJECT HAVEAN IMPACT ON 1HE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED 1H1; ESTABLISHMENT OF A CRmCAL
D~~NMED~:r~)? Ch.....plaln b:
E. IS THERe, OR IS 1H1; I; LIKELY TO Bit CONTROVERSY RELATED TO POTENTIAL ADVERSE NTAL IMPACTS? ~ 'n'
Dy" ONe
PART 11- DETERMINAtiON OF SIGNIFICANCE (To bo cotnpIeted by Agency)
INSTRUClIONS: For ooctl adverse efreotidentlfied above, determine whether t Iuubslanlial, large, impor1antor oIherwisuignlficanl Each
effect should be asseosod In connection wilh i1s (a) setting (i,,, utblln or rural); (b) probability of oa;un1ng; (e) dumlIon; (d) irreversibility; (e)
geo~lc scope; and (I) magnitude. If neceu8ly, add ellachmenlll or reference supporting ma1erials. Ensure "'at oxpIanallons coofain
sufficient detail to showlhon 811 reI......nt adverse impaclll have been identified end adequalsly addressed. If q.aatIon d of part" WlIS cheoked
yes,lhedewtninationof8ignificancel1'lusleveluete tna potential impacloftheproposedllclion on 1I1e anmom.mal chancleristics oftne CEA.
CIl8ek1hls box ifycu nave ld_" on. or molO poIBnIIaIl~ Ie'll' or significant a_ inpaotswlUch MAYoccur. TIlen procooddirectlylo lIle FUU
EAJII and/or prepare s pooili;" <lOcI....lion.
CMock this box if you have d0\8rminod. baeecl on \he I_on and anal~sis _ and any supporting documentaUan. th.llhe proposed aollo
WILL NOT result in .ny Significant adverse environmental impactl AND provide. on attadVneru as nec;auary. the MUOne. supporting thi
delerminatiOn.
Name of lJlad Ag..ty
Date
I'lmt or I ypt Name Of R81ponsIDle omcer m.Lead Agency
Tille of Responsible 0IIicer
Sig_ Of~._ OllICerin Lead Age/lty
SignlllUre of P_ (11 dlftltrent1lOlll responliilll. otIicer)
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Board of Trustees Application
COunty of Suffolk
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State of New York
Jonathan Rosen BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HElSHE IS TIlE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO mE BEST OF HIS/HER. KNOWLEDGE AND BELIEF, AND THAT ALL WORK
wn..L BE DONE IN THE MANNER SEt FORTH IN TInS APPLICATION AND AS MAY
BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD TIlE TOWN OF SOUIHOLD AND TIlE TOWN TRUSTEES
HARMLESS AND FREE FROM AN'{ 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 mE
PREMISES IN CONJUNCTION WITH REVIEW OF TInS APPLICATION.
Signature
SWORN TO BEFORE ME TInS
DAY OF
,20_
Notary Public
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09/27(04 09:~1 FAX 9~19~1
GEORGB TSllNIS RE .
tal 002/002
Gm'~~A~~S
NOTICE TO ADJACENT PJlOPER1Y OWNER
BOARD OF TRUSTlt'RS- TOWN OF SOUTHOLD
In the matter of applicant:
1240 Love T ...nA
SCTM# 1000.140..01-023.1
YOU ARB HEREBY GIVEN NOTICE:
1. T.ba% it is the lnte:ntion of the undersigned to request a Permit from the Board of
Trustees to:
Obtain a CO for an existing front deok
2. That the property which is the subject of Environmental. ~ew is located
adjacent to your property and is described as follows:
1240 Love Lane
Mattituck, New Yorlc
3. That the project which is subject to En'YiIomnental Review under ChapteIlI32,37,
and/or 91 of the TOWl1 Code is open to public CW1~flIl1' on: Octobet 20, 2004.
You may conTaCt the Trustees Office at 765-1892 or in writing.
The above-rd'ac:nced proposal is wderreview of the Bollld of Trustees of the TOWl1 of
Southald llIId does not tefemnce any other agency that might have to review same
proposal.
:MAILING ADDRESS:
Bluepoints Company, Inc.
c/o FiJst Republic Corporation of America
302 Fifth Avenue
New York, NY 10001
212-279-6100
OWNERS NAME:
PHONE #
Ene: Copy of sketch or plan showing proposal for your convenieJl.ce.
1174~M-uIH..,.!l'.'W""I"oNY 11788' iS31.85LIOOO'l'u::631.8SLl677 'WWW'l'onftI. ~
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GEORGE TSUNIS
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CEf<TIFlED MAIL R\;;CEIP I
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APPLICANT/AGENTIREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
: Town :~S=~=~~ic!l _biNts conflicts oflnlm.", on the lIOI'tofmwn bft"...... and ...",10........ The """""'" of
"":,,,fonn t_ ~ ~_ ",hieb aan alert the town ofwwalble OOttflidsofi'l\wem:and allow ltto take ~ 8Cticm is
nl'!N!lI:!Ut"V 1tJ avoid nDlC. '
~OUR""~' Bluepoints~CQ.~Inc. C/O First Republic Corp. Of America
I' nJ'U\'Ii~ 3!l2 L' ft-~ n'{,p.n"~ MV NY lODD1
(Last 1IlIII1" litst I\IDlO,Jjlid4\O initial, 1J!!\ess you:n applyiog in 1M _ of
solllCOl'lO else or olher~. such as . c:ompany. rfso. iDcIicalc tbe other
-person)s or compau.y.s DID'lO.) .,
NAME OF APPUCA TION: (Check aJl1bal apply.)
'"
Tal< gri""anc:e
V arian<:e
0laIlge of Zone
Approval ofplal
bemplion from pial 01' ofticial map
~"Other'", nome 111. activity.) Certif ica te
Buildill&
~
Coosta1 Erosion
MooriDg
~
of OccUl2any
Do you pcnonally (or tbtoup your """'poll)', apo..... siblin& pamlI. or child) ba.. a ft!laliombip willi any oftioor or employee
of1he Town ofSoutboId? "Relalionsbip" includes by bloOd, Dl8lritge. or l>uslDilss kdmost. "Business iDlac5l" IIlCOllS a buaiDcss,
including. pannCJ$l>Ip, \n ",hlob !he town offieetor employee llos...... .. pam.! owncrsbip of (or omPJo)'llleal by) a COI)lOlalion
In ...hid> the town offieet or employee 0W\1$ """" than S% oflM shares.
yes
NO
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If yo. answered "n$", complete 1he balanc:e of this form and dale and sign whore indicaltd.
Name otperspn employed by dle Town ofSoudlolll
Tille 01' pooilion of that person
Describe tbe reIalion.ghip botwoen your.;etr(1he appUcanr/apllIrepre.ooldlllive) aud 1110 \OWIl oflicr;r or CIllJl\oyoe.. BilIler dIecl:
lIle appropri8le Ii.. A) lhrough D) aadIor dO""'l"be in 1110 spolCO pro1iU&xl.
The 1Dwn offieet 01' employee or his or her spouse. .."blbl& INlI"!'l. or child is (chockall'1hat apply);
A) lbc owner ofpolOrtban 5".4 of the shares ofh ",rporates1Delc of1lleappHeant
- (whefttbcopplicantisacorpomtion); "" .
B) 1Il0 JepI or beneficial_ ofany ill1emlt in anonoQ)l!lOM eIIlio/ (~tho"
- appUcanlls nol a COIJlOI8lio,,);" ..
_C) an oftioor, di_. parlIlet. or employee of the applicaat; or
_D) 1IIe aelUaI applicilllt
D6~urnON OF ll.ELATIONSHIP
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Albert J. Krupski., President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
-" 'S-3'095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
~
.
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
~ Office Use Only
~
,
_CoaStal Erosion Permit Application _MiniQ~.~LU~
,...-.::.wetiand Pennit Application - Major
Waiver7AmennlOl~~s
_ 'fteceived Application: () ~ ~ ~o~ ~6~ 2:4~ w
-1ZeceivedFee:$ ~~
~letedApplication
_Incomplete
_ SEQRA Classification:
Type 1_ Type II~ Unlisted---.:.
_Coordination:(date __ Southold Town
_-cACReferraISent I Board of Trustees ,
_~ of Inspection: '
_Receipt of CAC Report, ,
_Lead Agency Deterrnination:_
Technical Review: It I r7101.{
""""i'Ublic Hearing Held:
_Resolution:
tn414 S B a on(1)
.;;).!d."-Ot I'")q ':(p /00 .
Name of AppIicant_ :r:homas _Anderson - and ,.Thomas Kevin Anderson _
Address Cia JI(IaX,cia..?_. He {ier , . ;Esq. - 108 E. Hain Street
Riverhead, NY -11901ph N b ( t, 631-.369-2065
. , one urn. er: V"
Suffolk County Tax Map Number: 100Q -140.-1-23.1
-'~ -,,,,,,,," '.:-
Property Location:
-r 24~ Love Lane:-Mattituck, NY
(provide LlLCO Pole #, distance'to cross streets, and'location)
AGENT: George Tsunis
(If applicable)
,-
Address: 1174 Veterans Highway
, r (~~I
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Ilauppauge, NY 11788
Phone: 631-851~1000
.... / -
.
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Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLlCA nON DATA'
Purpose ofthe proposed operations: Residential (house with deck)
Area of wetlands on lot:
o
square f~et
Percent coverage oflot:
o
%
Closest distance between nearest existing structure and upland (l:neasure from wetlands to\
edge ofV'{etlands:' over 100 feet ~deck & water )
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? n / il cubic yards
How much material will be filled? n/a cubic yards
Depth of which material will be removed or deposited: n/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):
None - deck already built
~~
.
.
Board of Trustees Application
.
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: N/A
Are wetlands present within 100 feet of the proposed activity?
No
No
Yes
Does the project involve excavation or filling?
/
No
Yes
If Yes, how much material will be excavated? N/A (cubic yards)
How much material will be filled? N / A
( cubic yards)
Manner in which material will be removed or deposited: N/A
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
from implementation of the project as proposed. (Use attachments if necessary)
None
.0
.
.
.
Board of Trustees Application
GENERAL DATA
Land Area (in square feet): 32, 6!0 sq. ft.
Area Zoning: A - Residential - Agricultural
Previous use of property:
Intended use of property:
Prior permits/approvals for site improvements:
Permit #29667-2
Date
3/22/00
8/25/03
Agency
Permit #4276
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
~No_ Yes
w/in 5 yrs.
If yes, provide explanation:
Project Description (use attachments if necessary): Deck Construction
5>' 1(2- ~ )( 7' tf" ~~
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: 'j. ~:O~~OT 10 NUMI!R
817.20
.^"PENDIX c: . "
: t.,;,. '.eTAT!ENVlI\~NT"'~ QUALITY RiVlI:W
SHORT ENVIRONME:NTAL ASSESSMENT FORM
. .. rorlJNLltTm ACTIONS Only
PA~T 1 - PROJeCT INFORMATION ( To b'~nlpll\8d by' plicaM or Project Spo/llOr)
'....P.PllCAN"TISPONi101l. . l:PlOJ!c:T NAME
: B1u!"points Co., Inc _ ....
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4.PFlECISE lOCATION: str.Ot Add... an4 RAlill IIlIortlollo... P""",","lllnd/n.rko'"" -or ..011I.1 ""'~
1240 Love Lane
5. IS PROPOSED ACTION:. 0 Now O~ro., I2IMocIlftili1i~JlllerallOn.
e,DESCRIB! PROJECT BRII!~lY:
". " ;J\L'fBRAUON TO EUS'1':tNG HOME.
7. AMOUNT OF LAND ""'''!CTED:
IrIJtIIIIY ..... UIdm. _
,: Will. PROPOSEtl AOTIOl\I COW'l Y . WITH. I!Xl8TINQ ~NlNG 01\ o'tiiIR 1\118Tf\lCTION.S1 . .
Qy..Q NO' It no, deocrih l>Itofty:
a,WHAT IS PI\UENTLAND USE IN VICINITY .OF PROJI!CT? (Ch...... '"afty"~~I't.) . .
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NOWOll..'l,IlT1W1T&tY FIIlOM 'NH OTHER G1~Ii!RNMENTAl
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, 10. DOES ...CTlON INVOLIIE... PIilW1T APPRO\(Al., Olll PUNOINO.
AGI!NcV (F.d.r1II, 8tlfa.. loOllq .
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l',1)Oe8 ANY. AePI!;CT OFTHEAcmoN ....Ve A CUNWm.Y VAlIDPi!ilM/r OR N'Pl'OVAL1
DVoo lZlNc:', W _ ilIllgOnoy "'...lO. pllnl1l I 1JlPIl'I!II: .
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LT OF PROPoilrW. "'CT'ION WIll. IiaIliNQ ~.IT I APPROv,o,r; Rl<iUlRl!MODIFlcATIONt'
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PART II. IMPACT ASSSS8MENT " . CD leWlI l.e;Jd III
"" DOI!S IlCTION EXcall Nt( lYP15 1 TMR!StlOLD IN . It(CIlR. PMT 111 AT W y... ~ IIle mtow p-.".. 11M 1M F\II.L eAF.
Yes No
B. WI!.\. AC1"IQN RECl!IVS COORD''''''IiO lliMEW All PAOIIlDEll FOR IlNUSTW 4CT1ONS '" 8 NYCM. PAlIT' D1U7 ~ No. I ~
lIiCII/lldon 'I ~ 0'1 inol/lllr 1!MlI\IOG ifIIICY.
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C. CCUJJl ACTION RliBlJLT IN Nlr ADI/ERIJlI!FFEr:TS ASIClCIA'lW wtTM 1ltE FCUOWlNliI: ~ lMJ be IlilnGwrIR/I. il1t8l1ll0)
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Ii. "'niN. OK IS ~ COJmlQ\l~ IlEL&~TO 1'Ol9tJ'1A!.1-""""'....DI\I,ImNMEJIITAL IMPAC:1'S7 ll~ ....oIn:
DT.. CJNO ~ . I
PMT 111- DETEIlMIN/loTlON Of' SlGNlflC;ANc:E {To 'I 00IIIllICICCI ~ AgellC!f}
lN$TRuc:'tIONS: FoIIliC/\"Q~""'" .Ifec:ticlenlillelllillOllt. aelaminellllh~1I1offtiJ.u_all.laille, lmpcdll\l orathlowioaliSnJllc>lnt- Eacn
"".",.nc>ullf II.. PQHc<\ In C<IIIII8CIie,n willl 11I(1) II'lIIIIQ U." \den or t\lIII); (Ill ",Olll'D.-liIY d~; (el <lUI1IlilIn; 14) jnw118!lribilily. '")
geogra~'CIlPe; l\llll ro mqnilucIe. Il'~. _ iRCI\lTlenll Dr Nfwrenc:e wppol'llnS mlll8r11l,... EnIurv.,..t IlIfll_U""" _..In
iu!ficiont4_1lll s~ N\llI/ 1II....,1_.lInpacla-. been i111nl1l11O aJ\411llequaldJ 1Ia41 111"1 IfqUCSlilm 4 CIf IlIIIt U was c:lledrecl
"",.lllBaetami~lIoII otslgnlficancemllll..ll_lIl. po_alllnplClol'lMpropc:llllll aclion on Ill. erwlnlIVMnlalcraralllor1lllc:s Clfln.. CEI\.
CftIllI<1IlIo llClI< lJVl' Ill"" IlllIntilIoO _orll'oftl pClllnli~IiI;tClflltnlft.aftlaclwuSa I'-".-Ncl\.....y...... n... pno_. ....CllyI.1ne FUU
t'AF lNIIor """"". . '"'~ _inlIoII. .
ClledC1/1iII /lll&W~ he.. _insd...... on IIIe ilIIDImlllotlanll ilI~s .........., anJ~~ a......-Iion, lI\Il!heplOll_lIdioo
WlI..L NOT rdllR in ony slgnllll:lllt 34_ .rMrcIunef1IIIlmpaCl$ ANP v,....., DrI .LtlldllllcnI:i ao nelUalY.lIle -- supplllillS 1/lI
a~n.
Nom. a11.J11lll 'I!_
oar.
...1111I gf' 'JWI ..am_ ell HCIpOI1IiBIlt lJfrlGOr m Ltll1 "'Bng;f
TlIle flI RNPollllllle OIIIC8I'
~ :sf....,.".... DrnCE:r~lAa4A1,"_
.._ ...P..,.....'"=wenl_ respcnoiDll DII\QIlI
o
.
.
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 ofthe Application
of
__;;l:bO.m~jJDdM.J}aL'i_-s4J:tQmt.to }u Vi n a n~
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I, ~.U' -Kux) S , residing at tf M4'1~t2-~~f- ~1
]oA-..:TElGct:pc"'N
being duly sworn, depose and say:
That on the ?f1dayof I/'rfl/ , 200 iI 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 date ofthe public
hearing. Date of hearing noted thereon to be held (l Jul. nou, I '), flC'Y'ij -
on I9'l (J T '1:00 fin.
Dated: "ll1l 0 0(
(signature)
Sworn to before me this
l7aay of~ 200~
Not
\
JOSEPH P. KENEALLV
Notary Public, State of N_ York
No. 4997794
Qualified in Suffolk Cou!'tY.-. of) '"
Commission Expires June 1 &.~
.
.
THE FIRST REPUBLIC CORPORATION OF AMERICA
302 F"IF"TH AVENUE. NEW YORK, N. Y. 10001 . (212) 279-6100
F"AX: (212) 629 - 6848
November 15, 2004
Town of South old
Town Hall
Board of Town Trustees
53095 Route 25
Southold, New York 11971-0959
Attention: Madames Heather Tetrauet and Lauren Standish
.
Re: 1240 Love Lane
Mattituck. N.Y.
Madames:
Attached please find a return Unclaimed Letter to Michael & Katy Perivolaris regarding
proper notification for the CO for the deck at the above referenced address.
As a result of this notification all neighbors have been properly notified as per my
previous correspondence to them and this was indicated to you in my FedEx letter of
November 11th.
Thank you for your attention in these matters.
Sincerely yours,
THE FIRST REPUBUC CORPORATION OF
AMERICA
//1
~. I
...." ;'
"v' /./1
m
~es 1. an
Vice President
MJB/mm
Attachment
W.rdIdoe.MattiluekJ
r
,.-~-------------_.._---
~~"-_._-~-----~~--
--
~-----
------
--~--_._-----.~-~~--
"-,",-' j.-'
Rita M. Ponsiglione
P.O. Box 1136
Mattituck, NY 11952
,s.~~
I IO{CIrlIflIl\MlIII C'
iCflo,jIlIIOood C
., C'Jrw4nd!!lll [j Q
... ,RAI.lW poIIYI!Y'l ~~..,.
0750 0002
.1
-"" JliOolpt
1. ~AtldHtL'd.f'
Mark McDonald
P.O. Box 1258
Southold, NY 11971
.3. SfIllpo ~
! IIfCerttned Mall
C~"d "
c__ OQ.Q.tl".......
4. II~ lioolllilMoytlS&floo' . :t
, ~" :' '," ",' , ,', '_, ", ",'" ,c..'",
r
.~- - ~--------._---~~-----~------- ------.--------"---. ----,
_~__M __'__~.__'___~..____~__
. ~_1i.. ....6;$;_ Cornp/ete
1t8m41f~. Iedellred.
. PrInt your I)8Iile "~on Ihe_ .
~ 1I1lIl'iue ClIll..wi!i.... ClllII1!> you.
. Ali8chthli ClllIIIllil\ebliol< oflhe maIIpIeoe,
Of<ll'llhe fiont II ~.peo:rrdIa.
1. AItlole AocIm I 110: . .
Rita Martin
35 Maiden Lane
Mattituck, NY 11952
3._~
~CortIfIod _
[j' RogIsIoIod
C_MoII cO.O.o.
4. _Uod ~ fB$lIFi!!tI.
5926 0326
,
SENDER: COMPLETE THIS SECTION
. .
I
,-I
I
. Complete fteins 1, '2, and 3.' Also complete , '.
'-'-'-ftemA ff Restricted DeliVery is desired:'''.--', -"
Il! Prillt your-_name'_::i~~ address on the_ re_verse
. ~.;-' "S6)har we'-c~n_~tumJhe card to yo~;~-~:' - ~_,:: ~-'
_._'Attac_h _this c;ar:d to_ thy: _bi:lck of Jh~ rTI_a.i!pi,eC~.
- _::or-'on;th~-fn?rii: itsPa~'perTnits"-' . - - ',"
11952
3'(~E2~'~';{g.~~#~;i;rJ~~';g:._
4: Resmcied DeliVelyJ{Erlra Fee):. "
0750 0002 5926 0333
:::;.;,<::-,~:ireZ=~~5:
(_ '," ,.r' j ,PS Fa,!" 3811.. Atf9ust 2001
,.':.'_{~~),~'.;.",_~.',7".'_~ ,'!-:;,~~-";:,-,,.;:~'.k.',~>~,:i ._ i; .,.",,':', "_".:' __::_',< :.:',' ,- -, ,,_,,' v-':
'." : __.:..:: -'_' '_ :.: _~~ :-'i;,-,-;;-;~,,;"~,~;;;~;,->(
7004
':.i~}:,:-"y;t:'~,:;-\,-'
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-""-" .;,Ar!;.<'Yf'>:---' ..' ","","',',: ).
"_ ,_,-"'~;,_:ol;z5~~L~:~:: ~ ,_':.:~~~:..:c:,;;;.- -~,:_::' <"~.,~;~-~__~__ _":,"j::.d':~-
. ,,'i"'"
.,'~
::L,:,;j;;~;L~'-Li~~2.::~
-------~-----------~----~-
._~,----_.. ---- --~_.,,---'-~----
. ~ 1liotta1, 2;1IIId 3. AIeo compIeIe .
Item 411A1&blcltd ~ Ie deeInld
.l"rInl)'llUl"_8ftlS__onthe";""""
so 1ll8t_... -1I!tt C8ld to you.
. AIIach \ilia _ 11) lhe.bIII:k of the n'8Jlpleo>e
oronlhe-fRlritIl~p.,rmtiL "
1. ArtlQIe_to:
Peter E. Orlowski
P.O. Box 885
Mattituck, NY 11952
X
B.~byl
Q, U.~ nws
D. Iodollwry___1Ilm 114;
w YES, onI8r cloIIwry __ _ ...
2.__
'JYpe
COrlIfIod _
[J RegIstoood
. _ Moll [J C.O.D.
4. UMtoa IlIIlI'!IIlY? j&lJa ~
0750 0002 ~926 0333
7004
--------
r
c_,_
--;-1
SENDER: COMPLETE THIS SECTION
. -
. . .
:'!- ,. ,C6mplete itemS:l. 2:and3. Also Complete, . ,
. t' jtem 4 it Reslrtcted Delivery is desired... .
n"--;F - _,_ Print your name and address OD .the reverse ,.
,r Co_ 'so that we__cah return the card tp you._>,' __ \
- :1_ _ _ :Attach th~ card to'tl1e ,b?ck of the m~ilpiece'; "
1---' -',-;:pr,bn_the frorit--if.sps!=e..perr:nits.
A:~' -Slgnature-;'
',;..::--h_,...,-,:.;',,:-;-_,,' ,
.--};:d;~~C>V .
" 0 Addressee.' '
. - - -9:~_:~~~~.O!:~~,~~.~_lt
i-
X.:'
1::, :'Artlcle AddreSsed to:--
~--. ;i"':"~".::ICjrMary' G. Gorrrum
'-*,:,';~;/::'~ ,- - ,::_"- ,:"-
:." 'FIP'O. Box 1445
~attitucl(, NY 11952
. ..: . <:.,,/::,-' '::~':?;>-'" . "'-,'-,',':
,,:-1~.;'-_'-~s,:!...: - , , '. ,
-":- -:;c::;Ki.'.t;,. ,"~::;~" "~;2C'-';
;-:> ,:~:;t'==eiE~1L ,
.::~:~' :i3~J~~:r:~:~s~~~:~ ';~.m::~:..:...::.t.~~:~~:~U=R-:i~
3: ":servl?,e Type_ :<'<
i "j!CeriitiOdM.,l
) . DR.giSteied..
;-:--,0 ;lnS!lred:Mail
.DExprOss Man; .
- 0 Reti.lrnJi~ep8ipt
, -0 c:o~ri~ -: ~-';~~:,Z:~,
'.-':',,:,.--
7004 0750 0002 5926 0340
'.-,:i--"'
";''1',,;';':''-'
~~~,-",--,-",
. ~"'1.2.lIIld3.Neo"'_
Item 4"~ DeIlvery IedelQcl.
..Prtntyour_lIIld~on1M_ '
80 lhal_ ClIIl reIum the card 110 ,au.
. AlIach lhIa clIrd 110 the blIck of the IllIIIpIeoe,
or on 1M fronllf opIlQ8 permits.
1. Ar$icI8AddllU ,no:
Mary G. Gorman
P.O. Box 1445
Mattituck, NY 11952
0340
,~
----"- ---'--'-'---~~~""~'''''''''~
----- -~ "--.-~--~
Andrew C. Fohrkolb
1500 Sound Avenue
Mattituck, NY 11952
,.CC',
-;, , . ~
"",.,
";,,.j,;~-:.
. Complete items 1; 2; ai1~ 3:A1.o complele
._-~. +~. ~t y:u~=~~~~~~~so~":~~~~~~-"
>~':- :,:i'?-ii:;_ so that-we _call retumJhe carq to you'._,-, ',,:'. .,:/',': '
'-!}!. ~~~~lti~i~~~ ~p~c",,~:~~~h~m~l~i~e. ....
~;J 1'~:"'~!~;I.~.Add~~~~~?< :"':~:;,~.~'_'_:;;:~~< .--'- '.
':~ . ' _ )- ," ','.,,:,,""" ,;; d 'c_:;>"'''- ',''''"'_
'_': ';;'?'C':''-< - i" _,_'., '",',"; ,
. Herbert swanson _
20512 ponte Regatta Dnve
Cornelius, NY 28031
- -,-",,-
~:';" ;:'1\~'-:" ';" ,
~ ,:~"-;<~-'-^':'.
i';~'.' ".- -"- , - - .
"~'.:, ',i~,t 'i'--,:~',-:''-L,i::~:::\:~:-
-~::'~~~'T~,~:--~';''-':''; ':", \:~;:P:~5~;~,~t~:~
, JlI Certified Mail 0 ExpresSMBI ,
"g=~~a;l.gt~~~~~
",,,
4:. ReStncied DelivOlY7 (BdIB'F:ee) 'j"
..... -
," j-~":-",;"
"'.;}77i;~0~~c
--------,._----_..__.~-,.--,~-~~,....,....,.-~~.,
~_~___~-o-~.__
_.________---..----c---'---'---.---
. COInpIete 1Ieln81. 2.and~.CcIn1pIftt
1tIlIn41fR;.4llk:\led~'.E... ,
. Pl1nlyournameand~.ll\lI-
80 \hllt we canl8lUm the _. _..' lOU. . .
. Attllch 1hIs C8id to the belli . , ~
or thefrantlf8l*>> ,. .'
1: ~i\ddloOOOdlo:''')
'-l-,' "
~
I :'~ ,-
- Br~ Swanson ,
205f2 ponte Regatta Dnve
Gornelius, NY 28031
2. -1fu!1t*
7002 2410 0000
~~
~
; PllI """'
I i111
.
.-
.....- ---~~~~~.,.......,...."........,~~-~~ --- -- ----
--,~-,---,._--,,',"--------'-"---'-- .
Thomas & Barbara Mercier
700 New Suffolk Ave.
Mattituck, NY 11952
.3.~~
'. 1Ot~ Moll C
C~.od C
C InourecI Moll Cl
4. R.A.lub.d ~
2. Al1IcI ..
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.
.
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.._._"._~____,~____~....,..__,,__..__..c.~-.,....---~-----.-~_._-'----------.---
,
"
. <\.
vrvY
.
.
TH E FIRST REPUBLIC CORPORATION OF AMERICA
302 FIFTf.I AVe:NUe:
Ne:W YORK, N. Y. 10001 . (212) 279-6100
F"AX:(212) 62e-E;;S46
T1U .1< COPIER TRANSl\1TSSION COVER SHEET
~
/11 / L GS tE~/fJI
L/d-t1/C'EA/ STANj)/.St! AH/p IIG#T/lGK: &l7?/ftt/e/
tP 5.(-7(,5-/3""
II/I r/()</
FROM:
TO:
TELECOPIERNO.:
DATE:
THIS TRANSMISSION CONTAINS 2- PAGES, lNCLUDlNG THIS PAGE.
IF THERE ARE ANY PROBLEMS WITH THIS TRANSMISSION,
PLEASE CONTACT US AT (212) 279-6100.
NOTE: THE INFORMATION CONTAINED IN THIS FACSIMlLE MESSAGE IS
INTENDED ONL YFOR THE INDIVIDUAL TO WHOMITIS ADDRBSSBDORAGBNT
RESPONSffiLE TO PELIVER IT TO THE INTENDED RBClPIENT. IF YOU HA VB
RECEIVED TIDS COMMUNICATION IN ERROR, PLEASE IMMEDIATE!, Y NOTIFY
US BY TELEPHONE.
/:;4-.~IU.eL~ /It.~~~
~J-,~o/j1~~~,_
t~--C~'1~~ ~
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~~
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t/~' _.-7't":-~-~~.., """";'20 U.s.l'ostAGE. .: P-B5 5 1\ 20 7 7
... 1 . IJO . ....
ii' . ..... IfIU'B II .0.00.0504 42.0 .oCT 2~, 2.0.04
'1./ ,.J!.;., UM'I'VUiIM[1)79020lWl.D:".,...ZIPCOOE ~.o.o01
C~~~~~~::..~.=~:.:""_.~-_.- ~~:-~
......_.]7"_r.~
::PUBLlC CORPORATION OF A~l!RJCA.
,
t "'V~NUE: . NtW TOIllIl. N. '1'.10001
Mic
14868
Elmo
\.
I'I..l\ClO STIl:r(f-Fll'<TTQP Df liN\I~LOFE 10 ttiE fllC:HT
OPTHE R~TlJRtj t>OOAt'S:S f(jL~AJ DOTTFDlIrlt'
U. .----.CERTiFiEO iViJiiC. n_.._.
\~\
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\11~1II11111111\1
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.
.
THE FIRST REPUBLIC CORPORATION OF AMERICA
302 FIFTH AVENUE' NEW YORK, N. Y. 10001 . (212) 279-6100
FAX: (212) 629-6848
FedEx
~ovemberll,2004
Town of Southold
Town Hall
Board of Town Trustees
53095 Route 25
Southold, ~ew York 11971-0959
Attention: Madarnes Heather Tetrauet and Lauren Stan
Re: 1240 Lov
Mattituc
e
NyL
I,,,',;
1 2 2004
D
Madarnes:
Sout,old Town
~. .,.; of Trustees
Attached please find the original proof of receipts for the following people:
1. Rita M. Ponsiglione
2. Mark McDonald
3. Rita Martin
4. Peter E. Orlowski
5. Mary G. Gorman
6. Andrew C. Fohrkolb
7. Herbert Swanson
8. Thomas & Barbara Mercier
~ ~ IG \\..1 ~- .
o ~r~ 7."; ,I ill.. \ r\
O \L-., '. ,-, 1. ~ '.) --,~ j'. i\
c "'f j'
v ~~~ t
f\ ._ . '
.~l
"7 '7~~':~~
8. , ....'":..t..
Michael and Kathy Perivolaris have not responded as yet and Helen Z. Reeve's notice was not
deliverable as addressed.
Thank you for your attention in this matter. If you have any problems concerning any information,
which was forwarded to you please let me know as soon as possible since our meeting is slated for
~ovember 17th at 7P.M. .
Sincerely yours,
THE FIRST REPUBliC CORPORATION OF AMERICA
~~j~
Miles 1. Berman
Vice President
MJB/mm
Word/doe. TetrauetlStaadilh
Attachment
cc: George Tsunis
.
.
.
THE FIRST REPUBLIC CORPORATION OF AMERICA
302 FIFTH AVENUE'
NEW YORK, N. Y. 10001 . (212) 279-6100
FAX: (212) 629 - 6848
FEDEX#821972960070
Town of South old
Town Hall
Board of Town Trustees
53095 Route 25
Southold, New York 1971-0959
Madames:
~~ N~V ~-: ~J4~ ~
J
November 2 2004
SouthOld Town
Board of Trustees
Re: 1240 Love Lane
Mattituck, NY
C 0 for Deck
Attached please find one original and three copies of the Authorization (where applicant
is not the owner).
Thank you for your attention in this matter.
MJB/mm
WordJdoc.BdofI'ownTrustees
Attachment
Sincerely yours,
THE FIRST REPUBLIC CORPORATION
OF AMERICA
'/~4, ,1 ~
Miles 1. BeMa:
Vice President
~
.
.
.
AUTHORlZA nON
(where the applicant is not the owner)
I,
Long Island Sound Oyster, LLC, residing at:
(print owner of property)
c/o Marcia Z. Hefter, Esq.,
( mailing address)
108 East Main Street, Riverhead, NY 11901 do hereby authorize, Bluepoints Co. Inc. and
(agent)
George Tsunis to apply for permit(s) from the Southold Board of Town Trustees on my behalf.
Long Island Sound Oyster, LLC
~~-~
by: Thomas Anderson, member /manager
I
t
.
.
AUTHORIZATION
(where the applicant is not the owner)
1,
Long Island Sound Oyster, LLC, residing at:
(print owner of property)
c/o Marcia Z. Hefter, Esq.,
(mailing address)
108 East Main Street, Riverhead, NY 11901 do hereby authorize: Bluepoints Co. Inc. and
(agent)
George Tsunis to apply for permit(s) from the Southold Board of Town Trustees on my behalf.
Long Island Sound Oyster, LLC
~~-~
by: Thomas Anderson, member /manager
OCT.28.20044:29PM
.
.
NO. 6903 P. 2/2
.
AUTHORIZATION
(where the applicant is not the owner)
I,
Long Island Sound Oyster, LLC, residing at:
(print owner of property)
CIO Marcia Z. Hefter, Esq.,
(mailing address)
108 East Main Street, Riverhead, NY 11901 do hereby authorize, Bluepoinu Co. Inc. and
(agent)
George Tsunis to apply for permit(s) from the SouthoJd Board of Town Trustees on my behalf.
Long Island Sound Oyster. LLC
~Lk~~
by: Thomas Anderson, member lmanager
OCT, 28, 2004 4:28PM
NO, 6903-P, 1/2
.
.
..
ESSEKS, HEFTER 8: ANGEL
.
Phone: (631) 36~-1700 . Fax: (631) 369-2065
FACSIMILE TRANSMITTAL SHEET
TO:
He
net & Lauren Standish
FROM:
Cannela M. Di Tal/a, Esq.
DATE:
10/71/2004
TOTAL NO. OF PAGES INCLUDING COVEll:
2
RE:
LI Sound Oyster - Bluepoints Co.
YOUR REFERENCE NUMIIEIl,
D URGENT
a fOR REVIEW
a PLEASE COMMENT
o PLEASE REPLY
o PLEASE RECYCLE
NomICOMMEHTS:
See attached,
CONfIDENTIALITY NOTICE
The doCLIl'Mr1ts 8CCOrnpanytns tht. c.lecopy transmission CXlntain Information which ts confidential ..d/ar tlllaUy
prfWileged. The Information Is Intended only for the u.. of the individual Dr .nti,y na....d on this lransllll....n -.. If
you at. notllMl Intended r.cipl.n., you are hereby notified that illy di.clDsure, copy;nr, dlstrtbutlon or the tlkinr of
aIrf action in r.Uance on the conrer"ts of this telecopfed inform.tlon is strictly prghibited. and that the documents
s/lollId be returned to this firm Immediately. In this reeard, If you have roc.t....d this telocopy In error, pi.... notify
IIonell O'Neill eat. 315 by telephone immedlat.ly.
108 EAST MAIN STREET, PO BoX Z79
RIVERHEAD, NY 11901
.
.
THE FIRST REPUBLIC CORPORATION OF AMERICA
302 FIFTH AVENUE' NEW YORK, N. Y. 10001 . (212) 279-6100
FAX: (212) 629 - 6848
Certified MaiVRetum Receipt
October 26, 2004
~E II: E n WE D
OCT 2 8 2004
Southold TOWI
Board of Trustees
Town of South old
Town Hall
Board of Town Trustees
53095 Route 25
Southold, New York 11971-0959
Attention: Madarnes Heather Tetrauet and Lauren Standish
Re: 1240 Love Lane
Mattituck. NY
Madames:
Attached please find a sworn affidavit attesting to the mailing of the neighbors of the
above mentioned property by certified mail return, receipt, requested. Also attached are
the names on the postal forms.
When I receive proof of receipt of these mailings, I will send you same.
Thank you for your cooperation in this matter.
Sincerely yours,
THE FIRST REPUBLIC CORPORATION OF
AMERICA
&~j~
Miles J. Berman
Vice President
MJB/mm
Attachement
WordJdoe.Madamet
.
.
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
i)
JI
~:J
7)
Mark McDonald
P.O. Box 1258
Southold, NY 11971
.:1)
Rita Martin
35 Maiden Lane
Mattituck, NY 11952
Mary G. Gorman Herbert Swanson
P.O. Box 1445 20512 Ponte Regatta Drive
Mattituck, NY 11952 Cornelius NY 28031
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Andrew C. Fohrkolb Michael & Kathy Perivolaris
1500 Sound Avenue 1486 Sweetman Avenue
Mattltuck, NY 11952 Elmont, NY 11003
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Rita M. Ponsiglione Peter E. Orlowski
P.O. Box 1136 P.O. Box 885
Mattituck, NY 11952 Mattituck NY 11952
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Thomas & Barbara Mercier
700 New Suffolk Ave.
Mattituck, NY 11952
/~ ""'<ling" 30- r -'If L. <Z-tf.!'. '
-h / ~ I : being duly sworn, deposes and says that 0 the /
- ~. day,f ~ .20.-,<, _, ~1'" ",'" """ of"'" N,tire
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 atthe United States Post
Office at t ~~. YJ.uM!5/.J:!'.Jt., that said Notices were mailed to each of said persons by
(certified)(Jil~LL~mail. -N-'1114tf. .
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STATE OF NEW YORK
COUNTY OF SUFFOLK
Swom to before me this CJ..(pt1..
I:>ay of @".td Qft.I ,20t2.j=-
Notary Public
OEUA O. SAlmAGO
Notary Public, State of NIW YoIll
. No. 41-4858500 ":uf
Qualified In Queens Cou .
Commission expires May 5,
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eard,",Of Trustees ,APp~icat.
County of Suffolk
State of New York
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Harry Bergman, president of Bluepoints Co. Inc.
,.., , ,_ " .' ..~~n",p"lly'f 'XtEINGDULYSWORN
DEPOSES AND AFFIRMS TaATlIet . . IS THE APPLICANT FOR THE ABOvq, '
DESCRIBED PERMIT(S) AND THAT ALLSTATEJvlENTS CONTAINED HEREINJ ARE,
!RUE TO THE BEST OF HISfBER KNOWLEDGE AND BELIEF, AND THAT AL~ WORK
.WILL BE DONE IN THE MANNER SEJ' FORTH IN THIS APPLICATION AND AS MAY
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, BE APPROVED BYTHE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD T:a:p TOWN OF SOUTHOLD AND THE TOWN TRUSTEES I
HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARI~~G
UNDBRORBY yrRTUEOF SAID PERMIT(0), IF GRANTJ!,D, INCOMPLETIN~THIS
APPLICATION, I 'EffiREBY AUTHORIZE THE TRUS1'EES, THEIR AGENT(S)O~ .
REPRESENTATIVES(S); TO ENJ'ERONTO ~RKIW~TO INSPECT THE I
PREMISES IN CONJUNCTION WITH REVIEW O~HIS APPLICATION. '
X ~ject property,
Si awe .
Bluepoints CO'J Inc. by Harry Be,gman
as it's president
SWORNTOBEFOREMETHIS :;.,r DAYOF OC -ro/J?I4.,20!.:L
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DELIA D. SANTIAGO
Notary Public, State of New York
No. 41-4858500
Qualifitj,;t'in Queens County /A
CommissiOn Expires May 5, 200Jf
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APPLICANT/AGENTIREPRESENTATIVE
TRANSACTIONAL DISCLOSUR:e FORM
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The Town of South old's CodeofEthics-orohibits,conflicts-ofinterest.on the Dart of town bfficers and emolovees. The Durnose of
this form 'is to 'orovlde information which can alert the town ofoossible conflicts of interest-and allow it to take whatever action is
~ecesslm' to'avoid same. - , I
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,Bluep~ints CO., ..Lnc. . . .
(Last name,1list..n.ame,:Ipiddleinitia1.l1!lless,you are applying' id:tn~e of
someone else :or' other entity, such as a compaI].Y. If so, indica~ the. other
perso.fl's or cop1pany"s name.) ". .
YOUR NAME:'-
.NAME OF APPLICA nON: {ChecK all that apply.)
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Do you personally (orthrough your company, spo~, sililing;paren~or child) have a relationship with any. officer or 1mployee .
of the Town ofS6uth~ld'? . "Relationship" includes.by b~ood,I1larriage,-o~ bus'iness interest "B-usi~cs~ interest'l means ~ business,
including'a partnership, in -which the town officer or employee-has _eVen-a -paroal.ownership.of(or employment by) a corporation
;inWhich-thetown'officerorempIOye~ownsmoretha~,5%.Of.the'shares. . . <' . '1: .
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If you answered'.'YES'\-complete-thebalance of-this fonn and.date and sign where indic~ted. I
'Name ofpers.on employed by the Town of Southold I
Title or position or-that person I
'Describe the. relationship between yourseif (theapplicantlagent/representaiive) and the town o.~cer or employee. 'Eit~l che~k
the appropriate line A) through D) and/or descrikin the space provided. . .' I
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Building
Trustee
Coastal Erosion
.Mooring
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Exemption from plat or official map Planning
Other . . 'Ce t" f' . - .
(If"Other",name.theactivity.) r :Llcate .of Occupany
Tax grievance
Variance
Cha~ge of Zone
Approval.of plat
YES
NO
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The town officer or~mployeeor his or her sP9i!~e, sibling, paren~ or child!s (check aIlthatapply):
A) the owner 'of greate:r-than 5% of the .shares of the corporate_stock .ofthe ap~licwt
- (wbenthe applicant is a corporation); , .
, _B) the.~egal or beneficiaLown<?i"-ofany "interest-ina non-corpora~'entity (when the'
applicant is not a corporation); . ' .
~C) an offi~r, director. :partner. or employee of the appliCant; or
--.:-0) the actual applicant.
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DESCR,IPTION OF RELA TlONSHlP
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Form TS I
, Sulimttted this . S . day of a tb6,; It. 200 'i
SIgnature. . '
Print Name Blue 0' nts .. Inc. b .'j .
Harry Bergman as,it's pres~dent
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THE FIRST REPUBLIC CORPORATION OF AMERICA
302 FIFTH AVENUE. NEW YORK, N. Y. 10001 . (212) 279-6100
FAX: (212) 629 - 6848
October 25, 2004
Town of Southold
Town Hall
Board of Town Trustees
53095 Route 25
Southold, New York 11971-0959
Attention: Madames Heather Tetrauet and Lauren Standish
fEj)~~~~W~Jm
Ifll OCT 26 200' ~
Re: 1240 Love Lane
Mattituck, NY
C 0 for Deck
Southold Town
Board of Trustees
Madames:
Attached please find three packets for the application for a C 0 for a deck which has already been
installed at the above referenced home. Also attached is a check for $500 for a wetlands permit and a
picture of the deck. 1 am now awaiting the Authorization form to be signed by the owner. All the
packets contain the following:
Page 1 - Cover page giving name and address of applicant and name and address of agent
Page 2 - Wetlandffrustee Lands Application Data
Page 3 - Coastal Erosion Application Data
Page 4 - General Data
Page 5 & 6 - Short Enviromnental Assessment Form
Page 7 - Affidavit signed by Harry Bergman, President of Bluepoints Co. Inc.
Page 8 - ApplicationlAgent/Representative - Transactional Disclosure Form - signed by Harry
Bergman, President of Bluepoints Co. Inc.
. Survey of Property
- Waiver regarding survey which is older than one year
Page 9
Page 10
Sincerely yours,
THE FIRST REPUBLIC CORPORATION OF AMERICA
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Miles 1. Berman
Vice President
cc: H. Bergman, 1. Silverman, G. Tsunis
Attachments
W.rdJd...T......fSoutbold