HomeMy WebLinkAboutTR-6217A
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
John Holzapfel
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (6311 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# OlllC
Date June 6, 2006
THIS CERTIFIES that the
addition to dwelling
At 550 Bay Ave., Mattituck
Suffolk County Tax Map #
144-5-11
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 10/ 14/05pursuant to which Trustees Permit # 6217A
Dated 10/19/05
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
is for an addition On the landward side of the existing dwelling
The certificate is issued to JOAN TECHET
owner of the
aforesaid property.
~~~
Authorized Signature
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
Permit No.: 6217A
Date of Receipt of Application: Oct.14, 2005
Applicant: Joan Techet
SCTM#: 144-5-11
Project Location: 550 Bay Ave, Mattituck
Date of Resolution/Issuance: October 19, 2005
Date of Expiration: October 19, 2007
Reviewed by: Board of Trustees
Project Description: Administrative Permit to construct an addition onto the
landward side of the existing dwelling as per plans received by the Board of
Trustees October 14, 2005.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 97 of the Southold Town Code.
Special Conditions: None.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 97 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
~ 9- ~. '79<L-J... f}.
Albert J. Krupski, Jr., President
Board of Trustees
e(.)
~
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7708 Harps Mill Road
RaleIgh. North carolina 27615
September 6, 1995
RE: Remodel 550 Salt Lake Road
Mattituck, New York 11952
To Whom It May Concern,
Please be advised that I, Joan R. Techet, own the home and
property located at 550 Salt Lake Road (Salt Lake Village),
Mattituck, New York. I have employed Environment East, Inc.,
734-7474 to prepare plans and obtain all necessary permits
from any and all governmental authorities necessary for the
remodeling of the above mentioned property.
Environment East. Inc., has my authority to submit plans and
request permits and variances in my name to accomplish the
permitting and remodeling process.
I appreciate any courtesies you may render in this ,effort.
Sincerely,
~T~~e~~
7708 Harps Mill Road
Raleigh, North Carolina 27615
919-847-0096
.
.
Albert J. Krupski. President
John Holzapfel. Vice President
William G. Albertson
Martin H. Garrell
Peter Wenczel
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
September 29, 1995
Environment East Inc.
Peter R. Stoutenburgh
P.O. Box 190
Peconic NY 11958
Re: JOAN TECHET
SCTM #144-5-11
Dear Mr. Stoutenburgh,
The following action was taken by the Board of Trustees at their
regular meeting of September 28, 1995:
RESOLVED that the Southold Town Board of Trustees approve the
request for a Waiver to construct a 12.8' X 27' addition with a
breezeway attached to a 24' X 32' garage, and patio addition as
per survey. Located: Salt Lake Lane, Mattituck.
If you have any questions, please can our office.
Very truly yours,
att,.1 ~ /~' 9,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
cc. Bldg. Dept.
CAG
Town Hall
53095 Main Road
P.O. Box 1179
Southold. New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
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JOSEP~l s t
WILLIAM J. CREMERS
KENNETH L. EDWARDS
MARTIN H. SIDOR
GEORGE D. SOLOMON
.
MAIliNG ADDRESS:
P.O. Bax [[ 79
Sauthald, NY [[971
.
PLANNING BOARD MEMBERS
JERILYN B. WOODHOUSE
Chair
OFFICE WCATION:
Town Hall Annex
54375 State Raute 25
(car. Main Rd. & Yaungs Ave.)
Sauthald, NY
Telephone: 631 765-1938
Fax: 631 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
To: Town of South old Board of Trustees
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From: Mark Terry, Senior Environmental Planner
L WRP Coordinator
OCT
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Date: October 17, 2005
L__
Re:
Request for Administrative Permit for Joan Techet
SCTM#1000.144-5-11
JOAN TECHET requests an Administrative Permit to construct an addition onto the landward
side of the existing dwelling. Located: 550 Bay Ave., Mattituck. SCTM#144-5-11
The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the
Town of South old Town Code and the Local Waterfront Revitalization Program (LWRP) Policy
Standards. Based upon the information provided on the L WRP Consistency Assessment Form
submitted to this department, as well as the records available to me, it is my recommendation
that the proposed action is generally CONSISTENT with the Policy Standards and
therefore is CONSISTENT with the LWRP.
Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing
its written determination regarding the consistency of the proposed action.
Please contact me at (631) 765-1938 if you have any questions regarding the above.
.
.
.
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
Office Use Only
_Coastal Erosion Permit Applica~
_Wetland Permit Application _ Administrative Permit
Amendment/Transfer/E~tegsion
--Received Application: 10 !N/Or:.
--=it-eceived Fee:$ a.~t5
...eompleted Application 1'01 r l{ {01
_Incomplete
_SEQRA Classification:
Type I_Type II_UnIisted_
_ Coordination:( date sent)
_ L WRP Consistency Assessment Form ~tpn1J)r-
CAC Referral Sent:
_Date of Inspection:
_Receipt ofCAC Report:
_Lead Agency Determination:_
_ TJ'l'hnical Review:
~ublic HearlOg Held: I a/' q 10(
_Resolution:
irn-:\ I'.!~.' :,~ :.i\J,c 'I'.~",',...' ii 1-"'" I'~'::\
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--'~'M""'_"---"-,_,_,__,~___"________.J
Name of Applicant :J7> A;N \ECr-\: e"-'
Address 550 BAy AIJ e. rYV~T::rIIUC' K...
Phone Number:(6J> ( - '2 q B - 82-7 '3 '
Suffolk County Tax Map Number: 1000 - I 4::....4 - '5 - II.
Property Location: 45D' SOlJl1-t OF ~LT LAKE LAN!::: (ROCt-{6' j f=
PLACt;J.
D^-) WeST $[D <<= Of" OLD S AL.., 'RD
(provide LILCO Pole #, distance to cross streets, and location)
AGENT: E^-l0\RONM6\lT Et\-'ST' IN C.
(If applicable)
Address:
1'.0. BDx
lCf-c
t>c.c.otJ Ie i\J, 'i. t\ 'ts 8
Phone: 03/-734--74-74 /74DO
~aard af Trustees APPlica~n
.
GENERAL DATA
C?'2) 000
R-4'D
Previous use of property: S (t,) G-L:8
Land Area (in square feet):
Area Zoning:
Intended use ofproperty:
:'] I N G-L.-t::.
FAm/ G'-(
rA1Y\ I L>-t
D vJ EU,...{N G-
OINe.~I\fG.
Prior permits/approvals for site improvements:
Agency
Date
SOlJ\HOL..n -TOwN ~ OF I'""R.LlSTtE~ APPROvAL-
DA.\EO. SepT. 2-q 1 lqqs- - SEe A\T7\clieo
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
~No_ Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
A-~D(TlOl\.) I'D F::><:lST1NG t-toUSE. ^-DDITl D~
-I ~ Ot-J L-AI\.lDvJAR.O ~lDE DF e><:/,sT. ti.sc-
A.I\.lD t'~.oPER..l'{ l-S "B0U< -HFAOED
S~E :PLoT -:p LAt-J
"'oard of Trustees APPlica~
,
WETLANDrrRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: -r M l S .
PROf'E-RT'i HAS
B U l-K I-H::AO cf-
LANDWA 1<..0 <S'W!.='
A (l---DI\J Tl f'J LJ DuS Tl m BEP-.
_~'S. NO WETLANOS ON
Area of wetlands on lot:
square feet
Percent coverage of lot:
%
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 ofthe town that may result by
reason of such proposed operations (use attachments if appropriate):
.
,
PROJECT ID NUMBER
617.20
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
(To be completed by Applicant or Project Sponsor)
2. PROJECT NAME
SEQR
PART 1 - PROJECT INFORMATION
1. APPLICANT I SPONSOR
E.~ \J l R ON lY\ENT EAST" IrJC-
\E.CHEX
A..DD l1'1 D"-' .
3.PROJECT LOCATION:
5:50 8AY AVE- mATTITLiClC Su FFOl.-K-
Municipality County
4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks ate - or provide map
55D SA-Y AvE- M^"\n-n.>ClC -45D; soun-t OF..s"'A.L\ U\\<..e:. LANE
(ROCl-\~. t E fLAc...E; Dr>0 WEST SlOt. OF DLD S'AL.:r ~D-
5. IS PROPOSED ACTION: 0 New gExpansion D Modification / alteration
6. DESCRIBE PROJECT BRIEFLY:
42.0 cp
J-touse. CN LA.f.JDWA~
~ BUu(.-I-\~OED
Ot\ll:5 S'TDR.Y AODITiCI'..!. A\TACtil:;O TO ~ISi1NG-
-s'1 ~ G Le FNYl \ u-{ R-5S \ DENce
SIDE OF
f'fZOPt::;l'lrr.
7. AMOUNT OF LAND AFFECTED:
Initially acres h CXX) m&'iT"" - LOT. acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~Yes 0 No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY
~eSidential D Industrial D Commercial
OF PROJECT? (Choose as many as apply.)
DAgriculture 0 Park I Forest I Open Space
DOther (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING,
AGENCY (Federal, State or Local)
~es 0 No If yes, list agency name and permit I approval:
NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
13 U L.D ING 'PE.R..lY\ { T F ~O fY\
-SOU\1t"OLO \0 INN'
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes DNO If yes, list agency name and permit I approval:
tt1\S It. vA..UD APPRo\JAL. FQOO\SDl.J\ttOLQ IDWN TRU-l>l~t::...s.
PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant I Sponsor
Signature
Date !cJ (n! b~
If the action is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
.
Board of
.
Trustees Application
County of Suffolk
State of New York
1>eu::cz STDu~ORG-H 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 REVIEW OF THIS APPLICATION.
..~
..... ~
\~.. Signatu
SWORN TO BEFORE ME THIS \ y'"t\-{ DAY OF (j~.
,20~
LYNDA M BOHN
NOTARY PUBUC.lMlIIe 01 New York
NO. 01~2, 8u11011l CCMmtY
Tenn EllplreI u.ch .. 2G.!:J .
.
.
APPLICANT/AGENTIREPRESENT ATlVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics orohibits conflicts ofinterest on the Dart artoW" officers and emolovees. The DUfOOse of
this fonn is to nrovide information which can alert the town of DOssible conflicts of interest and allow it to take whatever action is
necessarv to avoid same.
YOUR NAME: ~&l~H. f-t;.lcR.
(Last name, first name, -Ipiddle initial, unless you are applying in the name of
someone else or other entity, such as a company. If so, indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance
Variance
Change of Zone
Approval of plat
Exemption from plat or official map
Other
(If "Other", name the activity.)
Building
Trustee
Coastal Erosion
Mooring
Planning
,,<
><
Do you personally (or through your company, spouse, sibling, parent, Of child) have a relationship with any officer or employee
of the Town of Southald? "Relationship" includes by blood, marriage, 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
If you answered "YES", complete the balance of this fonn and date and sign where indicated.
Name of person employed by the Town ofSouthold_f'EG 1> l C.K-I::.R<SO ~
Title or position of that person lR.l)~ ItE
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 (check all that apply):
_A) the owner of greater than 5% ofthe shares of the corporate stock of the applic~t
(when the applicant is a corporation);
_B) the legal or beneficial own~r of any interest in a non-corporate entity (when the
applicant is not a corporation);
_ C) an officer, director, partner, or employee of the applicant; or
_D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
SISlER
s~bm1;~~ 200~
Slgnat r" .
Print -rejadRG~
Form TS I
A&fJl~ ~t
Jfe
E4ta6~fUtg tie FtAfMe
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t- ff;;~2~
Environment East, Inc.
2885 Indian Neck Lane
P.O. Box 197
Peconic, New York 11958-0197
63]-734-7474
Fax: 63]-734-5812
Southold Town Board of Trustees
Town Hall
Southold NY
October 13,
2005
Dear Board Members,
Please find attached an application form for the Techet project in Mattituck. Also
attached is a copy of the letter from the Board of Trustees that approved our
request for a Waiver for this project and a site plan that shows the location of the
proposed addition to the landward side of the existing residence which is on a
bulk-headed property. Given all of these considerations we again request a
waiver and approval to proceed with our application for a building permit.
Thank-you,
r::"'~ I'~ (' ";;-;-1- '. -r---~
Ie) c~\'~ [c, U Ii l~ I!:::::
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SCU!;iC:<! lo',m
Br::c;;-rj c1f TrJS!l'es
9~.
Joan Chambers
Field Manager
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EXISTING
HOUSE
NO CHANGES
NEW HEATED BREEZEWAY
32'-8"
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3'-4'
EXISTING
GARAGE
NO CHANGES
,~. X 11-71ll'lVL BEAM
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48" BASE
CAB.
48' PRINTER
CABINET
48' BASE
CAB.
518" F1RE-AATED SHEETROCK
TO ENTIRE WALL
60' DESK
60" DESK
EXISTING TWO PANEL DOOR
IN EXISTING ENTRY HALL.
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ADD NEW FIRE-AATED/ INSUlATED
& S LF ClOSING DOOR.
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RE-USE 10' X 10"
, STRUCTURAl COlS.
EXISTING T RS
NEW COVERED PORCH
TECHET BREEZEWAY PLAN
1/4" =1'..0" 9.6.05
ENVIRONMENT EAST INC
REV. 927.05
NEW STOOP
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TO BE CEMIfNT SHINGLES
TCH EXISTING H07SE
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NEW ADCmON
ASPHALTIFIBERGLASS ROOFING
TO MATCH EXISTING.
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RE-USE EXISTING 10' X 10'
SQUARE STRUCTURAl. COLUMNS.
TECHET RESIDENCE
FRONT ELEVATION
1/4" = 1'-0" 9.18.05
ENVIRONMENT EAST INC.
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ASPHAL TIFIBERGLASS ROOFING
TO MATCH EXISTING.
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TECHET RESIDENCE
REAR ELEVATION
1/4" = 1'-0. 9.18.05
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REV. 9.26.05
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