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Home My WebLink AboutTR-6420AJill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Brederneyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0553C Date July 16, 2010 THIS CERTIFIES that the second-story addition to the existing dwelling, open deck and relocation of second-floor bath to rear of house over existing first-floor baths and bedrooms At 1955 Tmman's Path, East Marion Suffolk County Tax Map #31-13-2 Conforms to the application for a Trustees Permit heretofore filed in this office dated 8/9/06 pursuant to which Trustees Wetland Permit #6420A dated 8/23/06 was issued and Amended on 11/14/07 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 a second-story addition to the existing dwelling~ open deck and relocation of second-floor bath to rear of house over existing first-floor baths and bedrooms. The certificate is issued to ROBERT O'BRIEN owner of the Authorized Signature Jill M. Doherty, President James F. King, Vice-President Dave B~rgen Bob Ghosio, Jr. John Brederneyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Y'~ Ch. 275 Ch. 111 INSPECTION SCHEDULE INSPECTED BY: COMMENTS: Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction ~ constructed Project complete, compliance inspection. CERTIFICATE OF COMPLIANCE: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town HMI Annex 54375MMn Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 24, 2009 Mr. Robert O'Bden P.O. Box 456 Laurel, NY 11948 RE: 1955 TRUMAN'S PATH, EAST MARION SCTM# 31-13'2 Dear iVIr. O'Brien: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 24, 2009: RESOLVED that the Southold Town Board of Trustees grants the last One-Year Extension to Permit #6420A, as issued on August 23, 2006 and Amended on November 14, 2007. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, President, Board of Trustees JFK:eac James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD June 18, 2008 Mr. Robert O'Brien P.O. Box 456 Laurel, NY 11948-0456 RE: '1955 TRUMAN'S PATH, EAST MARION SCTM#3'1 -'13-2 Dear Mr. O'Brien: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., June 18, 2008: RESOLVED, that the Southold Town Board of Trustees grants a One-Year Extension to Permit #6420A, as issued on August 23, 2006. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, President, Board of Trustees JFK:lms James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 November 14, 2007 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert O'Brien 2074 Main Road Laurel, NY 11948 RE: 1955 TRUMAN'S PATH, EAST MARION SCTM# 31-13-2 Dear Mr. O'Brien: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 14, 2007: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6420A to truncate dormer originally proposed over porch replaced by open deck; relocated existing second-floor bath to rear of house over existing first-floor baths and bedrooms, and as depicted on the revised plan prepared by Robert O'Brien, last dated June 6, 2007, received on October 25, 2007. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, James F. King President, Board of Trustees JFK:eac James F. King, President Jill M. Dohe~y, Vice-President Peggy A. Dickerson Dave Bergen 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 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Name of Applicant: Name of Agent: Property Location: SCTM# & Street Brief Description of proposed action: Type of area to be impacted: __Saltwater Wetland Freshwater Wetland Distance of proposed work to edge of above: Sound Front t~Bav Front ~hapTOWn Code proposed work falls under: t.97 Chapt. 37 other Type of Application: Wetland __Coastal Erosion YAmendment __Emergency Info needed: __Administrative Modifications: Conditions: Present Were: ~l~ng ~J.Doherty __P.Dickerson ~ Bergen Other: Maiied/Faxed to: Comments of Environmental Technician: Date: Robert O~Brlen P, O, Box 456 Laurel, New forl~ 11948-0456 Board of Town Trustees Town of Southold April 29, 2009 Trustees Permit #6420A Building Dept. #33535 1955 Truman's Path, E. Marion Due to the current economic times and difficulty in finding a contractor to perform the work within my budget, I request that I be granted a one-year permit extension. Very truly yours, Robert O~Brlen P, Oo Box 456 Laurel, New Vorb IIg4~-0456 Board of Town Trustees Town of Southold Trustees Permit #6420A Building Dept. #33535 1955 Truman's Path, E. Marion Delays were incurred in starting the above-captioned renovation project. This caused by the need to obtain Board of Appeals approval prior to re-submission of the plans to the Building Department. Final approval was granted November 15, 2007, which pushed the start of the project into the spring of 2008, due to winter weather con- ditions. I hereby request that I be granted a one-year permit extension. Very truly yours, 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 (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMEN~iT(~[A :,~YLANDpERMIT DATE ADDRESS AGENT ,,~L.-/~ PHONE ADDRESS PROPERTY LOCATION TAX MAP NO. /'O~'a ~ o°/ - t/,.~ --2- ~Ve ~a~¢/¢'.~ t~ ~ / ~,~'////,¢-~ request an to ~'~ -~ Amendment Permit /- Signed By: Board of Trustees Application County of Suffolk State of New York ~6-~t C9'~ ~A] BEiNG DULY SWORN DEPOSES AND AFFIRMS THAT FIlE/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 CONJLrNCTION WlTH~TION. SWORN TO BEFORE ~ THIS DAY OF ~ ,20~ w ANNA CARUNO NOfa~ Public, State of New Yo~k No. 01CA6018746 Qualified tn Suffolk Count~ Commlesion Expires January lS, 20 Il APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Cod9 of Ethics orohibits conflicts ofintereat on the nail of town officera and emolovees. Thc nuroose of ~.b !~; form is to orovide ipforthation which can alert the town of ooss!ble conflicts of interest and allow it to take whatever action is YOUR NAME: ~'/,~,~'/.4~'.~ ,~'.,'~',~ f' (Last name, firat name, ~aiddle initial, unless you are applyingin the name of someone el~ 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 Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (l,f "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, marriage, or bUSiness interest "BUSigess interest" means a business, including a partnership, in which the town officer or employee h~ even a partial ownership of(or employment by) a corporation in whleh the town officer or employee owns more than 5% of the shares. YES NO If you 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. (check all that apply): __.A) the owner of greater than 5% of the shares of the corporate stock of the applic0nt (when the applicant is a corporation); __.B) the legal or beneficial owner of any interest in a non.-eonporate entity (when the applicant is not a corporation); __.C) an officer, director, part:ne?, or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submi~ted'th~~ 200' Signature (' Print Name APPROVED BY BOARD OF TRUSTFE5 TOWN OF SOUTHOLD DATE '- i Jl ! S~.ALE ~.~ ~--_ [ [ J A~pR'OVED BY ! _ ,i ii i DRAWING NUMBER NAILING SCHEDULE: ROOF FRAMING: L~ ~ ;~ I ~-~-- - -_ - ~, - ~ --- RAFTER STRA__PPIN~ I I .2 I tl -- -_i' ' . RIDGE STRAPPING D~'~CK M~] COV~,R£D PORCN NOTF_.~: .E~L(~17 ~/4' 1~ FOOT PiT(~_t TO ~ PLUMBING SCHEMATIC I mHESE P~ ~ ~ COI"II~I#C~ ~ T:-E N Y.S. BUILDING AND ENERGY CODE [ 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 (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD TO:__ ~,0 O~.Am~ CS' F~L, ~ 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 Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: James F. King, President Board of Trustees James F, King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfei 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 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 1st day of construction ½ constructed Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapf¢l 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 OFSOUTHOLD Permit No.: 6420A Date of Receipt of Application: August 9, 2006 Applicant: Robert O'Brien SCTM#: 31-13-2 Project Location: 1955 Truman's Path, East Marion Date of Resolution/Issuance: August 23, 2006 Date of Expiration: August 23, 2008 Reviewed by: Trustee John Holzapfel Project Description: To construct a second-story dormer addition onto the existing dwelling. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the plans received on August 9, 2006. Special Conditions: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Board of Trustees James F. King, President Jill M. Doherty, Vice-Presiden~ Pegffy 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 (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Worksession Report NameofApplicant: ~ (~/~ ( Name of Agent: Property Location: SCTM# & Street Brief Description of proposed action: Type of area to be impacted~ Saltwater Wetland ~Freshwater Wetland SoUnd Front Bay Front Distance of proposed work to edge of above: Part of Town Code proposed work falls Under: __Chapt.97 Chapt. 37 other Type of Application: /Wetland __Coastal Erosion __Amendment __Administrative __Emergency Intb needed: Modifications: Conditions: goo f Present Were: __J.King __J,Doherty __P.Dickerson Other: D. Bergen C/J/.Holzapfel Mailed/Faxed to: ' Date: Office Use Only __Coastal Erosion Permit Application __Wetland Permit Application ,,../Administrative Permit Amendment/Transfrr/Extension ~'"'"~eceTvved Applicati9 n .'_~q]_~_ _~,(~ompleted A pp I ic~ti o n~J._L~_~._ __Incomplete __SEQRA Classification: Type I Type Il Unlisted __Coordination:(date sent) ~'L'TAC Referral Sent: ~t~ ~-_~te oflnspectJon: ~J J ~o[C}}o __Receipt of CAC Report:. __Lead Agency Determination:__ Technical Review: ~-_~P'~IMic Hearing Held:~[~, __Resolution: ~0~,o AUG - 9 "n- Name of Applicant Address ..~0 7y~' /~/~-~...~ ~"~+~:~ ~o ,d~'o,-'~ 5;~C-~' __ .,~-~'v Phone Number:( ) ..2~'~--~"-2~<~ / Suffolk County Tax Map Number: 1000 - .~! -- /.~ - 2.. (provide LILCO Pole #, distance to cross streets, and location) AGENT: (if applicable) Address: Phone: Board of Trustees Application Land Area (in square feet): Area Zoning: GENERAL DATA / Previous use of property: intended use of property: Prior permits/approvals for site improvements: Agency Date --'~o prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend~y a govenunental agency? ~ No Yes I f yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: .Y o feet Closest distance between nearest proposed structure and upland edge of wetlands: ,2~' 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: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: feet Statement of the effect, if any, on the wet ands and tidal waters qfthe town that may result by reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMSER PART1-PROJECTINFORMA~ON APP', ANT SPONSOR 3 PRO,JECT LOCATION: 4 PRECISE LOCATION: Stree~ Addess and Road IrltersectJona 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNliSTED Ac'nONS Only ( To be completed by Al: ~lcsnt or ProJec'l PROJECT NAME SEQR IS PROPOSED ACTION: [] New E~anslon J---]Modiflca'~OnlalteralJon DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: InllJally ~ ac~$ UIUmately ~ acre~ 8 WILL J~ROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Ye~ [] No If no, clel',cribe briefly: L~NO USE IN VICINITY OF PROJECT? (Choo~e as many a~ apply.) PRESENT J~ O~her (deec,'ibe) INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL ,~ ]Yes ~No If yes, ~i~t agency name and permit / approval: S A RESULT OF ~RG~OSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? .. I If ~e action 18 a Costal Area, and you are n s~te agency, complete the Coastal Assessment Form before proceeding with this assessment PART Il - IMPACT AS-REaEMENT (To be completed by Lead Agency) 5 W~LLACTIONRECE~VECO~RD~NATEDREV~EWA$PROV~DEDFORUNL~STEDACT~NS~N~NYCRR'p^RT617.6? ifhl~,sne~atl~e C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCLATED WiTH THE FO(.LOWING: (Answers may be handwH[le~, if legible) potential for aragon, drainage o*'fl<x)dlng pro,isms? Explain b~e~ly: C3 Vegete ~.~- aun~,fi~h, r, halJtl~h o,-~tdli~ ipecjes, ilgn~can habJtat~,c~e, th~t;.n~ or'e~deng~ed speclaa?~Explain b~lly: I, C& Long term, aho,l term. cure'iai, (a~cthe~ u/l'~ no~ Idandt~ed h CI-C57 "Expl~'j~ tuiefly: l ENVIRONMENTAL AREA [ if ~es explain: PART I11 · DETERMINATION OF 8113NIFtGANCE {To be completed by INSTRUCTIONS: F~r each advance e~fect iden~ed above, determine whether II Is substantial, large, impo,'lant or otherwise slgniflcam E~ch effect snduld be assessed In connection with ~ (a) setting (La. ud3an et rural); (b) probability of occurring; (c) duration; (el) irreversibillty: geographic scrape; and (~) magnitude. II neoeseery, add attachrnente or reference supporting malerials. Ensure lhat explanations con~ain sufficient detail to show thai all relevant adverse in,pacts have been I(~entiit ed and adequately aclciressed I( quesLDn d of part ii was ct~ec. Aeo yes, the determination of significance must evaluate/he potential impact of the pe'opceed action on the environmental chela cterla~ics ~ the CEA. Check Ihla box it you have ~denWled one o~ more potenlially large or algnlflcant adverse Impacts which MAY ocs Jr. Then proceed dire ctiy to the F UL [ N~me et Lead Agency Pnn~ or Type Name o~ Responsible Officer ~ Lead Agency SIgna[~xe of ReAooneible Officer in Lead Agency .Signature of Preparer (if d~fferen~ from responsible oft'~cer) Board of Trustees Application County of Suffolk State of New York ~' ~5~,~'~ .~- ~ / ~?/d/.~'..c/' 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 AGKEES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HAtLMLESS 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~CATION._ __ ~ Signature SWORN TO BEFORE ME THIS DAY OF~.~:~,20 Notary Public Quaflfteel ~--,,~,601674~ \V~BT ~ Lf~VA T I ~9 I~ APPROVED BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE ~/2 ~./,~ ~ /i 9 2066 & ASSOCIATE