HomeMy WebLinkAboutTR-6479A
James F. King, President .
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jf.
.
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 SOUTH OLD
Permit No.: 6479A
Date of Receipt of Application: October 25, 2006
Applicant: Estate of Robert W. Gilbert
SCTM#: 81-3-20
Project Location: 1490 Paradise Point Rd., Southold
Date of Resolutionllssuance: November 15, 2006
Date of Expiration: November 15, 2008
Reviewed by: Board of Trustees
Project Description: Wetland Permit for the existing 4.5'X 6' addition to a pre-
existing residence, which addition was build about 1972-73, and as depicted on the
plans surveyed by Stanley J. Isaksen, Jr. July 19, 2006.
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.
r07~
James F. King, President
Board of Trustees
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~: DONALD H. GILBERT
JANE A. GILBERT
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SURVEYED: 19 JULY 2006
SCALE 1 "= 30'
AREA = 21,092 SF
OR
0.484 ACRES
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GUARANTEES INDlCATCD HERE ON SHALL RUN
ON/.. YTO THE PERSON FOR WHOM THE SL..RYEY
IS PREPARED, AND ON HIS BEHALF 10 THE
1T1LE COMPANY. GOVERNMENTAL AGENCy'
lENDING 1NSTTTVT1ON, IF LJSTCD HEREoN. AND
ro THE ASSIGNEES OF TIE LENDING 1NS11TUT1ON.
GiJARANTEEsARE NOTTRAN8FERABLE TO
ADDI11C1NAlINSTTTUTJONS OR SU8SEOUENr DmVERs.
SURVEY OF
DESCRIBED PROPERTY
SITUATE
SOUTHOLD, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
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SURVEYED FOR: DONALD H. GILBERT
JANE A. GILBERT
l.INAI.m-JORJZE At. 7F1<<T1ON PR ADDfTIDN ro THIS
&RVEY /SA V1OLA11ON OF SECTION 7209 OF
THE NEW YORK STATE EDUCAT10N LAW:
TM# 1000-081-03-020
COPIESDF THIS &fM:YUAPNOTBEARING
THE lANDst.RVEl1::IRS R6MlC~SEAL SHAlL
NOTBECONSIDERED roBEA VALID TRUE
COPY.
GUARANTEED TO:
DONALD H. GILBERT
JANE A. GILBERT
FIDELITY NATIONAL TITLE INS. CO.
OAK HILL MORTGAGE, INC.
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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
_Coastal Erosion Permit Application
_Wetland Permit Application Y""'Administrative Permit
Amendment/Transfer/Extension
~eceived Application:~
..-Received Fee:$ S\)-
~mpleted Application..1Qk). 'S!l;)I.,
_Incomplete
_SEQRA Classification:
Type I_Type Il_ Unlisted_
_ Coordination:( date sent)
_LWRP Consistency Assessment Form
CAC Referral Sent:
--.Date of Inspection:.JILIil! tj,
_Receipt ofCAC Report:
_Lead Agency Determination:_
Technical Review:
_ Ptt15Iic Hearing Held: II( '~IT&:::
_Resolution:
Office Use Only
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Name of Applicant Estate of Robert W. Gilbert by Gary Flanner Olsen, Esq.
Address P. O. Box 706, Cutchogue, NY 11935
Phone Number:(63~ 734-7666
Suffolk County Tax Map Number: 1000 - 81-3-20
Property Location:
1490 Paradise Point Road, Southold, NY 11971
(provide LILCO Pole #, distance to cross streets, and location)
AGENT: Gary Flanner Olsen, Esq.
(If applicable)
Address:
32495 Main Road, P. O. Box 706, Cutchogue, NY 11935
Phone: (631) 734-7666
T"
. Board of Trustees APpliCeon
GENERAL DATA
Land Area (in square feet):
21.092 square feet
Area Zoning:
R-80
Previous use of property:
residential
Intended use of property:
"
Prior permits/approvals for site improvements:
Agency
N/A
Date
~ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or su~ended by a govermnental agency?
No Yes
If yes, provide explanation:
Project Description (use attaclunents ifnecessary):
Applicant seeks an Administrative Permit from the Southold Town
Trustees for an "as built" 4.5' x 6.0' addition to a "preexisting residence"
which addition was built about 1972-73. The construction was approximately 40'
from a wood bulkhead/seawall and approximately 90' from high water mark of
Southold Bay.
.".
.Board of
Trustees
APPlicalon
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: to obtain an Administrative
Permit for a small "as built" addition to house performed about 1972-73
Area of wetlands on lot: - 0 -
square feet
Percent coverage oflot: N/ A %
Closest distance between nearest existing structure and upland
edge of wetlands: 90+ feet from Southold Bay
Closest distance between nearest proposed structure and upland
edge of wetlands: N/ A feet
Does the project involve excavation or filling?
x
No
Yes
If yes, how much material will be excavated? - 0 - cubic yards
- 0 -
How much material will be filled?
cubic yards
Depth of which material will be removed or deposited: - 0 - 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
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)
SEQR
PART 1 - PROJECT INFORMATION
1. AEPLlCAlIIIr' SPONSOEll E
Gary ~'_anner U sen, sq.
for the Estate of Robert
3.PROJECT LOCATION:
as attorney
W. Gilbert
2. PROJECT NAME Estate of Robert W. Gilbert
Administrative Permit Application
Municipality outhold County Suffolk
4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ate - or provide maD
1490 Paradise Point Rd., Southold, NY
SeTH 1000-81-3-20
5. IS PROPOSED ACTION: D New
o Expans;on [K]Modification/alteration "As Built" addition approx. 19 2
6. DESCRIBE PROJECT BRIEFLY: Applicant seeks an Administrative Permit from the Southold
Town Trustees for an "as built" 4.5' x 6.0' addition to a "preexisting residence"
which addition was built about 1972-73. The construction was approximately 40'
from a wood bulkhead/seawall and approximately 90' from high water mark of
Southold Bay.
7. AMOUNT OF LAND AFFECTED:
Initially acres Ultimately acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~ Yes D No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY
[!] Residential D Industrial D Commercial
OF PROJECT? (Choose as many as apply.)
DAgriculture D Park I Forest I Open Space
DOther (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal. State or Local)
DYes [!] No If yes, list agency name and permit I approval:
11. DOES
DYes
ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR
Q No If yes, list agency name and pennit I approval:
APPROVAL?
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
es [!] No
I CERTIFY
INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Date: 10/24/06
Applicant
Signature
Ifthe action Is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
.
.
PART II - IMPACT ASSESSMENT (To be completed by Lead Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF.
DYes DNo
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNliSTED ACTIONS IN 6 NYCRR, PART 617.6? If No. a negative
declaration may be superseded by another involved agency.
DYes DNo
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, illegible)
Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal,
potential for erosion, drainage or flooding problems? Explain briefly:
I I
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly:
I I
C3. Vegetation or fauna. fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
I I
C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly:
L
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
I Hn_ ^^^^-^^^
C6. Long term, short term, cumulative, or other effects not identified in C1-G5? Explain briefly:
I I
C7. Other impacts (including changes in use of either Quantity or type of energy? Explain briefly:
I I
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABliSHMENT OF A CRITICAL
ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly: I
DYes 0 No I
E. IS THERE, OR IS THERE liKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? II yes explain I
DYes DNo I
PART III- DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each
effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e)
geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain
sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked
yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA
Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL
EAF and/or prepare a positive declaration.
Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed aello
Will NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi
determination.
Name of Lead Agency
Date
Pnnt or Type Name of Responsible Offlcer In Lead Agency
Title of Responsible Officer
Signature of Responsible Officer in Lead Agency
Signature of Preparer (If different from responsible officer)
... Board of Trustees ApPli~ion
County of Suffolk
State of New York
Gary Flanner Olsen 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 G TED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE S ES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO M PRO ERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH RE OF S APPLICATION.
SWORN TO BEFORE ME THIS 24
DAY OF October
2006
'-
~~~~~~I
otary Pub Ie
LORRAINE KLOPFER
Notary Public, State of New Yort
No. 4828373
Qualified in Suff~lk County'
Commission Expires Nov. 30. ";2001
.
.
APPLICANT/AGENT/REPRESENTATlVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics nrohibits conflicts ofinterest on the Dart arroW" officers and emolovees. The DUrDOse of
this fonn is to nrovide information which can alert the town of DOssibJe conflicts of interest and allow it to take whatever action is
necessarv to avoid same.
YOURN~E: Estate of Robert W. Gilbert by Gary Flanner Olsen, Esq.
(Last name, first name, J1liddle initial, unless ynu are applying in the name of
someone else or other entity, such as a company. Ifsa, 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
x
Do you personally (or through your company, spouse, sibling, parent, Of child) have a relationship with any officer or employee
of the Town of South old? "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
x
If you answered "YES". complete the balance of this fonn 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, (lr child is (check all that apply):
~) the owner of greater than 5% of the shares of the corporate stock of the appliCant
(when the applicant is a corporation);
_B) the legal or beneficial 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
Submitted this
Signature
PrintNam
er 2002-
Es .
Fonn TS I
.
.
OLSEN & OLSEN, L.L.P.
ATTORNEYS AT LAW
GARY FLANNER OLSEN
ATTORNEY AT LAW
DAVID WORTHINGTON OLSEN
ATTORNEY AT LAW
32495 MAIN ROAD . P.O. BOX 706 . CUTCHOGUE, NEW YORK 11935-0706
PHONE 631-734-7666 . FAX 631-734-7712 . olsenlaw@optonline.net
Cui 2 5 ~_,~~J
October 24, 2006
Re: Estate of Robert W. Gilbert
Administrative Permit
1000-81-3-20
Our File #8775
To Whom It May Concern:
Enclosed herewith please find an original and one copy of an application for an
Administrative Permit for a small addition which was built approximately 1972-73 along
with my attorney's check in the sum of $50.00. I may be ab 0 btain an Arial
photograph from Aerographics taken in 1976. Please adv' e if yo will require same.
GFO:lmk
Southold Town Trustees
Hand Delivered