HomeMy WebLinkAboutTR-6513A James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southald, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0395C
Date~
THIS CERTIFIES that the selective clearing of the vegetation landward of the conservation
easement
At 140 The Esplanade, Southold
Suffolk County Tax Map #88-6-13.47
Conforms to the application for a Trustees Permit heretofore ~ed in this office
Dated 1/2/07 pursuant to which Trustees Wetland Permit #6513A Dated 1/24/07 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 selective clearing of the vegetation landward of the conservation easement.
The eertfficate is issued to EDWIN RADOVICH owner of the
aforesaid property.
Authorized Signature
Jmnes F. King, Prcsidcnt
Jill M Doheriy, Vice-President
Pcggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town HaLl, 53095 Main Rd.
P.O. Box I 179
Southold, NY 11971
Telephone (63 I) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DATE OF INSPECTION:
\ / Ch. 275
Ch. 111
INSPECTION SCHEDULE
Pre-construction, hay bale line/silt boom/silt curtain
1 st day of construction
½ constructed
V/Project complete, compliance inspection.
INSPECTED BY:
COMMENTS:
CERTIFICATE OF COMPLIANCE:
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghos±o, Jr.
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, haybaleJine ~*lf~lct ' ~',~'.,~~
1st day of construction
½ constructed
v/ Project complete, compliance inspection.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob GhosJ_o, Jr.
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 FOP, A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO
SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE
PERMIT.
INSPECTION SCHI:!DULE
v///Pre-construction, hay bale line
st
1 dayof construction
¼ constructed
Project complete, compliance inspection.
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) 765q6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 6513A
Date of Receipt of Application: January 2, 2007
Applicant: Edwin Radovich
SCTM#: 88.-6-13.47
Project Location: 140 The Esplanade, Southold
Date of Resolution/Issuance: January 24, 2007
Date of Expiration: January 24, 2009
Reviewed by: Board of Trustees
Project Description: Perform selective vegetation clearing, landward of staked hay
bales. Hay bales must be placed at the conservation easement line 85' landward of the
wetlands, during construction, and left in place after construction; There is to be no
disturbance of the vegetation seaward of the hay bales; and all as depicted on the plan
surveyed by John Metzger revised September 11, 2006 and the project plan prepared by
Edwin Radovich dated September 21, 2006, and approved by the Board of Trustees
2/2/07.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth by the Board of Trustees.
Special Conditions: Hay bales during construction. Hay bales to be left in
place after construction; Final inspection.
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.
James F. King, President
Board of Trustees
J F K/h kc
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
Januaw 25,2007
BOARD OF TOWN TRUSTEES
TOWN OFSOUTHOLD
Mr. Edwin Radovich
221 Beebe Road
Mineola, New York 11501
RE:
EDWIN RADOVICH
1400 THE ESPLANADE, SOUTHOLD
SCTM# 88-6-'13.47
Dear Mr. Radovich:
The Southold Town Board of Trustees reviewed the survey prepared by John Metzger revised
September 11, 2006 and determined the proposed construction to be out of the Wetland
jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 Coastal Erosion
Hazard Areas in the Town Code.
Therefore, in accordance with the current Tidal Wetlands Code (Chapter 275) and the Coastal
Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no
construction, sedimentation, or disturbance of any kind may take place seaward of the tidal
wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated
above, without a permit. It is your responsibility to ensure that all necessary precautions are
taken to prevent any sedimentation or other alteration or disturbance to the ground surface or
vegetation within Freshwater Wetlands, Tidal Wetlands jurisdiction, and Coastal Erosion Hazard
Area, which may result from your project. Such precautions may include maintaining adequate
work area between the freshwater wetland boundary, tidal wetland jurisdictional boundary and
the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay
bale berm.
However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion Hazard
Area would require permits from this office.
This determination is not a determination from any other agency.
Sincerely,
James F. g,~Presiden~'t' ~
Board of Trustees
JFK: hkc
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
TO:
BOARD OF TOWN TRUSTEES
TOWNOFSOUTHOLD
Please be advised that your application dated
reviewed by this Board at the regular meeting of
following action was taken:
(L'/) Application Approved (see below)
)Application Denied (see below)
(__.)Application Tabled (see below)
has been
and the
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. Kinq, President
Board of Trustees
James F. Kiag, President
Jill M. Dohe~ty, Vice-President
Pegs'-~. Dlckerson
Dave Bergen
Bob Ghosio, Jr.
Tov~ Hail
$2095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (621) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Southold Town Board of Trustees
Field Inspection/Work session Report
Date/Time: i '~o(~ ¢i ~,g~'~ 14{ql0~
EDI/VIN & ROB RADOVICI'I request a letter of Non-3urisdiction to construct a
sin[lie-family dwellin§ and an Administrative Permit to perform selective
vegetation clearing. Located: '1400 The [Esplanade, Southold. SCTM#88-6-
13.47
~,~qe of area to be impacted:
Saltwater Wetland Freshwater Wetland Sound Front Bay Front
Distance of proposed work to edge of above: i~)~)t ¢,-n ~ ge.
P~tP~c of Town Code proposed work falls under:
hapt.275 Chapt. 111 other
Type of Application: Wetland __Coastal Erosion __Amendment ~/Administrative
__Emergency Pre-Submission '~'. /,I T ~
Info needed:
~o~i~e~fio~:
Conditions:
\[, ~9 resent Were:' ing oherty __P.Dickerson . Bergen__ B. Ghosio, Jr
~\' V/ H. Cusac~- D. Dzenkowski Mark Terry~other
Mailed/Faxed to: Date:
Environmental TecInfician
Review
088
?
/
~Z ~L ~- WEfLANOS ~L
~L
C~OSS SEC[ION- SEPTIC
SYSTEM
LOT 41
TEST HOLE
~E~O~ ~o~
LOT 44 ~
(VACAN0
Lot 35 (VACANt)
I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct.
The location of wells and cesspools shown hereon ore
from field observations and or from data obtalhed from others.
ANY AL TERA [ION OR ADDITION TO THIS SURVEY IS A ViOLATION
OF SECtiON 7209 OF THE NEW YORK STATE EDUCAtiON LAW.
EXCEPT AS PER SEC[IQN 7209-SUBDIVISION 2 ALL CERTIFICATIONS
HEREON ARE VALID FOR ~HIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR DYE IMPRESSED SEAL OF THE SURVEYOR
WHOSE S/CNA TURE APPEARS HEREON.
Lop
LOT NUMBERS REFER TO "MAP OF ANGEL
FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE
FILE NO. 9729.
ELEVA HONS REFERENCED TO N.G. KD.
b
AREA=40,048 SO. FT.
SURVEY OF PROPERTY
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, Ar. K
1000-88-06-13.47
SCALE: i'=40'
APRIL II, 2006
JUNE 30, 2006
CERTIFIED TO,
ROBERT RADO WCH
EDWIN RADOVICH
STEWART TITLE INSURANCE
COMPANY
lC. NO. 49518
P.O. s~,~
1250
sour, o~o, N.~ 1197~ uo-l~w
SURVEY OF PROPERTY
A T SOUTHOLD
~ ~ × TOWN OF SOUTHOLD
× ~ ~ x .. SUFFOLK COUNTY, N. Y
~L
~ I ~ WE~ANOS× ~ .' 1000-88-06--13.47
~ ~ ' SCALE:
c o.~ s ~v ~ ,~
_CROSS SECTION- SEPTIC ~ ~ ~-~m ~ ,~ ~ _ ~j / ~
TESTHOLE N ; ;' ~& X ~, I / ~v c, I
~/l/os . ~l I~ ~ ' nr°,' DJ i ~./ ~ ~ 'x ~ ~ ~. / ~.- ,~
[----I~.~co~eses~s~ ~Ul 4~ ~ ~ ~ ~' ~ ~ ~ ~ ~' ,V ~ u ....
' ' / ~ ~ _ xx ~ '~o ~ / 9~- CERTIFIED TO,
.... / ~~ ~ I o 'o / ,q~ ~o--- ,
AND CON TR ~,~ *~mm~VAL LO ' ~. ' aUXIN RADOVICH
_ S UfT/ON OF SUBSURFACE SEWAGE T 41 .,..'_ ~_ / ( - ~f~WART F/TL~ ,.c,,~
. ~vAOANT) COMPANy
ond wW/ obide by the condiUons set forth therezb ond on the
permit to construct.
The /ocoUon of we/Is ond cesspoo/s shown hereon ore ,
from fie/d observot/ons ond or from doto obto~bed from others '
HEREON ARE VALID FOR mis ~p ANO COP/E~ THER IOArlONS F/LED IN THE SUFFOLK COUNTY CLERK'~'D~/~c ~ / ' [ ~FCC p .
WHOSE S,ONArURE A~PEA~S HEREON?~ OC~L OF rile SORVEWOS EL-~ --' ~ b~'~U/Af (Sm) 765-'~797
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
John Holzapfcl
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 Application
__Wetland Permit Application ,.~'~'AdmJnistrative Permit
AmendmenffFr an~fer/Extension
~,'~Rece~ved Application:
-"q~eceived Fee:$ ~ _?iX~(
,---- Completed Application (/02/09
__Incomplete
__SEQRA Classification:
Type I Type II Unlisted
__Coordination:(date sent)
__LWlLP Consistency Assessment Form
~AC Referral Sent:/} ]&
~ate of Inspection:
__Receipt of CAC Report:
__Lead Agency Determination:__
Technical Review:
~ublic Hearing Held: /
Resolution: t
Name of Applicant ~c"Dx.di ~ ~.,a/) ~ v~/GO
Address 0
Phone Numbcr:(~'tg.,) 7/-/
Suffolk Coumy Tax Map Number: 1000 -
Prope~y Location:
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
ard of Trustees Applicat0
GENERAL DATA
Land Area (in square feet):
Area Zoning: iq
Previoususe of property: ~'-rr~/o~/~ ~'~
Intended use of property:. ,~-s'/°/C~'7~''O /
Prior permits/approvals for site improvements:
Agency Date
__ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspend~'a governmental
5/' No Yes
If yes, provide explanation:
agency?
Project Description (use attachments if necessary):.
of Trustees Apg
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Area of wetlands on lot: O 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: /0~ feet
Does the project involve excavation or filling?
No "~ Yes
If yes, how much material will be excavated? 32 O cubic yards
How much material will be filled? '<~ CP cubic yards
Depth of which material will be removed or deposited:
Proposed slope throughout the area of operations: ! 0'~>
Manner in which material will be removed or deposited:
feet
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):
PROJECT ID NUMBER
PART 1 - PROJECT INFORMATION
1. APPLICANT / SPONSOR
3.PROJECT LOCATION:
Municipality ,..~ ~) ~-¢'tLA ~g'~/u
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
County f~
SEQR
PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map
5 IS PROPOSED ACTION: ~ New [] Expansion [] Modification / alteration
6. DESCRIBE PROJECT BRIEFLY:
7 AMOUNT OF LAND AFFECTED:
Initially ~ acres Ultimately ~ acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
] Yos
[]No If no, describe briefly:
9. WHAT IS PRESENT LAND USE iN VICINITY OF PROJECT? (Choose as many as apply.)
~Residential r-~lndustrial F'lCommercial [--']Agriculture ~] Park / Forest / Open Space
r--~ other (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local)
~Yes []No If yes, list agency name and permit/approval: ~ET~-/~/_~ ~,./~ /5/~'~3V'~-~/ ~)~ ~'
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes I---'~No If yes, list agency name and permit / approvak
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE iS TRUE TO THE BEST OF MY KNOWLEDGE
V
If the 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 617.47 If yes, coordinate the review process and use the FULL EAF.
B. WiLLACTiONRECEIVECOORDINATED REVIEWAS PROVIDED FOR UNLISTED ACTIONS lN 6 NYCRR, PART617.67 IfNo, anegative
declaration may be superseded by another involved agency,
E~Yes E~]No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible)
C1 Existing air quality, surface or groundwater quality or quantity, noise levels, exisfing traffic pa[tern, solid waste production or disposal,
potantia[ for erosion, drainage or flooding problems? Explain briefly:
C2. Aesthetic, agdcultural, arctia__~ological, h?t~ric, or other n~tural or cultural resources; or community or neighborhoo_0 character'? Explain briefly:
C3 Vegetat,on or fauna, fish she gsh or w~ldl,fe spec,es s,gn,ficant tiab tas or threatened or e_n~angemd species? Exp a,n hrefiy
c4. A communiys oxisflng plans or goals as officially adopted, or a change in uso or intensdy of use of land or other natural resources? Explain Briefly:
C5. GreY, h. sutisequent development, or related activifies likely to be induced by the proposed action? Explain briefiy:
Cfi. Long term, short term, cumulative, or other effects not identified in Of-C57 Explain briefly:
C7. Other impacts (induding chart[les in use of either_~u~n!!~ or t~pe of crier§y? Exp!~!n bdefly:
D. WiLL THE PROJECT HAVE AN iMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTALAREA CEA ? If es ex lain bdefl '
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVI~.ONMENTAL IMPACTS? If },es explain:
E3N°II
=ART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For eachadverae effect identified above, determinewhetheritissubstantial, large, important or otherwisesignificant. 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 impacLs 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 F U LI
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 propose~ actiol
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
Title of Responsible Officer
Signature of Preparer (If different from responsible officer)
Pdnt or Type Name of Responsible Officer in Lead Agency
Signature of Responsible Officer in Lead Agency
Board of Trustees Application
County of Suffolk
State of New York
~Dv,,//;.I t~ ,4 .~ C> ~'/C;/-" BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HERE1N ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH 1N TInS 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 TI{E TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
Sign~ure
SWORN TO BEFORE ME THIS
ab &r- ,20.
DAY OF
Notary Public
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics omhibits conflicts &interest on the hart of town officem and emolovees. The nur~ose of
this form is to l~rovide information which can alert the town ofnossible conflicts of interest and allow it to take whatever action is
pec~ssar~ to avoid same.
YOUR NAME: Z ~1 ~ ~ ~ l ~-~/¥- ~--~.l~ ~/! d~
(Last name, first name, middle initial, unless you are applying in the name of
someone else or other entity, such as a company, lfso, indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee ¢/,r
Change &Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"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. "Business interest" means a business,
including a partnership, in which the town officer or employee has even a partial ownel~hip of(or employment by) a corporation
in which the town officer or employee owns more than 5% of~.~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 ~hild is (check all that apply):
__A) 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 owner 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
Form TS 1
Submitted this
Signature
Print Name
221 Beebe Rd.
Mineola, NY 11501
September 26, 2006
Board of Town Trustees
Town Hall
53095 Route 25
Southold, NY 11971-0959
RE: PERMIT DEFERENCE
Dear Sir or Madam;
Hereby we request permit deference for construction of a one family dwelling on Lot #45
located at 1400 The Esplanade (Lilco Pole #10) Southold, NY.
The dwelling will be located on the property approximately 109' ficom the wetlands.
Enclosed is one copy of the Property survey showing the proposed structure; also
enclosed is a check for $50.00 for inspection fees.
Sincerely Yours,
Edwin Radovich, Owner
Rob Radovich, Owner
GENERALNOTES
STRUCTURES
lm~io~zSudaees:
Dwelling~wit~ attached garage""---24~2 sq fi
D~cI: 390 sq ~
Drivmvg~r (paved) IS~0 aq ft
Tntal~, 4402 sq ft
% adjacent area of lot coverage 11%
ROOF RUNOFFS:
Roof runoffs to be directed to
Two dry welb
2" of rainfall x 2462sq fl of roof area= 410 eu fl of water
DO, wells ~ 8' g x d' dry well holds 200 eu fl
V
VEGETATION CLEARING:
Selective xn~g~afion _.~_ J'ing v~ithin ~e d~ ~ on~.
~e ~mfion d~ not ~ ~ 52% of lot ~.
~CAVA~ON ~
· x~on , 320~ yd
:~ ~e e~fiU~ ~e a~ IS~ ~m dwe~g ~t
APPROVED B"
BOARD OF
Town Or SOU'mOLt,
0
~V
, .h,,
' /~ ] '~VEG ETATIO N
CLEARANCE
0
L: . ~ .... ~'~ _.~ ~ ~.0 ---~ ~ ,,;
~ IO,e~ ]/o,~ tod' L~ r[ ,, , ~
...... % ~, ~ t ~. ~~-~
C~O~ S~c~IO~ ~-~ / ~,.. ~ . . ~~,,
:8C~ 1~0~-13.44
S I 'T E
g CALVE ~1'~='20'
PI~OPOSEDRE$1DENcE O~
EDWIN AND ROBERT RADOVICH
STC# 1000-88-6-13.47
DATED: September 21, 2006
Prepaid By: Edwin Radovich
".-x... %'%.
./ '%...,
pRO PO.S~D
DRIvEW4 )
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