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Home My WebLink AboutTR-6572 . . 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 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 1 st day of construction Y, constructed 1 Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee Cheryl Hansen, residing at 305 South Winsor Dr.. Arlington Heights, IL, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I, That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2, That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained, 4, That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5, That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. . . 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 OF TOWN TRUSTEES TOWN OF SOUTHOLD April 18, 2007 Ms. Cheryl Hansen 305 South Windsor Dr. Arlington Heights, IL 60004 RE: 445 ELIZABETH LANE, SOUTHOLD SCTM#78-5-3 Dear Ms. Hansen: The Board of Town Trustees took the following action during its regular meeting held on Wed., April 18, 2007 regarding the above matter: WHEREAS, CHERYL HANSEN applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated February 27,2007, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 18, 2007, 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, 2 . . WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, 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 CHERYL HANSEN to rebuild the existing sunroom with a 5' setback and overhang, with the condition gutters leading to drywells are installed landward of the house, a line of staked hay bales is in place during construction, and as depicted on the survey prepared by John T. Metzger last dated September 18, 2006 and plan received on February 27, 2007. 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: $50.00 Very truly yours, ~07~ Jamet:~ing - ;/ President, Board of Trustees JFKJlms . . 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 OF TOWN TRUSTEES TOWN OF SOUTHOLD To:-.Ch P n ff Ht1 (l.JU).h Please be advised that your application dated r!J-M,/'" 7 reviewed by this Board at the regular meeting of '11/9"/0) following action was taken: has been and the (/ ) Application Approved (see below) L-) Application Denied (see below) L-) 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 South old 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: '1 naJ (~ct.l.Jtn f4- - ~ S- 0, DO TOTAL FEES DUE: $ S2?,a) BY: James F. King, President Board of Trustees - . Telepbone (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 Wed., April 11,2007, the following recommendation was made: CHERYL HANSEN to rebuild the existing sunroom. Located: 445 Elizabeth Lane, Southold. SCTM#78-5-3 This application was inspected by Jack McGreevy and James Eckert and both members Support the application with the recommendation gutters and drywells are installed to contain the roof run-off. . 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 OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field InspectionIWork session Report DatelTime: Li - \ \ - 0 1 CHERYL HANSEN requests a Wetland Permit torebuild the existing sunroom. Located: 445 Elizabeth Lane, Southold. SCTM#78-5-3 Type of area to be impacted: ./. Saltwater Wetland Freshwater Wetland _Sound _Bay Distance of proposed work to edge of above:_L(o /+ ~<A \ Ie. h ...J Part of Town Code proposed work falls under: _Chapt.275 _Chapt. Ill_other Type of Application: '/-W etland _Coastal Erosion _Amendment _Administrative _Emergency _Pre-Submission _Violation Info needed: Modifications: . Conditions: '. Present Were: _lK.ing _I.Doherty _P.Dickerson ~Bergen_ B. Gho~io, Ir _H. Cusack_ D. 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J" , 1,-' ~ r..---- ~ . . '"5 '; 1, . ~~ o o ~ o o i L1 g~ 8' ~ ~, tr: ~. ~ ~. o ~: ~~ ~~ ! , ~! ir i!l II ii 11 n !. H II i IE I .1, ,;)' Il( ,I if; ~a , l ,i .. II ..11 " 1 'w, d :1 II MAIN' EW RD. BAYVI . I I , , N/O/F ROBERT SPITZENBERG AND IRENE SPITZENBERG J~ ~ , O.L. Eflf I "'( LJ. .....,~ o' 0 Q 0 ...!0tri ;:J:: Q Cl.l C\J f...: It; Z"l Lu~ * o::J ~ <: ~a:~ N~~ ..... .... 1u:J ~ - ~ .. .~ ~~ ... ... ~ S. 43'2/'10' E. ft"- OR WIRES GRA VEL & STONE DR/VEWA Y o 0 43'2/,10' W. o SPLIT I RAIL F<Na: .... r5 ct , ~ ; A = 5rAI'-E AREA = 24,677 sq. ft. to deed lines . 4~ ANY AL TERA TlDN OR ADDITION TO THIS SURVEY IS A VIOLA TlON OF SECTION 7209 OF THE NEW YORK STATE EDUCA TlON LA W, EXCEPT AS PER SECTION 7209-SUfJDIVISION 2. ALL CERTIFICA TlONS . HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF . SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNA TURE APPEARS HEREON, ADDITIONALL Y TO COMPL Y WITH SAID LA W THE TERM 'AL TERED fJY' MUST fJE USED fJY ANY AND ALL SURVEYORS UTILIZING A COpy OF ANOTHER SURVEYOR'S MAP. . TERMS SUCH AS 'INSPECTED' AND 'fJROUGHT-TO-DATC" ARE NOT IN COMPLIANCE WITH THE LAW. 120.00' ~ ~ ti) 'l> .~ o r- 'l>z ..... (/) 0 ~" () );. r- ~ ~ (/) ~ ~ -\ , 236.37': 0.7'5 ~ '1 0\ ~ t. ~\\ ~~ . --- FOidJ""-." . c# .~ . . ~~. ~ I..,~ . :::: ~ pK. 5tf 0 ~,oJl.lJl.i<>tO' ..~ in q '.>\ 5~ c SURVEY OF PROPERTY AT BA YVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY,; N Y 7000 - 78 - 05 - o~ SCALE 7" = 30' SEPT. 77, 7998 ,Sf PT, 15 200::; (;'''01-. (;... t".. G ~ ) ,1'-"3 3/, '2.';06 (j f.J<..~ '1",-,-) SEPT. !8, 2006 Itoundalian} ~ MAR L 3 2007 PECON/C . EY (516) 765 5020 p, O. BOX 909 1230 TRA VELER SOUTHOLD, N. y, STREET 1/97/ (it .(lit. \" OFFICE WCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAIUNG ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD To: Jim King, President Town of Southold Board of Trustees / From: Mark Terry, Principal Planner ~ "" L WRP Coordinator APR 1 2 2007 Date: April] 0, 2007 Re: Request for Wetland Permit for CHERYL HANSEN SCTM#78-5-3 CHERYL HANSEN requests a Wetland Permit to rebuild the existing sunroom. Located: 445 Elizabeth Lane, Southold. SCTM#78-5-3 The inlkind replacement of an existing sunroom is an exempt Minor Action and not subject to LWRP review pursuant to Chapter 268-3; Items A and B of the Town of South old Town Code which states: "Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit". The proposed action has been reviewed to Chapter 268, 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 LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review. \>..-----_--4 " . ," 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 SOUTH OLD Coastal Erosion Permit Application 7' Wetland Permit Application _ Administrative Permit AmendmentITransferlExtension L::ReceivedApplication: 1 /:Blo/ (Com.p~ --1<eceived Fee:$ ~ ' ~ompleted Application~~1 J,3/~1 _Incomplete _SEQRA Classification: Type I_Type II_Unlisted _Coordination:(date sent) 3f~ ~ Consistency Asse sment Form rl::AC Referral Sent: -3 JII U] ----Y<'te ofInspection: II _Receipt of CAC Report: _Lead Agency Determination:_ Technical Review: .rublic Hearing Held: '-If I lIlY] Resolution: (wa- C tl-Et'<, 1 L J-I4NS5/V fll2.. II/ G, 4 rGLIIJG-OON t-I ~) TL Phone Number:(54()S11'?'~d.g - J?'17-tfcl. / -~-S-8 ( Name of Applicant Address ~ '110 5 '?I /).) / It) A ,C0/? /0 D00 ~ Office Use Only FE B 2 7 2007 '> Suffolk County Tax Map Number: 1000 - '7 '8 .- .5 - :3 Property Location: L/4_" EL/zllt3t:TI-f llf/(/F' OFf OF fI1lJ-/N p)~~iJ /En>> (provide LILCO Pole #, distance to c oss streets, and locatIOn) AGENT: (If applicable) ~~~ .31a.1~1 Address: Phone: 'lard of Trustees Appl.i.cati.' Land Area (in square feet): GENERAL DATA dlk( (g 11 , .;2Gs / {)~/I/f I:lJ-C , SU!iJ I1&vJ S'/JlIF RIMrY\ Area Zoning: Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date _ 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: S I} me, or- ,eb~PJ/}/J:. Lv8 {;jDU-Lr/J I w II/-/- ~ / S liT fJlJ-(J. k SIze Ct/PX/b) PHorO~ #-IUf) S Zq-C!/! f1hst7iir SUfl/~ . 0/ KG' Project Description (use attachments if necessary): 8/// flTiI7Cl-fslJ ~oard of Trustees APPlica4lln WETLAND/TRUSTEE LANDS APPLICATION DATA 'T1+-I1-T /(/Yt1JUILb fJ &1 trl!!-) tJ 12-?f--1 LTlJ Pwpose of the proposed operations: -to ~<f r/2A)Q- TU I!--/'s JfftS Area of wetlands on lot: A!(!J{I//? square feet Percent coverage onol: IV It % Closest distance between nearest existing structure and upland edge of wetlands: IV /I feet Closest distance between nearest proposed structure and upland edge of wetlands: /lJ If feet Does the project involve excavation or filling? No 1../ Yes If yes, how much material will be excavated?np,px ~ cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited:,:l. 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): . . ~ NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTH OLD In the matter of applicant: (} /Ie ru; L ;j Illl/ .SIr /IJ YOU ARE HEREBY GIVEN NOTICE: SCTM# 15"-.5'-3 I. That it is the intention ofthe undersigned to request a Permit from the Board of Trustees to:f(/:-A.JIL-{) 11.o')(./a,' SVN!4JO/Yl + 6-' OVb712..-dftN6- l/-Nt> 'STG/J iN P/U)/1JT c'F H<JUS::G (III! S clJrll 50)!;;' 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: S'/IJ)6-L 17 Ff}-fYJ/L lj IJWGt-LIN&S WITf! t)Vt:-~ !300 Fee-I uF BULkIf17J1f) 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: C 1+8%f1- [ J-kI/JSlFfi) MAILING ADDRESS: 2.05" .5, Lv 1M [)lcJ.e.. DILl liE /ffl_/..J/V6-tfJN _b-/(J.-II-M. .I _ toOeJd c.f PHONE #: 'X<17 - S'l'? - ~.s d?? > -R 4 7 - 4"} / - ,') 5 1? I (el?u) Ene: Copy of sketch or plan showing proposal for your convenience. . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 20_, deponent mailed a true copy ofthe Notice 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 South old; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this Day of , 20 Notary Public PROJECT ID NUMBER . I . PART 1 . PROJECT INFORMATION 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 2. PROJECT NAME Municipality ~ I 0 L 6, County 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks ete - or provide map 445 1::&/ z.141C86-f}f [,I'fN tT oS (J uT7-fO L I) N g-W 19 ~f-/., 5. IS PROPOSED ACTION: D New o Expansion 0MOdification I alteration 6. DESCRIBE PROJECT BRIEFLY: (f /1 ,...... .~ cJ r- Ift,xlfo f?<:JOfJ1 +-.:> OVE'/!..-IIIflf/6- -;- srl7f' IN rte..iJ'v, r- ()N S(jUTH S I/J e- (0 P/LortJ~/ $Llf)/NG- G-L#-SS /:J 19 () R.S t= ~fJ1 W //11 b ~JI) 0 ~I/-IiV lfouS:zr &/l./TiU( 7. AMOUNT OF LANO AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~ D No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY ~eSidential D Industrial Dcommercia' OF PROJECT? (Choose as many as apply.) DAgriculture D Park I Forest I Open Space D Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR UL TIMATEL Y FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) 0Yes 0NO If yes, list agency name and permit I approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes ~o If yes, list agency name and pennit I approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? []ves D No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant I Sponsor Name C fIe/VI.'-- ;-I-IIAI Sl?tII Date: Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . PROOF OF MAILING OF l'iOTICE ATTACH CERTIFIED MAIL Q.ECEIPTS Address: () ," ,) . () I! p,.d-Ibsf 7;J?- ~~ 31.N ~,0/- /~~ ~/'17: 11../3 ~ Nd.{ IY "1t:~ IUI.f ',~~ , Ira ~~ ~ ~'!e; ",7/ PC) ~~ ~ 'J, CU' 4,* ~ (p (JOo'! 30SS", IP~ . 7 -> /197( STATE OF NEW YORK COUNTY OF SUFFOLK ~::e~ If:t.1.b-z:j ,residingat36,) J', WIIv,)~dl2.. ~If. ~,~ _ (0 _01') LI , being duly sworn, deposes and says that on the ;u day of,4-tc/2-1L , 20rn , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each ofthe 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 ofthe Town of Southold; that said Notices were mailed at the United States Post Office at .JlltI6~6-TQ/U I/d-TS. , that said Notices were mailed to each of said persons by (certified) (registered) mail. f!1f YL---- Sworn to before me this a Dayof~, ,20& OFFICIAL SEAL JULIE B BABULA NOTARY PUBLIC - STATE OF ILLINOIS MY COMMISSION EXPIRES:08121107 ~"1 . ,T'" April 10, 2007 . I, Cheryl Hansen, have requested that Rob Spitzenberg act as my agent to post the Notice of Hearing at my home at 445 Elizabeth Lane. /c!!kf~/ FFICIAt SEAL JULIE B BABULA NOTARY PU8L1C. STATE OF ILLINOIS MY COMMISSION EXPIRES:0B121,07 r'~ . . 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 OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of Ctvnlll 16f1^"" --------~--~-~-----_:~~---------------------------- COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, , residing at being duly sworn, depose and say: That on the day of , 200 ,I 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 of the public hearing. Date of hearing noted thereon to be held Ub:I. t1.fUL/ l!j tfl(,)iJ1 ~ tl ' On. &Y! 06/)..1. t OJ/3{J m; Dated: (signature) Sworn to before me this day of 200 Notary Public tltrd of Trustees ApPlicatio~ County of Suffolk State of New York . ' / I " e- BEING DULY SWORN THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMlT( AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HlS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THlS 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 PERMlT(S), IF GRANTED. IN COMPLETING THlS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTA TIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THlS APPLICATION. p~,~ I Signature SWORN TO BEFORE ME THlS 10 DAY OF !fPJt/L ,20()~ OFFICIAL SEAL JULIE B BABULA NOTARY PUBLIC. STATE OF ILLINOIS MY COMMISSION EXPIRES:08l21107 - . ~. Cheryl Hansen 305 S. Windsor Drive Arlington Heights, IL 60004 847-577-3528 847-421-5581 (Cell) April 10, 2007 Board of Town Trustees Town of Southold P. O. Box 1179 Southold, New York 11971 ,...------,--~::--: APR 1 6 2007 To Whom It May Concern: Enclosed please find my Proof of Mailing notice with the receipts. I have also enclosed a note that I had notarized requesting Rob Spitzenberg to act as my agent to post the Notice of Hearing. At the last minute, I was unable to do it myself. There is no receipt of mailing for MlIIjorie Smith. Mrs. Smith has passed away and all her mail is forwarded to me. If you have any questions please call me. Thank you in advance. {jJ::L y/~ / Chery? Hansen . . Board of Trustees Application County of Suffolk State of New York CJlYo/I! 4AJltTII/ . BEING DULY SWORN DEPOSES AND FIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF IDS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TillS 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 REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF TillS APPLICATION. fjk~~ / ~Signature SWORN TO BEFORE ME TillS / r; DAYOF hbrUAiUf ,20n OFFICIAL SEAL JULIE B BABULA NOTARY PUBLIC. 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Cheryl H. .5772978 p.1 April 13, 200 TO: Board of Town Trustees Town of Southold 631-765-6641 (fax) FROM: Cheryl Hansen 847-577-3528 847-577-2978 (fax) RE: Proof of Mailing I may have neglected to add the attached Proof of Mailing receipts in my envelope I sent you yesterday. It was sent Express Mail so YOIl should be receiving the envelope by 3:00 this afternoon. Thaokyou. tt tt Cheryl Hansen 305 S. Windsor Drive Arlington Heights, lL 60004 847-577-3528 847-421-5581 (Cell) February 22, 2007 Board of Town Trustees Town of South old P. O. Box 1179 Southold, New York 11971 fEll 27 2001 To whom it may concern: Enclosed please fmd my application to rebuild my sunroom, the same size as it is no (16x 16), with a 5 foot setback. The setback is on the South side of the house with an overhang to protect the sliding glass doors and windows against the wind and the rain. If you have any questions plt!ase do not hesitate to call me. Thank you in advance for your consideration. Sincerely, f!:t~ Encs. '. . .. " APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM YOUR NAME: The Town of South old's Code of Ethics orohibits conflicts of interest on the Dart of toWn officers and emolovees. The ouroose of this Conn is to nrovide information which can alert the town ofoossib16 conflicts of interest and allow it to take whatever action is necessary to avoid same. ' AJSOU (Last name, first n e,.!piddle initial, lIpless yo"u are applying IIi 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 APPLlCA TION: (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, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business ihterest. "Business interest'! means a business, including a partnershfp, 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 form and date and sign where indicated. Name ofpers.on employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town o.flicer or employee. Either check the appropriate line A) through D) andlor describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, at child is (check aU "that apply): _A) the o.wner of greater than 5% of the shares of the corporate stock of the applic~nt (when the applicant is a corporation); _B) the legal or beneficial own~ 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 RELA T10NSHlP I2If/ZQ'J-! Submitted thi Signature Print Name S(?/V Form TS I 2001. / ~ ~, fI" 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 OF TOWN TRUSTEES TOWN OF SOUTHOLD February 27,2007 Ms. Cheryl Hansen 305 South Winsor Dr. Arlington Heights, IL 60004 Dear Ms. Hansen: We have received your application for a Wetland Permit, however the application is incomplete. In order to process the application and schedule you for a public hearing, please submit the following: Application Fee - $250.00 Three (3) copies of your survey. Completion of the enclosed forms. If you have any questions regarding the requested items, please don't hesitate to contact our office. Sincerely, . U{DJ-AUl ffi~ Lauren Standish, Secretarial Assistant Board of Trustees Ene. / - -, Town of Southold . . LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of South old Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. * Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail. listinl!: both sUJ}J}ortinl!: and non- sUJ}J}ortinl!: facts. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the L WRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION MAR 2 3 2007 SCTM# '1 ') . -f) -:3 I I R ECO IJ s-rw-r!---7 j b'# '-...;;"; ,'." PROJECT NAME ~ <: () AI bUfJlYI The Application has been submitted to (check appropriate response): Town Board D Planning Board D Building Dept. D Board of Trustees ff I. Category of Town of South old agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) D D (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: B' Nature and extent of action: WOo//) LIKE To j tJ IV f..eJo fVJ - S 6--,;1, 11 <! Id Pt2.RJ-r c <!!r ,0 -n::/lJ.-1L WJchll AJ IjAJ 0 12ff t3 tJlt-D L/ I 7'0 IqLUJI..{) ;'-:cM? Otk"IV/#//ilG- /)ac.1.1's 1/-tJ/} W {/1/J'yJI.(/S dit.J -s'rJcI7lf S/!jF . . . Location of action: 4'fS' GUU4t!Jf:TTH tJl-tVE' Site acreage: Present land use: . J!. &S , /)pJ1FT II9-L - ;./0 IJJ {;' Present zoning classification: i!. k,: , Il pN T 114 L_ 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: C ffl?tUj L flltiU~ I:r /1/ (b) Mailing address: . 'gO,> <.r. WIN b.s.oR. ~~W& IJ/U IrJG-H)J1j J-/~ T L {p GOb G / . / ' (c) Telephone number: Area Code ( )iJiI7-6'l'7-3Sa. '8 - ZtJ7- tlJ./ -6"5"3/ (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes D NoD If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of South old that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. [~JYes D No D Not Applicable YUNl1..eJrJ n1 0..-1 L L- ;3(; 7:/l) -rift' CHItIUH2r6'le OF T#b- ~J?1s-c;, X t;tT/'Ift}6- f/lJ rHp {.IJITII 14r<t8/F- Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria DYes D No ~ot Applicable W I'-L " ^', tfl</7'c')~ Ie - <S rJ (.)r!.fo L f) NfI-- R/vA IALe~:~~ LU/~ ~~:;:/nVV-:;ld/l1 ~F __ _ fl---,---Lc;G.,(' At. _ ~/r; _ '8 . . ...f Attach additional sheets if necessary Policy 3. Enbance visual quality and protect scenic resources tbrougbout tbe Town of Soutbold. See L WRP Section In - Policies Pages 6 tbrougb 7 for evaluation criteria D {)~ Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L WRP SectiOn III - Policies Pages 8 tbrougb 16 for evaluation criteria DYes D No ~ot Applicable ~IfG ,,' /J J_ l?'e- A/V LoS ~ cJt: '-'IF b kscJv !2.C'fC,<; . FILO fI1 F=Loc!(J {A1G- .4-N {j / ~Sd~ /?Ms I 0/11 A/-#TUt<U!L Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in tbe Town of Southold. See L WRP Section III - Policies Pages 16 through 21 for evaluation criteria DYes D No ~otAPplicable Do lVeJ T "=e-e'f-. PJo /IJ I::; /l--PPL itJMPL-F TO fJ"eo TPcr all)" If/1toR-Oi/G' o..JI4-n;?~ ai/I/-LITIj Attach additional sheets if necessary Policy 6. Protect and restore tbe quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See L WRP Section III - Policies; Pages 22 through 32 for evaluation criteria. D D ~ ~. Yes No N!PPlicable . ~D-LF.s IUO, .4--RE fJ I- 1+-C!..17 !J . Il-FF Fer' -rfll7' ceo sy Sf IE /11 r; - lfd.1dl6/IL~ IJ- IWu-tJA f20,uS:'1 R-Vr:!/I J ();() I 3 n I?" '" Attach additional sheets if necessary Policy 7, Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. DYes 0 No [;;1'Not Applicable f!.(57(J,rJ , /... j) I/J (..... /fIR..- I!f)V(}--L-1 T'f 1 H. E k!oeYf]uJOeJL-D A)c!)T 14?F/:;'GT .TH~ Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of South old from solid waste and hazardous substances and wastes. See L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes D No ~ot Applicable ~"~"<- ~. "'OUf;!~ ~ ~Nt ~dw#1 .uJ & ~ r-~ ~ _ ~k ~ g fMJ () 1> '11- J;;:-5;' . Co Ai ~T~./U t.ff/ gAJ PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. DYeD NoB'NotAPPlicable fl OE-I: ,Q~t' P ~ JA-7rf)w f'l.L fJ FS. rJlJe.c:.F',C MOr lis;:.", or; PIL6VtD!:? ~OIL PUt3/../~ Ae.C!E.:S;<;; r-o OF 0JikT4L WI4-rr>,jf" P,Jl3LilJ:' LfllIJt>/:. I " I 1116 ro.vN D1= S.c)cI"rHO&-/} ,4.u..J AIJI) ..pO& /(', Attach additional sheets if necessary ~O~NG COAST POlIES . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L WRP Section 111- Policies; Pages 47 through 56 for evaluation criteria. DYes D No G}NotApplicable iPeJelll\ (V)/lJ,T/!..,UC'-/lt)/V (fI.}6UL (\ /JA iJTI:c...TIIUr..- .<:' rJclTi-f 0 1.--1) (<; oJ 4--r ~e . /IJOr D,F /~VOL veil {J~Pf3ND<".ilIl us E?<;; (I..kr!/ Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes D No ~ot Applicable ~m (!.o/<lS.7/!.;Jc;-r/d)U WOOL.f) NOT (fJ1W!7I0//7 SUS(f9IAJ/lP,L.~ vsc- o~ Llr//tvr.. 1I1i4-te./i)(::: J:(;:c\r}[)~c.r.'5; IWII-J-~ )..,oAJG- T('c#/f/lJ'i{)U/lJO +f..e fJf'!'hNIC I:iSTu#1Uf ,{)IJD ,OcVN W,4--rt::~c, Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of South old. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. DYes D No ~ot Applicable ,AJO, IAJUI!)6v/'?P (}JJn+ ff-t&-tVCUL-,Vf2-.A-L LfJAJi'\ S Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. DYes D No ~ot Applicable /2.p')()"f/II b CJ c;-.s III eXI /J..F F o<!.:T fJ /UJ#7 (If/lUG.- t/O;f'1UJ I',et~"/ C. US t? JttIJ t> b &-r!(;r..-()j) hi (;1 -vT 0 F B1v&'7t 5.-I..f 4-N JJJ fA) liU- L ~Jg,)U /JP'<<:;' . PREPARED BY f?~ yj,fiAfhV TITLE . DATE.:6 -lcJ-01 ~ ~ , ~ ~';P; . , Cheryl Hansen 305 S. Windsor Drive Arlington Heights, IL 60004 847-577-3528 847-421-5581 (cell) s-c2o-(J1 Lauren Standish Secretarial Assistant Board of Trustees Town of South old P. O. Box 1179 Southold, New York 11971 Dear Ms. Standish: Enclosed please find the information that I did not include when I applied for a Wetland Permit. Application Fee $250.00 Three copies of my survey Completion of enclosed forms I'm sorry these were not included earlier. If you have any questions I can be reached at 847-421-5581. Thank you in advance. Sincerely, Ct~ MAR 2 3 :;007 " . -':~ '-