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Home My WebLink AboutTR-6770A 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 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0486C Date: November 4, 2009 THIS CERTIFIES that the re-construction of existing patio and installation of a portable hot tub At 3255 Bayshore Road, Greenport~ New York Suffolk County Tax Map # 53-6-8 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 9/24/07 pursuant to which Trustees Administrative Permit # 6770A Dated 10/17/07 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 the re-construction of existing patio and installation of a portable hot tub The certificate is issued to VINCENT BASILICE owner of the aforesaid property. Authorized Signature James F. King, President Jill M. Dohcrty, Vicc-Pr~ident Peggy ^. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765- [ 892 Fax (631) 765-6641 DATE OF INSPECTION: I/~ Ch. 275 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt bOom/silt curtain l~t day of construction ½ constructed 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 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 __ Ist day of construction ½ 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) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6770A Date of Receipt of Application: September 24, 2007 Applicant: Vincent Basilice SCTM#: 53-6-8 Project Location: 3255 Bayshore Rd., Greenport Date of Resolution/Issuance: October 17, 2007 Date of Expiration: October 17, 2009 Reviewed by: Trustee Bob Ghosio Project Description: To reconstruct the existing patio at ground level and install a portable hot tub. 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 prepared by Island Design received on November 9, 2007. Conditions: Run-off from house and hot-tub must be contained in drywells in accordance with Chapter 236 - Stormwater Management, of the Town Code. 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. t~Ang, 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 Please be advised that your application dated cl I~q ](5") has been reviewed by this Board at the regular meeting of and your application has been approved pending the completion of the following items checked off below. / Revised Plans for proposed pr~)~%'~ i68~ ~ Pre-Gonstruotion Hay Bale Line Inspeotion Fee ($60.00) __ 1st Day of Construction ($50.00) __ ½ Constructed ($50,00) v/' Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. 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 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 BOA_RI) OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Name of Applicant: V i f'V-IL~~ gr~3 ,'1,~ 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: P ,at, of To?m Code proposed work falls under: ~hapt.97 Chapt. 37 other Type of Application: Wetland __Coastal Erosion __Amendment __ inistrative __Em~gency Info needed: Modifications: Conditions: Present W~re: Other: __J.King __J.Doherty __P.Dickerson D. Bergen ~ob Ghosio, Jr. Maiied/Faxed to: Comments of Environmental Technician: Date: Park Avenue Diam! Boa~ 0f Trustees ~end~ Avenue is I;he mae~ vel'sallie and luxurious l'he~noRIlar,al~ion An ~aenden~ 40 ~M pump nlr, e~ ~he war, ee up I;o 144 I;Imee per~ 24/7' peovtc~qng cr~ ~ ~lna ~3c~ ~ln~~~ c~n ~ ~m alp I~ a~ ~ a~ll~ ~ ~ ~J~ on ~ ~ )esig erSedes '' e Total # of Pum~ 6 LEO ~,;;.,~ Package Types (Watef--FIItraUon-Air) 4-1-1 CY~g~e o~ Cover Ufm Total # c~ Jets 118 S~/Hand ~all ~0es (wa~-~r) ,oe45 s,:e~ & storage un~ HeaUng ~pac~y (B'rU~) ~8,zoo ~ndom ~oa ~ F-Sect~ ~ 220V ~ Ozonator Undenmmr Ug~eng STD Omagner Co~ Ac~c Th~,r.m,,,~_ Inc.. · !~6 ~: .~I:f,iH~ · WofflnoPord. CT 06492 · wwwJ:hermom0os.com · T 206-265-6133 · F 203265-7133 F~OM : New York State Department of Envkonmental Consewation Building 40 - SUN¥, Stony Brook, New York 11790-2356 Telephono (5161 444~0365 Fec~;mile (516! 444-0373 Vinoent & Linde ~as£1ice 3255 ~ayshore Roa~ Gxee~.~ox4:, N~ 11944 Date:August ~2, 1996 Commi~,~loner Re: BasllicaProper~y 3255 Bayshora Roa~ GraenDor~. s~.m# 1000-53-6--8 Al~lication $ 2-4?38-01409/00001 Dear l~r. Basilica: Baaed on the information you have submitted, the New York St:ate Department of Environmental Conservation has determined that: The property landward of The bulkhea~ grea=ar Than 100' in length, constructed Drior to Augq/st 20, 1977, as ~hown on the Sllrvey prepared by 0~o W. V~HT%ly1 ~%~=e~ 8/21/62, iB beyond the JuriB~iction of ~he Article 25 Tidal wetla/~ds Keg~lations. R~la~ions (6~ ~ 661) no p~i= is re~ed ~d~ ~e Tidal We:lanas Ac: Please ~ advise~, howev~, ~a: no cons~=ti~ se~lon, or di~b~ce of ~y k~d ~y :a~e ~lace ~eaw~ of ~e wetlands J~i~iotional bounda~, as indite:ed ~ve, wl~out a ~:. It iS yo~ re~ili~ to ~s~e ~: all ne~ss~ ~utions ~ to prevent ~y se4~tation o= o~er al~ra~ion or dist~oe ~y result from yo~ DroJ~t. Su~ pre~u~ons may incluae maintain~g aae~ate work ar~ between ~e ~ldal wetlan~ J~l&dictional bo~aary an~ yo~ Droje~ (i.e. alSe ~ ~0~ w~e =ons~on area) or PleaBe be further advised the: ~hla lat=er does no~ re~£eve you of ~he cc:~/file SEP 2 4 2O07 $outhholci Town Bourd of Trustees Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. DATE: . .5' / 26 / 96 ISSUED TO VINCENT. %. L.!NDA BASILICE . . Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893: end Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on 9/Z5/96 ..... 19 96 , and in consideration of the sum of $150.00 paid by Craig M. Arm fo~,VINCEN~r & LINDA BASILIGE of Greenport. . N.Y. and sub. ie~t to the Terms and Conditions listed on the reverse s~de hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to construct a 4'XZl' addition and install an 18' X Bi' brick patio and install leaders, gutters and drywells for whole structure. Peconic Bay all in accordance with the detaiJed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majorTfy of the said Board as of this dat~. SEP 2 4 2007 Southhold Town Board of Trustees James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob ~nosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only __Coastal Erosion Permit Applicatioj~ __Wetland Permit Application ~/' Administrative Permit ~ Amendment/Transfer/Extension Rece~vved Applicatio~.'~ 7'Received Fee:$ ~:--~ . ~Completed AppliCation __Incomplete __SEQRA Classification: Type I Type II Unlisted __Coordination:(date sent) __LWRP Consistency Assessment Form CAC Referral Sent: ~--Date of Inspection: __Receipt of CAC Report: __Lead Agency Determination: Technical Review: '-~ublic Hearing Held: [OJl '~ I OO __Resolution: Name of Applicant Address ~6.~"-)._7~'° ehoneNumber:(G)[ - ~/ )?~ [ 70 Suffolk County Tax Map Number: 1000- ~'-3 '- G-- Property Location: %~ S/O(C-- ~ SEP 2 4 Southhokl Tewn Board of Tfa,Jtee~ , (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: 0o : /to' 50oo of Trustees Applicati~ Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA Covenants and Restrictions: If "Yes", please provide copy. Yes ~No Prior permits/approvals for site improvements: c~Agen, cy .._ ~. / 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: Project Description (use attachments if necessary): of Trustees Applicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: r~o~ ~'~_~ LNC ~ Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: ~,~*,.~ feet Closest distance between nearest proposed structure and upland edge of wetlands: ~3 t~ feet Does the pmyt involve excavation or filling? ./ ~' No Yes If yes, how much material will be excavated? How much material will be filled? 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: cubic yards cubic yards feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such Pr~pbSed operations (use ~tt~hme~s it' yp:[opfiat6)i PROJECT ID NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 . PROJECT INFORMATION 1. APP, LICANT / SPONSOR 3.PROJECT LOCATION: ers~ec Municipality 3~-~ ~-~' ?ss~an~ 4. PRECISE LOCATION: Street Add ntbons' . ( To be completed by A[~ 4icant or Project Sponsor) 2. PROJECT NAME Prominent landmarks etc-or 0rovide mad SEQR IS PROPOSED ACTION: [~ New [] Expansion [~MO~ification / alteration 6. DESCRIBE PROJECT BRIEFLY:~- _ A ~ 7.1~it~a~i~NT OF LAN~cr~FEC~D: Ultimately ~ acres O 8. WILL PROPOS ACTION COMPLY WiTH EXISTING ZONING OR OTHER RESTRICTIONS? ~]Yes ~o If no, describe briefly: 9. W~I~T9. W IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) L~"Residential [~]lndastrial [~Commercia, r-~Agriculture [~ Park / Forest / Open Space [~O,her (describe) 10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ]Yes ~ If yes, list agency name and permit / approval: 11. DUE' ANY A~PE~JI (JI- I HE AG I ION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~ [~No If yes, list agency name and permit / approval: 12.~es/A RESULT[~]No OF PROPOSED ACTION WILL ~(~J~..PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature ~"~'~ ~ ~ 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 617.4? if yes, coordinate the review process and use the FULL EAF. [--~ Yes [~No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIOED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. r-]Yes ~-~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, existing traffic paltern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cuiiural resourc~;i ~-~;~O~mL;~it~/~r n;i~oTh~ ~l~'~tar? ~(~i~i~ b~hy: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: 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: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: C7. Other impacts (including changes in use of either quanti~ or ty~e of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA ? Ill yes, explain briefl}/: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If }/es explain: F--lYes [~]No PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse affect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (f.e. urban or rural); (b) probabfiity of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (0 magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that ail relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked 5~s~hedetermipat!on ofs!gn!~cc~ce m ~.~ ~e ve ?J 3 te~hepeteRtiaHmpa ct cf thc prcpcr, cd actlc, ncn fha anvlrc, r, mcata~ ch&r~ ct~r',~;~c~ of[ha CF_A. Check this box if you have identified one or more potenlJally large or significant adverse impacts which MAY occur. Then proceed directly to the FULl. EAF and/or prepare a positive declaration. Check this b~'~(yot~hav~ ~lei~r~Tn~dl b~ed o~ the inf~:r~at[on and ~nalysis ~bove and an>, ~uppor[in~ document~ti~nl t-h~l {~e p,-~p~i ~;- WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporling thfi determination. Name of Lead Agency Date Title of Responsible Officer Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from responsible officer) of Trustees Applicatl~on County of Suffolk State of New York 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 HISFI-IER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION Signature SWORN TO BEFORE ME THIS o2t40'' DAY OF.~41~__,200") ~l~ar~ Public LAUREN M. 8TAN. D_ISH Notary Public, State of New Yon~ No. 018T6164008 Qualified in ,'Suffolk County . Commission Expires April 9, 20//*, ard of Trustees Applicat2 AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) 8 APPLICANT/AGENT/REpRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics omhibits conflicts of interest on the oart of town officers and emvinvees. The ouroose of ~bis form is to vrovide information which can alert the town of oossiblc conflicts of interest and allow it to take whatever action is necessary to avoid same, (Last name, firs~ name,~niddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of 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 evan 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 of person employed by the Town of Southold Title br position of that person Describe the relationship between yourself(the applicanl/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 oftbe applic0nt (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'thisdayp/ 200 Signature ff ( PrintN eV Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD OTHER POSSIBLE AGENCIES YOU/ MIGHT HAVE TO APPLY TO N.Y.S. Dept. of Environmental Conservation (DEC) SUNY, Bldg. 40 Stony Brook, NY 11790-2356 (631) 444-0355 Mon., Wed., Fri., 8:00 AM-3:00 PM Suffolk County Dept. of Health Services County Center Riverhead, NY 11901 852-2100 U.S. Army Corp. of Engineers New York District 26 Federal Plaza New York, NY 10278 212-264-3912 N.Y.S. Dept. of State Coastal Management 162 Washington Ave. AlBany, NY 19921 518-474-6000 SEP 2 4 2007 Southhold Town/% Board of TpJsteet. I I MAP'. 8EP 2 4 2007 Southhold Town Board of Trustees SEP 2 4 2007 Soutl~hold Town Beard of Trustees SEP 2 4 2007 Southhold Town E~oard of Trustees 2007'-il-06 09:17 GARDEN COUNTRY 6314629726 >> THE OPHTHALMIC CENTE P 5/6 lale~d l. mndaam~e 482 .l)e~ Pa~k buy - 9 blond Design L~,ndseape Inc. 48~ Deer Park Aw