HomeMy WebLinkAboutTR-6810AJamea F. King, President ~OF SOUTy Town Hall
Jill M. Doherty, Vice-President ,`O~ ~~ 53095 Route 25
Peggy A. Dickerson P.O. Box 1179
Southold, New York 11971-0959
Dave Bergen rA ~e
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(631) 765
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Bob Ghosio,Jr. ~ p
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BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0344C
Date AuQUSt 8, 2008
THIS CERTIFIES that the remodeling of the existing kitchen, relocation of stairs, addition of
French doors to the dining room, and remodeling of the second floor
At Hedge St., Fishers Island
Suffolk County Tax Map #10-7-13
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 12/26/07 pursuant to which Trustees Wetland Permit #6810A Dated 2/27/08 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 remodeling of the existing kitchen, relocation of stairs, addition of French doors to the
dining room, and remodeling of the second floor.
The certificate is issued to W.L. Lvons Brown and Suzanne Brown owners of the
aforesaid property.
Authorized Signature
.
.
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:z constructed
v' 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.: 6810A
Date of Receipt of Application: December 26,2007
Applicant: W. L. Lyons Brown III & Suzanne Brown
SCTM#: 10-7-13
Project Location: Hedge Street, Fishers Island
Date of Resolution/Issuance: February 27,2008
Date of Expiration: February 27,2010
Reviewed by: Trustee James F. King, President
Project Description: Remodel existing kitchen, relocate the stairs, add French
doors to the dining room, and remodel the 2nd floor.
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
site plan prepared by H.P. Broom-Housewright, Inc., last dated October 2,2007,
and received on December 20,2007.
Special Conditions: None.
Inspections: Final inspection.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the South old Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
~07~
~~~es F. Kin~ ~sident
Board of Trustees
JFK:eac
.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO: W' L. LY0(15"tYoWI\ Iff- 4' 5{,/ ZAf)n{'-:!Sr-Ou-' n
Please be advised that your application dated"J:ecemterOl0 ~<XJ7 has
been reviewed by this Board at the regular meeting of FIoc.-.., l;;U-d'fI Ol.~, CJ..oo 8"
and your application has been approved pending the completion the
following items checked off below.
Revised Plans for proposed project
Pre-Construction Hay Bale Line Inspection Fee ($50.00)
1st Day of Construction ($50.00)
Yo Constructed ($50.00)
-4inallnspection 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:
<29-
TOTAL FEES DUE: $ ,C;U
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
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Southold Town Board of Trustees
Field Inspection/Work session Report
Date/Time:
Applicant:
Agent:
Location and SCTM#:
Description of
Activity:
//J 1/0 6-
Type of area to be impacted:
Saltwater Wetland
Freshwater Wetland
Sound
Bay
Distance of proposed work to edge of above:
Part of Town Code proposed work falls under:
.......-chapt.275 Chapt. 111 other
Type of Application: ~d _Coastal Erosion _Amendment _Administrative
_Emergency _Pre-Submission _Violation
Info needed:
Modifications:
Conditions:
/
Present Were: ~g _J.Doherty _P.Dickerson _D. Bergen _B. Ghosio, Jr
_H. Cusack _D. Dzenkowski _Mark Terry _other
Form filled out in the field by:
Mailed/Faxed to:
Date:
Environmental Technician Review:
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NCTICE
(i) COUNTY OF SUFFOLK @ K;~" ," ".
Red Property Tax Service AI}3f'ICY ~'"'' on
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SOUTHOlD
SECTION NO
"'~N ".1"'" Or 12.", '_'N
12.'>1<' _,,.
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010
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1000
PROPERTrU.IP
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.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob li-nusio, 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 Application
_Wetland Permit Application '/.-- Administrative Permit
AmendmentlTransfer/Extension
Received Application:
:.2Received Fee:$ ~J
:=LCQmpleted Application
_Incomplete
_SEQRA Classification:
Type I_Type II_Unlisted_
_ Coordination:( date sent)
L WRP Consistency Assessment Form
~ACReferral Sent:~
~teoflnspection:~
_Receipt ofCAC Report:
_Lead Agency Determination:_
Technical Review:
/Public Hearing Held: ;;lj;} ,ICl'l\
Resolution:
~ ~D~C ~6BW~ WI
Southhold Town
Board ot Trustees
Name of Applicant 4/.1.. L..y~> f3/(..-.;>v.1lI I- )"...2.4>"'......4"" JJ ~"l/""
,
Address
::2 !: 6 S- It ,A-,.u.-~ (}/Z.. .L -4-~v..v,A- i5~tJ. cA:.
,
Phone Number:( 9ft.. "r - 7 '5 - ""3 ~ 3 .3
Suffolk County Tax Map Number: 1000 - S'.<f'c. /0
B~I< 7
1vo7/3
Property Location: ""'7 /fe-Pt;c f r.-
r-:, )/.f-eA!S ~ 4A-z;l
(provide LILCO Pole #, distance to cross streets, and location)
AGENT: 1-I.f./'!JRoc/Y1 Hou<;,:zwl?,t(.~ r-vc-
(If applicable)
Address:
p. o. "30)<( 7D /62.
!-fA;-tJL..,,/;n~ c,- 06?l3J'
I:::;'e-M~t' /? 0
Phone: f?60- f2,.6 ~9'8 36
~~~~@
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.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghusio, 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 Application
Wetland Permit Application ..:i- Administrative Permit
AmendmentlrransferlExtension
...-"Received Application: I:).J a.OJ O?
--,--1<eceived Fee:$ ~/
_ ...emnpleted Application Jrl-/~ cy CY)
_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:
_Public Hearing Held:
Resolution:
Name of Applicant
J-f. P. BROOM - 140 u<;I,.e:'-<..)~/"'~"'-, :r:,vu
-
Address
f.o.i30')( 70
162. Fi.."7(lty/?O..
. ,
H-+tJ1..7JtfIF C'r 661./'3'1
er'8 3 b
Phone Number:( ) g l 0 -.r 2. {,. -
Suffolk County Tax Map Number: 1000-
,>~G /0
t? ~< 7
1..or 13
Property Location:
{(, 7 ;.-f Z? () ~if C;.,.-, h{"Hl'f!?S ;r: $" ~*,vtJ
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
~ Board of Trustees APPlic1lton
GENERAL DATA
Land Area (in square feet):
7/ '6''1' {/ <;)"1 Fr
R. -~(/
Area Zoning:
Previous use of property:
)....""4 4 ~
rz"....,.,IY ~~nJJCA/<::~
F A< hi I 1.. '?' ~ 1F'7'1 () ,/f?trc; i,""
,
Intended use of property:
$...,.,....,,1..~
Covenants and Restrictions:
If "Yes", please provide copy.
Yes
.x No
Prior permits/approvals for site improvements:
Agency
50<> 1""/'t"OI.~ Ih D. Dt..-&pr
Date
i '11. '7'
.,Hi$" i'l-4-........., ':S r~ 4JN'l..-y PAltrIR- p;q:..e~ elF ....14-014 'W/..,"'"
HKV~ "rl:IG-C/p/ <; U~J.~""J.F, ~/)7rn>-..vAH.. I'~~'" rr"r:. MA)-
r+.+-v ~ Ij.c=-~e.p ~ r.lfh7VlS-tO II3Y 1) rN-Jl?t..5.
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
'1-No_ Yes
If yes, provide explanation:
Project Description (use attachments if necessary): I? ~7J.IF/.. 1< I n.H'J:='I/,
!<)FLOCA-rt<= ).,....,.nt<~. ,4-/J1J '/"7'?l!"KCi+'Otn>A5 rro
.
01711""'''-'( /l~""" f( ~ -wYVI)FL..
.
2AnJ ~J..,t>II/( f'<O-O.>ri
~,.rt)
t$~I4,
Pl. ~~~ ~.cr~ /+-1"'77k: J4-1r./J fJJ..frA/5,
Board of Trustees Application
. .
WETLANDITRUSTEE LANDS APPLICATION DATA
Purpose ofthe proposed operations: R ~ _DID IE'-....
I ~ -T7i"'te 1 ".-~
ro-F S"W.:;~..Z FA-_u..y 1<~,.t7,1.."-c,':F
,
Area of wetlands on lot:
tl
square feet
Percent coverage oflot:
o
%
Closest distance between nearest existing structure and upland
edge of wetlands: :t :z. 5 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: - /(/,4 ..- feet
Does the project involve excavation or filling?
)<
No
Yes
If yes, how much material will be excavated?
cubic yards
How much material will be filled?
cubic yards
Depth of which material will be removed or deposited:
-
feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
. Statement of the effect, if any, on tile wetllll1ds and tidal w<lter~ ()ft~e town thatlI1<ly. ~es.1llt~y
reason of such proposed operations (use attachments if appropriate):
/V" 0 /V" ,e:::
,',
~
617.2--
APPEND~
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
( To be completed by Applicant or Project Sponsor)
2. PROJECT NAME
!3~Oc.>...... - ((, 7 If d'(1.E
SEQR
~ECT ID NUMBER
PART 1. PROJECT INFORMATION
1. APPLICANT I SPONSOR
~, P-f,t<ooj#'l.I-{OOSk'4JIlIt;I+Ti
r.vc..
S r:"
3PROJECT LOCATION:
Municipality M$H.eIl~ r:;I../-1,vO County 5" Ur-r-O/."J<
4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks ete - or orovide map
6{;7 H~()~t? $7':
5. IS PROPOSED ACTION: D New
o Expansion ~ Modification I alteration
6. DESCR]BE PROJECT BR]EFL Y:
R I!!f,.. D(JI!"t.. v<) ,c,J.l.Il"/I/, /? 1Ft.. f> C"f-TI..-::
Ptf,RwCJ+ D06/?. -rO 00"'.4'-'#4 ~t:>OM'1 ~
sr4-la s,
A ~bq~/."
.A-" (1
2 A; PI.. oo~
/l.1:>'O ""
~q /jA-n+.
p~ ~c=" 5~..=- A--rI4-cff'~ P~A;'/S
7. AMOUNT OF LAND AFFECTED: .-./0 A/ R
Initially acres Ultimately acres
8. WILL PROPOSED ACT]ON COMPLY WITH EXISTING ZON]NG OR OTHER REST,<]CT]ONS?
~Yes D No If no, describe briefly:
9. WHAT IS PRESENT LAND USE ]N V]C]NITY
~ Residential D Industrial D Commercial
OF PROJECT? (Choose as many as apply.)
DAgrlcu,ture D Park I Forest J Open Space
DOther (describe)
1a.'DOES ACT]ON INVOLVE A PERM]T APPROVAL. OR FUNDING, NOW OR ULT]MATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local)
~Yes D No If yes, list agency name and permit I approval:
$'0 vTt-foL IJ q L.t). v<.?l'r-: 5 Oun+DI.O 136A"7<O 6'-:: r~o.s"n""J..-:::; S
1l.UUt:.::> ANY A::iPt:.CI Uf- IHI:;; ACIIUN HAVE A CURRENILY VALID PERMIT OR APPROVAL?
DYes ~NO If yes, list agency name and permit I approval:
Applicant
12. AS A RESULT OF PROP03l',;, ACT]ON W]LL EXISTING PERMIT I APPROVAL REQU]RE MOD]F]CATION?
DYes DNa -/V/~-
] CERTIFY THAT THE ]NFORMATION PROVIDED ABOVE ]S TRUE TO THE BEST OF
, ? 13~o'e)lJ1- 0"" ewl'?NII'f"'; r,vc.,
t- A.e
MY KNOWLEDGE
Date: 12./1T/O?
Signature
I
If the action is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
.',
.
.
PARTII. IMPACT ASSESSMENT (To be completed bv Lead Agencv)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.41 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 617.61 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 hanC;twritten, if legible)
C1. 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 u .. . . . . ^" ^~^ .-...- , "HW_ 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 brieny:
I I
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
I ^ ^^^' ~~" w_.___w J
C6. Long term, short term, cumulative, or other effects not identified in C1~C5? Explain briefly:
L ........ ...... mn J
C7. Other impacts (including changes in use of either quantitvortvne 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)? .(lfyes, explain bnefly 1
DYes D No I .
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? .If ~esexPlain....l
DYes DNo I
m ,--"--- ..
PART 111- 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
yeE, the determination sf sigAWIG8ACe ml.lst evaluat&tRe-peteRtial-impac-t of the propose€! aetiefl-efttheenwoomenta-l---eharacte:..ristic.s of U Ie CCA.
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 andJor prepare a positive declaration.
Checl-IhTs-boxifyou-'have-determ'fneif;basedo'i,'-fhe}nformaUon and -analysis .above arid any supporting documentiitlon, fh'a-fthe-proposedaci]o.
WILL NOT result in any significant adverse environmental impacls AND provide, on attachments as necessary, the reasons supporting thi
determination.
Name of Lead Agency
Dale
Print or Type Name of Responsible Officer 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 APP14lltion
County of Suffolk
State of New York
~^-RRy ~. ~~ODM ~~. . tlt-9S;i..l.e.L;\ I-\.~ BRtZ>~~tW()s~lD\\I6:Hi:uc.
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 HISIHER 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
REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PRPWSES m CONfimCnON WITll ~~,:?=::r
\,
DAYOF l::::,Q_L
,2~
SWORN TO BEFORE ME THIS
~ - :::::=----.-
'-.......~" -.
~ ""'-
Notary Public ~
.
.
12i64f2aa7 15:aS
B61l52626~7
HP BROOM HOU5eWRIGHT
PAGE a 1
:7t: f qJ1tO-Mn - ~U~W~/u; Jno.
. '62 FERRY ROAO
P.O. Box 70
HADLYMI!:, CONNECTICUT 0043f1.0070
Ti;:LI!PHONI!: (860) 52&.9836
FAX (S60) 1526.2647
11130/07
To Whom [t Mat Concern:
i
P.O. Box 70, Hadl)'Dle, CT06439, is
authorized 10 act as myapnt to coaduct arid apply fOr all necessfIIY pennits
pettajniJagto the eration of a residence located at 667 Hcdge Street, aad a
residence Iocat at 713 Hcdge Street, within the Town of South old, Fishers
Island, New Y ,
s~=~
0...1(.) .r-.l: : W. J.. L_..... IU ....Sau... B....
Addnnz !156~ 6-b.-r JhlJ'ft
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:1..11""1 &.d.. CA t2"~1
~-l;d
LBL-SIL-SvS
002E .l3['H3SIoJ, dH
~dS2:1 1.002 90 oeo
.
.
APPLICANT/AGENTIREPRESEN'l'ATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics orohibits conflicts of interest on the Dart of town officers and emo]ovees. The Durnase of
this form is to orovide information which can alert the town of DOssibJe conflicts of intereSt and allow it to take whatever action is
necessarY to avoid same. .
YOUR NAME: II. Po t3/too/t'1- r!Ol>S.FWItI4 Hr ;C,A/c..-.
(Last name, first name, J1liddle 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
Variance
Change orZone
Approval of plat
Exemption from plat or official map
Other
(Jr"Other", name the activity.)
Building
Trustee
Coastal Erosion
Mooring
Planning
x
X
00 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 interesf! 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
><
If you answered "'YES", complete the balance of this fonn and date and sign where indicated.
Name of person employed by the Town of South old
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, otchild is (check all that apply):
A) the owner of greater than 5% of the shares of the corporate stock of the applic<;lnt
- (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
Fonn TS 1
S~bmitted thi~ of t)e C "07
SIgnature . ~ =
Print Name ~ M "l"Q..
~eslJ.(!..",-\ ~ ~ {3.~Dl>M~ \looS<JltlaHI
.t:'"tJ~.
.
.
H.P. BROOM - HOUSEWRIGHT, INC.
P.O. BOX 70 - 162 FERRY RD.
HADL YME, CT 06439
(860) 526 - 9836
FAX (860) 526 - 2647
LETTER OF TRANSMITTAL
Date: 12/17/07
To: TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
P. O. BOX 1179
SOUTHOLD, NY 11971
ATT:
Re: BROWN RESIDENCE
667 HEDGE STREET
FISHERS ISLAND, NY
WE ARE SENDING YOU
X Attached
Under seperate cover via
the following items:
Shop Drawings
Prints
Plans
Samples
Speclflcatlons
Copy of Letter
Change Order
Other
Copies Date No.
3 12/17/07
3 Site through 4
3 4/19/04
3 11/30/07
1 12/17/07
Description
Application For Trustees Permit (2 copies)
Architectural Plans
Site Plan (two copies)
Act As Agent Letter
H.P. Broom-Housewright check #13866
in the amount of $50.00
THESE ARE SUBMITTED as checked below:
For approval
X For your use
As requested
Approved as submitted
Approved as noted
Returned for corrections
Resubmit copies for Approval
Submit copies for Distrib.
Return corrected prints
For review and comment
PRINTS RETURNED AFTER LOAN TO US
REMARKS :
Enclosed you will find the above referenced material which, I hope, are
all the documents needed for the issuance of a Trustees permit.
Please feel free to give a call should you have any questions or should
additional material be required.
Broom
Permits
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CODE ANALYSIS
Residence: Lyons Brown III. Fishers Island
667 Hedge Street
[] All new work must comply with the official compilation of codes, rules and regulations of the 2002 Residential
Code of the State of New York.
[] Other regulations may apply.
[] Design criteria based on Minimum Design Loads for Building and Other Structures ASCE 7. (Section R
301.2.1.1)
[] Seismic provisions not applicable: dwelling is located in seismic design category B (Section R 301.2.2)
[] All glass exterior doors and windows meet safety requirements for wind blown debris protection in hurricane
prone regions by use of VuSafe storm protection panels. See attached. Additional information is available at
yosafe.com (Section R 613.4)
[] Provide smoke alarms perNFPA 72 (Section R 317.1)
[] Wall and ceiling finishes shall have a flame spread classification of not greater than 200 (Section R 3 I 9. I)
[] Insulation shall have a flame spread index not to exceed 25 with accompanying smoke developed index not to
exceed 450 in accordance with ASTME 84 (Section R 322. I)
[] Moisture control in all framed walls, floors, and rooVceilings a vapor retarder shall be installed on the warm in
winter side of insulation. (Section R 322. I)
[] Provide pressure preservative treated wood in accordance with A WPA in area subject to decay (Section R
323.1)
t
Floor area of house
Area of Porches (existing)
Area of Existing space to be Renovated
Area of Additional Living Space
Area of Additional Porches
1973 SF
532 SF
Aprox.912 SF
o SF
o SF
Suffolk County Tax Map 1000, Section 010, Blk 7, Lot 13
Zone - R 40
.18 +/- acres
BROWN RESIDENCE - Fishers Island - 667 Hedge Street
TABLE R301.2(1)
CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA
GROUND WIND SEISMIC SUBJECT TO DAMAGE FROM Winter underlay-
SNOW DESIGN Froslline Design men! Flood
lOAD Speed (mph) CATEGORY Weathering depth Termite Decay temp required Hazards
Moderate 10 Slight to
45 t20 B Severe 36" Heavy moderate 11B Yes N/a
WINDOW I DOOR SCHEDULE
Brown - 667 Hedge Sl.
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ENERGY DATA -
.- R_ ll<< VT ..
~GIass/Clear-Air Q47 2.13 Q49 0.50
InsuIatirg_lrmE-Air Q38 2.63 Q42 0.46 M:
Insulating G_tlrmE-Aryon Q35 2B6 Q42 Q46 N.M:
~GIassIlrmEII'Air 0.35 2B6 Q28 0.44 N.~~S
IrQJlatingGlassllrmEII-Aryon 0.32 a13 Q28 0.44 N,~~S
APPROVED BY
BOARD OF TRUSTEES
TOWN OF SOUTHOLD
DATE ,1)/,;11 d8
~A.
ThemlaIcn::lsdarvak.esareSLbjectIDLPdate. Vak.esare~na:::cadarEe
with NFRC 100-97 eX" lOO-2IXIl ard otta al=Pical:E NFRC procedL.reS. Argoo gas
is notavai<tAe lixthe aItitt.d3 thatreqLire capillarytlJJes. SHGC=Sda" Heat Gain
CoeffOent. VT =Vrsilje L.€ht Transnittarx:e. Energy star Zmes: N=NcrtIl:m,
r<<: = Ncrth C€ntr>, SC = South Celtral. s=Southem.
N
# TYPE MFR SIZE! CAll# OPER. LITE ROUGH OPG. HEAD JAMB HEA Sill MUll REMARKS
CUT DIMENSIONS AF.F. DTl. D DTl. DTl.
DTl.
1 FrSldr Marvin CSFD-Custom sldr 3w5h 11111/16" x 861/2" lnslating Glass/ low E II - Argon VuSafe strm prtet_
see below for Energav Data
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Brown Residence H.p. Broom-Housewright
667 Hedae Street. Fishers Island. NY P.O IW'I. 76
Hadlyme, CT 06439
Dale: 10/2107 Scale: As Shown TITLE: Site Plan and Data
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H.P. BROOM-HOUSEWRIGHT, ~C.
162 FERRY ROAD
P.O. BOX 70
HADLYME, CT 06439
TelepboDe (860) 526-9836
Fax (860) 526.U47
Brown Residence H.P. Broom-Housewright
661 Hedae Street. Fishers tsland. NY P.O Bay; 70
Hadlyme. CT 06439
Date: 10/2/07 Scale: As Shown TITLE: 1st FIr Plan - Existin~
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162 FERRY ROAD
P.O. BOX 70
IIADLYME. CT 064311
, Telephone (860) 526-11836
Fax (860) 526-2647
Brown Residence H.P. Broom-Housewright
667 Hedae Street. Fishers Island. NY P.OBa'l.1O
Hadlyme, CT 06439
Date: 10/2107 scale: As Shown TITLE: 2nd Fir Plan - Existin~
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667 Hedae Street, Fisl\e", Island. NY P.OBox70
Hadlyme, cr 06439
Date: 10/2107 Scale: As Shown TITLE: 1st Fir Plan - Proposed
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H.P. lJROOM.HOUSEW1UOIfT. INC.
162 FERRY 1l0AD
P.O. BOX 70
HADLYME, CT 06439
Telepbolle (860) 526-9836
Fax (860) 526-2647
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Brown Residence H.P. Broom-Housewright
667 Hedae Street. Fishers lstand. NY P.O&x'10
Hadlyme, CT 116439
Date: 10/2107 Scale: as shown ~IT~E: 2nd Fir Plan - ProDosed
Revisions Drawn By:
1] 41
2J 51 8) Drawing I A-4
3J 6] 9] Number