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Home My WebLink AboutTR-6808A James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hail 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 # 0797C Date: September 13, 2012 THIS CERTIFIES that the construction of a 12.5'xl 1' sunroom, and 6.75'x10.5' and 6.75'x6.75' flanking porches. At 1948 Peninsula Road, Fishers Island, New York Suffolk County Tax Map # 10-3-25.4 Conforms to the application for a Trustees Permit heretofore filed in this office Dated October 31, 2007 pursuant to which Trustees Administrative Permit #6808A Dated February 27, 2008 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 construction of a 12.5'xl 1' sunroom, and 6.75'x10.5' and 6.75'x6.75' flanking porches. The certificate is issued to HARRY P. BROOM, JR. owner 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 1st day of construction ½ constructed I//'"Project complete, compliance inspection. HarO, P. Broom, Jr. 162 Ferry Road P. O. Box 70 Hadlyme, CT 06439 Telephone (860) 526-9836 Fax (860) 526-2647 September 5, 2012 SEP ! 0 2012 $otdhh~J!~ Town Board of Trustees Elizabeth Town of Southold Board of Town Trustees POBox 1179 Southold, NY. 119871-0959 Dear Elizabeth: ltere are the pictm.es you requested to show the completed project for permit 6808A. If you need m~y further information, please feel free to contact us. Harry P. '%kip" Broom, Jr. Enclosures 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 York11971-0959 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 1st 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.: 6808A Date of Receipt of Application: October 31, 2007 Applicant: Harry P. Broom, Jr. SCTM#: 10-3-25.4 Project Location: 1948 Peninsula Road, Fishers Island Date of Resolution/Issuance: February 27, 2008 Date of Expiration: February 27, 2010 Reviewed by: Trustee James F. King, President Project Description: Construct a 12.5'xl 1' sunroom and 6.75'x10.5' and 6.75'x6.75' flanking porches. 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 CME Associates Engineering & Land Surveying, PLLC, last dated September 23, 2003, and received on October 31,2007. 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 Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, President 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: Lo. Cc¢ ¢, ! Please be advised that your application dated Oc--~-o be," 3/.. olO0 '7 has been reviewed by this Board at the regular meeting of and your application has been approved pending the completion df 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) __ ½ Constructed ($50.00) ~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 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/Worksession Report Date/Time: Name of Applicant: Name of Agent: Property Location: SCTM# & Street Brief Description of proposed action: Type of area to be impacted: ~---'galtwater Wetland Freshwater Wetland Sound Front Bay Front Distance of proposed work to edge of above: Part of Town Code proposed work falls under: ~t~'Ohapt.97 Chapt. 37 other Type of Application: Info needed: Wetland __Coastal Erosion ~Amendment __Administrative __Emergency Modifications: Conditions: Present Were: Jb~.~ng J.Doherty P.Dickerson Other: D. Bergen Maiied/FaXed to: Date: .- ,J, CommentsofEmvi~6~m~'ental'~miui~m: ""- /~,t?a'l t. y /) ~ U~ t..Opt~ O t~9~.e.,~E,CID'' A-I Photo taken from end of floating dock toward subject house (rear most dwelling with weathered vertical siding, not the weathered shingle sided dwelling.) End of tape at approx, high tide mark, elevation,of fixed dock approx. 2 ft. 7 in. above approx, high tide. Harry P. Broom, P.O. Box 70, Hadlyme, CT 06439 phone: 860-526-9836 A-2 Close up of tape showing elevation of fixed dock to be approx. 2 ft. 7 in. above approx, high tide mark. Harry P. Broom, P.O. Box 70, Hadlyme, CT 06439 phone: 860-526-9836 B Photo take from fixed dock showing elevation of lawn area to be approx. I ft. 10 in. above elevation of fixed dock. Harry P. Broom, P.O. Box 70, Hadlyme, CT 06439 phone: 860-526-9836 C-1 Photo showing elevation change from lower lawn (note that there is a slight upward elevation change from photo B to photo C, see photo A-I) to elevation of upper lawn. Harry P. Broom, P.O. Box 70, Hadlyme, CT 06439 phone: 860-526-9836 C-2 Elevation change from lower lawn to upper lawn approx. 9 ft. Harry P. Broom, P.O. Box 70, Hadlyme, CT 06439 phone: 860-526-9836 D Photo shows side of subject dwelling where proposed addition and porches would be located. Elevation of lawn approx. 13 ft. 5 in. above high tide mark. Harry P. Broom, P.O. Box 70, Hadlyme, CT 06439 phone: 860-526-9836 E Photo from road side of property with subject dwelling on right looking toward dock. Harry P. Broom, P.O. Box 70, Hadlyme, CT 06439 phone: 860-526-9836 PIPE '~/~/./~. PIPE PROPOSED / -' ADOmON W/F HOUSE INNER N E OPEN GEORI K DRILL HOLE ?. O. f~ o, 70 il- A-2 Close up of tape showing elevation of fixed dock to be approx. 2 ft. 7 in. above approx, high tide mark. phone: 860-526-9836 c] / ~/~? Ilarr} IL I~roem, ILO. Box 70, tladlymc, CT 06439 pho~e: 860-526~9836 C-1 Photo showing elevation change from lower lawn (note that there is a slight upward elevation change from photo B to photo C, see photo A-l) to elevation of upper lawn. Harry P. Broom, P.O. Box 70, Hadlyme, CT 06439 phone: 860-526-9836 c~ / gl o7 __~ C-2 ~Jcvatlon change from lower lawn to upper lawn approx. ~ llar~ I'. Ilroom, P.O Box 70, ltadlyme, CT 06439 phone' 860-526-9836 D Photo shows side of subject dwelling where proposed addition and porches would be located. Elevation of lawn approx. 13 ft. 5 in. above high tide mark. Harry P. Broom, P.O. Box 70, Hadlyme, CT 06439 phone: 860-526-9836 E Photo from road side of property with sub.iect ,!,~ c}~{n:~ ,~: -~..,i,' !,c. dock. Harry P. Broom, P.O. Box 70, l~'adlyme, £;T t}64g~; pt: ~t,~: 3::~ ~ / ;/c7 Albert J. Krupski, Pr~nt~ James King, Vice-Pre.hr Henry Smith Artie Foster Ken Poliwoda 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 Office Use Only Coastal Erosion Permit Application Wetland Permit Application __ Major Waiver/Amendment/Changes /~Received Application: 101311C0 ./~Received Fee:$ '30" .JP~ompleted Application IOI Bl~f) Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent). CAC Referral Sent: ~Date of Inspection: //,,/~/o g Receipt of CAC Repod: Lead Agency Determination: Technical Review: .~Public Hearing Held: I I]I~(Y7 Resolution: Minor Name of Applicant ~%RRY P BROOM~ ~. Addmss P 0 BOX 70, flADLYME, CT 06439 Phone Number:( ) 860-526-9836 Suffolk County Tax Map Number: 1000- SECTION 010, BLK 3 LOT 1..5~,t{ Property Location: 1948 PENINSULA ROAD, FISHERS ISLAND, NY (provide LILCO Pole #, distance to cross streets, and location) AGENT: -- _ (I£applicable) Address: " Phone: Board of Trustees ApOcation Land Area (in square feet):. Area Zoning: R-40 GENERAL DATA 11,080 +/- SQ. FT. Previous use of properly: sINGLE FAMILY DWELLING Intended use of property: SINGLE FAMILY DWELLING. Prior permits/approvals for site improvements: Agency SOUTUOLD Bomm OF ?OW~ TaHSTEES NYSDEC Dme FEB 13. 1987 6/12/87 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Description (use attachments if necessary):. ADDITION OF 12.5' X 11' SUN ROOM AND 6.75' X 10.5' AND 6.75' X 6.75' FLANKING PORCHES Board of Trustees .cation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ADDITION OF ! 2.5 ' X 1 ! ' SUN ROOM AND 6.75' X 10.5' AND 6.75' ~ 6.75' PORCnF..q Area of wetlands on lot: 0 Percent coverage of lot: o Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposixl structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? 5 cubic yards How much material will be filled? 2 cubic yards Depth of which material will be removed or deposited: 3.5 Proposed slope throughout the area of operations: LEVEL Manner in which material will be removed or deposited: square feet PROPERTY ENDS AT BULK HEAD feet BACK HOE Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): NONE IPROJECT ID NUMBER 617,20 APPENDIX C STATE ENVIRONMENTAl (~JALITY REVIEW 8HORT ENVIRONMENTAl. ASSESSMENT FORM PAK"r I - FROJ ECT INFOI~4ATiON ( To be oo~plme~ by A4~lc8~ or Pro~s~t SpOr,~X) It/~RY P BROOM~ ,.IR 1048 PENINSUI.,~ RD~ FI~ NY 8EQR ~ PROJECT ~1~: ADDITION OF 12.5' X 11' SUN ROOM AND 6.75' 6.75' X 6.75' FLANKING PORCHES X 10.5' AND 9. WHAT ~g ~ LAND USE ~N V',CINITY OF FROJECT? (Ctmoeemmm~y~pply.) 90. ~OE~ AOT~ "WOLV~ A ~RMrr APF'~OV,~ C~ FUtile. ~ O~ ~T~A~.Ly F~:~ ANY OT~Em~ ~;m=~L · GEH~ ~, ~o~ Loc~ NYS DEC - POSSIBLY []Yin DNo # y~, ~ ~mcy r~me md pem~ I ~..~. SOUTHOLD BLD DEPT 1~,~1..~ A I~ULT OF PROPOSlfD ACTION ~ EXIt. TING PEt~flT / APPROVAJ. F~QUlRE MODIFICATION? I ~;;FY THAT l~tE INFORMATION PROVIDED ABOV~ I$ ~UE TO 11,1E BES~' OF MY KNOW/EDGE BA~EY'P'BR(:Jlt~ ~-R . I ' Gompk~e the CO.Mal Assoosmont ~ bsYom proceod~g w#h this , 10726/2@07 13:iS 7656641 ~OARD DF P~GE 0~ PAR, T II - IMPAC? A$$ESSMEHT (To be completed by Lead &, DOES ACTION EXCEED ANY TYP~: I THRESHOLD IN $ NYCRR, PART 6t 7.47 If yes coordinate tl~e review proce~ eno use ~he FUI.L ~F, ,I21Y- 12.° ~ ¥'~rll~L ACTION RECEIVE COORDINATED REVI~ ~ pROV~OEO FOR UNLISTED ACTiOn'S IN 6 ~Y~RR, P~RT 617.67 If No, m negmti~e ~4 A ~mmunlly=~ ~al*~ng ~lam ~ ~o~I~., ,~ ??1~* .... y ~d or · change 'n use or ~ en*~ el u~; ,,.ol ,and Or ENVIRONhlENTA[ ~C~'l {If ~0,~ ex~laln E. IS THERE, OR I$ THERE LIKELY TO SE, CONTROVERSY RE~TEO TO POTENTI~ ADVERSE ENVIRONMENTA PART I~ - DETERM/NA~ON OF SIGNIFICANCE (Ts be ~m~et~ ~ Agent) INSTRUCTIONS; F~r~v~rsee~ecti~ent~b~ve~dete~e~e~t~subs~nt~rg~mp~rte~[~r~herwisesi~r~cenL Each eff~ ~ho~ld be a~es9~ in oo~nec~on ~th i~ (e) setti~ (i,e, ur~n or rural}; Ih) pro~il[~ of oc~rrln~; (c) L'~e~k ~1-~i b~'~ ~' ~ ~' I{i~ - ~llil~nl~'f~i~J~ b~se~'~'~ ih~ ~f~ml~tbr~ and ~ a~y~,i$ ~bove and ail~ ~uppo~ting do~menta,'ion, thai (he proposed Print Or Type Name of Responsible Ol!i~; i~ ~a~ Agency/ TIIle of Res~on,~ible O01¢,r Board of Trustees Ap~tion County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), I~ 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 CONRINCTION WITH REVIEW OF THIS APPLICATION. ~ignature - 7 SWORN TO BEFORE ME THIS c~c~'x'~ DAYOF O~~t'~' ,20c~-'~ Notary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM vi ' ' ' wh' . , . _n~_ _ ~-~ t9 avoid same. (Last nnm~, first name, ~iddlc initinl, uni~z you ~ applying in me r~,..., o~ someone clse or otlm' entity, such as n ~ompany. If so, iudicate~the other person's or company's nmnc.) NAME OF APPLICATION: (Check nil that apply.) . ' ' '.. Tax grievnnco Building Vndnnce Coastnl Erosion Change of Zoce Approval of plat Mooting ~xemp~ion from plat or official nuko Planning Other (If"Other", n~me the activity.) Do you personally (or through yonr compony, spouse, sibling, parent, or child) have a ml~onship with of the Town of Southald? "Relationship" includes by blood, roarriage, or bu~incss in~-t "Business intet~t'~ means a business, including a partnership, in which the town officer or cmploy~ has even a partial owncmhip of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shams. YES NO ', complete the balance of this form nnd date ~d sign where indicated. thc Town of Southold Descrihe the applic~-~t/ageat/repre~entntiv¢) nnd the town officer or employee. Either check the n ~ D) ~nd/or d~scdbc in the sp~ce pro~;idcd. The ;or her speu.~ sibling, parent, Or child is (check all that apply): Al t~ sha~s of the cor~o~ato ~tnck ofth~, applic~n~ ; in a non-corperat~ entity (wlza th~ C) __.D) the actual applicant DESCRIPTION OF RELATIONSHIP Form TS I Submitted'this ?~_dayof /~C=-"=~.' 200~ Signature ~ ~. V~mV~..,~. __ PrintNnme ~l,a ~ ~.-~, (~t~¥1~ H.P. BROOM P.O. BOX 70 - 162 FERRY RD. HADLYME, CT 06439 (860) 526 - 9836 FAX (860) 526 - 2647 Board of Town Trustees Town of Southold Town Hall 53095 P,O. Box 1179 Southold New York 11971-0959 OCTOBER 29, 2007 To Whom It May Concern: Please find the following documents to support for a permit to put an addition on my ,r equ e s t ...... [] Board of Town Trustees Application [] Short Environmental Assessment Form [] Sworn Statement Form [] Transactional Disclosure Form [] i signed survey of property [] 1 copy of survey of property [] i set of copies of photos showing progression from about average high tide to area of proposed construction. [] check %328 in the amount of $50.00 Thank you for your help with this process. Also please feel free to give me a call should you have any questions. Harry P. Broom, Jr. GREAT HARBOR SITE -% N 1882.56 E 570,62 PIPE PROPOSED %, LOCATION MAP SCALE 1"=4-00' // POLE ~ #469 ,, , ,, __l M20 _ _. ', ", , I,I ',1 P_~r_~ENCES PIPE ~. 1.) PROPOSED LOT LINE CHANGE PROPER~ OF HARRY P. BROOM, JR, ~ N 1861.0~%~ LORRAINE M. BROOM; THE PENINSU~; FISHERS IS~ND, NEW YORK; E 640.84 ~ CHANDLER, PALMER · KING; NORWICH, CT,; DATE: JULY 28, 2000; SCALE: 1"=20'; SHEET 1 OF 1 OPEN PORCH SUNROOM ADDI'nON PORCH 1.) THIS SURVEY'WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE ENGAGEMENT. 2.) IT IS ,~ VIOLATION OF THE STATF ERLICATION LAW FOR ,ANY PERRON N//F UNLESS ,ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER Al4 ITEM IN ANY WAY. 5.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR 4.) COORDINATE DISTANCES ARE MEASURED FROM U,S. COAST AND ~ ~ IRON / ,' GEORGE &: HELEN BEODETIL SURVEY TRIANGULATION STATION "PROS" / PIPE / ' KAVANAGH wA'i/ / / 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP / / 1000, SECTION 010, BLOCK 5, LOT 15. 6,) TOTAL AREA = 11,080± S.F, W/F HOUSE DRILL HOLE 7.) SITE IS LOCATED IN R-40 ZONE. 8.) APPLICANT: HARRY P. BROOM, JR. t62 FERRY ROAD HADLYME, CT. 06459 (860) 526-9856 9.) SITE IS SERVICED BY MUNICIPAL WATER AND ON SITE SEWAGE DISPOSAL SYSTEM. 10.) LOT COVERAGE CALCULATIONS: ALLOWED --20% PROPOSED-- 19,7% N/F HARRY P, BROOM, JR. INNER BAY QUALITY CONTROL CERTIFICATION GROUP ~REVIEWED DATE FILE ]4780 LEGEND N/F NOW OR FORMERLY S,F. SQUARE FEET 20 10 0 GRAPHIC SCALE IN FEET 2O DATE: 09/23/2005 SCALE: 1" = 20' SHEET 1 OF 1