Loading...
HomeMy WebLinkAboutTR-6844A James F. King, President Jill M, Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. ~o~~OF SOUTy~yy T • ~~o~ ~~"~OOUNTY,~ ;~' n u Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 766-6641 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 APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 15~ day of construction '/z constructed Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Uhosio, Jr. ,~'~OF SOUIyo~ • ,O OIyCOV ~ ~~ n L~ 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.: 8844A Date of Receipt of Application: April 1, 2008 Applicant: Kathryn Russo SCTM#: 90-4-22 Project Location: 775 Oakwood Court, Southold Date of Resolution/Issuance: April 16, 2008 Date of Expiration: April 16, 2008 Reviewed by: Trustee Dave Bergen Project Description: Install a 200 square foot permeable stone patio off the existing deck. 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 Creative Environmental Design, last dated March 31, 2008, and received on April 1, 2008. 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, 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. ,~;"Of SOUIy~ ~~`~~ • ~O n ~_i 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 APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 15~ day of construction '/z constructed Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. ~O~~OF SO!/jyo~yy T • ~~0~ ~~'~OOUNTY,~.,,,~' I- ~ u 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.: 6844A Date of Receipt of Application: April 1, 2008 Applicant: Kathryn Russo SCTM#: 90-4-22 Project Location: 775 Oakwood Court, Southold Date of Resolutionllssuance: April 16, 2008 Date of Expiration: April 16, 2008 Reviewed by: Trustee Dave Bergen Project Description: Install a 200 square foot permeable stone patio off the existing deck. 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 Creative Environmental Design, last dated March 31, 2008, and received on April 1, 2008. 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. TO: K~ I -1 ~' ,{~,~ pF SO[/Tyo~ Y~`~`, '~ ~ ~,0~ ~1y00UNT'r,~°~' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631)765-6641 Please be advised that your application dated f / ri ~ ~ a~ ~ has been reviewed by this Board at the regular meetin of ~ 2 and your application has been approved pending the co pletion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 15i Day of Construction ($50.00) 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: $ SO `~ BY: James F. King, President Board of Trustees s "^ BAY ~'" y~-, COUNiY OF SUFFULK © 5011 H L ,_ .__ Aed P a~ Serv¢e u ~ _-= roPerTy I A9encY oQ X90 o _ c o a, ax nmi U,.a .. ~.._ __ '~SZ ...e.., ~~ ~ .. ... .._ ... - ~ e w 1000 vicei. 5C TAX ID 1000-90-422 775 OAKWQpp Caaz-r, ~.XXJTH7LD, NY 11971 °~, ' N70°21'10°E a r -- /~ _-_- - - ~ r u~\ ~~ ~ - j ~ -- ~I ~ ~ ~ e 1 22 ~~ ' ~ J ~ ~~ I _ -- _ ,zo i ~I ~i v. r- `~ I ~ ~ I I-n ~ i ; III r> JLk ~~ ~ ~ - arse OI ~ ~ / _~ ~ ~~ ~ ~ y, ~~ - I ~~ ~i 'i ~ i i _ -~- - +r_ ~~ i _ ~~ _+-~--- ~~ ~ ~ --- ~i.~~ --- -~ -- ---- I S70°21'1D'yy ~- ~ 1417$--°' Revision #: Scale: Landscape Plan: Landscape Design by: Derek Bossen Date: 3/31/2008 0' 1" = 30' o° Russo Residence Creative Environmental Design 5C TAX ID 1000-90-422 775 OAKWOOD Caazr, Sou-r~-aw, NY 11971 ' N70°21'10"E a. ~' ~-------------------- --r--; 1 'i ~i I 4 Revision #: Date: 3/31 /2008 v u\ ~ ~~ ~~~ ICI _ H IPo tr;`~F~ i - ~n~` ~ - ~~ j~ ~ __ ~_~ ~ __ __ ___ ___ --__ _ __- - _____ -__ __- I S70°21'1~,W --141.7,$'4, I. Scale: 0' 1" = 30' 0" Landscape Plan: Russo Residence or 172, 69' ,~ "_ ~. k p1 ~~., _, 1m Landscape Design by: Derek Bossen Creative Environmental Design 5CTRX101000-90-422 775 OnKwa~ Ca>izr, ~rxrr~aw, M' 11971 N70°21'10"E 1 a. ~ r- ------ -------------- 1726g' __.. __ ~_____. _. _~_ r ~ ~ -- i.: r1 ?r-_.~ j~~? _ r ,r _ -zc ~I YE ~ _- __. -_ - ~ ~ I i ~y r p rt ~~ i i O ~` - Q y / i ~ ~i ~ rt-v n o t 1 "~~ P~"~" ~ _~ ~ i - ~ f~ `~ ~ :~: ~ -y _1 -= ~_ _~ -->~ _y~ ~_~ --- - i ,~ i ,r I S70°21'1D"W ---- 141.73,`' a n .;~.,., p [~C~C~BM[~ ,a~-, _, D Southhold Tewn Board of trustees V ~- ~ ~' Revision #: Scale: Landscape Plan: Landscape Design by: Derek Bossen Date: 3/31/2008 0' 1" = 30' o" Russo Residence Creative Environmental Design r .- James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob t;ttusio, Jr. ,~{ho~apF SOplyo~yy T T • ~~0,~ w~_ Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631)765-1892 Fax(631)76b-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only -Coastal Erosion Permit Application -Wetland Permit Application administrative Permit Amendment/Transf r/ xtension eceived Application: ~ I 0 eceived Fee:$ Completed Application / _SEQRA Classification: Type IType II Unlisted Coordination:(date sent) LWRP Consistency Assessment Form -CAC Referral Sent: _~,~ate of Inspection: ('~~ -Receipt of CAC Report: -Lead Agency Determination: Technical Review: _~ublic Hearing Held: Y b ~ p ~~~od~ ~,~II Southhold Town Bnard of Trustees Name of Applicant Address Number:(' ) Suffolk County Tax Map Number: 1000 - ~ -- ~l> - ~ ' ZZ- Property Location: ~ /S O~ ~~L~ ~twt-% ~~~~~ (provide LInLCO Pole #, distance to cro AGENT: (, f/~ ~1/!~/~d1/ (If applicable) /'~~~ / streets, and location) do ~ -7707 ~kWi C~ e~cv~ .~M/d wl t Z. NlL ~~'/. (~qS g Phone: `3/ 73`f 7/23 C~ ~~s-~~ of Trustees Applicatio• GENERAL DATA Land Area (in square feet): / ~~~~J' 9~ ' Area Zoning: ~~//5~1~/T1~ ' Previous use of property: Intended use of property: `J.4yr/L~ Covenants and Restrictions: Yes / No If "Yes", please provide copy. 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: Project Description (use attachments ifnecessary): /N7TA'GC~/o~/ [D~ k Zooms, ~ ~~a~~~G~ 37'D~v~ . ~d of Trustees Applicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: '1'&-T i u a,/ 1K-- DN r r Area of wetlands on lot: ?-v~o Percent coverage of lot:~% square feet Closest distance between nearest existing structure and upland edge of wetlands: ~d feet Closest distance between nearest proposed structure and upland edge of wetlands: 6y feet Does the project involve excavation or filling? No v Yes If yes, how much material will be excavated? J cubic yards How much material will be filled? S~ cubic yards Depth of which material will be removed or deposited: ~ Z feet 0 Proposed slope throughout the area of operations: S Manner in which material will be removed or deposited: ~~~ e~ Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by ___ reason of such proposed operations (use attachments if appropriate): ~• PROJECT ID NUMBER. r ~ 617.20 • SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME C~a ~Ariic( Gcwi c Z 3evs s o 3.PROJECT LOCATION' S ~ ~ ~~/~ ~~'GU ~v" - /~ • cipallTy M County 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 77S D~LG/Aoi~ C.~u~, ~ moral cQ~ N ~ 1~~7 / 5. IS PROPOSED ACTION ^ New xpansion ^ Modification I alteration 6. DESCRIBE PROJECT BRIEFLY: (N 5 rr~C.Q.,a'T~ f ~ N d1= A'~`- Z~ SaP. /~Fem t~rP lc" STOOL ~~i~ ~ ~/~+~ ~ 7. AMOUNT OF LAND AFFECTED: ~ / ~Q ~~ • Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? LJ *es ^ No If no, describe brieFly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ^ Induslriai Commercial Agriculture ^ Park /Forest /Open Space ^ Other (describe) tO.~DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Stale or Locap Yes 1-.KJo If yes, list agency name and permit /approval: u Y-ABPELTOF THEACTfOFT-F(AVEACURRENTLY VALID PERMIT OR APPROVAL? Yes ^No If yes, list agency name and permit /approval: /~J 1I~2~. llA""S A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? L___Ires No I CERTIFY THAT ToHE INFORMATION'/PROVIDED_ ABOVE IS TR~UJE TnO T~HLE,. ~B~EST OE MY KNOWLEDGE ~~G~ Df} K ~w~CZ ~ ~ • YI~/ l: Applicant / onsor N ~7 /~~ %!~ ~'• Date. Signature If the s 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 Aslencvl A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL FAF. Yes No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. Yes No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be hantJwritten, if legible) Ct. Existing air quality, surtace or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, pote ti n al for erosion, drainage or Flooding problems? Explain brieFly: /' ~ y ~ ~ C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood characteR Explain brieFly: Nv C3. V egetation 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 ose or intensity of use of land or other natural resources? Explain briefly'. N~ C6. G row th , subsequent development, or related activities likely to be induced by the proposed action? Explain brieFly: /VD _.. / e C6. L ong term, short term, cumulative, or other effects not identified in Ci-C6? Explain briefly: Nb C7. Other impacts (including changes in use of either quantity or type of energy Explain brieFly Nb _ _ __ D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICA ENVIRONMENTAL AREA CEA ? If es, ex lain brieFl Yes ~ No L E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es ex lain: Yes ~No _ _. _.. _... PART III -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 --~esthedetermination-efsigaiGsaneemustevaluatethe potentia4 impaetofthe~reposed aetionefrtheenvirenmentateharaeferisfiesof the EEA. Check this box if you have identified one or more potentially large orsignificant adverse impacts which MAY occur. Then proceed directly to the F EAF and/or prepare a positive declaration. Check this hox if you have determined,based on theihformation and analysis above and any supporting documentation, that the proposed a. WILL NOT result in any significant adverse environmental impacts AND provide, on allot menu s necessary, the reasons supporting determination. ;~nvc~ t`ryv~iilarvr~~v7~t /~-SfG~/' ~ / o~ _ ame of Lead Agency. Date a4'c~IC~ ~iC.~fA'rtfl/w/L2 ' /[7C-~T ~ or ype Res a In d Agency Title of Responsible Of(cer Signature of Preparer (If different from responsible officer) ~ard of Trustees Applicati~ County of Suffolk State of New York 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 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), 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 TN CONJTJNCTION WITH REVIEW OF T1II~-~LICATION. Si lure /~ SWORN TO BEFORE ME THIS DAY OF Q~111.~ _,20 t~P LAUREN M.STANDISH Notary NobO1ST6164008 (yam --~~~~ ~~ Commissf~a~n Expiraus Apri 9~ 20 f~ otary Public °._ ,. APPLICANT/AGENT/REPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM necessary to avoi~d/sa-•~me. j~, '~~,,, ~ ~,, J , YOURNAME: CrZE~'/ ~VG ~.v~1,¢~n1a'~~~ '~~ "~~tN ~ IC/rA/I~~G(/~l~ KJ) L Z (Last name, first name, r?riddle initial, unless you are applying in the name of ~~j 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 ofZone Approval of plat Exemption from plat or official map Other (lf"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 interest "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a coporation in which [he town officer or employee owns more than 5% of the shares. YES _ NO If you answered "YES", complete the balance of this fornt and date and sign where indicated Name of person employed by the Town of Southold Title or position of that person Describe [he relationship behveen yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all (Fiat apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or~beneficial owner of any interest in a non-corpomte entity (when the applicant is no[ a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OP RELATIONSHIP Submits l of ~~/ ~ 200 $ Signature Print Name ` L F~ ~ Fotm TS 1 ~a-ri-ua;i~:v irm: rs~iecc qPR-01-2006 12:46 AM ~ild O! T1ruslges ~DD13aation- r ~l'~~ (where the applioant is' not Ilia owner) ' I, i1AThFRYN ~VSSO ~esidinq at ~'pi ntS' m r o'i~ psoparty~"'- ma us ~ ~i i P. 01 ' ~ ~~ Lo'ROhwOoo~. ~,iZ do herebp aut2lorisak~~~~l.:~cEFR-~UDw~~Z /X 1-Eif1s Nt/ ~ ~`~yb- "1107 ~`~1?~s . /~ ~ `` (1lyent ) l ~~~^~~~ ~~n~~(D~~`at~)g`~`to app],y for pei'+sit(s1 from Cha Southold Hoard o! Town Trustees on my behalf. -- Owne s s Qnature 8