HomeMy WebLinkAboutTR-6625A
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Edmund & Coriander Smyth
370 Sunset Way
Southold, NY 11971
Agent: Edward Ernst
Mill Creek Builders Ltd.
June 6, 2007
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P('J,d of Trustees
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Town of South old
Building Dept.
Board of Trustees
Southold, NY 11971
Re: Permit
Dear Sirs:
Establish a 10ft. non turf zone. Plant with native species per Trustees recommendations.
Remove broken concrete, pool surround and replace with Trex Decking. Remove CCA
wood from existing deck, replact; with Trex Decking. ReplacelRepair broken fence
around Pool and extend pool fence landward of non turf zone and return toward house to
protect owners 4 children ages 1-6 from falling off bulkhead.
Repair roof and roof rafters for building permit, replace shingles on house. Repair
broken concrete on ramp, so owner may safely access water with existing boat ramp with
canoes and kayaks. Add gutters and drywell to house.
Respectfully Submitted,
~
Edward Ernst
Mill Creek BuildersLtd.
Agent for Edmund & Coriander Smyth
.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob l1hosio, 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
_Coastal Erosion Permit Applic
_Wetland Permit Application
Amendment/Transfer/Extensio
_Received Application:
~eceived Fee:$ ~ 'Iv'
_Completed Application
_Incomplete
_SEQRA Classification:
Type I~Type II~Unlisted_
_Coordination:(date sent)
_LWRP Consistency Assessment Form
CAC Referral Sent:
--Pate ofInspection:-=:12] (.51 til
_Receipt ofCAC Report:
_Lead Agency Determination:_
Teclmical Review:
-.J:loblic Hearing He~
Resolution:
Office Use Only
~~(
Name of Applicant ~M U N -2- S \VI i-r\ '" \=;
Address5\O SUNSF) \;..)"'y
Phone Number:( )
Suffolk County Tax Map Number: 1000 - g\ - 0 \ D {
Property Location:3 ( 0
~V(')~~ w~y
(provide LILCO Pole #, distance to cross streets, and location)
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AGENT: ~ ~lJ~\L~
(If applIcable)
Address: b \... 0
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~d of Trustees APPlicatio~
GENERAL DATA
Land Area (in squarefeet): L~~ IU(\N k I\cl\:..
Area Zoning: \l... .~
Previous use ofProperty1<.~ \ T)t-\..J\"\ ll.. L
Intended use of property: \l~ ("\? t"N T\ ~ L
Covenants and Restrictions:_Y es ~~
If "Yes", please provide copy. ~
Prior permits/approvals for site improvements:
Date #4C(')uC J \<6ll ~
-41- Il~>LC
-if ll(L{~
d:J, l c \ (JOe
Agency
~JTI ~lAD 8V(L\)\j\J~
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or s~d by a governmental agency?
,A-NO Yes
If yes, provide explanation:
Project Description (use attachments ifnecessary): \C~\'^ \ )L. \L~"\--'
1L~~bit3 I (t-S~~ ctw2-lC<\\, {(Lplati S~W
if:; "- ton r
-.rrd of Trustees APPlicati,..
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:1CE \,t:- \ \L ~ F
Area of wetlands on lot: 0
Percent coverage oflot: C)
square feet
%
Closest distance betw,ey nearest existing structure and upland
edge of wetlands: ,0 feet
~U(~~
Closest distance between nearest proposed structure and upland
edge of wetlands: feet])~
~ect involve excavation or filling?
~
t-J6 eM N<\"t
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 the wetlands and tidalwaters of the town thatll1!lY result by
reason of such proposed operations (use attachments if appropriate): . . .. .
~~~
I- 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
~ECT ID NUMBER
PART 1 . PROJECT INFORMATION
1. APPLICANT I SPONSOR
2. PROJECT NAME
Municipality
County
~\J~
4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks ete - or provide map
1\)0 ~lJN)C I
5. IS PROPOSED ACTION: D New
D Expansion D Modification I alteration \It ~ lGL
6. DESCRIBE PROJECT BRIEFLY:
\ttyA''fL RYo\= J-P'7?Cj N~W S~ l~<)L~
y S \"IN~
~F
MOUNT OF LAND AFFECTED:
itially acres Ultimately
ILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
D No If no, describe briefly:
acres 0
PRESENT LAND USE IN VICINITY
D Industrial D Commercial
OF PROJECT? (Choose as many as apply.)
DAgricu,ture D Park I Forest / Open Space
D Other (describe)
INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
tate or local)
If yes, list agency name and permit I approval:
-11. UUt:.0
DYes
ANY A:::;I-'t:.CI Ut- IHI::.ACIION HAVe A CURRENTLY VALID PERMIT OR ApPROVAL?
D No If yes, list agency name and permit I approval:
1til\Y\a- Ari(U~b f=C\L\~F \l{:l~\YL
ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant
Signature
6-'\""
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 - 1M
A. DOES ACTIO If yes, coordinate the review process and use the FULL EAF.
DYes
B. Will ACTION EIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negalive
declaration may be superseded by another involved agency.
o Yes D No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOllOWING: (Answers may be handwritten, if iegible)
C1. Existing air quality, surface or groundwater quality or quantity. noise levels, existing traffic pattern, solid waste production or disposal,
[enllal for emsion, drainage or flooding problems? Explain briefly . I
C2. Aesthetic, agricultural, archaeological, historic, or other natural Of cultural resources; or community or neighborhood character? Explain briefly:
1m I
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
I . II
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:
I I
C5, Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
I I
C6. Long term, short term, cumulative, or other effects not identified in C1~C5? Explain briefly:
II
C7. Other impacts (including changes in use of either quantity or ty e of ener ? Explain briefly:
D. Will THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA (CEA)? !If les, explain briefly:
o Yes 0 No !
E. IS THERE, OR IS THE~_~~I~E~'y' TO [3E, S:ONTRO\iERSY RELATED T? ~()TEN_!IAL Af)VERSE ~f'.J\ll~()f'.J~ENTALIM~I\C!S?lfye_se~plairl:
o Yes ONO I ... .... ..H M .. ... .. ... M I
PART 111- DETERMINATION OF SIGNIFICANCE (To be compleled 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 (Le. 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
-- -- - yes,the-d-m.ermination-of-signifiGa-AGemust-evaIHate-the-potential-tmpaetof the-I*BpOsedaettenentfie-elw-irOOm-et'ltal-ei'tara-eteristies of-the CEA-;-
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 andlor prepare a positive declaration.
Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actio
WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting lhi
determination.
Name of Lead Agency
Date
Print or Type Name of Responsible Officer In Lead Agency
Title of Responsible Officer
Signature of Responsible Officer in Lead Agency
Signature of Pre parer (If different from responsible officer)
~oard of Trustees APPlicat~
County of Suffolk
State of New York
~ ~-
r 'WA rL I) a....-..s C; \ BEING DULY SWORN
DEPOSES ~ AFFIRMS THAT SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF IllSIHER 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 S UTHOLD AND THE TOWN TRUSTEES
HARMLESS AND FREE FROM ANY ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID P T(S), IF GRANTED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHO THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTE 0 0 MY PROPERTY 0 INSPECT THE
PREMISES IN CONJUNCTION WI H VJ W OF THIS LICATION.
/
DAY OF
done-
,20.41
SWORN TO BEFORE ME THIS
~/~
UNOA 8. CARLSON
NcllIIY NPubllC, State of New ~
O.OtCA6137178
uC>>i;.~I~~~~~ if
-
;....,'....:
~rd of Trustees APPlicat~
AUTHORIZATION
(where the applicant is not the owner)
~
I,
(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/AGENTIREPRESENTATIVE
TRANSACTIONAL DISCLOSURE, FORM
The Town of South old's Code of Ethics orohibits conflicts of interest on the Dart of town officers and emolovees. The Duroose of
this fonn is to orovide information which can alert the town of nos sible conflicts of interest and allow it to take whatever action is
necessarY to avoid same. /j ,
YOUR NAME: ~
(Last name, Irst name, -I,11id initial, unless yo e 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 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, spo ,sibling, parent, or child) have a relationship with any officer or employee
ofthe Town of Southold? "Relationship" includes b blood, marriage, or business interest "Business interest" means a business,
including a partnership, in which the town officer or e Joyee even a partial ownership of (or employment by) a corporation
in which the town officer or employee owns more than e 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, or child is (check all that 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 ownl?f 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 I
200~
8)\;vPYl0
€:'\-l?\\
~
2. State existing use and occupancy of p.ises and intended use and oc~u}'ancy lroposed construction:
a. Existing use and occupancy ~ lNG, l.....'C. F=A.. (\'\ \ L -f- ~=: S ~-E.~CE"
b. Intended use and occupancy s:.l ~G\ lJ2. 'FA M.l L'( ~c:.<;: \])~ ~~
3. Nature of work (check which applicable): New Building
Repair )( X Removal Demolition
c::- GO
4. Estimated Cost ":::'J 'JCO . Ie,...,...}
Addition
Other Work
Alteration
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
-
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
--
7. Dimensions of existing. structures, if any: Front <0 ~ /
Height . Number of Stories I
Rear
ro~1
Depth LtC;:.l
/,-1
Dimensions of same structure with alterations or additions: Front b~
Depth~ -.;- ..., Height Number of Stories
8. Dimensions of entire new construction: Front h (" I Rear 651
Height Number of Stories
_I
Rear 6 \.
I
Depth 4;.7
".
9. Size oflot: Front
\ ()\:)
Rear loO
Depth IW, S-
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~
13. Wi1110t be re-graded? YES_NO X Will excess fill be removed from premises? YES ~O-
14. Names of Owner ofpremisesf9\'Y\(JND S('r)yr~'frdress Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES)( NO ~~A \ Q
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PER11IT~ MAY BE REQUIRED. J-: M^ \ --. \ ^, \C'"'I-::::
b. Is this property within 300 feetofa tidal wetland? * YES X. NO _ \' N N\t:;"""'N'-'-- J
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. 131.JU:( \-\.t::A\>S) \0 dR.\y 't~~ L l)\(l'\8S)\V
N01>~1\...l1'\" ~\.)\RE:h
16. Provide survey, to scale, with accurate foundation plan and distances to property lines. J /
17. If elevation at any point on property is at 10 feet or below ~l;:'" provide topographical data on survey.
STATE OF NEW YORK)
c. r.[11~S:
COUNTYOF~
fd~~ ~;) .[; (0 '2:>+ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the A~m+
(Contractor, Agent, Corporate Officer, etc.)
20 Of) 1
of said owner or owners, and is duly authorized to perform or have p 0
that all statements contained in this application are true to the best 0 his
performed in the manner set forth in the application filed therewith.
UNDA S. CARLSON
Not.y Public, State of New lbIfl
No.01CA6137178
eon:J:f11d In Suffolk County /Ill
on expires Nov. 14. 20 1/7
-
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
CERTIFICATE OF COMPLIANCE
# 0310C
Date Mav 5, 2008
THIS CERTIFIES that the repairs to the roof on the existing dwelling, pool decking, pool
fence, and 10' non-turf buffer
At 370 Sunset Wav, Southold
Suffolk County Tax Map #91-1-7
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 6/5/07 pursuant to which Trustees Wetland Permit #6625ADated 6/20/07 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 repairs to the roof on the existing dwelling, pool decking, pool fence, and 10' non-turf
buffer.
The certificate is issued to EDMUND & CORIANDER SMYTHE owner of the
aforesaid property.
~o<1r
Authorized Signature
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JUN 2 5 2JJ07
Bean! 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
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
_ ronstructed
~ Project complete, compliance inspection. 0
.
.
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.: 6625A
Date of Receipt of Application: June 5, 2007
Applicant: Edmund & Coriander Smythe
SCTM#: 91-1-7
Project Location: 370 Sunset Way, Southold
Date of Resolution/Issuance: June 20, 2007
Date of Expiration: June 20, 2009
Reviewed by: Board of Trustees
Project Description: Establish a 10' non-turf buffer and plant with native species,
repair the roof rafters on the existing dwelling and replace the shingles on the
roof, re-shingle the dwelling, remove broken concrete around pool and replace
with Trex decking, remove CCA wood from deck and replace with Trex decking,
replace/repair broken fence around pool and extend pool fence landward of non-
turf zone and return toward house.
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
application, received on June 5, 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.
~G<~
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: G-lCfV\u...nJ;' (lor;OJ'\oler ~~-/ft e..
- ~
Please be advised that your application dated .J c.A(I e.. OJ doc; 7 has
been reviewed by this Board at the regular meeting of Tv.I'"IE..~, ::lCC) 7
and your application has been approved pending the completion of 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)
y, Constructed ($50.00)
~allnspection 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:
O'U
TOTAL FEES DUE: $ 50 .-
BY: James F. King, President
Board of Trustees
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