The URL can be used to link to this page

Home My WebLink AboutTR-6986A 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 l 179 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 1/~ 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.: 6986A Date of Receipt of Application: September 26, 2008 Applicant: Anne Marie McVeigh SCTM#: 127-8-15 Project Location: 2375 Great Peconic Bay Boulevard, Laurel Date of Resolution/Issuance: October 15, 2008 Date of Expiration: October 15, 2010 Reviewed by: Jill M. Doherty, Vice President Project Description: To construct a second-floor addition to an existing single-family dwelling. 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 survey prepared by Young & Young, last dated July 24, 2008, and received on September 30, 2008. Special Conditions: The installation of gutters, leaders and drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff. 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. Dohert ~oard of Trustees JMD:eac James F. King, President Jill M. Doherty, Vice President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. To~vn 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: Please be advised that your application dated ~_~,,~e--z-~,-~, ~ has been reviewed by this Board at the regular meeting of C~?,J:'o~; ~- /.~, o~O~~'~ 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) __ 1s~ Day of Construction ($50.00) __ ½ Constructed ($50.00) ~/~Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE:$~--'-C..3°'~'~ BY: James F. King, President Board of Trustees Photo No. 1 Juan Guzman & Suzanne Guzman at Laurel, T/O Southold, NY September 24, 2008 10:54 am Photo No. 2 Jum~ Guzman & Suzanne Guzman at Laurel, T/O Southold, NY September 24, 2008 10:54 am Photo No, 3 Juan Guzman & Suzarme Guzman at Laurel, T/O Southold, NY September 24, 2008 10:54 am Photo No. 4 Juan Guzmm~ & Suzam~e Guzmm~ at Laurel, T/O Southold, NY September24,2008 10:54 mn Photo No. 5 Juan Guzman & Suzanne Guzman at Laurel, WO Southold, NY September 24, 2008 10:54 am Photo No. 6 Juan Guzman & Suzanne Guzman at Laurel, T/O Southold, NY September 24,2008 10:54 mn Photo No. 7 Juan Guzman & Suzanne Guzman at Laurel, T/O Southold, NY September 24, 2008 10:54 am Photo No. 8 Juan Guzman & Suzanne Guzman at Laurel, T/O Southold, NY September 24, 2008 10:54 am Photo No. 9 Juan Guzman & Suzanne Guzman at Laurel, T/O Southold, NY September 24, 2008 10:54 am YOUNG & YOUNG 400 Ostrander Avenue Riverhead, New York 11901 Telephone 631-727-2303 Facsimile 631-727-0144 admin @youngengineering. com HOWARD W. YOUNG, Land Surveyor THOMAS C. WOLPERT, Professional Engineer ROBERT C TAST, Architect DOUGLAS E. ADAMS, Professional Engineer November 4, 2008 A'I-fN: Ms. Lauren Standish Board of Town Trustees Town of Southold Southold Town Hall 53095 Route 25, P.O. Box 1179 Southold, New York 11971-0959 RE: JUAN GUZMAN & SUZANNE GUZMAN (Ann Marie McVeigh) at Laurel, T/O Southold, New York (08-0242) Dear Ms. Standish: Enclosed are the following items: application fee - our check no. 1680 payable to "Town of Southold" in the amount of Fifty Dollars ($50.00), and one (1) copy - Board of Town Trustees correspondence dated October 15, 2008. If you have any questions, please contact us. Very truly yours, Thomas C. Wolpert TCW/mal Encl. cc: Mr. Frank McVeigh + Encl. Planning Engineering Land Surveying Architecture James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Gnosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application X Wetland Permit Application ./Administrative Permit Amendment/Transfer/Extension /'Rece~vved Application:.. I? ~--'~Keceived Fee:$ f~)' --~mpleted Application __Incomplete __SEQRA Classification: Type I Type II Unlisted__ __Coordination:(date sent) __LWRP Comistency Assessment Form __CAC Referral Sent: ~.~ate of Inspection: I~) ! __Receipt of CAC Report: __Lead Agency Determination: ~Technical Review: ~-Pllblic Hearing Held: Resolution: Name of Applicant Address 475 Morris Avenue, ~ockville Centre, New York 11570 Phone Number:( ) 516-695-7878 Suffolk County Tax Map Number: 1000- 127-8-15 '~'~q'~'0~ Property Location: North side of Peconic Bay Boulevard, approximately 600' west of Wendy Drive : (provide LILCO Pole #, distance to cross streets, and location) AGENT: young & Young Attn: Thomas C. Wolpert, P.E. (If applicable) Address: 400 Ostrander Avenue, Riverhead, New York 11901 Phone: 631-727-2303 Board of Trustees Appl~ion Land Area (in square feet): Area Zoning: R-40 GENERAL DATA 17,351 sq. ft. or 0.4 acres Previous use ofpropeuy:_ Single Family Residence Intended use of property: Single Family Residence Covenants and Restrictions: Yes No If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date x 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): Construct a second floor addition to an existing single family residence. Board of Trustees App~tion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: To construct a second floor addition to an existing single family residence. Area of wetlands on lot: 670 .square feet Percent coverage of lot: 3.9 +/- % Closest distance between nearest existing structure and upland edge of wetlands: 17 +/- feet Closest distance between nearest proposed structure and upland edge of wetlands: 35 +/- feet Does the project involve excavation or filling? x No Yes If yes, how much material will be excavated? N.A. cubic yards How much material will be filled? N.A. _cubic yards Depth of which material will be removed or deposited: N.A. Proposed slope throughout the area of operations: N.A. Manner in which material will be removed or deposited: N.A. feet Statement of the effect, if any on the wetlands and tidal waters of the town that may result by The proposed operations will not have an effect on the tidal waters of the Town. Board of Trustees Applic~ion COASTAL EROSION APPLICATION DATA Purposes of proposed activity: To construct a second floor addition to an existing single family residence. Are wetlands present within 100 feet of the proposed activity? No x Yes Does the project involve excavation or filling? x No Yes If Yes, how much material will be excavated? Iq.A. (cubic yards) How much material will be filled? Iq.A. .(cubic yards) Manner in which material will be removed or deposited: N.A. Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) The proposed operations will not have an effect on the tidal waters 'of the Town. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHO! ,l~ |n the matter o£applicant: YOU ARE HEREBY GIVEN NOTICE: 1. 1000z127-8-15 Thatitistheintention oftheundersignedtorequesta Permit ~om the Board of Trustees to: Construct a second floor addition to an existing single family residence. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Refer to Building Permit Survey 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. MAILING ADDRESS: 4Y5 Morris Avenue Rockville Centre, New York 11570 PHONE #: 516-695-7878 Enc: Copy of sketch or plan showing proposal for your convenience. T ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 0t~" t~ ~"1~ 3.PROJECT LOCATION: Municipality at Laurel, T/O Southold APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME County Suffolk PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide mad Refer to Building Permit Survey SEQR 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: Construct a second floor addition to an existing single family residence. 7. AMOUNT OF LAND AFFECTED: Initially 0.4 acres Ultimately 0.4 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [~Yes [] No If no, describe briefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) E~Residential []Industrial I~Commercial [~]Agriculture I--1Park/Forest/OpenSpace E~Other (describe) 10/DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) NYSDEC - Tidal Wetlands [~]Yes ~INO If yes, list agency name and permit / approval: 11. U(J[:~ ANY A~F'~:~;T'OF~IHE ACTION HAV'~- ~URRENTLY VALID PERMIT O~ APPROVAL? ]Yes r~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~]Yes {~No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Appllcanl t Sponsor Name Thomas C. Wolpert, P.E., Agent for Applicant Date: 9/16/08 If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment Board of Trustees Application 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 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 IN CONJUNCTION WITH REVIEW OF T. m.3~q/I}L~ATION' SWORN TO BEFORE ME THIS [ ~o,~._ DAYOF ~e. la~¢ ~,_ [~ or- ,20o~ otary Public ., ~-' UNDAA. DLUG~NSKI Notary Public, State of New Yo*k No. 4703556 Coslm~. ( IWied in Suffoll~ County Ex)ires ~-~ s?l o~/ Board of Trustees App~ation AU~OP~I ZATION (where the applicant is not the owner) ./~ "~1~ 'I~i residing at ~h ~ %'1~,~ ~ (Print o~er of pr0~erty) (mailing address) Attn: Thomas C. Wolpert, P.E. do hereby authorize Youn~ & Young (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 urohibits conflicts of interest on the uart of town officers and emulovees. '[he oumose of this form is to nrovide information which can alert the town ofpossibl~ conflicls of intere~'t and allow it to take whatever action is necessary to avoid same. (Last name, first name, gaiddle 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 Of"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 Southotd? "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 corporation in which the town officer or employee owns more than 5% of the shams. YES NO X 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 Or position of that person Describe the relationship between yourself(the applicant/agenffrepresentative) 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 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 I YOUNG & YOUNG 400 Ostrander Avenue Riverhead, New York 11901 Telephone 631-727-2303 Facsimile 631-727-0144 admin @youngengineering. com HOWARD 1~ YOUNG, Land Surveyor THOMAS C. WOLPERT, Professional Engineer ROBERT C TAST, Architect DOUGLAS E. ADAMS, Professional Engineer September 29, 2008 A~-fN: Ms. Lauren Standish Board of Town Trustees Town of Southold Southold Town Hall 53095 Route 25, P.O. Box 1179 Southold, New York 11971-0959 RE: at Laurel, T/O Southold, New York (08-0242) Dear Ms. Standish: Enclosed are the following items: 1. 2. 3UAN GUZMAN & SUZANNE GUZMAN ,:;. SEP 30 2008 application fee - our check no. 1541 payable to Southold' in the amount of Fifty Dollars ($50.00), and seven (7) prints - Building Permit Survey last dated July 24, 2008. If you have any questions, please contact us. Very truly yours, Thomas C. Wolpert TCW/mal Encl. cc: Nr. Frank McVeigh + Encl. Planning Engineering Land Surveying Architecture YOUNG & YOUNG~ 400 Ostrander Avenue Riverhead, New York 11901 Telephone 631-727-2303 Facsimile 631-727-0144 admin~youngengineering, com HOWARD W. YOUNG, Land Surveyor THOMAS C. WOLPERT, Professional Engineer ROBERT C TAST, Architect DOUGLAS E. ADAMS, Professional Engineer September 25, 2008 Board of Town Trustees Town of Southold Southold Town Hall 53095 Route 25, P.O. Box 1179 $outhold, New York 11971-0959 RE: .1UAN GUZMAN & SUZANNE GUZMAN at Laurel, T/O Southold, New York (08-0242) Dear Members of the Board: Enclosed are the following items: '-7 2. 3. 4. 5. 6. one (1) - Southold Town Trustees Wetlands Application, one (1) - Notice to Adjacent Property Owner, one (1) - Short Environmental Assessment Form, one (1) - Applicant Affidavit, one (1) - Applicant Authorization Form, one (1) - Applicant Transactional Disclosure Form, one (1) color set - Photograph Nos. 1-9, and seven (7) prints - Building Permit Survey last dated July 24, 2008. Kindly notify us of the amount of required application fee and we will forward same promptly to your office. If you have any questions, ~lease contact us. Very truly yours, TCW/mal Encl. Thomas C. Wolpert cc: Mr. Frank McVeigh + Encl. Planning Engineering Land Surveying Architec~u 1N APPROVED ¥ BOARD OF TRUSTEE3 ~,~N OF SOUTHOLD \ '\/ /' /,tt i~ 8EP 30 2'3¢8 II ]',,1- .,.JUAN C~,UZI,,'IAN, ..T:,UZANNE ~,UZHAN ~ul'folk C. ount4j, N~. York C, oun~ Tax Hap u~t~t IOO0 s,et~ 1:2'7 ~ O~ ~ 15