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HomeMy WebLinkAboutTR-7115AJill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall 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 # 0529C Date February 24, 2010 THIS CERTIFIES that the replacement of the roof~ siding and windows on the existing dwelling At 129 Inlet Lane, East Marion Suffolk County Tax Map g43-5-6 Conforms to the application for a Trustees Permit heretofore filed in this office dated 5/20/09 pursuant to which Trustees Wetland Permit #7115A dated 6/24/09 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 replacement of the roof, siding and windows on the existing dwelling. The certificate is issued to JOSPEH CORRARINO owner of the aforesaid property. c'--] A~thorized 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 ¼ constructed t,/'"Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town H~lAnnex 54375M~nRoad 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.: 7115A Date of Receipt of Application: May 20, 2009 Applicant: Joseph Corrarino SCTM#: 43-5-6 Project Location: 129 Inlet Lane, East Marion Date of Resolution/Issuance: June 24, 2009 Date of Expiration: June 24, 2011 Reviewed by: Trustee Bob Ghosio, Jr. Project Description: To replace the roof, siding and windows on the existing 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 site plan prepared by North Fork Drafting & Design, dated April 30, 2009, and received on May 20, 2009. 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 Southoid Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Board of Trustees JFK:eac James F. King, President Jill M. Dohelxy, Vice-President Peggy A. Dickerson Dave Be~tgen Bob Ghosio, Jr. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: Robert Saetta on behalf of JOSEPH CORRARINO requests an Administrative Permit to replace the roof, siding and windows on the existing dwelling. Located: 129 Inlet Lane, "- ' ", ;_-n. SCTM~44-5-6 Type of area to be impacted: __Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion ~Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: __d. King __J.Doherty __P.Dickerson __ __ D. Dzenkowski Scott Hilary__other Form filled out in the field by D. Bergen__ B.Ghosio, Mailed/Faxed to: Date: COUNTY DF SUFFOLK 043 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob ~nosio, 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 ~AmcndmenffFrans f~r/Extension ~/eceived Application: ~h~ceiv~l Fee:$ ___~n~pleted Applica~on~ __Incomplete __SEQRA Classifica~on: Type I_ Type II_ Unlisted Coordinafion:(date sent)_ " LWRP Consistency Assessment Form ~AC Refen~l Sent:~,l (~ ' __.Receipt ofCAC Repor~ ~ __Lead Agency Determination: Technical Review: -- Resolution: Name o f Applicant ~ _'~f~O ~ .e.~ Address Suffolk CountyTax Map Number: 1000- ~.~',~ --r0 ~ _ ~'~, Property Location: ~. 2[j(~[~) .y (provide LILCO Pole #, d/stance to cross streets, and location) of Trustees Applicatio0 Land Area (in square feet):. Area Zoning: GENERAL DATA Previous use ofproperty:~~~'J~ Intended use of property:~~~-~ Covenants and Restrictions: Yes ¥ No If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site impr6~ments. Has any pem~a~roval ev~ been revoked or su%~ded2y a gov,TEn~ntal ag~c~ If yes, provide explanation: Project .Description (use attachments if necessary):~ of Trustees Applica WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the propos~ operations: ~,~/,~./~ ~~ Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearestproposed structure and upland edge of wetlands: feet Does~e project involve excavation or filling? v, No Yes If yes, how much material will be excavated? How much material will be filled? Depth of which material will be removed'or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: cubic yards cubic yards feet Statement of the effect, if any, on the wetlands and tidal waters of the town that m~ result by 617.20 PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED AC'lIONS Only FART 1 - PROJECT INFORMATION ( To be completed by A )licant or Project Sponsor) PRECISE LOCA~'IO~I: S~ Addess and Road Intersections, Prominent landmarks etc -or provide mai) 5~ Is PROPOSED ACTION: [] New [] Expansk:~ [/*--~odificatJon / alteration 7. AMOUNT E~.~ OF LAND AFFE E . Initially acres Ultimately acres 8.~NoWILL P OSED ACTION COMPLY WITH I~ISTING ZONING OR OTHER RESTRICTIONS? If no, describe briefly: SEQR 9. WHr~,.~T~ PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many es apply.) ~dRe$idestial r~lndestria, ncornmar~ia, RAgricuitu~ E]ParklForestlO...Space F--1Other (describe) 10.'DOES ACTION I~M~'LVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANy OTHER GOVERNMENTAL AGENCY (Federal,/~te or Local) ]Yes L.~o If yes,- li~t agency name and permit I approval: 11. L~Ub5 ANY A;SFLL.;I UI- IHt: ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 12. AS A ~.Jk,'~OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ~ 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 - IMPACT ASSESSMENT (To be completed by Lead A~lenc~) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 8 NYCRR, PART 617.47 ff yes, con~dinate the review process and use the FULL FAF. F-I " I-1Re S. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be supemeded by another involved agency. E~] Yes ]--] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be han~lwflffen, If legJbla) Ct. Existing air quality, surface or groundwater quality or quantity, noise levels, exJsUng Ireflic patlam, solid waste produc§ofl or disposal, potenBal for erosion, drainage or flooding problems? Explain bdefly: * c2. Aesthetic, agflcuituml, ai~.,,.uolngtcal, h~,,;,., or other natural or cultural resources; or commordty or nmghborhood chamctei'? Explain briefly: C5. Growth, subseqcent de~,,,;,~p,,mnl, or related activities likely to be induced by the proposed a~.~Ex~n*~e~i C6. Long term. short term. cumulative, or o1~ effects'on-~' ~ ~;; ,~;I;-~ ~ '~i:fi .~?- ~=~ '1;~: C7. O!her impacts (including chan~es in use of ei~har~;n~--~- o~ e-n~; -'~' ~';~,,~'~1~' : ~' ENVIRONMENTAL AREA (CEA)? (If yes, ex~lain bd. efl~: r--lyes I--'~No · S THERE, OR IS)'HERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE EI~IVIRONMENTAL IMPACTS? If es ex lain' I PART III - DE ! I=[~MINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Fer~e~chadvorsee~ectidend~edab~ve~de~erminewhetheritissubstantia~arge~imp<N~tant~r~therwisesigni~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) prohabiliiy of occurring; (c) duration; (d) irmversibliity; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting mate~tals. Ensure that explanations contain sufficient detail to show that all mtavant adverse impacts have been identified and adequately addressed. If queStion d of pert ii was checked Check this box if you have Ider~tified one or mom potentially lerge or sigeli~ant adverce impacts v,/n~h MAY occur. Then proceed dlmctty to the FUL-~---'~ EAF andlor pmpme a p<~dt~e dectamtion. Chec~[h-~ box if you ha,~e determined, based on the information and anatys~s above and any suppoding documantatio~: t-~¥ ~e~p*~'~ ~ - WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessa[y, the reasons suppo~ng thie determination. Name of Lead Agency Print or Type Nama o~ Responslbte Of~r in Lead Agency Signature of Responsible Officer in Lead Agency TIUe of Responsible Officer S~gcelure of Preparer (if different from responsible ofticer) Board of Trustees Application County of Suffolk State of New York THAT HETSHE 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 BF.I.IEF, 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 AUTHORIZF. THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE SWORN TO }~EFOe. E m Tins ~X,.~ DAY OF ¢~,~ .... 20 eh Notary Public CONNIE D, BUNCH Notary Public.State of New Yo~ No. 01BIJ6185050 Qualified in Suffolk County, Commission Expires April ]4 ~oar~ of Trustees APplication (print owner of property) AUTHOP/ZATION ~ (where the applicant is not the owner) (mailin~ ad~re~) do hereby authorize (Agent) to apply for peri, it(s) from the Southold Board of Town Trustees on my behalf. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE. FORM The Town of Southold's Cod~: of Etlfics mohthita conflicts of mterast on th~ tra~t of town officor$ and ~molovens. The ooronse of this forum is to umvid~ information which ~an alert the town of ,~ihl~ confli~ of int~. and allow it to {ak~ whatever action is -,,, ./ (List ann~, first name,~niddlu initial, unless y6u a~ applying m the name of someone else or other entity, such as a company. If so, indic'a~the otl~"r person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax griovanc~ Building Varianc¢ Trnst~ Change of Zone Coastal Erosion Approval of plat Mooting Exemption from plat or official map Planning Other (If"Other-, name thc activity.) Do you personally (or through your company, spouse, sib!ing~pa~.nt, or child! have. a ~l~atio,~n~...i.p will~, any o~cor or em. plo, y~ of the Town of.Southold? "Relationship" includes by blood,$alamagc, or busw~ss ratchet. Busmnss mtornst n~ans a onsmcss, including a partnership, in which the town offlcor or emp!o~¢ bas uvcn a partial ownership of (or emptoyment by) a corporation YES NO ~' ' in which thc town officer or employee owns n~r~ than 57f the shar~$. Ify0u answerud "YES", complete the balance of this form and date and sign wher~ indicated. Name of pel~0n employed by th~ Town of Southold Title Or position of that person Descrihe thc relationship hetwcon your~lf (thc applicant]agent/rapid,tnt ative) and the town officor or employee. Either check the appropriate linc A) through D) and/or dascr~b¢ in the space provided. Thc town officer or employee or his or her spout, sibling, parent, Or Child is (cheek all that apply): A) tl~ owner of greater than 5% of the shares of the corporate stock of the. appt jc~t (whe~ t~ applicant is a coq~oration); __.B) th~ I~al or b=~fic~d ownS. ofany in~rus~ in a non-corporat= entity (wh~ applicant is not a co~uo~ation); C) an ofl'~'~, dh~lor, pa~', or employee of th= applicant; or D) the aciual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Signatu~ ////~'//' '~ ' [ I Print Name ~/ I[ L L - !- FINI~HE~ BOARD O~ ~tUS~ES ~" II ELEVATION TOWN sOUTHOLD .--, I I ~ALE, I/4"=1'-O" DATE /~ CONSmUCTJON O~PAN~Y C~S$1FIOA~ON ~-3 ~E~iDE~AL - ~EO~ON 310 BUI~ING OO~ N,Y,~, I ~ ' ~E 3WELUNG UMT- SEC~ON 310 - 310.2I ~ HEIG~ ~A~ I FIRE A~A (s~ 400 SQ ~ ~PE OF CONS~UO~ON ~OOD F~ME ~NS~U~ON ~ ~ DESIGN CR~R~ ~E~IP~VE DESIGN - 19~ HIGH WiND ED~ON WFCM F~MING ELEMEN~ ~EE FLOOR P~NS AND SEC~ONS i DESIGN LOAD ~LCU~NS ~EE SPEC SHEET ~ ~I~WAND DOORSCHE~ ~EE SHEET LOAD PA~ ~EE SHEET ~[~TIN~ ~iLi~ SCHEDULE ~EE SHEET EG~SS [SEE FLP~N :IRE PRO~G~ON ~A~ SOUTHOLD BUILDING DEPARTMENT CRITERIA IOCCUPANCY CLASSIFICATION ~-3 RESIDEN~AL * SECTION 310 BUILDING CODE N,Y.S. USE 3WELENG UNIT- SECTION 310 - 310.2 2HEIGHT N/At FIRE AREA (sl) 400 SQ FTi 31YPE OF CONSTRUC'nON NOOD FRAME CONS'~UCI1ON 4DESIGN CRIteRIA =RESCRIP~VE DESIGN - 1995 HIGH WIND EDITION WFCM 5FRAMING ELEMENT~ SEE FLOOR PLANS AND SEC}IONS 6 DESIGN LOAD CALCULA~ONS SEE SPEC SHEET 7 WINDOW AND DOOR SCHEDULE BEE SHEET 8 LOAD PATH SEE SHEET 9 NAILING SCHEDULE SEE SHEET 1( EGRESS ISEE FLPLAN 11 ~LUMBING RISER DIAGRAM SEE SHEET 1; :IRE PRO~C~ON N/A 1: IRUSS DESIGN DRAWINGS N/A 14 ENERGY CALCULA1]ONS SEE ATTACHED , ~ ~ z EXISTINO ~A~L 0 Z Z FOUNDATION PLAN NOT FOR CONSTRUCTION yam: 4-~o-oq 2 OF ,,,,,., ,,,,,,-,,,.,,,,-..,..,,-,- ® " lliii ' ' ' ~ DININ~ R.M I BATH ,2 ¥ ~ ,.~ 9) I-5/4' X I1-1/~' L'./1. ~ EXISTINg, I ~ .~41~,TIN8 (~) X O · I ~ _,. ~, . 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