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
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Pt~42.452-2 F",i2t'{2452-2 ~
· ALL ~E~ 51~L POST TO HA~ FULL ~'-5" 14'-IO~" ~'-2~"
BEARIND ON EXISTIN5 FOU~ATION BELO~ ~ , , , ,
DIEGTLY O~R AD BLOGKED TO A 5I~ER
2D'-&" P~: J~
· IF THE~ 15 EIT~R OF THES~ ~ONDITION5 A 4"X4" FI~T FLOOR PLAN ~ ,
PODt A~ &" P~ PIE~ ON A 12"X12"XI~" PG FOOTIN~ ~: I/4"=1'-0" ~: I/2"=1'-0"
M~T BE IN~TALL~ IN O~ ~PA~E ~LO~ ~ ~: 121
· CON iMOTOR TO ~RIFY ~ FIELD CO~ITION5 riOT FOE
ANP ~P~T ANY PlSO~PANOIE5 TO N.F.D. ~ PESI~N CONSTRUCTION ~[~.
3 OF
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~ PO~T AND PIE~
GRA~
S~6TION A-A