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Home My WebLink AboutTR-7128A James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghos±o, 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 st 1 day of construction ¼ constructed Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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 Permit No.: 7128A Date of Receipt of Application: July 2, 2009 Applicant: Alison Byers SCTM#: 119-1-14.1 & 14.2 Project Location: 10335 Nassau Point Road, Cutchogue Date of Resolution/Issuance: July 22, 2009 Date of Expiration: July 22, 2011 Reviewed by: Trustee Jill Doherty & Trustee David Bergen Project Description: To re-grade the existing driveway. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the $outhold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Ray Nemschick, R.A. last dated June 12, 2009, and received on July 2, 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 Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. /di}l M. Doherty, Vice Pre,dent ~oard of Trustees JMD: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: Please be advised thet your application dated J"~'~l~' ~z,~CC~9 has been reviewed by this Board at the regular meeting of ,.~T'cklv,,,~Q: ,~o9 and your applicetion has been approved pending the completion of the ' following items checked off below. __ Revised Plans for proposed proiect Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) ¼ Constructed ($50.00) V~' Final InsPection Fee I$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: $. --~'-~) ~ BY: James F. King, President Board of Trustees James F, King, President Jill M. Dohe~ly. Vice-President Peggy A. Dickerson Dave Beqgen Bob Ghosio. Jr. P.O. Box 1179 Southold, NY 11971 Telephone(631)765-1892 Pax (631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Ray Nemschick, R.A. on behalf of ALISON BYERS requests an Administrative Permit to re-grade the existing driveway. Located: 10335 Nassau Point Rd., Cutchogue. SCTM#119-1-14.1&14.2 Type of area to be impacted: ]..~'a'rt~ater Wetland Freshwater Wetland Sound ¢-~l~aY Distance of proposed work to edge of wetland P~hOa Town Code proposed work falls under: pt.275 Chapt. 111 other Type of Application: ~--~etland __Coastal Erosion ~Amendment ~Ad ministrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: __&King ~i~.Doherty __P.Dickerson __ D. Dzenkowski other Form filled out in the field by ~. Bergen__ B.Ghosio, Mailed/Faxed to: Date: July 1, 2009 Town of Southold Board of Town Trustees 53095 Route 25, Town Hall Building P.O. Box 1179 Southold, NY 11971-0959 Re: Byers Residence - Site Photos NSA Project # 09-1518 10335 Nassau Point Road Cutchogue NY 11935 Nemschick Silverman Architects P.C. "... the business of ARCHITECTURE." Photo # 1 Photo #2 4250 VETERANS MEMORIAL HIGHWAY ,, WEST WING .. SUITE 2020 · HOLBROOK, NEW YORK 11741 631.467.2130 telephone 631.467,2124 facsimile http://www.ns-arch.com Photo #3 Photo #4 4250 VETERANS MEMORIAL HIGHWAY · WEST WING · SUITE 2020 · HOLBROOK, NEW YORK 11741 631.467.2130 telephone 631.467.2124 facsimile * http://www.ns-arch.com Photo #5 Photo #6 4250 VETERANS MEMORIAL HIGHWAY · WEST WING · SUITE 2020 · HOLBROOK, NEW YORK 1t74'1 631.467.2130 telephone 631.467.2124 facsimile http://www.ns-arch.com James F. King, President .Jill M. Doherty, Vicedarosident Pogpo' A. Dickerson Dave Bergen Bob Ohosiu, ,Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631t 765-1.892 Prix {631 ) 765-64~41 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office !!se Only Coastal Erosion Pcnm! Appiicafion~,~' _Wetland Pernst Applicalion Lt~ Administrative Permit ~ Receiv~ ~Complctcd Applicauon ~ .Incomplete SEQ~ Classff~caUon: ~ Coordi~mtion: da:c scni) ~ __LW~ Consistency As~ssmcm Form ~ ('AC R:t~rral Scm: / ~Recctpi of CAC __Lead Agency ~tcrmination: ~flclmical Review: Name of Applicant Alison Byers Address 10335 Nassau Point Road Cutch0gu~_, NY 11935 Phone Numbcr:( ) (631) 289-3543 Suffolk County Tax Map Number: 1000 - 119-01-14.1 & 14.2 Property Location: 10_.3._35 Nassau Point Road Cutchogue, NY 11935 (provide LILCO Pole ~. distm~ee to cross streets, and Iocatlou} AGENF: Ray Nemschick, R.A. (1 f applicable) ,Address: 430 Green Way Cutchogue, NY 11935 ............. Phoue: 631-7~34-7007 Board of Truatees Application GENERAL DAIA Land Area (in square feet): lot 14.1 - 4.1400 acres; lot 14.2 - 3.3680 acres Area Zoning: R-40 Previous use of property:Residence lnlended use of properly:._R.e~.~i~en~~ Covenants and Resthctions: Yes ¢ No If 'Yes", please provide cop3. Prior permits/approvals for sue m~provements: Agency Date Bgar_d of Trustees #578~4_ July 23, 2003 Board of Trustees #6383 June 21,2006 __ No prior permits/approvals lbr site improv~;,nea:s. Has any permit/approval gver been revoked or suspended by a govemmentaI agency'? ~ No Yes If yes, provide explanation: Project Description {use attachments il'necessary): It is the intention to re-grade the existing driveway of an existing single family house. Board of Trustees Appliuat~on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of thc proposed operations: T~o re-~lrade the existin9 driveway __ of an existing single family house. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 ....... % Closest distance between nearest existing structure and upland edge of wetlands: 15.3 feet Closest distance between nearest proposed structure and upland edge of wetlands: 47.6 feet Does the project involve excavation or filling? No ~/ Yes If yes, how much material will be excavated'? 1/129 cubic yards How much material will be filled? 1,119 cubic yards Depth of which material will be removed or deposited: 1 ft. feet Proposed slope throughout the area of operations: __ Manner in which material will be removed or deposited: Machine excavated and retained on site for backfill and landscaping purposes. Statement &the effect if any, on the wetland.s and tidal waters of the towu that may result 'vy reason of such proposed operations (use attachments i f appropriate): No adverse impact is anticipated. Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activityLTo re-grade the existing driveway o.f at~ existin~l sinole family house. Are wetlands pre~ent within 100 l'cct of tl~c proposed activity? No t/ Yes Does the project involve excavation or filling'! No ~' Yes If Yes, how much material will be excavated? 1,129 (cubic yards} How much material will be filled? .... '~ ,J '~_9 _ . (cubic yards) Manner in which material will be removed or deposited: Machine excavated and retained on site for backfill and landscaping purposes. ...... Describe file nature and extent of the environmt:nta[ i[npacts reasonably anticipated resulting from implementation or'the project as proposed. (U~e attachments if necessary) No adverse impact is anticipated._ ....... PRO, ECT ID NUMbeR PART 1 - PROJECT INFORMATION 61720 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicent or Project Sponsor) 2 PROJECT NAME Alison Byers - c~.ty Suffolk 1 APPLICANT; SPONSOR Nemschick Silverman Architects P.O. 3 PROJECT LOCATION: MLInJcipali~ Cutchogue Residence 4. PRECISE LOCATION: Sheet Add,ss ami Road Inlersectiens. Prominent landmarks ~=c -')r r, rovide ma~ SEQR 6 DESCRtRE PROJECT BRIEFLY: The project includes the re-grading of an existing driveway of an existing single family house. 7. AMOUNI OF LAND AFFECTED: Init, ally .077 ac. es LIIt~llatel¥ .077 acres 8 WILL PROPOSED ACTION COMPLY W1TH EXISTING ZONING OR OlH~ R~STRICTIONS? ~Yes ~ ~ 11 no, des~ebrie~ 10 DOES ACTON INVOLVE A PERMIT APPROVAL. OR FUNDING NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. ~late or LOCal~ E~Yes ~'-~No If yeS, list name and ~ermlt ~ ~' DCF-.5 ANY ASPECT OF THE ACTION {-AVE A CURRENTLY VALID PER;~4~T OR APPROVAL? r~Ye$ ~'ING I! yes, list name a'~d perm# l' j12 AS A RESULT OF PROPOSED ACTION WiLL EXIST NG PERMIT., APPROVAL RECUIRE MODIFICATION? 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 oompleted by Lead A~lenc:y) A, DOES ACTIOIq EXCEED ANY -t'PE I THRESHOLC IN 6 NYCRR, PART 617 47 II yes, cOOrdinale ina revle,v process and ~,~e Ihe F ILL E~,F B. W[.L ACTION RECEIVE COORDINATED REVIE~,V A~ PROVIDE D FOR UNLISTE~ ACTIONS IN ~. N¥CRR. PART 61 ?E? ir No. a negative C CCULD ACTION RESULT t'~ ANY ADVERSE EFFECTS ASSOCIATE-") WIT~ THE FOLLOWING: (Answers may be handwrilten. ~(legible) Other D ~,MLL THE PROJECT HAV~ AN IMPACT ~ THE Ei~V RON~ENTAL CHARACTERISTICS THAT CAL'SED THE ESTABLISHMENT OF / E tS THERE. OR la THERE LIKELY TO BE~ CONTROVERSY RE[Al'ED ~'O PO1ENi'IAL AOVERSE ENVIRONMENTAL IMPACTS? If yes explain; PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Fcreacflad~erseeffect denti~edab~ve~d~te~minev~he~heriti~substantia~arge~impor~ar~t~r~the~ise~ni~n~ Eac~ effect should be e~ssasse~ in c~rmectsc~ wi~ its (a) setting (i.e, urban or rural): (b) probablli:y of occu~ing; (c) duration; (d) It'raversi~itily; (e} geographic sc~pe; and (f) magnitude. I~ necessary, ado attachments or refere~qce supporting mater~ats. Er~ura that expi~.pat~ons contain sufficlenl data I to shcA.~ thai all re;avant adverse impa.~ts have >een ~denflf~ed an:l adebaately a~res~. I; qu ~stion d of part ii wa s checked yea the c~ete .m~natior' of sign ill:ar :e musl evaluata the polenlial impact of Iha proposed action on the envircnmen:al c:~racte-istics of th.e CEA. Nemschick Silverman Architects P.C. Name o! Lead Agency I ./ Principal Title of Responsible Officer Board of Trustees A~plicat~on County of Suffolk State of New York Ray Nemschick ....... BEING DULY SWORN DEPOSES AND AFFIRMS THAT HFa'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 TH1S APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOI,D TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS A~ND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PEP~MIT(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 CONJU~'CTION WITH REVIEW OF THIS APPLICATION SWORN TO BEFORE ME TIllS e2 ~ ~ DAY OF John M. Judqe NOTARY PUBLIC, State of New York No. 01 JU6059400 Qualified In Suffolk County Coml~ission Expires May 29, 20 t APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of ,~muihold' ~ Code of Ethics mohibits conflicts of in~ on the mn of tow~ office~ ~d ~mnlove~. ~ ~ of t~is fo~ ~ m ~'~ i~ation wh~ ~ ~ ~ ~wn of ~iblc confli~ of ~st ~ ~low it Io ~o ~er ~flon is YOUg NAMe: Nemschick Silverman Architects P.e. (L~ name, ~ n~, ml~l~ ~diM, ~ss y~ ~ a~lyi~ M ~ na~ of ~n's or tommy's ~.) NAME OF APPLICATION: (~k all II~t apply.) Tax grievance Building Variance Trus~'e I/ Change of Zone COaSL~ Erosion Aplgoval of plal Mooring ___ . Exemp~ion fmn] pt~t or official map. Harming Other (If"Other", name thc activity.) DO you persounUy (or through your oompany, spouse, sibfing. ~mnL or child) have a ~lafionship ~4~h ~my officer or employee of thc 'ro~.n of~ut~ld? 'RelaUonship' incl~s by bl~d. mmriagc. including a para,is in which ~ Iown officer or employer I~ cvcn a pa~ial osvncr~ip of I~ cmplo~cnl by) a co~mfion in which fie tox~ o~ or ~ploy~ owns ~m YES NO Name of ~r$on employed by ~e Tox~ of Sou~ld ~ . Title or ~ailion of ~at ~a I~ ~fial~ li~ A) through D} ~ ~scfi ~ M ~ spa~ provided ~ ~wn off. er or ~loy~ ~ his or her s~, sibling, ~ or child is {c~¢E all that apply): ~.A} ~ gw~r of gr~ fl~ ~%ofth~ ~s o[ t~ ~rate s~ck of the applicant ~.B) ~ ~1 or ~nefici~ own~o[~y inte~ m DESCRIPTION OF RELATIONSHIP Submitted this .____day o1'_ 200 __ SignMur¢ Print Name. Form TS I Board of Trustees Application AUTHORI ZA_q-~ON (where the applicant is not the owner) Byers (print owner of property) Road. Cutcho,que, NY 11935 Silverman Architects P,C. residing at 10335 Nassau Point (mailing address) do hereby authorize Nemschick (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owfier' s sign~.tj~re; Town of Southold LWRP CONS][STENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants ibr permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject ~ thc Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other inibrmation used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Cottvtal b,)'oslon Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A 0reposed action will be evalgat~d as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of thc LWRP policy standards and condi~ons contained in the consistency review law. Thus~ each answer must be explained ~n detail, listing both suonortine and non- sunnortinff facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undert',tken. A copy of the LWRP is available in the following places: online at the~ wn of Southold's webslte (southoldtown.northt~,rk.net), the Board of Trustees Office. local libraries and the Town Clerk's office. IlL SCTM# 1000 -1~19-- 01 - 14.1- & 14.2 PROJECT NAME ^hson Byers - Residence ~,.....~ The Application has been submitted to (check appropriate responseS: TownBoard [] Planning Board D BulldingDept. [] BoardofTrustees [] Category of Town of Southold agency action (check appropriate response): (a) Action tmderlakcn directly by Town agency (e.g. capital [~] construction, planning activity, agency regulation, land transaction) F--] (b) Financi',.d assistance (c.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: The project includes the re-grading of an existing driveway of an existing single family house. Location ofacdon: 10335 Nassau Point Road Cutchogue, NY 11935 Site acreage: lot 14.1 -4.1400 acres; lot 14.2 - 3.3680 acres Present land use: residential Pre, em zonin8 classification: R-40 If an application for the proposed action 'has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Nemschick Silverman Architects P.C. (b) Mailing address: 430 Green Way Cutchogue, NY 11935 (c) Telephone number: Area Code (). 631-734-7007 (d) Application number, if any:. Will the action be directly undertaken, require li. mding, or approval by a state or federal agency? Yes ~'] No [] If yes, which state er federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices 1hat will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficicnl use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section I!I - Policies; Page 2 for evaluation criteria. [-'~Yes [] No [] Not Applicable This project has no effect on the aforementioned. AItach additional sheet~ if necessary Polity 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section II! - Policies Pages 3 through 6 for evaluation criteria [] Ye. [] No [] Not Applicable The project has no historic or archeological significance, Attach additional sheets ii'necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section [11 - Policies Pages 6 through 7 for evaluation criteria [] Yes [] No [] Not App.cable The pro!oct does not effect scenic resources. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section II1 - Policies Pages $ through 16 for evaluation criteria [] Yes [] No ~-] Not Applicable The prnjRc, t does not effect the current condition of flooding or erosion, Attach additional shocts if necessary Policy 8. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria Yes [] No [~Not Applicable The project does not effect water quality or sup_~y_fro~m i~ts_ current state. Attach additional sheets i f necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See I,WRP Section 11I - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Applicable The project does not effect the ecosystems, significant coastal fish or wildlife habitats and wetlands. Attach additional sheets if ne~essury Policy 7. Protect and improve air quali~y in the Town of Southold. See LWRP Section Iii - Policies Pnge~ :32 through 34 for evaluation criteria. [] Yes [] No [] Not Applicable The project does not effect air quality. Atlach additional sheets if necessary Policy 8. Minimize environmental degradation in To,vA of Southold from solid waste and hazardous substances and wastes. See LWRP Section 111 - Policies; Pages 34 through 38 for evaluation criteria. ~] Yes [] No ~ Nol Applicable The pro?ct will not increase solid waste and does not have or use hazardous substances or waste products to the best of our professional opinion. PUBLIC COAST POLICIES Policy 9. Provide for public access lo, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. Sec LWRP Section Ill - Policies; Pages 38 through 46 for evaluation criteria. [] Ves~ No [] Not Applicable The project does not impede the aforementioned Attach additional sheers if necesse~ WORKING COAST POLICIES Policy 10. Protcc! Southold's water-dependent uses and promole siting of new water, dependent uses in suitable locations. See LWRP Section Ill - Policies; Pages 47 through 56 for evaluation criteria. [] Yes [~ No [] Not Applicable The project does not'effect the aforementioned. AUach additional shecls it' necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonic Estuary and Town water~. See LWRP Section II! - Policies; Pages :57 throngh 62 for evaluation criteria. r~ Yea [] No ~ Not Applicable The project does not effect the aforementioned. Attach additional sheets if necessary Policy 12. Protect agricultural lauds in the Town of Southold, See LWRP Section IH - Policies; Pages 62 through 65 for evaluation criteria. [] Yes ~] NO [] Not Applicable The project does not effect the aforementioned. Attach additional shccls if necessary Policy 13. Promote appropriate usc and development of enerlo' and mineral resources. See LWRP Section Ill - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [] No [~ Not Applicable The Project does not effect the aforementioned. PREPARED BY Ray Nemschick TITLE Principal DATE 6/30/09 July 1, 2009 Town of Southold Board of Town Trustees 53095 Route 25, Town Hall Building P.O. Box 1179 Southold, NY 11971-0959 Re: Byers Residence 10335 Nassau Point Road, Cutchogue NSA Project # 09-1518 LETTER OF Nemschick~ Architects P.C. If~ tt ' , ECTURE." TRANSMITTAL WE ARE SENDING YOU: [] Shop Drawings [] Copy of Letter [] Attached [] Prints [] Change Order [] Under separate cover via [] Plans [] Samples [] Other Board of Trustees ADDliCation & DWRS the following items: [] Specifications THESE ARE TRANSMITTED as checked below: [] For Approval [] For Your Use [] As Requested [] For Review and Comment Comments: [] Reviewed [] No Objection with Revisions Noted [] Rejected [] Revise and Resubmit [] ResubmiLCopies for Approval [] SubmiLCopies for Distribution [] Return__Corrected Pdnts [] For: Enclosed please find (3) copies of the Board of Trustees Application, (3) copies of the site survey/drawings showing proposed work, site photos and the $250.00 application fee. Please contact our office should you have any questions. Thank You Copy to: File From: Tha/a Carton 4250 VETERANS MEMORIAL HIGHWAY · WEST WING · SUITE 2020 · HOLBROOK, NEW YORK 1174'1 631.467.2130 telephone · 631.467.2124 facsimile · http://www.ns-arch.com .--- ............ y/OOD Ia'ETAININ~ k~/'/' ~-- . . ___- - - '.." ..-";.-"'- ~ ~-'"'*'"'"-°" --'" \ ", ........ ------'----'-'"',----- ~ AREA OF ~ORK ~ 8~ARD OF TRUST~Es ~ ~ i NO )2~0a~ ~ CAD FILE NAME: j L 09~1518 ".., Ihe busmn~s of ARCHITECTURE." ~ L i 10555 ~AU ~OJ~ ~OA~ SCALE DRAWING NO: 735 Dee~oot Path, New York 11935 Phone: 631-734-7007 F~x: 631-734-7347 http ://www. n~-~roh, oom . c~ ~ ~c~c~ ~ ~CTS ~c 1000 119 01 14.1 & 14.2 TC