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HomeMy WebLinkAboutTR-6134Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hail 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 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 dayof construction ¼ constructed Project complete, compliance inspection. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson 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 OFSOUTHOLD October 19, 2005 William Gorman P.O. Box 1447 Mattituck, NY 11952 RE: DANIELLE CACIOPPO 1455 INLET WAY, SOUTHOLD SCTM# 92-1-4 Dear Mr. Gorman: The following action was taken by the Southold Town Board of Trustees on Wednesday October 19, 2005: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit # 6134 as follows: Move the proposed addition 3' to the southeast, as per plans surveyed by John Ehlers and approved by the Trustees on October 19, 2005. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Very Truly Yours, Albert J. Krupski, Jr. President, Board of Trustees AJK:hc Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO....~.[,,~. ...... DATE: ..~..Z...~-.~,...-?..°.~.5 ANTHONY CACIOPPO ISSUED TO ........................................... ~ .......................................................................................... Pursuant to the provisions of Chapter 61~ o.f .the Law. s,,of the State of New York, 1893, and Chapter ~ of the ,L~. ws ct me State of New Yore 19E12~ and the Southold To~n OrdinanCe titled ."REGULATING ,&ND THE PLACING OF: OBSTRUC]['tQI)IS IN AND ON TOWN WATERS AND PUBLIC LANDS and-the REMOVAL OF SAND, GP. AVEL' OR OTHER MATERIALS.F~M LANDS .UNDER TOWN WATERS:..?. and in accordance with 'the Resolution of The Board adopted at a meeting held on .......~..~.~.8_?.... ~zc~o.~....., and in consideration of the sum of $....~.?.~.:...0..~ ....... paid by Anthony Cacioppo Southold ' Id y. and subject fo the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wed~nd Permit to constquct a two-sto~y extension to the existing dwelling with g~mge on ground level and living sp~e with b~th above and ~ fully en~Jo8ed ~nd conditioned connecting hollw~y to the exi~ng house, with the condition hoy bele~ ere pl~¢ed down before ~ny ~ctivity begins, end drywells ~nd gutters a~e in~t~lled to eon'~in the roof mn-off, end ~11 ~ depicted on the survey prepared by John ~. Ehler~ I~st d~ted July 8, 200§. pem~it is i~$ued with the condition the wire fence is removed from w~in 100' oftbe wet,rids. all' in accordance with the defaiJed specifications as presented in . the odglnafin9 applicetion. IN WITNESS WHEREOF, The seld Board Of Trustees here- by causes ifs Corporate Seal to be afl?ed, and these ~esenh to be subsc~'bed by ~'majority of the satd Board .as of this darn, TERMS ~nd CONDITIONS ~P~r~ Anthony Cacioppo ~ng~ , 1455 Inlet, Way, Southold 5. That ~ Permit should be re~l~d iadeflaltely, or as ioog ss the said p,~mti~e wishes ~o 'rn*lr,ra;~ tine ~tv~_.~re or project involveds to pvovlde ev~denc~ ~o anyone concerned that anth- x~tz~don w~s o~,imlly obtsl~t 4. That the work Involved ~ be subject to the lns~e~iou ~d approval o~ ~e ~ o~ its agents, aaa uo~co~tlaace with the p~ovisions of the ottgltmd~ sppllca~toa, nay be cause foe tevocatloa of this ~¢ by tesohtion of the s~id Boa~L ~. Th~ there will be no um*'e~soa~le /aterfe~:e ~vt& m~ ~ · L,~__!t of thc ~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 May 18, 2005 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. James E. Fitzgerald, Jr. Proper-T Permit Services P.O. Box 617 Cutchogue, NY 11935 RE: ANTHONY CACIOPPO 1455 INLET WAY, SOUTHOLD SCTM#92-1-4 Dear Mr. Fitzgerald: The Board of Town Trustees took the following action during its regular meeting held on Wed., May 18; 2005 regarding the above matter: WHEREAS, James E. Fitzgerald, Jr. on behalf of ANTHONY CAClOPPO applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated December 28, 2004 and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 18, 2005, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of ANTHONY CACIOPPO to construct a two-story extension to the existing dwelling with garage on ground level and living space with bath above and a fully enclosed and conditioned connecting hallway to the existing house, with the condition hay bales are placed down before any activity begins, and drywells and gutters are installed to contain the roof run- off, and all as depicted on the survey prepared by John C. Ehlers last dated July 8, 2005. This permit is issued with the condition the wire fence is removed from within 100' of the wetlands. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Albert J. Krupski, Jr., President Board of Trustees AJK/Ims Albert J. Krupski, President James ICing, Vice-President Artie Foster Ken Po]iwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: has been and the ( ~Application Approved (see below) ( ) Application Denied (see below) ( ) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES'(/'~ TOTAL FEES DUE: SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTItOLD TO: Southold Town Board of Trustees FROM: Southold Town Conservation Advisory Council DATE: January 11,2005 RE: Recommendations A meeting of the Southold Town Conservation Advisory Council was held Tues., January 11,2005. The following recommendations were made: DISCUSSION AND RECOMMENDATION OF WETLAND PERMIT & COASTAL EROSION PERMIT APPLICATIONS Moved by Donald Wilder, seconded by William Cook, it was RESOLVED to TABLE the Wetland Permit application of ANTHONY CACIOPPO to construct a 24'X 24' two-story extension to the existing house, with garage on ground level and living space with bath above; with 9'X 8' fully enclosed and conditioned connecting hallway to the existing house. Located: 1455 Inlet Way, Southold. SCTM#92-1-4 The CAC Tables the application because the garage was not staked, however it appears to be too close to the wetlands. Vote of Council: Ayes: All Motion Carried ~-7, 2005 Field Insp~n 11/15/04 Field Inspectio~ 11/15/04 Field Inspectio~ 11/15/04 Field Inspectio~ 11/15/04 Field Inspection0 l 1/15/04 Field 11/15/04 Field Inspection0 Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. :[ames E. Fitzgerald, Jr. Proper-T Permit Services P.O. Box 617 Cutchogue, NY 11935 Re: Wetland Applications: Anthony Cacioppo Andrew Weiner Dear Mr. Fitzgerald: The Board of Trustees needs some additional information on the above referenced applications. Please show on a survey for Anthony Cacioppo's application the location of the existing septic system, as this is a large addition possibly requiring an upgrade of the sanitary system. On the application of Andrew Weiner the Trustees require soundings showing depth of water along the area of the proposed dock. Please submit this information before the field inspection on January 17, 2005. Thank you very much. Sincerely, Heather Tetranlt Environmental Technician SOUTHOLD BA Y~ NECK NA$$&U POINT THE AREA OF THE PROPOSED PROJECTISCIRCLED / / /: / Uedar Beach SI VICINITY MAP Application regarding the property of Anthony Cacioppo, SCTM # 1000-92- 1-4 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald. Jr. 63 i-734-5800 December 20, 2004 THE SITE OF THE PRopOSED PROJECT IS SHADED C[OAR HO~ NECK 8AY TAX MAP Application regarding the property of Anthony Cacioppo. SCTM # 1000-92-1-4 Represented by PROPER-T PERMIT SERVICES P.O. Box 617. Cutchogue. NY 11935 James E. Fitzgerald. Jr. 631-734-5800 December 20. 2004 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair XVILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON To: Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P,O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Date: October 17, 2005 Re~ Request for Amendment to Permit for Danielle Cacioppo SCTM#1000-92-1-4 DANIELLE CACIOPPO requests an Amendment to Permit #6134 to move the proposed addition 3' to the southeast. Located: 1455 Inlet Way, Southold. SCTM#92-1-4 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at (631) 765-1938 if you have any questions regarding the above. Albert J. Krupski, President James K/ng, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southeld, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD APPLICATION FOR AN AMENDMENT TO A OCT 1 2 2005 Southold Tow~ Board of Trustees DATE ADDRESS AGENT ADDRESS PROPERTY LOCATION I/We d[ld,-~4vtgbd2 rcquestanAmcndmcnttoPcrmit#~:~{~4 Signed ~ t/Z'/ "~,"' ~ of Trustees Applic~ county of Suffolk State of New York ~ILL~ ~/~O~..~AJ BEING.DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS '£H~ 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 THIS ~ ~' Si~.~e swoRN TO BEFORE THIS\ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nmhibits conflicts of interest on the hart of town officom and emvlovees. The nurt~se of this form is to omvide in forination which can alert the town of nosslble conlhcts of interest and allow It to take whatever action rs pec~asarv to avoid same. (Last name, fas(name, mddle initial, odless you are applying in me name ot someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check ali that apply.) Tax grievance Building Variance Trustee ~ ~ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"Othef', name the activity.) /~ ~bk_~'d-~O~[.te~'-;~t''l~'' Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee oftbe Town of Southo d? Relat onsh p ~nc udes by bood, marnage, or basmess nteresL Business interest means a bus ness 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 ~'~ 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 br 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 descdbe in the space provided. The town officer or employee or h s or her spouse, sibling parent, or child is (check all that apply): __,A) the owner of greater than 5% oftbe shares of the corporate stock of the applic*nt (when the applicant is a corporation); __.B) the legal or beneficial own9' 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 Submitted Signature/_/f~.-. ,F-ff~/-"- Pfint N~e- Proper-T Permit Services P.O. Box 617, Cutchogue NY 11935 Phone: 631-734-5800 Fax: 631-734-7463 MEMORANDUM TO: Trustees FROM: Jim Fitzgerald SUBJECT: Cacioppo; SCTM #1000-92-1-4 JAN 1 4 ?005 Southo~d Town Boar6 of Trustees DATE With regard to your request that the existing sewage disposal system be shown on the sur- vey/project plan, I am assured by the Btfilding Department that if the proposed addition to the house does not include a bedroom, no expansion or certification of the sewage disposal sys- tem will be required. The proposed addition will not contain a bedroom. Albert J. Krupskl, President ~ James ~ing~ Vice~President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Applicati.~, 7Wetland Permit Application Major Waiver/Amendment/Changes ~eceived Application: ~9- ~,eceived Fee:$ ~-~1_~~ -~ompleted Application ~ Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:( date sent) .~CAC Referral Sent: I ~ 19 ~Date of Inspection: I Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ~%blic Hearing Held: Resolution: Minor -- $out:'J,i(! ~rowr~ Name of Applicant Anthony Cacioppo Address 81 Hawthonne Place, Manhasset, NY 11'030 Phone Number:( ) 51 6- 3 65- 8 516 Suffolk County Tax Map Number: 1000 - 92-1-ll- ProperiyLocation: 1455 Inlet Way, Southold (provide LILCO Pole #, distance to a'oss streets, and location) AGENT: (If applicable) Address: James E. Fitzgerald, Jr. / Proper-T Permit Services PO Box 617, Cutchogue NY 11935 Phone: Board of Trustees AppliCon GENERAL DATA 20,~'99 Land Area (in s~uare feet):. Area Zoning: R- ~ 0 Previous use ofpmpen'3,: Private residence Intended use of property: Same Prior permits/approvals for site improvements: Agency Date No information available No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: PROJECT DESCRIPTION: Construct 24' X 24' two-story extension to existing house, with garage on ground level and living space with bath above; with 9' X 8' fully enclosed and conditioned connecting hallway to existing house. Board of Trustees AppliCon WETLAND/TRUSTEE LANDS APPLICATION DATA -Pdrpose of the proposed operations: ProvideJ shelt~ r for car, storage, and needed additional living space. Area of wetlands on lot: 1 650 es t .square feet Percem coverage of lot: 8 est % Closest distance between nearest existing structure and upland edge of wetlands: - 0- feet Closest distance between nearest proposed structure and upland edge of wetlands: - O- feet Does the project involve ~xcavation or filling? No X Yes If yes, how much matedal will be excavated? How much material will be filled? - O- Depth of which material will be removed or deposited: 3 Proposed slope throughout the area of operations: unchanged Manner in which material will be removed or'deposited: 100 cubicyards estimated cubic yards feet backhoe Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): It is expected that the project will have no significant effect on the wetlands and tidal waters of the Town. 14-16~ (2/87)--Text 12 Allpendlx C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I~.I~ROJECT INFORMATION (To be comp'eted by Applicant or Project sponsor) 1. APPUCANT/SPONSOR I 2. PROJECT NAME James E. Fitz,gerald? Jr. I Cacioppo house extension 3. PROJECT LOCATION: Mun/cll~ellty Southold , County Suffolk SEQR 1455 InLet Way Southold NY 11971 See attached maps. 5. IS PROPOSED ACTION: [] New [] Expaneion [] Modification/alteration s. PROJECT DESCRIPTION: Construct 24' X 24' two-story extension to existing house, with garage on ground level and living space with bath above; with 9' X 8' fully enclosed and conditioned connecting hallway to existing house. 7. AMOUNT OF LAND Initially less than O.Jecres Ultimately N/~. er;res [ ,Y~ ~o IfNo, deaori~bdefly Fron~ yard setback is not sufficient. g. WHAT/S PR~ENT ~ND USE IN VIClNI~ OF ~ R~ldentlal ~ Inaustrlal ~ ~mmemlal ~ Ag~cultum ~ Pa~Foms~Oodn spa~ ~ ~h~ 10. DOES A~ON INVOLVE A PERMIT APPROVAL OR ~NDING, N~ OR ULTIMATELY PROM ANY OTHER GOVERNMENTAL AGENCY (FEOERA~ ~ATE OR LOCAl? ~ Yes ~ NO If y~, list agenc~e) ~ Y~ ~ NO If y~ list age~ 12. AS A RESULT OF PROCEED A~ON WILL ~/STiNG PERMIT/APPROVAL REQUIRE MODIFICA~ON? ' A~plicanUsgoneor :. Date: 1 2/2g/04 Signature: If the"actlon is in the Coastal Ares, and you are a state agency, complete the /~ Coastal Assessment Form before proceeding with this assessment OVER 1 " ard 6f ~stees Applicat AUTHORIZATION (where the applicant is not the owner) (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. (~w~er "~ signature) 8 AFFIDAVIT OF MAILING TO THE SOUTHOLD BOARD OF TOWN TRUSTEES IN THE MATTER OF THE APPLICATION OF: Anthony Cacioppo; SCTM #1000-92-1-4 STATE OF NEW YORK COUNTY OF SUFFOLK James E. Fitzgerald, Jr., residing at 385 Haywaters Drive, Cutchogue, NY 11935, being duly sworn, deposes and says that on the 10t~ day of January, 2005, deponent mailed a tree copy of the Notice set forth in the Board of Trustees Application, directed to each of the named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addresses of said persons as shown in the currem assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Cutchogue, NY 11935, that said Notices were mailed to each of said persons by Certified Mail/Return Receipt Re- quested. ~es E. Fh~em~d?t Sworn to. fore me this day of \3~.~- ,200~. ~ Pt0olic TO: Dateeanuary 7, 2005 Adjacent Property Owners (Names and addresses are listed on the attached sheet.) BOARD OF TRUSTEES, TOWN OF SOUTHOLD NOTICE TO ADJACENT PROPERTY OWNER In the matter of: Anthony Cacioppo, SCTM #1000-92-1-4 YOU ARE HEREBY GIVEN NOTICE THAT: 1. An application is being submitted to the Board of Trustees for a permit to: Construct 24' X 24' two-story extension to existing house, with garage on ground level and living space with bath above; with 9' X 8' fully enclosed and conditioned connecting hallway to existing house. The project described above is proposed on property adjacent to yours. The street ad- dress of that property is as follows: [ 1455 Inlet Way, Southold, NY 11971 I The project, which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code, is open to public comment. A public heating will be held at Town Hall, 53095 Main Road, Southold, New York 11971 at or about 7:00 PM on Wednesday, January 19, 2005. If you wish to comment you may call the office (631-765-1892), or applications may be reviewed and comments may be submitted in writing up to 24 hours prior to the heating. The project described above will be reviewed by the Board of Trustees of the Town of Southold. The project may require independent review and approval by other agencies of the Town, State, or Federal governments. PROPERTY OWNER'S NAME: MAILING ADDRESS: PHONE NO.: Anthony Cacioppo 81 Hawthorne Place Manhasset, NY 11030 516-365-8516 A copy of a plan showing the proposed project is enclosed for your convenience. January 5, 2005 ANTHONY CACIOPPO: ADJACENT PROPERTY O¥,rNERS NOTICE NOT SENT (PROPERTY OWNER) 1000-92-1-4 Anthony Cacioppo 81 Hawthorne Place Manhasset, NY 11030 NOTICE SENT 1000-92:1-3 Leo & Virginia Alessi PO Box 123 Southold, NY 11971 1000-92-1-6 Joseph & Maureen Frazzitta 279 Cherry Place East Meadow, NY 11554 1000-92-1-7 Robert & Barbara Kaplan, Trustees 21 The Maples, Roslyn Estates Roslyn, NY 11576 1000-92-I-9 Maureen Sullivan 870 Plandome Road Manhasset, NY 11030 1000-92-1-2.1 Robert & Patricia Alcus 1457 Cedar Point Drive E. Southold, NY 11971 1000-90-3-18. I Jeanne Harmon 32 West 76th Street, 1st Floor New York, NY 10023 Fairhaven Inlet S06~$'38"~ PROPOSED 24'X 24' ~O~TORY ~ x ~ x ~xw.s,o. w,v. ~.~e o. ~' GROUND LEVEL AND LIVING SPACE ,, A~ ~ WITH BATH ABOVE ~ , ~. ~ ~ PROPOSED 9 X 8 CONNECTING HALLWAY; FULLY ENCLOSED AND CONDITIONED SPACE PROJECT PLAN Application regarding the properly of Anthony Cacioppo, SCTM # 1000-92-1-4 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue. NY 11935 James E. Fitzgerald. Jr. 631-734-5800 December 20. 2004 AFFIDAVIT OF POSTING TO THE SOUTHOLD BOARD OF TOWN TRUSTEES 1N THE MATTER OF THE APPLICATION OF: Anthony Cacioppo; SCTM # 1000-92-1-4 STATE OF NEW YORK COUNTY OF SUFFOLK I, James E. Fitzgerald, Jr., residing at 385 Haywaters Drive, Cutchogue, NY 11935, being duly sworn, depose and say that on the l0t" day of January, 2005, I personally posted the property known as 1455 Inlet Way, Southold, by placing the Board of Trustees' official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing, which date is~ .~n°ted thereon to be 2005 at or about 7:00 PM. J~es E~. F]t~gera ~ednesday, January 19, Jr. Sworn to(~efore me this ( ~ day of \~ ,~ _,2005. ublic ' LYNDA M BOHN NOTARY PUBLIC, State of New York NO. 01 BO6020932, Suffolk Co~untv Term Expires March 8, 81 Hawthorne Place Manhasset, New York 11030 Presidem Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T Permit Services to act in my behalf as my agent in the submission and processing of a permit application for an addition to the existing house on my property located at 1455 Inlet Way, Southold, and designated by Suffolk County Tax Map No. 1000-92-1-4, and to furnish, upon request, supplemental information in support of the application. STATEMENT TO THE SOUTHOLD BOARD OF TOWN TRUSTEES County of Suffolk ) State of New York ) I, Anthony Cacioppo, being duly sworn, depose and affirm that I am the owner of the property located at 1455 Inlet Way, Southold, New York 11971, and identified by Suffolk County Tax Map No. 1000-92-1-4, and that all work will be done in the manner set forth in the present application and as may be approved by the Southold Board of Town Trustees. I agree 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. I hereby authorize the Town Trustees or their agent(s) or representative(s) to enter upon my property to inspect the premises in conjunction with the review of the present application. Sworn to before me this ..../. ~ .... day of ....... 200. Notary Public SUSAN DEMARCO Notary Publlc, State of New York No. 0-1.DE6006362 Qualified in Richmond County COmmiss~on Expires May 4, 2006 APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and emolovees. The ~ur~ose of this form is to orovide information, which can alert the Town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Cacioppo, Anthony (Last name, first name middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Tax Orlevanee Variance XX Change of Zone Approval of Plat Exemption from Plat or Official My Other name the activity: XX Wetlands permit Do ygu personally, (or through your company, spouse, sibling, parent, or child) have a relationship with any ~officer or employee of the Town of Southold? "Relationship" includes by blood, mamage, 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 YES NO XX' . · If you answered "YES", cemplete 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 that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibliag, 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 owner of any interest in a non-corporate entity (when the applicant is not a anrporation); C) an officer, director, pmmer, or employee of the. applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP PrintNmh~:' ~hony C cioppo Proper-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 (631) 734-5800 December 27, 2004 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: Application for Permit on Behalf of Anthony Cacioppo; SCTM # 1000-92-1-4 Dear Sir: Attached are documents which have been prepared in support of the application for a permit to construct a two-story extension of an existing dwelling on the property of Anthony Cacioppo in the Town of Southold. Proper-T Permit Services represents Mr. Cacioppo in this matter, and a letter of authorization is part of this submission. If there are any questions, or if additional information is needed, please call me. Enclosures: Application Fee ($250) Letter of Authorization Notarized Statement of Applicant Transactional Disclosure Form Application Form (3 copies) Short EAF (3 copies) Vicinity Map (3 copies) Tax Map (3 copies) Survey/Project Plan; Ehlers, 10/5/04 (3 copies) Project Plan (3 copies) Sfn~rely, ~ - Ja~nes E. Fitzgem rs a subsidiary of THE PECONIC EASTERN CORPORATION SIJRVET OF LOT ~ q l HAP OF GEDAR E~EAC,H PARK FILED DEC,. 20, Iq21 AS FILE # qO SITUATE.. BAYVIEh TOPIN.. 5OUTHOLD 5~FFOLK ¢OON~ SURVE'r'E~: O~-2~,-OI UPDATE ,~ PROPOSED ADDITION Oq-OI-O4 TOPO ADDED IO-O5-O4, 0-/-08-05 LOT COVE~&ES 0g-18-05, 08-12-05 SUFFOLK OOUN~ T~ ~ IOOO- q2 - I - 4 CERTIFIED TO: ANTHONY CAGIOPPO DANIELLE C, AQIOPPO N S LOT COVEt~.A®E AP-.EA OF PROPERTY, EXISTIN® STt~.UOTUF~E: HOUSE AND POP-CH POOL AND PORCH EXISTIN® LOT COVERA®E 20,4qq S.F. 2,1-/0 S.F. I ,-/el5 S.F. P~OPOSEID, TP, IO-STOR'f' ADDITION 480 S.P. CONNECTIN® HALLP4AY 20 S.F. TOTAL PROPOSED TOTAL COVERA®E 500 S.P. OR 2.4 Cb 4,46~ S.F DP-. 21.-/ NOTES, · MONUMENT PIPE ELEVATIONS REFERENCE US®S N®VD '2q OATdI'4 AREA = 20,4qq S.P. OR 0.4q ACRES GRAPHIC, SCALE I"= 50' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\\Server\d~PROS\01-146.pro Proper- T Permit & rvices P.O. Box 617, Cutchogue NY 11935 Phone:6~l-734-5800 Fax:631-734-7463 MEMORANDUM TO: DATE: Damon - Building Department Lauren - Trustees Linda - ZBA FROM: Jim Fitzgerald SUBJECT: Anthony Caeioppo, SCTM #1000-92-1-4 11/7/05 Here are copies of the plan (Ehlcrs, last dated 11/7/05) which incorporates and accurately re- flects the changes required by and approved by the Trustees. Damon: If this requires a new disapproval, please issue one with a copy to the ZBA. Lauren: This is for your records. -~or ~r~7~ co;~[~ ~-e~c_~-~ t-C/~a~ ~ Linda: There are seven copies for you. SURVET OF LOT HAP OF CEDAR BEACH PARK FILED DEC, 20, Iq2'-I A5 FILE # qO SITUATE-. BA'T'VIEH TOINN....SOUTHOLD .SUFFOLK COUNT'r' N W S+E S 5UP. VE'J'ED: O:~-2~-oI UPDATE ~/ PROPOSED ADDITION Oci-OI-O4 TOPO AE)DED 10-05-04, O~-O8-O5 LOT COYERA~ES O~-I8-O5, 08-12-05, FENCE REMOVEO ll-O-~-05 CERTIFIED TO, ANTHONY CACIOPPO DANIELLE CACIOPPO LOT CO',¢ERA®E AREA OF PROPERTY= EXISTIN6 STRUCTURE: HOUSE AND PORCH POOL AND PORCH EXISTIN~ LOT COVERAGE PROPOSED: TIRO-STORY ADDITION CONNECTIN~ HALLPIA¥ 20,4qq S.F. 2,1~O S.F. I,Tq~ ~,q6~ S.F. OR Iq.~ TOTAL PROPOSED TOTAL COVERA®E 480 5.F. 20 S.F. EaO0 S.F. OR 2.4 96 I I '~ k. /CflVll / ~ I ~ II iI II I NOTES: 4,463 S.F OR 21] 96 / / / / / I / \ \ \ ~,, \ \, \ · MONUMENT o PIPE ELEVATIONS REFERENCE US®S N®VD '2q DATUM AREA = 20,4qq S.F. OR 0.4q ACRES ®RAPHIC SCALE I"= ~0' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.Z:\pros\01\01-146.pro