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TR-6215A
/0or S004 John M. Bredemeyer III,President 1.4�o�� `477 Town Hall Annex Michael J. Domino,Vice-President 54375 Main Road �' 2E1P.O. Box 1179 James F.King,Trustee ; N Southold, New York 11971-0959 Dave Bergen, Trustee • G �Q,1�� Charles J. Sanders,Trustee l�CO ��fTelephone (631) 765-1892 501 pit Fax(631) 765-6641 00 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1163C Date: September 2, 2015 THIS CERTIFIES that the Administrative permit for the existing deck and the Coastal Erosion Management permit for the existing deck seaward of the Coastal Erosion Hazard Area At 955 Aquaview Ave., East Marion Suffolk County Tax Map#21-2-12 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 2, 2005 pursuant to which Trustees Coastal Erosion Permit#6215C Dated October 19, 2005, and Trustees Administrative Permit#6215A, Dated October 19, 2005.,were 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 Administrative permit for the existing deck and the Coastal Erosion Management permit for the existing deck seaward of the Coastal Erosion Hazard Area. The certificate is issued to GERTRUDE IGLESIAS owners of the aforesaid property. ,9 Authorized Signature J.KEVIN MCLAUGHLIN Attorney At Law Telephone(631)765-6085 Winds Way Professional Center Facsimile(631)765-1856 44210 Rt 48,P.O.Box 1210 Email ikmclaw0,optouline.net Southold,New York 11971 August 27, 2015 Southold Town Trustee Southold Town Hall Annex Southold, NY 11971 Re: 955 Aquaview Avenue, East Marion, NY SCTM#1000-021.00-02.00-012.000 Gentlemen: I have enclosed copies of the Administrative Permit and Coastal Erosion Management Permit for the subject premises, along with a copy of the survey and my check in the sum of $50.00. Application is hereby made for a Certificate of Compliance for the subject premises. Very fu yo ‘,14c,, J. 'even Or:ugh in Encs. .40.47 Gr 7 fiSrp 4-441-49 s�S6\s `tizssF '• Q 4 ' SURVEY OF PROPERTY w Nim 4:44.,. AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. N 1000-21-02-12 SCALE: 1'=20' ,RJLY 18, 2005 Zo - -ft to 1 in ry BP7 S ,F a it tO 0 ` oOntk q sµr Q� ft � Aan•novAc REr (uHAec£:(TocA'r£oonuc� / 10 HEAVY BROW) FE 1,► Q a5( 2 6r-1 44,4 „! ",,,p3 S A-a‘411 f n'1\ 0 1 ` 4 O aa.: 1 2'(ora) 2 O I. �p,�a. Fe\ 41 I' oaE T s 4•0,,,E) • PR. y F. 4 CY f h` a aJCV, i' vi AS e 0, az 1.1 \____ 964co• }I (IT aar St ixr \moi lit r t 4/69.. ,�sOF NEWy 6',Op70 O'r / g`�o, El''CO3f. Ott 04,c, l'. ,., -q„ a w11�� * :i..„r,`- 9 a AREA.-10,935 80. F I. /7 '''fl'h•.4Cr T- 41i TO TO TE LAE •9 p�,, �ii/� 1 o ••.ls .WY ALIERAfl OR ADDITION Ta THIS SURVEY IS A NOLATION t!� P CONIC SUR YOR ;��$' . Dso` OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW (631) 765-5020 FAX . . -1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CER TIFICA PONS P.O BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF PIE SURVEYOR o=MONUMENT 1230 TRAVELER STREET WO SE SIGNATURE APPEARS HEREON. •=PIPE SOUTHOLO, N Y 11971 05-200 ilii._-_- John M. Bredemeyer III,President ‘ ,"�1 FOL,-C'. Town Hall,53095 Main Rd. O G Michael J. Domino,Vice-President �'�� P.O.�y Box 1179 James F.King y o Southold,NY 11971 : � Dave Bergen Telephone(631)765-1892 Q1 ��►Y�i'� Fax(631)765 6641 Charles J. Sanders 4( �,,�' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: )( Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, silt fence 1st day of construction '/ constructed X Project complete, compliance inspection. INSPECTED BY: c0(C l�?C C✓ COMMENTS: CJ j dpi /r CERTIFICATE OF COMPLIANCE: Albert J.Krupski,President �,�/��tt SOU74 - Town Hall James King,Vice-President �,��h0 !0 53095 Route 25 Artie Foster P.O. Box 1179 Ken ePoliwoSouthold,New York 11971-0959 Peggy A.Dickerson �00,11,� Telephone(631)765-1892 lCOUrist ". Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6215A Date of Receipt of Application: Sept. 2, 2005 Applicant: Gertrude Iglesias SCTM#: 21-2-12 Project Location: 955 Aquaview Ave., East Marion Date of Resolution/Issuance: October 19, 2005 Date of Expiration: October 19, 2007 Reviewed by: Board of Trustees Project Description: Administrative Permit for the existing deck as per plans surveyed by John Metzger and last dated September 14, 2005. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. Special Conditions: None. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. & tJ7 9 - Albert J. Krupski, Jr., President Board of Trustees • /, ,iii --- • Albert J.Krupski,President ,i� t SOOA, ; Town Hall James King,Vice-President 0 4O 4 : 53095 Route 25 Artie Foster P.O. Box 1179 Ken Poliwoda Southold,New York 11971-0959 Peggy A.Dickerson l 4O�t� Telephone(631)765-1892 eina, Fax(631)765-6641 • „ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Permit #6215C Date: October 19, 2005 SCTM#21-2-12 Name of Applicant/Agent: Donna Iglesias-Wexler Name of Permittee: Gertrude Iglesias Address of Permittee: 200 Castle Hill Rd., Cutchogue, NY 11935 Property Located: 955 Aquaview Ave., East Marion DESCRIPTION OF ACTIVITY: Permit for existing deck seaward of the Coastal Erosion Hazard Area, as per plans surveyed by John Metzger and last dated Sept.14, 2005. Permit to construct and complete project will expire two years from the date the permit is signed. SPECIAL CONDITIONS: (apply if marked) _Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. A relocation agreement is attached hereto and is a necessary special condition of this permit. _A maintenance agreement is attached with application and is a necessary special condition of this permit. Albert J. Krupski, Jr. data( 9 • President, Board of Trustees 44..7.414 AJK/hkc Oct. 13 , 2005 Field Inspectiol • ✓ . ri.,,,...,:f4* .s w �. • h + ♦ -.pi", �:a_. `.'" sir• - .. R. ..' • +-' _• . Vi;e:'s �3', 4.` �-. • > t ._. ... ' r IT" .` , i . - -' 7s "_4� ~1.i 'We +LZ., .v�L' • • i ` J'4 , j� , � J - ' +•,••4- �s . A ;, !.-.'rr . _ .--.1.-21111 X. ,...,.._-4-:;..--.. b .,•*42. sr ,. # "L'" + „" u , r t...i -..i, s,. -. - -N.,. _. - i-.. ._ . .,- .4..f.r _ •-- ,.-... .4...11,,,,:alekteiiik •••/.:•.... ,. ...,i L r + 4 ''• - �r vr'• • ,y f yX ,rte'• }M, � _%X' J” Nom- ��'` � ' • �7��` - -. 3+ ,..0 t♦om}( y.1.. t • • y .y yi y, -_ G i ,- \,,, .f5 RI LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER .‘; \, j1 P.O. BOX 162 ! 1G 2 5 2005 '"' GREENPORT, N.Y. 11944 J i , (631) 477-1652 August 25, 2005 Mr. Michael J. Verity, Department Head Southold Town Building Department Main Road Southold, NY 11971 Re: Residential Deck (rear) Marc Iglesias 955 Aquaview Road East Marion, NY 11939 TO WHOM IT MAY CONCERN: I have inspected the above mentioned site, made drawing and stamped same of the deck, made recomendations for the new regulations for wind strapping, which were done, noted structural integrity and design requirements and found that the deck is in compliance with the New York State Building Code and the Southold Town Building Code. Sincerely, 74:}46, AA 0 NEW O C; / /yt, c 4 Lawrence M. Tuthill, P.E. i � J !(r�: era o322s4 1 aco / • • AUGUST 15, 2005 1, NANCY A. MILANO, HAVE RESIDED IN EAST MARION ON 490 VIEW ROAD SINCE 1q33 . IN 19(01 A I-1-OUSE WAS CowSTRUGTED FOR MR. AND MRS. MARC IGLESIAS ow Ag0A-vtEW PMD, EAST M4RtoN, oN TIE FORMER SANDERS No►WIELL PROPERTY. WHEn TRE House WAS BUILT, IT WAS cONSTRUGTED WITH A PECK oN THE NORT14 SIDE OF TI4E Butt-DING. - /S- - oS o t-00 44-2k 71a c, /6/WerKiezia°jar CYNTHIA M.MANWARING NOTARY PUBLIC,STATE OF NEW YORK NO:01MA6100507 QUALIFIED IN SUFFOLK COUNTY . COMMISSION EXPIRES OCT.20 AL-. • • STATE OF NEW YORK) ss: AFFIDAVIT COUNTY OF SUFFOLK) GERTRUDE SCHAFER IGLESIAS, being duly sworn, deposes and says: 1. I lived at the house at 955 Aquaview Ave,East Marion,NY from 1961 until now. 2. My husband,Marc Iglesias, and I build the house in question in 1961. We built a 2 bedroom home with a deck,which was located on the north side of the house. We got a C.O for the original building and the deck,which existed at that time. 3. We renovated the house in 1964 and added an addition to the rear of the house. The deck was renovated at the same time. A C.O. was issued in 1965 for the renovation to the north side of the house. 4. I have submitted dated photos of the deck from the 1960's showing friends and family on the deck in question. 5. There has always been a deck on my house at 955 Aquaview Ave.,East Marion,New York since the day I move' "ere in 1961. • /_ . ' , a /i as GERTRUDE SCHAFER IG S • S Sworn to before me this 11th day of A gust,2005 ., .des/ at blic / CYNTHIA M. MANWARING VOTARY PUBLIC,STATE OF NEW YORK NO:01 MA6100507 QUALIFIED IN SUFFOLK COUNTh COMMISSION EXPIRES OCT.20 V....1 • • STATE OF NEW YORK) ss: AFFIDAVIT COUNTY OF SUFFOLK) WILLIAM H. PRICE, being duly sworn, deposes and says: 1. That I am familiar with the premises at 955 Aquaview Avenue, East Marion, New York. 2. That I was a close friend of Marc Iglesias, one of the former owners of the premises. 3. That I have been friends with Marc Iglesias since approximately 1961, and from that time forward, until the time of his death, I was a frequent guest at the premises at 955 Aquaview Avenue, East Marion, New York. 4. That from 1961 until the time of his death, there always has been a deck on the house on the Long Island Sound side of the property. � b / . _ C 4 r.. .00P'' WILLIAM H. 'RICE Sworn to before me this car*tday of June, 2005. Notar, ' blic W. ELIZABETH J.FARRISH Notary Public,State of New York No.01FA4973285 Commis QualisionfieEdxpiInres Oct.Suffolk County / 15,20 • • LAWRENCE M. TUTHILL ` i• PROFESSIONAL ENGINEER 1 P.O. BOX 162 Ii 2 5 2005 -. GREENPORT,N.Y. 11944 - (631)477-1652 u,. .- 1 August 25, 2005 Mr. Michael J. Verity, Department Head Southold Town Building Department Main Road Southold, NY 11971 Re: Residential Deck (rear) Marc Iglesias 955 Aquaview Road East Marion, NY 11939 TO WHOM IT MAY CONCERN: I have inspected the above mentioned site, made drawing and stamped same of the deck, made recomendations for the new regulations for wind strapping, which were done, noted structural integrity and design requirements and found that the deck is in compliance with the New York State Building Code and the Southold Town Building Code. Sincerely, ? *3% Lawrence M. Tuthill, P.E. $ ") :29 ((( I M 10 t w 4 0.7221,4.1 J tet/ . POR$% NO. 4 • TOWN OF SOUTIHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ....YR..11 bt Date ..................41.g14e er !9 , 19 61 THIS CERTIFIES that the building located at n,18...Agi1&V.MW...Ak:Oa ....,030.1;.1 rt Map No. .S.ttnSat..8hatleac No. *tk Lot No. *** conforms substantially to the Application for Building Permit heretofore filed in this office dated March..27 , 19.GA. pursuant to which Building Permit No. B 1341 dated . MEXPIL.27 , 19...,x, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is PRIVATE ONE /MILE DWELLING This certificate is issued to .. 4111001e0A owner (owner, lessee or tenant) of the aforesaid building. / w <.0(4 Building Inspector 1 • • WORM NO. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2510 Z Date . 19..61,. Permission is hereby granted to: Tony Horklun A/C Alril •Jvuir letliat —0371ent to But.Xd..an..addition..oa..rear..,btv►si4tt2rttirert7.3 at premises located at ..1)21.....,gua..:it ,dn.aw Sat .MgfcnF NrTv pursuant to application dated 84914..2. 19..64p, and approved by the Building Inspector Fee $..5.00. 16(St CI!/ Building Inspector /re." . P0mM NO. I • TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. .. It.......... Dote txpr39;....I6 1965... THIS CERTIFIES that the building located of ..Vie*••AVe Street Map No Z7Ct Block No .c Lot No ___ tast.44aziorgt 'N.3Eii conforms substantially to the Application for Building Permit heretofore filed in this office dated September 2. 19.611... pursuant to which Building Permit No 251G.Z. doted . sept a , 19.(jll..,was Issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is Privatenvnrtam±3y..dmellimg The certificate is issued to -mare.....!glossas (owner, asses or tenant) of the aforesaid building • ��Building Inspe for • • • 4 s' CEJra+ ► .esu t • � I ', . R ! s { T �.ficAc^ R.`4''�'i j Lyys i+7.. � �• "�C f \-, 4} 4't 'r? i. rte`' a r r, .. 4. A ,; f ,f r°t; -Fi• / as '{+a y col\ : x x ` .1,"•'' 1:, i • v '.:i.::.....,,..100 ` ? �� � . }+' ~ �:'s P .' 1.-,e,/:: '• �� � :rt, f. h \ .. v . ........ ... .. ... . ..._ . ., a � .. . • 4 .f fi« 4k..t . x 4n r ''1: — ' .1% �aAC •k` t' - ,5Ey.,,. :.•,„,.-44.,..1.:;,:;. .--, . if ` y 4 r' .✓ --;&,,,,.t.,-4,,,-.41t#,::•.''''',4 :e ,'14.491b, ..hb .' vcr s �,. 'w.f { r 0. : ?.7: ,.,.,,,, ,,,,,.,„;.•.„„,„:„,,,,-„,,,,,,,,,:„.,, . .,.. A. • i. 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C%• � �R c r _ RES.:/b SEAS. VL. ( FARM COMM. 1 'NO. 1 CB. 1 MISC. LAND IMP- TOTAL DATE REMARKS -) `"3 CO 1 i 3ce .J 60 _ �Q e�-u( �'i` %(,C ( {1 (-` , CA ;._.Cr .� '... x + -r`' ,,l G -1-- 7c O co c; g e, Gl So% S <, C — '647 ? S-et-C G 7 0 0 00 0h 0 U 1 -2/7/ —0 -24: ' 6 - J - 0 a.5 i s 7 —CIA/4' .fid, O-e" , 700 437/2 a es--1 0 0 s/4--/G f it/tions---1- 117531, ,( 4, 1-9lesia,s: tri it Tglesiai nl/G /f00 ,'`/ ap (e2 D 0 3//9/Cf i1.9 '1 ryyJ, AGE BUILDING CONDITION I PSi 0 S to ltl le( t✓isf-ee Al/C_ 7�z��QQ-1- lIg1�� �lq�2i x R � NEW NORMAL BELOW ABOVE vi r- (Zr -,,„„ i4(/ Q< O r ' // . a, Farm Acre Value Per Acre Value1 Tillable 1 2/Z.S//J-3 —L /a5Fio3,25- kiegLe✓fis , J. ft (l /9c,Tillable 2 �a/1 1--O 1t, /c I Jzr Ps" —L 13175-/2 qk'�- �7; (sic( N Tillable 3 Woodland Swampjpnd I Brushland Houig11.94. Ate. 'saw Total CJs. L�� �. \i -4,•. c_Ss ; , L ■■i\!!■■■■■■■■■■■■■■■M ■■■\■■■■■■■■■■■■■■■■ ■!LBEIM■SI■■■■■■■■■■■■M 04piik,„ In11121111111MIMMIIIIIIIIIIIIIIIIIMEI • a . , ■■■\ED■■■4!■p■■■■■■■MSS ■■ S■ N■■■■■, .., '.r .t Li ■I■■■u■■■■ ■a■■■■■■M si • � � s; ■■■■GEIM■I ■■■ ■ ■■ tv. M■■m■■■■■■■■■■■■■■■M ✓3t �>. 111•11111011111111111■■■■■■■■■■■ ,. ■PMMEI I!■■!■■■■■■■■■■ ;3 M©■■■■•■■a■■■■■■■■■M ■I■■111:21u■0■■I■■■■■■M ■■■M■uai■©■rSa■■■■■■■ MI■■■n©ticri1■II■■■■IM O[ f -acr h Lee_ A. Bldg. Foundation � Both 3Gx�o • /it y6 -zy=/94 3'�y 4 ? S6 S:% u xtension Basement /t/9'f Floors rjr ,1 • xtension Ext. Walls orl•e,p sAtmc . Interior Finish %C S c c o ; '" J xtension Fire Place / Heat F 61141 • Porch Attic Porch Rooms Tst Floor ti r Via .7 ..r' 2C / pti Patio Rooms 2nd Floor __ __ ;arage Driveway 0 411 , • ---- ----------------- `."'-AP TION CHECKLIST li .. nee Ilon ing,before applying?OASHACONNA OtRhT 1926 of Health xoo CAME HI le eam� if Budding Plans CASH ' g/"/"S� ng Board approval 6"7—Cans Mel Ste. I $.,YY1 0O n ( s e Yr 11mWL7uah r� c-0,24.ley- 'incite , 1,0 4 4 00060 41: O10/409k 91256 a• k92 - • ts• Expiration 20— b3`K- (oo d - e-+..\ Building Inspector 4,.,Jkv.-SZ - l .s. 'sy��- (.„�l c.-:.,, t\\ti°�'�-"wpt,� - `1 APPLICATION FOR BUILDING PERMIT t17�—if _--� Date t-'y. ,2005 Flak 5 2016I� i INSTRUCTIONS k a.lais-arliptimktettlfft be ompletely filled in by typewriter or-in ink and submitted to the Building Inspector with 4 sets ofOlanste plot planto.stalk.Fee according to schedule. b plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. what so ever until the Building Inspector e.No building shall be occupied or used in whole or in part for any purpose issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for remov,I or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,h.41ing code,and regulatio' d to admit authorized inspectors on premises and in building for necessary inspections // ...14.0,/.4.3 , .\(6A-‘9,—.--\ (Signature of applicant r .i e,if a co oration) ,.acv h rwyy,---_� \\IcL Cap ss (r ling addressbf applicant) State whether applicant is 9, Asj,lessee,agent,architect,engineer,general contractor,electrician,caplumber or builder7 Name of owner of premises "yn st--r— ' C >4.44/1.,. -/ / Cl (son the tax roll or latest deed) / If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. �-pis+s I. Location of land on which proposed work wuH-4a-dene: `f4 QST Yra..) t wle N1S.m,..-- . N\( Hamlet House N Street • County Tax Map No.1000 Section r)t.0 O Block U 8.n n Lot 61/42- ' O o 0 Subdivision Filed Map No. Lot - (Name) 1 2. State existing use and ancy of premises and intended use and occupancy of pro nstruction: &,,,.4„.a. Existing use an pancy-1-��9 tke_A-; Loco, Cm„t,*- . , `'. t . tcbs- LoN.., ),,,JJ.,--.,_4 a.-.n.t%�Y�b‘wp,_y4�1.A�o/ �¢$l+�t s.0- re. . a qN9 f'A+ca. 5' 1"Kp infenaect e`O-anr d occuari y ,An' v �.+...n N..e,... .._A '5 Jt m1rl°`S to" N..o S1t,c ww �ti,.c,, ka LI vu c:e-, S� T a„c -1?, 3. Nature ofwork(check which applicable):New Building Addition Alteration Repair Removal Demolition�-0 r $o r Cf-inic..>. SSE, 1c6 6 J l.-6“, L.6,-.. ,...P y.,n Q k,\w5e- &k- %..-..._ r� s zl til s F-°- `1(Description) 4. Estimated Cost 'y,'q Fee \"hn.l (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage,number of cars 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front .6 L. I Rear 3 3 Depth to. Height t$' Number of Stories l Dimensions of same structure with alterations or additions:Front 34.3 Rear -4.3 Depth 4,), I Height I R'' �,,NumberNof Stories / cc- 8. Dimensions of entire new construction:Front-"',A°'"'�"' Wear Depth Height We i Number of.Stories 9. Size of lot:Front ioC)•o o/ Rear .d''(-i'oo- Depth )4c.105' 10.Date of Purchase 1959 co 1 i b o Name of Former Owner `So-'e, cr.,.s.t 11.Zone or use district in which premises are situated 4i,.v1/4 +n.: , -d11.4V -1/45uN. 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO>( 13.Will lot be re-graded?YES NO h Will excess fill be removed from premises?YES NO h Jq pp 5-31c. (uoc -c'd.0 14.Names of Owner of premises y..a1.. -ts ss sAddresgc.? Ct..,Aq k9 41 Phone No..43(1-.'yam-�.,.,. Name os t ..Jt�sV Address -?......4=1,- 1‘.Lk Phone No 47-+--•lbav Name of Contractor tmA L..-4( .,. Address Q.. Phone No. 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO *IF YES,D.E.C.PERMITS MAY BE REQUIRED. - ..c c(,.j m k - 4t X-_ IG b I M\rai-ex% cSLA)N.-d.- SLLO '-v... 14 b/ uT6.Provide survey,to scale,with accurate foundation plan and distances to property lines.• 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. G� STATE OF NEW YORK) / SS: COUNTY OF�1(-{'01�T-)^ `3&`� W R)c(Qr being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the RP -C) (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. �r d .//� Swo to beforeme thisI�V k1" dayofCMSF 20 O`; itatiikall \1o,9,11.U)-.s J�ylOOAT�I{.\ ��a1\nc na -z(f Applicant rc Signature of Applicant MELANIE DOROSIO NOTARY PUBLIC State of Newt*No.01004634870 Oua8�in8Sember3 , Commission IIa lkCour 7 Y. 100-244. Nonconforming lots. lAmended 11-28-1995 by L.L.No. 23-19951 A. This section is intended to provide minimum standards for granting of a building permit for the principal buildings of lots which are recognized by the town under§ 100-24, are nonconforming and have not merged pursuant to § 100-25. B. [Amended 3-4-1997 by L.L. No. 5-1997] Such lot shall be required to meetthe following: Area Yard (square Lot Front Side Both Sides Rear feet) coverage . (feet) (feet) (feet) (feet) 200,000 to 5% 60 30 60 100 399,999 120,000 to 10% 60 30 60 85 199,999 80,000 to 2d% 60 20 45 75 119,999 60,000 to 20% 55 20 45 75 79,999 • 40,000 to 20% 50 20 40 60 59,999 ' 20,000 to 20%v 40 15 35 50 39,999 Less than ` 20% 35 ' 10 25 35 ••20,000 c CaSreQ ea--eQ `-e3 L� toho 4.4%1/4. • bat), L-3CLIC 1 0 0 ( � u r 2`t5. 1vn QpiPt to 1r'{) J K._ 1 l 1 °:r .. I ` • .. Ys f !`rte € , ( aaaw eo�uoYnoa� •'•� -. . • r J SVISIOnS p 05 of 2 OS 2i 0 os o>02 os p 'Y" _ ---- N s K.,, i.. 004,191:i 1 i • \...: 3 .410,44S 1 it i ..,(7,.:,\<.. I. 0 , 1 � Ilk Ili 0 10 100000110" 1 .0 /kit..% • 74 al 1 1 limil I 1111111PA y Atialkor .33..00 .m„vo F. £=: Y ,,,,�, _/ mnw ...--.-- „� ,4 rioncE r<a COUNTY OF SUFFOLK © x go.. SOUTHOLD w SECTION NO —_ -- 1plU E wu¢a�_ . _ is - -- — -- a r Red Property F Service Aq® Y022.. —_ — — —_ EtPov1XY w41 i 0, a ._. �.. ....... r..e :....... �... ztl r 1000 PROPERTY 4M T. xur m .v s�a�n 1. ��.1. �, �, �� . � • is �' Albert J. Krupaki,President ri t0? S0UTyo Town Hall James King,Vice-President` ori�O l� :` 53095 Route 25 \\IF Artie Foster P.O.Box 1179 Southold,New York 11971-0959 Ken Poliwoda w Peggy A. Dickerson41 ..tl, Telephone(631)765-1892 qt. �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD (Office Use O In y \ S 1 i i-4 _Coastal Erosion Permit Application \ D I`k _Wetland Permit Application Administrative Permit I ," +� I SEP - 2 2005 ,,.� "'Received Amendment/Transfer- 0teysion 11 L _Received A licati t.. � i 'Received Fee:$ 4alainal acSouthold Town.- Completed Application Inn L . j Incomplete Bezrd of Trus{ees' SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ✓LWRP Consistency Assessment Form CAC Referral Sent: \� /Date of Inspection: /© /3�b J_ ktitcAgier \ _Receipt of CAC Report: / ��c.a.._ _Lead Agency Determination: Technical Review: -7-3 , l - a'4- o C� Ilsublic Hearing Held: /0/%9/0 `7 Resolution: ' G — /0 a)C) Name of Applicant \---''�-&* \js V 13S1C V \\.e,.. ,,p\ i Address �a U ...0 `�' Q \\ c �3ci c \ LLg;),,,s '-F, -a`kr — tc�... -t— Phone Number:( ) Suffolk County Tax Map Number: 1000 - ^ Q\ ,oo - L a.oo - ei ti , oo6 Property Location: RSS" , rfxv__-::_-• . - .IN v ta..a,\-s\-\\-i Ila 3 7 (provide L LCO Pole#; distance-to-cross streets,\-' ",fiand location 1 \ AGENT: t% �C - o -.. `Q (If applicable) L � 6 � g Address t \nom i 04 h w G.- L . O , Pr-,1/4---1-C 94 A (1'. , )-- cfi 1'-l-c U . Phone: of Trustees Applicatio• GENERAL DATA Land Area(in square feet): H, • O a 0 Area Zoning: Previous use of property: \-jvcrw_ Intended use of property: \ler-s-_ Prior permits/approvals for site improvements: Agency (Date t 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(use attachments if necessary): , . ALL, toW L �ti,t,_ f � l�e �A � �� . We 9 *e C/5-442A2/ot4 ck- tu,'ov''v4 1 ,LJ .jJC�t.� ,] �'�'�eC�r�c�l - .LC- XC�J �'E/•' , Li-ter , . , - arc, \ Q > /t9 C L4 .- -,t.i 4 Ac-g- \ '�-a ✓ �-1° arc o�s c o 1,,.0.,.,,,..c A fi . 1110rd of Trustees Applicatice WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed 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 nearest proposed structure and upland edge of wetlands: feet Does•the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: _Statement of the effect,if any, on the wetlands and tidal waters of the towr_thatmay-resulLb3/------- reason of such proposed operations (use attachments if appropriate): •rd of Trustees Applicatice COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ID w . L.... _ . ! - 1 1 e� n tin �2 w l per' q� CS Si PAmt, 14 6 j — T r wa SL....) tb�.. y Y tel' a 1 Are wetlands*sent within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? y No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) T • • PROJECT ID NUMBER 617'20 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME K�:. a.o i 4d i 3.PR JECT LOCATION: {{n�v 17t G. �J�e ti r,VG�� Municipality 1 S S v(Q_,j�.,Q. 1t�71 County ,'nl `ws{y''+o�66CL 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent IandmaNcs etc -or provide mapti el N pit s �v�. `a �t .� y t� 3 � c iS1gKeLL `let� . 5. IS PROPOSED ACTI N: ❑ New ❑Expansion ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: ' 7 fit,.aU 19 b/ - 7 Jr L c.a 11.E (19—Qo kir. t' 7.AMOUNT OF LAND AFFECTED: ` . — _ Initially acres Ultimately - acres 1'x..L 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ,0Yes ❑ No If no,describe briefly: $WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Ylr`{X�'tl Residential n Industrial n Commercial ❑Agriculture n Park/Forest/Open Space ❑Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ny Yes I t{No If yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? fYes ❑No If yes, fist agency name and permit / approval: ) 11III,22�, AS,' A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? IJres El No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor .�Name n �yptao \�'�y/JIo� �-y Date:: Signature (-�J Q �'V T't` `7 10--?/OS '------- 07- / bS / LN If the action Is a ostal 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 Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. 0 Yes ❑ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. • Yes ❑ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) Cl. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? (If yes,explain briefly: • Yes ❑No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: • Yes El No PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring; (c)duration; (d)irreversibility; (e) geographic scope;and (f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actior WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) • • • Board of Trustees Application County of Suffolk State of New York t fS j f /, a--p/ BEING DULY SWORN DEPOSES AND AFFIRMS • 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 '.5 I W OF THIS APPLICATION. /1 , J �/ , i a '_i Signatu e SWORN TO BEFORE ME THIS I S-C DAY OF },t,oke„, ,20 U S" 1f .►. is 2^t Notary Publiir MELANIE DOROSKI NOTARY PUBLIC,State of New York No,01D04634870 i eseeCowIEpSptmber3 , Nn6 • •rd of Trustees Applicatie AUTHORIZATION r \_ c(where the applicant is not the owner) � I, C( , 7L 5,JLQ �S 1s nl residing at ,Qm;) la.e(cc rint owner of property) (mailing address) I14 3 do hereby authorize 1� -N„,_a_ .h,,,r- J (Agent) to apply for permit( s) from the Southold Board of Town Trustees on my behalf. Own r s signat re) l Acrt , ZDOS MELANIE DOROSKI NOTARY PUBLIC,State of New York No.01D04634870 Qualified in Suffolk County Commission Expires September 30, 6 8 • APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. _ y YOUR NAME: '-'�y�\'�a -k� X (Laat name,first name,middle vial,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 ZoneCoastal Erosion Approval of plat l� Mooring Exemption from plat or official map Planning Other (If"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 Southold? "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 he shares. YES NO I 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 applicanUagenUrepresentative)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 applicant . (when the applicant is a corporation); 13)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 Submitted this day of . 200, Signature -VS. ��=/?N�..L�aff. �� Print Name ��GCtf � ' Form TS 1 i� �1{i9�. � • Donna Iglesias-Wexler • 200 Castle Hill Road Cutchogue, New York 11935 (631) 734-2701 Cell (631) 838-1000 Fax (631) 734-2704 September 2,201:1 � 11_WE '' Town of Southold SEP '" 1 2005 Board of Trustees P.O. Box 1179 Southold Town Southold,New York 11971 Board of Trustees Re: 955 Aquaview Avenue, East Marion,New York S C TM#1000-021.00-02.00-012.000 Dear Board Members: I am submitting this letter as a supplement to the application that was delivered to your office yesterday. I would like to clarify why I am in front of the Board of Trustees: The Building Department is requiring correspondence from the Board of Trustees that states that the Board of Trustees is not exercising jurisdiction over the as built deck. The deck was constructed in 1961. I have submitted Affidavits that prove its existence at that time. The deck was repaired on numerous occasions. The last major repair to the deck took about 1972. That is why there is CCA treated materials at the location. I understand that any structural modifications that would require a Building Permit would now require Trustee approval. I am not attempting to circumvent the now jurisdiction of the Trustees, but, rather, want to clarify for the Building Department that the Trustees did not exercise jurisdiction over this deck when it was built, and when the last major repair took place. Please note that the deck is at an elevation that in 1972 would have made it so that the Trustees would not have exercised jurisdiction, and it was before the adoption of the environmental conservation law. Very truly yours, Donna Iglesias-Wexler Town of Southold • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information 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 Coastal Erosion Hazard Area. 2. 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 proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# i - 2 - /r,L PROJECT NAME �Q ��7 ��tj t� C o. ON l9 ( e arc The Application has been submitted to (check appropriate response):� Town Board ❑ Planning Board❑ Building Dept. [ Board of Trustees @i 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation, land transaction) ❑ (b)--- -Financial assistance(e.g—grant,-loan,-subsidy) (c) Permit,arpp oval: license,certification: Nature and extent of action: a,., . �-! 5L44,,th --�„r I'WWc— S c a \'U '{ YT+�.�l l.?17h �`. W9tt a 441 !^s ) • Location of action: .,j Sr< A 4.r,--‘‘a LI 1 i q Z 1 Site acreage: 1' , a CO ,SCA _SA- Present land use: Le, Present zoning classification: 2. 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: ', `' ..ata:.3 (b) Mailing address: 4_0 c \ACSLSI, eC - rk\.o\. (c) Telephone number: Area Code ( ) C t - ? . L_a i e 0 (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ NoX If yes, which state or 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 that 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 efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes n No T\' Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Et Not Applicable • Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria X.Yes No Not Applicable 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 III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 5. 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 Attach additional sheets if necessary Policy 6. otec and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III —Policies; Pages 22 through 32 for evaluation criteria. ❑ ces No Not Applicable • Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. H Yes No_Z Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes.lteSee LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes D Noy Y, Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YeE NoiNot Applicable Attach additional sheets if necessary J • KI WORNG COAST POLICIES) Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes fl NoXNot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No0 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for_v eval'uation criteria. ❑ Yes D No.KJ'Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable {{y,44,„„ PREPARED BY __ ,Z7' TITLE k �, ec +n DATE c1 t '0 r `\ _ r:Z_7-11,---/1r C ?- ��` I ry PCCK. UEO'NEW YO r cE T 44- kl�. s • 032 264-1 4"i p ,ol �OFFSSION�e D Y Y i _._._ _— r_ , -.__T.__�_..`. 1 1 SON '1 REAR D �_ . _. _- - -. _ 363 - - �c y:a' V ECL AS /AS FL ooh P1 A A � Sog 9S5 Av�e E 0 d Marc Scale t':/?() xi tAte! . 3 A G"dor} � , J� / di/ SEM arF d> . a �/ � /�/ �\ /Y-cE bcW lb* L n.; _.L l ! ar N • $,N c CP. C. Poa 1,�`' 1 ` "'''Or_ ii# 0 J P°aFcssios�`i Play{ n wy A/ � P lh'.j1,, It p I,ovfv s __ D@c, f.. ztn rrp ter • , P,•s �j I 2 ' •4 , 09;P_O)B7, dh,. REAR ,Ct F00Ai1:A 1 1,2 1,. F A 4: EG LAS/;= -Stat{ /4,-.;,o• 9 S /13 cm rew ie Ecs / At9r/o/7 SSte/ 2 i-= 3 LONA jsl9� D S6). s&,94s OUIVO 4,60, 'F nE� '1'E ME"N Hip, SURVEY OF PROPERTY AT EAST MARION TOWN OF SOUTHOLD N SUFFOLK COUNTY, N. Y. 1000-21-02-12 SCALE: 1'=20' JULY 18, 2005 \ AUG. 22, 2005 (certification) SEPT. 14, 2005 (COASTAL EROSION i HAZARD LINE) ifsr., e N Bay 'co BANK 45 u) ci V' i 4s9 e07,611, B7NK R n F tip S (UNABLL�EVATo XCA7Ea ING DUEL TO HEAVY BRUSH)) N 2 p"1J S rf—_" p5E 3 it Q Q ONE RD �y pr11j1�� . .,'dv��,ps h. 1iAo Aft `�� rj 5.3' (HSE.) 02 BANK ►I ti..(12 7.2' (DECK) Ok 36.3 \ o • \ ���' r 2 I I ��� 4i / 1 an 1 co T s . cr g / 5.4'(Hsi.) fR H•sE 3 �•,..T Q. ' O cl) 011 72.41 ry ns• 2 44% — 3 ', t 0.77 O U) 1730 b0 e Ntr %It O BRICK CERTIFIED TO , 97.1 960.00, STEVEN D. AXELROD SANDRA L. SCHPOONT ti 96poo' {/ ,E THE NEW YORK MORGAGE an COMPANY FIRST AMERICAN TITLE — X INSURACE COMPANY OF NEW YORK tatcr ji- E K COASTAL EROSION HAZARD LINE 043- Jam/ FROM COASTAL EROSION HAZARD BA''C. N69., AREA MAP Photo No. 50-6/7-8360 00 * ' tE or- NEIy 400 jeRIOr /1 ici"- 1- 44 P2z, 04z.c- STONE Cr V 1- gREA-10,935 SO. Ff. /I 9 HN / ( �ii%>t �' - ) LIC .0. 4961 TO TIE UNE U P CONIC S TYO� '` C. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION (631) 765— =a� �• '' 65-1797 OF SECTION 72090F THE NEW YORK STATE EDUCATON LAW EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS P.O. BOX 90' NAND i HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF II =MONUMENT 1230 TRAVELER Of^ 05-2G� SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR =PIPE SOUTHOLD, N. Y. 11971 v WHOSE SIGNATURE APPEARS HEREON. • I 8' 6 c° 6/i d er G ' y y 1 2 0 6 u St) de r 4, > I 1 i _ . F I E' ) t 1 i � L 1. 1 ( ^r E HI ; It = . r I, ;t • ---- . f • 1— _� �_-. —. 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