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HomeMy WebLinkAboutTR-7212A Glenn Goldsmith,President � ®��®� S®U��®® Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765=1892 Elizabeth Peeples �` ® �® Fax(631) 765-6641 c0UNTi,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 20, 2023 Donald J. Schneider Pamela E. Schneider 258 Ferry Road Sag Harbor, NY 11963 RE: 890 RUCH LANE, SOUTHOLD SCTM# 1000-52-2-31 Dear Mr. and Mrs. Schneider: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, April 19, 2023: RESOLVED that the Southold Town Board of Trustees approve the request for a Transfer of Wetland Permit#7212A from Estate of Cornelia Schilke to Donald J. Schneider & Pamela E. Schneider, as issued on December 16, 2009. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, 14' Glenn Goldsmith President, Board of Trustees GG:dd Glenn Goldsmith,PresidentT��SUFf�O ,gyp Gy , own Hall Annex A.Nicholas Krupski,Vice Presidento < ' 54375 Route 25 Eric Sepenoski ,� P.O.Box 1179 Liz Gillooly �y • o�`r Southold,NY 11971 Elizabeth Peeples � �a,� y Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: •2 Completed in field by: DONALD J. SCHNEIDER & PAMELA E. SCHNEIDER request a Transfer of Wetland Permit #7212A from Estate of Cornelia Schilke to Donald J. Schneider & Pamela E. Schneider, as issued on December 16, 2009. Located: 890 Ruch Lane, Southold. SCTM#: 1000-52-2-31 Type of area to be impacted: XSaltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: x Chapt.275 Chapt. 111 other Type of Application: ac Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No X Not Applicable Info needed/Modifications/Conditions/Etc.: -a-a Present Were: G. Goldsmith N. Krupski E. Sepenoski X L. Gillooly E. Peeples Board of Trustees Town of Southold ® aTrustees PO Box 1179 Southold NY 11971 E 'handdelivered RE: PERMIT TRANSFER Dear President and Board: Please let this serve as a permit transfer request of permits#65 and#7212A(copy enclosed) for property located at(sctm: 52-2-31) from Isabel and Joseph Preston(#65) and Estate of Cornelia Schilke (#7212A)to Donald J. Schneider and Pamela E. Schneider. I am enclosing the Affidavit signed by the us as the owners and our authorization together with a check is enclosed in the amount of$100 for said fee. Thank you and please do not hesitate to call should you have any questions Regards, w an�ela E. Schneider and Donald J. . chneider 631-680-9420 and 631-800-4626 sC-k S� -I-I-�b�r► I 1�-I�3 AlixPartners Restricted Board of Trustees Application County of Suffolk State of New York nedelCIAWd&JAAmING DULY SWORN DEPOSES AND AFFIRMS THAT 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 REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF HaA 920 23 Notary Pub ' BETSYA.PERKINS Notary Public,State of New York No.01PE6130636 Qualified in Suffolk Coun Commission Expires July 18,a sZ-z-31 'I^�' 1n1 n 2 3s0- BARGAIN AND SALE DEED WITH COVENANT AGAINST G O S MAR 2 8 2023 _ ACTS(INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 Southold Town Board of Trustees CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASERBEFORE SIGNING. THIS INDENTURE,made the 1 y j' dayof t cew.lu.. 2022 between Robert G.Schwerdel&Gwenn Hornstein NIKIA Gwenn Schwerdel,both residing at 890 Ruch Lane,Southold,NY 11971 husband and wife party of the fust part,and Donald J.Schneider&Pamela E.Schneider,�oth residing at 258 Ferry Road,Sag Harbor,NY 11963 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration,paid by the party of the second part,does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being in the SEE SCHEDULE A ATTACHED(DESCRIPTION OF PREMISES) BEING AND INTENDED TO BE the same premises described in a deed recorded in the Suffolk County Clerks office on August 12,2014 in Liber 12784 page 621 TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; - TOGETSER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAVEAND TO SOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part,covenants that the party of the first part has not done or suffered anything - whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party ofthe first part,in compliance with Section 13 of the Lien Law,covenants that the party of the fust part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF.• 4Robert G.Sc werdel N enn Hornstein N/K! G e Sc del NYSBA Residential Real Estate Forms on HotDocs'(9/00) Copyright CapsoR'Development -1- ` SCHEDULE A ALL that certain plot,piece or parcel of land,situate,lying and being at Arshamomaque,in the Town of Southold,County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point on the Southwesterly side of Ruch Lane where the division line between the Land to be described herein and land now or formerly of Caroline B. and Thomas F. Higgins Intersects said Southwesterly side of Ruch Lane,said point also being distant 920.00 feet,more or less,Southeasterly as measured along the Southwesterly side of Ruch Lane from North Road; RUNNING THENCE South 55 degrees 15 minutes 00 seconds East along the Southwesterly side of Ruch Lane,50.00 feet to a monument and land now or formerly of Laura R.Kratochvil; THENCE along said land,South 34 degrees 45 minutes 00 seconds West,165.56 feet to a tie line drawn along the mean high water line of Arshamomaque Pond; THENCE along said tie line,North 42 degrees 08 minutes 10 seconds West,51.34 feet to land now or formerly of Caroline B.and Thomas F.Higgins; THENCE along said land, North 34 degrees 45 minutes 00 seconds East, 153.91 feet to the Southwesterly side of Ruch Lane,the point or place of BEGINNING. The policy to be issued under this report will Insure the title to such buildings and Improvements erected an FOR the premises which by law constitute real property. CONVEYANCING ONLY TOGETHER with all the right,title and interest of the party of the first part,of,in and to the land lying in the street in front of and adjoining said premises TITLE#22-AS-59442 i State of New York ) ss: County of Suffolk ) On this 1j day of N4VMW 2022,before me,the undersigned,personally appeared Robert G.Schwerdel&Gwenn Hornstein N/K/A Gwenn Schwerdel,personally known to me or proved to me on the basis of satisfactory evidence to the be individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacities,and that by their signatures on the instrument,the individuals,or the person upon behalf of which the individuals acted,executed the instrument. Notary Public KYLEE S DEFRESE NOTARY PUBLIC-STATE OF NEW YORK No.01DE6420156 Qualified in Suffolk County My Commission Expires 08-02-2025 District 1000 Section 052.00 Block 02.00 Lot 031.000 Record and Return to Heather W.Wine,Esq Lynch&Associates 464 New York Avenue,Suite 200 Huntington,NY 11743 NYSBA Residential Real Estate Forma on HotDocs'(9/00) Copyright CapsoBF Development 2- 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 OFTOWNTRUSTEES TOWN OFSOUTHOLD Permit No.: 7212A Date of Receipt of Application: November 16, 2009 Applicant: Estate of Cornelia Schilke SCTM#: 52-2-31 Project Location: 890 Ruch Lane, Southold Date of Resolution/Issuance: December 16, 2009 Date of Expiration: N/A Reviewed by: Board of Trustees Project Description: Existing 11.2'X 14.4' addition to the dwelling and wood decks. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by John T. Metzger dated October 6, 2009. Conditions: None 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. Jame .~King, Presi~d~ Board of Trustees James F. King, President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: Joseph Fischetti, PE on behalf of the ESTATE OF CORNELIA SCHILKE requests an Administrative Permit for the existing 11.2'X 14.4' addition to the dwelling and wood decks. Located: 890 Ruch Lane, Southold. SCTM#52-2-31 Type of area to be impacted: __Saltwater Wetland Freshwater Wetland __ Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 __other Type of Application: Wetland __Coastal Erosion __Amendment ~Ad ministrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: __&King __J.Doherty __P.Dickerson __ D. Dzenkowski other Form fi!led out in the field by D. Bergen__ B.Ghosio, Mailed/Faxed to: Date: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 June 30, 1986 TELF~HONE (516) 765-1892 The Trustees are surveying the m3rine structures of Southold through Orient for the purpose ~-~al~I~shing the accuracy of the town records. Now in our fifth season, we have previously completed inventories of Laurel, Mattituck, Cutchogue, and some Southold creeks. We have been to your property, but unfortunately, you weren't available. Enclosed please find a grandfather application for the dock which appears to be on your property. We recognize that your structure is presently unused and deteriorated. However, if you rebuild the structure in the future, the grandfather application will be proof that you are simply maintaining your structure, without the grandfather application, you may have to go through the time and expense of a new permit application. We would appreciate your cooperation in our endeavors to update our records. Thank you very much. Sincerely, Deborah A. Shalvey Creek Surveyor for Southold Town Trustees Henry P. Smith, Pres. OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD TO: From: Date: Re: MEMORANDUM Jim King, President Town of Southold Board of Trustees Mark Terry, Principal Planner '\t~ LWRP Coordinator ~..._~ December 16, 2009 Proposed Wetland Permit for ESTATE OF CORNELIA SCHILKE SCTM#1000-52-2-31 Joseph Fischetti, PE on behalf of the ESTATE OF CORNELIA SCHILKE requests an Administrative Permit for the existing 11.2'X 14.4' addition to the dwelling and wood decks. Located: 890 Ruch Lane, Southold. SCTM#52-2-31 The proposed action has been reviewed to Chapter 268, 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 CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F. ICing, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob ~nosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only __Coastal Erosion Permit Applicationj __Wetland Permit Application~"aAdministrative Permit .~Rec__Amendmentfrrans fer/Extension eived Application:, I~_~1_~ ~ ..ACeceived Fee:$~Lt~ ['t' ....C~6mpleted Application ! I !ILo ! O9 Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) LWRP Consistency Assessment Form CAC Referral Sent: ,,-'~)ate of Inspection: I~LI oT~,9~ Receipt of CAC Report: Lead Agency Determination: Technical Review: .~ublic Hearing Held: }~. I (~ I O q Resolution: Phone Number:( ) Suffolk County Tax Map Number: 1000- ~"~7~ -- O ~-- '"3 ] Property Location: ~qO J~oGh {~P4Vl/t ~tt)}~.)~ (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: , IJq7J ~ard of Trustees ApplicatJ Land Area (in square feet): Area Zoning: ¢ -~0 GENERAL DATA Previous use of property: Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. __Yes / No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspe.nde/d by a governmental agency? I/No Yes If yes, provide explanation: Project Description (use attachments irnecessary):. 11o8 tS Iq.f! ~d d' ~ Board of Trustees Application 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 o f 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: /vii/ s-8o;1+ ._S~atement 0f_t_he effect, if a~y~ ?p~? w?~!and5 an~ tid~ F~te[s_ _°f ~_t°~th~ ma2,v [e_s_u!t_.b_7. reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR , 2, PROJECT NAME 617.20 APPENDIX STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) SEQR 3.PROJECT LOCATION: Municipality ~O"~ '~ 4. PRECISE LOCATION: Street Addess and Road IntersectJon.~ Prominent landmarks etc-or provide map 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT ,~ LAND AFFECTED: Initially , acres Ultimately * ~. acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [~Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [~ Residential [--1 Industrial r--lcommercia, E~Agriculture [] Park / Forest / Open Space ]Other (describe) 10/DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. Stateor Local, ~ /dl~ L~I~ ~Yes []No If yes, list agency name and permit/ approval: /.~J[ ~ 11. uot::~5 ANY A~IaECI OI- [HE AC[ION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes [~No if yes, list agency name and permit I approval: (cENY y ,.\ .N M N PROV,DED ABOVE ,S TRUE TO THE BEST OF MY NO LEDGE If the accel Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment oard of Trust~es Applica~n A~i'~O~I ZATION (where the applicant is not the owner) Pamela S. Festa, Executrix of the Estate of Cornelia K. Sohilke (print owner of property) residing at ~7§ Fo~mintown Road. Brewster, NY (mailing address) 10509 do hereby authorize ~ ~)~ ~O ~ (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner s signature) Pa. mela S. Festa, Executrix Board of Trustees Appli~ion County of Suffolk State of New York o__'C(5 ciV,-ta ' BErinG DULY SWORN DEPOSES ~ ~F~S THAT ~/S~ IS T~ ~PLIC~T FOR T~ ~O~ DESC~ED PE~T(S) ~ T~t ~L STATE~NTS CONWED ~ ~ ~ TO t~ BEST OF ~S~R ~O~EDGE ~ BELmF, ~ t~t ~L WO~ W~L BE DO~ ~ T~ ~R SET FORTH ~ ~S ~PLICATION ~ AS MAY BE ~PRO~D BY T~ SOUTHOLD TO~ BO~ OF TRUSTEES. T~ ~PLIC~T AG~ES TO HOLD T~ TO~ OF SOUTHOLD ~ T~ TO~ TRUSTEES ~ESS ~ F~E ~OM ~ ~ ~L D~AGES ~ CL~S ~S~G ~ER OR BY VIRT~ OF S~ P~T(S), ~ G~D. ~ CO~LET~G TInS ~PLICATION, I ~BY A~THO~E T~ ~US~ES, T~ AGENT(S) OR ~P~SENTATI~S(S), TO ~ ~O ~ PROPERTY TO ~SPECT T~ P~SES ~ CON~CTION~TH R ~W OF T~ S ~PLICATION. _ ~_ SWORN TO BEFO~ ~ THIS 1~ DAY OF '~C~- ,20~ '~ ~Notary Public PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOESACTION CEEDANYTYPEITHRESHOLD IN 6 NYCRR, PART $17.47 dye~ccord[n~stethe review process and usethe FrILl EAF~ WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN .q NYCRR, PART 61T67 I[ No, a negative declaration may be superseded by another involved agency E--]Yes E~]NO C COULD ACTION RESULT iN ANY ADVERSE EFFECT S ASSOCIATED Wi FH THE F ©LLO. ,gNG (Answers may be handwnffen, if legible) C1. Existing air quality, sur[ace or groundwater qua; t~ er quantity, noise leve~s existir g traffic paher'~, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain bdefiy: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species'~ EExplain briefly: I C5. Growth, subseq-~ent devei~pment, or related activities likely lobe induced by' the proposed action? Explain briefly: WILL THE PROJECT HAVE AN IMPACT ON FHE Fr~'/;P,©N;aS~ [AL CI Ifi~AG I ~ ~$ ¥tGS q ;~AT CAUSED ~HE ES rABLISHMENT OF A CRI~tCAL E, IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY REt. ATE) TO P©TENTIAI /,DV~RSE ENVIRONMENTAL IMPACTS? If yes explair~: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effactiderdif~ed ~bove, de[em/i,}e wi),~'lher it iss~b~ta,Rial, laroe, irt]per[ant or othe,-,visesignificanL Each effect should be assessed in connection with its (a) setth ~<j ([ ~. urban or =ural); (b) probability of o¢cumng; (o) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or re[erenc~, supportin§ 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 ye-% *.he determ!~-.t!o.", cf =[~!,~"mcc musteva~ur~ the poten tia ~impaet et theprop~edactio~ on the eovi~onmerr,~at elYaract~tics of ~he C-F:~: box lCy-~,~';~'v~ ~e~8~m~ned: b~sed on the information and analysis ~bove a~d any .supporting documentation, thai ~h~ ~rop0s~d ~ Name of Lead Agency Tile of Responsible Officer Pdnt or Type Name of Resporisible Officer in L eS;'J-~gency Signature of Respons b e Officer n Lea~",~gency 8ig'~atur'e of Pre~arer (If different from responsible officer) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE. FORM The Town of Southold's Code of Ethics nrohibits conflicts of interest on the oart of town Officers and emnlovees. The nuruose of this form is to nrovide information which can alert the town of oossible conflicts of intereSt and allow il to tek~ whaSevnr a~tion i,S necessary to avoid same. YouRN E: , oset h f/scJ, o/:b' (Last name, first name,~niddle initial, unless you am 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 Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"Otheff, name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee &the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Busines~ 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 shares. YES NO ~ [fyou answered "YES", complete the balance of thi's 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 applicant/agent/representative) 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): __~) the o~vner of greater than 5% oftbe shares of the corporate stock of the applic0nt (when the applicant is a corporation); B) the legal or beneficial ownqr of any interest in a non-corporate entit~ (when the applicant is not a corporation); C) an officer, director, paflner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitt I /~ _/.~ ~ 200 ._~ Print Name {] '~JO~ /h-¢~/~/t/t/- , PROFESSIONAL ENGINEER 1725 HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971 TEL:631,765.2954 · FAX:631.614.3516 · e-mail:joseph@fischetti.com Date: Reference: November 16, 2009 Estate of Schilke Board of Town Trustees PO Box 1179 Southold, NY 11971 Mr. James King, President, Please find enclosed the application for Administrative Permit for an existing deck and addition. The construction of the subject deck and addition were constructed in 1985-86 without a Building Permit. (marked in red on attached survey)The Estate now wishes to sell the property and have hired me as their agent to submit drawings for Building Permits and CO's. The Building Department needs a permit from the Trustees before a permit can be issued. Please review the application and if you have any questions regarding this matter, please call. N AREA=7,987 SO. FT. ~ TO TIE LINE SURVEY Of' PROPERTY A T ARSHAMOMOOUE TOWN 0~' SOUTHOLD SU~'_~OLK COUNTY, N.Y. lO00-5R-OR-$1 SCALP,: l'--RO' OCTOBER 8, 2~9 CERTIFIED TO: JAMES M. LIEBL LINDA LIEBL B=MONUMENT ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SE~'TION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR E'IIS MAP AND COP/ES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 14'f-lOSE SIGNA ~URE APPEARS HEREON. SAFE HARBOR TITLE AGENCY, LTD. FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK ' N,.Y..S. ~.lC,,'l~q: 49618 (6,51) 765-502~'~?;~S6-1797 P.O. BOX 909 ~2~o ~ sm~TI