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Home My WebLink AboutGordon, MarkAlbert 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 TO: 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: (V/) Application Approved (see below) ( ) Application Denied (see below) has been 2~.~_ and the ( ) 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: $ ~ O SIGNED: PRESIDENT, BOARD OF TRUSTEES Albert J. Krupski, President James King, Vice-President Artie Foster Ken Peliwoda 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 Office Use Only Coastal Erosion Permit Application ,~ffetland Permit Application -~l~ajor __ __W aiv er/Amendn~eot/Changes ~'R~eceived Application:c ~eceived Fee:$ _~12ompleted Application C~ __Inconvplete __SEQRA Classification: Type I Type II Unlisted Coordmation:(date senD ~VAC Referral Sent: _~-~-Date of Inspection: IC~|:5- __Receipt of CAC Report; __Lead Agency Determination: Technical Review: ~ublic Hearing Held: __Resolution: Minor ~ SEP 29 2C04 Southold Town L Board of Ttustee~ Name of Applicant Address Phone Number:( ) b31 -7&~. 35~2 Suffolk County Tax Map Number: 1000- 3rO - t91 - I~ PropertyLocation: (pBI(p~ ~,avT& ~ &R~to?,~-T, NY (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: 131 ~/~vL'C'~ IO0 Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: g~3 0 Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date __ 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 Has any permit/approval ever been revoked or suspended by a governmental agency?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: 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 of wetlands: feet Does the project involve excavation or filling? No V/ Yes If yes, how much material will be excavated? ~ 0 cubic yards How much material will be filled? 3 0 cubic yards Depth of which material will be removed or deposited: ~ It Proposed slope throughout the area of operations: ~ O~ ~,q P_. ~5 feet Manner in which material will be removed or deposited: 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes ofproposed activity: ~)(,qL.g/tqfJ ~<l'c~Ll'f~c~ Are wetlands present within 1 O0 feet of the proposed activity? V/ No Yes Does the project involve excavation or filling? No 7/ Yes If Yes, how much material will be excavated? _~/9 (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: ~UlD+l'otr) ]Ct,) ~,)~ ! ~+1'~ ~ ~6~ ~i[[ t:~ / ' I~scribe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PROJECT iD NUMBER PART 1 - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME SEQR APPLICANT / SPONSOR 3.PROJECT LOCATION: ~l~?j~ nty County Municipality ~ r4~port 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc-or provide map 5. IS PROPOSED ACTION: [] New [] Expansion [~Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: OF AFFECTED: %%00 PT. D Yr- Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? HAT IS PRESENT ~ND USE IN VICINI~ OF PROJECT? (Ch~se as many as apply.) ResJden~a, ~lndus~ai ~Commercial ~Agriculture ~Park/Forest/OpenSpace ~O~er (descri~) 10. OPES ACTION INVOLVE A PERMIT ~PROVAL, OR FUNDING, NOW OR ULTI~TELY FROM ANY OTHER GOVERNMENTAL AGE CY (Federal, Stateor L~I) ~es ~No If yes, list agency name and permit/approval: ~y~ 11. DOES ANY~Y~SPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~Yes ~No If yes, list agency name and pe~it / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODtFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant /Sponsor Name ~)~[.~"~' ~+~i'~-~'~/~'-q ~X' ~r~'~cc¢~ Date: Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yea, coordinate the review process and use the FULL FAF. ~--] Yes [~No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLJSTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negaUve declaration may be superseded by another involved agency. [] Yes [] Ho C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Ar~swers may be handwritten, if legible) C1. Existing air quality, sudace or groundwater quality or quanflty, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, amhaeological, historic, or other natural or cultural resoumes; or community or neighborhood character? Explain briefly: I C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or thraataned or e~d"*~pecies? Explain bdefly: I I C4. A community's existing plans or goals as Officially adopted, or a change in use or intensity of use of land or other'r~i~i:al'~(~rc~?'~pl~in briefly: I 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 Cl-C57 Explain briefly: I C7. ~ther impacts (Includin~l chanties in use of either c~uantit~ or t~pe of ene~;/? Explain briefly: I D. WiLL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ~I~eOsNM[~]ALNoAF~ ICEA,? {if)'es, explain briefll/; E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If)'es explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~iarge~important~r~therwisesigni~cant~ 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 th e environmental characteristics of the C EA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed diractly 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 actio~ WILL NOT result in any significant adverse'*envimnmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency - ~ · Title of Responsible Officer Signature of Preparer (If different fram responsible officer) NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: That it is the intention of the undersigned to request a Permit fi.om the Board of Trustees 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: (¢rec, nl £nt, NY I1 J44- 3. That the project which is subject to Enviromental Re_viqw under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: 6t(/-P0 b364' 2~: 9~O~d( '] ~°bl You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Enc: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS maiEte: Address: postage Clerk: I(YFTgC Notary Public , that said Notices were mailed to each of said persons by JL~E GORDON Notary Public - State of New York No. 02G06092877 Qualified in New York County My Comml~ion Expires May 27, 2007 Sworn to before me this Day of ~p~______~, 20 ay Office at /xJ~vv ytr~ ~-, (certified) (registered) mail. or FO Box No. ....~,....~........L~_M.G.~.. ............... '- ............................. -- - t;;'~,~:~ ~ ,~ .ix~~~ d~ly swo~, d~,oses a~d says that o~ the ~ ' ~' '-' .... "~ ' ' ~_._t.', deponent mailed a hue copy of the Notice · "~---~'~-~~ Board df Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southeld, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~~, residing at ~1 being duly sworn, depose and say: That on the ~ day of 0 ~t.. , 200~, I personally p.osted the property known as by l~lacing the Bo~d-o~' ~'mst~es official pc;~teri~her~ it c'afl easily'be se~n, 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. Date of hearing noted thereon to be held (signature) ~5~m to before me this ay of 6[977. 200 ~/ (~ary Public JESSE GORDON Notary Public - State of New Yo~ No. 02GO6ff~77 Qualified in New YOrk County My Commission Expires May 27, 2007 of Trustees Application A~'£m01~I ZA~ION (where the applicant is not the owner) (print owner of property) residing at 4-7~1'~ ~;~'~'k ~l~l~.l('b~F ~', (mailing address ) $o~thold Board o[ Town ~r~-~tees on ~ behal[. ( Owner ~ signature) dO hereby authorize ( Agent to apply for permit(s) from the Board of Trustees Application County of Suffolk State of New York ]~/71/0 ~- ~__gtgf'~On BEINGDULY 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. SWORN TO BEFORE ME THIS Z<~~n DAYOF ~'~2~'~/~",20 ~'~ N~ota~ Publie~~ JESSE GORDON Notary Public - State of New York No. 02GO6092877 Qualified in New York County My Commission Expires May 27, 2007 BADE STAGEBERG COX ARCHITECTS 131 Varick Street New Yor~ NY 10013 212.206.3603 fax 212.625.9173 DATE TO TEL FAX CC PROJECT 7 October 2004 Heather Southold Board of Town Trustees 631.765.1802 631.765.6641 Mark Gordon Residence - Greenport Dear Heather, Attached please find 3 copies of the Greenport Residence site plan for the application of Mark Gordon for improvements to his property at 63165 Route 48, Greenport, NY. Please note that the revised site plan shows the coastal erosion hazard line as requested by the Southold Board of Town Trustees. Also, attached please find an Affidavit of Posting for the application. Peter Sterling from Plantings by the Sea will be checking the property regularly to insure that the poster remains in place. Please advise us if you require further information. Regards, ~rg~--~'~~ S0uth01d Town Board of Trustees APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM ~e Town of Southold's Code of Ethics orohibi~ conflicts of interest on the hart of town Officers and emnlovces. The nuroose of this form is to orovide information which can alert the town ofoossible conflicts of interest and allow it to rake whatever action is (Lastnam¢,firat~a~e,r~iddlemi~inl~u~lessy-ot~araapplyin4~in~cn~m~of],~ 3 f ~ ,.~n I. ~. somconc else or other entity, such us a company, lfso, indicate the othcr /~e~ff~-']"~' f~f[.-- 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"Otbef', 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 Sontbeld? "Relationship" includes by blood, marriage, or business interest. "Business interest'? means a business, including a partmxship, in which the town officer or employee hos 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 ~/ 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 applicantffagcot/represe nt ative) 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 corporale stock oftbe 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 corporation); C) an officer, director, partner, or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this__.~daE of .~e~./o~L,,v,^~ gOO Signature .~ Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Monday, October 18, 2004, the following recommendation was made: Moved by William Cook, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit & Coastal Erosion Permit application of MARK GORDON to extend the existing balcony to north face of house and build new deck and pool at north side of property. Located: 63165 Route 48, Greenport. SCTM#40-1-14 The CAC recommends Approval of the application with the Condition drywells are installed to contain the pool backwash, and the existing elevations are maintained. Vote of Council: Ayes: All Motion Carried PAGE 01/03 BADE STAGEBERG COX ARCHITECTs DATE 27 SelY~mber 2004 TO Heather Southold Board of Town Trustees TEL 6~,1.765.1802 FAX 631.765.6641 CC PR~EcT M~k Gor~n R~n~ - G~ i31Varick Street New Y or, Ny 10013 tel 212.206.3603 fax 212.625.9173 Dear Heather, Attached please find a copy of the Gordon Residence in G~eenport showin9 our ~o;x~-~al for a new pool, deck and I~lco~y. We anticipate submitting an application to the Board of Town Trustees by Septemic~r 29. R would be very helpful if you could review would be interested in seeing, our plan and advise as to the extent of drawings the board Thank you very much. SEP 2 $outhold Town Board of Trustees Ld 8[TE PLAN 09/2672004 23:19 212 PAGE 03/03 NV-Id B/IS =:,.., ',= ,- o-'..- ...... , ..... ~6bL AN '1~0dN33~9 9~ 31fl0~ §9~9 :N01±¥303 ,LL~3dO~d ~L-LO-O~-OOOL~ d¥~ X¥± :3±ON APPROVED BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE /0/,.,z~, .,/c~ ,.,.. NOTE: TAX MAP #1000-40-01-1~ PROPERTY LOCATION: 6~165 ROUTE ~8 GREENPORT, NY 11944 OCi' - $ .... Southold Town Board of Trustees SITE PLAN