HomeMy WebLinkAboutTR-63-7-38 Glenn Goldsmith,President _a```�®F s® � Town Hall Annex
®ole ®- 54375 Route 25
A. Nicholas Krupski,Vice President ® P.O. Box 1179
Eric Sepenoski Southold, New York 11971
Liz Gillooly
� Telephone(631) 765-1892
Elizabeth Peeples el` ® y® Fax(631) 765-6641
L'®UN%
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
October 20, 2022
Martin D. Finnegan, Esq.
Finnegan Law, P.C.
P.O. Box 1452
Mattituck, NY 11952
RE: PATRICK & ANN MARIE BROWNE
1645 CALVES NECK ROAD, SOUTHOLD
SCTM# 1000-63-7-38
Dear Mr. Finnegan:
The following action was taken at the Southold Town Board of Trustees regular meeting
held on'Wednesday, October 19, 2022:
RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a
Transfer of Wetland Permit#63-7-38 from Maia Khutsishvili to Patrick & Ann Marie
Browne, as issued on March 11, 1993; and Amended on August 17, 2022.
Any other activity within 100' of the wetland boundary requires a permit from this office.
This is not a determination from any other agency.
If you have any questions, please contact our office at (631) 765-1892.
Sincerely,
"Presiden2t G nn Golds .ith,
Board of Trustees
GG/dd
Glenn Goldsmith,President ��o�OS11fFQ(,�cOGy Town Hall Annex
A.Nicholas Krupski,Vice President 54375 Route 25
Eric Sepenoski W ,x P.O.Box 1179
Liz Gillooly 95 P.O.
• !� Southold,NY 11971
Elizabeth Peeples � �a� Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time: I Completed in field by: Liz, //oC
Martin D. Finnegan, on behalf of PATRICK & ANN MARIE BROWNE requests a
Transfer of Wetland Permit#63-7-38 from Maia Khutsishvili to Patrick &Ann Marie
Browne, as issued on March 11, 1993; and Amended on August 17, 2022. Located:
1645 Calves Neck Road, Southold. SCTM#: 1000-63-7-38
Type of area to be impacted:
Saltwater Wetland Freshwater Wetland Sound Bay
Part of Town Code proposed work falls under: ,2� Chapt.275 Chapt. 111 other
Type of Application: _Wetland Coastal Erosion Amendment
Administrative Emergency Pre-Submission Violation
Notice of Hearing card posted on property: Yes No Not Applicable
Info needed/Modifications/Conditions/Etc.:
S
Present Were: G. Goldsmith N. Krupski E. Sepenoski
A' L. Gillooly E. Peeples
FYNNEGAN LAW, P.C.
13250 MAIN ROAD
P.O. BOX 1452
MATTITUCK,NEW YORK 11952
(631) 315-6070
MARTIN D. FINNEGAN, ESQ.
MFINNEGAN@NORTHFORK.LAW
Via USPS Regular Mail
September 2, 2022 ' E C EV E
Town of Southold
Board of Trustees SEP - 6 202?
54375 Route 25
Post Office Box 1179 SW�thD d Town
Southold, NY 11971 Board Oi Ttusteea
Attn: Glenn Goldsmith, President -
Re: Transfer of Wetland Permit
1645 Calves Neck Road, Southold, NY 11971
SCTM 1000-063.00-07.00-038.000
Permit No. 63-7-38
Dear Trustee Goldsmith:
Please consider this letter a request to transfer the referenced permit from Maia
Khutsishvih to Ann Marie Browne and Patrick Browne, as they are the new owners of
the subject parcel effective September 2nd, 2022.
I have enclosed a copy,of the executed deed for your records, along with an
executed Affidavit, Owner's Authorization, Owner's Transactional Disclosure Form,
Agent's Transactional Disclosure Form, and an attorney escrow check payable to the
Town of Southold in the amount of$50.00 for the required transfer fee.
Kindly advise our office if you require anything further to process this request.
atrulys,
gan
MDF/as
Encl.
cc: Ann Marie Browne and Patrick Browne
i
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NY 005-targuin and Sale Wed with eo wycmt aganhst Granen•'s Acts Individual ur Onponaiun(Single S6Lti0 tNYnTU 8002)
CONSUIX YOUR LAWYER R FORK SIGNING 11115 INSTRU07ENT-THIS INSTRU6IFNl,SIIOUI.n IIF USFn RV LAWYMS ONLY
THIS INDENTURE,made the 2,-O� day of September in the year 2022
BETWEEN
Maia Khutsishviii,1645 Calves Neck Road,Southold,New York 11971
party of the first part,and
Patrick Browne and Ann Marie Browne,his wife,6 Portland Road.Summit,New,fersey 07901
party of the second part. r
WITNESSETH,that the party of the lint part,in consideration of Ten Dollars and other valuable consideration paid by the
party of the second pan,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 impmvenicats thereon erected.siluate,lying and tering in the
Hamlet of Southold,Town of Southold,County of Suffolk and State of New York,and more
particularly described at Schedule A attached hereto and made a part hereof.
Premises: 1645 Calves Neck Road,Southold,New York 11971 J
TOGETHER with all right,title and interest.if'any,of the party of the first part of,in and to any streets and roads abutting the
above-described premises to the center lines thereof:TOGETHER with the appuriena aces and all the estate and rights of the
puny of the first part in and to said premises:TO HAVE AND TO HOLD 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 al'the first part has not done or suffered anything whereby the said
premises have been incunih red in any way whatever,excepl as aforesaid.
AND the party of the first part,in compliance with Section 13 of the Lien Law,covenunis that the party of the first pan will
receive the consideration fir this conveyance and will hold the right to receive such considartion as a trust fund to be applied
first fir the purpose of paying the cost of the improvement and will apply the sane first to the payment of the cost of the
improvement bLibre using any part of the loud of tle:same fir any otter purpose.
'flee word"party"shall be construed as if it read"panics"whenever the sense of this indenture so requires.
IN WITNESS WHEREOF,the party of the first part has duly executed this decd the day and year first above written.
IN PRF:SENCF:UP: x
Mala K-Midgishvili
USfsACIuYOW!!1X)M19RNT!%u1fAlllRf.(ItVismINNF111YOA'ASTA17-ONLY UtiBA('KVI)IIJJ)(i,$IPA•f)'UPo111ttit/)IYN'f%ilINNIs1VYORKSIFAT•:ONLY:
State of New�York,Countyuf Suffolk }ss: Slate omemv York,Countyof'Suffolk Inti:
(hl the ley of'September in the year2022 on the day of in the year
before Inc.the undersigned,pusonatly appCan1d hefnre lex the W1Jl IsigneJ.pl nmuelly apPu7aJ
Main Khutsishvili
personally known to me or proved to nn tat the has oI'satisfactory personally known to me or proved no tete on the basis of sausf u ory
evidence u)be the individual(s)whose nan)c(s)is(.u+:)suhscrilnd to tin evidence to he tin individual(s)whom:nater(s)ix(are)suhscritx:d u)the
within instrument rail acknowledged to me that WidIL/they executed within instrument and acknowledged Io nm that he/she/they exceutcd
the %:true in his/hur/their capacity(ies). mal that by his/liLdiheir aha: sante in his/he1/uhcit calreify(ies), and that by hi+/lmr/their
signat 1 •s)out the illslrunnnt.tilt individual(s)•or the Penson uP(n sigutiuure(s)on the inctrunnnt.the individual(s),or lin lx:rsou upon
of hick the individual(%)acted.executed tln instrument. huhafisr which the individuals)acted,executed the instrument.
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On blue clay of in tin year
before me,l e undersigned.personally appeared On tilt day tel' in the year
Woru nn,the undersigned.personally apinared
tie%uhscrihing witrlesms to tie Ihreguing instrument.with whoul I ant personally known to me or roved u)tele 4111 the hasis ol'satisfactuly
personally acquainted,who.Icing by Ire duly sworn,did depose and evidence
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say that Itc/she/tley resides)in within into he tine individual(s)ewhosedged tante(%)a(aro)is/they ex to the
within instrument and acknowledged to ane that hdshclttny executed
(eftheplace gfresidenceisinacity.hicluiletlrrsnrrtundsirernnnnber, tile%ameinhislhcdtheircapacity(ics).thatbyhis/her/theirsignature(s)
if'anp,therept?,that lie shalt ey know(s) on the instrument,the intividual(s),or the person upon hehull'of which
tie individtud(x)acted.executed the instrument,and that such individual
to be file individual described in and who executed the foregoing made such appearance heli)rc the undersigned in the
insuunient:that said subscribing witness was present and saw said'
exmute the sarm:and that said witness at the s me time subs riled UosrN the rill'c+r nt)rrrlwli)ircJsldxlirisinn unci the state or commy or
hisfher/their names)ax a witness thereto. other place the orknun lydgulrhrr lrax taken).
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First American Title Insurance Company
AMENDED 6/1512022
SCHEDULE A
DESCRIPTION OF PREMISES
Tit1c No. SP47510-S
ALL that certain plot,piece or parcel of land,with the buildings and improvements
thereon erected,situate,lying and being at Southold,in the Town of Southold,County of
Suffolk and State of New York,bounded and described as follows:
BEGINNING at a point on a found monument on the northeasterly side of Calves Neck
Road distant 1,707 feet,more or less,southeasterly from the corner formed by the
intersection of the southeasterly side of Youngs Avenue with the northeasterly side of
Calves Neck Road;
RUNNING THENCE North 50 degrees 14 minutes 50 seconds East 177.04 feet to Town
Creek;
THENCE along Town Creek the following six courses and distances:
1. North 74 degrees 54 minutes 01 second East 12.17 feet;
2. South 33 degrees 48 minutes 11 seconds East 22.61 feet;
3. South 56 degrees 32 minutes 54 seconds East 8.75 feet;
4. South 28 degrees 35 minutes 46 seconds East 40.83 feet;
5. South 18 degrees 43 minutes 40 seconds East 20.75 feet;
6. South 46 degrees 15 minutes 53 seconds East 44.95 feet;
THENCE South 54 degrees 55 minutes 30 seconds West 166.65 feet to a point on the
northeasterly side of Calves Neck Road;
THENCE along the northeasterly side of Calves Neck Road the following two courses
and distances:
1. North 45 degrees 04 minutes 30 seconds West 122.42 feet;
2. North 47 degrees 08 minutes 10 seconds West 4.58 feet(actual)2.58 feet(deed)to
the point or place of BEGINNING.
}h-1Vl?-
FOR CONVEYANCING ONLY:TOGETHER with all 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.
DESCRIPTION
Board of Trustees Application
AFFIDAVIT
ANN MARIE BROWNE
AND PATRICK BROWNE BEING 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
BOARD OF 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,INCLUDING THE
CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO
INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION,
INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF
TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE
COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL
EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM
OF THE PERMIT.
Signature of Property er Signa of Property Owner
ANN MARIE BROWNE PATRICK BROWNE
SWORN TO BEFORE ME THIS 2nd DAY OF SEPTEMBER )20 22
Notary Public
MARTIN D. FINNEGAN
Notary Public, State of New York
No. 01F16056707
Oualified in Suffolk Count�
Commission Expires March 26, 20
Board of Trustees Application
AUTHORIZATION
(Where the applicant is not the owner)
ANN MARIE BROWNE AND PATRICK BROWNE
I/We,
owners of the property identified as SCTM# 1000- 063.00-07.00-038.000 in the town of
SOUTHOLD ,New York,hereby authorizes
MARTIN D. FINNEGAN, ESQ.
to act as my agent and handle all
necessary work involved with the application process for pennit(s)from the Southold Town
Board of Trustees for this property.
Property Owner's Sign Prope wner s Signature
ANN MARIE BROWNE PAIR CK BROWNE
SWORN TO BEFORE ME THIS 2nd DAY OF SEPTEMBER , 20 22
wt-
Notary Public
SCHWEMER ANNA ISE
NOTARY PUBLIC-,STATE OF NEW YORK
NO.OISC6409457
QUALIFIED IN SUFFOLK COUNTY
MY COMMISSION EXPIRES SEP 28,20-2
APPLICANT/AGENT/RIJ•PRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Rthigj rohibits conflicts of interest on the part of town officers and employees"The numose-oF
this form is to pmide in forinat ion.which can alert the-town of possible conflicts of mterest and allow it to take whatever action is
netessarV to avoid same.
YouRNAME: ANN MARIE BROWNE AND PATRICK BROWNE
(Last name,frist name,.rpiddle initial,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 X "
Change of Zone Coastal Erosion
Approval of plat 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 auy.officer or employee '
of the Town of Southold? "Relationship"includes by blood,,i-oarr'iage,or business interest."Business inlefesO means,a busiriess,
including a partnership,in.which the town officer or employee has even a partial ownership of(qr empioyment"by)a corporation
in which the town off icefor employee owns more than 5%of the shares.
YES NO X,
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of persomemployed by the Town of Southold
Title or position of that person
Describe the relationship between'yourself(tlie applicant/ager t/representative)and the town officer or employee.Either check
the aplirohriate line A)through D)find/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.titan 5%n ofthe 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 corporation);
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
2nd 2022
Submitted th}�s} d y of September 26�,.
Signature
Print Name ANN MARIE BRO ME
Form TS I J CK OWNE
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSIUREK FORM
The Town of Southold's Code of ethics prohibits conflicts of intcrest on the part of town officers and employees.'I'}te nurno§c•of
this Corm is-.to rir'ovide inforinatioti which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOURNAME: MARTIN D. FINNEGAN
(Last name,first name,ipiddle initial,unless you are applying+iti 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 Tutee --x----
Change of Zone Coastal Erosion
Approval of plat 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 soulli'old? "Relationship"includes by blood,nlarriage,or business iiiteresL"Business int=5V means a business,
including a parinership,:in which the town officer or employee haseven a partial ownership of(or employment by)a corporation
in which the town off icer,or erdployee owns more than 5%of the shares.
YES NO X
If you answered"YES",complete the balance of this form and bate 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)rind/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 titan 5%of•the shares of the corporate stock of the applicont
(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
2022
Submitted this eptember 20@-
Signature
PrintName MARTI INNEGAN
Form TS l
Glenn Goldsmith, President ®v so//,. Town Hall Annex
A. Nicholas Krupski,Vice President ®� ��� 54375 Route 25
P.O. Box 1179
Eric Sepenoski Southold,New York 11971
Liz Gillooly
Elizabeth Peeples � ® � Telephone(631) 765-1892
Fax(631) 765-6641
cou V,
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE'OF COMPLIANCE
# 1950C Date: August 17, 2022
THIS CERTIFIES that the construction of an in-kind/in-place 94' timber bulkhead; construct 20' return
at northern terminus and backfill with 300 c-y of clean sand-, for the existing 14.5'x22.8' deck over block
boathouse and 4'x121.5' dock with 18' long steps and walkway;
At 1645 Calves Neck Road, Southold
Suffolk County Tax Map#1000-63-7-38
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated February 10, 1993 pursuant to which Trustees Wetland Permit#63-7-38
Dated March 11, 1993,was issued and Amended on August 17, 2022 and conforms to all
the requirements and conditions of the applicable provisions of law. The project for which
this certificate is being issued is for the construction of an in-kind/in-place 94' timber bulkhead;
construct 20' return at northern terminus and backfill with 300 cy of clean sand; for the existing
14.5'x22.8' deck over block boathouse and 4'x121.5' dock with 18' long steps and walkway.
The certificate is issued to Maia Khutsishvili owner of the aforesaid property.
' m
Authorized Signature
Glenn Goldsmith,President �Q� so 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
ou Nil, '
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
August 18, 2022
William C. Goggins, Esq.
P.O. Box 65
Mattituck, NY 11952
RE: MAIA KHUTSISHVILI
1645 CALVES NECK ROAD, SOUTHOLD
SCTM# 1000-63-7-38
Dear Mr. Goggins:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, August 17, 2022:
RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a
Transfer of Wetland Permit #63-7-38 from Janet Knight to Maia Khutsishvili, as issued
on March 11, 1993; and
BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees APPROVE
the Administrative Amendment to Wetland Permit#63-7-38 for as-built 4'x121.5' dock
with 18' long steps and walkway in lieu of the previously approved 4'x105' dock; and
14.5'x22.8' deck over block boathouse; and as indicated on the survey prepared by
Nathan Taft Corwin, III Land Surveyor, last dated July 14, 2022, and stamped approved
on August 17, 2022.
Any other activity within 100' of the wetland boundary requires a permit from this office.
This is not a determination from any other agency.
If you have any questions, please contact our office at (631) 765-1892.
Sincerely,
Glenn Goldsmith, President
Board of Trustees
GG/dd
Glenn Goldsmith, President so Town Hall Annex
A. Nicholas Krupski,Vice President ®V� ®�� 54375 Route 25
P.O. Box 1179
Eric Sepenoski Southold,New York 11971
Liz Gillooly Telephone(631) 765-1892
Elizabeth Peeples a® Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
August 18, 2022
William C. Goggins, Esq.
P.O. Box 65
Mattituck, NY 11952
RE: MAIA KHUTSISHVILI
1645 CALVES NECK ROAD, SOUTHOLD
SCTM# 1000-63-7-38
Dear Mr. Goggins:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, August 17, 2022:
RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a
Transfer of Wetland Permit #63-7-38 from Janet Knight to Maia Khutsishvili, as issued
on March 11, 1993; and
BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees APPROVE
the Administrative Amendment to Wetland Permit#63-7-38 for as-built 4'x121.5' dock
with 18' long steps and walkway in lieu of the previously approved 4'x105' dock; and
14.5'x22.8' deck over block boathouse; and as indicated on the survey prepared by
Nathan Taft Corwin, III Land Surveyor, last dated July 14, 2022, and stamped approved
on August 17, 2022.
Any other activity within 100' of the wetland boundary requires a permit from this office.
This is not a determination from any other agency.
If you have any questions, please contact our office at (631) 765-1892.
Sincerely,
Glenn Goldsmith, President
Board of Trustees
GG/dd
SURVEY OF PROPERTY
SITUATE
SOUTHOLD
TOWN OF SOUTHOLD
Z SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-63-07-38
' v' S SCALE 1 "=20'
N 0 JUNE 2, 2022
2 J �lip
}� _ JULY 14, 2022 ADD DOCK, WALK & STEP DIMENSIONS
o.
AREA = 23,283 sq. ft.
<ov'CF` (TO BULKHEAD) 0.535 ac.
4' N,8JROCKS `'' —a.4 S o�
� CP fae.� CERTIFIED T0:
+ 4— _ 8 S d� ry PATRICK BROWNE
Off` e_-5 �S, A'' co" eNN MARIE BROWNE
SI�ANO ABSTRACT SERVICE Corp., P475QO–S
APPROVED �Y P''
FIRST AMETICAN TITLE INSURANCE COMPANY
� o, 40
BOARD OF i RUSTEES
— �� \X
12— — \\ \\ ���° �� TOWN OF SOUTHOLD
15— .. \\ S ATE �Fu Gust 17 ZozZ
° / 173 /•`. \ �� ;: ��,.,�,::•.�• � � __ .. ___-_ --__. �_
/ ° . ��.':_ AUG 1 6 2022
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NOTES:
�° X 16.7 I X18, 17.9 \ \\ \\\\\\\ ora 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM
� C)j,O,, >' x 1s.s \ 119 X BRA \\\ \\\ �2 dF EXISTING ELEVATIONS ARE SHOWN THUS:AM —
FFoGq �y . ' ► 17.5 ° , N a \\ �� �`�'° EXISTING CONTOUR LINES ARE SHOWN THUS:XX— — —xx
F.FL. — FIRST FLOOR
X ' a \. \ 1` \ c� x19.'l� Xl / 1R£ff \ G) \ G.FL. — GARAGE FLOOR
aB.
Y�. �jc 119 p (O TB
— BREEZEWAY FLOOR
1 _ TOP OF BULKHEAD
\ ts.7 1Z4 \ 12.6 XIU �t ONE \ X-mg /SQ cc���oo u�'r BB BOTTOM OF BULKHEAD
► •. �So \ X I 111' TIM - TOP OF WALL
BR\gLa 1 / /ynGLo \ BW - BOTTOM OF WALL
• •O , x 1s.s x e sum / /
- �.6 °y 2. FLOOD ZONE INFORMATION TAKEN FROM:
XaE .. 5`' / FLOOD INSURANCE RATE MAP No. 36103COl 66 H
/ ZONE VE: COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION);
/ I " �$ �s Ne � / BASE FLOOD ELEVATIONS DETERMINED
X� k / 1zs G. _ ��� ,° ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN.
X"'� S(ORRP \� LOT COVERAGE OVER LOT AREA 3. LOT AREA LANDWARD OF TOP OF BANK = 18,950 sq. ft.
/ �P 174
+; LANDWARD OF TOP OF BANK
(18,950 sq. ft.)
/� _ '• "iF°� \ �+ // l H,,:' ~► ;� ' , 2�8 w/ DESCRIPTION AREA X LOT COVERAGE
`/!�/ D ' A'� ��� .�0� ,► :• r ► °I� � 4� HOUSE 1,530 aq. ft. 8.1X
v�
17.3 '` i 18.4 � �I �, cJ" BREEZEWAY 193 aq. ft. 1.OX
GARAGE 684 sq. ft. 3.6% PREPARED
DSI ACCORDR TITLE SCE WITH
STANDARS AS ESTABLISHED
• _`` BY THE L.I.A.L.S. AND APPROVED AND ADOPTED
•/ V\
p� SCREENED PORCH 149 sq. ft. O.BX FOR SUCH USE BY THE'NEW�YORK STATE LAND
► r �G a/ 1 , TITLE ASSOCIATION,,°"
xs 000k�y 1j� HOT TUB 56 sq. ft. 0.3%
TOTAL 2,612 sq. ft. 10.8%
`fid''\•A.,�oi,� `�,�c � � ,
N.Y.S. Lic. No. 50467
UNAUTHORIZED ALTERATION OR ADDITION Nathan Taft Corwin III
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
ES " `"W
COPIES Land Surveyor
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY. Successor To: Stapley J. Is , Jr. L.S.
CERTIFICATIONS INDICATED HEREON SHALL RUN StanleA. Ingegno
aksenaksen L.S.
ONLY TO THE PERSON FOR WHOM THE SURVEY Title Surveys — Subdivisions — Site Plans — Construction Layout
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND PHONE (631)727-2090 Fax (631)727-1727
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
1586 Main Road P.O. Box 16
THE EXISTENCE OF RIGHT OF WAYS Jamesport, New York 11947 Jamesport, New York 11947
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. E—Mail: NCorwin3®aol.com
-141
Glenn Goldsmith,President �O�pS�FFO(��oG� Town Hall Annex
A.Nicholas Krupski,Vice President 54375 Route 25
0
Eric Sepenoski ,g P.O.Box 1179
Liz Gillooly p • p`� Southold,NY 11971
Elizabeth Peeples �Ol �a Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time: 22 Completed in field by: L G <<<oa�±j
William C. Goggins, on behalf of MAIA KHUTSISHVILI requests a Transfer of Wetland
Permit#63-7-38 from Janet Knight to Maia Khutsishvili, as issued on March 11, 1993;
and for an Administrative Amendment to Wetland Permit#63-7-38 for as-built 4'x130'
steps,, walkway and fixed dock in lieu of the previously approved 4'x105' dock and
14.5'x22.8' deck over block boathouse. Located: 1645 Calves Neck Road, Southold.
SCTM#: 1000-63-7-38 -
Type of area to be impacted:
Saltwater Wetland Freshwater Wetland Sound Bay
Part of Town Code proposed work falls under:)4( Chapt.275 Chapt. 111 other
Type of Application: v Wetland Coastal Erosion Amendment
Administrative Emergency_ Pre-Submission Violation
Notice of Hearing card posted on property: Yes No Not Applicable
Info needed/Modifications/Conditions/Etc.: -Me- of c..&, wy 1kw -s� � Ir
3 9.S S�ps = I�i.S ' We I � A j 4 arc.
ct
oa' i 44L%,K r
`P.W i
Present Were: G. Goldsmith N. Krupski E. Sepenoski
�c L. Gillooly E. Peeples
Y
i
•`i
S
WILLIAM C. GOGGINS
Attorney at Law
13235 Main Road, P.O. Box 65
Mattituck, New York 11952
Phone: (631) 298-4818
Fax: (631) 298-4214
Email: gogginslaw e,gmail.com
July 12, 2022 E C E d V E
Southold Town Board of Trustees DD
53095 Main Road, P.O. Box. 1179 JUL 12 2022
Southold, New York. 11971
Attn: Diane DiSalvoSouthold Town
Board of Trustees
Re: Maia Khutsishvili
Premises: 1645 Calves Neck Road, Southold, New York
SCTM No.: 1000-063.000-07.00-038.000
Dear Ms. DiSalvo:
We hereby request an administrative Amendment to Permit No. 63-7-38 for
the shed, the walkway, and the dock. Attached please find a survey to scale
that that shows the dock as 121 feet not 105, the size of the shed and the
walkway.
Enclosed please find the authorization requested, and a check for $50.00.
Thank you.
Very truly.yours,
WILLIAM C. GO GINS
WCG/dmp
R EC E I TED WILLIAM C. GOGGINS
Attorney at Law
JUL 202213235 Main Road, P.O. Box 65
Mattituck, New York 11952
Southold Town Phone: (631) 298-4818
Boani of Trustees Fax: (631) 298-4214
Email: pogginslaw@gmail.com
July 12, 2022
Southold Town Board of Trustees
53095 Main Road, P.O. Box. 1179
Southold, New York. 11971
Attn: Diane DiSalvo
Re: Maia Khutsishvili
Premises: 1645 Calves Neck Road, Southold, New York
SCTM No.: 1000-063.000-07.00-03 8.000
Dear Ms. DiSalvo:
We hereby request an administrative Amendment to Permit No. 63-7-38 for
the shed, the walkway, and the dock. Attached please find a survey to scale
that that shows the dock as 121 feet not 105, the size of the shed and the
walkway.
Enclosed please find the authorization requested, and a check for $50.00.
Thank you.
Very truly yours,
WILLIAM C. GOGGINS
WCG/dmp
SUFF04
Glenn Goldsmith,President ��p�0 COGy� Town Hall Annex
A.Nicholas Krupski,Vice President .� 54375 Route 25
co
Eric Sepenoski n P.O.Box 1179
Liz Gillooly �y Southold,NY 11971
Elizabeth Peeples �Ol � Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time: I'Ll 171 Completed in field by: t C i od c�
William C. Goggins, on behalf of MAIA KHUTSISHVILI requests a Transfer of Wetland
Permit#63-7-38 from Janet Knight to Maia Khutsishvili, as issued on March 11, 1993.
Located: 1645 Calves Neck Road, Southold. SCTM#: 1000-63-7-38
Type of area to be impacted:
Saltwater Wetland Freshwater Wetland Sound Bay
Part of Town Code proposed work falls under: X Chapt.275 Chapt. 111 other
Type of Application: Wetland Coastal Erosion Amendment
Administrative Emergency Pre-Submission Violation
Notice of Hearing card posted on property: Yes No moi' Not Applicable
Info needed/Modifications/Conditions/Etc.: sass -f-o
Present Were: G. Goldsmith N. Krupski E. Sepenoski
L. Gillooly E. Peeples
_7j ki- - TYV 3 +-est_ 6,1 aro C r-C - V•'s s�'FC- 4c:,
r-e - v►�c� Scm� G.��-ec- �' Gt�y �-
Se-S Sim . �o k t�e,S lcsn •✓ qGIPI q n
U V
�
O.sh a Was
WILLIAM C. GOGGINS
-
Attorney at Law
13.235 Main Road, P.O. B0x:65
Mattituck, New-York 11952
Phone. .( 31 298.4818.
Fax: (631) 298-4214
Email: gogginslaw gmail.com_
May 12;2022 � C E 1 V E
RD ,7
Southold Town Board of Trustees 2 5 20
53095 Main Road, P.O:Box. 1179
Southold, New York. 11971 Southold Town
Attn: Diane DiSalvo
Board of Trustees
Re: Maia Khutsishvili -
Premises: 1645 Calves Neck Road, Southold, New York
SCTM No.: 1000-063.000-07.00-038.000
Permit Nos: 649 0-79' -
Dear Ms'. DiSalvo:
Maia Khutsishvili is-selling her above residence. -:
We request a certificate of compliance,, and.transfer of permit into her name.
Attached please find-prior;permits issued. and a check in the amount of:. . :
.. .$50.00.
Thank you.
Very fru-y yours,
LLIAM C. GO
WCG%dmp
WILLIAM C. GOGGINSE C E 0 V E
D
Attorney at Law
13235 Main Road, P.O. Box 65 ..JUN — 9 2022
Mattituck, New York 11952
Phone: (631) 298-4818 - Southold Town
Fax: (631) 298-4214 Board of Trustees
Email: gogginslaw@gmail.com
June 6, 2022
Southold Town Board of Trustees
53095 Main Road, P.O. Box. 1179
Southold, New York. 11971 . .
Attn: Diane DiSalvo
Re: Maia Khutsishvili
Premises: 1645 Calves Neck Road, Southold, New York
SCTM No.: 1000-063.000-07.00-038.000
Permit Nos, 6485 2079
Dear Ms. DiSalvo: -
Enclosed-please find the:authorization requested, and.a--check for $150.00:
Thank you.
V truly yo rs,
Pm
WILLIAM C. GOGGINS
WCG/dmp
DU���
CYM 4_5
6•l��2Z �Odls��. -
Do DoT PWO r— -7q�1 tea r
` , Board of Trustees Application
AUTHORIZATION
(Where the applicant is not the owner)
1645 Calves Neck Road, Southold, New York
I/Wo. Maia Khutsishvili
owners of the property identified as SCTM# 1000-()61.no—m.00-03g.()()o in the town of
Southold, New York, hereby authorizes
William c- Goggins to act as my agent and handle all
necessary work involved with the application process for permit(s) from the Southold Town
Board of Trustees for this property.
h
�1z/
Properly O er s Signature Property Owner's Signature
Maia .:Khutsishvili
SWORN TO BEFORE ME THIS DAY OF JunE. , 20 22
DAVID J.JANNUZZI
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.02JA6052585
OLNotaryPublic Qualified in Suffolk County
Commission Expires February 13,207-
1
t
-
Board of Trustees Application
AFFIDAVIT
Maia Khutsishvili BEING 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 HOLDfiHE TOWN OF SOUTHOLD AND THE
BOARD OF 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 IRE
TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES;INCLUDING THE
CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO
INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION,
INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF
TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE
COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL
EROSION-PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM
OYTHE PERMIT.
Signature of Property Owner Signature:of Property Owner
Maia Khutsishvili
SWORN TO BEFORE ME THIS 6#t'h DAY OF June ;'20 2.2
DAVID J.JANNUZZ`ZI®�
NOTARY PUBLIC,STATE OF NEW YORK
Notary Pu is Registra4iorr; 9o:02JAfi052585 .
Qualified in�u�#oik.rGounty
Commission Expires`February 93,ooZ3
BOard Of $oUthold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. 63-?-38 DATE:
ISSUED TO ~"At~IET KNIGHT ..........................................................
Pursuant fo the p~ovisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New Yor~ 1952; and the Soufhold Town Ordinance eh-
rifled "RE~ULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" end ]n accordance wlfh the
Resolution of The Board adopted ~+ ~ meeting held on ~./Z6
19 9~and in consideration of the sum of $ paid by
of N.Y. and subjec~ fo the
Terms and Conditions listed on the reverse side hereof,
of Soufhold Town Trustees authorizes end permits the following:
· o co~st~ct [~/[~]~ce 9~r t~mbeT b~]~Se~. Co~st~ct
~0~ Te~ ~t =o~theT~ teTm~=~s ~=d b~c~E~]] ~t~ 300 c~
c]e~ s~=d. Co~st~c~ e~[st~=g ~oc~ ~ ~Z05~.
5oq~edan,n accoraanceC~]~es ~ ~ ~f~l~ificaflons es pre.riled in
the orlginefing applicaflon.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes ifs Corporate Seal fo be affixed, and these presents
be subscribed by a majority of of this daf,e.
FRANK A. K1J.]A~,¥SKI, JR., President ~NE
ALBERT J. KRBPSKI..IR., Vice-President
JOltN ~/I. BREDEMEYER. III
JOBN L. BEDNOSKI, JR
HENRY P. SMITH
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
GRANDFATHER APPLICATION
1. Name of Applic.ant: J.M.0. Consulting for Harold E.H. & Janet L. Knight
2. Mailing address: P.O. Box 447
Quogue, NY 11959-0447 Tel. No: 653-0607
3. Address of Property: Calves Neck Road
Southold
4. Tax Map Number: 1000-063-07-038
5. Approx. Year of Construction: Prior to 1986
6. Diagram of existing structures including size:
"Please see attached"
7. Indicate on attached map: Location, ie; reference point, telephone
pole number, adjacent property owners, tc.
Signature of applicant: Date:
* Please note, there is a .00 for filing this
application.
J __
~ CALVES-' NECK ROA~
"- / / SCALE
k 1~40'
Jockey
BLKD TO [5c .....
ex~st~ng dock and
i~ ~ erosion control
~ ~~~ structure
Datum: Mean Low Water
Locus: 72 25/ 41 05
IO~N C~EK
W~D/H > 5OOz
Applicant proposes to reconstruct in kind in
place 94' of timber bulkhead damaged during
the storm of 12/11/92. Applicant also proposes
to construct a 20' return at the northern
terminus of bulkhead and to backfill structure
with approx. 300 c.y. of clean sand to be
trucked in from an upland source. Applicant
also proposes to reconstruct existing dock
damaged during said storm. 'At Southold, Town
of Southold, County of'Suffolk, N.Y.
653- 0607
SECTIOn- BULKHEAD rECONSTRUCTION
SCALE IN KIND IN PLACE
5XGCL MP LENGTH OF
BU LKHffAD--~,
PROP- G RADE~ N -/'/5
-. C.Y. OFCLEAN SAND
F~ AN UPLAND SOURCE
FOr ~CKFILL ~