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Raimi Family Trust
Michael J.Domino,Pre t O�QCOG s Town Hall Annex John M. Bredemeyer I11,Vice-kresident �� y,,` 54375 Route 25 Glenn Goldsmith P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: JJ Completed in field by: Patricia Moore, Esq. on behalf of RAIMI FAMILY TRUST requests a Pre-Submission Inspection for proposed renovation to the existing dwelling; and to inspect the bluff. Located: 1455 Aquaview Avenue, East Marion. SCTM# 1000-22-2-2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver'Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet i 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Car�Posted: Y / N Ch. 275 /`-Ch. 111 // SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: ��1 � �yJ'i�/�+s�iw� YC'- Pa'/✓�� //iu�-, 7��^�,/rr'�✓'� �7' Y��i��'L`� /off' I have read & acknowledged the f going Trustees comments: Agent/Owner: Present were: S. redemeyer M. Domino G. Goldsmith N., Krupski G. Williams Other Page 1 of 2 Michael J.Domino,Pre t o�pSVFF01 Town Hall Annex John M.Bredemeyer III,Vice-rresident „� G2J, 54375 Route 25 Glenn Goldsmith P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 4 p� Telephone(631)765-1892 �Ol Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Patricia Moore, Esq. on behalf of RAIMI FAMILY TRUST requests a Pre-Submission Inspection for proposed renovation to the existing dwelling; and to inspect the bluff. Located: 1455 Aquaview Avenue, East Marion. SCTM# 1000-22-2-2 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT, MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires,a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 sr �&C MWE t ' 1 w W -r-211441, � 1 l r." Vii, ;', ! ` �- ':o- VL Y ►Xi ���r �i �l \ r: Lw,/, �Py :.�� "•�. � v'+'"" •- •.\ '�` - k'y�pt^�}�"�+y+ _:&'`� � / •I -� � "-�� r yam, i -1 _�p3�y�,.i - -c - ""i.� :'gyp'��'u .y�, .I`� .. "•' 'A �J. �. - ✓� 1��?1 -' .�•r �* e � �, •'tars -�_� 4fir 4aw. �l. e,��,it �1�yC`. ���'1� `.' ...:.t�t'�►�-i.� At: t.•K 'i .i'' a y"°+' ro- t,. a�a....ty tVTM15 " �y,� �� C ' s�. 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P SEE SEC.NO SEE SEC.NO. g4. gxt�io. m,-0a0++ .1-12 —Z > 1f w WTCN � UNE � IMTCM �--LINE YATCM --z ---- — UNE J� SEE SEG NO.m, "TCN LINE SEE SEC.ND.mt L +++� Rtl u ---- _ _ _ _ NOME COUNTY OF SUFFOLK © E s SOWHoLD sECTION NO G __ __ ,,,� ,,, ,,,,,.,, Real Property Tax Service Agency r _ E ------ --- �� " 022 D »� a wt2t Nfl.ntA w e..w --r-- orur--wr-- P anmcr xo 7055 ntbl ---- PROPERrV MM — , Patricia C. Moore ` Attorney at Law 51020 Main Road 2018 Southold,New York 11971 ,S i APR 1 7 �J Tel 631 765-4330 Fax: (631)765-4643 �� :3narcl of lig+ G_�m �f April 18, 2018 Town of Southold Board of Trustees Main Road Southold NY 11971 ;. 0,s Re: The Raimi Family Trust Premises: 1455 Aquaview Avenue, East Marion SCTM: 1000-22-2-2 Dear President and Board: Our office represents Samuel Raimi and Gillian Raimi as Trustees of the Raimi Family Trust. Attached is their notarized authorization and application affidavit. Please let this serve as a formal request for a pre-submission inspection at the property in order to renovate the existing residence and inspect the bluff. My check is enclosed in the amount of$50.00 of the inspection fee. Kindly place this matter on your Wednesday, May 9t'field inspections and call my office and I will make arrangements to meet the Trustees. Thank you and please do not hesitate to call should you have any questions or require additional information. Very truly yours, Patr4c C. llooi-el PCM/bp encls. 3oard of Trustees, Appllcat�.,;n County of Suffolk State of New York SAMUEL RAM AND GILLIAN RAM,as trustees or their successors in Trust,under THE RAIMI FAMILY TRUST,dated 3/2/04,BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)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. THE RAIMI FAMILY TRUST, dated 3/2/04 by. Sam imi by:_ A,--��� - Gillian 0aimi Sworn/beforemday of017 Nota blic CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202 Y See Attached Document (Notary to cross out lines 1-6 below) See Statement Below (Lines 1-6 to be completed only by document signer[s], otary) 3 --------------- Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California Subscribed and sworn to (or affirmed) before me County of ���'��� \ on this wrh day of -X-- Y0 119 by Date00 Month Year (1) `� Vy+U Ujj t2-;�L wL.0 (and (2) 1 l l t Tk�Lv\a ), M.LAMORIE Name(s) of Signer(s) Naa-!'.5tic-cahfomia Las Arc°tesCounty Z commission 02223534 proved to me on the basis of satisfactory evidence My Comm Expires Dec 26,2021 to be the pers7",/T o appeared before me. Signature ' Signature of Notary Public Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document "�jp� 04 Title or Type of DocumentrtYn„,2- crj�L Document Date: n0y%- Number of Pages: \ Signer(s)Other Than Named Above: 02014 National Notary Association •www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5910 i Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) SAMUEL RAIMI AND GILLIAN RAIMI, as trustees or their successors in Trust,under THE RAEVII FAMILY TRUST, dated 3/2/04, as owner of premises 1455 Aquaview Avenue,East Marion,NY (sctm: 1000-22-2-2)c/o 212 261h Street#258, Santa Monica CA 90402, do hereby authorize our attorney,Patricia C. Moore, to apply for permit(s) and appear before the Southold Board of Town. Trustees on my behalf. THE RAM FAMILY TRUST, dated 3/2/04 by: // Samuel Raimi by: 0 GiRial Raimi CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202 115ee Attached Document (Notary to cross out lines 1-6 below) Statement Below (Lines 1-6 to be completed only by document signer[s of Notary) 1 2 4 5 6 Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of Californial ���,„ Subscribed and sworn to (or affirmed) before me County of !7 �� '�lti��J W on this 4tlN day of , 20_L�L rA LAMORiE by Date Month Year Nola^+'ubhc-Catdomia /n Los Angeles County (1) a► �VA U Commission#2223534 nn ` My Comm.Expires Dec 26.2021 (and (2) (111 M La�aoRiE Name(s) of Signer(s) M a'! c-California Z Las Angeles County proved to me on the basis of satisfactory evidence Commission#2223534 to be the pe s n(s) who appeared before me. bk cc--.Ern es Dec 26,2021 Signature i ignature of Notary Public Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document 'F�i�,A Title or Type of Document: AA2L7J\ZZA-1 C^ Document Date: / Number of Pages: l Signer(s)Other Than Named Above: �r ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5910 c