HomeMy WebLinkAboutFirst Presbyterian Church, Southold - 53150 Route 25 oOF 50(/r�ol .
Telephone (631)765-1802 O Town Hall,53095 Route 25
Fax (631)765-9502 P.O.Box 1179
ua Southold,New York 11971-0959
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SOUTHOLD TOWN
LANDMARK PRESERVATION COMMISSION
ADMINISTRATIVE PERMIT
Applicant: Herb Adler,Jr.,First Presbyterian Church, Southold
Date of Receipt of Application: March 31, 2010
SCTM#: 1000-6l.-3-8.4
Project Location: 53150 Main Road, Southold
Date of Resolution/Issuance: March 31, 2010
Reviewed by: Leslie A. Tasca
Project Description: Replace, in kind, existing Double Doors on Christian Education
Building.
Findings: The project meets all the requirements for issuance of an Administrative
Permit set forth in Chapter 170 of the Southold Town Code. The issuance of an
Administrative Permit allows for the operations as described in the application received
on March 31,2010.
Special Conditions: No additional work permitted beyond the scope of that outlined in
the above referenced application.
If the proposed activities do not meet the requirements for issuance of an Administrative
Permit set forth in the Southold Town Code, a Certificate of Appropriateness will be
required.
This is not a determination from any other agency.
Leslie A. Tasca '
Coordinator U
Town of Southold
Historical Landmarks Commission
RDE C E � V E
LIAR 31 2010
APPLICANT/AGENT/REPRESENTATIVE BOARD OF ASSESSORS
TRANSACTIONAL DISCLOSURE FORM TOWN OF SOUTHOLD
The Town of Southold's Code of Ethics prohibits conflicts of interest on the mart of town officers and employees.The pUrMse 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.
YOUR NAME:
(Last name,first name,Middle 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 comparry's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zorn; Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other n ', — _
(If"Other",name the activity.)TD cst}1n o\��`h a� LS �`�t c.rd�-�r'ZiM
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 the shares.
YES NO T
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 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):
A)the owner of greater than 5%of the 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
Submitted this day of Nato, . 201�p
Signature
Print Name
Form TS 1
TOWN OF SOUTHOLD HISTORIC PRESERVATION
APPLICATION
Meetings are on the third Tuesday of the month at 3:00 pm in Town Hall, 53085
Main Road, Southold, NY.
All applications must have a representative at the hearing in order to be re-
viewed.
Questions? Call Historic Preservation Commission (631) 765-1800.
Date: �
Property Address:
53 k S 6 E0
Owners Name:
®n
Sections of local laws authorizing review by the Historic Preservation Commis-
sion of proposed work on designated town landmark properties are in Chapter 56
of the Southold Town Code.
Categories of Proposed Work
NPARepair ❑ Storm Windows & Doors
❑ Alteration ❑ Additions & other
❑ Painting new construction
❑ Roofing
-❑ Signs
Please attach a detailed description of the proposed work to the application. At
the earliest stage of planning of the proposed work, the applicant should contact
the Chairman or Secretary of the Commission in order to establish a dialogue of
the proposed work.
I understand and agree that no work on this request shall commence until written
approval has been given by the Building Inspector if a Building Permit is required.
Owner's Signature:
Note: Applicants should review Commission Standards before planning work to
insure that the application conforms to these requirements.
1. APPLICANT
Name:
Address:
\ Sa
�elephone/email/fax:
671� –t (s - -_)_ S '' r?
2. PROPERTY
Owner's Name:
Address:
15:N t 50 45 c� C I
Telep one/e-mail/fax:
Wl N `7 6 5 — Sit °7
Tax Map Number:
i
Date Acquired by Current Owner
Status: Local Landmark ( ) In Local`La mark District (,)"On National Historic
Register or in NHR Dist.
Use: Current:
Proposed:
3. PROPOSED WORK
Scope of Work:
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b
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Reason for Work:
Architect/Engineer: 3 Contractor:
Construction Schedule:
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FOR LPC USE ONLY
I have reviewed the enclosed application and determined the following action to be taken:
Exempt
Administrative Permit Required
Public Hearing Required
Signed l Date
C
LANDMARK PRESERVATION COMMISSION
TOWN OF SOUTHOLD
LANDMARK PRESERVATION COMMISSION: TOWN OF SOUTHOLD
In the Matter of the Application
of
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
---- - ---- -- - -- - ------ ---
----I,-- ------- - - ------ --- ------- �residing at - -
being duly sworn, depose and say:
That on the day of ,200 , I personally posted the property known as
by placing the Landmark Preservation Commission official poster where it can easily be seen, and that I
have checked to be sure the poster has remained in place for seven days prior to the date of the public
hearing. Date of hearing noted thereon to be held
Dated:
(signature)
Sworn to before me this
day of 200
Notary Public
NOTICE OF HEARING
NOTICE IS HEREBY GIVEN that aipublic hearing will be held by the SOUTHOLD
LANDMARK PRESERVATION COMMISSION at the Town Hall, 53095 Main Road,
Southold, New York, concerning this prgperty.
OWNER(S) OF RECORD:
SUBJECT OF PUBLIC HEARING:
TIME & DATE OF PUBLIC SHEARING:
i
If you have an interest in this pro)ect, you are invited to view the Town file(s)
which are available for inspection prier to the day of the hearing during normal
business days between the hours of 8 aim. and
LANDMARK PRESERVATION COMMISSION * TOWN OF SOUTHOLD* (631) 765-1800
NYS BOARD OF REAL PROPERTY SERVICES RP-444-a (9/00)
APPLICATION FOR PARTIAL EXEMPTION FOR ALTERATION OR
REHABILITATION OF HISTORIC REAL PROPERTY
(General information and instructions for completing this form are on back.)
1. Name and telephone no.of owner(s) 2.Mailing address of owner(s)
Day No. U
Evening No.
3. Location of property(see instructions)
Streetaddress Village(if any)
City/Town School district
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot
4. General description of property:
5. Use(s)of property:
6a. Date construction of alteration or rehabilitation was commenced:
b. Date completed(attach certificate of occupancy or other documentation of completion):
7. Cost of alteration or rehabilitation:
8. Describe how alteration or rehabilitation made to property accomplishes the purposes of historic preservation:
9. Attach proof of landmark or historic district designation. For property in a historic district,explain how
property contributes to the district's historic character:
10. Attach approval of local preservation commission for alteration or rehabilitation.
I certify that all statements made above are true and correct.
Signature of Owner Date
J
RP-444-a(9/00) 2
INSTRUCTIONS FOR APPLICATION FOR PARTIAL EXEMPTION FOR
ALTERATION OR REHABILITATION OF HISTORIC REAL PROPERTY
Authorization for exemption: Section 444-a of the Real Property Tax Law authorizes a partial exemption from
real property taxation for the alteration or rehabilitation of historic property. Counties, cities, towns, and villages
may enact local laws authorizing the exemption; school districts may do so by resolution. Municipalities
authorizing the exemption may limit eligibility to forms of alteration or rehabilitation prescribed-in the local law or
resolution.
Criteria for exemption: Assuming local authorization for the exemption, to qualify, (1) the improved property
must be designated as a landmark or be property which contributes to the character of a locally created historic
district; (2) the alteration or rehabilitation must be made for purposes of historic preservation; (3) the alteration or
rehabilitation must satisfy local guidelines and review standards in the.local preservation law; (4) prior to the
commencement of the alteration or rehabilitation, such change must be approved by the local preservation
commission; and (5) the alteration or rehabilitation must be commenced after adoption of the local law resolution
authorizing the exemption. Landmark designation, if any, and approval from the local preservation commission
must be attached to the application.
Duration and computation of exemption: Generally,the amount of the exemption in the first year is 100%of the
increase in the value attributable to the alteration or rehabilitation. The amount of the exemption remains the same
for years two through five; thereafter the exemption is phased out over the next four years (that is, in year six, the
exemption is 80 percent of the increase in value; then 60 percent in year seven, and so on). Municipalities
authorizing the exemption,however,may reduce the percentages of exemption.
Place of filing application:
Application for exemption from city, town, or village taxes must be filed with the city, town, or village assessor.
Application for exemption from county or school district taxes must be filed with the city or town assessor who
prepares the assessment roll used to levy county or school taxes. In Nassau County,applications must be filed with
the Nassau County Board of Assessors. In Tompkins County, applications for exemption from county, city, town
or school district taxes must be filed with the Tompkins County Division of Assessment.
Time of filing application:
The application must be filed in the assessor's office on or before the appropriate taxable status date. The taxable
status is March 1,except that in towns in the county of Nassau taxable status date is January 2, and in towns in Erie
County, the taxable status date is May 1. In towns in Westchester County, the taxable status date is June 1. In
cities, the taxable status date is determined from charter provisions and the city assessor should be consulted to
determine the appropriate date. Taxable status date for most villages which assess is January 1,but the village clerk
should be consulted for variations.
FOR ASSESSOR'S USE
1. Date application filed: 2. Applicable taxable status date:
3. Action on application: Approved Disapproved
4. Assessed valuation or parcel in first year of exemption: $
5. Increase in total assessed valuation in first year of exemption: $
6. Amount of exemption in first year:
Percent Amount
County
City/Town
Village
School District
Assessor's signature Date
4' - o�o0UFFQL1(
Telephone (631)765-1800 h`Z` �Gy Town Hall,53095 Route 25
Fax (631)765-6145 0 P.O. Box 1179
A �? Southold,New York 11971-0959
oy�ol �ao�
SOUTHOLD TOWN
LANDMARK PRESERVATION COMMISSION
Dear Partner-in-Preservation:
We appreciate your interest in helping preserve the historic homes and
buildings in Southold Town. As the owner of a registered Town landmark, you no
doubt agree that they contribute significantly to our architectural heritage and
unique quality of life here on Long Island's historic North Fork.
The mission of the Town's Landmark Preservation Commission, as
outlined in our local preservation law, is to identify and protect landmarks like
your own and insure that alterations to them maintain the architectural integrity of
the exterior of the building as well as being compatible with the general
neighborhood. The local law also covers the demolition or moving of a registered
landmark. Using the code as a guide helps us make decisions in a fair and
equitable manner.
The Commission strives to be user-friendly. To that end, a commissioner
will be appointed to guide you through the process of obtaining a Certificate of
Appropriateness (C of A) that is required before a Building Permit can be issued.
The commissioner will contact you soon after your application is received in the
Building Department. He or she will be able to answer your questions and assist
you in executing the forms in this packet and in completing the other require-
ments in the C of A process. Once you have the approved C of A, take it to the
Building Department to complete the Building Permit process.
Be assured that we will make every effort to expedite your application for a
Certificate of Appropriateness. Thanks for being a partner-in-preservation.
Sincerely,
�F
Ja s F. Grat wo I
C airman
so�ryol
0
Town Hall,53095 Main Road Fax(631)765-9502
P.O.Box 1179 G • Telephone(631)765-1802
Southold.New York 11971-0959
�y0"'UNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
INSTRUCTIONS FOR "CERTIFICATE OF APPROPRIATENESS (C OF A)"APPLICATION
(Required for Buildin_g Permit on Registered Landmarks)
Southold Town Building Department and Landmarks Preservation Commission
Phone: (631) 765-1802; Fax: (631) 765-9502
DRAWINGS and/or SKETCHES: Please submit one (1)set of measured drawings or sketches.
The set should include: Site plan; elevations of all sides that are affected; existing and proposed
floor plans at%4' scale; door and window schedule, sample(s) or photo(s) of exterior hardware,
lighting, shutters, etc.; roofing and siding specifications and samples; paint samples/chips (only
when requested).
NOTICE OF DISAPPROVAL from the Building Inspector dated within the last sixty(60)days,
together with copies of permit application and correspondence on file with the Building
Department.
APPLICATION: Typed or neatly written, signed by the property owner or representative and
notarized. If you have a representative, please provide a signed consent form stating that he/she
is authorized to sign and submit this application.
FLAG OR STAKE outside corners of new construction areas for on-site inspections and provide
photos, as necessary, to identify all areas where new construction or renovation will occur.
FEE SCHEDULE: You will be advised if an application fee is required. If so, a check in the
amount required should be made payable to"Southold Town Clerk" and should accompany the
application for the Certificate of Appropriateness.
LANDMARKS PRESERVATION COMMISSION REVIEW: A Commissioner will be assigned to
assist you with completing the requirements for the C of A. The Commissioner will contact you
soon after you receive the Notice of Disapproval from the Building Department. After the
Landmarks Preservation Commission has reviewed the application and set the date for a public
hearing, we will confirm the date, time and place of the hearing.
ANY CHANGES MADE AFTER THE APPLICATION/S SUBMITTED MUST BE PLACED IN
WRITING. REVISED DRAWINGS CLARIFYING THE CHANGES ALSO MUST BE
SUBMITTED. Changes may also require an amended Notice of Disapproval and certain other
documents.
Please check with the Plans Review section of the Building Department at (631)765-1802 for
more information.
Thank you.
LPC/CofA:5/10/06
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
Southold,Town.NorthFork.net PERMIT NO. Check
Septic Form
MY S.D.E.C.
Trustees
Flood Permit
Examined ,20 Storm-Water Assessment Form
Contact:
Approved 120 Mail to:
Disapproved a/c
Phone:
Expiration ,20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date , 20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot 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.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
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 pen-nit 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 removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
Nailing address of ap licant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner,of premises
(As on the tax roll or latest deed)
13f applicant is a co oration, 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.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section Lot
- r,
Subdivision Filed Map No; Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancyLS— 1,� \r0Z e �
b. Intended use and occupancy��k w�,�n mak) a.
Cr
3. atl orl ck which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Djlc�c"7 Fee
(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 Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Naive of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO_Will excess fill be removed from premises? YES NO
14. Naives of Owner of premises Address Phone No.
Name of Architect Address Phone No
Naive of Contractor Address 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.
16. 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.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY. ® l5 2 C L5 2 � W E
STATE OF NEW YORK) U
SS: MAR 31 2010
COUNTY OF ��o*_ .
jNic&p pg— `� being duly sworn, deposes and says that s %b, �Fa
(Name of individual signing contract) above named, TOWN OF SOUTHOLD
(S)He is the �t
(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.
Sworn to e or me this
3 t da o a4c& 20 i 0 s`
ROBERT I.SCOTT,JR.
Notary Pu c otary Vubft, tate of New Yo Signature of Apis nt
Qualified in Suffolk County
No.01 SC47250aQ
Term Expires May 31, ;'-QLC�)