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James Garretson,Chairperson � • Town Hall Annex
Anne Surchin,Vice Chair '11Q1 �.a454375 Route 25
Donald Feiler PO Box 1179
James Grathwohl Southold,NY 11971
Robert Harper Fax(631)765-9502
Gary Parker Telephone: (631)765-1802
Edward Webb www.southoldtownny.gov
Damon Rallis,Administrative Assistant
Town of Southold
Historic Preservation Commission
RESOLUTION #4.18.17.3
April 18, 2017
Certificate of Appropriateness
RE: 555 Village Lane, Orient, SCTM# 1000-25.-2-5.4
Owner: Constant
RESOLUTION:
WHEREAS, 555 Village Lane, Orient,NY is on the Town of Southold,New York State and
National Registers of Historic Places, and
WHEREAS, as set forth in Section 56-7 (b)of the Town Law(Landmarks Preservation Code)
of the Town of Southold, all proposals for material change/alteration must be
reviewed and granted a Certificate of Appropriateness by the Southold Town
Landmarks Preservation Commission prior to the issuance of a Building Permit,
and
WHEREAS, an application was submitted for window replacements, siding changes, and an
alteration to an existing single family dwelling and
WHEREAS, the applicant submitted a proposal outlining the scope of work which included
replacing 28 windows with Anderson 400 Series Woodwright double-hung
windows, replacing existing clapboard on the front of the house with Hardie
siding—4 inch exposure, and the addition of a Bay Windows, and
WHEREAS, a public hearing was held on April 18, 2017,and,
WHEREAS, the applicant submitted corrected plans outlining the proposal, dated April 17,
2017, and,
NOW THEREFORE BE IT RESOLVED,that the Southold Town Historic Preservation
Commission determines that the proposed work detailed in the above referenced application
meets the criteria for approval under Section 170-8 (A) of the Southold Town Code and,
BE IT FURTHER RESOLVED,that the Commission approves the request for a Certificate of
Appropriateness.
MOVER: Commissioner Parker
SECONDER: Commissioner Webb
AYES:Parker, Webb, Grathwohl, Garretson
NAYS:Harper, Surchin
RESULT: Passed
Please note that any deviation from the approved plans referenced above may require further
review from the commission.
Signed:
Damon Peter Rallis,Application Coordinator for the Historic Preservation Commission
Date:
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Note: Applicants should review Commission Standards before planning work to
insure that the application conforms to these requirements.
1. APPLICANT
Name: C\
OQ6�-Ckn 4
Address:
Telephone/email/fax:
2. PROPERTY
Owner's Name:
Address:
Telephone/e-m I/fax:
31-3 —ALP gto KCb �-anAt R- o 1y lo3l-3a3 " 1`�SCo
Tax Map Number:
739- 1 1)-15 -a— :5.
Date Acquired by Current Owner: 91 5S
Status: Local Landmark ( ) In Local'Landmark District ( } On National Historic
Register or in NHR Dist. (►�'
Use: Current:
101C a
Proposed: d
3. PROPOSED WORK
Scope of Work:
Reason for Work:
Architect/Engineer: eot)" Contractor:
Construction Schedule: Ip�
APPLICANVAGENDREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prolu'bits conflicts of interest on the tart of town officers and employees.The purpose 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
necegary to avoid sa��miie.
YOUR NAME: C1O
(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 company's name)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Budding
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other",name the activity.) Ge--e-
Do
e--eDo you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee
of the Town of Sbuthold? "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 _V-11,
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
Descnbe 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 fL 204_+
Signature
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Signature
Form TS 1 Print Name—LK Of
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SURVtY OF PROPERTY
51TUATE: ORIENT N
TOM-. 5OUTHOLD
5UFFOLK GOUKTY, W W e E
SURVEYED 10-20-2004
SUFFOLK COUNTY TAX #
1000 - 25 - 2 - 5.3
1000 - 25 - 2 - 5.2
CERTUqED TO:
Karin Constant o
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of section 1209,9u dlvblon 2,of the
$p Nen York 5tota EWcatlon Lon'
Y t `r} 'only copies from the orlg Ural of this swvey
q With on orlgirol of tM lontl swveyor's
:"'4. stamped seal shall be considered to be volltl true
lir taw j coplas•
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survey nos prepared N accordorrce With the ex•
a ,x^a F »'�y Isthy Lode of
Pro lca for Land S.rveys adopted
NOTES: a. y.'} he Nan York State AssocbNon of Prolessiomi
d _- r `Yr X LaM Surveyors Sold cerLtllcotlono shop rvn only
to the person for Whom the owvey Is prepared,
° v S/,(s aM on Ns:shall to the title company,PIPE FOUND 'b g t- C y y d tol age y and lending stlWllon listed hereon and
O e to the aealgnees of the le ding Ire tltutlon Lerdfica-
tlons are not tronsleroble to addltb l Nstlt.tlons
AREA = 14,436 S.F. or 0.33 ACRE JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S.LIC. NO. 50202
GRAPHIG SGALE 1"= 20' RIVERHEAD,N.Y. 11901
369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\04-299.pro
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5URV= *r OF PROPERTY
51TUATE: ORIENT N
TOM 5OUTHOLD
5UFFOLK COUNTY, NY e E
SURVEYED 10-20-2004
SUFFOLK COUNTY TAX #
1000 - 25 - 2 - 5.3
1000 - 25 - 2 - 5.2
ATOM TO: � o
Kinin Constant
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mapP It11--alland eeol is a
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�• ; � t ,{ Nen York State Education Lon'
'Only copies from the orlg7 of this survey
8 �[ mwk,tl With an orlylnol of Ne land surveyor4
>Y.S • seampea seal shun be aon:m,r,d to be voted ero,
copies'
.-• ,�,V 'r—LIFlcatlons Indicated hereon signify that this
ey Was prepared In accordance nl h the e-
}•b IstNg God,of Practice For Land Surveys adopted
NOTES: ^? " by the Nen York 5tate Associatkm of ProFesslonat
i !x'?• �'•` Land Surveyors 5a1al cerci—tions shall rvn ani,
•4,a ""•P,f.` '7a'•- to[ne person for Whom the survey b prepared,
°y°qm'E and on hls behalf to the title company gavernmen-
p PIPE FOUND ;r ai agency anal lending Institution hated hereon,and
,� eo
the.
ees or me lending lostltvn,n eoranca-
tions we not transferable to adaitio-I hstltulions
AREA = 14,436 5.F. or 0.33 ACRE JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S.LIC.NO. 50202
6RAPHIG SCALE 1'1= 20' RIVERHEAD,N.Y. 11901
369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\04-299.pro
d an�nooq I,rt�i�Pn \ ervarNWRO5b4-299
FOR LPC USE ONLY
I have reviewed the enclosed application and determined the following action to be taken:
Exempt
Administrative Permit Required
Public Bearing Required ✓
Signed _ {_ y _ Date 331Ij
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
DATE: March 31, 2017
TO: Karin M. Constant
555 Village Lane
Orient, NY 11957
Please take notice that your application dated March 29, 2017
For permit to replace windows at
Location of property: 555 Village Lane, Orient,NY
County Tax Map No. 1000 - Section 25 Block 2 Lot 5_4
Is returned herewith and disapproved on the following grounds:
The proposed construction is not permitted pursuant to Section 170 of the Southold Town Code.
The proposed construction is subject to Historic Preservation Commission a ro
Authorized Sig ure
Cc: File, HPC
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TOWN OF SOUTHOLD HISTORIC PRESERVATION
APPLICATION
Meetings are on the third Tuesday of the month at 3:00 pm in Town Hall,.53095
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) 765-1-800.
'Date: qq JJ612
Property Address:
Owners Name:
K ca, ria M. Chen sir OA�
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 � S e e- CkAi6V_jk e-�
b Repair ❑ 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:
-