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HomeMy WebLinkAboutAVDULOS, SPYRO Town Hall Albert J.Krupski,President h•Z �r/,y 53095 Main Road James King,Vice-President c t P.O.Box 1179 Henry Smith ti Z Southold,New York 11971 Artie Foster Q Ken Poliwoda y � Telephone(516)765-1892 ��l �a0 Fax(516)765-1823. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 13, 1998 Steven C. Manis 29-37 Hordan Street Suite A Bayside, NY 11358 RE: SCTM #44-1-5 Ii.. Dear -Mr. Manis : l The above reference property was inspected for construction of a. . second story addition and a 17 ' X 26 ' garage. The garage location as applied for on -the west side of the house and the second story, are 'out _of the Trustees jurisdiction. If you have any further questions, please do not hesitate to contact this office. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:jmd O�OSsSFF014r O Town Hall Albert J.Krupski,President ti� Gy 53095 Main Road James King,Vice-President < P.O.Box 1179 Henry Smith y = Southold,New York 11971 Artie Foster Oy Ken Poliwoda Telephone(516) 765-18.92 �1Q1 a0 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application - Wetland Permit Application _� u G andfather Permit Application Waiver/Amendment/Changes 3 Received Application: 33r/� eceived Fee:$ Ifo �ompleted Application Incomplete � `� SEQRA Classification: Type I Type II Unlisted f7 Coordination: (date sent) R 41 CAC Referral Sent: 3-aS-9�l Date of Inspection: 4j-L4Egjj MAR 2 3 19M Receipt of CAC Report: Lead Agency Determination:, Technical Review: Public Hearing Held: Resolution: Name of Applicant �VA-u to Address 29-37 Jordan St . , Suite A, Bayside, NY 11358 V Phone Number: ( 718) 352-1444 Suffolk County Tax Map Number: 1000 - 44-1-5 Property Location: 54985 North Rd . , Greenport 1 , 854 Feet West of Albertson Lane T i 1 co ik 90'�A (provide LILCO Pole #, distance to cross streets, and location) AGENT: Steven C . Manis (If applicable) Address: 29-37 Jordan 'St Suite A Ra3rSi dim , NY 11 3FR Phone: ( 718 )352-1444 FAX#(: ( 718 )352-8452 1 BG--d of Trustees Application`s - GENERAL DATA Land Area (in square feet) : 31 ,448 Sq.Ft . Area Zoning: Existing one family frame dwelling Previous use of property: Proposed one family frame dwelling Intended use of property: Prior permits/approvals for site improvements: Agency Date x No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary) : Proposed interior alterations and 2nd story addition and proposed garacfe., '1^]/ Va-,6, 2 Bc__ 3 of Trustees Application County .of Suffolk State of New York Steven C. Manis BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/BE-IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/ 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. X Signature SWORN TO BEFORE ME THIS DAY OF �v ,19 z L Notary Public GERALtDINE M. R0-70 Notary Public, State z-4 Naliv York No.01 R;14;2,S Sr.. Qualified in Qu,eena;County Commission Expires Ap ii 25. 39 -L 7 Bo l of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, Spyro Avdulos residing .at 40 Water St. (print owner of property) (mailing address) New York, NY 10004 do hereby authorize (Agent) Steven C. Manis to apply for permit(s) from the Southold Board of Town Trustees on my behalf. x er s signature) 8 . Appb�CAw� . • • TRANSACTIONAL DISCLOSURE PORN The Town of Southold's Code of 9thics rohibibs conflicts of nterest on the part of town officers and employees, The purpose of this form is to Provide information wh ch .can alert the town of possible conflicts of-interest and allow it to take whatever action is necessary to avoid same. YOUR NAME! Avdu16s , ,. _ Spyro Last name, first name, m dd•le n t al, un ess 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. ) NATURE OF APPLICATION: (Check all that apply. ) Tax grievance Variance change of zone App peal of plat Exe ption from plat or official map other X ( If "Other, " name the activitya ) Board. of T.own. .Tru.st.ees Do you personally (or through your Cbmpany#' speuse, 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. _ X.. ...., If you answered "YES, "• complete the beianco 'of ihlll . 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) 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 apousa; 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 noncorporate 'entity (when the applicant is not a corporation) ; C) an officer# director#' parttter# or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP . . .:.:': •;i�ti..{ �'.,i,i f°tl�< � r�rl �yY.�}�y�{�i'Y5''�� �� l i iu i=.�Y 4 �1:.:,. •. Submitted 'thll print m a l� �' iy c n� ti ,r�x, i tS; . 60�,y-7 IB`5o T/TL E NO. L 292 - 677--S Z EASEMENTS AND/OR SlE� 'J1 CE STRUCTURES, G�PLR /•kANC)5� � % RECORDED OR UNRECOP ED AYE NOT GUARANTEED UNLESS �` l UNLESS PHYSICALLY EV2EieT ON THE PREh91S�&A'' N/G' IVIE TIME OF SURVEY. LAND MAp �o�NpARy -..-OFFSETS OPr::. T -L cWEE. :,tT Yt.c:PiOPEcTY HE P RFwCR,P:TE:„.7=tiNEjY UNEW T nE NOT INTEi�E : .'f3 Q ^ oPULH/(� �Onn LIMES OR TO GUIDE THE ERECTION OF FENCES, �X �,C -rs' ADDITIONAL STRUCTURES OR ANY OTHER ®� Z IMPROVEMENT. W, • ppe AEG• / Q� ! � l C 4 ,,p 10 ;oP g�v�/ t� U-) oc �g N 5 fo4 / o 5- Q LOT 9 6 P/O P�� C+-�� WEsr oN� Fir r opt-NA / 23�'5 � v✓ "' cn O 00 m F 6 / / 50 PB r E 232 - GA� 7 ® 120 54 O Hp,,.ON ua .d �,IR�S °, ♦ 5 Q'3 _93' -- p� I C f :N O .^ .7 �u ItY Nf�'JO �' LOT / 3U ' • 30 J �N� 34' f'L "fir w 311.0 14 0 1��R NE t A E KJ Zo 04z Q � o o;s W4 O • cA�� � SURVEY OF LOT 15 AND PART OF LOT /6. (W-fs7 ovE-HALF) 465 • 76 Z, (j,AP) MAP OF PROPERTY OF W. H. YOUNG AND R. J. GOODALE Q g 8 4 2 o T 1 4 FILED SEP TEMBER l l . 1929 FILE NO. 585 S I TUA TED AT SOUTHOL D. TOWN OF SOUTHOL D SUFFOL K COUNTY. NEW YORK GUARANTEED TO SP YRO A VDUL OS AND MARGARETA A VDUL OS COMMONWEALTH LAND TITLE INSURANCE COMPANY SURVEYED AUGUST 22. 1997 HARRY P. HILLEBRAND SUFFOL K COUNTY TAX MAP /ot,ri.7 LAND SURVEYOR DISTRICT SECTION BLOCK LOT SCALE - 1 ' - 50 ' 11 CHURCHILL LANE - SMITHTOWN, NEW YORK 1000 44 1 5 TEL . (516) 543-5139 f��E 971&9 I -a- D IrrI •1 FOE PARCEL N0, 1- V N � •; L�\ SEE EECO DOD SEE SEC. N0. 130 5 D 4 �•qp° • SUFFCAR COUNTY UNMLN COUNTY - 9• I' I - g L O t - •ID a w m .�s• ti ` 7 y4 l i SE M]I] -- �— M ATC N —� LINE S b\ \ \ \ a LINE a0� YATCN LINE ` \\� \• 'f.� \ ►L EE C.m 06! SFE BEG N0.0�. E. SEE BEC.N0.052 \ 9• a,•1 \ /e xa]•Ie ALL n°wnn ul \ \r...• ;e G ue •rto1N r°u°rIAF DurAlsTe; NoneE O d MO0 to,, - Ei]Fr A1DA �i.m�vim[manrc]".awu°ioemm - ^ raw •w¢ Lsoond FEY YAP © COUNTY OF SUFFOLK - TOSNDPSOUTHOLD 16C71011 NO. 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