HomeMy WebLinkAboutTR-6197A Albert J.Krupski,President �*OF S�Ury� Town Hall
James King,Vice-President ,`O lO 53095 Route 25
Artie Foster P.O. Box 1179
Ken Poliwoda Southold,New York 11971-0959
CA
Peggy A. Dickerson • �� Telephone(631) 765-1892
COU Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 6197A
Date of Receipt of Application: September 21, 2005
Applicant: Principi Properties, LLC
SCTM#: 0-7-2
Project Location: 64300 Main Rd., Southold
Date of Resolutionlissuance: September 21, 2005
Date of Expiration: September 21, 2007
Reviewed by: Board of Trustees
Project Description: To demolish the existing two-story frame building leaving
in place the existing foundation. n
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 97 of the Southold Town Code. The
issuance of the Administrative Permit allows for the operations as indicated on
the survey prepared by Martin D. Hands dated December 3, 2004.
Special Conditions: A line of staked hay bales and a snow fence must be
installed along the bulkhead prior to demolition in order to prevent any debris
from going into the water.
I
If the proposed activities do not meet the requirements.for issuance of an
Administrative Permit set forth in Chapter 97 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
Albert J. Krupski, Jr., President
Board of Trustees
Office Use Only
_Coastal Erosion Permit Application
_Wetland Permit Application Administrative Permit
_Amendment/Transfe�/rE-x/tension
_Received Application:_ n IC E V E
-�dceived Fee:$
Completed Application 6t/ 0'T j I
_Incomplete SEP 21 2005 ;
_SEQRA Classification:
Type I Type II Unlisted
Coordination:(date sent)
_CAC Referral Sent: Southold Town
_Date of Inspection: Board of Trustees
_Receipt of CAC Report:
_Lead Agency Determination:
Technical Review:
u�-P—ublic Hearing Held: / V
-1Fesolution: GL�OILd1f KIC.
Name of Applicant Principi Properties, LLC
Address PO Box 1248; Southold New York 11971
Phone Number:( ) 631.765.3292
Suffolk County Tax Map Number: 1000 - 56-7-2
Property Location: 64300 Main Road, south side of New York State Route 25, west
of Moore's Lane.
(provide LILCO Pole#, distance to cross streets, and location)
AGENT: rlh Land Planning Services, Inc.
(If applicable)
Address: 8595A Cox Lane, Unit#7; Cutchogue, New York 11935-1124
Phone: 631.734.4036
Board of Trustees Application
GENERAL DATA
Land Area(in square feet): 131,062
Area Zoning: MII Zoning District (Marine)
Previous use of property: Marina & Restaurant
Intended use of property: same as above (Marina & Restaurant
Prior permits/approvals for site improvements:
Agency Date .
0No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspend by a governmental agency?
t v i NoYes
If yes, provide explanation:
Project Description (use attachments if necessary):
The nature of the proposed project is to demolish an existing building leaving in
place the existing foundation;,and remmmstmstlpq
baiirlmg• .
Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
The nature of the proposed project is to demolish an existing building leaving
in place the existing foundation
Area of wetlands on lot: square feet
Percent coverage of lot: %
Closest distance between nearest existing structure and upland
edge of wetlands: < 3 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: same as above feet
Does the project involve excavation or filling?
�✓ No Yes
If yes, how much material will be excavated? cubic yards
How much material will be filled? cubic yards
Depth of which material will be removed or deposited: feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by
reason of such proposed operations (use attachments if appropriate):
Board of Trustees Application
The nature of the proposed project is to demolish an existing building leaving in place the existing foundation.
The property is currently improved.
Board of Trustees Application
County of Suffolk
State of New York
Richard J. Principi for Principi Properties, LLC. 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.
Signature `
SWORN TO BEFORE ME THIS DAY OF ,20LS__
otary Public
LYNDA M BOHN
NOTARY PUBLIC,State of New York
NO.01 B06020932,Suffolk County
Term Expires March 8,2a
APPLICANUAGENUREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The TownLof Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The PuMpsd of
this form to tovide information which can alert the town of ossible conflicts of interest and allow it to take whatever action is
7necsk0tjs o av id ame. a
.Q 's LLC
(Last name,fu ame iddle initial, ess you are a lying in the name of
someone else or other ntity,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
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 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
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 2AO_ �I
Signature -
Form TS 1 y
Print Name
i
SURVEY OF
DESCRIBED PROPERTY
SITUATE AT !
ARSHAMOMOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
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BROADWAY ABSTRACT
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JOB N0. 2004-488
MAP N0.
/ ��Lillill�l FILED:
:u REVISIONS: 07.
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Ij• LICENSE NO. 050363
HANDS ON SURVEYING
46 NORTH ROAD
'ICI NAMPTON BAYS, NEW YORK
11946
LOT AREA: 131,062 SQ.FT. =3.009 ACRES
TEL. (631)-723-1954-FAX.(631)-723-1329 f
MARTIN D. HAND L.S I