The URL can be used to link to this page

Home My WebLink AboutDOROSKI, GARY TELEPHONE (516) 765-1892 BOARD. OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 March 3, 1986 Mr. Gary Doroski 425 Monsell Lane Cutchogue, ..New York 11935 RE: Lot No. 78-79, Suffolk County Tax Map No. 1000-067-04-005 Lot No. 109-110, Suffolk County Tax Map. No. 1000-067-04-004 Dear Mr. Doroski: Please be advised that the Trustees have conducted an inspection of the above referenced parcels and it has been determined that the Trustees do not have jurisdiction in said matter. If you have any questions, or need additional information please do not hesitate calling this office at the telephone number listed above. It has been a pleasure to be of service to you, we look forward to serving you in the future. Very truly yours, ;? 7 O Henry P. Smith, President Board of Town Trustees HPS: ip cc: Trustees Building Dept. file Ui Sou�� oy q-Lg doi loct- tko e-c- o L- 'l Q lk' o(4 Zok ooq ye J A 9 A,.A0.1,111 A) k\ nJ-erA 'V,,3 13,. Beii VIA 14 TOWN OF, SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD,N.Y. 11971 CERTIFICATE OF OCCUPANCY No. .Z13713. . . . Date . .. . . . . 19. 85 . This CERTIFIES that the Lot . . . . . . Vacant . . . .. .. . . .. . . . . . . . . . . . . . . . . . . . . Location of Property .1.00 . . .. . Second ..Ave. , . . , Peconic .. . . . . . .. . . . . House•# Street Hamlet County Tax Map #, Section. . .M.. . . . . . . . Block. . . . 04 . . . . .. . . . Lot... 004 . . . . Subdivision. . Peconic .Shores. . . . . . . . . .Filed Map #. .117. . . . . Lot ��. 109 110 . conforms substantially to the applicable provisions of the Zoning Code of the Town of Southold. The premises are located in the A-Residential- Agricultural Zoned District and may be used for such uses as are presently authorized by the Zoning Code in such district subject to, however, all of the requirements of the Zoning Code. The certificate is issued to . .. . . DAVIS. .RI HARD. . . . . . . . .. .. . . . . . . . . . . . . . . . (owner, teuaut) of the aforesaid lot. �L . •• •Building•Inspector Rev 1/85 IZZF 11 TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODES OF THE TOWN OF SOUTHOLD. APPLICATION NO.------- --DATE OF APPLICATION -------- --------------------- n3y— fKA3 IDENTITY OF APPLICANT--- ,q,trAr*a�k� -----------------PHONE NO ADDRESS OF APPLICANT e C,_ ---------------------------------------------------- ---------------------------------------------------------------------- S-'� 9 k, 10 -- �—D t TAX MAP NO.—U Co -- --- d O (-1--1-�C oha —�h_o\�S i �� I I 1 --L OA I 0 g- I 1 O ----------- I�/' `IZc4-- 9 —Z-3 AGENT--------- g9 -o—'i�J---_------- PHONE NO.--- PERMIT —\--------------------- REQUESTED TO-- cJ1� fJ1— zS�iC�4�JlA\— �? ----------------------- ------------------------------------------------------------------------- LOCATION OF PROPERTY FOR WHICH PERMIT WANTED �Iii—_ 1- ti C_t, ff s----------------------------------------- ---------------- HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION -- Z-12 s�_ moti s.-Il Lc, ----CJA C, ---------------------------- CREEK, BAY OR HARBOR FRONTING PROPERTY—MOW- =1_luTuvh Lc�l� ACw �d� �1J�wJ ('A SIZE OF PROPOSED WORK LENGTH ------------------------- HEIGHT ABOVE HIGH WATER 4 G —------ DEPTH BELOW LOW WATER ---------------------------------------------------- YARDS TO BE EXCAVATED— YARDS TO BE FILLED JJv -------_ ----------------------------------- WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY DEPTH AT LOW- TIDE ----------------------------------------------------- -- AVERAGE RISE IN TIDE ---------------------------------------------------- DISTANCE TO THE NEAREST CHANNEL — FT. DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA FT. IS THIS FOR PRIVATE OR BUSINESS USE? �J\idC�t�l�ictil AREA ZONING ------------------------------------------------------------- MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED -------------------- ------------------------------------------------------------------------- INTENDED USE OF PROPERTY---- `�C'-5��aj �c�L--------------------------------- DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE_N0 ------------------------ ------------------------ AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL AGENCY ------ O clJ �- ------------------------------------------------------------ ------- ------------------------------------------------------------------------ DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF THE PROJECT SITE IF NECESSARY C_iJ y_et,p-c— -J`Z�)--------- n�'v -------------------- WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME AS THE APPLICANT. ------------------------------------------------------------- ------------------------------------------------------------------------- ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? NO y ' BOARD OF TOWN TRUSTEES -- TOWN. OF. SOUTHOLD SHORT ENVIRONMENTAL ASSESSMENT FORM Project Information (To be completed by Applicant or Project sponsor) 1. Applic Usponsor 2. Proje Name 3. Project location: ^,l Municipality �(� T� ,3 _County �v k 4. Is proposed action: w ❑ Expansion ❑ Modification/alteration 5. Describe project briefly �� a� lc�..,� � �-tv►-f4� �y�.1!„ N-l� �i 1`1v ►J��1 . 6. Precise location(road intersections,prominent landmarks,etc. or provide map) 1 x o S-e.co6'1 7. Amount of land affected: 1 Initially \Ju acres Ultimately acres 8. Will proposed action comply with existing zoning or other existing land use restrictions? e ❑ No If No,describe briefly 9. What is present land use in v_i_cinity-of-project?-----.------------- -__-_ _ Residential"' ❑ Industrial El Commercial ❑ Agriculture —!0—Parklandlopen_space ❑ Other _Descn`6e: (,'-7__2b'E-C_ R Does raacctiio_n involve a permit/approval,or funding, now or ultimately,from any other governor (F ee rd tate or local)? U Yes—❑—No if yes;fist agency(s)-a-nd-permit/approvzd 11. Does any aspect,�of,/the action have a currently valid permit or approval? El Yes V" FO If yes, list agency name and permit/approval type 12. As result of proposed action will existing permit/approval require modification? ❑ Yes No-- I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: 24 J' J Signature: ti I PART II Environmental Assessment (To be completed by Agency) _ A. Does action exceed any Type I threshold in 6 NYCRR, Part 617.121 If yes,coordinate the review process and use the FULLILONG FORM EAF. ❑ Yes ❑ No B. Will action receive coordinated review as provided for Unlisted Actions in 6 NYCRR,Part 617.7? If No,a negative declaration may be superceded by another involved action. ❑ Yes ❑ No C. Could action result in ANY adverse effects on,to,or arising from the following:(Answers may be handwritten, if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic patterns,solid waste production or disposal,potential for erosion• drainage or flooding problems? Explain briefly: C2. Historic,archeological,visual or aesthetic,or other natural or cultural resources;agricultural districts;or community or neighborhood character?Explain briefly: i C3. Vegetation or fauna,movement of fish or wildlife species,significant habitats,or threatened or endangered species? Explain briefly: C4. A community s existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources? Explain briefly. I i i C5. Growth, subsequent development,or related activities likely to be induced by the proposed action? Explain briefly. C6. Secondary,cumulative,or other effects not identified in C1-C6? Explain briefly. I C7. A change in use of either quantity or type of energy? Explain briefly. PART III Determination of Significance (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a)setting(i.e. urban or rural); (b) probability of occurring; (c)duration;(d) irreversibility;(e)geographic scope; and(f)magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain Sufficient detail to show-that all relevant adverse impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL/LONG FORM EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide here, and on attachments as necessary, the reasons supportng this determination: Agency Name Agency Preparer's Name Preparer's SignatureJitle Date COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS , AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF , THAT THE WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. 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, IF GRANTED. SIGNAT RE OF APPLICANT SWORN TO BEFO E ME THIS Z� i DAY OF L 19 SYLVIA K. ROUSE � NOTARY PUBLIC, State of New York NOTARY PUBLIC 4306 •Suffolk County (n� Commlulon Expiros March 30, 19fG EXAMINED APPROVED "WETLANDS" PERMIT (CHAPTER 97) APPROVED "BOAT, DOCKS, WHARVES" PERMIT (CHAPTER 32) DISAPPROVED "WETLANDS PERMIT" (CHAPTER 97) DISAPPROVED " BOATS , DOCKS , WHARVES" PERMIT (CHAPTER 32) CONDITIONS, IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO. N fit'/. _`.:_5� ' ' �.:__50 . i . _53.2 � - f STATEMENT OF INTENT AU'C.U. ;1i / {�{ THE WATER SUPPLY AND SEWAGE DISPOSAL LAi,'E- • ' , _ ' K�/` . `4 ! ia� M SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE p f SUFFOLK CO. DEPT. OF HEALTH SERVICES. — �� , r. s APPLICANT J P20P -GutLoii�.�,¢ SUFFOLK COUNTY DEPT, OF HEALTH -.� .�BUtI:DIAIG. '1 ,aJ, i 7 � <r'. � +. GNVEt.:'C�RC.. '' 1-- � ' _-1 --_� !�� 2' —` --_ -- SERVICES — FOR APPROVAL OF r 1 f - -- CONSTRUCTION ONLY \e ° 15 ,{� F°. iu: s1 E"< DATE: �/ rC)�Y �' 3• '� �`�;• Uj A'=Kg4OC ._�...,. _ H. S. REF. NO. bg 8 j E7La' �rc;�j mac APPROVED: /'/ •r„,8 .y `� ~'' ' t I `30 �f SUFFOLK CO. TAX MAP DESIGNATION: 12 3 f. BLOCK PC ( p. _ ('._ .�r_� DIST. SECT . .. L. ', 1' e �. ; :1 j fir , �' ;�� 4 .l °', {`a/)t� I.O .. _ ....+7 .. - ,It420 ,� - - '� . i` ;; f c �' ��_� it F -� .. � c__,\; -> — :.�_. •,�., ! OWNERS ADDRESS: '0 f0�:. r i Sri ' .. " ° � .I._ � ? dr- !,';t l�Y DEED: L. P. ,CS2 fry, UCH: x d TEST HOLE STAMP U` 0' tlneinhorl7ad alteration or odd'won - �, to this survey is a violation of __ __ ,._..._. _,..._ _ ___.__ __.._ .. _ __ _•, :___ _ ______ J. $action 7M of the NawYork ftft Education Lm •/ _�- `� , (F1 � �� - --._. 2 Ca�a®S od 4itdE 8ten�y 1llezp loos tip l Ste land wmeWc k&ed mf or ( 1 'I sW smhareed sad aWl not ba ccnaldwsd III+ ,a ` '•.` :I.CA M to bs a valid true Cuarantlrw indlcart®d,hivarsn 611nit curt only to the Peron for vehom ft ourvey Is prepared,and on his babalf to the title company,governmental role agsncy o iJ _ �� j, .� 7�1�2.. lending institution listed heroon and A. .F -�; 15A N , to the s near.of the lending Insti- 4 � . t t tution.Csuasnt0as are not/ tran� +s rabt to awitionsl Institutions or sub usnt J.. SEAL , .; 15F- ip ! "I✓fAP �tG .rt'OF -'iY �THE Ff-,'C(D, C'L�f�t� ., ` a __.. - Q�t :i' ' -€�=► ;`1"Gi.C�4 �f_`.� t91 [ ,:�� -A �E`fe~U. F :�. �o $a_. RODERICK VAN TUYL, P.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK . TELEDYNE POST N61239