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TR-9418A
Michael J.Domino,President QF S0(/rTown Hall Annex John M. Bredemeyer III,Vice-President ,`O ��� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith l�[ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1569C Date:April 22, 2019 THIS CERTIFIES that the construction of a 40'x12' deck in-place of existing; with stairs on either side.• construct 4'x7'2" outdoor shower; At 4565 Paradise Point'Road, Southold Suffolk County Tax Map#1000-81-1-13.1 Conforms to the application for a Trustees Permit heretofore filed in this office dated January 28, 2019 pursuant to which Trustees Administrative Permit#9418A Dated April 17, 2019,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a 40'x12' deck in-place of existing; with stairs on either side; construct 4'x7'2" outdoor shower. The certificate is issued to Ar An Bha' LLC owner of the aforesaid property. o Authorized Signature Michael J. Domino,President ��oE SUUjyO Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O.Box 11 Glenn Goldsmith 1�t Southold,New York 11971 A.Nicholas KrupskiG Q � 0_ Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 cou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/2 constructed Project complete, compliance inspection. INSPECTED BY: C/ COMMENTS: CERTIFICATE OF COMPLIANCE: Michael J. Dominc -esident L�o�o Town Hall Annex John M. Bredemeyer, 111, Vice-President ] <_�. 54375 Route 25 Glenn Goldsmith N ,?4 P.O. Box 1179 A Nicholas Krupski y �j' Southold, NY 11971 631 Telephone Tele 765-1892 Greg Williams �1 P ( ) Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction Y2 constructed When project complete, call for compliance inspection; Michael J.Domino �sident erg so�rTown Hall Annex John M.Bredemeyer III,Vice-President Q� �� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith l�i Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 eoUIVT`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9418A Date of Receipt of Application: January 28, 2019 Applicant: Ar An Bha' LLC SCTM#: 1000-81-1-13.1 Project Location: 4565 Paradise Point Road, Southold Date of Resolutionlissuance: April 17, 2019 Date of Expiration: April 17, 2021 Reviewed by: Board of Trustees Project Description: Construct a 40'x12' deck in-place of existing; with stairs on either side; construct 4'x7'2" outdoor shower. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Mark Schwartz &Associates, received on January 28, 2019, and stamped approved on April 17, 2019. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Michael J. Domino, President Board of Trustees Michael J. Domino, President *oF Sorry® Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski G Q � O Telephone(631) 765-1892 Greg WilliamsO a Fax(631) 765-6641 �yCOUNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ��. V//Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction Y2 constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: DIVISION 1-GENERAL NOTES Z Other species may be used provided subdtu and spades¢411 m-t or exceed mqueemente rated above WIND BORN DEBRIS REGION 1 Work per(mmed ahall campy wdh Ue folbmng 3 Moisture contend.sh lumber 4lnel,a ad deepereMl have mosbre mntent act greater than IVA air ddedlumbar is doe sed but not A Geneal -Theme areUe general -in ashes.ft-- led on plans or apcona ecfitonecessary,Wmber maybe klndnd however drying process mud be sbw and regWatd to musesmnimumamount ofcleckngcompatible IVNndowsmbugdmgs bcatd invnM-home tlebns region suntan ons mile of the ocean,bay or¢ourtl shall have glaxetl openugs protected b Buddmg Code as spxihed on the ardradmal davnngs w labddeddock fssmwnd-0._debris or the bWltlmg shag be designed asapartW,erKlosed builtlmg,,-corder vrM the Residential Code of New York cAt ppheable 1=1 and state codes rd-Wes and regulators, 4AlI lumber aro lumber In contact who m eenry or concrete shall be pressure preservative headed in acmrd,Wc wlJAFBPA standems and Stab GI.etlopemrg protedon forwWI debris shag meat the regararmuseotft Lary,Msil,T„tOfASTM E 1996 and of ASTME d In areas whore Me ds nip' dim do net address meth, ly, w,thector shall be bound to perform ins old ampllance who manuladu-', dampad'Gm..Contad040 ksk lac al. 1868 and/or remmmend,bons 5 Grade damps shall appear on all lumber Exception 20nada vadfiwbonoted,mension,,dwd,b.nlshlllbafte p,n,bdM,fiheg....W contractor and his sulbmmtidors 6 Slomalllumberebowgrade and prated no, p,,um to weather Wood shedutil panels wdh a mmmum lhl.kness of Ri(111 mm)aro m I aximum span 1f8 fed 2438 mm)sMni IJ be pdmh,d for openg 3 Noted tllmandons fake precedence over scale Never scale duecUy from tlawngs Codrador should consul Archled in cose of question 8 Fldch Be._ prdactlon do om-and twosbry bed,Ings.Panels shall M precut to cover firs,Dined opening¢who attachment hardware prevailed The general cotes and typical Cdtags apply throughout the job urdess athamse acted or shown I Rich beams shall have a mnmum Po=15000,E=114wdh rWin,loated ndcbse,than T nom the lop aid bottom edge unless dMrvnss Alachunents shall be provided„amld-se"nth Table R302212or shag be designed to resist lhecompmenisad tladtling leads Onscrepanei.s The--.or6MI compass and smrduatealllovers,when 1.the,opindanollh...Mdor,a discrepancy ists he shag noted There deg he a trollop aro bottom 2'from cash 3nd(me ypmal fidsh plate boll pattern dhd) detemired an-acral.—who the pravaua.of to 2015 IRC promptly mby the Engueer,in wring,before proceeding wain the m*or he shall be m pmsible lar the same for the same e aany C Joist Hames endued resins of Me astcr, 1 Alljorsh aid basins nelhamd over wppoNng memberm shall ba supPoded TABLE R301212 WINDBORNE DEBRIS PROTECTION FASTENING mns 6 OssieArchitectural Ensuring,and speorficobore shag M considered as pad of Me constose lar the work h U IntMevaalcedab 2 Joist purilns,harem shall b,pmne qualdy stmt whush mnf cors to ASTM-A525 WrJW mM gauge Products acceptable shag M Simpson,NantS,g, SCHEDULE FOR WOOD STRUCTURAL PANELS a b c,d features of the comm almn are net fully hewn on IM drawings.cum a reboml,stale and local codes,ordimne-,Wgulatore at ,or"Wvalent agreements as well as oared acceptable bulld,M prac6ms shag govern and their construdlon shall be the same dMmder as for 6WIm D Bola In wood nam,ng FASTENER SPACING(Irchas)a,b mnddons that are shown and noted 1 All bots In wood framingshhl ba standard machine bolts who standard malleable Iran washore or deal plata wash- 7 The Engineer wgl not M separatists for and volt act have central over wmtuwon means,methods,techniques,..q-Was or procedures, 2Steel plate water sees shall be as follows FASTENER TYPE Panel 4fast< 6(eat< or tar th,safety Precouhons and Programs,,oonnedron with the work aro wll not be maponble for the hilum ofthe Client or Ns/her a,)r,rd'�'dm bolls-2j'Sq xii' so n< Panel Pan past spa nbn coadasb. ,suoniacbrm,or anyone pedomur aid olthe work,to can out the Ne wedkmawardarxxswM the approved contract b�'dra bolls-23§'Sq x1�' 4fact 56 feet Safast domments Addmorel de Walee, su s by ineer blect to adddbomW b4 g 3 Each bol hot,Inwood shag be dnged Yee'larger Use diameter slash. No 8 wood acrew based 003 B AnyaM,Udm Angsadspeufimb,nsbrsdew,k,plumbirsuppyormste,,I,Calwlcimmtry,aroheatug,,,M ton,oMbrkated 10r sill a-Ms,see typical dotage an archdacturd tlmwng, length th 24mh embedment 16 10 8 z "n ,and air...dd,oning systems are net a pad of the pmIse,lonal serea vlcprovided to Us Dant by the Archded unless Wd E ta a. lutlIn et their agreement any haarerese ml,:wth thedocumentssho by any signs above listed mrvlcea as wn in docun1 Shall sd,prepared by them of structural gtitle steel No wend whew based �yL should be Indicated do wntng to the Amhnets—edletely 2 WashamshhlbeplamsuMer Uehe d,flagbolabe fingonw d lengthoflagboUsshallbemNm=Bdepthofinembensbelrbolad 16 72 g 9PnortaapplkaU,nforbWtlirpemdta engih Nv Cordactorw,g haNsh Ne EngmeerwM tvo sets of shop drawl,sof allprefabncoted together lr vnlh 24ncn embedment �l�q mmpomnla,ons sells be retained by the E,meer,the other selto be returned to the cadatlor oder review(teas requimg shop F Aledna Strutt—I Membess �i oo Z�Zj tlawng dneide bid ate rid lundd b roolimsses Ibot Wswa,staus cabinets varg es,etc Should Ue desgn ar mnfiguatem of any 1 Na sWdual member shag ba omdd,notched,cid bbckd out or relocated xdhaat poor approval by ha Arched Do ret atter dies of y p1 prefabricated corrsomnt be mad,fied dud, nstrmmn from previous,approved¢Trop dmwuga the Engineer shag be fu gushed,prior resmbere acted wdMet approval of ArchdecL lf4 nd,lag screw band anchor q” to fabneaban win reused shop dawvgs lWarpamimg t e revel—II the Engineer Is net provided who the above Inforerater,in.client G Bwl+m Beams win 2-,,sh embedment length 16 18 16 Ya+ shag defend,WI and hold Mani ss the E,g—or from am claim or sat whatsoever,laclud,ng but net heated b,all paymade, 1 Built up haeme ori oda farmed by,mWple of 2 x members shag be Warcenneded as follows a}' anpemes or costs Included,arising or alleged to have arisen from prefadwted items a Members 8Y'ed less In depN'glue aid interfadl w2 row,16D rails a177 o c staggered For SI 1,neh=254 mm,1 fact=3048 con,7 pound=4448 N, 10 The codit.,W!asmmptlons stated In these speufinMrs shag be vanfied by the contractor for wnfor-We to Inset mtlesad bMembarmgrealer ihan9y'Intldpih or mulGple3xme rathaugh MItweth)4 dIametermachmbolsal2e,,staggered IWt.per hear=0447 We wnEoore In the even ofa discrepancy between these specifications W!malocal cW,sor=dib,ns.the contractor shag not, the H Culbng of Sea—Jost and Ron.. a Thlslable,sbaadan160mph Wbmat,Eealgn MM,pads,VUU,ada33-fodmeanrmfhelghf /-+p0 Englmarinwtmgoftheddauscm"wy and spoeml engineering requIrs"'shall be aPPl,d to dmum the buildingsWduM Wq* 1Cutting of wood beams jdsmand runs,han M bmMtl to auto aro bard isles mi deeper than 1/6 the depth of the number and shag net be Is Fast e...sMllhe WtalledalopposingendsolihewoodW -1pwel FastoWsseha11 be located not less than 7 Inch from the edge of Th.. 11 Trequirements y bepeasded by morest"am mdened wMln the daxmgs The racre stored shill be followed Ioytedln Us coddle ol3olihe span.Noldr depth piths end,al the member shall act axceed4Me depN of the member Holesbamd.,.utas. the panel �iidd 12 Sall mnd lona shall confom to ar exmed the lollamrg wnudons tarot shag rid ba dosar Nan 2'lo Ue tlp arbdom ori tlma jams aid the tlameht ollM hole sMllmtnmdan,MMihedeplhofMejois Tha c Anchors shall panatela panatela o ghg ,a norwagmvenngw membedmedle t,fmtl,n Uan2,n esiW,Ueburidmghame g O BesmCapacgy M,2000 pd geld verged under all feabrgs aro reWmad abbe tension sideof beans lash and ahaof4indes are greater--I Nitlmess se net beactded,except at and mrembea Faster—shall be located len than 2WInches from Ue edge of mrcade black or come,, A -S Wrier Table MIn 24T below bottom of all concede slabs and fmtugn fwhmgs,fourdabom,mfl,,Mdabs,Mllmtbaplacetlonorin I P,pes in Stud Beanie nadsor Shear Nals tl Panels atlechad to masonry or masonry/Mucro shop be affichcd wing wbatwn-rested anchors having an uWmale wdhdawal capacdy of Mame Clay Peat ad other organic matenals not less than 1,500 pounds 13 Live Loads Real 3Opsf Floor 40ps1(except sleeping room,Most Eo Wr balconies 60pst Shalt landings 40psf Wind load 15psf 1 Notches or bard holes fo stutls of beating wails or paUom shall not be more than V the depth of the stud Gaage 50psl Madman Nundaban lateral pressure 40ps1 Dead loads 10 Pat J Bddng and Blocknp 14 Bottom olfmllnge,M11 edend belowfroetlme ofUe loczbN and mindmum V-Tbelowedaing gstla to undisturbed mil or sod campadd 1 There shall act be less than ons brio of bntlgdng in every night feet of span lnfiwr,aUdc antl coatframing TM bodging shall consist pled less ELECTRICAL 1095%dryden,r,Mv,ngaWdcem,,gas,peugedln Ndell,asvenfidbyasdlsengimerfimrsetlinthalocabywheretheprojed is bee one bythrm loch lumberdouble nsUed stead,end orofequmlentmeW bad,of,qu,l NgldM MrdW,,bWgsD,,not required for aftcor i All work sMU be In full.—,d.—who 2014 Edition of Natwml Eeddc Code bei,bud. root haMng wherejpdd tlepM tlow act excel 121neMs noMrel Black wind at all beating supports where adequate lateral support is not 2Allworks [lb dominaneatamdwan dkemameradwnWmtnmdlesslyhemperMatpoNonottlewoMpef,mdbyother 15 All fouda4onwallbacJddO UWtler dabswhoredtancefrom edgealwag ofudlstutbcd wit exceeds l6',foul less Nat44T,sMg mWmsl of othemse Provided Block all stud wags at maxmum Intervals of mgtdfmtwdh Wnh=,f2x=bd=t,rWd bgMj,u PmvIda2xfirastops 3Installation- Installation- clean porous,1 mmrmaded in 6'layers to 95%dry dansdy or prewde s,4 reber at Z4r 1'-0'beyond edge ofuM=call and at and-pohd vemsaM stated wag Bridging as requud by floor bws manu(adure/a prided Winders a All egwpnert Installed ootlaam ed axposd to weather shall be wasIMfusef 1-0'Into N.Walmn wag K Header as mtad per plan b Bottom of receptacles and swkime shall be located T above wader lop eNess alterMas neled on havm,, 16 Free tlralndnggrandar backfig(SMot Mtle0 shall be wed a8alnelfoudaban wagacrosident who the archrtsdualplare and related 1—d eRemptaclds shaHWinstalidvem,UyatlTaWwfimsMdfimrad12-0 a hmeontaly Al receptacles wdhin 641'hodmmaly of U per cu 1 All plywood shall be,Da,Fir or equal l shall be manufaduretl and gra ad In accordance with sink lavatory or tub shall be wired to a ground foul interrupted ebsus l tletailn EgWvalent tub pressure of backfill not to exceed 40pcf(pountls ink fact)Ilbackfili pressured exceed 40pd,Men wall mud 1-y M designed far actual pressures b US Product Stallard PS 1-831or Conshudlon ed IndusMal PlWrootl d Wall swdchee b ho 40'above near by and Engdn nisded byang iholocaMywt.u.n.edisl shat buil 2 Each plywed shoat shill bear the"APA"tatlamark aA rack,datedos to be Wmd inamarmetsuch that the actvab,n of ons by means of metal hangers wg activate all _aa 17 Unbalanced 6b net Wde dT-P udess otlervnw noted ave racked thyerineedr colMa4ms Becouamn.Und ba take.place tgalnd 3 Ailed joints shill be nsgq.Wd and Mll bull a long f center Imes of naming members 4 lndnidual wodamn who mL unit m plemm Ne the-al enval,pe In Me wur-of then work are respondbla to reseal ft t1mr—I WaI,p, wagup4l¢labsangade ad framed floors are do plans and have reaciedtMirdesipn strength Proper precoWdons shall be likenb 4The face gide of the pywodsMg be lad at ngN atlas to the joists ad Wssesartl paallel to Ue studs Faibreto domvwil rewlinfinamal penalties OM brace foundation wags when backfilling Where backldl Is regard m bath sides dmulhnewdy 5 Nails shall be placed%s'wiimmm from Ne riga of Us,sheets The mniman rag pdnetraba We ham,membam shill be i)4'lar Bat reds and MECHANICAL of CARPENTRY 9vNq�� 13§'far l0d refs W r.O0 A Lumbo Gads 6 AT flwss hall be nadad as per rellir schedule A Heating VeWalm.and Air Cod2omm LLL]]]S 1 AJMWarshail be,unlessotMrwis.nafed,N.2grade Douglas Fa-LarchvM,the folbwing minimum atruclwal values Gad,ngshall M Corner Brecir 1 Aliwork shaUhoh Ml by KVA cewho mrorHERSm and regWatlons otihe govemng agencks � comply with PS 20-70'Amerinn gal Lumber Shdartl"andappi idle Western Wood!Products Association shndad. I Unta,s otimmes noted,baos exterlor camera of bmlding who l x 4d,,gorals,ht Into studs,or who 4 x 8 plywood had of tHckmw to match 2Allwa J 85 be deo In.HVAC mNadoror HERS must 0. a Externafiberbedlngdress that of sheathing,orwM metal shop deWes,installed In a,,,room,win mandast—ft Instmdron,(16 gen wmpssssrontension),orw/sWdual 3Allweek hallbedone Inaneatandary)lvll..a am thermostat w as to beWt mdedfarllsaly hamperperpotionofiheworkngy,W by otherm 4N71031((R4()3 Codrols(Mantlafory)Al leastone NermostataMll be provided foreach operate heaU,and wall,sybm �P Size Reoettlive Member gads 6emo-pN SN110331(R40331)Inwlallon(Proscriptive) 6 2112 1005 PSI 2 lap plate,al all comes Supply ad rehan tluds N algco shall be insulated ts a mwmum o/R41 whew 3lnchos(762 mm)N dismefetad greater ad R4i whore less 2.'0 1105 PSI NNN� than 3 inches(762 mm)in d unster Supply and return dud„oUttv potions of the bsldug shag be bsulafd to a mnmum of R-6 where 3 2x8 1210 PSI 1 AlNagimp shall comply who reUdng sdmduma wdNn plane,or manufacturers Wewmmeda4ons 2x6 1310 PSI O Flood Plain Construction Inches(76-2mm)In rdiameteror egreaterand Rmplwherehas the budding Q62 con),,diameter b Hemet Shear FV=75 PSI 1 Flood plain mmtrudlon shall be designed and conshucld in accordance who ASCE 24 Excoada DWsorpomoms thereof located each sepaely rate ab band othemalstem e c Compresalon perpediwlar to gain Fd-405 PSI P Ahanment At load am Uemostsl shag be p at wth for eachr.1601 heatingad coo4ng system d Compoesalonparailel to gain F.=875 PSI 1 Al miter and Joists naming from oppe saes shall tap at least su(3)dnchesad be nailed together with min(3)101 few reds 6 Jalnts,ssams8wnnedore cealwM mastic per,,160147 e MdWlus olelasUcgy E-1,600,000 PSI 2 When framing and to ed joists shall b,wcured fogathor by metal strap, I g wo k e I Mmstse..rdenl l9%maxunum. O Paddons i All rk shall be do tWl ecmoance who ell current codes and r,Uatione of govemmg ageaclea o 1 General 2 AgworkshaUMdominenealarmdmangkemanmradwntominmdl,,Oyhmperfhalpmtion.fthe work pedomd by offers F TABLE R3015 a.Provide wild bbcbng at 4'47oc beMoend,e)riot and fiallddar paallel)plat 3 Plumbing submmradorto revrewsWdual and modsmeal draxtngsad n Lly eArdted olanplumbug HVAC stmsMaI.Wdedg. MIN UNIFORMLY DISTRIBUTED LIVE LOADS b Spgces olihe top ed bottom porton of double by plates must be deggerd a mnium o14'-0' Int entconfllwarlorlow,ocutdn C: (LBS PER SO FT) c SpGwa sMg ocmroniy dvec4Y over duds d Indirvldud woriarenwhoM drW or pierce U,a ihemalemdopm Ue mama of lhenwod<aro mswre,bb to reseal the Uemalemelope rE� 3 Fedbrs b do 0 71 result in fsanc,h parelbes Of d Stmudurabshd lvarist-,are allowed If suated by engineering wlmlamm Starepd eng by professional ineer bcensad to padloo In Me 0. USE LIVE LOAD junsLwh dianereconstrucllonlstakace On ngplesalofcatculati mWMpmvddadgo Arpproval prior b mnsNeUon 5 Future 5 utturmtlsappy gnealnwlate0 call-3 re deaances g 2 Umnhabdabls atd,s without steage, 10 a Lap lop plate.at comes ad ldessectdons d 2 Bearing walls supwrtng ore floor or more Unlnhabdable saes without storage 20 Fertile. meed ho saWtucidafmlNmum 2 x 4 duds speed l6'oe oftype lumber speeded DRAWING LIST SYMBOL LEGEND b Ila doublets plate of less Nan 2-2x Ss or 32%4 s is used,gmrjmste shag be centered deadly over and below bsamg wall a—.wdha SHEET SHEET DESCRIPTION St13"yggISB Habitable attics 8 attics served w/fibred stairs 30 tpleranco of Is more than l'uNess subdarAated by engined,,colculn.na WIDER BEAM ABOVE ga13 e Bearmg std wags must be sh athd who s mmmumE gypsum board Intoned.—munf;bdywtH nenufadurer—Wassdalron T7 TITLE SHEET 6 GENERAL N01E5 CaS Balwn„s(F npr)B Decks(E) 40 Al SIRCTURAL 6 FINISH DECK PLANS 6 SITE PICTURES ��sl�r Fire Escapes 40 A3 HURRICME STRAPPING DEIARS S SQg3DgfES ATG L.C—a JOISfBABOVE Chmm.ds B Hand.,].(D) 200(H) 0 Guardrails In-F111 Components(F) 5O(H) TABLE PoUREO CONCRETE ALLOWABLE DEFLECTION OFFSTRUCTURAL MEMBERS ABBREVIATIONS U PassangerVaNcle Gatigas(A) 50(A) OUT PLY WD PLYWOOD STRUCTURAL MEMBER ALLOWABLE ihe(Uren deepdng rooms 40 DEFLECTION BD BOARD INT INTERIOR fel RO BOTTOM OF MC ME110lECABRET 2� DOORdD00R9PE F')1 y,) _SI)3epdngRmms, 30 Rafters h-ng dopes gmaterthan 312wth no finish cedmg attarhedto rafters U180 CJ CEgdNGJOIST MN NPllN11M q CENTFTWNE OC Oil CENTER E"I Y '-stair. I J i 40(C) PC POURED CONCRETE ( _ Intenorwalls and parbons H/180 DL CLOSET For,s�bnotesrehrto 20751RC Floors L/360 ON ar RD OUGHOPENING h— f4—JY� � .sr r I Callings w6M forints finished(ncluGng plaster and stucco) L240 OWE DRAWING SHT SHEET REF TOR HEVA110N MARIO:RSLWE x i� � p `yfl All other strudual members 1240 � ELEVATION TA TTONGUEAhm GROOVE U (,Jct ]V( Eriedor walls-vend loads(,)wdh plaster or stucco finishes. H/360 EX EQUAL OPOF ��A gECfpNfNlpgT VVV YYY E%7 IXiERIOR TYP TYPICAL T j Exterior wallsvnnd toada(a)with flelnble finishes U120(d) FF FLIS11FLST WD VBUFI/IN DRAW FF FlNISH JOIST WD WARM1IINGORAW Lintel su rte veneer wagse GTPSD GYPSUM BOARD d WITH PW 9 masonry () U600 Xi GYSHEIGHT Id WELDEDWIREMESH A ELEVATION CALLOUT For submhes afar to 2315 IRC Belyd Oi Irl;!n;:c 4 p vs.0 Ho16D T1 STEPS 4 LANDINGS �-� 12'0 X 36'DFFP CONCRETE 4-2' 50NOTUDE 451LTWN (I 1)T RISERS STRONG-TIE ABMZ ANCHOR /( (10)II'TREMS TO x 4 ACO POST(IM - L a1 N F. LIFAR(PDAR X4 CLEAR STEF5 - - - CEDAR OEM G -z 12'-0' CLEAR CA POST CEDAR �2Q4 AR. HO FRAMING T-2'OWER LANDINGS -z I Z-a 2ND STORY DECK `x 12 ACOD1" I D'0 X 36'DEEP CONCREfIf I x 4 V-GRDOVE BD5 FIN15H WALLS SONONBE-f SIMFSON 16' V4 X 4 CLEAR CEDAR DECKING FIDOR (� STRONGTIE ABU66Z ANCHOR ` _ BEIWEIII POST5 ��� 1�� - ON - —_—_ —_ T06x 6ACA POST(T+TO 011I'TERS NN Q g § (2)I I'TRE1D5 BENCH BOARD OF 'I RUSTEES „ er I. 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Bo C)ii? iCISSes �.. - � t� -.--�,t�- ,• --+x"�i��'x`'4�, � mown us . :J� .r� .''✓s xmr y 3<- ; NmmEc}q}01x S�mefNUue®- SITE PICTURES Al 115�/®GNL RAFTER TO WALL CONNECTION TYPICAL WALL FRAMING DETAILS TYPICAL FRAMING DETAILS 4-ma HEADERSCHEDULE OFEIJS.( £,WO"(h6)'Flut°"+WPz°XROOF FRAMING OOU-TOPPIAMLOIiffBIIW50®RF - N,MO®ul1E I�bETMHA@UTEB B�O�REONOFALLDOOR6 �� WOOp HENpFii/YAOD a arumsmiFASlwRxuwvoro BEAN+I+EFER roFLooR m2x10 sa•ror n• IMPsoNla IFAIaRIUTFs,RmwwsmxMB wwPLE en,osnLovE wwODwxFAD9RSTO LBrE TIEREOl1IRFD OS54WIxAY OPENMG OP PVN m2%12 6-0•TOlO-0• 171 k POSTSSHALLBE< (NOMINAL) SEISMIC IHURRICANE TIE RAFTER TOWALL sIMPSON ®IlcHsuD wBmreRAEOE�wx wGSTA9(nFio�° SIRONGRE CS18 ZX BEARING WALL-HEADER DETAIL NOTE PLL SIZES U GSwuTON PNYOF THE INSTALL® TV HEADER �pMS6+w sxm,xMBB! 90TH SIpE6) FOLLOMANG IXUWIN0.4WLLSUPERLEDETHl3 Bnpd011Wiypp1V1ltm[Cyw•u e1V�mw EPCH STUD 2%TOPPLAIESOVERIPP CORN— m—N.- I—,- ORN— � SOIEGRE wa Bs,xd ISFE RAN FOR ATCORIlERR LOOONG ExACr STZLT 63P®110fPn6,MPO�ptp WALL9TOOEIIffJt CORNER P45EMBLY FRPx1m OP ,FOR II RWTm{WFAIFAOBtro40t —NEWWINWW(IXt— FULLLENGRi aBRR,® iIwB96m E,tTEHIOR000R) WALL sIUD& MdBBrOC "'M RAFTER TO RAFTER CONNECTION *DEIH' DEPTTOP PLATE FRAMING DETAIL OUTSIDE CORNER INSIDE CORNER DJOIsr ¢��G09 I/6JOIST-TH MPX Z pB g RAFTER TO HIP OR TYPICAL TECO SOLIDSAWNJOIST,RAFTER O oe IA- M°� VALLEY CONNECTION CONNECTIONS NOTCHING AND BORINGLIMITS o . ° �_ p ,.rB rxR•HPNLw m"E xTa A a ius:az m2•x6•HANGER A w e SF9 TYPICALFRAMING AND UPLIFT CONNECTIONS FOR OPENINGS PORTAL DETAILLv2 2(2) ANGER y 2a1T%B'wNGER Iw4EBFF%A9RBRIN BGNF xra w22E xT8 LU2+orx+)HANGER ° wsIGE mz10 a�ma TABLE TON SILL OR BOTTOMPLATE (2)=Ht62,Or)ttr TO fOUN0AT10NANCf10R BOLTCONNECRONB HANGER HLG21G2 SIMPSON CS-20 RAFTER TO RIDGE H wm R)T%1rHANGFR Ba m s w ImAIICHOR 5'8'PNOICR NOTE iORALL OTHER JOST P:YE xi8 THIN EMEEOAEMIN FQRmLONCRETE �'� �''� �� HANGERS REFER TO THE MTI MIN EM9EpMENTIN M MJ° a Mak PSON GITALOG DIRELRY Arxe.zs U FlLL TOPILOI.RSE9SOLlp NNtlspmE NAna$eE TABLE R3018 APPROVEDEO A4IY BE PRONDE9WWPSHERS (mpxl I-) ALLOWABLE pEFLECTION OF STRUCNRAL MEMBERS SIMPSON STRONG-TIE I--( 90 'm 10 7. 90 14p"°10 ALLowAB1E STRINGER HANGER FACE MOUNT JOIST HANGER STUD NOTCHING AND BORING LIMITS AOtlm19°a FamNBw &aapVlaO Polnl°ler Mam,mm M'liw STRUCTURPI MEMBER DEFLELRON WALL TO FOUNDATION CONNECTIONS P�F ;"° "°°'" °" - (") �; N 3-'OaN(�BC1Or°�°x� 35mha NAILING REQUIREMENTS P ASR3rnaEiw )m.,ww V,30 ABL 3 1 NAILING SCHEDULE TABLE 3 4B UPLIFT STRAP CONNECTION REQUIREMENTS 3). E _N LLWUAL MOs�tOMwL.MID1INMULL a,l MJMBQ20F ritsvnwtOm NTIinWema JOINT CESQ31PTb11 Am..X. FASTESTMOEWND M(MPH) ° Wro 2015 INTERNATIONAL RESIDENTIAL CODE RmFFRAMwG JII' TA9LLRw�oo so foo ,fo 120 i N. ARSUBJECTT064AAGE FROM FPAMING ROOF SPAN(Fi) NMB O WMMO IL P IMNTER ICESWEIp IFACING N EACH ENDOFI-1/1x20 GAGE 9IRIP GRIXMO oB5M10 pD s... I-1. 12 1 LOAD 20 RI-RED Ip¢� 555 F�-7PM GTEGORYv wEAnmaNO. �NE TEPMITE 09cAYe TJI FROM HAI% 2 3 3 d DEPTH sOFT2T) WALL RNMWG 12 20 ,d0(up B 6EYERE 36' TW MODERATE YE9J 2 33 A. CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA sD _BI1LH5pFT=001]9IfDLM I PERTWSWD 2 3 3 4 �9f S g. ,MILEPERHR-1GI)x R ,W PER2SB•STUD 16 vtAT,mw°m,u, DJOIST ORBLOp(INOF.ElIAR 21® F_ ( II �Z.a FLOOR FRAM G y ^r'1 I� _^B Li.7 �� '``,l Ili- i .7 v,l P]iM1W pia r°°mrsrvwxvu,I°xmnanm,Oti,auwmlc,wawiwaw„¢Fwsi v<mn,cauxvm,m[,oysaa�II+,LIWTo32 3 5 8 B § 3 { SIIAPSON STRONG-TIE UPLIFT CONNECTION ° IC 9'raj{ 6GIF xia 1 I aemu-TlSuuxm ow.rtl•°xPRmtt¢oe,on•xtitcrnnatlawmfwM[Rmaw RIWETEI IWESFAM ,I I j�� ) MEuaNF� RPFTER TABLE 3A WOGETENSIONBIRAP CONNELRION REOUIRFARAS �-1 - w�iNT,¢�®¢°Eu+.u,[omrue,ouwminwarnxamaul'Ynw FaW9,u G,EmM9wleE PSFSTwtE M]m A5IFSI UIIE AN 2 8 2 I I BEpM�PH) I ND�EDRIM6 la aRm � U a ROOF FRAMPIG F90 1WW 110 120 90 I. 110 120 I o � OFxRm,�w:���a����Aa�M��,�� ��,�,�R°�,�ME� W W IO � 1•%6.OR,•xB• 2JW PER SUPPORT mPNICT) I �MX= df I MIO B¢1w� Dm�vO�.T.! CELING-HANG a BwDmluf1fi,nmILmBlramL.�I9sIv F i NmimwtOHOImD Wilvlm ,mpmT aD21e T I xwlu,Ew lm�6wxusl + U , ::''' 6£RM� T„6 fiD 1 4 11 111 q„ I I •- ws®file"aM'prBiBx�®iImxTmNmDR< la®v"�0c ,Lo'_ +oID'>roB+R"m_ 6Iwmr45ImOGTuiromewem °t\P\M4i.ya,\J RS BRaa,EM,� 111•''JxOl6SR.00LERRS11S•'%%8B•' 2ABDp 3EPERSPPO-11 R OR AG9D 6SD®GfPRUOB 12-1212 SIMPSON STRONG-TIE PHD2 EXT. SIMPSONSTRONG-TIE BCS SIMPSONSTROGEABUO MpSMWW£N AR9liN OIID ELLxTTaOFOUNDATION SiIpM®PSsOFN%wSTRONG-TIE PPMHDrv2.mEpHXT WALL TO FOUNDATION P�OISTx,TaOBEAM POESTxTTO FOUNDATION =i L N:GHRFAIGTEHM6NIGM�6NIRwwB�6m G°R6IN,aR NFsRowAN"rM NMTEBNEsA6TB;�WP;AGN"EEpL GFBn.B°aME'oDT6B«rAA'wTmowlmTE,sGNwBER�Pw"�GsARNn6�RB 6F£s�N�P AB ”SI®°B'ENmUM.R'e° R. A29E�w. pTR x� SURVEY OF LOTS 5 & 6 MAP OF PARADISE POINT SECTION 1 FILE No 3761 FILED APRIL 11, 1963 asaGS p B C WATER SITUATED AT a - BAYVIEW hm i v 9\\ \� 11 .JyyrAw TOWN OF LD SUFFOLK COUNTYTY,, NEW YORK _ ° S.C. TAX No. 1000-81-01-13.1 '�° BASIN ROADI ,\ �\ SCALE 1"=30' \ PUBLIC Wg7Ej\N 57REET�w_ �\yy \ 1 1� I I I �aaTP �;\ SEPTEMBER 25, 2007 PLOT PLAN \ Tw \ � 29 OCTOBER 9, 2007 SURVEY N _ I voaT-�.„•,L� y,,, NOVEMBER 6, 2007 REVISE SITE PLAN 'S'0g•55„ v\ \� \\�O GD,Tr31.� �T psrS 88'44, r�''i'/� 'L 1 N"v / 1 I I I I 1 `�1 `� AUGUST 5, 2016 ADD PROPOSE POOL 2 11 V/ \� `��`< i ' - 1 109:63'0;•"• // / /� 1 0„ / /PO /t 0A.116 1S 84' 6'10"\P 85.92 / 1 ( jZ 83'� / 'I I I 1 ry AREA = 51,601 sq it (Ta BUIXHEAD) 1,185 oc. OJ o �Q• // // // �6wsw3XX1 ���� 41°Hu�amww..��, —/ � I 1 / / sl/ \ \ / //LOT 5O A Y Or C U) FR UE OR, a / A e ';5 I w �4 �d �/ TEST HOLE DATA / / (TES!HOLE DUG BY I.!c00N<I�['EO';CIFN ON DECEMBER 18, 1996) 4~h�sr leo � /,/a�T JtLvlly 1 _ vl )� I ry �'• `i ��^\\ �' �' � � m vd 9;' 40 LOT PUBDC WNFA LOT h / tiA EXISTING LOT COVERAGE OVER UPLAND AREA (51,601 sq ft) DESCRIPTION AREA X LOT COVERAGE 1 yATIONS ARE REFERENCED TO N G V D 1929 DATUM EXIST HOUSE 1,221 aq 11 249 EXISTING ELEVATIONS ARE SHOWN THUS-MO uruunlwarm munoxAGN `maw 2 AREA OF DISTURBANCE IS 2,800 eq it SFDGGC7"aN24w�TME NENRTa6X STALE EXIST BUILDING 1,067 sq it. 2 O% EXIST SHED 96 sq it 0 2X V suxsTr N.xai etyma To1 A sumnaxs N.E 0 DR e¢m.�EU TAPE LOPYT OE C0NS1aERfO TOTAL EXISTING 2,384 sq (I 4 6% Qnomos 10 f"'PAO1 ro noxa EaH slwu Rux _ saaisnni do Moe i nuc 1 1 zme s,� mE AN. �E a D To_� PROPOSED LOT COVERAGE OVER -�z.J�:�'., _� l j)twC?� A9 43A02Iddb' •� Tur.'ITHE a`ssER'PnrAiu;:'"Axc'uoT miww:IE"w-DIE. UPLAND AREA (51,601 sq fl) I —'-- `-"-S'—•'=--- ur;,.' DESCRIPTION AREA X LOT COVERAGE THC TXISTTN[[OP RIGHTS or WAY O/.R EA—ENTS or RECORD IT EXIST HOUSE 1,221 sq it 24% { Y Nor SH—ARE NOT GUARANTEED EXIST BUILDING 1,067 sq it 2 0% 1 RRERsxfD IN ALcmmAwcE W1TH Tr¢wwlnel EXIST SHED 96 sq.Tt- 02% 610Z g Z Ndr f j ITT,HELI—M�'� ��iAB1e1m Nathan Taft Corwin III t [s�Axo PROPOSED POOL 512 it 1.09 i J.` °q' Pr�?, i L; E� 'o40 Land Surveyor TOTAL EXIST A,PROP 2.896 sq.tt- 569 •,I 7 1_..� �_ -1 Succeesor To Slanlry J Issksen,Jr LS JaseDh A Ingc9na L9 I c.�( I r= - �..-I I 1`�:P k_'- „I3�• rues n-Sx6en,e._sm Pron,- C,,f=t'n t-1 PHONE(831)727-2090 Fas(631)727-1727 OMCES LOC4TED AT UNUNC ADORES9 �I�tAS 1586 MG1n Rood PO BDw 16 T 5 U. ND 9046] Jame ,t.New Yoh 11947 JamesDaN,New York 11947 � �r SOUTHOLD SEESEC NO 133 y 243 / _ 25L(c) FD 28 p r m +T I+B� +91111 n8• A 3 181 � pggSlN"v '� p 131 a ,� 157 15B 155 . B 23A 18A 23A 23A(c) 9 - m„B / r 1 aA c) 139A AA - hA nA i �'!^v�l.•B m 7 R .$ 159a rvl �, 1OA(c)is p / 1812 B mac) a B 3'6A(al SEESEC NO 133 I 157 z9A 1 1 _ a 13 p/ 2.Wc) p is l 22 t 1 sAlc) y w mac) I 212 3 193 8 54A(c) 3 WO 3 _ a r 196 w 17A+ r e 197 F 0 Oa1w. 47 I J &M(c) j A 194 N 1540 23 21 Fy r ; r i I A(c1 FOR f3+RCEL NO ` SEE SEC NO w fflBOBU181 20.2 I 234 Lu I 2B, COUNTYOFSUFFOLK © K OF souT1101n SECTION NO wa u p�,OrPce� TR •SennceA9 Y Real envy 81 A ,.,;, - "4��`^'^""� _ '•�.+J�+^ - ir6R=A.�_. _ _ PROPERTY tdAP. - 'd.::sws.ss:-..,r.W-..S'4`dt.-ra+i. .sE'�i." :S-.rlie.t:�"..,. •ae•` _°raeai'..r'.:. y'.�`k'Mxj. :'d'tt .,. .$>•£'` - ?bT1� t° -?.5: - .rc{.. ;i.s-.R_` -:xp,..- _ _ - _ �_' -a5ark..:..4' '+++1 `.3 - T i •�'r�1�,a'.`u..'.s its•« - + _ "ax - - �_ ___.___�.-_��F�..-"...�...— ;-"'�Vu+:`„`-"r:fn'.e-�::::'_.."__�•:r..;.:�+t::ir�3:.-;,.'C::e�:�>_'..w�.._ .. a.i � ':-at�^ctiaa'"'"• �` OFFICE LOCATION: � S®Ur�Q MAILING ADDRESS: Town Hall Annex �® l® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cot.Main Rd. &Youngs Ave.) �a Southold; NY 11971 ® Q Telephone: 631 765-1938 ® Fax: 631765-3136 C®UO3 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: April 10, 2019 Re: LWRP Coastal Consistency Review for AR AN BHA' LLC SCTM# 1000-81-1-13.1 'Creative Environmental Design on behalf of AR AN BHA' LLC requests an Administrative Permit to construct a 40'x12' deck in-place of existing; with stairs on either side; construct 4'x7'2" outdoor shower. Located: 4565 Paradise Point Road, Southold. SCTM#: 1000-81-1-13.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, the proposed action is recommended as CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney S�yfftl(,�- Michael J. Domino, President - �o�� 4oGy Town Hall Annex John M. Bredemeyer, III, Vice-President o 54375 Route 25 Glenn Goldsmith N ,;; P.O. Box 1179 A Nicholas Krupski y • �� Southold, NY 11971 Greg Williams ��I , c '1a� Telephone (631) 765-1892 Fax (631) 765-6641 SOUTROLD TOWN BOARD,OF TRUSTEES TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT MUI-REMENTS SCTM#: JAN 2 8 2019 Property Owner Name: T. -__--Date_Sent to_Bldg. Dept: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: j YES NO Will the proposed project,require a Building Permit? r fI Will the proposed project require a variance determination I zfrom the Zoning Board of Appeals? Will any part of this application be considered a Demolition as described under Town Code? COMMENTS: 5 6tVganMature of Re fewer Date Michael J.Domino,Presidento �. :, Town Hall Annex John M.Bredemeyer III,Vice-President " .' �'t 54375 Route 25 Glenn Goldsmith 0. ", P.O.Box 1179 A.Nicholas Krupski `' Southold,New York 11971 yb. Telephone(631)765-1892 Greg Williams Q l���U�.� I Fax(631)765•6641 I r I BOARD OF TOWN TRI FSTEES TOWN OF SOUTHO D This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit l i,: 2019 Amendment/Transfer/Extension Received Application: ball Received Fee:$ 260.110 Completed Application: - Incomplete: SEQRA Classification: Type I Type II Unlisted_ Negative Dec. Positive Dec. Lead Agency-Determination Date: j Coordination:(dat'sent): LWRP Consistent Assessment Form Sent: 1 CAC Referral Sent: Date of Inspection: l2 Receipt of CAC Report: �,LTechnical Review: f✓ Public Hearing Held: Resolution: f i Owner(s)Legal Name of Property(as shown on Deed): INA ( � Mailing Address: u,�jr\ `14itit-tl-1`a— L I j b qO�- c I Phone Number: Suffolk County Tax Map Number: 1000- Property Location: L(.-�, (If necessary,provide LILCO Pole#,distance to cross streets,and location) AGENT(If applicable): _ (-Vtli kti Vd-- e'R.V;doh rya, allzV5, I Mailing Address: _ P.D- i9}C 1�� AC-fjr\;G' Phone Number: r7 31-I—"fig j 3 Board of Truatees App !,--,tion F � � GENERAL DATA Land Area(in square feet): ficlr&�� Area Zoning: A I 4D Previous use of property: S; ; Intended use of property: Q Covenants and Restrictions on property? Yes - ,f/No if"Yes",please provide a copy. ! Will this project require a Building.Permit as per Town Code? ill Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appals? Yes V No if"'Yes",please provide copy of decision. Will this project require demolition as per Town Code or as de#ermined by the Building Dept.? Yes N 1 Does the structure(s)on property have a valid Certificate of Occupancy? VYes No Prior permits/approvals for site improvements: Agency g Y Date � t t ►,�lz.�5 •�u�� Zig� �;IQ �r AA i i No prior permits/approvals for site improvements. Has any permitlapproval ever been revoked or suspended by a gov4mmental agency? No Yes If yes,provide explanation: Project Description(use attachments if necessary): LAO, Y i Z� Z�z ti Bin L 5` Man Azu Yl )67',411 off. L� ,V( r Board of Trustees App�j^-tion WETLANDfrRUSTEE LANDS APP4KATION DATA Purpose of the proposed operations: VO r - - 1 f Area of wetlands on lot: ue feet - q Percent coverage of lot: Closest distance between nearest existing structure,and uplTa'edge of wetlands: feet Closest distance between nearest proposed structure and up�and edge of wetlands: _feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? icubic yards How much material will be filled? cubic y4rds Depth of which material will be removed or deposited: i feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: I - Statement of the effect, if any, on the wetlands and tidal wars of the town that may result by reason of such proposed operations(use attachments if appr priate): W k vz(z- y-10 exs;? A- �JUl 1� lam �5 I 61 Z20 Appendix B Sl:ort Environmental Assessment Form I Instructions forfontnletino ' Part 1 -Project Information. The applicant or project sponsor is respon lible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public;iew,and may be subject to further verification. Complete Part l based on information currently available. If additional reseh or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on curren�information. Complete all items in Part 1. Yoe may also provide any additional informatid which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any ite;rr. Part i-P roject and Sponsor Information Name of Action or Project: , Project Location(describe,.,and attach a location map): LIS BriefDescripfion of Proposed Action: corvS L" 11&t;o qV, xla' ��� `I rir�ce4 n-�- eya's ^1 �LQcK LiT` y1 ( W C3CyL� Name of Applicant or Sponsor: Telephone: W21 E-Mail: Address: CA 1 n I6� { City/P0: State: Zip Code: AW L(9nt (q s, 1.Does the proposed actiorionly involve the legislative adoption of a plan,Ic'cal law,ordinance, NO YES administrative rule,or regulation? If Yes,attach�a narrative description of the intent of the proposed action and�e environmental resources that may be affected in-the municipality arid.proceed to Part 2. If no,continue to uestion 2. 2. Does the proposed action require a permit,4p sed or funding from any 'ther governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 3.a.Total,acreage of the site of the proposed action? \ 1-q ff acres b.Total acreage to be physically disturbed? i!2 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor9 acres i 4. Check all land-uses that occur on,adjoiriing:arid,near the proposed action: ❑Urban ❑Rural(non-agriculture) []industrial ❑CommOrcial Vesidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(�pecify): ❑Parkland i Page I of 4 5, is the proposed action, a.A permitted use under the zoning regulations? ( NO YES N/A ❑ 19 ❑ b.Consistent with the adopted comprehensive plan? ❑ ry ❑ 6, is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? � ❑ 7. Is the site,of the proposed action located in,or does-it adjoin,a stateWliste Cntica)Environmental Area? NO YES If Yes,;identify: 8. a.Wllrthe.proposed action result in a substantial,incrcase in traffic abo present levels? NO YES ELb.Are public transportation service(s)available at or near the site of the proposed action? c.Are any-pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requiremeits? NO YES If the proposed-action wilt exceed requirements;describe design features ani technologies: 10. Will the proposed action connect-to•an exis'tiog'publiUprivate water suply? NO YES If No;describe method for providing. p g potable water: _ ; r—}/ ❑ I UV I I.Will-the proposed action,connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: i Er ❑ 12. a.Does the site contain a structure that-is fisted-on either thc•State or Na Tonal Register of Historic NO 1 YES Places? b.is the proposed action located in an archeological sensitive area? ( ❑ 2 11:11 13.a.Does anjr.portion of the site of the,proposed.action,or lands adjoining i he proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,stat tor local age icy? ❑ b.Would the proposed action physically alter,or encroach into,any ex�st�ng wetland or waterbody? 1:1if Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: i i 14. Idpft the typical habitat types that occur on,or are likely to be found c�n the project site. Check all that apply: 0 Shoreline ❑Forest ElAgricultural/Agricultural/grasslands • g i �❑Early mid-successional ❑ Wetland ❑Urban [],Suburban i 15.Does the site of the proposed action contain any species of animal,or ass6ciated habitats,listed NO YES by the State or Federal government.as threatened-or endangered? ❑ 16.is the project,site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point Or non-point sources? NO YES If Yes, ! a.Will storm water discharges flow to adjacent properties? 10 ❑YES ❑ b.Will storm water discharges be directed to established-conveyance syste s(rano -and storm drains)? If Yes,briefly describe: O ❑YES i Page 2 of 4 ! 18.Does the proposed action include construction or other activities that re�ult,in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the to tion of an active or closed NO YES solid waste management facility? If Yes,describe: UFO 20.Has the site�of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste_? If Yes,describe: I AFFIRM THAT T1:1E INFORMATION,PROVIDED ABOVE 18 TR ,E AND-ACCURATE TO THE BEST OF MY KNOWLEDGE Applicants or name: Date: oc�b Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part 1 and other mreaterials submitted,by the,project sponsor or otherwise available to the reviewer. When answering-the questions the viewer•should be guided-by the concept"Have my responses-been.reasonable considering the scale and context-of the proposed faction?" No,or Moderate small to large impact impact may may occur occur I. Wilproposed action create a material.conflict with an adopted land pse plan or zoning regulations? ❑ ❑ 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair.the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characters tics that caused the establishment of a Critical Environmental Area_(CEA)? ❑ S. Will the proposedaction result in~an adverse•change in the existing level of traffic or affect existing,infrastructure for mass transit,-biking or walkway? ❑ 6. Will the proposed action cause an increase in the use of energy.and it fails to incorporate ❑ ❑ reasonabl available ener conservation or renewable energy,opportunities? 7. Will the proposed action impact existing: ❑ ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ ❑ 8. Will the proposed;action impair the character or quality of important historic,archaeological, ❑ ❑ architectural•or aesthetic resources? 9. Will.the proposed action result in•an adverse;change to natural resourcesi(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in-an increase in the potential for,erosi n,flooding or drainage problems? El El 11. Will the proposed action create a hazard to environmental resources or I uman health? El El Part 3-Determination of significance. The Lead Agency is responsible ror the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the,proposed action may or will not,result in a significant advers environmental impact,please complete Part 3. Part 3 should,'in-sufficient detail,identify;the impact,including-any measur s or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should•also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. i Check this box if you have determined,based on the information and arialysis above,and.any supporting documentation, tharthe proposed action may result in one or more potentially large o significant adverse impacts and an' environmental impact,statement is•required. ECheck this box if yourhavedetermined,base&on the.information and an above,and any supporting documentation, that the proposed action will not'result in any,significant adverse envirohmental.impacts. Town of Southold-Board of Trustees Name of Lead'Agency Date President Print or Type Name of Responsible,Officer in Lead Agency Title of Responsible Officer Signature of Responsible,Officer,in Lead-Agency Signature offteparer(if diYererit from Responsible Officer) i PRINTPage 4 of 4 • Lei i LIC /AGENT - RESiJNTAi—LIVE _ TRANSACTIONAL DISCLOSUPM FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose of this form is to rnovrde information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessanr to avoid same ( _ YOUR NAME: (Last name,first name;-rpiddle initial,unless you are applying id 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 Building Variance Trustee Change ofZone 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,sitili^g,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,atarriage,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 shams. YES NO j�K— if ydu 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 a7pplicant,'4ggni/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,dichild 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); • . - . . i3)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 DESCRIP i ION OF RELATIONSHIP Submitted oris �i 20�t Signature Print Name L Form TS I Board Of Trustees App: ,, tion AFFEDAVIT j i &W Sort 1,_L-C, BEING DULY SWORN DEPOSES AND AFFIRMS THAT "/SHE IS THE APPLICANT FOR THE ABOVE (DESCRIBED PE TS)AND THAT ALL.STATEMENTS CONTAINED HERRIN ARE TRUE TO THE BEST OF HIS/HER IKNOiWLED6E AND BELIEF,AND TBAT ALL INORX WILL BE DOME IN THE MANNER SE!FORTH IN THIS APPLICATION DAS MAY BE APPROVED BY THE SOUTHOLDITOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO BOLD THE TOWN OFA SOUTHOLD AND THE BOARD OF TRUSTEES HARtvamLESS AND FREE FR6I ANY AND ALL DAMAGESANDCLA CLAIMS t�,RLSII�iG UNDER OR 3Y V$RT LTE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,IiHEREBY AUTHOR=TIDE TRUSTEES,THEM. AGENTS)co,REpRESENTATWESs INCLUDING THE CONSER A110N ADVISORY COUNCIL,.;TO ENTER ONTO My PROPEI-kTY To INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL'INSPE ON. I FARTHER AUTHOP.=THE BOAP.D OF TRUSTEES TO ENTER ONTO MY PROPERTY AIS AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY'a ITLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TkU6TEE3 DURING THE TERM OF THE PE T So xigaa6WO7 Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF��.�,,,,�„ .20_L7 Notary Public � ELM M BUM Board of Trustees Apple ,tion AUTHORIZATION (Where the applicant is not the owner) I/We, P(P� AIJ BtIA, LA—( owners of the property identified as SCTM# 1000- in the town of 5 - New York,hereby authorizes tfZu► ��M` lC i LZ to act as my agent and handle all Peconic,NY 11958 necessary work involved with the application process for permits)from the Southold Town Board of Trustees for this property. w=ior's vigPaLUie Property Owner's Signature SWORN TO BEFORE ME THIS / DAY OF/ y�.�. , 20_Z_7 e2-1 f in C Notary'Public � -:my E gt E1 ms iV M01NM ftP+ St 0fComfflad 0onnn ffm EWM DIM gt,2m9 I ' TRANSACHONAL DIS` L FORK vfSo�ald's Cc t�f�tl�sc�lsrhlti��fi'�ds of irt�s9yn that ot��louin ofEccr�t:aul ca�tnyccs.i�c,�w�of this form is is ►i!!c lnft►rination svhida ran atest the taws ofaapm'6k ccuifl�cts i r and a11o�y it t e eer action ix Y to�sama- i YOtJltrMW-- A LLC. (I.sscr�,rrstnaeae: ' eiatti�ogc#t�r�'yi�iAthct�of soa�aee�soroth3�eotity,was any.Yt°tm,i3tditl3�.o�r pumn7soremawy's ) NOPACATTON: (taHt3tpply.) ! TOY Vesce1Ym grime 13ttst ifaria � Cbanpofzm Costa bm*n i Approval of ptat mooring . #:malpdoa fiom ptatcrofflaw map a mwng Other (dam,r�leettto 3�ltBty.) ' Do you prryw-1n1ly(or tl3raugttymw Company. pme,orclt*!bD.have}a wintionship with mW officer or mnployw of Elm'fatio.of S�:hatd`s�¢is b1'blv�t.3itarri�or11a irk."Es>si izs�se�"-tensa tursinvssy taclt3iitnga pgrd3xssh�p.in wleici3 the tmveevffOrxoreiuployee tlasev3m apariiat ow'In�astrip of(orcmplalnneat 6y)acorporstioee in wfkh the tow.ofrww or=ployee oww m=dw 5%of show& !. If��'�iE�,�lempiets tta<foeta�ogthis�xnt and 3�and sign vrlwac i3rw' d. Nameofpoa.n empbyed by deTown of$oudwM 7",tPeogpooftt�p�at � , . - ..!@ ft bet ;-•—,ffluft pjlisWwWWvwafttive)tam dta am Mwror F.Mardwk the axa0ak IW A)&=AD)a *mgminthespaoepro3td. i MW Lawn ot�oex oremptoyee or his or ba spots s3'bti�PROM or ci3ila is(cit0.�ati Bial apply): y): Vuftrdwn5%ofdmstm wofdmcmpontesto&or"pipawd ' (ate the applicant i3:a ocapocgtton); I . TIN A 3aaaal nrlw liri.'1 jjfj rofany iggloIW in a ran-Catil Q=cadly(%,jj Ct i 3110 i�Wtt is 8 wlfpW u-i-'l* , C)so OffiCa9 a tis or mpbyw ofdm apocant;or i o�)ttsea�nalaplrlieattt. � , DI;F;;`2LI FiON ns Fra I ATi_n1 i i Stebmf ted this -t{ day o Sifinatum -- Pritt�P9:u;�� Form TS I ' 1PPIAG k i Tom of afnthis ri ' •emetilc�saf" fa 73te of can tom a s var -j4DURRUM At -MJ oto mvaid sic. e>seerotl�e�i4.y,s�asaop lf�.iel9��et pcmn!Sormmzi's W=.) YNAME®FAPPL CA•ITON: (Ot8ck8dtttt r•) Tex - Ts� — Clemge offer Cosh Erad on sxcmpgm f omm PW oraffidaf snap --- Odw pf ,�netbeeseEviey.) �_- _.--•- _...-_-._. :�t:se,m-t.m&pwmi,or chfid)hmvY n whigo±- tip v A h ony officer or a►aP wYm :,l thaT:.x•:t at'$txsil ? -Robe-4—,dop° cts:dzsby blood.nP►rs�agc,ar fnisu s nttm L"8a i ss ir+ipssl"mca�ssa business, indudi a pasta ig.in vAdch the kwmalfraeroraitptoyoe lace, a partial as n=Allpor("employment by)a corpDration ch it'"ii'cc�i the&G-aitifr=r orcmphira v vma 3wl' 1 q 4 NO - i�..l�SLS�!t 6Su0 o nWtaa mwR..n.&_w?Ww�J ff+l!�9!LSv "Y�amort+=?!c>�a"'•^9�i am-•u•••.as�..:•w.v ww. We hepasitionOf"Pmm . A-11 7�..�..� ��wPr! _•e... •et:_ ..�._u-i=���—'_ __ .....r._Re s�-.e nfn�ci i.=a:.t... :e e...- Dere C'� � \-fie i T='s*:s w�..��=V`��Jit•�V'C`: a....r-:_. :e Twee-' _ tet. ::�-�t M. .._. t o m s OY Cdelh#i8{ aU IW apply): T�iiG llnWr{8 s�irec`a cat Cr��i'�i orbis Slr�.`�yr '.��►- � .e...,,--._--,R'......w...Yl..+..-511-cfUhcs!...=�$_!�nMr.-:ezc B)slcalcgr+!orhencII&f okv m4)fM kuegss inaMR-cMuHutcentity(+ t the Imkm tismGta=ar k i . =- r Amro-r rLmrtac:reran ntn.�rP n�4 annf4eRT� nri+�iWi�FS!?31�1'+`uFT_ATICt?+1�� I - Sub€siik(A this. - of _ 200� Sri gnatesc� siiin`a',cw+e Foam TS 1 Towey of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of So 'thold agencies, shall complete this CCAF for Proposed actions that are subject to the Town of Sou old Waterfront.Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except mhlor exempt actions including Building permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the p�eparer of this form should review the exempt minor action list, policies-and explanations of each policy contained.in the Town of Southold Local Waterfront Revitalization Program. A .nronosed..action willbe evaluated as to its significant .beneficial and adverse effects,unon-the coastal area(,Rich includes all of Southold Town { 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thew .each answer:must. -9- be ex laineil,in,detai .listin .both sorting and:non- ,settiportin�:facts.' n actiomcannot-a certified as onsistent with tfie LWRP policy standards and conditions,-it,sl all.not*be,undeftaken. A copy.of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town,Clerk's office. B. DESCRIPTION OF SITE AND,PItOPOSED AC 'Y'gON j SCTM## PROJECT NAME The Application has been submitted to(check appropriate respon-ie): Town hoard ❑ Planning board❑ Building Dept. ❑ Board of Trustees F1 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital construction,planning activity,agency regulation,land transaction) ❑ ; (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval, license,certification: Nature and extent of action: } n VA ��-'� s - 4 Location-of action: . �5C5 1� iGa Site acreage: Present land use: i Present zoning classification: r 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be,provided: (a) Name of applicant: NR 4A �, ,1 ►�5�gi1 . (b) Mailing address: (c) Telephone number: Area Code( (d) Application number,if any: _/ )IA, Will the action be dare tly undertaken,require funding,or a�proval by a state or federal agency? Yes ❑ No If yes,which,state or federal:agency? C. Evalu#P the project to the following policies by analyzing how the project will further support or not support the-policies. Provide all,proposed Fest-Management Practices,t at will further each policy. Incomplete ans'Wers will require that the form be returned fo�completeooa. DEVELOPED-OAST POLICY Policy 1. Foster a.pattern of development in.the Town of'Soutoold that enhances community character, preserves open space, snakes effi9ie t ease off infrastructure,ma�es beneficial use of a coastal location,and mwm, ** 's advet-ie effects of development. ,See LNW Section —Policies; Page 2 fmr evaluation Crate i Yes ❑ No ❑ Not Applicable Attach_addidonal sheets if necessary Policy 2. Protect and pr _erve historic and archaeological resources of .the Town of Southold. See LW$P'Section III—Poli es Pages 34,hrougb fi for evaluation d iteria ❑ Yes 0 No Not Applicable I idjAdbk Attach-addition al sheets if necessary i Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold® See LWR ctioA ffi—Policies Pages 6-through 7 for evaluation leriteria Yes ❑ No ❑ Not Applicable i i Attach<additional,sheeti-if necessary NATURAL COAST POLICIES I Policy 4. Minimize loss of`life, structures, and natuiral resources from flooding,and erosion. See LWRIP Section III—Policies Pages. rough 16 for;evaluation criteri� ❑ Yes .❑ No Not Applicable i Attach additional-sheets if necessary Policy S. Protec4 and,improve water gdgF and supply in th' Town of,Southold. See LWRP Section III —Policies Pages 16.throug 21 for evaluation criteria ❑ Yes 0 No Not Applicable Attach•additional,sheets if necessary, Policy 6. Protect and restore the quality and.function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife habitats and wetlands. �ee LWRP Sectson III—Policies; Pages 2� through 32 for evaluation criteria. ❑ ❑ Yes No P,' Applicable { ! Attach additional sheets-if necessary - - Policy 7. Protect and improve air quality. in the Town of gouthold. See MiW, Section 111 — Policies Pages 32 rough.34 Sbr evaluation criteria. i Yes ,[—] No[:] Not Applicable j Attach additional sheets if necessary Policy G. Minimize e�avir mental degradation in Town of Southold from.- solid waste and hazardous substances..and wastes. ee I:M ,P Section III--Policies; Pages 34 through 38 for evaluation criteria. El`Yes No Not Applicable - f I PUBLIC COAST POLICEES i Policy 9. Provide for public access,to, and recreational use off, coastal waters, public lands, and public resources of the Town mf Southold. See LW18P°Section 1II—�ollcies; Pages-38 through 46 for evaluation criteria. YedO No OO/Not Applicable f Attach additional'sheets if necessary w® rQ COAST PQY*TIES Policy 10. Protect Southold's water dependent uses and proiote siting of-new water-dependent ,Dees i® suitable locations, Sipe RP Section III--Policies; Pages 47i through 56 for evaluation i g on crateria. ❑Yes ❑ No of Applicable c Attach additional sheets iFnece§sary _ I i Policy 11. Promote sustainable use of living marine reso rces in Long Island Sound, the Peconic Estuary and Town pyo ers. See I. P.Secti®h'1tII.—Policies• I� [ages 57 through 62 for evaluation criteria. 0 Yes ❑ No Not Applicable I- Attach additiona[sheets if necessary Policy 12. Protect agri uItural lands in the Town of South0d. See LWRP'Section III—Policies; Pages 62 through 65 foa�eval 'atio® criteria. Yes ❑ i ❑ 110 , Tot Applicable j - I Attach additional sheets if necessary i Policy 13. Promote &p ropriate use. and development of energy and mineral resources. See LWRP Section I'll—Policies; P ges 65 throalgh'68-fdr evtluotion criteria. I ❑ Yes 0 No Not Applicable l"� f j �♦ 1 I PRE-PARED 11X TITLE_ i 6 DATE 4AI, �q