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TR-9484
• Ir ��SUFFocK�. Michael J. Domino, President y �o'y Town Hall Annex John M. Bredemeyer, III, Vice-President Fr a 54375 Route 25 Glenn Goldsmith N ,? P.O. Box 1179 A Nicholas Krupski �x 4_1 • ��; Southold, NY 11971 Greg Williams Telephone (631) 765-1892 Y -r 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 % constructed When project complete, call for compliance inspection; -0- . .................. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMITNO. 9484 DATE: JUNE 19,2019 M, ISSUED TO: MICHAEL MANGAN PROPERTY ADDRESS: 350 BLUE MARLIN DRINE, GREENPORT SCTM#.1000-57-1-25 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 19, 2019, and in consideralion of application fee in the sum of$250.00 paid by Michael Mangan and subject to the Terms and I Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following. Wetland Permit for the existing 1,102sq.ft. two-story dwelling with a 60sq.ft.front porch area, I- and a 245sq.ft.seaward side raised concrete patio area; construct a 14'0"xl7'5"sunroom on existing footprint of seaward side concrete patio area for a combined 1,346sq.ft. first floor footprint; remove and reconstruct existing 60sq.ft. front porch area; and to construct a second floor extension over existing first floor; with the condition of the addition of gutters to leaders to drywells to contain roof runoff; and to establish and perpetually maintain a 15' wide non- turf buffer landward of the bulkhead; and as depicted on the site plan prepared by V Architeenologies,dated May 21,2019,and stamped approved on June 19,2019. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the 19ffi day of June,2019. A co W V_ ............... TERMS AND CONDITI —3 The Permittee Michael Mangan residing at 350 Blue Marlin Drive, Greenport, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. J Michael J.Domino,PresidentS�U� Town Hall Annex oyDI John M.Bredemeyer III,Vice-President 54375 Route 25P.O.Box 1179 Glenn Goldsmith l [ Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams �l� �Q Fax(631) 765-6641 COUNTY BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 19, 2019 Frank Notaro 648 Roanoke Avenue Riverhead, NY 11901 RE: MICHAEL MANGAN 350 BLUE MARLIN DRIVE, GREENPORT SC'TM# 1000-57-1-25 Dear Mr. Notaro: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 19, 2019 regarding the above matter: WHEREAS, Frank Notaro, on behalf of MICHAEL MANGAN applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated March 13, 2019, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the construction of a 14'0"x17'5" sunroom on existing footprint of seaward side concrete patio area for a combined 1,346sq.ft. first floor footprint; remove and reconstruct existing 60sq.ft. front porch area; and to construct a second floor extension over existing first floor; be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the LWRP Coordinator recommended that the existing 1,102sq.ft. two-story dwelling with a 60sq.ft. front porch area, and a 245sq.ft. seaward side raised concrete patio area, be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered the Local Waterfront Revitalization Program policy 6.3 to the greatest extent possible through the imposition of the-following Best Management Practice requirements: the issuance of a permit for the structures and establish and perpetually maintain a 15' wide non-turf buffer landward of the bulkhead; and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 15, 2019 and June 19, 2019, at which time all interested-persons were given an opportunity to be heard, and, f WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, ' WHEREAS, the Board has considered all the testimony and documentation submitted concerning'this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, - RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVES the application of MICHAEL MANGAN for the existing 1,102sq.ft. two-story dwelling with a 60sq.ft. front porch area, and a 245sq.ft. seaward side raised concrete patio area; construct a 14'0"x17'5" sunroom on existing footprint of seaward side concrete patio area for a combined 1,346sq.ft. first floor footprint; remove and reconstruct existing 60sq.ft. front porch area; and to construct a second floor extension over existing first floor; with the condition of the addition of gutters to leaders to drywells to contain roof runoff; and to establish and perpetually maintain a 15'wide non-turf buffer landward of the bulkhead; and as depicted on the site plan prepared by Architecnologies, dated May 21, 2019, and stamped approved on June 19, 2019. Permit to construct and complete project will expire two years from the date the permit is signed. Fees muss: be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 ry Very truly yours, Michael J. Domi o, President, Board of Trustees MJD/dd Michael J. Domino, President Town+iall Annex John M. Bredemeyer, III, Vice-President y b' z ` 54375 Route 25 Glenn Goldsmith o P.O Box 1179 A Nicholas Krupski c L Southold, NY 11971 Greg Williams © �F'`Y Telephone (631) 765-1892 Fax (631) 765-6641 (� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: MICHAEL MANGAN c/o FRANK NOTARO Please be advised that your application dated March 13, 2019 has been reviewed by this Board at the regular meeting of June 19, 2019 and your application has been approved pending the completion of the following items checked off below. Revised Plans Pre-Construction Hay Bale Line Inspection Fee ($50.00) — (Silt boom) 1st Day of Construction ($50.00) 'h Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30•-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) xx The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within, ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money.order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 %901�'� 0 BY Michael J. Domino President Board of Trustees w � r--------------------- --------------------------------� Erlo I I MAR 1 4 2019 i I U r------------------------� J ! (� I I f ____-____-� 1 9 I W a I r__________ I I FrI�V,, •, I 121 I I I I I I I I 1 I F NE I I I - cl -------------------------------- ------------------------------ I I I I I I I I I I I I I I I I I I I I I I AMA L�FCiM2 �45VN6 F'IR5T FLOOD AMh 1,102 5.F%, _ �XI511NG RA15f-�n PAHO APF-A: 2-15 5.P, F:X15-nN6 FRONT PORCH A2 A5. 60 5.P. 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DWQ.NAME; PROPOSED 5K-2cc ELEVATIONS F01?CH AT�PAVON'TW DWG.NO.: tA-2EL1 I 1 + 4 f: '4my ' �/ ,� SOU'~-f;,ola'--__ m J pp 89 7 5,0C)'1 E O 100.0, A� N ROVED By BOARD CSF `f RUSTEES TOWN OF SOUTHOLD c1liJDATE \-rV i N 22.3' f I , i N GARAG E X20'-61 { I 1 PROVIDE LeAML,ANO Or-M5 TO Toro 1 o DIA.CATCH PANN5(CO)A5 5H01NN IV ; i MQr05EO NEW COVeReD FRONT PORCH, MMOVe F)G51NG Two FRONT PORCHe5. N .1it �` 1 N ; s 00 29 -I 3 "k 5 -I' 0 40 c EX15TING PRICK/CONCRen:RAISED PATIO W0r05FO EXPANSION TO EXI5T.5ECONO - I ANY NEW GON5IRUCTION (IMF TO PROPOSED SECOND MAN). . T PROPOSED NEW SUNROOM ON eXISnNG Y ; + C SITE SURVE" REF.TO PROPOSED FIRST FLOOR PLAN). ' 0 MAP OF PROPERTY 4° TOWN OF: SOUTHOLD r 3 M 4 SUFFOLK COUNTY, NEW YORK ° oPROP05ED 15'W.(CONfINIJ0115) NON- j I r MATERIAL ALLOWING FOR PMCOLAnON ' OF 5L9a-ACE RLPJOFF INTO n$.SOIL. Z + NATURAL w6afAnoN(5How JuNimiz), SURVEYED NOVEMBER 28, 2018 Bp W/ FITWR WOOD CHIP5,MLLCH OR ffir GRAVEL ANP 5AN12 FERnLIZER5 AND , , s IRRIGATION MAY NOTPEU5WWTHIN11-E DISTRICT 1000 SECTION 57 BLK. 1 LOT 25 NOM4W PLIFFERAREA.SHORE JUNIPER SUGGESTED SPACING SPACING 5'-6'APART AREA = 21;86,9,,.$Q. FT. o SCALE 1 —20 o I �s - CERTIFIED TO: ` 704 68� 70 cy) STEWART, TITLE INSURANCE CO. _ INFORMATION TAKEN FROM SURVEY PREPARED BY BARRETT, BONACCI, &VAN WEELE, P.C. i ��®� HAUPPAUGE, NEW YORK ' I ; S� i oal ®� PNO�-0 LF-6F-N[2 rhNG NO "6'w' 15AER A — 511'F- 3,8.19 50UMOL-12 TOWN 130AP.17 Or-TM5TM5. e ® j j ' �"°^""E 5.21.19 �V.t0 INC�Un�NON-TUIT I31,��r-�,GUfTF-p5, 'V�yyGryy p�51 n�NCS I T E C N O L O G I E S PFOP05W 51TF-I'I,AN ARCHIrECIVRE PLANNING CONSTRUCIJON SERVICES LE;AMP51 CATCH PA51N5&50MIMr TO 50UfHOI-P 50UfHOLP NFW YOPK P.0.Eox93 INammdr NewYock 11952 5rxE 6312981129 Fax:631.2981128 TOWN 130A�Gift1'KUSTE;ES FOR MVI�W. I Michael J. Domirb, ident ,�f�OSUFF©(p� Town Hall Annex John M. Bredemeyer III, Vice-President 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A.Nicholas Krupski 0 p Southold,NY 11971 Greg Williams 'y p! (Y Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: Frank Notaro on behalf of MICHAEL MANGAN requests a Wetland Permit for the existing 1,102sq.ft. two-story dwelling with a 60sq.ft. front porch area, and a 245sq.ft. seaward side raised concrete patio area; construct a 14'0"x17'5" sunroom on existing footprint of seaward side concrete patio area for a combined 1,346sq.ft. first floor footprint; remove and reconstruct existing 60sq.ft. front porch area; and to construct a second floor extension over existing first floor. Located: 350 Blue Marlin Drive, Greenport. SCTM# 1000-57-1-25 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other i NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 — SUNY @ Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-03651 F:(631)444-0360 l(j w ( � ww.dec.nygov i� l � Letter of No Jurisdiction MAY 1 5 2019 April 2, 2019 Southold Town ' Boar of Tr s ' Mr. Mike Mangan - 110 Hiawatha Drive Brightwaters, N.Y. 11718 Re: UPA#1-4738-04673/00001 Facility: 350 Blue Marlin Drive, Southold, N.Y. _ SCTM# 1000-57-1-25 Dear Mr. Mangan: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The property-landward of the bulkhead greater than 100 feet in length constructed prior to 8/20/77, evidenced on the tidal wetland map #718-550 clarified by Infrared Photo#683, and illustrated on the current site survey"prepared by Frank Notaro, R.A. dated 11/28/2018, last revised 3/24/2019 is beyond Article 25 (Tidal Wetland)jurisdiction. (DEP-ARNO) Therefore, in accordance with the current Tidal Wetlands Land Use Regulations'(6NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal.Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate-work area between the tidal wetland jurisdictional boundary and your project (i.e., a 15' to 20' wide construction area)or-erecting-a-temporary fence, barrier, or_hay-bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Si ce el , san . Ackerman Regional Permit Administrator cc: Frank Notaro, BMHP, file EW YORK Department of ae moa;Nmr Environmental Conservation Michael J. Doi ,President O�QSVFF©(S Town Hall Annex John M. Bredemeyel /ice-President 54375 Route 25 Glenn Goldsmith z P.O.Box 1179 co A.Nicholas Krupski Southold,NY 11971 Greg Williams P1. �ap� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/TimeA� 7, �f Completed infield by: Frank Notaro on behalf of MICHAEL MANGAN requests a Wetland Permit for the existing 1,102sq.ft. two-story dwelling with a 60sq.ft. front porch area, and a 245sq.ft. seaward side raised concrete patio area; construct a 14'0"x17'5" sunroom on existing footprint of seaward side concrete patio area for a combined 1,346sq.ft. first floor footprint; remove and reconstruct existing 60sq.ft. front porch area; and to construct a second floor extension over existing first floor. Located: 350 Blue Marlin Drive, Greenport. SCTM# 1000-57-1-25 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 V Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: ✓J. Bredemeyer AM. Domino �G. Goldsmith N. Krupski . Williams Other eV�ti �• - 5 ' e r 7 1 5/ 8 /2019 10 : 30 Michael Mangan 350 Blue Marlin Drive,Greenport SCTMk 1000-57--1-25 5/8/19 1 • 10 - �._.�rte► � �� �A.�i�.,,,� i\ _ oil AAIM vil MW Ogg Cw Owl .asJla ROW \.. .,.VAL _ Fall an i Now. j R � I i for— It lip IML �:�o=_ aau. ib A Ir k. 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Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 ® ® Telephone: 631765-1938 Couv,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees . i From: Mark Terry, AICP LWRP Coordinator Date: May 9, 2019 Re: LWRP Coastal Consistency Review for MICHAEL MANGAN SCTM# 1000-57-1-25 Frank Notaro on behalf of MICHAEL MANGAN requests a Wetland Permit for the existing 1,102sq.ft. two-story dwelling with a 60sq.ft. front porch area, and a 245sq.ft. seaward side raised concrete patio area; construct a 14'0"x17'5" sunroom on existing footprint of seaward side concrete patio area for a combined 1,346sq.ft. first floor footprint; remove and reconstruct existing 60sq.ft. front porch area; and to construct a second floor extension over existing first floor. Located: 350 Blue Marlin Drive, Greenport. SCTM# 1000-57-1-25 The proposal to construct a 14'0"x17'5" sunroom on existing footprint of seaward side concrete patio area for a combined 1,346sq.ft. first floor footprint; remove and reconstruct existing 60sq.ft. front porch area; and to construct a second floor extension over existing first floor 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. The existing 1,102sq.ft. two-story dwelling with a 60sq.ft. front porch area, and a 245sq.ft. seaward side raised concrete patio are recommended as INCONSISTENT with the below policy and LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. A Wetland Permit was not located within Town records for the existing, as-built structures. In the event the action is approved the following is recommended to further policy 6: 1. The establishment of a vegetated, non-turf buffer landward of the bulkhead. 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 i Peter Young,Chairmanti Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Ii Conservation Advisory Council Town of Southold i At the meeting of the Southold Town Conservation Advisory Council held Wed., May 8, 2019 the following recommendation was made: Moved by Carol Brown, seconded by Peter Young, it was RESOLVED to SUPPORT the applicationoof MICHAEL MANGAN for an enclosed sunroom to be built over existing raised brick/concrete patio in rear of residence and second-floor extension over existing first-floor. Located: 350 Blue Dolphin Drive, Southold. SCTM#57-1-25 Inspected by: Carol Brown, Peter Young The CAC Supports the application as applied for, with the condition gutters, leaders and drywells are installed to contain the roof run-off. „Vote of Council: Ayes: All ;Motion Carried - ` - Michael J. Domino, President SgfFO(,t-�0�0 .00 Town Hall Annex John M. Bredemeyer, III, Vice-Presidento 54375 Route 25 Glenn Goldsmith N nnP.O. Box 1179 A Nicholas Krupski y Southold, NY 11971 Greg Williams �'ol , 'tam Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES TO: SOUTHOLD TOWN BUILDING DEPARTMENT r' RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT5C IREMENTS rl t �r ' MAR 1 5 2019 57-1-267, SCTM#: Property Owner Name: I 0 I , 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: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered a Demolition as described under Town Code? COMMENTS: J/ qh q Vignature of Reviewer Date Michael J.Domino,President ®� �.Q� ° Town Hall Annex John M.Bredemeyer III,Vice-President '� n ��l� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone(631)765-1892 Greg Williams Fax(631)765-6641 COUM BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ; i tl_a V E This Section For Office Use Only MAR 1 3 Coastal Erosion Permit Application Wetland Permit Application Sas hold Town Administrative Permit Board of Ti nteeS zAmendment/Transfer/Extension z Received Application: 5(13.<q Received Fee: $ 29.60 Completed Application: Incomplete: - _ SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): 19 FConsistencyAssessmelt F rm Sent: eferralSent:f Inspection: Receipt of CAC Report: Technical Review: _717Public Hearing Resolution: Owner(s)Legal Name of Property (as shown on Deed): a is 1 Mailing Address: c� Phone Number: I Suffolk County Tax Map Number: 1000 - Property Location: e ' x�v jn6�1 L1Ae=I,r_(kj (If necessary,provide LILCO Volie#, distce to cross streets, and location) AGENT(If applicable): Com' Mailing Address: - I Phone Number: l • ITECNOLOGIES ARCBTrF.CrURE PLANNING CONSTRUCTION SERVICES 13405 Main Road,MaWft&,New York 11952 631.298.1129 fix.631.298.1128 P.O.Box 93 ADDENDUM TO APPLICATION March 13, 2019 Board of Trustees Town of Southold 53095 Main Road P.O. Box 1179 Southold,N.Y. 11971 Re: Mr. Michael Mangan 350 Blue Dolphin Drive Southold,New York 11971 S.C.T.M# 1000-57-Blk.l-Lot 25 To Whom It May Concern: 1. Attached please find 4 copies of the existing Floor Plan(revised). We have indicated the existing perimeter dimensions and area of the existing footprint. These areas are as follows: Existing First Floor Area: 1,102 S.F. Existing Patio area: 245 S.F. Existing Front Porch Areas: 60 S.F. 2. Also enclosed please find 4 copies of the proposed Floor Plan(revised). We have indicated the existing perimeter dimensions and proposed sunroom over the existing raised patio footprint,along with the demolition of the front porches and rebuild of the main entrance porch. These areas are as follows: Proposed First Floor Area: 1,346 S.F. (including the raised patio area) Proposed Front Porch Area: 60 S.F. If you have any additional questions regarding this additional information,please give us a call at(631)298-1129. Please send all correspondences to: Frank Notaro 648 Roanoke Ave. Riverhead,N.Y. 11901 Thank you, Frank Notaro R.A. Board of Trustees AppJL'r%�;,ation GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions on property? Yes VV_ No If"Yes", please provide a copy. I Will this project require a Building Permit as per Town Code? 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 Appeals? Yes No If"Yes", please provide copy of decision. j i Will t is project require any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s) on property have a valid Certificate of Occupancy? Yes No ' Prior permits/approvals for site improvements: z F Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? V/ No Yes If yes, provide explanation: Project Description (use attachments if necessary): ' s " Hoard of Trustees App___,ation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 1 _ f I I Area of wetlands on lot:_ square feet Percent coverage of lot: % j Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and u land edge of wetlands:H.A• feet � t 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): r 617.20 Appendix B Short Environmental Assessment Form Instructions for Comoleting Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part t. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name ofction or Project: Project Location(describe,and attach a loc tion ma ): i� �`�- '1117 Brief Description of Proposed Action: eAleA Lev t'n], I � Name of Applicant or S onsor: Telephone: E-Mail: �j Address: 410 City/ O: State: Zip Code: - 4 .Ll/ 'I t � .�(_ 1 1111101 1.Does the proposed actio my involve the legislate a adoption of a plan,local law,ordinance, NO ES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES 1f YYYe�es,list agency(s)name and permit 1orapproval: a `/ V �x-41' 3.a.Tota4ac age of the site of the proposed action? a acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. E]Urban [_—]Rural(non-agriculture) ❑Industrial E]Commercial Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Pa'rkland Page 1 of 4 \ f' 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑ " b.Consistent with the adopted comprehensive plan? ❑ EL 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 11 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify:' ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.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 requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ° U� ❑ 11.Will the proposed action connect to existing wastewater utilities? I NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? MI ❑ b. Is the proposed action located in an archeological sensitive area? 13.a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ""f"horeline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? El 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? VO ❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? i If Yes,briefly describe: ❑NO ES Page 2 of 4 18. Does the proposed action include construction or other activities that result 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 location of an active or closed NO YES- solid ES_solid waste management facility? If Yes,describe: ❑ 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: 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: 1i' 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 I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur, occur 'I., Will the proposed action create a material conflict with an adopted land use plan or zoning 1-1regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? �1 3. Will the proposed action impair the character or quality of the existing community? EiX E 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action 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 ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a,public/private water supplies? EJ ` b.public/private wastewater treatment utilities? 0 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 resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? F'. 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 erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for 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 adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact, including any measures 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. riCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. 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 in s. 7/7 Town of Southold-Board of Trustees (F/ Name of Lead Agency Date Michael J. Domino President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Prieparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees App?ioation A UT H0 REP-7 ATI011'�il the applicam. is .]Lt the avvnerj , - ----------- of the as SC.`i IM-4—' I 000 New York. inenzby -i 7eS ? 1c; ac; as Inv agqc�nt and ncC:',ssaiY' ',iGII' liw 'C 1j i 1;1 ] nr.a 1 i d� Ai:i E]� n �IiCii 1C?3 �ry -w IGT' }:.i' Ril(,sI :"C;ii] :I:e .i:t.i.]t? 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Y.�l�'�>i�ACFdj i kS ij4(6,•�aft.':f..f''��&�,+^'�`?t't;a}9 �ilak<ixtf3l{7£ / 1 i(, lice{(, 'iCih4 4, -EPRESE-NT,ATIVE T 9ACT_10AL DISCL_OSU_ REFORM TIIO TO ti of&LIM16lti's Code,of Ffhirnhitiits carldliof ime Stan thc,part of town offtccra end cm0owes.The"nur ms:?of otic fnrrti is to p'rEivitie tntnntieiiari vOtich can iitert�the tativtt of t}ri eihle corillteLfi of inictct and atlasv it tet thi e salt itE ver acticii ties Ls*ifvya avoid 5aiTiC. - YotmN,�Mg; (Lttstne;fust nnnse;z�iiddt initial;ttnless,you are applying in the name of sosncpne eIse' arathor entity,such as a citrtipany.JW,indicate the either persoli's or:cpmpany's,name:) -NAME OF APPLICATIQN:A.(Check all thetdapplY,.) Tax gri�v Thildipg •Variance Trtrst'eq Change or Zone. Coiisttil Erosion Approval rifplat Mooring Exemption t'iorn,plat or affMa_1 MPP Plannit g Other (If"Other',,name,*activity j Do yolk persniit�tt),Or through your company,,spou�g:siti'litig:RMitt,lir child}ttti;Fe t.ietatirit��lujt Atitli eii} efliccNr entlal%v4L, of.the To%vn,vf'SouthoCd? "Ft letiotishlgn.lncluttis by blood,iriatri c;err husincss interest.''BuMwss inicresf'rn ins;i.t�nsitsts:; incltidliig a'p rrtiterstyip,.iii ttiliioh the;tusv,,tA-a£Cerr or istplAyee I as rdveti a p riial otisaurstiili iaf(rte�mplq�Nm c:ni ly a rorporA�rit; ihvhiclfthc totien ofTice r dr,errivWic t3rvns,tttura titatx 5��4f. shares. 3`ES•� _ _m itit} 11'ybti t ns�vered"f E ';_compute t}i balarice`affhis frrni ani3 Arte sitii#sign where indicafed. T:ame'afprrson employed by�ti-�Town oFSautliitlii _ . _ _ Title or positiowof that person,• - ftescrilic tha calatiarishlp''bct4t eii•gQur lF,{ths alSplic itragenVrepresentative}and the town,ofceror-ernptoyee.,Either check the appropriate line•,- hrangh.i7j attctiur descri6c in.thc spas a provided. The totivn officer oc employee or'his or her sponse,sibling,parent;of child is(check all that appl}): rk)ilio'oik-ner of greater Ilion 51%of the,it:ires•,oftiie,enrpora"te stock of the apptiwj (tuhcri itis;arplic:inl is;i corf�rntion}; . �a} the`Icgat ar b-rie5cial m6er of art,interta`t-in a nott:corporate entity,(VVheti lire applic:;tit is not a corporation); Q ase officer,tlirccctor;,partner,or einpJQYcc of tits applicant;or D)the actuat applicant, 'i7ESCitIPTIO-&I OF REI:ATIt:NtHIP Sutitriitted is•_11 > t3ay ofIVVW 1� I� 20� J?cint;ilatne 1 Farm TS 1 Board og :Txus 4 es app)-:i"eation AFFIDAVIT' iI�IIt�10:I3.I1r, j SPa`CDR3i 01 1 ' ES AIDAM-RtYI8=TIMT HEIggt 18 'T, �APPUCANT-F•�R'k al`s A,BOVU I7 AR-CRIDEIk P,,E_•.0 MIT.S ! N D THAT'A`I-L,S3_AT,,EME.NT�S•:CON"F.hI'NED HEPI INi.:"€'.,]R:�U'Ec TO TIS EE8T',OF SIHET�lCiOWLEDGE AIND$ -JL, EP; �ii'ti'I -' ' :'4'€' r�:Lt,; ►! R��� '4- , 3C+ Y)Q�i�1� Timt T IE`I!J I°�i� ,R E:�' FORTH., [N Th i8•M?FUCATJQf AMD ASS, - EAPPROVVMB -Y,THE SOUTHO LD'I'C3WN BOA- D.bF-]'Rus-TE LS. BOAR-D OF T USTUiES''b AKNILE-S&AIND FREE FROM ANYANID,ALL-DAMA ES I'F}=SLAIN-18 A-VJ$h`+fG UNDDD1 M04 DY Vq9, Mf- OF,BALD TEP1�I T(S)i IF C�WiTE•I9: IN".,CQ i I-P-LETING.- 'FITS A.PPLBC�ATION I HERBY,AUTHC)RI-ZE-T_F!;ir S;IEPS,'I'£?EII2 AGEB�T�S):CDI IP&�I�,SEI�f•'l�A�'I�TE ," I,CLLII�I''J � COINSERVA'I`I;N A:D IS,ORl"' CGUNCIL�'TO ENTER-ONTO'1�"�!FROPERT-V TO Si' CT-T' $L`''Rli~? ' € `III- DN.BIJ TIC?lY}! 'TH THIS AP PLIC•�s.'iTO.N,, IN LliPING A PINS, L INSPECTION'.. I FURTHER, A?CTHOPUE''THu B.4A OV, T:l USTEES T6' ,IIN: -T 1 � �) �`�'0 IY Y POPE-R"3'�-�'I�II�.A.S'�2G4�U:IRED•'V'0 SURE CD'1'IPEuY. �h'I'lC`H r C .0 P UITIDY EAI �' v`I✓ 'L CdD (A.COAS;I AM ll✓RC1�£E3i �DIJ I" L � I3 '"TIdE BOARD M f TAIL= -WIT, . rA-Z '' - - - - - ,Si n',tture ofNopeq-y--b -iier Sipdt'ur-e-ot Pi•olielffy owtier" ,Am R'N I'0I rI'O._':VE THIS X3,9' DAY OF' M !%r i` - -- /9 Public YORDAIVKA TSVEKLEV 01'4d Nctery`PuEiltc;•State of,N®wYork, No 634.q Qualifiedn'E�giir-eshQueegs:County Coiriinissio =10/31/2020, ,Soa.rd Of ?!v 2.c T)-f7p 'SIRS, A.-PI"D ALFF11,kA-,TS T-H,:kT E/SHE 1S T-RE2VIP-P U k IN"' r', T!'!T,,A E;0' A'N'r TH 'T ;i 1 , diT [NILD IN ND: THI—T ALLS ARU-FT2,UE T0'--fHEBE-QT OF KN"OWL-EDGE, AND BE Liu,F. , AN.-i-) T-N.A1- 1 LL BEE,DOINE,11N,71 NEE TWANNEtZ,81;:TF!,0�RT-,H1 ;N T1s iS A' i�ND -AS'-!MfAY BE APPRC)" ED BY-FIRE SOUYHOLDTO`��wND01-e'-,,RD OF TRUSTEEWS- I ND =f Hi T(3) HOLD TH-l" TONVN OF, HE `310ARD OF, TRUSTEES HIAR-MLESS .AND FREE 11RW�,! -A,.PqY A-!,`M, .3 1 U!,%'DER OR BY -%,,'YRT.UE OFS.Am PER!M-11T(S) i F .GP-,-A.'rqTED. 11N,COMPLETING THIS ha=PLLC A!TT-O-N, 1 "PRE —N'172�TI-VES ENCLUDING THE , ,T(S),,)R R1 S TRUcTEES,� A & X� i�,!, C.0,N�S31i:,R, VATI0i1,. "AbVISORY CQUiNICIL, -LrO Tvf-Y PRGWEB�,T-Y, rc, INSPECT 17N' CO'NJURN'TMIN VVITI-IT-PHIS APPLICATION rD -4- A1. FINAL !NSTPE C-T10N. -7 FUIRT Er A'(j` TNE 130*'daD 01: TRUSTLE'S TO EN(T,U1 ONTO LM Y PRO PERTY ANT-N .A.SREQ11,11-RED T'0 I.NSMIRE M :'.•RGaE?.i T i S 6 U E,D, By 114 21 B 0 A Ri'D Vii. T R ST F1,1 7�S WU 71 M11, G T i IK T. T E Y 03;,T-T-!R PEWNIHT. P ro TO THJ;,z, ;F Notary, AuNiC 'YORDANKA TSVEKLEVA Notary Public,'StatepfNeW York , No.,'GITS634:9943 Qualified 16,06eehs'County Commission Expires 10/31/2020 APPLICANTIAGE NT5Ui:-R'OSE NTAW WT TRAT'j$ jO�NALPISCLOSURIGI- FORIM LI, I mt1ua,–,v L,I--—i,,fm'-,'—.1 Will 311guffliiis ugo --am-n4fid of" n I. 66'-Otlief 74,�Mg- An 'Com-W Erosibn, '146; '1 Exampfign&61�Iaubr OffWhl-,M-a` IFIGludin;_',3vh, Shares• Raw 11 f)�nomomp okdd f the a9d the town officer orcm M-- ,tlw, it@ Un6,A)Wh-ii -M,b rd., -ap AdfiAlk FUM di 617-,VjL,ATfO'N S H I P ig—pp nahre : .APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of BthicsrohiUits'conflicts of interest on'the hart of town'officers and emnloyees.The ournose of this form is to provide inforination which can alert the town of nossible'conflicts of interest and allow it to take whatever action is necessary to avoid same. ' YOUR NAME: 11,f9 17 (Last nami6,first n e,�»ddle in' al,unl ss you are applying in the name of someone else oro er entity,such as a co pany.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 persoiially:(or through you'r'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,inwhich the town:office'r or.employee has cven a partial ownership,of(or empioymenl by_)a corporation in which the townofl'ic6ior employee'owNOO more than 5%0 o the shares. YES -�� 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 applicanVagertt/representative)and the town officer or employee.Either check ,the appropriate line A)through D)and/or desegbc in tlie,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%o of the shares of the corporate stock of the applicant (when the applicant is-acorporation); be I3)the legal or beneficial orvner,of any'interest in anon.corporate entity(when the applicant is not a corporation); Q.an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP r; Submitted this day of 2U Signature Print Name � Form TS 1 e a _ o •MPLET�THIS SECTION COMPLET� / ON■ LIVERY 17-0 Complete items 1,2,and 3. A. SIgnqWro ■ Print your name and address on the reverse1W E3Agent so that we can return the card to you.. X ! ❑ resp6e CID C3 ti -� ■ ■ ■ - j ■ Attach this card-to the back-of the mailpiece, �• Received by(,Plykited Name C. D l 1 or on the front ifs ace permits. gg �1�. EL 1 = • 1. Article Addressed to: 0 • D. Is delivery address differ ❑ o O z b23 �( _ ES,enter delivery d e No N rt N m w Cb ®, ° o w N = a qtl �- •- - — — -- 0 t r-3, of E3 R-E cin O.4o p °'CD 3 a P I _ 6 v S rL CL CD Z t, p-4 ® al n ❑II I IIIIII IIII III I II it I IIII I I IIII I I II II I I II I III Service Type gity Matt Express® "a \` ° CO 11 O�D;.� ® v �•o � Adul4Signature - Registered MaiIT^+ I w caa= Adult Signature Restricted Delivery,- 11 Registered Mail Restricted i o m v r. erti ied Mail@Delivery rn m,° 3 9590 9402 4Q44 8079 3616 33 ❑Cerhfied Mail Restricted Delivery ❑Return Receipt for o _.m Ej_ <G) • 11 Collect on Delivery Merchandise 00 = j • w m 2. Article Number(Transfer from seNiCe labe)_, 11 Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM -� _O _ :: ! • ' — :]Insured:Mad;;; : : , ,. : ;11 Signature Confirmation i C3 Q r -� n w -?019 '0=1i 6 0 5 [110, 00-:5- 944'.' ?66? : ,3 ` - Insdmd'Mail Restricted Delivery: ; Restncted Delivery N (over$500)' • ' '' I `' m PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt . -0❑11111111o_w '6 y y 0 0.'R a fn O 07 x . • • • • • • ■ 6 c•--a. c c m _ Ur CD 003 C>` ; I�W m C ■ Complete items 1,2,and 3. , t-Signature I o E o°w f R ■ Print your name and address on the reverse• . = 13Agent ._ ®:13 m m Q m so that we can return the card to you. X'' ❑Addressee a a ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery o"� m <2 or on the front if space permits. o a m a 1. Article Addressed to: - o Z o D. Is delivery addr e�yf�t ? ❑Yes I` If YES,enter [3 NM CLcro f ° 1111 ❑ 1111❑ - Nl3D m m N N a - — — �j y S' ==a=� .v,o �0 SAY 06 c c �QQ o N �p — — - CUl7 m a1ta� m V�+ � — -- - 1 B Z< -13 "�_o� rt z �< II I(IIII IIII III I II II I IIII I I IIII I I II (do� 3. Service e ❑Pn i(y Mad pre ss®° y Sa Adult atum El tered aIITM Ad it Signature Registe Mail RestrictedIIIIIIIII Certified Mail® Delive 9590 9402 4044 8079 3616 26 11 Certified Mail Restric Del �gS ❑Rejurn Receipt for µ1 a m 11 Collect on Delivery erchandise _2._Article Number(transfer,from service label) ❑,Collect on Delivery Restricted Delivery 11 Signature ConfirmationT'° —� --- -Q, Insured Mad i ; ; ❑Signature Confirmation 7019 016 D 0 0 5 9 4 4 7 6 9'4 �Irisured Mad Restricted Delivery' ' Restncted Delivery ' (over$500) PS Form 3811,JUIy 2015 PSN 7530-02-000-9053Domestic` Return Receipt ; COMPLETE THIS . . . ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X 0 Addressee a ee soy that'we can return the card to you. 1 B. Received by(Printed Name) ■ Attach this Card to the back of the mailpiece, C. f D i ery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1 ❑Yes I If YES,enter delivery address below: ❑No 3. Service Type 0 Priority Mail Express@ II Illlil IIII I�O I II II I IIII I I IIII I i II III II II II� Adult Signature 0 Registered Mail i ❑Adult Signature Restricted Delivery ❑ RRegistered Mail estncted; ertified Mail@ Delivery i i 1:1Certified Mad Restricted Delivery 0 Returd'Receipt for 9590 9402 4044 8079 3616 57 ❑Collect on Delivery Merchandise 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation- j+4 2. Article Number(Transfer,frorn service label) —� O'Signature Confirmation c. .,,P Insured'Matl 4v'Restricted Delivery 7 019 '0160 00010--5 14'4 -76 7�= tj InS�r�d Mau RaStricted oe0iry' (over$500) — i PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt s PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 4WW ��-. Dov .�• . 1 STATE OF NEW YORK COUNTY OF SUFFOLK residing at �nses being duly sw , d says that on the oo, day of 20 , deponent mailed a-true copy of the Notice 1� set fo in the Board of T tees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices Were mailed at the United States Post Office at „�Y,that said Notices were mailed to each of said persons by CE RTI +D MAHJRETU RECEIPT. Sworn to before me this 13 Day of AAAN 20 Ift E.Fuentes N®tary Public,State of New York Qaallfled in Suffolk County Notary Public UC.#01 FU4811709 't Ion awires April30 SUFFO(� o Michael J. Domino,President �'� Town Hall Annex John M. Bredemeyer I11,Vice-President �� 101& Town 54375 Route 25 Glenn Goldsmith C3 P.O.Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams 4 p! �Sy Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MICHAEL MANGAN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE +esidiag at/dba1 ie1 1 being 6uly sworn, depose and say: That on the of day of , 201 , I personally posted the property known as by placing the Board of Trustees officialpo er where it can easily be seen, and that I hav • Y. checked to be sure the poster has remain in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday,May 15,2019. Dated: ( ignature) Sworn to before me this 5 day of 20 IGm E.Fuentes Notary Public,State of New York Notary Public QualliM in Suffolk County y UC.#01 FU4811709 Commission Expires April30, TM I Postal Service _ - Postal o CERTIFIED © R . tti Er ,. Only w Domestic Mail 6nly III IL - 1 1 A L U $3.50 I �� U �, �.� �•" Certified Mail Fee et- 11 Certified Mall Fee E' $ $3•`�I t) Y Ln $ 3.JuA^ nA 0g01'g ExtraSeNlces&Fe0S(chaOrbox,addfee �ppuxr{ere) �� �0 Extra Services&Fees(check box,add/ee ppprp te) A' 1� ❑ReturnRecelpt(hardcopy) $ lVJ•VV LL�� M ❑Return Receipt(hardcopy) $ L�t.1�.•, t�� e� J I 0 ❑Return Receipt(electronic) $ I I Postm 9 , M ❑Return Receipt(eleeW nle) $ $l 0 die_ Pe a �O I 0 ❑Certified Mail Restricted Delivery $ $0-Ofl � HaIR ® } 0 ❑Certified Mall Restricted Delivery $_ d;n Cli 1 w d p ❑Adult Signature Required $-- r• — Here p I O []Adult Signature Required $ d r i 20N7 i []Adult Signature Restricted Delivery$ O ❑Adult Signature Restricted Delivery$ — �J . � Postage, $1°,0 Postage \ 1 -a $ 1,•30 ` Total Postage and F c/ E3 $Total Postage and$7.60 �eOJ/ /20 c� $ 60 Er Sent To Er Sent To C3 ue leaf andAp IVo.,• f�0 ox 10 -------- '-- ✓� -o! V I� Street ".N-:,,-orP , ------- - -- - ----- _ --_ 16 . ,- - s ' • - Service"' j o • I GLSET-T"'�1 E t4� L US-E - =r .SOL D!' F 1 ! U 77 ` Certified Mall Fee $3.50 0901 i� Certified Mail Fee ti Rn 09 �ir $3 50 j 901 Extra Services&Fees(check box,add fee p te) .t�4,�S 1 Extra Services&Fees(check box add fee ate) ❑Return Receipt(hardcoPY) $ �• •r 7 0 1 I ❑Return Receipt(hardcopy) $ �Qy9 r3 ❑Return Receipt(electronic) $ �� �L7 maff(� 0 •❑Return Receipt(electronic) $ ¢`II �� Pow,*— ❑Certified Mail Restnoted Delivery $ ` _�If� q Here - ❑Certified Mail Restricted Delivery $ •(fa H 0 ❑Adult Signature Required $ 0 ❑Adult Signature Required $ Q Ln []Adult Signature Restricted Delivery$ N []Adult Signature Restricted Delivery$ w, a postage Postage $1.30 to -0 $1.30 4 9 � l 20 J� Total Postage and Fes r3 Total Postage and $ 0.60 �/� $ $7.60 U en To y Sent To A 4 r-qHIV~ -- --- ------------ - r� O a Ap P A( $beef and L or Pd Bbx N - - - 00d `` ��-- ----- - ----------- I'` �1 �.1/ 1 .�� �� � - 100- - - r p_ .r .r.. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: t sz - STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the ` day of , 20___, deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAEURETURN RECEIPT. 1 Sworn to before me this Day of , 20 Notary Public NUTI -Li.. 'U LOA I NC NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: MICHAEL MANGAN SUBJECT OF PUBLIC HEARING : For a wetland Permit for the existing 1 ,102sq.ft. two-story dwelling with a 60sq.ft. front porch area, and a 245sq.ft. seaward side raised concrete patio area; construct a 14'0"x17'5" sunroom on existing footprint of seaward side concrete patio area for a combined 1 ,346sq.ft. first floor footprint; remove and reconstruct existing 60sq.ft. front porch area; and to construct a second floor extension over existing first floor. Located: 350 Blue Marlin Drive, Greenport. SCTM# 1000-57-1 -25 TIME & DATE OF PUBLIC HEARING : Wednesday, May 15, 2019 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold 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 minor 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 preparer 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 prop_ osed action will be evaluated as to its significant beneficial and adverse effects upon-thecoastal area(wWch 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. Thus, each answer must be explained.in detail, listing both supporting and non- supporting pacts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. 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 PROPOSED ACTION SCTM# - � � p� PROJECT NAME The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees N 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: U �� P Location of action: 4"�r�v' Site acreage: Present land use: Present zoning classification: 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: (b) Mailing address: (c) Telephone number: Area Code( ) - (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEV) LOPED COAST POLICY, Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LVW Section III—Policies; Page 2 for evaluation criteria. [—],Yes ❑ N0---J'L<j Not Applicable 1 IJ iii Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LVW Section III—Policies Pages 3 through 6 for evaluation criteria 13 Yes ❑ NoJO Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No�ffNot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ NoJ2 Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of,Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No Not Applicable 19 1 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. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ 0 3!� Yes No V Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑. Yes ,11 No�'Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ Nom Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye�] No Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ N—q-�R Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ N�Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ N Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ NNot Applicable PREPARED B TITLE DATE