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HomeMy WebLinkAboutTR-9534A Glenn Goldsmith, President *QF SO Town Hall Annex y� Michael J.Domino,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III 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 # 1683C Date: February 2, 2020 THIS CERTIFIES that the replacement of wood stoop with bluestone and,to-add a 5'x5' overhang to front door with a 6"x6" support post in concrete; for the existing 29.9'.x12' bluestone patio; 6'.x9' bluestone landing and 5'x6' bluestone landing; and to.install a-12'.section of 3.5'picket fence with 3' gate on west side of house and a 8' section of 3.5' picket fence on the east side of house; "as-built" 10'x107'pergola on waterside of dwelling; ;At 91.5 Bungalow Lane, Mattituck Suffolk County Tax Map#1000-123-3-11.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 5, 2019 pursuant to which Trustees Administrative Permit#9534A Dated September 18, 2019,was issued and Amended on November 13, 2019 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 replacement of wood stoop with bluestone and to add a 5'x5' overhang to front door with a 6"x6" support post in concrete,• for the existing 29.9'x12' bluestone patio; 6'x9' bluestone landing and 5'x6' bluestone landing; and to install a 12' section of 3.5' picket fence with 3' gate on west side of house and a 8' section of 3.5' picket fence on the east side of house; "as-built" 10'x107'pergola on waterside of dwelling. The certificate is issued to Chxistooher Austin owner of the aforesaid property. Glenn Goldsmith,President *QF SQ(/ry Town Hall Annex Michael J. Domino,Vice-President ,`O� Ol0 54375 Route 25 P.O. Box 1179 John M.Bredemeyer III J [ J�I Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams rO Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: INSPECTED BY:' G. �c�,► 'Ch.,275 Ch. 111 INSPECTION SCHEDULE Pre-corfstruction;:haybale' line/silt -boom/silt curtain 1St day of construction Y constructed Project complete, compliance inspection COMMENTS; o< gr , c �l�il'r it1" 0.C�c7`�ae\C'� �.ii I� PGc ►i`t 9S CERTIFICATE J--,Jori) o1aJJ_ vgce.1�'0l CERTIFICATE OF COMPLIANCE: Michael J.Domino,President QF SO(/jTown Hall Annex John M.Bredemeyer III,Vice-President ,`O� Ol0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams '� �� Fax(631) 765-6641 COUNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 13, 2019 Christopher Austin P.O. Box 15 Laurel, NY 11948 RE: 915 BUNGALOW LANE, MATTITUCK SCTM#: 1000-123-3-11.1 Dear Mr. Austin: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 13, 2019. RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Administrative Permit#9534A for the as-built 10'x10'7" pergola on waterside of dwelling; and as depicted on the project plan prepared by Press Start Permits, received on September 27, 2019 and stamped approved on November 13, 2019. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any,other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJD/dd 1i L FE AUSTIN RESIDENCE f 915 BUNGALOW LANE SEP 2 7 2019 I MATTITUCK N.Y. EXISTING SINGLEFARESIDENCE I SCTMk 100 1000-123-3-11 1 AS-BUILT ZONE R-40 33 ACRES t FOUNDATION AND FTG AS PER PLANS j} Di1�:i i!; I•.Sa.��S_-��_`- =-,.,,,-tar- --—___ _—_—_—_._ MASONRY PATIO&ARBOR ADDED ®Peri LIVING M C EEILNINTGRYRAEMDDOEVDE DTO CREATE CATH CELL COLLAR TIES ADDED 2ND FL DORMER ADDED ON NORTH EAST SIDE 2ND FL BATHRM ADDED BREAKFAST AREA LAUNDRY RM AND MUORM KITCHEN RENOVATED PROPOSED. EXTEND EXIST ROOF OVER SIDE ENTRY REPLACE ALL EXISTING WINDOWS usoee Brae rl`�°neo e.�rmp'.o2c NORTH-WEST ELEVATION(SIDE) SOUTH WEST ELEVATION(DRIVEWAY SIDE) i'-0• 212 2 12 19 TA b1.313 w +w.vroirniw FEN] a ® . E31 .P..a.e� .•w An ..w am vwme c...u..cr har.ce SOUTH-EAST ELEVATION(SIDE) 1'-0' 212 19 NORTH-EAST ELEVATION(WATER-SIDE) 1/4' 2.1219 PROPOSED ELEVATIONS - ® ® ® ELEVATIONS SCALE AS NOTED DECEMBER 9 2018 ® ® ® ® ® Lu=lj ress A 10 3 TARTIi '• 14 31l1. � ��_'_ 1111, rnK l tlrallm etl1M1n JOAN CHAMBERS EXISTING ELEVATIONS '� 'UI 'j II1� i I II f i, u IotAUSTIN RESIDENCE 915 BUNGALOW LANE MATTITUCK N,Y EXISTING SINGLE FAMILY RESIDENCE SCTM# 1000-123-3-11,1 I ZONE R-40 33 ACRES I----Loa—rd o; my 1 Ll EXISTOUNDATION REPLACED W/NEW CONIC BL, 6 0FOUNDATION AND FTG AS PER PLANS MASONRY PATIO&ARBOR ADDED Y ilY �' CRAWLSPACE ENTRY ADDED aav11E LIVING RM CEILING REMOVED TO CREATE CATH 1 ° I r-- I qI it CEIL COLLAR TIES ADDED �I yyI ryry I I g • �I• v _ 2ND FL DORMER ADDED ON NORTH EAST SIDE 2ND FL SATHRM ADDED I aaseresaaa aly.I 3/$�$" I I I j "� EXISTING ENCLOSED PORCH RENOVATED TO MAKE BREAKFAST AREA,LAUNDRY RM AND MUDRM la d IB I L_ I 10 1_0 n KITCHEN RENOVATED 1 10 " 1 I� 114 1 U U III,, PROPOSED n..r+nmrr+m..ran.on na I 4 1 I x" I A I B A d •C a r� II T� I B L�B NyB!, B 5tl —_ 1—� EXTEND EXIST ROOF OVER SIDE ENTRY ]QP�� STRINS MAIL 01 REPLACE ALL EXISTING WINDOWS I p ` L--- B i 1 0 8 r GENERAL NOTES nv�mnw m,mn I 1 r�.�mn J i C o A° 1 0 9 1 I s®wx w Tam mo.ar.n wywe.IxV cm�.y..neru.rem.w I � ® i J �____ B� t B B i m�.mc.nnnmm.mm m.vwrmnnmm r.m�impeu I I yy 1 j b ow I '• 0 I B B 1 wm..a vn..m..nmi.e h mmr wxmm w wn.w nrnma ��, 1 e Y I 1 � I g•ewe B B II 0 1 O Z.— wmcm..mrm •w wsn wa xcern Hoer i i E W _ i xu�I d B I $ g.nnu yy 1 ] rcr n xe emm n..wam.wr.wcv® emoma m ne mwe n onwn m,m ein eav uw�mm� w r..a.esnrac.m rvn am e..raW em•wre ar uon maws .me.wmur.rmmn eb w,mr or xcwe n..emuery mneme tiw+M mwnm.n mpva B B m er mmm�.m I r-----------� I I 41 1,�mr mc+.=onna,.a I �----J 6 IB I I it i I I su;cm.ncrm miwv..o>tim.emwmme.wavn.ema 1 I y6 B "° I j eb€bb 1 I g e�e�,v m�d.vin mm nrr mn.�m. 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FLPOR STTLNPIN&DETAIL 1 I 4z ,Tu,•a• I � .m. °jp @ 8 I.��ma'...,. w.m m,.w�e.unn..x..a ream y& i I Txmmr Fi; a �� Mj i CONSTRUCTION NOTES ��.mmre,m,mmm.em.m..tm�at°-ae.m.°bm ° nasn..we.vu I I e12 I v uwe umomm®.+v r...a.mmmamme wn.ies L_ _______J I aIT, I 'Te"m°°•°'°' . a.timm.mm�mr.mvrme m°aomema m.mnm..m I I _______________--------------- PIP _____________ I r+.a ..,T4,e r.,,.w...To.e — 5 nmm.mntimwbap.�mme°m..anmm vmm.a v.m�v aenea L ______ ______________ ___'° J Be1�n��mMu�ima s�lre�mq mleeixvumeiwv°vm°1mmror�M mmm e-I I � 1 11 � em„m mv+M++,m narob mr mn M uvm�V.re mW.eeep m F(IP 10=PLAN FI��a pOR PLAN t / mW orrvpe Iwrcvl fr J F arm,n�ev�Dio+iHmertm�n mm° m w c+wv emmq,x mav mm v __ �� mwc veru o vm n w 6mwa mu.m a'mY wm m onm a ^, + �m GEOGRAPHIC&CLIMATE DESIGN CRITERIA 'APPROVEL) by FOUNDATION STAAPPINS DETAIL m. eWe/KT.mID Bi oV�lenGi °EvaE BOARD OF TRUSTEES 'TOWN OF SOUTHOM FOUNDATION & DATE /J��Q� I ��� � �_ p ,� FIRST FLOOR PLAN ® " �� SCALE AS NOTED FEBRUARY 2019 Tess A 101 erTART=, mns aml manemin r+ooF sTIxAPPIN�DETAIL RIDGE 5TRAPPIN6 DETAIL ANCHOR HOLT NAIL JOAN CHAMBERS tr �} } `rV':A ,_e...._t-=3 ...---ems_•-_._-•-T 11 F t +nel.e Reo�xll AUSTIN RESIDENCE mm � w T�vw 915 BUNGALOW LANE MATTfTUCK N.Y 7 2019 \\� SEP Z "'�,.�."'"".• EXISTING. SINGLE FAMILY RESIDENCE / 1l q �m �m SC10 -3-11.1 ZONENE .33 AC R-40,33 ACRES m.m+.�v.wm�..m. m .....a.o,m Sru�r.c'�f n�•:n� �� .�w AS-BUILT, FOUNDATION AS-BUILT,B'1 Y {}{Til?rylr.S�O Q Jr V am emam mm stl.+.� FOUAND FTG AS PER PLANS BL V "^•""'• m Rw MASONRY PATIO&ARBOR ADDED CRAWLSPACE ENTRY ADDED ((ii1 LIVING RM CEILING REMOVED TO CREATE CATH CELL COLLAR TIES ADDED 2ND FL.DORMER ADDED ON NORTH EAST SIDE ' 2ND FL BATHRM ADDED EXISTING ENCLOSED PORCH RENOVATED TO MAKE BREAKFAST AREA.LAUNDRY RM AND MUDRM mm r Wim« KITCHEN RFNOVATED s PROPQSEO. esmw +•mi.ietlwm a+.vi..m -- EXTEND EXIST ROOF OVER SIDE ENTRY REPLACE ALL EXISTING WINDOWS I I A A a A 0 p A A v n p A a a u p A p u rz A a n a A p a II n n p 0 I I n A p u p p p a It na a II O O p p p p O O rom.m..w° m II �A p A n �n a n p I I p p A n p p p p .A a A A &IaB3 l u.. -- ------- d..�.....,m..m..,e .am�� ` .�.... �n A A A A n A I I a A` .•-...2..m I a a A J� v •�+•� ii _ "°' PLUMBING RISER DIAGRAM 2 d �4 v Ia d = E)aISTMG STE}OINpO FLOOR PLAN gMSED SECOND FLOOR PLANY SECOND FLOOR PLANS S' i.i.r MOND SCALE AS NOTED FEBRUARY 2019 ,. _ . � START1 a o z � �� eJOAN CHAMBERS ++ Michael J. Domino, Presider �©Stffot Town'Hall Annex John M. Bredemeyer III, Vice-President 54375 Route 25 Glenn Goldsmith C3 #� z P.O. Box 1179 A.Nicholas KrupskiSouthold,NY 11971 Greg Williams ���C� kph- Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1133h) )2 ,* HI Completed in field by: 0. Gol dsm A CHRISTOPHER AUSTIN requests an Administrative Amendment to Administrative Permit#9534A for the as-built 10'x10'7" pergola on waterside of dwelling. Located: 915 Bungalow Lane, Mattituck. SCTM#: 1000-123-3-11.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 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. I 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: Skgo�"9)A Nv6 L6 41 "1 ✓L 14 I have read & acknowledged the foregoing Trustees comments: Agent/Owner- Present gent/OwnerPresent were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Michael J. Domino,President so yOTown Hall Annex John M. Bredemeyer III,Vice-President O lQ 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES SEP 2 7 2019 L TOWN OF SOUTHOLD $f,Uli1C!ll ii)',7p r Board c,[?ri?rr,,ce __ _._ APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATEo'L OWNER ru d�(��r / �s4PHONE MAILING ADDRESS AGENT PHONE ADDRESS /� PROPERTY LOCATION �Cl�t A,il/ /9J� TAX MAP NO. /d-3 I/We request an Amendment to Permit# � 'vi C'U'r . j© " X /® "7 On C ,(2N,,,\.d-ccs Signed By: 4,saF01,�z� Michael J. Domino, President y��o�� �o�yk Town Hall Annex John M. Bredemeyer, III, Vice-President1 54375 Route 25 Glenn Goldsmith %W ,?A P.O. Box 1179 A Nicholas Krupski y o�,�; Southold, NY 11971 Greg Williams � Telephone (631) 765-1892 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 '/2 constructed When project complete, call for compliance inspection; SURVEY OF THE NORTMtESTERLY HALF OF LOT cl AS SHOWN ON A CERTAIN MAP ENTITLED "MAP OF MARRATOOKA PARK" S '� �T N DATED MAY 1910, REVISED DECEMBER 1913 AND FILED IN THE OFFICE OF �Q9 - `E CLERK OF COUNTY OF SUFFOLK ON MAY 1th 1914 AS MAP No. 19 0 �I TUATF: MATT I TUCK � W E TOM: 5OUTHOLD 0 SUFFOLK COUNTY, NY ;��P y S SURVEYED 10-21-2015 �� UPDATE 08-06-2019 V, SUFFOLK COUNTY TAX # % ca 1000 - 123 - 3 - 11.1 �+ Ai � \ ` CERT H41M TO. p � . c) CH RISTO AUSITM 00 a-HCACO TffM INSURANCE COWANY 0 ' oQ _ -t op AUG 1 3 2019 X00 + �o + y - Soulho.d Totvn + //`0 r of 0 �, �' '�j,y / f� � 0 0� °` / APPROVED BY 0\4 � . / 'BOARD OF TRUSTEES Q10 TOWN fOF SOUTHOLD f / ®ATE s6prawm l8, 2ot f \-Kyr 0 f�QoO NOTES: 4F N��/ ■ MONUMENT FOUND 4 \ � ��w\C.�(-��� © vmtmn:ed aierraeirn«omnwn to a w.ey m p tbartrg a ItceaSed faM xrveyorS 4eat b a Nobuon a 6.ecttaa 9204.sib- 2.a the New York Stedate Edratton I..a.' p PIPE FOUND 4% —o—o—o- P COD -p— '1 aewa-ppry— athe« a!metsMw / dnh4 —X—x—X- CHAIN LINK FENCE �soplaAeiaxsiasertwanm—ted NG a egum STOCKADE FENCE Pro ( L suveyaa sad axtatcatau=tion r„a a,9 � •Q �^! 5020o"a nb eewytia 4— i�oap p ted' FLOOD ZONE ANNOTATED FROM a , �s tatea� +t e F.I.R.M. #36103C0482H ' I Q Nae«e eot traor«atte to odm"ooat reuwttse Area = 13,095 50 FT JOHN C. EHLERS LAND SURVEYO:� Area = 030 ACRES 6 EAST MAIN STREET N.Y.S.LIC.NO.5020z. 6RAPHIG SGALE I 30t RIVERHEAD,N.Y. 11901 REF.C:\Uwm\john\Dropbox\15\15-190.gro 369-8288 Fax 369-8287 eNH 4 Michael J.Domino,President �V S004z' Town Hall Annex John M.Bredemeyer III,Vice-President �Q� Ol0 54375 Route 25 P.O.Box 1179 ' Glenn Goldsmith 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 Permit No.: 9534A Date of Receipt of Application: August 5, 2019 Applicant: Christopher Austin SCTM#: 1000-123-3-11.1 Project Location: 915 Bungalow Lane, Mattituck Date of Resolutionlissuance: September 18, 2019 Date of Expiration: September 18, 2021 Reviewed by: Glenn Goldsmith, Trustee Project Description: Replace wood stoop with bluestone and to add a 5'x5' overhang to front door with a 6"x6" support post in concrete; for the existing 29.9'x12' bluestone patio; 6'x9' bluestone landing and 5'x6' bluestone landing; and to install a 12' section of 3.5' picket fence with 3' gate on west side of house and a 8' section of 3.5' picket fence on the east side of house. 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 project plan prepared by Christopher Austin, received on August 13, 2019 and stamped approved on September 18, 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, Presid 7 O�QS�FFf1��-ea Town Hall Annex John M. Bredemeyer III, Vice-Presiaent �� �J, 54375 Route 25 Glenn Goldsmith coP.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(63 1)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 9/5/m 7:06 Completed in field by: G, G„)j S,,; CHRISTOPHER AUSTIN requests an Administrative Permit to replace wood stoop with bluestone and to add a 5'x5' overhang to front door with a 6"x6" support post in concrete; for the existing 29.9'x12' bluestone patio; 6'x9' bluestone landing and 5'x6' bluestone landing; and to install a 12' section of 3.5' picket fence with 3' gate on west side of house and a 8' section of 3.5' picket fence on the east side of house. Located: 915 Bungalow Lane, Mattituck. SCTM#: 1000-123-3-11.1 CH-275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 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 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: S��0.;c��,'i 4otwaT� r,�c,o� add ;�►Ong. I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other pup, 1 �® �►\� CY i -- �•{� � - �, .:J +n 4 � t , � o-� 1 .�.. z; ➢� _- .� _ _ - 3 .�1....-_ � � _. � �� o��it �. � _ .. w � rr "�i:'�-r _}... _ � �-.�,,,.r,_ -- - i �� � �� � r � ���� ,. �-Al __. - t' SEE SEL NO 115 — SEE SEC NO 115 e SEE SEC.NO 115 NArcn urvc MATCH seE SEc rvo.its ry]mem rv>sa un"' MATCH ————-- — �_ _____ LINE K —— 7 qa, FOR GCC NO SEE SEC NO ?y 2 s.osaaa 1 t0 2B Az.tlm(c) \' 1.ONd 1AAlc) tt tM 0 FOR PLL NO SEE SEL NO A ? 9 t5 s \ O �. .✓1 t\ t.51 , fa.. � 4 122U5-OW i n ``KK s n $ t6 TOwN OF A 5 t y -s t0• X50'1 t1 ♦ SOUTHOW 21 B ]O.oA 22 O .p?N 5 Sj.p oto t1 t t9 nai. nn J�. \EK +s.9A '@' CENSER ,o p t9 a p'tT2 p zer _: �� • a� 23p. c ]5 r t1�d Zn� � y2 Y 4 1.5 ZB 3p ?t . ♦�J J yo 05 t0 2At ate�e,�p•p• `.P/ 1 47 l Se S3 /N— e y 1� l � y✓A l` •// t1FL° y9F{ 8 // z as 1.0 2 P.0 ./ p • L 1T /� t16 t3 tx5 1 51 a tm p 17. Ott 1.J � 200 PECpNIG gPY o/ k �$ R NO �.._�.,.. _ .....�... MGOUNTYOFSUFFOLK © E °` 1Ho1n crxx+ �. E ,�,_ - ......�.... t211 Qz "' —�-- """ --^ - —�. _ roperty Tax Service Agency v � w � Uunry GM�r HwMeYNVttf01 M a 123 xxn rFA/ E or n.E x. Real Et. loce OPERiY M/.f c e OFFICE LOCATION: ®��ISO U�yO� MAILING ADDRESS: Town Hall Annex '` ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) va Southold, NY 11971 ® �O� Telephone: 631765-1938 couffm LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: September 16, 2019 Re: LWRP Coastal Consistency Review for CHRISTOPHER AUSTIN SCTM# 1000-123-3-11.1 CHRISTOPHER AUSTIN requests an Administrative Permit to replace wood stoop with bluestone and to add a 6x5' overhang to front door with a TxT support post in concrete; for the existing 29.9'x12' bluestone patio; 6'x9' bluestone landing and 5'x6' bluestone landing; and to install a 12' section of 3.5,' picket fence with 3' gate on west side of house and a 8' section of 3.5' picket fence on the east side of house. Located: 915 Bungalow Lane, Mattituck. SCTM#: 1000-123-3-11.1 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, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore 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 i i . S�FFG `e ��o�o 'o�y Town Hall Annex Michael J. Domin.,, ,: resident John M- Bredemeyer, Ill, Vice-President o 54375 Route 25 Glenn Goldsmith N Y P.O_ Box 1179 A Nicholas Krupski y Southold, NY 11971 Greg Williams ��I ,� ,�a� Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES • I� �^rte E*'�/�/ r TO: SOUTHO pO O RE: VER OF BUILDING DEPARTMENT PERMIT�REQUI M1EM919 d A-cc5717Al Property Owner Name-. 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: ai nature o R v wer Date ®� SOS` Town Hall Annex Michael J.Domino,President' z John M.Bredemeyer III,Vice-President 54375 Route 25 szz P.O.Box 1179 Glenn Goldsmith cr9 _ Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams �,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only :019 22 Coastal Erosion Permit Application D E l4 ? E Wetland Permit Application =Administrative Permit Amendment/Transfer/Extensiop���,�� AReceived Application:_ �f%Received Fee: $. 10®.00.Completed Application: es Incomplete:, SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): ���•�"1 -LWRP Consistency Assessment Form Sent:_ AC Referral Sent: Date of Inspection: • 1.1 Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: . Owner(s)Legal Name of Property(as shown on Deed): CA1C"-,V0 Q� Mailing Address: Phone Number: L/ Suffolk County Tax—Map Number: 1000 - 1.23 — 3- P 11- Property 1-Property Location: X11 S ��+�C�-� D� l-�''''`— -ye,�� AJY 1191-2- (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: Phone Number:- Board of Trustees Appli tion GENERAL DATA Land Area(in square feet): Area Zoning: ® LIZ) - Previous use of property: «C Intended use of property:" Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes X 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. Will this 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: Agency Date �� ' C UA&� 'k Da-- ;�a9 f `7/11166 r3 e:9 L13 7-7d' No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?—X–No Yes t If yes,provide explanation: ' S• xG Project Description(use attachments if necessary): /2 �-t C S.0 Q vc.A, Is A-10 Board of Trustees Appli tion WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: Area of wetlands on lot:_ _ _ square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 3d feet Closest distance between nearest proposed structure and upland edge of wetlands: 3 O feet Does the project involve excavation or filling? No �✓ Yes If yes,how much material will be excavated?. • 2 cubic yards How much material will be filled?_ oa 0�j°/i®k cubic yards Depth of which material will be removed or deposited: 2 ° feet Proposed:slope throughout the area of operations: —A Manner in which material will be removed or deposited:' e u� —��'��iw.a..5�.� S�G•r-Pa 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): 617.20 Appendix B Short Environmental Assessment Form instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part l 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 I -Project and Sponsor Information Name of Action or Project: C�%6&6 1� AV Project Location(describe,and attach a location map): Brief Description of Proposed Action: Name of Applicant or Sponsor: Telephone: bv(i "SA--k^ E-Mail: Address: - P City/PO: 1 1 State: / Zip Code:l (.A..�C�\ Nom/ 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES 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 If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? 30 acres b.Total acreage to be physically disturbed? " _7 -acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? A,/& _ _ acres 4. Check all land uses that occur on,adjoining and near the proposed action..�,� E]Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial U Residential(suburban) ❑Forest ❑Agriculture F-1 Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES' landscape? rkl ❑ LJCJ 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: ImY _F 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? ® F] _ 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:, - r w ❑ 11.Will the proposed action connect to existing wastewater utilities? 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? b.Is the proposed action located in an archeological sensitive area? (® - 4YES V I I a.Does any portion of the site of the proposed action;or lands adjoining the proposedaction,contain NO 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: ❑Shoreline El Forest ❑Agricultural/grasslands ❑Early mid-successional &r W etland ❑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? 9 ❑ 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 1f Yes, ❑YES ❑ a.Will storm water discharges flow to adjacent properties? ❑NO b.Will-storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO DYES 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 waste management facility? If Yes,describe: _ __ n 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: _ n I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE ^ ` Appl icant/sponsoame:. G�n� (? �� 1` Date: 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 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? ❑ - 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ a 3. Will the proposed action impair the character or quality of the existing community? F] ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the F]establishment of a Critical Environmental Area(CEA)? El 5. Will the proposed action result in an adverse change in the existing level of traffic or El F]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 ❑ Q reasonably available energy conservation or renewable energy opportunities? , - 7. Will the proposed action impact existing: ❑ a.public/private water supplies? El b.public/private wastewater treatment utilities? El ❑J 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? El 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, D waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 i - - 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? F—I F• 11. Will the proposed action create a hazard to environmental resources or human health? 1-1 El 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. Check 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 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 of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 i Board of Trustees Apply '.tion AFFIDAVIT nN1 �✓ 1l1 %1 BEING DULY SWORN DEPOSES ANDA FIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT,AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY.COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. XPropert er Signature of Property Owner SWORN TO BEFORE ME THIS -DAY OF_, ,-20 9 F Notary Public f DIANE,DISALVO j NOTARY PUBLIC-STATE OF NEW YORK t No. DI D1475593 Qualified In Suffolk County My Commission Expires April 30, 20 1 I APPLICANT/AOENT/REPRE'SENTATIVE TRANSACTIONAL DISCLOSiJRE FORM The'Totvn of Southbld's Code of Ethics prohibits conflicts of interest on'the yart'oftowa officers and emnlovees.The nirroose of this form is to provide information whieh'can alert the town of passible conflicts ofmtemA and allow it-to take whatever action is necessary to avoid same. ni !YOURNAME: a��Q/ &nWitial, (Last name,first ame,suidd unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building _ Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.)- Do you personally(or,through your'dompany,`spbuse,sibling,parent„or child)f►ave•a relationship with anyofficer or,cniployee of the Toy§'n;bf,:Sauthold? "Relationship"includes by blood,marriage,or busincs's interest."Business intcrcW"means,a business, including a partnership,in which the town officeror Employee has even a_ partial_'ownership-of(or employment by)a-corporation in which the town ofrice:r or employee owns niorG_than,5-%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicanVagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. I 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 50%of the shares of the corporate stock ofUte applit,nt (when the applicant is a comoration); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicani:is not a corporation); C)an officer¢director,partner;or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thi day o �� Signature Print N e - Form TS l p Town of Southold i 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. I 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 proposed action will be evaluated as to its si mficicant beneficial and adverse effects upon the coastal area(which 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 facts. 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. r . B. DESCRIPTION OF SITE AND /PROPOSED ACTION PROJECT NAME The Application!has been submitted to (check appropriate response): Town Board El Planning Board❑ Building Dept. ❑ Board of Trustees 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 f action: /1 f Location of action: (1,� �Uc, � - �v e/2� Site acreage: e Present land use: ae"3 1A" Present zoning classification: V 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: s X151`0 (b) Mailing address: (c) Telephone number: Area Code ( )f 1 L16 (d) Application number, if any: /y 1�-- Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No IT 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. DEVELOPED 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 LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No dNot Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No VNot Applicable 7 1 r 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 Z�Not 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 Pag 8 through 16 for evaluation criteria ElYes ❑ No 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 thrffNot ugh 21 for evaluation criteria Yes ❑ No 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. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ E/ Yes No N' Lpplicable 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 ❑ 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 ❑ No Z 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. ❑ YeO No ITNot Applicable Attach additional sheets if necessary f WORKING COAST POL__IES 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 ❑ No dNot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Tow;71N ers. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ot 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 foreva ation criteria. El Yes El No: 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 ❑ No YNot Applicable PREPARED BY C_�%Q:sk4Lc, �v5�1n TITLE ®c,,-n e,4— DATE If S' 1