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TR-9587
Glenn Goldsmith, President *QF STown Hall Annex y� Michael J. Domino,Vice-President 54375 Route 25�� l0 P.O. Box 11 John M. Bredemeyer III Southold,New York 11971 A. Nicholas Krupski N G Telephone (631) 765-1892 Greg Williams �� Fax(631) 765-6641 HOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1716C Date: June 22, 2020 THIS CERTIFIES that the construction of a 12'x22' one-car garage with a 7.5' long by 6' wide breezeway between the proposed garage and existing dwelling; At 415 Lakeside Drive, Southold Suffolk County Tax Map#1000-90-3-13 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 3, 2019 pursuant to which Trustees Wetland Permit 49587 Dated November 13, 2019,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for construction of a 12'x22' one-car garage with a 7.5' long by 6' wide breezeway between the proposed garage and existing dwelling_ The certificate is issued to Michael McCarrick Real Estate, Inc. owner of the aforesaid property. 'e4 &5' Authorized Signature Glenn Goldsmith, President �QF SQ(/Ty Town Hall Annex Michael J. Domino,Vice-President ,`O ��� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III t `v Southold, New York 11971 A. Nicholas Krupski G Telephone (631) 765-1892 Greg Williams 122 ^aY� Fax(631) 765-6641 UNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: INSPECTED BY:� 6000'�Ch..275 Ch. 111 INSPECTION SCHEDULE Pre-construction; haybale line/silt-boom/silt curtain 1St day of construction % constructed complete,lete liance inspection 1 P com P P COM�Ts: CERTIFICATE OF COMPLIANCE: Michael J_ Domino, President c o��S �ooy` Town Hall Annex John M. Bredemeyer, III, Vice-President I-_ . 54375 Route 25 If Glenn Goldsmith N z � P_O. Box 1179 A Nicholas Krupski y ,�:' Southold, NY 11971 Greg,Williams , ���c% 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 '/z constructed Whenjroect complete, call for compliance inspection; p y=„ .. �'`.-"t�8t�lfrjo,• •: �e' -'� '�, ..��,4'•f'k' o. `' .ij'f'�'1 •D'!'''.-y°' t' '4q�� ✓r � r. i \,(:'�, C ,,at..; "' �(J:`;. ✓ .:'"�:..'� ,�^��. :�•.• :,:. -��'.1� •;n:.;,�,_y:,>w '��:.�i:. �.;. ,,;� •;%;`1 �.',,q?.,„Y .. - rii�i s r MS.Y.ShnPG7 +E'xS�a7'.miN7xrErL[7TA1.,:iS 'cmXL+SCCmmA/.'t:N''-----,�'nGtm 'X4an,'gi+�''? 7. iy�`TM•vRb' TL6i S.X4CSTix$:L^�M%.;°+J+.RC1.Q'':N9NR�'. l}R'!�i.52+"'ME''}Tw2 Cry3S?� �./ s BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK ' PERMIT NO. 9587 DATE: NOVEMBER 13,2019 ISSUED TO: MICHAEL McCARRICK REAL ESTATE,INC. PROPERTY ADDRESS: 415 LAKESIDE DRIVE,SOUTHOLD SCTM# 1000-90-3-13 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 November 13. 2019, h and in consideration of application fee in the sum of$250.00 paid by Michael McCarrick Real Estate, Inc. and ' subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees t authorizes and permits the following: Wetland Permit to construct a 12'x22' one-car garage with a 7.5' long by 6' wide a< breezeway between the proposed garage and existing dwelling; and as depicted on the site plan prepared by Robert James Higgins Architect, dated February 4, 2019, and stamped approved on November 13, 2019. y Ya C Y� fi 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 13th day of November,2019. -, John M. Bredemeyer, III Absent co oo i e Ft I i ,jr�.�7,,;d4�uukstiwW.atia�-itG;�7a;,.u.Js�1X�Ja?F]�kYk'a1W..`Ye.41Xr1'aSdUu3'751ffhzhSni.e+:�.wales'+`.ia”amt[uYb'#ia35ar/Rd?d�:?J.�'uix'iY. 76iW1:3exGiJ[t�y.Y+'v.'.�`.7Y+nwXd•57vti<J.at.�r�l{ r.G21i •i� %. •'�t�' Y _ ,.='�- ~'•las+83ryY r' � u "'eSt��P 'Y' w...,�r.._/ ��'' amP `� war •.e `` '�..' "'' i.. y•n ,.,A�.r._..°:+,yt:i-. ,tq+�1�` a. - may{✓¢ a��«-"`�._.`^�'-'; J =�� c r• +,L� A>�"^--��+C�4'�-" .,�a� ;y+�'�,'�i•' TERMS AND CONDITIONS The Permittee Michael McCarrick Real Estate, Inc.,residing at 415 Lakeside Drive, Southold,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. 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 fora 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. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. 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. 10. 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. Michael J.Domino,President QF SOUrTown Hall Annex John M.Bredemeyer III,Vice-President ,`O� ��� 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 coUNT`I BOARD OF TOWN`TRUSTEIES TOWN OF SOUTHOLD November 19, 2019 Michael A. Kimack P.O. Box 1047 Southold, NY 11971 RE: MICHAEL McCARRICK REAL ESTATE, INC. 415 LAKESIDE DRIVE, SOUTHOLD SCTM# 1000-90-3-13 Dear Mr. Kimack: The Board of Town Trustees took the following action during its Regular meeting held on Wednesday, November 13, 2019 regarding the above matter: WHEREAS, Michael Kimack on behalf of MICHAEL McCARRICK REAL ESTATE, INC. 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 September 3, 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 application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 13, 2019, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVE the application of MICHAEL McCARRICK REAL ESTATE, INC. to construct a 12'x22' one-car garage with a 7.5' long by 6' wide breezeway between the proposed garage and existing dwelling; and as depicted on the site plan prepared by Robert James Higgins Architect, dated February 4, 2019, and stamped approved on November 13, 2019. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must 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 Very truly yours, Michael J. Domino President, Board of Trustees MJD/dd I f,r�SUffO(kC� _r Michael J. Domino, President �o� C°yam, Town Hall Annex John M. Bredemeyer, III, Vice-President o 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A Nicholas Krupski 4,e Southold, NY 11971 Greg Williams Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: MICHAEL McCARRICK REAL ESTATE, INC. c/o MICHAEL KIMACK Please be advised that your application dated September 3, 2019 has been reviewed by this Board at the regular meeting of November 13, 2019 and your application has been approved pending the completion of the following items checked off below. Pre-Construction Hay Bale Line Inspection Fee ($50.00) — (Silt boom) 1St Day of Construction ($50.00) '/z 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) 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. I 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 1 BY: , Michael J. Domino, President Board of Trustees -- - - APPROVED BY BOARD OF 1 RUSTEES TOWN OF SOUTHOLD R �I DATE NOVE-010 ',2 131 20(q _ SEP 1 0 2019 IRC BRACED WALL PANEL 12 PER PLAN BRACED WALL LINE 1-1 1.2 1-A 1-8 N I I TABLE R602.10.4 page 185 BRACING METHOD CS-WSP CS-WSP CS-WSP CS-PF BRACE WALL LINE SPACING(FT) 4 4 14 14 — — — — — — — — — — — CS-WSP CS-WSP T TABLE R602.10.5 page 187 MINIMUM PANEL LENGTH(inches) 24' 24' 24" 18• TABLE R602.10.3(1)Page 180 REQUIRED BRACING LENGTH(FT) 2.5 2.5 4 4 ; i I u I A CL TABLE R602.10.3(2)Page 181 WIND ADJUSMENT FACTORS _ ___' 13 \ 2h� o /• y Q U \odic I 1.EXPOSURE CATEGORY 1 1 i 1 KITCHEN 2.ROOF EAVE TO RIDGE HEIGHT 1 t 1 1 O O BWL 1-A r 3.WALL HEIGHT .95 .95 .95 .95 O O b, I GARADWELGE NGGARAGE ---- O I SEPARATION IN LIVING ROOM ACCORDANCE WITH 4.NUMBER OF BWL PER DIRECTION 1 1 1 1 I IRC TABLE R302.6 S.ADDITIONAL HOLDOWNS SEE DWG-1 FOR TABLE Q 2.2x10 6.GYPSUM BOARD OMITTED - - '- -�c- -"" m_. Q W 7.GYPSUM BOARD FASTENING _____-- a0 W RESULT REQUIRED BRACED WALL LENGTH(FT) 2.4 2.4 4 4 - ----- ;- 2x8 RIDGE ill I a \ 7 TABLE R602.10.5 page 187 ADJUSTED Length 1.5 x actual(ft) 4.5 ______- 4' In `tj - 2x 8 16'oc /y L PER PLAN BRACING LENGTH PROVIDED(FT) 8 8 8 4.5 _ V U w 2X8 CEILING JOISTS 2 "oc -_ - - - /•-_- x4 COLLAR TIES 48"oc n V ANCE YES/NO Y Y Y Y 0 -------- --- 2-2 ❑ --_-__ 210 — -- COMPLII 0 O g 0 REQUIRED BRACING LENGTH XADJUSTMENT FACTORS=REQUIRED BRACING LENGTH(FEET) U `Q, BWL ABBREVIATIONS; BWL=BRACED WALL LINE, 4 i �\/ \'� ' I W ~ BW=BRACED WALL, °i N § i j, y\ I 1B W W CS-WSP=CONTINUOUSLY SHEATHED WOOD STRa a UCTURAL PANEL _______ BEDROOM#4 z =� O CS-PF=CONTINUOUSLY SHEATHED PORTAL FRAME CONSTRUCTION ^ 13 / NI OJ (n BRACING METHOD BRACED WALL NOTES: U 3 4 N U e CS-WSP CONTINUOUS SHEATHING REFER TO DETAILS ON DWG-1 I 2-2x12 I WOOD STRUCTURAL PANEL FOR HOLDOWNS,STRAPPING,BRACED DETAIL SEE ON DWG-1 WALL DIAGRAMS,FOR NAILING SCHEDULE, ALL BRACED WALL PANELS SHALL BE \ •_CS PF— — — — 9_0' x T-0'HIGH —CS PF y Q SECTIONS OF WALL WITH CS-PF CONTINUOUS SHEATHING NOLVERTICAL OR HORIZONTAL OFFSETS. "' m o .e P PORTAL FRAME SEE DETAIL ON DWG-1 8 m m c a TYPICAL ROOF CONSTRUCTION 23'a =st€�� 6 R905.1.2 ICE BARRIERS; �L i2 m a SELF-ADHERED POLYMER MODIFIED Class AAsphalt Roof Shingles w/ m t c m c m 12 BITUMEN SHEET USED IN PLACE OF 40'-0" EXISTING HOUSE r-6" 12'-0" go; 8$ NORMAL UNDERLAYMENTAND fasteners per manufacturer's specification 8mm>T €a=s a EXTEND FROM THE LOWEST EDGES OF and IRC 2015. ALL ROOF SURFACES TOAPOINT NOT Ice&Water barrier as per IRC section R905.1.2 1ST FLOOR PLAN LESS THAN 24 INCHES INSIDE THE CONTINUOUS RIDG NT EXTERIOR WALL LINE OF THE BUILDING. Framing AS per plans with 1/2"exterior grade ON ROOFS WITH SLOPE EQUAL OR GREATER an rated ted structural plywood Sheathing, 11 RIDGE BOARD THAN 8/12,THE ICE BARRIER SHALL ALSO BE p p eag' SCALE: �L� /� �O APPLIED NOT LESS THAN 36'MEASURED ALONG Nail to framing in accordance Fastener THE ROOF SLOPE FROM THE EAVE EDGE OF THE Schedules&Strapping per detail sheet(s). BUILDING Flashing per IRC R905.2.8 12 7'-6" 12'-0" 12 TYPICAL SOFFIT CONSTRUCTION. a 12 12"overhangs-typical 112 2x4 CT 8"o 6"Wood fascia&6"Wood rake boards. Trim in aluminum or use"azek"or equal a p ° a o ° 4 Metal drip edge per IRC R905.2.8.5 -------------- ------- - - - - - - - - o v-------------------------- IRC TABLE R802.5.1(9) , ,__ _ , e RAFTER HEEL CONNECTION 6-1D COMMON NAILS Fully Vented Vinyl Soffits ; ; ------ EACH ---EACH RAFTER EACH SIDE ' i Top of Plate TYPICAL EXTERIOR WALL 2 x 4 Doug-Fir Wood Studs @ 16"oc. D Impson H2A @ Each Double top Plate and Single Sole Plate. o UNFIN.BASEMENT ; settedet stud connection 1/2"exterior Grade-Span Rated co =„ Lu see detail on DWG-1 P , Typ all rafters both sides Continuous Structural OSD Sheathing. o ; ; N ; Ix �, ° •- w UNEXCAVATED 0 o Fastened per Fastener schedule. ; ; N t TYPICAL GARAGE SLAB ° o tyvec House Wrap or equal. ; 4" CAST-IN-PLACE SLAB Z Vinyl or Wood Siding as per clients selection 41 ; N PITCH SLAB-1/4"FT TOco 1 CAR GARAGE installed per manuf specs and IRC code. GARAGE DOORS ; ? o IJU Cont.load path strapping installed in accordance _ I I with drawings.Provide Fire Blocking in accordance Top of Foundation ' ' \ ' with IRC R302.11 &R302.11.1 and ; co ' OP TOP OF CONCRETE I I Q CO PITCH TO DOORS ----------- ' -------- -------- ---- I ch AS N LWL O7 i Draftstopping per R302.12&R302.12.1 ____--- --o=====________________ ------- -- ------------__ __________________�________________-- ------------�--- I I i ; ' AS REQUIRED FOR , '" ' ' ' SWI DOOR,SEE PLAN ° __------ _' FOR SIZE TYPICAL FOUNDATION CONSTRUCTION I Refer to Foundation Plan _-- -___ Bottom of Footing to be 36 below Grade Minimum A SECTION A ROOF,WALL AND FOUNDATION STRAPPING DETAILS ------ N 1 ; ° I I I ---�.• 1 1 I 1 REFER TODWG I I ________ DROP TOP OF CONCRETE SCALE: 1/4" • l'-O" I AS REQUIRED FOR ° •_--__ -------- ; ; GARAGE DOOR,SEE PLAN o ' I ; FOR GARAGE DOOR SIZE fV I I I I UP TYPICAL FOUNDATION - i_ t r7 w H � V IN ACCORDANCE WITH IRC CHAPTER 4 (V (2)ANCHOR BOLTS F"1 H cr I N EACH CS-PORTAL l� y TABLE R404.1.2(8): •--_______________________________----------------I------------------------i------------------------------------------------• FRAME wALLAeovE � a > r•� @� 8"CAST-IN-PLACE WALL SECTION-SEE W .d M 0 ON 16"x 8"CAST-IN-PLACE CONT WALL FOOTING, DETAIL 3 ON PG 2 2 x 4 ACQ SILL PLATE,COPPER TERMITE Q Fs1 N V SHIELD,ALL FOUNDATION FOOTINGS TO EXTEND - TO VIRGIN SOIL AND BE FULL HEIGHT ;b.- - - - - - - - - - ----- TYPICAL - -TYPICAL ANCHOR BOLT -IRC R403.1.6 '-5" 9'-2" '-5" O ED RC MAXIMUM SPACING: 112"@ 72"O.C. 40'-0" EXISTING HOUSE 7'-6" 12'-0" 5� tier EMBEDMENT OF 7"WITH NUT&WASHER. 2 BOLTS PER PLATE AND HOLD AT LEAST2 ONE BOLT-12"MAX AND 3-1/2"MIN OFF FOUNDATION WALL KEY FOUNDATION PLAN ENDS OF PLATES. I O EXISTING WALLS SCALE: 1/4" = 11-0" srq, 1QU•� yo �_'r_I NEW WALLS �0 N L3 l SEP 1 0 2019 South. _Town Boar of Trustee _O H f® � 12 12 Q � 12 W 12 F7 — Ur W } z Q0O To of Plate U W Y O � � 4 8� �E To f Foundation g g n r c '2a cH m� FINISHED GRADE g ° Lill i lit 83 M gr; I I I I I I I 11 ='HJa gg�� s Bot of rofingREAR ELEVATION1 I I °.�b r6sn w 1 I L J L JcQ aa I SCALE: 1/4 — 1 -01 W O � N 0 tt Z QO Q W Lij co LU 12 12 U- ai 12 12 � � 12 12 � � 12 �-� 12 Top of PI to x ® ® cl � io - DDDR ����� ~ � w baM0 Top qf_Equng tion on O � '] I I I I I I I I I FRONT ELEVATION 1 lU � _ _ _ _ _ _ _ _ _ _ _ _ '] BotofF "cCy' = F000tingof L J L J I 1 LJ LJ SCALE: 1/4" = 1'-0" I 11 QQ -� RIGHT ELEVATION ss^below I I i — — j' • 3 Grade Minimum oQ� SCALE: 1/4" = 1'-0" Tqr �� � ., FOF NE`N 4 r S.C.T.M. NO. DISTRICT: 1000 SECTION: 90 BLOCK: 3 LOT(S): 13 ; FFSEF ;� ;� E P EIE#R10-14-0035 S 85°29'52°E 71.17' - 3 2019 G s63o?3;fell Fd MON. ! ir Southold Town -90 �L nDALwETIAN r Trustees i SUFFOLK ENVIRONMENTAL CONSULTING INC., JULY 17, 2012 N0141' o q'0,ST 4 T Sy0 6 104;Uig NL'£ 00 � fro' o \ \ o, EL 7.8 61 8.3 �(0 \ P/0 LOT 59EL ZO PROPOSED 1 2 p� :. BREEgtYAY 43� 0O �0 �S , :' ? •. 8.0 LOT 60 `4 .H EL 8.3 COVEREDEL 6.5 —� ——_ LOT 61 P4 eH E POINT'B?01 otiti�� SANITARY LOCATION 0� i Lp Lp POINT A POINT B EL 8.4 LPy1 S.T. 22.5' 25' ,d BLP LP -� L P. 1 40' 30.5' TRAFFIC BEARING�� SANITARYsrsTEM EXP#1 49' 25.5' 60.721 EXP#2 54.5' 25.5' 5 7.7 S 7903p00"W 351. .' MON. CL 6.0 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL Exlsnrlc DIRT/STONE ROADWAY To BE IMPROVED WITH LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS ADDITIONAL BLUE STONE AND OR DATA OBTAINED FROM OTHERS AREA: 16,647.19 SQ.FT. or 0.38 ACRES ELEVAnON DATUM: NAVD88 DRAINAGE CALCULATIONS: UNAUTHORIZED ALTERA77ON OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC7I0N 7209 OF THE NEW YORK STATE EDUCA770M LAW. COPIES OF THIS SURVEY j MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM 77-IE SURVEY/S PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU770N LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS7I7U710N, GUARANTEES ARE NOT TRANSFERABLE A) DWELLING=984 SQ.FT. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES 70 THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE I 984 x 0.166=163.34 < 164cf REQUIRED NOT INTENDED 70 MONUMENT THE PROPERTY LINES OR TO GUIDE 7HE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS (1) 8'DIA X 4' DEEP DRYWELL=177cf PROVIDED AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF: LOT 60 & P/0 LOT 59 CERTIFIED TO: MCCARRICK REAL ESTATE INC.; B) PROPOSED GARAGE/BREEZEWAY=309 SQ.FT. MAP OF. CEDAR BEACH PARK FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC; 309 x 0.166=51.3 < 52cf REQUIRED (1) 8'DIA x 2' DEEP DRYWELL=88cf PROVIDED FILED: DECEMBER 20, 1927 No.90 C) GRAVEL DRIVEWAY: 940 S.F. SITUATED AT: BAYVIEW 940 x 0.166=156cf x(COMPACTED GRAVEL 0.7) = 109 C.F. TowN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC REVISED 07-09-19 TOTAL 197 C.F. SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design 1 REVISED 03-13-19 P.O. Bos 153 Aquebogue, 1 8'DIA x 5'DEEP DRYWELL= 221 C..F. PROVIDED � New York 11931 1 FINAL SURVEY 02-26-19 FILE # 18-37 SCALE: 1"=30' DATE:APRIL 20, 2018 PHONE (831)298-1588 FAX (631) 298-1588 REVISED 09-25-18 N.Y.S LISC.,NO. 050882 maintaining the records of Robert J.Henaeeey&Kenneth Y. Wayahak Michael J. Domino, Presi�� suFFoc�-�© Town Hall Annex John M. Bredemeyer III,Vice-President °y 4 yam' 54375 Route 25 Glenn Goldsmith o P.O.Box 1179 w � A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams ?%1 p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES l TOWN OF SOUTHOLD Date/Time: Completed in field by: N Michael Kimack on behalf of MICHAEL McCARRICK REAL ESTATE, INC. requests a Wetland Permit to construct a 12'x22' one-car garage with a 7.5' long by 6' wide breezeway between the proposed garage and existing dwelling. Located: 415 Lakeside Drive, Southold. SCTM# 1000-90-3- 13 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 Noticerearing Card Posted: Y / N Ch. 275 Ch. 111 SE,QRA 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: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J redemeyer . Domino / G. Goldsmith N.Krupski G. Williams Other �'I y ',I SY• I Ir FJyi f ` %•�•. Awa lAr '•'�,..� K_ i ..;� � �; 111 •1 � •! .; +� � •. � ,� ��` I �• F.. •.,Ia. ' � "��+!=- � ,,dam 'r- ' '.,,� • .. \ fel, mai. _ �.. ._ �.^- J� :•!� � _ nr '' SOMTH RV '.z...- -•. �". � �^mss,� _ ;� vow r . .. .. 2: ter•/ II i- � � ,•h :.. r .VS ,`'�'��' � .�. � .�:, " 1�� NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 J SUNY n,Stony Brook,50 Circle Road,Stony Brook,NY 11790 P (631)444-03651 F-(631)444-0360 :v:w.dec nygov TIDAL WETLANDS PERMIT,MODIFICATION r January 9, 2019 Michael McCarrick Real Estate, Inc. Re: Permit ID 1-4738-04338/00001 P.O. Box 5589 Michael McCarrick Real Estate, Inc. Rocky Point, NY 11778 415 Lakeside Drive Southold SCTM # 1000-90-3-13 New Expiration Date: 1/11/2021 Dear Permittee: Your recent request to modify and extend the above permit has been reviewed pursuant to 6 NYCRR Part 621 (Uniform Procedures Regulations). It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or existing permit conditions. Therefore, the permit is extended to 1/11/2021 and modified to authorize: Construction of a 1-story garage and covered porch, and reconfiguration of the pervious driveway, drywells and water service. All work shall be performed in accordance with the plans prepared by Kenneth M. Woychuk Land Surveying, PLLC last revised on 9/25/18, and stamped "NYSDEC APPROVED" on 1/9/19. This letter is a modification to the original permit, and as such, shall be available at the job,site whenever authorized work is in progress. All other terms and conditions remain as written in the permit. Sinc e , n nd eputy Per it Administrator MRP Enclosure cc: Michael A. Kimack _ Marine Habitat Protection File OCT 2 4 2019 i EwYORK Departmentof S'.,.`L•,! n;;,t orroarumn Environmental Boud,rl1 T;i;;ipnS Conservation Michael J. Domino, PresiiM �Q �'o t Town Hall Annex John M. Bredemeyer III,Vice-kresi'dent 4��O Gym 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams A p! Telephone(631)765-1892 ��� �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD - Date/Time: 1� �2` 2_0 '~ Completed in field by: i' Michael Kimack on behalf of MICHAEL McCARRICK REAL ESTATE, INC. requests a Wetland Permit to construct a 12'x22' one-car garage with a 7.5' long by 6' wide breezeway between the proposed garage and existing dwelling. Located: 415 Lakeside Drive, Southold. SCTM# 1000-90-3- 13 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. 275 111 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: Bredemeyer 1_ M., Domino Goldsmith ' oG ldsmith N. Krupski G. Williams Other S 8S°211 E 71-17' S630? 414'1-�b GFlb MON. -912,12, TIDALWETLANDS BOUNDARY As FAGGED By SUFFOLK ENVIRONMENTAL CONSULTING INC., JULY 17. 2012 lollf ss &&, lit 4F EL 7.8 p T 59 61 Q. �o Lu co t EL(8.5) LOT 60 PROPOSED 1-1 EL 7.0 Y ... ..... .......... . .. ZZ po4 ... .... 0 (9.0) EL(8.0) PORM ... 41xfi' EL(9.0 LOT 61 m EGRESS %7NOO EL(9.0) Lp 1EL 8.4 t LpLP EXP TRAFFIC SEARING SANITARY;SYSTEM LP Lp 60-72' S. 7.7 w 365, S79°30'00 )r 10-77o MON. 'PAN (so') D ESIDE CL .0 EXISTING DIRT/STONE ROADWAY To BE IMPROVED WITH ADDITIONAL BLUE STONE. ELEVATION DA77JM.- NAVD88 VE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY DRAINAGE CALCULATIONS: VALID OPr... GUARANTEES INDICATED HEREON SHALL RUN \ 1 r 08 . 30 . 2 1 �+ � I - r J 'n f wf I I ' Www' F F :.fir .- -.,../ I Y - .-• . 14 40 08 (3)McCarrick R.E.Inc �'•— Taken Aug.30,2019 Looking South xt, MW 011 k lr t.f (4)Mccarrick R.E.,Inc a Taken Aug.30,2019 Looking North a MEW TOMeI� w ef)1111KaD 11 a 4 CEDAR POINT s z E W � ,1i, N M s V M — e., ,y Ilw nt p a m a e M / TOM OF, ________ _____ 0., CEDAR OO _ POINT IIA , a TOWNf)F 50DTtOlD n� T n 2.0A(e) • a _ ev a F' WESTs M M 21 0 QFI. B n c` LAKE W n�•rq Tq() --- \ � ,y iOWR OF ;' � � � to a M 1 � SOU11K%D te.,' 111 i ` •i n �m i (sel ,T RD .11�, taA(u O 1 1 25 ,Y DR / n ,TA(U Ig ,> 1e 10 20 M 20 2, 22 0.n y itvQu p b b 6 At ' � � d 9 � ` e � n �•. � ne M n•V M 1� M HOG - - «`...�— NECK BAY 6 NOTICE COUNTY OF SUFFOLK © E ® 1PYni0F SWTMOLD SECTON NO (2,( 0 --�-- --N—_ -- Real eP,ropertyTax Service,Agency y 090 ,. R MA-- ---- arm -- — Ep eo 1000 PROPERTY MAP e OFFICE LOCATION: � SOU�y® MAILING ADDRESS: Town Hall Annex '`® �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) rrs Southold, NY 11971 ® �� Telephone: 631 765-1938 O Fax: 631765-3136 lyC®UNT`I,N 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: October 11, 2019 Re: LWRP Coastal Consistency Review for MICHAEL McCARRICK REAL ESTATE, INC SCTM# 1000-90-3-13 Michael Kimack on behalf of MICHAEL McCARRICK REAL ESTATE, INC. requests a Wetland Permit to construct a 12'x22' one-car garage with a 7.5' long by 6' wide breezeway between the proposed garage and existing dwelling. Located: 415 Lakeside Drive, Southold. SCTM# 1000-90- 3-13 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 Peter Young,Chairman H Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 �► `� Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., October 9, 2019 the following recommendation was made: Moved by Caroline Burghardt, seconded by John Stein, it was RESOLVED to SUPPORT the application of MICHAEL McCARRICK REAL ESTATE, INC. to construct a 12'X 22' one-car garage with 7.5'X 6' wide breezeway between proposed garage and existing dwelling. Located: 415 Lakeside Drive, Southold. SCTM#90-3-13 Inspected by: Caroline Burghardt, John Stein, James Abbott Vote of Council: Ayes: All Motion Carried 1 i BOARD MEMBERS ��q SOUry® Southold Town Hall Leslie Kanes Weisman,Chairperson 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes aQ Town Annex/First Floor, Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue) Nicholas Planamento COUNV i Southold,NY 11971 http://southoldtownny.gov c `�► ZONING BOARD OF APPEALS RECEIVED ED TOWN OF SOUTHOLD �;ILa,( Y. IS AN Tel.(631)765-1509•Fax(631)765-9064 JUL 2 Q 2019 FINDINGS,DELIBERATIONS AND DETERMINAT � h®1td s IJ/ ' MEETING OF JULY 18, 2019 $ou Town Clerk ZBA FILE: #7292 NAME OF APPLICANT: Michael McCarrick Real Estate,Inc. PROPERTY LOCATION: 415 Lakeside Drive, (Adj.to Pleasant Inlet), Southold NY SCTM No. 1000-90-3-13 SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated March 12, 2019 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt Inst and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION: The subject non-conforming, irregular-shaped 16,647.19 square feet, 0.38 acre, waterfront parcel located in the R-40 Zoning District measures 222.50 feet along a dredged canal establishing a northern property line, separated by a 25 ft. wide non-disturbance buffer, with a southeastern lot line of 152.32 feet fronting on Lakeside Drive and a western lot line running 173.09 feet shared by a residential neighbor. The parcel is improved with a two-story, single-family dwelling currently under construction with a raised deck on the westside of the structure and a covered front porch as shown on the survey prepared by Kenneth M. Woychuk, Land Surveying, PLLC, and last revised February 6,2019. BASIS OF APPLICATION: Request for a Variance from Article III, Section 280-15; and the Building Inspector's February 21, 2019, Notice of Disapproval based on an application for a building permit to construct an accessory garage; at; 1) located less than the code required minimum front yard setback of 35 feet; at: 415 Lakeside Drive, (Adj.to Pleasant Inlet), Southold,NY. SCTM#1000-90-3-13. RELIEF REQUESTED: The applicant requests a variance to construct a single-car/truck garage with a ridge height of 17.6 feet, at grade, measuring 15 feet by 24 feet attached to the residence under construction by a breezeway measuring 6 feet by 7.5 feet with a proposed front yard setback of 21 feet where the Code requires such improvements to have a minimum front yard setback of 35 feet. AMENDED APPLICATION: During the hearing,the applicant was asked to bring the plan into more conformity with the code. The applicant on July 12, 2019 submitted a plan prepared by Kenneth M. Woychuck, L.S., last revised July 9, 2019, increasing the setback to 26.4 feet at the southeast corner and 34 feet on the northeast corner, Page 2,July 18,2019 #7292,McCarrick SCTM No. 1000-90-3-13 by reducing the depth of the garage from 24 feet to 22 feet and reducing the width of the garage from 15 feet to 12 feet, bringing the plan into more conformity with the code. ADDITIONAL INFORMATION: Building Permit 442704, issued May 21, 2018 is open and allows for the construction of a new, single-family dwelling as applied for per DEC, Trustees and SCHD approvals. The applicant was denied relief for a detached garage proposed under ZBA decision #7231 dated January 25, 2019. The applicant and agent offered to reduce the length of the attached garage from 24 feet to 22 feet during the public hearing on July 3, 2019, thereby increasing the proposed setback from 21 feet to 23 feet bringing the proposed structure more into conformity with the code, The applicant's agent officially amended the application on July 12, 2019 in writing and by submitting an updated survey last revised July 9, 2019 reflecting the proposed changes along with additional reduction of the width of the garage from 15 feet to 12 feet. The applicant stated that the building lot was purchased with the existing house plans and permits and recognized at the time of acquisition that a garage was not permitted. The permit includes an egress window with escape well located on the eastside of the basement foundation to allow for the future use of finished living space. Currently,there is no permit to finish the basement. The applicant's agent presented a list of approximately 12 area homes, in the Cedar Beach Park community, with either single, double or larger accessory garages on similar size lots with similar setbacks including four prior ZBA decisions: 44463 issued March 19, 1997 for front yard setback relief to an attached garage. #6238 issued January 22,2009 for non-conforming setback of a carport #6571 issued May 21,2012 for an accessory shed in the front yard #6583 issued May 16,2013 for an accessory garage located in the side yard Seven immediate neighbors wrote a lengthy letter of opposition, to the proposed accessory garage, received June 17, 2019, including a table illustrating area lot sizes and front yard setback for their accessory garages. Based upon the application,survey and building plans, an area of approximately 27 inches wide, a precarious width given the location, remains between the egress window escape well and the proposed, amended, garage structure for access to the garage and the rear-yard as a pass-through under the breezeway. When asked if the applicant would be willing to relocate the egress window and to fully attach the garage to the house to bring the application into greater conformity with the code, the applicant stated that he could not relocate the amenity as it would be costly and would potentially lead to a leaking foundation. The applicant added that the egress window is required in order to obtain a Certificate of Occupancy by the Town Building Department for the house under construction. The Southold Town Building Department verified this statement. The applicant was unwilling to relocate the window well and attach the garage to the house in the earlier 2019 ZBA decision. The neighbor living immediately opposite the construction site offered testimony relative to flooding on Lakeside Drive. The 25 feet wide non- disturbance non-fertilizer buffer, along the site's waterfront, is regulated by the DEC. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on July 3, 2019 at which time written and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1, Town Law X267-b(3)(b)(U. Grant of the relief, as amended, will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Cedar Beach Park was developed in the early 20`x' Century and consists of older homes of various size and design, the majority of which have been substantially updated. The typical lot in the immediate neighborhood is irregular-shaped allowing access to the natural Page 3,July 18,2019 #7292, McCarrick SCTM No 1000-90-3-13 waterways of the area. A majority of homes in Cedar Beach Park have either attached or detached garages ranging in size from one to four cars and are often located in less than code conforming Iocations. 2. Town Law $267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue,other than an area variance. While the applicant could have designed the house prior to construction to accommodate a garage in a conforming location, as a result of the egress window placement servicing the basement, required rear-yard setbacks from flagged wetlands and the curve in Lakeside Drive, the applicant is restricted to locate the single-car garage on the eastside of the residence. 3. Town Law §267-b(3)(b)(3). The variance requested herein, as amended, is mathematically substantial, representing 25%relief from the code, however,the applicant amended the design from a 15 feet by 24 feet single- car garage with a front yard setback of 21 feet to a 12 feet by 22 feet single car garage with a front yard setback of 26.4 feet at the closest point and 34 feet at the farthest point which is only one foot less than a conforming front yard setback, and a garage is a common accessory to a residence in this neighborhood. 4. Town Law §267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code which requires all drainage to be contained on site. 5. Town Law$267-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the vacant parcel June 2018, Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law §267-b. Grant of relief as amended is the minimum action necessary and adequate for the applicant to enjoy the benefit of a single-car garage measuring 12 feet wide by 22 feet long, attached by a breezeway measuring 7.5 feet from the residence and 6 feet wide while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Weisman (Chairperson), seconded by Member Acampora, and duly carried, to GRANT the variance as AMENDED and applied for, and as shown on the survey prepared by Kenneth M. Woychuk Land Surveying,PLLC, and last revised July 9,2019. SUBJECT TO THE FOLLOWING CONDITIONS: 1. A code compliant gate shall surround the egress window well or an unsecured grill shall be placed over the egress window well ensuring that an individual accessing the garage cannot fall into it. 2. The applicant shall submit to the Zoning Board of Appeals revised architectural plans detailing the 22 ft.by 12 ft, one story attached garage. 3. The garage shall only be used as a garage and shall not be increased in size and height. 4. The garage shall not include heating or cooling and shall not contain a bathroom. That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. Page 4,July 18,2019 #7292, McCarrick SCTM No. 1000-90-3-13 Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s)granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. In the event that an approval is granted subject to conditions, the approval shall not be deemed effective until the required conditions have been met; and failure to comply therewith will render this approval null and void. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration, grant an extension not to exceed three(3) consecutive one (1)year terms. Vote of the Board: Ayes: Members Weisman(Chairperson),Dantes,Planamento, and Acampora.(4-0)(Member Lehnert Absent) Leslie Ka es Weisman Chairperson Approved for filing � /dq /2019 r I r Michael J.Domino,President Town Hall Annex John M.Bredemeyer III,Vice-President J "' 54375 Route 25 P.O.Box 1179 Glenn Goldsmith t °" u Southold,New York 11971 A.Nicholas Kru ski , :'.•;' 5-1892 P ,c+.� ��,, Telephone(631) 76 Greg Williams �,C�U' z. Fax(631) 765-6641 BOARD OF TOWN TRUSTEES ® C E 0 V E TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Souc yid Town Wetland Permit Application Board of lrust,e _Administrative Permit Amendment/Transfer/Extension�•3r1� Received Application: Received Fee: $ ZSO 6 00 Completed Application: Incomplete: SEQRA Classification: Type I Type II �� Unlisted Negative Dec, Positive Dec. Lead Agency Determination Date: Coordination:(date sent): v7_/ LWRP Consistency AsssmentForm Sent: 16, , Date of Inspection: 0• let Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s) Legal Name of Property(as shown on Deed):���'y��� f1C C•� / /� L .�S'lVZZ� /A)� Mailing Address: P ® 'R0x, eXkY PC Al Phone Number: Suffolk County Tax Map Number: 1000 - Property Location: 4:5: ZA�JC S11,f �V���SD(1T�D &Y, (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): 11 l C6AF1_ A eZAMCle Mailing Address: G_ Q,�=� � /K X 1Z�M Phone Number: ,moi 60R�c 90 7 O� Board of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: V-4 CAN r 4 U Intended use of property: � .5'l� i'A/ �� C&E 0�54,Allv 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 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. X 4 77-ACA .EP 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 G Prior permits/approvals for site improvements: Agency Date cov z/Z�znl a No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description(use attachments if necessary): CO AIJ' C /Z B0 ��X Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ' 7-0 A 1010A 6/i/,e CA& OAA 4&-c ro 6X1=ZW(2 R&--)4646ZAZ& /;0,4e r k- C ZZ�1� PAR le''IAI& Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No X Yes If yes,how much material will be excavated? 22 cubic yards Ho1A• much material will be filled?. cubic yards Depth of which material will be removed or deposited:_ feet Proposed slope throughout the area of operations: �Z Manner in which material will be removed or deposited: (�" zMe5AQ 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): A 11 r1 el e.4 r" PACT e& 77PAZ 04e W1 GAJ P1,4 eog� ' 5A!� 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -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 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 of Action or Project: C G C' /CZ 11V C Project Location(describe,and attach a location map): Brief Description of Proposed Action- _ COA1 -r1VVC>r (Z to X �Z '® 2' Q�8 CAR D 1,TrIA/& , Gv �& Name of Applicant or Sponsor: Telephone' g_ ®7 1 CRA6 6 C E- i ` )4- 47� Address; City/PO: State: Zip Code: S76 1, AIV V tOV 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? a f3w. 9 acres b.Total acreage to be physically disturbed? M Gj acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial PgResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 o F 4 5. is the proposed action, NO YES N/fir. 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? ❑ 19 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 technolo les: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: A11A 9 ❑ 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? ❑ 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 of 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: `O Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional V Wetland ❑Urban 01suburban 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? TZ ❑ 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? ONO DYES b Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: NU RYES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YE_S 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; _ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: _... I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: _ Date. Z� d` 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 9 2. Will the proposed action result in a change in the use or intensity of use of land? 71, ❑ 3. Will the proposed action impair the character or quality ofthe existing community? E 4. Will the proposed action have an impact on the environmental characteristics that caused the a ❑ 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 ❑ _i reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 11 9. Will the proposed action lesult in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,floi-a and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for 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. (� 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 al erse 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 i 1pac . Town of Southold-Board of Trustees ® e � / Name of lead Agency Date Michael_ _J. Domino President Print or Type Name of Responsible Officer in Lead Agency � Title of Responsible Officer ignature o ltesponsi Officer in Lead Agency SignatUre of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Appl��_—U on AUTHOMATION (Where the applicant is not the owner) Okve, 17/ LyC C.4.E'R'/C.� ' owners of the property identified as SL'I'M# l OGO---Y 0 —3— r in the town of S'O /Z W 0e D New York,hereby authorizes W W,R44 42"04 ZeK _to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. 7PTOpeny�Owner's Si natu / Property Owner's Signature %5*4 Z' SWORN TO BEFORE ME THIS _ _ �Z DAY OF Z 4 wa4—e---- Notary Public MICHAEL A.KIWAU: Notary Public,State of New York No.02KI5056823 Qualified in Nassau County Commission Expires March 11, 201:1-1 �r` 1 -` Board of Trustees AppliL.;d tion AFFIDAVIT N1l - CA,P,Plc,1cOP ,S __BEING DULY SWORN DEPOSES AND AFFIRMS THAT H O/SHE IS THE AIPPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HTS/HER IC4OWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MARINER 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 'I'O 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. Signature of Prop y OvAmer Signature of Property Owner h/C,�¢iq,EC c C,4k'�/CIC, S WOR\ TO BEFORE ME TIIIS _ �� DAY OF _ UGl r� , 20_ Notary Public MICHAEL A.KIMACK Notary Public,State of New York No.02KI5056823 Qualified in Nassau County Commission Expires March 11,2022 APPLICANT/A(sFNT/ftEPRESENTATI VE TP ANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethigs prohibits conflicts of interest nn the part of town officers and employees.The nurnosc of this firm is to provide information which can alert the tovm ofpossible conflicts o1'interest and allow it to take whatever action is necemsry to avoid same. YOUR NAME: _ ;IC C.�iE;�/G'� ��- /C/5✓.�_ (Last name,first name,ipid a initial,unless you are applying in the name of someone else or other entity,such as a compiuiy.If so,indicate the other person's or company's name,) NAME OF APPLICATION: (Check all that apply.) Tax grievance _ _ Building Variance Trustee Change of Zone Coastal Erosion _ Approval of plat Mooring Exemption from plat or official map Planning; Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)hay.,it relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,ntarringe,or business interest "Business interest"means a business, including it partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5`!0 or the shares. YES NO If you answered"YES",complete the balance of this forrr and date and sign where indicated. Name of person employed by the Town of Southold Titic or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his o;her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of t,re corporate stock of the applicant (when the applicant is a corporation); _i13)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); __C)an officer,director,partner,or employee of the applicant;or _—D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this_ day of 20 S ignat ttso•-•--- Print Name ,f'I,(, ��L �C„C /Ok S, Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORINT The ToNvn of Southold's Code of Ethics prohibits conflicts of interest-on the part ooftown oflicars and employees.The purpose of this form is to arovide information which can alert the town of possible conflicts of interest'and allow it to take whatever action is necessary to avoid same. YOUR NAME: �C/ — d ��L 04 (Last name,first name,ipiddle initial,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 company,spouse,sibling,parent,or child)have a relationship with any officer oremployee of the Town of Southold? "Relationship"includcs by blood,marriage,or business interest.`Business interest."means a business, including a partnership,in which the town dflicer or employee has even a partial ownership of(or employment by)a corporation in which the town.officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); }3)the legal or beneficial owner ofany interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this da of U 20 Signature Print Name QjeAae Form TS 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 9a- 7 �GuiiV a� 1'�vr�oL1� /o Q, ax 1179, I'ovr�oG,�,�t/% 11-971 12 �oQit/ /�/G���Y � B �d�' /6 , I'0117� owl 'V.5! P-3- /6 4/'►/ �3Ucl i,�'u� 666 G,�,f,�rv�U/c0 Q%4 -'4 A14 ,�,�LL y N Y Aly / ''4 57-oA,z, /v Y /s3s 7 STATE OF NEW YORK COUNTY OF SUFFOLK z 94: residing at JVD'. �0,/ 404f 7 �OU3'e �UJ My //77/ , being duly sworn, deposes and says that on the 57W-dayof.0G7- & ,e , 20,�Z, 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 SOUTiL.�lt�� , that said Notices were mailed to each of said persons by CERTIFIED MAEURETURN RECEIPT. Sworn to befo e me thisl Day of(� , 20� C()M le D.BUNCH Notary Public,State®t New Yo* No.01 SU6165050 Notary Public f'% a lified in Suffolk C® 2'a., v Michael J. Domino, President � ��S�FFt7j�c� Town Hall Annex John M. Bredemeyer 111,Vice-President by��0 Gam.-4�� 54375 Route 25 Glenn Goldsmith o ' R' ly P.O.Box 1179 A.Nicholas Krupski 0 �' �� Southold,NY 11971 v- .Y �� ^' Greg Williams p! 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 McCARRICK REAL ESTATE,INC. COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I &Ic W—z 141. J , residing at/dba p 0.1"3e /0,V'-7 being duly sworn, depose and say: That on the84day of OCM&,"R , 2019, I personally posted the property known as 4/5 Z 4Azfz 5 Deli . 5!DU 490 D by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, October 16, 2019. Dated: (signature) Sworn to bef re me this 11A day ofd 20 l q 0Q19NlE D.BUNCH Notary Public,State of New (Ork lfied i Suffolk ®ualified in Suff�l�County Notary Public �;n .m,ss o!��)(�1Ir?�Argil$4,2 u D I D ® ® A 'I o ® © o im I fl� aB a {m 19 11 IJLr) - o a o B I 1 T tet" B Bp R.. 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(D `3 m CL .� m"�QLclmv j �Z iV g! v 1 C�J (o ,( ^ v m E" mm `o B = CL aM 3 ! a , a 0 CD 0 Co 0 noo 01 03 I mo a m o � rt m ro Ao F m m A'11a,tmCr D N f (D oc�m=Q� cm3 div 0 �rT1:1.m o�o�ov 1 mea m Q m( m a `�Zo Qmm� aaM ( El 13 El S3 m rn G) v w p 0 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: l 'Js' STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 2C , 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 person's-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 MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 J - Notary Public NUTILL Uim HtAKING 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 McCARRICK REAL ESTATE, INC. SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a 12'x22' one-car garage with a 7.5' long by 6' wide breezeway between the proposed garage and existing dwelling . Located : 415 Lakeside Drive, Southold . SCTM## 1000-90-3-13 TIME & DATE OF PUBLIC HEARING : Wednesday, October 16, 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 proposed action will be evaluated, as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Towe). 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. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees JeRil 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: FROPAZ60441AIAh Location of action: /�� ��¢ S',� ,e ,P, -0027V/ _P40 L,O Site acreage: RA Present land use: RZM926&VA —RNGL4. iS4Z &/— 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: /C/�i�� C G4 ®C1G /Q �S'T �T, , /N e (b) Mailing address: 0_ HO9C (c) Telephone number: Area Code( ) (d) Application number,if any: /y/)q Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ Nog 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. 2Yes ❑ No ❑ Not Applicable COA15770cr o CAG N G a 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 ® Not Applicable �1-0 YV/s PR c'�Zcr 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,K No ❑ Not Applicable 8eapd= GV4 CA10 �i�v4� �u,�t i � of J'����ar�r✓�/.I�C7 �� ��e ,�-�.��' _-- 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 S through 16 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of,Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 19 Yes ❑ No ❑Not Applicable ? C✓ 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. F] a. Yes No Not Applicable MZ65:,--PA7= ody S'y Y-G6&0— 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 X Not Applicable AIIA no )�RoaT�C� 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 JF872 Not Aplicable 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 Not Applicable Attach additional sheets if necessary I I 1 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 ❑ No Not Applicable �rict Cy AQ. jYA 7_0 FR=C7- 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 ❑ No �RTNot Applic le F-al cy /Z TV >QJLT4CT_ 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 ❑ No 9 Not Applicable n/0 ACS /A MUzz O 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 ❑ NoNot Ap licab e PREPARED ByjttA4. / �CSC TITLE__._ 14 DATE