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HomeMy WebLinkAboutTR-9691A Glenn Goldsmith, President ��QF Sig(/�yO Town Hall Annex 54375 Route 25 A Nicholas Krupski,Vice President P.O. Box 1179 John M Bredemeyer III ! Southold,New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams �0 �� Fax(631) 765-6641 00 IN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1811C Date: May 7, 2021 THIS CERTIFIES that the construction of a 167"long x 4'2"wide concrete stair from basement which runs from grade to approximately 7' deep with guard rail installed; At 1135 Calves Neck Road, Southold Suffolk County Tax Map #1000-63-7-33 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 28, 2020 pursuant to which Trustees Administrative Permit#9691A Dated September 16 2020,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a 16'7"Ion x 4'2"wide concrete stair from basement which runs from grade to approximately 7' deep with guard rail installed. The certificate is issued to Thomas &Mae Mauri owners of the aforesaid property. Authorized Signature 1 i Glenn Goldsmith,President *QF Sorry Town Hall Annex A.Nicholas Krupski,Vice President ,`O l0 54375 Route 25 P.O.Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 �yC4UNT`1,Nc BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: -5/-7/,�z- D BY: �vy CZ(2 �✓ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction '/ constructed Project complete, compliance inspection COMMENTS: CERTIFICATE OF COMPLIANCE: ads off Glenn Goldsmith,President q SU(/jTown Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer IIIc[ 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 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 lirle�silt boom/silt curtain 1St day of construction '/ constructed X When project complete, call for compliance inspection; Glenn Goldsmith,President ��OF SO(/�yO Town Hall Annex Michael J. Domino,Vice-President 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski N ,e G Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9691A Date of Receipt of Application: August 28, 2020 Applicant: Thomas & Mae Mauri SCTM#: 1000-63=7-33 Project Location: 1135 Calves Neck Road, Southold Date of Resolution/Issuance: September 16, 2020 Date of Expiration: September 16, 2022 Reviewed by: Greg Williams, Trustee Project Description: Construct a 167"long x 4'2"wide concrete stair from basement which runs from grade to approximately 7' deep with guard rail installed. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Vincent Benic Architect, received on August 28, 2020 and stamped approved on September 16, 2020. 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. Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President �QF S0!/rTown Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III [ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 GregWilliams �� Fax(631) 765-6641 �y00UM`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS GEVS `P,roperty ,/wrier Named :r A'�R-I :�.c; Date'Seiit`to' l ''''De t: g•312-0 1L r..: ; ,.,_ ; � C�� g: p ._ . 11, The Office of the Board of Trustees is forwarding.the above referenced application for 'y verification of the Building Depar tmentis,�per�Mitting-req-uirements-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? �, .. _ F,>• : Will any part of this application'be considere`d_a,,Qgmolition as described' under Town Code? COMMENTS: /I lz ti&MA'-of Reviewer Date I N/BA VINCENT GENIC ARCHITECT :1"'"-! PO Box 92,Southold NY 11971 r1 r� lry. I[' r r ,�' l\ _ wwwvbarch c°m Issued/Revision i+ �) AUG 2 8 2020 11 O Board of / C1, / Drawings&specifications as Instruments of professional service are,and shall remain,the property of VINCENT BENIC ARCHITECT No reproduction,in whole or part,shall be made without the written authorization of VINCENT BENIC ARCHITECT ® BY This document Is Intended solely for the construction of the protect named herein and shall not be used by any other parties AP'PROVEfor any other construction without the written consent of VINCENT BENIC ARCHITECr BOARD OF I-RU,STEES TOWN"OF SOUTHOLD DATE EXIST. POOL, <.; TERRACE AND HOT TUB NOTEI % HOT TUB TRUSTEE % APPROVAL PERMIT Q #8556 DATED 7/22/2015 / 11 0 AR o �� GIB Cy�T a 1-4 /40 X14883 f 10 ' VL, F ' °' ' NEW BELOW GARDE CONCRETE 37ro, # Seal 8 Z , ., TAR ACCESS DMwn O BASEMENT Checked 1 u IVF. / VB °Pti AREA OF EXITING BASEMENT TO TVincipRop BE RENOVATED NYS#B014983IA, Protect MAURI RESIDENCE Q, � V % 1135 CALVES NECK F SOUTHOLD,NY 11971 Drawing Title \••/ SITE PLAN 1 Scale 1/16" -0„ SITE PLAN Drawing Number R 0 5 15 25 35 45 55 FT SP -1 Glenn Goldsmith, Pi," ",lent �o�OSUFFt1(K�pG Town Hall Annex Michael J. Domino, Vice �,�sident 'y,,, ` 54375 Route 25 John M. Bredemeyer III o '` P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Greg Williams y ® �!� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: N6 �� Acompleted in field by: Vincent Benic Architect LLC on behalf of THOMAS & MAE MAURI requests an Administrative Permit to construct a 167"long x 4'2" wide concrete stair from basement which runs from grade to approximately 7' deep with guard rail installed. Located: 1135 Calves Neck Road, Southold. SCTM#: 1000-63-7-33 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 NoticeofHearing Card Posted: Y / N Ch. 275 r//ofCh. 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: J.,n-jant)c I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski �illiams Other VBA. VINCENT BENIC ARCHITECT 1 , PO Boa 92,Southold NV 17971 F\ - it www.vbarch com IssuecV Revisbn AUG 2 8 2020 / Drawings&specifications as Instruments of professional service are,and shall remain,the Property of VINCENT BENIC % ARCHITECT No reproduction,In whole or N part,shall be made without the written authorization of VINCENT BENIC ARCHITECT This document Is Intended solely for the construction of the / Project named herein and shall not be used by any other parties for any other constructlon without the written consent of VINCENT BENIC ARCHITECT. / / I / EXIST. POOL, TERRACE AND i HOT TUB / NOTEI /' HOT TUB TRUSTEE APPROVAL PERMIT a O #8556 DATED 7/22/2015 ^ tE D / N � % / Q O 014883 Q� lFOF NEv`��O VBA Proj f Seal / NEW BELOW GARDE CONCRETE 3782 TAR ACCESS Drawn: WM T p�4i� O BASEMENT Checked Y ,, 20:0, 'yo SFR/ AREA OF EXITING BASEMENT TO N \opt BE RENOVATED T NYS#0 4�83A, C414 ProjectSI MAURI RESIDENCE F 1135 CALVES NECK S % SOUTHOLD,NY 11971 A \ Drawing Title ■V/� \/ SITE PLAN C 1 Sala -0„ SITE PLAN Drawing Number R 0 5 15 25 35 45 55 FT SP -1 r SURVEY OF PROPERTY {! I _ SITUATE SOUTHOLD I � i;� �!I •�. TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK it I AUG 2 2020 L S.C. TAX No. 1000-63-07-33 SCALE 1'=30' NOVEMBER 1, 2010 AUGUST 16.2011 UPDATE SURVEY MAY 12 ADDED PPOSED HOUSE JULY 7.YO 2 REVISEDROPROPOSEDD PDDL AUGUST 20,2012 REVISED PROPOSED POOL Boed of[m lu4 _ OCTOBER 31.2013 REVISED PROPOSED HOUSE \� m S �O rarAl pA 4 a®i sq.ft S'3RT7Fr2D T& THOYAS NAURI MAE •� ,� STEwARTRTITLE INSURANCE COMPANY rear aoa ` \ v s mfa a {taa3 �\�\\ i (m�cr[m erYmmt4�TE1n[w Gomm amam% Am# /Gist HT y'`�+`wC{�,, /� •d • ��bO\/r � 1.EELLVATRIS ARE REFICRENCFD TO"V.L IMS DAWN •- _ •� / ur \ �.. t @4 DOSIDW CONTOUR LINES ARE SHMN THIS- r FRM Yn�a¢r1aMf - T z�-' _ y fwNEo�ANUSINSURANCE eAa�amR=THE H �• _}.• � =t - / � ZONE>ti ARFA4 oETHaW®7o BE aLISDE THE o.a 11GtW-124WCE PLOeowAsa W of TAM 0'DEL 1•�Y�'•_•�- "-'_�q' "'�4-= "' T-_z ,_ -Y'oA� �t'�. �r i.yp�:' S BASE nOM ULMONS CETUMMOD A •I•: /: _ - '_ •j/d- '' =l-__ _ �i�.'A GyV0��'V 8°•- - 1t0®W Slf�i CAPYSRES FOR A BmRDDY MOUSE IS;ADB�,Un..o •�a' _—_ - - L'- m gY 1 �� 6 Im®!A1 LUCKNO SVS1EM FOR A 5 REORM NO=5 800 sp x SMIMALL ARFA •7 row '°!r =_�;% :�-T ___;b__ _•--= r E Y 2 POOLS;/2'DEFT.W dka p a, ,.• ==yfl- - •�.--��_�_- _____ 1 • a F lRblOBiO LnAI®1 POOL 4z, a .i•• `�� ) `+ Y ar®� WmPosm SIPM TAMC i. •J- •L .r --: - ��� - °:: S BE LOCATION OF/oR AND Amm F SLIOWII IE1®11 ARE FIRM ID1D - ; O�VA71016 A!D/OR DATA ODfY®FROM comm •.'' gg.0j • 4_ 11 6 EXISTM ROMM SAC SVSUM SYIM 0.r SNAIL K Pl�CLEAN AND �� ROOF AREA st.X .1 »g ••••� �'� • .1� 3542�.H.%0.17 BOOR eu.N. ,:��_'• ry,� �_ %. 600.4°u.ft./42.2= 142 wrRnl R of W d a.Mocking pool requtmd CaQL tv ' m PROVIDE(3)W dkL X W high STORM DRAIN POOLS �� .•''OB -A.�� try •. PROPOSED W DIA.X 6'DEEP DRYWElLS FOR ROOF RUN-OFF ARE SHOWN THUS; •' DRIVEWAY AREA;3.679 sq.M. -"W a• 2 3.679 sq.0.X 0.17= 625.4 ea ft. RoAOS, 625.4 cu.R/422= 14A wrReal ft.of W din.leaching pool mquhsd ESLSTLNG LOT COVERAGE OVER UPLAND AREA D PROVIDE(3)s•dla.X W high STORM DRAIN POOLS (UKAND NEA-27.092°¢Oaf PRO*=IN ACCORDWOE NMNK 1MNMY •� PROPOSED 8'OIA.%W DEEP DRYWELLS FOR DRIVEWAY RUN-OFF ARE SHOWN THUS: DESCRIPTION ARIA X LOT - Or 1HE U FOA 7TOE FFID S AS D ADOPT E[D p���,.aa� FOR SUCH r...a ND APIWOJFD NO"GELLED t R00 1.820 sq.R 6.7% -�'�i'R!C 7ImE OE Ma OF SOME wo PORCHES Z�S� IN y METAL SHED go sq.ft. 0!% S SAFT `ya QO TOTAL 1,910 sq.R 7.0X PROPOSED LOT COVERAGE OVER UPLAND AREAtlo T� u d (UHNm ARIA-27.092 sq>U • F'4 �.� F Ot3t:NlPTION ATEA x Lar MmAmmz"4,A, �w+•� •.�4 `dinbias .&lie No.60487 t FED 3,532 sq.R II&OX 7� �` PDRcx - • INGROUND POOL 64aaq.R 2.4Y � m������� • im Nathan Taft Corwin Ill TOTAL 4.160 sq.ft. 19.4X raIW.S oc 716 9ihEY YPP 16I(tea W�BOSS �RD�`°" Land Surveyor TMWE LE mEMmrwloNs POOIDm NFiBDY SURAL PON ONLY 7D TIE PF MO.M eA2r TIE WEY (S PIa.4NREp.NO ON IES ID.MIT A 9rrssssm T=5<GIdPf L� L.S. 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UMTTIH A�Oi 1�1E MMIC LAN ._- - LA TUIpN.CERI9RAODI6 AAC MO7 iWUmER18tL TRb S nvp-Sah&&=- Sde Han- CGmDucUm Lvout PHONE(631)727-2090 Fm(631)727-1727 MRTILE LIDSIENCE K 180{115 Of OFFX'ES LarATED AT U4EIEAC ADDRESS .FASFM or Di RECOIL0"Y11 1588 Man Rand P.O.90:18 AMY.NOT SHOWN ARE NOT GUARANI®- im qmt Hes Yak 11947 Jane*crL Lion York 11947 MIA VINCENT BENIC ARCHITECT PO Box 92,Southold NY 11971 1j www v,.,o corn ,, __"'• Issued/Revision ti --.-v �- Drawings&specifications as Instruments of professional service v - "'� are,and shall remain,the property of VINCENT BENIC ARCHITECT No reproduction Pin whole or in part,shall be made without the written authorization of VINCENT BENIC ARCHITECT "�• „. k - G+ ° ,, ^ ' This document is intended solely for the construction of the I projectnamed herein and shall not be used by any other parties for any other construction without the written consent of VINCENT BENIC ARCHITECT r� 4 e � ` 11 LOCATION OF �1 STAIR LOCATION LOOKING NORTH 2 CLOSEUP AREA OF STAIR LOOKING NORTH / PROPOSED NEW 3 BASEMENT AACCESS STAIR D N F Ra PHOTO KEY SITE PLAN _. rr i� i Seal. 376.2 >.._ Drawn: � - wrr ; •'tltAciced ;. Vinci Benic AIA, NYS#014983 Project MAURI RESIDENCE 1135 CALVES NECK SOUTHOLD,NY 11971 Drawing Title PHOTOS OF ACCESS �1 STAIR AREA STAIR LOCATION LOOKING SOUTH 2 CLOSEUPAREA OF STAIR LOOKING SOUTH Drawing Number PH-001 aEE arc No.ose w WTdI -------- Z-------- —"IIE — --- -- FON PCL NO. y ' ,LIf K SEE SEC.NO. ,511(c) 055p „ ah 9 t2. aaNcJ G�. ,� T Pi aloin I iy asNL) iP 253 m b QQ' ,6µc) I is \ LM �A tat p / 21A(c) r>H &7A(c) b\ 70 2 ��fl �10� maw mwrs I uE.°OM"a°Fn�,�,..9OV�ONr.,, M'b taA(cl yb 6Ott a x Atr' q a�` SAW) so L, 7-7A(c) , .p y, .,pfd T ,s. b� e s 9plc s 2en1 ..yh ♦�'1.12zswJ 9L rar,�s�I ooroww.uN •_e 1 � , °>�\ o �, ,a t.,A(c c��' � aaa(L) Ra,aA'>"/2F 1 4 .. _ L 6} L t EN ♦ a 6 m 1 i3I ♦'e Y� b ,, .� ,t ♦ � t IcErac�n�+Na _: uaA(q I 'A.. . Mme\ ate\ b.� � `y'L • !'(� ! sti I 2. °°"near °o2roo�`.. �♦ "•µ�/�. 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Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 � ��, ���, Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: September 9, 2020 Re: LWRP Coastal Consistency Review of MAURI SCTM# 1000-63-7-33 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 7Glenn Goldsmith,President f � .. Town Hall Annex ' .,: f 54375 Route 25 Michael J.Domino,Vice-President John M. Bredemeyer III mF ._ ` { P.O.Box 1179 rt Southold,New York 11971 A.Nicholas Krupski '' * s5 e� Telephone(631) 765-1892 Greg Williams ' a �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application E On Wetland Permit Application r— Administrative Permit Amendment/Transfer/Exte ion AUG 2020 Received Application:— '2$•� Received Fee: $ 0#0 ,:u TiwR Completed Application: Incomplete: u SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination-(date sent): 2tLWRP Consistency Assessment Form Sent: CAC Referral Sent:_ Date of Inspection: ' Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s) Legal Name of Property(as shown on Deed): MAE AND THOMAS MAURI Mailing Address: 1135 CALVES NECK RD. SOUTHOLD, NY 11971 Phone Number: 516-459-2474 Suffolk County Tax Map Number: 1000- 63-07-33 Property Location: 1135 CALVES NECK RD. SOUTHOLD, NY 11971 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Vincent Benic Architect LLC Mailing Address: PO BOX 92 SOUTHOLD NY 11971 917-414-1925 Phone Number: Board of Trustees Application GENERAL DATA Land Area(in square-feet): 29,810 Area Zoning:. R40 Previous use of property: SINGLE FAMILY DWELLING Intended use of property: SINGLE FAMILY DWELLING_,_ Covenants and Restrictions on property? Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? _X_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 requiie"a variance from the Zoning Board of Appeals? Yes X 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.? X Yes No Does the structure (s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals'for site improvements: Agency TRUSTEE Date 7/22/2015 TRUSTEE 1/26/2016 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation:. Project Description(use attachments if necessary):, NEW EXTERIOR CONCRETE STAIR FROM BASEMENT. THE STAIR IS 16'-T" LONG AND 4'-2"WIDE. THE STAIR y�II L RUN FROM GEADE TOAPPDX T DEPTH A Gl1RD RAIL WILL BE INATALLFD Ta.,PROTECT' THE OPENING FROM FALL. Board of Trustees ApF'-41,'oation y WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: A NEW ACCESS STAIR TO GRADE FROM EXISTING BASEMENT Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: +- 83' feet Does the project involve excavation or filling? _No x Yes If yes, how much material will be excavated? 25 cubic yards How much material will be filled? 8 _cubic yards Depth of which material will be removed or deposited: 8 feet Proposed slope throughout the area of operations: 2% slope Manner in which material will be removed or deposited: APPROX. 8 CY WILL BE USED FOR BACKFILL AND THE REMAINDER WILL BE TRUCKD TO AN OFFSITE LEGAL DISPOSAL 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): NONE 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I -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: NEW EXTERIOR STAIR FROM BASMENT Project Location(describe",and attach a location map): 1135 CALVES NECK RD. SOUTHOLD, NY 11971 Brief Description of Proposed Action: NEW EXTERIOR CONCRETE STAIR FROM BASEMENT. THE STAIR IS 16'-7" LONG AND 4'-2" WIDE. THE STAIR WILL RUN FROM GEADE TO APPDX T DEPTH. A GURD RAIL WILL BE INATALLED TO PROTECT THE OPENING FROM FALL. Name of Applicant or Sponsor: Telephone: 917-414-1925 Vin_cnet Benic Arcitect LLC E=Mail: vince@vbarch.com Address: PO BOX 92 City/PO: State:NY Zip Code: Southold, 11971 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 EJ 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:. SPUTHOLD BUILDING DEPT. El Ell 3.a.Total acreage of the site of the proposed action? 68 acres " b.Total acreage to be physically disturbed? 002 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 68 acres 4. Check all land uses that occur on,adjoining and near the proposed action. 1 ❑Urban ❑Rural (non-agriculture) ❑Industrial ❑Commercial bJResidential(suburban) ❑Forest ❑Agriculture El Aquatic ❑Other(specify) ❑Parkland Page I of 4 i 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ a ❑ b.Consistent with the adopted comprehensive plan? ❑ I ❑X ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? R] ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes, identify: ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ® ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ® ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 0 ❑ 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 or local agency? I X❑ 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: W Shoreline ❑Forest ❑Agricultural/grasslands []Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 191 ❑ 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, 11 a a.Will storm water discharges flow to adjacent properties. NO DYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: [:]NO ®YES A STORM WATER PIT/BASIN WILL BE LOCATED ADJCIENT TO THE STAIR 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: ® a 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: Vincent Benic Date: 8/27/20 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? ❑ 11 3. Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or Elaffect existing infrastructure for mass transit,biking or walkway? 11 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: Ela.public/private water supplies? F-1- b.public/private wastewater treatment utilities? El El 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ El or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, 0 waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for 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 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 A APPLICANT/AGENT/REPRESENtATM TRANSACTIONAL DISCLOSURX FORM The Town of Sauthold'Cc*of Eftcaprohlbill conflicts of interest on the Md oftown0flicers a."d emnlovees.The nuraose_of this raimr��"���iaa inforination which can alert the town f ne %ja conflicts ormterest and pmow rt to take whntever aetian is liMMM to avoid_sot�c. YOMNAME: MAE AND THOMAS MAUR{ (fast name,first name,spiddie initial,upless 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption From plat or official map Ping Other (!f"Other",name the activity.) Do you personally(or through your company.spouse.sibling,parent,or child)have n n:lationship with any officer or employee of the Town of Southold? "Relationship"includes by blood.upin Cage,or business ihterest."Business interest's 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 officer or employee owns more than 5%of the shaves. YES NO X if you ansvered"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 appiicant/aWt/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space prodded. The town officer or employee or his or her spouse,sibling,parent,otr child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of me applicant (when the aapppPlticant is a corporation); 13)the legal orbeneflciai 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 da - 20�'.L— Signature Signature Print Name AS-MA6q . Form TS 1 , --X59'._ = ,.... ..a. ,-�• Hi3is.�=.0^�7:�.: ,':ki`,^."�'-':i`:i`f44?.q_. , Board of testees Application AFFIDAVIT M 0- DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT G DULY SWORN DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS OC NTAAINED HEREIN ARE TRUE TO THE BEST OF HISIHER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE KANNER 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. Natea Si afore of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS © � DAY OF J _20 Notary public Vc C:rvRi-A MA-UR E DzM46Z 93Zo S z<Pi nog F/312 0vavckm A[6s v 4 AUTHO ATION (Where the applicant is not the owner) me, p rtY i63=07-33 .owners ofthe� ro e ` identified as SCTM# IQQQ-. in1he•town of SOUTHOLD New York,hereby authorizes _ Vincent Benic Architect LLC to act as my agent and,handle alt necessary' work involved.withthe-application process for permit(s)from•the Southold Town Board of Tzvstees;for this:property, Property Owner's Signature Property Owner's Signature SWORN TOBEFORE ME THIS DAY OF 20 -2U 1 t Notary-Public V CTcT-tA- / AUP- t -N- OQM4Z&,? -o Txf- : W �QPK 9—uni r AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide 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 : Vincnet Bwnic (Last name,first name,middle 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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit X Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X 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 that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)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 27 dray of AUG 202020 Signature ;�---� -19— — Print Name Vincnet Benic 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 Town). a 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- _ .. . ... _ �supportinjq-facts. If an actiodcannot be certified as consistent with the LWRP policy standards and } conditions,it,shall not be undertaken. 1 A copy of the LWRP is availablef 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# 63 41 07 33 PROJECT NAME NEW EXTERIOR STAIR FROM BASEMENT The Application has been submitted to (check appropriate response): ' F Town Board ❑ 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 of action: 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 ❑x 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 Pages 8 through 16 for evaluation criteria '❑ Yes ❑ No x❑ Not Applicable r , _- t F Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑_ No 0 Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ 0 Yes No Not Applicable _ f 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. P t ❑ Yes ❑ No.O 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. I ❑ Yes ❑ No ❑x Not Applicable 4 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. ❑ YesEl No❑ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses.and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes .❑ No E.Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long.Island Sound, the'Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes 0 No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages -62 through 65 for evaluation criteria. ❑ Yes ❑ No x❑ Not Applicable f 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 x❑ Not Applicable PREPARED BY TITLE Vincent Benic Architect LLC DATE 8/28/2020