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Home My WebLink AboutTR-9694A Glenn Goldsmith,President q S0(/rTown Hall Annex Michael J.Domino,Vice-President ,`O� Ol0 54375 Route 25 P.O.Box 1179 John M.Bredemeye�III Southold,New York 11971 A.Nicholas Krupski Q Telephone(631)765-1892 Greg Williams �� Fax(631) 765-6641 cOUNT'1,� 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 dEF -'BELOW r .. INSPECTION SCHEDULE r Pre-coristructi`on;4�ay 6alej1tne%sirtooi/sil#+certain 1St day of construction constructed V When project complete, call for compliance-inspection; Glenn Goldsmith,President �QF S�Ury Town Hall Annex Michael J.Domino,Vice-President ,`O� �� 54375 Route 25 _ P.O.Box 1179 John M.Bredemeer III Y � � Southold,New York 11971 A.Nicholas Krupski G • Telephone(631) 765-1892 Greg Williams �27, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9694A Date of Receipt of Application: August 18, 2020 Applicant: James Howell & Anthony Tartaglia SCTM#: 1000-44-14 Project Location: '55255 North Road, Greenport Date of Resolution/Issuance: September 16, 2020 Date of Expiration: September 16, 2022 Reviewed by: John M. Bredemeyer, III Trustee Project Description: For the removal of existing 99.2sq.ft screened-in porch at bungalow. 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 AMP Architecture LLC, dated August 12, 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. t�4' 4A,44 Glenn Goldsmith, President Board of Trustees -LOT,COVERA&EIL 11 E m at w F- DESCRIPTION ASA 55 LOT 2�:--.lyl COVERAGE MH 0.Fa B!!5 4 TOTAL LOT AREA - upland of asho 12,100.0 S.F. 00�'. - AUG 1 8 2020 EXISTING HOUSE N/SUNROOM S.F. 15.a% EXISTING 6ARA6VAPARTMENT 1POO.0 S.F. �f"I.Jlol _5 0 EXISTIN6 BUNGALOW AFTER 205.6 S.F. 1.6% REMOVAL OF SCREENED-IN PORCHr-!§ff TOTAL AREA OF ALL STRUCTURES 2855.& S.F. 25Z% MAXIMUM COVERAGE ALLOWED = 20% EXIST.2ND STRY EXIST.ENTRY 4 W /,<VERED STAIR 4 4 I-q 1. SOTM# 1000 t PORCH 9 14'11'40!E ZW %� 44.6' 16 L 'APPROVED BY ,p �Co1Q662 EXIST.2 STRY k0.M )az BOARD OF TRUSTEES &ARASIVAPAR11,MW TOWN,.'OF SOUTHOI DP —w- DATE It- .0+74r, 1 10.1. 1 24.5'- d� z 4.111" ep 26.0. (PI <-----------------4 EAST.2 5TRY M. i' 1 FR.DWELLING PREVI PF■ 16.6' I PROPOSW I/A ON51TLI LOGATIOM OF QED TREATMENT Tp REMOVED HOOD VST�TTO RM PECK a SRADE EXISTING TRADITIONAL IO 3 ,� SEPTIC,SYSTEM,PERMIT z PENDING SUFFOLK COUNTY / HO APPROVAL _41 I r 23.1. 0.4-11 r z— 2 ———————————— ———————— ———— ———— N 14*11'40"00 94AN Z nPLu 0 =1 0 >:" EXIST.I STRY M.m EXIST.I STORY 43 5UN&ALOK SUNROOM EXIST. SCREENED-IN UNC-ONDITfONED; PORCH TO BE REMOVED z PROPOSED?MH WALL EWLo-,oRm rr 0 C4WITIONW [0 L SPAZE �� FIROP05ED 51 TE PLAN 06 a: 04 Z UJ In W WALEt 1'-0" = 20'-0 U7 PLAN NOTE: EXISTING DWELLING, GARAGE/APARTMENT& PROPOSED SEPTIC SYSTEM ARE NOT A PART OF THIS APPLICATION. A SEPERATE APPLICATION'HAS BEEN MADE TO THE SOUTHOLD TOWN TRUSTEES FOR THESE ITEMS. 91-M LAYOUT WIML 0 I. THIS 15 M ARCHTE075 SITE PLAN of Is SLOJEOT TO VERIFICATION BY A L103aW SURVEYOR. THE INFORMATION REPRESENTED ON THIS 947E PLAN 19 To THE < ARCHMOTS BEST OF KNOWLEDGE. 2.SURVEY INFORMATION WAS OBTAINED FROM A SURVEY DAMP.UNE 26,2014 AND PREPARED BY. (P JOW CASW HEIDEC4CER Z4.STATE LAND SURVEYOR LIr, 00507143740b gr 42'CROM STREET, KINSSTON,KY.12401 OF N (845)90I-162cl I I �(L ma¢Ssa ' OO T�IyJo N 1 IF-EAt O ZtZ]Q�W Wa >° g -50 0 .-5 AS-BUILT y c c�► COVERED PORCH TO BE ¢y�o REMOVED .5. Zc Z' " -Ff_.T_1T9-B-Y �o.. iTlI O�g z�Q �aJQ.QO R Z3 diad Nz;gzL, 9l - L---JB1 n i----_-__- Fosag.l WWZW��y. C II 1 NZCL='� Oyy'yCCy�'ygNyq I � QQIL6S ` EXIST. BUNGALOW FRONT ELEVATION C0 .I —10'-5° w-OII—�( SGALE1 I/5" a II-0" BI BI BI el el 01 B1 1 AS�UILT e ° eO N AS-BUILT I I EXIST, TO Bf= �ml 5-n��.�------__-�-_-_-�"�^--� COVERED RIMS61 rJW Mp�/Ep BI 11°I I lel Iml 1811 ORGH TO �i - oI IIBi iei imi i I BE N 11 ``�\ el ii� imi �i imi i°ll MOVED II 1 I 1101 ImL I.I Ilii �ivvvv=vevv ' L J L J L J L J I I I I EXIST. mN&ALoN RIGHT ELEVATION t O WALE: IW Il-0" • O EX I STING BUNGALOW EXISTING BUNGALOW - 205.8 SO.PT. SCALE, 1/8" ` I'-0° A5-BUILT COVERED EXSITINCG COVERED PORCH TO BE REMOVED - CICI.2 SOFT. PORCH TO BE REMOVED -- IIBI IBl 1lBi III IIBI Iml IIBI it IIBI I®l 1111 111 •}}, 1BLs 4F�I -==11__F-�rJ1 Q W O riri I 2 = EXIST. BUNGALOW REAR orr ELEVATION Z SCALE: I/8" ■ Il-0" Q LV Lf) a F- M Lf) Z N BO Lf) W Q � a �{ < ?" Q I � 0 "P 03745 �O� o 1 SOF N��1 a 0 o a Glenn Goldsmith, Pre y ';nt ��OSCpG Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 John M. Bredemeyer III o "` P.O. Box 1179.. A. Nicholas Krupski o Southold, NY 1191 Greg Williams 4,- pl� Telephone ) 765 (Fax 66 -1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 6' � 45 Completed in field by: AMP Architecture on behalf of JAMES HOWELL & ANTHONY TARTAGLIA requests an Administrative Permit for the removal of existing 99.2sq.ft screened-in porch at bungalow. Located: 55255 North Road, Greenport. SCTM#: 1000-44-1-9 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 Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: —4 . Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other r Nr LOT P! DESCRIPTION T AREA COVERAGE Z. MEE TOTAL LOT AREA - upland of coho 12,100.0 S.F. 0 AUG 1 8 2020 5 EXISTING HOUSE K/SUNROOM 1,146.0 S.F. 15.a% t3 EXISTING GARAGE/APARTMENT 1,000.0 S.F. t Ce 5.�e Oar 2 EX15TINC7 BUNGALOW AFTER 205.5 S.F. 1.6% REMOVAL OF SCREENED-IN PORCH 82 IE TOTAL AREA OF ALL STRUCTURE-5 2953h 5.F. 25.59% z MAXIMUM COVERAGE ALLALLOWED % Z 20EXIST.2ND STRY EXIST.ENTRY 4 E 0'=��;% ='O' 5CTM# 1000-44-1-9 - PORCH STAIR 514*11'40*E 0 i.- EX9205 0 44.6' Ap EXIST.2 STRY MD.M :XIr-1 &ARASPJAPARTMENT > 10.1' 240 dt All ep 26.0' < 54.9' ' •. y EXIST.2 STRY PC. of FIR DWELLING 54.4' 105, FF- 16.61 Fv"IOUS PROPOSED I/A ONSITE LOCATION OF HASTEKATER TREATMENT REMOVED HOOD /11 SYSTEM TO REPLACE DEGRADE ORAVE I EXISTINS TRADITIONAL PENDING SUFFOLK COUNTYN 1 ;4 SEPTIC,SYSTEM]PERMIT z N17 APPROVAL 24' 0.4- 0i;;001PgpvAlys"y fo"� I———————————— ———————— 20!1 �J.� — N 14*11'40"K ui 0 EXIST.I STRY WP M EXIST.I STOW 0 tr 5"ALOK' 5UNROom z = >i EXIST. SCRE -IN UNC-ONDITIONED; unj w- 2 PORCH TO BEEKEDPROPOSED NEW 0 REMOVED WALL ENC-LosUREs 4z CONDITIONEDw In R w tn PROP05ED 51 TE PLAN SPACE 1cp 04 In Lu Z uJ PLAN NOTE: EXISTING DWELLING, GARAGE/APARTMENT& PROPOSED SEPTIC SYSTEM ARE NOT A PART OF THIS APPLICATION. WALE- V-0' c 20'-0a 0 A SEPERATE APPLICATION HAS BEEN MADE TO THE SOUTHOLD TOWN TRUSTEES FOR THESE ITEMS. 91-M LAYOUT Nora,2L M. R W ix I. THIS IS AN ARCHITECTS 511B PLAN 4 19 (L SUBJECT TO VERIFICATION 13Y A LICENSED SURVEYOR. THE INFORMATION REPRESENTED ON THIS 947O PLAN 19 TO THE < AROWTECTS BEST OF KNOWLEDGE. 2.SURVEY INFORMATION WAS OBTAINED FROM A SURVEY DATED JAM 26,20M AND 0 PREPARED 13Y. cy (P Ic-4 0. J"COW HEIVECKEIR �i KY.STATE LAND SURVEYOR LIC.SOU"Icl �3740'J� 0 0 42 GROAN STREET, Low) KIN55TOK N.Y.12401 N o ed qOI-162cl ma � 3 '3�Zz�a 1oE .i ` sEzEd�o i Ga�WW< ��gZ �mcQ,��o A5-BUILT Z W�' H oc�o�k o n: PORCH TO BE i ¢woao� 4 REMOVED aa z >>��-ccc Z >emr=5 H Z rPiTi yT1S�I Ar__ �A' �I I 0 yj O Q a'8. ZZ y y 'T If��l �1 1011 LLwVR-OF I`iTl;�—®� 'Z SSV v C� II i %Oso 00 EXIST. $UNOALOW FRONT ELEVATION j--10'-5" W-00-7 SCALE= 1/8' • V-O" Iy`G�� —----- -----d-I AI AI AI AI AI AI °I AI A a3UILT e, z A s; N A5-BUILT I I EXIST, TO BE �el ---------------------- COVERED ry BllN6ALOW REMOVED i' Slat= ==_=I,®___=IAIIRGH TO BE ° 1 I I IAI I I I mi iAi iaii REMOVED I®I 1 I®I I,II ILL___-L---,L----J L----JAI I I I I EX15T. SUNOALOW R16HT ELEVATION C V SCALEI 1/8" = I'-O" O LI EX 15TI N6 BUNCGALOW EXISTING BUNGALOW - 205.8 SQ.FT. SCALE: 116" - I'-O" A5-BUILT COVERED EXSITING COVERED PORCH TO BE REMOVED -R9.2 SQ.FT. PORCH TO BE REMOVED lir --�Ar-- Ar- - II I AI I®1 :IAI III I IAI IAI IAI 1° I lAl IAI IAI III A AI IA II I IBI ISI Ilal III Ly� C r1 I z = } EXIST. SUN6,4LOW REAR ELEVATION � W 0 Z CLN LLJ LL LO Lu (Y N � n � Ar d g, O d � I o O1i -q 0374135 �0F NES W a a � O a SIDE ELEVATION-FACING WEST REAR ELEVATION-FACING SOUTH-SHOWING AS-BUILT SCREENED-IN PORCH EXISTING BUNGALOW w/ AS-BUILT COVERED PORCH ALL PHOTOS TAKEN: JULY 281 2020 so s� COUNTY OF /f 61 I \`'1• _• j�.-rte.../�_' - _ 4.. _ 2 FOR PCL IID. I _ pWp1i4 i .l I `oao / a �' Tw M` I j' COUNTY :r, - MA, OF SUFFOLK j' T, • , COUNMOF SNFFOIK -- w.l s`, ANTCH SEE SEC.NO.M COUNTY SOUTHOLD Y _ ...:.. - ,-n xrsr.u. --ems- :Ywxoo.�.r:r --x--_ r� w•mst: � _ O SUFFOLK O K NOTICE RealPro BK Service Ag Y ..: a. aF •�. •. rG�.u.-- -- � 1 -wrwrw.srto r.,a E� M __ - OFFICE LOCATION: �� , MAILING ADDRESS: Town Hall Annex �� P.O. Box 1179 54375 State Route 25q a 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 JAMES HOWELL &ANTHONY TARTAGLIA SCTM# 1000-44-1-9 AMP Architecture on behalf of JAMES HOWELL &ANTHONY TARTAGLIA requests an Administrative Permit for the removal of existing 99.2sq.ft screened-in porch at bungalow. Located: 55255 North Road, Greenport. SCTM#: 1000-44-1-9. 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 Michael J.Domino,President l �� Town Hall Annex John M.Bredemeyer III,Vice-President ae�_= 3'1 _ 4 54375 Route 25 P.O.Box 1179 Glenn Goldsmith '` _ ; Southold,New York 11971 00 A.Nicholas Kra ski '` f P �. � �� ;��>;K-"5:_O- Telephone(631)765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only L V fjD En C Coastal Erosion Permit Application ; Wetland Permit Application Administrative Permit AUG 1 8 2020 Amendment/Transfer/Extension Received Application:- , �LReceived Fee:'$ OD, Board of ,/ Completed Application: .ZD [icard o Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: - �Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held:, 0'20- Resolution: Owner(s)Legal Name of Property (as shown on Deed): Anthony Tartaglia &James Howell Mailing Address: 12 E Main Street, Bay Shore, NY 11706 Phone Number: -_631-848-0458 _ - Suffolk County Tax Map Number: 1000 ___ 44-1-9 Property Location: 55255 North Road, Greenport, NY 11944 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): AMP Architecture Mailing Address: 1075 Franklinville Road, Laurel NY 11948 Phone Number: -516-214-0160 Board of Trustees App; ration GENERAL DATA Land Area(in square feet): 24,625 SQFT Area Zoning: R-40 Previous use of property: Single Family Residential Intended use of property: Single Fami_y Residential 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 require a variance from the Zoning Board of Appeals? X Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X _No Does the structure (s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date NYS DEC Non Jurisdiction 2/28/2020 --- 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): = g - - Board of Trustees App]' ation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: _ ona�a�rat� tea In x Q.vno•fa� oCr +_A no, vcXspm n rc.n o-- bono a u,_ �i•2 , ®` x 12.4 - Area of wetlands on lot:- square feet Percent coverage of lot: -7(P % 3. 1 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? X No :Yes If yes,how much material will be excavated? - -_cubic yards How much material will be filled? - cubic yards Depth of which material will be removed or deposited: - feet Proposed slope throughout the area of operations: . 110 r Manner in which material will be removed or deposited: _ _- Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason.of such proposed operations (use attachments if appropriate): RRHaAaoseAremWal of ide-e-xisting sajkae An pVrM pMWed t e ' 'n Id e a p a op a po as and I(St rr s ar t®e i fro P `�21rnoJat� �� ,.sz �C',s-�1ClC, IS 0.4 APPLICANT/AGENT/REPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town-offcers and employees.The puraose of this form is to grovide information which can alert the town ofpossible conflicts of interest and allow it to take whatever actionrs ne -to avoid same YOUR NAME: r �✓ _ ` � (Last name,first name,4iiddle' itial,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 tiicough your_coinpany,spouse,sibling,parent,or child),have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,ii arriage,or,business interest.-"Business,interest!means a business, including a partnership,in which the tof t wn ocer 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 c 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 share`s 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(wheal 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 d of ` 20 Signature Print Name may, Form TS 1 !4'CIS �'S-O BF-ME : : 1�SS's�,�_.,_.�a:'s�r" c� CATKERI tE GuINTA NOTARY PUHL'C'Sts.4 of New Yolk No 01GU4987042 0,1111fied nSuter c� / svk • - • � ti�tir�'S'ttL*Sa� - �, titstor► , 30, Dourd of! Trumtoas F 3lcat„c'sa j • AUTHORIZiMON Ai� J�I� (1'!-Pta;x tF:Lp�Si4?z!i:e rRi dtz.a'scti1�.;:s� .. ' im,=r;;0t sh:p:pserty StSc'ntatzed as 5C i'Mai +A.:.a,.+'.63.ta:...�.�. .,..-.�.: AMP Architeclure to ut iU' k..aq•)u�.R��4..:�rf ikr`+:C4i-Y w _ , z*�;:e�5.zt� ti4i�rS±,ira�"a3�-c�n•itfa€tai ay��S4catigs��ro�::�s��rr�;t,'sS¢�-t�z_�'�.,•�i�s"d•.��.�r .. Przg iT,:7'S'Sj— S\k'oJS~X TO R U- NII TI IIS f DAY Cf� te? 61 Z20 Appendix B ,Short Environmental Assessment Form Instructiotis-for,Cbm016 ina 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: Tartaglia Residence Project Location(describe,and attach a location map): 55255 North Road, Greenport, NY 11944 Brief Description of Proposed Action: f QkY)ofox-k ter Q-P)C,si�nca Scar e4^.A-a `v'Y+ -?aYLh Name of Applicant or Sponsor: Telephone: 516-214-0160 AMP Architecture E-Mail: epperson amparc I ec .co Address: 1075 Franklinville Road City/PO: State: Zip Code: Laurel NY 11948 1.Does the proposed action only;involve the legislative adoption of a plan,local law,ordinancc, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that 0 0 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: Southold Building Dept. and Southold Town Zoning Board of Appeals X� 3.a.Total acreage of the site of the proposed action? -` —_ __565_acres b.Total acreage to be physically disturbed? 0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 565 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ®Rural(non-agriculture) ❑Industrial [—]Commercial ®Residential(suburban) ❑Forest ❑Agriculture ®Aquatic ❑Other(specify):_ ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use tinder the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? El FRI 0 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? F1 N 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 o a - 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? LAJ 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: All work to conform with local and state—Pn�ray�odes - - ❑X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: n a 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment:Existing t�adltional_System to be 0 - with a new IA OWTS 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic - NO YES t Places?' b.Is the proposed action located in an archeological sensitive area? X ❑ 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? LA b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? , If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ®Shoreline ❑Forst ❑Agricultural/grasslands E3 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? LA D 16. Is the project site located in the 100 year flood plain? - - NO YES X 17. Will the proposed action create storm water discharge,either from point or rion-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO []YES 191E b.Wi I I'slormr water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly,-describe: E]NO ONES i 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: ❑ Fx 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: 51• ❑ 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: FRI F I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE App]icant/sp r name Date: t 1 (Z 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 a ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ; 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ El of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ �' affect existing infrastructure for mass transit,biking or walkway? --------------- 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? El 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? E 8. Will the proposed action impair the character or quality of important historic,archaeological, a ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? 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 El ❑ 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. t Check this box ifyou 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) i PRINT Page 4 of 4 Town of Southold i L,W P CUNSISTENCY-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 f 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 :acti6n will be gvatuated.,as"_"toJts si`gmficant beneficial and adverse'effectsupon.the•coastal-area(whicli-includes.all,of Souih- ld_Town). 3 . If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each-answer must be.eWiin'ed:in_detail; listine'bOtti seipDOrtiii ,'an l iron -sunnartind.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#-, 44 --- 1 9 PROJECT NAME--.. Tartaglia Residence The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑. 1. Category of Town of Southold agency action(check appropriate response): n� (a) Action undertaken directly by Town agency(e.g. capital ' LTJ. 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: of Pxigj � Dk abe, nn SGf u AaL14 iA-3 00 r O_IX) -9��Z Location of action: 55955 North Road, Gr mend,NY 11944...___ Site acreage: -.565-------- _ Present land use: Single Family Residence with detached apartment Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shallbe provided: (a) Name of#p4dant: AMP Architecture (b) Mailing address: 1075 Franklinville Road. Laurel,_NY 11948 (c) Telephone number:Area Code O 516-214-0160 (d) Application number,if any.: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes F-1- No� If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or F not support the policies. Provide all proposed Best Management Practices that will further each poliicy. Incomplete answers will require that the form be returned for completion. DEVELOPEWCOAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community charactbr, 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. '0 Yes ;Q No Not Applicable i n o n - - 1 - - - _ __ r ` - Duk 5A-- !An ,nom(-an W OLa b U i l-- Q10LA- aea-vr,►�D Attach additional sheets W necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LVW Section III—Policies Pages 3 through 6 for evaluation criteria El' ;0 No FX I Not Applicable f There are no historical or archaeological resources on this property. - 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 Q Yes ❑ No ❑ Not Applicable quality, 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 ❑ Not Applicable The current owners have been working with the town and state to minimize loss of life.The DEC_ has issued a non-'u isdiction for the proposed work. 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 0 No ❑Not Applicable The removal of the existing Screened-In Porch_at the bungalow will _decrease the water runoff pollution 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 There are no new buildings. All buildings are-existing. _ Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LVW Section III — Policies Pages 32 through 34 for evaluation criteria. ❑' Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LNVRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑,Yes ❑ No El Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YesEl No 0 Not Applicable The property is privately owned. 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 0, No Q Not Applicable Attach additional sheets if necessary-- Policy -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 E Not Applicable Attach additional sheets if necessary - - s Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑.Yes ❑ No 0 Not Applicable Attach additional sheets if necessary - Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. E'Yes ❑ No ❑ Not Applicable The work needed at the property is in accordance to Local, State& Federal energy code programs. PREPARED BY c�1 -1��,lL4f e- TITLE DATE !E)-)_1-Z 2c� Al'PLIC'ANT'lt)WNUR TRAINSACT'IONA L DISCLOSURE RE l-ORM Town of 54jhold's f dote of Ethiet n lh la vnn111et%o` to-r%t a tile tiF tiltdt�kn off ,nrl im #oro►r�. hr; ► r rror rz thYs o IS jLd tj n ratm ntin n mfi ch en nle t I ltty!gn o it wiftt.of i tc -t n 1 Irl t is trkr cd#r�t kr Dote"son' tteceAsnry to non d Same. YOUR NAI W; 3 \'A,& W a !,"7r�� (rale nacre, numc,tntddlc t ti !,oatr`4�uu om aPP din,to the ame of,,swam , itrftt4,,trrh t compan).If--o,Ind it we the WhCr p¢r4r11)'*Or cr>�,�,ioo°y ts,ztae.t TYPE OF APPLICATION.(Clteek all that apply) Tax grievance _ Building Permit Variance Trustt.T Permit Change ol'Zone _ Coastal rr+►5i0a _ Approval of Plat _ Mooring(activity) Planning ilo%On Vemonally for through)aur company►spouse.sibling,parent,or child)have a relationrbip with an-v officer or t?mplosctl of the Town orSouthold""Relationship"includes h,y bloctcf,tnarri;t�e,or ttusiness interest,"Ilusincss intermit" tnea"S a busine-vs,including a partnership.in% itich the tovr n officer or empltwu has even a partial tern ner ship odor t mllln}mens h`)a cnrptirtitiutt in t�blob the taw nflicer or entplgiw,mon•more titan`° of the share,,. }"F` NO If you an-oer-cd"VrS-,complete the valance of this farm and date and sian where indicated. Name of pkr►.on employed by the Town of Southold Title or Position of that person Dewribe the relatioohip het%cen 4lturself(the ail)pticantlagentlrepresent.ttiv e)and they town officer or emplo}rc,rither chi=ck the Appropriate line A)through I))and/or describe in the space provided. The tnwn officer fir empto)m or his or her spouse,sibling,parent,or chill i.(`:heck all that apply) 1p tl►e uw iter of gnr ater that 5%of the shares of the corporate stock of the applicant(when the applicant i%a corporation) ft)the legal or beneficial owner of any interest in a non-corporate entity(%,hen the applicant Is not►t curporattnn) C)an offleer,director,partner.or empla)ee of the applicant;or D)tete actual applicant I),ESCRI[PTION OF RUA.TIONSHIP Submittedt� � flay'oSignaturePrint i�'atttr1l 1 1 RCHITECTURE Operating Business Address:1075 Franklinville Road,Laurel,N.Y.11948 LLC Business Phone:(516)214-0160 L� E _ �" r Date: August 12, 2020 AUG 18 2020 Southold Town Trustees Southold Town P.O. Box 1179 B artl of l-rustees Southold, N.Y. 11971 RE:CEHA Wetlands Permit Application Anthony Tartaglia&James Howell 55255 North Road Greenport, N.Y. 11944 SCTM: 1000-44-1-9 Dear Diane&Elizabeth, Enclosed is the following: One full Administrative Application for the removal of the existing screened-in porch at the existing bungalow. Thank You Brooke Epperson AMP Architecture,PLLC Senior Architect E: bepperson@amparchitect.com O: 516-214-0160 www.amparchitect.com