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HomeMy WebLinkAboutTR-9731 Glenn Goldsmith,President �QF SQUly Town Hall Annex A. Nicholas Krupski,Vice President ,`O� Ol0 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III [ Southold, New York 11971 Michael J. Domino G • Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 ��OOUNTI,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1841 C Date: August 2, 2021 THIS CERTIFIES that the construction of a proposed 349sq ft sunroom(replacingexisting -xisting sunroom);remove existing deck with steps and construct a proposed 471 sq ft deck with 6' wide steps to ground onto existing 1-%2 story 2 097sq.ft. single family dwelling with attached garage; At 1020 Glenn Road, Southold Suffolk County Tax Map#1000-78-2-28 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 11,2020 pursuant to which Trustees Wetland Permit#9731 Dated October 14,2020 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 proposed 349sq.ft. sunroom(rgplacinc existing sunroom);remove existing deck with steps and construct a proposed 471sq ft deck with 6'wide steps to ground onto existing 1-%2 story 2 097sq.ft. sin leery dwelling with attached garage. The certificate is issued to Aaaela F. Gorsky owner of the aforesaid property. oil Authorized Signature Glenn Goldsmith,President �QF S®(/�' Town Hall Annex A. Nicholas Krupski,Vice President ,`O`� y�lO 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold, New York 11971 Michael J. Domino N G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ZI INSPECTED BY: C Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction '/ constructed Project complete, compliance inspection COMMENTS: p ?/10)0c CDS P ted e/ CERTIFICATE OF COMPLIANCE: SS�� Glenn Goldsmith,President OF SU!/lyo Town Hall Annex Michael J.Domino,Vice-President 0 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III [ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 'TZ HOURS-PRIOR TO�COMMENCEMENT OF TME"ACTIVITIES GHi .-EDD OFF "BELOW. . _ . ' INSPECTION,SCHEDULE t f I re-constfuction;�f y tidl'e'liil�mltHA t'curtain 10 day of-construction` { '/ constructed' Wt/ do project complete, call for compliance:in�spection;. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9731 DATE: OCTOBER 14,2020 ISSUED TO: ANGELA F. GORSKY PROPERTY ADDRESS: 1020 GLENN ROAD,SOUTHOLD SCTM#1000-78-2-28 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 October 14, 2020, and in consideration of application fee in the sum of$250.00 paid by Anpela F. Gorsky and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: A A Wetland Permit to construct a proposed 349sq.ft.sunroom (replacing existing sunroom); A remove existing deck with steps and construct a proposed 471sq.ft. deck with 6'wide steps to ground onto existing I-V2 story 2,097sq.ft.single family dwelling with attached garage; and as depicted on the site plan prepared by John R.Bracco,RA,dated March 10,2020,and stamped approved on October 14,2020. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, 9 and these presents to be subscribed by a majority of the said Board as of the 10 day of October,2020. C) cdo 4dol- gg %a-;4w"o' TERMS AND CONDITIONS The Permittee Angela F. Gorsky, residing at 1020 Glenn Road, Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. 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. Glenn Goldsmith,President DQE SO(/jy Town Hall Annex Michael J.Domino ,`O� Ol0 54375 Route 25 P.O. Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams • i0 Fax(631) 765-6641 oly�OUM`1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 20, 2020 John R. Bracco 111 Railroad Avenue Sayville, NY 11782 RE: ANGELA F. GORSKY 1020 GLENN ROAD, SOUTHOLD SCTM# 1000-78-2-28 Dear Mr. Bracco: The Board=of Town Trustees took-the following action during its regular meeting held on Wednesday, October 14, 2020-regarding the above matter: WHEREAS, John R. Bracco on behalf of ANGELA F. GORSKY, applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated March 11, 2020, 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 October 14, 2020, 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, i 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 ANGELA F. GORSKY to construct a proposed 349sq.ft. sunroom (replacing existing sunroom); remove existing deck with steps and construct a proposed 471 sq.ft. deck with 6' wide steps to ground onto existing 1-'h story 2,097sq.ft. single family dwelling with attached garage; and as depicted on the site plan prepared by John R. Bracco, RA, dated March 10, 2020, and stamped approved on October 14, 2020. 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 ofthe date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) J Fees: $50.00 Very truly yours, 4ennwCGv' o mith, President, Board of Trustees GG/dd OWN�I:, �� ANGELA GOk5KY � 0\, �Q,�,� 19 HOM�51�AP AV�NU�, GAPMM CIV, N.Y. I I5q ``U FHON�: 516318,1064 011 Q NORM CON50=110N0 p .�0, EwYMNG ACCE55 .'p e)4) _\�� PIPE PD. \ EI1Tw ITY OI.E �� 211� TOTAL LOrAPFA - 27,015 5,1', 0 (0 t Il PAVII2 MLMN Nti EwsnNG �, I UI'LANI2 LOtAf�A- 21,139 5.1'.�47 ajywm 17AMP MAP6W( EwSnNG ON I Of 13 r1rE Pn. 9 �XI511NG I2WELLING - 2,097 5.F. Location Ma E% _` e� i NSW 5UN FIOOM - 349 5.r. Map SW NMCK & 511-T5 - 506 5,F, 1 MVEWAY I a o SUC3J�CT EwsnNG M511N6 SLATE PLATT-OM & 5T1 P5 - 35 5.F, EwsnNG O.H.wigs j t'AP.C�L NEW MAO POLE �X1511NG PAVER POVMAY _ 2,176 5.F, N.T.S. ! woPEn 15.h �X1511NG SLAV & 6PA55 WALK - 109 5.F, PEcoNic MEPCRfICo `� i [4511NG 61ZAWI, - 469 5f, CVTP M%M 5'xV 5LAT , 1;45TIN6 MAW 5HW - 101 5,F, wArPorzM N' I EYJ%Nn EX15TIN6 W0012 601ZP7 r, - 129 5F. EwSnNG 20 _GENERATOR EXISTING W0012 WALK - 91 5.F, SLAT& 19, - 774, aZA55WA.K NG �XI511NG CA22MI.51MNG - 42 5f. \ EXI511NG I-I/2-S10KY A/�CuNit EwSft,U C, PPANE M51MNCE I TOTAL - 6.104 5.F, Mc~F FRANCIS Ma. M511KU L. FLOW McNAM�E MARIA DLOCK G Oj No.1020 - I I WIC PENCE , (NOr ON PILINGS) EwsnNG �9� I EwsnNG UPI-ANP LOr COVF_PAG� - a?AVEL 83 a� RAISED 6,104 5,1', / 21,139 5,F. - 28,9 X. �. fxmn zz I PROPANE TANK Prr A 47.6' 124 I EwSnNG EN _ TRANCE X / DECK&51EP5 PRAMS J r 10 f,DEMOL15H:2 i rl SLOPE �4" VERTICAL FACE 5MI7 , 1OP5OIL � 123 I EwSnNG LfG�Nn NEW STOCKPILE AMA �,I WOOD POMP I BEDDING DETAIL ��O°M =� 6yos�.t "' ! EwsnNG xo-� PHOTO NUMMI; �L MAR 1 1 2020 Eusto-q sp 5 aI oN� NG & PIMC110N /l EwSnNG -7\a I.Of12 1 EwsM6 _ WPB PENCE �I vx I PAM5& ZIPetjx'j5 a'flaq� o LIGHfPOI E APPROVED Y - -- - ANGLE FIRST STAKE TOWARD ,/^��^ X�t' T 1 W,Cramer.K%P\ NAY PALES 7 90ARD OF T RUS#$("'5 n�NC' - 4 l PIZZOOMS PREVIOUSLY LAID BALE. �`� � NAYL3ALE5 =,Dime II.2019 � � �-,,. r� /nvTNGwooD Iva#3 FLAG a_ _ -- o OS�I2 5112�NC� - 413�nf?OOMS FLOW ,�� -- �- �,�G�#2 MWy__- ----- - TOWN OF SOUTHOLD y^ ��• ^ �, _ PI A�#1____ ®� P C 5Y511M MQUIMP rNz �i��i' �G Q Ew Ig1DERwA1ER WESUFFOLK COI INTY HMTH P2 PA1:rM�NT l^ �` r� n N EwsnNGOcrow, ROWWA5f WA1'FMANACZWNT WOaDWAL AUS NO INCMA5E IN MPI;OOM COUNT. � EwSnNG L G O PLOAM6 WOOP BOUND HAY BALES 130,0' PLACED ON CONTOUR 5 78^ 05j' qOw PROPOSED SITE PLAN FOR THE G ORSKY RESIDENCE 2 RE-BARS: STEEL PICKETS ORSite Plan 1020 Glenn Road 2"x 2"STAKES 1.5'to 2' IN GROUND. DRIVE STAKES FLUSH WITH TOP OF Southold, New York 11971 \S? DA HAY BALES. _\C5 Cy ANCHORING DETAIL Scale - I'' — 40'-011 Tax Map #: 1000 - 78 - 02 - 28Anuk, NOM JOHN R. BRACCO -� t3A5�12 ON A 5UI?V�Y 13Y; Registered Architect,P.C. ms's Straw Bale Dike Details WILLIAM p, 17 Main Street SIMMONS III, L,S,I',C, Sayville,NY 11782 A PA1Fn 01-25-2020 ph: (631)589-9888 '9 ®25063 �oQ� fax: (631)589-9889 OP LOT AMA; 27,015`5f. www.johnbraccoarchitect.com 1 1 Tax Map #: 1000 - 78 - 02 - 28 March 10, 2020 `o Glenn Goldsmith, President �o Town Hall Annex Michael J. Domino C10 = 54375 Route 25 John M. Bredemeyer, III o P.O. Box 1179 A Nicholas Krupski y�j�d �ao� Southold, NY 11971 Greg Williams Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ANGELA F. GORSKY c/o JOHN R. BRACCO Please be advised that your application dated March 11, 2020 has been reviewed by this Board at the regular meeting of October 14, 2020 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) 1 1 �l /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. 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 BY- Glenn Goldsmith, President Board of Trustees Peter Young,Chairman -� Town Hall,53095 Main Rd. Lauren Standish,Secret H ary � � 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 7, 2020 the following recommendation was made: Moved by John Chandler, seconded by Peter Young, it was RESOLVED to SUPPORT the application of ANGELA F. GORSKY to construct a 349 sf. ,RESOLVED (to replace existing sunroom), proposed deck 471 sf., and existing 1 Y2 story 2,097 single-family dwelling with attached garage. Located: 1020 Glenn Rd., Southold. SCTM#78-2-28 Inspected by Peter Young, John Chandler Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,` .dent Town Hall Annex Michael J. Domino 54375 Route 25 John M. Bredemeyer III P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams =_ Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: C�rl F pleted In field by: John R. Bracco on behalf of ANGELA F. GORSKY requests a Wetland Permit to construct a proposed 349sq.ft. sunroom (replacing existing sunroom); remove existing deck with steps and construct a proposed 471sq.ft. deck with 6' wide steps to ground onto existing 1-Y2 story 2,097sq.ft. single family dwelling with attached garage. Located: 1020 Glenn Road, Southold. SCTM# 1000-78- 2-28 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� 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 z Ch. 275 V Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application compl teness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner y. Present were: ZJ. Bredemeyer M. Domino --,--"G. Goldsmith . Krupski G. Williams Other I o� OWN�F: AN6�1_A 6025KY 19 HOM�5T_An AV�NU�, 6AP12M CITY, N,Y, 11530 40 f'NONI-; 516318.1064 NOf?TN coNsMcnoN � 00P �0 � EwsnN6 ACCESS �4) P're R7, �In� �,\22,1 • \"� TO-rAI. �OT`A-EA - 27,015 5,F. ` ti EwsnN6 6 U PAVIP MLMN UPLAN7 LOT`AMA- 21,139 5,F, ajywm C9AV119 MAPaW pmFr 99 �aI3 m511N6 17WaUING = 2,09-7 5,1', EwSnNG r, a�/ NSW co5UN DOOM - 349 5.F, Location Map p Z l NSW MCK & 5T�P5 - 506 5f. 50_1J-CT Ew5nN6 = Ew5nN6 �X1511N6 5LATF- PLMPOIW & 5TW5 - 35 5,1', PA�C�L o.".wM5 i FLAGpoLE �X1511NG PAVNZ PIZIVF-WAY - 2,176 5,F, NEW ]ZooFEn �X1511NG 51-AS & C4PA55 WALK - 109 5,F, 15.4' MCONIC � � Foxnco `r �X1511N6 GC? M - 469 5,P, ov'715LAnNG �4511NG F M� 5H�P - 101 5,F, 5'x7'S1,A1E � � � ExSnW PLAVCK" N `' EYJ5nN6 E�XI5TIN6 WOOF[301 MP, - 129 5,F, E $ 2p 9' �k 2'x4'CENEM-rOR �X15T1NG WOOL?WALK - 915'r. 6EA55W&KEAWN6 t X1511NG OLIM:5WIN6 42 5f. EwSnNG I-I/2-5rOW A/C IAllr EwsnNG 6 F M510Na I EwsnNG TOT`AL - 6,104 5,1', FLOW G Mc~F-FRANCI5 ML4, NMcNAMCE MARIA MOCKG.OL, wo FNE LorII NDON PLNGS) 19, I' E45nN6 UPLANn LOT`COVE I� GRAVEL e Dom, usEn 6,104 5,F, / 21,139 5,1', - 28,9 7. ��� � Ewsntr6 T Q2 � I r�orAr�rANK prr ENTFANCE X 47,6' / i2a I Ew5nN6 -_-- — - EwSnNG Vd NECK&51EI15 FrlwM J I r0 DE 17EMOLISNEI7 �4" VERTICAL FACE %ft? rOP501L EwsnNG ��6�Nn - ` rz SLOPE I( WOOD DOWMR5fOCKP BEDDING DETAIL S5LNWOM 6505II,t- I'tW 1" ' 6505f,t `,rl EwsnNG � PHOT`O NUMM3 MAR 1 2020 `1I Exi,ttrq 5wi./' I GI IVER 5WIN6 & n11 C110N Ew5nN6 A LOr 12 O.H.ROS r WAW. 1 z e � � Ew5nN6 WIC FENCE I W N I i PAVERS& New ma 6 LI6Nr rME -- - Wim'a AANGLE O DALES PREVIOUSLY TSTAKE LA D BALE. y �^` �nll 201W.C9 NAY- _ NAY DALES EX15TIN6 P.�51MNC� - 413NAZOOM5 — �'� � -- � �' � FLAG#3 FLP6 LAG _ `� Pf?OPOS1;1715117�NC� = 4 f3�nPOOMS 1%5"woos D -4 - _ , FLOW /`G �� ^�� FL.�2 MN-�---------- - l� FLffA 1__- oma NO NSW 5�1?11C 5Y5T?M MQUIMP M, ��•�� /` �� ^� �' _ EXI DUK1iGPn� �`"AZF 5UFFOLK COUNTY HM-TH MPAPfMWr w on wa K WA511; WATNZ MANACZ W NT MCAU5� NO INCMA51� IN M12P,00M COUNT, j FLOAAN6 WOOF nock G �^� BOUND HAY BALES ' 1?jO,O' PLACED ON CONTOUR 5 78� O5' 40 w PROPOSED SITE PLAN FOR THE GORSKY RESIDENCE 2 RE-BARS: STEEL PICKETS ORSite Plan 1020 Glenn Road 2"x 2"STAKES 1.5'to 2' IN GROUND. HDRIVE AY BALES. ES FLUSH WITH TOP OF Southold, New York 11971 �S, E®q9L_Tax Map #: 1000 - 78 - 02 - 28 ANCHORING DETAIL Scale - 1" - 40'-0 NOM JOHN R. BRACCO ' 6A5N2 ON A 5UPV�Y PY; Registered Architect,P.C. 17 Main Street ' Straw Bale Dike Details W11-1-1AM p, " SIMMONS III, �,S,I',C, sayviue,NY 11782 �. � 12AT�n 01-25-2020 ph: (631)589-9888 q� 02' 63 oQ. fax: (631)589-9889 FOF I-Of A1'.-A; 27,015 5,1', www.johnbraccoarchitect.com 1 Tax Map #: 1000 - 78 - 02 - 28 March 10, 2020 SURVEYED FORWICHAEL & ANGELA GORSKY LOCATED AT: SOUTHOLD,T/O SOUTHOLD, r-7, SUFF.CO.N.Y. r ' - LOT: 12 MAP OF: "WEST CREEK ESTS." MAR > > 2020 (F.8-19-1963 #3848) _.� ._._.w SCALE: 1 "=30' _TM ..� S.C.T.M. 01000-078-02-028 0oxc L Qa, �.�/ •. O �O ry0 edge � iT ado ; � N A �po�e �,�29• 9°ye FL flag 0.1 tTo 1 p0 0 M N 15.4 T �? _C6 late ta st. N cc°a ` slate 7.4 - -X ' 3 � �ne4aQor 1 112 STORY -- -- - - - - o FRAME RES: y - - aised CD °' #1020 M propane o, nk m � � �� pd 7i 20.3 aY 1 story p o a sun room 12. Arbor Entrance 17.6 Q p X c'WO0 ht O .0 3; 7.0 gilder io errsw. LOT 13 %avers& � LOT 12 light pole LOT 11 a m E ds as Hagg" jetan et, by 1,000 11 20 9 to a fl- on Jun flag # — c � wood bade cn h C—�W000daock tV ag#A� bU1krcunWeter I r< CANAL LU � ~ UPDATE ¢" � d N1/25/2020 CD UPDATE Z 7/x/201 V /4/16 S 7a�5�40 revised FILE NO.49693 CERTIFY TO: MICHAEL GORSKY ANGELA GORSKY GOLD STAR ABSTRACT GOL-16-7158-S STEWART TITLE INSURANCE COMPANY WILLIAM R.SIMMONS III,L.S.P.C. 128 CARLETON AVE.EAST ISLIP,N.Y.11730 PH. 631 581-1688 FX. 631 581-1691 DATE:4/27/2016 SCALE:1"=30' DRAWN BY:WRS IV D -1 17 u' ��ar,��i iT:IFt F" p Oji, • 5`TE ADO?-Fs5 *. 102-0 ccLCNtA GOAD y SOOTNOI,o T N•�. �\`� � ) PD I� I® Pt4oT-0 V'�) �aT�, -ra��El�►�A 0 3- L - 2,0 \9 MMLF } -?►kOT-C> DA-TS TARN; 03- (6 -Zo l(:1 NAM IT Mn- - iii■ ■ '�`�'� � . _ �■■11■■� _ t IW a ■■I OHIO • I J pj I� I � - t 1 1 0 51T� AD 09-SSS IOZD GLZNt-4 goADD , N •`t. 11 'l - � ®® mom. 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SEE 1t 1a1.] 42 i lam) I I ae` I w>a asa,ii°- 1MTCH—_LZ__UNE ( 1'r� �i � N 41ch •� -+€ (Be) 'j CCL1t0. SEE SEC.NO.057 SECTION NO NOTICECOUNTY OF SUFFOLK © E SOUTHOLD E � � rp p ------ �. __ — ��_—�-- Real Property Tax SernceAgency Y 078 r nwt _�� (27) u.. O u. -- -- aelpwrw,aN,.romn.vlre Dowry un,er plvmoa,N M o>e enact•o 1000 P PROPERTY MAP E •••••�•'•'•• �^-�_- per... e, w pwsu. --�-- p••'"'--n-- rxourrwmFw nFmn65icltatn[D en A N a:�.r•.. D••-• w• txt Nq•,iu w —__-- o••u. --�-- pru.--••-- p,.w ppppLAly lwx aE•Nc,:wot"n mwsso+wrt soa lw. 2twa1 � OFFICE LOCATION: w � `"n� MAILING ADDRESS: Town Hall Annex 4 a P.O.Box 1179 54375 State Route 25 Q 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: October 7, 2020 Re: LWRP Coastal Consistency Review for ANGELA F. GORSKY SCTM# 1000-78-2-28 John R. Bracco on behalf of ANGELA F. GORSKY requests a Wetland Permit to construct a proposed 349sq.ft. sunroom (replacing existing sunroom); remove existing deck with steps and construct a proposed 471sq.ft. deck with 6'wide steps to ground onto existing 1-%2 story 2,097sq.ft. single family dwelling with attached garage. Located: 1020 Glenn Road, Southold. SCTM# 1000-78-2-28 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 rr Glenn Goldsmith, President �QF SO(/Jy Town Hall Annex Michael J.Domino,Vice-President ,`O ��� 54375 Route 25 P.O. Box 1179 John M.Bredemeyer III J�[ Southold, New York 11971 A.Nicholas Kr„pski G Q Telephone (631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES _' MAR 1 7 2020 - `l TOWN OF SOUTHOLD TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS'' 18- 2 - Zg SCTM#: Property Owner Name: Date'Sent to Bldg: Dept: 3•l l/• �O The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Departmen"t's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered a Demolition as described under Town Code? - COMMENTS: U A /I A JL%L�_ /a h6 ignature o Reviewer Date f - �� Town Hall Annex Glenn Goldsmith,President 1< 1 ; 54375 Route 25 Michael J.Domino,Vice-jPresident ' � ..�r� P.D.Box 11"19 John M.Bredemeyer III ; z Southold,New York 11971 A. Telephone(631)765-1892 Nicholas Greg Williams ;` A"- Fax(631) 765-6641 BOARD OF TOWN TRUSTEES R TOWN OF SOUTHOLD VAR I 1 This Section For Office Use Only Southold Town Boar of lYustaes Coastal Erosion Permit Application Wetland Permit Application Administrative Permit _ Amendment/Transfer/Extension Received Application: 3-11- /tReceived Fee: $ 7-6V00 Completed Application:_ •l�o-20 Incomplete: SEQRA Classification: Type I Type 11 Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date:. �Coordination:(date sent):._.._ LWRP Consistency Assessment Form Sent: CAC Referral Sent: q•21,ZO Date of Inspection: IOI 7/a o Receipt of CAC Report: ]�tTechnical Review: public Hearing Held: - Resolution: /ab Owner(s) Legal Name of Property (as shown on Deed): _ AN C E LA F r2o 0-5 Mailing Address: _ 10_B.o Ay 6a�n. Phone Nuunber: S 1 b . 31$. 10 6 `t Suffolk County Tax Map Number: 1000 - 7!a o._z Z 8 Property Location: 102-0 q 1 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT' (If applicable): Mailing Address: 111 V--Aa i t�V!- ©a D Fav�NUti SP�Y�i�L� t� . 1 1 "i rd Z Phone Number: co 3,1-1 t Cantrell, Elizabeth From: John Bracco <johnbraccoarchitect@gmail.com> Sent: Wednesday, March 11, 2020 12:17 PM To: Cantrell, Elizabeth Subject: Gorsky Residence - 1020 Glenn Road, Southold, N.Y. 11971 Good afternoon Elizabeth,hope all is well. We are writing in reference to the Gorsky Residence,located at 102o Glenn Road, Southold, N.Y. 11971. We filed the Board of Trustees/Wetlands Application today but we need to provide the width of the deck steps to grade. The width of the steps to grade is 6'-0" and it comes out 5'-2"-from the Deck. If there are any questions or any additional information that is required please let us know. Regards, Andres V. John R. Bracco Architect P.C. 111 Railroad Avenue Sayville,NY 11782 T: 631-589-9888 F: 631-589-9889 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 Board of Trustees ApF --ation GENERAL DATA Land Area(in square feet): 2-7 0 1 S s-F. Area Zoning: z 4 C) Previous use,of property: Intended use of property: 14 C-e Covenants and Restrictions on property? Yes No if"Yes", please provide a copy. Will this proj1ect require a Building Permit as per Town Code? 'N-_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. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes Ot No Does the structure(s) on property have a valid Certificate of Occupancy? \14 Yes No Prior permits/approvals for site improvements'. Agency Date 50u,Qlr-lr_ .. , 0 C-,T 0 6V-l= Z1 �01 FoA FP OF $ovTtio U-D -TowH _TV45TE1S5 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): T"1?0-5VV ,Fy6e,Tkr44,_ '? 0 0 'r> (1j. ' _71 S-f . riG A Board of Tkeste es Ap.1 cation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: fe-ovasep 5VMF-00MCVM?t-ACe U11,111.,T(tA Ir s► oto 3XA I sx . FV-0 ZD 5?,3> 4-T I, t"E Area ofvvetlands on lot: .! '76 square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 6 S feet Closest distance between nearest proposed structure and upland edge of wetlands:- (.'?.3 feet Does the project involve excavation or filling? --No "IN Yes If yes, how much material will be excavated?-- -cubic yards Flow much material will be filled? d _cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: -—T-/—5L Manner in which material will be removed or deposited: .......... 2,. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): 617.20 Appendix B A ort Euvironmental A55essmenf Form e Instructions_fur_Com klfin 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 I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: _PhVV1tTi01'-AS 't AXA5 TO _Me GO"V-1 10 Eta 05 Project Location(describe,and attach,a location inap). 9 0 U T" ;l DE, 0 ca X.F_W4 F-viklD 0 1.4 1'-\m Ec,T 0V 5,'t\S??,b%r-0 V It. 14 0 f-I K DT- M co t4.1 V%\J'L - Brief Description of Proposed P�eQ05VAb S VAb S IJ J,%7-0 C)t-A CV*,?I LA 0-,-S FK Z 5 T tX,,, S LJ" F_0 0 t10 CV- C-k-7-1 �ki C 6 Name of Applicant of Sponsor: Telephone: 6 3 1. 5 Poi fgg j3 ZI o ti r-A 7- B.?-A C,C_0 1 A V_C*E 'I -C t,CA E-Mail:-To 0-4 13 Cc.0 A Fe-%4 TeC:C ✓ C, Address: so U City/PO: qtate. Zip Code. 6 A��V•rl..LF 1A -Y . I 11 7 ? Z 1. ) 'Z- 1.Does the proposed action only involve the legislative adoption of a plan,local IaVN,,ordinance, N6_ YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the propobed action and the environmental resources that may be affected in the municipality and proceed to Part 2. Ifrio,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: Tower os; sow-rtAv L-I> got upi%-!.6 t7VfAJtTt4Eq S C,- F] 3.a.Total acreage of the site of the proposed action? acres b.Total act eage to be physically disturbed'? &1, acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 62 —acres 473heck all land uses that occur on,adjoining and near the proposed action. ®Urban ®Rural(non-agriculture) Dindustrial []Commercial R Res idential(suburban) OForest DAgriculture [Aquatic ®Other(specify): OParkland Page I of 4 5. Is the proposed action; NO YES N/A . a.A permitted use under the,zoning regulations? Q ©' 0 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? D L_`_'..1 . 7. =1s the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify:.. Y ky¢^ 0F._"?P_0?E1LT`h.Ab'To s Coy.Li L�iF_ t�4, 1_7 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO (YES LJ b.Are public transportation service(s)available at or near the site of the proposed action? n ❑ c.Are any pedestrian accommodations or bicycle routes available,on or near site of the proposed action? 1`M1 9.Does the proposed action meet or exceed the state energy code requirements? 'NO YES Ifthe proposed action will exceed requirements,describe design features and technologies: -- , 10. Will the proposed action connect to an existing public!prrvate water supply? -NO YES If No,describe method for providing potable water: Q 11.Will the proposed action connect to existing wastewater utilities? NO ' YES, If No,describe method for providing wastewater treatment: Q 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 IVO YES wetlands or other waterbodies regulated by a federal,state or local agency? a b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? Q `� 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 ❑Forest '❑Agricultural./grasslands ❑Early mid-successional N] 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? 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. WilI storm wafer discharges flow to adjacent properties? 'd0 ❑YES, F ! ! b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe:' ❑NO S]YES Page 2 of 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: q� © F 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: _ AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: 5_dtfM . 61ZA C-C-0 tuc Date: 63— I D -.ZoZO Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of fart 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 tha proposed action?" No,or Moderate small to large impact impact may may occur occur 3. 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? [S-] d 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 affect existing infrastructure for mass transit,biking or walkway? J 1 u 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? ! 1 7. Will the proposed action impact existing: (� Q a. public/private water supplies? b.public i private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ® a waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 i No,or- Moderate small to large impact impact may may occur occur 10. Will the proposed action result.in an increase in the potential for erosion,flooding or drainage problems? E1 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 riot 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. EJCheck 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 m Board of Trustees Marne 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 Preparef(if different from Responsible Officer) PRINT Page 4�of 4 Board of Trustees Application AFFIDAV.IT Sk v BEING DULY SWORN DVOSES AND AFFIRMS THAT.HE/SHE IS THE APPLICANT FOR THE ABOVE DESCMBE D PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST T OF HIS/HER KNOWLEDGE AND BELIEF AND THAT AIM, WORK WILL BE DONE'IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED-BY THE SOUTHOLD TOWN BOARD-OF TRUSTEES. THE APPLICANT AGRE ES TO HOLD THE TOWN OF'SOUTHQLD 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 APPLX�ATIONI HERE'BY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)ORRE PRE SENTATIVES, INCLUDING THE CONSERVATION ADVISORYCOUNCIL,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:ANYWVfLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DV RING THE TERM OF THE, PERMIT. igbature o Property &ture�ofp pe'rty6 S Owner SWORN TO BEFORE ME THIS- DAYOF 20 c9-6 Aneela Chonoolai Notary Public,State of New York Notary Public N0.01CH6216622 Qualified in Nassau County Commission Expires January 25,20 00- �vjliosyy rwetoeconLe Notary Pub-no Board of Trustees Appl,ication AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM#'I 000- 0'76 - 0 2 - 0 Z 0 in the town of our tA o x-r-> New York,hereby authorizes a0 tVO V-Ps"--lS 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. Pro 6Zer-s'9,Qnature(/' Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF . Niru�aev L Cc unty(0,N, me'1--fta. day of Notary Public .0 docunlent.%v, svjore�the contiwnlz ft,,4 Aneela Chonoolal Notary Public,state of New York Notary pul"'Rr, N0.01CH6216622 Qualified in Nassau County Commission Expires January 25,20-2 APPLICANT/AGENT/REPRESENTATIW TRANSACTIONAL DISCLOSURE FORM The ovrconfl' ftcstotneiof CEthic od Tice osc of ta this f rcrt is ta" rovide f orinatia whip can alert tho tovv 'of oss !eco lets interest and allo it tp.t c whatever ii ion I necessary-to.avoid-same. YOUR NAME: 5 tza C-CA (Last name,first name,.rpiddle initial,unless you are applying to 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 plotMooring Exemption;from plat or official map _ Planning Other (If"Other"',name the activity.)' Do you,pcisoitdlly(br thebugh=your compariy,,spouse,sinling,parent,or•child)•have a'teiiidanship-l+!iib,anyofficer or.emplayee of the Tawti,ofSouthold? "Relationship"-tncludes-bsy blobd,njarriage,.or business interest,"Business interest"meaxys'€l liusiitess, inclutiing,a partttetship;in which the°tCiv�n afficct or emplayee•has liven a pmlal ownershi' bf(or employment by.)a catpotation in which the iown officer,be employcq owns more than 5%of the shares. YES NO If you atiswered"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 Des�ribe the relationship'betwecn yourself(ihe�applicantlagent!representative)and the town officer or employee.Either check the•appropriate line A)through D)rind/or descrlbe 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, ofgreater than 5%ofthe shares of the,,corporate stack of the applicant (when dine tipplicant is a corpcitation); 13)the legal orbeneficial owner of My interest in a no entity(when the applicanUs not,a,corporation); C)an officer;:director,partner,or employee of the'appllcant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this da 20 Signature. �- Print Name' so _ C-D Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE, FORM jbe Town of Sciuthold's Code of Ethics prohibits,conflicts ofintc'resbo t"t � of fawn rifficers and emrrlovees Ttte uumose of this farm is to rovide information which Can alert the town of nassible conflicts of iirterast and alio�v"it to latce whatever action"mss necc;ssar-,+"to avoid same. YOURNAME: G4I sk=-- f'rlE`I �� F (Last name,fust 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"Othe(",name the activity.) Do you personally for 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'g means tti business; including a partnership,in which the town officer or•employec.has even a partial ownership of(or employment by)a corporation in which the.town officer or cnrployce awns more than'i%of thc,shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Nance 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)andlor 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 (vehen the applicant is,a corporation);, 13)the legal or beneficial owner of stay 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 RELATIONsimp ----------------- Submitted this day SiEnature Print Name Form TS I .l Glenn Goldsmith,President �Qr Cog'otk00, � Town Hall Annex Michael J.Domino ,��� rya 54375 Route 25 John M.Bredemeyer III P.O.Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams �' ® p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 23, 2020 John E. Bracco 111 Railroad Avenue Sayville, NY 11782 Re: Board of Trustees Application of Angela F. Gorsky 1020 Glenn Road, Southold SCTM# 1000-78-2-28 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Order 202.1, this application is now scheduled to be heard by the Southold Town Board of Trustees, via videoconferencing on Wednesday, October 14, 2020 beginning at 5:30 P.M. Please continue to check the Town's website as the meeting date approaches for the latest meeting agenda and videoconferencing information. Also enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational notice along with all other required paperwork to each-of the adjacent property owners. Please keep a copy of said informational notice for your records so that you can access the meeting in order to have a conversation with the Board during your application review. - Very Truly Yours, Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President _ O�,so:F014-COG Town Hall Annex Michael J.Domino �� y,� 54375 Route 25 John M.Bredemeyer III y a P.O.Box 1179 A.Nicholas Krupski vG Southold,NY 11971 Greg Williams ?� ® p� Telephone(631)765-1892 HCl �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESEDAY, OCTOBER 14, 2020 5:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, October 14. 2020 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. Pursuant to Executive Order 202.1 of New York Governor Andrew Cuomo in-person access by the public will not be permitted. Town residents are invited to attend the public meetings virtually via the Zoom online platform on Wednesday, October 14, 2020 with the Regular Work Session beginning at 5:OOPM, and the Public Board Hearings beginning at 5:30PM. The public will have access to view and listen to the meeting as it is happening via Zoom. If you do not have access to a computer or smartphone, there is an option to listen in via telephone. ,Further details about how to tune in to the meeting are on the Town's website at 'https://www.southoldtownny.gov/calendar or call the Board of Trustees office at (631) 765-1892 Monday through Friday between the hours of 8:OOAM—4:OOPM. Options for public attendance: • Online at the website zoom.us, click on "join a meeting" and enter the information below. Zoom Meeting ID: 940 9551 1776 --Password:_773148 • Telephone: Call 1(646) 558-8656 Enter Meeting ID and Password when prompted (same as above). In order to "request to speak" when the application you are interested in has begun, please press *9 on your phone and wait for someone to acknowledge your request. When prompted press *6 to unmute your phone. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name'in alphabetical order. Click on the name of the application to view the file. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS ue;':a4 = �i'r''` is ry gyp` g j Name: 3' , �r ;r iS.n;, _•�' as,+,a .,. Y''� "�.;:ii: $12-6, <ti 3Tljk t�Hi REV.�i 3� ianl- 9 [RNYtiti.�Yi �.;=-i ",, a�,.< SS aS+ wn �M�"^ '•.�^'�i^.`.-.ii�+c.'kxr^wKµ'aFCiY .rFfiT ` T }�^- .�^a.*"y= �' I �9y .a •J�i } 42 :4' t .::V y3^ Yrs ' „- 1 RX-1. +vi.�� n � .r+µ•SUS F.. +Y>• ^4 ^- '-Yf".r r MZQ,... r,,z �Y�.}�4'n,.�r-� •4w^aC_t d�n���"F�.�' =3�'_ ������i(X -f` F� �.q�"'3���i-+4�',�`fr'1�t•"asi+. - ' STATE OF-�l COUNTY OF"SUFFOL 'residing at being duly'sworn, deposes and says that on the day of ,20_., deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set-opposite there respective names;that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAWRETURN RECEIPT, Sworn to before me this Day of ,20 ' Notary Public Glenn Goldsmith,President �Q Q 0 Town Hall Annex Michael J.Domino 54375 Route 25 John M.Bredemeyer III o P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 4,- �apl 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 ANGELA F. GORSKY 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 DA 1'S PRIOR TO THE PUBLIC HEARING DATE residing at/dba I 1 I R cn��Po vd j o being duly sworn, depose and say: That on the (n day of D e � 202 0, I personally posted the property known as r \/ p P p p 1 x 2 0 4 1-C ��A �Jc,J-ror6 L5-V t �')�Y° by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, October 14, 2020. Dated: (signature) Syyorn to before me this 12 day of Nov- 20 E0 `0gJ�1� Q. - Nancy C.Oakley rr�� Notary Public,State of New York Notary Public No.01OA6341025 Oualified In Suffolk county Commission Expires May P.wi PROOF OF MAILING OF NOTICE ATTACK CERTIFIED MAIL RECEIPTS Name: Address: ��_IJ .�•N.-re f\, 1rV,� -� SIS•�,�, '�- 'DR�v� we qr s drs�1 So•.. �p , STATE OF NEW YORK COUNTY OF--SUFFOLK residing at n I"�ra ^ `! /C�l V 002. being duly sw rn, deposes and says that on the V�- day of- a e- ��e S . , 2010-,-deponent mailed a true copy of the Notice set forlb 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 S uthold; that said Notices were.mailed at the United States Post Office at a J%W �I*�. that said Notices were mailed to each of said persons by 4 CERTIFIED II, TURN RECEIPT. Sworn to before me this �5 Day of 20LEESA HAAS� NOTARY PUBLIC STATE OF NEW YORK SUFFOLK COUNTY _"__ k 4"� LIC.N01HA6 79432 Term Expires April 8,20 Notary Public i M CO ru ru _,,, s� ; °+ � ,_ ru SOUIf" 1 �, WeS 5 '�Pry T i iEr n Po ._ 0782 LI Po'a§e $ 0782 s 01 P- ° 1 U1 N Certified Fee Certified Fee $0.00 I_I°fly Postmark fU -°' M Retum Receipt Fee Postmark ru M Return Receipt Fee °_ Here C3 (Endorsement Required) Here C3 (Endorsement Required) $0.00 p M Restricted Delivery Fee Restricted Delivery Fee ° (Endorsement Required) p (Endorsement Required) 1p-3 UA $1°201. $ �l p Total Postage&Fees $ 10/07/2020 C3 Total Postage&Fees 1�CVU7/2 120 r-I � iII ' VSe�ntTo Sent To ---------------- ------ ----------------------p , . .O Apt.No; q S or PO Box No. 3D 'may ��\Box No ' I � � —v ;-------- ----------- --- y --n-----------------/� ]�n 3-{— IJ ��r "v\�• -1 �� �� i Clty,State,ZIP+4-�®�- ----�� ---------- J :11 01. J ' ® e M 1r CD ru = m Leer#:" l a H °s ti9 s I, i72 IM - Er Ln Postags• 782 I_11 Certified Fee $0.00 i ru Postmark M Return Receipt Fee Here ' O' (Endorsement Required) C3 Restricted Delivery Fee ° C3 (Endorsement Required) r-9 $1° (. C3 Total Postage&Fees $ 10/07/2520 ru Sent To QStreet,Apt No.; /► w or PO Box Itro. AS rr 0 o r ------------------- r t NOTICE O HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees via the online Zoom platform. OWNERS) OF RECORD: ANGELA F. GORSKY SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a proposed 349sq.ft. sunroom (replacing existing sunroom); remove existing deck with steps and construct a proposed 471sq.ft. deck with 6' wide steps to ground onto existing 1-% story 2,097sq.ft. single family dwelling with attached garage. Located: 1020 Glenn Road, Southold. SCTM# 1000-78-2-28 TIME & DATE OF PUBLIC HEARING: Wednesday, October 14, 2020 — at or about 5:30P.M. — To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. ,Click on the name of the application to view the file. 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 prgosed action Nvill be evaluated, as to its,sigaiLeant beneficial and adverse effects upon the caastat area(which includes all of SoutholdTown)., 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 LIATRP policy standards and conditions contained in the consistency review law. Thus each answer must be ex 1 ' ed in detail listing both suRpoetiba and non- ;sun mr#Iiag 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 SCTMf* 0-7S - O Z - 07-%3 PROJECTN AyP\TioYa5 Of A,.tNy-?-ATTio'NS To -RAS cofSi4>-( SLSiDEtoCk 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): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) F] (b) Fivaancial assistance(e.g. grant,loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action: No"o .�.p sut-«o0,�-A 9,. �.Acc Fx'sTit� 6 svr�g-ootn� 341 -5 F. �R-oPosED r,>Ec iC- -71 s•F �_ �xis�-o`�'�� I-l� af��1 2 M-7 SS F 5"i e.? l r'�t1�ti �.� �w r L�-'ti-�t✓ t��T�°l 1C lE t> 6 Aa �� Location of action: Joao r.I,sN4o r-o.}So V rOoLA) N.`t. 1 10k -71 Site acreage: 0. 6 2 A c.M5 Present land use: S i t-t 6 LS F P,�'�L-t Present zoning classification: -o rA 6 ?�-t1 D 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:_ So HN R 8 Lz-AGc o A 9-4-0 i rE CT (b) Mailing address: I t 1 i 1 7 8 2-- (c) (c) Telephone number: Area Code X31 5 8`l. R'06 06 _ (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes F�il No If yes, which state or federal agency? N.�(. s. P- s.G . 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. Poster a pattern of development in the Town of Southold that entrances community character, preserves open space, snakes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LV#IRP Section III—Policies; Page 2 for evaluation criteria. F]Yes ❑ No n] Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes 1:1 No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LIAW Section 111—Policies Pages 6 through 7 for evaluation criteria Yes No 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 a 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 0 YesE] No El 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 L Section III—Policies; Pages-22 through 32 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality M1 the Town of Southold. See LWRP Section III — Policies Pages 3.2 through 34 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous in substances and wastes. See LIAW Section III—Policies; Pages 34 through 38 for evaluation criteria. FJYesE1 No NI Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. Ye.0 No Not Applicable Attach additional sheets if necessary WOREING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LW RP Section III-Policies; Pages 47 through 56 for evaluation criteria. n Yes F] No M 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 LW RP Section III—Policies; Pages 57 through 62 for evaluation criteria. 1:1 Yes F] No N1 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. F! Yes n No N] Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LVVRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY -rotit4 �_._ ?,p-AccO TITLE M.-c" t 7� GT- —DATE 03-M) -?,02,0