Loading...
HomeMy WebLinkAboutTR-9783 Glenn Goldsmith,President QF SO(/pTown Hall Annex Michael J.Domino,Vice-President ®� ��� 54375 Route 25 - P.O.Box 1179 John M.Bredemeyer III J [ Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 IROARD OF TOWN TRUSTEES TOWN OF SOUTI40LD SOUTHOLD TOWN BOARD OF.TRUSTEES YOU ARE'EQUIRED TO CONTACT-THE-- OfFIUE,OF- THE-•BOARD-_OF TRU8TEES- tiHOURS_PRIOR TO'_COMIIAENCEmr=NT�OF"THE ACTIVITIES-C'I� k-ED';O?EF "BELOW k : - INSPECTION SCHEDULE f .: Pre-consti✓ucf�n;� ih b is,t s11#l a i!s�_1f c irtairi_ - " 1 St day,of construction %constructed When '�o'ect complete, calhfor compliance inspection; Glenn Goldsmith,President QF S10 Town.Hall-Annex 543,75 Route 25 Michael J.Domino ,`O l0 179 John M.Bredemeyer III Sou - P.O.Box 1 •� � " thold,New Yorkrk -11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 " Greg Williams �� Fax(631) 765-6641 COUNTI� BOARD OF TOWN.rMUSTEES TOWN OF,SOUTHOLD December 29, 2020 Anthony Portillo AMP Architecture _ 1075 Franklinv'ilie Avenue Laurel, NY 11948 RE: MICHAEL &VANESSA REBENTISCH 1580 COREY CREEK LANE, SOUTHOLD SCTM# 1000-78-4-19 Dear Mr. Portillo: k.., The Board of Town Trustees took the following action during its regular meeting held on Monday, December 21, 2020 regarding the above matter: WHEREAS, AMP Architecture, on behalf of MICHAEL & VANESSA REBENTISCH 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 October 2, 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 November 18, 2020 and December 21, 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, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare,of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program,,and, RESOLVED, that the Board of Trustees_approve the application of MICHAEL & VANESSA REBENTISCH to construct a'one-story addition to existing single family residence: 20.5'x21.8'; 446.9sq.ft.; existing 2 story house footprint: 58.5'x33.1'; 1971.5sq.ft:; demolition of existing dock: 81.5'x5.9'; 396sq.ft; and as depicted on the site plan prepared by AMP Architecture LLC, received_ on.December 14, 2020 and stamped approved on December 21, 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 of the date:of this notification. -- -- -- --- ------ ----- - --- - - - - --- - --- Inspections are required at a fee of$50.00 per inspection. (See attached schedule) Fees: $50.00 Very my yours, Glenn Goldsmith President, Board of Trustees GG/dd BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK 5, PERMIT NO.9783 DATE: DECEMBER 21,2020 �4 ISSUED TO: MICHAEL&VANESSA REBENTISCH PROPERTY ADDRESS: 1580 COREY CREEK LANE, SOUTHOLD SCTM# 1000-78-4-19 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 December 21, 2020, and in consideration of application fee in the sum of $250.00 paid by Michael & Vanessa Rebentisch and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees Ire authorizes and permits the following: Wetland Permit to construct a one-story addition to existing single family residence: 20.5'x21.8'; 446.9sq.ft.; existing 2 story house footprint: 58.5'x33.11; 1971.5sq.ft.; demolition of existing dock: 81.5'x5.91;396sq.ft; and as depicted on the site plan prepared by AMPArchitecture LLC, received on December 14,2020 and stamped approved on December 21,2020° IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these A p presents to be subscribed by a majority of the said Board as of the 21st day of December,2020. FQ V W .1 T Domino-NA YE All ........... TERMS AND CONDITIONS The Permittee Michael &Vanessa Rebentisch residing at 1580 Corey Creek Lane, 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. TAX MAP 1000-12-4-Iq o Q ZONING DISTRICT R-40 NON-CONFORMING m a s a `°'�� � �APPROVE® BY zas��m LOT AREA 21,622 S.F. -'W O F �j FEMA FLOOD ZONE AE 6 BOAR® OF t�USTEES a o W TOWN-OF,,SOUTHOI® s pxa�av EXISTING' PROPOSED l' ""'°' \� m W �j m a FIRST FLOOR AREA 14115 S.F. 2418.4 S.F. `m DATE + R .2,(I�� �n a _�x�_ / r 1 ` 1 µ T b Za Oa SECOND FLOOR AREA 889.8 5.F. 554.5 S.F. BEDROOM COUNT 5 5 r it 1 1 1 1 1 LL W p p J / 9 C6 .w:r, _�.'::,="',n, "'r •"_ '';n`'" :s,nx:. ;�.Y" ,; u�'=.z ";,a .r�Y.W ...'-'a`a',';.��s `c' ��`.;.�: pie o mom Z o F p 2 R�621lIRE[DRGIJl:A I IOh15' z. ,,^.^:° �� 50-1TM# 1000-15-4-19;LOT AREA = 21,622 S.F. ;R-40 NON-CONFORMING IN a W. EXIST. PROPOSED COMPLIES RED !� �` ;��ro�� \ \ 1 I fi� SITE LAYOUT NOTES: MINIMUM REQUII. THIS 15 AN ARGHITEGT5 SITE PLAN 8 15 FRONT YARD 40.0' 25.5' 15.4' NO i / SUBJECT TO VERIFICATION BY A LICENSED SURVEYOR. THE INFORMATION REPRESENTED ON THIS SITE PLAN 15 TO THE // m"�" �� ARCHITECTS BEST OF KNOWLEDGE. SIDE YARD 10.0' 52.6' 52.6' YES / r/ / :°" 2.5URVEY INFORMATION WAS OBTAINED BOTH SIDE YARDS 25.0' 52.5' 52.6' YES FROM A SURVEY DATED FEBRUARY 1,2020 AND PREPARED BY: REAR 50.0' 52.9' 52.4' YES I/J /// It PETER A.GROBEN 27022. -21,622. 21,622.0 LOT SIZE ��� ---` LAND SURVEYOR O S.F. O S.F. S.F. P.O.BOX 104 RIDGE,NY 11961 + ` 3 , y � I TELEPHONE: (631)849-4750 LOT WIDTH 150.0' 1405' 140.5' NO LOT DEPTH 115.0' 252.2 252.2' YES san TE: 'lam ` '�`� \ / I. PROPERTY IS LOCATED IN FEMA FLOOD ZONES AE6 d AET. W MAXIMUM PERMITTED � � '�X / 2.SITE FROTEGTION/SILT FENCING TO BE J BUILDING HEIGHT 55.0' 22.5' 225' YES I ( / �e� v Imo: I INSTALLED A5 REQUIRED BY SOUTHOLD TOWN. NUMBER OF STORIES 2 2 2 YES 5.SURFACE WATERS ARE LOCATED WITHIN 1 ♦ ����Mrrr�nc1 I I 300'OF THIS PROPERTY LOT GOVEI?P eS DESCRIPTION = AREA �LOT COVERAGE TOTAL LOT AREA 21,622.0 S.F. EXISTING HOUSE 1,911.5 S.F. 1.1% LJ EXISTING FRAME SHEDS(5) 345.4 1.4A5 IL✓7 EXISTING FRAME DECK 506.9 S.F. 1.5% \\\ \ \\ D K 1 4 2020 PROPOSED ADDITION 446.9 S.F. 1.6% �i.% �� / Z Y e-4 TOTAL AREA OF ALL STRUCTURES 5521.2 S.F. 12.0% _ (n w MAXIMUM COVERAGE ALLOWED = 2020% \\ � `'�, -- / i� Souinol 1 To��no ix .H >- Z ~ oz m O U Q 0 H 00 O IL-N4P:i � 8p \ � O 3 7 4 CJ':) O PROF05ED 51 TE PLAN op � V SCALE: 1'-0" = 40'-0" o Qa GENERAL SYMBOL KEY: a � EXISTING TO REMAIN PZ=ZA NEW FOUNDATION WALL W Q 3 Zzm¢o NEW WOOD FRAME(L8. � o 6n KM APPLICABLE) rJax. EXIST. east. m a a g no+aa eN. 4*!WA 'N�mn s.lxu�,♦save 2t PM4»91 as a 3 vi m is ¢=W=o� `°� PS pY`fIL4T -50 *J ZZ.= E;C WLi E�9SL EAST- C19SL EXIS.L � o o m o m a 1212-L ZaJZ�� 411- d 8 �o � V V� OQJ . EXIST, W V yy Q8���dC C a LW�1 EXIST. / Y W=~OUG� �8a�aa� enLsz rf bW NEhI GREAT / goolm Lela NB4 tv -CATN®RAL cEILDas- !STLWS IS)w EAST, ROOM /- 114 C1 /-/- - ,•4.1G � 6W.., j �64• j ��� FJODT. T. offlAsr. D47�s01116LIOG 17'W117•f91 BOW/GAse /- TIIti001'N FlC/GLmC 0 10 PROP05ED 1=I RST FLOOR (PR I NG I PAL BUILDING) 5 EXIST. I,a"I1.5 S.F.; PROPOSED 2,418.4 S.F. SCALE, 118° - V-O" I I I I I I / D EC, E � E - - -- -- -- -'� - - - - - - - - - - - - - r I / - �` l e� _ D EC 1 4 202 0 BATHROOM /' I Z t� - - - - - - - - - - - - - - - - - „ EXIST, r Southold Town Z W Y Board of lhuiees C c r I ~ V Z / LJJ D o I 0 'J / ' W Q O x I R ap N ix IL / r- - -- - -- - - - - - - - - - - - -- - - - - - - a EX 15TI NO 5EGOND FLOOR (PZI NV PAL BUILDING) b ��r °3TWA �� j W EXISTING 88q.8 S.F. �^�` ve ��"O r�sFN � Li ¢IL c� zz3 ��W3�3mtal maaga Zo3wo �5ss� m x�tdLLo W ¢ a¢z xc� 0'Zo $ omc�rz� aid ZZ OfyQEQ¢w K 4a3;Q 2 4Qi102H 5w � a LIJLILWL uj $I i ¢F F¢5 rc¢ :r!!•: :z: '+`i., vas, .,Sp;:•f rr•i'. ;rah :'.Phn,+ ;t'. a�:�„'i h, PROPOSED FRONT ELEVATION + w l ¢ Q Q ,i'i•.i'^ry >'�+.' ti ��:'Y'r'Y`1.�r1•L44 L E C E V E PROPOSED RIGHT ELEVATION uu SCALE: I/8" = I'-o' DEC 1 4 2020 w 5outnuld Tov n Z Board of Trustees � Z, cc } Z I� c� z LIJ --_ -- - - b 54iV1. Pr, Oi till N 0'p LEA UB s a ail OF )'�4 t•ti:.Y'�`,)'i• :45�,.i+" !`"5�5� .r�.l K;+ R:ti.�f': 1 »^/'.t'e'l.�•'{'P:4 S. �• 1` PROPOSED REAR ELEVATION W SCALE: I/8" = V--O" � c a Glenn Goldsmith, President ,,� y�k Town Hall Annex Michael J. Dominoy = 54375 Route 25 John M. Bredemeyer, III o ® P.O. Box 1179 A Nicholas Krupski 4,, aol;��' Southold, NY 11971 Greg Williams ' ' ` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: REBENTISCH c/o AMP ARCHITECTURE Please be advised that your application dated October 2. 2020 has been reviewed by this Board at the regular meeting of December 21, 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) 1St Day of Construction ($50.00) % 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: ap-%5 A0 �Rc��r6crr,m Z TOTAL FEES DUE: $.50.00 BY: Glenn Goldsmith, Presidentj �'� 1 o Board of Trustees HI PROcIEGT f ZOlVI1�IG4DATA r -` aa = ,, 'µ _ ' m IL Is TAX MAP# 1000-78-4-I41 Z'm a ZONING DISTRICT R-40 NON-CONFORMIN6, c0 ,O S g W g g I-ANE z a¢5 uLlJg mo LOT AREA 21,622 S.F. a o p�a uo 911 FEMA FLOOD ZONE AE cC i`.'.-".;'i���i'y.,,.F:���'�'�A•��F"x+*£..�Ei.'F' "-�` ....'ysi.� ''hz '-' - "+-.. ��'.,`w' `'�.'_ J C'� �O EXISTING PROP05ED r o m 9a FIRST FLOOR AREA Ig715 S.F. 2418.4 S.F. a SECOND FLOOR AREA 88118 S.F. 65q.6 S.F. n` ; 'im � BEDROOM COUNT 5 5 �, "/ij/ / 1 \ irl I♦ll r"nw �1 yp�oQ4aa �,y REQUIRED':REGIJLATI NG ,. _ ;. _: _ = ''; f- \ \ � 5 W� w -_ O ✓'.S_?:�+ '=,= +°�r;�` '+ie; `t,AF" �^�,`*".< _ _ 4'��Cn' `�;:h...19...`E _ :� �� \\\ I I Y W W O~�E LSGTMO 1000-'78-4-141;LOT AREA - 21622 S.F. ;R-40 Co '1.1 `i/ �� \ I I �F$ EXIST. PROPOSED COMPLIES MINIMUM REQUIRED �">"�t \ I 1 Ffi SITE LAYOUT NOTES. !Pi,, - I " °/ I. THIS IS AN ARCHITECTS SITE PLAN 3 IS it SUBJECT TO VERIFICATION BY A LICENSED FRONT YARD 40.0' 235' 15.4' NO ', ♦ / I SURVEYOR. THE INFORMATION REPRESENTED ON THI5 SITE PLAN IS TO THE SIDE YARD 10.0' 32.8' 32.8' YES f // °" �r ARCHITECT'S BEST OF KNOWLEDGE. 2.SURVEY INFORMATION WAS OBTAINED BOTH SIDE YARDS25.0' 32.8' 52.6' YES „m,,. ;�, \\t/ �� / ' FROM A SURVEY DATED FEBRUARY 7,2020 AND PREPARED BY, REAR 50.0' 52.61' 52.11' YES / J �// 4: i$ PETER A.GROBEN 27,622. -2"1,622. 2.7,622.0 j' I/ / / / _-- -- - LAND SURVEYOR LOT SIZE O S.F. O S.F. S.F. N/G 7� / / ♦f "- --- i P.O.BOX 704 RIDGE,NY 119(o1 TELEPHONE: (631)849-4750 LOT WIDTH 150.0' 1405' 140.5' NOj+ LOT DEPTH 175.0' 232.2 232.2' YES � � / J (°j'; NOTIE. I. PROPERTY IS LOCATED IN FEMA FLOOD MAXIMUM PERMITTED i ZONES AEb a AE7. , 2.51TE PROTECTION/51LT FENCIN BUILDING HEIGHT 35.0' 22.5' 22.5' YES �I'IQ / . ',' 1 FENCING TO BE U INSTALLED AS REQUIRED BY SOUTHOLD NUMBER OF STORIES 2 2 2 YES TOWN. t I (�y;' �+ JI 3.SURFACE WATERS ARE LOCATED WITHIN 4 1 300'OF THIS PROPERTY LOT=r.GOVER;AGE:S= "• - = --_= ;_, I /t '� .m. DESCRIPTION AREA ,COVERAGE \ ` \ TOTAL LOT AREA 77,622.0 5.F. EXISTING HOUSE V1715 S.F. 7.1915 \ \t \ 25i �e ML 6) 4� 1 E CG D E F EXISTING 5-6.-qFRAME SHEDS(5) 3g5. 1.4% Lu 1 EXISTING FRAME DECK 506A S.F. 1.8% \\ P \ \,\ I D EC 1 4 2020 I z I PROPOSED ADDITION 446.61 S.F. 1.6% TOTAL AREA OF ALL STRUCTURES 3321.2 S.F. 12.0% 'r V1 W vq \ ��� __ Soufil^!d Tovm O W } MAXIMUM COVERED AGE ALLOW20% \\ \, \� ` i� Lo3i 111-,iTi�ite2S W Q Q 0 � L \\ • /' W Q ca ox ix V f- / o � o 3,413 PROPOSED SITE PLAN w W 50ALEs 1'-0" 0 40'-0" o a OENERAL 5YMBOL KEY: a r--� EX"W&TO RQMIN ��' NEW FOLMATON WALL p F 3 wOZZma STL. F---1 ki NEW WOOD FRAME(L.6. g 3 v -ITT I--'-1 NEK With APPLIOAD.� e�06r. 4W'A L-6N. ewOr. 00 a¢a s EMT. 01L EX15T.4MM OLIDG 6M'WY4M11 BLIDG Y7 b11 DN / 1-O 3:. :5 z Wx G=d m 2 � COF (( t,}A Zp Sp'�•�N V 15AVROOM BOOM • a m a wcam yF^� ayCz`u�o c3''a N4EXIST, V DGSr. HIRE LF QL NEW GREAT WN ROOM Liz N9111 / -CAT®NAL 011049- 4�STEP2 wit •DT ROOM /- ®® KLTCdlCti - Exler, qq - I ]114 G `—�J ...4110 r 64' EMT. exe.145T.- 1114"m711 cum 7.2" *M 00W6M6 /- M91'Y60711►I0/d.mG - 611'W%4MW C.Ail. 0 10 3/8°-1'-0° PROP05ED F I R5T FLOOR (PRI NG I PAL BUILDING) 5 it EXIST. I,41-71.5 S.F.; PROPOSED 2,418.4 S.F. SCALE, 1/80 = V-O" a I I I I I 1 I I I I IT - - - - - - -�- - - - - - - - - - - - - - - - - - ! BATHROOM / D Er 1 4 2020 W - - - - - - - - - - - - - - - - z � I = � D06T I_ Soatiiold Town N O w � ~�vTr,utees y - - - -- - -- - - - - - - - - z H V Z /- 1 W �- W Q O x 0 N Po aw ku- - 1 ' 0 10 1/8°d'-0" 'd' �tiT_s`tu•• `'� ,�y r�\'1 EXISTING 5EGOND FLOOR (PRINCIPAL BUILDING) -- -- - - - - - - - - - - - J b ��, °3740") —kU sOA�E, ve° = 1'-O^ �= N��� c a - EXISTING 88q.8 S.F. 'ms's LL R W W j LL LL' W/IOZN7�.}6 F CL zasl$�m J W =o�W,y W g Q LL Q NQ3 � ® ® JLL'f7 -W - O �i y W W OC�WO '0 t:— ors RgZ>.LLxc2 z aLL $ Z. adzlJp��LL f ¢Y W yW rcjWO�W NQN 6 ZO V=U ism O=�S 'i. ,..t- J•z�t.Q`1;,..1•:�.�. .%}?�%l+r'f•�4`� ./�!.✓," •D;vJ�i::^+F.� I PROPOSED FRONT ELEVATION SCALE; 1/8" - 1'-0" W JJ J a �c+,'•i=ct,i+,k ;r is%rrr'•i�`•x't',ti C E J V E II PROPOSED RICHT ELEVATION SCALE: I/b" - I'-O" D EC 1 4 2020 Southold Tum W zq Board of Trustees (n OZ W .� LU -- _ AR�_ `-` o All-N. Gj° , p ' Xx o O .4A O r PROPOSED REAR ELEVATION SCALE, 1/6" = I'-0" o a Michael J.Domino,President ��®� S�UT Town Hall Annex John M.Bredemeyer III,Vice-President h® f� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas KrupskiTelephone(631)765-1892 Greg Williams �1� �a�` = Fax(631)765-6641 c®UIV�Ig� . BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLDF p7 t _ _ This Section For Office Use Only �y J Coastal Erosion Permit Application DEC 1 4 2020 Wetland Permit Application Administrative Permit ---- ` Amendment/Transfer/Extension soutno�d 16Vn ` Received Application:- _ POar(j of Tei' , �--� Received Fee: $ Completed Application: Incomplete: SEQRA Classification: Type I Type H 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: Resolution: -----_ Owner(s)Legal Name of Property(as shown on Deed): Michael and Vanessa Rebentisch _ Mailing Address: 1580 Corey Creek Lane, Southold Phone Number: 347-258-8642 Suffolk County Tax Map Number: 1000- 780 -04 - 19 Property Location: 1580 Corey Creek Lane, Southold (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Anthony Portillo (AMP Architecture) Mailing Address: 1075 Franklin Ave, Laurel, NY 11948 Phone Number: 516-214-0160 _ XRCH1tMRE Operating Business Address:1075 ua Franklinville Rd,Laurel NY 11948 Brooklyn Office:450 95th St,C9,Brooklyn,NY 11209 Laurel Office:1075 Franklinville Rd,Laurel NY 11948 Business Phone:(516)214-0160 Anthony Portillo:(716)572-4741 1 CERA Wetlands Permit Application Michael and Vanessa Rebentisch LJ' ' 1580 Corey Creek Lane Southold, NY DEC 1 4 2Q20 f SCTM: 1000-44-1-9 December 4, 2020 Souiaold Tayin � B ar 1 of Tro-L.as._ � Project Description: In an effort to create the proposed addition on the existing house. Proposed 1 story addition to existing single family residence:20.5'X21.8;446.9 Sq.Ft. Existing 2 story house footprint:58.5'x33.1'; 1,971.5 Sq.Ft. Demolition of Existing Dock:81.5'x5.9;396 Sq. Ft. Please let me know if there is any additional information you need me to provide. Thank you, Francesca Brennan AMP Architecture, PLLC Administrative Assistant Office:516-214-0160 www.amparchitect.com Board of Trustees Application GENERAL DATA Land Area(in square feet): 27, 622 S.F. Area Zoning: _ R-40 NC - Previous use of property: Private Residence_ Private Residence Intended use of property: -- _- i Covenants and Restrictions on property? Yes x No DEC 1 4 2020 If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? x Yes No �f 7�„ ;,� , If"Yes" be advised this application will be reviewed b the Building Dept. prior to a Board oTrustee-review pP Y g P and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? x Yes No y 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 ; Zoning Board of Appeals Approval Recieved NYS DEC Pending 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):. Please see attached document__ Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Please see attached document. In Area of wetlands on lot:_ 4,459 square feet DEC 1 4 2020 ? Soo o ol0 7oi Percent coverage of lot: 16.1 �� Board of 7rustp-1 to existin !shed 22.8to dwelling Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No _ _x _ Yes- If yes, how much material will be excavated? +/-80 cubic yards How much material will be filled? +/-80 cubic yards Depth of which material will be removed or deposited: . 3 feet Proposed slope throughout the area of operations: `2% Manner in which material will be removed or deposited: A construction machine will remove the material. 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): N/A 617.20 Appendix B Short Environmental Assessment Form Instructions.for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information ou believe will be nd'eded by useful , to the lead agency;attach additional pages as necessary to supplement any ite Part 1-'Project and Sponsor Information ILI L; DEC 1 4 2020 Name of Action or Project: Rebentisch Addition soat;ofJ oavn l Project Location(describe,and attach a location map): 1580 Corey Creek Lane, Southold, NY 11971 Brief Description of Proposed Action' In an effort to create the proposed addition on the existing house Proposed 1 story addition to existing single family residence: 20.5'X21.8'; 446.9 Sq.Ft. Existing 2 story house footprint: 58.5'x33.1'; 1,971.5 Sq.Ft. Demolition of Existing Dock: 81.5'x5.9'; 396 Sq. Ft. Name of Applicant or Sponsor: Telephone: 516_214_0160 Anthony Portillo (AMP Architecture) E-Mail:---FBrennan@amparchitect.coin Address: 1075 Franklinville Rd. City/PO: �State:NY Zip Code: Laurel __ _ _ _ __ _ - _ 11971 1.Does'the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that D 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: Building Department and Zoning Board 3.a.Total acreage of the site of the proposed action? .37 __acres b.Total acreage to be physically disturbed? 37 acres c.Total acreage(project site and any contiguous properties)owned 1.57 or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial [:]Commercial Q4esidential(suburban) ❑Forest ❑Agriculture El Aquatic Vbther(specify): _Wetland ❑Parkland Page I of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? _9 D M 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? 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 M F1 b.Are public transportation service(s)available at or near the site of the proposed action? ❑ ; c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO J,YE_S If the proposed action will exceed requirements,describe design features and technologies: _ 10. Will the proposed action connect to an existing public/private watersupl !�l N YES ' If No,describe method for providing potable water: DEC 1. 4 2020 I ' 1 1.Will the proposed action connect to existing wastewater utilities? Southold Tovvn NO YES Board of Trustees If No,describe method for providing wastewater treatment:- _ ❑ (,� 12. a.Does the site contain a structure that is listed on either the Siate or National Register of Historic NO YEWS Places? b. Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO- _YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ 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 ❑Forest ❑Agricultural/grasslands ❑Early mid-successional �etland El Urban F1 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 TT PY 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO ❑YES F b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: F]NO AYES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO` YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: --------- -- --- --- -- -- ----- 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO - YES_ solid waste management facility? If Yes,describe: 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: -1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE --- _,-i Anthony Portillo (AMP Architecture) ����� �� ij,2/,07/�20� Applicant/sponsor na . j�D'.ie _L=� ? Signature:, -� DEC 1 4- 2020 Part 2-Impact Assessment. The Lead Agency is responsible for the completion of 2—A�nsh frllo�the•-folllowin questions in Part 2 using the information contained in Part 1 and other materials sbmitted by the °�'g°ct sponsor or h g otherwise available to the reviewer. When answering the questions the reviewers ould-be-guide�ii�{��tliet�o�fcept"Hav responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I., Will the proposed action create a material conflict with an adopted land use plan or zoning a - i regulations? El ,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? a 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? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ _ __reasonably available energy conservation or renewable energy opportunities? - _ _- 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? o a 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 D problems? I L Will the proposed action create a hazard to environmental resources or human health? a 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 I 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. E C•t D EC 1 4 2020 Soui'rlold Town � Qoardi of Trustms F-ICheck 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 of significant adverse impacts and an environmental impact statement is required. aCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-_Board of Trustees _ Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Boal of 1rusicees Applloal-_Lon AIFFIDAVIT BEING DULY SWORN v J bVi6819S AND AFFIRMSTHAT HE/sHE IS THE APPLICANT F�()F.TjIE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENT'S CONTAINED HEREIN ASE TP.UE TO TOE BEST OF HISMER KNOWLEDGE AND BELIEF,ANDTHAT ALL WORK WILL BE DONE IN THE MNKER FO H IN THIS A I SET I RT' APPLICATION AND A MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. Il THE APPLICANT AGRE ES TO HOLD THE TOM M OF SOUTHOLD AIND THE Ik BOA-RD OF TRUSTEES HARMLESS AND FREE F-ROM AN17 41,kNII) ALL DAMAGES AND CLAIMS ARISING UNDER QR!BY VIRTUE OF SAID PERMIT(S),IF GRAFTED. IN COMPLETING THIS APPLICATION.I HEREIN AVTW()RIZE THE TRU I�S, !NCLUDING THE , MES,THEIR AGENT(S) QR REMSKNTATJV co DVISQRY COU- I N'TER-ONTO NYP_" NSE,RVATM A -NCIL-- T0 E PZR71 Y TO INSPECT'TWE PRE IDE jN CONJUNCTION ONJUNCTION WITIR THIS APPLIC-ATIO N !NCLUDIINTG A FINAL INSPECTION. I FURTHER AUTUMM.THE-BOARD OF TRUSTEES TO ENTER N RE ONTO MY PROF-ERTY-AND AS RE TO U I S_ COK44!_ANCE Wlj,-Z A-NY WCON -ANYWET COITION OF EROSION PEWT ISSUED BY THE BOARD OF T OF THE PERMIT. DEC 1 4 2020 ADthud'fown La�I of Trusteesil X_101� I igynafire atwe Of Propptty OlwneT yippme apfppe f P SWORNTOBEFOREWIE THIS 1A DAY OF J40e_ . 2Q e) Notary Public WRICIA A.WAISH N01:6ry Public,State of New Yori; NO.()IWA5069067 Qualified in Suffolk C Commission-Expires L041yz1_?___ �I • Board of Trustees Application Es . Ita , i� ' (Where the applicant is not the owner) Il iS �t li I- I ovmers of the property identified as SCTM# 1000- - -- in the tolvu of P New York,hereby authorizes -� i !� AMP Architecture EEli to act as my agent and handle all necessary Work id mvith the application profess tor.,ermit(s�-�xo���ut�-4.TP'WE r� m { i Board-of Tivstees for this proper tf. D EC 1 4 2020 of Southold Town 4; t—u(N1-u(_1of Trustees ap rty ovvia is Si.o-11-ature - = pLA-ty-Ovv11er's i9-2tie - j SWORN TO BEFORE,ME THI$ DAY n • d� t r' Notal?f pu'laiic -- ' a; PATRICIA,A.WALSH Notary Public,State of New Yoi'p f` No.OIWA5069067 Qualified in Suffolk-Co n Commission Expires S}}+ 13 ' l ej k{ f� APPLICANT/OWNER }� TRANSACTIONAL DISCLOSURE FORM !; The Town of Southold's Code ofEthics Prohibits conflicts of interest on the part of town officers and employees;The Purpose ofthis f form is to provide information which can alert the town of Possible conflicts of interest and allow it to take avhatever action is # necessarvto avoid same. ( YOUR NAME: �b , [,� !l a c h c e t { (Last name,first nam middle initial,unless you are applying in thename of someone else or other entity,such as a company.Ifso,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval ofPlat Mooring Other(activity) __ Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or f employee of the Town of Southold?"Relationship"includes by blood,marriage,orbiasaness-in�erest.; i �I i' APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM ii The Town of 5outhold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this j� form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatdver action is ((+ necessary to avoid same. ;i l ! YOURNAME: �1Z&AjLh 's (Last name,first name,iAiddle 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.) i TYPE OF APPLICATION:(Check all that apply) !, Tax grievance Building Permit l Variance Trustee Permit f; Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning ij Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes-by blood,marriage;or business anterest"kusiifd in'ferest" means a business,including a,partnership,in which the town officer or employtiet, as_ev_en a partial oerslaip of(or employment by)a corporation in which the town officer or employee owns more h Iain 5%of the shares. YES NO ! DEC 1 4 2020 I, � If you answered"YES",complete-the balance of this form and date and sign w ere indicated. ( Southold Town fj Name of person employed by the Town of Southold W 1• 'tees N Title or position of that person Ei Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check the appropriate line Aj 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) 4i A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) E13)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) t; Q an officer,director,partner,or employee of the applicant;or Er D)the actual applicant iE DESCRIPTION OF RELATIONSHIP y !I I Submitted this day of ,20 it Signature d n / - Print Name �c.In e S S CA p e_ �'e z jf c fi • i{ li i; , APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: AnAAqb lll,l (Last name,first name,de initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) Tag grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or ` employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest.`Business interest" means a business,including a partnership,in which the town officer or employee�ias,evena,partialowne--hip or 01 i T employment by)a corporation in which the town officer or employee owns more tparii.SWQXtl eshares. 1` YES - NO 1 - u 1�. If you answered"YES",complete the balance of this form and date and sign i here(mdiAF�('d. 1 4 2020 I Name of person employed by the Town of Southold ---- J v -i U lmn 9oarcl a Title or position of that person LIS-Lens , Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this z day of SPPwn`bv,20-2a Signature nn Print Name Y1ony PO rA,\\,0 Town of Southold LWBI`CONSISTENCY-ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A =proposed •action will-be-.evaluated:as,_to-_•its. sip ' icarit beneficial and-adverse�effects.upon the-coastal diN(wluoliinaludes 61148outhold-To"): 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. 'Thus, each answer=must be'explained-in detail, listing--both.sutpnorting and non- s�onortin facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it-shall noY be uiidertal(en. 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 Trustee sOfic e Pl� gr��p-- -ent, all local libraries and the Town Clerk's office. �� �`' tl� ' B. DESCRIPTION OF SITE AND PROPOSED ACTION DEC 1 42020 1 SCTM# 1000 78 _ 04 - 19 2_, - - - - -- - ,—- So�!ho!d f�•,�n PROJECT NAME Rebentisch Addition and Deck Demolition Boat,of IrLIS,M The Application has been submitted to(check appropriate response): Town Board ❑ PIanning Board❑ Building Dept. ❑ Board of Trustees V 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: To create and addition on the house and riamol'tion of P-AO'no nock Location of action: 1580 Corey Creek Lane, Southold, NY-11-971 Site acreage:- 1.57 Present land use:__. Private Residence Present zoning classification: R-40 NC 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: Anthony_Portillo (AMP Architecture). (b) Mailing address: 1075 Franklinville Rd. Laurel, NY 11948 J (c) Telephone number: Area CodeO 516-214-160 -DEC 1 4 2020- I (d) Application number,if'any: � _��Beard ai Tni:;t�cs Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 0, No lJ If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete-answers will require that the form be returned for completion. AL,VELOPED;-COASTPOLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section LII—Policies; Page 2 for evaluation criteria. ,y e s ❑ No ❑ Not Applicable e proposed addtion will not impact or change the community_character or affect open_space. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—�PPo(licies Pages 3 through 6 for evaluation criteria 0 Yes ❑ No L=1 Not Applicable , The proposed project does not interfere with any historic structures or landmarks. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section In—Policies Pages 6 through 7 for evaluation criteria Q Yes Q No g Not Applicable The proposed roi rt doac not block any irces - Attach-additional-shoots if necessary LQ ]Se NATURAL COAST POLICIESDEG 1 4 2020Polic 4. Minimize loss of life, structures, and natural resources fro flooding-and_.erosionLWRP Policy So:�if�cld To';6 s Section III—Policies Pages 8 through 16 for evaluation criteria Boal(JI-00r ste s Yes.0 No 9Not Applicable The proposed project will not contribute to erosmon or qnUaPsthir 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 n- Yes No V Not Applicable The proposed addition will not imoact_w-ter supply in the Town of.Santhold - - 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. r ' o a Yes No Not Applicable The proposed project does not contibute_to physical loss_of_excologial components. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of 1.64"thoId. See'LWRP_Seq o o III — Policies Pages 32 through 34 for evaluation criteria. F: Yes No'M Not Applicable `' D E C 1 4 2020 _The-proposed project does not impact the air quality, emit atmospk ricxadioactive materials or pollutants. i Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—PoIicies; Pages 34 through 38 for evaluation criteria. M Yes 0 No ENot Applicable The proposed project will not contribute to public safety concerns and does of contribute to the exposure of hazardous sustances 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 M—Policies; Pages 38 through 46 for evaluation criteria. Q. Ye�] No 12 Not Applicable The local access to costal waters and public lands will not be affected in the proposed project. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III•—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑, No [2 Not Applicable The _proposed does not impact water uses. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in-'L;ong Island 90' i, d,- the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57;through 62 for evaluation criteria. ❑ Yes ❑ No �Not Applicable DEG 1 4 2020 l This project will not negatively affect any living marine resources. I I- - - C Board of lmstu s Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑.Yes ❑ No® Not Applicable This property and surroundingproperties are not near or affect agricultural lands. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No M Not Applicable This site design does not negativly impact energy conservation. PREPARED BY France S(a.2 Ceti j2 rfA TUI.E VI ASI 5 DATE VZ 1 -Co �PROJEGT,% ZONING-�',DATA '` . -; = - • = �a v TAX MAP# 1000-18-4-Iq W o Q�E 3 '� Zyma -q7 ZONING DISTRICT R-40 NON-CONFORMING GOA.G F 5 a LOT AREA 27,622 S.F. LANE Z a s w FEMA FLOOD ZONE AE 6 EXISTING PROPOSED FIRST FLOOR AREA Ig715 S.F. 241b.4 S.F. I � ,11 11 p CL \\�� U! DEC 20�o I N e o SECOND FLOOR AREA 8841 8 S.F. 88418 S.F. ,Q o 1 x BEDROOM COUNT $oufilold T04Un v o c W Board of Trustoes 92W<90 o / 111 W �u�.a3Q / 1 N�i1MIlAfG~Iw _ Q Z W C(� W -REQUIRED REGULATIONS' +,. //� / 1 1\ 1\ I I o a H B O W SGTM# 1000-78-4-Iq;LOT AREA= 27,622 S.F.;R-40 NON-CONFORMING / 'i/ �� ; III =o u 00� EXIST. PROPOSED COMPLIES FY MINIMUM REQUIRED N �� I \ \ I A SITE LAYOUT NOTES. / YLM IW,IAMW I. THIS IS AN ARCHITECTS SITE PLAN d 15 _ FRONT YARD 40.0' 235' 15.4' NO ` �/ / �� I SUBJECT TO VERIFICATION BY A LICENSED SURVEYOR THE INFORMATION REPRESENTED ON TH15 51TE PLAN 15 TO THE SIDE YARD 10.0' 32.6' 32.6' YES — r m"°" : / w. +� 1- ARGHI7'EGTS BEST OF KNOWLEDGE. 2.SURVEY INFORMATION WAS OBTAINED BOTH 51DE YARDS 25.0' 32.61 32.61 YES PHIL" • \ � � / FROM A SURVEY DATED FEBRUARY 7,2020 A /^ )/ / AND PREPARED BY: REAR 50.0' 52A, 52.q' YES 'a I/ J / / } It _ PETER A.GROBEN 27622. 21622. 2"!622.0 1yI / / __- `"" -- LAND SURVEYOR LOT SIZE O 5.F. O S.F. S.F. WG P.O.BOX 104 RIDGE,NY 114161 TELEPHONE: (63U 6441-4750 LOT WIDTH 150.0' 1405' 1405' NOS/'\� ; a ' i J .�, '; / LOT DEPTH 175.0' 232.2 232.2' YES / t NOTE, �\ / I. PROPERTY 15 LOCATED IN FEMA FLOOD MAXIMUM PERMITTED '�` _ "+ 1/ 1 \ ,/ ZONES AE6 A AEI. 1� y1 / �,�►� -- -_--'� / y BUILDING HEIGHT 35.0' 22.5' 225' YES 2.SITE PROTEGTIOW5ILT FENCING TO BE INSTALLED AS REQUIRED BY SOUTHOLD x TOWN. Q NUMBER OF STORIES 2 2 2 YES / \ 3.SURFACE WATERS ARE LOCATED WITHIN / gI/ 300'of THIS PROPERTY av LOT COVERAeE DESCRIPTION AREA COVERAGE \\ \1 I I I TOTAL LOT AREA 27022.0 S.F. EXISTING HOUSE I,g715 S.F. EXI5TING FRAME SHEDS(5) 5415.61 1.496 EXISTING FRAME DECK SO&A S.F. 1.5% \\\ R \ \ ' Z PROPOSED ADDITION 446A S.F. 1.6% TOTAL AREA OF ALL STRUCTURES 5321.2 5.F. 12.0% (� Z w .q MAXIMUM COVERAGE ALLOWED = 20% \\ \ 'Y' �., —__/ w Z LJJ \ / W Q o = 00 O � O �P . - N 0 PROPOSED SITE PLANO F .� ``� w SCALE: 1'-0" = 40'-0" o a OENERAL 5YMBOL KEY: xi a � r=::l MVSTM6 TO REMAIN PM:Mq !RW MMAT70H WALL 3 W O Q F--,-t M34 WOOD PRAMS F-=1 9TL."CH APPLIGAMW "gr EMT. ZXW. MOST. m fl0%WAI 1OIL 4tl9Y1WMM OLIO@ DY'WA'494&LWM 9'9'OO4'OM OK Hp WJQ zas W�pm� O Q LL LLO O L a CZ y Z W J W L7 n.nar PYIaT Q93L C79:kL PZOMUQ // myy G COO 5 rmyr,CIL •~ Oa m�Qf o.y }S ' f a z 0-L DL� i 11 EMST,QL MOST, MUM /' DEC 7 2020 �' 3 EXIST v -- - i Q i uP z a MA:: C2 Q �2 O =0�F W Maar Southold TC4Yf1w z= o v h Board of Trrst,,es �a Q a� aYix ROOM L6H2M NEW GREAT H� ,OAoeoRAL Cm016. }� Po EAST,O il_, ®® 5lIsd�N EXIST, MOROOM �' I arv4 EZI F� //// 4111i F Y 64' T. D51411"'9M OLIOG 1'7100'9M OOOMMM / 471YODYM PIG/OLO7G ' OYIWIM414M CABG. 0 10 PROPOSED F I RST I`LOOR (PR I NG I PAL BUILDING) 5 EXIST. la-71.5 S.F.; PROPOSED 2,418.4 S.F. SCALE: pie" _ P-0" Q aeTMIDOs ' W - - - - - - -- - - - - - - - - - - - - - Z � @EPS w AST, HOST / 0) Ay ' Z �i 1 O W Y� - - - - - - - -- - - - -- - - - - - - - Z F- v z wo o / -i W Q O 2 /- C 0 " W N c-1 . 10 a � _ __ _ __ __ _ _ _ _ _ _ _ __ __ _ _ - CN of .✓_ � �� °�8pp N EXISTING 5EOOND FLOOR (PRINOIPAL BUILDING) - 5 -��, 03614x`' SCALE: I/8" - ,•_0" O N EXISTING 88q.8 S.F. p � o a LLQ W W 3 1 NmyO Z m m C U �asQ zas ''gpmp�� w o LL W x aLL zc�jaoc,�E'i a z�JQ Z z o oz 13am:0��a m U m C O a Q Y ow�o mF M ME W f LL Q_Z 3 QZ FT-111 =11 a2 W Zd 411 c7 W LLJI womoQ o iL µ1 y W�C O W V O U y ^Yr 00 op op A7;, .{a'%:.'r�r'r ra,, .A•: .$1`,1'tY,';r'li;S .*y.nS�"d,^. :a,• <:S•f ,#'t;;,�rFti PROPOSED FRONT ELEVATION SCALE: 1/5" = I'-O" D ECC E AVE I �i DEC 7 2020 W m Sa!tLaiJ Tn�m � U Board of Tmsiues a PROP05ED RIGHT ELEVATION SCALE: 1/8" = I'-O" W 30) N O w � z — — imp J W Q o x u0 00 ED a f7 0 C2 i bbl. 7 y°o h O LE I ml Hill] 7 4 ; mss M PROP05ED REAR ELEVATION j,,qj qA SCALE: I/8" = V-O" e a ARCMECTWE Operating Business Address:1075 Franklinville Rd,Laurel NY 11948 Brooklyn Office:204 2501 St,Suite 203,Brooklyn,NY 11232 uo Laurel Office:1075 Franklinville Rd,Laurel NY 11948 Office Phone:(516)214-0160 LETTER OF TRANSMITTAL DATE: 2 TO: O1 C 0 { DEC 7 2020 FROM: South�sid Toe;n Board of Tiu3V,, 1075 Franklinville R Laurel, NY 11948 Enclosed please find: O UQ�C'A c�� �L rZS Q 10 Regards, AMP Architecture (516) 214-0160 Michael J.Domino,President :�'�®F SU1/py® Town Hall Annex John M.Bredemeyer III,Vice-President ''® `D 54375 Route P.O.Box 11799 Glenn Goldsmith - Southold,New York 11971 A.Nicholas Krupski Telephone(631)765-1892 Greg Williams !-COU Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Off ce Use Only Coastal Erosion Permit Application ll.�s J L.a 1 Wetland Permit Application Administrative Permit rl� s Amendment/Transfer/Extension DEC 7 2020 a Received Application: - ! Received Fee: $ ----------- Completed Application:. 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: Resolution: Owner(s)Legal Name of Property (as shown on Deed): Michael and Vanessa Rebentisch Mailing Address: 1580 Corey Creek Lane, Southold Phone Number: 347-258-8642 _ Suffolk County Tax Map Number: 1000- 780 - 04 - 19 Property Location: 1580 Corey Creek Lane, Southold (If necessary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable): Anthony Portillo (AMP Architecture) Mailing Address: 1075 Franklin Ave, Laurel, NY 11948 Phone Number: 516-214-0160 _ _ Board of Trustees Application GENERAL DATA Land Area(in square feet): 27, 622 S.F. ^ Area Zoning: - R-40 NC Previous use of property: Private Residence DEC 7 2020 Intended use of property:YPrivate Residence i Teen _ - — - - ROa'd �i Covenants and Restrictions on property? Yes x No If"Yes",please provide a copy. r 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 Zoning Board of Appeals Approval Recieved t NYS DEC Pending 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): Please see attached document. J ARCHrreciURE mim0perating Business Address:1075 Franklinville Rd,Laurel NY 11948 uo Brooklyn Office:450 95'St,C9,Brooklyn,NY 11209 Laurel Office:1075 Franklinville Rd,Laurel NY 11948 Business Phone:(516)214-0160 Anthony Portillo:(716)572-4741 1 CEHA Wetlands Permit Application n Michael and Vanessa Rebentisch1580 Corey Creek Lane Southold, NY - 7 2020 SCTM: 1000-44-1-9 December 4,2020 OtTiUg os Project Description: In an effort to create the proposed addition on the existing house. Proposed 1 story addition to existing single family residence:20.5'X21.8;446.9 Sq.Ft. Existing 2 story house footprint:58.5'x33.1'; 1,971.5 Sq.Ft. Please let me know if there is any additional information you need me to provide. Thank you, Francesca Brennan AMP Architecture,PLLC Administrative Assistant Office:516-214-0160 www.amparchitect.com Hoard of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Please see attached document. I �l n. - DEC ® 7 2020 Sotitl.ord TTvZ Board of Tnistees Area of wetlands on lot:- 4,459 square feet Percent coverage of lot: 16.1 % , 1 to existing shed 22.8'to dwelling Closest distance between nearest existing structure and upland edge of wetlands: . - feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No _x Yes If yes, how much material will be excavated? +/_80 cubic yards How much material will be filled?, -. _ +/-80 _ cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: `2% Manner in which material will be removed or deposited: A construction machine will remove the material. 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): N/A 617.20 Appendix E ,Short Environmental Assessment Form Instructions for Com»Ietina 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 I1� p nn E Name of Action or Project: ni �) Rebentisch Addition Project Location(describe,and attach a location map): DEC _1 2020 1580 Corey Creek Lane, Southold, NY 11971 Brief Description of Proposed Action: Board a ?i. 2,, In an effort to create the proposed addition on the existing house Proposed 1 story addition to existing single family residence: 20.5'X21.8'; 446.9 Sq.Ft. Existing 2 story house footprint: 58.5'x33.1'; 1,971.5 Sq.Ft. Name of Applicant or Sponsor: - Telephone: 516-214-0160 Anthony Portillo (AMP Architecture) E-Mail: FBrennan@amparchitect.co Address: 1075 Franklinville Rd. City/PO: State:NY Zip Code: Laurel 11971 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO I YES administrative rule,or regulation? F]If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2, if no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ElBuilding Department and Zoning Board 3.a.Total acreage of the site of the proposed action? .37 acres b.Total acreage to be physically disturbed? 37 _acres c.Total acreage(project site and any contiguous properties)owned 1.57 or controlled by the applicant or project sponsor? - acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) [—]Industrial ❑Commercial [�Kesidential(suburban) ❑Forest ❑Agriculture El Aquatic Qbther(specify): Wetland ❑Parkland Page 1 of 4 5. is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? _9 El F� 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? ❑ 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 i b.Are public transportation service(s)available at or near the site of the proposed action? rl/ ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ;❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features a -teshnologaes: l' 10. Will the proposed action connect to an existing public/private water sUbp1'? l j 1 NO YES 0 rx: �,.�,.. If No,describe method for providing potable water: ! DEC 7 2020 11.Will the proposed action connect to existing wastewater utilities? 011i''0 lowfl NO YES Boani of Tr CSte°S lf,No,describe method for providing wastewater treatment: __ ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YEWS Places? b. Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ i 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: �W 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 gAetland ❑Urban ❑Suburban 15.Ooes 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? EV❑ 16. Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, (� , ❑ a.Will storm water discharges flow to adjacent properties? ❑NO ❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: E]NO ❑YES 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:_ 1 ' 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: 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE + , Anthony Portillo (AMP Architecture) 207y�2q Applicant/sponsorname: Signature Pni- - - DEC ® 7 2020 Part 2-Impact Assessment. The Lead Agency is responsible for the comple ion o�.ut2._Answec.alLofthc f_ilowi`9 questions in Part 2 using the information contained in Part I and other materials jubmitted by thm�j cTf sponsor or otherwise available to the reviewer. When answering the questions the reviewer hould-be-guiJi8 byi-tii&'con "lg ceptave-i,y - responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I., Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ Elregulations? 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? El El' 4. Will the proposed action have an impact on the environmental characteristics that caused the a establishment of 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 El_reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? El a, 8. Will the proposed action impair the character or quality of important historic,archaeological, Q ❑ 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 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures ordesign 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. Imo, 7 I 9PF-9R I DEC - 7 2020 Board,ci 1(�-`"ee I 1 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. ElCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from-Responsible Officer) PRINT Page 4 of 4 Board of Trustees pLpplicatLon ii AFFIDAVIT wt )''/)C'i C it A. j BEING DULY SWORN; DEPOSES AND AFFIRMS THAT HE/SHE IS THE AfTLICAAR NT F-OR THE OVE DESCRIBED PERNIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ii ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF9 AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SQUTHOLD TOWN BOARD OF TRUSTEES. 11 THE APPLICANT AGRE,ES TO HOLD Tim TOWN OF SOUTHOLD AS4D THE BOA-RD OF TRUFT'ETS HARMLE-SS AIND-FREE FROM AINTY AND ALL]DAMAGES AND CLAIMSPERMIT '(S),AWSING UNDER OR BY VIRTUE OF SAID PERMI (S),jF GRANTED. IN COMPLETING THIS APPLICATION,!HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRERXNTATI-VF U 8, 1NCJUDI1N(;T C( F N ADVISORY COUNCIL,TO ENTER ONTO MYPROPERTY TO )NR,RVATIOJ INSPECT T-HEUNT1 PREMISES INCONJ (D WITH THIS APPLICATION,, N INCLUDING A FINAL INSPECTION. I FURTHER AVT1j0RIZE THE BOARD OF TRUSTEES TO ENTER ONTO-MY PROPERTY AND A$PW QUIRED TO INSUU It COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PE RMT ISSUED BY THE BOARD OF TRUSTEET, S, co� OF THE PE T. 71- {13 I►I� 3, D EC- 7 2020 outhold Town rProv 1f.Prop-g-noreofpily,01 op caner filool SWORN TO BEFORE MET TMS 1A DAY OFF . 20.216 if €; - Notary Public PAI RICIA A.WALSH ii NOL-6ry Public,State of New York NO.01WAS069067 Qualified in Suffolk Co Commission Expires Board of Trustees Application 1 t S f1 n _ 't AUTHORIZATION E ' (Where the applicant is not the owner) t I/We. --gic-LeJ RgLjt5L( t owners of theproperty identified as SCTM# 1000- the to of New York,hereby authorizes ; _ - i� _ AMP Architecture - !# _ to act as my ggent ap4 handle all s! .f necessary work iuvol=sect-wth!ie application process for perrnit(s�from�t�e�outh0 d Tpw f - t C IT T I -_ Board of Tim ees:or this propEz->-y. ii r 0E - 7 2020 11L - - -- _� - PA t �40p �y .r's f SWORN TO BSS049 n,ME THIS DAY OF �J_-�� _204:Q s INTOtary puj�lic i3 �Y } PATRICIA A.WALSH Notary Public,State of Newyork No.OIWA5069067 Qualified in Suffolk Coun COMMIssion Expires c ' Ff _ 1i n tf t{ `# APPIJCANT/OWNER TRANSACTIONAL DISCLOSURE FORM �s t The Town of Southold's Code of Ethics prohibits conflicts of interest an the part of town officers and employees'The purpose ofthis form is to provide information which-can alert the town of posslble conflicts of interest and allow it to take whatever action is (� necessary to avoid same. t YOUR NAME• IS��ekt�a` �ic�we{ •(Last name,first name,middle initial,unless yon are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name) TYPE OF APPLICATION:(Check all that apply) { Tax grievance Building Fermi: Variance Trustee Permit a of Zone g Coastal Erosion Chan Approval of Plat Mooring Other(activity) Planning f ,{ Do you personally(or through your company,sponse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?LQRelationship"includes by blood,marda ge,or business interest.�Susiness interest" means a business,including wpartnership,in which the town officer or employee has evert a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"•YES",complete the balance of this form and date and sign wheTfe m dieaec :? f' I i Nance of person employed by the Town of Southold { i Title or position of thatpersoTn D EC m ] 2020 , I � Describe the relationship between yourself(the applicautlagent/representative)aLd th�Iowill-olfitcei ¢remploye_e.Either +� check the appropriate fine A)through D)and/or describe in the space provided. ao�tnoltl ie4vn Posrtl nt Tit$tu'BS The town officer or employee or his or her sponse,sibling,parent,or child is(check all that apply); AA)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a it corporation) } B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a Corp Q an officer,director,partner,or employee of the applicant,or �I D)the actual applicant fl DESCRIPTION OF RELATIONSMP �9 Submitted this day of 20- iii, _ ,i Signature h Print Namei Lia{ ! �e h P�a7 BSc r #I f� i APPLICANT/OWNER {� TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the cart of town officers and emalovees.The Purpose of this form is to Provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is f{ necessary to avoid same. r I YOUR NAME: e�e ch . 1� K-p-5 g S� (Last name,first name,iffiddle initial,unless you are applying in the name of someone else or other entity,such as a 1 company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) ff Tax grievance Building Permit « Variance Trustee Permit Change of sone Coastal Erosion Approval of Plat Mooring 1� Other(activity) Planning --. i Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or ji employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest:`Business interest" (� means a business,including a,partnership,in which the town officer or employee�i as�ve�a p �rrship�of(or-, employment by)a corporation in which the town officer or employee owns more 5° �f the sliar4. it YES NO LL If you answered"YES",complete the balance of this form and date and sign whe a indicatL�: 7; 220 Name of person employed by the Town of Southold - lovin � Title or position of that person Eoar( of 1, , tees (a Describe the relationship between yourself(thg applicantlagent/representative)and the town officer or employee.Either fjcheck 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) 4 A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the-legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) ( C)an officer,_director,pauper,or employee of the applicant;,or i f� D)the actual applicant DESCRIPTION OF RELATIONSHIP i Submitted this day of ,20 Signature i! , / r Print Name ye"A e 15 s'( t� I h r APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town ofpossihle conflicts of interest and allow it to take whatever action is necessary to avoid same. Q YOUR NAME• ���� lk.� T�r'S,� Il •(Last name,first name,middle initial,unless you are applying,in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a artial ownership pf( r employment by)a corporation in which the town officer or employee owns more au=° / YES NO pnoftW sliarei C�, � If you answered"YES",complete the balance of this form and date and sign !were in&Rpo. _ 7 2020 Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)`and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 2 day of 8P0W0v 20_-� Signature Print Name OIA\r R rAWM Town of Southold, L"-CONSISTENCY Y AM A. INSTRUCTIONS 7 2020 1. All applicants for permits* including Town of Southold agencies, shalliieo lbte this CC for proposed actions that are subject to the Town of Southold Waterli�ont`Con§istency review Laver. This assessment is intended to supplement other information used by a Town of Southold agency in malting a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt _ minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed:action-will-lie evaluated.-as-toits-si_ -n�cant. beneficial-and adverse effectsMonthe-:cQastal-'areafwhicl includes all of Southold'Town. 3: If any question in Section C on this form is answered "yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus; each answer must he=e lain6din,detail._listinwboth supporting-and non- -suunortina facts. If an action cannot be certified as consistenf with the IA policy standards and . conditions,it shall h6Vbe-iiiidertakeii. 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 SCI'M# 1000 04 PROJECT NAME 2C JX n+7isc(nC'��I,tA�on Qn dC�larn� r - - -- 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 conshvction,planning activity,agency regulation,land transaction) 0 (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: V. poi n-G`n ssnp c Mi CACP C five-___-14 1 Location of action: I S Q �k n h - --- - - - -� EDSite acreage: I . 5_ Present land use: i } Q �- Present zoning classification:— ©----LA Al C. �_ ,. 2. If an application for the proposed action has been filed with the Town of Southold agency,tt►e following information shall be provided: (a) Name of applicant: y �1 c�in�,�_ f=}i I 1 O -•( A YYl_P IN CC-h i-�-PC- re)) (b) Mailing address: l T:7raY*_1%')n mt l sZ 10t, (c) Telephone number:Area Code( ) 1 l9 of VA 011e Q_ (d) Application number,i£any:. Will the action be directly undertaken,require funding,or approval by a state or federal agency? _ Yes ❑ No[D If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed-Best Management'PraOices that will-further each policy. Incomplete answers will require that the form be returned-for completion, DEV19LOPED;COAST TOLICY- Policy 1. Foster a pattern of-development in the Town of Southold that enhances community'character, preserves open space,makes efficient use of infrastruetare,makes beneficial use of a'coastal location,and minimizes adverse effects of development. See LWRP Section III=Policies;Page 2 for evaluation criteria. [XTes ❑ No ❑-Not Applicable PA on �A OtQ-d 1 S P cS S i S-�en tz1„i=1-Y1 -hQ t a,�rrl�r��a� Attach additional sheets if necessary Policy 2. Protect and, preserve historic and- archaeological, resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria S ❑; Yes'E] No P�V6t,Appliqable: m ar LS Attach additional sheets if necessary ^_ Policy 3. Enhance visual quality and protect scenic resources throu ' oeof-Soho ee LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable DEC ® 7 2020 t n2cehfcl ff - - I Southold To4v11 i G�dll QI ci 0'i 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 -h o b-� A- h� rr - _ - _ -- i +Co if M'Si 6� c�._{',�Qs "1nP-i-r i VY�;YAf ryYl.P/t-1—� Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold.See LWRP Section III —PoIicies Pages 16 through 21 for evaluation criteria ❑ Yes ❑-No of Applicable ad-^y k-+I Attach additional sheets if necessary -- - - y - 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. X :a o Yes No Not Applicable i i 3 t ) y- rke 'r - N n s. i )I Attach additional sheets if necessary U U! DEC ® 7 2020 �_> Policy 7. Protect and improve air quality in the Town of Sou hol� See LWRP Section I M —Policies Pages 32 through 34 for evaluation criteria. I Sew f1dri tovi{i j -Q. Yes'Q No CNot Applicable nD 0 2S n b-h 7, C -4' au[ ,,4 Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 0 Yes E] No Not Applicable 1 * ,k (WiAn,"Lt.�e- 4n - f 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. D WOE] No Not Applicable The rni ��c rhl,c `a , S t k)) irl �-� �J2 a.PPP d:f cG t n i- pec-)s p j T b a6 Attach additional sheets i€necessary - WOREING COAST POLICIES Policy 10. Protect Sout_hold'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. 0 Yes El. No [Not Applicable _'�j, 4_'►��t,►n !� tel-c� nk �r o a�. t),3 Q,�,ec-- (-A SC-% Attach additional sheets if necessary DEC 7 2020 Policy 11. Promote sustainable use of living marine resourc in Long Island Sound, the aconic Estuary and Town waters.See LWRP Section III—Policies;Pages 57 trougl,, 2aluation ci iteria. Board of ire.stees D,Yes 0 No Not Applicable _ f - r -. - rY1C��1 Y12 L 4 Attach additional sheets if necessary - Policy 12. Protect agricultural lands-in the Town of Southold. See L-WRP.Section III—Policies; Pages 62 through— n65 for evaluatiocriteria. Yes LJ No Not Applicable ' Attach additional sheets if necessary -- Policy 13.- Promote appropriate use..and:development of energy and mineral resources. See LWRP Section M—Policies;:Pages 65,through 68-for evaluation-criteria: Dyes Q No NotApplicable t.r__. i - enerC( lel S Y•) PREPARED_ BY-:GrQ�1cQe-cam�� f21tn _TI 'L `n - - DATE Q ZZ� x 1 - • ,r gip, � F •`�' � '',7 ��e r � ^�'��� -fir+ r,��.`�v� • � •r -'. f' SCTm#� 1000-78-4-19 =1S80 Carey Creek Lane,Southold �e imam _ ,��• +moi: sw• �" #��'..,� A•'.' r � -' 1. y �. ;S�s�'jw� 4-t�- "�L'�� � ��-T•+-�F•u„"+�yi ,. X. _r _ _ ,. 5 � - :, _ �F- ,'4 '� `•�- �r�l�." lr ."�� �1+ -7�t rk- '�F if �r �jy`•• ._. . • t!Y 1�"- -r,y s� �, ,yam �'. -, -. � . 4 r$� �'.pr' � .r.`ern•-al��'��.�.A' _ �^ r x "� �{r��.a' 4e ti.!' - ti, - _ �` ,�� ���- yj � r��� __LL*h��. sr''-- y '� R T 1"�- �s�� w + , v +'•,I'j; ~• -'`�-y'���'. hs' r, 'l� ts, ��11*r� d F�r•:a V„� e!}� r T.. � ,' 4+ jr ,'y., h. ,F •' 2020. 1 .-'-� U x + T. Op i Michael&Vanessa Rebentisch 1580 Corey Creek Lane,Southold d ! SCTM#: 1000-78-4-19 1 . 11/10/20 -71 - rr — -� — ( I, i 1 r � ! t •�j'� � { " �4 � I � ^4i �rr{ •{ � -r} ��'��°� �•- -'r a .nay" f ��'. �'' ��� _ � it r�•: P r. '� r - t '�_ - �"� or r `I • F 1 • i S S , yy ;A� r41580 Corey Creek Lane,Southold �t.•�W _ I _ 'mow- , { 111 •. . -w. •. �kxf � r Te, 1 � T � 'k 1 r \�,4�' r f 1 _•�+ a. 'r r '< < "r� � ._' � a f a IF1 T r0 r �► fit,. ....�►� �a'�?�' � �' ,~ �"=- �..tir � IS r 1� xFl a y.�'—Yc. - Y • _ .f� .� `irk +�. 111 j • ,r � _``r`'�"e.s ai�i• -�z 1 ,.ala 2 U- �• yyY 4 �T Air N. ` y ,#•i A, y� e ^• -�,'_ '" max. •�;n~ i'. 5 � -, f"� r,.��. �' w $�• -.�Y :: C- r ,7F if ''�:• 5 � f r . �.ws �' - rt. '� r • F %,dal. !.� •-� �.� � + t i f a w � _ - � , +_ � �I � sJ y `I •`� � 1 �, t `° Al `� ffi�Y'jY •- , ] i C r - _J - �Frr. �. -� ' t-S -� / yrt ,,, _ t L y� 'rf•�.-. .A �#,. r�� .E �' - .. � � '' .'4 y�'. �•�' �3r.Y� ` k -Y-ft, a, -�Levy,�ka�, }y.•. �. +. V „ya.� �t• �f_�' � r,C,�, -,. ,r'^ _' �,a: �+. • , ;,�; �� ' •.'' _ �` Afro' _ •- ��;�+ �I+ � �'" .1n!- ►r'• exp �_ r-- .e, �•� !6�a 5 '� ,.vim? Glenn Goldsmith,PW.t �QS�FFQ��ea Town Hall Annex Michael J. Dojnmo ��� GAJ .;' 54375 Route 25 John M. Bredemeyer III y P.O.Box 1179 21 A.Nicholas Krupski � Southold,NY 11971 Greg Williams y� �a®� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 0114 U � Completed infield by: AMP Architecture on behalf of MICHAEL &VANESSA REBENTISCH requests a Wetland Permit to construct a 20.5'x21.8' (446 9sq.ft.)one-story addition onto existing 58.5'x33.1' (1,971.5sq.ft. existing footprint) two-story dwelling; and construct a proposed 24'x30' (720sq.ft.) two-story detached garage with unheated and unfinished space in second story level. Located: 1580 Corey Creek Lane, Southold. SCTM# 1000-78-4-19 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/cond.itions/need for outside review/consultant/ap lication completeness/comments/standards: 44 I have read & ackno ledged the for ing Trustees comments: Agent/Owner: ` Present were: _11A.. Bredemeyer W/Domino G. Goldsmith LN. Krupski Williams Other y;d e ' T Acrd r- - Ln RECEIVER p $', UG 10 19B TELEPHONE (516)765-1801 -jQ,M Clerk Southold BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold,New York 11971 August 10, 1982 Mrs. Judith T. Terry Town Hall Southold, New York Dear Mrs. Terry: The following action was taken by the Board of Southold Town Trustees at a regular meeting held August 3, 1982 : RESOLVED to recommend to the Southold Town Board approval of the wetland application #100 of Thomas & Jacqueline Occhiogrosso to construct a 20 ft x 6 ft floating dock, 12 ft x 2 ft 4 in ramp and a 65 ft by lz ft catwalk in Corey Creek, Southold. Yours truly, Paul Stoutenburgh, President Southold Town Trustees TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD,NEW YORK WETLANDS PERMIT This Wetlands Permit No. 28.............. has been granted by the Southold Town Board according to information furnished in Application No...I00 filed by Applicant,Thomas and Jacqueline .............................. Occhiogrosso................. ...... on July g 19..$2... A map of the proposed work will be kept .. on file in the Town Clerk's Office under the application number given. Permit granted to do the following work......construct dock, ramp i catwalk ..... .............. ........................... ................................................................................................................................................................. ..............................................................................................................................................:.................. Location of property on which work to be done...Corey...Creek.. ...Lane. .,...Lot. ... ... 28 on...Map. ........ ......... ......... ...... .... .... ...... No. 4923 of Corey Creek Estates, Southold, New York ............................................................................................................................................................ ................................................................................................................................................................. Creek,Bay or Harbor fronting property ...Corey Creek 1 r• • ................................................................................................................................................................. Size of work: Length..Dock-20 ft Ramp-16 ft Catwalk-65 ft: ........ .... .... ..... .. .... ............... .... ..... ... Width „Dock-6 ft ! Ramp-3 ft Catwalk-1 ft; 6 in: • .......... .. .... HeightAbove High Water 4.. t.:................................................................................ DepthBelow Low Water ...... f ................................................................................. Yards to be Excavated.......None .................................................................................... Yardsto be Filled ......................................................................................................... Manner in which material is to be removed or deposited ....... ................................................................................................................................................................. Intended use of property „Private — Residential . ................................................................................................................................................................. Conditions if any --- ..................................................................................................................................... ................................................................................................................................................................. Expiration Date ...Septemb...er...7, . . . 1983. .. .. .... ................................................................................................. Numberof Inspection Required......2..................................................................................................... Inspection Fe 5,Qq..: TOWN CLERK TO BE NOTIFIED WHEN J0B IS CONI LE ED. .................................................. .... .......................... Liability Policies in the Amount of ..................................................................................................... The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing.The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Town Clerk upon receipt by the Town Clerk of written notice from such other governmental or municipal authorities of its refusal or disapproval. The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance,the applicant also agrees to indemni- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premi§es upon which the operations authorized by this permit are being conducted, do, by the acceptance of this permit,give consent to the Town,and its officers and employees to enter upon the premises where such operations are being conducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted in conformity with this permit. This operation will not substantially: A. Adversely affect the wetlands of the town. B. Cause damage from erosion,turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the town. D. Adversely affect fish,shellfish or other beneficial marine organisms,aquatic wildlife and vege- tation or the natural habitat thereof. E. Increase the danger of flood and storm-tide damage. F. Adversely affect navigation on tidal waters or the tidal flow of the tidal waters of,the town. G. Change the course of any channel or the natural movement or flow of any waters. H. Weaken or undermine the lateral support of other lands in the vicinity. I. Otherwise adversely affect the health,safety and general welfare of the people of the town. ` ... Signed .. .....l�i`G...�.:..�............ ............ �y�Clerk,Town of South S E A L ' Date........Sentember...7, 1982........................ ®, Q„l ZrA Pr '0 AIM IDD ® A CF r� SCHie- sCTro �® ®�s���p sC LOT 28 ®Na�ECTE® ®� Q+• I / FILED P OF C®I�EY,1967 AS A�CREEK ESTATES WM 474 0 sem` ED 7®AM .4923 LOCATED AT BAYVIEW, EP 428 TOWN OFSOUTHOLDAC fox 4MeEP cn1DNFo&62 CO. OF SUFFOLK STATE OF N.Y, +*5 . :AC, ;, 4.8878 _oQt2= 4 4328C 1 -- -- - _ 38U��` �4xv" _ (r-A�X465 S8 °05• 2 _ ''��~ '�' f2�TC C4101 �b B 4414AG 4.45 70.03 ro44s Kwwu Qc,\ - t U 13 1 / SCALE. 1°°_-30' OCT 2 2020 z�P4l1. , 7.63 WEU CAP z o g _ 564.61. `_ .,,'. 151 / "tliilG�t'.P"i,l -� � -��` � .�G�".•, ,'g•69AO. 8•bU601 / / NGANEl1&82®- 469 NG a 9�B END. I / CONNECTED 7`® x�ce ' ;: 3.85 NG aes g" wELLGIP&57 COQ s CLOT 1,0 as2NQ Q6 GB YYY' r NEC'rED TO Pg1r ~ 1930 � NG&29 aMNG w ti 'auce 111 m' 6. NG i1L74N0/ N2F4 69SHD/AP 276. �\\Mp �1 0 i•.. 11 �Q��� i 3.48WD/M TOE263 TOENflNO2-43rBE' tt ;.,•1q.:i•,,_ ®� / ®� 9� 2 �268TOE /V a 2nTDE., GB�267 a4i'•,m Atc.' EP 0 4n awLFs r '' r a29GB EP. f0• �/ /® !v b 4878OE �j SRF)BEG �+ WLFS j t � _ / ® �0 SRF/POL 263 24 8.88SHED%AP/ 1 � '•�!; / S /POL278 ppy, 210GS NG231 1 88 NCO i >"f TOE 6NLFt-2 l�F2t, ,BIPHRAGO 'YYLFB236 284TOE ���� `','•` c I ��_A��e � % • / /' 221 GB i NQ a18 nj ti 1 28OGB,J & Ntis / S� r-'- ToE3.24 0 . y 1 / ��9� PHRAG6/L �`l' s t� 223 •, ..' ®----- Z h @ O� PHRAGL l RR/AP476 It_ Q DO�, N TOE/OLa86 yE eD• 1.87 PH�2RAQ5 °°°; - ,% G 3.24 apNG 02 N°° � • � • � sPHRaGS EP 3ac: R sa • 4 60 TOP2 4 41 . R • � 1.23 _ h . ��6� 41 / NOTES. ! _ 1.1c06 PIAP �4 428 QH i AC:ASPHALT 1• / _ w, °` AP.ANGLE POINT &921 BC;BEGINCURVE BLD:BUILDING Z l.12PHAWS •j / /�1 0 a+P ew a 88 cB R�� .7' BOW:BOTTOM OF WALL ry / /� �1°�,� en oroEND a� / BX:BOTTOM OF DAN 9l' JOEL. / •i: / � 8&75x5 4.n MAP:' � ;z�`F BW.•BACK OF WALK Nc! Wit` & BWAP&43 Z35 y ce 1I I �!v*• ` ' 'r c CB:COBBLESTONE BRICK Twagg '•>,. i. CE:CELLAR ENTRY PHRAcs t26 z-- �� t@ y� .?�De9�� BA8RR/AP / i ae! �i•:aw i� 285 EP CL CENTERLINE �Q a 489 NG E? ^�: •.' CMON:CONCRETE MONUMENT ► � �Q• �vJ' BLwAP&45 a�` CMP:CORRUGATED METAL PIPE 4 GB4.36 NG • _ 3c yGt�e �sry5 S�� NG l t i,,,,,;•, DL:DAYLIGHT % vEC:END CURVE SONG -. EL: LECTRICC -i =�Z@�ti / EP.:EDGE OF PAVING NG 1.12 I• -It-ti(;y�'� •'�•�,���y��e`S" THREsx7.87 ,y_,��� Ge AZO / 4(r__m �* a.2'Bf' ETW.•EDGE OFTRAVELLED WAY PHRAG51.38 t.e .j \•�•° �' � BAY k� j ''�+t 'gti+GFIT257EP EXEMSTING a°�* / a12 26BEPtic. '9 EW.'EDGEOFWALK C I , _ EX$S LAT.:EXIST 1.25 HT/SET 1 y/ Z. yG • �4 .g� y/ I x - •'sem SEWER LATERAL NO 1.03 / y I ®F o` q� a t "'- - FF:FINISH FLOOR SG/AP 0.58 es 21g �'jH `� NGao6 +1' 10 WN/ o �.qy ; '+2gr' _ -• FHV:HYDRANT VALVE `t• NGA32'' M �� FL:FLOWUNE O Ou Se whi�z," xo azo �� @ 4 M�S<T uPrEna 242 FOW.•FACE OF WALL SG/AP•0.78•'.`!:`- `� PHRAup PERG/NO3.65 �Op. `. 5`/ 20 i GAR:OARAGE �' ?• Strop �`� 329NQ ae7No `%� I :Z .'. GB:GRADE BREAK \` RRiAP4.51 4ao A- GL:OAS UNE GB ea / LP.:LEECH POOL \ \ ` ` Of �f 294 MAG:MAG NAIL H2o2 oOPxa n `� 1e wiFtRac4iAPTOP NG 3p �/?O - ` ` NG:NATURAL GROUND SOAP `s 158 'a62GB 'QEiPHRA AP �.� \ cea73 PCC:CONCRETE P PHRAG:PHRAGMITES H2G247PM 4AO ® ''. ,P GBa78 z 284 EQ - ;; POC:POINT ON CURVE ` POL:POINT ON UNE sa L Ho i; it 2 EP�iEi3 MEG (m PROPOSED) a / Rei 239 RCP:REINFORCED CONC.PIPE RR.RR 77E __ woato H 2E15 G SLATE H2(Y1.57PM '�, �� I--' SSMH:SEWER MANHOLE \ '"� ��• Ab, <_� N 2w NG TBR:TO BE REMOVED PrLE3 216NG TC:TOP OF CURB 1.25 Com_ 2784 222 EGz TCB:TOP OF COBB.CURB .: :}�•�'O ?RAGS • SPHRACIL Qq° TG:TOP OF GRATE 1.79 TH.TEST HOLE 227 SODSET r EG THRESH:THRESHOLD 'Fye `� 1 ry® .• , . , L t�� ..e 2 _-- i TOE:TOE OF SLOPE `4tso 4 . . PHRad1.1 • ti� 1 TOP:TOP OF SLOPE CO �oar�� X34 • RQD74. �� Z TIM:TOP OF HEADWALL �� ,per v SGIP�TRNG ��� b � FrR� t 9• 1.58EG 1.83 :TOP OFWALL ? \Ci 1.63 NG EG TX:TOP OF DAV W RauP/Erao o �t�, p �9 • _^ __ LSOEQ U/P:UTIUTYPOLE pry `. `{� .• -ftf Taa�Bi 10 eels ••.� yGo '• �. .r VF:VINYL FENCE 'vse�'20 e oraoi= ... WD:WOOD DECK % 1.42PcaaP 1,57EG WF:WOOD FENCE FLOAT/AP-a ° Alb;; ` `.def•: ;Y4b, .'.\� .z0`G WLF:WETLAND FLAG wLE3-O.s5 -065FLOAT�AP 94sr \,,``. t�ag9A SO t.32PCC 1.90 WS. 1.20 •••• a.4 L20 EG YS:YELLOW STRIPE EG ■ CONI Mo111uMENr TYPICAL �� FD/APa6' pa;FWAP a46 �' SURVEYED:17 FEB, 2020 !1 THE OFFSETS ORDIMENS/ONS SHOWN HERONFROMTHE PROPERTYLINES TO THE STRUCTURESARE FOR A SPECIFIC PURPOSE 6 USE THEREFORA THEYARE NOT INTENDED TO MONUMENT THE PROPERTYLINES OR TO GUIDE THE®RECTION OFFENCE4 ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT. UNAUneORIZED ALTERA77ONS oRAODMONS TOTHISSURVEYISAWOL47TON of X8,4 L,4ND9lIWW.�7Nf.7NG? SECnON 72DD SUBDWISON YO OF THE NEW YORK STATE FOUCA170H LAW. COPIES WETLANDS FLAGGING BY COLE OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR PETER A. GROBEN EMBOSSED SEAL SHALL NOTRE CONSIDERED TO BEA VALID TRUE COPY. ENVIRONMENTAL 09 FEB 2020 LAND SURVEYOR NY LIC, 50869CERTIF/CAT/ONS INDICATED HEREON SHALL RUN ONLY TO THEPERSON FOR WHOM THE SURVEYIS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANX GOV, NOTE:ELEVA77ONS SHOWN HEREON P.O. BOX 704 RIDGE, NY 11961 ERNMENTAGENCY AND LENDING INSYMMON LISTED HEREON.CERTIFICATIONS AM BASED UPON NAVD 88 DATUM ARE NOT TRANSFERABLE ToADDmONALW377MONS OR SUBSEQUENT'OWNERS. 631.649.4750 No RESPONSIBILITY IS ASSUMED BY THE UNDERSIGNED FOR ANYSURFACE, STRUCTURES IN OR OUT OFEEA�SEMENT>�IF80 P OR�I�UTILITIES SCTM NO. 1000-78-04-19 PROJECT°/ ZONING DATA TAX MAP# 1000-18-4-Iq o 0 Wo aF3 ZONI 6 DISTRICT R-40 NDN-CONFORMING cow, LOT AREA 27,622 S.F. GMK L he � �i -- is FEMA FLOOD ZONE AE 6 ��e. ®`°w �'1+w ^;; l 9 �- 1 x= O r,s� IiiV' � EXISTING PROPOSED � ' \ ��\�� ��� ;_; OCT 7 2020 oxa wc'-i w FIRST FLOOR AREA 111715 S.F. 2418.4 S.F. �� � 0on-008 c Z m F N a �r ano 11 r1 SECOND FLOOR AREA 888.8 S.F. 88gb S.F. [ �_ �4 0 "UoId wn z BEDROOM COUNT 5 5 "�, \ ; r�� + _- Nil �4 i 1 { v �za0�a /ryr`--r '� Eoard oY Tr mtp�, s o W o > i5 JLLay OJ LLz3� �/ - a' ,e,lI1O1oxd z ui o J REQUIRED REGULATIONS 1J, SGTM# 1000-18-4-Iq;LOT AREA = 27,622 S.F.;R-40 NON-CONFORMING y UIS 0()!y2 1 a�w� II� j ZF c�G¢a¢x EXIST. PROPOSED COMPLIES MINIMUM REQUIRED SITE LAYOUT NOTE: r Imo`_• d n .mel I FRONT YARI. THIS 15 AN ARCHITECTS SITE PLAN d 15 YARD 40.01 23.5' 15.4' NO �'� � /� � � \ '1 SUBJECT TO VERIFICATION BY A LICENSED _ �\/ �l/ SURVEYOR. THE INFORMATION SIDE YARD 10 O 32.8' 32.8' YES -• f mom1� REPRESENTED ON THIS SITE PLAN 15 TO THE BOTH SIDE YARDS 25.0' 32.8' 32.8' YES ARCHITECT'S BEST OF KNOWLED6E. \ / / ( / 2.SURVEY INFORMATION WAS OBTAINED FROM A SURVEY DATED FEBRUARY 7,2020 REAR 50.0' 52.11' 52A, YES /�J // / i- AND PREPARED BY: 2'1,622. 27022. 2'1,622.0 iP / // / $ _ PETER A.6ROBEN LOT 51ZE O S.F. O S.F. S.F. wG y / ,L� _-- - LAND SURVEYOR LOT WIDTH 150.0' 1405' 1409' ND , t /\l/ ; �� \ 11 i P.O.BOX E; (RIDGE,NY 110 / �� Y TELEPHONE: (631)8411-450 "m LOT DEPTH 175.0' 232.2 232.2' YES MAXIMUM PERMITTED I. PROPERTY 15 LOCATED IN FEMA FLOOD f � / �dy ♦ -- ----- ;�:, /I \\ // ZONES AEb d AL-7. BUILDING HEIGHT 22.5' 22.5' YES 1 1'\ / lr� 9 "'l / 2.SITE PROTECTION/SILT FENCING TO BE INSTALLED AS REQUIRED BY SOUTHOLD NUMBER OF STORIES 2 2 2 YES ' �� w.i 1 °�' TOWN. i .3 d . .... - - i ...',:..•w�.,i_ - i sem.-' --.' r4' 1 I o,,,, /' 3.SURFACE WATERS ARE L OCATED WITHIN ;AG 0RY;5TRUGTU 300'OF THIS PROPERTYGULA E55 SCTM# 1000-'18-4-Ig;LOT AREA - 27,622 S.F.;R-40 NON-CONFORMINGMINIMUM REQUIRED EXIST. PROPOSED COMPLIES l\ \ tt \\ / l MAX.HEIGHT 22.0' 0.01 a1.a' YES \\\ .,�� \�t` \\ zoo o, 51DE YARD \ SETBACK 20.0' 0.0' 20.0' YES FRONT SETBACK 40.0' 0.01 30.0' NO / � V Z Z (nMAX.SQUARE 150 FOOTAGE 0.0' '120.0' YES �\ �� yh, \` �ry w ei S.F. O LOT OVERAGE CQ Z DESCRIPTION AREA %LOT \ \\ • ~fit // m O GOVERA6E \ �,\ / LJJ Q _ TOTAL LOT AREA 21622.0 s F. \ Lo •Y� M PXI5TIN6 HOUSE LLc O q" S.F. . N p IL oEXISTING FRAME SHEDS(5) 395.q O. % - 0 EXISTING FRAME DECK506A S.F. 1.8% A PROPOSED ADDITION 446A S.F. 1.6% c k \ _ \ f �,►r �� PROPOSED GARAGE "120.0 S.F. 2.6% \ TOTAL AREA OF ALL STRUCTURES 4041.2 S.F. 14.6% � MAXIMUM COVERAGE ALLOWED = 20% \ Com' c\l 1 PROPOSED SITE PLAN lt! SCALE: I'-O" = 40'-0" c a GENERAL: SYMBOL KEY: I---1 EXISTING TO REMAIN rMMI W-M FOUWATION WALL pwil I- -1 NEW WOOD FRAME(LG. f=�-1 9TL WNENArPLIGABLEJ LINT.9s rnc4�w roe. i' 2'2'MX4'5N rrt [�-� EXIST, GL. xf'F.a Wu E� WG WLLp !L tl'�r� oQocU MIST gEXIST. OCT 7 2�2� i W a o BOOM // f 2=J W G VAST, � I I W W G,-0 0 GL Na w.r-. O SCtli�r�(7 if'ti�lil H m pY1ar /121 { B6�f�OT�Ct;'.';;�" a a Z tZ " Cd �I Exisr, N(7= I SOO WQL O � U EMST, O MAv �G 2� YW M,rXIS n_y W��LLQz3z 2iw ZU'Rw G9T. i p 2 0(r2 Q�W aF�¢4y11 _ Y UW12U OFSA/A E299L COAQ RQS 00 Cb. ' NEIN GREATROOM p / -6A7HEONAL c IMS- p ANDINS NU Rl R / •:r ®® GlS13T.LIVINB 5LTLd�i ELAS / ©® p /'/' 214• n !X 1 T. T. 549+D477'N OwOI.'. 7794K7'19i BOYUGA'1'. �919W67'91 RG/6LroG 611"4;m GAM PROPOSED F I RST ;=LOOR (PR I NC I PAL BU I LD I NC) ° 10 18•_1.-0 EXIST. 1, 71.5 5.F.; PROP05ED 2,418.4 S.F. 5 SCALE, 1/6" = 1'-0" I I ! I I I ! I / I 1 /I I 1 EQL -- - - - - - - -- QL EAnet 1 EXIST. - - - -- - - - - - - - - - - - - -•- / 1 CANT / BEDROOM W"Isr, cm1 !� - -- - - - -- -- - - - - - - - - - -• I z W Q p yyQ z W/� 13 J D W 0 LLI Q O M O 1 1 li wlnar 1 ,tA&Ca I 1 •� t ra 1 7 EX 15T I NC SECOND FLOOR (Pf�I NG I PAL BUILDING) ` - --- -- - - - - - ---- -- --J ° 5 10 -1.-0" lul) N , 03745 �� Q EXISTING 88q.8 S.F. x 1/6" 1'-011, o a �� V p 4 S Rz OCTUji 7 — / 2020 I rwaQW�o ii O x d N U ! W O O p Fria 101 LU LUI ZQ0 771V 11=1 ILL11 V 0.921, CQ1 Q-LLD ELJI W IMI IITII wxF�LLaz3a Z W Z J W JUL- F NaOWQOQ d d J5C'N W U W °• E Zi •r!-'f: -'1•.:,t•_ tii•��;'Y•� f�',s'�;a4:tS+`.l• =l.:as::t�}�. Sa:.t�F � �U Q Q d Q= 3 r xo¢�zz PROPOSED FRONT ELEVATION SCALE: I/8" = I'-O" ILI U Q PROP05ED RIGHT ELEVATION SCALE: 1/8" = I'-O!' Wo w —— W 0 W Q C x Lo M � ED ApC N �FT—Ie� �� M• p � o M-1 HI 10. 11 1 A�vr� !•!.it;m!+ 5'1l"r • e'"2. PROPOSED REAR :.•:-.�ir:,,_..:r•i.t.; t-i' �� 3e74�Q#5I rj� O M ELEVATION , 0 . N QSCALE: I/8" = P-O" Q c a GENERAL SYMBOL iGEY: EMnN&TO REMAIN ` NEW FOUW7AMON 1VALL •�, c LLQ W W H---1 NEW WOOD FRAME(L6. upi o a 3 f=---1 9TL.WFEN APPLIGABLW w-O• W Z m U mffiLnQ p rr W J rr `` IE w a —— ——I I1 `' 0 7 rz — — — — — —— 2L12'0) ; o Fim wFN a w m S C ow y z `O' ...-..-.-... ! LL W Q g�j�JW C �� I �♦, r p Q HOWE y O¢F 6=W I ♦♦ Y W FCCy��t W MME yy��ulS FSy _ � I ♦ � W 2 U�O U yr I ♦ 3 NBV 7W0 GAR I ♦ Ix-6pJ QaQS I ♦ I 0 10 PROP05ED F I RST FLOOR (ACCE5SORY BLDG.) 5 zu PROPOSED "120 S.P. SCALE: ve° = V-0" >o 44 Zy 742K - - dJ 4-0• _ - 9 1 1 I I I � loom I N lATM "MiS m STORA6G O W !1 9 9 m~ H ��Q... Z Q J W Q � O x i _ ;P-F—D ARC nn pp Q Zn CL i4 r , PROPOSED SECOND FLOOR (ACCE55ORY BLD5.) 10 8"-120 tl 5 PROPOSED 693 S.P. ScALE> 116" = V-o° 03740�y� '0 Q �®� w - a a o a ��„ _a._,.__ �. _... .w.a. _�._ _.__�.-_�.... � _ ._.. _.,.11111[1/� .Alii■I1. 'Vlltlu■,-__ ---�._.,_ ..�.�z _ _._ _,.. .. �_ --, - �,■dl■11111■Irl►' Will milli`1/IrI1111r11n1.._ - - -^ ■I�I1111■11111■11111►'' .�I1111■Ip11■Ilh, '•11■11111■IIIIItnUu, �� mrnmrnuuunlruulrnnlrnmrnmruulr'lulr'urlrlrmrlrlri VIII■11111■11111111'' ,�1/I■III■I■111.1■11111, �I�IIIII■IIIIIt111111 - urirnnlrnuuunlruulrlmm�mrnmruulru■■urn rnn 1 1 t lr r■ s aI111111111111 , , 11111111111111 , 11111111111111 _�,__ IIIr11111111u1r1�' Mtn r --- ; 1111► '�1111111111u1111 � 11111111OII111 11111111111111 — 111111r1I1t11 — 'illi il�liiil �:�!�iliiil�lnip �' ri°iiil�liii �F�i 11■]''�,rl •VIII■ 111111►. ��rlllrloll■n Irnllulunl rlunrnllltl IUllrnllltl� ^"" .. �' J 1I n■I■1 nunul � �� ltnllnl. Iplltnnlll /Iuulltnlr Iltnlnrnua � �1n1111uuu ' ' 1111111111111 - -'1111111/111111 - - 11111111111111 �- WIIL'Jlun► .lilu/Irnll, Illtlllllrl►. �1�/It1u111 ullrnlllrlrl Illrlull■lul /I■III/u1r11 11111111111111 ' �1111110111111 ❑,❑i 11111111111111 - IIIIIIyI► ,d11111011111 01111111I111�, X11111111 w IIIII■Irl I i ��=��� 111111■IIUf1.■.■L.■.■L.■■■1�IIIIIt10/UI■■■1....■L.■.■1.(11111■11111■II � II■111► ,.111111111111111 �■ ■ 111111■11111■Irl►. `Vftll � I Ilt I , 1111111111111[ 1111111111■111 .r.� _ �_- 11■III/I11[111111111t1111111r1/1111111■11111■III/11111/I11111u11111■11111/ - 1/I►" .,/VIII■11111■11111-..._,_....,-..._I■11111tI1U111111�. X111 �` __ I■11111■111111 , IIIIIIrIIIIItI , ,IIIIIItpI/I■II �i k�� /I■11111■111F,-..._,-..._�-...�I■11111■11111E....,-..._,_..._J■IIIIJt111111 t 111111011■III■I■1111111111111[111■111■u1011■11111■11111■III■It11111■11111 ��' V' .1111■11111■11111■11111■11111■11111tIlUl■11111■11111■11111. I 1111■11111■11111■1111111r111t11111t11111■1111[1111■II I 1 I 1 uu■irlruirnulruu ruuuw■irru ruuirnumu■irm■inu■irw -�` — II I Ilr 1 Ilr 1 II■III/, " � uu■�rautr■n■ir�ru�ruumn■iruuirruirun�rl u,rn.■irir■■�rin -' ---� .� 111 111 IIII■11111■11111■11111■111111101UI111111r111►. - �111111111111111/I■11111■11111■11111111111111111111111111111■11111■�. MONSOONIu11111■In1Irn111■Ir1111111111111111111II11111111111u1011tllllu - - - - 1111111111111111111111111111111111111111u1111u1011■111111111111111111 - 1nn n11 I I 1 1 1 1 1 1 I I I r Ian Iuunl■nnitnuunultm/unnlrnultlrul■IruJ■nu iIs II It It 1/11 1 Ilt 1 11�1 Ilt 1/I■11111t1111111r11��11111■11111■11111■11111■III IItVIII111111rIrIrIr111s1r111111rIllrlrlrlrlrlll�lrlrlrlrll111■11111111 II■Irill■IIl11tIllrlrlruuyl/1111111■11111111111111111111111111111■11111■Illrlrlurul,l 111111111111111111111111r=�-'--;illlllrl1111■1[111■IIL�" 1111■III/I■11111■11111■I 111■Illllrllll I i � i r ------, IIr111■11111■I 1/I■III/111[111■II � - 111111■11111■IIIIItl1111■III/I■11111■11111■11111■I � - 11 11111111111111111■III/111 ' ■1111111[111■11111111 �111111■111111111111111111 11111rlrlll■II ; , ; ; I I■111111111111 IIIIul11111111111 ■■■ 111[111111111■111/I■11111tIr111111111t1011■111111 ■■ I III [1111111111111011■111111 ■;111111/1■1111111011[ ■;IIt1111111011■11111■IIII 111111■111111 !, � ,'; i, '_, i III■11111■IIII 111111■IIUI■11111 ■■■ 1111111111[1111111111111/1111111■11111■11111■1111 ■� 11 1111111111111111111111111 �IIII1111/111111111011 I/111111u111111111111111 1111111111011 111111111It11 1111111u101111II �■ ll 11111111111111111111111111111111111111111111111111 �0■ III■1111111011■IOIIrIrI ;U1111111111r111111111 '1111111111111111tI11Iltl I11111111110� IIIUItI111U1 111111111111111111 ■�I IIOIUIl11u1011tI1111t11111111111■11111110■111 ■■■. 11 IIIIt111111111111101111 ■j 11111111011tn111111 ■ 11111111011110111101U IOII111111111 It111111111111 11111111111111111[ It11111111111■111■It1O11111111111111t10111111111 III 111111111111110111111111 Il■IUIltluntlulu 111111111111111111111101 111111t1011t 111101111OI IIIIIIt111111111/I �I11I1/111111111111111111111111111r1/111111111111 II II■10111111111IOII■IIIII■I[Ir1t1011111111111111111111t111/11101111111111111111011111) 111111/111011 1111111111111 Iltlll[u11111t111 1111110II1111111101111r1111111111111111111[11111 1 III11r111111111■VIII■III... IIII■(IIII■11111111111■VIII■VIII■Ir111111111■11111111111■ ulruulriniVAI WIN Ilrui 11111��I�IIIII�II IIII�I�IIIII�Ir111�111�1�111�1�11111�11111�11111�1 11 �..,..... .,ro..,ru .,r.r..,■.ur.n mv 111111 1►' fill '1111111■■,_ .1■I�IIIItlll� 11■11111111■ vel■IIIII�IIn1r._ Lu r z V-11 wo LU ■I�111�1�11111■IIIIIr� �I1111■IIIII■111►, X111111/ltl[llltlllrl. 11111111111111111111' 11■I■1011■10■I■III��. q�llllltlll/1111110 110111111111111['' .lin, 0/�� I�I11/It1111111111 nrnm■nnlr• ..lino! � �'mnl►. �1unlumtn Illtnnun� .nitnm � utunll■. nminul■ nu11nn1�1 .annum � � uunnul..� Ilillrnur runup .amllumn i I ��urunnitn. �nulln 11111Y du11111110Q1 i i11111111111t1�1� `111111 nl► lianlluuunm r ;Iltnnulrnitun. �I■ 1►' 1limnnitlulltm ' ultanluuntnw, �c Iltlllll■IIIII11M111111111■11111■11111■11111111111■11111■11111► X1111111[1111111111111/1111111■11111■Irlllrlll/1111111111111111111 . i111m11110111101u101111011t11111111111111111110/11111111111111. 1111111111111111u11111111111111111111111t111111m[1111111111111111111' [11111■1011111nlrIIIII■1111111r11111111I1111111111111111111111111101 111111111101111111UI11�1111111111111111111111111�II�IUIIlIul1111111 6LU a 11111 0/11101111`--� 111111t111111111f 11111111111111111 uuunuuuun ntunulu11r1`` �- Innulunrul/I n 1111/111111111111 ■'.II/111111111011t1 ■ It1111111111111111 - nlnultnnllnl Iluumllrnnu ! 111nuunultn llltnnllnnitl ■ununultnn ulunnitnul■ ulrltlunrnnu ��ntnnitnultn ��',uu111nnitnur _ � LO . 11rnl1nnunn. �n/unuumrul �- unllumnrnn � ~ Iu111111111111111Fu111/ltlunrinllrlu/ulrl�ttllllunnulunru 1■trIllrlr1111rIr1111rIrI1111r1111rlrIllrlr1111rIr1111rIr1111■IrI11rIr1111r1r1 h PRD.JEGT t ZONING DATA .. �oOS� E � f�iJ TAX MAP a/ 1000-'Ib-4-w " e' I LL =3 IANINB DISTRICT R-40 NO _ 70.03' 'k-". n - _ r '; •,a' .k z Z r a Y, .,' mamaSg LOT AREA 27,622 SF. •-j , -_ i, FEMA FLOOD ZONE AE WETLANDS DISTRICT Y - ) 4 lD DEG DISTRICT Y �'- rPt30P� w W a EXISTAas PROPOF'ED FIRST FLOOR AREA 147139F. 2404 wi SP. / g rn ,Y �- "_:•a - ',, LL�"�ey,.p '"Wier ' uw�@¢ SEGOTm FLOOR AREA b64D 5P 8948 sF °"z' '-�T- _ �„ '+`^! . t d"M1`, r: w o y o= BEDROOM COUNT 5 S /M t+,•�= *! L4� f`'r.,,'�; ,,,.t '_�_• .tri '.s 9;` 11 '.` a w z a r _ •}_�_ f� �, _ .'n° C� '"3' �xIZ=IZ--,,moo LOT COVERAGE .. - O j¢.0 p DESCRIPTION AREA D LOT 1 \ l ; :?' ^�` ` •, �d a 3 W COVERA6L' TOTAL LOT AREA 71,6220 Of. / / \ - h'_ ',�' ¢.C' -i a• ¢ z F :- w EXISTING HOUSE 1,471.5 S.F. 12 HE a EX5TIN&FRAME Slam(5) MA 1.4% ^��,; ,� .r _ \-cl EXISTINS FRAME DECK 5064 S.F. I,6% �yy���a - , FROPOSED ADDITION 446A 5P. -- PROPOSED BARABE 720,0 5P 2b% / ` I y "; '`'(_ ­II TOTAL AREA OF ALL STRUGTUiES 1 4041.2 S.F. lab% I / •./' - _ .; `I` , "' x _ MAXIMUM COVERAGE ALLOkaD 20% \ °`.",'� - ....'V d.'c`y_♦,+ :.A ` ' 1 \\ REQUIRED REGULATIONS - ,_. _ � / f � �" W"1000-90-4-14r LOT AREA 77,622 S.F. R-40 NG EAST 1430P05ED COMPLIES MINIM7M REWIRED FROM YARD 4010' 293' ISA' NO \ "q ✓/ __ ^ ~E J•�'4f„ _ _ _ _ L \ - SIDE YARD IOD' 526' 52.0' YE9 BORT SIDE YARDS 25.0' 52,15' 32.6' YES W REAR SOD' 52.4' 529' YE5 QI \�� / _ 9A' � LOT SIZE 27,622. 77.622 27,62210 �� OSP. OSP 5F. WC O�" I ,,}� "r ' o 4 :J LOT WimN15010' 1403' 1403' NO - LOT DEPTH 292.2 252.2' ENABLE FLOOR AREA Sr.f-1 OA OP.MAXMUM PERMITTED A 2'!34'\w� I1 , /I "~� �, • gI`�►c�� � BUILDING FaE16MT 551V 223' 223' YES NUMBER OP STORES 2 2 2 Yes 4 REQUIRED REFaU1.AT10N5-ACCESSORY STRUG V,"M+ /" L a 1000-99-4-14,LOT AREA o 77,622 SP4 R-40 NG �.--` OCT 2 2020 N ' / I►- / f 7MiEGUIEXIST. PROPOSED CohRLMS 4 1 I MAX HEIGHT 2210' OA' 21.4' YES SETBACK 200A ' O ' 2010' Yes FRONT SE78AGK 4010' OA' 9010' NO 1 \ ry I Z LLI MAX SmAdre FOOTAGE sP. OA' 72010' YES \ \ I \ 1 \ Q `\ \ / 1 � SITE LAYOUT'NOTES, V Q Y rl \ I. THIS 15 AN ARCHITECTS SITE PLAN 4 15 LIJ SUBJ5_lT TO\ �♦ \ ` \ \/ I SURVEYOR. THE(FIrATION BY INFORMATION A LICENSED LLIU z J REPRESENTED ON THIS SITE PLAN 15 TO THE Z \ \ t \ a ARCHITECTS BEST OF KNOWLEDGE. W Z O 2.SURVEY INFORMATION WAS OBTAINED mC O \ \ / FROM A SURVEY DATED FEBRUARY 1,2020 LLJ O = / AND PREPARED BY: m (� PETER A.GROBENLAND tOi D 00 O \ \ \ P.OBOX` RIRDGE,NY 11961 TELEPHONE:(631)849-4150 0 00, ` O ix ♦ 1. PROPERTY IS LOCATED IN FEMA FLOOD PROP05ED 51 TE PLAN � \�\� \ — — — � � ZONES AEb. SCALE: I'-0" = 30'-0" \\ \ \ \� 1 2.517E PROTECTIOWSILT FENDING TO BE ♦ �� / INSTALLED AS REQUIRED BY 50U1NOLD \\ ♦ ```�� // M. S.SURFACE WATERS ARE LOCATE)WITHIN - 300'OF THIS PROPERTY 04 /♦ _ 0 1 1- ♦ o a it. t ARA 41 . 7,5 • ` ran yc• a t � ' • ' � • • • x Right Side Elevation: from North side of Right Side Elevation: from North East property side of property r h , T-i Right Side Elevation: from North Side of Right Side Elevation: from North side of property property �J Right Side Elevation: from East side of grop- e rty ,/ —7 r r, D SLEEPY HOLLOW a4, 5 Z w 1013 9 tzsw m "Vr 1 10.11 ' 1.oA()OWA \ y 6 � ,p.a 10D 1 end 19. ^ / tic. 35 O 9 16 31.1 ^15 9 34 \ `\ - 9v SEE SEC.NO.B// 1f.] rY 21n ,mye) cOUWrvoP N w w a /MA LTJ 1l3 111 12 10 is We _.� / ,3ya) - ,s. ^ 14.1A(9) �. , �\.\ n. � � �,, 4 h ` is • v u P4 O _ -'\ � s X119 a y 1Y ,e tat ,a1 tes to N BBYVIEW a R0. r�ay1 + •. w 3 I/ 7i er-,Y DR. r rf _"ta ll 41 I I 53 NSP m � Or 9� 3+ $^ '-"/ P . •' l 'b ,313 ,.1 bw 3 m 13. lw I I w.a s1 1q,N F 4 n 193 tl ,6fN 6 3j6 b O f 2y. 30 I F ap�44 Us ,i PPSN , 9' y',,,, t„+�6 zr � ...� 1• p 6 w a1r x I§n m4B sow 1e, St.Pr' CN, 9 p . dB $ ay% 9 �• J v 2+a. 'I 1. F = §' l3 n s l 6 1 1B a7a "•�ro � N �@ `° n� ,5 � ra V �lly � m �" � P' B w r„a u1 as 3s .l .9 y � „i . 3z 12 ,a. ^ e J lIf • 3Z]r w ^� M T . Q p0 Q0µ, n.M 41 :A 73. b MZ X/ I r3 • i 3r a 31 °p lfa � N s ,Q a ,3 n^ ®e 3j�,� 'may/O)/ •.IF 9 A 1.gUe a f.p,Y�l 171'1+� ,'! • 9A a 7r� gt M '. l e BI:° ti - 0 8.. f3. ` �II .3.f 3ja+�A '• � b ,71`1 y3 yy. rA 1,. . $ �+ 7.9a m s _ 91_ _ .r © r3 � " g � k) ,y m � F •l BB ,6 3 /� 3 15 - a l_ 4e .y�3 �o n +63 +9 `� � �' + '• 10. � r w RD n O 41.3 M47 rUBr t 93 l� F .I fa g ;• f r E y r °ff�3w Ma as J FN s, SEE Or-Na W N SOUTH SECTION NO NOnCE COUNTY OF SUFFOLK © E Real Property Tax ServiceAgency r ms 4a9apr 078 --•-- e..u. G �, --- --- o~.., sr __ o,acpunrna lw is r,o-..,ee �, " A psrropr Np 1050 Ns.�....� '�`- ��"' �� _—r-- wru--aw-- rs]4 rrarNrn,Bx4para:v F mwwonoc w...w. PROPERTY MAP 12 1 Na).12.�� ____ OFFICE LOCATION: ��� � " �� MAILING ADDRESS: �� ° , Town Hall Annex P.O.Box 1179� � � 54375 State Route 25 Southold, NY 11971 cor. Main Rd. &Youngs Ave.) g � Telephone: 631 765-1938 Southold, NY 11971 a 0 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: November 13, 2020 Re: LWRP Coastal Consistency Review for MICHAEL & VANESSA REBENTISCH SCTM# 1000-78-4-19. AMP Architecture on behalf of MICHAEL &VANESSA REBENTISCH requests a Wetland Permit to construct a 20.5'x21.8' (446.9sq.ft.) one-story addition onto existing 58.5'x33.1' (1,971.5sq.ft. existing footprint) two-story dwelling„ and construct a proposed 24'x30' (720sq.ft.) two-story detached garage with unheated and unfinished space in second story level. Located: 1580 Corey Creek Lane, Southold, SCTM# 1000-78-4-19. 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 action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. This recommendation is based on the following: 1. The structures are located within a mapped FEMA Flood Zone AE EI 6, however, the entire parcel is within the zone and there is no ability to relocate the garage outside of the zone. 2. A new I1A O'WT S sanitary system is proposed. 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 S 1, Glenn Goldsmith,President �q S0(/ry Town Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III 41 J�t Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams � Fax(631) 765-6641 COU 1►e`` BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: -SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS `F`r'`opert Owner`NancieaKAM E:. n +o'Con+`+iti'Rlrlri"'Tler+ /�• Z� _— vutc-vvrri c vf !'j:I +ip. 1j) :N 2 vy. x The Office of the Board of Trustees.is forwarding the above referenced application for verification of the Building Dep artment's=permittingrequirements stated belo..w: _B4. ��,x�a FHpr st fit;."!• r . u is � tf+{ >.g F „ tali .:r}�_ �• _ ' 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 p QeMglition as described under Town Code? - COMMENTS: ra)P66,11 sdo'e'&W A- ean n ignature of eviewer Date - BOARD MEMBERS Of sour Southold Town Hall Leslie Kanes Weisman,Chairperson �� y� 53095 Main Road•P.O.Box 1179 �O Southold,NY 11971-0959 Patricia Acamporac Office Location: Eric Dantes G Q Town Annex/First Floor, Robert Lehnert,Jr. '�c� ^ai0 54375 Main Road(at Youngs Avenue) Nicholas Planamento lycoUmv, Southold,NY 11971 http://southoldtownny.gov RECEIVED ZONING BOARD OF APPEALS & 6 TOWN OF SOUTHOLD OCT 2 1 2020 Tel.(631)765-1509-Fax(631)765-9064 (2- y" So hold Town Clerk FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF OCTOBER 15,2020 ZBA FILE: 7430 NAME OF APPLICANT: Michael& Vanessa Rebentisch PROPERTY LOCATION: 1580 Corey Creek Lane, Southold SCTM No. 1000-78-4-19 SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated September 1, 2020 stating that this application is considered a matter for local determination as there appears to be,no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated September 17, 2020. Based upon the information provided on the LWRP Consistency Assessment Form submitted as well as the records available it is recommended that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION: The subject property is a 27,622 sq. ft. lot located in an R-40 Zoning District, and in a AE-6 FEMA zone. The property has 70.03 feet of road frontage on Corey Creek Lane on its northern boundary,then turns 307.96 feet again along Corey Creel Lane along its eastern boundary. The property runs 140. 47 feet along Corey Creek, before turning north 232.17 feet back toward Corey Creek Lane. The subject property is improved with and existing two-story frame house with attached wood decks,two attached sheds, and three accessory sheds as shown on survey prepared by Peter A. Groben,L.S.,dated February 17,2020. BASIS OF APPLICATION: Request for Variances from Article III, Section 280-1517;Article XXIII, Section 280- 124 and the Building Inspector's June 18, 2020, Amended August 7, 2020 Notice of Disapproval based on an application for a permit to construct additions and alterations to an existing single family dwelling and construct an accessory garage; at 1) dwelling is located less than the code required minimum front yard setback of 40 feet; 2) accessary garage located in other than the code required rear yard; located at: 1580 Corey Creek Larie (Adj. to Corey Creek),Southold,NY. SCTM No. 1000-78-4-19. Page 2,October 15,2020 #7430 Rebentisch SCTM No. 1000-78-4-19 RELIEF REQUESTED: The applicant requests variances to construct an accessory garage in the front yard where accessory structures are only permitted in the rear yard, with the exception of waterfront properties which allow accessory structures in the front yard only if the proposed setback conforms to the code required front yard setback for principal buildings The proposed accessory garage will be set back 30 feet in the front yard where a 40 foot minimum setback is required. The proposed addition to the main house will be set back 15.4 feet where a minimum of 40-feet is required. ADDITIONAL INFORMATION: The applicant's agent gave oral testimony on the subject of the proposed additions to the main house, and the proposed accessory garage. The garage will be located in the front yard due to the fact that this is a waterfront parcel and the wetlands within the property lines limit the buildable area. Furthermore, because of the proximity of the property to the waterfront, the applicant is proposing an Innovative Advanced (IA) Septic System to be installed in the northeast corner of the property facing Corey Creek Lane. The applicant testified at the hearing that the second floor of the proposed accessory garage will be unheated, unfinished storage space. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on October 1, 2020 at which time written and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 5267-b(3)(b)(1). Grant of the variances will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The subject property is at the dead end of a small road that wraps around the property so there is very little traffic and few other homes are close by. Therefore few, if any other homes in the neighborhood will be visually impacted by the proposed non-conforming front yard setback for the accessory garage. The proposed accessory garage in the front yard is typical of waterfront parcels where accessory buildings are allowed in the front yard. The relief sought from the setback is necessary to distance proposed improvements from the wetlands on this waterfront property. The addition to the main house is in keeping with the character of the neighborhood, as houses in this neighborhood have increased in size throughout the years, and is not out of character or scale/size with those other homes. 2. Town Law&267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. Any additions to this property would require an area variance due to the conditions of two front yards, existing non-conforming setbacks and wetlands on the subject creekfront property. location. 3. Town Law 5267-b(3)(b)(3). The variances granted herein for the accessory garage located in the front yard with a non-conforming front yard setback is mathematically substantial, representing 25% relief from the code. However, accessory buildings are allowed in front yards on waterfront parcels as long as the setback is consistent with the setback for principal buildings, and, in this instance, the relief from the code is sought to have the least impact on the creek and wetlands on the subject property. The other variance requested for a front yard setback for the addition to the main house is again mathematically substantial, representing 61.5% relief from the code. However, this is mitigated by the fact that the proposed addition is behind the line of the front yard setback of the existing house,and that any addition to the house would require a variance. 4. Town Law 5267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The Page 3,October 15,2020 #7430 Rebentisch SCTM No. 1000-78-4-19 applicant must comply with Chapter 236 of the Town's Storm Water Management Code, and, an IA wastewater treatment system is proposed tb be installed. 5. Town Law&267-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law &267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a accessory garage, and addition to the residence while preserving and protecting the character of the neighborhood and the health, safety and.welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Lehnert, seconded by Member Acampora, and duly carried,to GRANT the variances as applied for, and shown on the'site plan and architectural drawings (Sheets D-1 to-D5) prepared by Anthony M Portillo,Architect,and dated August 20,2020. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the ZoningBoard of Appeals, Any deviation from the variances granted herein as shown on the architectural drawings, site plan and/or survey .cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. In the event that this is an approval subject to conditions, the approval shall not be deemed effective until such time that the foregoing conditions are met; and failure to comply therewith will render this approval Trull and void. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured,and/or a subdivision map has not been filed with the Suffolk County Clerk,within three(3)years from the date such variance was granted. The Board of Appeals may,upon written request prior to the date of expiration, grant an extension not to exceed three(3)consecutive one(1)year terms. Vote of the Board: Ayes:,Members Weisman(Chairperson)Acampora,Dantes,Lehnert,and Planamento(5-0). LI Leslie Kanes Weisman,Chairperson Approved for filing /r /2026 - I M i r PRO.r-OT'/ZONIN6•DATA-T r ••,. �$ TAX MAP d 1000-15-4-19 }4 ign ZONING DISTRICT 9-40 NON{ONFORMINS �Rer cR�C 9a �� �3s or s LOT AREA 27b22 5F �•,� Plot FEMA FLOOD ZONE AE 6 yEXISTINS PROPOSED \�4g RECENED � m€ g FIRST FLOOR AREA 14115 5E 241BR SF r;,1 1�1 Le��1�^pn a M SECOND PLOOR ARPA 6699 SF 8699 5P _r ^Y \.`„1! t 1 A p I G m 24L4 8 0 0 5 r F BEDROOM COUNT 51!16. Ronin 9 Board Of Appeals aE��� "g i i 11 So"1000=fb-4-191 LOT AREA=27,622 SP r R-40 NON--ONFORMRIS I -•y � �S d�'a n�d 3 EXIST PROPOSED COMPLIES ; 1 ` \ 1.T.�YLAYY yY itYfylLC �1 MINIMUM REgUIRED ^I \ \ I 1 I.T. L9 AN VERT FLTS 9N a PLAN a 19 `J�L.. SUS.EGT TO VERIFICATION BY A LICENSED FRONT YARD 401' 255' 154' NO , I ��`' SURVEYOR THE INFORMATION REPRE5ENTED ON THIS SITE PLAN 15 TO THE SIDE YARD 10.0' 329' 529' YES ` `1 / b" SURVEARCHIY INF BEST OF KWOWLED IE 2 SURVEY CTS BEST WAS OBTAINED \ ,I FROM A SURVEY DATED FE5RUARY 7,2020 BOTH SIDE YARDS 2510' 929' 329' YES �� \/_ �// v�� AND PREPARED BY. PETER A,_ EN - 52 ' YES 9010 52.9' LAND SURVEYOR 2O9SFTEP (su 5 1 LOT SIZE O9PP � WG EL1A-41 _ LOT WIDTH ISOA' Lor DEPTH n50' 2922 2522 1 YES •"�+J • �-.,^. t _ % KOM, ^�ti.. \ I PROPERTY 15 LOCATED M FEMA FLOOD MAXIMUM PERMITTED PY ��d d- �- J �' 2 SITE FROTECTIOWSILT FENCINS TO BE BUILDINS HEIGHT SSA• 225' 225' YES 1\ ! ArP \ R INSTALLED AS REGMR®BY SOUTHOLD y TOIx MMBER OF STORIES 2 22 YES 1 Cj r R! j 3-SURFACE WATERS ARE LOCATED YUTHIN 500'OF THIS PROPERTY REQUIRED-REGl1L.ATiONS-AGGE$SORY`$TRUG�UFRP. f-_ 1\ �/ �°� b°� y�-- 1 !CTM*1000-78-4-M LAT AREA-27,622 5F 1 R-40 NON-CONFORKMS \ \ I` I RECt11RED EXIST PROPOSED GOMP1-IES \\ \\1` \\ \� $I - TREVIEVVEn MAP , CSV ZB MAX HEIGHT 220' 010' 219' YES \ \ � ISION# x W SIDE YARD 2010' 010• 2010' YES \\ \ \ SETBACK FRONT SETBACK 401' OA' 901' NO iti 1- U Z M DATE& 10- / / y o w FOOTASE 5P 00' T20 ' YES \ ---/ �'.� •s.-�-•1 Z 720.01 F a z LOT COVERAGE _ _ \\ \ '� �i� W Q 1R-0 DESCRIPTION AREA CO%RPA&E TOTAL LAT AREA 27,6220 SF \ ` \\\\\ —I i� ` REQ EXISTING HOUSE 1.9TIs Sr. ll% - Cj� M.pO E%15TIN5 FRAME SHEDS(W 995 9 14% t • EXISTINO FRAME DECK 906.9 SF 19% PROPOSED ADDITION 446.9 5P PROPOSED 6ARASE 12010 5F 2b% \ TOTAL AREA OF ALL STRUCTURES 40412 S.F. 14b% ( C MAXIMUM COVERASE ALLOWED=20% l �, X374 PROPOSED SITE PLAN SCALE.I'-0'=40'-0• �OFNEn 'a GENERAL 5YM50L „EY: etxsiL�n�m /'� z��gSS ®aa mn�mx u y rte. O / RECEIVED Itl�� � a AUG 2 6 ZOZ0 �$ • � Zoning Board OfAppezis 9 ' wr++rxmwr � t ®O / e.xar�e n.emreu.vs /. •u.miw,rame PROPOSED FIR5T FLOOR (PRINCIPAL BUILDING) Eis XIST.1,4715 5.F.;PROPOSED 2,418.4 9f= scn� va°=r o g FINAL MAP REVIEWED 13Y ZBA ., tleWbY oar. i SE®��I910 Q 2 ®ATS®fQ1 151 W o �i 0 a a $ / LL mo tj ARC- M Pp (� o �� C1 a i R 1 EXISTING 5ECOND FLOOR (PRINCIPAL BUILDING) OF N5`� scn�.ve•.ro• a a EXISTING 884.8 S.F Qt4d !§r; | §K!; MR ffll — —-—- »@- RECEIVED )/ x¥30 91 —----- AUG!#zz; 0 § §qs z m FRUM °Board Of A ` ! \��! ! h|/§ z . z . � .�:a. a �. �� .:a66 FROeosDFRON ELEVATION _.mIC' \� > oeO D m Te�*«o�^ FINAL MAP SCALE, REVIEWED BY ZBA SEE DECISION #-742) DATED )o /J z Id z 2 ;■ ui « q§ - �& M k FIDI Ell G . , ._�� 93 40 0 k PROPOSED REAR�ELEVATION !V-AL.F,«,110' Ll ]� GENERAL SYMBOL BEY: an re•m•w�.r.�a.ei MR -------- RECENED igo B0d ar Of P29eaI 29 9� l Zonm9 >� e msuu PROP05ED FIRST FLOOR (AG0E550RY BLDG) PROP05ED 720 5 F. SCALE,ve� 110. F114AL MAP `- REVIEWED BY ZBA s��®Ecosio'NL#2� �� e� m Ln 0 w f-E 1 az J 1, �;g�o LLIa US (�REDAc? m o 0 Cly( m. PO �'!`'• o IE FROF05ED 5EGOND FLOOR (AGGE55ORY BLDG.) PROP05ED 693 S.F. 5ca-e.W-V-0' 3740b 400by 0 N w r- $�s RECEIVED € g¢g AUG 2 6 2020 E12�gg wes1ae g�%VOE R!Mpg� Zoning 8c:a:d OfAppeaf5 RE!E 0 s oeasd �€ye��� • a�a a-\qaF'U PROP05ED LEFT ELEVATION PROPOSED FRONT ELEVATION PROF05ED RIGHT ELEVATION scs�e�ve•=r-o• sco�e�va•a r-0• scnLE.W-r-0• � FINAL MAP REVIEWED BY ZBA SEE DECISION#DATED z Z ® M ho w a a cc 29 eoA&C y M. P, /�� g PROPOSED REAR ELEVATION scnLE.W.iw• �r �9 X37405 p�� S LO rF Or 14 S ARCHrrECTUREOperating Business Address:1075 Franklinville Rd,Laurel NY 11948 Brooklyn Office:204 250,St,Suite 203,Brooklyn,NY 11232 Laurel Office:1075 Franklinville Rd,Laurel NY 11948 Office Phone:(516)214-0160 LETTER OF TRANSMITTAL DATE: 10/06/2020 T0: Town of Southold Trustees Department �Vi E !l PO Box 1179 `'` OCT 7 2020 Southold, NY 11971 Sni ahold sown o f Trustees FROM: Francesca Brennan (AMP Architecture) 1075 Franklinville Road Laurel, NY 11948 Enclosed please find: Revised plans to show the space above the garage is an-unheated and unfinished space. (These plans were also submitted with the ZBA Application. ) Regards, Francesca Brennan (AMP Architecture) AMP Architecture (516) 214-0160 ®F so�� Town Hall Annex ; Michael J.Domino,President John M.Bredemeyer III,Vice-President �® �E� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski 4 Telephone(631) 765-1892 rw r- igns,a r, � ®(� �►� Fax(631) 765-6641 c U - ®CT 2 2020 E ARD OF TOWN TRUSTEES TOWN OF SOUTHOLD E rLoll-1. This Section For Office Use Only Coastal Erosion Permit Application _Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: Received Fee: Fee: $ ZSa.DO Completed Application: Incomplete: - SEQRA Classification: TypeI Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: YCoordination:(date sent): -_ LWRP Consistency Assessment Form Sent: AC Referral Sent:. l Date of Inspection: / 0•ZD Receipt of CAC Report: - - Technical Review: . Public Hearing Held: /l•I��ZC� _ _ Resolution: Owner(s)Legal Name of Property (as shown on Deed): U j c Irl Q P A anan eSSn IZP hen h'SC h - Mailing Address: 152-0 Corse Cr-e2k LODC'. S0U--1-hOkd Phone Number: 3L1 �7 - 210 y 2 Suffolk County Tax Map Number: 1000- q.R-09 -Iq Property Location: 1590 Uee-V- Lane- Sdu*holm (If necessary,^provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): 1q r ,-h on SA _Porgy i 11 c) Mailing Address:. 1 )J5 Thangl(nuWe Ave, LCLcArel NA Slg4dr Phone Number: 1_(o- 21 y CSI a0 X11 Operating Business Address:1075 Franklinville Rd,Laurel NY 11948 RCHITECTURE Brooklyn Office:450 95"'St,C9,Brooklyn,NY 11209 uc Laurel Office:1075 Franklinville Rd,Laurel NY 11948 Business Phone:(516)214-0160 Anthony Portillo:(716)572-4741 I CEHA Wetlands Permit Application Michael and Vanessa Rebentisch 1580 Corey Creek Lane Southold, IVY SCTM-366@- 7'91 September 29, 2020 Project Description: In an effort to create the proposed addition on the existing house and new garage with an unheated and unfinished space above it. Proposed 1 story addition to existing single family residence: 20.5X21.8';446.9 Sq.Ft. Existing 2 story house footprint: 58.5'x33.1'; 1,971.5 Sq.Ft. Proposed 2 story Detached Garage (with unheated and unfinished space above):24'x30';720 Sq.Ft. Please let me know if there is any additional information you need me to provide. Thank you, Francesca Brennan AMP Architecture, PLLC Administrative Assistant Office: 516-214-0160 www.amparchitect.com Board of Trustees Appl Ltion GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: ---2-<t ic- P n P,5 r rl 2n<P Intended use of property: Rr w C�-e VM Cte nc P 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? _ 1>< 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 �S -_ DEC-_ 'A�1�Ca-1 icln Prn i S __,X 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): PYO-Sr se e QA-t C O A -DOCL cnprA, Board of Trustees Appla..:ation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Z_P_ clac� ��� G;40C VVC _bo( 'kmQn-I s Area of wetlands on lot:. L4, y5C1 �c,� , square feet Percent coverage of lot: I � % 1 ® 4o e;K f,<34-4, shy cl as•& 4° 5 Closest distance between nearest existing structure and upland edge of wetlands: - ___ feet a 11 n 74,y' -�o rm.Pos ect 3a`ay Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? 4-� �'V cubic yards How much material will be filled?- -�I-- 'RD cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: °/o Manner in which material will be removed or deposited: Cn0";SA(l lLh(10 +he- rna4ec\rrf 1. _ Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): 617.20 Appendix B Short Environmental Assessment Form Instructions_for Completing Part 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. i Part 1-Project and Sponsor Information ; Name of Action or Project: Re-berrhsch P6dilk n and Cne,en c4 Project Location(describe,and attach a location map): 15'8-0 Q oc Cree 1(' C'an' Set�-_,olct -1 G-k -Map -13--q -Iq Brief Description of Proposed Action: 1 n Gitl &f far- !© efea2 he�rU�QS2�I C�G�IOI l�l t Orl ace e�bu�bovr\nc� sppace 1nouSe Qna nevem 20-'09e- W14h an CLn hCc(4,,Cl ,UrI4�rj6 e �k. 1prop0Seee 1 s�cir� e�dr��-ham �o �x�s�n!e srn(31Q rnr�� res�aence ao.5`xa1.�� ; � I(��qs�•� C)t(Skrnr� a S�vn� kibuS e t�pr,n'r- 5$,5` 31.1 l,q1% Sq F1, Co?oSe-a 6Z ery Der�aa-V he CA 3WNt(uO V 4;h un V)ecOeel ,u n-R n I stied spate a bdvC b1 1, q2_ Sat- . Name of Applicant or Sponsor: Telephone L51 CQ) cQ — -�" \ B-Mail: br n G Com Address: e t City/PO: State: Zip Code: Laufe.� I � �v _ 1 \qq $ 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that F may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ( 3.a.Total acreage of the site of the proposed action.' _acres b.Total acreage to be physically disturbed? 3-T acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? �_ �- acres 4. Check all land uses-that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial *esidential(suburban) ❑Forest ❑Agriculture ❑Aquatic AOther(specify): NJ�e_AIQnot ❑Parklan d Page 1 of 4 5. is the proposed action, NO YES NA a. A permitted use under the zoning regulations? ❑, ❑ b.Consistent with the adopted comprehensive plan? 23 ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify:: � ❑ ' 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? .❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES Ifthe proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect-to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: IX ❑ 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? 0 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? 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 ❑Forest ❑Agricultural/grasslands ❑Early mid-successional 6<etland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? ❑' 16. Is the project site located in the 100 year flood plain? T NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO ES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO YES ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO E]YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO ' YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size:- 19. ize: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: 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE-ANI)ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor me: � � Date:_ Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning El 11regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? C1 1:1 3. Will the proposed action impair the character or quality of the existing community? El Ell 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of Critical Environmental Area(CEA)? El 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? El E 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? El EJ 8. Will the proposed action impair the character or quality of important historic,archaeological, EJ ❑ 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 a problems? El 11. Will the proposed action create a hazard to environmental resources or human health? 0 EM Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ElCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President _ Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible-Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees 4ppl' --tion if 41 AFFIDAVIT b le V1 blC A? __A-CING DULY SWORN, DEPOSES AND AFFMMS THAT HE/SHE fS THE APPLIC&NT FOR THE ABOVE DESCRIBED PERIL U(S)AND THAT ALL STAMMEN-fS CONT UREIN AINF,D ARE TRUE TO TM REST OF KN IMMER OWLEDGE AND BELIEF,AND,THAT ALL WORK WILL 13E]PONE IN TUE MANNER SFT FORTH IN TITtS APPLICATION AND As MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRVSTEE'00. THE APPLICANT AGREES TO HOLD TM TOWN OF SOUTHOLD AND THE Z BOARD OF TRUSTEES I2 .ESS AND FREE FROM A_NW AND ALL DA AG VIRTUE OE SAID PERMIT(S),IF GRAND. IN COMPLETING TRHS APPLICATIONS�I HEREBY AUTHORIIZE THE TRUSTEES.THEIR-AG ENT($) OR REPRESENTATIWS, INCLUDING TIM Cod; jjkl7ATIO_ _N�AIDVISQR'*Y COI NCIL9 To -ENTER 0 WTO MY PROTERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATIOM, INCLUDING AFINAL INSpE-M ON, I FURTHER AUTIj(HUZE THE BOARD OF TRUSTEES To RNTFR ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLANID OR COASTAL EROSION PEST ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. I It If2 Ir ature f Yignature oTPopewnr !' S,WOP,,N TO BEFO ME THIS DAY O Line ^ 2UO)" fl PAi RICIA A.WALSH Notary Public,State of New York No.()IWAS069067 Qualified in Suffolk-Co VU Commission Expires Board of Trustees Apel. _iti on f ° ,f j AUTHOMZ TIOTI `+ (Where the applicant is not the owner) it owners o€the property identified as SCTM# 1000- - in the town of fl Newr York,hereby-authorizes AMP Architecture I; to aci as trey agent and handy all f - - -- - - -- - - E nect,-ssary wo=kLnval-ved wv.th the application prrrcess for pe_ruiit(s)from the Southold Town if Board of Tiustees for this propeny. - ,- open awn is g?3=at�are ' op Owner's Si i e- It -- I Il SWORD T4 BEFORE ME THIS DAY OF i� 2 �. 1 ;otaLy p�:biic - } PATRICIA A.WALSH Notary Public,State of New York No.OIWA5069067 Qualified in Suffolk•Coun + _ Commission Expires sr it It ci - APPLICANT/OWNER ! TRANSACTIONAL DISCLOSURE FORINT ' The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The puroose ofthis form is to provide information which-can alert the town of possible conflicts of interest and allow it to take whatever action is f — necessary to avoid same. YOURNAME:_�z�2t~Lik A',-Lel !� (Last name,firstname,middle initial,unless you are applying in the name of someone clse or other entity;such as a company.If so,indicate the other person's or company's-name.) ?# TYPE OR APPLICATION:(Check all that apply) Tia grievance Building.Permit ( variance Trastee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) " Planning Do you personafly(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of-the Town of Southold?"Relationship"includes by blood,rnarriage,or business interest.j9Nsiness interest" means a business,including a-partnership,in which the town officer or employee has even a partial-ownership of(or employment by)a corporation In which the town officer or employee owns more than 5%of the shares. YES NO �j If you answered`AYES",complete the balance of this form and date and sign where indicated. ii Name of person employed by the Town of Southold Title or position of that person !i Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate fine A)through ID)and/or describe in the space provided. s The town officer or employee or his or her sponse,sibling,parent,or child is(check all that apply) f ' A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) 13 the or beneficial owner of ) legal any interest in a non-corporate,entity(when the applicant is not a corporation) Q an officer,du ecter,partner,or employee of the applicant,or D)the actual applicant t; DESCRIPTION OF REI ATIONSHIP y i I Submitted this J'!� day-of C�020 20 Signature Print Nance c, �3 tS{ _ fff t it i iY Ei ' i' APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM 1 The Town of Southold's Code of Ethics prohibits conflicts of interest on the hart of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. 1f YOUR NAME: K Ae I Ls , va,Ke-6,3 CN i� (Last name,first name,rffiddle 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.) f ii TYPE OF APPLICATION:(Check all that apply) Tag grievance Building Permit f, Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring �} Other(activity) Planning i Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or y employment by)a corporation in which the town officer or employee owns more than 5%of the shares. fl f, YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. ' I� Name of person employed by the Town of Southold t� Title or position of that person i{ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either Jjl check the appropriate line A)-through D)and/or describe in•the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a i; corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) Q an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP ff3 l� - s� Submitted this day of� 20 Z� Signature ,, // II / Gi Print Name Ve,Ane I's CA �ehe�►�t�sr li Gj i• t Y n APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the cart of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Q YOURNAME: Gn-k'qo nW T o(-V, (1 (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 2 day of Sep�"b;20� Signature /� Print Name oar Rr-A,1U) Glenn Goldsmith,President ��QSVfFO('Y`'OG Town Hall Annex Michael J.Domino �Y�� y� 54375 Route 25 John M.Bredemeyer III C3 = P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams p! Telephone(631)765-1892 91 �� Fax(63 l)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 4, 2020 Anthony Portillo AMP Architecture 1075 Franklinville Avenue Laurel, NY 11948 Re: Board of Trustees Application of Michael &Vanessa Rebentisch 1580 Corey Creek Lane, Southold SCTM# 1000-78-4-19 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, November 18, 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. U ry Truly Yours, 44-31-t4y Glenn Goldsmith, President Board of Trustees 1 t Glenn Goldsmith,President p�0f1)('�-`pG Town Hall Annex Michael J. Domino54375 Route 25 John M.Bredemeyer III P.O.Box 1179 A.Nicholas Krupskiy ® 0�� Southold,NY 11971 Greg Williams Telephone(631)765-1892 r Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESEDAY, NOVEMBER 18, 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, November 18, 2020 with the Work Session beginning at S: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. Written comments"may also be submitted via email to the Trustees Clerks at eli7,abethc@southoldtownny.gov and diane.disaivo@town.southold.ny.us. Said comments will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. 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: 962 8115 2407 Password: 299051 • 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 to unmute your phone press *6. To view the application files please visit: https://www.southoldtownny.q_ov 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 MAIC,RECEIPTS rig '" >7.° .,;'a;'-a.''�s.,,'- t•^:""'s :a, -�, :cva ,,,> -y.'/"?�.KA`•>-ta�Ys.Y:a Name: k.` o" _y >' ex, SF 3. .4. 9 ,I :. � c~/,�T� �, s`+' g,+'"'`93�or1`.e•irx'_`^v�"s,••J . :i li:��Y•72o`,?Jic ;.i•�k"`.'r`iZ+s^_i EAw."..:�..y�� -:sly,;.:',� VV„ :ct- t..�,I'.a*r�.:":'y`;r'�M,:.;♦�.i:h+l''.;�r'::-E:�'£c,',, �n E.s.,.. f` — ��nr.T+.^,�; ;�7..,,f4.:. », .Gi :jam v:�y'�Iayh�Vt.•% �#.:qF,'s�k�u�.,:�';�`.'�'�E,{s iJ.'.!= Y�3n:"+_x� _'}a`':-'-'�< x�'•:"'c...�lN.•1'+�5+_,�^-11`"idL�4SF�n`"1,a s'?F:l�w,w-"�;s"''3d�+� �..-: /J(,���)��'�_y %.... � Si`.•Yk .ly:� r- ,l,i�f,�,} t�•���*�a.,'+%''�'�"fy� _--'';;��:�4."� ` .cw•` <r'"'j+t''':sl -aa '•`'='�'^`r'#...F-. t'...•a::z Y., ;a�: .:%r�. +."fl,',,,. ✓•. �:a..:i• �.�•", x2y,`ts„e��',��:.yt;^ ` ' ��4'"si•„.,j'",='`«"�ti'-:`«�.Cyrf'tV:t•L.3`,Z s<s<';.„�,°.`.�>x;'i.-:-";;;-=9x,rp"aj??,f;n�c'v=,i"''��"".,:ryS.sem,yF=',�.^_��„,r`�;•;-r.,.,n��Mrs.3x•ti;'�,•,•"$.�.as.r.•NY.a,.frr.bs.�aufy�ae3,„i=.0;x:.'�^man�y.�Ni5e,'�,%^'`�f�`='fh.��:!.w'A'*�},�45”-iai#',3p...�:ia>x.`ax�-v°�.'E�v,.er-,-`-7w.,'Tifgs�i'-=r::r`'..,if-. : i•`c '050 5`.k `^ '�, > __,- .gkvzz,t, * 'w..-r.1�,'c,-.y.S++{;a:�".y`,x�{'^,'•,i��.,”`�`•',+� _ �fi�;e-� �•'r. �rsis�"ir,_ `"y +�a.;;���;:- •u4 �--;;tts�,•'Yi��. =i'A,'e I.. ".�A,,�• ^:VG ✓"s.'.:2t ^;;-=v�4,":x:! �'.`1'Pk'",�>> Ybt• =�.f,i. "Ji`r-t-: .,'d`= t<'*• %,; c.,.X. fir;'., ;-.�_ � 2» •Q,.�,`�g'�_n���;4�i�'i'",�<''`�•h4, f�Y%,i.;, .P_='=.use,:o';i2; „'us-�r,"``.:-•,..A. t xr" yv s!:t...-ar:`�.�,'- r-`t;� • �4�;jy�az�=v.„,r"r.F.�,.� ,�'':i';`�{- .+i"." ` ,^' ''' 5y (•K'.�`..sy /''(,:C�w�o�Ht ir_ ,xR.,;'i.-!' �,afi,-„r-'•.a `i$.y ;{:<,�..,:�.-� ” ti=�-'���i;0��ak`s4�''s'"si53s”=t=%.^ �w,i'+!=.r�;,�4_;'• t.,".N,,.,�z`.`•°:,_.��s, . STATB OFEVVd& ;==3, ..r,:. r= •` � �i ,sy .; .ls`v C60NTYv` • residing-at being dulysworn, deposes and says•that on the' day of ;,`20 ,deponent-rriaiiecla`.tru�copy of the Notice set forth iri-the Board of Tr,itees Application,'directed:`to eaeli of the above named - persons at the addresses sett 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 weremailed to each of said persons by CERTIFIED MAWRETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public PROOF OF MAILING OF NOTICE ATTACK CERTIFIED MAIL RECEIPTS Name: Address: k I?I eCcSe See G'U--0tchQ-8(. STATE OF NEW YORK. - COUNT _f?F`SJFFOLK - -`-------- -- - -- - - -- - - - - --- - - - - -- Ant-1,onL1 PN-Ai �� ; residing at (�� 022 f1�(,�1-U ll being duly sworn, deposes and,says that on the "1 day of MNPmj�c , 202.C) 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 rk that said Notices were mailed to each of said persons by CERTIFIED MAIIA&TUAN RECEIPT. Sworn to before me this (�041^ Day of Q gjpVU_berr , 20 20 LricBride --oTAR!'PUBLIICC,STA E OF NEW YORK Notary Public Registration No.O1MC6368447 Qualified in Suffolk County Commission Expires December 11,2021 Operating Business Address:1075 Franklinville Rd,Laurel NY 11948 ARCHrrEGMRE Brooklyn Office:450 950'St,C9,Brooklyn,NY 11209 LLCBrooklyn Office:1075 Franklinville Rd,Laurel NY 11948 Business Phone:(516)214-0160 Anthony Portillo:(716)572-4741 1000-78-14-45.1 Keith Cummings 155 Corey Creek Lane Southold, N.Y. 11971 1000-78-4-18.3 Joseph Mitchell&Shum Kwok Ha 125 w 21st Street Apt 10B New York, NY 10011 1000-78-4-21 Ugo Polla 1345 Corey Creek Lane Southold, NY 11971 1000-78-4-41.2 Eileen O'Sullivan 144 Colonial Springs Rd. Wheatley Heights, NY 11798 1000-78-4-42 Michael&Hayley Orientale 5810 Main Bayview Road Southold, NY 11971 1000-78-4-46.3 Elizabeth Tremblay PO Box 901 Southold, NY 11971 ' • Delivery Section ® Complete items 1,2,and 3. Signature a Print your name and address or X ❑Agent so that we can return the card t ;Y&Addressee 4 ® Attach this card to the back of i Printed r to of elle ry j or on the front if space permits: Name1 f -e-e;.� �' (`� 1�1 Q( '� 1. Article Addressed to: _ at � , Delivery - ❑Yes Address L� ! (� �'1 I0 14y Co�cyniC�1 Spr res - i ciX ppp 3. Service Type ❑tority Mad Express@ ❑Adult Signature ❑Registered Mail R ❑ fd °� Adult Signature Restricted Delivery ❑Registered Mad Restricted 19Certi ied MaN -_- - DeliveWv,,.. , 5 9402 6132 0209 4561 01 E]Certified Mad Restricted Delivery", "❑,beiiA Receipt for ❑Collect on Delivery - Merchandl5d+ - r(Transfer from service label) ❑Collet_on Delivery Restricted Delivery 11Sigriature ConfirmationTM El1 3� 0 111 8 0 7 8 2 2 5 8 `{ Els�i l" d Mad 11Signature Confer ry tion Ini`ed Mad Restricted Delivery Restricted DehSe (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return-Receipt ■,Complete items 1�41,2,and 3. A. Agent ■ Print your name and address on,the reverse .,q',­ Y X � Addressee so that we can return the card to you. B. Received by(f�n'ntt(d Name) r/ �Delivery ® Attach this card to the back of the mailpiece, 11 I✓ or on the front if space permits. _r.. 1. Article Addressed to- �'- D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No f jam , rYl�kcne�l d-ZKXrn kwok iA-a + ! 12S ��. 2�sk Skreek i New VL , Ny 1(30\ r III I I i I II I I II I II III II I i III ISI I II I I III 3. Service Type ❑PriorityMad Expresso ❑Adult Signature ❑Registered Mai1T" ❑Adult Signature Restricted Delivery ❑Registered Mad Restricted ❑Certified Mail@ Delivery 9590 9402 6132 0209 4560 88 ❑Certified Mail Restricted Delivery ElReturn Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm 2. Article Number_(Transfer from service label) --_- ❑Insured Mad ❑Signature Confirmation Insured Mail Restricted Delivery Restricted Delivery ❑ 1130 00111 8078 2272 Insur$500) Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 I ■,o, J ru B m o cr ru li 111 Sou 1"" i ru A L U17 m� m eta m t ll� m I Co i 1947 I`- Certified Mail Fee $3.55 0947 Certified Mall Fee cel 44 $ 7 oc f.4, o r`- •_ c II Q $ � Extra SONICeS&Fees(check box,add fee�8ppC�ate) Extra Se ices&Fees(check box,ad$d fee,a•5�:Pf4p�ate) [:]Return Receipt(hardcopy) $ J l []Return Receipt(hardcopy) 8 V Llt� r-� ❑Return Receipt(electronic) $ (°1j� Postmark ❑Return Receipt(electronic) $ t� 1�t Postmark O ( (i( Here ❑Certified Mall Restricted Delivery $ �tl.1_11_1 Here C3 ❑Certified Mail Restricted Delivery $__4a r-, []AdultO Adult Signature Required $ $0._0 flf_ 1 0 ❑Aduit Signature Required $--O4{e}.IU ❑Adult Signature Restricted Delivery$ I,O ❑Adult Signature Restricted Delivery$ C3 Postage $11.70 i OPostage $0.7U Miirl $ �g 11/06/2020 Total Postage and .1 fl 11/06/2020 r� Total Postage and $ $ ( Sent To Sent To `( r-I . i-I d _ ------------------- 91 a_- O SVeet and Apt No.,or PO Box o. r-q ----- I l- L7 Siree rid fy�No.,or PO Box No l~ ---- �s}_S f e T Q C t—� ----------- .State,ZiP+4e N CI to e,ZIP+4 I r 1 1 1 111 :11 1 1 1 Irl•1 _ � - - ■ ■ ■ ® 0 ■ ■ n ® 0 © ■ ■ Lr) Bm / ,L13 n /m / ru • m• m - ru mm= e m -m - • m m ru m N Sault� m ii yfr r , I A L U9 8 ES7 Certified Mad Fee ce Certified Mail Fee $3.55 0947 r- $3.55 !1947 oc 0 $ '7 ° 44 O $ 7 ft4• eO Extra Services&Fees(check box,add fee o Mas) eQ Extra Services&Fees(check box,add feesm:polptell El Return Receipt(hardcopy) $ I1 i°!"= ❑Return Receipt(hardcopy) $ 1..�� r-I Return Receipt electronic $ $1 l.1_I[i ❑ p(electronic) Postmark r-I ❑Return Receipt(electronic) $ $U•(10 Postmark 0 ❑Certified Mall Restricted Delivery $ 1,1 1 I_�_,I„I Here E=l ❑Certified Mall a Required Delivery $ J m(j[J Here ® ❑Adult Signature Required $ &i 1 O ❑Adult Signature Reqwred $ _ C3 —a✓_�m ❑Adult Signature Restricted Delivery$ ❑Adult Signature Restricted Delivery$ ,® Postage O Postage $t 1.711 $�1.71 I M $ 11/06/2021-1" I M Total Posta 11/06/'�f_20 rqTotal Postage and eq°111 � $ 9e an $e1.10 $ ( co nt To t to Se t To �,i l eP __ _ �,.�\w CLOS----------- r-I ] rn� �___ ___ _ IAYYI______ Streert a,nd Apt.No,or OBoxNo _ r �_1`�__CSC�QYl1(C� 1 ��n ----------------------------------------------- p SVeet[and pt No,or 1PD Box O 1, L------�1-��t--��"�.���5------------------------------------- L7ty;State,ZIP+4°°-- --------- � -.3'--- ------------------------------- Cr state, +�1�) N� C Y� lk M ru ru So Lf . i rim m ru Sots tr lr m m m m ` � � � � L USE ;� � i� � L US- E ED Certified Mail Fee ee I Certlfled Mall Fee ee r- $3. 5 i X94.7 r'- $3.55 0947 C3 $ U os 44 0 $ 44 �O Extra Services&Fees(check box add fes l�pptyp.ate) ;cO Extra Services&Fees(check box,add feeVLfp`gnriate) ❑Return Receipt(hardwpy) $ 1 !1'111'' ❑Return Receipt(hardcopy) $ tP 11 LLff�l 11 r-I ❑Return Receipt(electronic) $ $1 I JI(I Postmark i r-9 ❑Return Receipt(electronic) $ $O.An.1111 Postmark 0 ❑Cerlifled Mail Restricted Delivery $ $t j,fll Here +Ll ❑CertWed Mail Restricted Delivery $ $I .Illi Here 4 E]Adult Signature Required $ l= ❑Adult Signature Required $—4H—. r ri ❑Adult Signature Restricted Delivery$ ❑Adult Signature Restricted Delivery$ $l_��.ILr— Postage Postage C3 $ 1=1.701 i m $ $1.1.70 s"I Total Postage and Fetes 11/06/2020 r-q Total Postage andFigs 11/06/2020 r=1 $ $. a(l rl $ ` f m I 11 ca S nt To ca Sent To r_q _ ]�`? f�_m_b ---------------------------------------- a t h��Q_1_d 4l �t � ��c�,Aal.� C3 Street ano pt.o.,or PO Box No. ' p Street and Apt l�(o,,or Bo No. r` TIO 'o)(---°1 o I---- --------- -- - `' CI s State,ZIP l, � 'l��---------------------------------------- �lGCi ,State,ZIP+4 i t��ho\GL ,N 1 I :Ir 1 rr rlr /1 � 1 rr rrr•r �° j I COMPLETE THIS SECTION • • ON DELIVERY ■ Complete items 1,2,and 3. =' _ A. Signature / I ■ Print your name and address on the reverse X ("tom gent so that we can return the card to you. ❑Addressee B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece;, I 51 � a or on the front if space permits. y" 1. Article Addressed to: " w'= D. Is delivery address different from item 1? Yes ` o o a� Q S E Cr if YES,enter delivery address below: pyo } ¢ ¢ o r z it a wm o o � E `x: lmay o o 3y5 C�e�1 Ccee>< lane ❑ ❑ ❑ ❑ 2 o mra��» cc —( C- 0.0m>>C N g U ��1 1\�l^I'\ ( U aEi o a..¢o¢Minrn¢ 4) 7 • E� ❑❑❑ 130❑ Do ° N 1 3, Service Type ❑Priority Mail Express® • Z m o m .0 d II I IIII�I IIII 111911 II III I II III III��I III ❑Adult Signature ❑Registered Mail o a o i ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted' � N� ❑Certified Mad® Delivery 9590 9402 6132 0209 4560 95 ❑Certified Mail Restricted Delivery ❑Return Receipt for d 2 v N Merchandise > -v °1 Z ❑Collect on Delivery al m m t I❑Collect on Delivery Restricted Delivery ❑.Signature Confirmation T"' m v e ¢m m_ 2._Ancrle Ndmlier_(rrensfer_frol7i_serVice.iabelh • i p S� nature Confirmation T - i( ;❑Insured Mad:; i i gi, i_ > > > F- 16 m 10 o o m'm- ❑Insured Mail Delive Restricted Delivery • io � W m o,�� o o 9�c 1130 2001; 8278` 2289 'i ry a (over$500) I�n t` rn a) r _ , �,�En PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 4i . cc N= °�'-S5-r r==O'° . co v v 08 o o c c o -- -- _ S Q X m p ¢¢UUUU__-o vi❑❑❑❑❑❑❑❑ • • • DELIVERY COMPLETE THI� N to N I T N r A. Signatu / N o ■ Complete items 1,2,and 3. Agent "� a'�� to r-a g I ■ Print your name and address on the reverse X Addressee m o E `� m °'I so that we can return the card to you. �' o C 3 �° G ■ Attach this card to the back of the mailpiece, B. Received by(Panted Name) C Date of Delivery o �I co or on the front if space permits. vs W r�� � o W z I D. Is delivery address different from item 1? ❑Yes " Na. l 1.�/�Arpticle Addressed to: If YES,enter delivery address below: ❑No c -0 �t M C3to Lan e � �� �a. � D � ® o � o ` c v- a iJ ® co O E co co 3. Service Type 0�' *---O P "4 .Iurad Express® I . E c= rva o r a o ❑Adult Signature El Registered MadTM ,• U 0 Q o Q S� rR C- 9I I IIIIII 9191 II9I99I I9 999I II I I II9 IIII9I III I III ❑Adult Signature Restricted Deliv r7�_C1 Registered Mad Restricted ❑Certified Mail® Delivery y ■ ■ ■ (Ni CID a ! ❑Certified Mad Restricted Delivery ❑Return Receipt for - 9590 9402 6132 0209 4560 71 ❑Collect on Delivery Merchandise 2._Artiele Number CTransfer from service label)i < r s f; ❑Collect on Delivery Restricted ,.D,Signature Confirmation ❑Signature Confirmation 1 i i ; D Insured Mad Restricted Delivery 8 113 0 0 01 608 ' 2265 ❑Insured Mail Restricted Delivery ( ___ (over$500) ' Domestic Return Receipt �PS Form 3811,July 2015 PSN 7530-02-000-9053 I - k Glenn Goldsmith,President '`S FFQ���' 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 �?� �Ol,� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of MICHAEL &VANESSA R_EB_ ENTIS_CH. COUNTY OF SUFFOLK 1 STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEYENDAYS PRIOR TO THE PUBLIC HEARING DATE i �G 1� t I, Dc;kjc, residing at/dba-yG��� (��(�- .� �� j being duly sworn, depose and say: tti I That on the << day of N Wtv-S¢e ,20'&0, I personally posted the property known as 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 j immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, November M 2020. Dated: l I/f g l2 pZC) a (signature) Sworn to before me this /e day of MV 20 z-0 Lori T McBride NOTARY PUBLIC,STATE OF NEW YORK f• Registration No.OIMC6368447 Qualified in Suffolk County Commission Expires December 11,2021 ? i Notary Public i NOTICE F 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. OWNER(S) OF RECORD: MICHAEL & VANESSA REBENTISCH SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a 20.5'x21.8' (446.9sq.ft.)one-story addition onto existing 58.5'x33.1' (1,971.5sq.ft. existing footprint) two- story dwelling; and construct a proposed 24'x30' (720sq.ft.) two-story detached garage with unheated and unfinished space in second story level. Located: 1580 Corey Creek Lane, Southold. SCTM# 1000-78-4-19 TIME & DATE OF PUBLIC HEARING: Wednesday, November 18, 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 byname 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, .ILWRP-CONSISITNCYASSESSMENT 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 4 Waterfront Revitalization Program. A 'proposed,action -will.be-.evaluated._as'to.-its --significant beneficial and adverse-effects,Mon-the coastal area which iiicludes.all'ofSouthoki 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. -Tlias, dach answer.musf b_a explained-in detail;'I ting-both.sunnortina_and-non-' I ` :snanortins facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shd1l.n6f b dridertaken. 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#.�oo_ O� PROJECT NAME (,2 rL(b cel an d cha c(i Q-e ---- The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees X, 1. Category of Town of Southold agency action(check appropriate-response): (a) Action undertaken directly by Town agency(e.g.capital 0. 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: ( SiDCAC P Location of action: 150 C C)rC Q C C-C e�r- COC-, Site acreage J ,_5 - Present land use:_TC(V(1�2 2-e SSti P n'C Present zoning classification:- 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: VO Aff)Q _ N-C Irl ikd,t-0 (b) Mailing address: 7cankU nk it (c) Telephone number: Area Code O 5 I l9__ a ,LA_- (d) Application number,if any: / I'7 Will the actionbedirectly undertaken,require funding,or approval by a state or federal agency? Yes 0, No lid' If which state or federal agency? - Y yes, C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY' Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LMW Section III-Policies; Page 2 for evaluation criteria. es Q No F'� Not Applicable Ok 0P.CS�- P--A-- on (7AP ue k use rY-).Pn4- , b:rn_C i j S-C__-f_4--(s Q -hkA(I(-l-1'n-C) C'snd I S.__ -�c�n8i:Skn _ --t,A-3 r E'r1 _ 4-fiP t ennuiirtae _ Attach additional sheets if 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 E]1:1, Yes No �4ot Applicable a ,vf 's nc 1 Q6(9, �44�� - Attach additional sheets if necessary _ Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ,❑ Yes ❑ No Not Applicable TI-)l �nA k, Isl( n�� �'c en 1, tS o urz^'e S. 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 0Yes ❑ No Not Applicable on-Er,l x, k +0�f r—D&in ry-YI.e4-- Attach additional sheets if necessary-- Policy ecessaryPolicy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑. Yes No Tot Applicable k-fi r 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. ❑ ❑ Yes No Not Applicable i 64 a 1 ) cke C r -S Attach-additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. Yes [:] Nof:�Not Applicable o eS n04- � ,' (,'DCA- + ukl 4 Q -c-)-- ' Attach additional sheets if necessary : Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section Ill-PoIicies; Pages 34 through 38 for evaluation criteria. Yes No Not Applicable 7101 W OYl n � -+-o-- aur, F.k Ih,44-mr 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. J- YeO No�Not Applicable The__1 nc QA LIC C-.Q +D C(7)'S1® 1 W0-42� I,r C. 1 C) n nj S ( All t t n be a �e CP l Vl P! 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. Q Yes No ffNot Applicable 1 h r-2S- FU�C 0 k a C-k Aj QU- e C- ( A,&C I Attach additional sheets if necessary Policy '11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Or Yes No Not Applicable k L� e S rt-CA eu1 -Mlan-p =rip Ar-(=P -. - --��1 Y1�,►�r'1 - ( n�1 C�1��1G 1� ._. - - - _ _ Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. Yes 0 No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. El Yes Q No a Not Applicable ^ i i - PREPARED BY X0.0 c�cc� S cen a�. 'IZTLE_ �n ��DATE 0