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HomeMy WebLinkAboutTR-9940A Glenn Goldsmith, President ®f s®(��� Town Hall Annex A.Nicholas Krupski,Vice President �®� ®�® 54375 Route 25 P.O. Box 1179 Liz Gillll0000l Eric S ki i Southold, New York 11971 y � Elizabeth Peeples ® Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1915 C Date: April 7, 2022 THIS CERTIFIES that the construction of a 12'x28.5' deck; At _3405 Bay Shore Road, Greenport Suffolk County Tax Map #53-6-10 Conforms to the application for a Trustees Permit heretofore filed in this office Dated June 29, 2021 pursuant to which Trustees Administrative Permit #9940A Dated July 14, 2021, was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a 12'x28.5' deck. The certificate is issued to William R. Ahmuty III Rev. Liv. Trust owner of the aforesaid property. Authorized Signature DiSalvo, Diane From: dougburns3@gmail.com Sent: Monday, May 9, 2022 10:52 AM To: DiSalvo, Diane Subject: Fwd:Shower Sent from my Phone Begin forwarded message: From:dougburns3@gmail.com Date:April 11, 2022 at 6:10:05 PM EDT To:John Jarski<johnj@southoldtownny.gov> Subject: Fwd:Shower Sent from my Phone Begin forwarded message: From: "William R.Ahmuty"<william.ahmuty@admlaw.com> Date:April 11, 2022 at 6:04:56 PM EDT To:dougburns3@gmail.com Subject:Shower To the Board of Trustees April 11,2022 aim .h ,ow,nar�of tlietpar�opert�Yrl9a 4 atf3405'"Ba' sli.or�eyRd+�(�ree�port..'9Y. Pwrs ant�to there_ Cues'of the oard:o a rus ees�fwl I$nnt rPrn'n`ctruir-tit c c nclosure �°�` Yours truly, William R.Ahmuty III ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 ,_. Glenn Goldsmith,President Town Hall Annex A. Nicholas Krupski,Vice President ,`O� OHO 54375 Route 25 P.O. Box 1179 Eric.Sepenoski l�L [ Southold,New York 11971 Liz Gillooly va . Elizabeth Peeples � � � � Telephone(631) 765-1892 Y Fax,(631) 765-6641 ..�oUl\ BOARD OF TOWN TRUSTEES TOWN OF SOU THOLD, . r DATE OF-INSPECTION: z INSPECTED 13Y! �i ✓lal - �. Ch.275 Ch. 111 . . INSPECTION.SCHEDULE Pre:construction., ha,y6ale line/silt boom/silt curtain . 1st 4 of.,constructi6n. Y2 constructed k Project corriplete, compliance inspection COMMENTS: ►? gig ..: .,,,/%�►.,�.:>:�.. �i,oh. .Guva..-. �u�i_...�vtyt.�t.::..� �. .. / . oar, :�tui�d�n ia��cv �� :. . CERTIFICATE OF COMPLIANCE: i w y f s_ I i .9 il�.ywit,! _f�� � r._nim. � ..��y� __ J��= �� m�ti `.� '�. . ' w 44 Glenn Goldsmith, President �QF S0 Town Hall Annex A. Nicholas Krupski,Vice President ,`O� ��� 54375 Route 25 P.O. Box 1179 John M. Bredeme III er k Y �( � Southold,New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg WilliamsYO Fax(631) 765-6641 couff (,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction; hay-bald line/silt boom/silt du,rtain 1St day of construction Y2 constructed When project complete, call for compliance-inspection; Glenn Goldsmith,President ��OF SOUry� Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J. Domino G • Q Telephone(631),765-1892 Greg Williams Fax(631) 765-6641 �yCOUN N BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9940A Date of Receipt of Application: June 29, 2021 Applicant: William R. Ahmuty III Rev. Liv. Trust SCTM#: 1000-53-6-10 Project Location: 3405 Bay Shore Road, Greenport Date,,of-Resolution/Issuance: July 14, 2021 Date of Expiration: July 14, 2023 Reviewed by: John M: Bredemeyer, III, Trustee Project Description:, Construct a 12'x28.5' deck and for a 32sq.ft. outdoor shower. . Findings:- The-project meets all the requirements forissuance;of an Administrative. Per !f set forth in-Chapter 275•of'the-Southold Town-Code. The'issuance-of an Administrative Permit allows•for the'operations as indicated on the site plan'prepa_'reci.by ; N.J. Mazzaferro, P.E., dated December 2, 2020 and stamped'approved on July,14, 2021. Special Conditions: None. Inspections:,Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. 4c4.'4" Glenn Goldsmith, President Board of Trustees f - APPROVE® BY BOARD OF I RUSTEES EXISTING HOUSE TOWN OF SOUTHOLD ' 2x10 LEDGER DATIE -i ' 6i,fir✓'`� i 5/4x6" DECKING In � I- - o - b ` � CO qi CO CV EC E 0 W EQ. 51-2'r 6_2" 5-2" 5'-2" 51_2" EQ- I11 (2)2xio GIRDER ' SUN 92029 f rt a Southold Town I ®ie Board of Trustees Architect and Engineer's Seal and o i Signature only good for initial use of ; dra.ving. Changes, alterations or re- t ns to or reuse Of dr?WIII � With, UP visio ; j t a ISSUE/REVISION DATE out Architect or Engineer's Approval 13'o° 6'-0� 9- -ti - 6" -- o- voids Seal and Signature on same. - - - - 1 I°OR PERMIT =02.20 OF NEW N.J. MAZZAFERRO, P.E. DRAWN BY:ZEN 0 "Alteration of this Document except DECK PLAN = s s MAS �' PROFESSIONAL ENGINEER E:=02.20� � =02.20icy ( �ipchitect or Licensed Profes- — a 2 r P.O.BOX 57,GREENPORT NY,11944 scare t a-ro tionol 5I�gineer, Is illegal." r z uWj a 0 � 516.457.5596 EMAIUmez In®msn.00m SCALE:1/4"�1'-D" Sd `otion 209, Subdivision 2, ct'� - � PROPOSED DECK PLAN SHEET N0: N. t State Education Law. _ �FQ 709h �� PROPOSED DECK 3405 BAYSHORE RD ��� R�FESSIONP-' GREENPORT,NY 11944 DIST:1000 SECT:53 BLOCK:06 LOT-10 i j I i NOTE:ALL FRAMING LUMBER TO BE PRESSURE TREATED 3'-0" — 12'-0" LINE OF EXISTING 2 STORY RESIDENCE MIN. 3'-0" GUARD 4 x 6"DECKING oo RAI L 2x10 JOISTS @ 16"O.C.(TVP,)FIXED TO LEDGER WITH JOISTS HANGERS EACH JOIST. CABLE RAILING. MAX 4"SPACING. 2x10 LEDGER WITH LAGS 16" O.C. STAGGERED. --— HURRICANE STRAP EACH JOIST TO GIRDER (2)2x10 GIRDER 4x4 POST SET IN CONCRETE, POST TO BEAM BRACKET GRADE VARIES T1 44 PRESSURE TREATED POST ON 4x4 LVET ANCHOR BASE(TYP) Z 4 �'� --- ------------ B° DIP..SONOTUBES 3'-0" MIN. BELOW GRADE ON 12"x24" FOOTINGS Architect and Engineer's Seal and D E C E E Signature only good for initial use of �J drawing. Changes, alterations or re- 24" ° visions to or re-use of drawings with- 0 JUN 2 9 2021 out Architect or Engineer's Approval q ISSUE/REYIS�ON DATE voids Seal and Signature on same. Southold Town 1 FOR PERMIT 12.02,20 Board of Trustees 1 FOOTING DETAIL N.J. MAZZAFERRO, P.E. -- , � .�Y� OF NE�y DRAWN BY:ZEN r except SCALE: 1/2"=1'-0" n�q?z "� PROFESSIONAL ENGINEER ,� "Alteration of this Document e p � � DATE .02.20 by an Architect or Licens6d Profes-• < ti P.O.BOX 57,GREENPORT NY,11944 >> >" ��•;' ,. i r SCALE:1/2"-W-O� 5ional Engineer, Is Illegal. 516.4575598 EMAIL moz IIn®msn.wm Section 7209, Subdivision 2, PROPOSED DECK FOOTING DETAIL SHEET NO: yr State Education Lava. PROPOSED DECK jO - 3405 BAYSHORE RD A-2 �OFESs10NPy GREENPORT,NY 11944 DIST:1000 SECT:53 BLOCK:06 LOT:10 SITE PLAN BASED ON A SURVEY PREPARED BY JOSEPH A. INGEGNO LAND SURVEYOR-DATED JANUARY / 26TH 2005. 593` THE LINE ALONG APPARENT HIGH ' WATER MARK ON 01/26/05 09 �' 03 0 r46 /� PROPOSED DECK f p EXISTING / LO EXSITING STEPS WOOD STEPS / • 4 TO BE REMOVED cp ' % / EXISTING 2 STORY FRAME HOUSE 0' EC E 0 WE /o o�o JUN 2021 rolbArchitect and Engineer's Seal and / Southold Town Signature only good for initial use of -�� Board of Trustees drawing. Changes, alterations or re- op / Visions to or re-use of drawings with= / 0 ISSUE/REVISION DATE out Architect or Engineer's Approval voids Seal and Signature on same. 1 FOR PERMIT 1202.20 �P OF A' Y N.J. MAZZAFERRO, PE. DRAWN BY.ZEN ®`Alteration of this Document except s�• M zy p�� PROFESSIONAL ENGINEER DATE:12.02.20 by an Architect or Licensed Profes- n F P.O.BOX 57,GREENPORT NY,11944 sional Engineer, is ille;al." 516.467.5596 EMAIL maz IIn@msn.com SCALE:1/16"-1!-0" Section 7209, S++":'i'Hon 2, r =w PROPOSED DECK SITE PLAN SHEET NO: N. Y. State Education Law. p ° 05709`4 �Co� PROPOSED DECK G EENPORTHNY 1 944 SP-IL ESSION DIST:1,000 SECT:53 BLOCK:06,LOT:10 Glenn Go nith, President o��S�FI ^pG Town Hall Annex A. Nicriuias Krupski, Vice-President ,`� y� 54375 Route 25 John M. Bredemeyer, III o '` P.O. Box 1179 Michael J. Domino o � Southold, NY 11971 Greg Williams yip® W Telephone -1892 Fax 765 6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD / Date/Time: 1./30AI q.-Jr Completed in field by: Patricia C. Moore on behalf of WILLIAM R. AHMUTY III REV. LIV. TRUST requests an Administrative Permit to construct a 12'x28.5' deck and for a 32sq.ft. outdoor shower. Located: 3405 Bay Shore Road, Greenport. SCTM#: 1000-53-6-10 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 Noticeof Hearing Card Posted: Y / N/ Ch. 275 y Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other c SITE PLAN BASED ON A SURVEY PREPARED BY JOSEPH A. INGEGNO LAND SURVEYOR-DATED JANUARY 26TH 2005. 15� V- / 69. - \"�` - THE LINE ALONG - APPARENT HIGH WATER MARK ON 01/26/05 Nro6 - - PROPOSED DECK r r, 1 o \\ N6�r EXISTING 6 EXSITING STEPS 6: WOOD STEPS , -? TO BE REMOVED NcP 33 g` EXISTING 2 STORY FRAME HOUSE 12 / A ao� EC� E0VC� �� �•�g`Q�` JUN 2 9 2021 se rb Architect and Engineer's Seal and �® / Southold Town Signature only good for initial use of -� Board of Trustees ® drawing. Changes, alterations or re,- o� / visions to or re-use of drawings with- N ISSUE/REVISION DATE out Architect or Engineer's Approval \\\\//, voids Seal and Signature on sar3e. FOR PERMIT 12o2.zo ,gyp OF n y N.J. MAZZAFERRO, P;E. DRAWN BY:ZEN "Alteration of this Document except s 3• M dq 0�'r PROFESSIONAL ENGINEER DATE:12.02.20 by an Architect or Licensed Profes- rc F� P.O.BOX 57,GREENPORT NY,11944 sional Engineer, is illegal." ' SCALE:1/16^-ro fs � 616.457.5696 EMAIL maz lin(�1msn.com Section 7209, Siie rd`vi-inn 2, r !y. Y. State Education Law. PROPOSED DECK SITE PLAN SHEET NO: p 0. 0 �� PROPOSED DECK 3405 BAYSHORE RD ���� FES 0" GREENPORT,NY 11944 DIST:1000 SECT:53 BLOCK:06 LOT:10 N IN EXISTING HOUSE A' .,0 — — — — — — — — 2x10 LEDGER — — — — — — — — � 1 i I � 5/4x6"DECKING +n i— ca O , r TA o0 `-i cv Cq � q ECE VE e M� r r „ EQ. , 54-2-1 5-2 5'-2" 5-2 5'-2„ EQ• r i 4 JUN 2 9 —� — — —^— — — (2)2x10 GIRDER - — — — — — — , 2021�J l� r Southold Town e o Board of Trustees Architect and Engineer's Seal and 0 , ood for initial use of Signature only g drai'ving. Changes, alterations or re- F o visions to or re-LI I ISSUE/REVISION DATE se of dravvinns with- ; Up Out Architect or Engineer's Approval 13'-0” 6'-0° o___, ____- -- ---___ _._. _____ _._ _. -,. ,_ _o_._ - .. __ .__.-, ,-,_6__- _ _ - -- o•• rOFjPERM1T voids Seal and Signature on sarne, __ �_.__ ___ _ __._ 1 1202.20 �P10 OF NFW o N.J. MAZZAFERRO, P.E. DRAWN BY.ZEN "Alteration of this Document except IECK PLAN _ s �'�� PROFESSIONAL ENGINEER j. 1 _ - � DATE:12.0220 by P.n architect or Licensed Profen - A 2 P.O.BOX 57,GREENPORT NY,11944 scq�[ t i n° siol�alhIrleL'Y� 15 illegal." - SCALE:9/4^-1U•0^ 1•- z u` b 515.457.5596 EMAIL maZJin®msn.com Sdotion 7209, Subdivision 2, 0 w PROPOSED �, SED DECK PLAN SHEET NO: N, Y, State Education Law. 2��0 7o9h PROPOSED DECK AR 3405 BAYSHORE RD I� �FESSION"k�P GREENPORT,'NY 11.944 A�1 DIST:1000 SECT:53 BLOCK:06 LOT-10 I G NOTE:ALL FRAMING LUMBER TO BE PRESSURE TREATEb 3'-0" 12'-0" LINE OF EXISTING 2 STORY RESIDENCE 00 MIN. 3'-0" 00 GUARD 4 X 6" DECKING 00 RAIL 10 2xJ_0 JOISTS @ 16"O.C.(TYP,) FIXED TO oo LEDGER WITH JOISTS HANGERS EACH JOIST, CABLE RAILING.MAX 4" SPACING. oo 2x .0 LEDGER WITH LAGS 16"O.C. STAGGERED, HURRICANE STRAP EACH JOIST TO GIRDER (2)-2x10 GIRDER 4x4 POST SET IN CONCRETE, POST TO BEAM BRACKET . . GRADE VARIES Ti 4X4 PRESSURE TREATED POST ON 4x4 WET ' ANCHOR BASE(TYP) z � - c 0 M 8" DIA.SONOTUSES 3'-0" MIN.BELOW GRADE ON 12"x24" FOOTINGS Architect and Engineer's Seal ant- kE v� E � U E Signature only good for initial use of drawing. Changes, alterations or re- 24" JUN 2 9 2021 visions to or re-use of drawings with- odt Architect or Engineer's Approval ISSUE/REVISION DATE voids Seal and Signature on same. Southold Town( Beard of Trustees 1 FOR PERMIT 12.02.20 FOOTING DETAIL � �oF ni 1 1� S � \ N.J. MAZZAFERRO, P.E. DRAWN 8Y:2EN SCALE: 1/2" = 1'-0" S. Mq 'P, "Alteration of this (Document except PROFESSIONAL ENGINEER DATE:12.02.20 by an Architect or Licensed Profes,* � � 1�PO ti P.O.BOX 57,GREENPORT NY,11944 sional Engineer, is illegal." r- 516.457,5590 EMAIL•maz IlntBmsn.cam SOALE:1/2"=i'-0" Section 7209, Su 2, / ;J PROPOSED DECK FOOTING DETAIL SHEET NO: j,jJ yr State Education Law. A 0 Ogg � �" PROPOSED DECK 3405 BAYSHORE RD ~ FESS1�� GREENPORT,NY 11944 A-2 11 DIST:1000 SECT:53 SLOCK:06 LOT:10 SURVEY OF LOT 00 AMENDED MAP "A " PECONIC BAY ESTATES FILE No. 1124 FILED MAY 19, 1933 SIT UA TED A T ARSHAMOMAQUE 50 -5� TOWN OF SOUTHOLD it SUFFOLK COUNTY, NEW YORK o CI, 11zS.C. TAX No. 1000-53-06- 10 p cr C � SCALE 1 "=20' LoT °M° � ��UA JANUARY 26, 2005 '\ 2008 STAKE SOUTH PROPERTY LINE \ 0 DECEMBER 27, 2020UPDATE SURVEY & ADD PROPOSED DECK N�O�SOW C, �5 so oar G s$ 2'�` AREA = 7,409 �yy'+ N (TO TIE LINE) 0.1 70 OC. �,a `� \ `� EXISTING LOT COVERAGE OVER TOWN �- Q N, :: LO DEFINED BUILDABLE LAND (7,409 sq. ft.) o O 'Q NG ooh `�. p �.;• w0°PS 9 �° p ��• is:N �, rj'1 DESCRIPTION AREA X LOT COVERAGE ° °' d ° 41 � � `'� �' NOV�'�: •) &OUTSIDEOSHOROERF OVERHANG 1,350 sq. ft. 16.2X FF3�OV a PROPOSED LOT COVERAGE OVER TOWN Nao 3Ao5 �2'. ���� DEFINED BUILDABLE LAND (7,409 sq. ft.) 7. YPBOE OE DESCRIPTION AREA X LOT COVERAGE ANO HOUSE, FRONT ROOF OVERHANG 1,350 s ft. 12.6X 0 & OUTSIDE SHOWER q' PROPOSED DECK 342 sq. ft. 4.6% Th % a .trap, &' TOTAL 1,692 sq. ft. 22.8X d a ' l ooy � ' .ods. a-6NR04�� 2�SE ° n 9,L° 3% /PPREPARED° STANDARDS I FOR TITLE SU9VQrS AS ESTABLISHED . ° e K a� ° / G SAO gE L n OR SUCH USfA (96V 05, ,"MA-ADOPTED17— r� Lp � d d �1�2 NOV n �f1 TITLE ASSOCIATIO�N, � ` ��.• O e G`oy 0. N 1993 20� i �� ��• ° . 6 og 0 JUN 2 9 2021 a nO�G � k a ° ° Southold Town - ° Board of Trustees �. . • - cF � I I 'f '410'. N.Y.S. Lic. No. 50 0.0 °`'; i UNAUTHORIZED ALTERATION OR ADDITION Nathan Taft Corwin TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. Land S u r v e y o r COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layol LENDING INSTITUTION LISTED HEREON, AND , TRUSTEES John M.Bredetneyer,LII,President ; _ SUPERVISOR Henry P. Smith,Vice President SCOTT L.HARRIS Albert J.Krupski,Jr. � 4.- John L.Bednoski,Jr. Town Hall John B.Tuthill K 53095 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD November 26, 1991 John Bertani 1380 Oakwood Drive Southold, NY 11971 RE: William Ahmuty SCTM#1000-53-6-10 Dear Mr. Bertani: The following action was taken by the Board of Town Trustees during its regular meeting held on November 14, 1991: RESOLVED that the Town Trustees grant a waiver to add 10' to rear waterside of an existing residence with the request for drywells and a debris fence to be placed by the bulkhead while under construction. A refund in the amount, of $115. 00 is forthcoming, as a :Full permit is not necessary. Please note that permits from other agencies may be necessary, as the Trustees approval does not constitute approvals from other agencies. Very truly yours, John M. Bredemeyer, III President, Board of Town Trustees JMB: jt CC: Bldg. Dept. CAC ��,j�MI ;x57 'LQN &lt` +�4j1'1�1 �/.�� ��_�'.>,.•--�r� -�,�T:'�•ti•^ �,�` - ----� ; '_-` �;'^.v.-1h`rc.qn�u,r:-,t•,r,.,;fi�.r�':Rsf+.tile •"�r�i0jO',nr2; :..•n..y. :y,J12 `Sn ,• - Vcd: ;= Mod fi,; >: embasaed Sn SYor IIiey�' of !; mill ali2 aapY ciltod 13a r GIS �Qrar �Prson ear Whom A`�4 r't'' liti fie` ��c.1115 �'°'11iv4. .f I .• y . ,R l vernlrnn,7?'T;••,may' r� .4 `� �t _, - , ` '''-'(� � •� - - ` - tl� h E=�rJOfl�'�..'i::�Z..;�r' it+• - . •�: ,}• •! � - ,• '_2a •%1t!iry ,���;s old/!07 ti_ •4,`� - '�.r � 9.IeY/*nS l:7 S't�," ,f•J !'. r -` - � _ _ - � -i ;�`,f,a - ^'_ - - ' .=�:�,; ..S���l� �-�-far`•''_ '-rT`� �.a'' � � � - f ;�� CSF NEyy,yy .. ;�•• , .''',. , ''� - .�/� � •!' _ 4, �, - - �, '���n QAC �� FAY 7s�y+�5; _;' :: �f/j���} , :1 _ - '••'Y^ �y '''� M+ TSA�'!V. a, _-iIr --1.�•, -Y .���rr .-.,• _ • y�}gr `^'• * Q .� li-..�• �{--G S cu IA r 5u �' �. Vial 1'°Y• .. ,. x _ � �• ;�,�. ca 61 MA Dpl.�iPQCP' An - _ �[���[.fff�1//(j1(( ,�■}�IM� M"_a,_ ��' �� � ^ Tr f YJ-� '-. 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Dickerson �y W_ Telephone(631) 765-1892 • '� Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction '/2 constructed Project complete, compliance inspection. r i - a Board of Southold 'Tom Trustees SOUTHOLD, NEW YORK PERMIT NO. ._`4! -. DATE:April 20y 2.005 •: A ISSUED TO ..........JO_ELLEN & .WILLIAM AHMUTY ................_....._..............._....... --••. ....... ......._....................... Pursuant to the provisions of Chapter 605 of the caws of the Stave of Now York, 1893; and Chapter 444 of file Laws of fhe State of New York 1952; and fhe Southold Torun Ordinance on. titled-"REGULATING AND THE-PLACING O.F.OBSTfOUCTIpNS IN AND ON TOWN WATERS AND PUBLIC LANDS and-fhe REMOVAL OF SAND, GRAVEL-OR OTHER MATERIALS_F90ticB LANDS_UNDER TOWN WATERS;•..'. and in accordance wiih'the Resolution of The Board adopted at a meeting held on 2005......, and in consideration of the %urn of $...A59.-.99- ... paid by 3o Ellen & William Ahmuty.... . ............................... of ....................•---P........... ........_ ............, ..-. . . N. Y. and subject to the � Green orC Terms and Conditions listed on the reverse side hereof, a of Southold Town Trustees authorizes and 1wrnifs & following: Welland Permit to remove and replace(in-place)approx 67linear It of existing timber bulkhead with vinyl bulkhead and backfill with approx.25 Gy of clean sand to be truckeo in from an upland source, remove and replace existing 3 5'X 5 6•timber beach steps to beach,with condition of a i0'non-turf buffer landward of the bulkhead,and all as depicted on the plan prepared by En-Consultants,Inc.last dated April 26,2005. all in accordance with the detailed specifications as presented in •floe originafing application, IN WITNESS WHEREOF. no said Board 'of Trustees here. by causes its Corporate Seat to be affned, and those presents to be subsedbed by a-majority of the said Board as of this data® /11 9 Ar ie osier �• t .ti I �—. — —■_"a e 'a e . _°_ °,�!_e!_' ° ° .'Te' a'•° e_"•_■_s_a' a�o o_a" a 'a •■ •a• e• °' ■ a •� TERMS and COMMONS Jo Ellen & William Ahmuty st 3405 Bay Shore Rd., Greenport of dw moo for the issatanoe of the Permit does uadentud and ptscribe to the fol- - i. TIM dae said board of Thatea mad the Town of Soudsold are cdaLled Imm any and aft da urges, or daim'fac damages„ of VAN adsiagdkecdy or lnditecdy as a cmh of any ®per. *door pedfoemaed t-Vt:.� *0 pd -W—k wt fds•oe ba own e*etae, dehad any aAd all such mks`initlued by*W pml%ad du add Vttnftft assutaw lnll Wkh KspW th&'Ct% VQ--theffWMPlete'tadUdoa of ttx DOW of TtUW" of the Town of Smehold L Thu this Vedah is valid for a plod of -;24 twos. WM& is ddba&k&d to be tine estimated cime'required to t»mplete the wokk involved,but"thoald dtommum wmmlr regatst for as exon amay be mde to the board at a later daM t } 3. Haat this Permit should be retalaod indefiniftly, or as logy; as the said Petmirtee whhes ' a'anainuia the sauckm optroect involy�' to Proaide tvideaoe to anyone concernedtiau auth- od4don was odgiaalfy obtained' � 4. lUt the erotic Involved wM be abject to the inspeWm and VproTd of the Board or ata agents, and wwcoaaplianm vAth the pravisbus of the odglzaad68 applkado%uasy be mm foc tevoation of this Femit by resolution of the said Board. S. haat there wHi be no unteasoasbk interfeream with aav401on as a cmdt of the wack hada avtbodzA . 6. That deft shalt be so latuferenoe with the right of ,else public to pass w d ttp&u daof• the beach between W& and low water t mt°a 7. That if future opecadoas of the Town of Southefd tegadre dw teumd and/or danam In the location of the erotic fietda=thoched, or 9, is the opinion ofibe Boat+d of TswMee% do. wotk••dUH cause taaressonabk obsttveuou to free ravkolon, the add Petwittee will be required, I, tfpon due noe3a,to ranove or alta rials w+odc or project herds stated vkhont oTeosm to the Tom, ` S. That the said Bmtd will be vodW by the permlttce of the oompl;tdoa•6f the r oro mWi. oozed. 9. That the 'Petmlttte will mboain all other peemits and ooamntt Oat ttaay be required tap. plemental to this petwh vhkh rosy-be subject to tevoke ttpod fiilare to obub ame. � L6 i i I'lrt ,l VvYL - � 50dk Ga*HajArom Map 28 Fc 1 1,, - +5000. UTTIOi n LD ��[A�.L y � 9 ALW i - ._ 4 •J fi 511 (ACa55 VIA j PROPOSED +67' VINYL BULKHEAD TO BE CONSTRUCTED IN PLACE p ISLr„ VIEW LA OF EXISTING TIMBER BULKHEAD � , V ® AHW 1 Can Zing A ADJ. 3.5' x 5.5' STEPS -� v TO BE REMOVED & REPLACED � E1r�CONSULTA+3s' tS1!NORTH `0�11p0�� SEA Ra ADJ. BULKHEAD SOUT"p N.Y�1 PPRO?C,iLI1utIT�OF BACKFIL 6311 Notes: v, 1) purpose; Morton existim erosion cantrd strucchrre a Z) 19atum:AI-W 1 " = 20' 3) New 4wa6nq to be vhj h 4) Apprommately 25 cubic Bards clean sari to n be trucked In from an Lvlard source for backfill n 5) Property locatim.'5405 Pao Share goad, 6reerport;5CfM#1000-53-6-10 'r' r 6) Adja:ent owners; I-1•laaden ze s, Z-Yantos X �Wo 41 ' N W _ — — �� ad 9.72&Wal— U rA ! I N z = LNrA .i oil +I pi 'Rol E Z x ► -WOOD TIES ' , ' U •► .GRAVEL DgNE. • ► .� 50.00' • y SPO f47 ROP05N2131K1EAP MMOVA1. ANP MAYMNT C WPLAM FOR JaLMN ' ANP WII,I,IAM AHMUfY ON PIK5 COVE, BAY SHORE ROAD GfI;NPOK f, 5L FFaK COUNrY, NY 51ef I OF 1 5/ 18/05 Sit, .. MITR, >IN E T. �_3, r.. �4��•iF-�� .H'w���j��if•�t j+ r� �tF ��:�t v Kit.i.I gyp m �'� r'• t d d ^ 2 t}1f1 ^ j �1+ t i3fMAW ` '`,T� ,�•y ~,:,`ti'y� 7 ' �Xtl.-fOr7•�,�, ,t i7 ' 4�r• s :� �. 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Q / TIN)LD WE NO SEC t-0:M7 / COUNTY/a SUFFOLK BM O 'BM`) 4 / 0]a]M TONNOG SWTHOLD 10. 0&1Sd / TO•AN OF SOUTNIXO MU oai�,x B�Mnom.- �r N jl 1 v x"'Nr —ms- 0 OIIMTrOFSIIFFOIN0 / wo M M14 v m Br�Bni(I J f B.. TONM OF d4 m „!WS ]fir,' J w�0 OiN�mta'�x O 3 O iry t fee. @ ..'+P '+.m�auWIHCID �J PIPES OREEN a "•`\f ��� N e s.ua1 �,•�, " 9, ��� . � Bf Ad t, PV 4 v, •. •E''�, rB� r •b 4J N ro ♦t NO. NA �✓••^•r �'M SEE SEL.IM3. ]]A J•jl' i , a BEEBEe.NO.N] sEE see.ND.on SEE sec.No.dT 4`�a''r 'ti•� BB/ E '�� —_p__ ,� --^-- NoncE COUNTY OF SUFFOLK © K °t d SOI/TNOLO SECTION NO N µms_ R1 Real Property Tax Service Agency M d�.,IrLNH]+NrNBB�B.Nr„ro, N, 053 O r.rr. 1, .... �z�N r�],Ncl r'� —__ u..u. --r-- erw--rr-- mr. YyS� P ,x,rro ,OOD PROPERTY MAP OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex y �� P.O. Box 1179 a 54375 State Route 25rr Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971Telephone: 631 765-1938 LOCA WATERFRONT T REVITA.LIZATI4)N PROGRAM TOWN OF SOUTHOLD MEMORANDUM To; Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: July 9, 2021 Re: Local Waterfront Coastal Consistency Review for WILLIAM R. AHMUTY III REV. LIV. TRUST SCTM# 1000-53-6-10 The Zoning Board of Appeals granted a lot area coverage variance on June 17, 2021. Patricia C. Moore on behalf of WILLIAM R. AHMUTY III REV. LIV. TRUST requests an Administrative Permit to construct a 12'x28.5' deck and for a 32sq.ft. outdoor shower. Located: 3405 Bay Shore Road, Greenport. SCTM#: 1000-53-6-10 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP. 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 BOARD MEMBEI Southold Town Hall Leslie Kanes Weisman,Chairperson ®��®f s�UI53095 Main Road• P.O. Box 1179 Patricia Acampora `� `r , Southold,NY 11971-0959 Eric Dantes ,, Office Location: ;n �, a� Town Annex/First Floor, Robert Lehnert Jr. ' 0 �® 54375 Main Road(at Youngs Avenue) Nicholas Planamento Southold,NY 11971 4 c®u http.//southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD June 22, 2021 Tel.(631) 765-1809 •Fax(631)765-9064 Patricia Moore Attorney at Law 51020 Main Road Southold,NY 11971 Re: ZBA Application#7495 Ahmuty, 3405 Bay Shore Road, Greenport SCTM No. 1000-53-6-10 Dear Mrs. Moore; Transmitted for your records is a copy of the Board's June 17, 2021 Findings, Deliberations and Determination, the original of which was filed with the Town Clerk regarding the above variance application. Before commencing any construction activities, a building permit is necessary. Please be sure to submit an application along with a copy of the attached determination to the Building Department. If you have any questions, please don't hesitate to contact our office. Sincerel ; Kim E. Fuentes Board Assistant Encl. cc: Building Department BOARD MEMBE Southold Town Hall Leslie Kanes Weisman,Chairperson ®��ZF St7UT�Ol 53095 Main Road•P.O. Box 1179 Patricia Acampora ® Southold,NY 11971-0959 a sxi¢ Office Location: Eric Dantes yC Town Annex/First Floor, G Robert Lehn ® �� 54375 Main Road(at Youngs Avenue) coUNTY, Nicholas Planamento Southold,NY 11971 ly � http://southoldtownny.gov REE I ZONING BOARD OF APPEALS �`.kk� TOWN OF SOUTHO]LD JUN 1 8 20 1 Tel.(631)765-1809 o Fax (631)765-9064 n' cQvA Sothoad Town Clerk FINIDINGS,(DELIBERATIONS AND(DETERMINATION MEETING OF.TUNE 17, 2021 ZBA FILE: 7495 NAME OF APPLICANT: William Ahmuty and Joellen Ahmuty PROPERTY LOCATION: 3405 Bay Shore Road, Greenport SCTM No. 1000-53-6-10 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 ofFlanning issued its reply dated April 12,2021 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 (LWRPj Policy Standards. The LWRP Coordinator issued a recommendation dated'April 27, 2021. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available, it is recommended that the proposed side yard setbacks are EXEMTT, but that the increase in the permissible lot coverage over 20% is recommended as INCONSISTENT with the LWRP, Policies 1 and 4.1, because it does not support a pattern of development consistent with the Southold Town Code. The Board of Appeals has determined that since the expansion is for a proposed uncovered deck and not for habitable space, no adverse impacts are foreseen, and the approval for the setback of the proposed deck to the existing bulkhead by the Town of Southold Board of Trustees is required,the proposed improvement is therefore CONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION: The subject property is a 7, 409 sq. ft. parcel located in an R-40 Zoning District and created by a subdivision known as of Peconic Bay Estates (Map "A"). The property has a 50.00 feet frontage along Bay Shore Road, then turns east for 150.00 feet to Southold Bay, with 50.19 feet of bay frontage before returning west for_146.01 feet back to Bay Shore Road. The property is improved with a two-story frame house as shown on a survey depicting a proposed deck,prepared by Nathan Taft Corwin, III, last revised December 27, 2020 BASIS OF APPLICATION: Request for Variances from Article XXIII, Section 280-124; and the Building Inspector's March 5, 2021 Notice of Disapproval based on an application for a permit to construct a deck addition to a single family dwelling; at 1) located less than the code required minimum side yard setback of 10 feet; 2) located Page 2, June 17, 2021 #7495,Ahmuty SCTM No. 1000-53-6-10 less than the code required minimum combined side yard of 25 feet; 3)more than the code permitted maximum lot coverage of 20%; located at: 3405 Bay Shore Road, Greenport,NY. SCTM No. 1000-53-6-10. RELIEF REQUESTED: The applicant requests variances to construct a deck addition in the rear of the existing house with a side yard setback of 9.8 feet where a minimum of 10 feet is required, a combined side yard setback of 21.5 feet where a minimum combined side yard setback of 25 feet is required, and a lot coverage of 22.8 %where a maximum of 20% is permitted by code. ADDITIONAL INFORMATION: Applicant's agent submitted testimony addressing the setbacks as remaining the same as the existing house and prior variances were submitted showing the average lot coverage in the subject neighborhood,which consists of smaller lots, is 23-24%. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on June 3,2021 at which time written and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. _Town Law X267-b(30)(1). Grant of the variances will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicant's proposal is to construct an attached deck at the rear of the house that does not exceed the existing side yard setbacks of the original house.A deck will not have the massing of a habitable addition and attached decks in the code permitted rear yard are common residential amenities. Therefore, it will not change the character of the neighborhood. 2. _Town Law X267-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. To create conforming side yard setbacks a proposed deck would have to be exceedingly small. Also, due to the 18.2% lot coverage of the existing house, lot coverage for any reasonable addition to the residence would require variance relief. 3, Town Law X267-b(3)(b)(3). The variance for the side yard setback granted herein is not mathematically substantial,representing 2%relief from the code. The variance for the combined side yard setback is mathematically substantial at 14%. The variance for the lot coverage is mathematically substantial at 14% percent above the allowable. However, the addition proposed is an exterior deck that is open to the sky that continues the existing setbacks ofthe house,and excessive lot coverage similar to what the applicant proposes is characteristic in the subject neighborhood, as documented by the submission of prior variance relief. 4. Town Law §267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply'with Chapter 236 of the Town's Storm Water Management Code and conditions imposed by this board. 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 an exterior deck addition while preserving and protecting the character of the neighborhood and the health, safety, and welfare of the community. r Page 3,June 17,2021 1 47495,Ahmuty SCTM No. 1000-53-6-10 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 Dantes, and duly carried,to GRANT the variances as applied for and shown on the property survey prepared by Nathan Taft Corwin,III,Land Surveyor, and last revised December 27,2020. SUBJECT TO THE FOLLOWING CONDITIONS• 1. The deck addition shall remain open to the sky. 2. The applicant shall obtain the approval of the Southold Town Board of Trustees for the proposed deck addition setback from the bulkhead That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. .Any deviation from the survey, site plan andlor architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the 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 condition's are met; and failure to comply therewith'will render this approval null and-void. , The Board reserves the,right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. ' Pursuant to,Chapter 280-146(B) of the Code of the`Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration, grant an extension not to exceed three (3) consecutive one (1)year terms. Vote of the Board: Ayes:Members Weisman(Chairperson), Acampora,Dantes,Lehnert, and Planamento(5-0). Leslie Kanes Weisman, Chairperson Approved for filing 611 /2021 Glenn Goldsmith,1-mr identQ $Q� Tonm 11,;dl Annex A. Nicholas IKrupski,Vice President O ��� 54375 Route 25 John M.Bredeme-yer 3I1 P,Q.Pix 1179 - ' Southold,New York 11971 Michael J.Domino Telephone(631) 765-1392 Greg'Williams �°� d % Fax (631)'165-6641 C4UM,,��R '> BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For OMed Use Only Coastal Erosion Permit Application _Wetland Permit Application __,__Administrative Permit Amendment6Transfer/Exiensi _ n Received Application: �� Received Fee:$ _ dDa.0'D Completed Application:_ •?i Incomplete: SEQRA Classification: Type 1 Type 11 Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date- /t ate: cLWoordination:(date sent: _ 2 � 2 15 D �n E2 RP Consistency Assessment Form Sent: ® t5 v XAC Referral Sent. Date of Inspection: JUS 2 _ Receipt of CAC Report: 2021 Technical Review-,_ Public Hearing.Held:, 7,1 _ Southold Town Resolution: I Board of Trustees Owner(s)Legal Name of Property (as s]aoxxm on.Deed). 'j I e4r ---A 14 a failing Address: S u -f jA (\rs )AAP, - �7 Phone number. 21 a I,;471 Suffolk County Tax Map Number: I000 - Property Loczdon:_ _ �``���� 1 . Wiz-+ a ��i t7� ���a.c,' ���✓� ��d'�' ref newer -,provide LILCO P ie��ci��ee to cuss street,and location) - AGENT T(U appll,-ble): �7a4y r(J"f:1 CMC)Ore- I S Id Phone Munber: 7 S- (4 :3:SD Email- ' jffl�� j rC 6 A j QQ rCgfh GENERAL DATA Land Area (in square feet): -, iiLi ql Area Zoning: Previous use of property: Intended use of property: ,�t Covenants and Restrictions on property? Yes k No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required, Does this project require a variance from the Zoning Board of Appeals? Y Yes No If"Yes", please provide copy of decision. rV'0Ve61._ C✓Wj& Will this project require any demolition as per Town Code or as determined by the Biulding Dept.? YesNo Does the structure(s)on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site:improvements. Agency ` Date 7h 4e 0 Lo In c -plc No prior permitslapprovals for site Improvements, Has any permitlapproval ever been reNoked or Suspeaded by a g0vemmental ageney? No Yes, If yes,provide exphmaiion: Project Dessrxpti:,m(use a ,aclmzems ifraeee )9 wruarcees Apn l ication WETLAND/TRUSTEELANDS APPLICATION DATA Purpose of the proposed operations: ad drtd t)-i A k4m-v -,6( im- - Area of wetlands on Iot: C' 2 square feet Percent coverage of lot: �S' Ufa r Closest distance between nearest existing structure and upland edge of wetlands: S1 feet Closest distance between nearest proposed structure and upland edge of wetlands: 67,1 feet Does the project involve excavation or filling? No Poar,' Yes If yes,how much material will be excavated? cubic yards Hovv much material will be filled? cubic yards Depth of which material Mll be removed or deposited: _F0 0 S feet Proposed slope throughout the area of operations: Nflanner in which material will be removed or deposited:--SMd e f PG 7 Statement o3'the effect,if ani{,ori the wetlds and tidal waters of the tzr�n that.may result by reason,of such proposed operations(uvse,atfchments if appropriate): Board of Trustees Application County of SUFFOLK State of New York William R. Ahmuty III Revocable Living Trust,BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES APPLICATION. IN CONJUNCTION WITH REVIEW OF THIS 11i?�1`�� William R. Ahmuty III Revocable Living Trust Sworn to before me this I q- day of ; G�c� , 2021 IN Public pATRICIA C MO®RE NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 M0486166B Qualified in Suflo9c counry7 1. my commission Expires June 16, Board of Trustees Application AUTHORIZATION (Where time applicant is not the owner) William R. Ahmuty III Revocable Living Trust, as owner of premises 3405 Bayshore Road, Greenport(sctm: 1000-53-6-10)residing at 223 Miro Place,Port Washington,NY 11050 do hereby authorize our attorney, Patricia C. Moore,to apply for permit(s) and appear before the Southold Board of Town Trustees on our behalf. - X&vv0wner's signature) William R. Ahmuty III Revocable Living Trust Sworn to before me this 4q-- day of e , 2021 Notary Public PATRICIA C MOORE NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 M04861668 Glualified in Suffolk County , My Commission Expires Juno is, x ' APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) 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: William R.Ahmuty III Revocable Living Trust&MOORE,PATRICIA (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 or company name.) NATURE OF APPLICATION:(Check all that apply.) Tax Grievance Variance Special Exception If"Other", name the activity: Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees X Do you personally,(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the Town officer or employee has even a partial ownership of(or employment by) a corporation in which the Town officer or employee owns more than 5%of the shares. YES NO-X Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold:_ Title or position of that person:_ Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship in the space provided The Town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation); 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 V day of G,'-70 ?- 2021 William R. Ahmuty III Revocable Living Trust ricia C.Moore 61720 Appendix B Short Environmental Assessment'Form Instructions for Completing. Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part J. 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_ Jf additional research or investigation would be needed to fully respond to arty 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 l-Project and SponsorInformation \AJo (Q'YtI4b/ 36e L Name of Action or Project: Project Location(describe,and attach a location map): - BriefEli seriptiGn ofPropased-Actih, - - - - Name of.Applicant ant or Spansat~ ( Telephone: �`d d I i t:}m &Y9,cti, � •� �t� - �'� " ���" 7th��- £' P-Mair Addiess -- - - -- - - JStatim Zip Cts: �;Wl--t legisl s~tive adoption of plan,1 1 law,ordinance, NO YES G adetnistra ve Teti air regu latioz-t` If Yt&,at a rrarzativve,description of the intent of the p, l aeon and the euivironrnentai re ur tib n afi d in the xxt*srtaeigxalit and toart? lCmr Lcantinveinqueslion2. 1 2. l ,the pry -.-crion arir a mita —YES If'des,Fist agt�z y(-q)name and p2mx it,�ar approval: 7 , i . . A� ofthe to of the prate mon? ares 1 a. to awe 'lam phy kal�y distur ? l acres C-TW a= erect Site any 4'.Wamus prapert.eo ow - --- ,)Tea 'a* IZy ibe a p t pmjew s mor " !l _� 4. Chedli all t t :r cam, �jcx ' .and OF we..� El--v- It-tire: O�� �l y S. Is the proposed--action,— a. A permitted use tinder the zoning regulations? NO vE-,sT NwA 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? r—r-- —Js the site of the—proposed action located in,or does it adjoin,a state listed Critical EnvironWe'n'tTA—rea? NFIS VO If Yes,identifyi. 0 YF 'S El, S. a-Will the proposed action result in a substantial increase in traffic above present levels? �Nio YES b.Are public transportation service(s)available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle rotes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the slate energy code requirements? NO YES Ifthe proposed action will exceed requirements,describe design features and techrialogies-, _E5 -TOF-W—RIthe proposed action co-nnecito an Cxistirig publiciprivate water supply? L�oYES, If No,describe method for providirkg potable water-, "11-Wi11(the proposers actidn con-n—e v�t to ex NO VFS If No,describe method for providing w-asrewater JJ 'Doeistfie- a- sife confaim'ii structure is 19jid bij ejifitr-the Slate ar tifationa-flkeg Places? aster of Historic NO'J SES h.Is lhe proposed action located in ark arch eologs cal sensitive:area? 13.a.,Does anY POrticil Of the site oft-he Pwposed action,or lands adjoining the propos ed action,contain NO- YM, wetlands or oilier waterbodies reg-Wated by a redemL state oth.=11 age rte? b. Would the proposed action physically alb,f--,eDavach into,any existing wetland rxvat,�Tbody? _ d o I f Yes,identify the-wetland or water body and wmm of aherafions jr,sq trare feet or aztes. I ld I the 401cal h8blim bTes L"t Orr on,or are:ld j to be found an the prct ect site. Che&all 1, U Shoreline 0 Forest 0 Early Mid--Iucic�oyw AVedwad U.-bea I S.,Does,the ske of the para, ed action Cnntaim a-rey, 4ge-dits:&anim,3-.%of as td by the&aJe W Fede"--governmMI as xbrt al rM&-Mryed? 7 7 17. nempom Wyes" a.Wig swran Water d1S&A--T- g's&W to adramm PTaP'Zf1eV E3511�1 OYES Yanze sysie M';de f�5 rt=33�Md swim dniins)? if Ye&,taif:fly re. VIT DYES Pagp 2 ef 4 8.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 laggoon,dam)? If Yes,explain purpose and size: F-1 19. 5­as-�;-e—SiFe'of the Proposed action or an adjoining property been the location of an active or closed YES 5-as t' site rsolid waste management facility? , wast'n If Yes,describe: i iA- 1 20. completed)20.Has the site of the proposed action or an adjoining property been the subject of remedimion(ongoing or NO YES- '7 - ' for hazardous waste? If Yes,describe: El I AFFIRM iffAT THE INFORkNIATION PROVIDED ABOVE IS TRUE AND ACCU 4TE TO THE Bf-ST nOF iNlY KNO**VLEDGE Applicantisponser name: -4L,' Dater 0. Signature: Part•2-Impact Assemment. The Lead Agency LS Mponsible for the completion of'Part 2. Answer all of the following questions to Part 2 using the information cenilainM ip Pan I and other materials submitted by the project-sporisar or otherwise available to the reviewer WheINiiia«�riragthe questions the reviewer should be guid---d by the wncept"jjave Iy responses been reasonable considerin. the scale and context of the proposed action?, -n jlo,—or M,6derate small to large impact impact may may I-ovzur oce.1.1 r I Will the proposed acti6ro cIt-I'le a Inaftlial amflicl with an adopted Cand use plan or zoning regulations? 2. Will the proposed action resuft.�n a&MIge m jhz--G� se int of use of Land? 3. Will the piopo&ed,zfitta jmpalT%te cb-=-aCgf2 or qmUly of ties e�iatin� cemmkwiry? 4, Will tile pmpased am"have W1 impaza on thea n ddmzactewssrs that eWxsed the em A- KAMMII Of a Crit ml EnVAronmentA Ama(CRA)P Cl S.- Will the PTOPOSE--d 2tfion result in age in the eZist �leve]of t7affic.ar 6, Will the pjVq4-Se)dz;1Ta CaMtzM4=--a5'--M6t:="e0f'eMn-yW. A it fails to inzonpwxe T will IL-Fupesv�aelm uppact z)dsfihF, a priblic j privatt Lj b�publir;J pnivz.�wats- #re==- I ftzffHtie.?S. 9-1 Will L%e prvvowi az6an im;M' r the darw%-rw its Of;mPOT N-IM 4i- I amil- I EJ 9- ill ;pTppc6xd aT,,1iw aesu!tt h3 au zd�chaqg p 11)wdff j- gzsozux ,,;€3, ,W-�Iftmd;" ail Tn3ity,&sa jand fi p Tbgt-3 cof 4 No,or —qo—derite small to large impact impact let mpi mi ay may a n, occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? C� F] 0 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 I 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 shouK in sufficient detail,identify the impact, measures including any m or design elements That have been included by =1 the project sponsor to avoid or reduce impacts, Part 3 should also explain how the lead a�g ,ency determined that the impact may or will not be significant.Each potential impact should be assessed considering its,setting,probability of occurring, duration,irreversibility.geo, cumulative impaet& graphic scope and magnitude. Also consider the potential for short-term,long-term and Cbec,k dii;.box ifyou havek�. ined,baied '3 and anatqsis—aan bav�-,, d any i;kTporfing docs rmenfaljon­, tkU tht Proposed F-rana mayay reseh in oaeDr4 Ole P0WM*aIJ.Y hlxg�cap Is,�Amffim z2adverqe-1111riamend art MviTon==1 impaoi s3nItM=t as ytquired. Cherl-this boxif yeni Inve,&L-=ine4, ed sera i1w in "on L-aid aRAY-4&S--bave,=- d any suppmnvg documentation, Prtk,-*.;E4 al."Tan WM M01 ze-%&in wysiTmilffiwrat advw-se I Taw)e Smufrold-Sowd 0 �M`I.YpeNRMC ofR---spwisNe Offa=in J; iad Agncy- PFUNT Fbge 4(DT4 Town of Southold LW—RP CONSISTENCY ASSESSN, &M FORM A. INSTRLTCTIoNS I. 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 C.onslat El rosion 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 nrowsdd action, wiU be 6V lusted, as td its si-&nAeAnt beneficial aqdadyerse� sui3onthe coa,-�L-Airea(txlhichincludes a-U,ofS6utlyolAio-lv-tF 3: If any question in Section C on this fbnn 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 answix rftust-h(---0-1P11iiU4 fit listling both suppaNitig and'urn - sup2orting facis. If an action cannot be,certified as consistent with the LWRP policy standards and conditions, if shall.not t egunditf—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 Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B- DESCRIPTIOIN OF SM AND PROPOSED ACTION ScTivla PROJECT NAME Wffi;e?(1)'J -r The Application has been submitted to(cheek appropriate response,)-. TmvnBoard El Planning Board M Ruffling-Dept- 0 Board of Trustees 7Z 1ti Calegmy of Town of Southold agency action((lmeck apprepriaw (a) Action undertaken directly by Town agency(e g.capi W El constructiox4 planning activiq,,agcy regullation,land transaLljon) (b) Financial assistance(e.g. 9=17 loan,subsidy) (C) Pennit,approval,licens-,CeTtificadi on: LJ Niatuare md e: nt of action: U: --------------------- A alt 2L 2 Location of action,— C- ) Site acreage:_ ., Z, Present land use: Present zoning classification: 2. If an application for the proposed action has been filed with the Tovm of Southold agency, the following information shall be provided: (a) Name of applicant'.... (b) mailing address: 3 (c) Telephone number:Area Code (d) APPlication number,if any.---N/,4 c Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes F1 No If yes,-which state or federd ag ,enc C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policie& Provide all proposed Best Management Practices that Will further each policy. Incomplete answers will require that the form be returned for completion. REVEJ,OPED COAST Ztq qC y. Policy 1. Foster a pattern of development in,the Town of Southold that enhances mincharacter -es ef 11dent use of fnfrastructur�e'mak-es beneficial use of a coastal location,and preserves open space,inah community minimizes adverse effects,of development. See LWRP Section HI—Policies; Page 2 for evalualfton [KY0 No NotAppricable Attklh $heats ifnece ,may Protect and preserve hisoric and archaeolqggical resaurees of the Town of Southold. Sw LIAMP Seeden H1---Policies Pages 3 thigh 6far evaluofion exiteer,1 F-1 LJ -ires L-J NAU 14 N-Not,-Apphicahle 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 0 No'A Not Applicable Attach additional sheets if necessary — NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LVVIZj? Section.III--Policies Pages S through 26 for evaluation criteria Yes � No Not Applicable AtL-ch additional sheets ifner--&� - - Policy 5. Protect and improve water quality and suppb? is the To-v%n of Southold. See LWRP Section lTI —Policies Pages 16 through?I for eNaluatioa criteria Q' Yes X0 Not Applicable Policy 6. Protea and restore the gnalittiy and function of the Tawn of Southold ecasystems incluffl tg SlgPifcant Coastal Fish and IN111dlife Habit-. and wetland& :See Lam'Section Hl—polielesr pages throug�e 327 for evaluatlan criteria.., Yes No ,i of Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town Of Southold. See LNVRP Section HI policies Pages 12 through 34 for evaluation criteria. FIVes No Not Applicable Attach additional sheets ifnecessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LNVR-P Section M—Policies;Pages 34 through 38 for evaluation criteria. DYes ONo, Not Applicable PUBLIC COAST POLICIFS Poney 9'. Provide for public access tos and recreational Use of, coastal waters, public lands, and public resources of the T�onm of Southold. See LAVRP Section,1111—Palkles;Pages 38 through 46 for unluatio'n criteria. Ye" Ye" No Not AppUmbfe WO NG COAST LIGIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See I.,WRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes 7 No Not Applicable Attach additional sheets if necessary Policy I3.. Promote sustainable use of living marine resources in song Island Sound, the Peconic Estuary and Town waters, See L I2P Section III Policies; Pages 57 through 62 for evaluations criteria. Dyes 1:1 No§D Not Applicable Attach additional sheets ifnecessary Policy: 12. Protect agricultural lauds in the Town of Southold- See LWRP Section III-Policies; Pages 62 through 65 for evaluation criteria. Yes 1-1 No 0 Not Applicable Attach additkaml shy if necessary Palley 13. Promote appropriate use and development, of energy and mineral resources. See LN,1W Section MM—Policies,' Pages 65 through fS for evaluation criteri Yes .No NotApplicable PREPARED 131 � Ti,020MAlFT-R-dX`5­---- SOUTHOLD NY 11971 631-765.4330 PATRICIA C.MooRE(BY im 2. 2b2-1 call, CO"ENT. Q e DL jum 2 9 2021 Board of Trustees S iihold TaRin