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HomeMy WebLinkAboutTR-9983 Glenn Goldsmith,President Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 24, 2023 James Lubin 2765 Wells Road Peconic, NY 11958 RE: 2765 WELLS ROAD, PECONIC SCTM# 1000-86-2-2 Dear Mr. Lubin: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, July 19, 2023: RESOLVED that the Southold Town Board of Trustees grants a One (1) Year Extension to Wetland Permit#9983, as issued on September 15, 2021. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, *.,- 4A),� Glenn Goldsmith President, Board of Trustees GG:dd Board of Town Trustees— Request for Permit Extension 06/28/23 ((� E 2 � U�pE 2 James Lubin 2765 Wells Road, Peconic, NY JUN 3 0 P-023 SCTM#1000-86-2-2 Southold Town Permit#: 9983 hoard o"f-rru tee To whom it may concern, I James Lubin owner of the property identified as SCTM#1000-86-02-002 in the town of Southold New York hereby request for a 1-year extension of Permit#9983 for the above referenced property. The$100 fee for the permit renewal is enclosed with this request. Poperty Owner's Signature "*Glenn Goldsmith,President IVWLl""" A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski Jnr P.O.Box 1179 Liz Gillooly " Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: \1 1 2- Completed in field by: p� JAMES LUBIN requests a One (1) Year Extension to Wetland Permit#9983, as issued on September 15, 2021. Located: 2765 Wells Road, Peconic. SCTM#: 1000-86-2-2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: G. Goldsmith NZKr skiE. Sepenoski L. Gillooly . Peeples Glenn Goldsmith,President a SDUry Town Hall Annex A.Nicholas Krupski,Vice President QOl0 54375 Route 25 John M. Bredemeyer III P.O. Box 1179� � Southold,New York 11971 Michael J. Domino us G • Telephone(631) 765-1892 Greg Williams �'0 Fax(631) 765-6641 'CDUNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU-ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72'HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE : Pre-construction;;hay"bale"line/silt boom%silt-curtain 1 day of consttuction- YS constructed k When project complete, call for compliance inspection; ........... BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9983 DATE: SEPTEMBER 15,2021 ISSUED TO: JAMES LUBIN 1-41 PROPERTY ADDRESS: 2765 WELLS ROAD,PECONIC SCTM# 1000-86-2-2 01 ; AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in i accordance with the Resolution of the Board of Trustees adopted at the meeting held on September 15. 2021, and in consideration of application fee in the sum of$250.00 Daid by James Lubin and subject to the Terms and 1: ru Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the followinY ,v'aM1: g: IT Wetland Permit for the existing dwelling with a 1,705sq.ft.footprint,existing attached 678sq.ft. 31 garage,existing 21sq.ft. front entry deck to be removed,and existing 325sq.ft. rear deck to be removed for a total of 2,729sq.ft. of existing structures; construct onto existing dwelling a 14'9"x38'2"(562sq.ft.) rear screen porch; construct a 23'3"x7'8" (178sq.ft.) rear covered i porch/deck; construct a 10'0"x38'1" 380s ft. front covered porch; construct a 4'x6l (24sq.ft.) outdoor shower; construct a 12'x7'5" (89sq.ft.)second floor balcony for a total lot coverage of 3,572sq.ft; and as depicted on the site plan prepared by AMP Architecture LLC,dated August sq4 4Q' 11,2021,and stamped approved on September 15,2021. 2 IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these dd presents to be subscribed by a majority of the said Board as of the 15th day of September,2021. 0.13F Fat Ay coo A .......... ......... TERMS AND CONDITION'N' S The Permittee James Lubin residing at 2765 Wells Road,Peconic,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if,in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. — - 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith, PresidentorjF SU(/ll Town Hall Annex A. Nicholas Krupski,Vice President h 54375 Route 25 P.O. Box 1179 John M.Bredemeyer III Southold,New York 11911 Michael J. Domino G Telephone(631) 765-1892 Greg Williams Q a0 Fax(631) 765-6641 �yeou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 17, 2021 Eileen Wingate Quiet Man Studio 2805 West Mill Road Mattituck, NY 11952 sem, RE: JAMES LUBIN 2765 WELLS ROAD, PECONIC SCTM# 1000-86-2-2 Dear Ms. Wingate: The Board of-Town Trustees-took the following.action during its'regular meeting held on Wednesday, September 15, 2021 regarding the above matter: WHEREAS, Quiet Man Studio, on behalf of JAMES LUBIN 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 July 2, 2021, 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 recommended that the proposed application be found Consistent with the LWRP, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 15, 2021, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of JAMES L-UBIN for the existing dwelling with a 1,705sq.ft. footprint, existing attached 678sq.ft. garage, existing 21 sq.-ft. front entry deck to be removed, and existing 325sq.ft. rear deck to be removed for a total of 2,729sq.ft. of existing structures; construct onto existing dwelling a 14'9"x38'2" (562sq.ft.) rear screen porch; construct a 23'3"x7'8" (178sq.ft.) rear covered porch/deck; construct a 10'0"x38'1" (380sq.ft.) front covered porch; construct a 4'x6' (24sq.ft.) outdoor shower; construct a 12'x7'5" (89sq.ft.) second floor balcony for a total lot coverage of 3,572sq.ft; and as depicted on the site plan prepared by AMP Architecture LLC, dated August 11, 2021, and stamped approved on September 15, 2021. 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 truly yours, AXnnGoldseiath " President, Board of Trustees GG:dd f_ �!® P D_JEGTr/'.ZONING DATA ( P9g@��+�9 9' `i�gy�g J s = - - _�-=•4 ''s,mss_ ,":_^�-Pa� r :'o-`„ d O AX MAP# ' 1000-bb-02-002 100, TRUSTEESI ZONE AE LANDWARD EDGE OF TIE,LINE; T E LINE, y z y r a ONING DISTRICT R-40 NG W 5 3 3 SETBACK (EL 6 FEET) WETLANDS ALONG M M FE®;QR[� ES m a W a 5< DELINEATED BY o 3 w o SUFFOLK - OT AREA 0.4 ACRES j W a TOWN_® LD a LL = ' ENVIRONMENTAL , _ €a� _ fO -MAIN HOUSE Z9141,NOV.-1, 1919 c 3 a" V CONSULTING INC. ON : ���E Z Z Z - AUG. I.7, 2018 1 (w{/� ofO -DECK ZI3303,APRIL I IcIbS m cai o G p EMA FLOOD ZONE AE-6 a NON-TURF i a,�o o wo �z-- TLANDS 015TRICT PENDING PERMIT# Z a o BUFFER ¢ I a° z - I j 0 DISTRICT PENDING PERMIT# r i i i i zcQ�a�i� SUFFOLK COUNTY HD APPROVAL 350-162 4 LL W o&y O dE I I I I a21.7Z(JQ••• 15TMEN �1111 11111311 lil' :: ili ,#'�„_:°�,. „ , -sx,a S ,<�,�LLs,e�•"«:^,;,!„,-r",'.s"�».is4r\,-i, aa 5 M w eri Na w�i EARTH W t c W t 11 1:::l =:2z: % LOT ME 0))Mom; j: 2m 1 M_M., ' DESCRIPTION(FOOTPRINT) AREA COVERAGE $¢¢a a 3 SITE ELEVATION TOTAL LOT AREA 16,0113.0 S.F. SCALE: 1'-0" = 20'-0" ROAD EXISTING BUILDING I,mos S.F. 6.2% Mp.IN EXISTING GARAGE b?T.8 S.F. 3b% N/O/F .JOHN FISGHETTI � EXISTING ASPHALT DRIVEWAY 1204.1 S.F. 6.4% DEBORAH DEAVER EL=51' 1614.0 W PROP05ED SCREENED DECK 5508 S.F. 2.01% _ %% i � CP PROPOSED COVERED PORCH 460.3 S.F. 2.4% '%/,/"�•//;;/ TOTAL AREA OF ALL STRUCTURES 4063.9 S.F. 215% "E �—- ZONE "MAXIMUM LOT COVERAGE ALLOWED - 20% N84°56'50 —_ —— — /•�/!,;, 100' TRUSTEE (EL 6 E ,i� EL=6.8 SETBACK /,.-/i/•;:" SITE LAYOUT NOTES, 1. THIS 15 AN ARCHITECT'S 5117E PLAN 6 15 SUBJECT TO VERIFICATION BY A LICENSED ° I DI„I 1� _ - /�--', i;. THE LINE ALONG MHWM SURVEYOR. THE INFORMATION '� REPRESENTED ON THIS 51TE PLAN 15 TO THE W ARCHITECT'S BEST OF KNOWLEDGE. 2.5URVEY INFORMATION WA5 OBTAINED 3 DOCK FROM A SURVEY DATED SEPT. 19 2018 a LANDWARD EDGE OF AND PREPARED BY. •.;•. .,,,,,„ r 5.0 I 1 1' '-%%' ; - I WETLANDS DELINEATED PO SURVEYORS,P.G. P..O.O.BOX 9001 BY SUFFOLK 1230 TRAVELER STREET ENVIRONMENTAL SOUTHOLD N.Y. na11 CONSULTING INC. ON TELEPHONE, (631)165 5020 PROP PROP. �''�%''%%.:; AUG. I�, 2018 COVERS EXI5T. 2 STRY GREENE ' ; 51TE PLAN HATCH KEY: PROP. REBUILD OF !%i% m PORCH IST FL. 5u `" i�� !/% ' ® IST FL. DECK ® r PROPOSED BUILDING ADDITIONI SECOND FL. I I 9 I %i., i-%i //• -� , NON-TURF 1 (4 BEDROOMS) PROPOSED 15 " PROPOSED ACCESSORY STRUCTURE�•%i:� BUFFER; APPR. 1541 S.F. AREA TO BE VEGETATED BUFFER ® PROPOSED 2ND STORY ap 5 I DW z4l j�//i uj t0 rl I I PROP. i/�..,,.:. � NOTE, W J } COVERED I I i/,:''�% / — m \J � ;//;••�/j'.' I. EXISTING SEPTIC TO REMAIN,NO INCREASE _ a W z PORCH ® I i/%i i• OF BEDROOMS PROPOSED J (n �: Cs EXIST. ASPHALT 5T FL ;:,:%/ SS W u) Z DRIVEWAY ' j:. %: a r- 0 /,, W I 04."1 S.F.I - I /., p Sz No OVA ol 1 — IL 0.06 E C Lam, iJ- �� s�z �� IN z < Ip'9112F.giiiAe' 41 Qf WILLIAM 4 VI IA AUG 1 6 2 � 1 l - s CORDON �q �1� - � ( ° ! �� of `3�.. 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Z WO L—J — — — L_J — — — ,—J L—IJ— — — — L—J — — — L—J Y{!i. ����' II a V r -I 110 1 — — — I oI I ® � Kk-� 1A;Jr 'e t7 8 to LE — — — L�J y AUG 16 2021 � Southold Town Board of Trustees � � � cl" PROPOSED CELLAR FLOOR PLAN 0 SCALE, 1/0'= r-o• o w w c a GENERAL SYMBOL KF-"r: �g v LLC W W j NEW FOtMATION WALL W 5 m 3 E>49TIN6 TO REMAIN a°z s a WENWmG Fa¢aga Za3�aaJR'pm J=o�W ai 2 -�6 W LL N� ppLLo a W a J Z z o=a `yo°oWo� �° -, ,-, zy�Za� � �z<ortti NEWNEN WOOD DECK n a !200:0.c S W 1 18.i SJ 6 7 W—F'W �(V VIEW w� Y yayh� ris°�xwy SCREEN DECK 531.2 S.F. q'-1052STOOP F `p p 0 s,� cn mp 2'-5552 -6" '-6" 2'-3" NEW Y -10'-O" T lO'-O" -x i0'-0" MUD 1-4- 0" ff _by2' OOM y BENCH NEW EX15T. o _ GARAGE ;LLQ- MODIFIED § MODIFIED 5HW. LIVING ROOM ~� KITCHEN m _________ 206.6 S.F. 210.4 S.F. ®� (DID --------- NEN FLUSki H BEAM .w'OL ---- ---- BAT - ! EXIST F � OOIFI O CL. — B THR M I / EXIST. LIVING 4'- 2111 ''p — — —— 25'-?y2" l ROOM EXIST. FOYER EXIST, BEDROOM I'-lOy2' -lOy2 NEW W G U, DOOR d (� � 51DELIGHT5 Z Z v� NEN w Wto z OOD D2*15.14 ECK t5 lvJ 1►� V E ` E a'A��� r 0 6'd ' O 03 N W a. AUG 1 6 2421 5 a� M� ` �'� a 20 Southold Town b'-o" Board of Trustees .-L �.,_ . a-I PROPOSED FIRST FLOOR PLAN SCALE, 1/61- I'-O° t o Q Iii ui o a GENERAL 5YM50L KEY: pia g tia W W3 EASTIN6 TO REMAIN P==q NEW FOUNDATION WALL w o a U NEW WOOD FRAME z a =1-OiE 4 Q z F W a .5 =a o=V'n5 z0s a�Z O a 2y�oQ yy�yyS����olZil zto7 1_/),1 21_0h W iE J LL Z 1-5t' mama Om FQ Q ZZZW Y U1912-9i ¢F-N 2=fU NEW �c4a'aaa= WOOD DECK Bq S.F. F =T m� F � I t 0'-8" &-I�V 5'-O" _ NEW ❑ BEDROOM 3116.17 .9 Q NEW % NEW iN NEW HRO INEW I =N ATHRO T ' OFFICE O ❑ I O I r ' 156.5 SP, r NN i I GL. EXIST. ❑ T HALLWAY "—b'-01. 2'-8y2 W AUNDR W m NE .`_ } - N „� I b- 2 O Im GL. BEDROOM ❑ — m ' O,. -- NEW GL. 5'_ 2" '-5" NEW ❑ [A11 9'-4y2" NEW El , FLOW 1615.1 S.F. N ❑ is a �' W G � LO Z FRA 202� 6 �I, kak � O /� ,.n.. S � ,_,. o� f P W u i u i u 15'�"y2" -8 5-6 ' ��� (t❑ i 1)� 45 � LL N a Southold Towna. q civ f Board of Trusteesy amaze w� G 0 PROPOSED SECOND FLOOR PLAN SCALE. 1/8"- I'-0" Cq L N O O Q LLI lil R Ila< Noz�ma WtWILaga za3-Io J om _ J WW=pFwei ZQ O S a N N II IT 0 0 0 0 w a 00= 11 1111 11- 11 ¢moas Jaz §L a y � �Z¢zola ¢ —N 11 IT 11 11 IT 11 111111 U oaUoa1 11 IT 11 11 IT 11 11 IT 11 11 IT 11 11 IT 11111 2o Z J W Qo LL s O W r pw.W w U I I! II —=x= >— 11 �[ WNN _=F=y W z U F O U N 1 I ❑ ❑ ❑❑ PROPOSED SOUTH ELEVATION (RIGHT 51DE) WALE. val._ V-O" U FJEYI RIDGE FE9eNr •�_� 1 �- i ` _.+1i19q3'7 FL LPJLINB FIST '� ---T7P1EV -3' 12 V, �" a AUG 1 6 2021 Uj00 EwsnND mi sEGOFLOOR N V cr Ch ELEV.NO3' O Southold Town op w � r Board of TrustggA----J c W z OILEXIST.FIRST FL.CMUN9 ELEv.w.r J W Z ❑ ❑ ❑ ❑ _ ❑ ❑ ❑ ❑ i11 I •�`❑ S ,Ili i LL N a, s Ex T FIRST FI oOR awwr O easELlNe } ''s' r PROPOSED 1NE5T ELEVATION (FRONT) Y SCALE: I/ = 1'-0" o Q LU c a 4 Q W W 3 U) m(LCc533 asaga p�3wQ�0 12 Ny~jjCQ}i0 ® yO=a11 11 1 It N U ¢ R02 aazy � zNiloa� z z III IIIH 11 1 111111 111111 11 IT 11 F 2 c-n Hill 11 HII 1 11 11 If it H+-H-14fU ¢ozg .0 11111 11 it 11 11 IT 11 11 IT 11 11 R 11 11 IT 11 _ y;i La Wa Ic 111111 111111 111111 1111114 1-144L-11 I _ gF��j�WyCu W yy�NS=F=N W Z Ir a K K fLuilo PROPOSED NORTH ELEVATION (LEFT 51DE) SCALE: I/W - V-o" U U — nfl D V -- pAUG 1 6 2021 00 Lu0! ' T If 11 IT I Southold Town Z Lu J Board of Trustees W 0 W Z J N3 ci Lu too o �1a `> C) l( .' � cm 03 7 PROP05ED r=AsT ELEVATION (RE R) O OF N ��� w w SCALE: ve"= V-O" o a ,, uWoc,r.0o 9' 7'21 Glenn Goldsmith, President hyo °�� Town Hall Annex A Nicholas Krupski, Vice-President y = 54375 Route 25 John M. Bredemeyer, III o ® P.O. Box 1179 Michael J. Domino Southold, NY 11971 Greg Williams �l ' �a Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JAMES LUBIN c/o QUIET MAN STUDIO Please be advised that your application dated July 2, 2021 has been reviewed by this Board at the regular meeting of September 15, 2021 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) X Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 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. TOTAL FEES DUE: $ 50.00 q.24 ,ZI BY: Glenn Goldsmith, President Board of Trustees }-• 111 t � /� ��•:a :'R�" � J�.:� .�� d� ,,e"�',�� � � -✓` _ �' ��_..,�r _.._ _ s 1 �i1� • �, •�i. t a /.,.. ,'�'.t`" • fes 1..� �r - ''e� y • N Jt Ar _.__..- .. y.•, .a. .� _ xW,r�. ucsa_ I. x 8 / 10 / 2021 10 : 51 Glenn Goldsmi resident QSU�F©4 Town Hall•Annex A.Nicholas KrupskaVice President 54375 Route 25 John M. Bredemeyer III ro P.O.Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams y ®! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 5;i.5 Completed in field by: Quiet Man Studio on behalf of JAMES LUBIN requests a Wetland Permit for the existing dwelling with a 1,705sq.ft. footprint, existing attached 678sq.ft. garage, existing 21 sq.ft. front entry deck to be removed, and existing 325sq.ft. rear deck to be removed for a total of 2,729sq.ft. of existing structures; construct onto existing dwelling a 14'9"x38'2" (562sq.ft.) rear screen porch; construct a 23'3"x7'8" (178sq.ft.) rear covered porch/deck; construct a 10'0"x38'1" (380sq.ft.) front covered porch; construct a 4'x6' (24sq.ft.) outdoor shower; construct a 12'x7'5" (89sq.ft.) second floor balcony for a total lot coverage of 3,572sq.ft. Located: 2765 Wells Road, Peconic. SCTM# 1000-86-2-2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100.feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action -Type of Application: Pre-Submission Administrative Amendment t/'**" 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: �� �,��cam. ��✓��� I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: "`/ J. Bredemeyer "/M. Domino G. Goldsmith N. Krupski G. Williams Other 1 �f� � 111 � � ` �r ± ► •+•• t �" � �. '��t����� �. 't ]!�'^'r'► a.� 8 / 10 / 2021 10 : 51 PROJECT°/'ZONING DATA o< W w 1001 TRUSTEE'S ZONE AE LANDWARD EDGE OF TIE LINE; THE LINE TAX MAP# 1000-86-02-002 W o g>. ,n ZNYa SETBACK (EL (o FEET) WETLANDSALONG MHWM ZONING DISTRICT R-40 NG c M�a 5 g DELINEATED BYLill .6p z 3 w J p ' SUFFOLK I 1 LOT AREA 0.4 ACRES c= ENVIRONMENTAL , GofO -MAIN HOUSE Z9'741,NOV.-7, 161141oQ3 a *q' ; CONSULTING INC. ON ; ; a AUC. I'1 2018 < o I I GofO-DECK ZI3303,APRIL I Ig85 zW J�dN a=a �w FEMA FLOOD ZONE AE-6 _ i NDN-TURF i NDS DISTRICT PENDING PERMIT# `�' a?} ` BUFFER 'n o oz rTr" DEC DISTRICT l PENDING PERMIT# E`-'o rig o. Hitk i i i soa6 SUFFOLK COUNTY HD APPROVAL 350-182 4 3 o5 W azuiqaa EX15T. ; ; LOT GOVEfZAGE o S EARTHLOTw �o =� DESCRIPTION(FOOTPRINT) AREA COVERAGE � =8�'a a�d 51TE ELEVATION TOTAL LOT AREA IS,gl3.0 S.F. SCALE: 1'-0" = 20'-0" MAIN ROAD EXISTING BUILDING 1,110.5 S.F. 6.2% EXISTING GARAGE 6718 S.F. 5h% N/O/F JOHN FISGHETTI Ig4.01 0 EXISTING ASPHALT DRIVEWAY 1,204.•1 S.F. 6.4% DEBORAH DEAVER EL=5.7' ° PROPOSED SCREENED DECK 550.6 S.F. 2.956 PROPOSED COVERED PORCH 460.3 S.F. 2.4% —_ —. —� �-%,/",,-:'% TOTAL AREA OF ALL STRUCTURES 4063.q S.F. 21.55 1.184°56'50"� _ 1001 TRUSTEE ZONE r' �:� "'MAXIMUM LOT COVERAGE ALLOWED - 20% )_ z EL=6.8 SETBACK %- i %:: r SITE LAYOUT NOTES: _ „j•- �%I I. THI5 15 AN ARCHITEOT5 SITE PLAN b IS SUBJECT TO VERIFICATION BY A LICENSED OV4IVt - , THE LINE ALONG MHWM SURVEYOR. THE INFORMATION 5ET5AGK %!�' ,, REPRESENTED ON THIS SITE PLAN 15 TO THE ARCHITECT'S BEST OF KNOWLEDGE. TDOOR DOCK 2.SURVEY INFORMATION WAS OBTAINED �q I Q %%:•i.• -/j FROM A SURVEY DATED SEPT. Iq 2018 AND PREPARED BY: 4 LANDWARD EDGE OF PECONIC SURVEYORS,P.C. I•i ,,.,,,,, ,j WETLANDS DELINEATED P.O.BOX 90q BY SUFFOLK 1230 TRAVELER STREET ENVIRONMENTAL 50UTHOLD N.Y. Ilq?I C1.0 r•i :: TELEPHONE: (631)"165 5020 CONSULTING INC. ON PROP PROP• � m ,�j%%%'%'' AUG. I-I, 2018 GOVERE EXIST. 2 STRY REENE I /.'-�%%/j PORCH ml PROP. REBUILD O DECK ® "� ''�' SITE PLAN HATCH KEY: ;i;r ; :•% IST FL.I SECOND FL. 7a /" ® PROP05ED BUILDING ADDITION �' (4 BEDROOMS)/ FL. 1ST 1 � I 'i;'i,' � '% PROPOSED 15' NON-TURF� 1 � � ";- , BUFFER; APPR. 1,541 S.F. ® PROPOSED ACCESSORY STRUCTURE - I � !:'';�'`'%;�, AREA TO BE /%!% ® PROPOSED 2ND STORY 5 1 I DW i I I I '. VEGETATED BUFFER LU o m Z I �I PROP. ��;'-:� ,; � _ z NN "/.•;.�ii.. A I COVERED --j;' NOTE: m WI. EXISTING SEPTIC TO REMAIN,NO INCREASE = c W z 1 i ''-'i OF BEOROOM5 PROPOSED PORCH ® :�;/j i ii, (1 .1 to � cS EXIST. ASPHALT %i;;,: ;; S (1 w z DRIVEWAY I ST FL. %�/ R it (Do - � 11204.7 S.F.I 1 '�/:: � 04 LEILL D I 1 DW %%/' , _ - — - 0.01 -- I =;.o' ;%:. 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Z”, - ----------- \\\\\\\ .,. Lo ............ zMmIk \\\\\\\\\\\\ uj :141 \\` \ \.: LoIlk ♦ v \ ` \ ` \ ` ♦ \ ♦ \ ` \ h ♦ \ ` ♦ \ ` \ 1 ` 1 1 ` \ ` \ \ ` ` ` V \ ` \ 1 ` \ \ ` \ ` \ \ ` ♦ \ ; 1 \ \ a ` \ ` ` ♦ r \ ♦ \ \ ` l \ \ \ ` \ ♦ ; ♦ ♦ \ \ ` W \ \ \ \ \ \ \ \ \ \ t ♦ \ \ \ ` ♦ \ \ \ ♦ \ ` \ `\ ` \ \ \ \ \ \ 1 0 0 a N EAST ELEVATION � AUG 1 6 SGALE: van :i0Uth0ICI TOWt1 LJ.1 W III of Trustees ~ C.D D a Glenn Golgi, `h, President �QgUFz �CO Town Hall Annex A.Nicholas Krdpski, Vice President T i�� Gym, 54375 Route 25 John M. Bredemeyer IIIy P.O.Box 1179 Michael J. Domino y Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD bate/Time: 117 Completed in field by: r-7z--eA0, 11- 7 Quiet , 1 ]- Quiet Man Studio on behalf of JAMES LUBIN requests a Wetland Permit for the existing dwelling with a 1,705sq.ft. footprint, existing attached 678sq.ft. garage, existing 21 sq.ft. front entry deck to be removed, and existing 325sq.ft. rear deck to be removed for a total of 2,729sq.ft. of existing structures; construct onto existing dwelling a 14'9"x38'2" (562sq.ft.) rear screen porch; construct a 23'3"x7'8" (178sq.ft.) rear covered porch/deck; construct a 10'0"x38'1" (380sq.ft.) front covered porch; construct a 4'x6' (24sq.ft.) outdoor shower; construct a 12'x7'5" (89sq.ft.) second floor balcony for a total lot coverage of 3,572sq.ft. Located: 2765 Wells Road, Peconic. SCTM# 1000-86-2-2 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/conditions/need for outside review/consultant/application co m leteness/comments/standards: r L-a,4 Al f ' I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. redemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other I _ �N ROAD (S.R.25) SURVEY OF PROPERTY N MA AT PECONIC TOWN OF ,SOUTHOLD SUFFOLK COUNTY, NY N 0/F 1000-66-02-02 JOHN FISCHETTI SCALE.' 1'-20 opo. DEBORAH DEAVER ' N i SEPTEMBER 19, 2018 � f 189.40' cMF FENCE FEN.COR. // /� N84 56'50"E o.s'N ICA CAF CMF EN.COR. —— /// /// #I !N ND CREEK RICHMO 0.6'N N CB O // \ I // / // / WLF I TIE LINE ALONG MHWM / AC / CHIM. 7- / ' � // / / # 2 DOCK FLOATING DOCK 0 // 55.0' `" DECK 1 1 1 1 LANDWARD EDGE OF WETLANDS 1 1 ao DELINEATED BY SUFFOLK 2 2 HO SER 1 1 1 1 = :" ENVIRONMENTAL CONSULTING, 0 I / 2.1, FF_g g' 1\ 11 \ 1 ; CO INC. ON AUGUST 17, 2018 1 1 v 3 \ m yp90.7' \ rrI x \ b: o m \ _— 7.1' m , \ SDE11 ;IL \\ \\ \ m / 1 STY. FR N 1 I \ \ \ kid' / \ GARAGE \ \ \ sr. l ftph4tr oRn' AY d' N FF=8.7' \ 94.4' \\ \\ ' 100 N LN KEY 0 2s. \ 3' p \ _ F�LCOR. 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CELLAR ELEG EXIT, I UNFINISHED PANEL OIL TANK UNHEATED EXIT. OIL TA Uj Ci 0 I I NEW DECK ABOVE I I-I z w I I 1 f l in wZ L—J L_J ,—J L_FJ_ — — L=-T L r(� (� �fJ rse f II,�-r- I'V_ 11VJJ TI L&5 L.-]J 4f, 4'-5" 8'-O° ,k— I5'-B" JUL2 2021 - Southold Town t Board of Trustees ' Gl PROP05E17 CELLAR FLOOR PLAN O b r GENERAL 5YMB0L KEY: ac Z;E W O Q�-. r—y 270mus 70 REMAM PMMAPhi FAIFIDATION WALL g 3 msiWo=MoeSa�agB O J a 2Q®�q�4 Z Mir' o=a T-T T-TIc n Z� cs 8 into.9's8 NEW c i� SCREENS 645.5" x T2" NEW W &�g�z 0 P NEM WOOD DECKr a 3 S WWK _ ITb 2 9.F. s W s N NEW SCREEN DECK spa `1 551.2 S.F. oOP Q `i 2'-52" NYE-W MUD BENCHROOM i Ll EXIST. 5ARA6 EMODIFIED 5HW IVINS 0MODIFIED 206b . KITCHEN ,W�g 210.4 S.F. NEW FLUy OO BEAM I 5T 1T CE1 ODIFI B TH M I/ \ I EXIST. LIVING ROOM EXIST. FOYER XI5T. BEDROOM ` I'-loy2 '-Ioy2" NEW co DOOIt M R it V 51PEL16HTS Z Z a NEN ma :-� Q , �. WOOD DECK tzi 2'13.4 SP. -J W C 13 m 93 gip: r o N W CL 4'-5" __ d 8'-r �S61 tha(d Town 507 Boarq,of Trgstees00 PROP05ED FIRaT FLOOR PLAN � . „�:9• ., � �.� o 5G �qe• r-Cs'�'�� 01 sil c a C ENERAL SYMBOL KEY: p�a LL a W W exorats TO RBMM tWi F&"AnON WALL s � �U FaEcyga Mal WOWFRVQ z&335 ,{lQ ppcf} QQ�WOF�'+rl z� Qoa os7haWc 1380, ggmgla Ot7 g HAMS 3 pMIMIM n � 2'_O � g5 � WiMM ll. NEN a WOOD DECK b4 S.F. i u ff�j I O'-8 8'-12° 5'-O NEW i SUM S.F. i NEW '- I I I- _ ' NEW in W ROO INEW 1 -w I A RDFO E Q y a i 156.5 S.F. I I EXIST. HALLWAY 2'_8y2° 1 O N W m I r VIEW AUNDR BEDROOM 401 S.F. 4ya°❑ — 8- - - �jNEW - 'CL. ❑ q'-4V2° J NEW 25,_�y2,. BEDROOM ❑ OD OPEN dJ 145.1 S F. h V BELOW - ❑ LU z E V E 1:J E LV D r-- � W t9 Z ti V N a JUL 2 Jm. 3 O Southold Town3 PROPOSED SECOND FLOOR PLAN r IQ PR"OJEC+T/.ZONING, DATA, TAX MAP# 1000-86-02-002 g LL W 3 100' TRU5TEE'5 ZONE AE LANDWARD EDGE OF TIE LINE; THE LINE Ego' -c— SETBACK ^'SETBACK (EL (b FEET) WETLANDS ALONG MHWM ZONING DISTRICT R-40 NG DELINEATED BY o W 5 0 SUFFOLK LOT AREA 0.4 ACRES �W o m ENVIRONMENTAL CofO-MAIN HOUSE Zg741,NOV.7, Iq'iq x 3 a W a a W O GON51JILTIN6 INC. ON AUG. 17, 2018 I I GofO-DECK ZI3303,APRIL I Ig85 _� { H FEMA FLOOD ZONE AE-6 o I 1 p mFN S WETLANDS DISTRICT PENDING PERMIT# ¢z I ' ' DECDISTRICT PENDING PERMIT# o yy I I I 1 � y,�Ni YYU I I I Y 51JFFOLK COUNTY HD APPROVAL 350-182 4 W LL QZ 13 ZZ I 11 �2 W Z(•J-Q'W EXIST. LOT'C.OVERA GE: EARTH . DESCRIPTION(FOOTPRINT) AREA %LOT a z v o �jH aaa 51 TE ELEVATION TOTAL LOT AREA 18,413.0 S.F. COVERAGE SCALE: 1'-0" = 20'-0" EXISTING BUILDING I,I?OS S.F. 6.2% Fg� EXISTING GARAGE 677.8 S.F. 3b% N/O/F JOHN F15CHETTI PROPOSED SCREENED DECK 5506 S.F. 2.q% DEBORAH DEAVER EL=S.?' Ig4.0' PROPOSED COVERED PORCH 460.3 S.F. 2.4% N —– .....—– _– – TOTAL AREA OF ALL STRUCTURES 2&5q.2 S.F. 15.1% i p _– —– N "MAXIMUM LOT COVERAGE ALLOWED -20% ZONE rn - —- —- `�100' TRUSTEE (EL 6 E ) EL=6.8 SETBACK SITE LAYOUT NOTES, Z I. THIS 15 AN ARCHITECT'S SITE PLAN 6 15 1 / _ \ N 1 _ I I THE LINE ALONG MHWM SUBJECT TO VERIFICATION BY A LICENSED ° I D11 lk" _ SURVEYOR. THE INFORMATION 51DE SET&GK REPRESENTED ON THIS SITE PLAN IS TO THE 0 TDOOR I 01 ARCHITECT'S BEST OF KNOWLEDGE. L 1 SWR DOCK 2.SURVEY INFORMATION WAS OBTAINED 5 rn I I I FROM A SURVEY DATED SEPT. Iq 2018 Q 1 11 LANDWARD EDGE OF AND PREPARED BY. >� 5.0' 1.11 WETLANDS DELINEATED PECONIG SURVEYORS,P.G. P.O.BOX 404 BY SUFFOLK 1230 TRAVELER STREET I 1 ENVIRONMENTAL SOUTHOLD N.Y. 11aT1 (10 I I CONSULTING INC. ON TELEPHONE: (630165 5020 COVER P PRO EXIST. 2 STRY GREENE `" AUG. I'I, 2018 PORCH ®I PROP. REBUILD OF DECK 0 I m 73 SITE PLAN HATCH KEPI 15T FL. SECOND FL. 1 15T FL. 1 9 I E: _ ® PROPOSED BUILDING ADDITION 1I (4 BEDROOMS) PROPOSED ACCESSORY STRUCTURE DW % I I I ® PROPOSED 2ND STORY LiJ G00 Rp Ir I PROP. z NOTE: W J } 1 I COVERED I 1 vi 1. EXISTIN6 SEPTIC TO REMAIN,NO INCREASE = C W Z PORCH O of BEDROOMS PROPOSED J N V EXIST. ASPHALT I 5T FL. I SR° it o \DRIVEWAY %03 S VU V N a is, OVA \ 1 cn - _ – – In0 JUL m 2 2 Jt" :a� ® �� �� (I 10'SIDE yETgAOK Y I I DW N/O/Fr 14' RIN r� WILLIAM VI IA 6oRDON Board hof ruot i fn - N ' 584°56,501Iyy C46v 1 n �Y PROP05ED 51 TE PLAN °,�j'�� SCALE: 1'-0" = 20'-0" c o� l � s _ MAIN COAD (�.F2.25) SURVEY OF PROPERTY N A T PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, X Y. N/0/F 1000-86-02-02 JOHN FISCHEITI SCALE 1'--20 aq DEBORAH DEAVER I N SEPTEMBER 19, 2018 183.40' CMF N84'5615on FMCOR. / / 1 1 f cn CMF - - --�- D.FN /// /�/ rrHMOND GEEK CB O / AC WLF I TIE LINE ALONG MHWM 04 I // / / D0 FLOATING DOCK W // 55.0. 9• I l \ DECK s LANDWARD EDGE OF WETLANDS ( / 21' 2 ST(, FR % ! 1 I < < 00 DELINEATED BY SUFFOLK k" HOUSE \ _ :` ENVIRONMENTAL CONSULTING, INC. ON AUGUST 17, 2018 le r I v 0 1 , 90.7 \ M / SOME FRi 1 STY. FR \GARAGE i— \ ��U FF=8.7 94.4• \ 0� J U L - 2 2021 mar \ I \ \ \ ' d'.cs`F \ 26.3' / 1 \ \ \WLF .� Southold Town KEY a \ _ / ��oR. I TIPE 3 y Board of Trustees Q = RL"BAR C fmRC / \ ' = N U � ` ,.o'�- I 197.65' STAKE PIPE i / Oa- I � = TEST HOLE S84'56'50"W • = PIPE ' G' ■ = MONUMENT WILLIAM & V{ T RIA ` = tN MMD FLAG GORDON5,- ELEVAT/ONS REFERENCED TO NAVD 88 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209OF :h:s LIC. NO. 49618 THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209—SUBDIVISION 2. PECO ORS, P.C. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF ! (631) 765-5020 FAX (631) 765-1797 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE AREA= I8,9I3 SQ. FT P.O. BOX 909 SIGNATURE APPEARS HEREON. 1230 TRAVELER STREET i1 SOUTHOLD, N.Y. 11971 18 163 i MAIN ROAD (S.R.25) ' SURVEY OF PROPERTY N i AT PECONIC TOWN OP SOUTHOLD N/0/F SUFFOLK COUNTY, N.Y. 1000-86-02-02 JOHN FISCHET I m SCALE.' 1'-20 DEBORAH DEAVER N i SEP7EMBER 19, 2018 N 189.40' CNF FENCE N8456'50"E 061 a - �° RICHMOND CREEK CNF pWN/��--7_-- �� \�� / // / 1 Irn O // ��I �// // / WLF\ I-71£LINE ALONG MHWM c"m. 0 I / // // # 2 it DOCK FtonnxG DOCK m / aos 0 I / / w / ss o \ I I 1 o / 1 N DECK \ \ I \ LANDWARD EDGE OF WETLANDS 2 4' 2 STY. FR I \ QO DELINEATED BY SUFFOLK r m HOUSE ENVIRONMENTAL CONSULTING, v i \ Z�• FF=9.9' \ 1 7 I\ \ \ INC ON AUGUST 17, 2018 / \\ ---- 7r n \ snWE I �vi \ \ \ 1 m / FR \ \\ \\ \\ S+ / \\ W GARAGE \ \ \ \ lsscr� +r FF=8.7' I \ �° \� \\ \ 1 \O SSS \ I \ \ \ \ \a'• 0% KEY 9 0 \ 26S• /R 1 \ \ \WLF 1 \ 9OWN 0 \ •WM-ir' / LJ FEN 001L I SFE \ 3 QQ =REBAR �x WaL =STAKE g �aE 197.65' S = TEST HOLE S8456'50"W PIPE ■ =MONUMENT N/O/F i PHOTO LOCATIONS WILLIAM & VI T RIA 1 = TtANtl RAG WILLIAM ELEV/A77ONS REFERENCED TO NAND 88 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209OFN.Y.S. UC. NO. 49618 THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209—SUBDIVISION 2. PECONIC WYORS, P.C. I ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF (631) 765=5020 FAX (631) 765-1797 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE RE , . T. P.O. BOX 909 SIGNATURE APPEARS HEREON. A= 18913 S0F1230 TRAVELER STREET I SOUTHOLD,.N.Y. 11971 18-163 '1 ,t 1 1 "11�r'k•i 1`I'1`i f'a`• 1 1 e t I y - klita y PHOTO A WHITE FLAGS REPRESENT LINE OF NEW DECK r ,. -._-e ��V.'='�r1��iaR.�WYil5�2a 31%"�'. �s- 11� �A}''.�v�l`,h T 4����F$ I�•n PHOTO B WHITE FLAGS REPRESENT LINE OF EXISTING DECK AND PROPOSED DECK ■ afd .t PHOTO C SITE LOCATION Lubin Residence 2765 Wells Rd. Peconic, NY 11971 LOCATION MAP b z 3_yip E �k MgTCH BEE 6EG. . ii� r3x,, �MPTLH.. SEE aeG'� '� NE F ' MATCH '.�3' ,� r 'r l4",E G a 0 -oo 014 33.r id 3 1 s a..crP,xa.''. t .u•-^'^a } #SEC, 3,3 .,♦ C CRa O f. m - 8 J w ed ,�,�,a .aq '~ � '� �� )�9;�a•�� ^� �OF�S �,� � eeA aW a �axs9>so/w � '��`'�y�_. _ ' ? ocv Pxrw. a E 2w) S ar t �� k i y. lo 4 1 'r `'$-"'l ' e'.`� 31 AdBa •v' F`� veo.c,d. '0,3 �. °k w ', °�O � � 5, ��s�'' ;!".� xaPlc gl 2+AI1 m, kaN' V9tNe e (9. D4Y 93 : �i . 2 a •` J 76EPl0 o^` ,mph - `tis ,;.+ a ,} A. yk a. 4 . iq, 9 ♦ F�' aW 'j 71 3 ' X28.4 8 J TOWN SOUTTHOL0 _. 17 00 i nW i ✓ 4T ,r\ f C,S w $ ,afro bS,;. _ ...,.- L. - SEE SEc .. 4 �i5 ab 1 .YA ab y... 21 �. - 0350SG,12 �.. •.k W 9 +� ,a�,,;r.yo :,F '� .... -+13 �" _..�... 'S ? r -_ ',, ;� a e•Ftx•ti� k p,�.iw ',}. ...t; ..•. - 3W, `� ..._ P c� • 5 3a � 4 ,o �,,MN�' it i� tF•., 4,. 0' � �k ..9 9 R Gy- i R S / w. w .s '` .3 r .m.2. eEEB NO `2 u. bP a ' __- L .,....a:• - ,,..:.,,..... .,. ____ x $ N I K ,wc„a, po secnDH No -� COUNTY OF SUFFOLK Cc) ce low NOT _ E —� -_ _ az— E —� — —_ •__ __ „„ Pal Pr T ti Ag—y Dan 6 m a. — �'�u W M 80UTHOLD 086 x +.nue _ rua _:_ a.,.. __— •..amu a �~ u Jx .n..w.,R,+Ann♦>lINY ef'WU cavlV q,,MV6 xINOrB,ED p wawa+ ..aw„n.a. __n.,_.. 7 •�,•• ....:...a,:.P... (21) a..,o..,. .: x: ::: K RE2.L rtrx-xrrmwoaaea+o rrt P _ Glenn Goldsmith, President ' S ,�" -v 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 Telephone(631) 765-1892 Greg Williams � » Fax(631) 765-6641 01071Y Ti BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS SCTM#: Property Owner Name: Date Sent to Bldg. Dept: ` The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered a Demolition as described under Town Code? COMMENTS: 872L d-OOL4r � A I C, n6 Oil -. gg Signature ,f)Reviewer Date OFFICE LOCATION: �� �� MAILING ADDRESS: Town Hall Annex �� P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971k Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: August 9, 2021 Re: LWRP Coastal Consistency Review of JAMES LUBIN SCTM# 1000-86-2-2 Quiet Man Studio on behalf of JAMES LUBIN requests a Wetland Permit for the existing dwelling with a 1,705sq.ft. footprint, existing attached 678sq.ft. garage, existing 21 sq.ft. front entry deck to be removed, and existing 325sq.ft. rear deck to be removed for a total of 2,729sq.ft. of existing structures; construct onto existing dwelling a 14'9"x38'2" (562sq.ft.) rear screen porch; construct a 23'3"x7'8" (178sq.ft.) rear covered porch/deck; construct a 10'0"x38'1" (380sq.ft.) front covered porch; construct a 4'x6' (24sq.ft.) outdoor shower; construct a 12'x7'5" (89sq.ft.) second floor balcony for a total lot coverage of 3,572sq.ft. Located: 2765 Wells Road, Peconic. SCTM# 1000- 86-2-2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP provided: 1. Require a I/A OWTS to further Policy 6. 2. The installation of a vegetated, non-turf buffer incorporating existing vegetation is recommended to protect the water quality of Richmond Creek. 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 , YF 1h. Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary , X P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Mon., August 9th, 2021 the following recommendation was made: Moved by John Chandler, seconded by John Stein, it was RESOLVED to SUPPORT the application of JAMES LUBIN to remove existing deck and replace with new deck and screened room, approx. 536 sf.; add new outdoor shower on north side and remove existing front porch and replace with new expanded porch. Second floor construction includes addition of a laundry, bonus room and second floor balcony. Located: 2765 Wells Rd., Peconic. SCTM#86-2-2 Inspected by: John Stein, John Chandler Vote of Council: Ayes: All Motion Carried Cantrell, Elizabeth From: eileen@quietmanstudio.com Sent: Thursday, August 5, 2021 4:12 PM To: Cantrell, Elizabeth Subject: LUBIN CALC Attachments: LUBIN CALC.pdf Hello, You were right....it never left my descktop. Damn... Have a nice afternoon. ew ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. D CCEVE J AUG :. 2.1 20SoutholTown Boar of Trustees 1 i Quiet Man Studio Eileen-516.8189754 edeen@quietmanstudio com 2845 West IM ill Road Mattituck , New York July 30, 2021 Board of Trustees Town of Southold AUG — 6 2�2� Att: Elizabeth Cantrell i Southold Tovvn Re: 2765 Wells Road, Peconic, NY Board of Trustees Please accept this modified project description: EXISTING HOUSE 1ST FLOOR FOOTPRINT 1,705 SQ. FT. GARAGE 678 SQ. FT. FRONT ENTRY DECK 21 SQ. FT. *TO BE REMOVED REAR DECK 325 SQ. FT. *TO BE REMOVED TOTAL FOR ALL EXISTING STRUCTURES 2,729 SQ. FT. PROPOSED CONSTRUCTION FIRST FLOOR FOOTPRINT 1,750 SQ. FT NO CHANGE TO CONDITIONED SPACE GARAGE 678 SQ. FT. NO CHANGE TO GARAGE REAR SCREEN PORCH (14'9"x 38'2") 562 SQ. FT. 14'9"x 38'2" REAR COVERED PORCH (DECK) 178 SQ. FT. 23'3"x 7'8" FRONT COVERED PORCH 380 SQ. FT. 10'0"x 38'1" NEW OUTDOOR SHOWER 24 SQ. FT. 4'X 6' SECOND FLOOR BALCONY SIZE 89 SQ. FT. 12'X 7'5" TOTAL FOR PROPOSED LOT COVERAGE 3,572 SQ. FT. 18.88% LOT COVERAGE *LOT SIZE 18,913 SQ FT. It has been determined by the Building Dept this renovation will needs to have the septic system certified to meet current criteria. If existing septic does not meet current standards, septic upgrade will be required. I AM ALWAYS AVAILABLE TO ANSWER ANY FURTHER QUESTIONS, THANK YOU, EWeli Page 1 Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Thursday,August 5, 2021 9:23 AM To: 'eileen@quietmanstudio.com' Subject: James Lubin application; SCTM# 1000-86-2-2 Eileen, I am sending you an email as I have not yet heard from you regarding the above application. Today is the deadline to decide if you/the property owner would like to proceed using the project description received on July 30, 2021, or postpone the application to revise the proposed project as discussed with you and the owner on the phone during this past week. Again,the Building Dept. is currently considering this to be a demolition of the existing structure under their code, and it appears a new I/A system may have to be installed as opposed to using the existing sanitary. The application as submitted does not include the Building Dept. concerns. Please advise this office before the end of day today if the application is to move forward as submitted and be heard at our August 18,2021 public hearings or postponed until further notice. Senior Office Assistant Town of Southold Board of Trustees Office: 631-765-1892 Email: elizabethc@southoldtownny.gov 1 Cantrell, Elizabeth From: eileen@quietmanstudio.com D n �; Sent: Friday,July 30, 2021 1:14 PM EC j To: Cantrell, Elizabeth Subject: LUBIN CALC [!JL 3 CO 2021 Attachments: LUBIN CALC.pdf Southold Town ELIZABETH, Board of Trustees HELLO, ATTACHED PLEASE FIND A BREAKDOWN OF ALL THE PIECES AND PARTS OF THE RENOVATION OF THE FOR THE WELLS ROAD PROJECT. I HOPE I'VE COVERED IT ALL, PLEASE CALL IF THERE ARE ANY FURTHER QUESTIONS. EW ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i Q u i e t \4 a n S t u d i o Eileen.516.818.9754 eileen@quietmanstudio com 2805 West dill Road Mattituck , New York July 30, 2021 Board of Trustees D 0 Town of Southold Att: Elizabeth CantrellSoLitJUL 3 0 2021 Re: 2765 Wells Road, Peconic, NY Board of ld Board of Tru�tees Please accept this modified project description: EXISTING HOUSE 1ST FLOOR FOOTPRINT 1,705 SQ. FT. GARAGE 678 SQ. FT. FRONT ENTRY DECK 21 SQ. FT. *TO BE REMOVED REAR DECK 325 SQ. FT. *TO BE REMOVED TOTAL FOR ALL EXISTING STRUCTURES 2,729 SQ. FT. PROPOSED CONSTRUCTION FIRST FLOOR FOOTPRINT 1,750 SQ. FT NO CHANGE TO CONDITIONED SPACE GARAGE 678 SQ. FT. NO CHANGE TO GARAGE REAR SCREEN PORCH (14'9"x 38'2") 562 SQ. FT. 14'9"x 38'2" REAR COVERED PORCH (DECK) 178 SQ. FT. 23'3"x 7'8" FRONT COVERED PORCH 380 SQ. FT. 10'0"x 38'1" NEW OUTDOOR SHOWER 24 SQ. FT. 4'X 6' SECOND FLOOR BALCONY SIZE 89 SQ. FT. 12'X 7'5" TOTAL FOR PROPOSED LOT COVERAGE 3,572 SQ. FT. 18.88% LOT COVERAGE *I.OT SIZE 181913 SQ, FT. I AM ALWAYS AVAILABLE TO ANSWER ANY FURTHER QUESTIONS. THANK YOU, EW Page 1 Michael J.Domino,President ' 9� � Town Hall Annex John M.Bredemeyer III,Vice-President 64375 Route 25 �m�,an �p�o� ...�. P.O.Box 1179 o�;,u« 7ruw�m �u�wi� �rw �,Ni�° e� Glenn Goldsmith o � � .o Southold,New York 11971 A.Nicholas Krupski �� rya Telephone(631)765-1892 Greg Williams"10�0/0� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: x,2.11 �wlii Received Fee: .,... Complct d Application: �A -2.2 Southold Town..... moard f Tr j Incomplete: SEQRAClassification: Type I Type II J Unlisted Negative Dec. tee8 Positive Dec. Lead Agency Determination Date:..,,IT� ..,._.-_ Coordination:(date sent),,.. . WRP Consistency Asses me 1 rm Sent: , 4CAC Referral Sent: tion: of Inspection: � ... Receipt of CAC Report:_, ._ Technical Review �.4A , M(Y ' Public Hearing Held: Resolution ...... ..._. .......���_ ���� Owner(s)Legal Name of Property(as shown on Deed): James Lubin ._..._ Mailing Address: , 24 Tower Ct. Syosset, NY 11791 Phone Number: 201- -7595 Suffolk County Tax Map Number: 1000- 1,-86-2-2 Property Location: 2765 Wells Rd. , NY 11971 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Eileen Wingate for uflet M Mailing Address., 2805 West Mill Road,MattituckNY 111952 Phone Number: 516-818-9754 Board of- Trustees Application GENERAL DATA Land Area(in square feet):, 18,913 SQ. FT. Area Zoning:,I R-40 Previous use of property: SINGLE FAMILY HOME Intended use of property: SINGLE FAMILY HOME WITH NEW ADDITION Covenants and Restrictions on property? Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes",please provide copy of decision. Will this project'require any demolition as per Town Code or as determined by the Building Dept.? 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 TRUSTEES- 5/2021 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): REMOVE EXISTING REAR DECK (EAST SIDE)AND REPLACE WITH NEW DECK AND SCREENED ROOM, APPROX. 537 SQ. FT., ADD NEW OUTDOOR SHOWER ON NORTH SIDE. REOMOVE EXISTING FRONT PORCH (WEST SIDE) AND REPLACE WITH NEW EXPANDED PORCH. SECOND FLOOR CONSTRUCTION INCLUDES ADDITION OF A LAUNDRY, REORGANIZATION OF THE EXISTING BONUS ROOM FOR USE AS A MASTER SUITE. AND THE CONSTRUCTION OF A SECOND FLOOR BALCONY. Board. of Trustees Appli., tion 'GENERAL DATA Land Area(in square feet): , ..18,913 SQ. FT. Area Zoning:_ R-40 n Previous use of property: SINGLE FAMILY DWELLING I Intended use of property: SINGLE FAMILY DWELLING WITH NEW SCREEN DECK(REPLACING EXISTING DECK) i - Covenants and Restrictions onproperty? Yes X Info If"Yes", please provide a copy. i Will thi's 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. 7 Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? '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 TRUSTEES-PERMIT# 1025 6/3/74 TRUSTEES PERMIT#1527 3/82 TRUSTEES 5/2021 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 ARCHITECTURAL PLANS STAYING WITHIN THE EXISTING FOOTPRINT, THE CLIENT WISHES TO REPLACE THE EXISTING WATERFRONT DECK WITH A SCREEN ROOM IN COMBONATION WITH ADDING A SMALL WATERFRONT WOODEN DECK. IT IS PROPOSED TO RECONSTRUCT THE EXISTING SECOND FLOOR DORMERS TO ALLOW FOR MORE SPACE. � Board of Trustees Applic�-. ion WETLAND/TRUSTEE LANDS APPLICATION DATA ,Purpose of the proposed operations: TO USE THE EXISTING OUTDOOR DECK FOR CONVERSION TO A SCREEN PORCH. CONSTRUCT A NEW WOOD DECK(7'8"X 23'3") BEHIND THE GARAGE. THE OVERALL PLAN IS TO REORGANIZE THE EXISTING HOUSE WITHOUT A MAJOR EXPANSION. Area of wetlands on lot: +1-900 •square feet a Percent coverage of lot: 4.75 ;o�Q Closest distance between nearest existing structure and'upland edge of wetlands:, 74' .,feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does'the project involve excavation or filling? No X 'Yes i j If yes,how much material will be excavated? APPROX 6 cubic yards How much material will be filled? 0 _cubic yards t F r Depth of which material will be removed or deposited: 3,feet (TYPICAL FOUNDATION DEPTH) I , Proposed slope throughout the area of operations: TYPICAL SUBURBAN - FLAT Manner in which material will be removed or deposited: SMALL EXCAVATOR FOR INSTALLATION OF FOUNDATION-EXCAVATED MATERIAL TO BE REMOVED f FROM SITE 'Statement-of the effect, if any, on the wetlands and tidal waters of the town that may result by reasonof such proposed operations(use attachments if appropriate): LOCATED 78' FROM THE MHWM, USING HAYBALE REMEDIATION WE BELIEVE THERE WILL NO NEGITIVE EFFECT ON THE WETLANDS AND TIDAL WATERS. - S i � 1 i 617.20 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 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items,in,Part,1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part l -Project and Sponsor Information Name of Action or Project: LUBIN RESIDENCE Project Location(describe,and attach a location map): 2765 WELLS ROAD, PECONIC, NY Brief Description of Proposed Action: REPLACEMENT OF EXISTING FIRST FLOOR DECK WITH SCREENED PORCH. ADDITION OF SECOND FLOOR DECK OVER EXISTING GARAGE. ADDITION OF SECOND FLOOR DORMERS TO EXPAND LIVING SPACE WITHIN EXISTING FOOTPRINT.NEW FRONT (WEST ELEVATION) COVERED PORCH. Name of Applicant or Sponsor: Telephone: 201,452,7595 James Lubin `E-MailJLUBIN@OPTONLINE.NET Address: 2765 WELLS ROAD, PECONIC, NY City/PO: State: Zip Code: 11958 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 a a 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? 850 SQ. FT-aeee& c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0 acres .4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban EI Rural(non-agriculture) ❑Industrial ❑Commercial [N Residential(suburban) E]Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page tof 4 5. Is the proposed action, NO YES• N/A a.A permitted use under the zoning`regulations?' ❑ ❑' b.Consistent with the adopted comprehensive plan? ❑ X❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ '1 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:—R1C4iWND_CREE - ❑ ❑ 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? N ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? Q ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: El ❑ N/A 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water- EXISTING ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES - If No,describe method for providing wastewater treatment: EXISTING El 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? � Elb.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? ❑ N 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 El Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban [XSuburban 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? N ❑ 16.Is the project site located in the 100 year flood plain? NO YES FEMA ZONE AE 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, EJa.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: NOYES ROOF RUNOFF WILL BE CONTAINED ON SITE USING NEW AND EXISTIN nRY WELLS,_AS_P_ER_PI AN- Page 2 of 4 —_ . 18. I.Does t epprop sed action include coinstructio or.o theu sctv4ies that result .._ _.... ®., _._. in thus inaulpmnuAundurueunt of 1140 YIGs;S water of other liquids(e,g.retention pond,nd,waste lagoon,dam)? 11' ales,explain purpose aannd sure _ .....__ ..... _ .. m. ,.,_. ! 19. Has the site ofthe parop.rosedaction or an adjoining property been the location of an active or closed....,.. .. YES.. solid waste rraarnagement fiaciiity? if Yes,describes _....._. 20.Has the,site of°therrn osed ac"tfiarn a�n��ant ad'oinnin....�_ . � � p propet beenbeenthe subjectrafreerruediatucarrn (ongoing or NO....� 'ES., caananpn e,ted)for inaz rdous wnraste? if Yes,describe. _.. ........ .... .... .... m" _ _ ...... Ip AFFI J ° HA,---_"rI_1E I N,.15"­ A­el()Nin VIDEO A, V'E pS"p'RIJE A K)ACC�..JR °If IIIl T TIIE FIST OFV Liu Apnpunluctannt/spw'uwrt. wrnnarrnne: .� � Dat : 6/5/2,021 Signature: ,. ._ w m......._._: ..... . .. ... _._...,,. ..... "art 2...Irii Assessment. The I...ead Agency is responsible for the cornnp lefl n of IPart 2. Answer 01 ofthe f6flonr i n upn.uestio n,s in Part 2 using the ittfuartruall.iaarrn contained fin IPaart p and other materials submitted by the project sponsor or otherwise aavauhable to the reviewer. 'When answering the questions the reviewer should be guided by tete concept"Have rrny responses been reasonable considering the scale and context,of the proposed anchor?" No,oir~ Moderate smnapp to large irrrnp:sanct irmnlpet may may occur occur i. 47Vill th p>rop used aaclucrn create a material conflict with sin adopted pound use plain pa aao zumm�nnn; .. re udaatn rns? �Rlipl the proposed action iresuullt u .....- _...._ ..m . .. . 2. pa pa a change in the use air intensity of use of land? B � l 1 'Will the proposed eased action impair thecharacter or quality ofthe thne existing caaunutetuuuni ...m B. ..,m... �.� g 4. With tfue proposed action have an nran acct:urns the enuviro ...a���� ..._�s that u,.,, p.�Ip pa p w "rr�rntnueuntap cptaarancterustics threat caused tlh�s. estaabfisftmrtnent rrfan t ratncaall Environmental Area(CEA)? — _ m.. _..,. . ...... ___........ ....... ..... . 5. M11 the proposed action resuuNt in an adverse change in the existing Newel ref traaffiicn unr affect existtnng infrastructure fuer mass tir�aarxsit,bilking or w a]kwaay? EJ ... _ _. —_...�....._ ,�. . .. .. _...._ � m...,�. _ .... .... �. 6,, W ill the proposed action cause an increase in the use ofenergy and it falls to irnctnnp:acuraate rc w n nu'uiaiw aavaip afale enncn py eo nservaatiora ver rreoiewvaaba e cniiengy unprpow,pttnuities? p. _._.. _. ... Will the proposed action impact existirn - a. public P privatewater snnplppies? �� fn_paUb irc private wastewater tneatnaueant utilities? ,,,. .. . – - F.. 11 8. Wilt the proposed actnoru impair the charan,ctew or rpuaaapity ofirrrnp ortaunt historic,archaeological, architectural or aesthetic resources? 9.. Wflf the proposed action iresuupt in an adverse change to tnatuutah resources(e.g., weIIparnds, wnraterbodnes,p,rruwanundw,waater,air quuaaiity,flora and fauna)? . .......... ... . .........µ_ ...,.... ................................__ __m.. ... .._.._.._ .. _. ,. ... Pta pu of 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 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 ofPart lPmevery question |nPart 2that was answered"moderate^mlarge impact may oovm~.urif[herriuuneed ooexplain why uparticular element ofthe 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 should also explain how the|nmd agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability ofoccurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for uhort-tonn.long-term and cumulative impacts. Check this box ifyou have determined, based on the information and analysis above,and any support�ng doCUrnentation, f that the proposed action rnay result in one or more potentially large or signif-want adverse impacts and an envill'onmentat impact statement is requhed. LCheck this box ifyou have determined, based oin the information and analysis above,and any supporting documentation, that the proposed action will not result in any signiFicant adverse environmental impacts. -rown of Sou thold-Board of Trustees Pinn �,�pe� all fT' 51)(Dnsib Officeir in Lead Agency "Title of Responsible Officer Agency Signature oF Preparer(if different from Responsible Officer) Page 4of4 Board of Trustees- Rpplioazion AFFIDAVIT JAMES LUBt - 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 BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING-UNDER OR_BY VIRTUE OF SAID-PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE -CONSERVATION ADVISORY COUNCIL-,TO ENTER ONTO MY PROPERTY TO INSPECTTHE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. .oe text se Sature ofPr opertyr Owner Signature of Property Owner SWORN TO-BEFOREME THIS � DAY OF �� �t f 20 Z 1 otary Public JOHN OLSZEWSKI NOTARY PUBLIC, State of New York I Qualified in Suffolk County commission Expires July -13, z=2-3 Board of Trustees Application AUTHOIUZATION (Where the applicant is not the owner) I/We, James Lubin owners of the property identified as SCTM4 1000- 86-02-002 in the town of , SOUTHOLD, NY 11952 ,New York,hereby authorizes EILEEN WINGATE QUIET MAN STUDIO to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. 1000-86 02 002 Property Owner's Signature Prop y OwneOSignature SWORN TO BEFORE ME THIS 1 DAY OF 20 Z\ otary Public JOHN OLSZEWSKI NOTARY PUBLIC, :State of New York No. 4898051 Qualified in Suffolk County Commission Expires JL]lxl 13, a6 z i f APPLICAN-T/AGENTME-PRESENTATIVE TRANSACTIONAL DISCLOSURE FORM e'ro isf 1 's f 'r I tsri" " the %if n giglo" se � iau�ssarw to avail same. _ �� 14e ) YOUR NAME:. v (Last name,first name,gmiddl mite ,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other j person's or company's name.) NAME OF APPLICATION: (Check all that apply.) ' Tax grievance __ fluilding T Variance � Trustee ' Change of Zone , 'Coastal Erosion Approval of plat ,. Mooring Exemption from plat or official map Planning Other � (if"Other',name the activity.) x Do you personally'(zir through your company,spouats,-sibling;parent,orehild)have a relationship,w%th'any o iccr rir eznployPe of the Town of Souibold? "RelationshipP includes by blood,ttiarriagc,or busing interest`" txsiricas ititernst'rr!'eans n bu53ne , including a parinerAiip;in which the tnwn,of Icer or cnspJoyee has even a partial awttets]rip oe(pr,employment liy)-a corporation in which the-town officeroremployee owns morethan ° a 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 o eoter tban;M/o-ofiha,sham of stock of the applicant (t�hvn the �,isacorpor�itian�i � , tha legator eficiat°owner of any interest in a mon-corporate entity(when the ' n�p'tintisrint�corparatioit}; , ! C)an rel<ir r,dire orx pactnei,ortmployee Of the 4pplicant;or D)the actual applicant. i DESCRIPTION OF RELATIONSHIP ,r I ,20 Submitted this day of J Signatttt� Print Name . Form TS ] ojwv) I I t APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Hart of town officers and employees.TheDu_tr wse of this form is to provide information which can alert the town of pgsstble conflicts of interest and allow it to take whatever action is necessary to avoid same. YOVRNAME: JAMES LUBIN (Last name,first name,tpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building X Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or 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 S%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); the legal or,benefrcial owner of,any interest in a non-corporate entity(whets the applicant is nota corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this d f 0,611-- 20 Signature Print Name a es Lu Form TS 1 AFFIDAVIT PAM LUBIN BEING DULY SWORN .DEPOSES AND AFFIRMS THAT HE/SHE IS,THE`APPLICANTFOR 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 WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAYBE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION; INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES-TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY'CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE'PERMIT. Signature of Property Owner Signature'of Property Owner � SWORN TO BEFORE ME THIS_ _8 :DAY OF J-.x=� _ ,20 tary public 10FI N OLSZEWSKI NOTARY PUBLIC, State of New York Ido. 4898051 Qu'�'iifif?G in Suffolk County �30ard of Trustees Ap licai� -:1 AUTHORIZATION ION ('Where the applicant is not the owner) Fwe PAM LUBIN owners of the-property identified as SCTM41000- 86-2.-2 in the town of —.-SOUTHOLD New York,hereby authorizes Eileen Wingate for Quiet Man Studio to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME TICS_ `O��DAY ala, r ­020 2 1 N t Public JOHN OLSZEWSKI NOTARY PPBLIC,.State of Now York -No.4898051 Gulr-tiitie'r.''in 9-luffolk County Comrliib:..',n Expires July 13,, ?. LSE.Y LL IC WFSYIiE T ��- �Y�'iML••Y Ji A S V E ` RANSAMONAL DISCLOSURE FORM To%%,n of Snt0old's Codi;of_rthicss rnhi !►'CnP icl,n#itttvkc�st ons art o t war of�iqqmn en t ve rL I f661 Ig Lq provide i nein. elan thetown 6fn,..si a can '!tt S A► b�V i n •a w to a t i. YOURNADA- PAM LUBIN (Last name,first nartr% piddle initial,usttoss you are Applyingin the name of someone else or other entity,such as a company.If so,indicate the other person's or compmy's neve.) NAW OIC APPLICATION: (Check all that apply-) Ttx grievants , �., Building Variance ,. Trustee _ S_.__. .r. Change offone Coastal Erosion Approval of plat Mooring rncmplion from Plitt or official map Other (If"Otho?',=me the activity.) 00 you persotmlly.(or through'Your compalry,spodse,sibliv,:pnrenL or child)lurve-a iclation4hip%villi guy officer orempinya'c of the Town of,5i►uthntd7 "Rel:ttiunshilf'includes by blood,trtsrriogv,or#r lnm interest."$4siness ipccresf'meatus u businoss, including a'paymership,ir:4►hieh the town ofllceror cmrioyce hitsa'nArliat o►vttt�rslri�r ot'(c►r cmp)oyrnvtrt byy a corporailon in which the tavia o3)'icur or etnployec t%94,moi thiol 3%of the shacoon res., YES , _ . .. NO if you answenad"YET,complete the balance of this foam and date and sign wbm lndicated. Name of person employed by the Town of Southold Title or position of that poison I3escr1be the relationship betweeri yourself(the eppficant/agent/r,spresentative)and the town officer or employee.Either ahcok the appropriate tine A)through D)and/or describe in the space provided. Tice town officer or employee or his or her spouse,sibling,paMi;or child is(check all that apply): -.Aj the o'wjier of greaicr than&%of the slinres of the cotijorate stock of the apptkont (tv}ron the applicant is a c4oiationy, �Bf the legal,or ber►ofiCial ownq of tiny intorest in n non-corporate entity(wheltthe applicant is not a corporation); C)an officer!ditecior,punter,or employee of the applicant;or D)the actual appliratrt. DESCRIPTION OF RELATIONSHE? E Srr6mds i'rilltNotne Forth TS 1 Glenn Goldsmith,President '° , Town Hall Annex 4 �J A.Nicholas Krupski,Vice President ,,,, 54375 Route 25 John M. Bredemeyer III P.O.Box 1179 ZZ Michael J.Dominoy ak Southold,NY 11971 Greg Williams ,`",� � Telephone(631)765-1892 . G Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 30, 2021 Eileen Wingate Quiet Mari Studio 2805 West Mill Road Mattituck, NY 11952 Re: Board of Trustees Application of James Lubin 2765 Wells Road, Peconic SCTM# 1000-86-2-2 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Orders, this application is now scheduled to be heard by the Southold Town Board of Trustees via a combination of an in-person meeting and videoconferencing on Wednesday, September 15, 2021 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. 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. ry Truly Yours, Glenn Goldsmith, President Board of Trustees Glenn Goldsmith, President , ' ' -, Town Hall Annex A. Nicholas Krupski, Vice President 54375 Route 25 John M. Bredemeyer III P.0_ Box 1179 Michael J. Domino `°� +'r Southold,NY 11971 Greg Williams Telephone (631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION,& PUBLIC HEARINGS WEDNESDAY, SEPTEMBER 15, 2021 at 5:OOPM & 5:30PM TOWN HALL MAIN MEETING HALL AND VIA A ZOOM ONLINE PLATFORM ...... A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF..... TRUSTEES will be held on Wednesda Se tember 15 2021 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. The public is invited to attend the meetings either in person or virtually via the Zoom online platform. Masks are -til required for mem ers o e 0 u 151 is Who are not fully vaccinated. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and diane.disalvo@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 ht http ://www. outl�oldtwnn , ov/c ... _glr� a�tor 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: 813 4681 5078 Password: 851461 • 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- httt�//VVW ±, outholdtovi. y_gv 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. Glenn Goldsmith, President C Town Hall Annex A.Nicholas Krupski.,Vice President � s '',, 54375 Route 25 John M. Bredemeyer III P.O.Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams ' Telephone (631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BE ADVISED — AS PER C AFTER 55 -NOTICE OF'PU LIC HEARINGS Failure to submit the following originals to this office by or no later than 12:OOPM the day prior to the scheduled Public Hearing for your application wall-'resuIt-in a postponement of said application. This -office WILL NOT contact you to request said information: • All original white & green certified,return receipt mail receipts stamped by U.S.P.S. • Completed original Proof of Mailing Form Failure to submit the following originals to this office by or no later than 12:OOPM the day of the scheduled Public Hearing for your application will result in a postponement of said application: • Original Affidavit of Posting form — DO NOT COMPLETE SAID FORM UNTIL THE GREEN SIGN HAS BEEN IN PLACE ON THE PROPERTY FOR AT LEAST SEVEN (7) FULL DAYS. Sign the form on the eighth day that the green notice of hearing sign has been up on said premises. All green signature cards related to said application that were returned to your office should be either dropped off in our "Trustee drop box" or mailed into our office whenever they are received. These cards are not required prior to the Public Hearing, unless specifically requested for by this office. This specific requirement- is-subject to-change. - - Zoard of Trustees Applica Dn PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME 6 T NAME: STATE OF NEW YORK COUNTY OF SUFFOLK __ ........... residing at— .. being duly sworn, deposes and says that on the day of................. ww__www µµwww ................... µµwww , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their 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 located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of Notary Public Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED �/M�AIL RECEIlPTS APPLICATION NAME & SCTM#: V b 1. A PTl �.�I��l NAME: ADDRESS: <�C� W&-3 - � 1 STATE OF NEW YORK COUNTY OF SUFFOLK residing at `J�� U't L �d ►� �LG,C�Go being duly sworn, deposes and says that on the day of , 20_,gA, 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 their 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 located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN CEIPT. Signature Sworn to before me this Day of '?i m 0 e, , 20 9- =PUBLIC, M, GlIer TATE OF NEW YORK o.01GR6399126 Suffolk County Notary Public October 15,20 Glenn Goldsmith President '®fps fFOj��'o Town Hall Annex A.Nicholas Krupski,Vice President ,k 54375 Route 25 John M.Bredemeyer III P.O.Box 1179 Michael J.Domino �� Southold,NY 11971 Greg Williams Telephone(631)765-1892 ®� a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JAMES LUBIN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE , residing at/dba being duly sworn, depose and say: That on the `�> day of Sep+- , 20'ZI , I personally posted the property known as LLI 4 R425f 1DeL 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 a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, September 15,2021. Dated: (s' nature Sworn to before me this 3 day of Am-20 AaJaeeh M. (3H@r NOTARY PUBLIC,STATE OF NM YORK Registration No 01GR6399126 No ary Public Qualified in Suffolk County Commission Expires October 15,20_W h � E3 s• ® ■ ru . • , CO t LnLn f1 O ° co Certified Mail Fee e u I 1 F p �I� ' r7A -0 $ $3.75 Certified Mall Fee t x rU Extra Services 8 Fees(checkbOx,add fee -c +'c..f , ' co fy. $`r° r'J ❑Return Receipt(hardcopy) $—I I,I II I ///,�}�'(°,M1,, �",a rU Extra services&Fees(checkhox,eddfee s' ate •�\ i'7• O ❑Return Receipt(electronic) $ � I j /, •L r-•7 ,J ❑Return Receipt(hardco ,�•. ) i 1.,_l I{ Postmark ', f1.J pv) $ I_ P t[ ❑Certified Mall Restricted Delivery $ i.>J ❑Return Receipt(electronic O $— rFl=I(! 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N V, N ° N O •�+• 1 ru ❑Return Receipt(electronic) $ SII Ij�i `.µ° N ❑Certified Mail Restricted Delivery $— "— l"+ Postmark��' I N `�° N '. m �. q a N ❑Adult Signature Required Here 01 I � O v �- (D (D ..Q. p7 O $ _ s -a _— TT ❑Adult Signature Restricted Delivery$ ' e/ -tl�l I rn r u y N �k•� 7 Cr 3 � m0 rDa a p Postage ° 2©�� T I Z m � (� W )jn7o 1` , 2 CP 3 o A1'N u7 $ v j _ ITI ♦ / � CA) p-' m to Er O Total Postage and F s i�) o S� e@ C ^� IV 0 O N s r-q Sent To .. �••�-^�` I o Ln e Ln g o RI � T m F Bo d. Cn o C� m O Street andA- ------1 ., -' - -___ ,i � ` City-State 2j95+4OL.LI C _ ) J `Ogg2L _ oomma2L C N 0 W X �N N m m'.1-h.T•T �,aa-•»mmrnm� N C =0=0 mm m r "A�oomU2'c'� � .1nVi. CD CD QQS N I/a 0 i G m`moi O O. CD C y z m m m�Z m a� m • m `� 3 G f!D .(b . 0 N N� ° ❑❑ ® +=. CD t03 'U CD 07 M N o.m � c poo a ❑❑ p« ❑❑ TZ G o D D m 2 3 i@ ° y O a m n d9: y mCD M m _. a m 1 � SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A igna`r ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee I ■ Attach this card to the back of the mailpiece, B. Received by( Name) Caf 71% . Date of Delivery j or on the front if space permits. 1. Article Addressed to: D. Is delive address nt from Item 17 ❑Yes I If YES,enter delivery address below: ❑No � ^ Pew)i , 11 Qna3._ j II I IIIIII IIII I III IIII I I I I II V I I I III III I III Service Type 11 PriorityredMailExpresso 13 j ❑Adult Signature ❑Registered MaiITM I ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted} ❑Certified Mall® Delivery 9590 9402 6227 0265 8405 45 ❑Certified Mail Restricted Delivery ❑Signature ConfirmatlonTm j ❑Collect on Delivery ❑Signature Confirmation 2. Article Number(Transfer from service label) _ ❑Collect on Delivery Restricted Delivery Restricted Delivery nsured Mail 7021 0350 0002 2685 5297 nsured Mail Restricted Delivery aver$500) PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt i SENDER: COMPLETE TtIIS SECTION COMPLETE THIS SECTIOMON DELIVERY ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverseX �2 Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Rece ved by(Printed Name) C. Date of Delivery or on the front if space permits. av)" //?-( 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No jt)L I COI -75- Pl i l� U�,(�/ ' ° 3. Service Type El Priority Mal Express® 1� II I III I IIC II I II IIII III I I I I III I II I I I ❑0 Adult Adult SigRegistered Signature Restricted Delivery ❑Registered Ma I Restricted ❑Certified Mal® Delivery S 9590 9402 6227 0265 8406 51 ❑Certified Mali Restricted Delivery 11 Signature ConnrmationTM 1 ❑C011act on Delivery El Signature Confirmation 2. Article Number(Transfer from service label) ❑COilect on Delivery Restricted Delivery Restricted Delivery j ❑Insured M ?021_0_3_5_0_ 0002 2685 5280 ❑Insured Mal Restricted Delivery _ (over$500) I i PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt pl Glenn Goldsmith President ��' .,� �'�, Town Hal] Annex A.Nicholas Krupski,Vice President r 54375 Route 25 John M. Bredemeyer II] w P.O.Box 1179 Michael J. Domino , Ij Southold,NY 11971 Greg Williams ''„ , , i.' 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 JAMES LUBIN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THP5 FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DA YS PRIOR TO THE PUBLIC HEARING DATE residing at/dba .._. being duly sworn, depose and say: That on the day of , 20 , 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 a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, September 15 2021. Dated: (signature) Sworn to before me this day of 20 .......... ...._ _ .... __................ Notary Public NOTICE NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees both in-person and via the online Zoom platform. OWNER(S) OF RECORD: JAMES LUBIN SUBJECT U LIC HEARING: For a Wetland Permit for the existing dwelling with a 1,705sq.ft. footprint, existing attached 678sq.ft. garage, existing 21sq.ft. front entry deck to be removed, and existing 325sq.ft. rear deck to be removed for a total of 2,729sq.ft. of existing structures; construct onto existing dwelling a 14'9"x38'2" (562sq.ft.) rear screen porch; construct a 23'3"x7'8" (178sq.ft.) rear covered porch/deck; construct a 10'0"x38'1" (380sq.ft.) front covered porch; construct a 4'x6' (24sq.ft.) outdoor shower; construct a 12'x7'5" (89sq.ft.) second floor balcony for a total lot coverage of 3,572sq.ft. Located: 2765 Wells Road, Peconic. SCTM# 1000-86-2-2 TIME & DATE OF PUBLIC HEARING: Wednesday, September 15, 2021 — at or about 5:30P.M. — Either in Person or via Zoom. To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 r Glenn Goldsmith,President 410, Town Town Hall Annex A.Nicholas Krupski, Vice President �� y� 54375 Route 25 John M.Bredemeyer III ro a P.O.Box 1179 Michael J.Domino 0 ��y Southold,NY 11971 Greg Williams '1�Ol p��Y Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 9, 2021 Eileen Wingate Quiet Man Studio 2850 West Mill Road Mattituck, NY 11952 Re: Board of Trustees Application of James Lubin 2765 Wells Road,,Peconic SCTM# 1000=86-2-2 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Orders, this application,is now scheduled to be heard by the Southold Town Board of Trustees via a combination of an in-person meeting and videoconferencing on Wednesday, August 18, 2021 beginning at 5:30 P.M: Please continue to check the7own's website as the meeting date approaches for the latest meeting agenda and videoconferencing information. 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. ery Truly urs Glenn Goldsmith, President Board of Trustees Glenn Goldsmith, President JyoOSzu:zl � Town Hall Annex A.Nicholas Krupski, Vice Presidentr�� yam' 54375 Route 25 John M.Bredemeyer III y ,? P.O.Box 1179 Michael J.Domino �,y ® Tom ' Southold,NY 11971 GregWilliams �0 0� a •( �, Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, AUGUST 18, 2021 at 5:OOPM & 5:30PM TOWN HALL MAIN MEETING HALL AND VIA A ZOOM ONLINE PLATFORM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday. August 18, 2021 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. The public is invited to attend the meetings either in person or virtually via the Zoom online platform. Masks are still required for members of the public who are not fully vaccinated. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and diane.disalvo@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: 864 5302 1568 Password: 252444 • 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.southoldtownnV.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. Glenn Goldsmith,President �QFFiI('f`CD Town Hall Annex A.Nicholas Krupski,Vice President �Y�� Gym 54375 Route 25 John M.Bredemeyer III w a P.O.Box 1179 Michael J.Domino h Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BE ADVISED — AS PER CHAPTER 55 NOTICE OF PUBLIC HEARINGS Failure to submit the following originals to this office by or no later than 12:OOPM the day prior to the scheduled Public Hearing for .your application will !result in a postponement of said application. This office WILL NOT contact you to request said information: • All original white & green certified,return receipt mail receipts stamped by U.S.P.S. • Completed original Proof of Mailing Form Failure to submit the following originals to this office by or no later than 12:OOPM the day of the scheduled Public Hearing for your application will result in a postponement of said application: • Original Affidavit of Posting form — DO NOT COMPLETE SAID FORM UNTIL THE GREEN SIGN HAS BEEN IN PLACE ON THE PROPERTY FOR AT LEAST SEVEN (7) FULL DAYS. Sign the form on the eighth day that the green notice of hearing sign has been up on said premises. All green signature cards related to said application that were returned to your office should be either dropped off in our "Trustee drop box" or mailed into our office whenever they are received. These cards are not required prior to the Public Hearing, unless specifically requested for by this office. This specific requirement is subject to change. �, Board of Trustees Applr- -,,tion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME& SCTM#: NAME: I "SfiATE,OF hIEW YORK COUTNY-:OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their 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 located at that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public Glenn Goldsmith;President � oCSG Town Hall Annex A.Nicholas Krupski,Vice President h� ��„� 54375 Route 25 John M.Bredemeyer III C P.O.Box 1179 Michael J.Domino 0 Southold,NY 11971 Greg Williams 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 JAMES LUBIN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE residing at/dba being duly sworn, depose and say: That on the day of , 20 , 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 a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, August 18, 2021. Dated: (signature) Sworn to before me this day of 20 Notary Public NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees ; both in-person and via the online Zoom platform. OWNER(S) OF RECORD: JAMES LUBIN SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing dwelling with a 1,705sq.ft. footprint, existing attached 678sq.ft. garage, existing 21sq.ft. front entry deck to be removed, and existing 325sq.ft. rear deck to be removed for a total of 2,729sq.ft. of existing structures; construct onto existing dwelling a 14'9"x38'2" (562sq.ft.) rear screen porch; construct a 23'3"x7'8" (178sq.ft.) rear covered porch/deck; construct a 10'0"x38'1" (380sq.ft.) front covered porch; construct a 4'x6' (24sq.ft.) outdoor shower; construct a 12'x7'5" (89sq.ft.) second floor balcony for a total lot coverage of 3,572sq.ft. Located: 2765 Wells Road, Peconic. SCTM# 1000-86-2-2 ; TIME & DATE OF PUBLIC HEARING: Wednesday, August 18, 2021 — at or about 5:30P.M. — Either in Person or via Zoom. To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right"Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 f• , Town of Southold l LWRP CONSISTENCY ASSESSMENT FORM f. 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 assessmerit 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 E-tosimi 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 's Waterfront. Revitalization Program. A ro sed ction mdU be,evaluated_ as to its `ai ` cant fbeneficial and adverse effects Won the coastal area which 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 ans&er most be v�`it, d ' Both su ori -Anil•non, supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and r conditions,it shall not.be undertaken. A copy of the LWRP is available in the following'places: online at the Town of Southold's website(southoldtown.northfoik.net), the Board of Trustees Office, the Planning Department,-all local libraries and the Town Clerk's office. B. I)OCRIPITION OF SITE AND PROPOSED ACTION SCTM# 1000 86 2-2 PROJECT NAME James Lubin Residence The Application has been submitted to(check appropriate response): Town Board 0 Planning Board Building Dept. .X Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital construction,planning activity,agency regulation,land transaction) El (b) Financial assistance(e.g.grant,loan,subsidy) (c) -Permit,approval,license;certification: E.^a Nature and extent of action. TO USE THE EXISTING WATERFRONT DECK FOR CONVERSION TO A SCREEN PORCH. CONSTRUCT ANEW WATREFRONT FRONT BEHIND THE GARAGE. REORGANIZE TH EXISTING HOUSE WITHOUT MAJOR ADDITION. ~l Location of action: 2765 Wells Road, Peconic, NY.11958. Site acreage: 43 ACRES= 18 913 SQ. FT. Presentlanduse: SINGLE FAMILY DWELLING Present zoning classification: R-40 2. 'If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name ofappliicant: Eileen Wingate for Quiet Man Studio (b) Mailing address: 2805 West Mill Road,Mattituck, NY 11952 (c) Telephone'number: Area Code O 516-818-9754 (d) Application number,if any: tq Will the action be directly undertaken,require funding,or approval by a state or federal agency? (� TOWN OF SOUTHOLD-BOARD OF TRUSTEES- Yes � No If yes,which state or federal agency? BUILDING DEPARTMENT DEPT OF ENVIROWENTATICONSERVATIN 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 CQAST 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 LWRP Section III=Policies;Page 2 for evaluation criteria. ,- Yes No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town 'of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria s Yes No 0 Not Applicable Yes No Not Applicable 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 [] No' Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 0 Yes Cl No ❑ Not Applicable WILL BE USING SILT FENCING FOR WETLAND PROTECTION PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. '❑ Ye�j No E] Not Applicable Attach additional sheets if necessary_ Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No X❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8'through 16 for evaluation criteria ❑ Yes F] No 0 Not Applicable Attach additional sheets if necessary .Policy 5. Protect.and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 thirough 32 for evaluation criteria. ❑ - ❑ 0 Location of action: 2765 WELLS ROAD, PECONIC, NY Site acreage: .4 ACRES Present land use: RESIDENTAIL Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: EILEEN WINGATE FOR QUIET MAN STUDIO _ (b) Mailing address: 2805 WEST MILL RED, MATTITUCK, NY 11952 (c) Telephone number:Area Code( ) 516-818-9754 (d) Application number,'if any: 1 "/'Iq' Will the action be directly undertaken,require funding,or approvalby a state or federal agency? Yes N No❑ If yes,which state or federal agency? DEC -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 LWRP Section III--Policies; Page 2 for evaluation criteria. Yes ❑ No ® Not Applicable Attach additional sheets if-necessary Policy 2. ,Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable 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 0 Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic, Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No IK-J 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. ❑ Yes ❑ No 0 Not Applicable EILEEN WINGATE FOR QUIET MAN STUDIO AGENT FOR OWNER 6/4/2021 PREPARED BY TITLE DATE