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Home My WebLink AboutTR-10046 Q� slou- Town Hall Annex Glenn Goldsmith,President �� A.Nicholas Krupski,Vice President ® 54375 Route 25 P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® a® Fax(631) 765-6641 00 NTi, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #2101C November 6, 2023 THIS CERTIFIES that the demolition of existing dwelling(project meets Town Code definition of Demolition); remove existings_anitaa system and install a new UA OWTS system on the landward side of dwelling; reconstruct the 1,43 8Osq ft two-story dwelling; construct an 8.4'x36.2' (304sq ft) second floor extension;a proposed 1 8'x10 7' (19 26sq ft) and a 1.8'x11.9' (21.42sg.ft.) second floor dormer extensions; and a proposed 5'x12 5' (62 5sq ft)front porch; existing 18'x23' and 9'x11' (500sq ft) driveway 55'x4' (220sq_ft)front walk; 10'x6'6" (65sq.ft.) landing; 12'5"x10'5" (125sq ft)garage patio; 63'x2'6"(130sq ft) 5sq ft each stone—side stepping stone path; 5'x39'8" (204sq ft) gravel area with(2)AC Condensers; Proposed: 38'6"x8'6" (330sq ft)rear patio; and fencing: Front of house: 33'• right side of house: 195'• and PVC on left side 23'• with the condition of no fertilization in zone seaward of the living structure; At 3705 Bay Shore Road,Greenport Suffolk County Tax Map#1000-53-6-16 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 18,2021 pursuant to which Trustees Wetland Permit#10046 Dated December 15, 2021,was issued and Amended on June 15, 2022 and Amended again on October 18, 2023 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the demolition of existing dwelling (project meets Town Code definition of Demolition); remove existing sanitary system and install a new UA OWTS system on the landward side of dwelling-, reconstruct the 1,43 8Osq ft two-story dwelling; construct an 8.4'x36.2' (304sq_ft)second floor extension; a proposed 1 8'x10.7' (19.26sg.ft.), and a 1 8'x11 9' (21 42sq ft) second floor dormer extensions; and a proposed 5'x12 5' (62.5sg.ft.)front porch; existing 18'x23' and 9'x11' (5OOsq_ft)driveway 55'x4' (220sq ft) front walk; 10'x6'6" (65sg.ft.) landing; 12'5"x10'5" (125sq_ft) garage patio; 63'x2'6"(130sq ft) 5sq ft each stone—side stepping stone path; 5'x39'8"(204sq ft)gravel area with(2)AC Condensers; Proposed: 38'6"x8'6"(330sg.ft.)rear patio; and fencing: Front of house: 33'• right side of house: 195'• and PVC on left side 23% with the condition of no fertilization in zone seaward of the living structure. The certificate is issued to u las Bradford owner of the aforesaid property. As uthor' re Glenn Goldsmith,President QF so Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski Jr Jr Southold, New York 1197-1 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 c®UNTi,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 23 INSPECTED BY: L . G1 oCA Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction % constructed X Project complete, compliance inspection COMMENTS: N ke CERTIFICATE OF COMPLIANCE: U Glenn Goldsmith, President ®�*®f S®UT�® Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 �® P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �'® ® a® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 2101C November 6, 2023 THIS CERTIFIES that the demolition of existing dwelling(project meets Town Code definition of Demolition); remove existingsanitary system and install a new I/A OWTS system on the landward side of dwelling• reconstruct the 1 438 Osq ft two-sto!y dwelling-, construct an 8.4'x36.2' (304sq ft) second floor extension; a proposed 1 8'x10 7' (19 26sq ft) and a 1.8'x11.9' (21.42sg.ft.) second floor dormer extensions; and a proposed 5'x12 5' (62 5sq ft)front porch; existing 18'x23' and 9'x11' (500sq ft) driveway 55'x4' (220sq ft)front walk; 10'x6'6"(65sq.ft.) landing; 12'5"x10'5" (125sq_ft)garage patio; 63'x2'6"(130sq ft) 5sq_ft each stone—side stepping stone path; 5'x39'8" (204sq ft) gravel area with(2)AC Condensers,• Proposed: 38'6"x8'6" (330sq ft.)rear patio; and fencing: Front of house: 33'• right side of house: 195'• and PVC on left side 23'• with the condition of no fertilization in zone seaward of the living structure; At 3705 Bay Shore Road, Greenport Suffolk County Tax Map#1000-53-6-16 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 18, 2021 pursuant to which Trustees Wetland Permit#10046 Dated December 15, 2021,was issued and Amended on June 15, 2022 and Amended again on October 18. 2023 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the demolition of existing dwelling(project meets Town Code definition of Demolition); remove existingsanitary system and install a new I/A OWTS system on the landward side of dwelling; reconstruct the 1,43 8Osq ft two-story dwelling; construct an 8.4'x36.2' (304sg ft)second floor extension; a proposed 1.8'x10.7' (19.26sg.ft.), and a 1 8'x11 9' (21 42sq ft) second floor dormer extensions; and a proposed 5'x12.5' (62.5sg.ft.)front porch; existing 18'x23' and 9'xl P (500sq_ft)driveway' 55'x4' (220sq ft) front walk; 10'x6'6"(65sg.ft.) landing; 12'5"x10'5" (125sq ft)garage patio; 63'x2'6"(130sq ft) 5sq ft each stone—side stepping stone path; 5'x39'8"(204sq ft)gravel area with(2)AC Condensers;Proposed: 38'6"x8'6"(330sg.ft.)rear patio; and fencing: Front of house: 33'• right side of house: 195'• and PVC on left side 23';with the condition of no fertilization in zone seaward of the living structure. The certificate is issued to u las Bradford owner of the aforesaid property. uthor re Glenn Goldsmith,President �� so Town Hall Annex A. Nicholas Krupski,Vice President � ® 54375 Route 25 P.O. Box 1179 Eric Sepenoski JIF Southold,New York 11971 Liz Gillooly res G � Telephone (631) 765-1892 Elizabeth Peeples ® a® Fax(631) 765-6641 00UNTi,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 2: INSPECTED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction Y2 constructed X Project complete, compliance inspection COMMENTS: S ISP L —V'e �� -P/1 �J�a�►S l� c� y�� Yi I-AInas-� dQkeA CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President ®F so Town Hall Annex A.Nicholas Krupski,Vice President ,`®� ® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 October 20, 2023 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Anthony Portillo AMP Architecture P.O. Box 152 Mattituck, NY 11952 RE: DOUGLAS BRADFORD 3705 BAY SHORE ROAD, GREENPORT SCTM#: 1000-53-6-16 Dear Mr. Portillo: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 18, 2023. RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#10046 for as-built 18'x23' and 9'x11' (500sq.ft.) driveway; 55'x4' (220sq.ft.) front walk; 10'x6'6" (65sq.ft.) landing;.12'5"x10'5" (125sq.ft.) garage patio; 63'x2'6" (130sq.ft.) 5sq.ft.each stone— side stepping stone path; 5'x39'8" (204sq.ft.) gravel area with (2) AC Condensers; Proposed: 38'6"x8'6" (330sq.ft.) rear patio; and fencing: Front of house: 33'; right side of house: 195'; and PVC on left side 23'; with the condition of no fertilization in zone seaward of the living structure; and as depicted on the site plan prepared by Anthony M. Portillo, RA, dated September 25, 2023, and stamped approved on October 18, 2023. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincer y, a O f / GoI sm President, Board of Trustees GG/dd Glenn Goldsmith,President �o�pgOFF01��oGQ Town Hall Annex A.Nicholas Krupski,Vice President .e 54375 Route 25 Eric Sepenoski y ,? P.O.Box 1179 Liz Gillooly �y • p\ Southold,NY 11971 Elizabeth Peeples �W Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 10 . 3 Completed in field by: L. 6; 1 Icy AMP Architecture on behalf of DOUGLAS BRADFORD requests an Administrative Amendment to Wetland Permit #10046 for as-built 18'x23' and 9'x11' (500sq.ft.) driveway; 55'x4' (220sq.ft.) front walk; 10'x6'6" (65sq.ft.) landing; 12'5"x10'5" (125sq.ft.) garage patio; 63'x2'6" (130sq.ft.) 5sq.ft.each stone —side stepping stone path; 5'x39'8" (204sq.ft.) gravel area with (2) AC Condensers; Proposed: 38'6"x8'6" (330sq.ft.) rear patio; and fencing: Front of house: 33'; right side of house: 195'; and PVC on left side 23'. Located: 3705 Bay Shore Road, Greenport. SCTM#: 1000-53-6-16 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: rChapt.275 Chapt. 111 other Type of Application: X Wetland Coastal Erosion _Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No X Not Applicable Info needed/Modifications/Conditions/Etc.: fit d K,t 4- 14 C tw va.e.-fVr ;v? ,es 1 c A"NQmL 20n,07' C_4-t r . Present Were: G. Goldsmith N. Krupski E. Sepenoski _ L. Gillooly E. Peeples •. 7 AMP Architecture /address:10200 Main Rd,Unit 3A P.0 Box 152 Mattituck NY 11952 Phone:(631)603-9092 Design + Build October 05,2023 ' r ' Wetlands Permit Application (; OCT - 5 2023 ' Bradford Residence . 3705 Bayshore Road Greenport, N.Y. 11944 Southold Tor an SCTM: 1000-53-06-16 Board of Trustees RE: Southold Trustees Permit#10046;December 15,2021 First Amendment Approved June 17,2022 We are requesting an additional Amendment to the above-mentioned Trustees Permit for the following: Proiect Description for Items being added to application: Note:There is a granite edger around all pavement As-Built Front Walk: 55' x 4'—220 s.f. As-Built Landing: 10'x 6'6"—65 s.f As-Built Garage Patio: 12'-5" x 10'-5"— 125 s.f As-Built Driveway: 18'x23' and 9'x11'—500 s.f As-Built Side Stepping Stone Path: 63'x2'-6"— 130 s.f—5 s.f each stone I As-Built Gravel Area with (2)AC Condensers: 5'-0"x 39'-8" - 204 s.f. Proposed Rear Patio: : 38'-6" x 8'-6"—330 s.f. Length of Proposed Fencing: Front, -33' right side- 195' and PVC on left side—23' Page I of 1 Cantrell, Elizabeth From: John G. Stein <beverly2013@icloud.com> Sent: Tuesday,June 14, 2022 10:41 AM To: Cantrell, Elizabeth Subject: Recommendations-Amendment for DOUGLAS BRADFORD -Amend Wetland Permit # 10046 Located - 3705 Bayshore Rd - Greenport- SCTM # 53-6-16 CAC UNANIMOUSLY SUPPORT THE AMENDMENT... June 9th 2022 Above Amendment was Verified in Scope, Design, and Square Footage with the Southold Town Building Dept. in person on 6/9/2022 by CAC members on said date. John G.Stein-Chairperson CAC Sent from my Whone ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. Glenn Goldsmith, President a Town Hall Annex °� 54375 Route 25 A. Nicholas Krupski,Vice Presidents r� "� "�h, P.O. Box 1179 Eric Sepenoskij Southold, New York 11971 Liz Gillooly C r ) Telephone(631) 765-1892 Elizabeth Peeples " t'� Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 17, 2022 Anthony Portillo AMP Architecture, PLLC 10200 Main Road, Unit 3A Mattituck, NY 11952 RE: DOUGLAS BRADFORD 3705 BAY SHORE ROAD, GREENPORT SCTM# 1000-53-6-16 Dear Mr. Portillo: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 15, 2022: WHEREAS, AMP Architecture, on behalf of DOUGLAS BRADFORD applied to the Southold Town Trustees for an Amendment to Wetland Permit #10046 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 25, 2022, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found to be Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 15, 2022, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, 2 WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit#10046 for the demolition of existing dwelling (project meets Town Code definition of Demolition); remove existing sanitary system and install a new I/A OWTS system on the landward side of dwelling; and as previously approved, to reconstruct the 1,438.0sq.ft two-story dwelling; construct an 8.4#x36.2" (304sq.ft.) second floor extension; a proposed 1.8'x10.7' (19.26sq.ft.), and a 1.8'x11.9' (21.42sq.ft.) second floor dormer extensions; and a proposed 5"x12.5° (62.5sq.ft.) front porch; and as depicted on site plan prepared by AMP Architecture, LLC, last dated April 21, 2022, and stamped approved on June 15, 2022. 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: None This is not a determination from any other agency. Sincerely, Glenn Goldsmith, President Board of Trustees GG:dd PROJECT ZONING DATAa AX MA- FRGFG EG,2Nw _ ' w} ZONING-DISTRICT R-I NG FLOOR EX ENSIGN h =Z 1 LOT AREA G.1- AGr«_ m �� 7 7' .FROF05=G 2NG 0)YO „e. _..,..., Lo Ct FEMA FLOOD ZONE AE -I .= „ .. ..:..r:- ., FLOOR EXTENSION co WETLAND DISTRICT Y ho MEAN HIGH wArER a 00 rRJs EEs S--BACK by MARK e TIE_INE DEC- DISTRICT IGT NON-JURISDICTION ,,: ,.,.,.� �' ._ ....... �� - J00 ! AFR L�e�❑_f Y}o Z f MGDO „. ,_. „ e,- mTy. m .,w,�. a Z� NALO GE05ERVIGES / POB 1758 < W(S1 I (b-U 165-SbTf Lo ct L"I =01 HOLD NY II?il ... .. r in ego ARN eacw.LOAM r j� uwaw.+u�str'rr k W ,. 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SCALE 3/16..:I._G' . ..._ _ BOARD OF ) RUSTEES LOT GOV�RAC�� 0 Y I TOWN OF SOUTh®�® ' 9a LOT o DESCRIPTION(FOOTPRINT) AREA c COVERAGE DATE __ TOTAL LOT AREA � � �� (""Z� "7,596.0 5 F m o O ❑ a ¢ O a EXISTING 5UILDIN6 1,562,0 S,F, 18 4% w +. w EXISTING- FRAME GARAG--E 521 O S,F, PROPOSED COVERED FORCH 62.5 S,F. 0.5% f " = TOTAL AREA OF ALL STRUCTURES 1-745,5 S_F, 25.6% `"MAXIMUM LOT COVERAGE ALLOWED - 20% I,w ...., ...__ ............. `a t .� EFrIc 5Y=TEN;TO EE OF FXISD fI e. FL , ..... I. THIS IS AN ARCHITECTS 517E PLAN E IS 6 ,r,., SUBJECT TO VERIFICATION HY A LICENSED APPROx AREA of ESIST REFRES=NTEG GN THIS ITE PLAN I�TG THE cga+ i ECT: S P: .DIST O SURVEYOR. THE INFORMATION i FER SGDH==TANCARc h F IN6_ FENCE AGE ARCHITECTS BEST OF KNOWLEDGE — — -� "^^ BRADFORD — � - BRA RESIDENCE RVE c am,... +'" .r : (vENT/ EAN .,aTo ...._ .._ J — — FROM A SJ Y DATED NOV,25,2021 ='- N E T5 3705 BAY U PROF F—CL 2,SURVEY INFORM �'"s+ /A ON T5� „ .. , O 296 �... 1 ATION WAS OBTAINED AND G e ARLAND SURVEYING INC, I ro.Eoc w = o, O SHORE ROAD 'a.r» uR'. erm c s F ooR DORMER �_o Z REENPORT NY 11944 PETER A. GROBEN d �_��. _ DRA G'. -- N Y STATE LAND SURVEYOR ... a > WING TITLE LIG x050869 'x t q F.O.BOX-704 f �- 1 ➢ SITE PLAN&ZONING DATA RIDGE,NY 11961 �� ,., w F FRCF ` EXIST SrnY PROPERTY ELEVATION ' a tF, rw r �..F .. . x ur FALARM L_ICLEAn r: cWEL�nc 1 a O PRGP f LEFh' g N N�� m CO11 OL '' EEGROGN m#+�'"' LE%IST EXIST a ,,... rn t p FANEL GEEK TO GGNG O O—V in O N 0''eµ PAco FVC AIR LINE BE REMOVED BULKHEAD .4 5 G .' p wnw.nM'r AT TIE LINE , .. ...,,... (PER vAln 5PE..,5) .3 .MA Q= r�a ,w0 ES- o�.�.ww G y n�.�.", Ro.lUJIMAG AIR WOOD DECK E r... IppIIrrI .. �... EXIST FRAME RkG 911 D E.IET Y GARAGE (O EEDRGOM5) FRO 40 0 JUN,.T ON E fw r.^wwG151G6 *rC.Y OTC e6 E W T _ I.,... Q It MAN LE APR 2 5 202 7t, - � — _ — o 51:'G0Z 77,E WATER SJPFLY LINE G SRC*" EXIST GARAGE e DWELLING TO 'G ^+Fr�"r'�,,ey, SL MAINTAIN IO MIN 5EFARATION EHvN pR„r Leo ur. +' O'JTA '� FROM SEWAGE D SPOSAL SYSTEM [:IC„D. V I F LOCATION!CONTRACT -'.�x�A.d3.;J �"� 1 ARCHITECT IF SITE CONDITIONS A N 4. h11. Board of Tr x� FDUNO C-ERWISE a,.y6UI,dLefi(JECs ....� �..•,. � ,-� . Trustees ` T SITE PLAN IIELAB"C _ SCALE: -G'=10-G' I lW p w „W i Cantrell, Elizabeth From: John G. Stein <beverly2013@icloud.com> Sent: Tuesday,June 14, 2022 10:41 AM To: Cantrell, Elizabeth Subject: Recommendations-Amendment for DOUGLAS BRADFORD -Amend Wetland Permit # 10046 Located - 3705 Bayshore Rd - Greenport- SCTM # 53-6-16 CAC UNANIMOUSLY SUPPORT THE AMENDMENT... June 9th 2022 Above Amendment was Verified in Scope, Design, and Square Footage with the Southold Town Building Dept. in person on 6/9/2022 by CAC members on said date. John G.Stein-Chairperson CAC Sent from my Whone ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. ----- a. PROJECT,/_ZO_N1NG-DATr----- TAX`MAP z N FROF05ED 2ND ei ZONING DISTRICT R-40 INC. FLOOR DORMER Q w} �- -- - -- - - EXTENSION --- - - a Z LOT AREA 0.11 ACRES => -- ----- -_— PROPOSED 2ND 1.-FEMA FLOOD ZONE z1 AE FLOOR EXTENSION O C O 100'TRUSTEE5 (L Lin x WETLANDS DISTRICT Y ` ! SETBAGK� - >•0 MEAN HIGH WATER �m MARK 8 TIE LINE DEC DISTRICT I NON-JURISDICTION ~' I Q J a0 > t a APRIL 2H,2021 Z TEST HOLE DATA J>- MGDONALD GEOSERVIGES Z}g Z FOE 1258 N (63U 5(651) 65 119-!1 _—�I LL ED fb ,65-35 6T7 t- LO OL DARK BROWN'LOAM O 1.0' - BROWNCLAYEY •.' 1�,�,I 'I I'.. i '' sc SAND PROP.FUJIGLEAN !�I II� p',I II I �iVI II,IV� W _ GEN=245 NITRGGEN PROP.VO X:2'DEEP REDUCTION SYSTEM 6 F BRDWN FINE TO LEACHING POOL EXIST.BULKHEADLLI p sw conR5E 5�KITH —I I Iz�) ——— _ _— — ---I _=1 I I=1I I- == = 1=1 =1 _ =1 _ — — — _—�— _ _— F U 1 I—III— _ _ i t III—III—III '�, J, I III—III—III—III—III—III—III—III—III—III—III ll_—ILI—I I f—I I III—I I I_I I I—III—III—III—III I I I I I I I 66'_7 EARTH I—III- \�' I—III—III—III— — =1 =n 1 1 1=1 I I=1 I=111=1 , -1 11=1 11=1 11=1 11=1 11=1 11=1 1 1=1 I=111=1 I=1 I=1 I I=1 I=1 I=111=1 I—. I_I I-111=1 =111=1 I=1 I=1 I I=1 =1 I=111=1 i 1=111=1 I I=1 I=1 I I=1 I I=111—I i l—III—III—III—III—III—III—III—III-111-1 I—III—I I WATER IN SROYdI III=11,1-111-�-11 11-L11= El 12 I�-LL-llI= �_ -111.-111-III-1 I I I-1I I III-III-1I-III- I I-III-1 I-I-III-1 I- -1 I-I I-I I-1 -1 I-1 I- I-1I-III-1 I-1 I-III-1I -1 I-1I I-til-III-1 I_II= =w. FINE rG CAARSE EL:,.6 1 I=1 = — — — — =TI= =1 = — — =1 - 1= f I= — — = =1 =1 = — = 1=11=1 = 1=1 I=1 = I=1 1= = 1=I= =11= — = 1= — =1 =I=1 =1 = =1= — — _ =I= =1= —I SAND wITH Inas —I .EL:T.6'— GRJ.VEL - O z_ HIGHEST EXPEC,7ED iV GROUND WATER EL. 0.4' LOI-M,cNTSi 6ROUiAWATER ENGOLNTERED 66'EELOW GRADE ' 1 SITE ELEVATION SCALE:3/16"=1'-0" I I I LOT COVERAGE_ ___--- o I In - --- . DE5GRIPTION(FOOTPRINT) AREA I % LOT COVERAGE ilk r - , {� TOTAL LOT AREA x,396.0 S.F. I w a 0 d a 1 EXISTING BUILDING 1,362.0 S.F. , I EXISTING FRAME GARAGE 321.0 S.F. 4.390 I PROPOSED COVERED PORCH y 62.5 S.F. 0.895 z 1 TOTAL AREA OF ALL STRUCTURES 1-745.5 S.F. 23;69. N1 "`*MAXIMUM LOT COVERAGE ALLOWED -20% ��- 51TE LAYOUT NOTES: IA a r 1 I 1 I. THIS 15 AN ARCHITECT'S SITE PLAN 8 15 SUBJECT TO VERIFICATION BY A LICENSED APPROx.AREA of Exlsr. y PROP,20'0 PROJECT: SURVEYOR. THE INFORMATION sEPr1c SYSTEM; PER srnrRENaoAR�vs POLYLOK DIST. �� Ex15T. REPRESENTED ON THIS SITE PLAN 15 TO THE BOX(SAMPLIN6,ry STN ADE ARCHITECT'S BEST OF KNOWLEDGE. NIB°Oo'ao•E POINT) -m FENCE 1a,6,• BRADFORD 2.SURVEY INFORMATION WAS OBTAINED �. PROP FUJIGLEAn J RESIDENCE N� GEN51/A OWiS A FROM A SURVEY DATED NOV.23,2021 (vEnr To ROOF) i AND PREPARED BY: o / 52.5' 296 4,,0' 1i o G & A LAND SURVEYING INC. NEW NEW P / PROP lo'MIN. PROPOSED 2Nv n 3705 BAYSHORE ROAD F L.P. L.P. E. i rti rn PETER A. OROBEN -•\•- -'�; s.MN q FLOOR DORMER GREENPORT,NY,11944 N.Y. STATE LAND SURVEYOR - " - - - - LIG x(050869 NEW NEWS rs'- - 5' 2' 11 5B�. =G✓ DRAWING TITLE• P.O.BOX X04 D IN. a%b?m ' _ 16' EXIST.2 sTRY / I D SITE PLAN&ZONING DATA / U+ PROP. WD,FRAME / _ PROPERTY ELEVATION RIDGE,NY 11961 PROP A '{ (951)640-4899 N Q ^ poRGH m �R A° '� (a eE ulw n = PROP. NEW b'MIN. ✓ DROOM5) R-- ' O I I E.P. / L.P., = O, - CONTROL Y m 2ND FL,/ �DXEGK TO �� FANEL / BE REMOVED a S.O' PROP.J"PVG AIR LINE BULKHEAD L6'(PER MAW.5PEG.'S) 0 k.—AT TIE LINE PAGE: 5'MIN. 5'MIN. ~ `E%IST. I'LI}7 '111V71 I o . FUJIMAG AIR pRpp BLOWER WOOD DECK EXIST. T A G.O. O \ I �' •i EXIST. FRAME ❑- 16.0' E SE�AG\ 1' DRIVEWAY 6ARAOE Z 0 _ (O BEDROOMS) PROF,4" p_ � �ni, - JlNGTION f PROPOSED 2ND ti0 ,r` / APR2 5 2022 NANHOLE yoA -- I FLOOR GGRMER TD S Q I a 5 5,3°00'401 h - - EXIST.WATER SUPPLY LINE TO PROP.HOU PROP'WATER SUPPLY LINE TO E%IST.GARAGE S DWELLING:TO CONNECTION, DY:ELLIN6:EXIST.LINE SHALL MAINTAIN 10'MIN.SEPARATION BE RE-ROUTED TO ENSURE 10' Southold Town FROM 5EWAGE DISPOSAL SYSTEM. SANITARY LINE MIN.SEPARATION FROM V.I.F.LOGATION d GONTRAGT G G.O. SEIn DjSpLSAL SYSTEM. I Board of Trustees FOUND OGT IF SITE CONDITIONS FOUND OT,IECT IF IT �>, 3 51 TE PLAN SGALE:I'-O"=1O'-O" Glenn Goldsmith, Presidents" Town Hall Annex w A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski co 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: , Completed infield by: od AMP Architecture on behalf of DOUGLAS BRADFORD requests an Amendment to Wetland Permit#10046 for the demolition of existing dwelling (project meets Town Code definition of Demolition); remove existing sanitary system and install a new I/A OWTS system on the landward side of dwelling; and as previously approved, to reconstruct the 1,438.0sq.ft two-story dwelling; construct an 8.4'x36.2' (304sq.ft.) second floor extension; a proposed 1.8'x10.7' (19.26sq.ft.), and a 1.8'x11.9' (21.42sq.ft.) second floor dormer extensions; and a proposed 5'x12.5' (62.5sq.ft.) front porch. Located: 3705 Bay Shore Road, Greenport. SCTM# 1000-53-6-16 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,- Q a C1 r-: LA_� i ' 0 1 ��1 �"� . r ►'�I Present Were: G. Goldsmith N. Krupski X E. Sepenoski c� L. Gillooly X E. Peeples /XRCHrrECTURE Operating Business Address:1075 Franklinville Rd,Laurel NY 11948 Brooklyn Office:450 951 St,C9,Brooklyn,NY 11209 uc Laurel Office:1075 Franklinville Rd,Laurel NY 11948 Business Phone:(516)214-0160 Anthony Portillo:(716)572-4741 April 22, 2022 Southold Town Trustees P.O. Box 1179 Southold NY 11971 RE: Bradford Resdience 3705 Bayshore Rd Greenport NY To Whom It May Concern, We are requesting an amendment for Permit#10046. The Building Department reviewed the plans are considering this project a demolition. We are requesting the approved permit be updated to reflect a demolition. We also updated the septic system,which is shown on plans dated 4/21/22. Enclosed please find 4 copies of the plans for you to review. Please contact our office if you have any questions. Thank you, _ E C E WE Jessica Magee APO 2 5 2022 AMP Architecture,PLLC Administrative Coordinator Office: 516-214-0160 Southold Town Email.jmagee cr amparchitect.com Board of Trustees A M P Architecture Address:10200 Main Road,Unit 3A,Mattituck NY 11952 Phone:(516)214-0160 Design + Build April 29, 2022 Town of Southold ® E � E E P.O. Box 1179 Southold NY 11971 APR 2022 RE: Bradford Residence Southold Town 3075 Bayshore Rd Board of Trustees Greenport NY Elizabeth, Enclosed please find the updated LWRP and Short Environmental Assessment Form for the Bradford residence. Please contact our office if you have any questions. Thank you, Jess Magee 631-603-9092 Page 9 of I Board of Trustees Applicz', _ >:)n PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAM NAME: CIL-GCn J s 3 - 6 - Is s3 3y - 35- STATE 3,SSTATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of --F- , 20 , deponent mailed a true copy of the Notice set forth in the Boald 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 p pp 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 . 20 Notary Public NOTILm OF H ' AiE 10 % ING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 (\/lain Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: DOUGLAS BRADFORD SUBJECT OF PUBLIC HEARING: For an Amendment to Wetland Permit #10046 for a the demolition of existing dwelling (project meets Town Code definition of Demolition); remove existing sanitary system and install a new I/A OWTS system on the landward side of dwelling; and as previously approved, to reconstruct the 1,438.Osq.ft two-story dwelling; construct an 8.4'x36.2° (304sq.ft.) second floor extension; a proposed 1.8'x10.7' (19.26sq.ft.), and a 1.8'x11.9' (21.42sq.ft.) second floor dormer extensions; and a proposed 5'x12.5' (62.5sq.ft.) front porch. Located: 3705 Bay Shore Road, Greenport. SCTM# 1000-53-6-16 TIME & DATE OF PUBLIC HEARING: Wednesday, June 15, 2022 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES *TOWN OF SOUTHOLD * (631) 765-1892 r , Town of Southold w-RP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. -A-proposed Action -Mill-be .evaluat'ed. as, to. its sigiiu_ficat t beneficial and adverse effectsupon_the coastal area(wcl%includes-all of,Southold To)yn] 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. tfiu�j ea�eh answer must 'be L.ppWned:�in.detaili ,listing.both.supnorfina.,and':noir. -.suoporting.fids. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall.notae undertakem A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 53 = 6 _ 16 PROJECT NAME Bradford Residence The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: PROPOSED SECOND FLOOR EXTENSION,2ND FLOOR DORMERS,AND PROPOSED FRONT PORCH.- CONSIDERED A RECONSTRUCTION PROPOSED IA OWTS i r , Location of action: 3705 BAYSHOR E RD GREENPORT NY , Site acreage: 0.17_ Present land use: SINGLE FAMILY RESIDENCE Present zoning classification: R-40 NC 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: AMP ARCHITECTURE 10200 MAIN RD UNIT 3A (b) Mailing address: (c) Telephone number: Area Code( j 516-214-0160 (d) Application number;if ao:.. iq- Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes No0 If yes,which state or federal agency? C. Evaluate the project to thefollowing 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. I)VVELOPED'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 LJ No ❑ Not Applicable THE PROPOSED ADDITION, SEPTIC AND PORCH MAINTAINS THE COMMUNITY CHARACTER, - PRESERVES OPEN SPACE,MAKES EFFICIENT 09E OF INFRASTRUCTURE, MAKES GOOD USE OF COASTAL LOCATION AN,D MINIMIZES ADVERSE EFFECTS OF DEVELOPMENT. 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 0 Yes 0 Nom Not Applicable THERE ARE NO HISTORIC L OR ARCHAEOLOGICAL RESOURCES ON THIS,PROPERTY. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable THE PROPOS_ED WORK WILL NOT AFFECT THE VISIUAL QUALITY OR THE PROTECTION OF S=C RESOURCES Attach additional sheets if necessary 1 NATURAL COAST POLICIES i 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 ❑ Not Applicable THE EXISITING BULKHEAD MINIMIZES LOSS FROM FLOODING AND EROSION Attach additional sheets if necessary ` Policy 5. Protect and improv water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ] Y 0' No 0 Not Ai Yes cable WATER QUALITY WILL NOTlBE AFFECTED. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. D 0 M L 4 Yes No Not Applicable ALL PROPOSED WORK WILL TAKE PLACE BEFORE THE WETLANDS.NO CONSTRUCTION WILL BE OCCURING OR INTERR ,PTING COASTAL FISH AND WILDLIFE. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — PoIicies Pages 32 through 34 for evaluation criteria. 0 Yes 'Q No E] Not Applicable PROPOSED WORK WILL OT AFFECT AIR QUALITY Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See I]WRP Section III—Policies; Pages 34 through 38 for evaluation criteria. EI-Yes 0 No 0 Not Applicable ALL WASTE IS CONTROLLED AND'ALL CONSTRCTION DEBRI WILL BE DISPOSED OF PROPERLY. 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. 0 Ye�] No® Not App icable THE PRIVATE PROPERTY HAS NO PUBLIC ACCESS OR PUBLIC SPACES. Attach additional sheets if necessary 1 F 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. ❑X Yes ❑ No ❑ Not Applicable THE PROPOSED CONSTRUCTION WILL NOT AFFECT WATER AREAS OR SHORELINE. 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 pp 0 Not A Ilicable ,._ _ Attach additional sheets if necessary I Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation c�iteria. X 0,Yes 1:11 No❑ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑,Yes ❑ No ❑ Not Applicable � r PREPARED BY_ AMP ARCHI ECTURE TITLE DATE 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. IThe applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application or approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: BRADFORD RESIDENCE Project Location(describe,and attach a location map): 3705 BAYSHbRE RD GREENPORT NY 11944 Brief Description of Proposed Action: -Proposed 2nd floor extension(8.4'x 36.2') 304 sf and proposed 2nd floor dormer extension (1.8'x 10.7') 19.26 and(� 8'X11.9') 21.42. The extension works remains within the existing footprint of the building. -Proposed front porch ( x 1.2.5') 62.5 sf -The proposed work is c1'risidered a reconstruction. -Proposed IA OWTS Name of Applicant or Sponsor: Telephone: 516-214-0160 AMP ARCHITECTURE E-Mail: JMAGEE@AMPARCHITECT.COM Address: 1075 FRANKLINVILLE RD cityiPo: LAUREL State: NY Zip Code: 11948 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES, administrative rule,or regula ion? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that F may be affected in the municipality and proceed to Pail 2. If no,continue to question 2. 2. Does the proposed action re uire a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: TOWN OF SOUTHOLT ZBA AND BUIDLING DEPT. F-1- 3.a. 3.a.Total acreage of the site of'he proposed action? acres b.Total acreage to be physically disturbed? 01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicat or project sponsor? 0.17 acres 4. Check all land uses that occu�on,adjoining and near the proposed action. ❑Urban E]Rural (non-agriculture) ❑Industrial E]Commercial OResidential(suburban) ❑Forest ❑Agricul ure El Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under tile zoning regulations? ❑ a ❑' b.Consistent with the adopted comprehensive plan? Q ❑X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? I ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑X ❑ 9.Does the proposed action meet or exceed the state energy code requirements? ; NO YES If the proposed action will excded requirements,describe design features and technologies: ❑. X. 10. Will the proposed action c Innect to an existing public/private water supply? NO 'YES If No,describe methodlfor providing potable water: A- 11. 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ X ' 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b. Is the proposed action to ated in an archeological sensitive area? Ml El 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? in ❑ b.Would the proposed actioll physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or w�l terbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban [ Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES b the State or Federal overniment as threatened or endan-ered? y- - g I b M ❑ 16. Is the project site located in th6 100 year flood plain? NO YES TXT F1 17. Will the proposed action creat storm water discharge,either from point or non-point sources? NO 'YES_. If Yes, X a.Will storm water discharges ow to adjacent properties? ❑NO ❑YES ❑. ❑, b.Will storm water discharges be directed to established conveyance s stems runoff and storm drains)? g Y Y ( ) If Yes,briefly describe: ❑NO ❑YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size . - Q 19. Has the site-of the proposed action or an adjoining property been the location of an active or closed NO. YES, solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES i completed)for hazardous waste? j If Yes,describe: a` I AFFIRM THAT THE 1NFORNIATION PROVIDED ABOVE 1S TkUE-ANI)ACCURATE TO THE BEST'OF MY KNOWLEDGE Applicant/sponsornarne: Anthony Portillo Date: 4/29/22 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" i - No,or Moderate small to large impact impact M may may occur occur 1., Will the proposed action create a material conflict with an adopted land use plan or zoning - regulations? a 2. Will the proposed action result in a change in the use or intensity of use of land? El 3. Will the proposed action impair the character or quality of the existing community? a : 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of Critical Environmental Area(CEA)? ElEll 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? , '6. Will the proposed action cause an increase in the use of energy and it fails to incorporate _reasonably available,energy conservation or renewable energy opportunities? -_ 7. Will the proposed action impact existing: a.public/private water supplies? -_ I- b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? Ei IEJ 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, (� waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. F] Check this box if you have determined, based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer { Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) - — I PRINT Page 4 of 4 I I Glenn Goldsmith,President �rjF SUVjy Town Hall Annex A.Nicholas Krupski,Vice President ,`O` �� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 olyCOU ,� 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 - I?Xe-coristructiri;'liay=bate=line/ 'ift;'bbomisilt cura�in. • -1St day of construction % constructed When project complete; call for compliance inspection; l i d"` gii�`iiin• �ioii'iie�. -� _ SCe Ji 0�0•�•' �1f��• _ _ � ,v =ns<.'3,z - sri.y.:, - ' ��°0111 0►/°F - � pt 111°➢�:, - � Op/ /1 rr�e•``` ae� eeq« -_ �eloo'iini$« _ �•iFa'ieo•o:. _ - ?ie a��•:;'•"_ / 01 / � '- 'p I/ '.' p P OIl �' -,� "0 111 (11 r• - -'C°p11 P6/°0 ��"id�lpp 01°h•., =_� /0'•`I - >•'\\ /��i�sn;:;trs��'� / o •`\il 0%i.. "i\1 /O�o•� •e\\A ly�•s:�t _ •. 1 ////, �- z 7�"%. "'` �.." _ _ _y�yutG ��,,�'`ut _."rte^-.,� • ,. -�` � > `i�> e ../ S �^1" e �G o tib ��y � ',%1 e -'� � -i 1 Z ;� > �,��..,�_ e:•• > \��ti"r!'k,Y:f:4'�n��:>".Y".'«!Sb!T4T:S�Y,'H'7T5'''?x.8/:S'X.Sr19N.'-"11,'4Scc'„4;5!?:�",2SP<'�uf!".'�£!?.'J','�'.>''�Y'!.'md`Sr'.'�°'',.�•"YI�S�'a`'4t�/,"�',ffi4.'.''?''2�sTr,.:."'"�'"!S',�'°fop"�'''gym"'".�X�l4Sd'S°'1;:�'k�':&f1.C'hSJ.'?'.Ylk!PSI,?':L"S„M45".;'�'!kCS,:E:.G�,ti'�'!!'Stiy'"4s;4!,'�'!.lf'k.,'''''.!R'd'f�n4�>�.>mwvn,18S'.�1z:�:.''�'+�•'�= ri "+� a a 111 BOARD OF SOUTHOLD TOWN TRUSTEES .= SOUTHOLD, NEW YORK PERMIT NO. 10046 DATE: DECEMBER 15,202t r ISSUED TO: DOUGLAS BRADFORD PROPERTY ADDRESS: 3705 BAY SHORE ROAD, GREENPORT SCTM#: 1000-53-6-16 'I ' AUTHORIZATION :.� Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in rcc� accordance with the Resolution of the Board of Trustees adopted at the meeting held on December`15, 2021, and in consideration of application fee in the sum of$250.00 paid by Douglas Bradford and subject to the 10 Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: ti m '4 Wetland Permit for the existing 1,438.0sq.ft. two-story dwelling and to construct an 8.4'x36.2' ,' (304sq.ft.) second floor extension; a proposed 1.8'x10.7' (19.26sq-.ft.),and a 1.8'x11:9' o (21.42sq,ft.)second floor dormer extensions; and a proposed 5'x12.5' (62.5sq.ft.) front porch; 01 and as depicted on the survey prepared by G&A Land Surveying Inc.,dated November-23, ' 2021,and stamped approved on December 15,2021. 11✓ IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be-affixed, and these; e; } presents to be subscribed by a majority of the said Board as of the 15th day of December,2021. A 9 9 L /%1- FO coo eg Williams - Absent F, •i 111 � 1 P%o - :,ao 7 { ,/ �3,a�xZY+;a`F'i 7d3,��3A1'7.va>�e9`�'iCPY?ii'xriPu�'cif.J5i'�ud��`WerM�,�i'S`„�'rriall�"'id"lSu.>.."�."Pe C•5"�"i7°vis'dvr•','u'�SSns3�33�iAC"ii¢i��iCS'�'G�iuNXiau;[a�S'n�5`7�"oe4..�"ie?Y•e�'Sta"'�3YaknXT',i•S\�.ur`n1`?�4R� i[ P:�i yr�S,"" � v i°ol/ 1 e,. ..r�!/ 11,N•,i; - iO:OIB 100,,.. _ - .arl/! 11i,.r - °�l I�eP _ a;0 160..E _ — •rll 11�e x.4:6::1°I`1°;.. - � -_•I:dli�:.:'�'•. - _'�'.,dd„�:�!:�^_”_ _. ••.°.;:�:.4let:•" - --_��'S�e�,..a,A°14;.._ •:;,/ed:ale°�'°_- -_•�A:di�:_:�10:�,'. _ TERMS AND CONDITIONS The Permittee Douglas Bradford, residing at 3705 Bay Shore Road, Greenport,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,`to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President ��OF SOU�y� ' Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25- P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J.Domino G Q I Telephone(631) '765-1892 'Greg Williams �� Fax(631) 765-6641 �yc4UNT`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 17, 2021 Anthony Portillo AMP Architecture, PLLC 1075 Franklinville Road Laurel, NY 11948 RE: DOUGLAS BRADFORD 3705 BAY SHORE ROAD, GREENPORT SCTM# 1000-53-6-16 Dear Mr. Portillo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 15, 20211 regarding the above matter: WHEREAS, AMP Architecture, PLLC.,,,on behalf of DOUGLAS BRADFORD 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 August;18;_202.1,-and, - WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinatorfdr their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found, Consistent with'the Local Waterfront Revitalization Program policy standards, and, WHEREAS; a Public Hearing was held'by the Town Trustees with respect to said application on November 17, 202-1 and December 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, i I I I 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, i WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, 'RESOLVED, that the Board of Trustees have found'the`application•to'be Consistent-with the Local-Waterfront Revitalization Program; and, RESOLVED, that the'-Board of Trustees approve the-application of,DOUGLAS BRADFORD for the existing,1,438.0sq."ft. two-story dwelling and to construct an 8.4'x36.2' (304sq.ft.) second floor extension; a proposed 1.8'x1-0.7' (1.9.26sq.ft.), and 1.8'x11.9' (21.42sq.ft.) second floor dormer,extensions; and a proposed,5'x12.5' (62.5sq.ft.) front porch; and as depicted on-the survey prepared by G&A Land Surveyind,kc., dated November 23;2021, and,stamped_ approved on-D`ecember•15, 2021. Permit to construct and complete project will expire two,years.,from�•fhe'date the;permit'is signed.- Feesimust be paid, if applicable•, and permit issued within--six moriths•of the date of this notification: : Inspections a"re-required at a fee,of$50.00 per inspection., (See attached schedule.) Fees:-$50:00 Very truly,youirs, r lenn Goldsmith President, Board of Trustees GG/dd I LOT 66, AMENDED MAPA , PECONIC BAY ESTATES" SURVEYED.23 NOV 2021 FILED 19 MAY, 1933 AS FILE NO. 1124 AT ARSHAMOMOQUE, 'k DEC 6 2021 ° TOWN OF SOUTHOLD SUFFOLK CO., N.Y1.47 L TBH2POL 8.61 •GB Southold'town ` SCTM 1000- 53- 06 - 16 �0 ,3.53 NG Board of s0 31.2 4opm SCALE: 17=20' 7.42 UP49 ��Q 1.37 HW�Z NorEs: 0 8Z h� colicstl.5 G "O AC:ASPHALT 1�Z AP:ANGLE POINT -� 8� BB:BELGIAN BLOCK m �® , O"E coNcBH C7 °00 4 6.92 rroass• gr"� O BLD:BUILDING w 3 O CD:COMPOSITE DECK o l l \ rI 13!001 .6.45N = ' a a 8 GRA V 5.75 CL:CENTERLINE �,N WAL 1.e S• 53• °° N z w SLAB 8.42CDAP t7� ^ EX=EXISTING c \ BC2FSLT 7.62 2' 70N� ' EX.SS.LAT.:EXIST "' \ 6.3� •. S EX GR4V 6.21 n n O SEWER LATERAL r FF:FINISH FLOOR GEN AP FHV:HYDRANT VALVE m �� \ TCAP 7.40 NyL FENCE ZpPT 6'r ,3 ��,� pE, / S 9g NG .r© m•.mac c 2 0 gg6PCC !7�/ GB:GRADE BREAK n ® �.® 0.9 C'g 12•�OP GL:GAS LINE n �a \� EX.�IVAP 16.17 a N \ GR4V6.42 1.38N �� NG:NATURAL GROUND _, go N ? ® v PCC:CONCRETE o .4 ovoft ® 6 w Z S \ T ® mA POL•POINT ON LINE N°' 7.38 VFPFINT VEOIA -A og 3 (-PROPOSED) EP,gp 6 67 ` /Y/��EN GK P \ �° w �'� 9.14 $t \\ `s �° TBNAP ® TY DE BKAP6.9 �1 C FF . y c+o o� SRF:SPLIT RAIL FENCE AC 7.30 ® o w ® o g,0 0•2S SSMH:SEWER MANHOLE Z ® / �, a► r g ® SET 6• • `O TBH:TOP BULKHEAD ® / s�& r $ tw \ 70 80p 6 02 TBR:TO BE REMOVED O° 80DSET pcAP OC 6 8 g' � �, m �� 0 BHWDAP 01N 5.93 WBHAP TC:TOP OF CURB � G) g 99 B EG6.8 -� SIN ® We ' zo 1.70NG TG:TOP OF GRATE .` $c BKAP 7.00 5Z 9 b m Z 4 �w� n 5 92 TBHWDPOL TH:TEST HOLE N ® -�p \ 31' 7.2 �* 6.90 NG TW:TOP OF WALL GRA VAP 6.41 -,, C GARAP 7 00 B GRAVAP \ GK ® z U/L:UPPER LEVEL 0 UIP:UTILITY POLE EP 6.48 O : 6.94 6.69 77c '® ® NGGRAV 6.23 w WF:WOOD FENCE o• FF 6' ® ® � 1 •97 1.63 NG M' ' WV:WATER VALVE v�, O 7D - "VII x VF:VINYL FENCE GR4VAP 6.67 FF '1�A 3°oO��O CMFD 6.75 ► „6.74 NG S 7.01 BKPCCAP 12.0 Ipp GRAVAP6.31 6.69WM A PR _ , Y OF Ne =CONC.MONUMENT AC 6.71' EPAP 6.28 e, 6.450 ® CAP BOARD 'OF I RUSTEE,S Co •per TOWN'OFSOUTHOLD LOT=7,396 S.F. TO TIE LINE 6.55 ®ATEn 6.83 80DSE'T BKPCCA Dewig&-i2 I s'l ZDV a .0.80 WP EPAP6.25 m % " !�B O e ap 0 THE OFFSETS OR DIMENSIONS SHOWN HERON FROM THE PROPERTY LINES TO % THE STRUCTURES ARE FOR A SPECIFIC PURPOSE&USE.THEREFORE,THEYARE � -lob � LAND SU TV� . 50869 NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES,ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT -" -'-'- --- P.O. BOX 704 RI GE, NY 11961 UNAUTHOR2ED ALTERATIONS ORADDITIONS TO THIS SURVEYISA VIOLATION OF 951.640.4899 SECTION 7209 SUBDIVISON 20 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BEA VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM ISLAND VIEW LANE FEMA FIRM MAP NO.36103CO159H THE SURVEY IS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY,GOV- .6.49 AC 6.27 EP COMMUNITY NO.360813 SOUTHOLD ERNMENT AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. NO RESPONSIBILITY IS ASSUMED BY THE UNDERSIGNED FOR ANY SURFACE, SUB- ELEVATIONS SHOWN HEREON ARE REFERENCED TO NA VD 88 SURFACE, AERIAL EASEMENTS,SUBSURFACE UTILITIES AND/ OR STRUCTURES IN OR OUT OF EASEMENTS IF SO PROVIDED. SCTM 1000-53-06- 16 ,7l Douglas Bradford 1,c 3705 Bay Shore Road,Greenport - CTM#: 1000-53-6-16 { 11/9/21 ItA lip- U IK �- 4 .:-. - � � e.• �.�' ,.` ter ti� � [ \ , j � �� \��\ "�� yeti.:• ^" t � .... �F'� �S� F 11. J� 1 �•T�8 {� J`1�:... 1 ' '{,b' J f 1�. S ✓r*y �9�� -4, ,{ y•k�� A 1 �"{.,-16r t.��}.�0 i�'�, \. Q 3s?��`. ,.s.i'"L•c..,- S, y�yy (.,3 Y �..ye� {�� SIA �! it�nv �i '+L,. { QIT ,Df k y �T J s Y wr,�� xa V a fi &tt � �� L14Y ;1" ''� '. ♦♦y �yf' ltt'{� t1t� ti°� + ' J'•! h � � •,�' I n +��, :.r��a.''�' 1F'4 4 . ;{ ik 5 � � 4 J ,d��r �� s r R "�+,,+i�,{P,l ��,Z,�• ` ,�`_ {��l ��t! v fir)• Y "i9e' i i .,� 7Z ;� Q� '� MAN, IF Y,r m v C 44et ,•.pr ' i •1 9(j�** 1 1 �+;•' At ,�. 1 ,c' ,'r � '.1 / (.�' ��cif 3 ��w". i. -'{1� �4. J. �♦ � '��.1`��t • ®��guFF01�c®G Glenn Goldsmith, President ,� 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 a1 �a Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: DOUGLAS BRADFORD c/o AMP ARCHITECTURE Please be advised that your application dated August 18, 2021 has been reviewed by this Board at the regular meeting of December 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) V1 Day of Construction ($50.00) % Constructed ($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. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees . i • i F (('' ED MAP A , PECONIC BAY ESTATES" SURVEYED:23 NOV 2021 `"JMAY, 1933 AS FILE NO. 1124 AT ARSHAMOMOQUE, j s DEC 6 2021 TOWN OF SOUTHOLD �� v k� -- SUFFOLK CO., N.Y. 1.47 TBH2PoL 6.61 �Ge Scbuthold Town SCTM 1000- 53 - 06 - 16 g 3.53 NG Board of Trustees,,-,_..-_,._ j2- 7.42 2 4OPm SCALE: 1"=20' 7.42 UP49 �� 1.3Q1{5 V1 NOTES: C 87 h� GpNCB AC:ASPHALT .59NG AP:ANGLE POINT )1 �� H0,1N ��as* • o BB:BELGIAN BLOCK m °E COH� -�xr C7 poo�� 6.92 NOase. l 1f K O BLD:BUILDING p l .6.45NG = ' O CD:COMPOSITE DECK � O�C N n z 6 S 8 GRAV 5.75 a CL:CENTERLINE �,� puC 1. �' N EX.=EXISTING w H \ BC2FSLT 7.622'S��W �� 8.42CDAP EX.SS.LAT.:EXIST "�c \ 7°NOg/3� .. 5 6.62NG GRAY 6.21 A o SEWER LATERAL , a r a'P 6p° _ SMP. i N FF:FINISH FLOOR �• ® � -1 c G 'o O FHV:HYDRANT VALVE m \ TCAP 7.40 NyL FEN�'E G ZDPT g•T1 .3 o- ��,� CE S 6.99 NG P �© m C 2.0 SgPGG GB:GRADE BREAK GL:GAS LINE nm� \ / c, � \ �/ t.O 0.92312`\OP O a -� c Cp GRA V 6.42 NG:NATURAL GROUND 1 EXIVAP 18.17 a, p w 0,N ® m PCC:CONCRETE as o .w / tom- o Gn• -� �� tris ® r POL•POINT ON LINE N°' 7.38 VFPFINT AVE 0 COMp Z Zt O - e S (=PROPOSED) EMAP 667 TBza OPEEGK P. \ �° w T-�'� 9.14 `\ 1m ® a, -AT13HAP 1r SRF:SPLIT RAIL FENCE AC 7.30 ® ® 1 0 BKAP6.9 -4 0 -n FF N ® o g.0 As SSMH:SEWER MANHOLE Z ® �' ,� v \ ® SET 6. `° TBH:TOP BULKHEAD ® aw m % iw \ 70 80D OZ TBR:TO BE REMOVED Oo 80.SET ® yCAP OG r 8 g' ; in ,,os,�c BNUdDAP g 1N 5.93 V�BHAP G> fit 9 6 I,fl g.8 1300" _ TC:TOP OF CURB O g,9 EG -A �,� / W o • 1.70NG TG:TOP OF GRATE .` $� N SKAP 7.00 5$ p m 2 4 �°"0` n * 5.92 TBHWDPOL TH:TEST HOLE v� O. . • P 3�' G72 6.90 NG `t TW:TOP OF WALL a, 7,00 B�' ,( U/L:UPPER LEVEL GRAVAP 6.41 w� GARAP Gy�P GK V® a UIP:UTILITY POLE O EP 6.48 O 6.94 g•g9 g.q7 ® ® NGGRA V 6.23 163 NG WF:WOOD FENCE O G) Fr' ® ® � ,��7.97 � WV:WATER VALVE o N O w wW Fs VF:VINYL FENCE CMFD 6.75 C GRA VAP 6.67 FF 24'� ,6.74 NG s 1voo��o c 701 BKPCCAP O 12.0 GRAVAP6.31 6.69 Vl/M ®�© o+ =CONC.MONUMENT AC 6.71' EPAP 6.28 �aSS GAOF N�� y 6, Q° G LOT=7,396 S.F. TO TIE LINE ro 6.55 sr e 6.83 8ODSET BKPCCA .0.80 WP EPAP6.25 THE OFFSETS OR DIMENSIONS SHOWN HERON FROM THE PROPERTY LINES TO Q� THE STRUCTURES ARE FOR A SPECIFIC PURPOSE 8 USE.THEREFORE,THEYARE LAN c . 50869 NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES,ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT. P.O. Y 11961 UNAUTHORIZED ALTERATIONS ORADDITIONS TO THIS SURVEYISA VIOLATION OF 9 r 99 SECTION 7209 SUBDIVISON 20 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BEA VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM ISLAND VIEW LANE FEMA FIRM MAP NO.36103CO159H THE SURVEY IS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY,GOV- ,6.49 AC 6.27 EP COMMUNITY NO.360813 SOUTHOLD ERNMENTAGENCY AND LENDING INSTITUTION LISTED HERE ON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. NO RESPONSIBILITY IS ASSUMED BY THE UNDERSIGNED FOR ANY SURFACE, SUB- ELEVATIONS SHOWN HEREON ARE REFERENCED TO NA VD 88 SURFACE, AERIAL EASEMENTS,SUBSURFACE UTILITIES AND/ OR STRUCTURES IN OR OUT OF EASEMENTS IF SO PROVIDED. SCTM 1000-53-06-16 •b � Douglas Bradford f' A 3705 Bay Shore Road,Greenport tlF x,• . 4. I b �� y[� ' CTMq: 1000-53-6-1619 11/9/21 '• �4' i _� -�L.P _ ( tr, '��``'�.�' •fi` ''��Q'�,' ;'s'yi'�+.�'Y r�#";r�'' '''.�R '� '�'• �R ,w•. .;.fr +^"x! �.`�':-��--�.. ,,(`gy�e -4�.��^I�d �. ,�• �1'i°' "4�' \tP� �b $, � +� ( � J 1�!'a4"'�`b k� F�f'3iw,Wr b•`�` "[•.�' C Mr � \ �� _f :�e y �pt1" � i s�' �', � �:t �� .1,k�Yp(,,�, tom• -!+h .A. 14 �, .,, - .Ai�r� ' tr p •:y � ' b�',. tp � -` JT` a�!1 �.fl vim. :� `1 ' �� r �t p 9 � � ',� �� .J"�.! -t ,^ .'��t•h e.j:�i � `�, -��A � ��Mll�♦ �\ b�r�R,l• ..'i li,.. �\\ ,'}`,b LAY 5 Town Hall Annex Lit Glenn Go ith, President A.Nicholas Krupski, Vice President 'ry A0 :yF 54375 Route 25 John M. Bredemeyer III 3 �, P.O. Box 1179 Michael J. Domino15 Southold,NY 11971 Greg Williams Telephone(631)765-1892 y , Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time. Completed in field by: � } AMP Architecture on behalf of DOUGLAS BRADFORD requests a Wetland Permit for the existing 1,438.0sq.ft. two-story dwelling and to construct an 8.4'x36.2' (304sq.ft.) second floor extension; a proposed 1.8'x10.7' (19.26sq.ft.), and a 1.8'x11.9' (21.42sq.ft.) second floor dormer extensions; and a proposed 5'x12.5' (62.5sq.ft.) front porch. Located: 3705 Bay Shore Road, Greenport. SCTM# 1000- 53-6-16 CH.275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: I II _ Unlisted Action Type of Application: —Pre-Submission Administrative Amendment ✓ Wetland Coastal Erosion ._Emergency Violation Non-Jurisdiction Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other PE2C7JEGT:/•ZONING'D 4T,-P ;'. o t m a. TAX MAP 1000-53-Ob-Ib L ZONING DISTRICT R-40 NG ¢ Z O NZ LOT AREA O 1-7 ACRE5 _ PROPOSED 2ND — — � m o FEMA FLOOD ZONE AE FLOOR DORMER _ } 00 m WETLANDS 015TRICT Y EXTENSION _ PROPOSED 2ND = o DEC DISTRICT NON-JURISDICTION 100' TRUSTEES - FLOOR EXTEN51ON MEAN HIGH WATER a W 5ETBAGK MARK $ TIE LINE z ®®® i azo I I I 0: n in X50 aj – _ EXIST. OULKHEADI _i= I=11-1171-111-1171-111-11_ _- I-1 I-1 I I-1 I I-1 I hI 11=1 I I-1 I I-1 I-1 I I-1 I I-1 I I-1 I-1 11=111=1 I I-1 I I-1 I I=I 1 I-111=11 I=-___ _= 1== 111=1 1=1 11=1 I I–Ill_Ill–I L-111_1 11_II�–I�_I I(_I I_1–Ill–I I_I I_Ill_I I_I I JJ_I 1!_111–Ill L _ L I I _ _ _ _ _ _ _ _ _ _ 1 - - - - =1=1 =1 11=1 11=1 11=1 11=1 11=1 11=1 11=1 I=1 1=1 11=1 1=1 11=1 11=1 I MI 11= 1=1 11=1 I 1=1 I–I III I I–III–I I_I I_I - -LI 1=1 I�_–J 1=1 11=1 11=1 11=1 11=y I I I I I I I i–I 11=1 I I_Il_I I I_I I I–L–I I I_I I_Ij I–I i I–III III_III–IIi–III–I I I_I I I_ll I_I I I–I I I�I I(–III ll I I – _ – _ – X 1 _ 1 1L J 11=1 11=1 11=1 11=1 11=1 I–I 1=1 11=1 11=1 1=1 11=1 I f=1 1=1 11=1 –IIi I I I=1 11=1, 11=III=III=111=III=111=III=III=EXISTING=111=1 I 1=1 I 1=1 I I–I I ITI I I–I I1=1 I f=-III–III–I I Ll I I–III–I I LI I I–III–III–III–III–III–III–III–III–III–III-1 — - – _ –__ =1 =1 I 11=1 11=1 11=1 I–I I_I I I–i 11=1 11=1 11=1 11=1 11=1 I I_I I I–I 11=1 I_I I_I 11=1 I I_I I i_I 11=I I-1 I I_I I i–I I I_I I I–III–I I I_I I–i 11_111_11_III_III_J I_I I I_ILI_I I I_�I_�LI–I I i_I I I-1 I I 1 I�–I I I_i I I_I I I_I I I__i I I–I 1 I_i I I I___ —1 I I–IIi-1 I I, 111 II II I ILI I I II I –EARTH �=1 11=III=I I�I I ill 1 =III=III-1 11=III=1 I I-1 11=III-I 1-1J=11 11=III-III=1 -1 11=1 I ILI =III=III=1 1=1 I=1 i=1 1=111=111=111=II I=I 11=I 11=I I I=1I L-111=111=I 11=I 1=1 I=ll=1 I f=111=1 11=L=111=1 1=III "' "' "'I EL• �C ==1 =–i=i =— J 11 _ I jI t I ' 1 Y k O3 e4. 40 1300' t� eA tz S 9-7 ►, ( o� I _ _ -�, - �N -- 2°t.3•_ u, _Ga�G w"` "a 85 y ¢! ISLAND VIE ! LANEr SUR VE y L T 6 �g91 AMENDED MAP A, PECONIC EA Y ESTA TES L 0 T CO VERA GE (EXI S TING) FILED MA Y PR,1933 AS MAP NO 1124 = 24% A T ARSHAMOMOQUE O T COVERAGE (AFTER TOWN OF SOUTHOL® -� OP,S TRUC TION) - 24.2% SUFFOLK CQU�+t'T Y N. Y �{� •��--�� 1000 - 53.- 06 - 16 U AUG 1 g 2 Scale: ' = 30 021 i Ma 16 1994 - - Southold Town ' ' FLOOD ZONE AE W (3) ocr. 23, 2000 Board of Trustees FIRM 36103CO159 G NOV, 3 2000 I ro additions ) t MAY 23, 20C! (REVISIONS 8 ADDITIONS) AREA = 7,396 sq: ft. JLIL_y 4 ' to tie lire FINISHED FL 0O EL E VA TION = 10. 7 CRA WL SPACE EL SVA TION = 5.6 � ,� OF ELS� TVNS AAV CONTOW LAW ARE REFERENCED S Q T ANY ALTERATION OR ADDITION TO SURVEY IS A VIOLATION OF SECTION 7209 OF THE AEW YORK STATE EDUCATION LA Jr EXCEPT AS PER SECTAW 7209 - S&MIKSION 2, ALL CERTFrATIONS MWM ARF VALD FOR TtS MAP AND COP'S THEREOF OK F I SAD MAP OR Cc s BEAR THE OeRESSED SEAL OF THE SMVEYOR NQS 'LIC. NO. 49618 if WMOSE MM TW APPWS hEffE'ON. 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O � ==W== �__,+--_ �,I` Real Property Tax Service Agency v � N �.W_ - - --- --`-- - --•-- :;' CwnYC,Mvxh�M10.N,HM M asx am 053 �xr,Nel>`x�0 `^ — aww --.-- "...,^--w-- �•• r n r exr A ,aicT xO 1000 P 0e0 PPOPERTY IMP OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex �' P.O. Sox 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: June 7, 2022 Re: LWRP Coastal Consistency Review for DOUGLAS BRADFORD SCTM# 1000-53-6-16 AMP Architecture on behalf of DOUGLAS BRADFORD requests an Amendment to Wetland Permit #10046 for the demolition of existing dwelling (project meets Town Code definition of Demolition); remove existing sanitary system and install a new I/A OWTS system on the landward side of dwelling; and as previously approved, to reconstruct the 1,438.0sq.ft two-story dwelling; construct an 8.4'x36.2' (304sq.ft.) second floor extension; a proposed 1.8'x10.7' (19.26sq.ft.), and a 1.8'x11.9' (21.42sq.ft.) second floor dormer extensions; and a proposed 5'x12.5' (62.5sq.ft.) front porch. Located: 3705 Bay Shore Road, Greenport. SCTM# 1000-53-6-16 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 Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Honorable Lori Hulse, Attorney ,.t IN, John G.Stein,Chairperson 'too Town Hall,53095 Main Rd. Lauren Standish,Secretary %At P.O.Box 1179 ' Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., June 8, 2022 the following recommendation was made: Moved by Carol Brown, seconded by John Chandler, it was RESOLVED to NOT SUPPORT the application of DOUGLAS BRADFORD to Amend Wetland Permit#10046 to reflect a demolition and new updated septic system. Located: 3705 Bayshore Rd., Greenport. SCTM#53-6-16 Inspected by: John Stein, Caroline Burghardt, Carol Brown The CAC does Not Support the demolition because the new construction is not in compliance with Ch. 275 wetlands. Vote of Council: Ayes: Carol Brown, John Chandler, Shannon Wright, Inga Van Eysden Nay: John Stein, Caroline Burghardt Motion Carried 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 11 � Telephone: 631 765-1938 971 � � Y� 11, Z14P LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: November 15, 2021 Re: LWRP Coastal Consistency Review for DOUGLAS BRADFORD SCTM# 1000-53-6-16 AMP Architecture on behalf of DOUGLAS BRADFORD requests a Wetland Permit for the existing 1,438.0sq.ft. two-story dwelling and to construct an 8.4'x36.2' (304sq.ft.) second floor extension; a proposed 1.8'x10.7' (19.26sq.ft.), and a 1.8'x11.9' (21.42sq.ft.) second floor dormer extensions; and a proposed 5'x12.5' (62.5sq.ft.) front porch. Located: 3705 Bay Shore Road, Greenport. SCTM# 1000-53-6-16 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 and therefore CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney �'S'af F4t, John Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 " Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., November 10, 2021 the following recommendation was made: Moved by John Stein, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of DOUGLAS BRADFORD to construct a second-floor extension 8.4'X 36.2', 304 sf. and a proposed second-floor dormer extension 19.26 sf. and 21.42 sf. within the existing footprint of the existing dwelling, and to construct a front porch 62.5 sf. Located: 3705 Bayshore Rd., Greenport. SCTM#53-6-16 Inspected by: Maggie Merrill, Caroline Burghardt, John Stein Vote of Council: Ayes: All Motion Carried Michael J.Domino,President '� Sot !' Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ":", . , ,I Telephone(631) 765-1892 Greg Williams ll, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application k Wetland Permit Application Administrative Permit Amendment/Transfer/Exten ''o Received Application: ® s,zi Received Fee: $ Completed Application: Incomplete: SEQRA Classification: TypeI Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent):_ 'LWRP Consistency Asses men Form Sent: _-- (��2 p p� VDate AC Referral Sent: 10 -7 M ® v� lS ll U of Inspection: �' a� Receipt of CAC Report: AUG 1 202' Technical Review:_ Public Hearing Held: Resolution: Southold Town Owner(s)Legal Name of Property (as shown on Deed): Douglas Bradford Mailing Address: 3705 Bayshore Rd Greenport NY 11944 Phone Number: 914-557-9097 Suffolk County Tax Map Number: 1000 - 53-06-16 Property Location: 3705 Bayshore Road,Greenport (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): AMP Architecture Mailing Address: 1075 Franklinville Rd Laurel NY 11948 Phone Number: 516-214-0160 WSed_' Board of Trustees Applies--ion GENERAL DATA Land Area(in square feet): 7,396 SF Area Zoning: R-40r NC - Previous use of property: Single Family Residence Intended use of property:----- Single Family Residence ` Covenants and Restrictions on property? Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? X Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure (s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date 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):. - Proposed 2nd floor extension (8.4'x 36.2') 304 sf, and proposed 2nd floor dormer extension(1.8'x 10.7') 19.26 sf and(1.8'X 11 9') 21 42sf The extension works remains within the existing footprint of the building - - Proposed front porch (5'x 125) 62.5 sf Board of Trustees Appli.tion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: - Proposed 2nd floor extension(8.4'-x 36.2') 304 sf and proposed 2nd floor dormer extension 1.8' x 10.7) 19.26 sf and(1.8'X11.9')21.42 sf. The.extension works remains within the existing footprint of the building - Proposed front porch (5'x 12.5') 62.5 s Area of wetlands on lot:_ _ 0 square feet Percent coverage of lot: 24.6 % Closest distance between nearest existing structure and upland edge of wetlands: - _ feet Closest distance between nearest proposed structure and upland edge of wetlands: - feet Does the project involve excavation or filling? X No Yes If yes,how much material will be excavated? - cubic yards How much material will be filled?_ cubic yards Depth of which material will be removed or deposited: . - feet Proposed slope throughout the area of operations: LAND IS FLAT Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): WETLANDS ON THE PROPERTY WILL NOT BE AFFEECTED BY THE PROPOSED AREA OF CONSTRUCTION 617.20 Appendix B Short Environmental Assessment Form Instructions for Comnlctin2 Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: BRADFORD RESIDENCE Project Location(describe,and attach a location map): 3705 BAYSHORE RD GREENPORT NY 11944 Brief Description of Proposed Action: - Proposed 2nd floor extension (8.4' x 36.2') 304 sf and proposed 2nd floor dormer extension (1.8' x 10.7') 19.26 and (1.8' X11.9') 21.42. The extension works remains within the existing footprint of the building. - Proposed front porch (5'x 12.5') 62.5 sf Name of Applicant or Sponsor: Telephone: 516-214-0160 AMP ARCHITECTURE E-Mail: JMAGEE@AMPARCHITECT.COM Address: 1075 FRANKLINVILLE RD City/PO: LAUREL State: NY Zip Code: ; 11948 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 r 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. TOWN OF SOUTHOLD ZBA AND BUIDLING DEPT. ❑ 3.a.Total acreage of the site of the proposed action? 0.17 acres b.Total acreage to be physically disturbed? OT---acres c.Total acreage(project site and any contiguous properties)owned 0.17 or controlled by the applicant or project sponsor? acres 4, Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural (non-agriculture) [:]Industrial ❑Commercial ❑x Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page I of 4 5. is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ FLX—J, ❑ b.Consistent with the adopted comprehensive plan? ElQ 1:1 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape9 ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: = ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? 71 ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑X ❑ 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: ❑ In 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES_ If No,describe method for providing wastewater treatment: ❑ ❑X 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? = ❑ b. Is the proposed action located in an archeological sensitive area? a ❑ 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? M ❑ b.Would the proposed action physically after,or encroach into,any existing wetland or waterbody? ® ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early Enid-successional ❑ Wetland ❑Urban M Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? 71 ❑ 16. Is the project site located in the 100 year flood plain? _NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, =17 ❑ a.Will storm water discharges flow to adjacent properties? [:J NO DYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO DYES Page 2 of 4 18 Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: F x] F I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUIE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Anthony Portillo Date: 8/16/21 Signature: 17 Pb Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 12T 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? �/� 4. Will the proposed action have an impact on the environmental characteristics that caused the u establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. W it l the proposed action cause an increase in the use of energy and it fails to incorporate -7f ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a,public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health! Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. EjCheck this box if you have determined, based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold_Board of Trustees f'l ✓� 01Name of Le,d Agency Date UAP_I � UnJISMj +� President Print Type NamQponsibl Officer in Lead Agency Title of Responsible Officer ^" � � � Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AFFIDAVIT v-S ` 't9 2';'- () FO/1/" 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 BdARD 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 Si a of Property Owner SWORN TO BEFORE ME THIS DAY OF ,20� JULIAN BAILEY i�.• , Notary Public-State of New York y- N0.01BA6411287 i Qualified in Bronx County My Commission Expires Nov 16,2024 Notary Public - i Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, I'D o V-S (lt:o `— E?-1A 0 P6 Z-&9 owners of the property identified as SCTM#1000- in the town of New York,hereby authorizes )&A �`G 14 ec JW---e— to act as my agent and handle all necessary work involved with the application process for permits)from the Southold Town Board of Trustees for this property. f Property Owner's Signature Property er's Signature SWORN TO BEFORE ME THIS p�� DAY OF 20 'LLA JULIAN BAILEY n ENotary Public-State of New York NO,OIBA6411287 alified in Bronx County Notary Public ission Expires Nov 16,2024 �' APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and em iloyees.The purpose of this forst is to provide information which can alert the town of ossible conflicts of interest and allow it to take whatever action is necessary to avoid same YOUR NAME: (Last name,tIrst name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(wizen the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)tate actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of_,Zp Signature Print Name APPLICANT/AGENT/REPRESENTATNE TRANSACTIONAL DISCLOSURE FORM The Town of Southold-'s-Code of Ethics prohibits conflicts of interest on the part of town officars and enigWeees The RMse of this fdrni_is to provide inforination which can-alert-the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: Anthony Portillo (Last name,first name,.gaiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee 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,niariiage,or business interest:"Business interest"means a business, including a partnership,in which the town Wider or employee has even a partial ownership or(or employment by)a corporation in which the town officer or employee owns more than 5%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°Io of the shares of the corporate stock of the applicant (when the applicant is a corporation); I3)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,ocemployee_of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this�.1�L day o AuWt 20 21 Signature.�`�Gb 6 Print Name Anthopf Portillo Form TS 1 Glenn Goldsmith,PresidentS FF13(� �0 CD Town Hall Annex A.Nicholas Krupski,Vice President �Z G'ya 54375 Route 25 John M.Bredemeyer III y a P.O.Box 1179 Michael J.Domino � Southold,NY 11971 Greg Williams �Lap! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 1, 2021 AMP Architecture '1075 Franklin Road - : - laurel, NY ,11948 r Re: Board of Trustees,Application of_Douglas Bradford 3705 Bay,Shore,Roa'd, Greenport '. SCTM# 1000-53-6-' 6 ; To Whom It May Concern: You are receiving this letter as notice that 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, November 17, 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. Very Truly Yours, Glenn Goldsmith, President Board of Trustees 1 i �guFFO(�- , Glenn Goldsmith,President Yr�O�. OGS Town Nall Annex A.Nicholas Krupski,Vice President 54375 Route 25 John M.Bredemeyer III y ,? P.O.Box 1179 Michael J.Domino �o �� Southold,NY 11971 Greg Williams �0j �� r Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, NOVEMBER 17, 2021 at 5:OOPM & 5:30PM TOWN HALL MAIN MEETING HALL AND VIA ZOOM ONLINE PLATFORM A R'egutar Work Session-and Public'Board Hearings of the SOUTHOLD-TOWN'BOARD.OF TRUSTEES-will be held on•Wednesday, November 17„2021•with-the_Work Session beginning at 5:OOPM and Pbfjlic'Hearings beginning'at5:30PM. . 'The public is invited"to attend the.meetings either inperson orvirtually via.the Zoom, online platforrri:`•Masks are reguired,for those who,a`re,'not vaccinated,-,4t all times'when, —in any of the T67wWBuildings. - Written'comments'may also,be submitted=vi`a-6mail to th'e'Trustees,�C.leeks,at elizabethc@sodtholdtownny.gov.antl:diaries,di•salvo@town.southbld'ny<',u '_-,,Said comments will- bo considered,atthe'public`hearing"provided'that they:,are submitted nozlate_r.�than�kz,00.`P:M. (Prevaihing Time on'the day of tfie'.'puhlie hearilig. ` The public will'have•access to view and listen to the meeting asJt•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 into 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 6066 8183 Password: 470704 • 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 �QFOt!,h-�o Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 John M. Bredemeyer III o P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams y ® p! Telephone(631)765-1892 �� a 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-Tater than 1'2':O, OPM the_day' prior,to.the scheduled Public He'a ring.for your'appl lc6tioh, will result'in:a postponement�of"said application." This office WILL NO.T contact,you^to, requd t" i.d, information: • ..Ali original white&.green certified- return receipt�m_ ' i1,T'eceipts ";7 L • Cornplefed orgiri+al"Proof of==Mailing-Form Failure,to,submit-:tho,."following-originals to-this,,office -by-.or no'later-than. . ` 1,2:O�PM tlae-day,of-the`�s&heduled 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 App ,dation PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION Np,` y NAME: 1 .53 e" :'t:e fi4i` - - •c,4",�,. .,ax's a�"'�S, '! Jt-!'�' :S,J v"�l�,r'` �Y.�+s�'•r.'l.'I .Y`� .k i f^- v., #. „•, AT .� .. K, - ay y` .5' - .,y",l'F,,,t� *� a ' w ! : -�y ,Y �w� ce`+: t r F T:� s M. •Fi 'be i`ig`duly'sworn,`d'e-6ses a6&say `th'at•-on the, -day of , 20 ; deponent mailed' 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 - 20 Notary Public Glenn Goldsmith,President +��rW>� Town Hall Annex A.Nicholas Krupski, Vice President �1P%vS FFOQ'o 54375 Route 25 John M.Bredemeyer III P.O.Box 1179 Michael J.Domino y Southold,NY 11971 D11 1 Greg Williams p E° 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 DOUGLASBRADFORD COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ON EIGTH DAY OR LATER 1, f"P ( (O ►QC-Vt, aSS_ , residing at/dba IC-n S -Fran l tayik fad LQuvtt Nil IvImief- being duly sworn, depose and say: That on the %� day ofWCAW , 203.1 , I personally posted the property known as -Y)0 S Ectq Shoe 'Rd C-t ttn - INS/ 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, November 17, 2021. Dated: !' / 7• (signa re) Sworn to before me this 1'J day of W6- 20 a1 BARBARA H.TANDY Notary Public,State 04 Now York No. OITA6086001 Qualified In Suffolk 00unty otary Public commission Expires 01/13/20-413- 1 � O RCHITECTURE ■ ® A O ■ ■ BI ru, ru e °09r�;a 'i�t` 7'11 1 Lr) Certified Mad Fee ^`$3.75- M RlExtra Services,&Fees(check box,add tee Y p te) 1 _ _ 0 ❑Return Recefpt;(hardcopy) .$ - Bradford Trustees Hearing Neighbor Mailings ru ❑RetumReceipt(electronic). „ $ - P�t�rk 3705 Bay Shore Rd Greenport ❑Certified Mail Restricted Delivery $ • O�- L I ❑Adult Signature Required $ d-' •1+ _ SCTM: 1000-53-6-16 El Adult Signature Restricted Delivery,$ O Postage LrI Total Postage and Fees Mf I_!$/2' 53-6-15 i O Sent To aV iX,n® hlhA�/ 1_ l.ihlr10.It I/a n R( -= Seven and Karen Chakiryan � C3Street-nda i:No.,orPOBox o. , ,. _• _-�-r 9 Sherwood Gate cry-sr r zP+ ----------------------------------- Oyster Bay NY 11771 .00 1 11 111•1 53-6-17 ® ® ° Thomas Bradford 11 Summit St m ° Eastchester NY 10709 r, 'CY'F! F 1"VTI -e , - F Certified Mad Fee Ln M13.75, 0948, ' $ - 53-6-34 hlc. Extra Services&Fees,(checkbox,add tee�sappro ate !1EF ,El Return Receipt(hardcopy) $ 'E+�`o) -� Eq, , C3 ❑RetumReceipt(electmnic) $ 11 1 l-r Ivdp I'k William and Elizabeth Wetmore C- ❑Certified Mall Restricted Delivery $ S1 r3 E]Adult Signature Required I $ '?;,^:, 3750 Bay Shore Rd ❑Adult Signature Restricted Delivery$ Greenport NY 11944 o Postage L,) ii.58 Q ., $- . 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Postmark - ®V ®gDH z�' ° ___1 --_; ❑Certlfled Mall ResMcted Delivery, $ ❑ Certified Mad Restricted Delivery $ _"J.1„1,,1_l + „• o O + I ❑Adult Signature Required $• • , -, � []Adult Signature Required $ []Adult Signature Restricted Delivery'$ - - ❑AdultSignature Restricted Delivery$ l a Postage r p Postage, Lt7 I_I,5.0: „ Ln s Total Postage and s i IIS Total Postage and Fje ru . �Lj7� PS O Sent To e O /y pyo �y p�� y /� �y/ w S�4�4.91J.1__ $ �_�C Q�C.t �1 ��t//��oo S nt To�liA�1.t 5 loll! �� — - ------- `'L l.e----_ Street andA pt. o.,or P Box No. O Street ndA t No,orP Box/V. 10 !t 6 --- ®C �Lh —�l o AJ� r' - = = Crty State 7P -----------^----------- ,City,State 1P+4 - a q 4 9 O B 1 1 0 111 :10 1 I 111•1 - t:' -- I Board of Trustees Application I I PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: rST-AT IF NEW YORn- :,��rCOUNTY SOF=,SI7EFO,IK ;. : . (J T 1�1( T�. � � �- , residing-at 'lC�l S ' FCff V-11(IV IA W- P-d being duly sworn, deposes and says,that on the day of Nov , 20 oq( , 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 il� �- . fo ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sign re Sworn to before me this ---- - ------Day of 20---Y- -- A'ATE �..,�'•- Daba&QdoHsti Mt-- a of Nm Yod• Notary Public * *" Pkolo b2Sm r Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President AV gUfF©(� 54375 Route 25 John M.Bredemeyer III ,� � P.O.Box 1179 Michael J. Domino y z Southold,NY 11971 Greg Williams pryl Telephone(631)765-1892 p1 Fax(631)765-6641 � ��. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of DOUGLAS BRADFORD COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED INPLA CE FOR AT LEAST SEVEN DA YS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ONEIGTHDAY OR LATER I, I�fCC(1kf—C-t(Yt, �1 . , residing at/dba ICn S TY anuiYlV k Pd Lavfti being duly sworn, depose and say: That on the � day of'NOMW, 203-1 , I personally posted the property known as -Yos Ectq Shovt -Rd C--)(tend dam/ 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,November 17, 2021. Dated: /1 ' / 7• DV a'( —M,( (signa re) Sworn to before me this 1'7 day ofW6- 20at i BARBARA H.TANDY Notary public,State Of New York a' No. OITA6086001 �v Qualified In Suffolk County otary Public Commission Expires 01/13/20�3 a ' ® RCHRECIIIRE _ ■ ® e ■ ■ ru LLC rru , Lr) Certified Mall Fee f?l,Extra SeN°C0S$Fees(check box,add fee p-` te) •, I 1 Bradford Trustees Hearing Neighbor Mailings ti ❑RetuinReoelpt,(hadcepy) sem,, ❑Return Recelpt(electronic) S' r, InLiun Q ark 3705 Bay Shore Rd Greenport 1 0 ❑Certified Mail Restricted Delivery []Adult Signature Required SCTM: 1000-53-6-16 1 []Adult Signature Restricted Delivery,!; jO Postage Ln Total Postage and Fees LIM ru 53-6-15 ( �//y p/1 ( /'V /—� nj SentTo(�V�n� I.IA�l� 1' li�tAll Ir�(,4r� ---==---------- ----- ----------------------------- Sevan and Karen Chakiryan 4 Street nda r.No.,orPOBoxo. Ir------------------------ -- - - ' 9 Sherwood Gate cry,sr r z1P+ � =- —"= Oyster Bay NY 11771 .!° ° °° °11.1• 53-6-17 ■ ® - m ® e p ■ Thomas Bradford ®° 11 Summit St nj • ° Eastchester NY 10709 r� • Ln Certified Mad Fee m ;- 3°7 094$' $ i V i �I „ 53-6-34 , i Extra Services&Fees(checkbox,add fee epp"prate ❑Return Receipt(haidcopy) $ 9 !u�1 Q ❑Retum Reeelpt(electronic) -$ -I I I t IPA -k - William and Elizabeth Wetmore E:3 ❑Certified Mall Restricted Delivery $ Filen r3 []Adult Signature Required $ 3750 Bay Shore Rd ❑Adult SignatureRestricted Delnrery$ ° r Greenport NY 11944 Postage NO s. r �_of' 56-6-35 o sent To I ru s"' O Street /7 ,-or PO ox N� Bryan and Kelly Kotliar ; tti 7� , 70 Batter PIA t 906 CNy Sf2te, +4 --•--- - --- - -kyr''--_==c Y p l� ~ New York, NY 10280 ' o - o ■ ® e o ■ ® e � .� 0-' ®° ruru . ? r F P 1 lY 4 � Y •(� �,• ��s �t•i Cl� i o. 1• ' N s � , ,I , s Lt-) Cerfified Mad Fee e ' i I n Certified Mail Fee 13. T z Cl rrl $ ,• ' °.7r°` c f� M $ m Extra Services$Fees(checkbox,add fee a5�pp rate) Extra Services&Fees(check box,add fee a ° ate Is'7 ❑Return Receipt(hanicopy) $- ti ru ❑Return Receipt(hardcopy) ,' $' (., I I _ C-3 ❑Retum Receipt(eiectronle) - O ❑Return Receipt(electronic) $ _a Postmark ®� Q�H ❑Certified Mail Restricted Delivery $ �} ❑Certified Mail Restricted Delivery •$ 1 �� ,i l IM ❑Adult Signature Required' $ ' , _ 1 O El Adult Signature Required •I- $' ❑Adult Signature Restricted Delivery$ ❑Adult Signature Restdcted Delivery$ +3 fill E3 Postage O Postage '!'°r Lill Ln Total Postage and s !!r 1 a j Total Postage and Feg ru 38 $ °j U 117 Sent T( rO Sent Tq t a'1 ��ltl! ! 1_�tri r7G! �', r� Street�n A t�No„orP BoxN.- ^" -------------- -------------------------------------- C3 treat ApLA(o.,o�FOBIt---s2J_ Y CJ(�1l /�� p �J --7- S and '`(+1RYYi�t l tUV� ---�Lt_x`_-_------- Ctry Sta � IP �-y \' (/� 0 Il t)t lJr I t t ,76 City;State B B 1 1 •1• I _ _ 4 Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: STATE'OF NEW YORK _ NCOUNTY'OF,SL7.E_ FOI>K P (� C�1a-reC'9i,i'`�; � s �-- �residing'at lUlC�'1kQlolVilCC P—d Lauf( ;being dilly sworn, deposes and says that on the day of Nov , 20 0 a , 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 Lauro , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sign ure Sworn to before me this - -- - - - --- --- - - - - --- - - - -- - --- -- - - - - -- -- - - ------Day of- - -- - - - - --� 20-- - 9 ATER, ''•., Mook 0dov4b NoWPok SM Notary Public *' Pu`euc _*= Nm ofIleNYorr o. QNHW In Suffolk Cc" •�', Commis�ioe S •' osn 4K a, 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: DOUGLAS BRADFORD SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing 1 ,438.0sq.ft. two-story dwelling and to construct an 8.4'x36.2' (304sq.ft.) second floor extension; a proposed 1 .8'x10.7' (19.26sq.ft.), and a 1 .8'x11 .9' (21 .42sq.ft.) second floor dormer extensions; and a proposed 5'x12.5' (62.5sq.ft.) front porch. Located: 3705 Bay Shore Road, Greenport. SCTM# 1000-53-6-16 TIME & DATE OF PUBLIC HEARING: Wednesday, November 17, 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 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed ,action will be evaluated. as .to, its sinj cant beneficial and adverse effects upon_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 answer must be explained-in detail,.listing both supporting and'non- supportin.facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not'be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all ; local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 53 - 6 _ 16 PROJECT NAME Bradford Residence The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate-response): (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity,agency regulation,land transaction) Q (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: ❑ Nature and extent of action: PROPOSED SECOND FLOOR EXTENSION,2ND FLOOR DORMERS,AND PROPOSED FRONT PORCH. P Location of action: 3705 SAYSHOR E RD GREENPORT NY 0.17 Site acreage:_ - Present land use: SINGLE FAMILY RESIDENCE Present zoning classification: R-40 NC 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: AMP ARCHITECTURE (b) Mailing address: 1075 FRANKLINVILLE RD LAUREL NY 11948 (c) Telephone number: Area Code( ) 516-214-0160 (d) Application number,if any:. Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No M If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. 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 LVd&Section III—Policies; Page 2 for evaluation criteria. 0 Yes ❑ No ❑ Not Applicable THE PROPOSED ADDITION AND PORCH MAINTAINS THE COMMUNITY CHARACTER, PRESERVES OPEN SPACE,MAKES EFFICIENT USE OF INFRASTRUCTURE,MAKES GOOD USE OF COASTAL LOCATION AND MINIMIZES ADVERSE EFFECTS OF DEVELOPMENT. 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 THERE ARE NO HISTORICAL OR ARCHAEOLOGICAL RESOURCES ON THIS PROPERTY. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Q Not Applicable THE PROPOSED WORK WILL NOT AFFECT THE VISIUAL QUALITY OR R THE PROTECTION OF S-=C 'RESOURCES. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP r Section III—Policies Pages 8 through 16 for evaluation criteria a Yes ❑ No ❑ Not Applicable THE EXISITING BULKHEAD MINIMIZES LOSS FROM FLOODING AND EROSION 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 F1Yes ❑ No 0 Not Applicable WATER QUALITY WILL NOTBE AFFECTED. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ 71 0 0 Yes No Not Applicable ALL PROPOSED WORK WILL TAKE PLACE BEFORE THE WETLANDS.NO CONSTRUCTION WILL BE OCCURING OR INTERRUPTING COASTAL FISH AND WILDLIFE. 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 E] Not Applicable PROPOSED WORK WILL NOT AFFECT AIR QUALITY 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. ❑ Yes ❑ No M Not Applicable ALL WASTE IS CONTROLLED AND'ALL CONSTRCTION DEBRI WILL BE DISPOSED OF PROPERLY. 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 LVVRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YeJ-1 No® Not Applicable THE PRIVATE PROPERTY HAS NO PUBLIC ACCESS OR PUBLIC SPACES. Attach additional sheets if necessary 1 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. 0 Yes ❑ No ❑ Not Applicable THE PROPOSED CONSTRUCTION WILL NOT AFFECT WATER AREAS OR SHORELINE. 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. ❑ No Not Applicable ` El-Yes ZI � 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 0 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No X❑ Not Applicable PREPARED BY TITLE DATE d RCHfrECNRE Operating Business Address:1075 Franklinvdle Rd,Laurel NY 11948 RIV Brooklyn Office:450 951 St,C9,Brooklyn,NY 11209 M A LLC Laurel Office:1075 Franklinville Rd,Laurel NY 11948 Business Phone:(516)214-0160 Anthony Portillo:(716)572-4741 August 17, 2021 Southold Town Trustees P.O. Box 1179 Southold NY 11971 AUG 1 8 2021 RE: Sanchez Residence 515 South Oakwood Dr / Laurel NY Southold Town Board of Trustees To Whom It May Concern, Enclosed please find a Trustees Application for the Bradford Residence.We are on for a Zoning Board Public Hearing on October 7th. We would like to be on for a November hearing date, if possible. Please contact our office if you have any questions. Thank you, Jessica Magee AMP Architecture,PLLC Administrative Coordinator Office: 516-214-0160 Email:jmagee@amparchitect.com