HomeMy WebLinkAboutTR-10022A Glenn Goldsmith, President 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
COUN11,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 1913 C Date: May 2, 2022
THIS CERTIFIES that the installation of an 8' galvanized deer fence approximately
along northeast property line; install cedar lattice fencing & gate from deer fence to house; and
install cedar lattice fencing & gate on opposite side of house to property line 6' in height;
At 2345 Bayview Avenue, Southold
Suffolk County Tax Map #52-5-1
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated October 6, 2021 pursuant to which Trustees Administrative Permit
#10022A Dated November 17, 2021, was issued and conforms to all the requirements and
conditions of the applicable provisions of law. The project for which this certificate is
being issued is for the installation of an 8' galvanized deer fence approximately 100' along
northeast property line; install cedar lattice fencing & gate from deer fence to house; and install
cedar lattice fencing & gate on opposite side of house to property line 6' in height
The certificate is issued to Thomas Byrne & Veronica Kaliski owner of
the aforesaid property.
Authorized Signature
Glenn Goldsmith,President ®� 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 ® a® Fax(631) 765-6641
Cou V,
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DATE OF INSPECTION: Z ��
INSPECTED BY: G11 foo kA
Ch. 275 Ch. 111
INSPECTION SCHEDULE
Pre-construction, haybale line/silt boom/silt curtain
1St day of construction
% constructed
Project complete, compliance inspection
COMMENTS:
reor-e co r S�TvckP4 cC O'loff-t- +_'C:� 2)CL1 � gLCw,At J
Ie ;'r 10 0 22 A-.
CERTIFICATE OF COMPLIANCE:
Glenn Goldsmith, President �QF S0(/ry Town Hall Annex
A. Nicholas Krupski, Vice President ,`oOl0 54375 Route 25
III P.O. Box 1179
John M. Bredemeer
Y l�[ � Southold, New York
11971
Michael J. Domino G @ Telephone(631) 765-1892
Greg WilliamsYO Fax(631) 765-6641
�lyIrou ,Nc�
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 PRIG_ R TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF
BELOW
INSPECTION SCHEDULE
;Pre-constructidn hay,,`bEild line/silt.boom/silt curtain-,
-s dAby" , if construction
; _ _ VWh'e-'OrOjdct complete,.calffor-complia.rice inspection;, ;
Glenn Goldsmith,President *0 SOUry� Town Hall Annex
A.Nicholas Krupski,Vice President l 54375 Route 250 P.O.Box 1179
John M. Bredemeyer III Southold,New York 11971
Michael J.Domino G • Telephone(631) 765-1892
Greg Williams Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 10022A
Date of Receipt of Application: October 6, 2021
Applicant: Thomas Byrne & Veronica Kaliski
SCTM#: 1000-52-5-1
Project Location: 2345 Bayview Avenue, Southold
Date of,Resolution/issuance: November 17, 2021
Date of Expiration: November 17, 2023
Reviewed by: Michael J. Domino, Trustee
Project Description: Install an 8' galvanized deer fence approximately 100' along
northeast property line;,install cedar Lattice fencing &-gate from deer fence to house; and
install cedar lattice-fencing& gate on opposite side of house'.to property line 6'_in height•
Findin s:. The `ro'ect meets all•the re •uirements fdr'issuance-6_ Ad'ministr'ative -
9 p J q
,Permit set�forth in Chapter 275-,of the.Southold Town Code._, 'is'suance o-an
-Administrative Permit"allows for,the*operations as indic'ated'on,the'project='plan,prepar6d .
by Thomas_Byrne;-receive_d_ 'on October 6, 2021;`and"stamped approved on'November'.-
17, 2021. _.
` Special Conditions: None. -
Inspections: Final Inspection.
If the proposed activities do not meet the requirements for issuance of an.Administrative
Permit set forth in Chapter 275 of the Southold Town Code, a Vvetland.Permit will'be
required.
This is not a determination from any other agency.
Glenn Goldsmith, President
Board of Trustees
µ Af�C�_SUMMARY SHED ADDITION
& SEPTIC SYSTEM
IDT AREA ca.16,753 SF = 100.00% N
EXIST'G BLDG. COVIIIACI ca 1,911 SF = 11.40%
ADJ CENT DWELLING ADDED 13LOG COVLRAGI = ca. 426 Sf = 2.547,
I TOTAL DI.DG. COVI RAGI. ca 2,337 SF = 13.95%
® i3
SA�6f' RESIDENCE
10 �
�p�ontil'lr OCT 6 2021
SOUTHOLD, NY
PROPOSED �3` �� =,� �O1 q,!'
8'X1 SH D ��`��. —� -��, "' ��Ce 2345 BAYVIEW AVE
Sou id Town W
— — — — — — — — — - I Board of Trustees
DRIVEWAY ARCHRECT
FRANK UELLENDAKL
35' FRONT YARD 0 BOX 316
,
GREENPORT,NY 11944
w DECK DELI( �'''�! `'CII fit f, -._` TEL:6n-4n e624
I
OWNERS
m VERONICA KAUSKI
k TOM BYRNE
_Cn 2345 BANEW AVE
= SOUINOLD,NY 1197711
v ZONE AE TEL'631-765-5275
ti EL. 10' 15'
EP '�- TRAM.STORY' 30'
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APPS✓ y z Q
OF 7 RUSTEES
OWN OF S®UT6�
®ATE IYGu4 �t2 I ZO /clP�O o DATE 08/13/2016
_ll)�1.��1� -�,_ _ o N �� SUE, I/16'=
owfBq y�/ ( �d k rdD ox.1/16,=1,-r
l _ PROPOSED SITE PLAN SITE PLAN
AV�NU� SCTM# = 1000-52-05-01
DeTOWN OF SOUTHOLD DWG NAME
FNQ SUFFOLK COUNTY, NEW YORK 5 A-1
®� DWG NO
Glenn Golc' With, President �OSUFFQry Town Hall Annex
A. Nicho'la's Krupski, Vice-President ,��� 54375 Route 25
John M. Bredemeyer, III v P.O. Box 1179
Michael J. Domino o Southold, NY 11971
Greg Williams _P1 �a� Telephone
-1892
765 6641
Fax
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Date/Time: Alt)V. Completed in field by: UA'a
THOMAS BYRNE & VERONICA KALISKI request an Administrative Permit to install
an 8' galvanized deer fence approximately 100' along northeast property line; install cedar lattice
fencing & gate from deer fence to house; and install cedar lattice fencing & gate on opposite side of
house to property line 6' in height. Located: 2345 Bayview Avenue, Southold. SCTM#: 1000-52-5-1
CH. 275-3 - SETBACKS
WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required
1. Residence: 100 feet
2. Driveway: 50 feet
3. Sanitary Leaching Pool (cesspool): 100 feet
4. Septic Tank: 75 feet
5. Swimming Pool and related structures: 50 feet
6. Landscaping or gardening: 50 feet
7. Placement of C&D material: 100 feet
TOP OF BLUFF:
1. Residence: 100 feet
2. Driveway: 100 feet
3. Sanitary leaching pool (cesspool) 100 feet:
4. Swimming pool and related structures: 100 feet
Public Notice of Hearing Card Posted: Y / N
Ch. 275 ✓ Ch. 111 SEQRA Type: 1 II Unlisted Action
Type of Application: Pre-Submission Administrative Amendment Wetland
Coastal Erosion Emergency Violation Non-Jurisdiction
Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line
Additional information/suggested modifications/conditions/need for outside
review/consultant/application completeness/comments/standards:
I have read & acknowledged the foregoing Trustees comments:
Agent/Owner:
Present were: J. Bredemeyer •• M. Domino G. Goldsmith N. Krupski
G. Williams Other
- I�fZCA_SUMMARY SHED ADDITION
& SEPTIC SYSTEM
IOT AREA ca.16,753 SF = 100.00% 9
EXIST'G 131 DC. COVIRKI ca. 1,911 SF = 11,40%
ADJ CENT DWEI LING ADDED 13LUG COV!I?A(;i ca. 420 SF = 2.54% '
TOTAI DIDC. COVI•I?AGI ca 2,337 SF = 13.95%
� y
- � C E0VE
® E-ZBYRNE
0 RESIDENCE
�- uN� S t ,�; OCT 6 2021
a'X 16 SH D — d 1 U J,1, 1 S rP�c-N 11 2345 YVITDAoDEw NY
AVE
Southold Town 19
— — — — — — — — - Board of Trustees
� DRIVEWAY ----_,_ ARCHITECT
FRANKUELLENDAHL
P.aBOX 3I6
35' FRONT YARD .0' <;1111nr — _` GRTEEL::6631 NY 11944
T31-477 8624
DECK DECK
I � OWNERS
m VERONF,A XAUSKI
a I &THOms BYRNE
rn 2345 BANEW AVE
ZONEAE
15' sm-"631-76"5-15275
1
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RAMS DWELLING
OSTO 10
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-_ PROPOSED SITE PLAN SITE PLAN
SCTMJ = 1000-52-05-01 NAME
OFqD F
SUFFOLK TOWN
COUNTY, NEW YORK A-1
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SURVEY OF PROPERTY
A T ARSHAHOMO Q UE
+ TO WN OF SO UTHOLD
SUFFOLK COUNTY, N Y.
E C E D V g A 1, s .�� 1000-52-05-01
® �VI� $� r'�� ��, �- SCALE. 1 -30
�� SEPTEMBER 19, 2006
9,
OCT U 2021
Southold Town
Board of Trustees 4 ZONE X
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AREA=16,753 SO. FT. �°a
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ANY ALTERA77ON OR ADDI77ON TO THIS SURVEY IS A WOLA77ONPECONIC SU
OF SEC77ON 7209OF THE NEW YORK STATE EDUCATION LAW. 631 765-5020 8 — 97
EXCEPT AS PER SEC.70N 7209—SUBDIVISION 2. ALL CER77F7CA77ONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909
FLOOD ZONE FROM FLOOD INSURANCE RATE MAP SAID MAP OR COP/E5 BEAR 77-IE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STRE
MAP NUMBER 36103CO158 G MAY 4, 1998 ■ =MONUMENT WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 06--215
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OFFICE LOCATION: MAILING ADDRESS:
Town Hall Annex , $ � N P.O. Box 1179
54375 State Route 25 Southold,NY 11971
(cor.Main Rd. &Youngs Ave.)
Southold, NY Telephone: 631 765-1938
www.southoldtownny.gov
QX 1 �9
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Glenn Goldsmith, President
Town of Southold Board of Trustees
From: Mark Terry, AICP
LWRP Coordinator
Date: November 16, 2021
Re: LWRP Coastal Consistency Review for THOMAS BYRNE &VERONICA KALISKI
SCTM# 1000-52-5-1
THOMAS BYRNE &VERONICA KALISKI request an Administrative Permit to install an 8'
galvanized deer fence approximately 100' along northeast property line; install cedar lattice
fencing & gate from deer fence to house; and install cedar lattice fencing & gate on opposite
side of house to property line 6' in height. Located: 2345 Bayview Avenue, Southold. SCTM#:
1000-52-5-1
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
Glenn Goldsmith,President �pf sv(/�y Town Hall Annex
A.Nicholas Krupski,Vice President ,`O`� ��� 54375 Route 25
P.O. Box 1179
John M.Bredemeyer IIIc[ Southold,New York 11971
Michael J.Domino G Q Telephone(631) 765-1892
Greg Williams Fax(631) 765-6641
BOLD-OST-OWN�RUS�E S
TOWN OF SOUTHOLD
This Section For Office Use Only
Coastal Erosion Permit Application
Wetland Permit Application
_1 _Administrative Permit
Amendment/Transfer/Extension
--�4—Received,Application:• 10.6.14
Received Fee: $ ]0,0.
Completed Application: /0•L-2f
Incomplete:
SEQRA Classification: Type I Type 11 Unlisted Negative,Dec. Positive Dec.
Lead Agency Determination Date:
oordination:(date sent):LWRP DR, E C E V E
Consistency Assessment Form Sent:
AC Referral Sent:
Date of Inspection: OCT 6 2171
Receipt of CAC Report:
Technical Review:
Public Hearing Held: 11.17 Z Southold Town
Resolution: Board of Trustoes
Owner(s) Legal Name of Property (as shown on Deed) Cs'W A is )IC,
v V
Mailing Address:
Phone Number: 7,1, 7 5-- 7
Suffolk County Tax Map Number: 1000 - 5, `05
Property Location:�eoj en 14 t !�-
(If necessary,provide LILCO Pole#, distance to cross streets, and location)
AGENT (If applicable):
Mailing Address: l
Phone Number: Email: a L p
C
Board of Trustees Appli :ion
GENERAL DATA
Land Area(in square feet): 70�
Area Zoning:
f
Previous use of property: r p
hIntended use of property: �� ,PA° �
Covenants and Restrictions on property? Yes ,.//NO
If"Yes",please provide a copy.
Will this project require a Building Permit as per Town Code? es No
If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review
and Elevation Plans will be required,
Does this project require a variance from the Zoning Board of Appeals? Yes XN0
If"Yes please provide copy of decision.
Will this.project require y demolition as per Town Code or as determined by the Building Dept.?
,Yes No
Does the structure(s) on property have a valid Certificate of Occupancy? !/ Yes No
Prior permits/approvals for site improvements:
Agency�� Dat
�l 3t 6
--a
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency? -� o Yes
If yes, provide explanation:
Project Description (use attachments if necessary): � --Lh54L �l �C ilk /V 1131 ise
vc:>V— a-16Vt4 1jap'O'.&L
q+— &OC'e-t4
--Zr) I I CRJby- 10--Aic' e f6h c i in 9 -Pr C-,P-
);
1& U, � C� cz,, e 0 0) 1ae
5a0,�C- ae
Board of Trustees Applif ,`ion
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: k4emd—Vo ee_btl T��n
8
Tie-,r4cf 4'Ctl 9AAAMI ft2�� _�a4
V kto L/
Area of wetlands on lot: square feet
Percent coverage of lot: %
Closest distance between nearest existing structure and upland edge of wetlands: feet
Closest distance between nearest proposed �cturand upland edge of wetlands: feet
Does the project involve excavation or filling? 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:
Manner in which material will be removed or deposited:
Statement of the effect, if any, on the wetlands and tidal waters of the-town that may result by
reason of such proposed operations (use attachments if appropriate):
617.20
Appendix B
Short Environmental Assessment Form
Instructions for Completing
Part l -Project Information. The applicant or project sponsor is responsible for the completion ofTart 1. Responses
become part of the application for approval or funding,are subject to public review,and may be subject to further verification.
Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully
respond toany i em,p ease answer asoroug y ahI s possibl—e base 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
1,VNZ
Name of A on or Project:
Project Location(desdibe,and attach a location map): V
Brief Description of Proposed Action: c
b
/I Alp
�l d se &P n�a aft mv- 46 on P'
Name of Applicant or Sponsor: Telephone: "
S E-Mail:
Address:
�g 3 �/Gp
City/PO: State: Zip Code:
))97
1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinan , NO ES
administrative rule,or regulation?
If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that Rr
may be affected in the municipality and proceed to Part 2. Ifno,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: ❑
Ff
3.a.Total acreage of the site of the proposed action? acres
b.Total acreage to be physically disturbed? acres
c.Total acreage(project site and any contiguous properties)owned —�—
or controlled by the applicant or project sponsor? acres
4. Check all land uses that occur on,adjoining and near the proposed action.
❑Urban ❑Rural(non-agriculture) [-]Industrial ❑Commercialesidential(suburban)
❑Forest ❑Agriculture El Aquatic ❑Other(specify):
❑Parkland
Page 1 of 4
5. Is the proposed action, NO YES N/A
a.A permitted use under the zoning regulations? ❑ Z ❑
b.Consistent with the adopted comprehensive plan? ❑ ❑
6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES
landscape? ❑
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
If Yes,identify: ,� ❑
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
b.Are public transportation service(s)available at or near the site of the proposed action? Iff ❑
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? _K ❑
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:
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: ❑
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO XVES
Places?
b.Is the proposed action located in an archeological sensitive area?
13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO 4ES
wetlands or other waterbodies regulated by a federal,state or local agency?
b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody?
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:
14. Identify the typical habitat types that occur on, are likely to be found on the project site. Check all that apply:
❑Shoreline' El Forest ❑ gricultural/grasslands El Early mid-successional
❑ Wetland ❑Urban El Suburban
15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NOES
by the State or Federal government as threatened or endangered? Ef rEEL
16.Is the project site located in the 100 year flood plain? NO YES
17.Will the proposed action create storm water discharge,either from point or non-point sources? YES
If Yes,
a.Will storm water discharges flow to adjacent properties? ❑NO .DYES NO ❑
b.Will storm water discharges be directed to established conveyance systemsMO
f and storm drains)?
If Yes,briefly describe: 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: J
r F]
19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES
solid waste management facility?
If Yes,describe: ❑
20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO Y S
completed)for hazardous waste?
If Yes,describe: ❑
1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Applicant/sponsor n e/A6 MPJ 0-vyle Date:
Signature: 19 4&Y
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 1 and other materials submitted by the project sponsor or
otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my
responses been reasonable considering the scale and context of the proposed action?"
No,or Moderate
small to large
impact impact
may may
.occur occur
1. Will the proposed action create a material conflict with an adopted land use plan or zoning
regulations?
2. Will the proposed action result in a change in the use or intensity of use of land?
3. Will the proposed action impair the character or quality of the existing community? ❑
4. Will the proposed action have an impact on the environmental characteristics that caused the ❑
establishment of a Critical Environmental Area(CEA)?
5. Will the proposed action result in an adverse change in the existing level of traffic or �y ❑
affect existing infrastructure for mass transit,biking or walkway? �J
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? LJ
7. Will the proposed action impact existing: Ela.public/private water supplies?
b.public/private wastewater treatment utilities? Li
8. Will the proposed action impair the character or quality of important historic,archaeological, ❑
architectural or aesthetic resources?
r-
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 Elproblems?
12(,
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.
ElCheck 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)
PRINT Page 4 of 4
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AREA SUMMARY SHED ADDITION SYSTEM
& SEPTIC SYSTEM
LOT AREA = ca.16,753 SF = 100.00% 9
EXIST'G BLDG. COVERAGE = cc. 1,911 SF = 11.40% a
ADJ CENT DWELLING ADDED BLDG. COVERAGE = ca. 406 SF = 2.54%
TOTAL BLDG. COVERAGE = ca. 2,337 SF = 13.95%
e
_ BYRNE
0 > PROPER7 y 9 RESIDENCE
ROPQSE
� UNE SOUTHOLD, NY
P, h 20/•�Fq' Sc
8 X16 SH D 1 v �, �_. 2345 BAYVIEW AVE
— — — — — — — — — 19
DRIVEWAY ARCHITECT
Z
INK UELLENDAHL
— — — — — — --- 7� (AEEIIPORT, BOX 316
i 944
35 FRONT YARD DECK DECK _SE�Dl1
TEL:631-477 8624
Q w OWNERS
m VERONICA Kk9l
c� k THOMAS BYRNE
2345 BAYVBW AVE
SOUTHOti
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PROPOSED SITE PLM� � SITE PIAN
DQD EN TOWN OF SOUTHOLD
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SUFFOLK COM, NEW YORK
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Board of Trustees Appl.� ,;tion
AFFIDAVIT
BEIWDULYS
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN
ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT
ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE
BOARD OF TRUSTEES HARMILESS 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�wner Signature of Property Owner
SWORN TO BEFORE ME THIS V7 DAY OF OctDbe,( , 202
Not ruublic
BRITTAWA.GENOINO
Notary No 01GE6245154WYork
Qualified in I July 18.ik 20--!=
Commtss'on ExP
J
Board of Trustees Applin, ;:ion
AFFIDAVIT
BEING-DULYSW
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN
ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT
ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN'BOARD,OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE
BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES
AND CLAIMS ARISING UNDER,OR BY VIRTUE OF SAID PERMIT(S),'IF
GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE
TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE
CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO
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 weer Signature of Property Owner
SWORN TO BEFORE ME THIS V. ' DAY OF OC17 be r , 202
(Not
02-
Not ublic
BRITTANY A.GENOINO
Notary No.OI GE6245154state of w York
ouaiifled in Scounty
u 20=
commission Exp es July
APPLICANUAGENTMPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of
this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOUR NAME:
(L ame,first name,Qiiddle mitial,unless you are applying in the nam
te of
someone else or other entity,such as a company.If so,indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"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 ofSouthold? "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% 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 ibe relationship between yourself(the applicant/agent/representative)and the town officer or employee:Either check
the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
A)the owner of greater than 5%of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
B)the legal or beneficial owner of any interest in a non-corporate entity(when the
applicant is not a corporation);
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this 6 day of ®(; � 20D
Signature
Print Name `
Form TS l
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
I. All applicants,for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Lay. 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 significant
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-
supporting 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.
JB. , DESCRMTION-'OF SITE AND PROPOSED ACTION
SCTM# :�>-� - _-0
PROJECT NAME _ � , 14
The'Application has been submitted to(check appropriate response):
Town Board 2rPlanning 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:
Location of action: ��� ► Alj�
Site acreage: ® ,
Present land use: C7P/L61
Present zoning classification:
2. If an application for the proposed action has been'filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: ! , ➢�S�'9. 1`
(b) Mailing address: QG �a44 V e,-11) &fe
(c) Telephone number:Area Code 7d 9— t_�a,_757
(d), Application number,if any:
; Will the action be dir
ctlyundertaken,require funding,or approval by a state or federal agency?
-Yes ❑ No 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 LWRP Section III—Policies; Page 2 for evaluation
criteria.
❑Yes ❑ No /ot Applicable
Attach•additional sheets if necessary
Policy 2. Protect and pre rve historic and archaeological resources of the Town of Southold. See
LWRP Section III—Poli 'es Pages 3 through 6 for evaluation criteria
1:1Yes ❑ No Not Applicable
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic,resources throughout the Town of Southold. See
LVW Section HI—Policies Pages 6 through 7 for evaluation criteria
Yes ❑ No � Not Applicable
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and.natural resources from flooding and erosion. See LWRP
Section III—Policies PagesS through 16 for evaluation criteria
❑ Yes ❑ No 0'�Not Applicable
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and 'supply in the Town of,Southold:See LWRP Section III
—Policies Pages 16 throw 21 for evaluation criteria
Yes ❑ No Not Applicable
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22
through 32 for evaluation c teria.
❑ ❑
Yes No N Applicable }"
Attach additional sheets if necessary
Policy 7. Protect and_improve air quality in the Town of Southold: See LWRP Section III — Policies
Pages 32 through 34 for evaluation criteria.
❑ Yes No[ZNot Applicable
Attach additional sheets,if necessary
Policy 8. Minimize environmental degradation in Town of Southold_from- solid waste and hazardous
substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria.,
Q Yes 0 No 6�t A licablePP ,.
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.
11 YeZ1 No ZApplicable
Attach additional sheets if necessary
WORKING COAST POLrCIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations7No
WRP Section III—Policies; Pages 47 through 56 for evaluation criteria.
❑ Yes ❑ Not Applicable
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Tow;?Not
ers. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria.
00
❑Y-es ❑ No Applicable
Attach additional sheets'if necessary
Policy 12.,, .Protect agricultural lands-in_ the Town.4',Southold. See•LWRP Section III —Policies-; P,ages
.62,ihrough;65-for evalu 'on criteria:
❑ Yes Q, No Not Applicable :
Attach additional sheets if necessary
Policy 13. Promote app priate use and development of energy and mineral resources. See LWRP
Section III—Policies; P ges 65 through 68 for evaluation criteria.
❑ Yes ❑ No Not Applicable
PREPARED Byj_ . TITLE (L.J/ V U\ DATE