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HomeMy WebLinkAboutTR-10090A Glenn Goldsmith,President ��Q� S®(/��® Town Hall Annex A. Nicholas Krupski,Vice President ® I 5 Route 25 � P..O.O. Box 1179 Eric Sepenoski y J29 Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® ,O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 2094C Date: October 15, 2023 THIS CERTIFIES that the demolition of second story deck and construct a 687"x17' (879 sq.ft.)Irreg. deck with 3.5'x4' (14 sq.ft.) landing with steps to grade 11' long(38 5 sq.ft.)-, with a 14.5'x67' (971 sq.ft.) paver patio located under decking not to exceed footprint of deck-, with a 4'x8' (32 sq.ft.)outdoor shower; At 1390 Demarest Road, Orient Suffolk County Tax Map#1000-13-2-7.7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 28, 2022 pursuant to which Trustees Administrative Permit#10090A Dated March 16,2022,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 demolition of second story deck and construct a 687"x17' (879 sq.ft.)Irreg deck with 3.5'x4' (14 sq ft) landing with steps to grade 11' long(38.5 sq.ft.); with a 14.5'x67' (971sq ft)paver patio located under decking not to exceed footprint of deck; with a 4'x8' (32 ss .ft.) outdoor shower. The certificate is issued to CVJB. LLC owner of the aforesaid property. a Ir L 4 ,Ne r Authorized Signature Glenn Goldsmith, President so ,� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President �., + P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 ®� 'rvum � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: /S I,W30-a INSPECTED BY: Gl• t_�OLCO� Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection COMMENTS: } l Ula 90 A CERTIFICATE OF COMPLIANCE: 6k i Glenn Goldsmith,President ��QF SO(/ly0 Town Hall Annex A. Nicholas Krupski,Vice President'.. 54375 Route-25 P.O. Box 1179 Eric Sepenoski : y- 1 [ l�[ Southold,New York 11971 Liz Gillooly N. Elizabeth Peeples Q Telephone(631) 765-1892 O. Fax(631) 765=6641 BOARD OF TOWN TRUSTEES — TOWN OF SOUTHOLD SOUTHOLD TOWN.BOARD-OE TRUSTEES V- U ARE 8C.WIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES`. .: 72 HOURS PRIOR T.. CQMMENCEMENT OF:THE:ACTIVITIES;CHECKED OFF B€:LOW.:'. - • INSPECTION SCHEDULE Pre construction, hay bale,line%silt-boom/silt curtain 1st day of construction " constrdd6d When protect complete,.call for compliance inspection, Glenn Goldsmith, President -*QF SU!/rTown Hall Annex A.Nicholas Krupski,Vice President ,`O� �Ie 54375 Route P.O. Box 1179 Eric Sepenoski 1 Southold,New York 11971 Liz Gillooly G Q Telephone(631) 765-1892 Elizabeth Peeples � � Fax(631) 765-6641. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10090A. Date of Receipt of Application: February 28, 2022 ' -Applicant:_CVJB, LLC .SCTM#: 1000-13.-2-7.7 Project Location::1390 Dema'rest Road,'Orient. Date of Resolution/Issuance: March,16, 2022 Date.of Expiration; March 1.6, 2024 Reviewed by: 'Eric:Sepenotski, Trustee. Project Description: ` Demolish second story deck and.construct a 68'7"x17' (879 sq.ft.) Irreg. deck with 3.5'x4' (14 sq.ft.).landing with'steps to grade'1 V long (38.5 sq.ft.); with a 14.5'x67'(971,sq.ft.) paver patio located under decking not to exceed footprint of deck; with a 4'x8' (32 sq.ft.) outdoor shower. Findings: The project meets all the requirements for issuance of an Administrative Per set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Fabian Bedolla, RA, dated January 24, 2022, and stamped approved on March 16, 2022. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not-a determination from any other agency. Glenn Goldsmith, President Board of Trustees Glenn Go' nith, President o��S�FF" Town Hall Annex A Nicholas KruJ, Vice-President „� tiq 54375 Route 25 Eric Sepenoski y P.O. Box 1179 Liz Gillooly v- Southold, NY 11971 Elizabeth Peeples �y ® 1� Telephone (631) 765-1892 c Fax (631) 765-6641 BOARD OF TOWN TRUSTEES QQ TOWN OF SOUTHOLD Date/Time: U��L� Completed in field by: Rowan Permit Expediting Services on behalf of CVJIB, LLC requests an Administrative Permit to demolish second story deck and construct a 687"x17' (879 sq.ft.) Irreg. deck with 3.5'x4' (14 sq.ft.) landing with steps to grade 11' long (38.5 sq.ft.); with a 14.5'x67' (971sq.ft.) paver patio located under decking not to exceed footprint of deck; with a 4'x8' (32 sq.ft.) outdoor shower. Located: 1390 Demarest Road, Orient. SCTM#: 1000-13-2-7.7 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_ O Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission >G 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: jfi I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: E. Peeples L. Gillooly G. Goldsmith N. Krupski E. Sepenoski Other ° TUFy�� Ti U,r S�Up �F 4/,yF F R NF°gRMU 11�. , UR ,mss ° 0 oV°°�°OV ° ° ° 0 0 5.0'E t 00 WOOD I ARCHITECT 1 STAIRS FABIAN BEDOLLA, RA £ & LANDINGS 1 416 OCEAN AVENUE #86 �+ RUS/U BROOKLYN, NEW YORK 1 1226 1 RFSr �NgZq I T: 917-658-3766 E: fabian@FB-mad.com • � 6 , �UqR Z � I OWNER ' JACQUELINE SCHNABEL 1390 DEMAREST ROAD ORIENT, NEW YORK 1 1976 2.0) F X t T: (646) 344-9300 IC/1 E: jacqueline.schnabel@gmail.com I -P I i I I I t I IPROPOSED UPPER LEVEL WOOD 43.1 ' '�61 DECK AND FIELD STONE PAVERS 2Ol t AT PATIO BELOW; PAVERS WILL 2r I NOT ENCROACH BEYOND THE 4' 2ND FLR .'q/ FOOTPRINT OF THE DECK ABOVE CANTILEVER / 1 20.2' 4' X & OUTDOOR SHOWER BELOW s8 9.5 1 t DECKING � �, � � o��. FR 3.5' x 15' WOOD STAIR AND E44 4 LANDING I 29.5 ' 21 41 �N ' Proposed deck lot coverage - 880.0 sf Cd 20'-0 t Z s.6, co 2�•�' I sideyard I o setback ti Q 1 w 4' 2ND FLR W CANTILEVER 1 I -> I t I �/VF 1 X I 280.x ' I 1 50.1 10" E ___--- N 77°27'20"E Z' ' ;` N 73 ® I _� N IPE I �' ASPHALT DRIVEWAY 4 ; ' F E@ 2 8 2022 ' • ' , � 'I Southold • • -. • - PRIVATE- 25 RIGHT OF ASPHALT DRIVEWAY U. ' '• •- ., , . , . . , . N 77®27'24" E 304.87 Bnard' � I ofTru.tces U.P. U.P. I I I SUBMISSION/REVISION 01 01/24/22 BOARD OF TRUSTEES ® 1 I I 10.3't I I WELL 30. 1 '' PROJECT ' SCHNABEL RESIDENCE 1390 DEMAREST ROAD I • I '"FR.M. , w ORIENT, NEW YOR 11957 GARAG u' I I N . I qp% SEAL + SIGNATURE j 1 ' fyD C BEE) y/T 0��9 F0 I PIP - - - - - - - - - --- S 77027'24" W p 454.7 ' qTF F NE`�y0 WELT @ I [SPIKE I I DRAWING TITLE REAR DECK PROPOSED Z �„ 22'S WOOD RAIL FENCE 21 S APPROVED B�' SURVEY BOARD OF f RUSTEES ti v TOWN OF SOUTHOLD DATE SCALE c ® v? DATE c�2� JANUARY 24, 2022 1" = 20' c tr1 12 tt I I I DRAWING NUMBER 1 of 1 \ I DRAWN BY 10 REVIEWED BY FB C S.C.T.M.# DISTRICT 1000 SECTION 13 BLOCK 2 LOT 7.7 LANG, ISA ,soUND S8460841-,p 114.3S, Lmmcs2 ?Oryf• in 2.0'W w° 41. z o � w �rn ro o, sly 23 .. o :n . y� ; z � Cow* ' �•Tif3:'� 2F N N § 4' 2ND FLR CANTILEVER xav�x ; z 280.00` N 77„27 20 E _ :o ti` '.A jPHALT pRNE A 50.95 r —' '� Is 70(,11011 t_a E- ...- ' R'GHT 304.87' PRIVATE— 25 ASPHALT.DR�yAY• T1 7%°27'? t. I I �.• U.P. U.P.• , 1 0.3 ° WELL W o � I � I PIPE I 454.79' o I Q 2T'S PIPE S'77'2 720 W wEL Wppp RML FENCE IF tsPIKE 17 22'5 O�Ip v�"i_I p L � I I 1 I � y In z C lnn 4 •P•w l� l t ` N 81000'00"E 156.24' _ _ 7 DEMAREST ROAD I PRIVATE— 25' RIGHT OF WAY I S 81'00'00"W 163.70'_.. r � I I I — L; D M � � I FEB 2 8 2022 Sou t Id Tmm IBoard ofTn>s m H z 4 I $ o l I o $I �, NYSDEC COASTAL EROSION HAZARD MAP �I I PHOTO No. 47-655-83 AUG 29, 1988 THE WATER SUPPLY. YELLS, DRYYlELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FlELD OBSERVATIONS o I I FEMA MRP#36103C0066H AND OR DATA OBTAINED FROM OTHERS. I i I AREA:74,026.93 SQ.FT. or 1.70 ACRES ELEVATION DATUM.' UNAUTHORIZED ALTERATION OR ADD17701V TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STA7E EDUC4170N LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN I I ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 7777E COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION I LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS777U770N, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR 7'O GUIDE THE ERECTION OF FENCES, A00177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS I I ( AMD/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 71ME OF SURVEY I I I SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: CVJB LLC; I 382.44' I MAP OF: _I---1570,281 FILED: ]L-4411( SITUATED AT-ORIENT AI1V Town onSOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PUCN�T'E1r jVOAD SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design l ��tt77 R77- P.O. Boa 153 Aquebogue, New York 11931 95 FILE #'221-224 SCALE: 1"=40' DATE: DEC. 19, 2021 ��f PHONE (831)298-1688 FAX (831) 288-1688 N.Y.S. LISC. NO. 050882 'Yf • Y � 4 r ti r J ,n i } 4 epi YW421 v' t t r r , r F oa4 1 s o+.9s R ai ILI— 3SM tt-t3 w oe.+so[ N -I �-4p .PD.65 MO'. 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Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 • Q Telephone: 631 765-1938. !'.COU NTI, 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: March 14, 2022 Re: LWRP Coastal Consistency Review for CVJB, LLC SCTM#1000-13-2-7.7 Rowan Permit Expediting Services on behalf of CVJB, LLC requests an Administrative Permit to . demolish second story deck and construct a.68'7"x17',(879 sq.ft.) Irreg. deck with 3.5'x4' (14 sq.ft.) landing with steps to grade 11' long (38.5 sq.ft.); with a 14.5'x67' (971 sq.ft.) paver patio located under decking not to exceed footprint of deck; with a 4'x8' (32 sq.ft.) outdoor shower. Located: 1390 Demarest Road, Orient. SCTM#: 1000-13-2-7.7 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: Damon Hagan, Assistant Town Attorney Glenn Goldsmith,President ��(j�SQ(l j Town Hall Annex ' A.Nicholas Krupski,Vice Presidents <!O 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III aII Southold,New York 11971 Michael J.Domino G Telephone(631) 765-1892 Greg Williams � Q' Fax(631) 765-6641 ryCQUIMA 1 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application k .Administrative Permit Amendment/Trans£er/Extension X Received Application; Received Fee: $ 100,44 Completed Application:_ 3.2 ZZ- Incomplete: SEORA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): CZ / LWRP Consistency Assessment Form Sent: ' AC Referral Sent: �} Date of Inspection: Receipt of CAC Report: ✓✓ _zTechnical Review: ,! , f Qgtho,d,oW[is; S Public Hearing Held:. y Boar nf.m..f— Resolution: .feResolution: - cV c w Owner(s)Legal Name of Property(as shown on Deed): JACQUELINE SCHNABEL Mailing Address: 57 JOBS LANE, WATERMILL, NEW YORK 11976 Phone Number: 6 Suffolk County Tax Map Number: 1000 -. 13-2-7.7 Property Location: 1390 DEMAREST ROAD,0RIENT NY (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): ROWAN PERMIT EXPEDITING SERVICES Mailing Address 80 WEDGEWOOD DRIVE, CORAM NY 11727 Phone Number:.631 603-8688 Email: rowanexpediting@gmail.com Board of Trustees Application GENERAL DATA Land Area(in square feet): 74,027 SF Area Zoning:. R-80 Previous use of property' EXISTING SINGLE FAMILY DWELLING Intended use of property: EXISTING SINGLE FAMILY DWELLING- Covenants and Restrictions;on:property? Yes X No If"Yes",please provide a.copy. Will this project requirea' 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 Z6ning Board of Appeals? Yes X No If"Yes"%please provide copy, of decision. Will project require any demolition as per Town Code or as determined by the Building Dept.? A Yes No Does the structure(s)on property have.a valid Certificate of Occupancy?---X—Yes No Prior permits/approvals.for site improvements; ,Agency Date #8349 & 8349E TRUSTEES C OF C FOR:STAIRS 1;0/8720 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 DEMOLITION OF EXISTING 2ND STORY DECK AND CONSTRUCTION OF REPLACEMENT 2ND STORY DECK 687' BY 17' IRREG.(879 SF) LANDING 3.5' BY 4' (14 SF) WITH STEPS TO GRADE 11' LONG (38.5 SF) OUTDOOR SHOWER 4' BY 8' (32 SF) LOCATED UNDER DECKING AND PAVERS LOCATED UNDER DECKING 14.5' BY 67' (971 SF) NOT TO EXCEED FOOTPRINT OF DECK. Board of Trustees Applic - .on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:, PROPOSED DEMOLITION OF EXISTING 2ND STORY DECK AND REPLACED WITH PROPOSED 2ND STORY DECK,60 BY 17' IRREG. � S '- ®UI)Nf ROME --07? ZING -yj,4 Y�- okel- Area of wetlands on lot: 0 square feet Percent coverage of lot: 6 oda TOP OF B�U` Closest distance between nearest existing structure and upland edge of wetlands: feet TOP OF BIS F Closest distance between nearest proposed structure and upland edge of wetlands: ©Meet Does the project involve excavation or filling? ----.X No Yes If yes, how much material will be excavated?. N/A cubic yards How much material will be filled? N/A cubic yards i Depth of which material will be removed or deposited: . _ N/A feet Proposed slope throughout the area of operations: _.N/A 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): NO EFFECT. PROPOSED 2ND STORY DECK TO REPLACE EXISTING 2ND STORY DECK. 61Z20 Appendix B Sliort Environmental Assessment Form .Instructi6ns far ComoletinQ Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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 I-Project and Sponsor Information Name of Action or Project: SCHNABEL @ 1390 DEMAREST ROAD, ORIENT NY 'Project Location(describe,and attach a location map): E/S OF DEMAREST ROAD Brief Description of Proposed Action.- PROPOSED ction:PROPOSED 2ND STORY DECK DEMOLITION Type Lexi: here TO BE REPLACED WITH 2ND STORY DECK Name of Ap licant or Sponsor: Telephone: JACQUELINE SCHNABEL -E-Mail. Address: 57 JOBS LANE, WATERMILL, NEW YORK 11976 City/PO: WATERMILL State: Zip-Code' NY 11976 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 ®` ' 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 BUILDING DEPARTMENT PERMIT 3.a.Total acreage of the site of the proposed action? f& / . acres iPsAwAdwre b.Total acreage to be physically disturbed? 108_j c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 17 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban [:]Rural(non-agriculture) ❑Industrial [-]Commercial Residential(suburban) ❑Forest ❑Agriculture El Aquatic [XOther(specify): BEACH /.LI SOUND _ ❑Parkland Page I of 4 5.'--is the proposed'action, _- NO YES N/A a.A permitted use under the zoning regulations? ` ,� ❑. b.Consistent with the adopted comprehensive plan? o. 6. Is the proposed action consistent with the predominant character of the existing built or natural NO.. .YES landscape? E 0- 7. 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? JAI c.Are any pedestrian accommodations or bicycle routes.available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: N/A r X-1, : El 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: N/A .a o 11.Will the proposed action connect to existing wastewater utilities? NO YES. If No,describe method for providing wastewater treatment: . . NSA _. MR. El 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? —07 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? Q ❑' b.Wouldtheproposed action physically alter,or encroach into,any existing wetland or waterbody? � .o If NO WETLANDS PRESENTaONXPRSP1ER'R. L6fVW§aAT:A=f E. 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 El Early mid-successional ❑ Wetland ❑Urban [29Suburban 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? E ❑ 16.Is the project site located in the 100 year flood plain? NO-'-' YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, X a.Will storm water discharges flow to adjacent properties? ❑NO DYES ❑ b.Will;storn 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: FRI ❑ 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: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE 1S.TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applican o e: JACQUELINE SCHNABEL Date: g _QM Q0'Z31 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 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? 0 F1 3. Will the proposed action impair the character or quality of the existing community? ❑ R 4. Will the proposed action have an impact on the environmental characteristics that caused the El El of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or F-1 ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 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, F]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? El IL. W ill 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. s 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) PRINT Page 4 of 4 Board of Trustees Application ASF IDAVIT .JACQUELINE SCHNABEL BEING DULYSWORN DEP-0898 �pp�� $I���j� FPI r�^ �yyy��g T I��g�/ �l $ siii}�;A�P�jP}�ITJI( ( T'F� Ry�'g�j'IpFI��` C�'�j'� , YiJVC EV PERNff,T(S),` l�e-v 18L�T a'"l3_i�.L T�TLJ1v13:1j�T8 i_ONTAIl,'1!'1$�,_ E It� . AI E TRUkTO TITE.BEST:CSF S/IIFII I t( D'$ LI I}CE AI�I BELIE. ,AND T'$IAT ALE' O LL"B.E pq i 'I;11 9R,' ET ORTl�,IN TMS AgPLICA:TION AND AS'P A-Y'B APPRQ. II PY-t-, .SC}L1TI II ,D TOWN B® OF TRUSTEES.: THE APPLICANT',AGREES TCI AOLD `T- 0-b1iiWOF SOUTHOLD AMI:THE BO ` :O. "TR,,U TEE—S'liIA ,. B .=A FIB E'MOM, Y AND ALL DAMAGES AND C LAIMS ARIk1�tC;UDDER CSB VIIE TU €3F S TS PERI II]E{�}, ' C4ItA: T B, Iii,CCI1�tII tItII��C `-Tifi .—AP'Pi�ICAc 19I ,I HEREBY AUTHORIZE THE TRUSTE , IIS,AGENT(g),,Gl�..l I` SEI�tTA'TIYE , N CLUDING, THE; CONISE YA'TIO: AbyII,8 1A'y' Ov,NCIL,TO ENTER ONTO MY PROPERTY TO _ SPE ` P MIST - �I; i�tCT10.., I H.T S APPLICATIQ �, I CLUI'DING A.FINAL,INSP19 I'I��:.;I F£tlI�TBE AU `€��I�2 ZE THE BOARD F TRUST E$T43 ENTkR ONTO,MYTROPERTY AND AS REQUIRED TO INSURE C I IA TCE WjTHASL yy .C_ON 116I 0' kNVWETLAIND CSR eOASTAL :EROSXtII T I'EW,AIT'ISSU _D,BY'T .$IIA •OF TBUST.,EES DURING THE TERM SIF THE PERMIT. zgnature of Property C)wn r �T Signa#ure of Property Owner SWORN TO BEFORE ME THIS .�`� . . _DAY OF a� 202 m "4LErANpRO N ,Public NOTARY PUBLIC,RTATS(,,,"W 06360799 IED IN SXYFFOXx MYOMMISSION EXPIRES CONY • JITINE 26.2025 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) , UWP JACQ.UELJNE.SCHNABEL. . .pwners of the-.property den# ed as SC-T-,M#1Op4:, 13142:w77, in the to m;of ORIENT S4UTHOLD ROWAN PERMIT`EXPEDITING. ;New York hereby:a:athori�, ,,. to kt.as-in agerit A hkdl'all npcessary work involved-y i*the application process fok perniit(s)^froiri`the`Sattthald,,TolNm ,Bdaxd dltx tees for i$prppe4y, perty Q%vner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS a DAY OF 120u —vr— otary Public ai wxnRo RWAS NOTARY Ptk EC.STAT8.OF WSW Y xo.orRoas�em� QUAI..IFWM IN SUPVGi E`C COUWrr MY COMMISSION EN34 US JUNE 26,2=5 J APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE.FORM The Town of Southold's'Code of Ethics prohibits coriflicts of interest on the part town afficcrs and emtileees:The numose this form is to`prov de ihformnfia'n wl ich can alert the town ofpossible-conflfdts�of interest-dfid allow.it to takewhate"ver'action is• necessary-toavoid sarne: YOURNAME: JACQUELINE SCHNABEL (Last name,fust name,ipiddle 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 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,rrtarriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); 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 dlof ��� -Signature, Print Name Form TS 1 APPLICANUAGENUREPRESENTATI'VE TRANSACTIONAL DISCLOSURE FORM The Town ofSouthold's Code of Eihics I?rol tt iis-,conflicts,,ofinieresion"the part of taws-officers Find emaliiveos:The nuroose'of .this form is to provide information which can alertthe"town'of possible conflicts`of mterest and'allaw tt:tp take ivhatever-actiori is necessar�o avoidsame: - - .' - - - YOUR NAME:._EILEEN ROWAN Last name,first name, ddle initial,unless you are a i in in-th ( � Y PP Y g�. e 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 _ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.). Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest_"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 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 br position of that person Describe the relationship between yourself(the applicantlaganttrepresentative)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 thi adaY of — Signature_ . . Print Name_ Form TS l 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 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 supportiny-and non- sup uortina`fa&9 ,.If an action cannot be certified as consistent with the LWRP policy standards and conditions,it-shall:notbe 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# 13 _ 2 7.7 PROJECT NAME SCHNABEL @ 1390 DEMAREST ROAD 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: R Nature and extent of action: PROPOSED DEMOLITION OF SECOND STORY DECD, 10 BE REPLACE WITH SFCQ1vn snogy DECkF Y7? ,,nIRREG. P (LA L Location of action: 1390 DEMAREST ROAD,ORIENT NY Site acreage: 1.7 ACRES Present land use: RESIDENTIAL Present zoning classification: R-80 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: JACQUELINE SCHNABEL (b) Mailing address. 57 JOBS LANE, WATERMILL, NEW YORK 11976 (c) Telephone number:Area Code O "' 2!3 (d) Application number,if any Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 0, 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. Q Yes [:]-' No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria 0 Yes R No 0 Not Applicable 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 0 YesE] 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 LVVRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes 0. No ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 1:1;. Yes E No 0 Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. 0El L^J Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes .0 No 0 Not Applicable Attach additional sheets ifnecessary 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 'E! No � Not Applicable 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 Applicable Attach additional sheets if necessary WORIONG 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 ;0 No 0 Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ; Yes _0 No ® Not Applicable f 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. f Q Yes No 0 Not Applicable _.e 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. :E:].Yes E No © Not Applicable PREPARED BY EILEEN ROWAN TITLEp`GENT DATE �L _ RowAN Permit Expediting Services Town of Southold ECE IV E Board of Trustees Town Hall Annex FEB 2 6 20 54375 Route 25A PO Box 1179 Southold Town Southold,New York 11971 Board of Trwees. Re: Schnabel @ 1390 Demarest Road, Orient NY SCTM#: 1000-13-2-7.7 Dear Sir/Madam: Please be advised that the owner of the above named property is seeking approval from the Board of Trustees for the replacement of an existing 2°d story deck along with an outside shower and paver patio. In support of this request please find the following: • Original and copy of the application and supporting documents. • Original survey and copies. • Original site plan and copies with proposed work. • Original site plan and copies with existing structures. r • Photos of area. Please note that the area has since been staked. • Check made payable to the Town in the amount of$100.00 for the application fee. Please forward comments to the undersigned. Thank you for your time. Ve s, ileen owan /er 80 Wedgewood Drive,Coram,NY 11727 rowanexpediting@gmail.com 631-603-8688