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Home My WebLink AboutTR-10277A Glenn Goldsmith, President `�®g SO/'- Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ®Vw ®�® P.O. Box 1179 Eric Sepenoski l�L Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 ®l�C®U ,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed When project complete, call for compliance inspection; Glenn Goldsmith,President �O``��F SO(/jyolo Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly rn G @ Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 olycou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10277A Date of Receipt of Application: November 30, 2022 Applicant: Barbara Kohn SCTM#: 1000-111-14-12 Project Location: 500 Little Peconic Bay Road, Cutchogue Date of Resolution/Issuance: December 14, 2022 Date of Expiration: December 14, 2024 Reviewed by: A. Nicholas Krupski, Vice-President Project Description: Extend the existing deck (16' 6" x 8') out towards water 16' keeping it the same width as existing deck 8' wide with French doors leading onto deck entire footage of deck will be 24' x 16' 6"; and to make the existing roof over existing deck a new deck with dimensions 16' 6" x 8' with French doors leading out onto new deck from master bedroom. Findings: The project meets all the requirements for issuance of an Administrative Permit 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 John J. Condon, PE, received on November 30, 2022, and stamped approved on December 14, 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. 4' �Glenn Goldmith, President Board of Trustees SURVEY OF P LOT 243 & LOT 244 AMENDED MAP A OF Board of rustees NASSAU POINT \s �,l , Or OWNED BY NASSAU POINT CLUB PROPERTIES, INC.FILE No. 156 FILED AUGUST 16 1922 90.. FG F N4 SITUATED AT 411+0 .70, ..,1. Aj. 1. -ECO C ti�' OAD NASSAU POINT /19-o TOWN OF SOUTHOLD IIJR SUFFOLK COUNTY, NEW YORK 37- S 0�r 0AVEA4EMr 4 • 0 'f 7.4 MON. 36.5 E 11d.** **-** , - OOA(c. . .-.2- 6. - S.C. TAX No. 1000- 111 - 14- 12 QL . .. 9. * LINE ALON(; 2 5 WIR4 LAR ROAD I SCALE 1 99=20' 401,1,11" FENCE cuSIGN POST 210 36- O-L OIL FILL POST&\."L FENCE 3 M JANUARY 22, 2007 ury un POLE J12 OCTOBER 15, 2008 ADDED LEGAL DESCRIPTION FEN.CE C14 35. .4 SET ONC. MON. 35- GA24GE 24-4- 34.6 QL CONC• R Ld T . p 28.0 AREA = 38,843.39 sq. ft. B.C. 2. s \A 4- A (TO TIE UNE BULKHEAD) 0.892 ac. W '•-* 0) CONC.: 111�3 121� :J a. C3 RON 0) ti C� % 4 0 d 34 4-f 4A A AIR CONDITION .6 24.4 izi . ... NC. & UN STOOP 4 a. 33.9 FOUND 33.2 WOOD STAKE X E-LLM - NOTES: ENTRANCE A 7 . ► 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM •A 218.2 A. A EXISTING ELEVATIONS ARE SHOWN THUS: 2o-o EXISTING CONTOUR LINES ARE SHOWN THUS: -20- 0. .4. .4 A p F.FL. - FIRST FLOOR G. FL. - GARAGE FLOOR T.B. - TOP OF BULKHEAD 'A 3E1 B.B. - BOTTOM OF BULKHEAD An 0 T.w. - TOP OF WALL 4 BX - BOTTOM OF WALL do 32 A F) A A *:1 --- --- . 0) -30- 28.6 X 29.725 9 .2 FOUND ST 2 -d P/0 WOOD STAKE B,C 4 A A- D CONC. T.C.27. CONC. 26.91 d & SLATE POJ S -�STEP VLPZA A 0. 0.6 AAAw ??\ 22.Y� \ \ S SET-- •4 OMON, X23.7 20.6 p. LN X 20.8 40 0 pq Q OIL-FILL --N,,,-VENT-- -10- 20.1 CAP PIPEXjk.9 0 ad O -- CONC. & SLA AL1( v Cd 19 17-4- 19.4 (j 0 STOOP 4 DRAIN pe) 19.4 19.1 ,W.5. .5. CONC. • CONIC AISO'N-T -1 .I ....:. --1 C - F.FL.2o.z 36.3' CP ENTRAN - 24.0' C.FL. 18.87 POST & PRO RAIL FENCE X z 0 z 2 STORY FRAME HOUSE & GARAGE p E R. 16.1 1-1 ed - UE co -1, 15.0 19'6' S FOUND REMAINS OF 15.2' WOOD STAKE POST& RAIL z z z AA FENCE 16 O:D ROOF OVER 0 .1-1-1 cc Ir WOOD PORCH ed 24.0' FEN ;z 8.01 ift 0.7-W 17-4 CONc & 46 SLATE 17.0 ell 17.3' RICK STEPS BRICK PLANTER PLANTER STEP T. . BRICK BRICK WALLMETES AND BOUNDS FOR PART OF WALK C A .7 WIND CONI. X 12.7 AND BULKHEAD OUT OF POSSESSION p- S 04-45'25" E 12.34' B -12'49" W 1.22' _F10 D4FB S 76, 9.3X P/0 N 00044'00" E 12.599 X-2.6 0.8 Cq CONC. WALL - WALK 1 6 4.5'W 1 X 1 0-1 14.5' in CONC. & SLATE 0 -q!3-'d 16 (4 STOOP 7 =)LC Co LL: o LAJ 2 4 14. 3 0 �11 C- & SLATE CON 1t'1U8 0 0 PATIO 6- PREPARED IN ACCORDANCE WITH THE MINIMUM 00 STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE LlkLS. AND APPROVED AND ADOPTED �;4 FOR SUCH USE BY THE NEW YORK STATE LAND G r .V Vt to 611\ POCK --0 TITLE ASSOCIATION. so X POCK BULKNW400 SET .8. 13QNC WON T -/ 0 93 .6 at) I r 0 01. 0 C -4-7 X ODD / cp [-A] HEAD 'A -0 --- '0000 6. C�4 BULKHEAD 4.9 5.6`W- 4-4 5r" POLE IL N.Y.S. UIc. No. 50467 CAO s BULKHEAD SWO WE), FRI 1.9,w. UNAUTHORIZED ALTERATION OR ADDITION I 1„71 9 9 V4 ON 80 \400D SO TO THIS SURVEY IS A VIOLATION OF 900 �Ao SECTION 7209 OF THE NEW YORK STATE -a Corwin III 83010AD Allot OF091 EDUCATION LAW. Nathan T " ft S 4.3 GH COPIES OF THIS SURVEY MAP NOT BEARING 16.06 THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED Land Surveyor -A AJ TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Title Surveys - Subdivisions - Site Plans - Construction Layout TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND UA TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fox (631)727-1727 TUITION. CERTIFICATIONS ARE NOT TRANSFERABLE. W UNNE WE TA P OND THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 322 ROANOKE AVENUE P.O. Box 1931 ANY, NOT SHOWN ARE NOT GUARANTEED. RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 ON .. _... _� Board c� �. �1(NcoL1 CL,DPti'U P+usS� v �T t .7aIND. N if � I • � C. 1'1 'l ! — — — -- — — — -- _ — _.. «� _'yL�t i 'li�. 1�J�2 l, •G ' .�ar"ro�` '. Pi, , v tA 17 W1 T2 APPROVED BY OM Cc 0 { '� tom " ' ' "7 v� �I� i Ii t 7 mar- 5,v� 1� �Y5!= to A1oTl T �It? � ;G, �'1 In 2-ln S( 2l � C Tl�l Z 5f0 �. -t L 2- 2ktb �p -� WI 1Joo146 To 1 C C7t.!'�T' ; :�7 Dpi t r .,. t r BOARD OF 'I RUSTEES "•�, M j'L TOWN OF SOUTHOLD o � r ►� Tr ''—. - ,,� ._.__ -_ _. �_. __ •.. :. . . DATEZoZ�- - .°C t� P,&n 0 CK �..... - . '! ! w m Iter,6 .p W j mis4u) L�t ( QEw �/C�r� 011 h��;f 1-01tT 4A 91Wit W 3/2 t 64 D ver - ' (�Nirl�'✓/�• 11% \/I- fcr=et7406, 10 lZic) Ae rl ��/ {..•!,/x i L1 A..! ( : 1"� "" ( ?E ,.. f t ��t _.E E'1� � '/rel t �•t l�th �,� - `�`�a �%��I� .°`•�-�,.` .. �,�� IaND ale 1 ��.,1G� � � �� r v _ <_ X t ? M LVA 1 FC-4 6141 UL4 LS j4 vew TED 0, i4mjo Liig fir✓Fig r`r' !�'��4� 1 ,,,,7 "/ � Y�`• ' 7"'10611a n � �71C rIPILDW }.� . r►tPcxf �tf to`� /�rt�/ � r t• E �'�••••,.. .., � �3 4 n 'r /'"T /� /�i LV f••� �^ , I �" t , ►�,Y, ,t .1 Q� 9- 2 I 11 ,1.5'L)LAT"10w ��j �` .1 T. 1...,��✓ - .? 1 ,44 f ` ! n OO;Its �'4 5NO�At C.1, T02051 D Sit. ' g(Ml��i�► X12, T�14 z >7 ccs AM -- gill J 5� 1+ � j (! `,'a"•'tom• ,�.�,^rr x-•.. �r J i D �C.6� , ;,'` dd }. Z.t j„a ;• f C> '-Lzzl 7p ►1J 4;4- .� FFRFo- ,F E, � - - 1 0 ! W v 12 v x e �1-°'pl-4 F co tt 1'narti of l«s r:? N +}- 0% \ d IT. i om -IMIn TF • ._ —i L 40 w cn +' N .a c ks Nt L N 1 � x M _ NM I - 2ki0 j � d •o ui i - �_�..__ w _ � �., 2 � �- a If ON V", ----- LPI_ 6�t 2 or q-3 25th LV-Ml S ft U 51 K cqfG $ POO`-�. . ------------- .t. 4�f"o e7 r,7 Lei 4 - ` • N PLAN CONTENTS: : , E 0 E I V EDD_.._ L E fel E R A f�10 TE S WIND FRAMING NOTES OCCUPANCY CLASSIFICATION R3 RESIDENTIAL .-. 1) RIDGETO4WTERASSEMBLY: BUILDING USE DWELLING 3 U ?� 1-114'x 20 gauge strap shall be attached to each pair of ratters in accondar �to table 3. BUILDING HEIGHT NO 2022 Z When a collar tie is used In leu of a ridge strap.the number of 10d comrno nails require: TOTAL S0. FT. OF CONSTRUCTION pft , �G CONSTRUCTION NOTES: in each end of the ooller tie need not exceed the tabulated number of 8d nor:s in the stmt. DESIGN CRITERIA PRESCRIPTIVE AS PER 2020 UNIFORM CODESSUPPLiMENTAND Southo!dTown 21 a 1).The Infonrrtatlon within this set of construction documents In related to basic design 2}RAFTER-TO-WALL ASSEMBLY: 2020 ICC WOOD FRAME CONSTRUCTION MANUAL Board of Trustees .� 10 00 intent and framing detail.They are intended as a construction aid,not a substibute Lateral framing and shear wall connections for rafter,ceiling or truss to top ;late shag be,n L .}. 00 for generally acceptedgoodbutdngpmefice FRAMING ELEMENTS AS P R FLOOR PLANS CROSS SECTION AND GENERAL NOTES and with current New York acoordsnoe to tett 3,3.When a rafter or truss do not fall in with studs Below,rafters N +- � State building codes.The General Contractor is responsible for providing standard or misses shelf be attached to the wail top plate and the well top plate shell be attached I EXT. BALCONIES 40 4f consInictiOn details end procedures to ensure a proftealionally finbshed,structurally the to the wall stud with uplift corrections.Roofs overhangkrg the rake alto of the buildir t DECKS 40 CD sound and weatherproof completed produd. shell be Connected with uplift ccnrnedons in accordance with table 3.3c. ATTICS w/o STORAGE 10 • C 2)•The General Con�a'ld is resporrsbie for ensuring that all work and 3)-WALL-TO-WALL ASSEMBLY DESIGN LOAD CALCULA TfOhJS ATTICS w/ STORAGE � 20 W 10"14 rrneets cutetnt federcounty and localWall studs above and stud+below afloor level shall be attached with uplift onnections6. ROOF (GROUND SNDN LOAD) 25LIVE LOADS PSF to ered es part of the spsdfications forthis building and accordance with table 3.3b.When well studs above do not fall in Fine with s,ids below,th,, ( } ROOMS (OTHER THAN SLEEPING) 40 -p � %0 should be adhered to even 9 In variance with the per, skids shall be ottod to a common member in the floor assembly with up ft oonnedm n aROOMS (SLEEPING) 30 O cxordancewith table 3.3. 3).Dimensions shat!talcs precedent over scaled drawings. STAIRS 40 (DO NOT SCALE DRAWINGS). 4).WALL ASSEMBLY TO FOUNDATION: GUARDRAILS (ANY DIRECTION) 200 tI! First wall studs shall be connected to the foundation,all plate,or bottom pi to with uplift 4).The engineer has not been engaged for Corna6vction supervision and assumes no oonnectas•Steel straps shall have a minimum embedment of 7 Inches in k morete EXPOSURE CATAGORY responsibility foroonstrudioncoordinating with these plans,nor responsibility for foundation and stab•on-grade,15 inches In masonry block 11budabork%or: pped under LOAD PATH • SEE CONSTRUCTION AND WIND PATH CONNECTION construction means,methods,techniques,sequences,or procedures,or forsatety the plate and noted In accordance with table 3.3b.When steel straps are I:4ted under It a (ROOF - FOUNDATION) DETAIL PAGE & GENERAL NOTE PAGE precautions and programs in connection with the worts.There are no warranties for a bottom plate,3 inch square washes shall be used with the anchor bolts.An .hor boli LO spec*use expressed or implied In the use of these plaft spacing is to be spaced and sized in accordance to table 3.2a.In addition t spar, NAILING SCHEDULE SEE GENERAL NOTE PAGE I�• anchor bolts are to be spaced between 6-12 inches from the end of a sill pl to and all EGRESS SEE FLOOR PLANS AND WINDOW SCHEDULE 5),Refer to the Window and Door sdhedctle for exterior oponirngs. e-i - FIRE PROTECTION '� , 6)' j The General Contractor Is to ensure that masonry or prefabracted f replaces masts 5).TYPE i EXTERIOR SHEARWALL CONNECTIONS: SM OKE & CO2 DETECTORS) SEE FLOOR PLANS or The manufactuWs specifications and applicable Codes. Type I axcterior shear walls with a minimum of 7116 Inch wood structural pat 4 on the 9&-!or F ' attached whhadwmmonnails at 6'oc.atthepanel edges and l2'o.c.h the ffeld,am TRUSS DESIGN NLA - STANDARD STICK FRAME CONSTRUCTION ' 7) The General Contractor Is to r onsuk with the owner for at bullil bins 112 Inch gypsum walboard on file Interior attached with 5d cooler nails at 7 o.c.at pane ENERGY CALCULATIONS R ESCHECK 4.6.3 such as bookcases,sh Wi'ug,pantry,closets,Nims,etc. edges e 315a-b..c.In the Heid shat be in accordance with the length requl,ments sped id i 8).Wind load requirements shall be taken Into account during construction. 6).TYPE 11 EXTERIOR SHEARWALL CONNECTIONS: Table 3,1 Nailing Schedule(Wood Framed Construction Manual 2015,Pages 149 and 193) +� FOUNDATION NOTES. Type 11 exterior shearwalls shall meet the requirements of table 3.15"tim s the approp-ate t/f 1).The Genera!Contractor and Mason to review pians,elevations,details and notes to WVIh adjustment facto's in table 3.16. Number of Number of determine intended heights of finished floo(s)above typical grade. Common Nails BoX Nails 7},INTERIOR SHEARWALL CONNECTIONS: Joint Description Nail Spacing •. � 2).All footings to rest on undisturbed(virgin)soft.Assumed bearing 3000psf Me rrio sh000wable t rwata uare sed alengths atthinrg nd�neectio s ahalsNII be�aacoowdto be r x with � ROOF NAILING 2.4.4.2 and 2.2.4 respectively. Rafter to Top Plate(roe-nailed) 3-8d 3-8d per rafter • 3).Provide 112"expansion Join!material between concrete slabs and abutting +� concrete or masonry woes occuing in exterior or unheated Interior areas. 8).CONNECTIONS AROUND EXTERIOR WALL OPENINGS: Ceiling Joist to Top Plate(Toe-roiled) 3-8d 3.8d pwjolst Al).Any new concrete welts being attadned to exist! concrete structure shall Header andlor girder connections shat be attached with uplift connections r accordance• Ceiling Joist to Parallel Ratter(Face-nailed) 5-16d 5-16d each lap n9 with bible 3.5.Window sill plates shell be have steel connectors in accode ce with table C V be Installed with#4 re-bar,18"bng at 12"o.c-Use approved epoxy for Installation. 3.5. Ceiling Joist Laps Over Partitions;(Face-nailed) 5-16d 5-16d each lap Con 5).Unless otherwise noted,at slabs on grade to be 2500 Concrete to be Collar Tie to Rafter(Toe-nalfed) 2-10d 2-10d per be 9}.CATHEDRAL CEILING ASSEMBLY: BIoCICI to Rafter(roe Waif 2-Sd 2-10d each end •�.� : poured on 4 Inch tNc k sand or gravel fit with$nob wire mesh reinforcing.Interior slabs Where a ridge Is to be used as a structural beam,the rafters shall either be xotched and ed} a 1rJ to be minimum 3.112 Inch thick. anchored on top of the froom or slope connectors shat be attached to eat- •atter-to-ridg, Rim Board to Rafter(End Nailed 2-16d 3-16d each end 6).Crawl spades to be provided with a minimum 18'x24"access opening.Install one along the open ceiling part of the building.Connections to the ridge and wa shall be be _ WALL FRAMING 8x18 Cost lien foundation vont for every 150 sq.til.of area. � �� attached with the above requirements. -- -- DECK AND COVERED PORCH N� )TES: Top Plate to Top plate(Face-nailed) 2-16d(1) 2-16d(1) ��side t 7).Dampproor exterior of foundation with bituminous coating as per section R406 of - - _ Top Plates at interSecdons(Face-nailed) 4-16d 5-16d N.Y.S.Residential Construction Code.A 6-mil polyethylene film shot be applied over 1).Unless otherwise noted,all hamkrg material to be#1 ACQ pressure tre ted lumber, Stud to Stud(Face-nailed) 2-16d 2-16d 24"o.r- the below grade portion of extierbrwalls prior to backleling. All fasteners,hangars and anchors to be gaMnized or stainless steel. s).Drainage as per section R405 of N.Y.S.Residerrdal Construction Code. 2).Girders for deck joists to be bofted to each post with washers and nuts. Header to Pleader(Face-nailed) ted 16d 16 O.C.along edges Girders on concrete piers shall be anchored with proper steel connectors a shored FRAMING NOTES Into concrete with a minimum 112"dia x T long anchor bolt with washers at d nuts- i Tap or Bottom Plats to Stud{End Nailed) 3-16d 2.40d per stud4- I _ 1).All framing tedtNques and methods as prescriptive design of 2020 3).Posts supporting girders shat)be anchored to a 12'x12"x12'thick Iona -to footing. Edition Wood Franrng Construction Manual. Use a minimum 112"dia x 7"tong anchor bolt with washers and nuts.Footir gs Shall 2).Unless otherwise noted,at irarning and structural wood material to be#2+BTR. be 3 It below grade.Concrete piers to be used with at porches/decks with oofs or pergc as. i . i Bottom Plate to Floor Joist,Band Jost,End joist or Blocting(Face-Nailed) 2-16d(1,2) 2-16d(1,2) per foot Dougras Fir. a).Deck louts b have blocking at 8'0 o.c.. 3).Floors,watt,callings and rafters to be spaced at 16 inches oA unless noted FLOOR FRAMING �; M 5},A minimum of 10 Inch fleeting shall be Installed between the building au i ledger. M otherwise. Ledger to be fastened to building with 117 cite.bolts with washers and nuts Joist to Sill,Top Plate or Girder(Toe-nailed) 4-8d 4.14d per joist 4).Unless otherwlse rioted,.all bearing wall headers to be(2)2x10#2+BTR.Doug.Fir. wtiere needed. 1 Bridging to Joist(Toe-nailed) 2.8d 2-10d each end Bearing wag headers to have(2)lack studs and(2)full length studs on each side of ore 6).Concrete piers shat be a minimum 6"above grade, I ng (Toe-nailed) ' Openings.LVL headers to have(3)jade strria and(2)full fengtlt studs on sect►side of Blocking to Joist2-8d 2.10d each end • openings.Bearing well window sells shall also have(2)window all plates for 2x4 wag Blocking ffl Sill or Top Plate(t oe�hailed) 3-16d 4-16d each bbdc nl s between 4'1 and 6'0 and 2x6 wail openings between 5'1 and a5.Provkie fire AN joists to be supported with hangers and arwhora h deist shat oi.o t�anclwre+ ( Ledger Strip to Beam(Face-nailed) 3-16d 4-16d each joist ' openings a bang where applicable, t0 get) Joist on Ledger to Beam(Toe-nailed) 3-8d 3-10d per joist , 5).All flush to be Installed with 8).Covered Roofs shall to assembled and anchored the same manner as typical build.rg. Band Joist til)Joist(End-nailed) 3-16d 4-16d r st anchors where applicable to all Connedfng joists. " " range and PLUMBING NOTES Band Joist to Sill or Top Plate(roe-nailed) 2.16d(1) 3.16d (1) ppeerffbot 6).Double up floor joists under wells that run parallel to the floor joist and under bathtubs, 1).At water supply,drainage and venting to be installed as per N.Y.S.Ref Jential ROOF SHEATHING Floors to have ceramic tie installed shall be vwt%d for proper load capacity unless noted Construction Code ' Stiuct<iral Panels(See Notes 4,5 and 6) on plans. 2).Venins septic system with the Engineer for Suffdk Corr Health i3epw-cent appnwa' . n� interior Zone 8d 10d ti edge/12"field 7).Provide blockingtbrldging in floor joists at 8'0 o.a,Use solid blocking In floor joists Perimeter Ed Zone 8d 10d 5'edge/6"field ' under all bearing walls. 3),if wall studs,plebes or foists are cutout during Installation for any plumb i9 related we��, Edge ►� , provide adequate bracing and plates to protect and weirs the stnxdure.V rity with the Gable End Rake with up to 1'Rake Overhang 8d 10d 6' edge/6"field 8).Provide insulation baffles at eave vents between reftars.Install draft blocking as state code and manufacture's recommendation far maximum hole size ant >pactng pear•'fed. needed. HVAC SYSTEM NOTES CEILING SHEATHING 9).Unless otherwise noted,at roofs and walls to have a minimum 1/2"thick,4-ply Fir1).Mechanical subcontractor is responsible for adhearing to all ap !cable, ides+and sat ty Gypsum Wallboard 5d coolers 5d coolers r edge/10'Heid CDX exterior sheathing grade plywood.Plywood to cover over plates and headers. requirements. WALL SHEATHING 10}.Untess otherwise noted use 3/4"thick T&G PTS Fir or Advantech plywood subfloor 2).HVAC subcontractor Is to fully coordinate all system date and requirennt nts with the SWctural Panels(See Notes 1,2,and 3) 6d 10d 6'edge 112"field adhered with PL400 adhesive and screwed to floor joists.Finished floor to be Installed equipment supplier. over subfloor as per manufacture's instructions. 11).All bathroom walls to have 1/2"thick mClsturo- sunt sheotrodc Garage wells and3).HVAC subcontractor to provide final system is)rout drawing and submit tothe Gene.al 5d coolers 5d coolers r edge/10'field Contractor callings and over kim ace to have 5111"thick type-x sheetrodk.At other parts of building end owner for final review and approval. Gypsum Wallboard to have regular 112"sheshoclL All walls to be taped and finished. ELECTRICAL NOTES: FLOOR.SHEATHING 1 12).All roof weh a pitch less than 4:12 stmt be Instated with an Ice&Water barrier or 1f At electrical to be installed as per N.Y.S.Residential Construction Codi Stntetural Panels approved equal-Flat roots shag be applied with a Fiberglas bora sheat with an EPDM 1'or less 8d 10d 6'edge 112'fleld torch down type material ever. 2).At electrical work shall be approved by a qualified Underwriter. 13)•All sit plebes and wood in contact with concrete to be pressurra treated.Sill plates to 3).Instal Snake detectors and Carbon Monoxide detectors throughout as or section R f7 (1)Nailing requirements are based on wall sheathing nailed 6"on-center at the panel edge. Alternate wiling schedules shall be installed with a foam sit gasket and cop-atex termite shield or approved equal, of N.Y.S.Residential Construction Code. be Used where wall sheath! nail! g' pa g n9 ng is reduced. For example,if tIt►aa sheathing is nailed 3 inches on"center at the Wei edge • to obtain higher shear capacities,trailing requirements for structural members shall be doubled,or alternate connectors shall be used to maintain load path. CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA (2)For wall sheathing within 4 The of the comers,the four foot edge zone attachment requirements shall be used. _ (3)Tabulated 12 inch o.c.nail spacing assumes wall sheathkv attadied to stud framing members with 0.42<G<0.49. ( REIN' Ground Snow Wind Seismic Weaftring Frost Line Termite Decay Winter ce Barrier F ood Haz: -ds (4) For roof sheathing within 4 feet of the perimeter edge of the roof,including 4 feet on each side of the roof peak,the 4 foot Q, Load Speed Depth Design ndedayment perimeter zone attachment requirements shall be used. Temp. Required { (5)Tabulated 12 inch o.c.nail spacing assumes roof sheathing attached to rafter/truss framing members with G>0.49.For* >� ' 25 psf 140 mph B Severe 36 in. Moderate Slight to 15°F Yes -ill framing members with<0.42<G<0.49,the nail spacing shall be reduced to 6 Inches o.c. �.. . i to Heavy Moderate 1 (6)For Wnd speeds greater than 130 mph,blocking is required which transfers shear bad to two additional rafters(3 rafters in , t -J total). ='r' (7)For exterior panel siding,galvanized box nails shall be permitted to be substituted ftor common nails" JQ �.. .___ ..._.. _. - . .. .�..._._.. ._ _ .. . .__ - •--jfflV- 3 ° 2C22 Southold Tov.�n CONSTRUCTION DETAILS do WIND LOAD PATH CONNEC11O N DETAILS WIND RESISTANT CONSTRUCTION CONNECTORS Board of Trustees ONN CTION LOC PART PART NUM RIDGE—TO—RAFTS LSTA24 APPLY TO EACH PAIR OF RAFTERS �_ . RAFTER—TO—WALL RT20 APPLY TO EACH RAFTER. NO1 R APPLY TO EACH RAFTER I�OTCI~!ED RAFTER RAFTER—TO—PLATE T S SE WITH-SP CONNE RAFTER RVGE ____ p —TO—W STUD SPTN4 APPLY TO ARCH W 2ND. FLOOR WALL—TO-1ST• F�LOQRWAU KLFTA OR MSTA36 APPLY TO EACH-NNJ2 MDEACH—N - HEADER—TO—JACK.' STUD STA12 APPLY TO EACH JACK 2TUD CRIPPLE STUD—TO--HEADER RT3 OR RT7 ' APPLY TO CRIPPLE SHEAR WALL HOLDDOVK ANCHOR ADS5 APPLY TO&n A 1ST. FLOOR—UNDER—S:LL *PLATE MSTA36 OR RS16—R WRAP UNDER DOUBLE SILL PLATE USE VATH 3" AR W H S 11�C'TtiJ�" M@mr,goUeP MOW= TOAMMMAMWWWWWWWW. • RAFTER PRS:1R DE 112"SPAS` : �► .,� SM EN TME END STUD .T V • AND TI OTHER STUDS Ae oR T olkN4dm �Tt . FOR ALLOWING 1CT COMM 3TIJI? RAFTER HOLDD AWN INSTALLATION , • TOTRAN ERSHEAR �u�u►�ro�+oWor► a h:aa � V . TOP PLATE ' FASTS WITH(2)1lld :u'w�ctcna�eeor► a A) ® ' CMMN NAILS 6"O.C. i!' •roc ; . TOP FATE oarroa� �v --O . itloa" p'oC WALL STUD • WALL STUD 31DEWALL ALL ! f"� . oR L N ' •wlop ' t 2ND.FLOOR WALT.STUD � •~ • No 21 D.BOOR PLATE CRIPPLE STUD tu VVOOD JOmT Rt�1 WARD WOOD JOIST \ HEADER �' 1 ST.FLOOR TOP PLATS t� g�'ilDS t WOOD t3R WOOD JOIST IST FLOOR WALL STUD . QST.FLOOR WALL sTUD 1ST.FL6W PLATESILL SUGFLOOR I{ WALL STUD WALL STUD R1 - S � BOTTOM PLATE 9011PLATE . • DSL.SILL PLAM .• ;. _ SUS FLOOR DOt1�E SILL PLATE DOtruLE JOIST BATHTUB pOJBLE JOIST (TO OVERLAP JOWS) = •' , FOUNDATION WALL - • .� FOUNDATION WALL. • �tlo wSkLFLA 4 — 1• et • • G_ �` �SSIU� W4 . . . . . .. .... . . . . . _. _ ... . . .._ .. . _ ... . . . . . . _ .- ---- -.----... . ... .. .. _ ----__... . ; . . .. ..---.._ -. . . .. ------ . . . . WiND " REFI-STANT CONSTRUCTION ' CONNECTORS' DECK 8c PORHDETAILS C CONSTRUCTION D E TA i L S & WIND LOAD PATH CONNECTION DETAILS CONNECTION LOCATfON PART NUMBER NOTES Z sniftlte,d Town 4 F H 4 w " j Board of.Trustees CL Ne 6x6 POST To FOOTING ANCHOR PAU66 OR WE66 PAU66: USE w MIN. 1 " DI 7" ANCHOR B. LT Ch a 4x4 POST TO GIRDERLHEADER PBS44 PBSE44 KC44 USE ONE -TYPE FOR EACH POST -i } tip 6x6 POST TO GIRDER HEADER BS66 PBSE66 KC66 USE ONE TYPE FOR EACH POST p d +��+ C � 4USE121—EQR EACH POST/COLUMN RAFTER TAIR STRINGER' CONNECTION TM •C AFTERZJOIST TO HEADER TYDOWN T15 USE FOREACH AFT R w p .=� ' . . AFTER TO LEDGER BOARD TMU26 OR MPA1 USE ON EACH RAFTER. MPA1 USE ONLY , RAFTE WHERE TMU26 CAN NOT USE LEDGER USE THE FOLLOWING OR APPROVED USP METAL CONNECTORS FOR PROPER WIND RESISTANT CONSTRUCTION. O ' W FOLLOW MANUFACTURE'S RECOMENDEO INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY. �..� RIDGE —4-, HEADERd' Table 3.1 Haling Schedule(Wood Framed Cm*uWm Manual 2015,Pages 149 and 193) V) RAFTER" Number of Number of ,Joint Deagiption Common Nails Box Nals Nei Spacing � ROOF WAILING ~' Raft to Top Pieta(Toe 4mflad) 3-8d 3-8d per taller TYPICAL RIDGE TO RAFTER STRAPPING RAFTER TO WALL CONNECTION ALTERNATIVE RAFTER TO HEADER CONNECTION Calling Joist bTOP Rate(TOO 3-8d 3-8d perpst Oft Joist to Parallel Rafter(Face-naiad} 5-16d 5-16d each lop Ce16ng Joist Leps Over Partitions(Face Aneiled) 5-16d 5=16d each kip _•• Coir Tb b Raaff(Toe•neieM 2-10d 2.10d Blocs ft to Refloat(Toe nailed) 2-8d 2.104 each end STAIR TREA Rim Board b Rafter 2-16d 3-16d tech end -GIRDER/HEADE WALL FRAMING P O S T RI M BOAR Top Plate b Top Plate(Face-nailed) 2-16d(1) 2-16d(1) per foot 41 ; Top Plates at (Face-m#4 4.164 6.16d )Oft-each sits A3 W POST/COLUMN ST.RINGE SWtoSlud(I'm 2-18d 2-16d 24"ot Header to Mader(Face-Haled) 16d 164 16'o a akxg edges .�,.. RIM/DECK JOI ° Top or Bottom Plate b Stud(End 146114 3-164 2-40d perafud ' 0 S STRINGER TO DECKJPORCH CONNECTION I,pERMEADER TO POST/COLUMN CONN CTION C Botbm Place b Floor JoW,Band Joist,End jolter BW*V Tice+U1142-16d(12) 2.16d(1,2) perfoot POST TO DECK/PORCH CONNECTION FLOORFRAMiNG W V Joist b 811,Top Plate or Order(Toe gteied) 4-8d 4-10d per jotat Q) �. Bridging b Joist(Tce-traced) 2-8d 2-10d each and Blocking 10 Joist(tae-nealed) 2-8d .2-10d each end' B1oc:kbg to SIR or Top Plats(Toegmlled) 3-16d 4.16d each block Ledger Strip to Beam(Face-naiI4 3-16d 4-16d each ja>!at Joist on Ledger Ban(Foe-nafleM 0d wic'm GIRDER/HEAD a ,io�t 3-1166d 4:16dd per L GIRDER/HEADE Band JoCst b ail aTop Plam(Toe-naNed) 2-164(1) &16a (i). periost 0. 0 ROOFSHEATHING POST/COLUMN JOIST_ Structural Panels(See Nantes 4,6 and 6) Interlo zww 8d lod 6'edge 117 field �. POST/COLUMN Pedmeter field Ga ERakakeWtiupto1'Rake overtha3ng Zone 8d 100dd 6w161 GIRDER/HEADER CEILING SHFATHi� y Gypsum Wallboard 5d ctooters 5d coolers Tedge 110'field WALL SHEATHING Shchral Panels(See Notes 1,2,and 3) 8d 10d 6'edge 112'field (� GIRDER/HEADER TO POST/COLUMN CONNECTION GIRDER/HEADER TO_POST/COLUMN CONNECTION JOIST TO GIRDER/HEADER CONNECTION 5d coolers 5d coolers Tedgeil0'fbaald m Wallboard FLOOR SHEATHING ShcknI Panels 1•arbss 8d 10d edge 117 field (1)Nailing requirements are based on well slteatMng melted 8'on-Ce tat the pent edge. Aiternste nallirg sdiedules shat be used where wal a:dtaa0ing nailihg is reduced. For exrr",Ifwd is naiad 3 k dyes m cen*aatthe panel edge to obtain higher sheer rapaatiss,ming requinimnis for stlucl rsI members shall be doubled,oratlernate correctors sham GIRDER be used b maintain load path. (2)For wall sheathing within 4 feet of ft camera,ft flour foot edge zona aabOnent r q*wf arse shell to used. o • POST (3)Tabulated 12 Wh ot,nal spa"assumes wall stimItfthhg afthed b stud framlog members wlth 0.42<G<0.49. y sheathing a (4) For roof wifftin 4 feet of the perimeter edge dfhe root`,inducing 416don each"of fhe rod peak,ft.4 foot WO 0 D :J O I S pw meW zone abehment newkwIents shall be used. • >" " (5)Tabulated 12 bob o c.msec waft aass rrm rood Aiheafft V afthed b rafter/lams taming members wffh b0.49.For- n . CONCRETE PIE v° A V° GIRDER/HEAD training members VO<0A2<G<0.49,me mall spackV shat be reduced b 6 inches o.c. •,>'v' 12 x 12 x 12 CONCRETE F O 0 T >� V (6)Forwind spesdsgreater than 130 mph,blocking is mored whet transfers sheer had b two addfkmai raaftent(3 rafters in Y WOOD ,JOTS �(7)For exterior panel siding,galvartked bcor macs shat be permitted b be substituted fax commm malls. �> > t^v Y Y POST TO FOOTING CONNECTION DECK AND COVERED PORCH NOTES: v ` v 1 unim afhaervrNe noaaed,aA r1 ftv nr b 1 b be fl AM promn beaMd kanban. JOIST FRAMING FLUSH WITH GIRDERJHEADER ahebraera,rw" w+dwrw*1*be orarer,reea**ea, GIRDER TO CONCRETE PIER CONNECTION rd.r )oielabob6baneeoradarasbe@chp*ordevMwWw wWmt& P111 oxhomd CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA ka'aema wthamk*numilrdmxr"wdwbeitwkhwW=wWmfa 3j Poets wppo�ng OMers aro1 ba wxdiorad to a I2'xt25t1r tNax wravb tdk4 Ground Snow Wind Seismic Weathering Frost Une Termite Decay Winter ce Banier Flood Hazards vee a midmren yr da x r tone anchor bat wAh*when and Hua L Foot v Shd Load Speed Depth Design nderlayrnent be St below grade f3lyders wAh room sfwA naw 17de.ancrerls pieta r b•IowDraae. Tem . uired 4}Deckjobts b haw bbcidnp at a'0 aa. 25 psf 140 mph B Severe 36 In. Moderate ; to Heavy &�� 15 F Yes "LadM�nn of 1Io0 h � ,I7 car Donh wa *Mn* ms's e}Cw=ek piers shdl be a,,*b en V above pnde. ^ n AA Johns b be aup w%d v&hwpers and anchors Each J*I anus dw hxr endxxed 8),Cowered Room shell be emerrabled and anchored Use lanae murex=a bPicai brkap.. .- _VELO PdOV 3 U Z�� _ a Y } .o Boars o Tvs�;a� c � Lij -0 0M O 'o O 01 V h M LO to t L N L3 w O Hrw V = M I ` Lu TI sa Vol IR:rl\,,\ �r �y -cC)LIT'F-4CTOjZ to -28 6.! Gleil'n goldsmith,President ��p�® � Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 0 Eric Sepenoski ,$ P.O.Box 1179 Liz Gillooly �y • �� Southold,NY 11971 Elizabeth Peeples � �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Z 2 z Completed in field by: �V •k � Richard Cifarelli on behalf of BARBARA KOHN requests an Administrative Permit to extend the existing deck (16' 6" x 8') out towards water 16' keeping it the same width as existing deck 8' wide with French doors leading onto deck entire footage of deck will be 24' x 16' 6"; and to make the existing roof over existing deck a new deck with dimensions 16"6" x 8' with French doors leading out onto new deck from master bedroom..Located: 500 Little Peconic Bay Road, Cutchogue. SCTM#: 1000-111-14- 12 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 Noy/Not Applicable Info needed/Modifications/Conditions/Etc.: aJ .S Present Were: G. Goldsmith V N. Kru ski E. Se enoski p p L. Gillooly E. Peeples t r3 .. Y:Y - r y W y •- ,._ �c�,-..' ..-�..i '�a .?.'S rte`-�Fn �r .,� '��; _{�a.�,. '�jb � a,�' a`a, S x�"`*'''�_'��'�i•'o r��` � ' +`y�j,�}�ry� r �*��y t� y w-' t'�; - t v, �yr �:�� ,�,�� '��i. � s� I � ..r �1�# „ ti�s� ,� r.+��,i. •�.., IT Li Ta 4 b :Ye Xmm `fly... �f ,:F.. i �!• Vii` [s •#"i" v4a. 4 I w J vt" ' n fie... �. ?'- '•.. a -r 7l�►� 3. ty►, �' try II �� , � A .•y' i f„t... y'_ s� mm w a�< i y z r�� ..� �.� °t"' v"Z, 4 � mkt z �..., ° �-er.♦�y M +' :s ��; . 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Best, Richard On Nov 30, 2022, at 2:25 PM, DiSalvo, Diane<diane.disalvo@town.southold.ny.us>wrote: There was no fee along with this application—fee is$100.00 made payable to "Town of Southold". Please drop off prior to our deadline to head toward our 12-14-22 Board Hearing. As discussed -can you please clarify for me your project?With either square footage or dimensions of everything that you are proposing. This can be done by return email. Thank You panne Disa�vo o f five�ss�stav t southoLd Towo,Trustees P.O. -Box 2279 so�tthow, NY 1:L9j 2 (ro31) j 65--28J°2 1 OFFICE LOCATION: ;�'OF SO(/ryO MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold,NY 11971 • Telephone: 631765-1938 �ycOUNTY,�� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From:"Mark Terry, ACP LWRP Coordinator Date: December12; 2022 Re: LWRP Coastal Consistency Review for BARBARA KOHN SCTM# 1000-111-14-12 Richard Cifarelli on.behalf of BARBARA KOHN requests an.Administrative,Perm it;to;extend the existing deck (16' 6"x 8') out towards water 16' keeping it the same width as existing deck 8'wide with French doors leading onto deck entire footage of deck will be 24' x 16' 6"; and to make the existing roof over existing deck a new deck with dimensions 16' 6" x 8' with French doors leading out onto new deck from master bedroom. Located: 500 Little Peconic Bay Road, Cutchogue. SCTM#: 1000-111-14-12 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 proposal is CONSISTENT with LWRP Policies and 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 Glenn Goldsmith,Pre.:_ nt flF so Town Hall Annex A. Nicholas Krupski,Vice President c�� ® 54375 Route 25P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Elizabeth Peeples � ® � Telephone(631) 765-1892 _ .. Fax(631) 765-6641 C®UNI(,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application D �a Wetland Permit Application C ---VAdministrative Permit Amendment/Transfer/Extension Novaof-Trustm 11 Received Application: ��.$0•ZY Received Fee: $ Completed Application: S Incomplete: Boa SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): �� Mailing Address: /1 �l f�� Phone Number: 31 q0 Ulf Suffolk County Tax Map Number: 1000 - Property Location: 0 (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): ` Mailing Address: do � ll Phone Number: 7I7 7 a S� Email: &dY avcarca v= rruszees tipp�.icazion GENERAL DATA 'Land Area (in square feet): Area Zoning: X4 Previous use of property: J . Intended use of property: Covenants and Restrictions on property? Yes _�No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? ✓Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? 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.? L,--'Yes No Does the structure (s) on property have a valid Certificate of Occupancy? ✓ 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? ✓No Yes If yes, provide explanation: Project Description (use attachments if necessary): Mya 4V= 61�z 4 ?� 7 1 ` ` WETLAND/TRUSTEE LANDS APPLICATION DATA f Purpose of the proposed operations: _ Area of wetlands on lot: ?(20 square feet Percent coverage of lot: p % Closest distance between nearest existing structure and upland dgee o�nds: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? V 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: r' Manner in which material will be removed or deposited: D 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 Environnrerztal Assessment Fornz Instructions for Completing 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 I -Project and Sponsor Information Name of Action or Project: Project Location(describe,and attach a location map): Brief Description of Proposed Action: Name of Applicant or Sponsor: Telephone: iLE-Mail: r� !o i ��L�' C. efw-- A� city/po- State: Zip Code: 41 //93r 1.Does the proposed tion 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 F 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: ❑ la.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 ural(non-agriculture) ❑Industrial ❑Commercial [!Kesidential(suburban) ❑Forest ❑Agriculture El Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES NIA a.A permitted use under the zoning regulations? ❑ Rr EL D.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: L_.1 ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO J YES b..Are public transportation service(s)available at or near the site of the proposed action? 0 ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? Fv� ❑ 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: 11-11 2r El 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 j YES 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 YES wetlands or other waterbodies regulated by a federal,state or local agency? El Fr 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: Ej� 14. Ide the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: S�ioreline ❑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 by the State or Federal government as threatened or endangered? Rr ❑ 16.Is the project site located in the 100 year flood plain? NO ES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, —0 a.Will storm water discharges flow to adjacent properties? [rNO nYES El b.Will storm water discharges be directed to established conveyance systems(runo f and storm drains)? If Yes,briefly describe: Lt NO AYES 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: Rr 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 YES completed)for hazardous waste? If Yes,describe: Rr ❑ I AFFIRM THAT THE INFOR%W,ATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE'BEST OF MY KNOWLEDGE Applicant/spons nal: Date: �d�® .�Signature: � 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 I. 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? 0r ❑ 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 ❑ 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? Rr 7. Will the proposed action impact existing: ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? Fr F] 8. Will the proposed action impair the character or quality of important historic,archaeological, F-1 9. 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,orModerate 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 I L 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 mayor 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. Check this box ifyod 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 AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE . DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO 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. i Signature of Property wner Signature of Property Owner SWORN TO BEFORE ME THIS ' DAY OF � � , 20 /Lv Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. 01D1475593 Qualified In Suffolk County My Commission Expires April 30, 202&• AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1000- �� ` l 7 ?� in the town of New York, hereby authorizes /� �✓�el� to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's S nature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF , 20 Notary Public APPLICANT/AGENT/REPRESENTATIVE 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. dL 1 (� /1 r � 941,e6*914- / YOUR NAME: — (Last name,first name-,�iddle initial,unYss you ara 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,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 tiie 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 thisa_,i___,,day �� - 240 Signature Print Name Form TS l A t CA A r t 4, ! 44U Town of Southold i 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, listintz 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. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#Lt7 D PROTECT NAME The 1�°}^r�licataon has been subimitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees L"I 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: 0 11�3� -Site acreage: �q Present land use: ✓Present zoning classification: U 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: ,�/�G�G✓ (b) Mailing address: 4 ?(� (c) Telephone number: Area Code (d) Application number, if any: Will the action bbedidirectly undertaken, require funding, or approval by a state or federal agency? Yes 1:1No 2 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 Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No I �I 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 ❑ Yes ❑ No 2Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ErNot Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ZNot 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. Yes No Nov ` plicable - Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No �- -I 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. ❑ YesD No u Not Applicable Attach additional sheets if necessary WORKING COAST POLI F'S Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No E1 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No u loot 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 PREPARED BY TITLE DATE