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HomeMy WebLinkAboutTR-10360 Glenn Goldsmith,President ®i s®(�ry Town Hall Annex ® 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoskiit Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #2109C Date: December 20, 2023 THIS CERTIFIES that the existing:L1 895 sq.ft two-storydwelling with a 30sg.ft. front porch,• as-built 431sq ft seaward side screen porch; as-built 236sgft deck and 263sq.ft. deck on seaward side of dwelling;with the condition to establish and perpetually maintain a non-disturbance.buffer from the 13' contour line; At 375 Reydon Drive, Southold Suffolk County Tax Map#1000-79-5-23.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 12, 2022 pursuant to which Trustees Wetland Permit#10360 Dated April 19, 2023,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the existing±1 895sq_ft.two-story dwelling with a 30sq ft front porch; as-built 431sq ft seaward side screen porch; as-built 236sq.ft. deck and 263sg.ft. deck on seaward side of dwelling; with the condition to establish and perpetually maintain a non- disturbance buffer from the 13' contour line. The certificate is issued to Pabloggg.LLC c/o Paul May owner of the aforesaid property. >F`d Authorized Signature Glenn Goldsmith,President '_,,qq,�q s0 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 ® a0 Fax(631) 765-6641 COUNTV,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTIOI - 111023 INSPECTED BY: E�►Z 6t+kN ?CU ILA V/ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1 st day of construction % constructed X Project complete, compliance inspection COMMENTS: Koy► +ud Inu%e r nod iy��1�n►l App imr AamialdrAy Awvt�A 6f 021 a ,ate Q-�,o eylrrf' beim buil+ fie& Am T vu.c ayc a i itJ 1711DIZ3- Wik-l' imvavyCe J AAIWAV% PeymiA bg. AfaAr P6,40 , �v i&sue- Cir} '(A�e. D� CoMV)Jj VJLF_ CERTIFICATE OF COMPLIANCE: CC#: C23-30468 � y COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK The Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded-in my office on 09/05/2023 under Liber D00013216 and Page 832 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 09/05/2023 SUFFOLK COUNTY CLERK 0 VINCENT PULEO SEAL I IIIIIII IIII ILII VIII VIII VIII VIII ILII VI II IIII IIII Illill(IIII(IIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 09/05/2023 Number of Pages : 15 At: 12 :53:22 PM Receipt Number : 23-0112989 LIBER: D00013216 PAGE : 832 District: Section: Block: Lot: 1000 079.00 05 .00 023.001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $75 . 00 NO Handling $20.00 NO COE $5 . 00 NO NYS SRCHG $15.00 NO TP-584 $0 . 00 NO Notation $0.00 NO Cert.Copies $9.75 NO RPT $200.00 NO Fees Paid $324.75 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County �r T Number of pages RECORDED 2023 Sep 05 12:53:22 R1 Vincent Puleo CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013216 Social Security Numbers P 932 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax _ Handling 20. 00 2. Additional Tax _ TP-584 Sub Total _ SpecJAssit. Notation or EA-52 17(County) Sub"Total Spec../Add. EA-5217(State) TOT.MTG.TAX _ Dual Town Dual County_ R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit Mansion Tax The property covered by this mortgage is Certified Copy 7 or will be improved by a one or two NYS Surcharge 15. 00 %_7 �`� family dwelling only. Sub Total ! YES or NO Other Grand Total _ _�- �t r 7� If NO,see appropriate tax clause on r- page# of this instru tent. 4 Dist. I curr;nn Rlnnlr r nr S Community Preservation Fund 5135274 1000 07900 0500 023001 Real Property Consideration Amount$ Tax Agen y� R DTY A I�IEflIlfl CPF Tax Due $ Verification 03-Au Improved 6 Satisfactionn,Lisu,+ur,cmrc,cnow um.lViJtaL� v.•,,..w oi.uau.g�,.tdreSs RECORD&RETURN TO: Vacant Land TD TD 7 TD Mail to:Vincent Puleo, Suffolk County Clerk 7 Title COMDanv Information 310 Center Drive, Riverhead, NY 11901 - www.suffolkeountyny.gov/clerk Title# 8 Suffolk County Recordinty & Endorsement PaLre This page forms part of the attached l)�Ct"'¢'C'f 7-10.1 made by: (SPECIFY TYPE OF INSTRUMENT) © The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN ofJ�NDL In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) i DECLAIZATION OF COVENANTS THIS DECLARATION made this 2,T41 day of July, 2023 by Paul May,Member of Pablo Peg, LLC, residing at 1511 Linden Road, Mineola, NY 11501 hereinafter referred to as "DECLARANT(S)": WITNESSETH: WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located on 375 Reydon Drive, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000,Section 79.,Block 5,Lot 23.1 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold(hereinafter the Trustees) pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor,and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS,the DECLARANT(S)therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit(Exhibit A)to undertake such regulated activities, the Trustees required to establish and perpetually maintain a non- disturbance buffer from the 13' contour line. WHEREAS, the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property. i NOW, THEREFORE,the DECLARANT(S) do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained a non-disturbance buffer from the 13' contour line; as defined by Chapter 275 of the Town Code,as detailed on permit# 10360 and as depicted on the survey prepared by Nathan Taft Corwin III Land Surveyor dated June 22, 2023 and stamped approved on July 11, 2023. (Exhibit B) 2) These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. 2 IN WITNESS WHEREOF, the owner(s)has/have duly executed this instrument this day of July, 7-0 Pablo Peg, LLC: By: Paul May,Member STATE OF NEW YORK) COUNTY OF ) On the day of July, in the year 2023, before me the appeared Paul May, personally known to me or proved to me on the basis of satisfactory evidence to be the induvial(s)whose name(s) is/are subscribed to the within instrument and acknowledge to me that he/she/they executed the same in-Iiis/her/their capacity,and that by his/her/their signature(s)on the instrument, the individual,or die persons on behalf of which the individual(s)acted, executed the ins rument. i `I NotaryrPublic BETSYA.PERKINS Notary Public,State of New York No.01PE6130636 Ouallfied in Suffolk County. Commission Expires July as 3 J SCHEDULE A ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon erected, situate, lying and being at Bayview, near Southold in the Town of Southold, County of Suffolk, State of New York, being particularly bounded and described as follows: BEGINNING at a point on the Westerly side of Reydon Drive distant 300.00 feet Northerly from the corner formed by the intersection of the Westerly side of Reydon Drive with the Northerly side of Bayview Road; RUNNING THENCE North 72 degrees 01 minute 10 seconds West,408.28 feet; THENCE North 20 degrees 11 minutes 20 seconds East, 150.49 feet; THENCE South 69 degrees 50 minutes 20 seconds East, 411.82 feet to the Westerly side of . Reydon Drive, 135.00 feet to the point or place of BEGINNING. 777,e PIr 5S, P 'S Ar _Jr BOARD OF SOUTHOLD TOWN TRUSTEES -T- SOUTHOLD,NEW YORK PERMIT NO. 10360 DATE: APRIL 19.2023 rV ISSUED TO: PABLO PEG.LLC c/o PAUL MAY 61 PROPERTY ADDRESS: 375 REYDON DRIVE,SOUTHOLD SCTM#1000-79-5-23.1 "41 AUTHORIZATION -111 Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 19,2023, and in consideration of application fee in the sum of$250.00 paid by Pablo Peg, LLC and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: V- Wetland Permit for the existing±1,895sq.ft.two-story dwelling with a 30s .f. front porch; as- E built 431s ft.seaward side screen porch; as-built 236sq.ft. deck and 263sq.ft.deck on seaward side of dwelling; with the condition to establish and perpetually maintain anon-disturbance buffer from the 13contour line; and as depicted on the survey prepared by Nathan Taft Corwin III Land Surveyor,last dated June 22,2023 and stamped approved on July 11,2023. 4 !1* IN WITNESS WHEREOF-the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these 4,n� )1) _w. presents to be subscribed by a majority of the said Board as of the day and year first above written. X Lot ELIZABETH PEEPLES-ABSENT �kl %V t yi - IS T __77 TERMS AND CONDITIONS The Permittee, Pablo Peg, LLC c/o Paul May,residing at 375 Reydon Drive, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will, at his or her own expense,defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. G (ItJI HOLt UUG 40.cQ a ' s e 4 /J tC�l16 7 T \ i ® J0 L OR "9)- a-/ SND l N 4 OAR 08'28)9� i A PREPAI I STANfY THE FOR 51 TTRF< APPROVE® BY BOARD OF f RUSTEES h'04MONS rove OF SOUTHoLD D EE TVq ll I UZ,3 f eee dG TOWN DEFINED LOT COVERAGE )VER BUILDABLE LOT AREA UNAUTHORIZED ALTERATION OR ADDITION LESS WETLAND AREA = 48,578 aq. ft.) TO THIS SURVEY IS A VIOLATION OF ION AREALOT COVERAGE SECTION 72LA OF THE NEW YORK STATE Nathar EDUCATION LAW. 1,895 sq. ft. 3.9X COPIES OF THIS SURVEY MAP NOT BEARING ORCH EMBOSSED ° SFS°�L INKED CON OR Lar iRCH dTSO aq. ft. 0.9X TO BE A VALID TRUE COPY. i do STEPS 480 sq. ft, 1.OX CERTIFICATIONS INDICATED HEREON SHALL RUN' ONLY TO THE PERSON FOR WHOM THE SURVEY 75 aq. 4t. 0.2% IS PREPARED, COMPANY,GDOV°ENRNMEM�t AGENCY AND TO THE Successor LENDING INSTITUTION LISTED HEREON, AND 2,910 ■q. ft. 6.OX TO THE ASSIGNEES OF THE LENDING INSTI— Title Surve TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Ys PHONE (631)727— THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AND/OR EASEMENTS OF RECORD, IF 1566 Main Root ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York XE DUG BY GEOS9 91 ON MAY 20, 2013) EL 18.1 o' DARK BROWN LaAN OL 0.5' 13RO M CLAYEY SANG sc 11' BROWN RNE SAND sP 1.0 15.1' GROUND WATER WATER M BROWN FINE SAID SP 1r PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE LI.A.LS. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. Ei �s� �L 1 JUL .Still of NE °° '-pfTCO 9 S i�t�`'L'• 11A0 •r1. . og , 0o N.Y.S. Lic. No. 50467 l J an Taft Corwin III .and Surveyor cessor To: Stanley J. Isaksen, Jr. LS. Joseph A Ingegno LS. s — Subdivisions — Site Plans — Construction Layout , 1727-2090 Fax (631)727-1727 7A TED AT MAWNG ADDRESS 1 Road P.O. Box 16 York 11947 Jamesport, New York 11947 SURVE' TOWS SUFFOLK S.C. TAX N JUNE 5, 201, JULY 3, 201: NOVEMBER 1 SEPTEMBER 19,',202: DECEMBER 8, JANUARY 4, JANUARY 1; TOTAL AF UPLAND AF WETLANDS NOTES, 1. ELEVATIONS ARE REF 'o EXISTING ELEVATIl \ EXISTING CONTOU \ \ 10 \ \ � CER TIEIE, �ti PAUL AN r/-- \ �\ i^4p 7. pGREGORY STEWARD �\ \��� \ \ 1_ l ♦ // // / \ ,� 1/ lPr J a.4.. BANK OF /a. rt 1 h• _ ` 1 RVEY OF PROPERTY SITUATE EAYVIEW TOWN OF SOUTHOLD OLK COUNTY, NEW YORK TAX No. 1000-79-05-23.1 SCALE 1"=30' MARCH 15, 2013 5, 2013 ADD PROPOSED SEPTIC SYSTEM 3, 2013 ADD. WELL ABANDONMENT NOTE 48ER 1, 2013 ADD NEW SEPTIC SYSTEM 9, 2022 UPDATE SURVEY FOR PROPOSED POOL BER 8, 2022 REVISED PROPOSED POOL CRY 4, 2023 REVISED PROPOSED POOL ARY 12, 2023 ADD PROPOSED PATIO JUNE 22, 2023 AL AREA = 58,484 sq. ft. 1.342 ac. Q AREA = 48,578 sq. ft. qDS AREA = 9,906 sq. ft. kRE REFERENCED TO N.A.V.D. 1988 DATUM ELEVATIONS ARE SHOWN THUS: A-x CONTOURS ARE SHOWN THUS: XX- - - -XX 'FLED TO: _ AND MARGARET MAY 2'ORY AND CONNIE JUDGE BARD TITLE INSURANCE COMPANY C OF AMERICA TF.':ZT Nnr.p nATA J \ CO �RNFSTN/L F714;N� dls fo Lo `QP w T PI IZ2 . u E (rot DE HOUSE SCREE & FRG WOOD SHED TOTAL m FjL d df `Qh'�� lS+Z041 ZOP p 1 Ul EXI; (TOTAL DESCI HOUSE SCREENEI do FRONT WOOD DE SHED TOTAL ' s 7'—/ / "'d oos�ts ti _ c c QI 'wb�v 3Sdolsn a s` e8A 1 .oez� m mhiy� G� w 1 ,P .� s•e � .rte `„ \.a \x \ \ 10 / V 1m La 1 1 1�I ! v•' d¢ ¢� y I h a� 1 1I 1 l o f I I I oCl LLI C14 I j ! I � 3 . coI i ! ! 1i I j Ip,P'@ IfZi a I 1 0 col; �F ~Qi j-'may 20 � y °° ; ' 49.9 i � 2 / / //o/ / //// � �z= i I I I ► I I � :F;D m rrlI la f o I i i it i iN �� �z ! • 10 I 1 f f rry ARS BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10360 DATE: APRIL 19:2023 ISSUED TO: PABLO PEG,LLC c/o PAUL MAY PROPERTY ADDRESS: 375 REYDON DRIVE, SOUTHOLD SCTM#.1000-79-5-23.1 AUTHORIZATION Pursuant to the provisions of'Chapter 275 of-the Town Code of the Town of Southold and i accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 19,2023, and in consideration of application fee in the sum of$250.00 paid by Pablo Peg, LLQ and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the existing±1,895sq.ft. two-story dwelling with a 30sq.ft.front porch; as- -built 236sq.ft. deck and 263sq.ft.deck on seaward built 431sq.ft. seaward side screen porch; as side of dwelling; with the condition to establish and perpetually maintain a non-disturbance buffer from the 13' contour line; and as depicted on the survey prepared by Nathan Taft Corwin III Land Surveyor,last dated June-22,2023 and stamped approved on July 11,2023. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the day and year first above written. AX, %Vaf R C2 C0.2 TERMS AND CONDITIONS The Permittee Pablo Pei LLC c/o Paul May,residing at 375 Reydon Drive, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months,which is considered to tie the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable,interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trusted permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President ®� S0 � 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 � a� Fax(631) 765-6641 COUNT`l,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 11, 2023 Pablo Peg, LLC 1511 Linden Road Mineola, NY 11501 Attn: Paul May RE: 375 REYDON DRIVE, SOUTHOLD SCTM# 1000-79-5-23.1 Dear Mr. May: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 19, 2023 regarding the above matter: WHEREAS, PABLO PEG, LLC c/o PAUL MAY applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated December 12, 2022, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 19, 2023, at which time all interested persons were given an opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of PABLO PEG, LLC c/o PAUL MAY for the existing ±1,895sq.ft. two-story dwelling with a 30sq.ft. front porch; as-built 431sq.ft. seaward side screen porch;.as-built 236sq.ft. deck and 263sq.ft. deck on seaward side of dwelling; with the condition to establish and perpetually maintain a non-disturbance buffer from the 13' contour line; and as depicted on the survey prepared by Nathan Taft Corwin III Land Surveyor, last dated June 22, 2023 and stamped approved on July 11, 2023. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. -, Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very my yours, GI n Golds h aex-r-'A President, Board of Trustees GG/dd SURVEY OF PROPERTY SITUATE BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 69e50a S.C. TAX No. 1000-79-05-23.1 SCAL 20" E MARCH E 15, 2013 h• 10 — — — JUNE 5, 2013 ADD PROPOSED SEPTIC SYSTEM / — — — —— JULY 3, 2013 ADD. WELL ABANDONMENT NOTE _ — —10 NOVEMBER 1, 2013 ADD NEW SEPTIC SYSTEM / 9— —— — — SEPTEMBER 19, 2022 UPDATE SURVEY FOR PROPOSED POOL q 10 \\ ce-J4T� DECEMBER 2IDPROPOSED L s p JANUARY 4, 2023RSEDPROPOSEDPOOL� / � JANUARY 12 ADD PATIO _ JUNE 222023/1_ _ — — �_ — — __ Z. RI III TOTAL AREA = 58,484 sq. ft. FLAG-0_ _ — —_ — SBU \ \ \\ \ N � 1.342 ac. F*RESHW— LA 3— OEUNEAp WEnAND '�` � \ \ \ \ '� UPLAND AREA = 48,578 sq. ft. EN OUC NSU�r PS (A DECEMme, So WETLANDS AREA = 9,906 sq. ft. c 1a . 202gER 2 FL-40 \\ \ \ \I 1 i 1 / \\ \ NOTES: ^' FRES 101 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM . -v / / W H W `�� \ / l l l �J / \ \ \ O EXISTING ELEVATIONS ARE SHOWN THUS: XX.X �Illc E T L q N i) E 0� / // / / // / of / / \ \ \j / \ \ \ EXISTING CONTOURS ARE SHOWN THUS: XX— —— —XX S G 4*5 / \ \\ 10 \ C'V AL AL / //n CERTIFIED T0: \ / / 3 > / '' rD �" , \ \ ,ti PAUL AND MARGARET MAY 7— i \ \ \ \ \ �Illc / / / o'w/ AFM v ° — \�\\ \ \ � 4 l $ \\ \\ G\ \\\ z.e i/ /// / / �/ \\\\�\ \ \\ / 1.82 �� �� GREGORY AND CONNIE JUDGE o � ' // // / � w STEWARD TITLE INSURANCE COMPANY ca 4s, ���` \ \\\ \ \ — ' / / \ P/ 4 . FrAG s /// / / / / \ r, s a BANK OF AMERICA p — — X g'u m c- / ar \a \ MD 4 13.2 \ �. G 3 m V \ \ / / 16 -1Y J/ /j/�/ / // '�' / J / '34' 4 ? aQ�Q \ \\ \ / Q / Grn I'll// 4 . 7� 01°1 ss F� SO \ \\\�� /8J00� / �UQ� X04, n '?1' /ea LA X1. 1 1 F 44 12—— — to �Gj�/ / / DewOck°p'Pe ?e'• 8y l \ �\ \ D"f DR�tivgy' \ a N or CV z !� N/p Nc y� c0 \ \\ / SPS / / Hoc fl �I �3e �.� ra . I /�� TEST HOLE DATA "4'4 ��,v� (TEST HOLE DUG BY McDONALD GEOSCIENCE ON MAY 20, 2013) �. wOq0��� �' �J EL 16.1 O. O su�� a j s DARK BROWN LOAM OL BROWN CLAYEY SAND SC \ o '• O \\ i / /// /ww QC9:! �' BROWN FINE SAND SP GROUND WATER V*1 WATER BROWN I FINE SAND SP FILA, I�I �2Ip' Jrp 1 e� v"D,s.51/ //g;,;, 17' �'Ip1V LOT408 �p AR ZIp •?8� 1 P, pp�' /I ' PREPARED IN ACCORDANCE WITH THE MINIMUM .4p I STANDARDS FOR TITLE SURVEYS AS ESTABLISHED o, BY THE L.I.A.L.S. AND APPROVED AND ADOPTED 'lULy `QI'yj a FOR SUCH USE BY THE NEW YORK STATE LAND O'S" O TITLE ASSOCIATION. rr APPROVED BY I BOARD OF I RUSTEES JUL 1 T 2023 �0 MoNc TOWN OF SOUTHOLD 4A ) N E W �! Board of Trus+rng DATE �'� 11, Z023 �oF...... ...yo9 ��• .0 gj COq.;•. 'j �% - co :z • cr * •Z � O = - i Jcv �v-.••05 EXISTING TOWN DEFINED LOT COVERAGE �11� �� N.Y.S. Uc. No. 50467 OVER BUILDABLE LOT AREA (TOTAL LOT AREA LESS WETLAND AREA = 48,578 sq. ft.) UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF DESCFIPTION AREA % LOT COVERAGE SECTION 7209W. THE NEW YORK STATE EDUCATIONEDUCATIONLAw. Nathan Taft Corrin III HOUSE 1,895 sq. ft. 3.9% COPIES OF THIS SURVEY MAP NOT BEARING THE DSEAL OR SCREENED PORCH MBOSS D SEAL SOHALL INKNOTD 460 aq. ft09X BE ONS DERED do Land Surveyor FRONT PORCH . . TO BE A VAUD TRUE COPY. WOOD DECKS do STEPS 480 sq. ft. 1.0% CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY SHED 75 s . ft. 0.2% IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S. q DING TITLE COMPANY. GOVERNMENTAL HEREON, ANDND Joseph A. Ingegno LS. TOTAL 2,910 sq. ft. 6.0% TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. Title Surveys Subdivisions — Site Plans — Construction Layout CERTIFICATIONS ARE NOT TRANSFERABLE. Ys — Y PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 ...r Glenn Goldsmith, President =�° G�< Town Trustees A Nicholas Krupski, Vice-Presidenty x 54375 Route 25 Eric Sepenoskio ^' P.O. Box 1179 Liz Gillooly 'jjj s ao�� Southold, NY 11971 Elizabeth Peeples '�' Telephone (631) 765-1892 Fax (631) 765-6641 , �Q �2G�f6 6P 2_z,2 BOARD OF TOWN TRUSTEES «' TOWN OF SOUTHOLD TO: PABLO PEG LLC c/o PAUL MAY Please be advised that your application dated December 12, 2022 has been reviewed by this Board at the regular.meeting of April 19, 2023 and your application has been approved pending'the completion of the following items checked off below. xx Revised Plans for proposed project— SILT FENCE Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/z Constructed ($50.00) x Final Inspection Fee ($50.00) - /0671 Dock Fees ($3.00 per sq. ft.) xx The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 �.[[•?i3 BY: Glenn Goldsmith, President laO Board of Trustees Glenn Goldsmith,PresidentIJ cO Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 0 Eric Sepenoski C. ,? P.O.Box 1179 Liz Gillooly �y • 0�� Southold,NY 11971 Elizabeth Peeples �Ol �¢,v Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 4 1 -n Completed infield by: PABLO PEG, LLC, c/o PAUL MAY requests a Wetland Permit for the existing ±1,895sq.ft. two-story dwelling with a 30sq.ft. front porch; as-built 431sq.ft. seaward side screen porch; as-built 236sq.ft. deck and 263sq.ft. deck on seaward side of dwelling. Located: 375 Reydon Drive, Southold. SCTM# 1000-79-5-23.1 Type of area to be impacted: Saltwater Wetland ZFreshwater Wetland Sound Bay Part of Town Code proposed work falls under: '/Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: '�G. oldsmith `� N. K pski �� E. Sepenoski L. Gillooly E. Peeples EAS East End Pool King 46520 County Road 48, Unit 5 f"b Southold, NY 11971 P:(631)734-7600 F.(631)876-1191 631-234-4600 wwn w,eastend oolkin .corn, April 7, 2023 E C RE: Pablo Peg LLC APR _ ,7 20 23 375 Reydon Drive, Southold, NY Southold ort TAX MAP ID- 1000-79-5-23.1 Board of Tr" tee To the Board of Trustees, Paul May of Pablo Peg LLC will be representing himself at the next hearing about the deck and screen porch area modified with the building permit to 375 Reydon Drive, Southold. Please let us know if anything else. I will not be representing as Agent. Thank you, Jennifer Del Vaglio East End Pool King East End Pool King Page 1 Maim Diane From: DiSalvo, Oiane Sent: Wednesday, February 15, 2023 1:18 PM To: 'Jennifer Del Vag|io' Subject: Pab|opeg Attachments: Pab|opeg (2).pdf This will confirm that you have asked to postpone this Wetland application until our April 19, 2023 Board hearing. Please see attached field notes from 2/9/23 site visit of Trustee Peeples for your information. T�,�WVit D�,sQLVO 0`��otf\ss��tQmt ' � ou±huL� 7�w�Tr��es 'P.O. -F&x1��� ,sukthoLd, MY DiSalvo, Diane From: DiSalvo, Diane Sent: Monday, February 13, 2023 10:11 AM To: Peeples, Elizabeth Cc: Cantrell, Elizabeth Subject: RE: Pablo Peg Jennifer was just in the office—Jennifer did not understand that the "as-builts" were moving forward as a regular Wetland application, etc. -therefore she did not post or send out the noticing— She wants to Post one this a lica�tion until A ril . Diane From: Peeples, Elizabeth <elizabethp@southoldtownny.gov> Sent: Monday, February 13, 2023 9:14 AM To: DiSalvo, Diane<diane.disalvo@town.southold.ny.us> Subject: Re: Pablo Peg Thanks! That is what I thought as well but did not want to assume a decision they might have made separate from the pool.They seemed a little fraught, at least she did. Elizabeth Peeples Southold Town Trustee Office: 631-765-1892 Email:elizabethi)@southoldtownqy.gov From: DiSalvo, Diane Sent: Monday, February 13, 2023 8:48:47 AM To: Peeples, Elizabeth Subject: RE: Pablo Peg I only knew of the "pulling" of the application for the pool, unless there is something I don't know. I await to hear from Jennifer Del Veglio.... Diane From: Peeples, Elizabeth<e'lizabeth southoldtownn oy> Sent: Monday, February 13, 2023 8:16 AM To: Cantrell, Elizabeth <elizabethc towri.southold.n .ups>; DiSalvo, Diane<diar7e.disalvo town.southold.n . As> Subject: Pablo Peg Good morning! Hope you had a good weekend! I went by Pablo Peg this weekend for the review of their as-built permit. All seems good though I mentioned adding a non-turf buffer, non-disturbance buffer and leaders to dry wells on the porch.Apparently, according to the homeowners,this application was to be pulled from the agenda but in an effort to legalize their porch/deck I did not see a reason why it should not go forward. I suggested that Jennifer Del Vaglio call the office this morning to confirm. Did you all hear anything along these lines? 1 Glenn Goldsmith,President ., Town Hall Annex A.Nicholas Krupski,Vice President � ' 54375 Route 25 Eric Sepenoskis P.O.Box 1179 Liz Gillooly �K�, " " �� Southold,NY 11971 Elizabeth Peeples '" Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees II Field Inspection Report tl l2,3 Date/Time: Completed infield by: 4 Jennifer DelVaglio on behalf of PABLO PEG, LLC, c/o PAUL MAY requests a Wetland Permit for the existing ±1,895sq.ft. two-story dwelling with a 30sq.ft. front porch; as-built 431 sq.ft. seaward side screen porch; as-built 236sq.ft. deck and 263sq.ft. deck on seaward side of dwelling. Located: 375 Reydon Drive, Southold. SCTM# 1000-79-5- 23.1 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: V'_" /etland Coastal Erosion Amendment Administrative Emergency __ Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: SSG Y v1�N py\ 1 �E PecQ� ncS) ,0 � k on atxk wda►�i6n. Present Were: VG, Goldsmith V N,. ru ki E. Sepenoski L. Gillooly Peeples y� Town of Southold Annex 1VS/2013 P.O.Box 1179 54375 Main Road 10 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36634 Date: 12/5/2013 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 375 Reydon Dr, Southold, SCTM#: 473889 Sec/Block/Lot: 79.-5-23.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/17/2013 pursuant to which Building Permit No. 38200 dated 7/23/2013 was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: additions and alterations to an existing single family dwelling as applied for. The certificate is issued to May,Paul&Ors. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-13-0039 11/25/13 ELECTRICAL CERTIFICATE NO. 38200 10/7/13 PLUMBERS CERTIFICATION DATED 11/27/13 attituc Plumb' 76riA!#aturel- FFDECC E IV SURVEY OF PROPERTY DDSITUATE 2 2022 BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SBoard of 0) 11 69. S.C. TAX SCALE 1000-79-05-23.1 1' 30 1- - - --SO 20'' f MARCH 15, 2013 JUNE 5. 2013 ADD PROPOSED SEPTIC SYSTEM JULY 3, 2013 ADD WELL ABANDONMENT NOTE / -- -- - NOVEMBER 1. 2013 ADD NEW SEPTIC SYSTEM _ _ SEPTEMBER 19, 2022 UPDATE SURVEY FOR PROPOSED POOL / 9` ``` J DECEMBER 8, 2022 REVISED PROPOSED POOL - ' 'o ,`� NCO $ _ _ - `- -- - -- _ \ `�' Til ' TOTAL AREA = 58,484 sq. ft. \ �S,g jChr 1.342 ac. X40 tit UPLAND AREA 48,578 sq. ft. �43`` \\ \\ \\ \\ l \ WETLANDS AREA = 9,906 sq. ft. JIL AL AL ?\ \ \ 1 '� \ \ y \ \ \ 1 1 1 �\ \, NOTES: \ \ 1 I x / \� ` 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM �C I81- \ I I ,00 \ \ EXISTING ELEVATIONS ARE SHOWN THUS: .K�X \ ) iQ� \ \ \ p EXISTING CONTOURS ARE SHOWN THUS: XX-- - -XX VERNCL ie \ CER TIFIED TO: ry ��` // / jun / / / ,�\ \\ \\ \\ PAUL AND MARGARET MAY ON GREGORY AND CONNIE JUDGE OZw i / / / \ • l j S' w ,- STEWARD TITLE INSURANCE COMPANY AILL 'V � / / � ., \ \ \ / 4 1 BANK OF AMERICA \\ \ '' \ i i / / / / \ w/ o�x \�\\ �� ems' ,�/ �.,� / \ \ \ \ \ / / •- -- o` - - - -- �\ -s_---- ' i� �x / / / `T�� / / � l \ \ \\\ \ \ ��� � / / / 1 t r : 4 ' )) �`\ \ \\ �� .35. � \ \\� \ ,/ / / \ FIDE I 4. 4 SEPTIC SYSTEM TIE MEASUREMENTS C \ \ \ -. / /(JAL / z.g• „ 1 n ' r SAE '` ���'�. � \ �•.. - _��" ��• � 1. / � / � �y � �;N a, L. .� \ \ ti � ( � / / / � HOUSE HOUSE / / pn � CORNER CORNER �� ro SEPTIC TANK 1T 37.5'72O' 41 10'' sanH \` _- toy / .:;::: .::'.:::: " (V J 4 . a O a COVER (v � crn� X� �::: �::..,::••�:.;, ram. 2 � " �'sr \ � LEACHING POOL ry o ,• ` l %I-oR�r � `\ � / �• COVER #1 28' 19.5' � / 3 •... `"� ., .; Q ce" qy tr LEACHING POOL 41.5' 34' COVER f2 ri- °LICk ,�/ � :::;;.;:::: :.....:•:;'4?Xo_ : o Q o m _ ti HOLE „ TEST HOLE DATA I° Q / o a (TEST HOLE DUG BY McDONALD GEOSCIENCE ON MAY 20, 2013) M ' \\ �Q416O EL 16.1 O, w NE$ �s. as = DARK BROWN LRAM OL tA '_► / \ \ \ r r �/ BROWN CLAYEY SAND SC l.� \ J10 / / Q BROWN FINE SAND SP v FjllLcgNRCFOS '�YTOy��y'T�I1` ° . cRouNO NAS 1a.1 •WATER�N FINE BAND SPZpTr �$'WPSOP � ' / ,r 408.289' �/ � a fU $R PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY x'991 a FOR SUCH USE BY THE NEW AND ADOPTED O TITLE ASSOCIATION. EXISTING TOWN DEFINED LOT COVERAGE PROPOSED TOWN DEFINED LOT COVERAGE OVER BUILDABLE LOT AREA OVER BUILDABLE LOT AREA Y '� (TOTAL LOT AREA LESS WETLAND AREA = 48,578 sq. ft.) (TOTAL LOT AREA LESS WETLAND AREA = 48,578 sq. ft.) kv DESCRIPTION AREA X LOT COVERAGE DESCRIPTION AREA X LOT COVERAGE 1,895 sq. ft. 3.9% EXISTING HOUSE 1,895 sq. ft. 3.9% HOUSE O CONC 4� SCREENED PORCH13t 460-sq. ft. O.9% EXISTING SCREENED 460 sq. ft. 0.9% ►. 4 g RO t3i t PORCH & FR T PORCH , WOOD DECKS do STEPS 480 sq. ft. 1.09 EXISTING WOOD DECKS 480 sq. ft. 1.Ox SHED 75 sq. ft. 0.2% EXISTING SHED 73 sq. ft. 0.2% TOTAL 2,910 sq. 0. 6.0% PROPOSED POOL 512 sq. ft. 1.1% • ° '* TOTAL 3,422 sq. ft. 7.1% EXISTING LOT COVERAGE PROPOSED LOT COVERAGE OVER EXISTING G LO ADJACENT AREA OVER' N.Y.S.D.E.C. ADJACENT AREA -" N.Y.S. Lim. No. 50467 (100 WETLANDS AREA LESS WETLAND AREA �- 24,476 sq. tt.) (t00' WLTLf.NDS AREA LESS WETLAND AREA = 24,476 sq. ft.) UNAUTHORIZED ALTERATION OR ADDITION DESCRIPTION AREA X LOT COVERAGE DESCRIPTION AREA % LOT COVERAGE TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE • P/0 HOUSE 629 sq. ft. 2.676 P/O EXISTING HOUSE 629 sq. ft. 2.6% MUCAMON LAW. Nathan Taft Corwin III EXISTING COPIES OF THIS SURVEY MAP NOT BEARING SCREENED PORCH 422 sq. ft. 1.7% SCREENED PORCH 422 sq. ft. 1.7% THE LAND SURVEYOREMBOSSED SEEAL SSWHAL INKED SEAL NOT BE CONSIDERED OR Land Surveyor ILL EXISTING WOOD DECKS 441 sq, ft. 1.8% TO BE A VAUD TRUE COPY. WOOD DECKS do STEPS 441 sq. ft. 1.8% & STEPS CERTIFICATIONS INDICATED HEREON SHALL RUN EXISTING 58 sq, ft. 0.2% ONLY TO THE PERSON FOR WHOM THE SURVEY CELLAR ENTRANCE 58 sq. ft. 0.2X CELLAR ENTRANCE IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND Successor To: Stanley J. Isaksen, L.S.LS. P/0 SHED ON CONC. 75 aq. ft. 0.3X P/0 SHED ON CONC. 75 sq. ft. 0.3% LENDING INSTITUTION LISTED HEREON. AND Joseph A Ingegno L S S. TO THE ASSIGNEES OF THE LENDING INSTI- Ttfe Su Subdivisions -- Site Plans - Construction t TOTAL 1,625 sq. ft. 6.6X PROPOSED POOL 512 sq. ft. 2.1X TUTION. CERTIf1CAT10NS ARE NOT TRANSFERABLE. �� - Layou PHONE (631)727-2090 Fax (631)727-1727 PROPOSED PATIO 896 sq. ft. 3.7% THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAIt1NG ADDRESS TOTAL 3,033 sq. ft. 12.4% AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hail Southold,N.Y. Certificate Of Occupancy No. Z 1510 9, . . .. . . . . . Date . . . .November. 19.. . . . . .. . . . . .. .. 19 86 THIS CERTIFIES that the building , , , , , , , , , , , , ,, , , , , Location of Property 3.75. RetxdOA .>?z,.. . . . . . . .SQul: oW. . . . .. .. . . . . . . . . . .. . . House No. Street emlet County Tax Map No. 1000 Section 0.79 . . . . . . . .Block . .0 5. . . . . . . . . .Lot . . . .23:.1. . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . ..JlaY. 15. . . . . . . . . . , 19 0.6 pursuant to which Building Permit No. . .�510 8 Z,. . . . . . . . .. . dated . . .July .19.. . . . . ., . . 19 . 8 6 was issued,and conforms to all of the requirements of the applicable provisions of the law.The occupancy for which this certificate is issued is ... . . . . . . .. .One,family, dtaelfin.cJ:. . . . . . . . . . . . .. . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . The certificate is issued to . , JOSEPH CASSIDY towmer} eSI3rX� . . . . . . . . . . . . . . . . . .. . of the aforesaid building. Suffolk County Department of Health Approval . . . . .$6-49794 . . . .. .. . . . . . . .. . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . .N 7 7 7 8 6 5 . .. . . . . . . . . . . . . . . . . . . . . . . . .. . PLUMBERS CERTIFICATE 11/19/86 f . . . � � Building Inspector Rev.1/81 Side deck southerly side y. tt j c a t`, � ��w,,,•.� i l � D L J�N P / y Sf 2 fig'��� �_ F =•r �� � t`�,�_ I�`" "�.�; f Southerly Side Deck—236 sq ft } g a f i . i i s C 1 1 j � a tr �. y Seeward Deck 263 • ft `r ♦ r ; f r' n ,af6B6 tb n yn n— I0.m09 - /3B asxbw a 6e a 3z 8'-+oi' Bsobw / i w 80U%40 n,wLa - TwB) " z Twc) mmxaa 11 r txNcl 0 NYN s6n� J+F^, 5 _ % 12 :b a]$ oa " m�0 m,606 � 10.1600 1T-m00 N.iT�PP.nerrtovERlAX i r ^a,'° p,^, •l u f!o-) p w « OexT.05 CONOITNBN EMISTS « b n " mt5m s' 04 MRGEL 0 S \�]Nc) 061506 99xa0a.t0.00.1.9 —?-so Wcl 061610 X ,9 n P xxA me 1x31-1, \• - m ']3 inn ]t �"� 3xA - mxz-tf LaNcl 4, � a; Je 3 4 rtcowcuw+mna m r xl 3B,ti. ,�0 TT73 lb a tar, xx te.] I an,a121 t1� ]M ax, W 82 Zvi! ,x Z +Ncl iv, 171 O x..140) ]+e e m sau IIA - « I, N. BfrnEw _ ni ,e 86 M 6 13Nq ,INc) aTNcl u» t5 "�^ I m6 'ems +wc1 +eNcl ,eNcl ,eN� teyel 2 ttycl ,pyc) ) 6 "] RO. '� 1M aby b F pau�b+� 7• L ©.. x> u "^40« d 2M - ,mb L hn ,r "' "•,� .v n ,1H 1QMr Cf SQRNOID A Y m.ONcI ' O zM Wci bx z., S u q Nr,TCN SEE SEc.Iq.O® ti;f �` SEE 9EC NO OM y/ w6 _�_ '^« « Iz+) — — —' NOTICE ,amu"�� COUNTY OF SUFFOLK © E � ID SECTION NO f,~< .�E Real Property Tax Service Agency v � E rnXn om �"'.�� 079 Y"YW A ,mctw X000 x1,Me, ^^e^^^• P PROPERTY IMP OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 � LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: February 9, 2023 Re: LWRP Coastal Consistency Review for of PABLO PEG, LLC, c/o PAUL MAY SCTM# 1000-79-5-23.1 Jennifer DelVaglio on behalf of PABLO PEG, LLC, c/o PAUL MAY requests a Wetland Permit for the existing ±1,895sq.ft. two-story dwelling with a 30sq.ft. front porch; as-built 431sq.ft. seaward side screen porch; as- built 236sq.ft. deck and 263sq.ft. deck on seaward side of dwelling. Located: 375 Reydon Drive, Southold. SCTM# 1000-79-5-23.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the s INCONSISTENT with LWRP Policy 6.3 and, therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The as-built structure was constructed without a Board of Trustee review or permit. It is recommended that the Board establish a vegetated buffer with existing vegetation to protect the wetland. 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 4 FF81* I John G. Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 200 " " Southold,NY 11971 �� Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., February 8, 2023 the following recommendation was made: Moved by John Stein, seconded by Inga Van Eysden, it was RESOLVED to SUPPORT the application of PABLO PEG LLC C/O PAUL MAY for the existing house and entry, two-story dwelling. As built screen porch, two (2) decks and front porch. Located: 375 Reydon Drive, Southold. SCTM#79-5-23.1 Inspected by: John Stein, Carol Brown, Inga Van Eysden The CAC Supports the application with the installation of gutters, leaders and drywells to contain the stormwater run-off. Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,President *®F 80l/�� Town Hall Annex A.Nicholas Krupski,Vice President ,�®V� IO 54375 Route 25 P.O.Box 1179 Eric Sepenoski B Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �® 0) 6._56641 ®`�coum,� E C E I V. E BOARD OF TOWN TRUSTEES 0EC 22 202-2 TOWN OF SOUTHOLD This Section For Office Use OnlySoard of TOrustass Coastal ErosionPermit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension 4Received Application: 12.12.29- Received Fee: $ ZSO,6V Completed Application: 12.2722 Incomplete: SEQRA Classification: TypeI Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: oordination:(date sent): LWRP Consistency Ass ssm nt Form Sent: o�l3la CAC Referral Sent: a-y au Date of Inspection: a•ll•a?j Receipt of CAC Report: Technical Review: Public Hearing Held: •/ a3 Resolution: Owner(s) Legal Name of Property (as shown on Deed): &_126 1_.i 1 Z' / Mailing Address: /5//? lc� Phone Number: 216ly</ Suffolk County Tax Map Number: 1000 - ?4 Property Location: 75' �J A,,i ik/�a���. ,P �IJT //97 (If necessary, provide LILCO Pole #, distance to cross streets, and location) AGENT (If applicable): QD� viii a 0 lr Mailing Address: (1i) AIA/ /�4 ��� �� V V 9lQSf� Phone Number: A Email: d i* �/a4 jl��,44�� O CS�n�" Board of Trustees Applic- _-3Lon GENERAL DATA Land Area(in square feet): 4ay Area Zoning: D Previous use of property: �� D°✓��� Intended use of property: fJ✓ _e" Covenants and Restrictions on property? Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? x' Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? _Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ' No Does the structure (s) on property have a valid Certificate of Occupancy? _Yes No Prior permits/approvals for site improvements: Agenc Date /, - "', -, - X,�",, Q - 0 ' 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): A d o A Board of Trustees Applic _ Lon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: e Area of wetlands on lot: �//a- square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: ,x/14 feet Does the project involve excavation or filling? - No Yes If yes, how much material will be excavated? AM cubic yards How much material will be filled? /Uel cubic yards Depth of which material will be removed or deposited: /11-Y feet Proposed slope throughout the area of operations: a Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): U ✓1� �� i �i� .vim 617.20 Appendix B ti Short Environmental Assessment Form Instructions for CompletinIz i Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information 6Q,6& & f///) Name of Action or Project: ProjecVtocation(describe,and attach a location map): ,,175 644ze x— u � M7 7 Brief Description of Proposed Action: Name of Applicant or Sponsor: Telephone GZ4 lT"GG�''LLC CLu,� E-Mail:dlu Address: 61 City/PO: State: Zip Code: 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: N1 ❑ 3.a.Total acreage of the site of the proposed action? G-acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned i or controlled by the applicant or project sponsor? racres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial Q Residential (suburban) ❑Forest ❑Agriculture El Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NOYES Z ❑ b.Are public transportation service(s)available at or near the site of the proposed action? M ❑ 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: ❑ 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: rn( ❑ 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? ® ❑ 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? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? � ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline PForest ❑Agricultural/grasslands ❑Early mid-successional E�f 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? 16.Is the project site located in the 100 year flood plain? D NO YES TT M 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ a.Will storm water discharges flow to adjacent properties? Q NO YES 4 b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ®NO []YES Ad-6 a 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: W ❑ 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: n F I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsorname: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the.following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" 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 theproposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the � 1:1establishment 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 Ln" ❑ 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, 1Z waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. 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 ApplJL6 _,'Lon AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIUMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property OwneV Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF20 CONNIBUNCH Notary Public,,State of New York No.01 BU6185050 Notary Public Qualified in Suffolk County Commission Expires April 14,2 L� AUTHORIZATION (Where the applicant is not the owner) i owners of the property identified as SCTM# I 000- �V - a in the town of New York, hereby authorizes.. p7 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. ZZ Property Owner's Signature Property Owners Signature SWORN TO BEFORE ME THIS �� DAY OF 20 _21 f\IJ Notary Public CONNIE D.BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County Commission Expires April 14,2 APPLICANT/AGENT/REPRESENTATAT TRANSACTIONAL DISCLOSURE FORM The To�sn of Southbld's Code of Ethics prohibits conflicts aj interest on thg part of town om r. rind employees 11 a jou sc ti this hrin is to ntovl&100MI611611 via man alert the town of emsWe conflicts of i .ttereSt znd.+clow it to lake wtl�tever netion is, necessary to avoidsame. r p YOUR NAME: t?-- Q��`0 i L 1 Li (Last nfirst name,Atidd itial,unless you are applying in the.name of somcon Ise or.other.entity,:such,as a company.-If so,indicate tkother person's.or eompany's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Changed Zone Coastal Erosion Approval of plat Mooring jUchiption°from-plat or official-map Planning Other (if"Other'',-name-the.activity,) l)t)you pers(inally(qtr lhrouFti your company,spouse,sibling,parent,or child)have a rciationsi►ip%vilit any 61 icer.or cinplayce of the Town of Southold? "Rclationsbip includes by blood;marriage.or lmsiness interest."Bfisincss interest"means a busittes5. including a partnership;in which the town officer or emptoyce has even a partial owncrship9f(oremploytnctit by)a corporation in-Which t1k town ufftcer or etuployce owns mote than M%ofthe shares. YES NO 1/ Ir.you answered"YES",complete.the balance of this_form and date and sign where indicated. Name of person.eniployed by-the Town of Southold w Title br position of that person_ Describe the: elutionship b'etwcen yourscif.(tlicapplicantlagmtrepresetitative)and the town officer or employee.:Lither ebecic the appropriate tine-A)througl D)and/or describe in tits space.pioV.11M. The town officer or employee or his or her spouse,sibling,parent or child is(check'ali that apply): ll)the owner of grcatertImn.5%of the shares of the corporate stock of the applicant - (when die-applicantis a corporation); 13)the legal orbencficial owner of airy"interest in a non-corporate entity-(when.the applicant is n�f:n coiporation); C)an:officer;.director,partner.or.employt-6 of the applicant;or' ______D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted th's. I .day of. � � �`+L -20? Signature _ _ Print Name Form TS I 8/8/22,217 PM Trustees Appricant.Transd i 'clionF- - - " .a -,DsqreTorm.jpg APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code g(rithics prohibits conflicts orintercsi on the part Poown officer.,;and cnibloveQ'i llit..�ose of this form is IQ provide information-which can ateri tkto%vn of iiassible ccaffifts orinterest and allow-it to-take-whatever action is, neeecsai=`v to nvoici same. YOURNAME- vm"-L�' F419 Vel .(Last nam t,ji�t nam6,ipiddle-initial,unless you are c Applying ir�"thc name of someone ,or other'entity,such as a company.if so,indicate the other person's or company's_name.), NAME OF APPLICA. 7171ON! (Check all tfitirapplyj Tax:grievaned Building Variance Trustee Change ofZonc Coastal Erosion_ Approvalof plat Mooring. Exemption from plat or official map Planning, Other (If"Other",-nametho activity.) Doyou personally(orthrough your company.spouse,sibling,' parent;or child)have a rdationship-with any officer or employee of the Town of I Southo I Id? "Relationship"includes by,blood,marriage,-or'business interesf."Busincss'interesr means' -a business, including a.partnership,in,which the town of Gccr or employee has even a p5riial ownership of(or-employment by)acorpora,lion, in which the town officer or employee owns more than 5%or the shares. YES NO if you answered"YES",complete the balance of this form and date and sign:wherc.indicated. Name of person employed by the Town of Southold Title or position of that person Detcribe'the relationship between yourself(the applicanyageniftblirgs9ritative)and the town officer or.employee.Either.check the appropriate fine A-)through D)and/or describe in the space proAded. Th6toft officer or tinp Joyce or his.or her spouse;sibling,parcn4,6r.child,is(check all that apply): A)the owner of greater than 5%orthesbartsorthe corporate stock ofthe,applicant (when the applicant is,a corporation), -13),the legal or beneficial owner of any interesvin a non-corporate entity(when the applicant is not a corporation). - an officer,direct6rpartner,or employee of the applicant;or . D)the actual applicant DESCRWTION-orw RELATIONSHIP Submitted this ay of Ocioklp— 20-2_-,>— Signature PrintName Ma( https://mEdl;googl.exom/mail/d I Mfflaearch/POOLKIN.G/FMfcgz!3PQwptcgKVVJtfnFFhHSfJ,vjdfr?projiect6r--l&messag6PaMd--O.-I 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.Thepurpose of this form is to provide information which can alert the town of Rossib16 conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: (Last name,firsViame,_ipid'dle' itial,unless y&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 r 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 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 thi 19,- day of 20 Signature Form TS 1 s Print Name Board of Trustees Applic - ion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & Pr11 NAME: 11 77 - -2 STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at , that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. Signature Sworn to before me this Day of 720 Notary Public Glenn Goldsmith,President �gOFFO(�'�O Town Hall Annex A.Nicholas Krupski,Vice PresidentGym 54375 Route 25 Eric Sepenoski o '` ' P.O.Box 1179 Liz Gilloolyoy Southold,NY 11971 Elizabeth Peeples 4j0� �� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of PABLOPEG,LLC, c/o PAUL MAY COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVEN DA YS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ONEIGHTH DAY OR LATER I, Ra U I V Mo y ,residing at/dba Paj/y Pq , L L G 31"5' kq k0 9 riP_ Solt-91a0 0 IIilla4 167 l,-djw W 41;0&11? Py 1/50/ being duly sworn, depose and say: That on the � day of /�ri IJ , 20 13 , I personally posted the property known as 37�2�y Pr"u'e , �_,o c#W IJ Y 119 7/ by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,April 19,2023. Dated: �;( g , 0 23 (signature) Sworn to before me this pt day of,4,,j 20 z3 pw�) NDIANE DISALVO � NOTARY PUBLIC-STATE OF NEW YORK -- No. OID1475593 Qualified in Suffolk County Notary Public My Commission Expires April 30, 2024 Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: $Wc\G Ve J_L G Clo %_W NAME: ADDRESS: NAME STREET CITY ST ZIP TERESA AND JAMES H III RICH 555 REYDON DR SOUTHOLD NY 11971 BRIAN&TERESA SANTOSUS 212 CAMPBELL AVE WILLISTON PARK NY 11596 DONALD&CONSTANCE OSANI 332 THROOP ST WEST BABYLON NY 11704 BASILIO ESPOSITO 8635 N. BAYVIEW RD SOUTHOLD Pay? 1 1911, CARMELA LAZIO REV LIV TRUST 8 FARMERS LN STJAIVIES NY 11780 BRIAN J HUGHES 210 BROOK LN SOUTHOLD NY 11971 BROOKS ESTATE INC P.O. BOX 1426 SOUTHOLD NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK 7 P0 it L Ck , residing at 7) , being duly sworn, deposes and says that on the day of rA,I , 202 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at �('CiVP-1ec std , IV11 ))CII-) , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this SA Signature Day of HkILL , 20 Z3 n , V A „ — DIANE DISALVO OF /l'�l`l,Q,�,-,j �I NOTARY PUBLIC-STATE OF NEW YORK No. O1 D1476593 Notary Public Qualified In Suffolk County My Commission Expires April 30, 202& COMPLETE A. Signature ■ CompfeteL..Ae�,S-j,-21 and 3. ❑Agent _ X I]Addressee _ Q ! ■ Print me at d address on the reverse ® ^o Z rettn the card to you. m ;<= Sp 21tat{ar B. Received by(Printed Name) C.Date of Delivery N J r■ q 'ac i 3hsa` the back of the mailpiece, �, (D d T U) N N [6 l6 2 ot�'b`Ii"tfi" .f I space permits. ; ❑ o Q'= .€€, D. is delivery address different from item 1? ❑Yes Q 6 o y z u'S'2 2 o 0 0 5 If YES,enter delivery address below: ❑No 13 ❑❑ M m m e m DONALD&CONSTANCE OSANI ❑ m 'V NNm..! 0 •r O•�p)�C C N N d mm�,p,N....... c aBi o a¢¢owrn,oc G 332 THROOP ST =m ❑p° °° n ❑ WEST BABYLON, NY 11704 - - - 3. Service Type ❑Priority Mail Express® ( v v c �.....o I Hill 1111111111111111111111111111111111 'll I'III'�III'I�III lll'Il I I ll I III Ill ❑Adult Signature 0 Registered Mall R g N ❑Registered Mail Restricted a �'� ❑Adult Signature Restricted Delivery eg .o ❑Certified Mail® Delivery m� ¢ ��d 9590 9402 7782 2152 9339 40 ❑Certified Mail Restricted Delivery" 0 Signature Confirmation rmation I m ®¢' o�c ❑Collect on Delivery v d m a w y o p-- ❑collect on Delivery Restricted'Delivery Restricted Delivery �o^o —' sured Mail 2. Article Number_C�ransfer.fcom service IabeO v>- E rn Co•m sured Mail Restricted_Delivery rn. m= i'_==w_ 7221 0352 2021 9187 9342 ver$500) m ��m m �o i Domestic Return Receipt • a > _m 6 , :2:2 U U PS Form 3811,JUIy2020 FNM 7530-02-000=9053 ri[1013❑❑❑'.:::... cD MOM c II d fU rn • SECTION • . N 6 M C Q' o SENDER COMPLETE SECTION A. Signature • s °>• chi i Q.cc c 48%gent ¢o = a ■ Complete_; .,1,2,and 3. X f� ■ Printyoiir;nametand address on the reverse l ❑Addressee 1 N �I r a tr N so that,*e nY�turn the card to you. B. Received by(Printed Name) C. Date of Delivery �� N v.•.. Ch to (U cts U , ■ Attach-1-hi cameo the back of the mailpiece, v o Io CL co ..o CD N or orrrontif space permits. -- N-0 ;_ m : w o T D. is delivery address different from item 17 Yes ,I' „ .•= _ - =: . If YES,enter delivery address below: J3No 11 r ° N ec O N y ,�,I _C3 j BRIAN!I�t1GFiE� � � m � � � L o z z M o s m r . _ c o, � z O o i rn g-o co L • 210 BROQK -' co 0 � rn a E SOC1TkIQLD„Ni:11971 c� m o w .''CL C: Ln �` �- t ti li rt rvice Type ❑Priority Mail Express® ■ ■ I- � N ll�'l'l'l I'll l�lll'llllfl�lll lll'l ll l'Ill ll'll lt Signature ❑Registered Mai1TM' - lt Signature Restricted Delivery ❑Registered Mail Restrictedified Mail® Delivery 9590 9402 7782 2152 9340 15 ified Mail Restricted Delivery ❑signature ConfinnationTM'ect on Delivery ❑Signature Confirmation lect on Delivery Restricted Delivery Restricted Delivery ArtifAn Numhpw Mransferfrom-service lavel)_ gyred Mail 7021 2 3 5 0 0 0 01 918 7 9 3 7 3 ur$Mail Restricted Delivery Domestic Return Receipt i, PSF0 JUIy 2020 PSN,7.530-02-000-9053 _ ■ , ■ .CERTIFIED MAILP RECEIPT _f ■ , p ■ ■ EIT CD °• - - I m °• - - EC fl1 MFor m Otion visit Our Wbbsi e -. p Sot dry : ;1 w• ° 1e R-,` ;1 :`� a. �'�!��... t, 'gi.'. 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City,State,ZIP+4® 01 , Crty SPateZ1 4�rA +�"; i 9 , i,-__- —„ � II 110•I• :ol 1 11 111•I, - - 7021 2350 0021 9187 9373 COMpL:gTE:ri4is SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION E z1 m c 0 m Cfi Q. Q;� m y 3 3 a O 7BR'e t N;�a;G-� = a m 3 ! ■ Complete items 1,2,and 3. Agent m a m m y ' ' • �. T ry ■ Print your name and address on the reverse ❑Addressee ®i�o m 3 T o _ ' • I so that we can return the card to you. ved by(Pr' ted Name)��! C. Date of Delivery �I o;;- a � � +3no sm ■ Attach this card to the back of the mailpiece, _ 4 All ,:. pi e m s s m �- or on the front if space permits. m — D. Is delivery address different from item 1? ❑Yes I'�o r.t m z ..a z If YES,enter delivery address below: E3 No BROOKS ESTATE INC,- >t .:4 .t ' P.O. BOX 1426 SOUTHOLD, NY 11971 _- — 3. Service Type ❑Priority Mail Express® II1111111IIII III VIII I III i II III II II i I I III I III El Adult Signature 0 Ristered Mail'" Adult Signature Restricted Delivery [3R g ❑ iste ed Mail Restricted { �� ` ` • ❑Certified Mail(D Delivery T'A I �� 9590 9402 7782 2152 9340 08 ❑certified mail Restricted Delivery ❑SignatureConfirmation :� � 3 ❑Signature Confirmation [I Collect on Delivery �; 91 t•_ Restricted Delivery t ` w ❑Collect on Delivery Restricted Delivery f 2_ Article Number(Transfer from service label) n insured Mail `"`� �` `:n'A � 7021 2 3 5 0 0001 91'8 7 9236 Iver$600)I Restricted Delivery Domestic.ReturmReceipt' PS Form 3811,,July 2020 PSN 7530rD2-000-9053 ,y;,i: ;,,; _,u._•; : _ i � 1 1 SENDER: COMPLETE THIS SECTION • • ON DELIVERY j ■ Complete items 1,2,and 3._ A Signjture _ ■ Print your name and address on the reverse X � ❑A ent so that we can return the card to you. ll�� A dressee ■ Attach this pard to the back of the mailpiece, B. Received by(Printed Name) C to of ell ery or on the front if space permits. 1� -' - - D. Is delivery address different from item 1? ❑ye NZ LAZIO REV LIV TRUST If YES,enter delivery address below: ❑No x 8 FARMERS LN I I ST-7AMES, NY 11780 IIIO sigrity Mail lIIIIII IIII IIII(IIIIIIIIIIIIIIIIII(IIIIIIIII ServiceefdulCeeseedMalRestrictedt ❑Certified Mail(Dedtfery 9590 9402 7782 2152 9339 26 El Certified Mail RestrigtedDeliveq,- ]:J signature�osrfrmatignTM' ❑Collect on Delivery E)Signature Confirmation 2. Article Number_0-ransfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery 1-1 1—fired Mail 7021 0350 0001 9187 9366 'redo jlRestrictedDelivery PS Form 3811,;July 2020 P.SN 7530-02-000-9053; Domestic Return Receipt I NOTICE OF -Hi".01ARINC NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWN ER(S) OF RECORD: PABLO PEG, LLC, c/o PAUL MAY SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing ±1,895sq.ft. two-story dwelling with a 30sq.ft. front porch; as-built 431sq.ft. seaward side screen porch; as-built 236sq.ft. deck and 263sq.ft. deck on seaward side of dwelling. Located: 375 Reydon Drive, Southold. SCTM# 1000-79-5-23.1 TIME & DATE OF PUBLIC HEARING: Wednesday, February 15, 2023 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 ivnu V1 Ouutuola 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 evaluatedas to its siwiificant 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 ex lainM in detail listing both supporting and non- sunnorting 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# PROJECT NAME J a The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ,® 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) (b). Financial assistance(e.g. grant,loan, subsidy) (c) Permit, approval, license,certification: Nature and extent of action: Location of action:-:- Site ction:__Site acreage: Z/a. it Present land use: �%c �G � � 4 Present zoning classification: �O 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: J (b) Mailing address: / (c) Telephone number: Area Code ( )_ ��/� _o r�/ s ��6 (d) Application number, if any: Will the eej action be directly undertaken,require funding, or,approval by a state or federal agency? Y.- _1 No L J 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 [0 Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. Se LWRP Section III-Policies Pages 3 through 6 for evaluation criteria e ❑ Yes ❑ No 9 Not Applicable Attach additional sheets if necessary i Policy 3. Enhance visual quality and protect scenic resources throughout the LWRP Section III—Policies Pages 6,through 7 for evaluation criteria g Town of Southold. See ❑ Yes ❑ No 0 Not Applicable i 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—PoliciesPages8 through 16 for evaluation criteria F1Yes ❑ 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 ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages.22 through 32 for evaluation criteria. r l.vt H,ppncaD1e Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Pages 32 through 34 for evaluation criteria. Policies ❑ 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 IN Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waterspublic and lic resources of the. Town of Southold. See LWRP Section III Policies; Pages 38 through 46 for evaluation criteria. ❑ YeO No® Not Applicable Attach additional sheets if necessary y r WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Q 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 IFY I 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 M Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No,FV 1 Not Applicable PREPARED B - TITLE DATE 7/