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Graham, Jean M
Glenn Goldsmith,President ®��q S® �®� Town Hall Annex A. Nicholas Krupski,Vice President t� ®A. Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 C®U� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 30, 2023 Jessica Magee AMP Architecture, PLLC 1075 Franklinville Road Laurel, NY 11948 RE: JEAN M. GRAHAM 475 LAKE DRIVE, SOUTHOLD SCTM#: 1000-80-3-17 Dear Ms. Magee: The Southold Town Board of Trustees reviewed your letter received in this office on November 29, 2022, and the site plan prepared by AMP Architecture LLC dated November 10, 2022 and determined that the proposed second story addition and proposed one-story addition are out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no clearing, no removal of vegetation, no cut or fill of land or removal of sod, no construction, sedimentation, or disturbance of any kind may take place within 100' landward from the top of the bluff, or seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, without further application to, and written authorization from, the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area 2 between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, -15f— Glenn Goldsmith, President Board of Trustees GG:dd J Glenn Goldsmith,President �a�®F ® � Town Hall Annex A. Nicholas Krupski,Vice President A$i ��® 54375 Route 25 P.O. Box 1179 Eric Sepenoski J Southold,New York 11971 Liz Gillooly � Telephone(631) 765-1892 Elizabeth Peeples ; ® y® Fax(631) 765-6641 ®��C®UNTI,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD NON-JURISDICTION INSPECTION DATE OF INSPECTION: �6ma TD,2o23 INSPECTED BY: El►aaWI 4f pICS �0 Ch. 275 Ch. 111 COMMENTS: ibis bro4StA �,m ecv' is o2fis ol-- o� +n.e Ititi' like, oj rtYvs�cc c1vYiSc�i��av1 , bkay � issue �J ►�-�-4rx• - q�//J PROJECT / ZO_NING RATA------- E C E I `9 E z TAX MAP# 1000-80-03-1-f m og D ° ooW3 I ZONING DISTRICT R-40 NON-CONFORMING � =Q U EXISTING 9 2022 LOT AREA 0.3 ACRES zpwr WOOD DECKS I NOV 2 z.__-q! Gofo -EXISTING DWELLING #Z-26312;03/02/111 a,T ADDITION 4 DECK LL w 15 173' w" - ; Z. Southold To wn DWELLING Board of Tru tees I FEMA FLOOD ZONE ZONE X;REAR YARD ZONE AE6 o x z JOOQ°I Q H w �[ B�S�� BULKHEAD WETLANDS DISTRICT PENDING .a M w m v EXISTING I '(ACHY Q STORY FRAME w W DECDEG DISTRICT NON-JURISDICTION LETTER a o LL z 3 3.4' ��� PROVIDED o HOUSE; �� 3 BEDROOM EXISTING 9 o a LLI PROPOSED ���� 1 SUFFOLK COUNTY HD PROPOSED W ma¢wQ EXISTING 3B' � INTERIOR � 1 LOT COVERAGE a�Q F MODIFICATIONS GRAVEL 1 - zaz } I I BUFFER I SOUTHOLD-TOkN'GO >E__250-424-(B)--- % .E-250 424-(B)------'- - N w C 1 DESCRIPTION(FOOTPRINT) AREA %LOT a o F F FLAGSTONE I COVERAGE o V: Q Z f Z F PATH 1 TOTAL LOT AREA 12,0.79.0 S.F. z¢3o a a N 1 EX15TINO DWELLING 1,725.2 S.F. 14.3% e w w�aoa 1 L! xw�¢o p RETAINI GI EXISTING WOOD DECKS 568.0 S.F. 4.7% o o a o I 1 WALL EXISTING FRONT STONE PATIO TO GRA55 1 BE REMOVED 0.0 S.F. 0.0% PROPOSEDIJJ I PROPOSED FIRST FLOOR SECOND p 1 tJ GRAVEL 1 ADDITION 103.3 S.F. 0.9% CP FLAGSTONE L- TOTAL AREA OF ALL STRUCTURES 23114.5 S.F. Iq.B% PROPOSED I ADDITION 1 PATH 1 MAXIMUM LOT COVERAGE ALLOWED: 20% 4--1 - STORY U ADDITION � 1 I 100' IMPERVIOUS SURFACES< 8" FROM GRADE GRA55 i EXISTING ASPHALT DRIVEWAY 387.3 S.F. 32% 4-1 SETBACK •- + 1 1 FROM PROPOSED FRONT STONE ENTRY 31.5 S.F. 0.3% PROPOSED10.4' 0.8' I _ BULKHEAD/ TOTAL LOT COVERAGE INCLUDING U SURFACES<8" FROM GRADE 21513.3 S.F. 23.5% I ENTRY 1 �"� PROPERTY L_ 0) STOOP < .,,-r _� 1 LINE - Q •U FROM GRADE ; REQUIRED SETBACKS -LSTOl�X F--R-AME HOUSE- EXCD STING I I I REQUIRED EXIST. PROPOSED COMPLIES C] STO FRAME 1 H USE; I 1 5ET6AGK PR P05ED I FRONT YARD 35.0' 22.8' 22.6' NO* Q I 55' FRON YARIN RIOR i MODIF CATIONS 1 SIDE YARD 10.0' 0.4' 0.4' NO' 1 I BOTH SIDE YARDS 25.0' 1'7.-7' 17.7' NO' 1 N I I REAR YARD 35.0' 112.8' 112.8' YES 10.0' I 1 NON-CONFORMING SETBACKS ARE EXISTING;ALL PROPOSED WORK WILL NOT IN NON-CONFORMITY ti WNW Q PRO IDE NEW I 1 FRONT YARD 35.0' - 42.6' :E__YES = Q r w Z i TREK H DRAIN 3 I SIDE YARD 10.0' - 10.4' YES Z g O PROP. BURIED ,' p 1 C3 w ,n 0 PROPANE \ ; ; O I GRASS I TANK N EXISTING 1 LL O o ASPHALT a N I SITE LAYOUT NOTES: r..++..._-. No DRIVEWAY N 1 I. THI5 IS AN ARCHITECT'S 51TE PLAN d I5 � 1 a SUBJECT TO VERIFICATION BY A LICENSED L SURVEYOR. THE INFORMATIONa. O D I Y REPRESENTED ECTS BET OF KNOWLED&E. 0 ;I TO THE l��P f� t • ea ARCHITECTS V Jew , Z 2.5URVEY INFORMATION WA5 OBTAINED � � i r _ PROPOSED SITE PLAN FROM A SURVEY DATED OCTOBER 25, }�� - 2022 AND PREPARED BY: � 60.00: SCALE: I" = 30'-0" SGALIGE LAND SURVEYING - ® I SOUTH BAY AVENUEft 16 v E PROPOSED PARTIAL SITE PLAN T L TELEPHONE: N.Y. 11751 TELEPHONE: (984)240-7949 -1 (}111 U' i w w N-14°00'00'W I K "SCALE: 1 = 10'-0" r.II�AY a !. , Na GENERAL 5YMBOL KEY: N 2 N -.2Z wa mWo NEW FOUNDATION WALL r- EXISTING TO REMAIN o o w 3 H z H Q EXIST. WOOD NEW WOOD FRAME =C DECK O UZ� Q qui U-4W J O W 0 Z. oo3w mWagw o=z�Z s -.. _ _---_ JI.=41 N --------{—�_—_-- a II D ❑——IIII,I;,�--"—P—I—--II Oi—S�a-D—4—,I—I III,I—I %I—�I J�II — — IIIIIrI - - IIII— — —IIIII I'IjIL"—L—O--P—❑----- sI V E- 0 mt Zw"ola�".S aw=ZaNuooO�?3o�a'H r — - - - - - - a2, . o7DECK 9 2022 a 2 WNOV 2 =&n¢i-Z1W oQaw Uo �mm L PROPOSED Southold Town or' Board of Trustees ROOM op -Z. MO �Em il ITGHE Z6oaaaoov IJ LI Q)L— F..PROPOSX 4—jBATHRO ()(1) m - -j PROP. PROPOSED FOYER MODIFIED BEDROOM C BEDROOM EXIST. BEDROOM LQLO� =KaU — POSED I II 137 ' -------- I Q II I� I . II I � PROP. I i i i i ti LAUNDRY I I I Z w } _ --- PROPOSED — �—I I = j w z O I GAR GARAGE I Z j LLJ Lo 0 EXIST. I MEG 0 J V)O RO M I o yah{ A�1. p� a 40_6 PROPOSED SECOND FLOOR PLAN � �s r "'�� N Y2" I � N 483.8 S.F. HABITABLE SPACE; 483.8 S.F. GROSS AREA a,w; PROPOSED F I RST FLOOR PLAN ', SCALE: I/8°=I'-0° -�' -o:� (}•J" iii 1,516.3 S.F. HABITABLE SPAGE; 1,8265 S.F. GROSS AREA �`� `1. Y O 0w J PLAN NOTE: HATCHED AREAS INDICATE AREAS OF NEW WORK SIDE YARD — 4o SETBACK 0374 A m w a 3 F N o=zJ� ❑❑❑ ❑❑ - — -_ -_ =�aLL= zoW= _ i�-Zz J�O Q rO d QrQ�U N mao_a _ KH�Om aw¢FLL 2 Z a Z a p f mwk�Q ❑❑ v o w¢ Z -- HH 0000 0aaa ❑❑ ❑ ❑❑ �Z. 0 000 El 0000 up=~ p m U �Z H Z r Pon - 0000 000❑❑ z¢oww a ga�w ❑D0❑0 0❑❑❑ azCaiWc' of ¢ s r> r�oacpi SOUTH ELEVATION (FRONT) SCALE: I/8" = I'-0" EAST ELEVATION (RIGHT SIDE) (D SCALE: I/8"= P-0" +j U D 4-J m -c + U � NOV 2 9 2022 Q � o Southold Town Board of Trustees SIDE YARD SETBACK ❑❑❑❑E 11 — — — N Z W rn - - - _ > w z MT! C)-- a a c WLf)Jo EEIEILH LH Elo x N O a a 0 CL 0 a NORTH ELEVATION (REAR) WEST ELEVATION (LEFT SIDE) (� SCALE: I/8"= I'-O" c ' SCALE: I/8" = I'-0" Q ui w o a HOWN SYMBOL LEGEND BASED GS SFILLE MAP NO.N12R15 El MONUMENT FND —•— WIRE FENCE ® I.P. /I.B. FND © GAS METER ® I.P. /I.B. SET ❑W WATER METER %Yo35S SPOT ELEVATIONS D4 GAS VALVE COQ UTILITY POLE pd WATER VALVE >— GUY WIRE TEST HOLE UTILITY POLE W/LIGHT TREE LIGHT POLE SHRUB SIGN • BOLLARD FIRE HYDRANT A WETLAND FLAG YAC HT BASIN 0 MANHOLE D.C. DEPRESSED CURB 0 "A"-INLET FE. FENCE "B"-INLET MAS. MASONRY pl YARD INLET PLAT. PLATFORM 0 YARD INLET WW WINDOW WELL iY Z A/C UNIT B/W BAY WINDOW a E❑ ELECTRIC METER C/E CELLAR ENTRANCE o PILE B/H PVC FENCE (PVC) 0/H OVERHANG STOCKADE FENCE (STK) R/O ROOF OVER "E w< 60.11 0 L ———� —X— CHAIN LINK FENCE (CLF)CANT. CANTILEVER S79-31' 4E� PILES T.Te 19 CROSS CUT G.O.L. GENERALLY ON LINE BU 3c HEAD Qo STAKE O/L ON LINE B/ry WgLL 1 2 ALL R.O.W. RIGHT OF WAY 0.2'+ / 1 W 1 / MAS.W LL 3 O 1W � Z 1 X 1 O WALL ,55 MAS.RET.WALL e AS.RET.WALL 3 1 AT6 / 1 vl PVC FEN—0.2- 6 3 0z3 W FM LOT 4 l;2 TAX LOT 17 I s2 a WALL � � 1 / CLEARING F44_ 1 L� � � 6 w„r� FM LOT 3 17.3' / DECK WALL TAX LOT 18 FM LOT 5 7 / /24.6' TAX LOT 16 O I 1 /1 SYORY 10 6 / ,FRAME/ 1 FLOOD ZONE LINE RESIDENCE ,M o I PER MAP OF'SURVEY�_ i /FEAK�45� / Q LOT 4-DA a 24.31 3 OF 16, TED FEB Mi/ /FFL-9.50 O � 1998 � � 4 PLAT. 7 0sP 11 4' WALL �h/•, / 00 2. M1 „ I FLAG is 80/1/ r ` I 0i6 u a POLE 61 X70.8% �' . .I�C`II 3"PVC FEN. g O GARq�F ON MAS. RET. tt I rn WALL t/FEN FFL'=/9.50 W s 9 (Q) a y N N %PHALT � N FND /PV� I DRIVEWAY o �a ��p 432.14' —MON p 3 D.36 FND N74000'60"Wm PPE WALL OX- 3'SPLITRAILFEN. 1e1 B.B.CURB EDGE OF PAVEMENT s p E C E I V E v7 �1 +' !LA KE DRIVE `_L LANE DRIVE NOV 2 9 2022 DD (50' WIDE) Southold Town GRAPHIC SCALE Board of Trustees 30 0 15 30 g%m LOT AREA -61 ( IN FEET ) * ALL ELEVATIONS REFER TO NAVD88' DATUM 12,079 S.F. 1 inch = 30 ft. 0.28 AC, =�- SURVEY OF PROPERTY SOF NEpp — SCALICE P p 1 EA 0 YO , 475 LAKE DRIVE CD LOT 4 � l a n d surveying MAP OF RE—SUBDIVISION MAP OF BLOCK F r o m slondsurve com MAP OF REYDON SHORES y P:984-240-7999 FILE DATE: 10/07/1936 MAP NO. 1215 Zs o5p736 J� 1 South Bay Avenue, Islip, NY 11751 SITUATE LA NO DR.:MC CREW.:JT SCALE: 1" = 30' TAX MAP NO. SOUTHOLD, TOWN OF SOUTHOLD DATE SURVEYED:10/28/2022 JOB No.S22-3585 1000-060.00-03.00-017.000 SUFFOLK COUNTY, NEW YORK (I)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED UWD SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209,SUB-DNISION 2.OF NEW YORK STATE EDUCATION LAW.(2)ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ME GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION. (3)CERTIFICATIONS ON THIS BOUNDARY SURVEY MAR SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND SURV'EY5 ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS,INC.THE CERTIFICATION IS UMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED,TO THE TITLE COMPANY,TO THE GOVERNMENTAL AGENCY,AND TO THE LENDING INSTITUTION LISTED ON THIS BOUNDARY SURVEY MAP.(4)THE CERTIFICATIONS HERON ME NOT TRANSFERABLE.(5)THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED.IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ME SHOWN,THE IMPROVEMENTS OR ENCROACHMENTS ME NOT COVERED BY THIS SURVEY.(6)THE OFFSET(OR DIMENSIONS)SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ME FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ME NOT INTENOED TO GUIDE THE ERECTION OF FENCES,RETAINING WALLS,POOLS,PATIOS PWITING AREAS,ADDNIONS TO BUILDINGS,AND MY OTHER TYPE OF CONSTRUCTION.(7)PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY.(B)THIS SURVEY WAS PERFORMED WITH A SPECTRA FOCUS OO ROBOTIC TOTAL STATION. (9)THE EXISTENCE OF RIGHTS OF WAY MD/OR EASEMENTS OF RECORD IF MY,NOT SHOWN ME NOT GUARANTEED. (10)SURVEY IS SUWECT TO MY STATE OF FACTS WHICH M UP-TO-DATE TITLE EXAMINATION MAY DISCLOSE A M P Arch i to ct u re Address:10200 Main Road,Unit 3A,PO Box 152,Mattituck NY 11952 Phone:(631)603-9092 Design + Build November 28, 2022 D Re: Graham Residence NOV 2 9 2022 475 Lake Drive Southold NY d %ora OCTM To Whom It May Concern, - We are requesting a letter of non-jurisdiction from your office in regard to proposed work at our clients home, located at 475 Lake Drive, Southold SCTM#: 1000-80-3-17. We are proposing a second story addition and a proposed 1 story addition.The proposed work will not be situated within 100'from the bulkhead. Please contact our office if you have any questions or concerns. Thank you, Jess Magee Page 1 of 1 December 12, 2022 Town of Southold Trustees PO Box 1179 Southold NY 11971 Re:4751-ake Dr Southold NY Town of Southold Trustees: owner of 475 Lake Dr Southold,give the Trustees permission to enter my prop rty to determine if our proposed work qualifies for Non-Jurisdiction. O qesignature Date Page 1 of 2 Board of Truster.— Application AUTHORIZATION (Where the applicant is not the owner) I/We, �Je�� /� i�Q 7Aam , owners of the property identified as SCTM# 1000- 80-3-17 in the town of New York, hereby authorizes AMP Architecture 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. P erty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS 2 5 DAY OF 1V 0%A&eV- , 20 -7-2-- JAIME ZJAIME RODRIGUEZ Notary Public-State of New York No.01806332316 Not 1C Qualified in Suffolk County I>ny Commission Expires Nov.02,2023 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name,first name,middle initial,unless you are appl ' g in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance Trustee Permit X Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer•or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO l If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C),an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this .cC d ,2(}�� b Signature 0 Print Name PM*V� Pa-h' APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: �JGJhI (Last name,first name,middle initial,unless you are appl ing in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit X Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this cZAday o20 Signature Print Name RSVRials 1110.88 pgdgN \ 0&30.09 o-o m 9a az `r0(/� lazaw O(Q lazom - L z A � SEE SEC N0.1. , 13 ---------- — _A 10 _____.y_O' t F wp §P b 18 _______ ___ _ _________ zQq,) LAKE a9 N p - • 1 DR.w (M.RO.) f60)A tz - 3a1g 3 _ ° --- `d` ---------- --- 0 i--- --___ 84., 13 _ z6 GROVE�, - N r E u,~m~m� _�_ w r (Yl) "• _O—' my __"" c..�� __^__ bm NOTICE COUNTY OF SUFFOLK © E SDIITROLO SECTION NO E ter,_ '� 2 .��� rt..,_ b. Real Property Tax Service Agency v E� _ �p F L..."..brRNvrlcn9,NYHB01 M SU t A x9�crx0 y.Y.Rn' P 10°° PROPERTY MAP