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TR-10457
Glenn Goldsmith, President �®F S® Town Hall Annex ®� ®l 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 co Nil, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction % constructed When project complete, call for compliance inspection-, .. � r a.r. - I4 _ •' .f' it.'Y.� + �yy° f`.",. -^•.xi,.rr,.s4 }�:�' {'r.,!•.• '"` �•�`'� +�f'%� s`v'^•oma 6A k,i-��• `.6,•� _ }`' ,4 ,............... rls":" :31J..:''K•.!'S�1Y''w'8';;SS'T#'!.' .tCl7. rt""'''15'ASF'3„"+'.:SS4i'iern�7TJ,:1Ss,5'.n'".,ria'.+X73;'p'Y:Ci2'!IXC'22kT"atY":%&^'��%'"pJ.;:7.�3'.'4 "tI'';'riv,`?x.".,'[tit5s1'g'L'�J�"PwLs;rv,.,w.'PC:.:'fr..;..rtr'9;ikotrlYll":4E_!�P:."aTiT!':. T",':Etia'5 'e'£G55!e��A BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK E PERMIT NO. 10457&10457C DATE: SEPTEMBER 13,2023 - ISSUED TO: LEE&LILI SIEGELSON 9 PROPERTY ADDRESS: 2046 PENINSULA ROAD,FISHERS ISLAND SCTM# 1000-10-3-10 '. AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of 1_ Southold and in accordance with,the Resolution of the Board of Trustees adopted at the meeting held on September 13,2023 and in consideration of application fee in the sum of$2500.00 paid by Lee&Lili { Sie elg son and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: _ r^ Wetland Permit for the existing two�story dwelling with a 727sq.ft.footprint and attached 966sq.ft.wrap- ' around covered porch; construct a 362sq.ft.two-story addition onto landward side of dwelling; f 1 4. construct a 181sq.ft.second story addition within the footprint of the existing dwelling; construct a 297sq.ft.front covered entry porch; expand existing screened porch an additional 79sq.ft. in the existing . 2 covered porch; temporarily lift dwelling to construct a new 967sq.ft.foundation;and reconstruct existing steps to ground off of porch; establish and perpetually'maintain a 15'wide vegetated non-tuff buffer landward of the rock wall; and as depicted on the site plan prepared by Samuel William Fitzgerald, RA, received on August 16,2023, and stamped approved on September 13,2023. rar,. z, IN WITNESS WHEREOF,the said Board of Trustees hereby causesits 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. < CM .ru r• '1' a �l a5a.`uuT�.:T��uC:amisnh.;i+3t.Sfifi`ivi�7,'S'Ye'�uaa.fr7.5�:+ n; a'tifti.3'M7�52S3cT{Co`:ax?`f�iivuwSLS°n'd'i,�ves-i.`uC� �zv:v.i3;isi'Fi..�i�a�15i'o"Ssf:va:[..aa?.i:[`,25�}9��4'eiiC•5:,„�ixSStn"i�,�ha17uG5s"17`:s.• SivF,�vux� \:� `'• ,._ - - U - > J* q '%`tiF••� .'.�d .i6=% 'e9,a,9 qa. 1,,�'1y��mlr" - ^,@d f �S'..d'-: :L.•..�pp 1�rw.•"d ��?.C'� m�esy„r �;�, ..'` . ..�,c�l,�a 3• TERMS AND CONDITIONS The Permittee Lee&Lili Siegelson residing at 2046 Peninsula Road Fishers Island,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. Glenn Goldsmith, President r- so � Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President ,`®� ®�® P.O. Box 1179 Eric Sepenoski [ Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 ®l�CouV,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT#10457C Applicant/Agent: Samuel W. Fitzgerald, Architect Permittee: Lee & Lill Siegelson SCTM#: 1000-10-3-10 Project Location: 2046 Peninsula Road, Fishers Island Date of Resolution/Issuance: September 13, 2023 Date of Expiration: September 13, 2026 Reviewed by: Board of Trustees DESCRIPTION OF ACTIVITY: For the existing two-story dwelling with a 727sq.ft. footprint and attached 966sq.ft.wrap-around covered porch; construct a 362sq.ft. two-story addition onto landward side of dwelling; construct a 181 sq.ft. second story addition within the footprint of the existing dwelling; construct a 297sq.ft. front covered entry porch; expand existing screened porch an additional 79sq.ft. in the existing covered porch; temporarily lift dwelling to construct a new 967sq.ft. foundation; and reconstruct existing steps to ground off of porch; establish and perpetually maintain a 15'wide vegetated non-tuff buffer landward of the rock wall; and as depicted on the site plan prepared by Samuel William Fitzgerald, RA, received on August 16, 2023, and stamped approved on September 13, 2023. INSPECTIONS: Final Inspection SPECIAL CONDITIONS: None. In accordance with Chapter 111-15 Erosion Protection Structures: N/A A maintenance agreement is attached hereto and is a necessary special condition of this permit. BY: 4�" Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President ®f S0 Town Hall Annex A.Nicholas Krupski,Vice President ®� ®1® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 15, 2023 Samuel W. Fitzgerald, Architect 15 E. Putnam Avenue, #234 Greenwich, CT 06830 RE: LEE & LILI SIEGELSON 2046 PENINSULA ROAD, FISHERS ISLAND SCTM# 1000-10-3-10 Dear Mr. Fitzgerald: The Board of Town Trustees took the following action during its Regular meeting held on Wednesday, September 13, 2023 regarding the above matter: WHEREAS, Samuel W. Fitzgerald, Architect, on behalf of LEE & LILI SIEGELSON 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, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated June 13, 2023, 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 issued a recommendation that the application be found Inconsistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the Board of Trustees has furthered the Local Waterfront Revitalization Program Policy to the greatest extent possible through the imposition of the following Best Management Practice requirements: establish and perpetually maintain a 15' wide vegetated non-turf buffer; the issuance of a permit for the structures; WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 13, 2023, at which time all interested persons were given an opportunity to be 1 heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, r 2 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 and Chapter 111 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of LEE & LILI SIEGELSON for the existing two-story dwelling with a 727sq.ft. footprint and attached 966sq.ft. wrap-around covered porch; construct a 362sq.ft. two-story addition onto landward side of dwelling; construct a 181 sq.ft. second story addition within the footprint of the existing dwelling; construct a 297sq.ft. front covered entry porch; expand existing screened porch an additional 79sq.ft. in the existing covered porch; temporarily lift dwelling to construct a new 967sq.ft. foundation; and reconstruct existing steps to ground off of porch; establish and perpetually maintain a 15' wide vegetated non-tuff buffer landward of the rock wall; and as depicted on the site plan prepared by Samuel William Fitzgerald, RA, received on August 16, 2023, and stamped approved on September 13, 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, G n Golds , President, Board of Trustees GG/dd N APPROVED BY BOARD OF 'i RUSTEES CD u 0 (D TOWN OF SOUTHOLD N W :) w Z co Z W Q g > n ui n O DATE , l3 X2'0 ./ UJ Vw21 M 0 I J 3 W z L7 w L1J a N ENCLOSE EXISTING OPEN REMOVE PORTION OF PORCH WITH NEW SCREENED PORCH NEW SECOND STORY EXISTING PORCH. NEW ; W ADDITION TWO-STORY ADDITION ' ~ S 51'37'00 "Ej >�U AO y 31'+/_ 167.00' SHED i ��` �`1 f M Fj, F� — } S 38'23'00"W 10.11 50.00' _-_ K__-y - - - 35.0' (u / EXISTING FRONT YARD - 9 TWO-STORY NEW ONE-STORY - sjq o.02939 Q --- -- - o FRAME PORCH ADDITION OF C 35.0' I �o RESIDENCE 0 o EXISTING v i i N REAR yAp - - `V Wl COTTAGE U EXISTING COVERED PORCH (NO WORK) ; z a 115 O / O W I W r } N 177.00' i N 51.37'00" W r------ —J 15'VEGETATED GRAVEL NON-TURF BUFFER 86.4' PARKING L ----- - EXISTING HOUSE TO REMAIN � ❑ PROPOSED SINGLE STORY ADDITIONS = R WITHIN EXISTING BUILDING FOOTPRINT9 ECE VE � PROPOSED TWO STORY ADDITION FH LEE AND LILIANA SIEGELSON WITHIN EXISTING BUILDING FOOTPRINT ❑ PROPOSED ONE-STORY OPEN PORCH AUG 1 6 2023 FORMER OWNER: KINLIN & RUTHERFURD 2046 PENINSULA ROAD W ADDITION OUTSIDE OF EXISTING FISHERS ISLAND, NEW YORK BUILDING FOOTPRINT Southold Town t3oardofTru sten SECTION 10, BLOCK 03, LOT 10 ❑ VEGETATED NON-TURF BUFFER 8,631 SF. +/ LL — Existing Coverage: 27.9% W Proposed Coverage: 30.7% PROPOSED SITE PLAN SCALE:1"=20' ��S11FF0(,�c0 Glenn Goldsmith, President ��o Gy` Town Trustees A Nicholas Krupski, Vice-PresidentH = 54375 Route 25 Eric Sepenoskic " P.O. Box 1179 Liz Gillooly 'y�j ao�� Southold, NY 11971 Elizabeth Peeples �( 'x` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: LEE & LILI SIEGELSON c/o SAMUEL FITZGERALD Please be advised that your application dated June 13, 2023 has been reviewed by this Board at the regular meeting of September 13, 2023 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project— SILT FENCE Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) x Final Inspection Fee ($50.00) - 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 BY: Glenn Goldsmith, President ZZ Board of Trustees Cantrell, Elizabeth From: Sam Fitzgerald <sam@sfapc.net> Sent: Tuesday, August 15, 2023 2:40 PM To: Cantrell, Elizabeth Subject: Re: Siegelson application Attachments: Siegelson - 23.08.15 -Trustees Site Plan REVISED.pdf Hi Elizabeth, Attached is a revised site plan showing the 15' vegetated non-turf buffer. I will send two copies tonight via FedEx along with the Affidavit of Posting and the mailing receipts. The percentage of additions in relation to the existing footprint is 26.4%. Hope this is what you're after. Let me know if you need anything else. Regards, Sam From: Cantrell, Elizabeth<elizabethc@town.southold.ny.us> Sent:Tuesday,August 15, 2023 10:40 AM To:Sam Fitzgerald <sam@sfapc.net> Subject:Siegelson application Hi Sam, Last night the Board had their work session and asked that I contact you to request a couple of things for the file. The first is requesting two revised site plans depicting a 15'vegetated non-turf buffer be established along the landward edge of the stone retaining wall. The second request is for the Coastal Erosion application. Please submit the calculations of what percentage the two additions combined square footage (do not include the proposed screening in of existing porch)would be out of the total current footprint of the existing dwelling and wrap around porch square footage. This request has to do with the Ch. 111 definition of Major Addition. The percentage calculation can be emailed to me. Sincerely, 5&y4eeell (P ,,49445 Senior Office Assistant Town of Southold Board of Trustees Office: 631-765-1892 Email: elizabethc@southoldtownny.gov 1 jDp WE c1*4 AUG 1 5 202.3 U.1 zUJ w Southold Town Board of Trustees I o 51 - - 00 LU to 1 ENCLOSE EXISTING OPEN PORCH WITH NEW �REMOVE PORTION OF SCREENED PORCH NEW SECOND STORY EXISTING PORCH.NEW l ADDITION TWO-STORY ADDITION � T+- S 51'37'00 "EC) Oc T t'A 167.00• _ SHED[] i �c �11 'a Z, w Q r } S '2 5'00.0 1 a c P j 1 N 5[1.00` Q �c') � EXISTING TWO-STORY NEW ONE-STORY FRAME PORCH ADDITIONIFRONTYARD RESIDENCE EXISTING 1n R COTTAGE (NO WORK) — + Z fs1S LU a ° W of 1 7 }� 177.00' 0_ N 51'37'00" W t g GRAVEL 15'VEGETATED 86.4' I PARKING . NON-TURF BUFFER - meas__ EXISTING HOL-SE TO REMAIN LU r PROPOSED SNGLE STORY ADDITIONS r WITHIN EXISTING BUILDING FOOTPRINT 1b� PROPOSED T`VOSTORY ADDITION LEE AND LILIANA SIEGELSON WITHIN EXISTING BUILDING FOOTPRINT FORMER OWNER: KINLIN & RUTHERFURD PROPOSED CNE-STORY OPEN PORCH 2046 PENINSULA Raw W 'a ADDITION OUTSIDE OF EXISTING FISHERS rsuwD,NEW YORK BUILDING FOOTPRINT SECTION 10, BLOCK 03, LOT 10 L VEGETATED NON-TURF BUFFER 8,631 SF. LL Existing Coverage: 27.97 Proposed Coverage: 30.77 a PROPOSED SITE PLAN SCALE:1"=20' Glenn Goldsmith,President �pSMFFO(�r�e\y� Town Hall Annex A.Nicholas Krupski,Vice President .� 54375 Route 25 Eric Sepenoski y ,?, P.O.Box 1179 Liz Gillooly �y • '� Southold,NY 11971 Elizabeth Peeples l �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report o Date/Time: Z_3 Completed in field by: ' r Samuel Fitzgerald, Architect on behalf of LEE & LILI SIEGELSON requests a Wetland Permit and a Coastal Erosion Permit for the existing two-story dwelling with a 727sq.ft. footprint and attached 966sq.ft. wrap-around covered porch; construct a 362sq.ft. two- story addition onto landward side of dwelling; construct a 181sq.ft. second story addition within the footprint of the existing dwelling; construct a 297sq.ft. front covered entry porch; expand existing screened porch an additional 79sq.ft. in the existing covered porch; temporarily lift dwelling to construct a new 967sq.ft. foundation; and reconstruct existing steps to ground off of porch. Located: 2046 Peninsula Road, Fishers Island. SCTM# 1000-10-3-10 Type of area to be impacted: saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: `C%apt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: 'res No Not Applicable Info needed/Modifications/Conditions%Etc.: Present Were: -G. smith L4<**Krup� E. Sepenoski L. Gillooly 'E. Peeples NOTE: THE SURVEY CLOSING LINE FROM Q� POINT "A" TO POINT "B" IS (0 COASTAL EROSION MAP 1000, SECTION 10, BLOCK 3, LOT 9 t') HAZARD LINE N 49'41'36" E 50.99'. THE PROPERTY LINE/F, S NIF "I* THE APPROXIMATE HIGH WATER LINE HEET 47-Ft OF 49 SAINT JOHNS EPISCOPAL CHURCH 7/1' EXISTING 75' SETBACK A/N D. ROPOSED - TO RETAINING 24.1- _T_ JOUTDOOR WALL (FoLiND) POLE1 i _i7 00" E SHOWER 13/' (S 5 V 167.00' A ELECTRIC METER (TYP.) #470 0-' E3(ISTING. n AND �'�O�OSED C-4 1-4 4 0 STOCKADE 'It W ��ED- 51- (GENERALLY ALONG '\-—16--- PILE EXPANDED I 1\ 0; 1 C) PROPERTY LINE) S 38'23'00" W (Typ.� SCREENED PORCH N OPANE V) co J N 0 Al G K 50 00' C) Tor, L QWED IV00 C / I "I �5 DOC,< FqONT YARD— __J I U)0% WOOD HOUSE 0 E.r -) 6 `-�, U� STEPS B CK_ 09R��'� � I - LK LU HOUSE 0 P 00 7— PORCH hLEV,=14.1 BRICK 8 PILLAR CEDAR 7' 177.00' (TYP.) jg� y Y. A/ ED"-E ROVv, N 51-37'00 (TYP.) /Z C'n MAP REFERENCES 0 fN.:,"194 .62 PROPOSED SECO14D 8" E.622.95 (F-0L 0 STORY ADDITION OR 6" CEDAR 1. SURVEY MAP PREPARED FOR ISIS A. BARTELS LOT 44 ON "THE OVEREXIS'TING PORCH RPROPOSED CEDAR APPROX. LIMITS OF PORCH GRAVEL PENINSULA,- FISHERS ISLAND, NEW YORK. DATE: APRIL 5, 1994, FLOOD ZONE VE - ELEV. 19 z PARKING SCALE: 1"=20', BY CHANDLER, PALMER AND KING. FILED AS MAP PER FEMA MAP 36103CO019H MAP 1 0_0<L), SECTION 10, BLOCK 3, LOT I I AREA N,UMBER K979. NIF ANITA EDWARDS SCOTT NOTES NIF 1. THIS SURVEY WAS PR EPARED FOR- THE PARTIES AND PURPOSE LEGEND ELBERT M. INDICATED HEREON. ANY EXTENSION -OF THE USE BEYOND THE - PROPERTY LINE BURR PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR ABUTTERS LINE EXCEEDS THE SCOPE Or TH E ENGAGEMENT.- EDGE OF PAVEMENT EDGE OF GRAVEL 2. IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR. ANY RETAINING WALL PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED woob FENCE A/ Al LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. OVERHEAD WIRES O/W NOW OR FORMERLY NIF 3. ONLY COPIES OF THIS SURVEY MARKED V41TH THE LAND f NEW SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL UTILITY POLE 0 ARE THE PRODUCT Or THE LAND SURVEYOR. BOUNDARY POINT 0 0- I I, E Cp E I V E ler IRON 'MONUMENT 0 4.. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND MONUMENT co a C.) GEODETIC SURVEY TRIANGULATION STATION "PROS" Li JUN 1 3 2023 5. SITE IS IN THE TOWN OF SOUTHOLD., TAX MAP 1.000, SECTION 10, BLOCK 3, LOT 10. S_ . 0 ouOtioldTown 20 10 0 20 Board ofTruslees 6. TOTAL AREA 0.21± ACRES (9,148 S.F.) GRAPHIC SCALE IN. FEET TITLE: CLIENT: No. Submittal Revision App'd By Date 01 SURVEY MAP 1 SECOND STORY ADDITION CB CB 6/9/2,,-, LEE SIEGELSON & LILIANA SIEGELSON LEE SIEGELSON & 33 Wilbur Cross Way,Mansfield,CT 06268 2046 PENINSULA ROAD, 101 East River Drive,1 st Floor LILI SIEGELSON Drawn: NBC Checked: C13 Project No.: 77540 East Hartford,CT 06108 FISHERS ISLAND., NY 860-885-1055 1 www.chacompanies.com rDat;77/08/2022 Scale: I"=20' SHEET 1 OF 1 TRUSTEES APPLICATION W N U c Proposed additions to an existing nonconforming residence o M w CD 2046 Peninsula Road, Fishers /s/and, NY Z , 0 County Tax Map 1000---Section 10--Block 3---Lot 10 J LU w Proposed two-story addition within existing Proposed covered porch footprint (362 sq. ft.) extension (297 sq. ft.) Proposed second story addition on North side of house (181 sq. ft.) ------- ------ ---------------- -- --- t c02., 3 1 JUN ? -_- f= Southold Town Board of Trustees ! I I CD I �iI pint 'iI p 1-I�I IISW� i I �Ill�l�l;l�lJill II` � �I �I - Uj ri Cf gg Lj 00 EXISTING PROPOSED 00 J Crl � a � wC, Raise existing house two Proposed screened porch feet to be above Base extension within existing Flood Elevation covered porch (79 sq. ft.) N W � N U 0 0 Z w W zm z 0 Lu Lu (/) 5 O w = M Z O � J g W ( ] z v w uj N ENCLOSE EXISTING OPEN REMOVE PORTION OF PORCH WITH NEW SCREENED PORCH NEW SECOND STORY EXISTING PORCH. NEW LLJ ADDITION TWO-STORY ADDITION OS 51'37'00 "E j 31'+/_ ^ o o 167.00' w SHED 10.1' } S 38'23 00"W 50.00' Q u o �- _ 35.0' O ( ` - �ocK_ y--- �' EXISTING 41RONTRD _ -j � TWO-STORY NEW ONE-STORY - ------- ----r------ =o FRAME PORCH ADDITION - ~ RESIDENCE ti C 350, N w REAR YARD - z I EXISTING COVERED PORCH cl O W } N 177.00' N 51'37'00" W r______ GRAVEL 86.4' 1 PARKING I ------ F-1 EXISTING HOUSE TO REMAIN i PROPOSED SINGLE STORY ADDITIONS WITHIN EXISTING BUILDING FOOTPRINT ITIPROPOSED TWO STORY ADDITION LEE AND LILIANA SIEGELSON 61 WITHIN EXISTING BUILDING FOOTPRINT ❑ PROPOSED ONE-STORY OPEN PORCH FORMER OWNER: KINLIN & RUTHERFORD -- C6 ADDITION OUTSIDE OF EXISTING FlS2048 PENINSULA ROAD R E C _V E W HERS ISLAND, NEW YORK � w M BUILDING FOOTPRINT SECTION 10, BLOCK 03, LOT 10 > a � 8,631 SF. JUN 2F2 LL Existing Coverage: 27.996 SouLholdTewn 1j 0 Proposed Coverage: 30.7% Board,otrnistees PROPOSED SITE PLAN SCALE:1" =20' M - W N N ^ t� U o 1, W m LU ui _ 4t t +� W_ •,y. ! 7r< � +� } at 401 � N 0 0 9 •� •, a o L U It a W AERIAL VIEW JUN 1 3 w N N Uo 0 Z Lu w w m inw jf, N O W z f o Al Lu fir, tie �ea, " t� ,, R } �' r r' ` a� .e�yRs..��� ~ + :,� ` � � `• _ ^ *T� w ,1� � x•( '�.^ •ate C+'T 4�±•`� f� � r,�J. ,t 1� �{ ( }' _ :� �.-'�• )yip f'7t ��}r�..r'y .r. � �'���� A � -, -t • .['"y rte. - � } t + atit, •`p►.� { Y -i t•_,� �w A's roti,.�.. � -4 �: - t�� / -•� } {, •�� r r<..F: .�! Iris iia i r ^` ,�I>rk '� � s•++'i �� t '+'�i' ,^,,,1`�,r, :}`.� n ; S? -' ]]] a ...:....... ................—nair.� ..-.ire.4.1..... � y. ,, - } Hu"I 1 II t �- '� rc t III►, II 111 IIIU�,r;.11ll Illllllllllillllllllllllli;+ll ,, .• ,. :Is+ q r �S 1 __A A • - -. ._:.-�s i a-'-' ./ .. � . ���. ._ r 1� ,mss e. � � - '�� � • ��••a .. . _+.. LL.. 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NEW YORK z 51 w — N SECTION 10, BLOCK 03, LOT 10 8631 SF. +/— ♦♦♦Ww ■'■ 41 M V � O Existing Coverage: 27.9% a Proposed Coverage: 30.7% a � EXISTING SITE PLAN & SITE PHOTO KEY SEE PAGES 7-8 FOR CORRESPONDING SITE PHOTOS SCALE:1` =20' - �. .�.�,~ ♦ gid'. .+M�., _ .i. �l� i� _ '�rw,_ - • •� .�w fit' '�` � .� b .r\.��y i' '4 � �•,� r •� � '�- it IF w in ,any 1 �t - ea _ `• .r IA' w — � 1 + / a 1 r ltry _ / 1 1 , S .�� , _ �-� Yom¢ K�. • ��O'i,'. .1 t , � ily• ._� 1 . < a- ; �.>,� . �,j ��,� _M�}�,}Ca � .e�1I`� , i •���p�...t�t �''"� �!p �/ '::, �., ,ri� ti°iy,; ,I.t �F .� � �•��! � :+.� � • {�� �-. � � Y t \'1'�� '"�S'++ �_f V�� •'� ( � `2 - �.� ( +"'tiF �f. `�:l,"t•s���rri A nwYr �!� — t _ \ L ti 'F •'a R=.., `_511. Lv `s � - �.�- t� - `��• n`' � -_ -'-� - -r '- }r'��y;fes .! ,"; �� ApprT 00 L� } N U N 0 N L1J Z � W m LuLu L11 Z O O NLLI _ J 0R //' - - - — -- - - - - W ;' ,. \' i ♦r Y.t( L. 't�! -T (} �Y T1/ Y3-+CE y . 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'° -- aw arovery,IEa aelwzl irarl.• • r 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 Telephone: 631 765-1938 www.southoldtowuny.gov 'fe4e'�OOUNT PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: August 10, 2023 Re: LWRP Coastal Consistency Review for LEE & LILI SIEGELSON SCTM# 1000-10-3-10 The ZBA granted approval of the action (7702) in 2022. Samuel Fitzgerald, Architect on behalf of LEE & LILI SIEGELSON requests a Wetland Permit and a Coastal Erosion Permit for the existing two-story dwelling with a 727sq.ft. footprint and attached 966sq.ft. wrap-around covered porch; construct a 362sq.ft. two-story addition onto landward side of dwelling; construct a 181 sq.ft. second story addition within the footprint of the existing dwelling; construct a 297sq.ft. front covered entry porch; expand existing screened porch an additional 79sq.ft. in the existing covered porch; temporarily lift dwelling to construct a new 967sq.ft. foundation; and reconstruct existing steps to ground off of porch. Located: 2046 Peninsula Road, Fishers Island. SCTM# 1000-10-3-10 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 action is INCONSISTENT with the LWRP policies 4 and 6. A portion of the single-family residence is within the Coastal Erosion Hazard Area (CERA). The expanded screened porch is located within the CEHA. Policy 4 of the LWRP does not support building within the CEHA. The structure is located within FEMA flood zone AE EL 11. The expansion of structure is a structural hazard area is also not supported. 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 John G.Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 " 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., August 9, 2023, the following recommendation was made: Moved by John Stein seconded by John Chandler, it was RESOLVED to SUPPORT the application of LEE & LILI SIEGELSON for a proposed two- story addition within existing footprint (362 sf.) second-story addition (181 sf.) covered porch addition (297 sf.) and screened porch conversion (79 sf.) Install new concrete masonry unit block foundation around perimeter of proposed house footprint. Located: 2046 Peninsula Rd., Fishers Island. SCTM#10-3-10 Inspected by: John Stein Vote of Council: Ayes: All Motion Caried Cantrell, Elizabeth From: Sam Fitzgerald <sam@sfapc.net> Sent: Tuesday,July 25, 2023 12:17 PM To: Cantrell, Elizabeth Subject: Siegelson Square Footages Attachments: Siegelson - Square Footages.pdf Howdy, thank you for the call today--very helpful! Here are the square footages (and you can also see the attachment): Existing footprint of house: 727 sq. ft. Existing footprint of wrap-around porch: 966 sq. ft. Proposed new foundation: 967 sq. ft. I'll be working on the other stuff and get that to you as soon as possible. Thanks, Sam ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i ST ,�. X17 41, Bathroom 1 Screened Porch %j - e'3 xa3• ,� 8'-4°x 15'3' Jl— Kitchen r i€ >.s iTe",x 17•+9" z 'Living Room 1, Covered t73 xtr-0 5 o::j ;E Porch Dining Room }' Ji / ; Covered Porch .f EXISTING HOUSE TO REMAIN WITH SOME RENOVATION NEW CONSTRUCTION WITHIN { EXISTING BUILDING FOOTPRINT NEW CONSTRUCTION OUTSIDE ' EXISTING BUILDING FOOTPRINT EXISTING FIRST FLOOR PLAN PRS; SCALP SCALE;1/8":=1'-0" BOARD MEMBERS ®� so U Southold Town Hall Leslie Kanes Weisman,Chairperson 53095��®�® 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes Town Annex/First Floor, Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue) Nicholas Planamento �c l Southold,NY 11971 ` ®UN�t,� RECEIVE http://southoldtownny.gov fj.4( ( ca!'-6 ZONING BOARD OF APPEALS N V 2 1 2022 TOWN OF SOUTHOLD L Tel.(631)765-1809 lSSOthold Town Clerk FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF NOVEMBER 17,2022 ZBA FILE: #7702 NAME OF APPLICANT: Lee and Lili Siegelson PROPERTY LOCATION: 2048 Peninsula Road,Fishers Island,NY SCTM: 1000-10-3-10 SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23,and the Suffolk County Department of Planning issued its reply dated July 22,2022 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards, The LWRP Coordinator issued a recommendation dated October 24, 2022. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department,as well as the records available, it is recommended that the proposed action is INCONSISTENT with LWRP policy standards and therefore is INCONSISTENT with the LWRR This determination is based upon the following according to Policy 4.1: The single-family residence does not require a location on the coast.The setback relief requested is an indication that the lot is being overdeveloped in an environmentally sensitive coastal area. The structure is located with FEMA flood zone AE Elevation'11, The proposed 30.7%lot coverage on the parcel is contrary to preventing loss to structure in hazardous areas. The structures within these areas are subject to repetitive loss from storm surges and flooding and should be avoided and/or minimized. The proposed improvements will include the lifting of the dwelling consistent with FEMA requirements and the installation of an Innovative Advanced (I/A) OWTS Septic System which will assist in mitigating any adverse environmental impacts and will deem the action CONSISTENT with the LWRP PROPERTY FACTS/DESCRIPTION: The subject,non-conforming 9,148, .21 acre,rectangular-shaped waterfront parcel measures 50 feet along Peninsula Road, then runs north 167 feet to West Harbor, along a residentially developed lot to the east,follows the approximate high-water mark 51 feet west and returns to the roadway 177 feet along a second residentially developed lot to the west. The lot is improved with two-story wood-frame house with wrap-around porch,brick pathway from the roadway to the house and from the house to the fixed wood dock in West Harbor, an outdoor shower, a second wood-frame house (at roadway) with attached fiont and rear decks, a small Page 2,November 17,2022 #7702,Siegelson SCTM No. 1000-10-3-10 shed and stockade fencing as shown on the survey prepared by Craig P. Bigger, Licensed Land Surveyor and dated July 8,2022. BASIS OF APPLICATION: Request for Variances from Article XXIII, Section 280-124; and the Building Inspector's June 23, 2022 Notice of Disapproval based on an application for a permit to construct additions and alterations to an existing single family dwelling,at; 1)located less than the code required minimum side yard setback of 10 feet(both side yards);2) located less than the code required minimum combined side yard setback of 25 feet; 3) located less than the code required minimum rear yard setback of 35 feet; 4) more than the code permitted maximum lot coverage of 20%; located at: 2046 Peninsula Road, Fishers Island, NY. SCTM No. 1000-5-2-2 & 100010-3-10. RELIEF REQUESTED: The applicant requests five variances for proposed alterations and additions to a single- family residence including: 1. Reduced(single) side yard setbacks of 4 feet and 6 feet, respectively, where the code requires a minimum side yard setback of 10 feet. 2. A reduced combined side yard setback of 10 feet where the code requires a minimum combined side yard setback of 25.feet. 3. A reduced rear yard setback of 31 feet where the code requires a minimum of 35 feet. 4. Excessive lot coverage of 30.7%where the code limits coverage to a maximum of 20% lot coverage. The variance relief requested is necessary for the proposed additions and alterations to the pre-existing house, including the expansion of the waterside screened in porch by 8.5 feet by 9 feet in the existing structure(final screened in porch size to be 8.5 feet by 24 feet), the conversion of an existing front porch to living space consisting of an entry/mud room measuring 4.9 feet by 9.6 feet and a bedroom measuring 9.6 feet by 9.6 feet and the addition of a new front porch measuring 11.5 feet by 25.1 feet, and the expansion of second floor living space over the existing front porch measuring 9 feet by 21 feet to accommodate an expanded bedroom suite with full bath. Furthermore,the applicant proposes to expand the second floor of the house, over the existing south porch, to create a bedroom measuring 8.7 feet by 10.5 feet and a bathroom measuring 8.7 feet by 6.3 feet. The applicant proposes no further increase in the non-conformity with regards to the existing setbacks. Lot coverage, however, will increase by 297 square feet,or 2.8%. AMENDED APPLICATION: During the hearing,the applicant was asked to bring the plan into more conformity with the code. The applicant on November 14,2022 submitted a plan dated November 9,2022 changing the location of the proposed second story addition to the south porch to the north side of the house. In so doing, the applicant brought the proposed alterations and additions into less non conformity with the code by increasing the side yard setbacks to 7.1 feet and 4.25 feet, respectively, and enabling the applicant to further distance the proposed second story expansion over an existing porch,from an immediate neighbor's residence. ADDITIONAL INFORMATION: While the survey illustrates a lot size of 9,148 square feet(.21 acre),the site plan, based upon the surveyor dimensions illustrates a lot size of 8,631 square feet(.2 acre) it is unknown where the error lies. For purpose of this application,the architect has calculated lot coverage based upon the site plan. In addition to the requested alterations and additions to the house,the applicant proposes to slightly raise the structure to accommodate a new foundation (including a crawl space as illustrated in the foundation plan) and to make the structure FEMA compliant. The applicant proposes to raise the structure 2 feet above base flood elevation. An immediate neighbor to the south communicated with the Board prior to the public hearing expressing concern over the requested relief and additionally voiced opposition to the second-floor addition (expansion over the south porch) as it would impact their view of West Harbor and would negatively impact their privacy. As a result of the neighbor's concern, during the public hearing the applicant offered to amend their application and to relocate the Page 3,November 17,2022 #7702,Siegelson SCTM No. 1000-10-3-10 proposed addition over the north porch, maintaining the same setbacks as previously existing with no further expansion or encroachment into the pre-existing non-conforming side yard and combined side yard setbacks. On November 14,2022,the neighbor submitted a letter of support for the amended application which avoids impacts to her adjacent property. The applicant informed the Board that the existing house was built around the turn of the 20th century and has been consistently used as a summer residence without the benefit of heat or'central air conditioning and that the house, while maintained, has not been updated to current living standards. The subject parcel is covered by the following Certificates of Occupancy: e #Z-22969 - dated April 28, 1994, a one family seasonal residence and accessory seasonal cottage. © #Z-25355 -dated November 12, 1997, alterations and new window installation. The applicant stated that as part of the proposed alterations and additions they will install a new Suffolk County Board of Health approved Innovative and Alternative Wastewater Treatment System. No additional member of the public or immediate neighbor spoke in favor of or against this application. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on November 3,2022 at which time written and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law §267-b(3)(b)(1). Grant of the variances as amended will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The Peninsula Road waterfront neighborhood on Fishers Island consists of older-homes primarily developed prior to zoning and is accessed via a narrow dirt lane. The lots are irregular in shape and do not conform to the lot size requirements of the R40 zoning district. The lots are developed with a variety of housing styles and sizes, many of which have been updated and expanded in recent years. The island is a resort community within the Town of Southold and most developed properties have one form or another of inconsistency of the current zoning code. The proposed alterations to the subject parcel will not be discernable from the roadway as there is a garage structure which was converted to a seasonal cottage blocking the front yard view of the residence. Furthermore, the proposed alterations and additions will not be discernable as the property is well landscaped and screened from neighbors, however, on the waterside, which is most visible to boat traffic to and from the island,the proposed additions and alterations will not be easily recognized as the architectural design of the expanded home will be in harmony with the structure,as it was originally built over a century ago. 2. Town Law§267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The existing residence was built long before zoning was established in New York State and the Town of Southold. The existing residence as built has non-conforming setbacks and excessive lot coverage with the result that any addition or alteration will require Board relief. 3. Town Law§267-b(3)(b)(3). The variances granted herein are mathematically substantial,representing 60%relief from the code for a single side yard setback of 4 feet, 40% relief from the code for a single side yard setback of 6 feet, 60%relief from the code for a combined side yard setback of 10 feet, 11.5%relief from the code for a rear yard setback of 31 feet and 10.7%relief from the code for excessive lot coverage. However,the structure is pre-existing and has stood for over 100 years in its present location and while the applicant proposes a modest expansion of the Page 4,November 17,2022 97702,Siegelson SCTM No. 1000-10-3-10 residence,including a new front porch for a total of 297 square feet,no further expansion of the residence is proposed, encroaching upon the existing setbacks. 4. Town Law 4267-b(3)(b)(4).. No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law2_ 6�7-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law§267-b. Grant of the requested relief, as amended, is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of additions and alterations to the pre-existing house,including the expansion of the waterside screened in porch by 8.5 feet by 9 feet in the existing structure(final screened in porch size to be 8.5 feet by 24 feet),the conversion of an existing front porch to living space consisting of an entry/mud room measuring 4.9 feet by 9.6 feet and a bedroom measuring 9.6 feet by 9.6 feet and the addition of a new front porch measuring 11.5 feet by 25.1 feet,and the expansion of second floor living space over the existing front porch measuring 9 feet by 21 feet to accommodate an expanded bedroom suite with full bath and expansion of the second floor of the house, over the existing north porch, to create bedroom measuring 8.7 feet by 10.5 feet and a bathroom measuring 8.7 feet by 6.3 feet while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD:In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Planamento, seconded by Member Acampora, and duly carried,to GRANT the variances as AMENDED and shown on the Site Plan and Architectural Drawings labeled page 1-13 prepared by Sam Fitzgerald,Architect,and dated November 9,2022. SUBJECT TO UIE FOLLOWING CONDITIONS: 1. The applicant shall apply for and receive Suffolk County Board of Health approval for the installation of a new, Innovative Advanced (UA OWTS) system suitable for the proposed single-family residence and detached seasonal cottage. This approval shall not be deemed effective until the required conditions have been met.At the discretion of the Board of Appeals,failure to comply with the above conditions may render this decision null and void That the above conditions be written:into the Building inspector's Cert feate of Occupancy, when issued. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result*in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variances)granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use,setback Page 5,November 17,2022 #7702,Siegelson SCTM No. 1000-10-3-10 or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. IMPORTANT TIME LIMITS ON THIS APPROVAL Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any:variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Cleric,within three (3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration, grant an extension not to exceed three(3) consecutive one (1)year terms. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN.Failure to comply in a timely manner may result in the denial by the Building Department of a Certificate of Occupancy,nullify the approved variance relief, and require a new variance application with public hearing before the Board of Appeals Vote of the Board: Ayes: Members Weisman(Chairperson), Dantes,Acampora,Planamento and Lehnert. (5-0) Gslie Kanes Weisman, Chairperson Approved for filing /2022 r • Glenn Goldsmith,President Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President. ft7 P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly } G Tel (631) 765-1892 Elizabeth Peeples0 , Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only { X Coastal Erosion Permit Application X Wetland Permit Application . Administrative Permit V mendment/Transfer/Extensi n eceived Application: (�eceived Fee:1 -ompleted Application: •7,2-Z3- Incomplete: SEQRA Classification: Typel_ Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: rr Coordination:(date sent); E EV11 E. X LWRP Consistency Asse ment Form Sent: a -CAC Referral Sent: . o�(P a" bate of Inspection: JUN 1 3 2023 Receipt of CAC Report: Technical Review,:, SniftholGTovin Public Hearing Held: ► Board ofLustees Resolution: Owner(s) Legal Name of Property (as shown on Deed): Lee and,Lili Siegelson, Mailing Address: 315 East 68th Street, PHBCK, New York, NY 10065 Phone Number: .,(212) 832-2666 Suffolk County Tax Map Number: 1000 10-3-10 Property Location;- 2046 Peninsula.Road, Fishers Island, NY (If necessary,provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable): _ Samuel W. Fitzgerald, Architect Mailing Address: 15 E. Putnam Avenue, #234, Greenwich, CT 06830 860 287-3808 sam sfa c net Phone Number:._._.. ..._..� Email:_ _ p. S� / `�/a5-j23 i Board of Trustees Appli< :__: .ion GENERAL DATA Land Area(in square feet): 8,631+/- sq. ft. Area Zoning: _ R-40 Previous use of property:.. Single Family Residential i Intended use ofroe same P prtY� , . -- - - 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? X 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.? X Yes No Does the structure(s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary): Proposed two story addition within existing footprint (362 sq. ft.), second story addition (181 sq. ft.), covered porch addition (297 sq. ft.) and screened porch conversion (79 sq. ft.) Install new concrete masonry unit block foundation around perimeter of proposed house footprint-. - -2- FORM NO: 4 TOWN OF SOUTHOLD BUILDINd DEPARTMENT office of the Building inspector Town 'Hall ' Southold, N.Y. PRS RXISTIMG CERTIFICATE OF O0WPANCY Mo. 5-22969 Date APRIL 28, 1994 THIS CERTIFIES that the building AOOW FAMILY DWELLING Location of Property. ROW OFF PENINSULA RD. . FISHRS ISLAND, N.Y- House No. Street Hamlet County Tax Map No. 1000 Section 10 Block 3 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially, to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER 8-22969 •.dated APRIL 28, 1994 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 .SEASONAL.DWELLING & :ACCESSORY"SEASONAL COTTAGE *. The certificate is issued to. CHARLES T. FARLEY (owner)' " of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE No: W/A PLUMBERS CERTIFICATION DATED R/A. . . *PL$AS$ SSS ATTACHED INSPECTION RIMRT, B lding Inspector Rev. 1/B1 - 3- FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall. Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25355 Date: 11/12/97 THIS CERTIFIES that the building ALTERATION. . Location of Property: ROW OFF PENINSULA RD FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 10 Block 3 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 1997 pursuant to which Building Permit No. 24004-Z dated MARCH 20, 1997 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 ALTERATION & INSTALL A WINDOW IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ISIS A BARTELS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A % ilding Inspector Rev: 1/S1 -4 - Board of Trustees Appli tion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ._ General improvements to single family residence. Area of wetlands on lot:_ 359+/- square feet Percent,coverage of lot: 4 % Closest distance between nearest existing structure and upland edge of wetlands: 24.1 feet Closest distance between nearest proposed structure and upland edge of wetlands:, 24.1, feet Does the project involve excavation or filling? No X - Yes If yes,how much material will be excavated? 12+/- cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 3.5 feet Proposed slope throughout the:area of,operations: . . . . , <5%. . Manner in which material will.be removed or deposited: Those portions of the existing structure. . . . .. . _...,. .. . . to be demolished, will be removed with a small machine that will stay on the landward side of the house xrnyatinn will nr.Ci ir with a Small Pxravatinn machinn.Talsn star n9 nn the landward side of the house and property. Excavated material will be deposited in rii imn to irks and removed from the sites 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): There will be no effect on tidal waters with this proposed action.The new additions are either within e .exis mg Toot print:of the current structure or on the landward side of thehouse' and property and further away from the water line. Erosion control measures will be put in place. Construction"access wilFbe from the landward side. There is an existing stable stone revetment along the water line. -5- Board of Trustees Appl tion COASTAL EROSION APPLICATION DATA Purposes of proposed activity: General improvements to single family residence. Are wetlands present within 100 feet of the proposed activity? No X Yes Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? 12+/- (cubic yards) How much material will be filled? 0 (cubic yards) Manner in which material will be removed or deposited: Those portions of the existing structure to be demolished, will be removed with a small machine that will stay on e landward side of the house. Excavation will occur with a small excavating machine, also staying on the landward side of the house. Excavated material will be deposited into dump trucks and removed from the site. Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) There_ will be no additional effect to the environment with the proposed action. The new additionsare either within the existing structure oo prin or on the landward side. Silt fencing for erosion control will be installed. Construction access will-be fro�be landward side. - 6 - 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing: Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on.information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Lee and Lill Siegelson Project Location(describe,and attach a location map): SCTM 1000 Section 10, Block 3, Lot 10 2046 Peninsula Road, Fishers Island, NY 06390 Brief Description of Proposed Action: Seeking a Trustees Permit for a proposed two-story addition within the existing footprint(363 sq.ft.)second story addition (181 sq. ft.)covered porch addition (297 sq.ft.)and screen porch conversion (79 sq. ft.) Install new poured concrete foundation around perimeter of existing house. Name of Applicant or Sponsor: Telephone: 860-287-3808 Samuel W. Fitzgerald, agent E-Mail: sam@sfapc.net Address: 15 E. Putnam Avenue, #234 City/PO: State: Zip Code: Greenwich CT 06830 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 X 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: ZBA and building department X 3.a.Total acreage of the site of the proposed action? .20 +/- acres b.Total acreage to be physically disturbed? .01 +/- acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .20 +/- acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial X Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 -8 - ' I 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 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: Fishers Island X 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 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: X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: X 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: X 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b.Is the proposed action located in an archeological sensitive area? X 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? X b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X 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 ❑ Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban M 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? X 16.Is the project site located in the 100 year flood plain? NO YES X 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? M NO❑YES X b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO M YES All roof water will be directed throughdownspouts, which are tied to drywells all contained on the property. Page 2 of 4 - 9- 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: X 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: X 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: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor ame: P S f)R49-AWDate: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answcr all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 - 10 - 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-tern 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. Name of Lead Agency Date 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) Page 4 of 4 - 11 - i Board of Trustees Application AFFIDAVIT 5� i e% c %h BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) 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 a OF THE PERMIT. ignature of Prop caner Signature of Property Owner SWORN TO BEFORE ME THIS /464 DAY OF Notary Public JASON W.DRENA ' `,a t A It , Qualified in Suffolk County Notary Public-State of New York w No.OIDR6350454 •., a d 9�� 1- My Commission Expires November 07,2024 °r C C:,Zj — 12 — Board of Trustees Applioazion AUTHORIZATION (Where the applicant is not the owner) I/We,- i/L-Siegelson owners of the property identified as SCTM# 1000-- 10-3-10 in the town of Fishers Island ,New York, hereby authorizes Samuel W. Fitzgerald, Architect, 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. 1 roperty Owner's Signature Property Owner's Signature eA SWORN TO BEFORE ME THIS 7` DAY OF / /ay , 20 a3 4=4 , 1p� Notary Public JASON VT CRENA Qualified in Suffolk County Notary Public-St2te of New York No.04eNfi350454 ' ^ .^es?•'o':errber0/,2021 r �oS A R} - ILiz. \G w \ - ��• fir, ••� ;ti - 13 - 1 ' 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•• Lee Siegelson (Last name,fust name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) 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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater 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 It (i day of 20 Signature Print Name -14 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: Lili Siegelson (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit 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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater 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 `li day of a, 20 � Signature Print Name - 15- AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSUREYORM 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: Fitzgerald, Samuel.W. (Last name,firstname,mlddle initial,unless you are applying in.the name of someone else or other entity,such as'a company.If so,indicate the Other person's or company's name.) 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?"Relafionship".incl'des 'blood or. or business interest.`.`Business interest"means a business, inciuding a partnership;in which the town officer or employee has even a partial ownership,of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares:. YES NO X If you answered"-YES",complete the,balance of this form and date and sign where indicated. Name of personemployed 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),and1or 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 Ion-corporate'entity(when the applicant is not a corporation) . C)an ofC ei.director,partner,or_employee of the applicant;or. D)the.actualzpplicant DESCRIPTION OF RELATIONSHIP None Submitted this o ;20 .,14 Signature Print Name - 16- Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: I /o - 3 ' 3 - 3 3 -3 - c;23Q0, STATE OF NEW YORK COUNTY OF SUFFOLK , residing at I , 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 MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public Glenn Goldsmith,President a jgff#j f' Town 73 5 Route Annex A.Nicholas Krupski,Vice President ,�. y' Eric Sepenoski :o P.O.Box 1179 Liz Gillooly p. Southold,NY 11971 Elizabeth Peeples ,y6j�1a��;'. 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 LEE & LILI SIEGELSON COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT.COMPLETE:THIS.FORK UNTIL...THE POSTING HAS REII�AINED. IN PLACE FOR AT LEAST SEVENDAYSPRIOR.TO THE PUBLIC HEARING DATE—COMPLETE THIS.FORM ONEIGHTH DAY OR LATER I, AMVC/L VR(r04Wresiding at/dba being duly sworn,depose and say. That on the1 ""day of N 4vjjj ,2023,I personally posted the property known as SI�C&IGL-30N ►rJee t6 —Z-0 q<WINSQL- �, 6Si a BSc. ,�Vo639jo by placing the Board of Trustees official noticing poster where it can easily be seen fro 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:August,16;2023. Dated: ``j'f If"-057-,3623 Aj (signatuAy_ Sworn to before me this ''day of,4u4-2023 4NoP n TTI Postal PostalServiceG oRECEIPT '! 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P- 5f�enlnsu-- --- -- Ci State,ZIP+4e r ,Sate, Z(P+4e O low i s ber I t>rn Ip01 -1 r r r •, •r,•r, :•r 1 ,, r,••r. I I i I i Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: Lee and Lili Siegelson,SCTM# 10.-3-10 NAME: ADDRESS: St.Johns Episcopal Church 2140 Peninsula Rd.Box 505 Fishers Island,NY 06390 SCTM# 10.-3-9 PgoO—N Cynthia S Oliveri and Elizabeth A Johnson 7503 Old Bridge Ct. Sugar Land,TX 77479 SCTM# 10.-3-11 OWII� �15�0 R B Burnham 40 Fifth Ave Apt 12E New York,NY 10011 SCTM# 10.-3-8.2 Elbert Burr,Grace Hawkins, 2935 Peninsula Rd.Box 34 Bette Spohn,and Joanne Wall Fishers Island,NY 06390 SCTM# 10.-3-8.1 STATE OF NEW YORK COUNTY OF SUFFOLK S rrMV-,. W. 6]�e(tQ1 4.0 ,residing at 41 r-flA h4(6 S6`'' A -� W D6 6 ,being duly sworn, deposes and says that on the I 11f day of &2�0 S 1 ,20_Z?a -,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 SO Q1J1P S , II►) GNB, G that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURNCEIPT. _ d1 f Sign ure Nil Sworn to before me this `y! Day of 4(4 ,_�_ 20 No ry Public JASON`,N.DRENA • �� • . , Qualified inSuffolk County 8,� . • ,e';;;;,•',oty� - Notary Public-Sate of New York `�, Cl �e, No.09DR6350454 4 !04�,,,�����N�•�� h!y Commission Expires November 07,2024 Board of Trustees Application AFFIDAVIT: Lee Siegelson IS� L BEING DULY SWORN DEPOSES AND AFFIRMS THAT %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 Pr6perty Owner ignature of Property Owner SWORN TO BEFORE ME THIS _�� DAY OF. JL4�y ,,•ao-�3 = c Notary Public- JASON ublic JASON W.DRE N Qualified in Suffolk County Notary Public-State of New Yolk a0�, r/I No.01DR6350454 A•R s My Commission Expir&November07,2024 1+u sit° , 2 f AFFEDAVrr Lee Siegelson BNG BULY SWORN BEPOSSM AND AFFMIS THXT HFJ37E1E IS=APPLICANT FORT DESCRIBED ( AND THAT ALL STA. ARE'RUE TO I Bim`OF HESMER KNOWIMaGE AND ZEMW,ANB THAT ALL,WOE VALL BE DONE IN TUE 31AMiER SILT IN TEffS APPLICATION AND AS MAY BE APPROVEDTM 80UMULD TOWN BOARD OF, P CAN 'AGREES TO HOLD THE' " OF SOUTHOLD AND THE BOARDOF I Ir r,� AND FREE FROM ANY ANB ALL DAMAGES AND CLABIS ARMWG UNDER OR BY VHrIUK OF SAIDP �'l E' GRANTED. IN CO3 ff- LEMiG TiM APPLICATION I EEREBYAUMOMM CONSERVATION ADVMRY COUNCH,,TO ENMM ONTO MY PROPERTY TO SW1`9SP 'a RS EN YtiONJWJNM I ON, ENCLUDING A FEVAL INSMMON. I FURIMER AUMORM TM BOARD OF g��p�� �yT�P�.'+/���"��t7� 0 �.y O�{ Y A AS WETLAND ,qg� '�i O ENSURE Cali'JtfY Lid/L'3Ul'41'Sl...ft'y ��.ONDM W3LW OF ANY i .�Jra�lI�AIHI)l/`669 EROSION PEPN=ISSUED BY TEE BOARD OF"TRU911M DURING THE TERM DF of SWORN BARE NE TOSa-� DAY OF Notmy ,. :rte` 'Ei. �: JASON W.CRENA 3 `r Qualified in Suffolk County Notary Public=State of New Yolk - No.OIDR6350454 - a ay Eorn�ticsion tWtes N6v8rf+b6rt7,2024 �nP 1'6p��E rrrrr,rrirrr���`° AUTHORIZATION &C appffeant i's Ma the i EV, Lee & Lili Siegelson ,ofd pepwty MmUgga&as SC i t�,ff I+0g i` 10 --3 -- 10 i.the 4a of Fishers Island �Ne.yo here o�dzes Glenn Just of JMO Environmental Consulting 19 OCI M My agent MMI hM27 an M=aswzyV ap pkim e s)elm tho.sduftu TOWM B'oad GfTmstam SligM20C ; SWORN T,0 BEFO1 ���h DAY Oar' 20 a 3 110 JASON W.DRENA Q a "• Qualified in Suffolk County tdotary Public-State of New Yotk No.01DR6350454 _ at R k 19q Commission Expires NovEmher Q7,2Q24 N` puo�� l ' fit1f1111�` // F H A C3 iIOTIL� m U Ir 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. OWNER(S) OF RECORD: CHRISTOPHER & MARISSA LAZOS SUBJECT OF PUBLIC HEARING: For a Wetland Permit and a Coastal Erosion Permit for the existing two-story dwelling with a 727sq.ft. footprint and attached 966sq.ft. wrap-around covered porch; construct a 362sq.ft. two-story addition onto landward side of dwelling; construct a 181sq.ft. second story addition within the footprint of the existing dwelling; construct a 297sq.ft. front covered entry porch; expand existing screened porch an additional 79sq.ft. in the existing covered porch; temporarily lift dwelling to construct a new 967sq.ft. foundation; and reconstruct existing steps to ground off of porch. Located: 2046 Peninsula Road, Fishers Island. SCTIVI# 1000-10-3-10 TIME & DATE OF PUBLIC HEARING: Wednesday, August 16, 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 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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# 10 - 3 - 10 The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. © Building Dept. © Board of Trustees © ZBA 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital 0 construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Fil Nature and extent of action: Proposed two-story addition within the existing footprint(362 sq.ft.), second story addition (181 sq. ft.), covered porch addition (297 sq.ft.), and screen porch conversion (79 sq.ft.). Install new poured concrete foundation around perimeter of existing house. - 17- Location of action: 2046 Peninsula Road, Fishers Island, NY 06390 Site acreage: .20 +/-acres Present land use: Single family residential Present zoning classification: R-40 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: Samuel W. Fitzgerald, agent (b) Mailing address: 15 E. Putnam Avenue, #234, Greenwich, CT 06830 (c) Telephone number:Area Code( ) 860-287-3808 (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No❑X If yes,which state or federal agency? 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 Q Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt With the proposed additions the house will still be of a modest size for the neighborhood, and completely within the character and scale of the surrounding houses. The only increase to the building footprint will be located on the landward side of the house, with no significant change to the appearance of the house from the water. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes E] NO See LWRP Section 268-3(F)-minor LWRP actions are exempt 0 Not Applicable The existing house was built around 1920 in a coastal shingle style typical for Fishers Island. The house has not been materially altered since it was built.The proposed additions and alterations will be of the same character as -- and blend in seamlessly with --the original house. - 18- Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria 0 Yes © No ® Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt The house will be improved architecturally by this proposed action, and be a visual improvement to the neighborhood. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria 0 © Yes 0 No Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt 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 E] Yes © No ©Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt All roof water will be directed into downspouts and into drywells. The natural grade will not be modified in any way, so natural drainage courses have remained undisturbed. The owners are committed to chemical-free lawn care. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes © No© Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt -19 - Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. © Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt 0 Yes © No 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 © Not Applicable see LWRP Section 268-3(F)-minor LWRP actions are exempt PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YeEl No© Not Applicable see LWRP Section 268-3(F)-minor LWRP actions are exempt A bike path has recently been built along the entire eastern half of Fishers Island, which encourages a polution-free alternate form of transporation. The owners will not be burning leaves or trash, and a fairly sophisticated program of recycling or removal of contaminants is already in place on Fishers Island. Attach additional sheets if necessary 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 © Not Applicable _ 20- ' I 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. 0 Yes ❑ No© Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt 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 11 No© Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt 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. EYes ❑ No © Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt Created on 512510511:20 AM - 21 -