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HomeMy WebLinkAboutTR-10587 CC#: C24-31614 y fJfR _� COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK The Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 07/09/2024 under Liber D00013255 and Page 073 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 07/09/2024 SUFFOLK COUNTY CLERK VINCENT PULEO SEAL f, J ' 1 I IIIIIII IIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII I IIIIII IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 07/09/2024 Number of Pages : 5 At: 02 : 14 : 18 PM Receipt Number : 24-0085133 LIBER: D00013255 PAGE : 073 District: Section: Block: Lot: 1000 086. 00 02 . 00 002 . 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25 .00 NO Handling $20 . 00 NO COE $5 . 00 NO NYS SRCHG $15 .00 NO TP-584 $0 . 00 NO Notation $0 .00 NO Cert.Copies $6.25 NO RPT $200 .00 NO Fees Paid $271 .25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County F—i]F Number of pages 024 RECORDED VRICEIP' PULED CLERK OF This document will be public SUFFOLK C:t UNI'Y record. Please remove all �. nr_�r_�tN25 y Social Security Numbers P 0".;13 prior to recording. . Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Mortgage Amt. Page/Filing Fee 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17 (County) Sub Total Spec./Add. EA-5217 (State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. LW � Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit Mansion Tax ����' . 'Cert�ied Co The property covered by this mortgage is Py or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total fr YES or NO Other Grand Total r � m If NO,see appropriate tax clause on ' page# of this instr� nt. 4 Dist. 5348051 l000 08600 0200 002000 5 Community Preservation Fund. PT ' Real Property R wuc A I'I'I 'll" IIIII 'I"I Consideration Amount $ Tax Service 09 JUL" Agency CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners.Mailing Address RECORD &RETURN TO: Vacant Land TD. 0 TD C �� k/ I l �r^� TD - �J Mail to: Vincent Puleo, Suffolk County.Clerk 7 Title Com an Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk Co' unly Recording & Endorsement Page This page forms part of the attached NC` l made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. [J. (' TO In the TOWN of y y��� ° y L) �' In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104..10/08kk (over) DECLARATION OF COVENANTS THIS DECLARATION made this 9th day of July, 2024, by James F. Lubin and Pamela M. Lubin, residing at 24 Tower Court Syosset NY 11791, hereinafter referred to as "DECLARANT(S)": W I T N E S S E T H WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located on 2765 Wells Road, Peconic, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 086.00, Block 02.00, Lot 002.000 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 20-FOOT WIDE "non-tutf buffer" adjacent to and landward of Richmond Creek (Flagged Lines) and WHEREAS, the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property. NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows: 1 � Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained a 20-Foot, adjacent to and landward of Richmond Creek (Flagged Lines) "non-turf buffer" as defined by Chapter 275 of the Town Code; and as depicted on survey /site plan last dated 3/26/2024 and stamped approved on 6/20/2024, see Exhibit A attached; and 2 ) These covenants shall run with the land and shall be binding on the DECLARANT(S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. r. IN WITNESS WHEREOF, the owner(s) has/have dul ecu d this instrument this day of y� , 20 211 OWNER'S SIGNATURC�ST t OWNER'S SIGN. RE STATE OF COUNTY OF V �-1i- On the q day of g 4&,! 07 q , in the year 20_Zg, before me the undersigned, a Notary Public in and for said State, personally appeared James F; Lubin and Pamela M. Lubin, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in , his/her/their capacity, and that by his/her/their signature(s) on the instrument, the individual or the persons on behalf of which the individual(s) acted, executed the instrument. Notary Public 2 JOHN OLSZS VSKI NOTARY PUBLIC. 051of New York Qualified iR Suffolk County Commisslon Expires July 13, f _ 2765 Wells Road, Peconic,NY 11958 SCHEDULE A ALL that certain plot,piece,or parcel of land with the buildings and improvements thereon erected, situate,lying,and being in the Town of Southold,County of Suffolk,and State of New York,being bounded and described as follows: BEGINNING at an iron pipe on the Easterly side of Wells Road, distant 2721.88 feet Southerly, as measured along.the Easterly side of Wells Road,from the corner formed by the Intersection of the Easterly side of Wells Road and the Southerly side of Main Road; RUNNING THENCE North 84 degrees 56 minutes 50 seconds East,through an iron pipe, 194.00 feet,to a point in the ordinary high water mark of Richmond Creek; THENCE along said ordinary high water mark on a tie line course of South 05 degrees 03 minutes 10-seconds Eas4100.00 feet,to the Northerly line of the land now or formerly of Berg; THENCE along the land now or formerly of Berg,South 84 degrees 56 minutes 50 seconds West, through an Iron pipe, 194.00 feet,to the Easterly side of Wells Road; THENCE along the Easterly side of Wells Road,North 05 degrees 03 minutes 10 seconds West, 100.00 feet,to the point or place of BEGINNING. TOGETHER with all the right,title,and interest,if any,of the party of the first part-to the beach, waters, and Iand under water of Richmond Creek, in front of and abutting said premises to the center line thereof. TOGETHER with Beach Rights in Libor 6391 Page 532,repeated in Liber 7559 Page 1,repeated in Liber 11091 Page 475. h ; F3 _ sue { LANDWARD _ _..:ter, a +rd.a `.r 100'TRUSTEE'S ZONE AE EDGE OF TIE LINE THE LINE ]TAX MAP« l000-86-02-002 a a3 SETBACK (EL 6 FEET) WETLANDS ALONG'!, HWM AgRO Nz N, DELINEATED BY t. mg5sa �1 r ZONING DISTRICT R-40 NC SUFFOLK l BOARD O C $ OT AREA o.4 ACRES ENVIRONMENTAL FORM CONSULTING INC. PO-MAIN HOUSE Z9741,Nov.7,1979 a a;$ ON Al I?,Zola TOWN OF-S OLD rofo-DECK ZI5505,APRIL 11985 N c 20'NON- ;DAy} ��� �� to FLOOD ZONE x D15TURBANGE ;�,. . w _ VEGETATED BUFFER - '•.ti ' TLANDS DISTRICT APPROVED 9483 zas ® .j+"• EG DISTRICT APPROVED a1-4738-04 f Q Y' 825/00001 LK COUNTY HD APPROVAL 550-162 4 W °E 3 3 a EXIST. - „-z•s „- r Y_ t:,4, :._ a Tt y�M, . OF.GO- s> k'. :'5 f>.`LRe°_ 'F•°,m-"-_,;,,.y'.�x?3.'__ _ ;•.rr=`,k zY.--.a. a o m a EARTHIll ----- V12IiE •,. F e., sz. L ',-,. ,.n,. ,a `t•.v.;,x...„z.-,3 ., _„ `.'='e:'�s•:_�§a -�^,',xx^z--.�3-'.a';.ac'%:s•'-:u a 5�i r5'i WEt PROPOSED 51 TE ELEVATION DESCRIPTION(FOOTPRINT) AREA %LOT COVERAGE P �8ail`a�i SCALE 1°=20'-0° TOTAL LOT AREA 18,915.0 S.F. MAIN ROAD EXISTING BUILDING, 1,189.5 S.F. 6.5% PROP.BURIED 1000 GAL EXISTING GARAGE 6-11h S.F. - 5.6% PROPANE TANK(TO MAINTAIN 100'TRUSTEES SETBACK • C'MIN.SEPARATION FROM ALL 100,WETLANDS ` LINE(FROM TIE LINE) PROPOSED SCREENED DECK 550b S.F. 2.9% UNDERGROUND STRUCTURES, SETBACK LINE 1 189.40' INCLUDING PIPING PIER LINE EL.=S"1' —T/ PROPOSED COVERED PORCH 4603 5F. 2.4% EXIST.STORM iy HATER CATCH 0 �� // / TOTAL AREA OF ALL STRUCTURES 2,8782 S.F. 15.2% / "MAXIMUM LOT COVERAGE ALLOWED-20% BASIN 56'5_O:a_— TEST 5' 7 >. EL-6.8 S. 'MIN' - \� _zO -- - ' ` 1 Y, � ,/ 1 NE MIN. HOLE / \\`� --I{--•_ \0--G\�D.�� ` / /`�I/ / /. /� ALONTIE G 1 �,\N__\1 /,y /- p M.H.W.M. 20' / MIN. 00t14N. \Ive sETs y . / / �.�• y� MIN. O. Ip' I,O �// •:7' � SITE LAYOUT NOTES, �i c MIN. 1 / // •_ /', 1. THIS IS AN ARCHITECTS 51TE PLAN 8 IS L EXIST.OOGK SUB.IEGT TO VERIFICATION BY A LICENSED 5A ' NPROPiOUTDOO�YLWER / LANDWARD SURVEYOR. THE INFORMATION O r; / EDGE OF REPRESENTED ON THIE�•rP PLAN IS TO THE °Flo l L.L°(OR fQJ 1 1.1 ; / �'/ ARCHITECTS BEST.OF KkOW,ED6E. . r IN ITl .O t t . ' t' t FFOLK ED BY 2.SURVEY INFORMATION WAS OBTAINED O 1 //i ENVIRONMENTAL FROM A SURVEY DATED SEPf.19 2018 z�z t/ i %�' ,AND FREPARED BY, PROP. / t 1 ^" CON^aJLTIN6 INC. ON AUG.17,2018 PEGONIG SURVEYORS,P.G. Nj_1 I I 1 1 MIN. PROP. EXIST.2 STRY WD. SUN ROOM P.O.BOX 9O9 !I 1 I I I I 1 PORCH FRAME DWELL PROPOSED 20' 1250 TRAVELER STREET 2ND FLOOR REBUILD;+ �:t r SOUTHOLD N.Y.119TI (4 BEDROOMS) t v t t K/ // m NON-TURF /� . `m ,(/� rp� TELEPHONE.(651)765 5020 �0 Y L J t F.F.EL.=9.9' ` 1A 1 •t // I�d APPROX.IP41 / �. F GARAGE EL=8.T t, y r ��.f .O m; � V •, A TG .\ \ \ BUFFER AREA . : Y/ PROPOSED BUILDING ADDITION uj BE•VEGET TTOF_D SITE PLAN HA H KEY EXIST. PROPOSED ACCESSORY STRUCTUREZ Z 1..�25.0 PROP. 1, 1t, \ \/ / V m W' J>- HAT SUPPPLY 1 PROP.ASPHALT 2ND FL. t ' 1\ ` / y l rn W Z LINE N•I.FJ N , b DRIVEWAY ADDITION' pap \ '� \ / yt' v1 y�O ® PROPOSED 2ND STORY ?�V I r . 899 E S.F. _ \ ,` z W (D Z nU b / •1 \ / N W 1 � \ S.MIN. i Fp Fp I5I�PROP.I (TYPJ •t MIN.\D. f/�=Y 6 v t Q d MIN.1\D.W. --- " ✓ D c 1 EL S. IL /FROP.f JUN 17 2024 ol _ JF.—�5'MIN. ���� 'i ,� � �. •'{� �"' �I Oj �1 SETBACK SouThMd Town �. ;x:=, 1• N SETBACK LINE 1t 584°56'So W EXIST.OVERHEAD wpm , \ ofBustees 7 Q El WIRES 100'TRUSTEES SETBACK (DWELLING VICTORIA GORDON it \ �� © �• o LINE(FROM TIE LINE) J^f PROPOSED SITE PLAN SCALE,1°-20b° a a soy Town Hall Annex Glenn Goldsmith, President �� �i�� 54375 Route 25 A. Nicholas Krupski,Vice President �� P.O. Box 1179 Eric Sepenoski 3 Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® v.� Fax (631) 765-6641 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 '/z constructed When project complete, call for compliance inspection; suFFoc� Glenn Goldsmith,President 0 COG Town Hall Annex A.Nicholas Krupski,Vice President �� :A 1 54375 Route 25 Eric Sepenoski x P.O.Box 1179 Liz Gillooly v0 P" Southold,NY 11971 Elizabeth Peeples A p!� Telephone(631)765-1892 Ol �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD AMP Architecture on behalf of James Lubin TO: Please be advised that your application dated April 1, 2024 has been reviewed by this Board at the regular meeting of June 12, 2024 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line 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.) X 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: Final Inspection Fee = $50.00 © ( 1 ` 44 l TOTAL FEES DUE: $ ' 50.00 CIV-L LIC 1�_ b �q BY: Glenn Goldsmith, President Board of Trustees Glenn Goldsmith, President ®f Sl0�f� Town Hall Annex A. Nicholas Krupski,Vice President ®� ��°® 54375 Route 25 P.O. Box 1179 Eric Sepenoski AL ir Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 V®unny,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 20, 2024 James Lubin 2765 Wells Road Peconic, NY 11971 RE: 2765 WELLS ROAD, PECONIC SCTM# 1000-86-2-2 Dear Mr. Lubin: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 12, 2024 regarding the above matter: WHEREAS, AMP Architecture on behalf of JAMES LUBIN applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 1, 2024, 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 Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 12, 2024, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, 2 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 JAMES LUBIN to demolish existing two-story dwelling with the existing full basement, first floor structural members, select interior walls and garage to remain; construct additions and alterations to two- story dwelling including new sun room with crawl space below, rear covered porch/deck, front covered porch, outdoor shower, and second floor balcony; new I/A OWTS system; and to establish and perpetually maintain a proposed increased 20' wide vegetated non-turf buffer area relocated to align with and run landward of the wetland line; all trees to remain; all as depicted on the revised site plan prepared by AMP Architecture, received on June 17, 2024, and stamped approved on June 20, 2024. Permit to construct and complete project will expire three 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 truly yours, '4"' Glenn Goldsmith President, Board of Trustees GG/ec mqrm N. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 10587 DATE: JUNE 12,2024, ISSUED TO: JAMES LUBIN PROPERTY ADDRESS: 2765 WELLS ROAD, PECONIC SCTM# 1000-86-2-2 AUTHORIZATION and in Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 12,2024,and in rms and consideration of application fee in the sum of$1,250.00 paid by James Lubin and subject to the Te n Board of Trustees authorizes and permits the Conditions as stated in the Resolution,the Southold Tow following: 9� Wetland Permit to demolish existing two-story dwelling with the existing full basement, first floor structural members, select-interior walls and garage to remain; construct additions and alterations to two-story dwelling including new sun room with crawl i space below, rear covered porch/deck, front covered porch, outdoor shower, and second floor balcony; new I/A OWTS system; and to establish and perpetually I maintain a proposed increased 20' wide vegetated non-turf buffer area relocated to 0 align with and run landward of the wetland line; all trees to remain; all as depicted on the revised site plan prepared by AMP Architecture, received on June 17, 2024, and M stamped approved on June 20,2024. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the day and year written above. ol Z612 0 IV NSA Rill ER:M, TERMS AND CONDITIONS The Permittee James Lubin 2765 Wells Road Peconic,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. LANDWARD k� PROJECT`/Z_O_NING_DA_TA----------------------------- xa EDGE OF TAX MAP a 1000-56-02-002 c c a 3 100, TRU5TEE15 ZONE AE TIE LINE; THE LINE e z N>a z m SETBACK (EL 6 WETLAND5 FEET) DELINEATED BY ALONG MHWM NINO DISTRICT R-40 NC, �{:Z.w x C 3 3 3 ma¢agQ 5UFFOLK 8. A P P RVE Y LO AREA 0.4 ACRES w o=W rn ENVIRONMENTAL a W LL - GON5ULTINC INC. - Co O -MAIN HOUSE Z9141,NOV.1, 1919 N 3 a W ON AUG. 1'7, 201& W,BOARD OES Z W Z WZp Q z " Co O -DECK Z13303,APRIL 114b5 z cai d o Z. TURBAI�G TOWN' t ) � JO p I o=� p O DIS E t 1-#�rY lam!'OF. SOVT�� � A FLOOD ZONE X jp H W J W K .• pzmO�a VEGETATED WE LANDS DISTRICT APPROVED 4483 tE W,z y `_ BUFFER MATE w Z z J Z z DISTRICT APPROVED I-4'f38-04 o W m N Z b23/00001 Imv LEM I I i ip 2pZ�Q¢W Sur FOLK COUNTY HD APPROVAL 550-182 4 w S U N p J jLLZ3Z ---'------------- o g��sW�w %LOT NNS=Hx / DESCRIPTION(FOOTPRINT) AREA " COVERAGE � rpQaaQx PROPOSED SITE ELEVATION ; SCALE: I" = 20'-0" TOTAL LOT AREA S.F.18,913.0 `MAIN ROAD EXISTING BUILDING 1,184.5 S.F. 6.3% PROP.BURIED 1000 GAL EXISTING GARAGE 611.8 S.F. 3b%PROPANE TANK(TO MAINTAIN 100'TRUSTEES SETBACK 100'WETLANDS PROPOSED SCREENED DECK 550.E S.F. 2.9% 10'MIN.SEPARATION FROM ALL SETBACK LINE LINE(FROM TIE LINE) STBC UNDERGROUND STRUCTURES, 1 EL=5.'7' I&q.40' PROPOSED COVERED PORCH 460.5 S.F. 2.4% INCLUDING PIPING PIER LINE J / N _—_ / / W TOTAL AREA OF ALL STRUCTURES 2 8?8 2 S.F. 15.2% EXIST.STORM p� _ "/ /' /// KATER CATCH BASIN CP _ _ — /// / "MAXIMUM LOT COVERAGE ALLOWED-20% N84°5650"E— TEST _ � 3 p / EL=6.8 MIN. �� MIN /j - \� _Z -- - ,- - I PROP.1 /i / X/// ^ TIE LINE / --. �\D.W./ I, / ALONG \ ' / ' M.H.W.M. 20. MIN. O _ MIN. / t / \ O_. N-- i - / / / MIN. --�-�� 3� 310 z0 \I � Z II •I SITE LAYOUT NOTES: 1. THIS IS AN ARCHITECTS SITE PLAN b 15 i EXIST.DOCK PROPIIIUTDOOR/HOWER � SUBJECT TO VERIFICATION BY A LICENSED c O 0 / ` / LANDWARD SURVEYOR. THE INFORMATION u�l 5.0 w/40, AL.DRYWELL BY / / ��OF REPRESENTED ON THIS SITE PLAN IS TO THE \ ..FLO (OR IP.G7) I.I / WETLANDS ' / / 1 ARCHITECTS BEST OF KNOWLEDGE. r I 4- 1N N O \ 11 �;/ ./ / DELINEATED D BY 2.SURVEY INFORMATION WAS OBTAINED ' ENVIRONMENTAL FROM A SURVEY DATED SEPT. 19 2015 z z t CONSULTING INC. AND PREPARED BY: 5' PROP. \ X �u ON AUG. 1-7,2015 PEGONIG SURVEYORS,P.G. N 4 1 I I I 1 I MIN. P. EXIST.2 STRY wD. SUN ROOM Irn �/ ,1 P.O.BOX 9O9 ! I I VERED a , / 1230 TRAVELER STREET 1 1 I FRAME DWELLIN6 w/ i � PROPOSED 20' 1 PORCH 2ND FLOOR REBUILD' A ` / r NON-TURF SOUTHOLD N.Y. 11411 rMIN. J I I I I I (4 BEDROOMS) 1� °_1 II '+m TELEPHONE: (651)165 5020 / r BUFFER; !!! L J L J APPROX. 1,541 F.F.EL.=4.9' n r �/ OO' S.F.AREA TO ° N• GARAGE EL.=b.1' 7`' II \ / ffi1FFER \ /j/ BE VEGETATED \' SITE PLAN HATCH KEY: 00 �-y - --- ----- ` l ® PROPOSED BUILDING ADDITION W p 0) EXIST. \ / rn ® PROPOSED ACCESSORY STRUCTURE ir Z W J WATER ��25.0 PROP. ` \ �/�/ ITS m 0 W Z SUPPLY 1 PROP.ASPHALT 2ND FL. O 1 \ 1 �/ /i O ® PROPOSED 2ND STORY LINE(V.I.F) N p DRIVEWAY ADDITION '3 6 � � / p 699.8 S.F. N �1. ' \ \ \ S ,\ Z �� J w ti 0 O _ cl 1 \ 3'MIN. O 5. /PROP.1 / / x i / 0. 5' /PROP.1 (TYPJ \ MIN. /� '�/ e, J / 32 Xx/ t a � — _ , _ —- 1 0 / , ,ram-, . ^fir O PROP.I-- 10'SIDE Y \ \ a � x`� T \ o I D.W., _- - _, _L_— —— i \ JUN 17 2024 .. , O1 --��'MIN. cJ - 100'WETLANDS SETBACK LINE \ UttU I�ii 1 U 584°56 50 W EXIST.OVERHEAD N/O/F Board of TrdS eeS d_� 2 ccO\v - ELEG.WIRES 100'TRUSTEES SETBACKY WILLIAM d VICTORIA CORDON �- a_ J f�'f" k o PROPOSED SITE PLAN LINE(FROM TIE LINE) (DWELLING w/PUBLIC,KATEW \ - � ��^'j '? ��%5�;� r:f W W(.n SCALE: 1" = 20'-0° �'" } C ENERAL SYMBOL KEY: F o a 3 _ l � � Eui ewsnas TO r+�ruiH NH FouravAnoN w u E C F o 3 a g g I�'i Yi00D MANE 1 ¢x x O LL APR 2 �24 1 z¢OWw¢ ¢z�wIZ wa yz w U Q uw U W WOoUO SpuMld Town o z m a soeld of TNstees Q z z aa� �oQOZ� _ p NUN~=U o ¢°ti z�+¢ C Q 2 ¢21tiO C7¢a '^°�F¢�w g=�sWw> Y W =O W w> Q �zUlx-G 6xl V1 2 . W S C¢ EXIST. BASEMENT - UNF I N 1 SHED UNHEATED ao w ou') Z Z It rn LLJ } m Q LU Z w Lo z cD o r U /dm J ',y Iva LL CL f :( O CL N N DEMOLITION PLAN — BASEMENTcq 0 SCALE. 1/5" w W o a C ENERAL SYMBOL KEY: �-1 EXISTING TO REMAIN --.,--�{ NEH FOVNPATION WALL � " _ kI j,. C E 1 V a3w NEW Yi00D FRAFg APR 2 202/' I aZ��ZZ W a 2 W 7¢y U SotO01d TOW,-i ¢,N c a o x ¢z Bawd Of Trustees (ZJ N Q O a S x / cOi O NOa2Nyj W r�LL Z 3 a a Z W o 0 a a • C ��U N W�>w> a¢F¢U H W EX15T. WOOD o a a a a x PECK EX15T. 5TOOP EXIST. EXIST. EX151. DINING MUDROOM' GARAGE ROOM EX15T. KITCHEN r. n Q .. ! EXIST. \ !! a BATHROOM O A/ `a' EX15T. LIVING ROOM EXIST. FOYER EXIST. BEDROOM :t ao LU c (On Z Z py W J } (D Z >. 0 in N DEMOLITION PLAN - I5T FLOOR SCALE. I/8"= V-O" o .. {L W c a GENERAL SYMBOL KEY: oo a 3 ��-_-,{ WIT ��wZma EXI5TIN6 TO REMAIN F� NEW FOUNDATION YIALL ma�aaa - .. i !�• \ F� t 0p7i W JO I= � 2 y F=;y¢m N84 YIOOD FRAME �� • �1 W O W ti Salta W O APR 2 2c 2 W a W 0 W W G J IQId ic'.= a W m s e O—jmlx 'lTru. s ¢Z ; z U W Ny��COj O W O a 2 N N - LLw<p¢�-per W 1x-JLL 23a mom Cal ay s 2 f� p W s�¢ sW�W ' N x S F a ylzU1-O U N S O¢ ¢¢a H U a Q a a S r EXIST. f f5ATHROOM EXIST. BEDROOM EX15T. _ HALLWAY EXIST. BONUS ROOM ¢ U 6 EX 15T. a BEDROOM EXIST. BEDROOM 00 W ci LO Z Z N Uj } = G W Z EU CD 0 It C4 LL a CNI �•\ •� .. Fes?��G�- �•..y!' DEMOLITION PLAN — 2ND FLOOR a WALE, I/0"-V-o° _ w W o a -� o s OENERAL SYMBOL <EY: �� w3 F� NEY1 FOUNDATION KALL -1 EXI5T1N6 TO REMAIN lam,= 03W Z¢ti O 4 OOi NEN MOOD FRAME orw.-I �5 o�3c¢c�i 2 a O w w W Q Q a?-J22 ' / ZWO00 O=a¢QjM zo O Q¢ 2 NEW WOOD I I: azwE�aW y 0 W DECK ABOVE I'.'I r o g s W W 1 I. I Wzx,wxm x NN o 2 NEW CRAWL irn SPACE OR _ 1 � EXIST. SLAB ABOVE - 0 1 O o . G W C. Q I -- - I EXIST. 1 1 BASEMENT UNFI I NISHED UNHEATED 1 1 - ao r. --------- ---- Z Z 0 � F '1 DECK ABOVEcs W Lo Z CL v LLc6n PROPOSED FOUNDATION PLAN ' x O ENERAL SYMBOL KEY: tip,:.,-, VASTINB TO REMAIN NEW FOVtVATION WALL ; ¢k g 3 U NEW MOOD FRAME �\W ZaowoQ Q�r�zz wa �¢oaoo W.2i ¢ 23'-3 Z" O. m a � '- y o o u1 �¢Z SU 13 NUS Z O ZQ y U U OOZ'�UI O W Q O F o W NEw E 3< WOOD DECK •" a z w o <a I18.25Q.FT. a g� �wcriw NEW Y wy�NS O Fw-S f/1 SUN ROOM 3'-0" o¢.¢¢Q W Z U O U N I 531.2 SOFT. UQQ1Qx 10'-01 10'-O" O'-O" NEW �} MUDROOM \. 1 ae.o sa.FT. MODIFIED MODIFIED �_ — - ' -° DINING ROOM KITCHEN `6' �::o 206b 5Q-FT. 210.4 SOFT. EXIST. "• OR Nay - OARAOE 2 N m p OUTDOOR S �I sHorM ir 0 NE 4 J_ N W I- 'MOD" BATH � D \ �- Y.FT. _ M . . 6 SOFT. i Fr Exlsr. EXIST. LIVING FIREPLACE ROOM EXIST. FOYER EXIST. BEDROOM ao W o - - - Z Z to W^ WOW PECK = ♦..1 W Z zew sore 3: U w � C f� 0 CAC ©G �® 0®- IL J Q 0 a r �� 0 cq PROPOSED FIRST FLOOR PLANcq Y/ S ¢6 U C ENERAL SYMBOL KEY: ��wZma DUSTINO TO REMAIN r===l NEW FOUNDATION WALL o�3N3o NEW WOOD FRAME " _=r o•+a���zz 2 W J¢W O 2 wiwG�W O o�mt-"ia �Woac= ¢z f uNaoaa U O W O a Z N VI :-0 n =—�2'-0" 4'-lOy2" o wr�LLz3a ¢ Q�z .. az�.ioc7Qa N O¢ � r¢ Q 2F- ate=W o g=UtJ�WW -- NEW — — a SO¢�ieQ _ a r U a Q 6 Q S WOOD DECK 64.0 SOOT. LAM --- -- - - — —_—-__-- -- NEW NEW j NEW BATHROOM BEDROOM AUNDRY �,��� 516.3 50.FT. 124 ROOM T. 465 5QPT. �\ NEW FAMILY ROOM 270 S.F. \ NEW - BEDROOM a 306.5 SOFT. NEW WALK-IN I ND - / - CL. r ' \ 115.6 SOFT. NSW -- q N i j2.0SQjNEN : o y — if \ BEDROOM -- --- -._ 216.1 SOFT. 00 NEN/BATHROO M..:_ -_ w cr 1-1 � p \ IOIb SOFT. _-=--T I'_ Z Z U) 465 SQ.FT. Lu Z -- 1 = N W a DA O CN PROPOSED SECOND FLOOR PLAN N O SCALE: I/8"=I'-O" �O "AV C"u -1 x a o o>a �F3 in W Zm U ma¢aaa NOW • za�W2m a x x r p LL ¢IW/1 U OZm F"N a 0-00 P Z.y Q O Q d Ow OQZytfl LL W cr 2 0 LL S 4 FJ L� A- z PROPOSED SOUTH ELEVATION (RIGHT 51DE) SCALE: I/b"_ 1'-0" 00 LO cr ¢ Q - �•� ua Ln z �0 � N---------------- LL W CL IL 00 PROP05ED WE5T ELEVATION (FRONT) SCALE: VB•_ ,�-0. �.T^..� '"��'�'.r>� �� LLQ x oLL .F3 - ro3w LL �y W - --�/_ - -- -- - - - _ -- - azWo�aa - - - - - ---------- N O=r Q C UN SOQ�2 r U Q<6 Q x PROPOSED NORTH ELEVATION (LEFT SIDE) SCALE: Ve°= V-O" ym 77- 2 U Q \. - 10 OWE— ___ __ _ _ __ —_ —— Z Z N li LU P �— —_ --- --- --- m W Z W Lo Z ti O _ - J Q � ' o �\ d°� IL o - - — - ct PROPOSED EAST ELEVATION (REAR)- SCALE. {/e° _ ,:-O.. S.0 D UT— HOL TRUS " s TEE NA. Issued To me Date Address.' �#+CS Q-064 , PecoA:C-' 7'Ii1S NOTICE MUST BE DIS"PLAYED DURING CONSTRUCTION MOWN TRUSTEES OFFICE TOWN OF S011TFIOLD sourHa`DB N.Y. 11971 TEL: 765-1892 Glenn Goldsmith,President p�0 COG Town Hall Annex A.Nicholas Krupski,Vice President �� y� 54375 Route 25 0 Eric Sepenoski W ,? P.O.Box 1179 Liz Gillooly �y • o!� Southold,NY 11971 Elizabeth Peeples �Cl �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time:3une. 4-,2oL4 Completed infield by: E1►za�OL �eet� LS AMP Architecture on behalf of JAMES LUBIN requests a Wetland Permit to demolish existing two-story dwelling with the existing full basement, first floor structural members, select interior walls and garage to remain; construct additions and alterations to two- story dwelling including new sun room with crawl space below, rear covered porch/deck, front covered porch, outdoor shower, and second floor balcony; new I/A OWTS system; and to establish and perpetually maintain a proposed 15' wide (±1,541sq.ft.) vegetated non-turf buffer area along the landward edge of wetlands. Located: 2765 Wells Road, Peconic. SCTM# 1000-86-2-2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Vee e;u�CA 6A-ce �Y� wf_41aa►nd i►we. Jp,cy tm-c, vear hA ra �2 IW O Main-�in �ree.S. Present Were: V G. Goldsmith N. Kru ski __V/E. Sepenoski �/ L. Gillooly ✓E. Peeples } Now t PHOTO A WHITE FLAGS REPRESENT LINE OF NEW DECK �Sy aa• •-71 t � " 00 s` a lift PHOTO B WHITE FLAGS REPRESENT LINE OF EXISTING DECK AND PROPOSED DECK o 5 • . . N N-. SEE C. SEE mc, No C.. NO OM SEE SEC NO o75 w SEC—D75 .-SS. SEC NO ..E ONE m. Ll* z I.-E I.IC -Cl KL NO tDua o—I SEJE NO o1474i % SE-l", o �Ft A13 tl o 417 1014 i2 3i 15 E, 07-9 al—9fJ 2W.) 47 1. S'A 2 o, -9, 4E .No A S..4 264 si Q-7-, T==— E, ;41 GFtEEK A3 44 FOR—NO 5, two SEE.0 NO ow .-1 2 , 4, - -, — Q., 1, 'o 7 IA '12 . , 4 G 17A 2 E't 2 A loI oll SEE SEC NO ME LINE MSWC—W L COUNTY OF SUFFOLK �T� K 086 oA 02 R..l y ........... 8 PROJECT/_ZONING-DA-TA----------------- -------------------- xa 100' TRUSTEE'S ZONE AE LANDWARD EDGE OF TIE LINE;THE LINE r TAX MAP# 1000-86-02-002 ? w z m SET$AGK (EL (b FEET) WETLANDS ALONG MHWM I ZONING DISTRICT R-40 NO m w 5 3 3 DELINEATED BY l ' o mo 3 ww 5 0 SUFFOLK zarwam LOT AREA 0.4 ACRES �w c=W. ENVIRONMENTAL I Q rM ` tf 1 , CONSULTING INC. ON GofO-MAIN HOUSE Zq 141,NOV.7,19Tq I a 3 a e o izQwwoa AUG. 1-1, 2015 ® ,'�r-..8 v ��-., � GofO-DECK ZI3303,APRIL I Ig85 � = y U IS NON- r 1 ;V.0 D15TURBANCE } FEMA FLOOD ZONE x a m Q F ! f f �c,y„oaox li lil p' VEGETATED WETLANDS DISTRICT APPROVED gg83 'a s z} -' BUFFER APR 2 e4 w Zy o" n cvC4I-4738-04 0 ,W�s o DEC,DEG DISTRICT I APPROVED G 823/00001 o w 0 a i✓+� f ¢ O r � SUFFOLK COUNTY HD APPROVAL 350-182 4 S i 'w r S z�W 3 a Southzw old Totvn __.-_ x z W 2;a OHM EXIST. _ dOfTtu LOT COVERAGE -- --- -- -- W : Z o z_Q - ----- - -------- o ; z�r'so�z ?- -- -- ----- -- a�wE�w> DESCRIPTION(FOOTPRINT) AREA %LOT a =o¢.¢¢a EARTH E I zi wrrow_w PROPOSED SITE ELEVATION ��. COVERAGE � � , w TOTAL LOT AREA 18,g13.0 S.F. SCALE: 1" = 20'-0" MAIN ROPED j EXISTING BUILDING 1,18q.5 S.F. 6.3% 4 EX15TINO GARAGE I ro-m 8 S.F. k 3.6% PROP.BURIED 1000 SAL j PROPANE TANK(TO MAINTAIN 100'TRUSTEES SETBACK PROPOSED SCREENED DECK 550.E S.F. 2.11% IO'MIN.SEPARATION FROM ALL 100'WETLANDS LINE(FROM TIE LINE) UNDERGROUND STRUCTURES, SETBACK LINE EL=S-l' 18q.40' PROPOSED COVERED PORCH 460.5 S.F. 2.4% u� INCLUDING PIPING 1 PIER LINE —- TOTAL AREA OF ALL STRUCTURES 2 8?8 2 S.F. 15 2% 1131 WAITER STORM ' "MAXIMUM LOT COVERAGE ALLOWED - 20% CATCH BA51N 5, HOLE MIN /- - _z — - - `PROP. �✓/ ^ TIE LINE EL=6.8 / �\ D.W.� 1 / / I / // ALONG MIN. -• j \O�< / I M.H.W.M. 1 O � I / ! ! r11N20. :� OO ~MIN. �-�� x •�_-\p\ � 31� i z� � � / / / /` z \ Z j 1 ` I.O // 1 / 51 AN 10' ARCHITECTS SITE PLAN 8 15 I O ' MIN. I B / I EXIST.DOCK SUBJECT TO VERIFICATION B THIS IS Y A LICENSED PROP!!OUTDOOR SHOWER 1/ / SURVEYOR. THE INFORMATIONLAND Q I - W RD 5.0' J j �AL•DRYWELL BY / / EDGE REPRESENTED ON THIS SITE PLAN IS TO THE p I / ,FL (OR Ea) 1.1 / I� y�ANDS ARCHITECTS BEST OF KNOW E LEDS . I 4' 4' \ 1WELL" DELINEATED BY 2.SURVEY INFORMATION WA5 OBTAINED SUFFOLK r j 1N. IN. 0 / ti 1 / ENVIRONMENTAL FROM A SURVEY DATED SEPT. 19 2018 AND PREPARED BY: CONSULTING INC. N ON AUG. IT,2018 PECONIG SURVEYORS,P.G. 1 PROP. % j X➢ ! �u1 /1 1 1 1 I I 1 P.O.BOX aloal h-MIN. P• EXIST.2 STRY WD. /SUN ROOM 1 0 , j/ I' 25 TRAVELER STREET ME 11PORCH 2hlD FLOORLREBUILD ' I ` i \ / / F PROPOSED I5' SOUTHOLD N.Y. Ilq'TI /� 1`MIN. J 1 J L J , r�� (4 BEDROOMSI 1` APPROX. I 41 TELEPHONE: (631) 165 5020 L ,.I I A! F.F.EL.=q.q' j S.F.AREA TO GARAGE EL:8.T' I�F IZ 1 \ 1 / `' SITE PLAN HATCH KEY: .D •i ' 1 i BE VEGETATED � ✓ t�t' / \ �, \ $IJFFER ? PROP05ED BUILDING ADDITION W ❑ _ Cl ------------ EXIST. � \ \ �\ � rn � ?G%� PROPOSED ACCESSORY STRUCTURE Z LLI Z J � WATER �-- x! V`�� / PROP. j / \ \ / O m W Z SUPPLY �I PROP.ASPHALT p \ �, 2ND FL. I OO 1 \ � PROPOSED 2ND STORY J W V LINE(V.I.F) N I p DRIVEWAY ADDITION ! I \// T Z � Z �\' 1 \ \ \ \ V S`4 L) r Il to \ \ A 0 N W 1 0 ' i i �I i// !gyp y� p d (TYF) �� 5' PROP.' j MIN.'\D�i^l i 32 F E®A�c cn 0 rn MIN. D W i� ja. EL=5.o' / ®�� 'vd^ ��.�° 0 191 1 N~PROP.I, O I << O 1 �EX15T. -7 N100'WETLANDSJiI , s 1iSETBACK LINE6 S0 OVERHEAD 100'TRUSTEES SETBACK I w0/F ELEC.WIRES J WILLIAM E VICTORIA SORDON Q� o PROPOSED SITE PLAN LINE(FROM TIE LINE) (DWELLIN6 W/PUBLIC WATER) SCALE: 1" = 20, GENERAL 5YMB0L KEY: Wa mF3 I = EXISTING TO REMAIN �'� NSd FOUNDATION YULl F(a m �gga NBV WOOD FRAFE !I za 3 N a m IiVJ� I pax=�"aLL Ix�tdLLo ^ APO 2 2024 W5awmo�QS zWmW=5a z" O z oTNstes - ---------------------------- zm zzp�cC~xdomdTOwn oZm¢Ni N a Y W �LLWao�mF � p� ' rx-�Wz3a ¢ a�aa \\\ al Ig�Us�vw o I am mo�> R z 0- m U - m H U a a d Q S I I I I ! I I i I i I I ! I I c+ i ¢ III I I I EX15T. p BASEMENT ! UNFIN15HED UNHEATED 'I I 00 I I I, I I uj 0 0 it Z Z (n m UJ J �- D e &� J W LLn Z 0. 1 a. 00 ( p ®e 1, .r`..®� ® -N��, CV N DEMOLITION PLAN - BASEMENT N Q SCALP. 1/8"= V-O" o .. w W ILo a O ENERAL 5YM50L KEY: i o g � 'i og Qua r==l exisms TO REMAIN - HDi FOUNDATION Wul ma¢a�a Nam•'!YiOCD FROM €� / E C E ' � � =rrdwp APR 2 202� aWawzz I N2=7C y,U I I O Z m r N d Southold Town sowofTflrow _ aa�Z5 ---------------------------------------� ONQOQa z =z U WyN�YU \\ Ooz NU) o W Q p r Q J W F j LL 2�Q 'K Q_ Z \\ - w I Q ZuIQ N O K-Q C W z x'H EXIST. WOOD c i 'f3000N DECK � ' 'Toaaaa= I ---------------- EXIST. STOOP _ EXIST. EXIST. DINING F " MUD ROOM.,- GARAGE ROOM _=_ ' EXIST. L_JI KITCHEN ------------- - - ---------- ------------- 't ------------- ------ - ---------------- 13, L- --`-= — —— _ =-r ------- -- EXIST.' U BATHROOM I EXIST. LIVING II ' �y ROOM I EXIST. FOYER EXIST. ;,- �_� BEDROOM I. 00 W 0 to it �——0-=-=- ---- --- - - --=0-== Z Z to m W } W Z D W LLn z ®C sc O o N W �C! ' U a I� a f +- o A9y.� 37t4 ®� F N M DEMOLITION PLAN — IST FLOOR N SCALE, I/W=V-O" c .._ W W c a I GENERAL 5YMB0L KEY: ¢` oQ wW= I Wo a�3 1—=l EXISTING TO REMAIN 1—=:l NEW FOUNDATION WALL U *=4 NEW WOOD FitAi"tE a Z a W¢m x r f - OfT R l�`.:'nS_� . 1NwPOIwYQ_''� �I�°�Wya�yyLLaaIWWH/j�Q¢WzWWaZw(•WzJ 3UomoaNGQlWI=,.i. a s2? =w�zz 1 �:G zr.POoOa¢aK wom J j U§w 0 ¢y01"mAIRpold2ji Uy�O11F=UL W�wa�Ny Q 2 __ - __--_�\____ ==_ r- _ �_ ____ ________ r` EXIST."� 64tTHROOM _ ------ ---- EXIST. i ' BEDROOM ------ ti II rJ _ EXIST. '---- HALLWAY - EXIST. ' I BONU5 ROOM ---------- --------------------- EXIST. BEDROOM ------------ --- - --- - ----- --- ---- ---- ---- a _- 10 EXIST. I � I ---- — — BEDROOM — ---------- --------- ------------ --------- _ — --------------, ------------ r--r -__- I � I� I .I I 00 W ci LO _________ _ ----------- Z Z = 0) m W JJ } W Z �- �✓vt � IL in of 0 DEMOLITION PLAN — 2ND FLOOR a 0 WALE. 1/6"_ 1--0" 0 w W o aa. C ENERAL SYMBOL KEY: a x I IcLL �F3 ,r—1 EASTING TO REMAIN �'-4 t8V FOUNDATION WALL I I I W¢Z z 3 ma¢aga NEW WOOD FRAtg I Za�wQm mo x�"awo I� IzQowwa � I�¢caoQog o a mo ----.-------------------- ----------- T.1 ly�xr�o r———— '. I ' OyCQ2ff1 ig wrx�LLz3a — I NEW WOOD I'_: �i <2 w z DECK ABOVE I I..'I r o f j Z s o ya¢t H-E ��� �♦ rf����� R I 2 O R O C C Q � I till � NEW GRAWL I 1rn EXIST. SLAB ,• I • � SPAGE • I I i 1 ;_ moo I � -r i AWVE •: r r 1 I I f � t II I I a i I r 1 � I 1 1 IIEXIST. BASEMENT UNFINISHED 1 1 UNHEATED 00 W 0) I:I NEW WOOD I',..I Z ZLLI cn � f .1 DECK ABOVE w Z e �'-112 W LO Z LL to ``�—'_ •r�—,',,� � a Ln N PROPOSED FOUNDATION PLAN N 0 SCALE, 1/0"-I'-O" w W c a OENERAL SYMBOL KEY: a IcLL zF3 EXISTING TO REMAIN F--7=1 NEW FOUNDATION WALL if ma¢aaa NEW WOOD FRAME �w�=gym arF, W oQ3o�cri 2 �W Wa a W Q J Z 2 O O 554V:2to " w m a ¢Woaox ¢z . lola=Za z aW. U. s NEW LL=oalloF WOOD DECK <Z J W Z 3 w a W NEW 3��SWww u'�a¢�0or�ii SUN ROOM i x WN==�=m 3'-O" a zaro Uw 5372 SQ.FT. I rTlmFzoort � `t 4&0 WPT. DIN�GI ROOM DFIED , — IMODIFIEDIED _ 206.E sa.FT. KITCHEN � I, 210.4 5Q.FT. EXIST. 11 ■ New ------------ OARAOE p iot»ooR o ---- ---- N o S+towER �� yaaa�iii I . — / \ / fn O I�EW l l NEW �_MOD.!I �= - /) � BATH / J — 20�� 6D SOFT.! Soo.FT.it c / \ / \ ! — p '! EXIST. ! EXIST. LIVING , ,FIREPLACE ROOM EXIST. 3'-O" FOYER EX15T. 10 BEDROOM 00 W o 0) -- o Z Z to � IJJ J } W�PECK = Q W Z aa�ea'r. J N V W U Z ©� �� r O T N W 0 d J a o� 9o1 A Nil P SN Q f tty)l'•`•f zi' cq PLAN PROPOSED FIRST FLOOR N SCALE. I/6"= I'-0" ` 4 OFF c GENERAL SYMBOL KEY: _ ,no EXISnNG TO REMAIN I4 NEW PMWAnON WALL I w¢k QJ 3 3 T8•i WOOD FRAM ✓ z 3 o a m o w m O j Z a w w W Q zz Q.O 1i3o'o�00 laWm��a f OZ"< ZE 0 U O W N F O �Jo,�„oari�ui 3'-Oy2" 7'_a" _lOy2" o W a o c J �w W 15 J LL Z 3 Q --- Q z La Q d -- NEW — — u�z O�00w WOOD DECK scz.Fr. 1 NEW I NE I NEW THROOM BEDROOM RY _ AUND I ROOM I 12a. Q.FT. I 316.3 SQ.FT. I •� Li NEW FAMILY --- -- ROOM --NEW IV-- -70 S.F. �I � BEDROOM J I U 506.5 SOFT. `a - - ---- - - -- =•; ; a _ -- J NEW WALK-IN !! CL. SOFT. r � NE o - - - - -- - D SOPT CL 2.0 NEW BEDROOM 216.71 SOFT. LO 00 ,NF- BATHROOI, ,----- W o .L71ISATH T 465 Sa\ It ®i/ m W J } o-- _ wZ Lo Z N W — 0ch d d Q 0 _ �Qop a 24'-IV2" l•�= N 1 PROPOSED SECOND FLOOR PLAN oA ALE: 1/5"=1'-O" ®37/r®6J SC � . y W W I �a ww3 X.-: U ' mazgaga zaOp3W+ SN ws am u�►" a?rJ22 .r.12U 00 Ix Iw/1 NO 12 W C 0 W O orzmFNa k I wr-�LLz3Q I III � w mQOe�Qa¢a I ys�O WNW UW R 2 O R O R R Q �� � IF•UQQ1Q2 ^'.+ M-1 PROPOSED SOUTH ELEVATION (RIGHT SIDE) SCALE: 11W- r-o^ Q - I � �� III u�� � � � ---r;�'; �,r, I I � I'I _ � �I• �' I Ir,l I' I 00 it ZJ UJ It II IIII I II II lil W Ln Z i 47 L i 1 L N U J ` ---- - ON 00 lei. p ®� ar 11 I, �7Vj _ N PROPOSED WE5T ELEVATION (FRONT) K 2 U , O¢ w3 W I O O 3 W J¢ ZW�=Km _ 1<0 0 Z¢p W w a J/ Y Mir y Q Z Z I iOXW 5 �w OZmIJ-.a GO COZ2¢�W 'W 1- LLZ3¢ w2w Cc¢7Qa _ - Q Z' Ow p Q U S-w S p V K J� P Y W F =0W~W _ — yV1221-SW W O M.M m 11 _ I > = = IN rP.- - ~- 1 I PROPOSED NORTH ELEVATION (LEFT SIDE) SCALE: 1/5"= I'-O" a U S � a I!j'il'illl;j'jii i'Ij';II�';II!il llp'I lil'I - = r =- - FE W it Z Z fA -4 /vL�U/ Lo Z N W q Q � O �� a 11 N PROPOSED EAST ELEVATION (REAR) SCALE: 1/&"= 1'-0" - I I _ MAIN ROAD (S.R.25) SURVEY OF PROPERTY N MA AT PECONIC TOWN OF SO UTHOLD SUFFOLK COUNTY N. Y. N/o/F 1 ! 1000-86-02-02 JOHN FISCHETTI SCALE: 1'--20 m DEBORAH DEAVER j a N 11, i SEPTEMBER 19, 2018 N 189.40' `x'''F FENCE ' r F[N CDR. 1984756'50"E o.6•N / / IWIr CMF0.�R ,--- ------ ; : ,/ / ,� ; I N RICHMOND CREEK CB � \\ 111 / /' / 1 Ir p / \ ; / / // / WLF I TIE LINE ALONG MHWM COWL � � j� /' // /' # 2 DOCK �t oanNc DOCK tot DECK \ 1� 1 LANDWARD EDGE OF WETLANDS ` 00 DELINEATED BY SUFFOLK zt w 2 HOUSE R % ` { \ 1 = ENVIRONMENTAL CONSULTING, , 3 to INC. ON AUGUST 17, 2018 i 90.7 \ M 1 Lo ^ m \\ 7.1' ` �� �E , t SN' \ , FE. \ s / \ E N GARAGE \ \\ \\ \ �sir I ''ACT " FF=8.7 ` \ 94.4' Z�AY \ \ \ \��ss KEY o \ 26.: / I \ \ \WLF 1 VPE Q = REBAR o �R?/ o.9FTI 'N \ W ® = WELL / t.o•Is- ! 197.65' A = STAKE \ PIPE 9 = 7 ST HOLE S84 56'50"W ! Ii.E • = PIPE N/0/F ■ = MONUMENT WILLIAM & VI T RIA = WETLAND FLAG GORDON EZEVAAONS REFERENCED. TO NAVD. 86 / i ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209OF N.Y.S. LIC. NO. 49618 THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209—SU13DMSION 2. PECONIC YORS, P.C. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF (631) 765-5020 FAX (631) 765-1797 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE REA= 18,913 SO. FT. P.O. BOX 909 SIGNATURE APPEARS HEREON. 1230 TRAVELER STREET SOUTHOLD, MY 11971 1 18-163 r 1 i ct�j + osu�Fo��- Caroline Burghardt,Chairperson co COD Town Hall,53095Main Rd. Lauren Standish,Secretary % P.O.Box 1179 • `� Southold,NY 11971 Telephone(631)765-1889 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., June 5, 2024, the following recommendation was made: JAMES LUBIN to use the existing outdoor deck for conversion to a sunroom. Construct a new wood deck 23'3"X 7'8" behind the garage. Demolish a portion of the existing two- story dwelling with a new basement. Existing full basement and first floor structural members and select interior and exterior walls will remain. Located: 2765 Well Rd., Peconic. SCTM#86-2-2 Inspected by: Inga Van Eysden, Nancy May A quorum of the CAC was not present, therefore no recommendation was made. OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: June 12, 2024 Re: LWRP Coastal Consistency Review for JAMES LUBIN SCTM# 1000-86-2-2 AMP Architecture on behalf of JAMES LUBIN requests a Wetland Permit to demolish existing two-story dwelling with the existing full basement, first floor structural members„ select interior walls and garage to remain; construct additions and alterations to two-story dwelling including new sun room with crawl space below, rear covered porch/deck, front covered porch, outdoor shower, and second floor balcony„ new I/A OWTS system; and to establish and perpetually maintain a proposed 15'wide( 1,541sq,ft.) vegetated non- turf buffer area along the landward edge of wetlands. Located: 2765 Wells Road, Peconic. SCTM 1000-86- 2-2 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 Farm submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the LWRP. The proposed addition is located within the FEMA flood zone X. 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 t Sl Glenn Goldsmith,President { �Q (f Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President :��1 ��y P.O.Box 1179 Eric Sepenoski 1t Southold,New York 11971 Liz Gillooly - Telephone(631) 765-1892 Elizabeth Peeples �! yb - 7�-6; 41�(] E �OU(VTt,�� TF �fBOARD OF TOWN TRUSTEESApfl 2024 TOWN OF SOUTHOLD This Section For Office Use Only Board of Trustees Coastal Erosion Permit Application `r Wetland Permit Application Administrative Permit --Amendment/Transfer/Extension Received Application: Received Fee: $_1_, IS �iCompleted Application: __Incomplete: _ SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: _ Coordination:(date sent): �LWRP Consistency Assessment Form Sent: S 31 r a�) - CAC Referral Sent: 511 ,(J\" ✓ Date of Inspection: (o r K r.14 Receipt of CAC Report: __Technical Review: ✓ Public Hearing Held: (+1114 Resolution: Owner(s) Legal Name of Property (as shown on Deed): .lames Lubin _ Mailing Address: 2765 Wells Rd,Peconic,NY 11971 Phone Number: 201-452-7595 Suffolk County Tax Map Number: 1000 - 86-2-2 Property Location: 2765 Wells Rd,Peconic,NY 11971 (If necessary,provide LILCO Pole #, distance to cross streets, and location) AGENT(If applicable): AMP Architecture (Anthony Portillo) Mailing Address: 10200 Main Rd Unit 3A, Mattituck,NY 11952 Phone Number: 631-603-9092 Email:..msmith@amparchitect.com i G�S� i AM P Architecture Address:10200 Main Road,Unit 3A,Mattituck NY 11952 Phone:(516)214-0160 Design + Build March 15,2024 Wetlands Permit Application Lubin Residence 2765 Wells Road Peconic, NY 11958 SCTM: 1000-86-2-2 Project Description: Wetland Permit to demolish existing two-story dwelling with full basement with the existing full basement and first floor structural members and select interior and exterior walls to remain (1,705 sq.ft.) Existing attached 678sq.ft.garage Existing 21sq.ft.front entry deck to be removed Existing 325sq.ft. rear deck to be removed for a total of 2,729sq.ft. of existing structures. Construct onto existing dwelling a 14'9"x38'1" (537sq.ft.) New Sun Room with Crawl Space Below Construct a 23'3"x7'8" (178sq.ft.) rear covered porch/deck Construct a 10'0"x38'1" (380sq.ft.)front covered porch Construct a 4'x6' (24sq.ft.)outdoor shower Construct a 12'x7'5" (89sq.ft.)second floor balcony for a total lot coverage of 3572sq.ft. Thank You, Mathew Smith, RA, LEED AP Design Director A M P Architecture Design + Build Office:631-603-9092 www.arn architect.com isoard of Trustees Application GENERAL DATA Land Area(in square feet): 18,913 SQ.FT _ —Area Zoning: R-40 Previous use of property: SINGLE FAMILY HOME Intended use of SINGLE FAMILY HOME WITH NEW ADDITION property: ----- Covenants and Restrictions on property? Yes __ _No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes _nNo If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? =Yes �No If"Yes", please provide copy of decision. WriU his project re any demolition as per Town Code or as determined by the Building Dept.? IVI Yes No Does the structure(s) on property have a valid Certificate of Occupancy? Yes EI_No i Prior permits/approvals for site improvements: Agency Date TRUSTEES 09/1512021 DEC 04/26/2023 Health Department-IA System 02/25/2022 ❑✓ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?-z-No ❑ Yes If yes, provide explanation: Project Description(use attachments if necessary): Please see project description attached. 'soard of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations. To use the existing outdoor deck for conversion to a Sun Room. Construct a new wood deck 23'3"x7'8" (178sq.ft.) behind the garage. Home Owner will also demolish a portion of the existing two-story dwelling with full basement. The existing full basement and first floor structural members and select interior and exterior walls will remain Area of wetlands on lot: +/- 900 square feet Percent coverage of lot: 4.75 Closest distance between nearest existing structure and upland edge of wetlands: 94•5 _feet Closest distance between nearest proposed structure and upland edge of wetlands: $1 feet Does the project involve excavation or filling? ❑ No Yes If yes, how much material will be excavated? 62 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: typ suburban-flat I Manner in which material will be removed or deposited: Small excavator for installation of foundation. excavated material to be removed from site 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): Located 81' from the MHWM, using haybale remediation we believe there will be no negative effect on the wetlands and tidal waters. i 61 Z20 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 I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: Lubin Residence Project Location(describe,and attach a location map): 2765 Wells Road, Peconic, NY Brief Description of Proposed Action: Replacement of existing first floor deck with Sun Room Addition of second floor deck over existing garage Demolish a portion of the existing two-story dwelling with full basement. The existing full basement and first floor structural members and select interior and exterior walls will remair Name of Applicant or Sponsor: Telephone: AMP Architecture (Anthony Portillo) E-mail: msmith@amparchitect.com Address: 10200 Main Rd Unit 3A City/PO: State: Zip Code: Mattituck NY 11952 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 F ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: ❑ DEC , Southold Town Building Dept. and Suffolk County Health Department 3.a.Total acreage of the site of the proposed action? .4 acres b.Total acreage to be physically disturbed? 02 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 4 acres 4. Che I land us at occur on,adjoining an ar the prop action. Urban Rural(non-agriculture) Industrial Commercial Residential(suburban) Forest ❑Agriculture ❑Aquatic ❑Other(specify): Parkland Page 1 of 4 l� 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ✓ b.Consistent with the adopted comprehensive plan? v 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? `/ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: Richmond Creek ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO 1 YES b.Are public transportation service(s)available at or near the site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? !/ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ U 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ Fv 4 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment:-New IA OWTS system to be ❑ ` installed per HD Approval 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ✓ b. Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ✓ b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. ntify the typic bitat types that oc n,or are likely to be found on ti"roject site. Check all that apply: Shoreline Forest Agricultural/grasslands Early mid-successional ✓ VI'etland HUrban ✓Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? ✓ 16.is the project site located in the 100 year flood plain? NO YES 17.Will-the proposed action create storm water discharge,either from point or non-point sources? PNO 11911 If Yes, a.Will storm water discharges flow to adjacent properties? �✓ NO OYES :�✓ b. Will storm water discharges be directed to established conveyance systems ff an ^' m drains)? If Yes,briefly describe: ✓ ES All new impervious surfaces will be connected to dUtIlMersystems Page 2 of 4 I S. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond, waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? r If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: AMP Architecture (Anthony Portillo) Date:03/15/24 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,fol lowing 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 l. W ill the proposed action create a material conflict with an adopted land use plan or zoning El ❑ 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? ❑ El 4. Will the proposed action have an impact on the environmental characteristics that caused the El ❑ 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? El 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? S. 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 y l 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 Q problems? 11. Will the proposed action create a hazard to environmental resources or human health? a ❑ Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based-on-the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 i srd of Trustees Applicatii ` AUTHORIZATION (Where the applicant is not the owner) I/We, James Lubin AArD owners of the property identified as SCTM# 1000-86-02-002 in the town of Peconic, NY 1195R ,New York, hereby authorizes Anthony Portillo 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. Prcvrty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS $ y _ DAY OF (4 520. otar JOHN OLSZEWSKI Y Public NOTARY PUBLIC, State of New York No.4898051 Qualified in Suffolk County Commission Expires July 13, � APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code.of Ethics prohibit§conflicts of inieieston.the nart'of town'officers and.emplovees.The purpose of this,form is,to provide information which-can alert the towel of possible conflicts.of interest and allow-into take whatever action is necessary L&avoid same_ YOURNAME: _Lubin, James A 4 a LJa r .j , Va,^el,, (Last name,first name,jriddle initial,unless you are applying inthe name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) , " Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other,name the activity.) Do you personally'(or through your,,company,spouse;sibling,parent;°or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes�by blood;'ritaiazriage,.or business interdm."Business interest!!means a business, including a partnership,in which the town officer or employce_has even a partial,ow,nership of(or employment by)a corporation in which the town officer or employee owns more than:5%of the shares. YES . NOS 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): fjA)the owner of greater than 5%of the shares of the corporate stock of the applicant, 12 (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 t 's /12> Ow4fiAl2 20 L+ Signature Print Name �rZ Fonn IS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's:Code of Ethics prohibits conflicts of interest on the part oftown officers and emnloyees.The purQose 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: Anthony Portillo (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse;sibling,parent or child)have a,relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood;,marriage,.or business interest."Business interest"means a business, including a partnership,in which the town officer or employce.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 F 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): _n,A)the owner of greater than 5%of the shares of the corporate stock of the applicant _n (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the 7Rapplicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 29 of November 20: Signature _ Print Name Anthony Portillo r Form TS 1 1rd of Trustees Applicatic_ AFFIDAVIT, James Lubin ��a ® ���� � 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 OF THE PERMIT. t#ature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF, W\,k/L-c-q JOHN OLSZEWSKI NOTARY PUBLIC, State of New York ry Public No. 4898051 Qualified in Suffolk County Commission Expires July 13, a bard of Trustees Applicati PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: Horc) 21/-71 �S A6 ;5ta —I - /v. ('0 STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of ; 20 Notary Public Board of Trustees Application PROOF OF.MAILING OF NOTICE. ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: James Lubin 1000-86-2-2 NAME: ADDRESS: John Fischetti & Deborah Deaver 1675 Pine Neck Road, Southold, NY 11971 a William L and Victoria D Gordon 2875 Wells Road, Peconic, NY 11958 Robert K Simon & Janet Lowry 379 Wood Lane, Peconic, NY 11958 Joseph N. Pagano 2850 Wells Road, Peconic, NY 11958 STATE OF NEW YORK ` COUNTY OF SUFFOLK Nicole DiPenta , residing at 10200 Main Road, Mattituck being duly sworn, deposes and says that on the 4 day of June _2024 , 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 140 Love Ln, Mattituck, NY 11952 ,that said Notices were mailed to i each of said persons by CERTIFIED MAIL/RETUR C IPT. 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Box 1179 Liz Gillooty Southold,NY 11971 Elizabeth Peeples 1� `' 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 JAMES LUBIN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED INPLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ON.EIGHTH DAY OR LATER I, � ®� �-(!A�0�fcsidingat/dba„ AMP Architecture 10200 Main Road, Mattituck _ being duly sworn, depose and say: That on the 4 day of June , 20 24 , I personally posted the property known as 2765 Wells Road, Peconic by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,June 1.2, 2024. Dated: (signature) Sworn to before me this r day of ).20 Notary Public a 6/4/24,3:06 PM IMG_9046.jpg 55 f v- �. F �. �r s i i o— �Y f � t -, All u 4( a M1t y^q r } a y. t�� R htti)s://maii.goocile.com/mail/u/0/#inbox?i)roiector=1&messagePartld=0.1 1/1 T i4OTICE HEARli4G 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: JAMES LUBIN SUBJECT OF PUBLIC HEARING: For a Wetland Permit to demolish existing two- story dwelling with the existing full basement, first floor structural members, select interior walls and garage to remain; construct additions and alterations to two-story dwelling including new sun room with crawl space below, rear covered porch/deck, front covered porch, outdoor shower, and second floor balcony; new I/A OWTS system; and to establish and perpetually maintain a proposed 15' wide (±1,541sq.ft.) vegetated non-turf buffer area along the landward edge of wetlands. Located: 2765 Wells Road, Peconic. SCTM# 1000-86-2-2 TIME & DATE OF PUBLIC HEARING: Wednesday, June 12, 2024 — 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 sigiifican beneficial and adverse effects upon the coastal area(which includes all.of Southold Town). 3.' If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each. answer must be,explained in detail;_listing both supporting and non- supporting-facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not.be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 _es 2-2 PROJECT NAME ,lames Lubin Residence The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑� 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation, land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: To use the existing outdoor deck for conversion to a Sun Room.Construct a new wood deck 23'3"x7'8"(178sq.ft.) behind the garage. Home Owner will also demolish a portion of the existing two-story dwelling with full basement. The existing full basement and first floor structural members and select interior and exterior walls will remain Location of action: 2765 Wells Road,Peconic,NY 11958 Site acreage: .43 Acres=18,913 Sq.Ft. Present land use: Single Family Residential Present zoning classification: Roo 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: AMP Architecture (b) Mailing address: 10200 Main Rd Unit 3A,Mattituck,NY 11952 (c) Telephone number: 631-603-9092 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No F If yes, which state or federal agency? DEC has already approved C.. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes1:1 No Fv-'] Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes 0 No ❑ Not Applicable There are no historical or archaeological resources on this property. Attach additional sheets if necessary _ �— Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑✓ Yes ❑ No ❑ Not Applicable Proposed work will not affect the visual quality or scenic resources. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable Proposed work will be in accordance with the most up-to-date construction codes and environmental conservation practices. 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 0 Yes ❑ No ONot Applicable Proposed work including drywells and new I/A OWTS systems will hold and/or treat potential runoff or wastewater,therefore protecting the water quality and supply in the Town of Southold. 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 The quality and function of the ecosystem will not be affected. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No ✓❑ Not Applicable Proposed work will not affect air quality. 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. i ❑ Yes ❑ No ❑I✓ Not Applicable i All waste will be controlled.All construction debris will be disposed of properly. 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. ❑ Ye❑ No 0 Not Applicable This is a private property that has no public access and the proposed work will not affect neighbors. 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 Proposed work is on a private site. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable ` Proposed work will not affect marine resources. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No❑✓ Not Applicable PREPARED BY Anthony Portillo TITLE Architect/Applicant DATE 11/29/23