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HomeMy WebLinkAboutTR-10647 ����� SD Town Town Hall Annex Glenn Goldsmith, President 54375 Route 25 A. Nicholas Krupski, Vice President `l P.O. Box 11 79 '4 Southold, New York 11971 Eric Sepenoski Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples j �Y Fax (631) 765 6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE ARD CHECOKED OFF 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction '/2 constructed When project complete, call for compliance inspection; Glenn Goldsmith, President ss�Qf S®Uj Town Hall Annex V� ® 54375 Route 25 A.Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly tas =C Telephone(631) 765-1892 Elizabeth Peeples � �� Fax(631) 765-6641 COUNTl,O BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 20, 2024 Ryan Sidor Robert I. Brown Architect P.C. 205 Bay Avenue Greenport, NY 11944 RE: DAVID & CHRISTINE CZERNIECKI 955 NORTH PARISH DRIVE, SOUTHOLD SCTM# 1000-71-1-10 Dear Mr. Sidor: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 18, 2024 regarding the above matter: WHEREAS, Robert I. Brown Architect P.C. on behalf of DAVID & CHRISTINE CZERNIECKI 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 May 24, 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 September 18, 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, 2 WHEREAS, the proposal complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that 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 DAVID & CHRISTINE CZERNIECKI for the existing dwelling and to construct a second story over existing first story; enclose existing sunroom/breezeway in between dwelling and garage; construct a landward addition and front covered porch; construct a seaward side deck with steps; and to abandon existing septic system and install a new I/A septic system; with the condition of a 1 to 1 replacement of any trees removed during construction; and establish and perpetually maintain a vegetated non-turf buffer 25' landward of the existing timber wall; all as depicted on the site plan prepared,by Robert I. Brown Architect, P.C., received on October 24, 2024, and stamped approved on November 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 tru yours, r Glenn Goldsmith President, Board of Trustees m,'1`j,S} ',. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10647 DATE: SEPTEMBER 18, 2024 ISSUED TO: DAVID & CHRISTINE CZERNIECKI PROPERTY ADDRESS: 955 NORTH PARISH DRIVE, SOUTHOLD SCTM# 1000-71-1-10 AUTHORIZATION a Pursuant to the provisions of Chapter 275 of the Town Code of the Town.of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on September 18 2024, and in consideration of application fee in the sum of$1,250.00 paid by David&Christine Czerniecki 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 dwelling and to construct a second story over existing first story, enclose existing sunroom/breezeway in between dwelling and garage; 6: %A construct a landward addition and front covered porch; construct a seaward side deck * ` with steps; and to abandon existing septic system and install a new I/A septic system; . with the condition of a 1 to 1 replacement of any trees removed during construction; and establish and perpetually maintain a vegetated non-turf buffer 25' landward of the existing timber wall; all as depicted on the site plan prepared by Robert I. Brown Architect, P.C., received on October 24,2024, and stamped approved on November 20, �z 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. b. 1 i 1 ra - .'1 r�� �-rs�;c:��a37ii�L���..° YG�iFi'�' .tCE7.aP"rsL3:�...'os"tRdi.�iv a'&"..d�.b::/.'r ..SP• .,w.mxoz.?'.Fe ��,63'etx`t2dfiZ�.��n?LY�uS�++ �� "` "�.�4-t�. .♦ « .fir � �: � .°i +0� „� ye�.= r°�J, �,; � 4..- ;y,,,' •t °A: TERMS AND CONDITIONS The Permittee David& Christine Czerniecki, 955 North Parish Drive Southold New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. y,. ZONE VE APPROVE �� BOARD OF 'i RUSTEES ------- PECONIF BAY 'TOWN OF SOUTHOLD S 650 ,lo Q , wool) _c'S E DATE Z GROIN `s v rI 041 GROIN O 3 / AICAAt .r o H WATER —— Z EXISTING WOOD BULKHEAD W eST 2 ..................... ..._.............. W O woo IS G D ........ G B BULKHEAD 4 FLOOD ZONE BOUNDARY -1 ---- - -- - - -- -- -- -- - - '-- -- -- -- - - - - -- - -- --------- X I T B L O 25'-0" NON-TURF VEGETATED BUFFER 0 0 Ln- 8 � ---'-'E- TREE--S IN — '(APPROXIfY�ATE LOCATION) p ; 1� _-- j •l� �- �— �.. ABANDON EXISTING SEPTIC SYSTEM 14 STONE \ IN THIS AREA / WALL I ' � 20 — I� 1 STO LL �)e DRAINAGE CALCULATIONS: WA -0" ZONE 1 : 49G SF x 0. 17 = 84.3 CF / I 24 PAVER PATI PROVIDE (1 ) G' DIA x 4'-0"D DRYWELL (89.3 CF) f� W/WALKOUJ _ I 2� CELLAR 24.1 o r�� BF 'rpROP05ED .0 �' 26.2' +23,532'-8 1/2" v I 9 I/ N ' SECOND STORY N LAND N/F OF EXISTING N +24,3 � , 1 STY FRAME FRANK GILBERT 0 �: DWELLING #955 PROP013 9' ADDI0ONf W 22 I FFL 24.9 22, , 10.3' n 32'- 10 1/2" o o + 1 •0 PROPOSED I / A SEPTIC 5Y5TEM IN THI5 AREA, PENDING 5UFFOLK \ COUNTY DEPT. OF HEALTH ENCLO E EXISTING I 5ERVICE5 APPLOCATION w , PORCH 2 8+ 13.2 1.0' N r7 EXISTING Z DRAIN EXISTIN w v GARAGE 4 o ® GRAVEL N GF 24.4 N DRIVEWAY DRAINAGE CALCULATIONS: I/ ZONE 1 : 847 5P x 0. 17 = 143.5 CF 24.3' PROVIDE ( 1 ) 8' DIA x 4'-0"D DRYWELL (I G8.9 CF) / 4�b +24,9 ZONE X I DRAINAGE CALCULATIONS: NJ I � ZONE 1 : 750 5P x 0, 17 = 1 27.5 CF tv ! PROVIDE (I ) 6' DIA x G'- 'D DRYWELL (134.. ) I�? ■, E A E I V E MON. MON. rIe6 OCT 2 4 2024 2i� 100.00, bouuj—Iuwn 75054'50" Wow.M. ` ---` Beard of Trustees �-_ U.P. EDGE OF PAVEMENT - +26,4NORTH PARISH DRIB- +26,5 CZERNIECKI RESIDENCE 17 SEPTEMBER, 2024 ® SITE PLAN LOT COVERAGE: (REV. as OCTOBER, 2024) EXISTING LOT: 22,453.3 5F SCALE:i" =ao'-o" EXISTING HOUSE: 1 ,598.5 51' SCALE" I " = 20'-0" EXISTING GARAGE: 590. 1 5F Robert I. Brown EXISTING EXCEPT A5 NOTED EX15TING TOTAL: 2, 188.G 5F Architect, P.C. ---..----�,� BAS %D ED ON SURVEY BY: EXISTING COVERAGE: 9.7 KENNETH M. WOYCHUK LAND SURVEYOR ao�.Bay Ave. Greenport N ' G.��' ,� , in 0 @r1brownarchitect.co ` t �• �, DATED: 09 AUGUST 2022 PROPOSED ADDITION: 199.8 51' 631-477-9752 5CTM: 1 000-7 1 -1 - 10 PROPOSED DECK: 325.8 5F ZONED: R-40 PROPOSED TOTAL: 525.G SF IT IS A VIOLATION OFTI IE LAW FOR ANY PERSON, UNLESS ACTING UNDERTIIE DIRECTION OF AREA: 22 453.3 5F (0.52 AC) EXISTING + PROPOSED: 2,7 14.2 5F LICENSRAWIN IIN AN TO ALTERANYAUFFEMUN TI[IS DRAWING IN ANY WAY.ANY LED.IURIZED ALTERATION MUST RE NOTED,SEALED,AND PROPOSED COVERAGE: 12. 1 O/o DESCRIBED IN ACCORDANCE Win Fri IE LAW. y R-N� y01� SOU,T. U HOLD T Rk STEES No. to (40 4 Issued To b4m;l + aris-cint CZet� et►cDate q Ad'dressw,lm' -95!5 Nor-'A-, p4( ;S� bt ;ve. 0tlz�0,� THIS. NOTICE MUST BE D1.5PLAYED DURING CONSTRUCTION .TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL: 765-1892 Glenn Goldsmith,President soFO(,i-C® Town Hall Annex A.Nicholas Krupski,Vice President �,� Gy _ 54375 Route 25 Eric Sepenoski y P.O.Box 1179 Liz Gillooly 0 Southold,NY 11971 Elizabeth Peeples 'I' p�,fJ� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Robert Brown on behalf of David & Christine Czierniecki TO: Please be advised that your application dated June 28, 2024 has been reviewed by this Board at the regular meeting of September 18, 2024 and your application has been approved pending the completion of the following items checked off below. X Revised Plans for proposed project (showing vegetated non-turf buffer 25' landward of existing timber wall) Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) Y2 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 TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees ZONE VE PECONIC BAY Z wooD rI q c p 0 GROIN E LINE WOOD 0 0 GROIN01.70 /V 8tcm rda ro i f rs,..S.'*FnYPDE C K'ATER---- EXISTING WOOD BULKHEAD W EXISTING WOOD OD ` 2 EXISTING WOOD WALK BULI H D ~` 4 ` �- FLOOD ZONE BOUNDARY 6 - EXISTING TIMBE ALL PLOAOT CONIC.PLAT 6 ^ �---��"" S 1 ` E TREES IN Q (APPROXIMATE LOCATION) ABANDON EXISTING SEPTIC SYSTEM 14 STONE'STONE IN THIS AREA WALL 16 ---/ 20 ✓J I 1 W� �` �� DRAINAGE CALCULATIONS: LL -0" ZONE 1 : 49G SF x 0. 17 = 64.3 CF f 124 PAVER PATIO PROVIDE (1 ) G' DIA x 4'-0"D DRYWELL (89.3 CF) W/WALKOUT _ I 2� CELLAR 24.V ff 2 BF 16.0 28.2' +23,532'-8 I/2" I PROPOSED SECOND STORY N LAND N/F OF EXISTING 04 +24.3 1 STY FRAME FRANK GILBERT DWELLING #955 13 9' FROPOO� LL W 2� FFL 24.9 z Lu 22, 18 0' 10.3° 32'- 10 112" o O + /////fj v, PROPOSED I / A SEPTIC SYSTEM IN z 0- /l/�f{ l '� - THIS .AREA. PENDING SUFFOLK V) I COUNTY DEPT. OF HEALTH c�- ENCLO E EXISTING I SERVICES APPLOCATION w 1 PORCH I 2 ,8+ 13.2 1.0' N EXISTING Z DRAIN EXISTIN II mow, p� 4 GARAGE o ® GRAVEL N GF 24.4 N DRIVEWAY DRAINAGE CALCULATIONS: �O I ZONE 1 : 847 SF x 0. 17 = 143.9 CF 24.3' PROVIDE ( 1 ) 8' DIA x 4'-0"D DKYWELL ( I G8.9 CF) 4(b +24,9 8 I O ZONE X � I DRAINAGE CALCULATIONS: ZONE 1 : 750 SF x 0. 17 = 1 27.5 CF N PROVIDE ( 1 ) G' DIA x G'- 'D DRYWELL (I 34.0 F) I If I MON. / `` 2i� MON. — r/ 75054150/, WOW.M. 100.00, t EDGE OF PAVEMENT +26,4NORTH PARISH DRIVE +26,5 CZERNIECKI RESIDENCE © SITE PLAN LOT COVERAGE: 17 SEPTEMBER, 2024 EXISTING LOT: 22,453.3 SF SCALE:i" =20'-0" EXISTING HOUSE: 1 ,596.5 SF SCALE' 1 " = 20'-01' EXISTING GARAGE: 590. 1 SF Robert I. Brown EXISTING EXCEPT AS NOTED EXISTING TOTAL: 2, 188.G SF Architect, P.C. BASED ON SURVEY BY: EXISTING COVERAGE: 9.7% 20 Bay Ave. Greenport NY ; Q-%q = KENNETH M. WOYCHUK LAND SURVEYOR in @ribrownarchitect. m z � ... � . DATED: 09 AUGUST 2022 PROPOSED ADDITION: 199.6 SF 631-477-9752 SCTM: 1 000-7 1 - 1 - 1 0 PROPOSED DECK: 325.8 SF ZONED: R-40 PROPOSED TOTAL: 525.G SF IT IS A VIOLATION OF TI I E LAW FOR ANY PERSON, f UNLESSACTING UNDERTHE DIRECTION OFA t ssa R ANY IEM ON AREA: 22,453.3 SF (0.52 AC) EXISTING + PROPOSED: 2,7 14.2 SF T ISNSED DRAWING'IN ANYWAY.ZANY AUTHORIZED ALTERATION MUST BE NOTED,SEALED,AND DESCRIBED IN ACCORDANCE WITii TI IE LAW. PROPOSED COVERAGE: i 2. I % <c- ° _--" 'PIER LINE' �s (APPROXIMATE) E9� CZERNIECKI RESIDENCE 9.55 NORTH PARISH DRIVE SOUTHOLD, NY SCTM: 1000-71-1-10 4 a c E v - b �p 1 , ,r. 5ouuiu'u ovv,i 130ard of Trustees p- r �g11FF0t,�� :, 1 Glenn Goldsmith,`i�iOsident ��� OGy� M Town Hall Annex A.Nicholas Krupski,Vice President .� 54375 Route 25 Eric Sepenoski nz, P.O.Box 1179 Liz Gillooly �y • o!� Southold,NY 11971 Elizabeth Peeples �Ol �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Sqkx-r y �,i 2bblCompleted in field by: Q'i7AW-� ?a:41ej Robert Brown Architect, P.C. on behalf of DAVID & CHRISTINE CZERNIECKI requests a Wetland Permit for the existing dwelling and to construct a second story over existing first story; enclose existing sunroom/breezeway in between dwelling and garage; construct a landward addition and front covered porch; construct a seaward side deck with steps; and to abandon existing septic system and install a new I/A septic system. Located: 955 North Parish Drive, Southold. SCTM# 1000-71-1-10 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.: NIA _s GS 1 o nk C gic n� WAV-e �ayjwboC e, o k _ 1 l6 (1 n V%Ao&e. G. TVllrj O,nor o�1f 1-mA Slit at jAOVX. Present Were: ✓G. Goldsmith ✓fV. K7EE. ski ✓ E. Sepenoski ✓ L. Gillooly Peeples '�uFriic� Glenn Goldsmith, President ��� Town Hall Annex A.Nicholas Krupski, Vice President 54375 Route 25 Eric Sepenoski '{ P.O. Box 1179 Liz Gillooly �� Southold,NY 11971 Elizabeth Peeples � Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: tvaysk- 10 Completed in field by: ti — Robert Brown Architect, P.C. on behalf of DAVID & CHRISTINE CZERNIECKI requests a Wetland Permit for the existing dwelling and to construct a second story over existing first story; enclose existing sunroom/breezeway in between dwelling and garage; construct a landward addition and front covered porch; construct a seaward side deck with steps; and to abandon existing septic system and install a new I/A septic system. Located: 955 North Parish Drive, Southold. SCTM# 1000-71-1-10 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.: 0i h6 P Present Were: G. Goldsmith N. Kruupski E. Sepenoski V L. Gillooly y" E. Peeples ZONE VE PECONIC BAY z WOOD S 6s°25'1� Q TI GROIN o ___ 1 LINE GROIN o o �_7�� ZMAN NIGy W'gTER- -- O EXISTING WOOD BULKHEAD w EXISTING WOOD BUL H 2 EXISTING WOOD WALK � 4 D FLOOD ZONE BOUNDARY F IJULK !�!� 6 EXISTING TIMBE ALL WOOD CONC. 6 8 \ PLAT PLAT 8 1p ABANDON EXISTING SEPTIC SYSTEM 14 STONE m IN TH 1 S AREA WALL - I � 16 16 18 TO WALL lee DRAINAGE CALCULATIONS: '-0" ZONE 1 : 40G SF x 0. 17 = 84.3 CP 24 PROVIDE (1) G' DIA x 4'-0"D DKYWELL (89.3 CF) PAVER PATIO W/WALKOUT 2� CELLAR 24.1 o BF 16.0 n 28.2' +23,532'-8 1/2" PROPOSED SECOND STORY to LAND N/F OF J EXISTING a +24.3 t� 1 STY FRAME 24.'.3�PROP0 �B FRANK GILBERT DWELLING #955 _ 13 9• AD DYI ION Z a 22 22' 18.0' FFL 24.10.3' 3 2'- 1 0 1/2"\.00 o O + cf, PROPOSED I / A SEPTIC SYSTEM IN zLi TH15 AREA. PENDING 5UFFOLK I = COUNTY DEFT. OF HEALTH JENCLO E EXISTING I SERVICES APPLOCATION w PORCH 2 8+ 13.2 1.0' N i7 EXISTING Z DRAIN EXISTIN w V, 4 GARAGE "? p ® GRAVEL N GF 24.4 N U DRIVEWAY v DRAINAGE CALCULATIONS: 5- I I/ ZONE 1 : 847 SF x 0. 17 = 143.9 CF 24.3' PROVIDE (1) 8' DIA x 4'-0"D DKYWELL (I G8.9 CF) 4�b +24.9 ZONE X I DRAINAGE CALCULATIONS: N A ZONE 1 : 750 5F x 0. 17 = 1 27.5 CF b ti D PROVIDE (I) G' DIA x G'- D DKYWELL (134.0 ) y {� JUN 1 4 2024 I �6 MON. 210 SO of TrusteesMON. Lu d Town 75°54'50" WOW.M. 100.00, 9U.P. EDGE OF PAVEMENT +26.4NORTH PARISH DRIVE +26.5 CZERNICKI RESIDENCE 955 NORTH PARISH DRIVE SOUTHOLD,NY 1197i © SITE �LA N LOT COVERAGE: 15 MAY, 2024 EXISTING LOT: 22,453.3 5F SCALE:i' =ao'-o" EXISTING HOUSE: 1 ,596.5 5F SCALE" 1 " = 20'-0" EXISTING GARAGE: 590. 1 SF Robert I. Brown EXISTING EXCEPT AS NOTED EXISTING TOTAL: 2, 188.G SF Architect, P.C. BASED ON SURVEY BY: EXISTING COVERAGE: 9.7% KENNETH M. WOYCHUK LAND SURVEYOR inp BaXAve. Greenp t ;�;,., f�� into@rlbrownarchit, t.cori `:`L -- ,: ,, DATED: 09 AUGUST 2022 PROPOSED ADDITION: 199.8 SF aL,°' ' ,r3 ; �- 631-477-9752 �;:e;�,;�,� ,� �,_ k SCTM: 1000-7 I -1 - 10 PROPOSED DECK: 325.8 SF ZONED: R-40 PROPOSED TOTAL: 525.G 5F IT IS A VIOLATION OF THE LAW FOR AN UNLESS HEDIRE FA I +Y+ a2,714.2 SF TO ALTER °EXISTING + PROPOSED:AREA: 22,453.3 5F (0.52 AC) THSDRAWNGIN ANY WAY.ANY AUTH '' y! BE NOTED, PROPOSED COVERAGE: 12. 1 %O DESCRIBED NAC ACCORDANCE WITH � y f -------------------- EX15TING DOOR TO REMAIN 9068 UNFINISHED BASEMENT ORASI GL O REMAIN EXISTING WALK-OUT BASEMENT WATER Enre EXISTING BASEMENT 5TAIR5 TO REMAN AIR HANDLER UP 2668 UNFINI5HED BA5CMENT ORA MAIN EXISTING 250 z EX15TING LAUNDRY FUEL OIL TANK >_ R M O REMAN J a w EXISTING BATHROOM I 1•- TO NN EX15TING ANCHOR TO EXI5TING ELECTRIC FOUNDATION WALL(Tyr I PANEL ___________—J NEW EJECTOR FLUSH WIT O PUMP LOCATION l a l FXI5TING I4'O 2', &POURED CONCRETE FOUNDATION WALL w9 I I M3 REBAR CONTINUOUS 8'x 16'POURED CONCRETE I I FOOTING w/(3)#5 REBAR I I I I CONTINUOUS.MINIMUM �. 3'.0'BELOW GRADE ON UNDISTURBED SOIL REMOVEEXISTING 5IAB IN Thl5 EX 8'POURED FOUNDATION CONCRETE ION WALL w PPOP05ED CRAWL 5PACE I I B3 REBAR CONTINUOU5 NEW 2'RAT 51-AB I I 8'.I G'POURED CONCRETE FOOTING w/(3)05 REBAA CONTINUOUS.MINIMUM UNDISTURBED 501L BELOW G If ON 1 - 1 I • I I �• I IL: I -9 12- I, ANCHOR TO E45TING FOUNDATION WALL(LYPJ F UINDATION WALLS TO MNN D E I l C J U N 1 4 2024 SWMld Town oW ofirmas © FOUNDATION PLAN NOTE REMOVE FXI5TING 5UNROOM 5CALE:I/8'-I'-O' 5TRUCTURE AND ROOF.REMOVE EXISTING EXCEPT A5 NOTED EXISTING CONCRETE 5LAB CZERNICKI RESIDENCE 955 NORTH PARISH DRIVE SOUTHOLD, NY n971 15 MAY, 2024 SCALE:1/8" =i-d' Robert I. Brown Architect, P.C. ao5 Bay Ave. Greenport into@ribrownarc hit ect. 631-477-9752 �r�� R ITISAVIOLATION OFTHE LAW FORANYPE- g,7f, s.j UNLESSACTING UNDERTHE DIRECTION OF y'1,rrlw k LICENSED ARC]IITECP,TO ALTER ANY ITEM N TI IIS DRAWING IN ANYWAY.ANY AUTHORIZED ALTERATION MUST BE NOTED,SEALED,AND DESCRIBED IN ACCORDANCE WITH THE LAW. i�. ¢ NEW WOOD 5TEP5 C OW u0 O 0 u p >� PROPOSED WOOD DECK - ^b 5 0 O O O O t 4'.7' 3'.1• 8'-9 1/2' 4'- ip 3' EO EO 2668 - EXISTING DOOR TO REMAIN m t0 EO b O MODIFIED BEDROOM tX15TING BEDROOM TO REMAIN BETTER-HEADER N85 153 5P 136 5F (3)I)'.I I%'MICROLLAM wl(2)y 5Tttl p _ - _ _ _ _ O BUILT-IN E%I ING 5HELVE5 FI LACE UNDER TO MAIN EXISTING LIVING ROOM 5TAR 2668 2668 I REMOVE E)(15TING UP b NEW WOOD STAIRS STARS TO ATTIC RISE:8' --- - I PROPOSED LINEN q = RUN:I O' CLO5tT - EXISTING nAil WALL RISERS:14 HANDRAIL TO CODE(TYP.) BUILT-IN SHELVE LINDIf o STAI 2668 MODIFIED DINING ROOM O NEW HARDWOOD FLOORS TO E%15TING KITCHEN TO REMAIN I MATCH EXISTING O VL NECE55ARY I NEW FLOORING TO BE LEVEL WITH - EXISTING_^^ m EXISTING STAR I - MODIFIED BEDROOM TO REMAIN NEW 2.4 EXTERIOR CONSTRUCTION O 1 17 5F I in TO MATCH EXI5TING EXISTING - - NEW WINDOW IN --J in CD-X RATED PLYWOOD SHEATHING m BA nR M ,EXISTING OPEN1NGr NEW NEWOSIDINAGRIER TO MAN 3'GI q"I NDOW IN O LNEWENTRY V-O U2' G OPENING OA OA PROPOSED COVERED PORCH 14� 7 112' 3'O' L © ----J BLUES ONE PAVERS � 3'-I I/2' 3'-I I/2" 8'-3'O O OUTDOOR NEW CABINETS ANDOP BEAM (212.8 DROP BEAM -- 1D" OUARE COWMNCOUNTERTOPS BY OTHERS �I 6 CLAD w/AMNTRIMBOAP.D EW SINKI/2" 6'-3' B'-3" ON M PROPOSED kNtW OR"SSM/MRAGE O Q WOOD FLOOR)NG O MATCH EXISTINGO V M 3'-tr 3068 - —————————— NEW WOOD STAR: Ii I RISE: RUN: RISERS: I bi O N W UP HANDRAIL TO CODE(IYP.) I b oO 3 t b TO ATTIC STORAGE I 3 p I p I - I u I I b L----------- EXISTING GARAGE D C I V Fob3PRFuTT61F'rwTAN r-----------� r9-tr I I REMOVE EXISTING GARAGE ROOF STRUCTURE I W EXISTING To REM IN,RE I §O w JUN EXISTING WALLS TO REMAIN,RE AND I p O t b /f �n/�� PATCH AS NECE55ARY LI. VG NEW SIDING TO MATCH EXISTING a,w t 0 - I z�a3 I � - Southold Town L------------ hoard of Trust (2)2.8 HEADER (2)2.8 HEADER N LT 6 5- 1 1'.7' 7��L N O O © FI RST FLOOR PLAN 5CALE:1/8'-1'•0 ' EXISTING EXCEPT AS NOTED CZERNICKI RESIDENCE 955 NORTH PARISH DRIVE SOUTHOLD, NY ug7i 15 MAY, zoa4 SCALE:ON =i-o11 Robert I. Brown Architect, P.C. Zo Ba Ave. Green port �Ir ��A.!,in o@ribrownarchite ; 631-477-9752 v jay." at�c IT IS A VIOLATION OF THE LAW FOR ANY PERS ,.� •4 { �' y pA UNLESS ACTING UNDER THE DIRECTION O LICENSED ARCHITECT,TO ALTER ANY ITEM ON 11 THIS DRAWING IN ANY WAY.ANY AUTHORIZED. r �f ALTERATION MUST RE NOTED,SEALED,AND h' DESCRIBED IN ACCORDANCE WITH THE LAW. 3t��.,/�(J fry O O 15'-4 1 2` 14'-O" 0 Op N 36"HANDRAIL TO T > CODE(IYP.) PROPOSED BALCONY t? _ L WOOD KING N PROP05ED BEDROOM m206 5P NEW WOOD FLOORING TO MATCH DOWN5TAIR5 9068 C MA5TER BEDROOM 5UITE BATH 304 5P5' NEW O ggTH - W WOOD FLOORING TO MATCH DOWN5TAIR5 _ 48, m _- -_-_- VANITY b�d in 2668 IGG8 2468 O 2468 - BUILT-IN N �0 NEW WOOD FLOORING TO 5TORAGE POCKET DOWN MATCH DOWN5TAIP5 n� "1O I71a.,?D a - 2668 4 68 4 68 � N Li - CLOSET 15'-1 O 1/2" a? PCI P-3 112" _� 48'KNEE WALL jQIA ih I,,I; to O O O O-' O ROP05ED BEDROOIVi z 152 5 I O'-O /2" �t0 N W O t W MATCH DOWN5TAIR5 m'3o 3'-I I I/4' 3'-3" L 3'-I I I/4' 15'-4 1/2' 2" C'-7 I/4' 3'-3' O O DOWN UNFIN15HED�C 5TORAGE Q EFT�oWn JUN 1 moldBoard ofT ® SECOND FLOOR PLAN SCALE:I/8'-1'-O' EXISTING EXCEPT A5 NOTED CZERNICKI RESIDENCE 955 NORTH PARISH DRIVE SOUTHOLD, NY 11971 15 MAY, 2024 SCALE:1/8" =i-o" Robert I. Brown Architect, P.C. 2o5 Ba Ave. Green port info@ribrownarchitectxox 631-477-9752 IT ISA VIOLATION OFTHE LAW FORAM ERSO UNLESS ACTING UNDER THE DIRECTION A ITEM LICENSED ARCHITECT,TO ALTER ANY }u1 v 1 THIS DRAWING IN ANY WAY.ANY AUTHORI ALTERATION MUST BE NOTED,SEALED, DESCRIBED IN ACCORDANCE EXTEND EX15TING MA50NRY FIREPLACE 12 12 12 0 ID 10 1.4 AZEK TRIM(TYP.) E E ' `I E D aV y JUN 1 4 2024 NEW G'ALUMINUM HALF ROUND GUTTERS DOWN5POUT5 TO MATCH REMOVE EXISTING 51DING NEW N,CEDARSiDING COLOR TO BE SELECTED NEW 6'ALUMINUM HALF '�Bowd T O ngshft I x4 AZEK TRIM(TYP.) I A AZEK TRIM(TYP.) DOWN5POROUND U O MATCH l 2'-(Y iaso O 10'5.O RECESSE O O O PANELEL D COLUMN COWMN (0)2x6 CLAD 0AZEK 306R80 � � TRIMBOARD PROP05ED COVERED PORCH BWL5TONE PAVER5 SOUTH ELEVATION (FRONT) EXTEND EXISTING MASONRY FIREPLACE b 12 10 NEW 6'ALUMINUM HALF ROUND GUTTERS 1.4 AZEK TRIM(Il'P.) DOWN5POUT5 TO MATCH to li O O O NEW DOAR.510 '1 NEW D�ORMERDI1 NEW 6'ALUMINUM HALF NEW NuCEDAR SIDING NEW NuCEDAR SIDING NEW 6'ALUMINUM HALF ROUND GUTTERS a COLOR TO BE SELECTED COLOR TO BE 5ELECTED ROUND GUTTERSER5 REMOVE EXISTING SIDING G'ALUMINUM HALF DOWNSPOUTS TO MATCH NEW COLOR TO BE 9ELE 5fD(NG MATCH DOWNSPOUTS TO MAT N ROUN C Z E RN I C K I RESIDENCE D GUTTERS I x4 AZEK TRIM(TYP.) DO 3 POUT5 TO MATCH 1 x4 AZEK TRIM UW.) ® ® 955 NORTH PARISH DRIVE SOLiTHOLD, NY u971 REMOVE EXI5PNG 51DING 15/''+"AY, 2024 NEW NXEDAR51DING b O O O OA OA SCALE:1/8"=1-O' COLOR TO BE SELECTED - 0 Robert I. Brown NEW8'-O'.9'-0' Architect, P.C. GARAGE DOOR CARRIAGE HOU5E wl 12 WINDOW PANEL zo5 Bay Ave. Greenport NY „�::.�.-j--•.:•,,, EAST ELEVATION (SIDE) into@ribrownarchitect.com 631-477-9752 ITIS A VIOLATION OFTIIE LAW FOR ANY PE TI �9:rt^��h; ,��• UNLESS ACTING UNDER THE DIRECTION OF A g ) p LICENSED ARCHITECT. TO ALTER ANY ITEM ON THIS DRAWING IN ANY WAY.ANY AUTHORIZED i I ALTERATION MUST BE NOTED.SEALED.AND .-� `,�>.�,.•�p� ! DESCRIBED IN ACCORDANCE WITH THE LAW. $ g paw EXTEND EXISTING MA50NRY FIREPLACE b DOUBIP FLA511ING AROUND ROOF LINE NEW G'ALUMINUM HALF ROUND GUTTER5 1 2 IF DOWN5POUT5 TO MATCH 10.5 p ��}.'+'-•�{\� ' V E 1 x4 AZEK TRIM(TYP.1 I x4 AZEK TRIM(T1'P.) C InFl NEW 6'ALUMINUM HALF ,lUN 1 4 ROUND GUTTERS O rl NEW 64 LUMINUM HALF DOW145POUT5 TO MATCH UND GUTTERS 1 xB AZEK TRIMBOARD 00,5i, UT5 TO MATCH NEW G'ALUMINUM HALF Southold Town REMOVE EXISTING 51DING ROUND GUTTERS NEW N,CEDAK SIDING DOWN5POUT5 TO MATCH 0......i�'rN ag COLOR TO BE 5ELECTED {1UG717 1.4 AZEK TRIM(Il'P.) 114 AZEK TRIM(fYP.) 1 x4 AZEK TRIM(TYP.) REMOVE EXISTING 5I0ING NEW NuCEDAR 5101NG COLOR TO BE 5ELECTED EX15TING DOOR TO REMAIN O O O O EXISTING DOOR TO REMAIN NORTH ELEVATION (REAR)(WATERSIDE) 12 10p REMOVE EXI5TING SIDING NEW WCEDAR.5IDWG COLOR TO BE SELECTED REMOVE EXISTING GARAGE ROOF STRUCIURE 1.4 AZEK TRIM(TYP.) NEW ROOF AS 5HOWN NEW 6'ALUMINUM HALF NEW 6•A HALF NEW 6'ALUMINUM HALF _ C Z E RN I C KI RESIDENCE ROUND GUTTERS ROUND GUTTERSUTTER5 ROUND GUTTERS - DOWNSPOUTSTOMATCH O OOWNSPOUTSTOMATCH DOWNSPOUTS TO MATCH 955 NORTH PARISH DRIVE SOUTHOLD, IVY 119']1 8 1 x4 AZEK TRIM(TYP.) 1 x4 AZEK TRIM CTYP.) 15 MAY, 2024 REMOVE EXISTING 51DING REMOVE EXI5TING 5101NG SCALE:1/8" =1-o L NEW N.CEDAK SIDING OD OD NEW%CEDAIR 51DING O COLOR TO BE 5ELECTED O COLOR TO BE SELECTED Robert 1. Brown ___________ Architect, P.C. 205 Bay Ave. Greenport NY in o@ribrownarchitect.com,,� 631-477-9752 ITISAVIOLATIONOFTHEIAWFORANY EUNLE ,y '"; .lv ECTION WEST ELEVATION (SIDE) LICENSED ARCGUECT.TONDER LTRANYIT i {:'.F1+• < LICENSED ARCHRECT,TO ALTER ANY ITEM N J �� THIS DRAWING IN ANY WAY.ANY AUTHO ALTERATION MUST BE NOTED,SEALED,AND , DESCRIBED IN ACCORDANCE WITH THE LA �••;�� JF i:�W j S.C.T.M. NO. DISTRICT: 1000 SECTION: 71 BLOCK: 1 LOT(S): 10, ZONE VE PECONIC BAY Q65*z WOOD ! 25/ E p GROIN TIELINE WROIN ,-- 2 �----- ", - - - WOOD BULKHEAD �-\ h1 � WOOD WALK ��BU(KHW , 12 COASTAL BARRIER 4 ~ti ^^ FLOOD ZONE BOUNDARY RESOURCE SYSTEM _ i EULK AREA AS SHOWN `—�-- 6---- TIMBER WALL ON FEMA MAP PST• —"--6 --8 10 14 — —_--� \ STONE WALL-- 7.1 76'-- 16, 20 — 18 STO J/ram— —2? PAVER PATIO .124 — o IKF 2 DD WOOD T 24_1 0 3.5 32.7' N 1 STY FRAME ° ) LAND N/F OF LAND N/F OF / n DWELLING 1955, ELRS PROPERTY LLC FFL 24.9 FRANK GILBERT rL`Ir 1J.9' +24.3 P 22.8. 18.0' 10.3'r O 14.8'f COVERED U2 e CONC. STOOP 23.8 a 1.0 1 N v DRAIN I 4 .GARAGE GRAVEL J N� a GF 24.4 N U ® DRIVEWAY / 24.3' / +24.6 +24,9 ZONE X I I ' v E ~ i �p 4 2024 i y ld Town 26fTwSteft MON / r MOH. O 75°54'50"WC,.M. 100.00, 9� `O c� AU.P. I EDGE OF PAVEMENT / +26.4 NORTH PARISH DRIVE +26.5 FEMA MAP #36103CO166H 9/25/2009 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. AREA:24,250.00 SQ.FT. or 0.56 ACRES ELEVA77ON DATUM. NAVD88 UNAUTHORIZED ALTERAPON OR ADDITION TO THIS SURVEY lS A VIOLATION OF SEC77ON 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING 77-IE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS77TUT70N, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE 77-IEY ARE NOT INTENDED TO MONUMENT 7HE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARA�( D UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY ORDESCRIBED PROPERTY °F �e� �ti M �. CERTIFIED TO: CHRISTINE CZERNIECKI; MAP OF: ���� ��� A� DAVID CZERNIECKI; FILED: x G SITUATED AT:SOUTHOLD O TOWN OF:SOUTHOLD NtT-- KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK �61 050882 01`��� Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 ' ' N PHONE (631)298-1588 FAX (631) 298-1588 FILE #222-1 1 0 SCALE:1 "=30' DATE: AUG. 9, 2022 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk � • • I / / • 1 1 1 1 I I I I . a � ♦ �'liZt�rR ` S «ram .,� � �► : " .,a i c" t. aaa�� r. wa ��4f I if Vi If IV ml Tlj 1 • 1 ' 11 � I I � I I •! ' 11 ' I I 4c ! S c � h 1 aa.. . I I �I ♦ • 1 ` I � I I I ' 11 ♦ I RMYm. — JP« N sCUTHOLD SAY 21 S zl,xq a : Fp. m PT \ s Imo) x J• NO :e� _ � A• �,•� J° a v zJ a � M` n.J Ow � r °R: ell SEF NBFRt _ NOTICE �,+� COUNTY OF SUFFOLK © x ,Jx SOUTHOo rnce secTaR Ro Gr....a— {. �xn E oA Real Property Tax Se Agency v E M --- �w _ - 071 U.rw s » x�"�xiw.x•xs `� r.r --.-- w.....--.r-- +umw •. �v p ms ® �xciw �ppp PROPERTY rMP 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: August 12, 2024 Re: LWRP Coastal Consistency Review for DAVID & CHRISTINE CZERNIECKI SCTM# 1000-71-1-10 Robert Brown Architect, P.C. on behalf of DAVID &CHRISTINE CZERNIECKI requests a Wetland Permit for the existing dwelling and to construct a second story over existing first story; enclose existing sunroom/breezeway in between dwelling and garage; construct a landward addition and front covered porch; construct a seaward side deck with steps; and to abandon existing septic system and install a new I/A septic system. Located: 955 North Parish Drive, Southold. SCTM# 1000-71-1-10 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 CONSISTENT with the LWRP. 1. A vegetated non-turf buffer is recommended landward of the existing timber wall. 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 Caroline Burghardt,Chairperson �' 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 Thurs., August 8, 2024, the following recommendation was made: Moved by Carol Brown, seconded by Shannon Wright, it was RESOLVED to SUPPORT the application of DAVID & CHRISTINE CZERNIECKI for interior and exterior renovations, addition of a second-story, addition of deck on waterside of structure, enclosing sunroom/breezeway between house and garage, front addition on ground floor and front covered porch. Located: 955 North Parish Drive, Southold. SCTM#71-1-10 Inspected by: Carol Brown, Nancy May, Shannon Wright, John Chandler The CAC Supports the application with the recommendation the size of the deck is reduced to be in compliance with Ch. 275. Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,President Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O.Box 1179 Eric Sepenoski � �'' Southold,New York 11971 Liz Gillooly Telephone (631) 765-1392 Elizabeth Pee les p Faac,.(031) 765-6641 D it I I y _ BOARD OF TOWN TRUSTEES MAY 202 TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application 7�Wetland Permit Application Administrative Permit Amendment/Transfer/Extension r _w Received Application:_ `F Received Fee: _ Completed Application: Incomplete: _SEQRA Classification: Type I Type II Unlisted _. Negative Dec. Positive Dec. Lead Agency Determination Date: --Coordination:(date sent): --4LWRP Consistency Asse sm nt�orm Sent: —CAC Referral Sent: 7 d-Y _a.. Date of Inspection: Receipt of CAC Report:_MM.__......... .�..x .- � PTechnical Review: n___ No{ Nol'ice Public Hearing Held. Resolution: Owner(s) Legal Name of Property (as shown on Deed): NAV i� CV44 N_ Mailing Address: . ._ lil ' . ��' -1''( i�� 1�1 UI` 2_1 Phone Number: �016 Suffolk. County Tax Map Number: 1000 ® Property Location: . � _. u �'�1� ' �+J (If necessary, provide LILC(J Pole #, distance to cross streets, and location) AGENT (If applicable); Mailing Address: b 13 '1._,.AVOJ, Phone Number: 63 �177 � Z Email: I �v �it3 .�> ,� , awe rpgloiq 7�iol?. l Lrd of Trustees Applicatii- GENERAL DATA Land Area(in square feet): _ Z� ,Z5© Sr Area Zoning: V-'40 Previous use of property: SIIJGLL• f--AMILI kS)kcP7ML. Intended use of property: — S A M E - Covenants and Restrictions on property? =Yes __E_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 _R_No If"Yes",please provide copy of decision. is project regp'g any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_a No_a Yes If yes, provide explanation: Project Description(use attachments if necessary): 1 KAE4-1DiL ; E W t-& I ENDVK-RoNS . !kMMOV bE 5t.-bA DVEI- 51W614 1�10-1 36 MlMbij cP M0- Wig 00 INI�"f�"Q, )E OF GARAGE 61 b %IF) _ F�Abbmw 6p 6UM `LoA cola sF) Awo rkw CouaEp trd of Trustees Applicatir, WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ➢➢ L1V 1N6 SpnGE A Nil P>GO R DOMS 1b S►u Gi,E Si�'� N ESL Area of wetlands on lot: , 2°1 square feet `10 lit Glpf-) Percent coverage of lot: Z % Closest distance between nearest existing structure and upland edge of wetlands: 9 V1 feet ('ro e�1�FHcAo) Closest distance between nearest proposed structure and upland edge of wetlands:_13.o feet�11,►3vtwNEAp� Does the project involve excavation or filling? �_No Yes If yes, how much material will be excavated?_ cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any,on the wetlands and tidal waters of the town that may result by reason.of such proposed operations (use attachments if appropriate): IVp}Jr Short Environmental Assessment Form Fart 1 -Project Information Instructions for CompletinE Part I -Project Information.'The applicant or.project,sponsor is responsible for the completion of Part L '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. .1fadditional research:or investigation would be needed toAlly respond to any item,please answer:as thoroughly as possible,based'on current information. Complete all items in Part 1. Youi may also provide any additional"information which you believe will be needed by or.:useful to,the lead agency;attach additional pages as necessary.to-supplement any item. Part I-Project and Sponsor Information G2ERNIEGI�1 RENO�►ATIWJ /�ul�I.gitowN ApcNt1>�P p.6• Name ofAction.or Project: C?.EA•I�iEGWI PrlypmoNtlLENa/AT1oN Project Location(describe,and;attach a:location map): q55 mom ponx %4VL SoitlMOQ,N`I mlt N09414 Seta OF Popai oW Some" 9,10 Brief Description of Proposed Action: INiEMt4 $YtTE�101�. �fiNeVA?IONS , 5stamb SWV AbbMo)J IM V&MING 0 & S?o4�'1 SlSuctvlE EN"'CSE EItIT". 6. sowsw kme A14 6(►0.A6t 0%Sf) P014ED O>cK op WA'WI.Sibe of hpAS (37.9 50 A6ANoow exis-rio& som s-imm INsrALL NEv I/A SVVMM Name'of Applicant or Sponsor: Telephone:. , &ill, 115-- a-06t I. paw✓ ARCH A G. f A6EInS E-Mail: INFO E►R19iLvwuAR�H11Ecf•CoM Address: ZoS MAY AvE City/PO: 04MIuPoW State: Zip Code: .• • � NY 119HY 1.Does the proposed,action-onlyinvolve,the legislative adoption of a plan,local law;ordinance; 'NO -YES administrative rule,or regulation? If Yes,attach a narrative description ofthe;intent,of the-proposed action and the environmental', sources that © ❑ maybe affected in:the municipality and proceed�to Part:2. If no,continue"to question:2. 2. Mesthe:proposed action require�a permii,'approvat or'funding from,any,othe'r governmental.Agency? ;N.O YES If Yes,Iist,agency(s)namekand•permit-or approval: 5uffobK eft"M 1 WT. HUM 561=65 500MOA-lw11 OuILAWL jlEPT. ,3o>T11d.AW.A74zS,M DEL 3.a.Total_acre _g a e:of the site-of the proposed acott? ._..._. .__._. _...._. D,5Z,_...._,acres.._. •... ..... ............. b.Total acreage to be physically disturbed? - acres c.Total acreage(project site and.any contiguous properties)owned or controlled-by the,applicant or project sponsor? 0.51 acres 4. Check all land uses that:occur on,adjoining,and-near the proposed action. ❑Urban ❑Rural.(non-agriculture) ❑,Industrial ❑Commercial 1"Resid'ential(suburb"an) [--]Forest ❑Agriculture ElAquatic El Other(specify): ❑Parkland WA11997 PT - 5a14" bFil Page 1 of 3 i 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑; LLJ ❑ b.Consistent with the adopted comprehensive plan? ❑: M ,❑ 6. Is the proposed action consistent with:the predominant:character of the existing built or natural NO YES landscape? ❑ 7. Is.the sitc.of the proposed action located in,or does it adjoin,a 'state listed:Critical.Environmental Area? NO YES If Yes,identify: ____ , :; ❑ 8. a. Will the proposed action result in a substantial increase in traffic.above present.level's? NO 'f ES 9 C❑ 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 ofthe proposed action? ❑ 9. Does the proposed action meet or exceed the state energy code requiremepts? NO YES If the propose&action will:exceed requirements,describe design features,anal°technolog;ies: 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: PROMM t/A SURIC SYMM ®' ❑ 12. a. Does the site contain,a structure,that:is listed on.eiiher the State or National-Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion.of the site of the.proposed action,or lands adjoining-the proposed.action,contain NO YES wetlands or other waterbodies regulated by a federal,state or.local:agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types:that.occur on,or are likely-to be,found on fhe projectsite. Check,all that apply: Shoreline ❑Forest. ❑:AgricultuzaUgrasslands 0-Early mid-successional ❑ Wetland El Urban ;&'Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed _NO YES by the State or Federal government as threatened orendangered? 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? '®:NO AYES �' ❑ b. Will storm water discharges be directed-to established conveyance sy'stefts'(runoff and storm drains)? If Yes,briefly describe: ❑NO ©YES DILyWF1.1.5 11 ��t /NRAI,CED Page 2 of 3 I .18.'Does the.proposed action.include construction or,other activities that result in'the impoundment of NO YES, water or`otherliquids.(e,g:retention pond,waste lagoon,,dam)? if Yves,explain purpose and size: 19.,Has the site of the proposed action or an,adjoining property been the.location of an active.or,closed NO YES solid waste management facility? If Yes,describe: n ❑ 2.0. 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: l ❑ I AFFIRM',THAT THE INFORMATION PROVIDED ABOVE.IS TRUE,AND ACCURATE TO THE BEST'OF MY KNOWLEDGE: Applicant/spons name: kAP SI R AS Amr Date: $ MAY .202N Signature: PRINT FORM Page 3 of 3, and :of*<Tru's'tees Ap-1-1.0 t $ , AFFIDAVIT:. ��✓i�. d- Ctip;3 iN C- C >-n:-..e c,�C,_.- hBEING OULY-SWORN" '.DEPOSESA":AFFIRMS THAT HE/SHt CIS THE A"L1C-ANT FOR:THE ABOVE' DESCRIBED PERMITS)AND.THAT.ALL;STATEMENTS'CONTAINED HEREIN ARE`TRUE-TO TH_E`-BEST.OF'HIS%HER'KN.OWIEDGE:AND`-BELIEF,;ANDP THAT ;ALL WORK`WILL,BE°DDONE,IN THE*,MANNER'SET,'�FORTH.IN`THIS APPLICATION AND.AS-MAV BE:AP.PRO.VED`B'Y THE=�S.OUTHOLD'T W ON. A.-.-BO OP TRUSTEES., TH9:APPLICANT AGUES TO'HOLI)THE TOWN,O,F`SOUTAOLD:AND T IE BOARD OF TRUSTEES HARMLESS.AND FREXFROM,ANY,A_ND ALL,:DAMAGES AND CLAIMS.ARISING UNDER.OR'BY VIRTUE OY.SAID PERMIT(S), IF �GRANTED.::IN'COMPLETING THIS APPLICATION,.I HEREBV AU.T,HORIZE THE TRUS,TEES,=THEI "Ad-EN T(S),OR.REV-RESENTATIVES,.I;NCLUDING THE, ;CONSERVATIONADVI30RY COUNCIL;TO.ENTEkONTO MY`:PROPERTY TO. ,INSP9.CT THE'PREMISES IN,CONJUNCTION:WITH THIS.APPLICATION, INCLUDING.A.FINAL-'INSPECTION: fI:F.URTHER`AUTHORIZE THE BOARD OY TRUSTE-ES'TO.INTEkONTO`MYTkQ,-PERTY,-AND:AS,-REQ,UIRED TO.INSURE COMPLIANCE WITH ANY:CONDITION'OF ANY WETIJAND OR COASTAL EROSION PERMIT:ISSUED BYTHE_BOARD OF TRUSTEES. DURING°THE TERM 'OF THE.PERMIT,: -Signature of Property-Owner ignature.of Property Owner SWORN TO BEFOkEIME.THIS'. �. DA-Y':OF: e�►"► ,:20. �3 . Notary R0'1iC, ` AiVA®ENiE'PZ POPE y Notary Public,State of Connecticut My Commission Expires Oct 31,2025 APPLICANT/AGENT/REPRESEN'T'ATIVE TRANSACTIONAL.DISCLOSURE.FORM The Town f-'§outhold'S Code,of=Ethics,-Diohibiis-.conflicfs.'of interesf!on:the:narCofiown dfkers'and;embloyees.The•aumose of -this form isit& it6v1de infoimation which can iili ct=ftieaown_of+possible"cotiflictssof iriterestand:allow'itao take whatever action is. necessary lavoid'tarrie:, YOUR NAME: .. . D MOW Vlr 1 L cy- (Last-name,firsfname,4tiddle initial,unless yov'are applying�in the nameW soineone else or other:entiiy,such as,a'coinpany:if so;indicate the other person's;or company's name.)• 1 •NAME.`OF'APPLICATION: (Check all that apply.) Taz,grievance guilding -Variance Tiustee Change of Zone Coastal Erosion, Approval of plat, Mboring Exemption from.-Plat or'official',map Planning, Other If"Other"-,,name the activity.) Do you personally.,(or through:your�company;apouseA siDling;.parent;or`chrld)Have a relationship`witfi any officer oc employee of the Town of Southold?: "Relationship''include"s by:bl'ood;marriage,:,or.business;interest,"Business:interest"means:a•business,. ;. inciuding,a odrtnership;.i`"hich the:,towri officer or•_.,empli) ha&evena-P4r al,owrtersh p of..(or.employment%by),a.corpo, on. in.which the lown•officer or'employee owns1more ihan:S%d ofthe shares: YES F-1 NO n . 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/representaiive):and the town officer or employee:Either'check the appropriate line;A)through D)arid/or.describe in thelspace-provided. The townbtlicekof employee or his or'her.spouse,'sibling,:parent,or.child is(check.all.that apply): fjA)the owner.of greater ttian 5%o_ofthc shares.of the,corporatc�stock of the applicant EL (when the:applicant is a cb"jNratjdn);: B)the legal or,.teneficial owner of any;interestin•a.,non-caip ifi—entity, .'fih6 .'the Eapplicant is not a corporation); C)anoffcer,director,partner,or employee of;the applicant;of D)the actual'applicant. DESCRIPTION OVRELATIONSHIP Subrnittg.". this day.of .�aiA cr .20?3 Signattlrt ,. Q. — 'PrinthTame ��, 1.J. -Form I5 'I' ar.d. of .Trus,tees Applicati.; AUTHORIZATION (Where'the appl'ieant,is,not the owner), owners-of the property.i`dentified;as.S.CTM# T000.. -11 in the town of New'Yoik, hereby authorizes �up iE ANC,. _ (`S A-6Qja5. _ - to-act as;my agent and.handle all necessary•work 'involved with"the':application process for permit(s) from the Southold.Town Board of Trustees for this property. Property Owners Signature Property Owners Signature 2 � SWORN;TO.BEFOREi'ME:TNIS-., _.. . J OF �'(.C�i el- DAY ?0 2 3 — 0 'Notary Public ANA®EMETZ POPE Notary Public,State of Connecticut M Commission Expires Oct 31,2025 r APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the cort of town officers and employees.The puroose of this form is to provide information which can alert the town of nossibie conflicts of interest and allow it to take whatever action 1p necessary to avoid same. YOURNAME: 9`IAN �IWL Ck, h6ENT , Rol'EP y (Last name,first name,iriddle 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 employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representadve)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 _n (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate.entity_ (when the Jqapplicant is not a corporation); C)an officer,director,partneir,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 15 of MAY 20 - Signature Print Nam LyAp SI Bolt. Form IS 1 Dard of Trustees Applicat",.v_ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: 30 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 NAME: ol'_Cen de>_ em s EIVE 31) SEP, 6 2024 SCUM TOWM ftdgbem STATE OF NEW YORK COUNTY OF SUFFOLK residing at ,{{ , being duly sworn, deposes and says that on the �o —day of �t,SC • , 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. ' fp Signature Sworn to before me this 1 Day of {�,3Y)li 'L , 20D / CONNIE D.BUNCH Notary Public,State of New York No.01BU6185050 Qualified In Suffolk County Commission Expires April 14,2_eQ Notary Public C PostalU.S. Postal Service" U.S. CERTIFIED o RECEIPT Domestic o . ■ ru 43 Domestic Mail Only m r: ) Ts L a i ' •0`_ !i II t �'s 'tr17, ri Certified Mail Fee �� jJ 1j $ :,�� Certified Mail Feel Extra Services&Fees(checkbox,add fee .L (r^^��,��yy,,7 $ r.8 c t r' eess I rbp{)ate) \A`g l�!r l�Jr`;� '1 r-9 ❑Return Receipt(hardcopy) $ Y I I i 11 I 1` Y (checkbox,add fee a'epiYrdpt(ato) u Extra Services&Fees 2 ❑Retum Receipt(electronic) $ •:k j I I t 1 I <G �'\ I ❑Retum Receipt(hardcopy) $ :i l!.I f}} O R T, N C3 ❑Certified Mail Restricted DeliveryLC/ �a oStmark !\, [,M3 ❑Retum Receipt(electronic) $_ 1I e�1_n ,e p $— ' ! cc ��7 •O 1, (_ Postmark l ❑Adult Signature Required $ c I , C� ❑Certified Mall Restricted Delivery $ «+i i � J Q N$ — V ZO C� ❑Adult Signature Required $ I - CC ,s p Here ❑Adult Signature Restricted Delive r• Postage [:]Adult Signature Restricted Delivery$_�"•' rij $ � �tO C7 Postage ru Total Postage and Fees 11 9) [%- $ 73 $$9.68 1 fU T t@I Pottage andr=J Sent To $ sps ni rq Sent To o ��{uL 5,4vAG "' �IR6�NiA f;�L Rr------------------------------------------ o � StieetandApt. orPOBoxIVo U-- ..__, __ r�o_� _ - j' N street andApC Iffo..or-PO Box-ffO- ---------------------------------^--^---------- -City,State,Z(P+4® -"""" """ ' ," --^-- - 5 AspEN Or `lo NY 10b21 Clry,State,Z/P+4® - 05S�NiN6 P OWL PostalServicermPostal Service�' m ' ° • RECEIPT Q- Domestic Mail . .. M rl 1neStk.Mail Only, m m SOLD ff PEE Certified Mail Fee ?r s p $ertified Mail Fee O R r l m EXtra Services&Fees(checkbox,add fees e r •t f i 33 pFog 7 Extra Services&Fees checkbox,add fee'9s fb'ate) r� Return Receipt(hardcopy) $=6�f f I I eta) N R ❑Return Receipt anico pn 0 ❑Return Receipt(electronic) $ .i it j I f� , //� T P(h PY) $—' i!.I_I!I --ram• --- /�� Postmark�i Ca ❑Return Receipt(electronic) $ (i I i I i Lv Sk'postmark `C C� El certified Mall Restricted DellVery $- :t , (,� �L C3 ❑Certified Mall Restricted Delivery -4r G] ❑Adult Signature Required $— � Fj0 Here N $ � �. 1 1- ❑Adult Signature Required $ ,;_T_ `iY`/�/•IG7 r44 O ❑Aduk Signature Restricted Delivery$ ' '`� ❑Adult Signature Restricted Delivery$ l° Postage p D fu $ Cf..l.7 1 � Q?� �/ N Postage I_I o 7 7 Ili Yb(0 Total Postage end Fees ��(, , i I.rj/ / frtj tj Total Postage and Feesru g-''' r Sent To $ Sent To �-RS p�pER�`I ��c--- ,or C 3 Street andApt.No.,or PO Box W. - a?PRY -- �`- Street andApt.'No.,or Ptj Box No. P.�,gDX 13od N City State,ZlP+4 -- 1 - - WD7� 1� N 119�1 city,state,z�P+4$Du-il'lpl.�1 1�i11 - z-�zcto" V4 Glenn Goldsmith,President gUfFO(�-�o Town Hall Annex A.Nicholas Krupski,Vice President �� Gym 54375 Route 25 Eric Sepenoski y x P.O.Box 1179 Liz Gillooly p Southold,NY 11971 Elizabeth Peeples 4,, �a Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD D E I V E �. BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of SEP 1 7 2024 DAVID & CHRISTINE CZERNIECKI COUNTY OF SUFFOLK ar STATE OF NEW YORK AFFIDAVIT OF POSTING D.O�OT FOMPLE'TE'"THIS FORM:UIVTIL THE POOSTIII G HAS REMAINED IrN PLA",-.E=�F'ORFA;f 4fiLL�ASFT�SE=YENADA_YS PRIOR TO HE PUB IC HEAR NC D TE=COMVT-E' E=2? IS=FORM ON EIGHTHDAYY�OR L-,A°TEI?it, I, ILIA► SIDoi , residing at/dba 20156V 17 aP6wri AiLCAIR6-1- P �- �v5 i3A'J AuC G'XdEV?6) , NY 11144 being duly sworn, depose and say: That on the 05 day of ;0760,0- , 2014 , I personally posted the property known as 965 N OM PP&15W pRlvr-- 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, September 18,2024. Dated: evr7�:V� _jZ (sig re) Sworn to before me this day off 20 c) CONNIE D.BUNCH Notary Public,State of New York No.()113U6185050 Qualified in Suffolk County Commission Expires April 14,2 ODc 6/ Notary Public NOTICE OF HEARING 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: DAVID& CHRISTINE CZERNIECKI SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing dwelling and to construct a second story over existing first story; enclose existing sunroom/breezeway in between dwelling and garage; construct a landward addition and front covered porch; construct a seaward side deck with steps; and to abandon existing septic system and install a new I/A septic system. Located: 955 North Parish Drive, Southold. SCTM# 1000-71-1-10 TIME & DATE OF PUBLIC HEARING: Wednesday, September 18, 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 , NOTICE OF HEARING 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: DAVID & CHRISTINE CZERNIECKI SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing dwelling and to construct a second story over existing first story; enclose existing sunroom/breezeway in between dwelling and garage; construct a landward addition and front covered porch; construct a seaward side deck with steps; and to abandon existing septic system and install a new I/A septic system. Located: 955 North Parish Drive, Southold. SCTM# 1000-71-1-10 TIME & DATE OF PUBLIC HEARING: Wednesday, August 14, 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 I 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). 1 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 deta%.listine both suoporting.and non- supportine 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 0000) SCTM# PROJECT NAME 6 Zau 1V-Y,1 A%Mtoj fLE OJ A-Tl J The Application has been submitted to(check appropriate response): Town Board 0 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: Md Nature and extent of action: A ryiwj ®F j-m S;—Tp -�I -►� Ex�sT�u(� S►t�►6lC S-Sy��l s'�ut,�yp Mw lob a� I R bEcv W wryngbe Of SSRuGIV?E (32b S'F� F :2►�T PoWG (tgo vp Mit fMpr A ybp 1) Ey-a k St'RJ U9�[ (Ug Sr-) i ■ Location of action: 9 55 No"'L PAPNN 4 -1VS 5W-No", t4-1 M-1 1 Site acreage: Oi-56 AC (14,L5o SF) _ Present land use: SINUC FAMiOf (DES\bt 1►AL Present zoning classification: _�L'14 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: ROWOLT T bjz wP AV C i�CT ITs AU��s� (b) Mailing address: 205 '&NJ AQaU�C G1ti wu-'-T , N1 il144 (c) Telephone number: 31 41 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No© If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LNW Section III—Policies; Page 2 for evaluation criteria. Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LNM Section III—Policies Pages 3 through 6 for evaluation criteria Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Ful Yes ❑ No❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section M—Policies Pages 8 through 16 for evaluation criteria 0 Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Bouthold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes ❑ No IDNot Applicable Attach additional she 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 / M1 Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ® Yes ❑No❑ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluationµ criteria. Lg Yes ❑ No ❑Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye❑ No 15� Not Applicable Attach additional sheets if necessary f 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. Yea ❑ No ❑ Not Applicable' Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ©Yes ❑ No❑ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No❑ 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. Lz Yes ❑ No❑ Not Applicable PREPARED TITLE A EU"` DATE V May Zo'L`I