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Cassaro, David
ffF- wcu. l�th9-T� 1 s NE�FD TD A-nFNO i7ti6 Aff(4tA-770V 069- MACF- af-e� 4-s.tq �= jg�pj& xe� &tW;tr,�y d4l xerd' rho uw l U v d L Ci LL /v0 Ol�M r 1 Rv, C a� V 1�C1.G�-�rU�? AI) See r-O 1 /fig 2 M C)naye� �vess ,S red 1 n S 7LC8ed d u Ci n q t -v v sr. u a w� 5 9 oV i 6 Town Hall Albert J.Krupski,Pn r t� 53095 Main Road James King,Vice-Pre P.O.Box 1179 Henry Smith �� Southold,New York 11971 Artie Foster Ken Poliwoda O Telephone 516) $2 Fax(516)765-1823-IB23 March 24, 2000 Amy Martin Fairweather Brown Architects 413 Main Street Greenport NY 11944 RE: JOHN A. DE FILIPPI SCTM #37-7- 10.2 ,Dear Ms. Martin, The Southold Town Board of Trustees reviewed the survey dated and received in our office on March 21, 200, and an on-site inspection made, and determined that the construction of a single family dwelling with septic, well and driveway, to be out of the Wetland jurisdiction, under Chapter 97 of the Town Wetland Code. However, any activity within\ 75' of the Wetland line would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call . Sincerely, , Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. Bldg. Dept. FRANK A.KUJAWSKI,JR.,President.: * r =� TELEPHONE ALBERT J.KRUPSKI,JR.,Vice-President (516)765-1892 JOHN.M.BREDEMEYER,III JOHN L.BEDNOSKI,JR. HENRY P.SMITH F BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall,53095 Main Road- P.O.Box 728 Southold,New York 11971 March 2, 1989 Arnold Blair 301 East 47th Street New York, N.Y.' 10017 Dear Mr. Blair: The. following action was taken by the Board of Town Trustees during .theii regular meeting held. on .February 28, 1989 as follows: WHEREAS the Town Trustees have conducted an on site inspection of the subject property. RESOLVED that the Town Trustees approve the, request made by Arnold Blair for a waiver to construct a single family dwelling on property located on Pine Place, East Marion, N:Y., identified on Suffolk County Tax Map as 1000-37-7-10..2. Please return to the Building Department for a determination on the.need for any other permits which may be required for this project. Very truly yours, Frank A. Kujawski, Jr. \ President /1 Board of Town Trustees FAK:j as cc: . Bldg. Dept. Board of' Appeals - file James F.King,President � rg so yo Town Hall Jill M.Doherty,Vice-President ,`O �� 53095 Route 25 P.O.Box 1179 Peggy A.Dickerson 1L Southold,New York 11971-0959 Dave Bergen cn ac Bob Ghosio,Jr. �� Telephone(631) 765-1892 COW,��' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0326C Date July 7, 2008 THIS CERTIFIES that the in-ground swimming pool,patio &pergola At 3345 Cedar Lane, East Marion Suffolk County Tax Map#37-7-10.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 5/30/06 pursuant to which Trustees Wetland Permit#6394 Dated 6/21/06 was issued, and conforms to all of the requirements and conditions of the applicable provisions of law.The project for which this certificate is being issued is for an in-gLound swimming pool,patio &pergola. The certificate is issued to DAVID &MARY JANE CASSARO owner of the aforesaid property. )XV-af O� Authorized Signature '.�A'�: �In•,:�'rt""+t` .l;y�: �yi'�../��•�:t }T;:.•' �a,,y '..:;�: :v•� 't�s J� n \ 04, AK - r 11 . 111j llam• r± � •" �` •-� _ �: may' � •• • • • . T A f .A: I A 1�\�/�� � '. .•.a-`•,�•`^-. �\.A:1r�y}' ,`�;-,�r�'..+� �-?�u-. r1!'�^ tr I• ,�'�c�`•.•jj'' fit'.. l L SURVEY OF LOTS I51, 155, 156-160 MAP OF 5EGTION 2 6ARD I NER5 SAY E5TATE5 51TUATE: EAST MARION TOWN OF 5OUTHOLD E c E 0 W C 5UFFOLK GOUNTY, NY �1 1 L NAY 3 0 V6 SURVEYED II-09-2005 I �� PROPOSED ACTIONS 05-15-2006 1 Southold Tn,vn SUFFOLK COUNTY TAX a Board of Trslees I000-3-1- 7- 10.2 '20„E (asp.toadwaY) °15 `-- Pine Place ss 3g.45' no,n /aka Cedar Lane, eX15 Iq Wpcer 1 b i� \ e 2og�3� i l •p U0 ° ORV f;1tip� bI J Q �����\�.-0 ~`e�',•'. /� I I '\, /°,�6 cry "d o / / APPROVED BY BOARD OF TRUSTEES R— .. 1.00 % TO OF SOUTHOLD ` CHIC G Zi o6 CERTngM TO: DAVID T.CASSARO bJARY JANE CASSARO FIRST AbHR1CAN TTrtE INSURANCE 001RANY OFNEW YORK WELLS FARGO BANS,NA NOTE5: ■ MONUMENT FOUND F STAKE FOUND .,.,..,.�..... ..w., ELEVATIONS REFERENCE N6VD'29 }.i` `• AREA =45,15b S.F.OR 1.04 ACRES "it GRAPHIC SCALE 1"= 40' JOHN C.EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.1]C NO.5D2D2 RNFNffAD,N•Y.11901 369-8288 Fu 369-8287 RI'J',llC®py,ave�os�905198-181H.pm ai r ��'A<.� • vim.. �.. � '. j 11 t � t _s r � r M ! g{ i I 2 3 4 5 G 7 8 9 10 I I 12. 13 14 15 16 17 -_ ISSUES/RENSIONS N c K 1 h h d' 1 rl •. CO III 1 I P 1��1 11 II VV FIN e'©MR— Lu Lu FIN la[flR coI iIG L W ^ :^� LL' ALL RIG%R,CSERYED T[iPSE PIAIL9 ARC AN 1NSTRUMCIR OP ,w SCRVI TEcrRC TRNGI!W T5Mt �.I PRM CU UTWNGWCMS WIIL Z Beae rxose!ureD. DRIVE WAY SIDE �a5MSCALE; F IM'.I O' ` ` cJ N N xE W //• V _Z JOHN A.4 JOMN E. �G� �I y11 j'I1I-}I'�-�Iu� DEFILIPPI - � L'j U I YLij y PINE PLACE/CEDAR LANE D W EAST MARION•N.Y. L //a� 11935 FIN FIR zR— - - I I - _ - - �/ %) a PROJECT TITLE II � ; � ® � � NEW CONSTRUCTION C II N li 2 Q DRAY.INC—TITLE RN Is.nR— LJ �I� I I I I I I L 3 ELEVATIONS B DATE SCALE 1/9 e 1 a ISSUE Q[ JULY 1312000 JUL 14 MD AR = DRAW[NO NO. \ eWr \ / • RFAYbIA L A 4 WATER SIDE � � RFYORnv,;yN.vw9 T,SWE:IK'-1O' Aw w.xun::mcr.�� ,E ,a e[.uunalcv_rc ��. H 4r�m�o ina`:a.A FNf+I REF.N0. � 9905 I� I 2 3 4 5 6 7 8 9 10 II 12 13 14 15 16 17 I i ISSUES RVIVIONS -� I I N r- CD M UP I } — � — I nose tulle I I Z 4F�- Irr ------------ I o CL LiJ Lu L I I I �+ I lJ < •ry i-----------------------------pal, O I I I LU ALL RIGIIISR !KM �I TnESC MANS ARE AN IN5Tw 4T Or II N 5t3LWLe AND ARE ME FROPtR OF ME"IMIM7.INFRINGEMENT5 WILL u O.•NOE BE PROSECUTED.o I �� 11 �J h a I @ II • N I JI —� I E. E.J[I - ' I --n05e —- I I DELR I 6os� 5sa N COUMER ry .. —a` —- 5'-r •I'-.. L_�—32:_ ..-A A'.v --G4 - i' L 1•----- - - --•---- - , .•..• _ S•4• .Phi_',I:-D_,2>I,' --� i ;1 5'-... 2'9` -. _ I _ -. _ - - I I CLIENT/OWNER a Dser C[MRAL AL ii UP + DEN GUE9T,ROOK WATER - F J.`I= I I Z JOHN A.4 JOHN E. I I I I I DEFILIPPI D .wvDe•I=Arllc; O nEATEx U I� — enm I' , y PINE PLACE/C?DAR LANE �- U1, (t ff- I I W EAST MARION,N.Y. Rur �"' 11939 a I i PROJECT TITLE NEW C0115TRJCTION n f- II -< W "• .6y1'_--_t.1L ..2':3' y Ial ) 2'-0' Z-tl' ,� .T:b.'._ 1 -.5'l'_ �.2.3°_.. _._T�i_._ RAVING TITLE co - --- --- j FIIZ5T FLOOR 72' _ --- ------------•• m DATE scALE �, I/A'�I'q• ISSUE 13.2000 JUL 14 2n TW DRAWING NO FIR F L O O R AP .. CAI: I/n-IC �[Lt,lOutEn.lY 9 A F • .WTw Y.�M�AIl;IOni� ; `C C FO F➢�BFAIEDTJO �,E /T/ I '� 1vIMllm WxtCaEUG: 341 i ii NE'N REF.NO. 9905 LL SITE PLAN FOR CASSARO RESIDENCE 3345 CEDAR LANE EAST MARION NY SCTM : 1000-37-07-10.2 AREA 45,156 S.F. C� SCALE I = 30 y 4 3y.�52o� 0 M N oM LM �f' r Is,38. pyr i� 0 0 _o M _M U O ZS4Z 483o„E >� U z; 0 M N oM 3G4. ip ry 0 rw ry b N_J NEW DECK SECTION r h ry M M 36 4• AS-BUILT DECK N '2' co o M AW ^I N 60 10, 10 C M A% a 0 Q 1� N Z V W O D ' C IVE j NOV - 9 2018 Sauttold Town Board o Tr us ee p 1 SS ROBERT WILSON STARTok PO BOX 49 SOUTHOLD NY 11971 permits I drafting I expediting G Suf;,,V L_Y OF LOTS 131 , 133, 136-I0v - MAP OF SEGT I ON 2 64RD I NER5 BAY ESTATES SITUATE: EAST MARION TOM OF SOUTHOLD � SUFFOLK COUNTY, NY SURVEYED II-0q-2005 PROPOSED ACTIONS 05-1,5-2006 5UFFOLK COUNTY TAX # 1000 - 3-1 - '7 - 10.2 11� "oadway) • place s83�5�a�5° pi�e 3 er main Cedar Lane) wa crN q ° " b Q` �(j, 0 Iq ,n, O hu f o U / W 0 Oc `;Ir U 3 � A 0 M N b r %' �st. o N��� tom n� .,�•• �+ / gory \ � O� ; tee:'•.. /' : mup, f Y 4s. /r`� rv' aL ry �; M / 42 / 1` ys /, / � I c6q NYSDEC APPROVED AS PER TERM A''MM/om MM CERTIFIED TO: 0.3 DAVID T.CASSARO MARY JANE CASSARO :i( FIRST AMERICAN TTIZE INSURANCE r' 4.., COMPANY OF NEW YORK WELLS FARGO BAND.N.A. (/ NOTES: ■ MONUMENT FOUND � •'�'f - •IkuulhorltW sit ration er 40.lt/en to.sko..Y - `.t - ;': •; . ■.O Ot■ring■IIC■rw0 1■n0■urtsYOr'•N■I U■ STAKE FOUND i ': YI■1■cl.n of..ttlon w Yo. .u•-a.Eamn i ■r eh■ `♦ -� sl.r York 9tst.I.Iw 2. f th. :•, ,' 'I Y� :M1� 'On1Y eopis.fro■I orl01n.1 of this surrey �., ■srk d■ltn.n a•l'i"I Of tn.l.ro sunw.r's }... 1, •j 'i., !,: .ts.lro N■I sMll M Con■Io va to b.r811e tra. ELEVATIONS REFERENCE N6V0'2q `,-<..y:` =.. ` ���LLf" ,Crtlflt.tlon.InO1co W Mr.M■1Ynity t1.apMt. -(• /j� urv.y.os prop-ed In.ccor0snc.■lth tns sx- �,. Istln■C■0.of Pr.etle.for trW arr.n Wootsd AREA = 45,15b S.F. OR 1.04 ACRES .��,- .. Land th.u.■V.9t.t.l...el.tlon.f.11frulonsl V•� -' ��ti('�J+/�,// LW to th ors. to cMISHe.tSW■■Isl run ONy •, •�-_�',ye�:•=i',' ,•^ .n0 on pl.o.n�lT tOrtM�tlt1•cosonYl ynr.rrrn- '�•%„�, ni•'•� t■1 so.ncY and!I.n01n0 lrulllulton IIstW Mr..n, sn. to tM■.sSOns.■Of tM l.nolnp Institution. csrtiflc.- tl.n..r.not tr.n.f.r.■l.to so■Itlon.l Institutions GRAPHIG 5GALE I 40' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.UC.NO.50202 RWERHEADAY.11901 369-8288 Rx 369-8287 REF.1\Compagsecveil=X90S\98-184H.pro CASSARO RESIDENCE 1695 GREENWAY E --- EAST MARION NY EXISTING: SINGLE FAMILY, TWO STORY RESIDENCE WITH ATTACHED GARAGE U PROPOSED: SAME WITH 94 SQ. FT. OCT 2 4 2018 ADDITION TO EXISTING DECK IN PLACE OF PART OF EXISTING STAIRS. - -- - - - - - --- - - --- - -- ---_ GENERAL NOTES 1. Ap work Shell coniam to the requirements a the Residenrel Code d New Vork _ __ _- -__ ep meet Regulations,Utility pant requirements and cafe, ty and own an a tit Corr r ulna -- Board Or!r:l;t".PS- _ ( beer Trade Praalsr. ngY II fees repined by alle k35 and obtain all eq 2. Before commencing work the Contactor shall file all documens required by me Building Department, a Ion enc r dred permis. 3. The Camrauor shall visit the site and verify all dimensions and the ewslinq conditions affecting the vmrk prior to corebucnon. Any discrepancies which mild interfere vAth the sate ac[ay compleotion of the mrk aescnbed herein shall be EXISTING DECK__'-.___ reported to Me architect or property amen. De rxu stars work until such condition --- -'- - ---- __. --- -- --- -' - -- --- -'---- -_ _. ----'-- -------------- --------- -- ---- ._.._- ----- ----- -------- - ------ ------ - .._____.- --- - -'--- ------'- --- -- --- ----------- ------- - '--- -----------'- - ------- --- - -'--- --'--. _. .._.__--- --------'--'------- -- -- ---'-- -"' _.___....---- - --- - .._- _ -_ ._ _ ___ ._-'---'---- - --------- -.. _.. _.-- '- '---- —rued as an accept NO CHANGES have examined err a course o ea mutually agreed upon. Ilu2 to notify - the owner or archifea d unsatisfactory cortlrtbns will be ante the conditions[0 r- papery perform the required coo . of the architect and_ ._ _..__._..._...___........... .... .._._.__.__.- _ _..__.__.__ ...,.. ._._._._...._ .._.___ _.. _._.._..__ .__._.. .._____._. _...__._ form to me draWngsa specification _-___ .. 4. A nark Is to con nd sped to maintain a plate and UD to date Seto plans on he erg ear consultants S. The Connector is tom / lob slot at all tlmes 6. The tlravAngs are not to be scaled under any circumstances, - - ltsIIO be the Contraclofs responsibility to ascertain all prevailing procedure InaW rig storage and toile)faUllUes,protecWn of ex`stirt9 work to remaln.eaaw to Mrk area,howl of permitted vork,avellabilily of water and olaotdo power and 311 Darer condtiens and reslrktions fa this Particular bcadc0 in order to execute Oa careful an del manner the least possible ds the h JOISTS FASTENED--------------- ---- ---_ ---- .- "__-___._-_-_- - __ work m a c and Y manna ry g flflll ce to public. ..___- ____ ___. _ ____._._._. _ - ._ 8. The Contractor shall make the neaesa arrangements to utiGtles and servCes -- --••---- --------- ---- BY TECO TO EXIST. DECK ------ --- - --- - -- --- -- - ------- --- temporarily disconnected wide performing the work m required. 9. The Contractor shall provide a0 dimensions and rot-arse fa aher redes. .,.. ..>.;,.:;..._ __-...-.'.,,.._,.'... --� •. .�.,._.-.. .:.,. ._ -_ _..., _ _ 10.The Contractor shall provide prom shoring and hating for all remaining 3tucmre prior to removal or etmL'g suudure. N 11.Plumbing,eleculoe,HVAC and similar work shall be performed by licensed -- - - - persons who shall arrange for and obtain all required Inspecaons.The General _.. - _ _" _ .._ _ _ _ i Commctor shall be responsihb for scheduling all other Impecuoris w required. r 12.The Canroaor is Solely responsible for corswctlon eatery and shall laid he amer and architect harmless from litigation arising out of the Comractons failure to ANEW•SECTION OF-DµEC-K' - - -` provide construction safety means and methods. wi0 ud - ?.0 A -- - CONSTRUCTION NOTES x. 2-2x10 GIRDER - - - - _ - 1. All footings shall rest on undisturbed soil at a minimum of 36'below fat gad-. Z FASTENED TO - - - _ - _ - -- - - - 2. Poured concrete shall have a minimum psi of 2800 at 28 days unless now. 3. Sin pales shall be preserved,treated wood and be Installed above a 16 oz PLAN 4x4 POSTS copper termite sheild. / IA = 1_O kA ANCHOREDT TO 4. Shingle siding snail conform to ASTM D 3679 and be installed in acoordame 8" SONOTUBES with the New York State Bunting Code and manufacturers specifications. ON 16" POURED 81" i'-9" 4'-81" S. Flings shag be lnnallad by a licensed contractor to a tlapn and ba30ng ageed CONCRETE FIGS. 4 upon by an engfneer and oertdlcales shall be Issued stathg same. 6. Unless otherwise rated all framing and structural wood components shall be E14'-10" x2 a ball r Douglas FR. 7. All framing techniques and methods shall be w prescdpive design based an AFBP Wood Frame Construction Manual for One and Iwo Family Dwellings(WFCM) 1 or as specified In R301.2.1.1 S. All building envelope canpoments shall comply With Chapter 6 a the Energy Conservation Code or the State a New York. 9. Firehockmg shall be provided in all wood framed construction in accordanca with NYS Code R 602.8 to form an effective fire barrier bervvean stories end between the top story and roof space. to. Protective panels shall be provided for glazed openings In accordance wilt NYS code R301.2.1.2 9 they are required. HANDRAIL @ 36" 11. All portions of the rfety strcture are designed to campy Win local gcognphic and climate orkena as stated In the fonowng table. GEOGRAPHIC & CLIMATE DESIGN CRITERIA GROUND SNOW LOAD 45 PSI WIND SPEED 134 MPH SEISMIC DESIGN CATATGORY B WEATHERING SEVERE FROST LINE DEPTH 36, O N C TERMITE THREAT MODERATE TO HEAVY 4x4 POSTS NOTCHED AND BOLTED TO JOIST C��// DECAY SLIGHT TO L40DEPATE fh �� `✓Y WINTER DESIGN TEMPERATURE 11 O� FLOOD HAZARD AS VOTED 1x6 WOOD DECKIN �5). D�Ep� 2x8 JOISTS @ 16" O.0 A-101 DECK PLAN AND SECTION 2-2x10 GIRDER FASTENED TO AND BEARING DIRECTLY ON POSTS JOISTS FASTENED TO f- y,�WL w 4x4 ACQ POSTS ANCHORED TO FTG EXISTING DECK BY TECO C7 t: W q c^ Z DECK PLAN SECTION I ro ZN�©A�o "t-'r OrL �C? SCALE AS NOTED AUGUST 17TH 2018 1 �, 1 /4" - -0 '�OF�ss�o P� ress ROBERT WILSON STAR PO TH 49 D 4x4 ACID POSTS ANCHORED TO 631-29 - NY 11971 8" SONOTUBE OR EQUAL ON 631-294-4241 o permits drafting exoeditin- 1 16" DIA. x 4" POURED CONCRETE FTG. i) A 101 1 OF 1 5URVEY OF LOTS 151, 155, 156--160 MAP OF SECTION 2 ; &^RDINER.5 SAY E5TATE5 SITUATE:--Ef5T MARION � � � � � � TOM OFLD D � SUFFOLK COUNTY, NY UK 3 0 M GUF Vl+YED II-0PI-2045 PROPOSED ACTIONS 05-18-2006 Southo;d Town SUFFOLK COUNTY TAX # Sasrd of Tmstms 1000 - 91 - 'i - 10.2 „E (asp.rdway) plaCe °�5 �+�POW S$ 3g. w er ma n{a edu� Lone) M ex g ��+ wa r °ev� 0 �a 10 / �y / nin ^. O a o "i , / tl' •� O 3 , / oq, ." Alp a u / Av APPROVED BY R BOARD OF TRUSTEES � I 00i TOWN OF SOUTHOLD \O , { 01ATE CXR't�TO: DAM T.CASSARO CMeANY GFNSW YMX WELi,.9 FAROD RAW N.A. . .• NOTES. ---- `Y, �;s` � '�p"i MONUMENT FOUfrD ,, �- — �I •�.,, :... � STAKE FOUND �.J ���tom{«e�+rer•�w.u• /� p .. _ q t P 7 ►1tl�!!on Of a�etf���mc�kUn LM: O CT T. 2 4 2018 a ��f d "a�.r asfM Mr try rt�t�t of air wrn► 1 y t.'$ t�.rly�MtT�at/Lrtt M 1�Mq0�p7ll�•'• ELEVATfONS R�ENCE hff VD'2a ., .s •••►•�•....aea....a ti come, AREA = 45,156 S.F. 4R 1.04 ACRES Scu;f,n!d;m;vn ',,,rorkM' b uWntlemo Board of I I IlSfn°S •j Iata�er wr. ftr ety wr.Navu"At ofttot t• y!f Il "m b tlr 4ltL e> tom. t0 tr v�M Vet vo rilo�ttWyt•1 &r�aP-FIC SCALE I't= Qor JOHN c.EEll RS LAND SURVEYOR IfA�twpp�.EpdWr►y vtra r.r• m arrn AD.N.Y.11981 a..s..a. a�w..yu/y 3QA••i�81+a369•�M87 1tHP.l 1{{�p Michael J. Domino,Pret - ,�.; $OfFO(k O�Q CMG Town Hall Annex John M. Bredemeyer II1,Vic&?resident ,�� �% ' "" ' 54375 Route 25 Glenn Goldsmith y =' P.O.Box 1179 A.Nicholas Krupski p Southold,NY 11971 Greg Williams y ® p� Telephone(631)765-1892 col Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: � Completed'in field by: TV Robert Wilson on behalf of DAVID CASSARO requests an Administrative Permit for the existing 892sq.ft. (71'2"x36'4" overall dimensions) wrap-around seaward side deck; and to convert a portion of the existing seaward side stairs to 94sq.ft. of additional deck space. Located: 3345 Cedar Lane, East Marion. SCTM# 1000=37-7-10.2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: '75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice o Baring Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested.modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other ..t ..�1bavid Cassar. (345 Cedar Lane,East Marion /11 1 12/5/18 �• `i jai; :�,�-� �!. 71 du I I .1 � o .�ys`• _- 12 / 5:/2018 Fr � I11 1 f IL i s oo� � t, R o, off 40 0 00 I 5 t P .1' , � ' - ►''► V 1 I r i � •' �. � .. �¢ try, "�' 0 jjj r- E � l - krr� "•- -..� e'' :.,mow.-��.<1I —! .. ...-. • � I ♦ ` � to pimp �.A J lop ",I Cesar la it Google Instructions Applications that received Health Department approval more than six(6)years ago and have not been inspected by the Health Department are not transferrable or renewable. The applicant must submit a completely new application package and fee, specific to the type of project being proposed. For information and forms, call(631)852-5700, email HealthWWMO.suffolkcountvny.aov, or visit www.suffolkcountyny.gov/Health under"Documents and Forms". TRANSFERRING A PERMIT Complete Sections 1 and 4. You must also complete either Section 2 (when previous applicant/agent is available)or Section 3(when previous applicant/agent is not available). If neither Section 2 nor Section 3 can be completed, the Permit cannot be transferred. The applicant must submit anew application package and fee specific to the type of project being proposed. A. Application fee: See current fee schedule. A"Residential Construction-Single Family-Transfer"fee will be required as well as a"Residential Construction-Single Family-Renewal'fee if the permit has expired. B. If you require additional copies of the previous Health Dept. approval of the project(for TownNillage Building Dept., etc.), please submit three(3)original prints of the site plan/survey previously approved by this Department for this project. Additional information may be required. C. If you are transferring a permit submission that has not yet received approval from this Department, please submit all outstanding items required to allow the issuance of a permit by this Department. Refer to the latest Notice of Incomplete Application and/or Notice of Non-Conformande-Residential (Forms WWM-042&043) prepared for your project. RENEWING A PERMIT Complete Sections 1 and 4. A. Application fee: See current fee schedule. A"Residential Construction-Single Family-Renewal"fee will be required as well as a"Residential Construction-Single Family-Transfer"fee if the permit is also being transferred. B. 'If you require additional copies of the previous Health Dept. approval of the project(for TownNillage Building Dept., etc.), please submit three(3) original prints of the site plan/survey previously approved by this Department for this project. Additional information may be required. C. If the original date of issuance is greater than six(6)years old and inspections have been conducted by the Health Department, submit this form along with a full residential permit fee, see current fee schedule. If the original date of issuance is greater than six(6)years old and inspections have not been conducted by the Health Department, the application cannot be renewed. The applicant must submit a completely new application package and fee, specific to the type of project being proposed. REVISIONS TO EXISTING PERMITS If you are transferring and/or renewing an application and are also making any minor modifications to the project that differ from,the originally approved permit, you must submit three(3)original prints of a site plan or survey that clearly show your project revisions. An additional fee may be required if the revisions or modifications are deemed to be substantial in nature. SIGNATURES MUST BE ORIGINAL, PHOTOCOPIES NOT ACCEPTED. WWM-104(Rev. 02/12) 777 RZNMFWPF- G'1' S- 2ay�' Per P 1T.1'� R•`� ``� ` (� y' 9`,`,�,. 00 ,oOi _P' _ b BF a 21 • , � <.i` ] _____ _any �I/, - � � ''d O' "e 13 ORIENT a � . ap"'rt. a to !• -/ ' az HARBOR • � F"° ��•. 1t .rul �dr ,,, - — -- --�-- ®� --•-- NOTICE t COUNTYOFSUFFOLK © K v S SECTION NO OUTHOLD E (2tl O �•- --'-- —_—_•—_— _ ,:...,a.�cK*�a*�� � _ Real Property Tax Service Agency r :r..------ a --- -— -- — - —= - ,,,,,�f.,,,..a,,,.,,,..a.r+r,,.o, m. 037 .aw�naaoµ.,mo n e 11 SPIN MINIMUMS @='=^_-�Il,2:rr•:r- �i.;.�...,..y6 �, - --- '- ' _ �...g.... a„'e�.. p 'ar-Jfa..�:�i•d.., a:=�.�•-;.�.-'' raoremwwenrw OFFICE LOCATION: ������ SOujyQl MAILING ADDRESS: Town Hall Annex O P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) va. G Q Telephone: 631 765-1938 Southold, NY 11971 , • �O LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: December 6, 2018 Re: Local Waterfront Coastal Consistency Review for DAVID CASSARO SCTM# 1000-37-7-10.2 Robert Wilson on behalf of DAVID CASSARO requests an Administrative Permit for the existing 892sq.ft. (71'2"x36'4" overall dimensions) wrap-around seaward side deck; and to convert a portion of the existing seaward side stairs to 94sq.ft. of additional deck space. Located: 3345 Cedar Lane, East Marion. SCTM# 1000-37-7-10.2 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 Form submitted to this department, as well as the records available to me, it is my recommendation that the as built existing wrap around seaward side deck is INCONSISTENT with the Policy Standards 6.3 and therefore is INCONSISTENT with the LWRP. The conversion on the existing side stairs to 94 sq. ft. of additional deck space is recommended as CONSISTENT. 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: Damon Hagan, Assistant Town Attorney f - . � y Michael J. Domino, President g1�FFU(,��o�� coGy Town Hall Annex John M. Bredemeyer, III, Vice-President 54375 Route 25 Glenn Goldsmith N ,ac P.O. Box 1179 A Nicholas Krupski • Southold, NY 11971 Greg Williams l ad �a�! Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES TO: SOUTHOLD TOWN BUILDING DEPARTMENTS RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT RE ]REMENTS f . ' OCT 2 9 2018 ir.. SCTM#: J l�� � VASJ'A-PO . =1 ;1 7,.D Property Owner Name: Date Sent to Bldg. Dept: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered a Demolition as described under Town Code? COMMENTS: to 3l l� ignature of Reviewer Date Michael J.Domino,President Town Hall Annex 54375 Route 25 John M.Bredemeyer 111,Vice-President Charles J.Sanders P.O.Box 1179 Southold,New York 11971 Qlenn Goldsnuth Telephone(631)765-1892 A.Nicholas Krupsk! Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension --��—Rcceived Application: ;�Received Fee: $_�.00 f A-S 'FE L', C', 11 V, ' 'Cornpleted Application: A,Ilk E Incomplete:. F)) _SEQRA,Classification: Type I Type 11 Unlisted -Lead Agency Determination: T 2 4 2018 Coordination:(date sent): Consistency Assessment Form Sent: CAC Referral Sent: Board�if Trt.,,J,_5 —/—Date of Inspection: -Receipt of CAC Report: Technical Review: 1- PublicHearing Held: -Resolution: Legal Name of Property Owner(s): 0avidCassaro Mailing Address: 3345 Cedar Lane SeuthpW-NY 11971 Phone Number: Suffolk County Tax Map Number: 1000 37-7-10.2 Property Location: 3345 Cedar Lane�ettiiT81'c!'NY 11971 150' NWof.Oak Ave. (If necessary,provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable): Rohert XMISon Mailing Address: PQ Box 49- mithn1ri-NY119771 Phone Number: (ra3j.)504--aa42- Board .of Trustees. Appl_, -,'tion GENERAL DATA Land Area(in square feet): 45,153 sq..ft. Area Zoning:, R-40 L o pL D nsity R6sidPnt_ iA Previous use of property: Single Family Residential Intended use of property: Same Covenants and Restrictions on'property? Yes' . V No If"Yes",please provide a copy. Will this project require a Building.Permit as per Town Code? V/ Yes No If"Yes",be advised this application will be reviewed by the Building Dept:prior.to a Board of Trustee'review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. Will this project require.any demolition as per Town Code or as determined by the Building Dept.? Yes Does.the structure(s) on property.have a valid Certificate of Occupancy? Yes No . Prior permits/approvals for site improvements: Agency Date Southold Town-Building Department October 2nd 2000 Southold Town Trustees June 2Tst M NYS DEC October 20th 2006 Southold Town Building bepartment November 15th 2006 Southold Town Building Department July 1st 2010 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): Obtain permit to legalize existing wrap around deck . . on,waterside of-house. Total area of deck is 892 sq. ft, The over all.dimensions are,7V-2" x 3 Also convert a onion of the existing waterside stairs to 94sq. ft: of additional decks ace. Board.of Trustees A0p1!,_ _,tion GENERAL DATA Land Area(in square feet):. 45,153 sq.ft. Area Zoning: R-dO I_ow f� _Wait R _sidPntial " Previous use of property: " Single Family Residential Intended use of property.: Same. 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 No If."Yes",be advised this application will be reviewed by,the Building Dept.prior,to a Board:of Trustee review and Elevation Plans will be required. Does this project require a:varian'ce from the Zoning'Board of Appeals? Yes 'No If"Yes",please provide copy of decision. Will this project require".any demolition as per Town Code or as determined by.the Building Dept.? Yes Does;the structure"(s).on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date Southold Town Buildinct Department October 2nd.2000 . Southold Town Trustees uJ`ne� 0 NYS DEC October 20th 2006 Southold Town Building Department _ November 15th 2006 Southold Town Building Department July 1 st 2010 No prior permits/approvals for site improvements. Has.any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes,provide explanation: Project Description(use attachments if necessary): Convert existing stairs to a'94sq. ft. new section of deck on the water side of the house. Hoard:of: Trustees App11_ .,:ion. WETLAND/TRUSTEE LANDS.APPLICATION DATA Purpose of the proposed operations: t gbAdd 94;sq.::f. of useable.recreation space , y.removing part of the existi rig,stairs,and:replacing;them,with an expansion'.ofahe:deck.,No:change to the overall footprint._ "..Area ofwetlands onaot: 2405 square feet' Percent coverage of lot: 5.3. Closest distance between,nearest existing structure and'upland edge of wetlands:. 80'-5". . feet Closest distance between nearest proposed structure an upland edge of wetlands::::80`-5" feet Does the project involve excavation_or filling? No.. . Yes. If yes, how 'much materiAl-Mill be excavated?:: NSA: cubic yards How much material will be filled? NSA cubic yards Depth.of which material will be removed or deposited: N/A. Proposed.slope throughout the area of operations: Flat Manner.in which material will lie removed or deposited: .. NIA Statement of the effect,if any,..on the wetlands and tidal waters of the,town.that may result by reason.of'such proposed o erations(u.se attachments ifappropriate ) Any effect on.the'wetlands will be minimal..The projedt does not move closer to the ed9e of the wetlands;no does it increase-the amm ount.of im,pervious'surfaee,.and will,:therefore not create' any additional:stormwater,runoff... . Board of Trustees Appl ;tion COASTAL EROSION APPLICATION.DATA Purposes of proposed activity: Create 94sq:ft. of additional recreation space on an existing deck by removing a,portion of the existing stairs and replacing.them with a new—deck. Are wetlands present within 100 feet of the proposed activity? i _No. _ Yes. Does the project involve,excavation or filling? _V�No ;Yes If Yes,how much material will be excavated? N/A (cubic yards) How much material will be filled? N/A (cubic yards) Manner in which material will be removed or deposited: N/A Describe the nature..and extent.of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed,:including erosion increase or adverse effects on natural protective'features. (Use attachments if necessary) Any environmental impact will be minimal. The project.does not move closer to the.edge ,- of the wetlands, nor does it increase the total area.of impervious surface. 617 20 Appendix B Short Environmental Assessment Form hisfeucli6iW f it Comolet'int-1 Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of.the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part_1 based on information currently available. If additional research or investigation would be needed to fully respond.to any item,please answer as thoroughly as possible based on current information. Complete all items in Part I. 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. Pant 1 -Project and Sponsor Information Name of Action or Project: -� Cassaro Deck Addition Project Location(describe,.and attach a location map): _3345 Cedar Lane East Marion NY Brief Description of Proposed Actioni Convert a portion of existing staircase to deck to create Name of Applicant or Sponsor: Telephone:(631)504-8842 „ .Robert Wilson E-Mail.pressSTARTpermits@gmail.com Address: PO Box 49 City/PO: State:. Zip Code: Southold _.NY 71 _ 1:Does the proposed action only involve the legislative adoption of a plan,local law,ordinance;. NO YES- administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that " may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does.the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)'name,and permit or approval: " Southold-Town.Building Department 3.a.Total acreage of the site of the proposed action? 1.04 acres b.Total acreage to be physically disturbed? 0.0di8 acres (78sq.ft) c.Total acreage(project site and;any contiguous properties)owned. or controlled by the applicant or,project sponsor? 1.04 . acres 4. Check all:land uses that occur on,adjoining and near the proposed action. 11 ❑Urban [I Rural(non-agriculture) ❑Industrial ❑Commercial IYJResidential(suburban) OForest ❑Agriculture ❑Aquatic (]Other(specify)': op. rkland. Page 1 of 4. 5. Is the proposed action, . NO.. YES . .N/A . a.A permitted use under the zoning regulations? a E b.Consistent with the adopted comprehensive plan? a 0 G. 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:_^___ _ N_ 8:. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES: oa- b.Are public transportation service(s)available.at or near the site of.the proposed action? _ as �/, c.Are any pedestrian accommodations or bicycle routes available on or near site'of the proposed action?. 4.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: 21 14. Will the proposed action connect to an existing public/private.water supply? NO ' YES g If No,.describe method for providin potable water:W w �_' • _w� Proposed action is El 11.Will the-proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: The project is simply an extension of an existing deck,and will not create any wastewater. 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES, Places? oLl b.Is the proposed action located in an archeological sensitive area? I Ka.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? n b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur.on,.or are likely to be found on the,project site. Check all that apply: FXShoreline ❑Forest Agricultural/grasslands rlEarly mid-successional �.Wetland ❑Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES: by the State or Federal government as threatened or endangered? a ❑w 16.is the project site located in the 100 year.flood plain? NO. YES 17.Will the proposed action create storm water diischarge,.either from point or.non-point sources? � NO If Yes, . a.Will storm water discharges flow to adjacent properties? Q NO ❑YES ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? . If Yes,briefly cl'escribe: ❑NO .❑YES Page 2 of 4 18.-Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond;waste lagoon,dam)? If Yes,explain purpose and size; moo 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? f Yes,describe::__ a 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: . - F I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY' KNOWLEDGE Applicant/sponsor name*- Robert Wilson Date: OctDber23rd 20i8 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2, Answer all of the.following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the.reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact . may may. _ occur occur I Will the pro osed action create a material conflict with an adopted land use Ian or zoningregu D proposed P P LJ, 2. Will the proposed action result iri a change in the use or intensity of use of land? a 3. . Will the proposed action impair the character or quality of the existing community? 4. W ill the proposed action have an,impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(GEM 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? E �6. Will the proposed action-cause.an increase in the use of energy and it faits to incorporate reasonably available energy conservation or renewabje energy opportunities?.. u( ❑ ?. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? �8. Will the proposed action.impair the character or quality of important historic,.archaeological, architectural or aesthetic resources? 9. W iIJ 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 . No,or Moderate small to large [:Impact impact may Imay occur occur 10: Will the proposed action.result in an increase in the potential for erosion,flooding or drainage problems? El 11. Will the proposed action create a hazard-to environmental resources or human health? t/ 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 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. „ aCheck this box if you have determined,based on the information and analysis above,and any suppoiting'docuinentation, 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 7 Name of Lead Agency ate Mi c h President Print or Typ�/ff essp_o�nsible Of cer in Lead Agency Title of Responsible'Officer Signature of Responsibl�Officer ui Lead Agency Signature of Prepfirer(if different from Responsible Officer) PRINT Page 4 of4 i Board of Trustees Application AUTHORIZATIOlet (Where the applicant is not the owner) I/We, �ca7!//G� �oZSS og ^0 owners of the property identified as SCTM# 1000-_3 7 • — 7 — • Z—in the town of ,New York,hereby authorizes Robert Wilson _ 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 Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS a—T', DAY OF e� , 20 Notary Public CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2®a-0 i Board of Trustees Application AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. z Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF 20 / L�i51►� � -� l Notary Public CONNIE D. BUNCH Notary Public,State of Nov York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2_p6_0 t APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM I The Town of Southold's Code of Ethics nrohibits conflicts of interest on the part of town officers and employees.The purpose of f 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 L/.//�� ,,/ YOUR NAME: o7 I// 4fas s o7,^O (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.) i NAME OF APPLICATION: (Check all that apply.) }}j Tax grievance Building I 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.ntarriage,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 _ 1 Title or position of that person 1 Describe(lie relationship between yourself(the applicanUagent/representative)and the town officer or employee.Either check E the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)Ute owner of greater than 5%of the shares of the corporate stock of(he applicant I (when the applicant is a corporation); _13)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 i ay 20 Signature .� Print Name P.O w oC. t,aJ s�� Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Sotitholdts.Code of Ethics:prohibits conflicts o£interest on the•part-of town officers Lind emnlovecs:Th6purnose.of this im is to'116vidc.ipfotination which.Sig alert the town ofoossible.conflictc"ofinterest and allow:into"take wh"atevcr action is necessary to avoid same' a YOUR NAME: W on,:-Roi]Art.s- (Last name,first nurse,jtiddle initial,unless you are applyQ 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,) I)o yoti personally(orthrough your company;spouse;sibling,parent,or child).have a rclationshila with any.officer orcmployee of the Town of Sotnhold? "Relationship"'includes;hy blood.njarringc,:or-bdsincss interest:"Ausincss:intcresf'means'a business, incltiding a partnership;in which the tows}officer oremploycc has even a partial ownerstiip:of(or-employment by)acorporation' in which the town offic-cr oreniploycc'owns more than 50%of the shares, YES . :NO Ifydu answered"YES';complete the balance of this form and slate and sign where indicated. Name of person employed by the Town of Southold- ' Title or position of that person I)isgrA the relationship beiween yourself(the opplicandagenUrepresentative)and the town officer or employee..Either check the appropriate line A)through D)stid/or,describe"in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner:of greater than 5%of the shames of the corporate stock of the applicant , (whep the'.applicani is a corporation); �_-13).the lcgal.br_beneficiAl,owner."of any,i nterest'in'anon-corporaie.cntity(wtteit the applicant is itot'a corporation); C)an oficer;director,partngi,or employee ofthe'appliiant;or D)the actual applicant DESCRIPTION.OF RELATIONSHIP Submitted this f 26_, Signalure: Print Name Form TS l '` Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS L. 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 oval.uatet.as jo its, s'1iwnificant :beneficial-and adverse:effects uuon the coastal area(wliicl.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,_listink both supOrtina.and non- Sup init.facts. If an action cannot be certified as consistent with the LWRP..policy standards and conditions,:it'shall-noVbe undertaken: A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.nei),.the Board'of Trustees Office, the Planning Department; all. u local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 37. 7 PROJECT NAME Cassaro Addition The,Application has.been submitted to(check appropriate response); Town Board 0 Planning Board❑. Building Dept. 0 Board of Trustees ; I. . Category of Town.of Southold agency action(check appropria&response): . (a) Action undertaken directly by Town agency(e.g.capital 0 . construction,planning.activity;agency regulation,land transaction) . a (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Remoye;a portion of existing stairs on seaward side of an existing deck and replace them with. : Aaq_tt of addficmaLC1ej*_,spacP i Location of action; 3345 Cedar.Lane East Marion NY Site acreage: 1 04 acres Present land use: Single family residential Present zoning classification: R-40 Low density residential. I 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:.Robert Wilson (b) Mailing address: PO Box:49 Southold;NYJ 1979 (c) Telephone number:,Area Code( ) (sal�so4-ss42 (d) Application number;if any: Will the action be directly undertaken;require funding,or approval by a state or federal agency?. Yes 0 No If yes,which state or,federal agency?_f _ 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. I3EyELnPED COA.S'I'.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. U Yes No_.� Not Applicable The pro osed chan es.to the deck are minimal..They do not increase the total.foot rint of the residence. Attach additionai sheets if necessary Policy 2. Protect, and preserve historic ,and archaeological resources of the. Town of Southold. See LNVRP Section III-Policies Pages 3 through 6 for evaluation criteria Yes 0 No Not Applicable There are no known sites of historic,or archaeological significance on or adjascent to the site of construction 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 �. SkI�.�CQRS� 11G�1rS14 willt increase the cQ of th _existing.G pne iIIpy�dlnlens��n 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 S through 16 for evaluation criteria Yes `❑ No❑. Not Applicable The proposed construction does.not increase the area of imervious.surfke and so will not,create any additional-runoff. Attach additional sheets if necessary Policy 5. Protect and improve water quality and:supply in the Town of.Southold. See LW"Section III --Policies Pages 16 through 21 for evaluation criteria ❑ Yes 0 No Not Applicable The,proposed_construction will have no impact on the water quality or,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. a Yes No of A licable The proposed project%rill not imact or encroach on any marine or wetland'habitats. It does not increase the overall footprint of the existing house, nor does it create any additional imervious surfaces. Attach additional sheets if:necessary Policy 7. Protect and improve -air quality in.the Town of Southold. See LWRP Section III - Policies Pages 32 throough 34 for evaluation criteria. Yes Q'No Not Applicable ,..,,,, j).e pt=,ed addtion will hayg,_no impact on air quality in t_,h Tq ,o,,SDidhold 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. 0 Yes ❑: No .Not Applicable The ptopsed project will not generate solid waste of hazardous substances. 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. .V YeT-J No a Not Applicable The proposed deck will not impact the public access to or use_of coastal waters in any way. Attach additional sheets if necessary WORKING COAST POLICIES Policy.10. Protect. Southold's water-dependent uses and promote:siting.of.new water-dependent uses m . suitable locations. See.LWRP Section IU.—Policies; Pages'47 through 56 for evaluation.criteria: . W.Yes 0 No ❑ Not,Applicable The. ro osed construction does not block access too use of n of Southold t to-de en ent uses." Attach additional sheets if necessary Policy 11. _ Promote; sustainable use.of living marine resources in Long I Island:.Sound, the•Peconic .Estuary and Town waters. See LWRP,Section_M—Policies;Pages 57 through 62,for evaluation criteria. 0�Yes1:1 2`Not Applicable The proposed construction will have on imact on the living marine resources in the town of Southold 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. . 0 Yes 0. No 0 Not Applicable There are ng agricultural lands on or.adiascent to the site of co suction. 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 There are'no known energy or mineral resources located on or.adjascent to-the site of construction. PREPARED BY Robert Wilson TITLE A ent DATE 1.0/23/2018