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Home My WebLink AboutTR-6637 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0303C Date: March 25, 2008 THIS CERTIFIES that the reconstruction and additions to existing dwelling, new garage, alterations to existing basement with gutters, leaders and drvwells, relocate hot tub At 775 Oakwood Drive, Southold, New York Suffolk County Tax Map # 90-4-22 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 05/18/07 pursuant to which Trustees Permit # 6637 Dated 06/20/07. Was issued, and conforms to all ofthe requirements and conditions ofthe applicable provisions of law. The project for which this certificate is being issued is for the reconstruction and additions to existing dwelling, new garage. alterations to existing basement. with gutters, leaders and drvwells. relocate hot tub The certificate is issued to MICHAEL & KATHRYN RUSSO owner ofthe aforesaid property. ~c9'~ Authorized Signature . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 15t day of construction y" co n stru cted ./ Project complete, compliance inspection. 3J r 8/0 '6 61 ~ . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE.CONSTRUCTlON INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 sl day of construction Y:, constructed &/'" Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee Michael & Kathrvn Russo. residing at II Cottonwood Dr.. Dix Hills. NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. 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 24 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 Department of Real Properties 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. . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, N ew York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 20, 2007 Patricia C. Moore, Esq. 51020 Main Rd. Southold, NY 11971 RE: MICHAEL & KATHRYN RUSSO 775 OAKWOOD DR., SOUTHOLD SCTM#90-4-22 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wed., June 20, 2007 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of MICHAEL & KATHRYN RUSSO applied to the South old Town Trustees for a permit under the provisions of Chapter 275 of the South old Town Code, the Wetland Ordinance of the Town of Southold, application dated May 18, 2007, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirements: the installation of gutters and drywells, and a line of staked hay bales during construction, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 20,2007, at which time all interested persons were given an opportunity to be heard, and, 2 . . WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of MICHAEL & KATHRYN RUSSO to reconstruct the existing dwelling and connect to new additions and new garage, relocate hot-tub and alterations to existing basement, with the condition gutters and drywells are installed to contain the roof run-off and a line of staked hay bales is in place throughout construction, and as depicted on the plans prepared by Eileen Wingate dated 11/9/06 and stamped by James J. Deerkoski, P.E. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Jam~g ~ ~ President, Board of Trustees JFK/lms . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Work session Report Date/Time: Patricia C. Moore, Esq. on behalf of MICHAEL & KATHRYN RUSSO requests a Wetland Permit to reconstruct the existing structure and connect to new additions and new garage, relocate hot-tub and alterations to existing basement. Located: 775 Oakwood Dr., Southold. SCTM#90-4-22 TyfJe of area to be impacted: ~Saltwater Wetland _Freshwater Wetland Sound _Bay Distance of proposed work to edge of above: ~ of Town Code proposed work falls under: _Chapt.275 _ChaPtl_other Type of Application: _ W etland _Coastal Erosion Amendment _Administrative _Emergency _Pre-Submission _Violation Info needed: Modifications: Conditions: Present Were: _J.King _lDoherty _P.Dickerson_D. Bergen_ B. Ghosio, Jr _H. Cusack_D. Dzenkowski _Mark Terry_other Form filled out in the field by MailedlFaxed to: Date: Environmental Technician Review 1) "1 weJ-Q,.., t- ha.., Lk.. ~ D>> P ~J- 1'1Of\--fw+ b....~? . . Telephone (631) 765-1892 Town Hall 53095 Roule 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Mon., June 11,2007, the following recommendation was made: MICHAEL & KATHRYN RUSSO to reconstruct the existing structure and connect to new additions and new garage, relocate hot-tub and alterations to existing basement. Located: 775 Oakwood Dr., Southold. SCTM#90-4-22 The CAC did not make an inspection, therefore no recommendation was made. ,.......-. New York State Department of Environmental Conservation Division of Fish. Wildlife & Marine Resources, Region One Marine Habitat Protection SUNY @ Stony Brook, 50 Circle Road, Stony Brook, New York 11790-3409 Phone: (631) 444-0295 FAX: (631) 444-0297 Webalte: www.dec.state.nv.us ~ .... ~ AIlIXlIIIder B. 0nI...... COrnmisaioner May 24, 2007 Patricia C. Moore Attorney-At-Law 51020 Main Road Southold, NY 11971 Re: NOW 07CA139: Kathy & Michael Russo Dear Ms. Moore: I'm sending this letter to acknowledge the Department's receipt of the notarized, signed Order on Consent and penalty payment in the above referenced matter. At this time, the Russo's have met the reqUirements of the Order and may proceed with construction of the house in compliance with the architectural plans submitted to this office and dated 11/9/06. Once the Order is executed by our Regional Director, a copy of the executed Order will be sent to your attention along with a stamped copy of the approved plans. Thank you for your assistance in resolving this matter. Sincerely, K~-~~ Karen Graulich Regional Manager Marine Habitat Protection Region 1 cc:file - - - . ~-...... 'cr "l',~.... .' '.' ,-~,,-,~.~-~, ,'" .L.,." _,'. .c~",":t~",_-:.,__.~,~>!,=.~,_-, -" , , , BidS. ,,--fry -I- 8 / Z)(.2.'f. ~/ J- ension IJtt-'1 'f- (3 /S- A'~t ~-3'tJ ension ension . . {,:x 3(, ~~,,;;U ~t ? x t'? - I+t I I ~zeway , Jge I 0 > > ,I 0'" L, (~r-'~.' /d- r- COLOR (!/t~{)L:{.'-I)( ./ .,....----.... L'~" , ....... J; i .~ I U./.,-#(J.,___:,.,ji TRIM y "Di f', ~ 7V/'V " . y - ,0 r P'~ I Y rG> "V1 " ~, .,. '. - 90 ' ~' '''0 .,'.7 ' ' - Foundation (Q'1) (qq) ..J g.. /0" s'l Basement - -,,' Ext. Walls Fire Place .2J/ l'il> ., 0 ~ ~:.;;/ 0/;"'7': :2 f/ .__ 0!({;.':) Type Roof '4 f.j; I Recreation Room '7 'J- Dormer Driveway ("" -.- -. i j \> . ..., - ." ~ 9~ -' ._ z:v- TOWN OF SOUTHOLD PROPERTY RECORD CARD ,/ , /'" i...... J o....! ....; .,.~ I") LAND IMP. tJ J Lf el; " o D II OC~ 3M ).. (TtJ / 3/00 /) :7 1'\0 vO'--V-' Acre . FARM Tillable 1 2 fillable 3 Naodlond !;wampland 3rushland -louse Plot ~.......... fatal ... ---- DIST. SUB. LOT #'; VILLAGE /) ,4"1"-- t.t et7'(( E /tf( r(/i 1.'- ~ ,d)"'/1 < /,' .?'r' ~ ACR. N o TYPE OF BUILDING S W VL. FARM COMM, CB. MISe. Mkt. Value TOTAL DATE REMARKS t'."./' ~C....:i.~-'r--", . ( .'. '" .: a "I //// .."1"/' tI rlJ , /0 -r. S:tFiNRvC'; 'p,p", <> I .1'''00 1100 'If (j iJ Lf1-oo / ill. -+cl?s-T; ,jJ. ,Cj.:#9rf'tt Z f2....J cIlJ'l II ;c 02..i' 1M <<,r,/-(". -/rJ.+era.;f,:) V) 1'0 L -o.i.:..... ~d -10 0 iestad.:/l;q '0 n{)U I esiti..d. -m -Ru SSD J (,{..>(,..., 1339/; DO 0 C~ s BI..ICt-) Value Per Acre (~.s fv..u~lt 1 If 0 ,,{ FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD I B /If'~ If! f{) f' ,s " () IrtJ DOCK ~- . . Mtc4ad +)('\TJflc,-/r,Hvs.5o i7c (h k I D- "_ I ,_).....~.;/Ci Lv' OCCi.... I( SO ,,-11. c Ie.! II VI) 7 c; / ~ @ DQ-te-: ~JS\O~ I , W f.s+ "/leuJ ~) lV . . . Board of Trustees 17 July 20,2005 TRUSTEE DICKERSON: CAC recommends approval of the application with the condition that the dock is in line with the neighboring docks and the existing fence is removed. I think we mentioned the fence also. TRUSTEE KRUPSKI: Artie, you were out there, it was Kenny and I were out there. Kenny, you remember this, right? TRUSTEE POLIWODA: Yes. TRUSTEE KRUPSKI: Remember? TRUSTEE FOSTER: Yes, right. TRUSTEE DICKERSON: Did anybody have any problems with the dimensions? TRUSTEE KRUPSKI: No. We found it to be consistent with the docks in the area. TRUSTEE DICKERSON: I'm just asking. TRUSTEE POLIWODA: If it's inconsistent why don't we table it and figure out why it's inconsistent. TRUSTEE DICKERSON: I'll make a motion to table Number 2, 40C LLC request for a Wetland Permit for walkway, ramp and dock. TRUSTEE KING: Second. TRUSTEE DICKERSON: All in favor? ALL AYES 3. MICHAEL and KATHRYN RUSSO request a Wetland Permit to construct a screen porch in place of the existing rear deck, construct a new porch on the landward side of the dwelling, construct a second story addition in place of the existing covered porch, and construct a new garage. Located: 775 Oakwood Drive, Southold. SCTM#90-4-22. TRUSTEE POLIWODA: Is there here to speak on behalf of this application? LWRP declares it's consistent. I looked at this as depicted on the survey that shows all operations at 90 feet beyond the edge of the marsh, intertidal wetland. I don't find much of an environmental impact in what they're proposing. The majority of the work is aclually 100 feet or more out of our jurisdiction. I'll make a motion to close the public hearing. TRUSTEE DICKERSON: Second. TRUSTEE POLIWODA: All in favor? ALL AYES. TRUSTEE POLIWODA: I'll make a motion to approve the Wetland Permit of Michael and Kathryn Russo as per the plans. TRUSTEE KING: Second. TRUSTEE POLIWODA: All in favor? ALL AYES. 4. ERNESTO ADRIANO requests a Wetland Permit to construct a single-family dwelling, deck, asphalt driveway, Albert J. Krupski, Preeident James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson . . /"1' ' ) Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE.CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 15t day of construction Y, constructed V Project complete, compliance inspection. \., . . --- - OFFICE WCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAIUNG ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765.1938 Fax: 631 765.3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD MEMORANDUM o ~~-~ J~J 'Iff ~ rm I Soulhold Town BC3Cd 01 Trustees To: James King, President Town of South old Board of Trustees /\ Mark Terry, Principal Planner \'Y' L WRP Coordinator From: Date: June 11, 2007 Re: Request for Wetland Permit for Michael and Kathryn Russo SCTM# 90-4.22 THE PROPOSAL IS LOCATED IN FEMA FLOOD ZONE AE (ELEVATION 8). MICHAEL & KATHRYN RUSSO requests a Wetland Permit to reconstruct the existing structure and connect to new additions and new garage, relocate hot-tub and alterations to existing basement. Located: 775 Oakwood Dr., Southold. SCTM#90-4- 22. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of South old Town Code and the Local Waterfront Revitalization Program (L WRP) Policy Standards. Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. 4.1 Minimize losses of human life and structures from flooding and erosion hazards. The following management measures to mininIize losses of human life and structures from flooding and erosion hazards are suggested: A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I'.> a Erosion Permit :b..- WeHand Permit Applicati men r~ er xtension ~Received Application: \ rIG} _Received Fee:$ ~ ~leted Application~1 X'I O' } _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ _ Coordination:( date sent) ....-t:WRP Consistency Assess ent Form ,..cAC Referral Sent: OJ _.J;)ate of Inspection: _ReceiptofCACRepo : _Lead Agency Determination:_ Technical Review: . ;;PUblic Hearing Held: (l)ldO/.o) _Resolution: Office Use Only lication Administrative Permit ,L A~ e>v.a-" "'rT-JD :II (pJ 53 exT&J--l.S'OY1 (t:'I-PIf"~ :Ju...t 2:07 ) nl:uJ pe~ S:ld~/\1 folIE rc IE I W IE rrn lffi MAY 1 8 'lD07lVJ Soulllllold Towa Board of TnlllleS Name of Applicant Mf. -+ Mx~ RI:;l~n -1I\\O\l'\d.<\-~\\.(1\ C u-!-mnw()od 1)r'"f/" , Phone Number:( ) 33;::1- 03'18 Address II D. X J-.I, 11 <:, Nt J 11'11.0 Suffolk County Tax Map Number: 1000 - 9" () - t./ - d~ Property Location: 77S- Ch Ic..wocd [) ~, < YJvtflJ/J/ d I (provide LILCO Pole #, distance to cross streets, and location) j~(f/yC'c fa C m()t') /r'" l/"""'57' ,C)/o2-V fi)a;n r?ood! :Sou.fhtJ/d 1/171 Phone: 7br- '1330 AGENT: (If applicable) Address: Ivy ~ ~(~" 9- c).'ib . '-. . . 3. Move existing development and structures as far away from flooding and erosion hazards as practical. Maintaining existing development and structures in hazard areas may be warranted for: a. structures which functionally require a location on the coast or in coastal waters. b. water-dependent uses which cannot avoid exposure to hazards. c. sites in areas with extensive public investment, public infrastructure, or major public facilities. c. sites where relocation of an existing structure is not practical. Additionallv. if the action is approved and to further Policv 5: Protect and Improve Water Quality in the Town of Southold: 1. Establish a non-turf buffer landward of the wetlands to protect the creek. Policy 6. Protect and restore the quality and function of the Town of South old ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction I. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The proposed distance to the additions to the residence from the wetlands is 66 feet: a minimum setback distance of 100 feet from the wetland line is required pursuant to Chapter 275-3.Findinl!s: purpose: iurisdiction: setbacks. Please require that the applicant amend the application to meet the above policies to the I!reatest extent practical. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. MT/hkc 4Itard of Trustees APPlicati... GENERAL DATA Land Area (in square feet): I'::> 7, q3b Area Zoning: 12- 1/0 Previous use of property: 6'f/S/vYl'j / f~ Sk"j Intended use of property: ;Z 5~ rt"5./ck/lC-e- ~ Wy/r fa~ i ;,Veil,;', res fcln<C-L - ~jJtWlrkd . Covenants and Restrictions: Yes No If "Yes", please provide copy. Prior permits/approvals for site improvements: 7rLJ5~~ lernu:t- dJ t4IS3 Agency Vf?C Date 7/12..101:, ?I?A f3udrl'/lq f-ernir /0/31 jor", . //:31/01 ('d7ts/yuc/7;"'" S#fd~d. _ 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: Dt,iC - SoI'1 fYom /Jew Ibolrhyf' SfoNd Wtff/J~ buff<< a,,-C/ (t',71kdtJ/ :5flalf'd km :;//iVb/ - ff)lslct/ce/l lot'CLtlti1.) Rpso( /I"<'d 10/. IA )Ui.C .1 . Iv( Hef/d /i!~ ,b. MS3 -tz, C!t'7Ibrb1 i" 1>aUa/:7, '~r~- Project Description (use attachments if necessary): 6Z. )( '-/"" K'~fd~,,~<::. t"P/l~/1'c./clrO'A "'~ AeW cd!th/AS ..nd -.Ut'dM Hoor.J //7~1ocf,"7 /?td ad IN7Jllrd iV new ('Of/C~d cll"t:iT aKI ~rcht's, /Ja./ #V/1ck#;" vl1c!e,.- a,;!c/,I7,;m I /!4W ~c""c1 Hoor . rdOC?lk hot-rob 1 41tm/ldns ItJ UfSft4,9 /J",Sr/J1f!'/lt: aNi Addtlulfs k O/1fjJ1'f WI#, Et:m7A (70 9!d-etrt7J,~td 111 l3a<1a'/1r.l2tpf 7 km4) E:X'.5~ 5trv.tvrr "kJ ix- (ellot1>fy"l/cjrdj as rr'lVlr'r-d1 11> (TtJ/)/lec/- h> new adc!..!rc;'s czrd /J'Uv 9dfllf~: 11/9)01- Ii/I /n 4((orclMce w,fA- jO!ctt1S c-//r! fJ~tJlbafr/?f.J.: jJft'fkJN'd Py j).eer t:osb f f>€, Or'fwc t/. aY1C( 6wH=r.5; P""fX'~cI' <{ /) r::v./ ~ "'rd of Trustees APPlicati~ WETLANDffRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: A.-lc\,t?M"'J AH~'f().hrm<; OY1rl 14..co-n6N-v'C\-ie-n lJ\r nosldf'Mce Area of wetlands on lot:~ 000 Percent coverage oflot: 9' % square feet ( I z./ 000 Sf PT "'1;'riCet1 f I/n-c. //lclvek..s P.>~.) Closest distance between nearest existing structure and upland edge of wetlands: ~ '" 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: &. (.,0 feet Does the project involve excavation or filling? No X Yes Fbofr i7tl.J If yes, how much material will be excavated? /00 cubic yards How much material will be filled? /00 cubic yards Depth of which material will be removed or deposited: 3/ feet ;-vonnfs Proposed slope throughout the area of operations: FraT Manner in which material will be removed or deposited: Smatl ~r(/( ft11elZ/ - I3aStmeaJ-, ;{ rt'tf(/(ffd 1-0 be cMi1!'d / ccmen-f 'fn.dc.-- 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): nOl7e- .b!</r,l-P?7r~.r nyu/~d hlHfrfS dry/AN.l/s dAle! gu/l'l.s 05/18/2007 10:52 7656641 . BOARD OF ~STEES PAGE 01 \ PROJECT 10 NUMBER 617,20 APPENDIX C STATEI:;NVIRONMI:;NTAL QUALITY REVII:;W SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only '(. To be oornpleted by Applicant or Project sponsor) 2. PROJI:;CT NAME /Jdvf, ftO'M k 0^f-IShry ~ClVJ-Z SEQR PART 1 - PROJECT INFORMATION 1, APPL9fNT I SPONSOR fGuss 0 3.PROJECT ~OCATION; _ ""~ ,/ .! 7 7~ L.A-"- IC- WO<X1 Municipality (.),WT- 5DU#1C {! Co<Inty 4. PRECISE LOCATION~ S~et AddSSS and Road lntarsections. Prominent landmerks ete.. or provide mag "77>- Oc:dw!YC5Jd 7)IiNf, /000 - 90 ~ '1- C2?- Suffo / ('- 5, IS PROPOSI:;O ACTION: IKJ New rEI Expansion I:2J Modification! allo..tlon . 6, DESCRIBE PR~I:;CT BR1~~; ad! i7tiY7 reffr:rva/lcYi a",j a lkraJ70TIS: f-c t7C<A/ I urv S'OY7f " , . ' f21c(5fu<~ I'fS,;(C;tc.P r new s~) ('t/oc~f-e err" Ie; !tof tub. /Jf( Ii; a('Ct"r-d~ W1:H- c{J7lS/yucfriJ7l drCWJif11J p repuY,f /11 j).eer!tcJ> J:;. j/lt[ it! Cj / 0 ~ 7, AMOUNT OF LAND A~~I:;CTED; Initlally ,1- S actas ,Z ., Ultlm.tely' ,2 s .cres' 2-!'-- 6. WILl. PROPOSED ACTION COMPLY WITH J:;XISTING ZONING OR OTHER RI:;STRICTIONS? 119 Yes 0 No If no, describe briefly: 9 wHAT IS PRI:;SENT LAND USE IN VICINITY o Residential 0 Industrial 0 commercial OF PROJECT? (Choose as many a, apply.) DAgriCulture D Park I Fora" I Open SplJce o Other (go.cribe) 10. DOI:;S ACTION INVOLVI:; A PI:;RMIT AFPROVA~. OR FUNDING. NOW OR ULTlMATEI.Y FROM ANY OTHER GOVI:;RNMENTAI. AGENCY (Feder.', Slaje or 1.0001) !KJve, DNO If yao. lI,t agenoy name and pennit i appnoval' J)t-C f 6u./c11117 1f1"~ 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [2jYee DNO W yes, lie! .geney nam. and penn"! approval: Df-c, .f I7I.MA~t ~~ ~S A RESULT OF PROPOSED ACTION WII.I. []yes .~No I CERTIFY THAT THI:; INFORMATION Applicant I ;~~ SIQnatur"'/~ 4<''l?..~ EXISTING PI:;RMIT I APPROVAL RI:;QUIRI:; MODIFICATION? PROVIDED ABOVE IS TRUE TO THE BI:;ST OF MY KNOWLEDGE Date: 5-/~- 07 If the 8ctlon is a Costal Area, and you are a slate agency, complete the Coastal Assessment Form before proceeding with this assessment . . ( , ~lE ~ lE ~ \'J ~ lfR\.n : '11' JUN 1 9 2007 Q PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 Southold lown Board ot 1rustees June 18, 2007 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: MICHAEL & KATHRYN RUSSO Premises: 775 OAKWOOD DRIVE, SOUTHOLD SCTM: 1000-90-4-22 Dear Sir or Madam: with reference to the above, enclosed please find the Affidavit of posting together with green certified mail receipt cards received as fo date. bp Enclosures LA . . . BOARD OF TRUSTEES TOWN OF SOUTH OLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF SIGN POSTING MICHAEL & KATHRYN RUSSO Regarding Posting of Sign Upon Applicant's Land Identified as 1000-90-4-22 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, PATRICIA C. MOORE, residing at 370 Terry Lane, Southold, New York being duly sworn, depose and say that: On the 9th day of June, 2007, I personally posted the property known as 775 Oakwood Drive, Southold, by placing the board of Trustees official Poster where it can easily be seen, and that I have checked to be sure the post has remained in place for eight (8) days prior to the date of the public hearing. Date of Hearing to be held on Wednesday, June 20, 2007 on or about 6:30 p.m. GZ- Patricia C. Moore Sworg to before me this / y - day of June, 2007 1IEl8\'A._ tIaIIlrr Pubtic, a.. of NewYorll No. D1PE 6130638 -..-eauro, 'We &....Wo,..Expir.July18.LJ I ~ , . ~ w ~ . PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 f5J ~ (C lf11 JUN - 8 2007 Tel: (631) 765-4330 Fax:: (631) 765-4643 South hold Town Boanl of Trustees June 5, 2007 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: MICHAEL & KATHRYN RUSSO Premises: 775 OAKWOOD DRIVE, SOUTHOLD SCTM: 1000-90-4-22 Dear Sir or Madam: Enclosed please find the Affidavit of mailing, certified mail receipts for the above referenced ter. bp Enclosures LA ~ , . JOSEPH & KATHRYN GENTILE 28 DORFER LANE NESCONSETT NY 11767 SCTM: 1000-90-4-21 LEE & MARIE BENINATI PO BOX 522 PECONIC NY 11958 SCTM: 1000-90-4-17 JAMES CURRAN 680 OAKWOOD COURT SOUTH OLD NY 11971 SCTM: 1000-90-4-4 RECEIPT 71926463311000003530 FROM: Patricia C_ Moore Esq. RE: RUSSO TRUSTEES HEARl SEND TO: JOSEPH & KATHRYN GENTILE 28 DORFER LANE NESCONSETT NY 11767 FEES: Posta e . RUSSO SCTM: 1000-90-4-22 r -- - -- ~ - -- - -- - RECEIPT 719264633110 ??oo 3547 FROM: Patricia C_ Moore Esq RE: RUSSO TRUSTEES HEARl SEND TO: LEE & MARIE BENINATI PO BOX 522 PECONIC NY 11958 FEES: p RECEIPT 71926463 3110 ??oo 3554 FROM: Patricia C. Moore Esq. RE: RUSSO TRUSTEES HEARt SEND TO: JAMES CURRAN 680 OAJ<lNOOD COURT SQUTHOlD NY 11971 . . . BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of MICHAEL & KATHRYN RUSSO AFFIDAVIT OF MAILING Regarding Posting of Sign Upon Applicant's land Identified as 1000-90-4-22 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and say that: ,H- On the 5 day of June, 2007, I personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAil, RETURN RECEIPT REQUESTED, a true copy of the attached legal Notice in prepaid envelopes addressed to the neighbors on the attached list. Attached hereto is the white receipt post-marked by the Southold Post Office on said date. Tff Sworn to before me this rJ day of June, 2007 ~~. ( otary Public) MARGARET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Qualllled In Suffolk ~ CommiaaIon ExpIr81 June 3, all PLEASE list, on the back of this Affidavit or on a s ee of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. ~ard of Trustees APPlicat~ County of Suffolk State of New York ~fYlua (Illo cJfIle.. 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 FORTHIN 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 TOWN 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 REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. /~.""'"'' //;~ L--- " Signature SWORN TO BEFORE ME THIS IS DAYOF Mj ,204 ! lETlIV .. PERKINS ~PutJlic.St.tectNewY_ No.01PEet30638 :Ji1f] Qualified in SuffOlk County . CommIssiOn Expires July 1 . . May 16, 2007 Southold Town Zoning Board of Trustees Town Hall, 53095 Main Road P.O.Box 1179 Southold, NY 11971 RE: MICHAEL & KATHRYN RUSSO PREMISES; 775 OAKWOOD DRIVE, SOUTH OLD SCTM: 1000-90-4-22 Dear Sir or Madam: Please be advised that Patricia C. Moore is authorized to appear on our behalf and to execute any and all documents relating to the above. Thank you. Very truly yours, ~~ Michael Russo i~~ . . APPLICANT/AGENTntEPRESENTATrvE TRANSACTIONAL DISCLOSURE FORM The Town of Southold' s Code of Ethics nrohibits conflict" ofinterest on the Dart of town officers and emnlovees The DUmose of this Conn is to nrovide information which can alert the town of nossible conflicts of interest and allow it to take whatever action is neces.c;arv to avoid same. . YOUR NAME: )-j,C-HtI4EL -+ /<ATH(l.'/AI 121/$50 (Last name, first name, J)1iddle initial, unless ynu are applying in the name of someone else or other entity, such as a company. Jfso, indicate the other person's or company's name.)' NAME OF APPLICA nON: (Check all that apply.) Tax grievance Variance Change nf Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) Building Trustee Coastal Erosion Mooring Planning x Do you personally (or through your company, spouse, sibling, paren~ or child) have a relationship with any officer or employee of the Town of South old? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business., including a partnership, in which the town officer Of employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO x If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of South old Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, paren~ or child is (check all that apply): _A) the owner of greater than 5% ofthe shares of the corporate stock of the applic~nt (when the applicant is a corporation); _B) the legal or beneficial own~r 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 of M"1 J! 2007.. 'A{r"xtt (' /1!t:)()/'l!. e:s J . Form TS I Town of South old . . LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of South old Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listine both supportine and non- supportine facts. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the L WRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 90 'I - ,;:):;:;;.. -.e_1asf=tc; The Application has been submitted to (check appropriate response): Town Board D Planning Board D Building Dept. D Board of Trustees ~ RUS"5>O a lferaftNH ~ Msrd8/<t:2.J PROJECT NAME 1. Category of Town of South old agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) D D (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: D Nature and extent of action: . /kfdrft07l~ ~ JUrs;fvttt ter;rdnl-u (:'?7.. r X ~:2') r]ew 5u-".."t/ Hoo'-- '/"c.4ci[(t7 ht4 not /rnufccf 1-0 /Jew C OffAYd ci.tcft MclI'(/Y~, /J-eW (i,(MdabtP1~ vnr/e/ ad:/tfrnts, /la<J 9c(J7ld-ffoar~M((.s;,mqMort:U1dar:kl<-hhull'eidrCd:i ~(51u.s; v ~Qf- !vb I alferaft"'J Iv .{./fJ5hry bt1>t'med- dM.d' ui-kb.. 1t:> antyJ~ Iv-tM ~4- . . OCt kWl!Jor( UvW Sc~Jt-l.-~ /d ( 7,'5~ /7/ q3 (p E,^fY~ I(~ $~ r~J,I~ -r~ ~~ Present zoning classification: 12-- J/I) Location of action: Site acreage: Present land use: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: !fllch /lef I j(a.:f-h;~/N ;2vs So , Ct:/~/}WL?V'd ~ /)d I!t!/~ M IJ7tf? (b) Mailing address: /1 (c) Telephonenumber:AreaCode() 33Z- 0 -:s "1 S" (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes D Nog] If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. [X] Yes D No D Not Applicable 44ft} .' 1;;y{f,!7t) Re$lde4cCP ijtzlcilicl( Ch'd'twm O?d t1'~Ifb7tf ~ d;;:;~'7-~ r;::;:::::;- ~~~~?f~~rki Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria DYes 0 No IXI Not Applicable /Vol ~~ H ~o/~ ~ ~ . . Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria CZl Yes D No D Not Applicable ~~ZfL4/;/f=:~c-~~~~;;-j_7 47?0~ Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [X] Yes D No D Not Applicable r dU ~ th ~/rr:vxr~ ~ ~>1 ./uR'~rA-z,cJ? 4M~ ~ll'?1t ,?I';;'~ta~' , ~&'~ Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria IZI Yes D No DNot Applicable ~~~~;:~ :;~,/h~j~ ddduL Attach additional sheets if necessary Policy 6. Protect aud restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See L WRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ~ D D Q No Not APplble . ?tI-y JrlIt-CnLI ALb9 tr~ /J//l/-k.c.-r- ~ ~ , Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. DYes D No [2a Not Applicable IVO ~ - .hU7~~/'~ 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. [K] Yes D No D 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 L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. D YeD No~ Not Applicable - ~ ~ - ~o ~ ~~/lOf- . -:-J.' ~~~<<~ ~ Attach additional sheets if necessary WORKING COAST POLICIEIt . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L WRP Section 111- Policies; Pages 47 through 56 for evaluation criteria. I2g Yes 0 No 0 Not Applicable U)(i;t;~ ~~7A-ZO -- ~~5? /-Id/- Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconk Estuary and Town waters. See L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes 0 No 0 Not Applicable ~~Lk-ftz,~A/~~wu~ Wdf fl~a~--,,- 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. DYes 0 No IZI Not Applicable .-&U1~ .A:7{./hdlA/tA/""" ,/ Q./~ &czeA ~ N (.) 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. DYes 0 No Qg Not Applicable . .-axC<j~ ~c~ ?7CJ r~r2--YL~ PREPAREDBY~ TITLE ~ DATE S:-/~()? f:' . May 16, 2007 Southold Town Zoning Board of Trustees Town Hall, 53095 Main Road P.O.Box 1179 Southold, NY 11971 RE: MICHAEL & KATHRYN RUSSO PREMISES; 775 OAKWOOD DRIVE, SOUTHOLD SCTM: 1000-90-4-22 Dear Sir or Madam: Please be advised that Patricia C. Moore is authorized to appear on our behalf and to execute any and all documents relating to the above. Thank you. Very truly yours, ~~ Michael Russo ,~~ PATRie! c. MOORE, ATTORNEY 'lAW 51020 Main Road, Southold, NY 11971 (631) 765-4330 r TO 'T~ ~'f' iI~, -, DATE S-/?-o7 SUBJECT ;<::Us::> 0 L ...J rO()O - 90 ~ ~- .;l.::L ;;1~ .#- 6r53 !B), i: nTH 0 lUll MAY 1 8 IDOl v,C4-<- ~ 0 I ~~eI C<J' ~ ~a/zcn /?;> ",~,::' ~ ~ if aA A<<.d.f '~~ <k.. --U9(/~ ~ . J~' ~cdr~ .k, ~ /Jc/hnUlZicP";' , ~.oI~ ~ ~ ~ ~ /h(~ ~.. trY'L 0:/7- i>7, VuJ ~. ~ SIGNE~ .... . MAIliNG ADDRESS: P.O. Box 1179 Southold, NY 11971 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON OFFICE WCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Town of South old Board of Trustees ~ From: Mark Terry, Senior Environmental Planner L WRP Coordinator Date: July II, 2005 Re: Request for Permit Michael & Kathryn Russo SCTM# 1 000-90-4-22 The proposed action involves the construction of a screen porch in place of the existing rear deck, construct a new porch on the landward side of the dwelling, construct a second story addition in place ofthe existing covered porch and construct a new garage. The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of South old Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at (631) 765-1938 if you have any questions regarding the above. . . x Albert J. Krupski, President James King, Vice. President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (63\) 765-1892 Fax (631) 765-+ll8e''''lo'll BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~stal Erosion Pennit Application _Wetland Pennit Application _ Administrative Permit Amendmentffransfer/Extension _Received Application: 57/8/0 (" .---Received Fee:$ ~U ~ IE (G ~ ~ '(J ",f~ _-€ompleted Application ':::')1 'i1o~ _Incomplete _SEQRA Classification: fUr .. -..-) Type I_Type 11_ Unlisted II , _ Coordination:( date sent) L~..AY 1 8 2005 i-.:J -CAC Referral Sent: -tj: ~ -Irate oflnspection: / S- ---... .m~ ~c:, :'~:;""iJ _Receipt ofCAC Report: Br...'F::i 0/ Trus{pss _Lead Agency Determination:_ Technical Review: --1>ublic Hearing Held: b/;;<3/0-S - Resolution: S:l VU: LW~ .. 10 kol~ Name of Applicant M \~'^ "e..\ l y, ATI.\R ~/~ '1\\) ~J:" 0 Address II CO'IT"""""",) I'" \. 'f r(, ( Phone Number:(~) '1-2.s ~'" Z L Suffolk County Tax Map Number: 1000.. 9{!. I .. ;2 ;1.- Property Location: 716- 0(< k u-'<-10,L /)R . s:,.:! LIft AGENT: (If applicable) ~Jt' " ." \'l ~\~ 9t"~ (provide LILCO Pole #, distance to cross streets, and location) Address: Phone: . . Board of Trustees Application GENERAL DATA Land Area (in square feet): /31f!J6 Area Zoning: Re':" cL"J. 1'1/ Previous use of property: j C J 11 (: Intended use of property: /1 (\ J n e Prior permits/approvals for site improvements: A~nCy 6/ cf 7 f ept ti: cZ5'/.:R',L Date '7,Q II, ;u.," / _ 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):~e" ''''~H\ o.,Je " e)(I~'\;"'C, 'Vo:;--c\- a.ncL 9<ir'ClYl,e, E-)'-le"d ()clcl',+It~,,<\1 cc-\-,o'", u~.., -leJ':"c\.- (see L\'\-\-O<..~."J SU,''1(; . . : ..: Board of Trustees Application WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: l"c{~ellt;)c.. eJ..\b\'\f'\c\ ce~\~Jet\\~C\ \ 5-\-,1.,.) c. ~.\.)r-e.... Area of wetlands on lot: .;l,..j- 0 square feet Percent coverage oflot: /:3, J' % Closest distance between nearest existing structure and upland edge of wetlands: ,f-:!j' feet Closest distance between nearest proposed structure and upland edge of wetlands: J" 7 feet Does the project involve excavation or filling? / No V Yes If yes, how much material will be excavated? 37 cubic yards How much material will be filled? 'J ! II 11 /11 cubic yards Depth of which material will be removed or deposited: / - ,2- feet Proposed slope throughout the area of operations: F / ;r;- Manner in which material will be removed or deposited: IRuck ,BacK l/oe_ 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): /1 d YJ e . . PROJECT 10 NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) SEQR X PART 1. PROJECT INFORMATION 1. APPLICANT I SPONSOR 2. PROJECT NAME . 11/ (1-/11 E L +-/( iJ TlI P. vA l?t:sso Rv55 0 1!c')''1E ..J. "1i"-C'U('mp"f //lPDITI'o" 3PROJECT LOCATION: Municipality S"" 1-/"jcL County S:'Ph'cK 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ete . or provide map 77S Oa k t-V{'n {{ fl/C 5. IS PROPOSED ACTION: 0 New [36panSlon D Modification I alteration 6. DESCRIBE PROJECT BRIEFLY: ExleML 110u5e..- c>C)c"'r P x/'~11 ;'1 7 <-iee ~ ?l r1 (L adcL 'ja.a'jE. & , hip /leL hc(.',,/; ("l.ee k .sc rf' f'" ,0 bac k "ice K , 7. AMOUNT OF LAND AFFECTED: j'Qrr.'t"-- GVil/ DC pla(('~ 'T1 c.?L.r'V("f":. . . I. Initially acres Ultimately acres <LOOt'ra..e. "f: -5'7'1-51 Fr 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? l/ ~es ONo If no, describe briany: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [:jResidential o Industrial o Commercial DAgrlCUlture o Park I Forest I Open Space D Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL ~Y (Federal. Stale or Local) . Yes D No If yes, list agency name and permit I approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes [dNo If yes, list agency name and permit I approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? Oves DNo I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant I Sponsor Name Date Sff/o.s~ ;( '" ~ i 0 Signature (/ If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-W/.iet.ldll BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter ofthe Application of ______~~_00iJ___~___!14~-1J--~ COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Mic..had Ru..1Jo AFFIDAVIT OF POSTING , residing at '11 r Oa...k.wuot:(j;t. ~.rhl}ftl (NY f/17 ( being duly sworn, depose and say: That on the ~aay of Jvne. osted the property known as 77.5 w So 0 //91/ by placing the Board of Trustees official poster where it c easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held UhlY, --fU ILL .1026 cil~ -p ~n Q1 0 cur- fro Irt. Dated: ~I~~~ eo ~o:. .::=0" . 1I1J1""'IIr"'~'l~" ~ flJI ) T (signature) Sworn to before me this It. dayof~ 200", ~W.tLA ~- Notary Public . ," l'ROOF OF MAILING OF NOTICE ATTACll CERTIFIED MAlL RECEll'TS Address: Oaf'.,uJo:J 0, S \\ i r-\ ~ \ \<1 -, I po0 5).- 1.- I Peo01"C- tl~ 1\9.:>8 \P' <.::e, ~ a, \':' ,s<,. ,,\ ,,~~ 1 Name: j~Y'I't'5 P Cun-<<n lee..- -s:., be(\''''''\'\ 080 3osel(" C,e~ '" ,\e, 2--'6 S'IA'IE OF NEW yoRK coUNTy OF SUFFOLK. "J)R. M 'r I .1'><1 ,,~ . ""din," --1J S Ook.>""""" ct ~ ~, tJ Y I ~~ I :. "'"" """ "'0"" ,<po'" "'" "'" t'''' on ,'" _ i _ .:, of :::10." ::, 20 Q{ ,<po""" ,..ilod · "'" '"'" of'''' "oil" '" fort' in 0" ."", oft""'''' ...."""O'" '''"'tOO to "" of th' "'0" -'" ."'"'" " din ",,_ '" ..""'" - ,_"" -' "'" din """'''' ", ..""'" din _" of";' ,_" "" din "'_ of";' ,-'" " ""'- on th' """" "=",, roO of th' roW" of Snuthnld' th" ,.' "olio" - ,..i'''' " th, "",t'" 51"" ..- olft" " )1",/, ..,1.. 51., "i > "'" .,;' "oil'" WOO ,..i'''' " ,"" of ,.' -'" Thy (certi~~ __~_.... ..1.. r' It ...c:l ....".........,." ~~ ~ Qualified In sutto1k cou~ - cornml88\on Expires september 2. 'J!:11f sworn to before me tbis fp D"Oft.- I jo~- ~~ Notary . ~__lC . . .' Board of Trustees Application i County of Suffolk State of New York ~THR-lif5 7( vSS 0 BEING DULY SWORN DEPOSES 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 TOWN 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 REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~ A!-<J1--U} Signature SWORN TO BEFORE ME THIS 18+" DAY OF rt' "y ,20~ ~Ii~~ John M. Judge NOTARY PUBLlC6 Slala of New York No.01JU605940 Qualified In Suffolk Countv Commission Expires May ~91 20.s:iJ . . APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold' s Code of Ethics orohibits conflicts of interest on the Dart of town officers and emolovees. The Dumose of this Conn is to orovide information which can alert the town ofoossible conflicts of interest and allow it to take whatever action is necessarv to avoid same. . YOUR NAME: Rvsso rt)IO\lAd'l-'\<RT\"IqG.'-\l> (Last name, nrst name. -Q1iddle initial, unless you are applying in the name of someone else or other entity, such as a company. Uso, indicate the other person's or company's name.)" NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or oFficial map Other (If "Other", name the activity.) Building Trustee Coastal Erosion Mooring Planning ./ Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of South old? <<Relationship" includes by blood, marriage, or bus'iness 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 fonn and date and sign where indicated. Name of person employed by tile Town of South old Title or position ofthat person Describe the relationship between yourself (the applicant/agent/representative) and the town oFficer or employee, Either check the appropriate line A) through D) andlor describe in the space provided. The town oFficer or employee or his or her spouse, sibling, parent, ()r child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the appliclUlt (when the applicant is a corporation); _B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); _ C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this II day of ;1J1fi 2005' Signature ~=r--- r;~4-<WJ Print Name 1{t9n1f< 'In ii/J:;~(1 II Of South old . . . ,- LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for pennits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of South old 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 South old Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law, Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of South old's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# J 000 - q 0 -tf-...v The Application has been submitted to (check appropriate response): Town Board 0 Planning Dept. 0 Building Dept. 0 Board of Trustees ~ I. 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) o o (b) Financial assistance (e.g. grant; loan, ~ubsidy) (c) Permit, approval, license, certification: 1Rr Nature and extent of action: '. ) E~eY\5\.;'f'\ <Hie.. ~15t\1\'" p<Y'~ <x-~J. o.,GL\GUj e.(:< s-\-o{''j \=-A-~ r-J., Cl...JJl-t-O~\ ~ eoho '(\ 0 ~ ,?O\c.1.. y Location of action: . 11. '1 ~Ku)r:nd... . Dr- , Sou+holJ. , Site acreage: ,.d;t a-c r~ e.. Present land use: 7?es/denf/c, / Present zoning classification: Res ;d en f;&:/ / 2, If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: (Y}R ~ MRS (Y)\c..\'ae....1 (b) Mailing address: It Co+h..,n (.(JoneL 'Dr- 'K\J~ '=>0 PI)'; ~llls &y I"'~ (c) Telephone number: Area Code ( ) &>3/ '1;).3 -o6J. 7-.. .~ (d) Application number, ifany: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~ No D If yes, which state or federal agency? 'n EC 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 mhiimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. DYes D No ~APPlicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of South old. See L WRP Section III - Policies Pa~ through 6 for evaluation criteria DYes D NoffNotAPPlicable -; - " ~ttach additional sheets if n.ary . Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - POI~ Pages 6 through 7 for evaluation criteria DYes D No !2rNot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L WRP Section III - Policies Pa~ through 16 for evaluation criteria DYes D No WNotAPPlicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through ~1 for evaluation criteria DYes D No ~ Applicable 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 evaluatio~.5Pteria. DYes DNoQ"NotApplicable " . . Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. DYes D No ~ot Applicable Attach additional sheets if necessary Policy 8. Minim~' e en ironmental degradation in Town of Southold from solid waste and hazardous substances and waste . See L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes D 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. . D YesD NO~APPlicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold' water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L Section III - Policies; Pages 47 through 56 for evaluation criteria. DYes D No s . . . Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. Se~ Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes D NoB Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of South old. See L WRP Section III - Policies; Pages 62 through 65 for evaluat~dteria. DYes D No UNot Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section 111- Policies; ~s 65 through 68 for evaluation criteria. DYes D No IT Not Applicable Created on 5/25/05 11 :20 AM , SURVEY OF LOT # ,1 SUBDIVISION MAP "CEDAR BEAGH PARK" SIlVA lE, SA'TVIB"I TOWN OF 5Oln1-IOLD SUFFOLK GOUNlY, NY --------, N V', W >- w ..... w 0 \ CIa \ ~ ::E: C en ~ \, ::;) ::;) W a/: 0 > ~ en \) 0 ~ --...... ~ 0 ~ 0 ':J 0:: 0 ~ Q.. Z , a/: Q.. oc( ~ ,.,... ~I <( 0 0 <D ~ w I- <( i.:'.. ~ ~~~~ s\\~ DECK TO BECOME SCREEN PORCH \ w E , SURVEYED IHI-'18 AMENDED MARCH 3, 2000 ADDITIONS SHO\l'lN NOT FIELD UPDATED 04-21-200S SUFFOLK COUNTY TAX # 1000 - '10 - 4 - 22 .\.\-1Q ~O\~ s NOTES, ~ \ ~O "\. ~ \ (F., ~ O \ C$?-:, \~ ..".....0.. 0'\\.... \ -.-;::'" " <^~ ~~ ' \. \\\>~ \~. -~ .).n \'f"~" ~ \. ~~ "p \ JL-A y ~t ( ---< ___ ciJ) (?v~~ ,0 0? t --- ~"---~ 0?j ( 0?) , ~ , ~ -""1\ "\,B\'\'T_ f!2- \ ~ \ \ ~)\ ~'" ~~\\ rn'"i \\~ ~J -\0 ~~ \\ UJ ~ ~ ~ ~ ~'" ~ ('J ~ ,';'\ n' \ \7 \ 1'2-.6'7o"\'$~" 0 C! , CERTIFIED TO, Mic..hael Russo Kothr~n Russo \ 0 \L q., S< -:5 ~. \ 0 <;:, \Q ~ ,Y- PROPOSED GARAGE ~ CI'J ~'" ~. -) ~ ~ r-~ ir~ 101,': \:~I ,\' , I ~ I \" U \ l~~_r u____ ~Jl~ ~ .;:.; ....~ . MONUMENT FOUND o PIPE FOUND AREA ~ 13,'136 SF OR 0.32 ACRES REFERENCE DEED L.8463 CP.280 A.H.\I'l.M. ~ APPARENT HIGH \I'lATER MARK PROPERTY IS IN FEMA FLOOD ZONE AE EL 8 AS SHO\l'lN ON FEMA FLOOD MAP 36103COl61 G SEPTIC SHO\l'lN FROM VAN TUYL SURVEY OF 1'118 HOUSE IS SERVICED BY PUBLIC \I'lA TER ~' O~ \l\\:1 o ~ ,(\0 'C)\. 0 ----:;;.~T '" ,\'0 __ ,,~~ "J' o~o \'\$ o ~ r1~O'2- :..----o~ '5IV -""1'2- ,\-0\ ~ .000"-.-0& dO:' ,",- -'0 ~ ~_; _ ; ~ 'f~: o~ ",,<OC . ~COVERED PORCH TO ) BE 2 STORY ADDITION ~v :-" --- I J - 1._._ n.J JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET NYS. LIe. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 ~i_ ::;:.;: \:::' - "~. ~ -, GRAPHIC SCALE ~..' ----- 1"= 20' ~yY)E-~ -S~ 1EElUW'70N ? (. . ~) " 0" ~ J bJ0~ C'J r- SoJ\110GP DhDG ~~- f5)~~~~\\9~~ Ull MAY 1 8 'iIJ07 li!J Zz" ,.-- rU=:>D Gvf)f? h 1 "1 f'OZ:- Southhold Town Board of Trustees ~L M~c Y\?fN \CftG-5> ,~ \ 1SE.u:>v0 ~2:.L~'J ' 8.0 (f11o'5\ tCL.E.'.J <!>16: 0 I ~~ V'2Dv Co \11' \.J-f? '1'(:;) Do rY11 N1 N\JVVL ~ ~ VVl /J L>-1 \,N \'~;V\' 'fi?lY)jf CaUl V~1.-1 ~S (A~ CO\ ~ ~ r\ ~.~- ~ ~~ ~ - \y='Z'{L,ItOSk1- XK""<'" \ ' .' ...;;:V!/ >~~;"''t " .,:,;:.,1'0>';:, ;\}5 .:,'b::<q, \, ffr li.;::,}/;!~ 5!q,~ \\ \u"', '\j'.:g~'Ci:~t>\1.' a: . \~,~,:, !!g~~i'f'" (~. \~~~~~}t~ ~':;,~IPr:SS19tt~7 ~~<~~~_. . ~ Albert J. Krupski, President James King, Vice-President Artie Pester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line st 1 day of construction % constructed Project complete, compliance inspection. Board Of $outhold Town Trustees SOUTHOLD, NEW YO.RK PERMIT NO ...... ~.~73 ...... DATE: ..~..u..$y ..20.,....2.0.05 ISSUED TO ~ZC~A:: & KATI41~YN RUSSO Pursuant to the provisions of Chapter 615 of the L~ws of the State of New Yor~ 1893; end Chapter 404 of the ,~.w$ of the State of New York 19~2; end the Southold To~n Ordmence t~[ed ."~U~TIN~ AND ~E P~CIN~ OF OBSTRUCI~S IN AND ON TOWN WATERS AND PUBLIC ~NDS end REMOVAL OF SAND, ~VEL OR OTHER MATERIA~.F~M ~NDS UNDER TOWN'WA~RS:~.'. ,nd in ~c~en~ with 'the Resol~ion of ~e Boerd ~dopted ~t ~ meeting hem on ..~?.~...~ ...... . ~.q.q.~., end in conslderefion of the sum of ~ ......... ~.5.~.,.~... peld by H~chae~ & Ka~hr~n Kusso ..... of .................. ~.~.~ .................................. N. Y. end subjec~ ~o the Terms end ~ndltions listed on *he revere ride ~reof of ~uthold Town' T~ees ~uthorkes end perm~ the fo~ow~ng: porch on ~e landwa~ side of ~e dwelling, ~ns~uct a se~nd-sto~ addition in pla~ of ~e existing ~vered por~, and cons~ a new garage, and all as depicted on the su~ey prepared by John C. Ehlem last dated Apd127, 2005. all in eccordence w~h the defend sp~icatlons · ~e ~glnaflng appficaf;~. IN WI~ESS WHERe. ~e said Board 0f Trustees ~- ~u~s tis ~r~rate Seal to be a~xed, and ~ese ~senh fo sub~%ed by ~'~jm~ of the sasd ~d .as of this darn. · , TERIdS and GONDfl'IONS Michael & Kathryn Russo 775 Oakwood Dr., Southold N. ¥~ ~ ~tt. of ~e cons~{eratlon fo~ ~e ~ of ~e ~r ~ ~ ~ ~ to ~e ~- o~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A, Dickerson Town Hall 53095 Route 25 P,O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 July 20, 2005 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Mr. & Mrs. Michael Russo 11 Cottonwood Dr. Dix Hills, NY 11746 RE: 775 OAKWOOD DR., SOUTHOLD SCTM#90-4-22 Dear Mr. & Mrs. Russo: The Board of Town Trustees took the following action during its regular meeting held on Wed., July 20, 2005 regarding the above matter: WHEREAS, MICHAEL & KATHRYN RUSSO applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 18, 2005 and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 20, 2005, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, 2 WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MICHAEL & KATHRYN RUSSO to construct a screen porch in place of the existing rear deck, construct a new porch on the landward side of the dwelling, construct a second-story addition in place of the existing covered porch, and construct a new garage, and all as depicted on the ~'urvey prepared by John C. Ehlers last dated April 27, 2005. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per ~nspection. (See attached schedule.) Fees: $50.00 Very truly yours, Albert J. Krupski, Jr., President Board of Trustees AJK/Ims Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: q 5_ /rrhr /,Q Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: has been and the ( V')Application Approved (see below) (__.)Application Denied (see below) (__.)Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ ~0,08 SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephone (63 l) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tues., June 14, 2005, the following recommendation was made: Moved by William Cook, seconded by Jennifer Mannino, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of MICHAEL & KATHRYN RUSSO to construct a screen porch in place of the existing ~ear deck, construct a new porch on the landward side of the dwelling, construct a second-story addition in place of the existing covered porch, and construct a new garage. Located: 775 Oakwood Dr., Southold. SCTM#90-4-22 Vote of Council: Ayes: All Motion Carried f \ \ PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Town of Southold Board of Trustees ~ From: Mark Terry, Senior Environmental Planner LWRP Coordinator MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hail Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Date: July 11, 2005 Re~ Request for Permit Michael & Kathryn Russo SCTM# 1000-90-4-22 The proposed action involves thc construction of a screen porch in place of the existing rear deck, construct a new porch on the landward side of the dwelling, construct a second story addition in place of the existing covered porch and construct a new garage. The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfi-ont 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 proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at (631) 765-1938 if you have any questions regarding the above. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Pegg3- A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) ../ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ~stal Erosion Pemfit Application __Wetland Pemfit Application AmendmenUTrans fer/Extension ~Receiv~d Application: -~' Received Fee:$ ,~0~ - ~-~%mpleted Application __Incomplete __SEQIL,~ Classification: Type I Type II Unlisted Coordination:(date sent) -"CAc Referral Sent: ~ ~4~rate oflnspectmn: ~.]/ __Receipt of CAC Report: Lead Agency Deternfination:__ Teclmical Review: ~P'-ublic Hearing Held: Resolution: Office Use Only Administrative Permit ! - Address ~ (.c, I1~' ,'-',,~,~,~ I)v ~,x [~,/1'~ 1'4~./ Phone Number:(,) 512 .3 c'~,, 2 2. Suffolk Couuty Tax Map Number: 1000 - rfp - '/~ - 2 i2~ Property Location: (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: /J' c:~,~ l, ,~ ~/,,~ / Previous use of property:. /(e ~ ~ c Intended use of property:. 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? ~- No Yes If yes, provide explanation: Project Description (use attachments if necessary): ~- ~'~ e,~y;,c,, c',l¢ ~-' Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:_ I ,~ .r ¢ ,~ ,,c> (2 ~ ~ % ~, r~ ,~ Area of wetlands on lot: .25~o square feet Percent coverage of lot:_ /,9,3' % Closest distance between nearest existing structure and upland edge of wetlands: ,~..5~ feet Closest distance between nearest proposed structure and upland edge of wetlands: 3" ~ feet Does the project involve excavation or filling? No v/~ Yes If yes, how much material will be excavated? ,~q 7 cubic yards How much material will be filled? /~" /i,'~ cubic yards Depth of which material will be removed or deposited: / - <Z feet Proposed slope throughout the area of operations: ,c//~ 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): /~}~ ,~ ~. PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 617.20 SEQR APPENDIX C X STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Projecl Sponsor) 2. PROJECT NAME ~ . Oo.nty S',,: f ,,,.< t APPLICANT I SPONSOR 3.PROJECT LOCATION: Municipality .,~.' ('/~ PRECISE LOCATION' Street Addess and Road Intersections. Prominent landmarks etc -or provide mad ! 5. ,s PROPOSEB ACT,ON · FI New J---'~E'×pansion E] ModificaUen / a,tera,ion 6. DESCRIBE PROJECT BRIEFLY: AMOUNT OF LAND AFFECTED: ,~4:,'¢:/~e~ Initially acres Ultimately acres WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [~Yes [] No If no, descdbe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~esidential []Industrial []Commercial r-]Agriculture [] Park/Forest/Open Space ]Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGEN Y (Federal, State or Local) ~Yes r~ No ff yes, fist agency name and permit I approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes ~'~.No If yes, list agency name and permit / approval: t2. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature If the action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment Albert J. Krupski, President James King, Vice-President .4xt ie Foster Ken PoIiwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-~(~] BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOPd?,D OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ]qieJ~ad ~tLJ',[o , residing at ~- being duly sworn, depose and sa)': That on the ~'4day of'~'~,t~e ,200~, I personal[yposted the property ~own as by placing the ~oard of Trustees o?ficial poster where it cageasily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Dated: (signature) Sworn to before me this /a da)' of~ 200~'" Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 6 'o STATE OF NEW YORK COUNTY OF SUFFOLK , residing at "1'3 ~ O0~Woo~ 6ff , being duly sworn, deposes and says that on the 37/4day' of~,' "~" 20o.~, deponent mailed a tree 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 there 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 at tt/o,r/tt~,~?,(,,~ -5~tt~, ~'/ , that said Notices were mailed to each of said persons by (certi~r~ no. 01G~8088075 Qualified In Suffo k County ~ommleslon Expires September 2, 2007 Swom to before me this Dayof 0.~.c..,,-~ ,20c9 Notary Public Board of Trustees Application County of Suffolk State of New York i4/~77-t~ ff /g J?o$$ 0 BEING DULY SWORN DEPOSES A~N-D AFFIRMS THAT HE/SHE 1S THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO IHE 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 TRUSIEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN 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(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES iN CONJUNCTION WITH REVIEW OF THIS APPLICATION. / ff Sigfiature- SWORN TO BEFORE ME THIS DAY OF I~ ^,[ ,20 o 5 John M. Jud~je NOTARY PUBLIC, State of New York No. 01 JU6059400 Qualified In Suffolk Count? Commmsion Expires May ~9, 20 ~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the hart of town officers and emolovees. The purpose of this form is to orovide information which can alert the town of nosslble conflicts of interest and allow it to take whatever action is nec, es,saw to avoid same. YOUR NAME: ~)US~ O. OI ,c~ae.[ (Last name, first name, ~idd[e initial, un[ess you ~tre applying in the nBrne 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 p{at Mooring Exemption from plat or official map Planning Other (If "Other", name the activin,.} 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 coq~oration in which the town officer or employee owns more than 5°,$ of the shares. YES NO If you ansx~ered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative) and the to,on officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); __B) the legal or beneficial owner of any interest in a non-corporate entity (when thc applicant is not a coq)oration); C) an officer, director, partner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submi.edthis /da day of '/~/~ 2002.~'~ Signature ~-TJT--tex-~--~..*_ ~O"c~4: ~ -- Print Name O~rlfe ¥~ ~v3 so a of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* includhig Town of Southold agencies, shall complete tiffs CC,ad? for proposed actions that are subject to the Town ofSouthold Waterfi-ont Consistency Review ka~v. This assessment is intended to supplement other information used by a Town of Soutbold agency in making a detemffnation of consistency. *Except minor exempt actions including Building Permitx-.~_ ,~nd other ministerial pc~?nits not located within the Coastal Erosion Hazard Area. Belbre answering file questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanatioos of each policy contained in the Town of Southold Local Watert?ont Revitalization Program. A proposed action will be evaluated as to its si~fificant betwficial aud adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action 1nay affect the achievement of the LWRP policy standards and conditions contained iii the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determhiatiou that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, ~. shall not be undertaken. A COl))' of the [.\~,q~,P is available in the tbllowing places: online at the Town ofSouthold's x~ ebsite (sou01okhox~ n.northfork.nef), the Board of Trustees Office, the Pl:mning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE .~MND PROPOSED ACTION The Application bas been submitted to (check appropriate response): TownBaard ~-] PlanuingDept. [-q Building Dept. [~ Board of Trustees 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. grmit, loan, subsidy) (c) Pem~it, approval, license, certification: Location of action: Site acreage: Present land use: Present zot~tg classification:._ (a) Name of applicant:___ (b) Mailing address:__ If an application for the proposed action has been tiled with the l'o~x n of Southold agenc>, thc fi)llowing information shall be pro~Sded: (c) Telephone n~ber: ~ea Code { )~4 _~ ' O~ ~ ~, (d) Application number, if any: Will the action be directly nndetxaken, require funding, or approval by astatc or fi:deral agency? 'Yes I~ No [] If yes, which state or federal agency? ~ ]~-C2, DEVELOPEI) COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold tha~ 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 Sectiot~ 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 Iowa of Southold. See LW Section Iii - Policies Pages 3 through 6 for evaluation criteria [-~ Yes ~] No~Not Applicable Attach additional sheets Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section Ill -~ Pages 6 through 7 for evaluation criteria D Yes D No [~] Not Applicable Attach additional sheets it' necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Page~ through 16 for evaluation criteria ~ Yes ~ No[-~N.~Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria [~ Yes~ No ~otApplicable Attach additional sheets if necessary Policy 6. Protect and restore the qnali~, and function of the Town of Southoid ecosystems including Significant Coastal Fish and Wildlife ltabitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation~teria. ~] Yes [~ No ] ,/[ Not Applicable q Attach additional sheets it' necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [--] Yes [~ No [~Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and w See L '¥RP Section Ill - Policies; Pages 34 through 38 for evaluation criteria. [--] Yes [~ No V~I Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use oL coastal waters, public lands, and public resources of the Town of Sonthold. See LWRP Sectiou III- Policies; Pages 38 through 46 for evaluation criteria. ~ Yes[~ No .~Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold~ water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L~-~'RP Section III - Policies; Pages 47 through 56 for evaluatioa criteria. ,, [ I~/es I I 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 L~3ARP Section III - Polieies; Pages 57 through 62 for evaluation criteria. I lyes l [ blol I 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 ev~riteria. [] 5es [] biol/I Not ,Applicable Atxach additional sheets if necessary Policy 13. Prolnote appropriate use and development of energy and mineral resources. See LWRP Section II1 - Policies; P~S 65 throngh 68 for evaluation criteria. [---] 3res" [~] No1~Tr/~ Not Applicable Created on 5.?5 '05 1 l.'20