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Home My WebLink AboutTR-6224James F. King, President ~~pF SO(/j~~ Jill M. Doherty, Vice-President ,`~ Peggy A. Dickerson Dave Bergen H ~ Bob Ghosio, Jr. G • ~O ~1,~-OOUM'I,~c~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1592 Fax (631)765-6641 CERTIFICATE OF COMPLIANCE # 0341 C Date: August 6, 2008 THIS CERTIFIES that the renovation of existing dwelling with a first and second floor addition, new entrv way new decking gutters leaders and drvwells 7' high fencing from house to earaQe, and a 20' non-turf buffer area landward of the wetland line At 1180 Smith Drive South, Southold New York Suffolk County Tax Map # 76-3-12.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 09/15/05 pursuant to which Trustees Permit # 6224 Dated 10/19/05 and Amended on 02/14/07 and 03/19/08 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 the renovation of existing dwelling with a first and second floor addition new enter wad new decking_gutters leaders and drywells Thigh fencing from house to garage and a 20' non turf buffer area landward of the wetland line The certificate is issued to WALTER GITLIN owner of the aforesaid property. ~1.- a~' Authorized Signature James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. ,~{~o~~Of SO!/ly~,~/, T T • ~~0~ ~y~OUM'1,~.,~' 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 SOIITHOLD 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 APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line `~ (1tl'~~' o K 1s1 day of construction ~~'~~ . constructed Project complete, compliance inspection. 47ISld$ D~~-- Jul 22 043 02:53p He~ni Builders 631916 John Bertani Builder Inc, 1380 Oakwood Drive Southold, N.Y. 11971 (631) 765-1594 FAX (631) 765-39'16 July 22, 20D8 Wafter Gitlin- Permit No. 6224 Mr. James IGng, President Sou~rold Town Trustees P.O. Box 1179 Soufhdd, NY 11971 Dear Mr. IGng, We are requesting a project wmplete, compliance inspection for the Walter Giffin Residence, 1180 Smith Drive South, Southold, permit #6224. Thank you. Sirxerety, n !_ Linda D. Bertani Vice President p.l James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. ,~'; ~ Of SOUT,~O~ ~~~ ^• ~rtV^(~~~0~ Ol~`~UI11 ~~~.~C~' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 19, 2008 Thomas C. Samuels, Architect Samuels & Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: WALTER GITLIN 1180 SMITH DRIVE SOUTH, SOUTHOLD SCTM#76-3-12.1 Dear Mr. Samuels: Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631)765-1892 Fax (631) 765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., March 19, 2008: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6224 to construct a new uncovered entry deck and steps on the north side of the house; remove approved steps from south side deck to grade; and install a 7' high fence from house to garage, enclosing garden, and as depicted on the site plan prepared by Thomas C. Samuels, R.A. last dated March 11, 2008. This is not a determination from any other agency. Sincerely, ~ / / Ja` mes F. K ng President, Board of Trustees JFK:Ims C~ James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. ,~: ~ OF SOUry~ ~`~ • ~~0~ ~~y00UM'1 ~,,~' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 19, 2007 Mr. Thomas Samuels Samuels & Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: WATLER GITLIN 1180 SMITH DR. SOUTH, SOUTHOLD SCTM#76-3-12.1 Dear Mr. Samuels: u Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631)765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., September 19, 2007: RESOLVED that the Southold Town Board of Trustees grants aOne-Year Extension to Permit #6224, as issued on October 19, 2005 and Amended on February 14, 2007. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, o°r '~J Jame F. King President, Board of Trustees JFK:Ims S A M U E L S& S T E E L M A N March 11, 2008 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 RE: Gitlin Residence 1180 Smith Drive South Southold, NY 11971 SC TAX MAP # 1000-76-03-12.1 Dear Sir/Madam: We are requesting an amendment to an existing permit No. 6224 for the above referenced project. For your review we are submitting the following documents which reflect the changes to the project that include: (1) new uncovered entry deck and steps on the north side of the house, (2) removal of approved steps from south side deck to grade, (3) proposed seven foot high fence from house to garage, enclosing garden. 1. Letter of Authorization 2. Three Site Plans prepared by Samuels & Steelman Architects 3. A check for fifty dollars Please call us with any questions or concerns. Sincerely, SAMUELS &STEELMAN ARCHITECTS T omas C. Samuels, Architect ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 ;6311 734-6405 FAX (637) 734-6407 . . 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 February 14, 2007 Thomas C. Samuels Samuels and Steelman Architects 25235 Main Rd. Cutchogue, N.Y. 11935 RE: WALTER GITLIN 1180 SMITH DRIVE SOUTH, SOUTHOLD SCTM# 76-3-12.1 Dear Mr. Samuels: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, February 14, 2007: RESOLVED, that the Southold Town Board of Trustees APPROVE the amendment to Permit # 6224 to construct a new entry on the north side of the house with dormers above on the existing structure, removal of the terrace on the south side of the house, and increase the size of the existing deck on the south side of the house, and all as depicted on the plans prepared by Samuels and Steelman Architects revised 2/5/07. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, r67~ James F. King President, Board of Trustees JFK/hkc 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) 765-1366 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 1st day of construction ~ constructed Project complete, compliance inspection. Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK Walter Oitlin ISSUED TO .......................................... ~ Pursuant Jo the provisions of Chepter 615 of ~e ~ws of the SI~ of New York, 1893, and ~*pfer ~ of ~he ~ of. fhe Sfefe of New Yor~ 19~2; ~nd Ihs Sou~hold To~n Ordm,n% 't~led .'~RE~U~N~ .AND ~E. P~ClNG OF OBSIRU~S IN AND ON TOWN WATERS AND PUBLIC ~DS REMOVAL OF SAND, G~AVEL O~ OTHER MATEEIA~M ~NOS ·UNDER TOWN 'WA~RS~., and in aCc~d~,~ wifh'the ResoJ~ion of ~e Boerd ~dopted al a meeting held on ...Q~f~..~.9 Terms and ~ndifio.s listed .on the revere dde her~f, of ~uthold Tow~ Tr~ees euthorlzes end permjH ihs fo~o~ng: We~nd Pe~Jt Jo renowte the existing residen~ with ~ fi~ ~nd se~nd floor ~dd~ion ~nd new on- grade stone terr~ with t~e ~ndJ~ons of d~eJJs Jo ~nt~in roof runoff, h~yb~le~ during ~nd ~ 20' non tuff buffer I~ndw~rd or,he wetland line, ~nd ~11 ~s depicted in the plan prep~ by 8~muel~ ~nd ~teelm~n ~nd I~s~ d~ted g/g/05. ~ll in e~ordence with the det~ sp~icetions es pre~nf~ IN WITNESS WHERE', ~e s~id Boerd Of Trustees ~re- by ~u~s ifs ~r~r,te Seel ~o be ~xed, end ~ese ~?sen~ be *ub~ed by ~ 'm~j~ of the s~ld ~erd ~s of fh~s ~. P.O~ liwoda ~ . (absent) _, Trances TERi~S -,nd CONDfTIONS 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 October 19, 2005 Samuels and Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: WALTER GITLIN 1180 SMITH DRIVE SOUTH, SOUTHOLD SCTM# 76-3-12.1 Dear Mr. Samuels: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 19, 2005 regarding the above matter: WHEREAS, Samuel and Steelman Architects on behalf of WALTER GITLIN 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 September 15, 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 October 19, 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, 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, RESOLVED, that the Board of Trustees approve the application of WALTER GITLIN to renovate the existing residence with a first and second floor addition and new on-grade stone terrace with the conditions of drywells to contain roof runoff, haybales during construction, and a 20' non turf buffer landward of the wetland line, and all as depicted in the plan prepared by Samuels and Steelman and last dated 9/9/05. 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.) This is not a determination from any other agency. Fees:$100.O0 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/hkc 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: W~ ~ JFdF Cq'Jl-I; fJ Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: (____~) Application Approved (see below) (__) Application Denied (see below) ( )Application Tabled (see below) has been and the 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: -~.~)L,,Jc ~Cc'.--t-~,,',-' ~'~ TOTAL FEES DUE: $ J0 0, SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephone (631) 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 Wed., October 12, 2005, the following recommendation was made: Moved by Don Wilder, seconded by Jennifer Mannino, it was RESOVLED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of WALTER GITLIN to renovate the existing residence with a first and second floor addition and new on-grade stone terrace and a new garage. Located: 1180 Smith Drive South, Southold. SCTM#76-3-12.1 The CAC recommends Approval of the application with the Condition of a 20' non-turf buffer and a berm and swale are installed on the seaward side of the dwelling. Vote of Council: Ayes: All Motion Carried --I 076 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 Date: October 17, 2005 Re: Request for Wetland Permit for Walter Gitlin SCTM#1000-76-3-12.1 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 WALTER GITLIN requests a Wetland Permit to renovate the existing residence with a first and second floor addition and new on-grade stone terrace and a new garage. Located: 1180 Smith Drive South, Southold. SCTM# 76-3-12.1. The structure currently exists and is located in the "AE Elevation 8 Flood Zone"; an area of Special Flood Hazard. There is no opportunity to relocate the structure out if the AE 8 flood zone. The Applicant proposes surface water controls (line ofhaybales) and subsurface drainage systems to further Policy 5. The proposed action has been reviewed to Chapter 95, Waterfi'ont 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 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 Henry Smith A~e Faster Ken Poliwoda 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 Office Use Only Coastal Erosion Permit Application ---~land Permit Application /'~Major Waiver/Amendment/Changes_ /Received Application: ~ ]1 ~0 ~ --R-eceived Fee:$ ~ompleted Application Incomplete SEQRA Classification: ;type I Type H Unlisted Coordinafion:(date sent) -CAC Referral Sent:' . ,~e of Inspection: /D Receipt of CAC Report: Lead Agency Determination: __ Technical Review: ~Public Heating Held: /(~[qt(3t~' Resolution: Name of Applicant Address ~l ~ Minor ,3/xcr~(o~ Suffolk County Tax Map Numbs': 1000- 7 & -- O .;5 Prope~tyLocation: ~1 :~0 6~ I~ ~OE ~6 O~vido L~CO Polo ~ die.ce to ~oss str~s, ~d location) ~f applicable) BOard Of Trustees Application GENERAL DATA Land Area (in square feet): Are~ Zoning: ~-- '~ Previous use of propen'y: ~ '~-~ Intended use of property: Prior permits/approvals for site improvements: Agency Date ?C No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? /x~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): t~.l.~Y Board of Trustees Application WgTLAND/TRUSTEF. LANDS APPLICATION DATA Purpose of the proposed operations: ,~]'T'(~A~}3 W~ ~'~ ~3-(0A3 Area ofwetlands on lot: li~----~ ~ 0 square feet Percent coverage of lot: ~, ,~) % Closest distance between neares~t existing structure and upland edge of wetlands: ~.~ 7~, "~- feet Closest distance bet?cch neaiest proposed structure and upland edge ofwedands: (o~--, (~ feet Does the project involve excavation or filling? t~ No Yes If yes, how much material will be excavated? ~) cubic yards How much material will be filled? ~) cubic yards Depth of which material will be removed or deposited: ~ ~'~ feet Proposed slope throughout the area of operations: 3 /0 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): ;.30 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ,,~D~I,~4.~ -- , being~duly swom, deposes and says that on the ___ ._~. dayof CDC~t ,20 0 f, deponant 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 qfthe Town of Southold; that said Notices were mailed at the United States Post Office at ~~ f~q , that said Notices were mailed to each of said persons by (certified) {~egistered) m-ail. Sworn to before me this Day of (~1~ r ,200~ Notary Public LI~ K. ~I,.UOK NOTARY PUBLIg - STATE C)t: ~ YORK QUALIFIED IN SUFFOLK COUNTY MY COMMISSION EXPIRES 12-11-200 G Albert J. Krupski, President James King, Vice-President Attic Fester 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-~ BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, depose and say: That on the 7_ day, of OC~I. ., 200b,, I personally posted the l~ropArty known ~s /18-O - /lqD( by placing the Board of Trustees official poster where it can 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 b_e~zing. Date o£ hea~J~g noted thereon to be held Dated: ]O/jqO~~'- Sworn to befgre me this l C{ day of 00(--200'~--- PATRICIA RICHARDS Notary Public, Stata of New York No. 01 RI6042467 Qualified in Suffolk County Commission Expires May 30, ~ Board of Trustees Application County of Suffolk State of New York BEINaDm¥ SWO DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PER_MIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELI~:r.I~, 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), 1~ 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. SWORN TO BEFORE ME THIS DAY OF J~ ,20 0 ~ Notary Public PATRICIA RICHARDS Notsry Public, State of New York No. 01 RI6042467 Qualified in Suffolk County Commission Expires May 30, 14-1.6,4 (2/sT~r--T~xt 12 PROJECT I.D. NUMBER 817.~10 Appendix C State Environm·ntal Qunllty RevieW. SHORT ENVIRONMENTAL ASSESSMENT FORM For UNUSTED ACTION8 Only PART I--PROJECT INFORMATION (To be Go·plated bY Appllosnt or Projeot -ponBor) 1. APPLICANT/SPONSOR E. PROJECT NAME' 3.' PROJECT LOCATION: 4. PRECISE LOCATION (Street 8ddm~a and road Interaeotloa., pmmlnlm I~ndmarke, et=., or provldemKo) , i Thc / SE(IR 5. IS PROPOSED ACTION: [] New ,~xplnl,o~ ~4~lodlfioetlon/slteretlon ' 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially ~ aore~ Ultimately (~ ' ~'~ =ret 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EX(STING LAND U~E RESTRICTIONS? [] NO If NO, deeorlbl briefly 9. 'WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? eeldentlal [] Induet rill I~ Contm~rol&l [] ,Agriculture 10. DOEB ACTION INVOLVE A PERMIT APPROVAL, OR FUNDINQ, NOW OR ULTIMATELY FROM ANY OTHER QOVERNMEHTAL AGENt( (FEDERAL, STATE OR LOCAL)? t 1. DOES ANY,~.PECT OF THE ACTION HAVB~A OURRERTLY VAUD.PERMIT OR APPROVAL? r-~ Yes (/~No . If yea, lilt &genoy name and plmflUlpproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTII~O PERMmAPPROVAL REQUIRE MODIFICATION? [] Yes I CERTIFY THAT THE INFORMATION PROVIDED ABOVE 18 TRUE TO THE BEST OF MY KNOWLEDGE AppllclnUsponsor n&me: Signature: ~ If the action i· in th· Coe·t·l Are·, ·nd you ere · state sg·nQy, Go·plate. the I Coastal Aisle·sent Form before proceeding with thll ·eeeeement I OVER 1 LETTER OF AUTHORIZATION Walter Gitlin 1180 Smith Drive South Southold, NY 11971 September 9, 2005 I hereby authorize Thomas C. Samuels of SAMUELS & STEELMAN ARCHITECTS to act as my agent in obtaining all permits required by SOUTHOLD TOWN, SUFFOLK COUNTY and NEW YORK STATE for the renovation of and addition to my residence at 1180 Smith Drive South and Goose Creek, in Southold, NY, SCTM # 1000-76-03-12.1 Date Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applican~ for permit~* including Town of Southold agencies, mall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. Tl~is assessment is intended to suppl~a~cm other information used by a Town. of Southold agency in making a ~fion of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard ,4rea. Before answering the questions in Section C, the preparer of this form should review the exempt n~inor aclion list, policies and explanations of each policy con. ned in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to ils siynificant b~.og ,:..e~eial and adverse effects u~n the coastal area (which includes all of Southold Town). If~4}' question i.n Section C on this form is answered "yes" or "no", then the proposed action will ~ the achievement of the LWR.P policy standards and condilions contained in ~e consistency renew law. Thns, each answer must be exnlained i~ detail, listha~ both sunoorting and non- ,.~ reporting facts, lfan action cannot be certified as eomistent with the LWRP policy standards and condi-Jons, it shall not be u~dertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.nortlffork.ne0, the Board of Trustees Office, the Planning Departmtmt, all local libraries and the Town Clerk's B. DESCRIPTION OF SITE AND PROPOSED ACTION The Application has b~n submitted to (check appropriate response): own Board [] Planning Board ~'~ Building Dept. [] Board of Trust. T 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, l~d ~ransaction) Co) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and.~ctent of action: . ~ . II II 5 A M U E l 5 & 5 T E E l M A N . . February 6, 2007 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 FEB - 8 2007 RE: Gitlin Residence 1180 Smith Drive South Southold, NY 11971 SC TAX MAP # 1000-76-03-12.1 Dear Sir/Madam: We are requesting an amendment to an existing permit No. 6224 for the above referenced project. For your review we are submitting the following documents which reflect the changes to the project that include (1) A new entry on the north side of the house with dormers above on the existing structure, (2) The removal of the terrace on the south side of the house, (3) increasing the size of the existing deck on the south side of the house (4) Relocating the garage to the west side of the property within the 20 ft. set back, 1. Letter of Authorization 2. Three Site Plans prepared by Samuels & Steelman Architects 3. A check for fifty dollars Please call us with any questions or concerns. Sincerely, SAMUELS & STEELMAN ARCHITECTS ~. Thomas C. Samuels, Principal Architect ARCHITECTS 25235 MAIN ROAD CUTCHOGUE. NEW YORK 11935 (631) 734-6405 FAX (6311734-6407 Location of action: Site acreage: Present land usc; / Pm~nt m~g c~sifi~fion: ~ -- ~ ~ If m ~plication for ~c pm~sed ~on h~ b~ fil~ ~ ~e To~ of Sou~old agency, ~e follo~g ~o~on ~I bc provided: (d) Application number, if any: Will the action 1~ directly undertaken, require funding, or approval by a state or federal agency7 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 n coastal location, and minimizes adverse effects of development. See LWRP Section XII -Polieies; Page 2 for evaluation criteria. r--~Yes [] N0 ~ Not Applicable At/ach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold, See LWI~P Section IH - Policies Pages 3 through 6 for evaluation criteria [] Yes D NOPSI Not Applicable At~ach additional sh~¢t~ if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L~RP Section III - Policies Pages 6 through 7 for evaluation criteria [] Yes [] No~ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section IH - Policies Pages 8 through ][6 for evaluation criteria Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of $outhold. See LWRP Section HI - Policies Pages 16 through 21 for evaluation criteria ! Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems iacluding Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section IH - Policies; Pages 22 through 32 for evaluation criteria. Yes No ~Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quali~y in the Town of Southold. See LWRP Section III - Policies Pages 32 thrangh 34 for evaluation criteria. [] Y,s [] No,[~ Not Applicable Attach add~.tional sheets if nccossary 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. 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 HI - Policies; Pages 38 through 46 for evaluation criteria. ~-~ Ye~ N~NotApplical~le Attach additiooal sheel~ iFnecessary WORK/NG COAST Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent use~ in suitable locations. See LWRP Section HI,- Policies; Pages 47 through 56 for evaluation criteria. [] Yes [] No~ Not Applicable ~ttach additional ~¢cts if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section IH - Policies; Pages 57 through 62 for evaluation criteria. Yes Not AppUeah c At~ach additional sh°ets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section IH - Polieie.~; Pages 62 through 65 for evaluation criteria. Yes [] No~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy, and mineral resources. See LWRP Section HI - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [] No ~ Not Applicable PREPARED BY S A M U E L S & S T E E L M A N September 9, 2005 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 RE: Gitlin Residence 1180 Smith Drive South Southold, NY 1197~1 SC TAX MAP # t000-76-03-12.1 8EP ] 5 2005 South01d Town Beard of Trustees Dear SidMadam: We are requesting a Permit for the above reference project. For your review we are submitting the following documents: 1. Application 2. Sh~)rt Environmental Assessment Form 3. Application Affidavit 4. LWRP Consistency Assessment Form 5. Letter of Authorization 6. Four Site Plans prepared by Samuels & Steelman Architects 7. Current Survey 8. Check for $250. Please call us with any questions or concerns. Sincerely, SAMUELS & STEELMAN ARCHITECTS Pr ncipal Architect ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEwYORK 11935 {031) 734 6405 FAX (631) 734-6407