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Home My WebLink AboutTR-6431 . . 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 January 23, 2008 Mr. Robert Bassolino, RA 28-55 214th Place Bayside, NY 11360 RE: JOHN & MARIE SHACK 1265 SHORE DRIVE, GREENPORT SCTM# 47 -2-26.1 Dear Mr. Bassolino: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, January 23, 2008: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6431 to reduce the size of the proposed extension from 3,147 square foot to 2,454 square feet, increasing the distance from the bulkhead from 40 square feet to 46 square feet, eliminate the proposed second-floor addition on the garage, and remove the shed at the east to increase the size of the side yard, and as depicted on the site plan prepared by Robert Bassolino, last dated December 10, 2007, and received on December 19, 2007. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, r07~ James F. King President, Board of Trustees JFK:eac '0 "," '" -, ,'~ ... '. "'__"<",, ,,::,:Jt'>l ~_~' . ~ "Ft; I I u',~ "'I, (~. ";', , !!~ ,.lti . J'.'~~ ..,.~ t'(~ '~titi " ',' ~:.' ....i;"~.;,. ,.... ..h~:r"" ....,.......,: :,f ,'l~,.~jt3'::"""~'>":"lJl~<,~,.",.,~;;::;,I.'--.:':':-',,, . .,t;. -""J; ':t,;',i ''''1'' """";"?f!'" >",...". h""'"'''' , '~"l'" . ,1f?;j;iiI{N~,,?~r,~,~~t~'I~' " I . ,~".e,~ ""~'" . '. . '. 'j() \+, i'. ~';;.'~.":'./.:~.;..~.~'''';,:~{~\i~f;J.'.;'. 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In', ;>;",,"" 'i-tl I' 'I'N1l1 .. ':II -bi. & "":".. i..', r...'.... " ":;l"~ ~...'.."~/~11T:l!1:-,.~6:"rt;~~;:::;: - ""; " -" , , <' , , - ;:,nfl, '" \,r. , " .. \ii~. ", "I, 'lf~I~'<" .,''j7!'!U..... ,p~~~..: . ;1'Pt.. rilt. ~'H:i ~}>l c:ti i,;i',~ t~ry'l ,:11,,) ::;::1 '1' _, 1",'- ~PFR()VED Ent,i! CqARDOF TRUSTi::O:: ToVv'NOFSOUTHO~:0 r \Yi; .. #/1/0 6: ...~.'.' .. """n~r J. , ~~.& ',' ~ '. '" ~".."'- ~I ~:~~~~;""':Ta~~'.~f~;.~~4~~~?':,:".:,::j;;!L'. . ~~~';'v;~';'~"""-~~::k'-~~'-;.:I"-It:_' ""'~'~-4~:"-';::'~::",'"~;-'';~''' :~'-_:'",t-,~ -(::,"': ':" ,..W, ~~'""~;"","~Il!l'>..'!l,~,,,:~,,:,,. " ~.~. .....'....'i '''''r.,.!S<l!!>(.f:IJ "~'~;'~6";;?U~~)<':.~,~~ f;r.,'f#,7',~~J~:'%~q:")s;:~:"~~~:::~-':". j ;;. -' I'~:':: "f: I~j, j' , ~ '....,":"..' ,"' .-;.... J.J. .......... -~. laoCJ~e6in ., i":., prH jii,_; j1]ii\ ..'i; 1 9 ;=07 'I;:~'l' ill.' , ,'I,!J, ':', i If ~. ~:j ijii< ";'!HI:.M . ,:iH(l ."." 1 " ; ,lIil'tbn.<='~...:. I~<*~-',... ~:""5f1!:;..,,~:!'l'::~~" "._~ t:iftu..i:;Il#.'-" I " f '~ , , , , { $1t !''' . .f I r I i2",<O-~'7: i ' . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD . Town Han 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Tel ~~'\1 ,:-\ \]'ax(!}3"' 7 ,-~41[', I n ilq~r---'----ili \' Ir",: C 19 2007 LL! L\ U,! DE J",j L ~-,..- <&;uthold Town Boord 01 Trustees APPLICA nON FOR AN AMENDMENT TO A WETLAND PERMIT DATE 12..-( 1-07 .J C>H 0 ~ 1'v\.p..\z1 IE: OWNER ~H,e,c(<. PJIONE 7 B { - q 35_ (( c;, & ADDRESS J 4-b f'L~A-NT ~TI2t::::;EI A W6But2-tJ Mp.-% / C> 1BC>1 AGENT /2O.f?f-Zt2T BA55CL-ll-lcJ PHONE 716- Z 2.!5-4'(t:P 1 p...(I2C.j..-{ I T~ T ADDRESS 2..6 -53 .z I 4- -r:H f"LACE:) 8;"'--05 lP(iE./ NY 1/23 b 0 PROPERTY LOCATION {2b~ ?I-/oIZ./E DIZ-/ 6l~f"orz.,T TAX MAP NO. 4-7- 2-- 20_1 vy..>e /!26btiE'rz T f?t:>6~( NO request an Amendment to Permit # .0+:3 I to tzEOUcE C6VlEV~b..4>1t.- A~ ("'{-'('let T6 f5.Eb% ~t? Okl. 0-JsTrz( r-r14f,.) orz A- -:5fE=t-lD t=~cr/<...- a~ ~L6TI f..! ~ 9,6.i?/,-r'llS... S'",oIBy' ~~~ ~je..T {?)S.. :5:$QL-{f.-.1Q /2--A... .,;.~"-<~. ......'._-~-,' .~. - ~~~-~~-~~~I ~~.~o ",", er4 of Txuat... Appllcati4 AlTl.--.[IATICB (where t.he applicant. 18 not the owner) I. . reaidin; at W-'2..~J..J, M ~ ~ti50/ f. '1 do hereby authorize /ZotoEsz,'T (Aqent) e,....~.,~-HJO, A/'2d-\ 11ix::r" to apply for permlt(s) from the . Southold Beard of Town Truatee. on, my behalf. / ~"A~7 ~ ,/ / , < .!, / / 'ft7a;u.. : ,.'ide!, , (owner's signature) l Q \ lbl e:;=l- fit Nish. Jakhu NOTARY PUBLIC . r, M,,- -,r'., _, . _, "" ~ - I)" " ! J ~~ ,c.;.!::tlUsetts , ,AI.", 'v""''''OV.21.''' \t)~ NIIIta......., nJii' COll1 ~~ My Cam . .... ~... 1CII....lfl, ,- !lor fJ!p;/IS Nov. 21, 2014 o " .5T,/ "'Board of Trustees ApPliOa~on County of Suffolk State of New York ~01 ~:?dU.fJd BEING DULY SWORN DEPOSES AND AFFIRMS THAT HElSHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF IDSIHER KNOWLEDGE AND BELlEF, Ar'IID 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 TIDS 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 TIDS APPLICATION, ~ . Signature EMMANuEL CARAVANQS Notary Public, Slate of New York No.01CA4866400 Quanfted in Queen. County renn E>cpresJuly 28, 2010 SWORN TO BEFORE ME THIS_ / )74DAYOF 1)Cc'CI\ ~/L ,20.Q?-' , {~~~~ Notary Public . Robert G. Bassolino R. A. 28-55 214th Place, Bayside, NY 11360 . Ar.chite~t (718) 225-9161 Town Trustees Town of South old December 11,2007 Re: Owner: John and Marie Shack Location: 1265 Shore Drive, Greenport SCTM# 47-2-26.1 Dear Members, I have revised the proposal that reduces the proposed construction. .Enclosed please find revised site plan dated December 11,2007 indicating a reduction in the proposed. extension as approved by the Town Trustees on August 23,2006 and the Board of Appeals on October 5, 2006. The changes are as follows: Total coverage is reduced from 3147 sfto 2454 sf and from 19.99% to 15.58%. Distance from new construction to the bulkhead is increased from 40 ft to 46 ft. A second floor on the garage will not be built. The garage will remain as existing except for the removal of the shed at the east to increase the size of the side-yard. I will also submit complete plans and revised application with the Building Department reflecting the reduction in scope. Also, we will comply with all of the conditions in the original approval. Please advise me if this submission is acceptable and if so, when the hearing will take place. Thank you for your consideration. i'-' I n cr' 1, q U:... - , L.....- . . 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/W orksession Report Date/Time: \ ~l tl ~ Name of Applicant: j'Ohl" l" rn"".e .s~cd... Name of Agent: 'iZo1.o& t \?,,,, jJ 0 \...:> Property Location: SCTM# & Street_l 2. "5 .5h.o~ CA. (Sreu, fod Brief Description of proposed action: 'Rd(., (,Q .f.u t r'''' k- 0 f .J.lrhrtJ Type of area to be impacted: ; / _Saltwater Wetland _Freshwater Wetland _Sound Front ~Bay Front Distance of proposed work to edge of above: Patt of Town Code proposed work falls under: ~ Chapt.. _ Chapt. . _other ~15 1\1 Type of Application: Wetland Coastal ErosionV' Amendment Administrative - - ----- - _Emergency Info needed: 01<. C:D\,....Jl (e,~~ I )f'l.S ",j ~('rf' r \ Modifications: Conditions: I Present were:~.King JJ.DohertyJp.Dickerson_D. Bergen ./Bob Ghosio, Jr. Other: MailedIFaxed to: Date: Comments of Environrnental Technician: Nee k.J J~~'I.J~ Show 00" -tv. r.f ore", rl)~ oW . "'" jVV'~ . . 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 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 15t day of construction Yo constructed ~ Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee John & Marie Shack. residing at 1265 Shore Dr.. Greenoort, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 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 South old 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 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 SOUTH OLD August 23, 2006 Robert Bassolino, RA 28-55 214th Place Bayside, NY 11360 RE: JOHN & MARIE SHACK 1265 SHORE DR., GREENPORT SCTM#47 -2-26.1 Dear Mr. Bassolino: The Board of Town Trustees took the following action during its regular meeting held on Wed., August 23, 2006 regarding the above matter: WHEREAS, Robert Bassolino, RA on behalf of JOHN & MARIE SHACK applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 9, 2006, 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, in accordance with Chapter 268-5.H, said application was found to be Consistent with Policy 6 of the Local Waterfront Revitalization Program policy standards, by the Board of Trustees, and will further the policies through the following actions: the proposed building extension to the south was reduced by 5', the addition of drywells and gutters, a line of staked hay bales will be in place during construction, and the installation of a 10' non-turf buffer landward of the bulkhead, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 23, 2006, 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 the Board of Trustees approve the application of JOHN & MARIE SHACK to construct an extension to connect the existing residence to the detached garage and add a second floor, with the following conditions: drywells and gutters are installed to contain the roof run-off, a line of staked hay bales is installed along the seaward side of the dwelling during construction, the installation of a 10' non-turf buffer along the bulkhead, and the three large trees are to remain, and as depicted on the plan prepared by Robert Bassolino, RA dated July 24, 2006. 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 JFKllms . . 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 TO: oIo""-n ~ 'lno.J\.I..i .-->>ha rt.k Please be advised that your application dated~1 Q(" reviewed by this Board at the regular meeting of ~,3.e,Ibl. following action was taken: has been and the L......J1\pplication 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 Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: ~ roJ l rufe~tt:en ~ - <.!( ~ I D'O TOTAL FEES DUE: $ SO ,DO BY: James F. King, President Board of Trustees . . Catherine Hearst 1195 Shore Rd Greenport NY 11944 631-477-6106 Board of Town Trustees Town of Southold Town Hall 53095 Route 25 PO Box 1179 ie' i; L';;::, L: South old NY, 11971 JUL 1 7 2006 I.. ______.___,._. s- , To the Trustees: This letter outlines my concerns and objections to the proposed construction and related permit to be issued to John and Marie Shack for their property (1265 Shore Dr, Greenport) which is adjacent to my home. The SCTM# is 1000-47-2-26-1 1195 Shore Drive is my only residence and I live here year round. I believe several aspects of the proposed construction plan would significantly alter the value of my property and the quality of my life. My objections are outlined below: The plan calls for a two story, two car garage to be built 7' 11" from my property line. The second story of the garage will be used as an accessory apartment (rental unit as described to me by my neighbor). The exclusive method of entrance and exit for this apartment appears to be about 10 ft from my property line, which will subject me to the pedestrian traffic of their renters. If approved this will be the only rental unit of its type on our block. I believe the size of the garage, setback of the garage, addition of a rental unit and siting of the entrance of the unit are all impositions on me and devalue my property. The new construction is also being sited much closer to the bay restricting my view. The siting of this construction is inconsistent with siting of the other homes on our block and creates a situation where the Shack's proposed home will crowd the views of its adjacent neighbors. The plan also calls for the removal of 7-8 mature trees, impacting the green belt surrounding the preserve located directly across the street. I thank you for your consideration in this matter. ~,#~ - 19 Murray Street 4th Floor New York NY _7-2240 . tel. 212.2679385 / fax 212.2676795 www.anchorconsulting.com ANCHOR CONSULTING architects + engineers I q ...J f.h-( 'WOe.,. {O~ :(~~ ~ f 0e--~t ~ -ae ~~ 'f> eX uYJ ~ ' ~ ~t~ ~~~ J(~~~. .j ~Mcf~ ~~ ~ ~ tk ~ ~ flo-r~ df;(~ a-I ,;'AI:'JrlJJ~ 1e~~." ~ r~~ ti;!-;;j(f:J-~ ~ &.~ ~ '-" 'fo -cfg ^:1;; .- ~ , .. ::t rr c ,7::J;j:J W(~~ :tJL ~ .~o-- ~1 ~~~, .J~~(;kf~ . 'J~ ~ ~I it; ~ ,- L-a ~~4rih~--j~f~ ~~~dWHuf. . ~ / I~f-I.. T1J--I.FFffFEER-l:- -----_.-,._'~ l 1 I -- I-- I J ..1 LI . . Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New Y oli<: 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Mon., July 17, 2006, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board ofTrustees APPROVAL WITH CONDITIONS of the Wetland Permit application of JOHN & MARIE SHACK to construct an extension to connect existing residence to detached garage and add a second floor. Located: 1265 Shore Dr., Greenport. SCTM#47-2-26.1 The CAC recommends Approval of the application with the Condition drywells and gutters are installed to contain the roof run-off, a 20' non-turf buffer is installed, and replacement of the trees that will be taken down. The CAC also recommends the Trustees address the asbestos siding on the dwelling and review the alignment with the neighboring houses. Vote of Council: Ayes: All Motion Carried . . 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 SOillHOLD Southold Town Board of Trustees Field Inspection/W orksession Report Date/Time: '7" If / O/:; Name of Applicant: :1~^ t ~\L Name of Agent: Property Location: SCTM# & Street L(7.... ?.f;}.h. I Brief Description of proposed action: l-ft9~ L.L!)~\..~b>~ ') Type of area to be impacted: _Saltwater W etland _Freshwater Wetland _Sound Front _Bay Front Distance of proposed work to edge of above: Part sPfown Code proposed work falls under: ~apt.97 _Chapt. 37 _other Type of Application: _ Wetland _Coastal Erosion _Amendment _Administrative _Emergency Info needed: '~ f\QA~hb-.- - (:. ~\)..v'~<L f\<.c:vsl, is Co""'''el' (?}:N,cJ dose .:t v \1:> hel) c\oS';" -'" 1h.. b,,"l, \"OIAI'^.?'y, ~'-C"'5')-#-\-reeo cC~"."q)SE'e - Ck<-LJJte..~<.e. Modifications: Conditions: !,-I.J t-~ If ~ l-t~kx:tltb . Present Were:0King l./f'Doherty ~ckerson. vr; Bergen~zapfel Other: MailedIFaxed to: Date: r~-1 II r ,---. c -. 1~PI-(O,.o..' ~ ~ L.C>oICIN-~" ..... t:~,2.~ 5} $. ~pR..e. 0 ,a,~f;t.~ . .. --....- "'~~ ,~ ., '~. . ....'.., '-.",,~ 1 , ... \l ~'... ..::f' 7 - [0-05 /- .~ c Il~~ ~-- · ~,~I~f 'l,2,fp5 '{ .Y~fl&I!! - - -.-- 1-4 _"'~ '- ""-<I'- _~,i~_~ ~ .......... JL.l. ~"t"( " ~.~ ",~ . ~ ':JiI " ,r'l.... . .c...'.:;O' 1-( o-o~ . . ~ + + r- ~i ..- 0 r 0 I 0 ~ ! -=::::>-Z~/ 5< I . , ~ , I 8" ~~~ g~~ " .f, '5>- s;~ ~~Jj :zi; is,,,, u~~ i " 0 'I ~ ~ !! 3 ~ ~;~ w"T g h~ ; "" z o:"Hi au. lH iUli !i ~ III! I.,", !~L~iJ :;jjjl i<lrlli " I" I1I1I in;! ~ ~ ~ !; Ii ill ! J! Ii I.... ,il'! i iiii ! : HI nnl Ii)!! ie!! I Ii i i 11 Illi o I t~ '.1\ , : i Ii 11111 + + I'll -i 1 r I' . .. Robert G. Bassolino R. A. 28-55 2 14th Place, Bayside, NY 11360 Architect (718) 225-9161 August 11,2006 Board of Town Trustees Town of South old Town Hall 53095 Route 25 Southold, NY 11971-0959 i',= L":' "\ [ " AUG - 8 2006 Re: 1265 Shore Drive Board of Town Trustees: At the July 19th hearing the following requests were made by the Board: 1. The proposed building extension to the south [towards the bulkhead] should be reduced by 5 feet. This was done. A revised site plan dated July 24, 2006 is submitted. 2. Adjacent buildings located. An additional site plan dated July 24, 2006 indicating the buildings is submitted. 3. A 10 foot wide non planted area along the bulkhead is to be included. The additional site plan indicates this together with the three large trees that will remain together with some proposed bushes at the bulkhead side. 4. A survey with the proposed construction indicated. This is submitted under separate cover. 5. The location of the septic and storm system. This is indicated on the site plan dated July 24,2006. SincerelY~ ~ ~0ar~ ~~ Bassolino RA " I! Ii WN'"""'1Y.. . ~'.'....~f< f. . . U. "i .1)\"\. - 'P \l-.. :t ~~r C~ Z f;!Jl ~Ut~ .~~ ~ -M . , ::(J\ \I l- ttt ~ ~ ~~~ r~ ~~ M rm.~ ~ ...12 -4 ~ .\1\ 'fll ~- ~ ~~ Tn r~ ~.~ , u;~. t ~ r ..~ ' -..- ~ ] ;~, .~ l' ~ & ~ ,-_J' '" \' lJ1 ~.-t: t:+ ~ ~ .e:: Il1 tj\ rrn /. J' \:) Q I m '~ ~ i- r \' .- - - ! -- ---- - - ... ( - ,~O. ". '~~ I \ \}..\ lJl~ '0 I ~ c fl, F\ .......... :t '( I \'/ ~ 3'G1--C'1 Ol?;TqTNA:LLY .3 I ~o 'j ~. ~ ~- kt. fIil n '(fir !! I i~[ ~ ~.. ~ 1'\ 0' ~. Tl i-! f~ l':.' .11.' Z1 :ml E 1 . 1101 I /I ~ ~c u r' I ,(.'- 7\ \J :rJ I.=: P1 I ~ .~ /11 I ~ I ~ I ~ t: /'N--~f // VI DH /.. 0 ,Ov ' ~----_'\- ~ ~ F I , z> H \Il~ llV' . fl ~ IUd illi: I III Nt! ~i 8 in I1Jf4:tI 1J1' i. ~ ~ U~j ,."1 i.J d'i.. ~ ~H~. ,.;J '-. 4.' '-l d}+j tili , l{) .1. ,.... l'fl 1/4-. 2.1.' P7PES I COVE lIe L.IN f: ~ , -t. , ~ I ll"- IT , APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE 6'/Z:y'b 6 ~A ." .~ 7-0 , ., 37-0 I I' 25,.., ~. ~9 II> 9p f' ,I. ,g - I,"" . , 1M.... I 0 :~~ ~ij) I'l (z. ALlTc:;ge ) .~ t-e-r.'6r 1 -s-rt 9 f:.I2A.c:, rc -Tc>- e> E..-u 'Z..6T"T '() :1I UI...KHE:.A.O Ay 04J ~~ " '5'.0 I II 41-6 ",^\-fW .,.. .... $ ~ ~ rL .:1 '2: .J- .~t"6Y'" 17 LS · x lQ~iJ;T~ i- s.,. ItS.5 -a tlJ 9 l} Jfi J t) ~ .'U I/) tp ~ ~ g . - Ii) . U\ Il) I " i '14~q - I~TA "",y PFOt:V o .$D 0L.l" -~~_. ~~fN\='I2-"" -~ p...<;Ce~~-~' I I C>C>. 00 N E vY' GO N e Tt:2.UC-r 10 f-J .sHORE f 1 0",.. o <-p . -P15-reIC" ~ e>EC'"1"IC)j--1 4'7 6L..e>c;,(L Z '. L.aJ. . . 24ii - r - (f=<:::::>I2.M 5'1'2..1-'"1" 7-01',:6 P;Ie,; f"'e> ('5" OQIVE. SITE PLAN ~1:.J:::':. ul"':::::' . 15'--a/1 \ ~' ..Joe. J/'d' ~;! rf' i I I ! . i I ' ~ ~ ~ ~N ~ S! '~ lJ) " '.\0 I ~ ~i ~ ~ ',r (~al:~~ '," WTc () tt -\9 ' Ii ~ ' I I I e. t..U E:.S"T>:>I-I e; 1'\\'iJ ,<l qp.IVe'N)..""f' IV) ,. . ,L_.l.~_ ~o11\ ' '" EZZZ1 .,I? ,tA ~ ~_~I~-r~ OF-.ck::. I ~)~ ~ :, -~ ~ /:i' ~:o IlJIJ G-~~"'~ ~ III r'r~ ~ 1ZE1Y'&'6~....t.;fN'i'IelZ.J.d;l:. P~-rlc'I9;G..'- ~\-,-nHq '?"11 ,0 BeCOME. -z ~TY 15!.1~ ~ ~ ~ r1 U. - 0 ~ 0 t- ~ , :!>p !L r0 ~13 & r(l J-:. - I/) 0 0 ~ ~ L,p - - -' . . ~ ~ '( i , , I Iii i; , , i ~ 1 : ~' i. Ii,. I'.i. i J I ' I! : ;, i i; i: ~iij ~ ~tzr~ ~. k{ : . ! how j:t :z ~- l-J2 I , ::~ i Ii 78-2'1-cs'- LOT @ - ~..::::=:::-- ------ --- SHORE 8/ 12,1 N. 50'38'30" E. f'rC ~-S 0.47 . r:::: r<i ..., - FE ~" ~ l.t: J8.4~ ~ CL .. ~ BIf/C/( PATIO ~ FE. ~" /8,2' - - -- -- 0.$' ~ . CONe; () WALL '\ ~ (\j . 0) ..., ~ ~' , TIBLKWJ n..s.... I I . ,. ~I~ I I I I STY. FR. HSE. 10 ~tlcof')<: '2~/j 27.$' b " eJl,,,f. I'OGV) DECK n*!W otA~ It LOT @ ZONE X lrOQ? liU..JotEAD ZONE AE (e/. ) - 100.00' 81 ".'V ~{v ~. ()~ .",0. ... a.J2 .\f!J f)1 6 f!J' ~. \ ,~ .". ~ <i- ll) '><.- i ~ ~"..., I~ ij '~~ ~ I~ ,... LOT @ ....... ..-t..1 ~.f , i I II 2OJ' ~~- ---;c ~-~ ___ - TE LME"",\ ----.:::::::::~ ROCK' S. 54'1310" W. - JETTY 1/ 4.22' FL 000 ZONES FROM FIRM 36103COl59 5/4/98 ELEVA nONS ARE REFERENCED TO NGVD AREA = 15,746 sq. ft. to ti line ~ PIPES COVE 26.j' ) 1,1 -u~ @ We/( .... \0.6" C ..... ~ I,j . a.: () ~, ,(\j OIL_I , ~ Ctj .l!1"-./tIIJ) ! 1.. I> ~---.-, ~~ PIO LOT @ ,4NY AL TERA TION OR ADDITION TO THIS SUlVEY IS A VIOLA TION OF SECTION 7209 OF THE NEW YORK STA TE EDUCA TION LAWL____ EXCEPT AS PER SECTION n09-SUBDIVISION 2. ALL CERTFICA I KJf'IS HEREON ARE VAW FOR THIS MAP AND COPIES THEREOF OIL Y IF SAID MAP OR COPIES BEAR THE //JPRESSED SEAL OF THE SUlVEYOR WHOSE SIGNA TURE APPEARS HEREON.. ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' /JUST BE USED BY ANY AND ALL SUlVEYORS UTLIZING A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED" AND 'BROUGHT-TO-DATE" ARE NOT IN CO/JPLJANCE WITH THE LAW. ~ r', \ LOT COVERAGE EXISTING 2234 SOFT 2234/15746 = 14% 3284/15746 = 21% A T COMPLETION OF CONSTRUCTION ~ " " " f>.UG - 8 2006 SURVEY OF LOTS 16, 17 & PI LOT 15 MAP OF GREEI#'ORT SHORES - SECTION ONE- FLED AJIE.29, 1950 F1-E NO. 7759 AT GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNT. 'C. N. Y. 1000 - 47 - 02-Plv26 'SCALE: r' = 20' SEPT. t 1998 AVG. 8).2COb (F"RORIrM>IT ) PECON/C SU (516) 765 - 502 P. O. BOX 909 1230 TRA VELER SOUTHOLD, N. Y. 98 - 283 (2) - PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair . 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 KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTH OLD , , To: James King, President Members of the Board of Trustees ~ Mark Terry, Senior Enviromnental Plann' , L WRP Coordinator !, r !: , I I I. I L__ JUL 1 8 2006 From: Date: July 18,2006 Re: Proposed Wetland and Shoreline Permit for John Shack SCTM#1000-47-2-16 and 17 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold 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 L WRP. Policy 6 Protect and restore the quality and function of the Town of Southold 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 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The proposed addition to the residence from a tidal wetland is proposed at 39 feet: a minimum separation distance of 100' is required pursuant to Chapter 97-12. Please require that the applicant amend the application to meet the above policv. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. . . .. j 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) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~oastal Erosion Permit Application LWetland Permit Application _ Major _Waiver/Amendment/Changes ~ceived Application: 1Q/9/rj. ~eceived Fee:$ ~~ ~mpleted Application h /<1lalo _Incomplete _ SEQRA Classification: TypeI_TypeII_Unlisted_ ; _ coordination:<date1/!1iEent ~AC Referral Sent: ____ Date of Inspection: _Receipt of CAC Report: _Lead Agency Deterrnination:_ Technical Review: -Public Hearing Held: '7/19/t\!- Resolution: Minor ,/ JUN - 9 2006 Name of Applicant ~t:...~T BA:::;~Ld..J.6 .JO~r\ -I-lY'OAJL&r.au:: Address Z8-S5 Z /4 TH- A.. N=-F , ~'(~/OE N"C" /136Cl -- Phone Number:( )'Z/z- 5+2...-77(,:>7 -- ~~"'Cf7'y (',I] S1;Iffolk County Tax Map Number: 1000.. 47 I 8>loc;tc:: :z ,,~ r .6 ~- .... PT c::>F' 15 Property Location: 'ZIP:;; ~U<!:>f2E t;:>f2/VE / 4,l2.iiE2I-4fbj'Z.T , -.l:. P=L..fE 7$ PI2/VATE" P'--''''-'''' =FF SI LV/92MElefP=" r-Z.D. 806 f I 6IZIZ-El..!lbeT r=1.PY"" (provide LILCO Pole #, distance to cr~eets, and location) .) ./ AGENT: f{)borr l1Jass"C) h(\() I (irfh\-\:(lc..t- (If applicable) Address: Phone: Sa- i\:t (b.rCI (Q I Jd-l rJ, . . Board of Trustees Application Land Area (in square feet): GENERAL DATA f 5/ 74& SCiI f"'T . Area Zoning: ----'G - 4-0 Previous use of property: c:> I>-.l e P'J.../Vl ~L '( f? '=<:/lClZ: Net>? Intended use of property: ~/..le ~ILY ~ESIDjz;N.C&;: ~l-rt-+ ~fE$~I:2Y ~1V\.i=I4T Prior permits/approvals for site improvements: Agency ,f-,,'Y5 ~- =1= EI.JiV( ~N. Me:.H.-r.A.l.- Cc>1-1~-t=II?V ~-r L~t...J (e>u~,-l.EAo W'0t2~) f'/St;;?M rr {- 41St!!:> -?Z.3.!!>.o/" ~( Date bC-T 4-) 1"( c:r. "r _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~No_ Yes If yes, provide explanation: Project Description (use attachments if necessary): c~:G-rfZt.>CT Jl...u t:::)(.""f1:'U.t-$L= /J ToO = f.J NlZ.C-T ~'f. L:STlNe;. f2-ES. T= ~T+ICj..UaD G; ,b-J2.-.b..1f}~ .4.1--1 l? ~ ,t.. ::51Za=f.4Q r-4:>c>/L . . . Board of Trustees Application WETLANDrrRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: C:~ f.JG -rf2l.X:--'"T J'.I-J, tz;XlS~~1-.I ~ ~)(~.6Tt ,...J.G'1 j2.t:="AI.DEN-Clr ;t ,6.r:>.o A- .;; ECON.o ~{e- Area of wetlands on lot: /5, 74-c;. I square feet Percent coverage of/ot: I 7. 4- % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: 3 q feet Does the project involve excavation or filling? No x Yes + If yes, how much material will be excavated? '21- cubic yards How much material will be filled? <=> cubic yards Depth of which material will be removed or deposited: 4- feet Proposed slope throughoutthe area of operations: l="L.,& T WI T1+ 'S L./6lI./T ";LoPE TO i'!:>c...>l-~HfeAr::J Manner in which material will be removed or deposited: li2k::AvA-rrco fv..ATfiE.r2tJ>..L l~ N~ /=G:>(')~TlC>"-l v.,tA.Li......S /,-j I"" R:::=<=>TlJ.l.45 '-N'I LL- /?1Z. """T1ZVCKlEo c:F'Je' ~l~ 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 ifappropriate): t-JOI-JE . . Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: a:::>1-I6'T12.uC{ N-L ~I-.\"'l<!:>f-..:l ~ ~ g;><16"\ I J...lG, l2e:SI~ -;;f A=.Ji.,.. ~F==""""~~.o I=~ e.. Are wetlands present within 100 feet of the proposed activity? No )<. Yes Does the project involve excavation or filling? No )<.. Yes t: If Yes, how much material wiII be excavated? ~7 (cubic yards) How much material wi\l be filled? c:> (cubic yards) Manner in which material will be removed or deposited: ~~ T~ MA-rJ;:\e\kL FC::>~ I--J liE:"\,, ~'-'1-.10",'TLOf-J \'Ao/""-L...LS .&..f...IO ~-rLl"u".5 '^" I LL ~r=: l1?" lCb:::e;=:r-> e>FZF ~ITE. Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) t--lOHE. PROJECT 10 NUMBER . I . 1. APPLICANT I SPONSOR ~~j2."T ~'~"""e">l.-I /...l.C> 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only (To be completed by Applicant or Project Sponsor) 2. PROJECT NAME f2.re.;5. ~ Me.. sf M/JZ:5 coIe>l-I,.:) ..;; a<..l SEQR PART 1 - PROJECT INFORMATION 3.PROJECT LOCATION: I~ ~~lC'j:7 \IE: PI2-/Y~, Municipality e> T County 50 F' K 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ale - or provide map 120"5 :$~ =1:2./ Pl2IV~Tf;: f2e,lloO C>~ -S;1L..~g.~lC~8<:1P" ~J'.,O / ({V\4.'P IS ~~ IPSD) 5. IS PROPOSED ACTION: D New ~ Expansion D Modification I alteration 6. DESCRIBE PROJECT BRIEFLY: .c:<:::>N6-re. VeT f'o-.,j...J ~T1:Z:.t-.l"5I.:::::>H c::::>NE. t'=-AMIL.\ I2.E::G U?e.J..J.C.E .:;5'CCc>NP \=LC:l::::>t2... 76 ~lBT"INq ~ ,6.J::::W,b.. 7. AMOUNT OF LAND AFFECTED: Initially . .:3 acres Ultimately.. 3 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? DYes ~ No If no,describebriefty: ~z:~~TI J.Jq S! DE '(,A.J2..t::> Jlo..UD 15 ~~ TO f.3E" (;,'-/1"5 ~~r=:1e..1 :S 1012' LS LO!o '~ I ~" IS t -qz M 1J..lI^'tuM OF PROJECT? (Choose as many as apply.) DAgricu,ture ~park I Forest I Open Space 0,"" F~NLC L..-jt:.Nr:> I12US-r ,Q../ZE.",c>T/i-rzrz.. SIDE' O!= ~'T ~ICfZtJ-C.~ <P t-J I::o<::>T H ::&1.0 tFJ5 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ~Yes 0 No If yes, list agency name and permit I approval: u=... ..,../+ r-.=o..beTf>II5i-JT ioqoI ~L-LCA,1O t-.l 'W'1L-L eiC F\ L-t=.o '-N'\TId- m-....C'~' i ':T W L-L II.- 0 ~ N,('s DrZPI- tz;J...lv/I2oNM.I2-"-lT. a::=Io.ITi 11. ODES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~Yes DNa If yes. list agency name and permit I approval: ~L67LN~ ~IDel-.LCJ€ H~ Ct;E~\P:(CJbTE =F-occor"'At-LCl" g. WHAT IS PRESENT LAND USE IN VICINITY t:ia: Residential D Industrial DCommerCia' o Other (describe) o PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant Lf--lq. ~rr~C.7 Date: [-26-0",," Signature Ifthe action Is a Costal Area, and you are a state agency. complete the Coastal Assessment Form before proceeding with this assessment . . PART II _ IMPACT ASSESSMENT lTo be com Dieted bv Lead Agencv\ . A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. DYes ONO B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. DYes o No C. COULD ACTION RESULT IN Am' ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, W legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricuilural, archaeological, historic, or other natural or cuitural resources; or community or neighborhood character? Explain brieity: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: CS. Growth, subsequent development, or related activitieS likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1-cS? Explain briefly: C7. Other impacts (including changes in use of either quantity or type of enelllY? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? DYes ONO If Yes, expiain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? DYes o No If Yes, explain briefly: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant Each effect should be assessed in connection with its (a) selling O.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or neference supporting materials. Ensure that explanations contain sufficient detail to show that all nelevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. o o Check this box Wyou have identified one or more potentially lallle or significant adverse impacts which MAY occur. Then proceed dinectiy to the FUL EAF and/or prepare a positive declaration. Check this box W you have determined, based on the information a~d analysis above and any supporting documentation, that the proposed actio WILL NOT resuil in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thl determination. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency nle of Responsible Officer Signature of Responsible Officer .n Lead AgeQCY . Signature of Preparer (If different from responsible officer) . . . . 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD d '((] [E r-:- In the Matter of the Application of JUL 1 n 20C5 __~~_~_:t__~~_~_~!t_~__________________ COUNTY OF SUFFOLK) STATE OF NEW YORK) c_ ,. . L___ ._ --_..,j AFFIDAVIT OF POSTING ~~ rZ--r I, BA-5;y-.:>i...-t /--..Ld , residing at ZB -55 :2.t4- yl-l pG~ l?AY5/t7/z" JJ{; (.f :so V</ ""'Sf -s~ o~ SOOT HOLD.. IJ"-I J being duly si-o , depose and say: That on the 3 day od 0 L'( , 200t, I personally posted the property known as 12&!!!i S/-tC:e.le':, 0/2 i'Vf'C. 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 ofthe public hearing. Date of hearing noted thereon to be held UlCd). +, II & I '1, a lXJ(p r on. 01 d OLrt (p: 30 fit), Dated: Sworn to before me this {; day OfJIA~ 200 6 ~ a/JtWQ. /ffi MdJ--b.. /' Notary he Margalina Kondili Notary Public, State of New York No.01K06111728 Qualified in ~... ~k County /t:.A. I/lAQS Commission Expires June 21, 2008 \J . . Board of Trustees Application ... AUTHORIZATION (where the applicant is not the owner) I I ..b4 ~ J/Z. if- MAel e: SH.AcK.. (print owner of property) residing at I+~ F'L~/..n $T: (mailing address) WC:::>~UeN/MP6>S e>l80( do hereby authorize~l!'::rz- T (Agent) e>As:;>OL..\f...;\,O/ J:...t2GR I T~ to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ~..0 . (f?7J~ s:y~ (OWner's signature) leU5---rF~ . . Board of Trustees Application County of Suffolk State of New York /2;:?t?El2-T e>A6~Lf t--L 0 BEINGDULYSWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE 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. ~~~ . Signature SWORN TO BEFORE ME THIS 30 DAY OF~20...Q..iJ ~~. ~.~!IJ N Public Margallna Kondili Notary Public, State of New York No.01K06111728 Qualified In "an '(erk County P.\~ S Commiaaion Explree June 21, 2008 0 ~ Board of Trustees ApPlic~On County of Suffolk State of New York -..ic:::::;>\-.H4 -5HJ-/Y JfZ- ~'>VNSlZ.. LBEINGDULYSWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE ~Ie, \'J ~ FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF IDS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TIDS 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 TillS 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 TillS APPLICATION. aA..~p--~ , Signature SWORN TO BEFORE ME TillS / ~ DAYOF,I;1~ 200<: '- . ~ FRED T KIRK :' r . Notary Public W. ,! Ccmmorwealll1 of Massachus8Us "1(. My Commission Expires May 12, 2011 T- . . APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohibits conflicts ofinterest on the Dart of town officers and emnlovees. TIle numose of this fonn is to nrovide information which can alert the town of DOssihle conflicts of interest and allow it to take whatever action is neces..c;arv to avoid same. . YOUR NAME: .J~I-:l . M,t..eIE ~ (OW14E'126) (Last name, first name, JIIiddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) . NAME OF APPLICA nON: (Check all that apply.) )<, Building Trustee Coastal Erosion Mooring Planning )( X Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) Do you personally (or through your company, spouse, sihling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or busIness interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO >< If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of 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) andlor describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check a1lthal apply): _A) the owner of greater than 5% of the shares of the corporate stock of the appliC(lOt (when the applicant is a corporation); . _B) the legal or beneficial owner of any interest in a non-corporate entity (wben 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 S~bmilled~. 20q~~. ~ SI~nature va- ~ :.,~; -~ dA..-v'~ PnntNanYe 0 ' -# lM.c.."I-e.S'. SJ,a.o -r~ ~ r..- ,.-:-- .:.~ ,EUJ. "~0 TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSoutholdl BUILDIaPERMIT APPLICATION CHECKLIST ~ou have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: ~f-t ITj!it'T Mail to:f2C>.ee/ZT e>~LINO 'Z8 -55 Z l 4- -r IT l"t..A/::Je- P-:>A'1SID~, 1-1....- II 'b b 0 Phone: ::212 - ~Jf-z- 776 7 . PERMIT NO. ,20_ ,20_ Examined Approved Disapproved alc Expiration ,20 Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date -.J A.. 1-\ Z. tp , 20<90 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location ofJot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit ~""'"'" """"= 00"""",,, ""'m bWldmg roc_,my _~. ~ ,/ (Si e of applicant or name, if a colpOration) ~8 - 55 2. (4 11+ FLkcf:= ---13A--Y'!$I.D~ f...J Y f 13tPo (M . . g address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder A:/='PLV,o\.J..../T l~ ~C.l-4lTt=CT Name of owner of premises ...Jc:> J.-( N fb- M,&...ef 12 '5> H ,&..c,K (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: (Z-tPS GHoE2fi: D;2.1v-E , 6tF<'~~T , House Number Street Hamlet (Name) b.....~ ~ 4~,. ~"".&iQ~.- Lot It,. / 17 ~ p/~ Is Lot County Tax Map No. 1000 Section 4 7 Subdivision Block Z Filed Map No. . . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy c=NE: l=~\LT f2.IESI DEf-.I.016 ~ PET. 2. C1-JZ.. q~ =f4r=- p;!..M.LLY f'ZP""'-l'n 1E-HCt!...... e; z C.,l!>.e. 4~diE. b. IntendeduseandoccupancYA-"'T"rJ>cHlrn -n~::>I2r:;;::_.... .!f AO::e.<;9':>!ZY ~I?'r>..AfZ,NT. 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition >< Other Work Alteration X 4. Estimated Cost ~ ~ dl:10, ~ 5. If dwelling, number of dwelling units Z If garage, number of cars Z. (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor I 6. Ifbusiness, conunercial or mixed occupancy, specify nature and extent of each type of use. NI A 4.....e.. 2Z.' -22. ' 'Zz...' 7. Dimensions of existing structures, if any: Front 41 ( Rear ~I ' Depth .3 f ( Height I Z. I Number of Stories I Dimensions of same structure with alterations or additions: Front "10 Rear V~ _5 Depth :3 5 Height 2.3' :f ;z. 7 I Number of Stories '2. 8. Dimensions of enti~e new ""..~;truction: Front ~aighi . Number of Stories Rear Depth 9. Size oflot: Front 114- Rear 1/4- Depth P.:d 10. Date of Purchase fJCv II / ''''fer 0 Name of Former Owner e OVV....12.P -f ~y e;;,t;...E61 H . 11. Zone or use district in which premises are situated ~ - 46 / E'f. L:5>-c L N-4J ) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES ~ NO ~ 1l?F- 't J>. ~ 13. Wil1lot be re-graded? YES_NO ~ Will excess fill be removed from premises? YES ~ NO_ ....bJ..I.f.l1f MAelk< 1# PL~f..l"T s-r.. 14. Names of Owner of premises $f-t~ AddressWc::>e>OI2H, MA~ p~rtM.( 781- cr3E - f/~g Name of Architect I2oe>I'EI2-T e:Y' -- .L..LNO AddressZS-$5" 2L4- .!-If'!-. Phone No 2./z-54Z-77'P 7 Name of Contractor AddressP->A '($ID/i!. Hy Phone No. I I JSbc> 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? "'YES~NO '" IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? '" YES ~ NO_ '" IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK.) SS: COUNTY OF ) ~p-!j:2.'T e:>A SoSi::::::> L L N..-O being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the !--V"..,,- H-l T~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and me this application; that all statements contained in this application are troe to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this '30 day of ,~~ Signature of Applicant otary Public Margallna Kondili Notary Public, State of New York No. 01 K06111728 Qualified In tier: Yerl< County R'.ua s Commil8ion Expires June 21, 2008 a . . Robert G. Bassolino R. A. 28-55 214th Place, Bayside, NY 11360 Ar.chite~t (718) 225-9161 Board of Town Trustees Town of South old Town Hall 53095 Rout 25 Southold, NY 11971-0959 June 6,2006 Re: 1265 Shore Drive r . ":ri>- Ie: -\1 '1(/--- ..D~_U...__ Board of Town Trustees: JUN - 9 2006 This application is being filed in connectionW!~rM application filed with the Building Department to enlarge the existing one fami!Y.re~il1':'l'ice at the above location, It will remain a one family residence with the addition of an accessory apartment. Enclosed please find 6 complete sets of applications together with 6 of the required items referencing P 97-21. Also included is a location map. 1. The applicant is the architect, Robert Bassolino, a notarized consent form from the owner, John and Marie Shack is submitted. 2. The work is expected to commence in June of2006 and be completed in the summer of 2007. 3. The work is to enlarge an existing one family residence. 4. The material to be removed is approximately 27 cu yd of soil from the foundation excavation. The enlarged building will be approximately 90' x 35'. A site plan is submitted. 5. The site plan indicates the proposed work. 6. The foundation will go to a depth of approximately 4 ft. The site is level at the building and gently slopes to the bulkhead @ 1 in 10. 7. The excavated soil will be trucked from the site. The extensions will be erected as per Building Department approved plans by a general contractor. 8. A survey by a licensed surveyor is submitted. The site is level at the area of the extensions. There is no construction within 39 ft of the existing bulkhead. The submitted site plan indicates the area of construction. 9. There will not be any effect on the wetlands or the tidal waters. 10. A permit was issued to reconstruct the existing bulkhead. 11. The only permit issued was to rebuild the bulkhead, a copy is submitted. All appropriate applications for the proposed work will be filed. 12. The only proposed activity is limited to minor excavation for the foundation there will be no change in grade. All access will be from the street across the front lawn. The area of . . work is described on the site plan. After construction all areas will be reseeded and landscaped. 13. Photos and location plan is submitted. 14. All drainage from the roofs will be let on to the site and retained by infiltration into the soil. 15. Notarized hold harmless forms are submitted from both the applicant and the owner. 16. An Ethical Disclosure form is submitted. 17. The applicant, Robert Bassolino, understands that the submission offalse information will result in the rejection of the application and may subject me to criminal sanctions. Robert Bassolino RA / A. INSTRUCfIONS LWRP CONSISTENCY ASSESSMENT FORM tt tt. .. 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 infonnation 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 TO\\l1 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 tlIis foml is answered "yes", then the proposed action niay affect the achievement of the L WRP 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 detennination that it is consistent to the maxinlum extent practicable willi 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 tmdertaken. 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 .tI1e Town Clerk's office. r B. DESCRIPTION OF SITE AND PROPOSED ACTION t Ooa LO-.;:s SCTM#~7 :2 - lb-17~ fl:::;> 15 : ~ '"'1 \ !.I. I ~ I i i'..-" , , ! JUN 1 6 ~ L; I , ~61~ The Application bas been submitted to (check appropriate response): Town Board ~ Planning Board 0 Building Dept. ff Baara. (ie-Trustees G:r~----- ! 1. Category of Town of South old agency action (check appropriate response): (a) Action tmdertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) o o (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: 0-- Nature and extent of action: ~l.-ICA.-rLc.i-J HA..5 e>SSJ..J 1=1 LE.t:> WITH TH~ I?CJCLJoLJ-.J6, IDEPA./2.TM..eNT T~ fSNLJ:...f3&,i5 ~ F-!.Xl;6,.-tN.6, ~/E t==,A,MtLY O\I</ELLtJ...tq ~ TO ,L..~ ,!..I-) .A.--r.-F~'$C::::;>t;Z.y A\P.....J:2..T7\PlIa'"J.::>TA.~ P,6..tI2,T of 17__/10# ~ t.o ~~I' ,..pPu.c.tJ,.TIOi-:> j-U..s ~l-J t;>~\-i.I.E:b. v.....fete.NCE.s ~fE eSlI..L6, FLL-SQ_ .. , - .- ~._..-. Site acreage: ...0 . Present land use: ~ ~ lL"'( UZ-f"€:i; IPEI-lCli2. Present zoning classificl!tion: /2 - 4-0 2. If an application for the proposed action has been filed with the Town of SouthoId agency, the following information shall be provided: (a) Name of applicant: ..J:::>I-H..j ";'l-i~ ....l ~ (OW I-He e (b) Mailing address: f40 f'I.-.l?^ 4.J..i-:> T 5TIZEfii:.r ~O~~~~I MA$~ =l~( (c) Telephone number: Area Code ( ) 7~{_ e:r:q,.5- Ll"5 (d) AppIicationnumber, ifany: Will the action be directly undertaken, require flUlding, or approval by a state or federal agency? Yes 0 No.l2T If yes, which state or federal agency? . C. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community charaeter, 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. DYes 0 NOJXl Not Applicable . "1"HI€ teI!!ts/o_^-lcr IS S/MJL.""~ IJ..J ChJ.J?N:7F=1l' '7""" -r~6. .........M^"ULiJ1)-_ IJ..IIC t!o/I..C,,.,u'l [~ WIT'l.1IU ~UT dJ: ~P1II!!~rr f".E'1?M/TTE.'o Ay 45u1L.OU.,Ji, c.c>Pt'. ~6: e;yt~,JV" IJ.lt:"~",~t2UC7VIeF l~ ~..IJ-.I<; Dsf!EoO~ Z>.6.o vv.h.-rlf<.. , , ~--IC. ~[:!Ir'J}.J4 teIP.>JPI6IC1CL: o/-J \M6o.T~~"'" ($ "7'... fZIff!MA/k. ""'" f!..tf$/t::>~N'C:;P _ Au;' 6o,,1!!"II?fI:' IM~. , Attach additional sheets ifneces.ary Policy 2. Proted and preserve historic aud archaeological resources of the Town of Southold. See I.WRP Section In - Policies Pages 3 througb 6 for evaluation criteria DYes 0 No JZI. Not Applicable 'n.u:.~ I'S.~.... I-lISTDRu 0(2 A.rIf!CJtAI5'Ol.l($/CAL. ~lqN(P/~Cf?_ ().le Ift.)IL~/N4 oSl4J,J tS.~IMIwt:.2.--..:::c'" -n.IE ryPF --r::: S'T"I!Vt:.Tuter;:S 11-1 '1')..lE~. . p"ttach additional sheets if necessary . . Polley 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes 0 No,lZlNot Applicable -r/-U;;(2/!!!! I~ f I~ IMPAC-r c:) /oJ -n-/.I!i' ~HOl2Pl.l~E. .....LL.. ~11IlIL I... o/J l..J>..jJP ~Ir:>~ ~".'" -r~.l!: ~VL"q,..,.;.....O. ALl rayr^'~i>..Tlol-J ....... ^'1:/I! 12/ .6.... , ~ ...'" 51= r.z E'fv<<t' A'" r:> ~ os I T E. _ . Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town' of Southold. See L WRP Section In - Policies; Pages 62 through 65 for.evaluation criteria. DYes D NoI8J Not Applicable PPb~rz.-r7 I~ AJ.J I=!>'I5-nNA P':::':;I:OF'!NC&', .....177L..He> ~"I CbL 7lJ re I€ Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See L \VRP Section III - Policies; Pages 65 through 68 for evaluation criteria. DYes 0 No ~ Not Applicable ~/JJC./E: -rJ-l/!5 ~uu_p"-l4 '-""'11..(.. f)E L/:aB4~elT 'N1("L Of..JL'( ~~N~~~?:S:':::::';/ ~::;~I2~::E 'NIL.' NeT ~ Created on 5/25/05 11 :20 AM poiicy 3. Enbance visual quality and protect scenic resources throughout the Town of Southord. See L WRP Section III - Policies .es 6 through 7 for evaluation criter. o . Y~s 0 No 0 Not Applicable -r!JF ~IT:' F41""9' teP</OFNC.JC: _~ oI.JF ~Nl"Y 0V0rE=/ LlN6S ~1!!! VJSV.b.I .A.._~~T' t!::::-P ,-n...F (HI/!. LEA5.T "'Ll'Woe<~ or". -rP'-~ ):.."5 cNL^,r?6t=o WI L.L Ba SINt 1L."~.__ 1~ -ru-- 7:"OVYI..). A,..-nglll!: <:<>M"-I!FTJcu.l...."L----__ Af?I!:A Wi...... t>/'E" p~/-lbL1cEp_ W I'-L Br."" /Z.l5.IY'OJ"E=D 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 Pages 8 through 16 for evaluation criterl,a DYes 0 No @Not Applicable '-r1.U!~.et-: l~ /<.J.C:> ~1-l,6..tu~E'" IN &'}r~g;-. L...I t f2e:e:c' W l'-L. 6~ 11-ltZ). ~~(.,C o~ A.Q~....... 0..... r-'l?CI~LY PfZl:>tNA4E '1?-i1Z. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of South old. See L WRP Section III . - Policies Pages 16 through 21 for evaluation criteria DYes 0 No ~ot Applicable ND IMPACT a~ ~'T'EiP.e. ~tl&--L.I:17. -EI?~ ii::>Nt../ / 'y ill ~ E"'-'1 <i.... -....-wf'MP"T' . 'f';I:rrJ11le ts .s<.>Ff"'L.1 ~r> J...t.u \.N't::l.l.. ~ n-.I::l.n Attach additional sheets if necessary Polley 6. Protect and restore the qnallty and function of the Town of Southold ecosystems Including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria, DYes DNo@ Not Applicable .t=)tftST'{).It;, el!JlPI7Ncc~ 6IB{J..I~ Jf;N.L.~4eD. A.l.L ~ IS o~ ~/.o SIPS'. "'=' ~L.l<j.JIii\Q ...""cn aoolllonllSheets jf neceSsary 'Policy 7. Protect and Imp. air quality in the Town of South. See LWRP Section III _ Policies Pages 32 through 34 for evaluation critel'ia. DYes DNo/Z] Not Applicable ~ IWI~7' 01-.> !Z/=s; I oF.fVT'\ .... I ,. ~IE.. 1.> slZo_ J<../,g qi..Jll>,L.rry. e.uILO/#..L'9 \,(rILL ~H.. /..J--- ~lCISJ..r-r I-tSbrl~'4 S"l'::i7'J&"~ IS" 7., Attach additional sheets ifnecessary Policy 8. Minimize environmental degradation in Town of Southold from saUd waste and hazardous substances and wastes. See L WRP Section III - Policies; Pages 34 through 38 for evalnation criteria. Dyes 0 No J2.J Not Applicable j!..~ n-1n...,...Ly' /...IF.1.A..I ~c. SY:5TFtv.. .......,L.L ".If! lNSTAl...<"Sa ""1-I.j5~ \,(rILL ~t" ('JD 1-1.6."'''''''''''''''''30 VJD.$T8.... PUBLIC COAST POLICIES PoUcy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of South old. See L WRP Section 111 - Policies; Pages 38 through 46 for evaluation criteria. o YesD NolZ! Not Applicable -r~i':'tffi!I.!; ~s N.o f"t.l1"'.lL.lr A.""15~.s, S//..lC/? f!>U{/...OO.I.t;a Is A. . l""/2IVb<t"~ f!!:Ff':l---"/r..F-. -- Attach additional sheets if necessary WORKING COAST POLICIES PoUcy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses In suitable locations. See L WRP Section 111- Policies; Pages 47 through 56 for evaluation criteria. DYes 0 No I21Not Applicable ~A-rl6yZ V$'6' I~ M.lN~ As A ces:s,OC'/.JTl,A. L QSE Town of South old , . . LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits. including Town of Southold agencies, shall complete this CCAP for proposed actions that are subject to the Town of South old Waterfront Consistency Review Law. This assessment is intended to supplement other infonnation used by a Town of Southold agency in making a determination of consistency. · Except minor exempt actions including Building Permits and other ministerial pemlits 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 TO"'l'l1 of Southold 1.oeal . Watemont 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 fOIDl is answered "yes", then the proposed action niay affect the achievement of the L WRP 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 detennination that it is consistent to the maxinlum 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. J~;;;mON:'S,:" ~;:R:::AcnON ilhl: _JUN 1, ~6j~ The ApplIcation has been submitted to (check appropriate response): I Town Board 0'" PlanningBoardD BuiIdingDept. [3'"' Boar~~fT;u~~~~GJ----- I. 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) o o (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: G" Nature and extent of action: ~L-!CA-rLC>i-J HA..6 eesJ...J 'F't LE.t:> WITH THE e:.u CLOL J-J.6j PE.PAdZ,fv<..eNT TG:> 6NL;....I8~/5 Af--.l ~X~,~Nc". ~I= F=,.!.,MLLY O\N'ELL/J...J~....&.f..w 7"0 ;'-.1::=<0 J>.I-) ~"-p";r;;sc=t<.y AI"'~IZ-"""=/<:>TA.~ ~T oF' -rr...J~ ~ 1.0 'e!:.~, ,..p~TIDI-C> H,A-s -e>eei-J t:>e;...lE.l?. VA.12te.NCEs ~1iE e.SLJ.L6, Fll.JSCI_ Locationofacti~bS :SHot2e ~~R:;>(:Z.( Site acreage: .-1-0 Present land use: ~ ~L"'( ~ (pel-lCE Present zoning classification: F2-4-o 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: J,;?1-fE-j .,..~~ ...l te (oWNSe (b) Mailing address:~ fLfi=" ~~ T 6T/ZEgr ~=~~~~I MA$S =/~( (c) Telephone number: Area Code ( ) 7,5 (_ G{ 30 5 _ l{ '" 5 (d) Application number, ifany: Will the action be directly undertaken, require funding, or approval by a state or fedeml agency? Yes 0 No.r2f If yes, which state or federal agency? C. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community charader. preserves open space, makes efficient use of infrastructure. makes beneficial use of a coastallocatioD. and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. DYes 0 No J2:J Not Applicable 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 evalnation criteria DYes 0 No jg1 Not Applicable .. -~----e--- Attach additional sheets if necessary Polley 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconlc Estuary and Town waters. See LWRP Section III - Policies; Pages 57 throngh .62 for evaluation criteria. DYes 0 No.lZlNot Applicable Attach additional sheets if necessary Polley 12. Protect agricultural lands in the Towo'ofSouthold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. DYes 0 No]gj Not Applicable Attach additional sheets if necessary Polley 13. Promote appropriate use and development of energy and mineral resources. See L\VRP Section III - Policies; Pages 65 through 68 for evaluation criteria. DYes 0 No ~ Not Applicable Created on 5/25/051l:20AM A~ach additional sheets ifnecessary . Poiicy 3. Enhance V_I quality and protect scenic resources throughout the Town of South old. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria D Y~s D No 0. Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Polley 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 ; DYes 0 NolZtNotAPPllcable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See L WRP Section III . - Policies Pages 16 through 21 for evaluation criteria DYes 0 No ~ot Applicable Attach additional sheets if necessary Polley 6. Protect and restore the quality and function of the Town of South old ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. DYes DNo@ Not Applicable '-~' ;ttaCh additional sheets if.SBary . 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 DNoJZ] Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Dyes 0 No L8J Not Applicable PUBLIC COAST POLICIES Policy 9. Provide Cor pnblic access to, and recreational use of, coastal waters, public lands, and public resources of the Town of South old. See L WRP Section III - Policies; Pages 38 throngh 46 for evaluation criteria. D Yes D No IZt Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Soulhold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. DYes 0 No I21Not Applicable .