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Home My WebLink AboutTR-6476Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fsx (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0530C Date March 5, 2010 THIS CERTIFIES that the underground tunnel connecting the existing beach house with the new dwelling At 1000 Paradise Point Rd., Southold Suffolk County Tax Map #81-3-24.2 Conforms to the application for a Trustees Permit heretofore filed in this office dated 9/27/06 pursuant to which Trustees Wetland Permit #6476 dated 10/18/06 was issued and conforms to all of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is being issued is for the underground tunnel connecting the existing beach house with the new dwelling. The certificate is issued to ~MARK MILLER owner of the aforesaid property. "~Authorized Signature ~-- James F. King, President Jill M. Dohorty, Vice-President Pe~y A. Dickm-son 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 BOAP, D OF TOWN TRUSTEES TOWN OF SOI_]THOLD December 10, 2008 Mr. Eugene Burger Burger Construction, Inc. P.O. Box 934 Cutchogue, NY 11935 RE: DOUG DEY TO MARK MILLER, AS CONTRACT VENDEE 1775 PARADISE POINT RD., SOUTHOLD SCTM#81-3-24 Dear Mr. Burger: The following action was taken at the Southold Town Board of Trustees Regular Meeting held on Wed., December 10, 2008: RESOLVED, that the Southold Town Board of Trustees APPROVES the request for a Transfer of Wetland Permit ~476 from Doug Dey to Mark Miller, as contract vendee, and as issued on October 18, 2006. If you have any questions, please contact our office at (631) 765-1892. Sincerely, President, Board of Trustees JFK:lms CONSTRUCTION, INC. November 26, 2008 Board of Town Trustees Town of Southold PO Box 1179 Southold, NY 11971 To Whom it May Concern, This letter is to request the transfer of Permit # 6476 from Doug Dey to Mark Miller. Thank You. Sincerely, NOV 2 6~'~nS Eugene Burger Burger Construction RO. Box 934 * Cutchogue, New York 11935 * Tel: (631)734-5217 * Fax: (631)734-5249 Douglas Dey 4745 North Bayview Rd $outhold, NY 11971 November 24, 2008 Southold Town Board of Trustees Town Hall Annex Building 54375 Route 25 PO Box 1179 Southold, NY 11971 To Whom it May Concern: I am writing to grant to Eugene Berger, acting on my behalf, the right to transfer all permits for 1000 Paradise Point Rd. to Mark Miller. Thank you in advance for your prompt response to my request. Sincerely, NOV 2 6 2008 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6476 DATE: October 18~ 2006 ISSUED TO: DOUG DEY PROPERTY ADDRESS: 1775 PARADISE POINT RD. SOUTHOLD SCTM#81-3-24 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on October 18, 2006, and in consideration of application fee in the sum of $250.00 paid by Doug Dey and sut the Terms and Conditions as stated ha the Resolution, the Southold Town Board of Trustees authorizes and the following: Wetland Permit to connect the existing beach house with new residence with new underground tunnel, and as depicted on the plan prepared by Samuels & Steelman Architects dated September 27, 2006. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee Doug Dey, residing at 4745 North Bayview Rd., Southold, NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 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, def~end 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. That this pernut is valid for a per/od 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. 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. 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. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 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. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 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 resthction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 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 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 October 18, 2006 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Thomas Samuels Samuels & Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: DOUG DEY 1775 PARADISE POINT RD., SOUTHOLD SCTM#81-3-24 Dear Mr. Samuels: The Board of Town Trustees took the following action during its regular meeting held on Wed., October 18, 2006 regarding the above matter: WHEREAS, Samuels & Steelman Architects on behalf of DOUG DEY 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 September 27, 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, the Board of Trustees has furthered Policy 6 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the project has been designed to avoid or withstand damage from flooding and erosion, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 18, 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of DOUG DEY to connect the existing beach house with new residence with new underground tunnel, and as depicted on the plan prepared by Samuels & Steelman Architects dated September 27, 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, President, Board of Trustees JFK/Ims James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen 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 OFSOUTHOLD TO: ~OOL~ ~)~/~ Please be advised that your application dated ~/07.9 ]~5 ~ reviewed by this Board at the regular meeting of ! O]l~;)(b(~ following action was taken: has been and the ( ~ Application Approved (see below) (__.) Application Denied (see below) (__.)Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in 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: TOTAL FEES DUE: BY: James F. King, President Board of Trustees Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 8outhold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., October 11, 2006, the following recommendation was made: DOUG DEY to connect the existing beach house with new residence with new underground tunnel. Located: 1775 Paradise Point Rd., Southold. SCTM#81-3-24 The CAC did not make an inspection, therefore no recommendation was made. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen 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/Worksession Report Date/Time: /'I'D/.I./ /~ Samuels & Steelman Architects on behalf of DOUG DEY requests a Wetland Permit to connect the existing beach house with new residence with new underground tunnel. Located: 1775 Paradise Point Rd., Southold. SCTM#81- 3-24 T~Sa of area to be impacted: ltwater Wetland Freshwater Wetland Sound Front Bay Front Distance of proposed work to edge of above: ~c;f Town Code proposed work falls under: apt~ Chapt. 37 other Type of Application: __ Wetland __Coastal Erosion Info needed: __Emergency Amendment Administrative h 0 5¢ · Modifications: Conditions: Present Were: x~.King ~/~JJ.Doherty ~.Dickerson ~/D. Bergen ~/Other: qDo,~ /'vq&('k , t4e~r- Mailed/Faxed to: Date: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31160 Z Date MAY 24, 2005 Permission is hereby granted to: DOUGLAS A & ORS DEY 4745 NORTH BAYVIEW ROAD SOUTHOLD,NY 11971 for : DEMOLITION OF AN EXISTING DWELLING AND CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR PER DEC APPROVAL at premises located at County Tax Map No. 473889 Section 081 pursuant to application dated MAY 1000 PARADISE POINT RD SOUTHOLD Block 0003 Lot No. 024 19, 2005 and approved by the Buildin9 Inspector to expire on NOVEMBER 24, 2006. Fee $ 3,251.20 ~~Ure Rev. 5/8/02 COPY SUFFOLK. COUNTY DEPARTMi~T OF HEALTH PERMIT FOR APPROVAL OF' CONSTRUCTION ~'OR A S~N;,L...E/~L¥ R~SIDr~C; ONLY FOR MAXIMut, I OF'_ ~ BEDROOMS EXPIRES THREE YEARS FROM pATE OF APPROVAL AREA ZONING: FLOOD: ZONE SURVEYOR: ~l $O~JTH~ Ny t~971 OWNER: ~'I~EY R-80 X J~EPH INGEGNO PO BOX R~VE~EAD~ NY ~1901 LICENCE NO. 49273 DATED: AUGUST 23, 2001 SCDHS REF #: R10-04-0108 New York State Department of Environmental Conservation Division of Environmental Permits Building 40 - SUNY, Stony Brook, NY 11790-2356 Telephone {631) ~,~.~.-0372 Facsimile (631) ~.~?.-0360 Website: www.dec.$tate.ny.us Denise Sheehan Acting Commissioner February l5,2005 Mr. Douglas Dey 4745 No. Bayview Avenue Southold, NY 11971 RE:1-4738-03245/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your pemdt. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be cOnspicuously posted at the project site and protected from the weather. Sincerely, Claire K. Werner Environmental Analyst CKW/ls DEC PERMIT NUMBER 1-4738-03245/00001 FACILITY/PROGRAM NUMBER(S) DEPARTMENT OF ENVIRONMENT/~I)NSERVATION I EFFECTIVE DATE February 15, 2005 PERM IT xP, T,ON DATE<S) Under the Environmental February 15, 2010 Conservation Law TYPE OF PERMIT · New [] Renewal [] Modification · Permit to Construct [] Permit to Operate r~ Article 15, Title 5: Protection of Waters [] Article 15, Title 15: Water Supply [] Article 15, Title 15: Water Transport [] Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers [] 6NYCRR 608: Water Quality Certifica- tion [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands r~ Article 27, Title 7; 6NYCRR 360: Solid Waste Management [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [3 Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO Douglas Day ADDRESS oF PERMI'I-rEE 4745 No. Bayview Avenue, Southold, NY 11971 ITELEPHONE NUMBER (631) 765-4129 CONTACT PERSON FOR PERMI'I-rED WORK Samuels and Steelman, 25235 Main Road, Cutch%lue, NY NAME AND ADDRESS OF PROJECT/FACILITY Day property, 1000 Paradise Point Road, Southold 11935 COUNTY I TOWN I WATERCOURSE Suffolk Southold Shelter Island Sound DESCRIPTION OF AUTHORIZED ACTIVITY: TELEPHONE NUMBER (631) 734-6405 SCTM #1000-81-03-24 & 25 NYTM COORDINATES Subdivide two adjacent parcels to be singe and separate lots and modify the common lot line. Lot 24 will be 2.3 acres and lot 25 will be 3.1 acres. All work must be done in accordance with the attached plans stamped NYSDEC approved on 2/11/05. Note: All property landward of the bank is beyond Article 25 Tidal Wetlands) jurisdiction. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part Df this permit. PERMIT ADMINISTRATOR: I ADDRESS Mark C. Carrara (CKW) I Region I Headquarters, Bldg. #-40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE ///- DATE / ~-'///~-' '/.~ ~ February 15, 2005 Page 1 of 4 YORK STATE DEPARl%IENT OF ENVIRONMENTAL ~: SPECIAL CONDITIONS 1. The permittee shall incorporate the following language as a notice covenant to each of the deeds of the two lots: "Regulated tidal wetlands associated with Shelter Island Sound are located at 1000 Paradise Point Road, Southold, NY, Suffolk County Tax Map Number: District 1000, Section 81, Block 03, Lots 24 & 25, otherwise known as the properties of Douglas Dey and his heirs, assig ns, or successors. This property is subject to the provisions of New York State Environmental Conservation Law (ECL) Article 25 or its successor, and the conduct of regulated activities may occur only pursuant to ECL Article 25 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor. Regulated activities include, but are not limited to the erection of any structure(s); excavation; dredging grading and filling; clearing of vegetation; and application of chemicals." This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be sent within one calendar year of the issuance of this permit to: NYSDEC, Regional Manager, Bureau of Marine Habitat Protection, SUNY Building 40, Stony Brook, New York 11790-2356. DEC PERMIT NUMBER 1-4738-03245/00001 PAGE 2 of 4 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD 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 OCT ]6 2006 To: Town of Southold Board of Trustees Town of Southold Zoning Board of Appeals From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: October 13, 2006 Re: Proposed Wetland Permit for DOUG DEY SCTM#1000-81-3-24 Samuels & Steelman Architects on behalf of DOUG DEY requests a Wetland Permit to connect the existing beach house with new residence with new underground tunnel. Located: 1775 Paradise Point Rd., Southold. SCTM#81-3- 24 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. t 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 Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The proposed distance of the underground tunnel of the residence is proposed at seaward of the top of bluffl and 33 feet from the bulkhead a minimum setback distance of 100 feet is required pursuant to Chapter ,q 275- 3. Findings; purpose~ iurisdictionl setbacks. Please require that the applicant amend the application to meet the above policy. Additionally the applicant has not proved that the underground tunnel is; a. designed to avoid or withstand damage from flooding and erosion. Pursuant to Chapter 268, the Boards shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster 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 ~weaStal Erosion Permit Application tland Permit Application ,--"~'Major Waiver/AmendmenffChan~es ,//'Re-~-ieived Application: ,.,~Received Fee: $ ~'~)" ..,-Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) _~CAC Referral Sent:' C~ 0Yate of Inspection: ID!Il Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ,.t~folic Hearing Held: Resolution: Name of Applicant (~)~c~G-- Minor AGENT: (If applicable) 8EP 2 7 2006 Address ]-fT/-~,~- /~,fO~7~t"/t ~/~-q~, b//'~ ~.~, Phone Number:( ) ~{~ Suffolk County T~ Map Number: 1000- ~/ -- O~ Prope~Location: /77 (provide L~CO Pole ~, dist~ce io ~oss stre~s, ~d location) Phone: Address: Board of Trustees Application GENERAL DATA Land Area (in square feet): /0~ ~' ~ ~ Area Zoning: ~ -- gO Previous use of property: ~S7~/6('6~t~t~ Intended use of property: Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspen~d by a governmental agency? V No Yes If yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~;~ t, Lt,u~ ~P' O: c~4~ Area of wetlands on lot: ~-ax::O '//'''' square feet Percent coverage of lot: ~' % Closest distance between nearest existing structure and upland edge of wetlands: ~-? ~/t,' feet Closest distance between nearest proposed structure and upland edge ofwetlands: ~[ ~" feet Does the project involve excavation or filling? No ¢ Yes If yes, how much material will be excavated? /~)0 cubic yards How much material will be filled? /0(.~) cubic yards Depth of which material will be removed or deposited: / 0 feet Proposed slope throughout the area of operations: I~) Manner in which material will be removed or deposited: rne 'mLp. 4, 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): 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 In the Matter of the Application of .... .......... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTFNG I, ~O ~-/" l¢~r~ffJ", residing at ~'~/5'- ,d~4~l. being duly sworn, dc~p~se and say: That on the/O day of 0~ ,2005, I personally posted the property known as 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 heating. Date of hearing noted thereon to be held (/}o_d . _ff)C't. I[~: cxgOtY~- Oq O/l~OoJ'~ 0;20 Dated: Sworn to before me this t(.9 dayof '1200 · PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAH, RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK , residing at ~.~'~ff /~ml,,~ )~d .......... Jb_eJag du~y_ swo~ d~ses ~d s~ ~at on ~e ~ 20 O ~-d~t m~l~-~-~py o~e N~-~e~' -~- set fo~.~ ~e Bo~d of T~te~ ~plicatio~ ~t~ to each of ~e above n~ pe~ons at ~e ad~ess~ set opposite there r~five n~; ~at ~e M~ss~ set op~site ~e n~ of s~d pc~o~ ~e ~e ad~ of ~d p~o~ ~ sho~ on ~c c~ent ~s~sm~t mil o~e To~ ~ Sou~old; ~at s~d Nofi~ w~e m~l~ at ~e ~t~ s~ Post Omce at ~g , ~at s~d ~ofi~ wo~ m~M to ~h of smd pc=o~ by (~fiM) (re~st~) m~l. /~ ~ / 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION ~o be completed by Applicant or Proiect sponsor) SEQ 5, IS PROPOSED ACTION' E~ New ~ansfon [] Moc~ificatlonlaJteration ' ' $. DESCRISE PROJECT ERIEFLY: 7. AMOUNT OF ~ND AFF'CTED: WILL -ROPOSED ACTION COMPLY WITH =.XISTING ZONING OR OTHER EXISTING LANO USE RESTRICTIONS? ~s [] NO If No, ~escribe briefly WHA PRESENT LA~'~O US~ IN VICINITY OF FROJECT? ~dendal [],[ndu.s (rial [] Commercial [] Agricu,ture LJPark/Fores~Ooen space i "Ot~er . DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FaDERAL, STATE LOCAL)? ~Yes [] NO If yes, list agency(s) ~*nd permillapproYals 11. D S ANY ASPECT OF THE ACTfON HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~Ye~' [] NO If yes, list agency name and permit/approval ~2. ~ [] AS ESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MO01FICATION? R0 I CERTIFY THAT THE INFORMATION PROVI~/~.J~EOVE iS TRU'~,~'O THE BEST OF MY KNOWLEDGE Il the action is in 'the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this al~essment OVER 1 ,~ART II--ENVIRONME ME.~lYi'Yo be ~' ~ ~ 2'/ ~ PART III--OETERMINATICN OF SIGNIFICANCE (To be completed by Agency) INSTF~UCTION~; Fao earn ~dverse effect identified aCove, determine wheti~er it is saOsrantiat, large. [rncor~snt or adler%vise sJc~ni fi, E3c.h .~tec, SnOUJd be assessed in connection with its (a) setting (i.e. urt3an or rural); b) DrobaDi[ity of OCC~"'~/.,lg; (c) duratio~ irreversibility; (et geographic $co¢e: ~n~ (f) mag~itu(~e. If necessary, add attachments Or reference suppar~fng materials. Ensure exolenelions contain sufficient de~ail to s~ow tilat ~11 relevant adverse impacts have been identified and aclec~ua[el¥ adc~resseo Check ;his box if 7ou have identified one or more potentially large or significant adverse imoacts which MA occur. Then proceed direc,'ty to the FULL E.:AF ~n(21or prepare a positive'declaradcn. Check :his box it you have de.~ermined, based on the information and analysis above and any suooortin documentation, :nat ;he ~rooosed acdon WILL N~OT result in_~ny significant adverse environmental imcac: AND prowce on a[;acnments as necessary, (he reasons supcardng ~nis determination: Board of Trustees Application County of Suffolk State of New York 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 H/S/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TH/S 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 TRUSTFF. S 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 1N CONJUNCTION WITH REV~F TH/S A~LICATION. Notary Public PATRICIA RICHARDS Notary Public, State of New York No. 01RI6042467 Qualified in Suffolk County Commission Expires May 30, LNI~b- 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 TRUSTBES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) OCT 1 7 2006 AFFIDAVIT OF POSTING I, ~f~~~o. , residing at 7~C~,,~ ~ ~/~/~7d. checked to be s~e ~e poster h~ remained in pl~e for ei~t days prior to the date of~e public he~g. Date ofhemng noted ~ereon to be held ~ ~, I~. ~O~G ~ OO Dated: /¢~/~¢ ~~ -- Swom to befgre me this l? day of 05~20~ otary Public : PATRICIA RICHARDS Notify Public, State of New York No. 01RI6042467 Gulllfled In Suffolk County ~ Oommilllon Explraa May 30, 208~0 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS OCT 1 7 2006 Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~Fx3/~"d~ /'~~ , residing at ~-'~0 ~~~e~/ .~:3~ / ~%J~. , being duly swom, deposes and says that on the (~0 day of 0~, 20D[6 deponent mailed a tree copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at t~t~f'~.J~qA._.X.~_ , that said Notices were mailed to each of said persons by (certified) (registered) tthail, Sworn to before me this I Day of c'"~-~_ e F, 20~2_ QuII~ in .S~tfolk Co~u~n[~ "~ Not~ Public Doug Dey 4745 North Bayview Rd. Southold, NY 11971 June 24, 2004 I hereby authorize Thomas C. Samuels of Samuels and Steelman Architects or 25235 Main Road, Cutchogue, NY, to apply for all required permits from the Town of Southold, Suffolk County and State of New York, for my project at 1775 Paradise Point Rd, Southold, NY 11971 Sincerely, 't TEANSACTIONAL DISCLOSURE FO]tH The Town o~ S~ukhold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees, The ~rpose of this form is to provide information which can alsrt the town of possible conflicts of in,eras5 and allow it to take whatever action ia osoessary 50 avoid same. ~OUR NhMgs (test name, ~irat name, m{dd.l~ {nt6'[al, unless you are applying in the name of someone else or other entity, such ps a company. Ig au, indicate tho other person's or company's name.) NATURE OF APP~X~ATxogl {Check ali that apply.) Tax grievance , Vsrianca change of zone · ARP~9~a! of plat , Ex~Iption from plat or official map (if "other," name the activity.) , /~...,.. Do you personally {or ~h~ough you~ ~mpa.y~ ~pouo~, sibling, parent, or child) have a rela~ionohip wi~h any offiuer or employee of ~he Town o~ Southoid7 'Relationship' by blood, marriage, or business interes~. ineeres~~ means a business, lnuludlng a partnership, which 6he to~n officer or employee has even a ownership o~ (or employment by) a corporation in which ~he town officer or employee o~ns more than 5% of the XES -- NO ~ : If you anuwared 'YES,". ~omple~e ~he balanua o8 ~hAe form and date and nigh where Indicated. Name of person emptoyed by thc Town of Sou~hold Describe ~he relationship between yourself (Bh~ applicant) and ~hs ~ovn officer mr employee. ~i~her check ~h{ appropria~ linm~) ehrouDh D) and/ur dmsuribm provided · Th~ to~n ot~iu~r ur ~mploy~ 0r his ur h~r {pous~( sibling, parent, or child is (uh~ck ail ~ha~ apply)~ A) ~ho ovnur of grsa~er ~Ban 5% of ~he shares o~ She corporate s~ock o~ ~he applicin~ (when ~he applican~' . is a corporation); · B) ~he legal or bkn~ficial o~n~r of any in~r~s~ in nonuo~porate'en~i~y (when ~he appiican~ Is no~ a corporation) ~ C) an offiu~r~ direceor~ pa~B~r~ ur employee, of ~h~ applican~ ~ or · D) ~he 5~ual applican~. DESCRIPTION OF RRLATIONSIIlP S A M U E L S & S T E E / M A N September 27, 2006 Board of Trustees Town Hall Annex Southold, NY 11971 Re: DEY RESIDENCE 1775 Paradise Point Road Southold, New York Enclosed please find materials required for application for a PERMIT for the above referenced project, including: 2. 3. 4. 5. 6. 7. 8. 9. Permit application Three (3) sealed SITE PLAN and BUILDING PLANS & SECTION Sealed Survey SCDHS Sanitary Permit DEC permit, including N JR Southold Town Building Permit LWRP consistence form Authorization Letter Check for $250.00 This project includes a new house which is under construction, which received a town Trustees permit. This application calls for an underground connection between the basement of this new house and the lower level of an existing, non-habitable accessory building ("beach house") located on the property. This accessory building will be modestly renovated as well, though not extended or enlarged. Please review the enclosed and get back to me with any questions or concerns. If complete, please schedule a public hearing for the project. Thank you, lhomas C. Samuels ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 11935 (631) 734 6405 FAX (631) 734 6407 Town of Southold LVOIP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other min~terial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail, listin~ both suooorting and non- ~. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shal__.~l not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Pl~ng Department, all local libraries and the Town Clerk's office. scm# PROJECT NAME DESCRIPTION OF SITE AND PROPOSED ACTION 8F? 2 .... '~ ! - The Application has been subnfitted to (check appropriate response): Town.card [] ~lann~g.oard~ ~n..higOept. [] ~oardofTr.tees [--~ 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g~ capital ~ construction, planning activity, agency regulation, land transaction) ~ Co) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Location of action: Site acreage: Present land use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: ~)(~t'~- ~-~, (c) Telephone number: Area Code (~¢[ ~{~ d>fg, ff- (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No [~/ If yes, which state or federal agency?. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation yeia' s [] No ~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Semi - Policies Pages 3 thrOUgh 6 for evaluation criteria I 'p Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria es ~ 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 III - Policies Pages 8 through 16 for evaluation criteria Yes ~ No L--~Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria Yes No ~Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section II/- Policies; Pages 22 through 32 for evaluation criteria. [] Yes ~ bio ~Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Sonthold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~-~ Yes ~ No[--~Ot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes ~'~ No ~Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section II/- Policies; Pages 38 through 46 for evaluation criteria. ~-~ Yes ~] No ~Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES policy 10. Protect S th Id' ou o s wa er- epenaent uses and promote siting of new water-dependent uses in ~uitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~-~ Yes ~ No [--~Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~-~ Yes ~'~ No ~Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes ~ No ~/~ot Applicable Amended on 8/1/05 N/O/~ Rt.)TH MEYER. . . :':: '>~'~ ~"~ 22.1 ,,. / B.FL. I~.O - ='.= ,. .,-o,, "-'". '*-= ,I. '~-'¢ .l: 22.1 21~7 20.q / / 21.-I 21.6 21.7 SITE PLAN SCALE: 1" = 30' '21.8 EXISTIN~ N/O/t= ~ KAREN NIILLEt~ I21~ELLIN~ PUBLIC, l, qA"f'Et~ 577.15' ~D.~. ,5.8 ELEVATION. ~EE ~EOTION 5~'-I" - EXISTIN~ ONE STO~ TO ~E~AIN ~'-~" ~OTTOH OF BANK 591.55' I'"' ' SEp 2 7 2006 PROJECT NO: 0405 TCS X DATE: 9127156 SCALE: 1" = 10'-0" SHEET TITLE: PARTIAL SITE PLAN SHEET NO: 1 ~VIDE~ I.I~UI]~ APPLIE~D P~A ~c;~PI~OO~=IN~ OVL=~ TO~ ~ 51D~--50P ~" 'T'H~. CONC....~LAB ON ~AL.V. h'~ ~ ,a~L HALL D" "rl.K. ~NC,. ~IALL5 ~ E~AF[5 V~TIC, ALL'r' I~,EINFOI~C. ED' ~/6x6, I~."xD"" CONG. F~O1"IN~, F~INfeOIRE,~D BAF~ SECTION @ TUNNEL SCALE: ~" = t'~)" EXI~,TIN~ ~ HOUSE ~ NE. Pi LOWER LEVEl SCALE: 114" = t' UPPER LEVEL SCALE: 1/4" = t' -0" 0 0405 RJB DATE: 9/27/06 SCALE: 1/4" = 1' - 0" SHEET TITLE: FLOOR PLANS