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HomeMy WebLinkAboutTR-6468Type of Instrument: DECLARATION Number of Pages: 6 Receipt Number : 08-0076062 District: 1000 Recorded: At: 08/08/2008 09:57:14 AM LIBER: D00012560 PAGE: 887 Section: Block: Lot: 090.00 04.00 007.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Page/Filing $18.00 NO Handling $5.00 COE $5.00 NO NYS SRCHG $15.00 TP-584 $0.00 NO Notation $0.00 Cert. Copies $7.50 NO RPT $30.00 Fees Paid $80.50 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County Exempt NO NO NO NO Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument SoutlBmJ~]~Tewn Deed / Mortgage Tax Stamp Recording / Filing Stamps 3 I FEES Page / Filing Fee Handling 5. 00 TP-584 Notation EA-52 17 (County) Sub Total EA-5217 (State) R.P.T.S.A. ~,~1/~ ~__~ L~ ~ Comm. of Ed. 5. 00 Affidavit Certified Copy ~ NYS Surcharge 15. 00 Sub Total ",~--'), ~,,~-_) Other GrandZotal 80 .50 4 I Dist. Real Prop{ Tax Servic Agency Verificatie I 1000 09000 0400 007000 6 8 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY 11901 co. Name www. suffolkcountyny, gov/clerk Title # This page forms part of the attached Mortgage Amt. l. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on page # __ of this instrument. 5 Community Preservation Fund Consideration Amount $ CPF Tax Due $ Improved Vacant Land TD TD TD Information Suffolk County Recording & Endorsement Page 1 --~>C ~ (2~ '~-'l (~¢"3 made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) IMPORTANT NOTICE If the document you've just recorded is your SATISFACTION OF MORTGAGE, please be aware of the following: If a portion of your monthly mor,tgage payment included you,t property taxes, *you will now need to contact your local Town Tax Redeiver..so that V0u uta¥'be billed directly for all future property tax statements , ~ ~ Local property taxes are payable twice a year: on or before January 10"' and on or before May Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes 200 East Sunrise Highway North Lindenhurst, N.Y. 11757 (631) 957-3004 Riverhead Town Receiver of Taxes 200 Howell Avenue Riverhead, N.Y. 11901 (631) 727-3200 Brookhaven Town Receiver of Taxes One Independence Hill Farmingville, N.Y. 11738 (631) 451-9009 Shelter Island Town Receiver of Taxes Shelter Island Town Hall Shelter Island, N.Y. 11964 (631) 749-3338 East Hampton Town Receiver of Taxes 300 Pantigo Place East Hampton, N.Y. 11937 (631) 324-2770 Smithtown Town Receiver of Taxes 99 West Main Street Smithtown, N.Y. 11787 (631) 360-7610 Huntington Town Receiver of Taxes 100 Main Street Huntington, N.Y. 11743 (631) 351-3217 Southampton Town Receiver of Taxes 116 Hampton Road Southampton, N.Y. 11968 (631) 283-6514 Islip Town Receiver of Taxes 40 Nassau Avenue Islip, N.Y. 11751 (631) 224-5580 Southold Town Receiver of Taxes 53095 Main Street Southold, N.Y. 11971 (631) 765-1803 Sincerely, Judith A. Pascale Suffolk County Clerk 87/89/2888 87:55 7656641 BOARD OF TRUSTEES PAGE 0i ~DECLARATION OF COVEN.~NT~ AND RESTRICTION,,; ' DECLARATION mad. e, this '.~% of~-~ 200~, by [PROpERTY'- OWNER], now ,esidin?a~t_~¢~.,~.t~ .~ -", af~d ,having -,, ~4',~ as owners as [tenants in common/other fo~ of joint ownemhip, if applicable], hereinafter collectively referred to as the "Declarant". WITNESSETH: WHEREAS, the Declarant has title to certain land situate, lying and being at~, Town of Southold, Suffolk County, New York, SCTM ¢1000- ~ 0~--~_~,~said land being more particularly described in Schedule A which is attached hereto; and WHEREAS, the Property is situated in or adjacent to lands activities upon which are regulated by the Town Of Southold Board of Trustees pursuant to Chapter 275 of the Town Code of the Town of Southold, as may be amended, and various activites conducted upon the property are subject to the jurisdiction, regulation and approval or disapproval of the Trustees prior to being conducted; WHEREAS, the Declarant has applied to the Town o.f Southol~Board Trustees for a Wetland Permit for approval to 0',~> ~)~;~cJ~.~ on the property described in Schedule A a_nd known as SCT~A w. n,~,~°'~b-Q-~ . depicted on the plans prepared by _ last dated _0~\'3-'~); and WHEREAS, the Town of Southold Board of Trustees, as conditions for the issuance of such Wetland Permit, required certain covenants and restrictions be placed on the property as shown on the aforesaid plans. 07/09/2008 07;55 7656641 BOARD OF TRUSTEES PAGE 02 NOW, THEREFORE, this Declarant witnesseth: That Declarant, for the purpose of carrying out the intentions expressed above does hereby make known, admit, publish, covenant and agree that the said property herein described shall hereafter be subject to the following covenants which shall run with the land and shall be binding on all purchasers and holders of said premises, their heirs, successors, and assigns, to wit: The grant of a Wetland Permit for the construction of a ~--~,~> ~2.c~g. shall be conditioned upon the [INSERT CONDITION OF PERMIT, e.g., installation of drywells to contain roof run-off on the property] as shown on the above-referenced plan and identified as SCTM No. 1000- , within perpetuity. 2. The grant, of a Wetland Permit for the construction of a ~ ~V.. shall be conditioned upon the [INSERT CONDITION OF PERMIT, e.g,, installation of a continuous line of silt fence backed by hay bales, maintained throughout the period of construction on the property] as shown on the above-referenced plan and identified as SCTM No. 1000-.Ot~).-'-~-¥'~ 3. These covenants and restrictions can be modified only at the request of the then owner of the premises with the approval of the Town of Southold Board of Trustees after a duly noticed public meeting. Adjoining property owners shall be entitled to notice of such public meeting by publication or as otherwise deemed 87/89/2888 87:55 7656641 BOARD OF TRUSTEES PAGE 83 sufficient by the Board of Trustees but their consent to such modification shall not be required. 4. It is the responsibility of any party having any right, title or interest in the Property to consult Chapter 275 of the Town Code of the Town of Southold, as may be amended, and to obtain from the Town of Southold Board of Trustees review and such approvals as may be required by Chapter 275 for activities regulated therein on the Property. 5. Declarant grants the continuing right in perpetuity to the Town of Southold or any of its designated representatives to enforce the conditions and restrictions of the covenants. THE FOREGOING Covenants and restrictions shall bind the Declarant, its heirs, successors and assigns, and any and all person or persons who shall succeed to the ownership of said premises of any part thereof by transfer or otherwise. IN WITNESS WHEREOF, the Declarant has duly executed this Declaration the day and year first above written. ~ STATE OF NEW YORK ) ) SS,: COUNTY OF SUFFOLK) On this ,~r'(Jday of ~¢_(2~, in the year 20(~, before me personally appeared ~ known to me or proved to me on the basis of 07/09/2008 07:55 7656641 BOARD OF TRUSTEES PAGE 04 satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed th instrum nt. ,/l~)otary Public Qualified In Queen~ ~ , r ~ :,. ', No. 02KE4849551 4 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Southold, Town of Southold. County of Suffolk and State of New York known and designated as Lot 69 as shown on a certain map entitled *Map of Cedar Bea¢Ix Park~ and filed in the Office or' thc Clerk of the County or' Suffolk on December 20, 1927 as Map Nmuber 90, being more particularly bounded and described as follows: BEGINNING at the corner formed by the intersection of th~ easterly side of Oakwood Drive and the southerly side of Shady Lane; RUNNING THENCE along the easterly side of Oakwood Drive, South 29 degrees 38 minutes 50 seconds East 90.00 feet: THENCE North 70 degrees 21 minutes 10 seconds East 166.41 feet to the high water mark of Sandpiper Basin; THENCE along the aforesaid high water mark along a tie course of North 21 degrees 58 minutes 07 seconds West 88.71 feet to the point where the southerly side of Shady Lane intersects the high water nmrk of Sandpiper Basin as shown on the aforesaid map; THENCE along the southerly line of Shady Lane. South 70 degrees 21 minutes 10 sL'conds West 178.45 feet to the easterly side of Oakwood Drive at the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed from Bruce Beaney and John Kelly. dated Januarb, 20, 1995, and recorded February 1. 1995. in the Oftice of the Suffolk County Clerk in Liber 11712. Page 997. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0335C Date: July 18, 2008 THIS CERTIFIES that the construction of a second-story addition and deck, installation of Cutters, leaders and dr/wells on dwelling, 10' non-turf buffer, fish pond with fencing, removal of the wire fencing parallel to the water At 595 Oalkand Court, Southotd, New York Suffolk County Tax Map # 90-4-7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 09/19/06 pursuant to which Trustees Permit It 6468 Da~ed 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 construction of a second-story addition and deck, installation of gutters, leaders and dr/wells on dwellinR, 10' non-turf buffer, fish pond with fencing, removal of the wire fencing parallel to the water The certificate is issued to ROBERT SOMERVILLE owner of the aforesaid property. Authorized Signature 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 st 1 day of construction ¼ constructed Project complete, compliance inspection."})'.~}(~ ~ 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 May 16, 2007 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Mr. Robert Somerville 43 Kenwood Rd. Garden City, NY 11530 RE: 595 OAKWOOD COURT, SOUTHOLD SCTM#90-4-7 Dear Mr. Somerville: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed, May 16, 2007: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6468 to move the existing fish pond to the south side of the dwelling, 3' off the proposed deck, and install a new fence around the pond, and as depicted on the survey received on May 2, 2007. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, President, Board of Trustees JFK:lms 05/02/2807 07:36 7656641 BOARD OF PAGE 02 James F. King, President J~ll M. Doherty, Vice-PTe~ident Peg~ i. Dickerson Dave Bergen $ohn Holzapfel Town Hall .53095 Route 25 P.0. Box 1179 Southold., New York 11971-09§9 Telephone (~3]) 765-18'92 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN .~AVIEN-DI~'IENT TO A WETLAND. PERMIT _ DATE '~-"o'~.'>~'~ ~''-~ OVCNBR ~-'i'~>(~'7 q %'~w'~r~\~k'% PHONE AGENT PHONE ADDRESS PROPERTY LOCATION TAXM NO. I/We request an Amendment to Permit COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK CC #: C08-14116 I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on08/08/2008 under Liber D000'12560 and Page 887 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 0810812008 SUFFOLK COUNTY CLERK JUDITH A. PASCALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Number of Pages: 6 Receipt Number : 08-0076062 District: 1000 Recorded: At: 08/08/2008 09:57:14 AM Page/Filing COE TP-584 Cert. Copies Received the Following Fees For Above Instrument Exempt Exempt $18.00 NO Handling $5.00 NO $5.00 NO NYS SRCHG $15.00 NO $0.00 NO Notation $0.00 NO $7.50 NO RPT $30.00 NO Fees Paid $80.50 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County LIBER: D00012560 PAGE: 887 Section: Block: Lot: 090.00 04.00 007.000 EXAMINED AND CHARGED AS FOLLOWS Number of pages ~.~ This document will be public record. Please remove all Sociai Security Numbers prior to recording. Deed / Mortgage Instrument Deed / Mortgage Tax Stamp 31 Page / Filing Fee Handling 5. 00 FEES TP-584 Notation EA-52 17 (County) Sub Total EA-5217 (State) R.P.T.S.A. Comm. of Ed. Affidavit Certified Copy NYS Surcharge Other 41 Dist. Real Prop~ Tax Servic Agency Verificatio 5. 00 15. 00 SubTotal 6 GrandTotal 80 .~.~O I lO00 OgO00 0400 007000 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: RECORDED 200:3 ~L:9 08 09:57:14 ~H, .Jud~, !.h Fi,'. PasL-a!e CL~RK OF SUFFOLK COUNT'.,! L ~:,000!2560 Recording / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on page # __ of this instrument. 5 Community Preservation Fund Consideration Amount $ CPF Tax Due $ Improved Vacant Land TD TD Mail to: Judith A. Pascale, Suffolk County Clerk I 7 I Title Company Information 310 Center Drive, Riverhead, NY 11901[ Co. Name www. suffolkcountyny, gov/clerk I Title # Suffolk County Recording & Endorsement Page This page forms part of the attached (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the TOWN of In the VILLAGE or HAMLET of . made by: BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) 87/89/2888 87:55 765664! BOARD OF TRUSTEES PAGE _D_ECLARATION OF COVENANTS AND RESTRICTION~ DECLARATION made th s ~'~'"~'~*. ~.£~ ..... .O , -- .~. , ~ uoZ u, V~',.'%, zuu'~, Dy [PROPERTY-~' .. ....... -., - wvv~=Kj, now residing at ~,_c~.,~.~, ~..\~[ . ~ ~ _ . an office at - ~ ~ ,, ~ac~ as ownem as [tenants in common/other form of joint ownership, if appli~ble], hereinafter colle~ively referred to as the "Declarant". WITNESSETH: WHEREAS, the Declarant has title to certain land situate, lying and being at ~C ~,~-'~ , Town of $outhold, Suffolk County, New York, SCTM #1000-._i ~--~'-,~said land being more particularly described in Schedule A which is attached hereto; and WHEREAS, the Property is situated in or adjacent to lands activities upon which are regulated by the Town of Southold Board of Trustees pursuant to Chapter 275 of the Town Code of the Town of Southold, as may be amended, and various activites conducted upon the property are subject to the jurisdiction, regulation and approval or disapproval of the Trustees pdor to being conducted; WHEREAS, the Declarant has applied~to th~ Town o% Southol~ Board .~q> ~, ~ Trustees for a Wetland Permit for approval to ~c,t> ~.~.~L- on the property described in Schedule A and known es SCTM #1000q~3"'4~'a~nd as depicted on the plans prepa~-~re~y~::~ ~'~'la~st d . . atee - \ ~\-',.-~,,o~; and WHEREAS, the Town of Southold Board of Trustees, as conditions for the issuance of such Wetland Permit, required certain covenants and restrictions be placed on the property as shown on the aforesaid plans. 07/09/2008 87:55 755GG41 BOARD OF TRUSTEES PAGE 02 NOW, THEREFORE, this Declarant witnesseth: That Declarant, for the purpose of carrying out the intentions expressed above does hereby make known, admit, publish, covenant and agree that the said properly herein described shall hereafter be subject to the following covenants which shall run with the land and shall be binding on all purchasers and holders of said premises, their heirs, successors, and assigns, to wit: 1. The grant of a Wetland Permit for the construction of a ~"-~x~c> ~-~.~,. shall be conditioned upon the [INSERT CONDITION OF PERMIT, e.g., installation of drywells to contain roof mn-off on the property] as shown on the above-referenced plan and identified as SCTM No. 1000-__ , within perpetuity. 2. The gran. J. ofa Wetland Permit for the construction of a ~ ~r'-~C % shall be conditioned upon the [INSERT CONDITION OF PERMIT, e.g,, installation of a continuous line of silt fence backed by hay bales, maintained throughout the period of construction on the property] as shown on the above-referenced plan and identified as SCTM No. 1000..Ot~.--"'~-'~ 3. These covenants and restrictions can be modified only at the request of the then owner of the premises with the approval of the Town of Southold Board of Trustees after a duly noticed public meeting. Adjoining property owners shall be entitled to notice of such public meeting by publication or as otherwise deemed PAGE 03 sufficient by the Board of Trustees but their consent to such modification shall not be required. 4. It is the responsibility of any party having any right, title or interest in the Property to consult Chapter 275 of the Town Code of the Town of Southold, as may be amended, and to obtain from the Town of Southold Board of Trustees review and such approvals as may be required by Chapter 275 for activities regulated therein on the Property. 5. Declarant grants the continuing dght in perpetuity to the Town of Southold or any of its designated representatives to enforce the conditions and restrictions of the covenants. THE FOREGOING covenants and restrictions shall bind the Declarant, its heirs, successors and assigns, and any and all person or persons who shall succeed to the ownership of said premises of any part thereof by transfer or otherwise. IN WITNESS WHEREOF, the Declarant has duly executed this Declaration the day and year first above written. STATE OF NEW YORK ) ) COUNTY OF SUFFOLK) On this __~Jday of ~z~ , in the year 20cji, before me personally appeared ~ known to me or proved to me on the basis of 87/89/2868 07:55 7656641 BOARD OF TRUSTEES PAGE 84 satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed t~n~ ,/Notary Public uumlned in Oueenl r~une/ . ,: No. 02KE4849551 4 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Southold. Town of Southold, County of Suffolk and State of New York knows and designated as Lot 69 as shown on a certain map entitled "Map of Cedar Beach Park" and filed in the Office of thc Clerk of the County of Suffolk on December 20, 1927 as Map Nmnber 90, being more particlllarty bomlded and described as follows: BEGINNING at the coruer fornted by the intersection of th~ easterly side of Oakwood Drive and the southerly side of Shady Lane; RUNNING THENCE along the easterly side of Oakwood Drive, South 29 degrees 38 minutes 50 seconds East 90.00 feet: THENCE North 70 dc~ces 21 minutes 10 seconds East 166.41 feet to the high water mark of Sandpiper Basin; THENCE along the aforusaid high water mark along a tie course of North 21 degrees 58 minutes 07 seconds West 88.71 fees to fl~e point where the southerly side of Shady Lane intersects the high water mark of Sandpiper Basin as shown on One aforesaid map; THENCE along the southerly line of Shady Lane, South 70 degrees 21 minutes 10 seconds West 178.45 feet to the easterly side of Oakwood Drive at the point or place of BEGINNING. BEING AND IN]ENDED TO BE the same premises convoyed to the party of the first part by deed from Bruce Beaney and John Kelly, dated January 20, 1995, and recorded February 1. 1995, in the Office of the Suffolk County Clerk in Liber 11712. Page 997, 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 v/' Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6468 DATE: October 18~ 2006 ISSUED TO: ROBERT SOMERVILLE PROPERTY ADDRESS: 595 OAKLAND COURT~ SOUTHOLD SCTM#90-4-7 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 Robert & Susan Somerville and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a second-story addition to the rear of the dwelling and deck at rear of dwelling, with the condition drywells and gutters are installed to contain the roof run-off, a 10' non-turf buffer is installed landward of the wetlands, complete removal of the wire fence parallel to the water and within the 35' rear yard setback, and as depicted on the plans prepared by Boulevard Planning P.C. dated September 12, 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 Robert & Susan Somerville, residing at 595 Oakwood Court, Southold, NY, as part of the consideration for the issuance of the perrmt 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, 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. 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. 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 restriction 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. Robert Lehnert Boulevard Planning, P.C. 32645 Main Rd. Cutchogue, NY 11935 RE: ROBERT & SUSAN SOMERVILLE 595 OAKLAND COURT, SOUTHOLD SCTM#90-4-7 Dear Mr. Lehnert: The Board of Town Trustees took the following action during its regular meeting held on Wed., October 18, 2006 regarding the above matter: WHEREAS, Boulevard Planning P.C. on behalf of ROBERT & SUSAN SOMERVILLE 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 19, 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 installation of gutters and drywells, and a 10' non-turf buffer landward of the wetlands, 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, 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 ROBERT SOMERVILLE to construct a second-story addition to the rear of the dwelling and deck at rear of dwelling, with the condition drywells and gutters are installed to contain the roof run-off, a 10' non-turf buffer is installed landward of the wetlands, complete removal of the wire fence parallel to the water and within the 35' rear yard setback, and as depicted on the plans prepared by Boulevard Planning P.C. dated September 12, 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, Jame F~King President, Board of Trustees JFK/Ims Jaraes F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fsx(631) 765-6641 TO:__~ 0 (~L.{ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated reviewed by this Board at the regular meeting of 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: $ ~), 0~5 BY: James F. King, President Board of Trustees Telephone (631) 765-1892 Town Rail 53095 Route 25 P.O, Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., October 11,2006, the following recommendation was made: Moved by Don Wilder, seconded by James Eckert, it was RESOLVED to SUPPORT the Wetland Permit application of ROBERT & SUSAN SOMERVILLE to construct a second-story addition to rear of dwelling and deck at rear of dwelling. Located: 595 Oakland Court, Southold. SCTM#90-4-7 Inspected by: Don Wilder, James Eckert The CAC Supports the application with the Condition of a 20' non-turf buffer, a pervious deck, and the deck is not within 100' of the wetlands. Vote of Council: Ayes: All Motion Carried James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Town Hail 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: 1. Bouleva'rd Planning on behalf of ROBERT & SUSAN SOMERVILLE requests a Wetland Permit to construct a second-story addition to rear of dwelling and deck at rear of dwelling. Located: 595 Oakland Court, Southold. SCTM#90-4-7 _xT_~alOtwf area to be impacted: ater Wetland Freshwater Wetland Sound Front Bay Front Distance of proposed work to edge of above: Par/~ of Town Code proposed work falls under: ~_~_Chapt.97 Chapt. 37 other Type of Application: h~fo needed: Wetland Coastal Erosion Amendment Administrative __Emergency Modifications: Conditions: Present Were: ~J.King '-ffJ.J.Doherty ~.Dickerson__ Other: ~, ~D. Bergen Mailed/Faxed to: Date: 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 (cot. Ma~n Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: Jim King, President ' ~' ~ ~' Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: October 16, 2006 Re: Proposed Wetland Permit for ROBERT & SUSAN SOMERVILLE SCTM#1000-90-4-7 Boulevard Planning on behalf of ROBERT & SUSAN SOMERVILLE requests a Wetland Permit to construct a second-story addition to rear of dwelling and deck at rear of dwelling. Located: 595 Oakland Court, Southold. SCTM#90-4-7 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Town Lode and the Local Waterfront Revitalization Prom'am tLWRP~ t,^n~., o.__~ ...... Southold information provided on the LWRP ' o- ~ j ....~y otanumus. /~asea upon the 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. 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 ro osed distance of the new residence o en deck is located 79.8 feet from a tidal wetland hi h water ~e uired ursuant to Cha ter 275-3. Findin s' ur ose' 'urisdiction. setbacks. Please re uire that the a licant amend the a lication to meet the above olic. In addition~ note that the plans do not show toooeraph¥, floodplains or drywells to control surface runoff. Pursuant to Chapter 268, thc Board of Trnstees shall consider this recommendation in preparing its wri~en determination regarding thc consistency of the proposed action. 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 Office Use Only Coastal Erosion Permit Application ,,,"'"Wetland Permit Apphcation __ Administrative Permit Amendmentfrra~s f~r/Ext ension e"Received Applica~.~.'~ ~'~eeived Fee:$~ ~n~leted Application 'f ll¥1~& r .... Incomplete __SEQRA Classification: Type I Type II Unlisted Coordination:(date seno S/P ] 9 2006 ,."LWfRP Consistency~Form_~/~ '~L'e'AC Referral Sent: ,~,~ate of Inspection: Receipt of CAC Report: ~ad Agency Determination: Technical Review: ~------'~blic Hearing Held:~ Resolution: Phone Number:( ) Suffolk County Tax Map Number: 1000- ~0 - ~ - 7 Property Location: ff'~3"' 04 t]f/~r/~ (provide LILCO Pole #, distance to cross streets, and location) (If applicable) - Address: 32ff/5 /~t~/0 Phone:~__ Board of Trustees Applic~ion GENERAL DATA Land Area (in square fect):. AreaZomg:. '~- Previous use of property: at,nda ~e ofprorerty: Prior permits/approvals for site improvements: Agency Date /~ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ,)( No_. Yes If yes, provide explanation: Project Description (use attachments Pr ~,~ ~,l ,~ ~ Board of Trustees Appli~ion WETLANDfrRUSTEE LANDS APPLICATION DATA u oseoftheproposedope tio Area of wetlands on lot: square feet Percent coverage of lot: t~ % Closest distance between nearest existing structure and upland edge of wetlands: / t94, ~' feet Closest distance between nearest proposed structure and upland edge of wetlands: 7 ~, ,~ feet Does the project involve excavation or filling? No ~ Yes If yes, how much material will be excavated? 3 ~..,~ cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: ~ feet Proposed slope,throughout the area of operations: ~ Manner in which material will be removed or deposited: ! Statement of the effect, if any, on the Wetlands and tidal waters of the town that may result by mason of such proposed operations (use attachments if appropriate): ,,,11 - Board of Trustees Apl~lic~ion COASTAL EROSION APPLICATION DATA Purposes ofproposed activity: ~)4~/t~ga~ J /~//~'~'a Are wetlands present within 1 O0 feet of the proposed activity? No X Yes Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated?3~,...g (cubic yards) How much material will be filled? t~ (cubic yards) Manner in which material will be removed or deposited: ~/f~t~ s*/r ~' ~ Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 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 thc Matter of thc Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, t~t~./ ~ ~//~. ¢ _, residing at_ ~.~f~" ,/~,,O,o being duly sw~~ That on the/O day of $~ ~ ,200~, I personally posted the property known as by placing the Bo~d of Trustees official poster where it c~ e~ily be seen, ~d that I have checked to be s~e the poster has remained in place for ei~t days phor to ~e date of ' he~ng. Date of heating noted thereon to be held ~, I~ a * ~ ~e pubhc Dated: Sworn to before me this lic '~z ~' PROOF OF MAII,ING OF NOTICE ATTACH CERTIFIED MAiL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~00~'~" ~,Oe, e'~ , residing at ~t~'4~' m~,~ ~ ' ~~ , hei~ ~y ~w~ d~oses ~d sa~ ~at on the ~ 'day of ~t ~ ,20 a~, d~onent m~l~ ~ ~ ~y o?~ ~otice set foffi~ in ~e Bo~d of T~te~ Application, ~r~t~ to each of ~e abo~e nm~ persons at ~e ad~ms~ set opposite there r~p~five ~es; that ~e ~&~ses set opposite ~e n~ ofs~d pemom ~e ~e ad~ ofs~d pemom ~ shem on ~e c~ent ~s~sment m~l of~e To~ ~Sou~old; ~at s~d Nofi~ w~e m~l~ at ~e U~t~ States Post ~ffiee at ~ g~ , ~at s~d Nofi~ wore m~l~ to ~ch ofs~d peseta by {ceffifi~) (re~stor~) m~l Sworn to before mo Dayof ~ ]~ : PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 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 cou., 3.PROJECT LOCATION: 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map SEQR IS PROPOSED ACTION: [] New [~ExpansJon [-'-]ModiflcatJon/alteration 6. DESCRIBE PROJECT BRIEFLY: AMOUNT OF LAND AFFECTED: Initially ,.~-- acres Ultimately ~.~'- acres 8. WILL PROPOSED ACTION COMPLY VVJTH EXISTING ZONING OR OTHER RESTRICTIONS? [~Yos [] No If no. describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) []Residential r--']lndustrial j'~Commercial [~]Agriculture []Park/Forest/OpenSpace []Other(describe) AGENCy10' DOES(Federal.ACTION StateINVOLVEor Local)A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROMi,~ANY~OTHER7'~GOVE~';MENTAL I'~Yes L---"~NO Ifyes, list agency name and permit/approval: 11. DOES ANY ASPECT OF ~E ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~Yes ~No If yes. list agen~ name and ~it / approval: 12. AS A PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? RE ULT [~Yes ~No OF I CERTIFY THAT~MATION PROVIDED ABOVE~RUE TO THE BEST OF MY KNOWLEDGE ~ the 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 (To be completed by Lead Agency) 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. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potsntial f~r erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhcod character? Explain bdefly: C3. Vegetation or fauna, fish, shellfsh or wildlife sl:~c~e$, significant habit~t~, or thraatenad or endangerad s~ies? Exptai~"l~rtefly: I A commun s exlsfin I ns or oals as offi all ' '"' ' ~ C4. Jty' ' ' g p a g ci y adopteri, or a change in use or intensity of use of land or other natural resources? Explain briefly: ..... C5. 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 CI-C57 Explain briefly: C7. Other impacts Iincludin~ chan~es in use of either quantit~ or b/pc of ener~l¥? Explain briefly: ~" D. VV~LL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAl ENVIRONMENTAL AREA (CEAI? (If }res, explain brier},: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: r--lYes r-I.o L PART III - DETERMINATION OF SIGNIFICANCE (To be comptated by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~iarge~impor~ant~r~therwisesigni~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain suffident detail to show that all relevant adverse impacts have been ittentified and adequately addressed. If quesfion d of part ii was checked yes, the determination of significance must evaluate the potantial impact of the proposed action on th e environmental characteristics of the CEA. Check this box if you have identified one or more potentlarly large or significant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actior WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi~ determination. Name of Lead Agency Date Title of Responsible Officer Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Board of Trustees ApplicOon AUTHORI ZA_q-~/ON (where the applicant is not the owner) (print owner of property) residing at ~ /l/m~l~ /~;&~ (mailing address) O~Jtr ~ ~v& ]/~/ do hereby authorize (Agent) ~/~V~m P/~)~ F~ to apply for permit(s) fro~ the Southol~ ~f Town Trustees on my behalf. ~~r ~gnature ) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Town of Southold's Code of Ethics omhibits conflicts ofintersst on the ~yart of town officers and emolovees. The uurcoso of ~is form is to orovide information which can ale~' tbe town of ~ossible conflicts of interest and allow it to ~ke whatever action is (Last name, fu~t name,~r~iddle thltial, unless you are appiyiag in the name of someone else or other entity, such as a company. If so, indicate thc other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Changn of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Otl~r (If "Other", name thc activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of thc Town of Southold? "Relationship" includes by blood, marriagn, or bus'mess interest. "Business interest" means a business, including a partoership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which thc town officer or employee owns more than 5% of the shares. YES NO lfyou answered "YES", complete thc balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title 6r position of that person Describe thc relationship between yourseff{thc applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. Thc tom officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of g~ater than 5% of the shares of the corporate stock of the applicont (wben the applicant is a corporation); __~B) thc legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __.C) an officer, diractor, pasmei', or employee of the applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Signature Print Name Town of Southold LWRP 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 ministerial 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~ listing both supporting and non- suooorfin~ facts. 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 Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION scm# qf 4 7 The Application has been submitted to (check appropriate response): Town Board [] Planning Board ~ Building Dept. ~ Board of Trustees .~ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Nature and extent of action: tO / - Permit, approval, license, certification: Location of action: Site acreage: Present land use: 35- Present zoning classification: ~'" 4 t9 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: /~/~ (b) Mailing address: (c) Telephone number: Area Code (). (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, wkich 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 Southoid that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ~'Yes F~ No ~-~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~ Yes [~ No ~ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southoid. See LWRP Section IH - Policies Pages 6 through 7 for evaluation criteria Yes ~ No ~ Not Applicable Attach additional sheets if necessary NATURAl, COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section HI - Policies Pages 8 through 16 for evaluation criteria ~ Yes ~ No [] Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southoid. 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 ~nd Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for eValuation criteria. ~ Yes ~-] No ~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and 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 III - Policies; Pages 38 through 46 for evaluation criteria. [] Yes[..] No ~ Not Applicable Attach additional sheets if necessary WORKING COAST pOLICIES Policy 10. Protect Soutllold'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. ~ Yes E-] 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. [~ Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [--] Yes [] No t~ 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 ~] NOt Applicable .\ i,OT (~ SURVEY OF LOT 69 MAP OF CEDAR BEACH PARK FILE No. 90 FILED DECEMBER 20, 1927 $ITUA TED A T BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORI~ S.C. TAX No. 1000-90-04-07 1" 20' SCALE = AUGUST 19, 1998 AUGUST 30, 2001 UPDATE SURVEY AREA = 15,282.73 sq. ft. 0.351 ac. CERTIFIED TO: FIRST AMERICAN TITLE INSURANCE OF NEW YORK ROBERT C. SUMERVILLE SUSAN C. SUMERVILLE THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN &RE NOT OU,~R&NTE£D. Joseph A Ingeg · no Land Surveyor ~tle Sun, eys -- Subdi~'sions -- .~e Pfons -- Coastruct/on Lo) PHONE (651)727-2090 x (651)727-17~ OFFICES LOCATED AT M~41UNG ADDRESS 1580 EO~NOK[ AVENUE P.O. Box 19.31 Coasffuction Loyout Fox (651)727-1727 LO'~ (~ ~o~ (~ ~_I. ,T_E,, .P~,LAN ~ SITE AND ZONING DATA BEDDING DETAIL First ~tak~ Tou~ard __ Pr~vlou~l~ Lall~ ANCHORING DETAiL PERIMETER HAYBALE DETAIL LEGEND (CATCH DADIN) NLP - N~W LEACHING PC,DL ADDITIONS AND ALTERATIONS AT THE SOMERVILLE RESIDENCE 595 OAKWOOD DRIVE SOUTHOLD, NY S.C.T.M. # 1000-90-4-07 REVISIONS TP-,USTEES APPLICATION DATE; 9-12-OG BOULEVARD PLANN1NG P.C. ARCHITECTS ENGINEERS 32645 MAIN ROAD CUTCHOGUE, N.Y. 11935 Telephone Fax 631-734-2011 631-734-2276 lnternet: www.blvdplan.com THESE PLANS AND SI ECIFCATIONS ARE INSTRUMENTS OF SERVICE AND ARE TBE PROPERTY OF BOULEVARD PLANNING EAST P,C INFRINGEM[iNTS ~ ILl BE I ROSECL[TED DATE: 7-5-06 DR. BY: R W L SCALE: AS NOTED CHKD:J.S. PROJECT NUMBER 0618 J J SHEET NUMBER SP- 1 ADDITIONS AND ALTERATIONS AT THE I ' SOMERVILLE _1 ~ ............ o ............... - ~ RESIDENCE '~ 595 OAKWOOD DRIVE c- 1~ SOUTHOLD, NY 5/%~-~-- ~[--, S.C.T.M. # 1000-90-4-07 El ~ ~% - ~ ~visioss ~a~u; - LOWER LEVEL PLAN Exist' . UPPER LEVEL PLAN Exist' . ~ .......... ENG~ERS ...... ARCHITECTS ~ ~ ~ ~ 32645 ~ ROAD CUTCHOGUE, N.Y. 11935 Telephone F~ 631-734-2011 631-734-2276 NORTH ELEVATION (Exist'g.) FRONT ELEVATION Exist' . Intemet:w~.blvdpl~.com ~~ oa*~: a-2~-06 I I ~.nY:~W[ I I SCALE: AS NOTED ...... CHKD: J.S. / I SOUTH ELEVATION Exist'. ~ARELEVATION Exist'. 0545 EC- 1 ADDITIONS AND ALTERATIONS AT THE SOMERVILLE RESIDENCE ~ 595 OAKWOOD DRIVE SOUTHOLD, NY S.C.T.M. # 1000-90-4-07 [] I~J REVISIONS DATE; i~ i T~U~T~ED APPLICATION 9- I 2-OG '_Y ] gLO" x 7'-0" 0 H DOOR b' 0" x 7'-0" 0J1 DO0~ --} ~ , BOULEVA~ PLA~G P.C. ] } ARCHITECTS ENG~EERS ~ CUTCHOGUE, N.Y. 11935 Telephone Fax ~u~e o~ ~ooe ~uow 631-734-20l I 631-734-2276 Intemet: w~.blvdpl~.com DATE: 8-23-06 DR. BY:R WL SCALE: AS NOTED LOWER LEVEL PLAN ~ '~ ~ ~o=~ c,m J.S. WALL TO D~ REMAIN ~AL~ I/4"=1'-O" NEW WALL CONDTRU~ION 0618 A-3 4'-4" GLO`' 4' 4" gL I 0" 4'-G" I I' I" 5'-0" I O' O" 5' O" -- -- I 1/-LIN~ -J I l/ 4q U - ;% I CATH[D~L CATPIED~[ I ~ ~ UPPER LEVEL PLAN ~OALE: 1/4"=1'-0" WALL TO DE REMOVED WALL TO BE REMAIN NEW WALL CONDT~,UCTION ADDITIONS AND ALTERATIONS AT THE SOMERVILLE RESIDENCE 595 OAKWOOD DRIVE SOUTHOLD, NY S.C.T.M. # 1000-90-4-07 REVISIONS DATE; TR. USTEE5 APPLICATION 2-06 BOULEVARD PLANNING P.C. ARCHITECTS ENGINEERS 32645 MAIN ROAD CUTCHOGUE, N.Y. 11935 Telephone Fax 631-734-2011 631-734-2276 Intemet: www.blvdplan.com TIIESE DLANS AND SPEC[FCATIONS ARE INSTRUMENTS OF SERVICE AND ARE THE PROPERTY OF BOULEVARD DLANNING D.C. INFRINGEMENTS WILL BE PROSECUTED. DATE: 8-23-06 DR. BY: R W L SCALE: AS NOTED CHKD: J,S. 0618 PROJECTNUMBER I I A--3SNEETNIjMBER ADDITIONS ~. ~o~o~ ~ AND ALTERATIONS .~,~ ~oo~ AT THE SOMERVILLE RESIDENCE -~ ~- ~ ~ ~,,~,~,o~,, 595 OAKWOOD DRIVE ~'Z "~Zl~''' "''~° _ =,.== +~, ,o,, ~}~ S.C.T.M. g 1000-90-4-07 } ~ ~, ,o,, ~,~ .~,~ ~ REVISIONS DATE; -- ~Tr~,~"~5~ FLYING GABLE DETAIL /MITERED CORNE~5 FRONT ELEVATION ~6AL~: [/4"= I'-O" CEDAR SID~G DETAIL ~6AL~: N.T.~. ~ BOULEVA~ PLA~G P.C. ~ -- ~ ~ ~ -- 32645MACROAD CUTCHOGUE, N.Y. 11935 Telephone Fax 631-734-2011 631-734-2276 ~r~ ~ ~v~t Intemet: w~.blvdplan.com e[ev + ~'~ ~ o'' DATE: 7-5-06 s~ev + o' a" SCALE: AS NOTED CHKD: J.S. ~AR ELEVATION ~6A~E: I/4"=1'-O" 0618 A-4 ADDITIONS ~^L AND ALTERATIONS FLASHING ~ 2R~ cc^ ~-~ AT THE SOMERVILLE FfN UPPER LEVEL j ~L~V +,~' ,o" / ~*~*.~O 595 OAKWOOD D~VE ..... ' '~ ~ THROUGH , .'~.' :~ ~ ~o~,~ SOUTHOLD, NY POST M~CH. FASTeNeD TO _ P.C. FOOTING -- :~ + ~,~,o,, S.C.T.M. g 1000-90-4-07 ~ TYPICAL DECK GI~ER DETAIL ~ ~c~:~: ~.r.~. REVISIONS DATE; ~ T~U~TEE~ APPLICATION 9- I 2-OG 2xG CAP ~IL ~ W/ 2x4 BENEATH ~ I I 3,-o,, HE~C~T WOOD ~AILING I [ ~ I ~ ~ ,L I ~ ~ I W/~TILEDNOTMO~ETMAN4"O,O, I I I I -- -- FI ~ ] - ~rLING TO WITHSTAND 50~ 0 WIND LOAD ~ ~4x4 CCA FOST NORTH ELEVATION ~ ~/~'~ ~ ~'' ~'~ T~ICAL DECK ~IL~G DETAIL ~~ BOULEVA~ PLA~G P.C. ARCHITECTS ENG~ERS 32645 MA~ RO~ ' CUTCHOGUE, N.Y. 11935 Telephone Fax ~ 631-734-2011 631-734-2276 FIN UPPER LEVELELEV + 6' I0" ]~, : ~ % ~ ~__, Intemet: w~.blvdplan.com DATE: 8-23-06 DR. BY: R W L ~ ~v. + 0'-o" ~ ~ = = ~ SCALE: AS NOTED I I I I I I [ I I I I SOUTH ELEVATION 5OALE: I/4"=1'-O" ?rm~:CT ~UMa~R StraIT NUMUUR 0618 A-5