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Home My WebLink AboutTR-6506 . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. o Town Hali 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0289C Date: January 17, 2008 THIS CERTIFIES that the construction of a second stOry and two one stOry additions to dwelling, new deck with steps, new garage addition. and drvwells for dwelling and garage. At 620 North Drive. Mattituck, New York Suffolk County Tax Map # 106-6-27.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 10/24/06 pursuant to which Trustees Permit # 6506 Dated 12/13/06. Was issued, and conforms to all ofthe requirements and conditions ofthe applicable provisions of law. T~e project for which this certificate is being issued is for the construction of a second stOry and two one stOry additions to dwelling, new deck with steps, new garage addition, and drvwells for dwelling and garage The certificate is issued to NORMAN & ADELE GRUDMAN owner of the aforesaid property. r-o<~ Authorized Signature . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK,TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE ~pre-construction, hay bale line ~q,~1 O~~ _ 1st day of construction Y, constructed ""7 Project complete, compliance inspection. 1/\1/09 ~~~.~ , ~bL /J 60 td(l'S{r. ~9 ~' I~ LJ I cuJ / 1&1 /~-Sj'j-J . . 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 (6311 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 _ 1 st day of construction Y, constructed / Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee, Norman and Adele Grudman, 620 North Drive, Mattituck, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concemed that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right ofthe'public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy ofthis Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. . Town Hall 53095 Route 25 P.O. Box 1179 Southold, N ew York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 13, 2006 Patricia C, Moore, Esq, 51020 Main Road Southold, NY 11971 RE: NORMAN AND ADELE GRUDMAN 620 NORTH DRIVE, MATTITUCK SCTM# 106-6-27.1 Dear Ms, Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 13, 2006 regarding the above matter: WHEREAS, Patricia C, Moore, Esq, as agent for NORMAN AND ADELE GRUDMAN 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 October 24, 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 drywells to contain the roof run-off and the installation of a hay bale line during construction, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 13, 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, 2 . . 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, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirements 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 NORMAN AND ADELE GRUDMAN to construct an addition over the existing dwelling, a new wood deck with steps to grade, a new garage addition, and (2) one-story additions to the dwelling, with the condition of drywells to contain run off, hay bales during construction, and all as depicted on the plans prepared by Gao Enterprises, Inc. and last revised 10/23/06. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid. if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) This is not a determination from any other agency. Fees: $100.00 Very Truly Yours, / O)V~ I Doherty l/' r--'r ice-President. Board of Trustees JD/hkc . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: r iA:tY1~\(.. ~ ICe. 1J0r~ <- AJ"l< Gn.tJ""",rV Please be advised that your application dated (0 (2-'-f (Ob reviewed by this Board at the regular meeting of \7 I Pi ~ following action was taken: I ~(, 31 O~ 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: 1}9 TOTAL FEES DUE: $_\ ()D I'" $> t;b fbt'1 &. Ie: \n5f"-C+s->'\J ~ SO fi n.. ( I "5fU---'nor--' qo\'\ BY: James F. King, President --Board of I rOstees----- ~ ~ ~ (j . . . . 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 InspectionlW orksession Report Date/Time: 1III cr/6t." f , Name of Applicant: ~Dr-'('.-..<:l..\r.. <:l.."'-~ A. ~e.\<- Name of Agent: ~ <L+M...r " '(' e.. Property Location: SCTM# & Street B.rief~eSCriPtion ~~oposed action: . &~< ~ o~ "" _ \., " ; k ~ ~ Type of area to be impacted: ,,(Saltwater Wetland _Freshwater Wetland _Sound Front _Bay Front , Distance of proposed work to edge of above: Pa:rt.ofTown Code proposed work falls under: ~::::.thapt.97 _Chapt. 37 _other Type of Application: /' W etland _Coastal Erosion _Amendment _Administrative _Emergency Info needed: Modifications: Conditions: Present Were: _'1King _'f.Doherty _ oP:r5ickerson I...-I'1: Bergen ~ r3, Glo ~ ~ 6 Other: Mailed/Faxed to: Date: Comments of Environmental Technician: . . Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., November 8, 2006, the following recommendation was made: Moved by Don Wilder, seconded by James Eckert, it was RESOLVED to SUPPORT the Wetland Permit application of NORMAN & ADELE GRUDMAN to construct an adtJition over the existing dwelling, a new wood deck with steps to grade, a new garage addition, and (2) one-story additions to the dwelling. Located: 630 North Dr., Mattituck. SCTM#106-6-27.1 Inspected by: Don Wilder, James Eckert The CAC Supports the application with the Condition drywells and gutters are installed. The CAC does Not Support the wood decking, as proposed, because of the close proximity to the wetlands. The CAC recommends a 75' setback is maintained from the wetlands. Vote of Council: Ayes: All Motion Carried i ~~ .! ~" . ~ ~ ~id ,~~ ~ ~.,~~ ~~E~ 1i ~ ~? j>;H~ I," ;;~!; IIII III, Bl~ III l'\c; ~Ht i:, i ~ ; = i ]11', ~H III , , i i i I i I ~ ; , ! nU !uJ ~!! ! Iii ~ . ; ~ ! i 3 ~ ~ . , P i ., ~ jI : ~ LdLi I; 1jl I::: I. ii! II Ii . --t'..-.....-,-c._ ~~ 2~_ ...,' j \:''::IN ~~- .IJ -I' -J I , I " ~ ; I i I 'I i ~~ ;:J~ .'", .-., '" ,_\L_ , ~ - ~ e 8" l'~ ~.~:; ~.l!I ~~i~ ~",.j ~ ~. ~~f <at .!"., !; ;, H"t ~ ~~; ~: ~ ~;;~ II!!' i8U .~ >!~ ... ., :l~ ~~ ~i\i 0 ~ " :i~ , , .:: . e , ~i "'l , " :ij :J~ , !!~llli !~ I\!I!III'I :11111! ~d!Hi I!i!! , "'j I !II !.;!; i" Ie iii! I'" , ,I,ll ill i -, ~:i ..,1 " ... , o ;;;~ o ~'"' , ~~ "3 '!'.o, " .' '. , 0' !l ,. il,l- ~. l/; ~ ! ! ! Hii Id~ ie!! I Ii :!!l Ill! 1:'1, ~ I" 1:1 . . PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold. New York 11971 Tel: (631) 765-4330 Fax: : (631) 765-4643 January 8, 2007 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 JAN - 9 2007 RE: Norman & Adele Grudman PREMISES:620 North Drive, Mattituck SCTM # 1000-106-6-27.1 Dear Sir or Madam: Enclosed please find my clients check in the amount of $100.00 representing the inspection fee. Thank you. ----/ bp Enclosures . . KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND MAIliNG ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE WCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Town of South old Board of Trustees From: Mark Terry, Senior Environmental Planner L WRP Coordinator Date: November 15, 2006 Re: Proposed We!land Permit for NORMAN & ADELE GRUDMAN SCTM#I 000-1 06-6-27.1 Patricia C. Moore, Esq. on behalf of NORMAN & ADELE GRUDMAN requests a Wetland Permit to construct an addition over the existing dwelling, a new wood deck with steps to grade, a new garage addition, and (2) one-story additions to the dwelling. Located: 630 North Dr., Mattituck. SCTM#I06-6-27.! The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of South old Town Code and the Local Waterfront Revitalization Program (L WRP) Policy Standards. Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6 Protect and restore the quality and function of the Town of Southold ecosystem, 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The proposed distance to the proposed buildine earaee is 50 feet from a marine wetland: a minimum setback distance of 100 feet is required pursuant to Chapter 6 275-3. Findines: purpose: iurisdiction: setbacks. Please require that the applicant amend the application to meet the above policy to the neatest extent possible. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Albert J.Krupski, presi. ' j~les King, Vice-Presid .... . 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 SOUTH OLD Office Use Only _Coastal Erosion Permit Application /Wetland Permit Application ~Major - - ~ Waiver! Amendment/Changes ,....--Received Application: /0 Id-I..l ~ ~eceivedFee:$ ~~- _ ..€ompleted Application Itlld<4l ()., _Incomplete SEQRA Classification: Type I_Type II_Unlisted__ Coordination:(date sent) --CAC Referral Sent: I ~ ......-Date of Inspection: ---11l1 01 ala _Receipt ofCAC Report: _Lead Agency Determination:__ Technical Review: ~blic Hearing Held:---U1..l1JQL Resolution: Minor OCT 2 4 2006 ll1.J~ ..- NameofApplicant~.d5 A DeLE. G/<..u.;vm lit-! Address 6)., 0 N () f r H -J2J?J t/ E .I In 14 T T T" T l( r. K N.t II q :) :L... Phone Number:(6~/ :J.. '1 X' - 7 3 ? ? Suffolk County Tax Map Number: 1000 - /0 6 - 6 ~ a I' I Property Location 6 {)..o /'10 R r H 1> 1< i v'f. J rlJfI rr/nl (: k (lie- 1115"~ (provide LI CO Pole #, distance to cross streets, and locatIOn) . AGENT Pff T I~ /L.li~ c. - mooR e. (If applicable) Address: S-/oB,.o /11/11 tf RofJ-.e :'\0 LI r 110 L ~ J'-/f /117/ PhonetJI- 76~- Jf330 ~~ ~ \cl'O-~ . . Board of Trustees Application GENERAL DATA Land Area (in square feet): t;:2.} ~ 0 i Area Zoning: Previous use of property: R (S I [) e rf T j 19'- R.ES lyErj r/;t!L Intended use of property: Prior permits/approvals for site improvements: Agency Date 1flltlr/ bf Sof.1T1.JOLj> 15L D~. f)tPT#:?.1J.}f?z. JI1Li J<?') 20Q t _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend~ by a governmental agency? --LNo Yes If yes, provide explanation: Project Description (use attachments if necessary): Ci) 17 V fJ I' 7J '0 r1 CJ V E A. E j./5 I/I't6" Rf;.<;/])&rJn fJ '- a7 ~ ~'\ TA u c r t{ R j:::) /)eCK... AtvD I4(JDr Ii pili OIL? L/fN{)Iv"'r12-J) :51 DC OF' HousG (&-~ E) /-f-+yeIl-lES M./O. fXL.r( W&U.5 . Board of Trustees . Application WETLANDITRUSTEE LANDS APPLICATION DATA 6 T t2.u c Jt1 {(E.. . De.CY / /11)l)t T1tJN f .. - 170J>Jrtol'j TO X/5fJ1tc7 l-AnIOW~ 19No Purpose of the proposed operations: Area of wetlands on lot: It r> 0 square feet Percent coverage of lot: .. D/ % Closest distance between nearest existing structure and upland edge of wetlands: cE q I_feet Closest distance between nearest proposed structure and upland edge of wetlands: (g. '9 J _ feet . Does the project involve excavation or filling? 1/ No Yes If yes, how much material will be excavated? no lie... cubic yards How much material will be filled? (J () n~ cubic yards Depth of which material will be removed or deposited: o feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, ifany, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): r7ofif- - ------, --- I .' '''''.14-16-4 I2ISn-Text 12 P'AOJECT l.C. NUMBEn 617.21 Appendix C State EnvironmentaJ Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) . /' SEQ I 2. PROJECT NAME Munio/paJlly County P: r () 1- K 4. PAEC:SE LOCATION (Slreet address and road intersections, prominent landmarks. etc., or provlae map) {,(Lo' lIo,-fTfI j)~\ VE; tn/1'TTfT'-Ick; J'I~ 111,5-:z. - 5. IS PROPOSED ACTION: o New ~ Expansion 0 ModiflcatloniaUeratlon 6.DESCR/eEPAOJECTBR/EFLY: 1!])j)/TfOl, To t:l'/6.T/IYct RESI])!3rtcE. 7. AMOUNT OF LAND AFi='ECTED: 8. acres Ultimately 1.:1... J acres POSED ACTION COMPLY WITH CXISTING ZONING OA OTHER EXISTING LAND USE RESTRICTIONS? o No If No. describe briefly ESENT LAND LISE. IN VICINIT"f OF PROJECT? . D.!noustrial 0 Commercial U Agricuiture LJ Parl</ForesUOoen space GOther 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STAT~Oy3<'I'esOCAU?U:-"'O _ C; .r101-1- .,-" "l/5'~JrrJOIJ- [B"Yes ,- If yes. list agencYls) and permit/approvals ).,/3.. rre~ """" if ,; I \I VI If. V...... I I f~c>1'Y) D.&c, 11. .~ THE ACTIOr., HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? It yes, list agency name and permiUapproval 12. ED ACTION WILL EXISTING PERMIT/APPROVAL MEQUrRE ~ODJF!CATION? r CEiiTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE SESi OF MY KNOWLEDGE ~Usponsor c- Dale: /h-/I'I-O(,., Signature: If the action is in the Constal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this a_~~essment OVER 1 '" PAR~ 11-:,=~,VIR~.N~~:~~.-'~' ~:~ES5MENT eTo be C:JrT:::::ietea jy .:.\ge!"" 1 ..:... ~OE;:) ,...G"C~ ~~C,:::=':J __ r. ':.' Ti-;?E5i-iOL:J IN:5 ~':'Cr.?. ?;;;T 517.,2.7 . . I!YdS n:-.lO :3. 'NIL!.... .:..C7:CN RE-:2.:vE ':::CROINA,~:J .=lEVIEW AS ?P.C'Jl0E0 ,-'::;::; UNUS,E.:J ...;C71CNS iN5 .'J'(C2R. .-::1.0.;;, -;,7.:::-; ir .'~o. 3. ne~J.t:ve ::eC:Zf.=. may De sucersede!: ':Iy womer ;nvolveeJ aGenc'{. ~Yes C':-lo G_ COULD ..;eTlON ~E.sULT iN )r,NY AOVE;::;SE ~??~.:7S ASSCC:":' .EO 'NlTH -:-:-iE '::;.JLLCWING: [Answers :nay :::e .,andwntten. if :eglclel C'. ::':l:isting air Quality, surtace or' qrounowater cuality -:If ~t:antlty. noise ,evels. :x!s.ing :raHic ;::anerns. sOlid.vas.e ;:lrCCll..c::~n:::J( (lIs.:::: .Jotemial lor ~rosion. ::::ralnage- or tlooc1inq ;JrOblems? :..'tolaln :Jrietly: # .:ocrOln3te me (av,,!'N :roces.s ana 'Jsa ~n.e FiJL:... :::-,1.'=-. C2. ,.l.estnetlc, a~ric:..zltural. 3.rc~aeologic.3.l. histone, or other ,1aturai or cuHural :esourc:es: or community or .,eiC;i'Iccrnoo~ c:larac:er? s>:clain ~, c:3. \Je~elallon or fauna. :Iso. sr.ellfisn or 'Nlidllfe soecles, slgniiicant :'acilals. or :hre3[ened or ~nc:anl;;ereo scec:es? :.xclam :Jrlally: c;.i. A c:::mmunilY's existing "Ians or goalS. as otflc:ally adoated, or a cnange in usa ~r intensity at use ot land or other natur~j resourc~s? :.xplain ::r cs. Growth. subseouent .:evelooment. or relatea ac::vities likelY to oe induceo 0'1' the crcoosed ac:ion? :.:colaln ,:Jflefly. cs. I_ong :erm, snort ,arm, cumulative, or ~ttler ~tfec:s not identified in C-;-CS7 S>:Olam ~rierly. ....... (:tr:er imoac:s ;jnc;;';cing c:-:anr;es m '.Jse at ~!ther quantity or type at ;nerg'f)? =.xolaln :::r1elly. i, 'J. :S THE:=:E.::R is 7HE::iE :_:K;;:!..::' TO 5E. c.:::r-ri::1QvE.=:SY ~E:_.J"'ic:J TO ?OTENTlAL Aov5.?SE :NVIRONMEN'i':'L ;MP_~C"TS? ~ Yes ~ No :t ':'es. ;xclain "rieity PART III-OEiERMINATION OF SIGNIFICANCE (To ~e completed ~y Agency) INSTRUCTIONS; For e3C:'i adverse effect identified ateve. determine whether it is substantial. large, important or otherwise signHk =ac~ eifec~ snouJd be assessed in connection 'NW, its (a) setting (I.e. urban or rural); (bU~robability of occ~g; (el duration irreversibility; tel geogracnic scoce: and {t) magnituce. If necessary, add attachments or reference supporting marerials. Ensure exctanaticns contain sutficient detail to snow that aJ!, re!e'lant adverse impacts have been identified and adequately accressec. -' C:'eCK this box if you have idemified one or ;nore ;::otenrially large or significant 2cverse imoac:s whicn MA '; Qc:::::.sr. Then :Jrcceed direc:ly to :he FULL :=.J..F and/or prepare a positive" declaration. C~eck this !Jox it you have determined, based on the information and analysis above and any suooort;ii~ doc:.Jmentacicn. :hat ~r.e proooseCl ac~ion "VILL ~lOT result in..;1.flY significant adverse environmental imcac:: AND .Jrcvlce on :3.t~ac:uTIents 3S necessary. the reasons supporting this determination: ......,".: <')1 :'o.:..au "".;enc', _"'""r '->f '''ue -';..a,n~ JI '~'loon\lOI'" ";llIC~f cn :"0.:...0 -.;..;o.:nc" r'll~ 01 ,.{...~oonuo'~ 0Ir,,:~f }.-:nd:ute ,)1 "'''''J.lter ~tr c.:11:~~t'nt ~rom r",)OO"\'OI~ :)11'(;:" ;,,:nJII,,:Il~.)I ~"'\CO"~'OII!' .';r:,<",r ,n :"C:-J-O .-~~c:-ncY ,)..U! 2 . . PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 November 1, 2006 Board of Trustees Town of Southold P.o. Box 1179 Southold, NY 11971 RE: Norman & Adele Grudman PREMISES:620 North Drive, Mattituck SCTM # 1000-106-6-27.1 NOV - I Dear Sir or Madam: Enclosed please find certified mail receipts for the above referenced matter together with Affidavit of Mailing. Thank you. . ! LA Very , / f f tatricia /bY: Bets I bp Enclosures . . BOARD OF TRUSTEES TOWN OF SOUTH OLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of Norman & Adele Grudman AFFIDAVIT OF SIGN POSTING Regarding Posting of Sign Upon Applicant's Land Identified as 1000-106-6-27.1 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, PATRICIA C. MOORE, residing at 370 Terry Lane, Southold, New York being duly sworn, depose and say that: On the 7'h day of November, 2006, I personally posted the property known as 620 North Drive, Mattituck, New York by placing the board of Trustees official Poster where it can easily be seen, and that I have checked to be sure the post has remained in place for eight (8) days prior to the date of the public hearing. Date of Hearing to be held on Wednesday, November 15, 2006 on or about 6:30 p.m. Sworn to before me this 14th d of November, 2006 NOV l' -,,- -..--,.-- No. O1PEe13OSJ1 ~=~200<=t . . PATRICIA C. MOORE Attorney at law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 November 14, 2006 Board of Trustees Town of Southo1d P.O. Box 11 79 Southold, NY 11971 RE: Norman & Adele Grudman PREMISES:620 North Drive, Mattituck SCTM # 1000-106-6-27.1 Dear Sir or Madam: Enclosed please find copy of floor plan with dimensions of deck and addition together with green certified mail reciept cards received as of date and Affidavit of Posting. Thank you. LA bp Enclosures . LOIS P.LOCKWOOD 600 NORTH DRIVE MATTITUCK NY 11952 SCTM: 106-6-27.2 DAVID C HALLIINAN PO BOX 1443 SOUTHAMPTON NY 11969 SCTM: 1000-106-6-25 LIP NKEYSP AN PROPERTY TAX; 20TH FLOOR 1 METROTECH CTR BROOKLYN NY 11201-3850 SCTM: 1000-106-22.1 RECEIPT 71926463311000002670 FROM: Patricia C. Moore Esq. RE: GRUOMAN TRUSTEES 0.39 2.40 1.85 $4.64 POSTMARK OR DATE Grudman NEIGHBOR LIST SCTM: 1000-106-6-27.1 RECEIPT 71926463311000002687 FROM: Patricia C, Moore Esq. RE: GRUDMAN TRUSTEES TOTAL $ 4.64 POSTMARK OR DATE . RECEIPT 7192 6463 3110 0000 2694 FROM: Patricia C. Moore Esq. RE: GRUDMAN TRUSTEES . . BOARD OF TRUSTEES TOWN OF SOUTHOlD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF Norman & Adele Grudman MAILING Applicant's land Identified as 1000-106-6-27.1 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and say that: On the 3'd day of November, 2006, I personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAil, RETURN RECEIPT REQUESTED, a true copy of the attached legal Notice in prepaid envelopes addressed to the neighbors on the attached list. Attached hereto is the white receipt post-marked by t said date. , Sworn to before me this 3 R.b day of November, 2006. ~~~' (N ary Public) MARGARET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Qualified in Suffolk CountI _ _ Commission Expires June 3, :it::!2/:? 7 PLEASE list, on the back of this Affidavit or on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. . . /lr)i PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 October 31, 2006 CERTIFIED MAIL RETURN RECEIPT REQUESTED RE: Norman & Adele Grudman PREMISES: 620 North Drive, Mattituck SCTM # 1000-106-6-27.1 Dear Neighbor: I represent the above with regard to property located on North Drive, Mattituck, New York. They have submitted an application to the Southold Town Board of Trustees to construct an addition over existing dwelling, new wood deck with steps to grade, new garage addition and two (2) one-story additions to dwelling. A copy of the Hearing Notice is enclosed together with a copy of a survey. The hearing on this matter has been scheduled for WEDNESDAY, November 15, 2006 on or about 6:30 p.m. at Southold Town Hall. If you have any questions, or you wish to support this application, please do not hesitate to contact me. Thank you. Very truly yours, Patricia C. Moore PCM/bp enclS. C: Mr. and Mrs. Norman Grudman NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, . Southold, New York, concerning this property. OWNER(S) OF RECORD:~.. Qdtk 6rud~ S B CT g. PUBM~ HEAR~:~o<<.s\TUl:t' o.n ClICId1-b-. tAlfr . q.... Adc&K~' 0I\tA t:= ~ 1U1M~ t-ttps -to ~ 1\tw I TIME & DATE OF PUBLIC HEAR~\ 10 tAWe.\.UIt\. . I Wcrd.. y\~r,s,a~ -cnor4bw.+,,~ ~ f'V\. If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours ot 8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 , ~ Board of Trustees ApPli~tion County of Suffolk State of New York ~w . laIYluCI. (' !J1(")ore te5t-.' ~EINGDULYSWORN DEPOSES AND AFFIRMS THAT HElSHE I THE~PLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOurnOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOurnOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AurnORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIE THIS APPLICATION. / / Signature SWORN TO BEFORE ME THIS (CJff DAY OF OCr- ,20 Or:; ~"dc;~- otary Pu ic MARGARET C. RUTKOWSIO Notary Public, Slate of New York No. 4982528 Qualified In Suffolk ~ Commlsaion ExpIree June 3, .:21Z.0 7 . . Norman Grudman Adele Grudman 620 North Drive Mattituck NY 11952 October 3, 2006 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Dear Ms. Moore: I Noman Grudman on behalf of myself and Adele Grudman, as owners of premises known as 620 North Drive, Mattituck, sctm: 1000-106-6-27.1, hereby authorize you to make any and all applications to the Southold Town Board of Trustees, Southold Zoning Board of Appeals, Suffolk County Health Department, Town of Southold, New York State DEC, and any other necessary agencies on my behalf regarding my above referenced property. . . PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971-4616 Tel: (631) 765-4330 Fax: (631) 765-4643 Robert G. Kassner Legal Assistant Margaret Rutkowski Legal Secretary October 13, 2006 Board of Town Trustees Town of Southo1d 53095 Route 25 P. O. Box 1179 Southold, NY 11971-0959 "r.t'''' OCT 2 4 Lu"D Re: Norman & Adele Grudman SCTM# 1000-106-6-27.1 Addition over existing residence and deck additions Dear Sir/Madam: Enclosed please find two copies of the application and fee in the amount of$250.00 for the above project. If you have any questions, or require additional data, please contact this office. ours, cc: Norman & Adele Grudman Encls. . . 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 South old Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the L WRP policy standards and conditions. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of South old's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000-106-6-27.1 Grudman AGENT: Patricia C. Moore Esa. 51020 Main Road. Southold NY 11971 The Application has been submitted to (check appropriate response): Town Board D Planning Dept. D Building Dept. D Board of Trustees D Zoning Board of Appeals D_ I Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) D (b) Financial assistance (e.g. grant, loan, subsidy) D (c) Permit, approval, license, certification: D Type:_ Town of South old LWRP Consistency Assessment Form 1 . . Nature and extent of action: Addition to existinl! dweIlinl! Location of action: 620 North Drive. Mattituck Site acreage: 1.21 acres Present land use: existinl! residence Present zoning classification: r-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Norman & adele Grudman (b) Mailing address: 620 North Drive. Mattituck NY 11952 (c) Telephone number: (631) 298-7387 (d) Application number, if any: _ Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes 0 NoD If yes, which state or federal agency: _ Town of South old LWRP Consistency Assessment Form 2 . . DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of South old that enhances community character, preserves open space, makes efficient use o.finfrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. Yes 0 No 0 Not Applicable 0 Discussion (if appropriate): The existing residence was renovated with a 14 bv 19 addition over an existing deck. garage addition on landward side of house and new deck. Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria Yes 0 No 0 Not Applicable 0 Discussion (ifaoorooriate): Disturbed property with no historical archeological resources 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 Yes 0 No 0 Not Applicable 0 Discussion (if appropriate): addition to existin!! residence no visual impact Town ofSouthoJd LWRP Consistency Assessment Fonn 3 . . NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L WRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes 0 No 0 Not Applicable 0 Discussion (if appropriate): the proposed addition will reQuire compliance with NYSBuildinl! Code Policy 5. Protect and improve water quality and supply in the Town of South old. See L WRP Section III - Policies Pages 16 through 21 for evaluation criteria Yes 0 No 0 Not Applicable 0 Discussion (if appropriate): addition will add l!utters and drvwells Policy 6. Protect and restore the quality andfunction of the Town of South old ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See L WRP Section 111- Policies; Pages 22 through 32 for evaluation criteria. Yes 0 No 0 Not Applicable 0 Discussion (if appropriate): addition to existinl! residence. parcel is elevated above 10 contour and wetlands will not be affected Policy 7. Protect and improve air quality in the Town of Southold. See L WRP Section III _ Policies Pages 32 through 34 for evaluation criteria. See Section III - Policies Pages; 34 through 38 for evaluation criteria. Yes 0 No 0 Not Applicable 0 Discussion (if appropriate): _ Policy 8. Minimize environmental degradation in Town of South old from solid waste and hazardous substances and wastes. See L WRP Section III -Policies; Pages 34 through 38 for evaluation criteria. Yes 0 No 0 Not Applicable 0 Discussion (if appropriate): _ Town of Southo\d L WRP Consistency Assessment Fom1 4 . . PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. Yes D No D Not Applicable D Discussion (if appropriate): _ Town of Southold L WRP Consistency Assessment Fonn 5 . . WORKING COAST POLICIES Policy 10. Protect Southo/d'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 0 No 0 Not Applicable 0 Discussion (if appropriate): _ Policy I I. 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 62for evaluation criteria. Yes 0 No 0 Not Applicable 0 Discussion (if appropriate): _ Policy 12. Protect agricultural lands in the Town of Southold. See L WRP Section 1]1 _ Policies; Pages 62 through 65 for evaluation criteria. Yes 0 No 0 Not Applicable 0 Discussion (if appropriate): _ Policy 13. Promote appropriate use and development of energy and mineral resources. See L WRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Yes 0 NoD Not Applicable 0 Discussion (if appropriate): _ *coPY of Town form created on 2111/06 Town of South old LWRP Consistency Assessment Form 6 ; ~ 2"'-,," ~ . .. ~ ~ " S'-fI)" "",'.e"! Jl El<I&n.r. . ~! J! -i _,_.IiIt"'~ ~ I LI Ib. 0 -,- - I -,............-..- --- ~-~ ~I - ~-- :llZl'_IDOI _......-.........""'_IM8O__ 1"1.00'" PL.AN - P"'OPOSI!D 1'l0"'K C -~?-' -""""":::::::'::;::;::;"':::::::::::::::::::::=:':'::=:0=:::"'1, " " II II " i! M1IIrJ ~.._.- ~=::'-_"'~ I><ICIJ ~"""'''~Ol ~l I~'-- , _c.m=~ "-3 lie" 16'-111&" ~ ~ ..... '.... 21'-3" GAO ENTERPRISES, INC. -PROFESSIONAL DESIGN & DRAFTING SERVICES::'" P.O. BOx 186. MORICHES. NY 1 1955 TELEPHONE/FAX 631.399.5998 SURVEY OF PART OF LOT M ci PART OF LOT N MAP OF SHORE ACRES FILED JANUARY 3, 1'114, MAP No. 41 N W*E S SITUATE: MA TTITUCK TOHN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYED 01-1'1-2006 TOPO ADDED 01-06-2006 SUFFOLK COUNTY TAX # 1000 - 106 - 6 - 21.1 Lot C I Edge of I^letlonde CIS flagged I I~ En-Consultants, Inc. on 0'1r0'1/20051 , //~~~ /'\,.~'\:lry ~ "~'V,,,\:l' .:S / ~~ ~. ,/ ~ , \::l' / 5} i ~ " ~ , c:5 , 00' i ..... f'q Ii' Ir,t:< fi::t 00 I 00 II) ..,? . ~ '10 00 ~ 1!(2 :l .: ': , ~' 21 / S88013'30"E <00' :;i 564.09' , , m' I \ I I I 'OD , , _' .c.~..~~..~~;;..~.~~~;;;~~~~~\~.~.~~.~~~.~J ' " '& r / "- " "- \ " " \ \ ::,L (\) (\) L \) '-. , oc i"~ gg p/o Lot Ii , , , , , , , , N89042' lQ"W " , , , , o ofl-1 380.00' p/o Lot N -', p/o Lot M b" 00 o "" ::,L \) :J -W -W -W G 2: , , .- , , , , .' , , , , , , , , , -" - - - - ~~= = = ~ - - - _.- Lot M L_ '- i . .. IBalyview A Vellll1me NOTES. o MONUMENT FOUND PIPE FOUND STAKE FOUND wr " "- ,\ .\ _zodOO_"'_"""w"........... orq>D<oor1ngGI~lcn:l~'soool.." >1c_of "",U-T.!O',~2.,,'_ """'T",*SlGto_L..ot<,' ~~~:=~~~ ~"""""""lIb<o""""_8(:Il:ob<ovalld_ -. . -'RAPHIC SCALE ~ 1"= 501 CERTIFIlED TO: Adek Grudman NattI, American Savings Bank. FSB FuleHy National Tillie Insurance Company of New YoIl< ~~<Op<r~~--~'=~ IotOw,jC<:>doodp,.""'lo<oforLald~odopI<>d bj__Y<>'*5Wto_of",or....IonPI ~~'I~:'~:';~ ~~~~-~~r;.:,"""aId 1<>1ho_9-oflhoo~...t_.c-tIflo:<I- tIono",._Uaoof_Io~I_1utIcno ... ELEVATIONS REFERENCE NGVD '2'1 DATUM AREA = 52,50'1 S.F. or 1.21 Acres JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Compaqserverlpros\04\04-266.pro "....,.",., M~,a""," \ ,.,.-....- Q,\C4",4_'bO 0