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Home My WebLink AboutTR-6679 'I,,� iii��•_ James F.King,President ,�,•, QF SOU, Town Hall Jill M.Doherty,Vice-President /1s/,O � 53095 Route 25 P.O. Boo Peggy A.Dickerson * * , � Southold,New York k 11 11971-0959 Dave Bergen y �e Bob Ghosio,Jr. �O�� Telephone(631) 765-1892 "VP eNt Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0345C Date August 8, 2008 THIS CERTIFIES that the second-floor addition, first-floor kitchen extension and deck extension, gutters &drywell, and 15' non-turf buffer At 2345 Bayview Ave., Southold Suffolk County Tax Map#52-5-1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 6/27/07 pursuant to which Trustees Wetland Permit#6679 Dated 7/24/07 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 second-floor addition, first-floor kitchen extension and deck extension, gutters & drywells and, and 15' non-turf buffer. The certificate is issued to THOMAS BYRNE &VERONICA KALISKI owners of the aforesaid property. /PA s id-, „ Authorized Signature CC# : C14-19367 1 A „per'w' Y d COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK 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 instrument DECLARATION recorded in my office on 10/20/2008 under Liber D00012569 and Page 203 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 05/06/2014 . SUFFOLK COUNTY CLERK _,..„- , ,_ 15 D L JUDITH A.PASCALE MAY - 62014 . :r ;r . .. SEAL 11111111111111111111111111111111111111111111111 11111111 I 1111111111111111 1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 10/20/2008 Number of Pages: 5 At: 04:37:21 PM Receipt Number : 08-0101441 LIBER: D00012569 PAGE: 203 District: Section: Block: Lot: 1000 052 .00 05.00 . 001.000 EXAMINED AND CHARGED AS FOLLOWS • Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $0.00 NO RPT $30.00 NO Fees Paid $95.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County k , 1 1 2 ' , • • . Number of pages 5 RECORDED 2008 Oct 20 04:37:21 PM • Judith A.-Pascale This document will be public CLERK OF record.Please remove all SUFFOLK COUNTY Social Security Numbers L DP020356� prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 l FEES Page/Filing Fee -- 'YLfu.) o9 5 Mortgage Amt // ad 1.Basic Tax Handling ao�. nib i2. Additional Tax q TP-584 Sub Total C Spec/Asslt. • Notation or • EA-52 17(County) Sub Total .4f Y` Spec/Add. EA-5217(State) TOT.MTG TAX j�� Dual Town Dual County _ R P.TSA I Held for Appointment Comm.of Ed. 5. 00 . - Ze Transfer Tax la.i Mansion Tax Affidavit ,4 j?-r+t, . r:j-'"`:j,- The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other 0 ` I If NO,see appropriate tax clause on r:rarxf Total • .r : page A of this instrF'n (^0 12/ 4 1 Dist lac 1000 05200 0500 001000 5 f Community Preservation Fund Real Property F2 RSK A Consideration Amount$ • Tax Service Agency 30-SEP CPF Tax Due S Verification — — -- - Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Mf r(�� k{e.�.��,1 o..�A Tkoi n\e TD tiA s ' L•.VL j _ , TD ∎C�Ck�\_q`t. C St • TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 I Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name wwwsuffolkcountyny.gov/clerk Tine N • 8 Suffolk County Recording & Endorsement Page This page forms part of the attached ■ 4 _ a ''- I made -�by; • (SPECIFY TYPE OF IN • 7 ENT) I fl(1 M C�, 1.14 r n e f j The premises hereln is situated in - Je re) n; c<. �• 1'S Y SUFFOLK COUNTY,NEW YORK t TO In the TOWN of CALtAn O I • the VILLAGE ;.-.0 '� 1JD t A • YIn or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FIUNG. (over) • DECLARATION OF COVENANTS AND RESTRICTIONS DECLARATION made this 24th day of August, 2008, by THOMAS BYRNE and VERONICA KALISKI now residing at 74 Roxen Road, Rockville Centre, New York, 11570 as owners, hereinafter collectively referred to as the "Declarant". WITNESSETH: WHEREAS, the Declarant has title to certain land situate, lying and being at 2345 Bayview Avenue, Southold, Town of Southold, Suffolk County, New York, SCTM #1000-52-05-01, 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 of Southold Board of Trustees for a Wetland Permit for approval to construct a second-floor addition on the property described in Schedule A and known as SCTM#1000-52-05-01, and as depicted on the , plans prepared by Frank Uellendahl,Architect, last dated and stamped approved on July 25, 2007, 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. NOW,THEREFORE, this Declarant wltnesseth: 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: 1. The grant of a Wetland Permit for the construction of a second floor addition, first floor kitchen extension and deck extension with the condition of the installation od gutters and drywells to contain roof runoff, and a line of staked hay bales to be installed 30 feet from the bulkhead prior to construction, a 15 foot non-turf buffer, and as depicted on the site plan prepared by Frank Uellendahl, R.A., last dated July 25, 2007, and received on July 27, 2007; within perpetuity. 2. 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 2 • I otherwise deemed sufficient by the Board of Trustees but their consent to such modification shall not be required. 3. 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. - - 4. 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. & 4 LS o"t owners, STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK) On this 2S- day of Altar, in the year 2008, before me personally appeared Ve cd do. acs ,e, known td me or proved to me on the basis of 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 thee,ividu I acted, executed the instrument. ST PHA IE McEVILY NOTAf�(1 •f New Ybrk • Qualified In Nassau Coup Commission Expires April 27...Za1 t.. Massa 54-1.#k of Ny 3 5-4CfN6Alt t? m eLii Hy y//7/„ c 1,s2cW\_e • ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and beingis*1ta at Arshamomoque, Town of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at the southwesterly corner thereof at a point where the southerly side of Bayview Avenue intersects Arshamomoque Pond and running from said point of Beginning North 55 degrees 27 minutes 40 seconds East, 110 feet, more or less, along the southerly side of Bayview Avenue to an intersection in said Bayview Avenue; RUNNING THENCE North 62 degrees 45 minutes 00 seconds East, 83.71 feet, still along the southerly side of Bayview Avenue to another intersection in said Bayview Avenue; RUNNING THENCE South 46 degrees 41 minutes 30 seconds East, 85 feet, along the southwesterly side of Bayview Avenue to a point; RUNNING THENCE South 57 degrees 58 minutes 30 seconds West, 210 feet, more or less, along other land of the party of the first part to the ordinary high water mark of Arshamomoque Pond; RUNNING THENCE 85 feet, more or less, in a northwesterly direction along the ordinary high water mark of Arshamomoque Pond to a point on the southerly side of Bayview Avenue, the point or place of BEGINNING. • • • • • • 0 James F. King,President ��' �F SOU • 4� ryO - Town Hall Jill M. Doherty,Vice-President '��•i� l0 \ 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson i � Southold,New York 11971-0959 Dave Bergen G Q �1 Bob Gho s io, Jr. ; '.�` �� Telephone(631) 765-1892 - l �� Fax(631) 765-6641 yC0UNT1,� ,��' 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!) r ,,,,, bc-clik- I 1st day of construction i �� -�` `' '/2 constructed _7/ _------- Project complete, compliance inspection. 8/1/1 �,.' 1 . . 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 J:e-cooe"""'OO. h'y ','e 1100 _ 1st day of construction -7 Yo constructed .J/- Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee Thomas Byrne & Veronica Kaliski. residing at 2345 Bavview Avenue, Southold, New York, 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 at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That iffuture operations of the Town of South old require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee ofthe 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, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 24, 2007 Mr. Frank Uellendahl P.O. Box 316 Greenport, NY 11944 RE: THOMAS BYRNE & VERONICA KALISKI 2345 BAYVIEW AVENUE, SOUTH OLD SCTM# 52-5-1 Dear Mr. Uellendahl: The Board of Town Trustees took the following action during its regular meeting held on Tuesday, July 24, 2007 regarding the above matter: WHEREAS, Frank Uellendahl on behalf of THOMAS BYRNE & VERONICA KALISKI applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 27, 2007, 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 LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, 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: installation of gutters and drywells to contain roof runoff, a line of staked hay bales to be installed 30 feet from the bulkhead prior to construction, a 15 foot non-turf buffer, and 2 . . WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 24,2007, 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 THOMAS BYRNE & VERONICA KALISKI to construct a second-floor addition, first floor kitchen extension and deck extension with the condition of the installation of gutters and drywells to contain roof runoff, a line of staked hay bales to be installed 30 feet from the bulkhead prior to construction, and a 15 foot non-turf buffer, and as depicted on the site plans prepared by Frank Uellendahl, last dated July 25,2007, and received on July 27,2007. 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: $ 100.00 Very truly yours, r07~ James F. King . President, Board of Trustees JFKleac l..L.J ::::> = l..L.J ~ 3: l..L.J ~ PRQP[RlV '{ LlN[ <0/:' I..r)/ ~'/ EXISTING --... GARAGE = ~ en = 35' FRONT YARD - EXISTING- EXISTING EXISTING --::-::- DECK - ENTRY DECK- , I _ , 0>' ai l.1): I fj2/ ~// ~// fi?,/ <:i:., ~/ PROPOSED 2ND FLOOR '-----__ ADDITION " , "~, I ......., I,.., '...... : i C-.J .............~..! ... -, .'..... , 1'.-__26.5' , ~_ / 48.5 , ^-:,/ ;::::/ 8Jll' B4 h1[Jf 4V[NU'[ '[J, '&to [NO D \5)' ~ lE Lv ~:~ D l\IU\ JUL 27 2007 ,~ ~-~ S[\\:1Il~ild T," ~ 1\ <' p,~::~,.\ !\1 !n.'~:P'~.' PROPOSED 4'DIA. X 6' DEEP DRYWELL WITH GUnER LEADERS FOR ROOF RUN-OFF (TYP /) -------- c, C~ DRYWELL --~< / ~ I " - c~ EXISTING DECK TO BE RECONSTRUCTED /5' ---....,:~ ZONE AE --~------~- '-. DRYWELL ". C~ -------- AD --~ ., + ---_ 73.0' 05fD AD' 'I ---~_ ION to BULKH rr----- 1/ i:E (C) C5 -' ------------- --- ----- ---- HAY BALES AT MIN. 30' FROM BULKHEAD APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE -' ;:os i2 c'::i L5 52 'OS a:o Co a ~ --- -- --------- 104.0/ ' ----~ ----- PROPOSED 2ND FLOOR ADDITION PROPOSED 1 ST FL DECK EXTENSION EXISTING STRUCTURES 2ND FLOOR ADDITION TO THE EXISTING DECK ~ ~ iS2 den ~~ i BYRNE ~ RESIDENCE ~ SOUTHOLD, NY i 2345 BAYVIEW AVE ~ i i 12 ~ ~ -< ~ D NON TURF BUFFER ARCHITECT fRANK UElliNIWlL P.O.BOX 316 GREENPORT, NY 11944 TEl: 631-4n 8624 FAIl: 631-477 8624 ~ ~ ~ ., ~ ~22 :::::;~ L..,~ ;:::::0- <.o~ =0 ~:::;; CQ~ fQ "Z ~i z ~ !i!5!, =t= 'i<il! ~ j~ ia ~~ ~I ~ ;;1 ! ! (l)~ i 41 -<!iJ Sf&[: 1/16' =1'-0' ~ ~ PROPOSED SITE PlAN !'" DATE: 07/07/07 ~ "" SCAlE: 1/16' - 1'-0' SCTM# = 1000-52-05-01 ., ~ PROPOSED TOWN OF SOUTHOLD I d SITE PLAN SUFFOLK COUNTY, NEW YORK ~ i WETLAND PERMIT Ii DWG. !lIME A _ 1B APPLICATION 9;;1 DWG. NO ~~ ~~ ~= ~l;; ~ = f:5 EiS , = I -.... I ffi , ~ J] ~I LR . 967 Sf l 11 164' . ! , , I ~I~ . i I I . , OPEN TO LR BELOW DEN I f .I! , 1'1 , 2ND FLOOR PlAN 1,035 SF 59.9' DECK ENTRANCE FOYER llJSf DECK GARAGE 22.6' 365' EXISTING FLOOR PlAN 1,080 SF 116' ~. I' !I i I W ~i i "'II i! r~i:i::;" J;- , 1;', KITCHEN! MBR . LR OR 426 SF AODED COVERAGE -- , ENTRANCE }/l ~R CO;JR FOYER GARAGE F'NESS ROO~ I Tn'l I , , i I COVERED PORCH I . , , ,0 tI IJ OJ --------Hui' ! ~-------i111_...nnnumuuu.um; , 11 11'.......................L".II1':"'I.! ............................ i O[CKlO/8POT[NOc'i , ..............._...:.:.:.::::::J 1 ST FLOOR PlAN 1,153 SF S 2ND flOOR . AODITKlN if" i BYRNE I RESIDENCE II SOUTHOLD, NY 2345 IlIl'/1EW AVE ;/ll2IIill i FJWI(p~ Ii: GIIEDfOII',lft'lIl44 I ~~1~~= . = ! - I . I A . . B , ~ ~ !I I I i l:i~ !lilF. ~/IDI2m1 . Dr. lM_"-f!" -I EX1'G & PROP'D I, FlOOll PlANS :! "'- h A- 2 gillJl'~ III IIIllm ..... .... .-- 74101D11W1 """"".... ""...,,'" JB.;516-1IHI2lI I iii ElIS1IIG I(M tml i I. , i71 ...... ~ ~ co 0'" ~ 0 ~ 0 ~- = 0= -0 ~o:: :;;0' ,.-", 00 ~ c:: :z: "" ....., "" = = ....., ElIS1IIGTrA'lJ"1IIliE ~ J) , .. -"'" " " o ..... w... PRll'OSIDTrA'lJ"1IIliE1 PRll'OSIDI(M~1 , u u u u ;/:: I ',', ! ./:::: :::~~.:-.:->, "::>, I ~y /'" _1 ",', ',', 1/',/ "':-', ',', /::~/ Ell 'f:::::--, '< "'" , n , .''''lIE , II II g[~=~J -- ..... ...,1 '=!:~I Ri' , I I EXISTING ELEVATION PROPOSED ELEVATION 2ND FLOOR ADDmON TO THE i - II i BYRNE m RESIDENCE ~ SOUTHOLD, NY I 2345 BA'MEW AVE I i !IltIIlEl:I ~"""1IlllIIIOl ill PAD 311 lit GIImIlI:IT,tffl1tM 1EL:111-ma FM:UHna - ~ I " I * I ill - . ! I I ;/ ! i I i I~ I ",. ~"""'" . D!' tlr.l'-lI" "I OO'G & PROP'D I SECTIONS Ii; ElEVATIONS h""'" A-3 g~ 1&111 IlIIIIIS ..... .... .-- 141DD11D1D 1ID\tII_ ""00< "510 1B..:51&-11H82f1 I Ii N 7"p, ~ ~ ~ <=6c. ~ <.J\t.1ff \3t>>i oS c.'00 ".~:J ~6" ~ ..t-"t. ~ ~ SURVEY OF PROPERTY AT ARSHAMOMOQUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NY. 1000-52-05-01 SCALE: 1.=30' SEPTEMBER 19, 2006 -?'b ~ ~ G\~\- \ G0' cl'-i" 'Ii' "'o~~, ~ o. Q" ~. ~ ~ <::) IfBJ fE ((; fE n Wi fE lflll JUN 2 7 2007 0 AREA=16,753 sa. FT. .QYL 1Tt! PECONIC SU (631) 765-5020 P.o. BOX 909 ~ I.A 1230 TRA VELER STRE SOUTHOLD, N. Y 11971 Southhold Town Board of Trustees FLOOD ZONE FROM FLOOD INSURANCE RA TE MAP MAP NUMBER 36103C0158 G MA Y 4, 1998 ANY AL TERA TlON OR ADDITION TO THIS SURVEY IS A Y10LA TlON OF SECTION 72090F THE NEW YORK STA TE: EDUCA TION LA W. EXCEPT AS PER SECnON 7209-SU8DIY1SION 2. ALL CERTlFlCA TlONS HEREON ARE VALID rOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURveYOR . =MONUMENT WHOSE SIGNATURE APpEARS HEREON. . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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 TO: 7hO(V)O"S 6~rne... ~ IkrO(lic.a. Kc-..I;ski Please be advised that your application dated :JU-ne C:;'l dO:J? has been reviewed by this Board at the regular meeting of --r,~'14 (Jl/, ~OO? and your application has been approved pending the completit:ln of the following items checked off below. Fevd f !,eM'} 'Re"~evised Plans for proposed project ~e-construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) Y2 Constructed ($50.00) ~nallnspection Fee ($50.00) Dock Fees ($3.00 per sq. fl.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ /00 0:!-- BY: James F. King, President Board of Trustees . . Telephone (631) 765.1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971.0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTH OLD At the meeting of the Southold Town Conservation Advisory Council held Mon., July 16, 2007, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of THOMAS BYRNE & VERONICA KALISKI to construct a second-floor addition, first floor kitchen extension and deck extension. Located: 2345 Bayview Ave., Southold. SCTM#52-5-1 Inspected by: Don Wilder, Jack McGreevy The CAC Supports the application with the Condition gutters and drywells are installed to contain the roof run-off. Vote of Council: Ayes: All Motion Carried -'C. V') . - "S ::::c " <:. '- S c0 . ... . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. . 'Town Hall 53095 Route 25 , P.O. Box 1179 Southold, New York 11971-0959 Telephone'(631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field InspectionIWork session Report Date/Time: l{ r I I 01 ";, Frank Uellendahl on behalf of THOMAS BYRNE & VERONICA KALISKI requests a Wetland Permit to construct a second-floor addition, first floor kitchen extension and deck extension. Located: 2345 Bayview Ave., Southold. SCTM#52'-5-1 ' T~e of area tQ be impacted: ~altwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of above: ~ of Town Code proposed work falls under: _Chapt.275 _Chapt. lll_other Type of Application: / W etland _Coastal Erosion _Amendment _Administrative _Emergency _Pre-Submission _Violation Info needed: Modifications: Conditions:_~WClls, h~l-11-€s ~\;\r2 ~,...s.-/n-trl-trrJ 3D' I ~ w.v-.( is bul'c...1 ,'. Presynt Were: v:f'King _~Oherty ~.Dickerson~. Bergen Js. Ghosio, Ir ~H. Cusack_ D. Dzenkowski ~Mark Terry_other Form filled out in the field by Mailed/Faxed to: Date: En~ronmental TecbniCii\tc..v ReVIew oS J~ I..rc..lls i h~ kl<..( h"'I\~i- L..-H<--.{-. ~,k..?"\.~"" . IO~ b...,k...I.e-.A-\-c.k..I.. ~t/' ~..""~""? gc;' b"'u...1......l ~ Iv......... , . . APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman Mailing Address: Southold Town Hall 53095 Main Road. PO. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex /First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 hllp://Southoldtown.northfork. net I{B) ~ (G ~ n \1# ~ Jill /[]]I JUN 2 I 2IJ01 ~ ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809. Fax (631) 765-9064 FINDINGS, DELIBERATIONS AND DETERMINATIO MEETING OF JUNE 14, 2007 Southhold Town &.rd of Trustees ZB File No. 6031 - Thomas Byrne and Veronica Kaliski Property Location: 2345 Bayview Avenue (corner), Southold CTM 52-5-1 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. PROPERTY FACTS/DESCRIPTION: The applicants' 16,753 square foot parcel has 85 feet along Bayview Avenue and is improved with a single-family dwelling as shown on the September 19, 2006 survey prepared by John Metzger, Peconic Surveyors, P.C. BASIS OF APPLICATION: Request for Variances under Sections 280-116B and 280-124, based on the Building Inspector's February 20, 2007 Notice of Disapproval concerning an application for a building permit to construct as-built and new additions/alterations to the existing single-family dwelling, which are less than 35 feet from the front lot line, less than 75 feet from the bulkhead, and less than 10 feet on a single side yard. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application has been referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning reply dated May 2, 2007 states that the application is considered a malter for local determination as there appears to be no significant county-wide or inter-community impact. TOWN CODE CHAPTER 268 LWRP DETERMINATION IExemot): The second-story is over an existing first fioor area of a dwelling, exempt as a minor action. It is also noted that a major portion of the second-floor additions is beyond the 75 ft. zoning code setback restriction of the bulkhead, and therefore not subject to jurisdiction of the Zoning Board of Appeals. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on May 31,2007, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: The applicants seek variances for: (a) a proposed second-fioor addition at 16.3 feet from the Bayview Avenue and 73 feet to the bulkhead; (b) 60 feet from the bulkhead from the new stairs of the new deck reconstruction; (c) 4.5 feet from the side lot line to the proposed first floor deck extension, as shown on the 5/30/2007 site plan drawing A-1 Band 4/20/2007 elevation drawing A-3, prepared by Frank Uellendahl, Architect. Page 2- June 14. 2007 . ZB File No. 6031 - Thomas Byrne and Veronica Kaliski CTM No. 52-5-1 . REASONS FOR BOARD ACTION: On the basis of testimony presented. materials submitted and personal inspections, the Board makes the following findings: 1. Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The proposed second floor addition will be on the north side of the house above the existing dwelling, which has a pre-existing non-conforming front yard setback along Bayview Avenue extension dead ends at Arshamomaque Pond, providing water access to owners. There are no neighbors to the north, and the proposed addition is similar to other second floor additions in the neighborhood along Rausch Lane and Bayview Avenue. The proposed deck extensions replace and modestly enlarge an existing deck in the rear yard where there is privacy from the streets and neighbors. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance because the buildable area on this oddly shaped lot with two front yards is very limited. 3. The variances granted herein are not substantial. The proposed lot coverage will be under 14%, including the decks. The proposed side yard setback for the new deck reduces the existing setback from 6' to 4.5' but only on a small portion on the southem comer. This small deck extension is necessary because the existing garage, which is above grade, will be converted to a first floor fitness room with an exterior door providing access to the rear yard. The setbacks from the bulkhead vary from conforming at 75' to 73' and 60' to the pre- existing bulkhead stairs. 4. The difficulty has not been self-created but is the result of the siting of the existing house on an oddly shaped lot with two front yards. 5. No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. 6. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of new deck construction and a second floor addition, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Oliva. seconded by Member Dinizio, and duly carried, to GRANT the variance as applied for, as shown on the 513012007 site plan drawing A-1 Band 412012007 elevation drawing A-3, prepared by Frank Uellendahl, Architect. Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams or survey site maps. are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: Members Dinizio Resolution was duly adopted (4-0). Member Weisman was absent. This Ja es Dinizio Jr., Chai proved for Filing . . .t' I ' , - ~ . '-. " . ". .. ( ,~." -~~' . I - I " ~' ',' ."*""'::" .~'\\:~ ,..~~ ~ " .. ~\ ,/"'" _, . \I' , '.' '\,' 't ,') l , " > II 'ft ,. '., "l. ' : ~" I ," " .~' " I"" ':'~~, ." J ".. "., ,..' -" li:c#'~~ IC . ". " .' .' ~'l'<.1!J Ii'"';' ~ ' . " . .6,.- .' ";;'"1" J .. ' \ " ~'.'." I' '. ,'r ", '1fJI'" ' ", . 0 ~ t . .,. '.' ' \l .. 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'>r"__ I ."".. ! + ___~ 1211 (1) _..,,.,"" .......,,"" ....-.'''''' '......".. ...,........ --- -........ ..-...... -..-". --........ ~'~.."~~'~ '~:.~ "00 -.".. "'".,,,'" NOTIC<: ".~m""',..""T....""" "''''''''''''''''''''''","'''1>< :~~;~,::'~:s ~ ...,...-------------r----,""' stt..c,NO.... " ~II- \' COLl'lTY OF SUFFOLK CD (i)ReaPropertyraxservJcllAgency CI:ulIJ c.mr IlInrhocJD,~ I llllll . .... ,""".'''';* - m". ," '" '" .., '" .., .. SOUTHOLO SECTION NO =:.- u.' ".. u::::- ::: 052 1000 PROPERTY...N' ,- nr.:;.._" --J u...J = = u...J ~ === u...J ~ = = = en = 35' FRONT YARD 1 ti2/ .s:$/ ~/' ;;;;}/ 4:::/ :::Sf 1 / 1 [----1 ____I i---l I____J [J]>/< ...... ....".....". ,,-..-..-..........'....' ~. ,;':,("/> --:~:"~-<<<'~;- -.>."\<-,,. ~ '- ' <",~,,,,~,.-.,,,,- ,>~ EXISTING>>'< ~!<I GARAGE>'!> I[ "><-<"--"-, -', ~," <<;<-><,'- \ ~"--"~<-<>>->,_'-,,<<,<-<-' 1 c::::::;-n ~.;..EXIStING..;y.E.~IS~IN.~...:... txlSTINBjl l[ [II .X/ DECK /">., ,ENTRY DECKX 1 :<~<:.,(x>~~:> -~~<<_<~<':~- ~'<'x>< [J I I I '<. I cr> oi en PROPOSED ___ 2ND FLOOR ------___ ADDITION --------- ------ ' ___I ---, +----- 26.5' .48.5' '-,1 Co./ -.., ! 8Jl!' 8;1 Yv;[W ;1VDVUr- c - 0- fAo [NO [J /- PROPOSED 2ND FL ADDITION PROPOSED 1 ST FL DECK EXTENSION EXISTING STRUCTURES EXISTING DECK STREET ELEVATION -- ------- ---...--- PROPOSED 1 ST FLOOR DECK EXTENSION EXISTING DECK TO BE RECONSTRUCTED . 1 . 1[1 .' I[ ~J~l_ ------ -------- [J 2ND FLOOR ADDITION TO THE ~ ~ iS2 ",ua I~ i BYRNE ~ RESIDENCE ~ SOUTHOLD, NY ~ 2345 BAYVIEW AVE i!l VIEW FROM ARSHAMOMAQUE POND WOOD BULKHEAD - SAND - WETLAND GRASSES ~ z 0 9 a:i "' ~ ~ '" -< = ~ ~ ~ '"' ~ ~ i5 I ~ Q ~ ~ ~lw 5< lw ::::, !2 ;:::00 "" <o~ ~ 0)0 !il! ~~ ~ co~ ~ ~ 2Q ii! ""C ~ 15' ------------------- -~._~ ~~-11.0' OS[D ADD/fiONt--~-~__ o BULkH[AD --,,-_. " ~ "-" C5 --' ZONE AE ELI 1 O' --' ~ 12 C::; L5 Q oS Cl:J 8 ~ 104.01 ' (fBJ ~ ~ ~ D WI lflJl JUN 2 7 2007 ~ Southhold Town Board of Trustees i ~ (l)i -<~ ,y ~~ SCALE: 1/16' =1'-0' i! ~ DAlE: 06/27/2007 ~ =< SCAlE: 1/16" = 1'-0' PROPOSED SITE PlAN ~!2 '"' ~ PROPOSED SCTM# = 1000-52 -05-0 1 ~ i SITE PLAN TOWN OF SOUTHOLD ~ SUFFOLK COUNTY, NEW YORK ~ ~ DWG. NAME ~~ A - 1B RMIT APPLICATION gii! DWG. NO KJ ccj WETLAND P ARCHITECT FRANK UEllENOAHl P.O.BOX 316 GREENPORT. NY 11944 TEL: 631-477 8624 FAX: 631-477 8624 OWNERS VERONICA KAlJSKI & mOMAS BYRNE 74 ROXEN ROAD ROCKVIllE CENTRE NEW YORK. 11570 TEL 516-764-4928 ~ !z:% ~ ~o ~ ~8 V'> :z::::; ~ ~~ t;; "l!!1r ~~~~ ~~~~ ~~go ~~c;C!; . . OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAIliNG ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD MEMORANDUM To: James King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner ~. L WRP Coordinator el91 JUL - 5 2fXJ7 ~r.::. Date: July 5, 2007 Re: Request for Wetland Permit for Thomas Byrne and Veronica Kaliski SCTM# 52-5-1 THE PROPOSAL IS LOCATED IN FEMA FLOOD ZONE AE (ELEV AnON 10). THOMAS BYRNE & VERONICA KALISKI request a Wetland Permit to construct a second-floor addition, first floor kitchen extension and deck extension. Located: 2345 Bayview Ave., Southold. SCTM#52-5-l The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (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 South old ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southo/d Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction . . . . I. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The proposed distance to the addition to the residence from the wetlands is 73 feet; a minimum setback distance of 100 feet from the wetland line is required pursuant to Chapter 275-3.Findinl!s; purpose; iurisdiction; setbacks. Please require that the applicant amend the application to meet the above policv to the l!reatest extent practical. Additionallv. if the action is approved and to further Policv 5: Protect and Improve Water Quality in the Town of Southold: l.Establish a non-turf buffer landward of the wetlands to protect the creek. 2. Require the placement of a hay bale line prior to construction. 3. Install gutters to drywells to contain all roof runoff. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. MT /hkc . . 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 _9oastal Erosion Permit Application .'0Vetiand Permit Application ~ Administrative Permit ./ Amendment/Transfer/Extension V Received Application: &/,.;17/0 7 VReceived Fee:$';...,-rlo ' ~ompleted Application 0{.::J:1LOJ _Incomplete _SEQRA Classification: Type I~Type II~Unlisted~ _ Coordination:( date sent) -,--~WRP Consistency Assessment Form {j) (;no/O] ~C Referral Sentij-{t?$7 _-Date oflnspectlOn: I _Receipt ofCAC Report: _Lead Agency Determination:~ Technical Review: -l'Ublic Hearing Heid:"/(a4lCD _Resolution: ~ ~J~N ~)IT ~1~ ~ Southhold Town Board of Trustees Name of Applicant 7lItl14h6 I3VIZIJE. f VGI2OA../Ic.R kRUtSk./ Address '74-.l2oXEN ,eO" lZOCyJ:;VI'-'.E. CE/J/12E,A..J'1" IIGt-O Phone Number:( ) E/h. 7M.4-'f!}21:!3 Suffolk County Tax Map Number: 1000 _ 52 - os - 0/ Property Location: "ZZ,46 8~trvll3W hI/I;;: 60vnHJZD / ~<r' //971 (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) ~NI<- ?/ELLEiLlORffL ~ ( c lI,\rSl 9t-' lD\'O' Address: ??'.&7X 3/~, ~'^-1poe.0,uy 11944- Phone: &'8/. 4 77. B62~ ~d of Trustees APPlicatio~ GENERAL DATA Land Area (in square feet): /6/7153 67= /.2. - 40 Area Zoning: Previous use of property: A2E6/0B.J77,q-L Intended use of property: A!..e~/VE7J'77~L Prior permits/approvals for site improvements: Agency Date t?G~'I&tp 11{ G. BUIUdlAJb Ql;Pt , II/tJt3JtfJ0 , " 08//3) g~ . C8VLkIt'GRD.) L OGGk:5) _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend~ by a governmental agency? V No Yes -- If yes, provide explanation: Project Description (use attachments if necessary): .2 /VP Rooe APDlfl/JAJ / 67 ntl8e k/1Z:.I-Ie-;U 6=ik7CVGlliiU ~D .o~ ~7E;US/mJ ~d of Trustees APPlicatio~ WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: P.-2CP,t?Se::D ;;2..A/,D ~ ..90t.?/71CA.J ~L/;O /6T ;::::z.c;>c,e ~n::;u6/OAJ ~ . ~~/Vt- k/7(:;H&X/ .,qVL;:J Oi:C-/<:::... Area of wetlands on lot: '" ~-IfJ4? square feet TO fiE" UIJG. Percent coverage oflot: 8. gc;, % Closest distance between nearest existing structure and upland edge of wetlands: 4:>2.6 feet Closest distance between nearest proposed structure and upland edge of wetlands: 60 feet Does the project involve excavation or filling? No /' Yes If yes, how much material will be excavated? /7 G cubic yards ~ cubic yards , How much material will be filled? Depth of which material will be removed or deposited: 4- feet Proposed slope throughout the area of operations: 6I2nt1VRL ~rv/Z.i&t'- 6ttlpt; /2Et41//US V,uCHFfIJG-GV Manner in which material will be removed or deposited: CC/LUHN FOOTIA./06 eJjJ W~7YZ 6IZ?i: : 6)(C,q1/F.J71t7lJ' .tzEHCVi'lL 13 't' IIFt'!J 0 ?l2NJ06ED klTaJa..J 6k:Tl:7/JS/lJlU p;:t{'lJJb /2tJ/7V' B If' H~c;6/;V/i[ Statement of the effect, if any, on the wetlands and tidal waters ofthe town that may result by reason of such proposed operations (use attachments if appropriate): ?.EtJP06ED CtJN617ZOCfllJAJ Hfis AJO €FFEcT ()IJ UJGTtBU06 .,iJAJ'O /IO~t hJ/7TEl2~ ~ 7J-I€ 7lJ1..I(}A./, ~d of Trustees APPlicatio~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Ptl20P06CD 2"up ~/'.70R A1XJ/"//dV /:f.JJb /~ R-MR &reJ6/t7AJ6 Are wetlands present within 100 feet ofthe proposed activity? No I Yes Does the project involve excavation or filling? No V Yes If Yes, how much material will be excavated? /7:6" (cubic yards) How much material will be filled? ~ / (cubic yards) Manner in which material will be removed or deposited: ~/2-T/"l;LLV BY' IIR,VD,' (4) Focffi,Ubs;, f=J1C./It..Jb 11::;).JIJ P.REFi,t:JUir 13~ h,LJCJtt).JG .' CI>>:lAJL :;9?/9ct; PlKi.u&:' R.o17D Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) - ht70t=/2R~ /';uC!2.E/7'SE- tJF 6~ w~r,cp 12l1AJ~FF VUE 7"0 /"uCAZGR.E:ED R.ooF .77/2CA 00 IMPACT "AJ I:EX167/i )<;;;; OEP'77C 5't"'57F/l1. I "u/.,/;0I3B2 CF 8~,{20t7H:5 L~) UIJCHRJU~ PROJECT ID NUMBER ,- 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) - SEQR PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR F/V},(/K. IV: UELLE .uz;,q~" /7.l?L1( /llC 2. PROJECT NAME BYI2IJG 12G"~/O~ 3 PROJECT LOCATION: Municipality ::SOI./7Hl;:rl4~ County 6Ur'FoL-k:.. 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ete . or provide map ZB46 8/7yv/G/tV AI/E, 6C7V7HZ7Z.D ,-Vir' /lg71 L..A:sr -eesIOe:l/c..e-~..u C-l/L- Dt= - She ,lfW,/1-c:..EJ..tT R.UC4-1 '-7JAJ, e A 5. IS PROPOSED ACTION: D New ~xpanSion ~MOdification / alteration 6. DESCRIBE PROJECT BRIEFLY: P,l2C?P06eD :2-UP R-CJO/2 hP/.?/71GlA../ '-IftrH 7ZVo BEOEoCJ, 'P~OPC76CD / e>r FLOOR- &-:Jr:-7EJ...;6;(:7}J OF Gt"'/671-<./b / klr~ h,V.o ~D b€c:.k, 7PTRL NV~8c,e C1F .8t2D/2Ctn46 ' 7-r1/2.€:E' ~/!ff))Jb NVJ'-7BS2 OF 6EvJ2.ootY.5, 7H 256 7. AMOUNT OF LAND AFFECTED: Initially 0,0# acres Ultimately ~ 05+ acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRiCTIONS? DYes gNo If no,describebriefly:7;',I'E"" rv'tC-LPWIA/b V;.<)I2I~~ I-{RI/€:: I3Gb-v _ &~C>.' .z-vp ~OE TZJ ~/J GJd.G77,ub 6.1~ Fjqn/P-( lXJeJ-IM IV"HIL-H /~ /-=~ TUR)I..) .35' Fl20H ~A.T{LlAJe AiVP ~6 77tRAl 7{7' ~h ~HtRO ~ IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~ Residential D Industrial D Commercial DAgriculture 0 Park I Forest I Open Space D Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL ~y (Federal, State or Local) ~Yes DNO If yes, list agency name and penmit I approval: .2e>~ - -'!7'PP/2I7V8l cr= l/i9l21~ 8LD({;, Vepr-! 8V/LO/A.7b P~0 .l:15C - LBrEIL C7F~ ~/2/.:5V/<- "W 11~S ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~Yes DNO If yes, list agency name and permit I approval: 2&J:? V/-:7I21.R.ucGS G:;;'2rN]1l~D / 2.13 FlLt5 .1(.10 ~6 /.- ?v1Jl5 ZG, 2aD 7 T OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? No I CERTIFY! RMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant Signature Date: ~'.27/t:O If 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. DYes DNO B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. DYes DNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, jf legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: I 1 C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: I I C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: I I C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: I I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I I C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: I I C7. Other impacts (including chanoes in use of either ~uantity or tvoe of enerov? Exolain brieflv: ! I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly: I DYes D No I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ves explain: DYes DNO I I PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) 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 sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristicsoftheCEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL 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 actio 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 Print or Type Name of ResponsIble Officer In Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) . . 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter ofthe Application of _~_'C!?:~'=--___~<;-'J..'2I.::!:L_________________ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING ~ I, 7t2m/J::. U6U~g at g3 Ccu77Z f-H- AfA;: &;~AJ,.P tJ)?:.T being duly sworn, depose and say: That on the9!t;day ofJu~ , 20(i/-; I personally posted the property known as ~ A .~,u ..2 e 5;1 f::'V by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held 7 / d. 't 1i::JJ Dated: Sworn to before me this :l,3'11ayof~007 ~~ '\ <-rY). ~rdJJ1j,\ otary Pubhc LAUREN M. STANDISH NotIry I:g~clt~mur Vork ~~~~1tLl.. . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: . . STATE OF NEW YORK COUNTY OF SUFFOLK .- --ft2.;;;/"'}/L UGILE'"POAq'vesidingat 123 C~(1Z,qL ~ G,9-.~,tJ.91Z~ ' being duly sworn, deposes and says that on the 6/&, . ayof I , 20Ql, deponent mailed a true copy of the Notice set forth in the Bo Q offrustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll ofthe Town of South old; that said Notices were mailed at the United States Post Office at ~~(;m,T , that said noti e were. mailed to each of said persons by (certified registere mail. ! . . Sworn to before me this ~on:l Day of--1.LU-f ' 20~ do..u.A" -1Y) ~hrJNjJ.:. Notary Public LAUREN M. STANlllSH Notal)' Public, State of New '1bIk n...No.OlST6164008 ......Hfied in Suffolk CountY Commission Expires April q WI.!..... Town of South old . . LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for penuits. 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" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail. listine both supportine and non- supportine facts. 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 L WRP 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 SCTM# /000 - .52. - 05" - 0/ 8yl2.lJc k?56'/D6V~ PROJECT NAME The Application has been submitted to (check appropriate response): Town Board 0 Planning Board 0 Building Dept. 0 Board of Trustees if 1. Category of Town of South old agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) o o (b) Financial assistance (e.g. grant, loan, subsidy) ~ (c) Permit, approval, license, certification: Nature and extent of action: ;;2.;U'D R.oI'7.e ~/TiorU ~ Z;ec.e tSKTE,u.sicrv -, . . Location of action: ~46 e~YVIEW AVE, .9cJVml/LO,.u'r II!)?/ Site acreage: CJ.365 C /~~ 753 6F) Present land use: PGtS/ b€JJ77/'tL- Present zoning classification: "Q - -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: F/2..q;(/..t:: u~t::AJD,q.ijL, RI2.L-W ITEGr (b) Mailing address: ;PO BCfX: 3/t,;;" b/?~pCRT/ NY Ilg~ (c) Telephone number: Area Code () c;,a/. 477, 862.-4 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes D No ~ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. DYes D No ~ot Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria DYes D No Gf'Not Applicable . . " Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria ct Yes D No D Not Applicable ?He P20P/'J:SFP /lz;JVrr701V 16 6/hILRI? 7t:' tJ7H'E/2 5c~JP I1U:JtiR!. .4Oz:uP.t'7JS /A..J ~ -<.../E/kLli?/J/?"Ib-bP ALlFVh /2C.X:H L.AJ 4vv B7JyV/l';U/4vE'. ~ .sC:;"J/~ ,-.:;; hClV~6T. 7h'E h.97Y2llff:S ~E~ 7t) HISTtr1VC ~C4V/2.l::i]!;; 0,(; ~ /JtJe11lR512k Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policie~a~ 8 through 16 for evaluation criteria DYes D No G:r Not Applicable '""THe 6k1ST/-<.Tt- ~H'l5qD h"7J-; e~(5f../ h,q/LJT.4P~.o /.2€vv~/L-Y Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~Yes D No DNotAPPlicable 77r6 NG'r /AJc-eE~E CJF ~4JR7Ce /2UVtJFF /5 h/.uI)4~L v~r.zn7tllJ -4EE17- Al2tJv,vD ~ Hb7J6G 7tJ /31:; /;()~EZ:! oR.. (2) OR..Lr'4.Jeus 7tJ 8€ /A..J6n:;-UED ,01-./ 6t72J'nt~;t;;Jc 0;1C. ,eE6IQ!3U~ Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. D D ~ Yes No Not APpAle . 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. DYes D No ~ot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and w~e/ See L WRP Section 111- Policies; Pages 34 through 38 for evaluation criteria. DYes D No L0 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. / DYeD N00 Not Applicable 04J~~S Pf2oPee:fY 16 LOC:RTCD "cr, fi.I'~ ~'p OF f377t.r'V/i::'W rtl/e '1l#/c,w Z:;?~D ~ RT hI25+lR.L--OI-/t'Y6U..f: RJv.o ?l2lJVIt;:)/,ub W>>n;~ ;27-CL€~ 7V 7)le PvBL-/c.. Attach additional sheets if necessary WORKING COAST POLICIE. . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. SiL WRP Section III - Policies; Pages 47 through 56 for evaluation criteria. DYes 0 No Q 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 wyers. See L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes 0 No 0 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricuIturallands in the Town of Southold. See L WRP Section III - Policies; Pages 62 through 65 for evaluation criteria. DYes 0 No~otAPPlicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - POlic~; jages 65 through 68 for evaluation criteria. DYes 0 No [M Not Applicable PREPARED BY ~A/k?i'GU€Nt:1,l}1K TITLE ,L)Ukl7cCT DATE <<0/27/07 4I!ard of Trustees APPlicati~ County of Suffolk State of New York ~/<::: C/€lL&7vORHL BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH RJ~S APPLICK110N. SWORN TO BEPORE ME 11I[S r.1..1-J.-,DAY OF~ . ,2ocl ~/~'~aM) ~bllC JANET E. srAPlES Notary PubliCg ~ '1!.'.:!' Coo~~.n..Q1 ~rd of TrusteesAPplicati~ AUTHORIZATION (where the applicant is not the owner) .... I, TlltfH/7S 8't"RtJE (print owner of property) residing at 74 l2.okl:!:7v RD (mailing address) Rc7C-1CVIt.f..G ct3JT7ZE,IJ't' 115::;'0 do hereby authorize (Agent) ~.v/<: UaLC3va:rHL_/I2..~.to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ~d.~.' . (owner's ~i ature) 8 . . APPLICANT/AGENTIREPRESENT ATIVE TRANSACTIONAL DISCLOSURE FORM The Town of South old's Code of Ethics orohibits conflicts of interest on the Dart of town officers and emolovees. The Duroose of this fonn is to nrovide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessarv to avoid same. YOUR NAME: r=z2q/U k:. U 6t..LEAJ DR 1-1-{ (Last name, first name, -I,Tliddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) . NAME OF APPLICATION: (Check all that apply.) Tax grievance Vm~~ V Ch~ge of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) pee Building Trustee Coastal Erosion Mooring Planning ,/ V Do you personally (or through your company, spouse, sibling, parent. or child) have a relationship with any officer or employee ofthe Town of Southold? "Relationship" includes by blood, marriage, or bus'iness interest. "Business interest" means a business, including a partnership. in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO ../ If you answered "'YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of South old Title or position of that person Describe the relationship between yourself (the applic~tJagentJrepresentative) ~d the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, paren~ or child is (check all that apply): _A) the owner of greater th~ 5% of the shares of the corporate stock of the applic~nt (when the applicant is a corporation); _B) the legal or beneficial ownl?r of any interest in a non-corporate entity (when the applicant is not a corporation); _C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP ~~n::~:: this 2ffJ1t::: 20oi: Print Name lIetJX'Jb jA I FOnTI TS I