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Home My WebLink AboutTR-6234NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738-01177/00003 FACILITY/PROGRAM NUMBER(S) PERMIT Under the Environmental Conservation Law EFFECTIVE DATE April 3, 2006 EXPIRATION DATE(S) April 2, 2011 TYPE OF PERMIT · New [] Renewal [] Modification [3 Permit to Construct E] Permit to Operate [] Article 15, Title 5: Protection of Waters [] Adide 15, Title 15: Water Supply [] Article 15, Title 15: Water Transpod [] Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers [] 6NYCRR 608: Water Quality Cedifica- tion [] Article 17, Titles 7, 8: SPDES, ~ [] Article t9: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands [] Article 25: Tidal Wet~ands [3 Article 27, Titre 7; 6NYCRR 360: Solid Waste Management [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO Thomas and Ma~ Irene Marron TELEPHONE NUMBER (973) 467-2669 ADDRESS OF PERMI~-EE 26 Randall Road, Short Hills, NJ 07078 CONTACT PERSON FOR PERMITTED WORK Garrett A. Strand, Architect, P.O. Box 1412, Southold, NY 11971-0938 NAME AND ADDRESS OF PROJECT/FACILITY rTELEPHONE NUMBER (631) 765-5455 Marron property, 3125 Wells COUNTY Suffolk Avenue, Southold TOWN WATERCOURSE Southold Jockey Creek DESCRIPTION OF AUTHORIZED ACTIVITY: NYTM COORDINATES Remove e.x. isting asphalt driveway and brick terrace. Construct additions to the existing single family dwelling, 1 ¼ stow garage, porch, decks, brick walk, sanitary system and pervious driveway. All work must be done in accordance with the attached plans prepared by Garrett A Strang on 9/25/05 and last revised on 12/21/05. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Geor~le W. Hammarth (DMG) Region 1 Headquarters, Bldg. ¢f-40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED ,~1 _~.~~ I DATE Page 1 of 4 APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard E Goehringer Vincent Orlando James Dinizio, Jr. Michael A. Simon http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 · Fax (631) 765-9064 Southold Town Hall 53095 Main Road · EO. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex/First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 ~~~FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF DECEMBER 27, 2005 ZB File 5797 - Thomas and Mary Irene Marron Property Location: 3125 Wells Avenue, Southold CTM 70-4-10 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 an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The applicant's 25,641 square foot parcel has 70 feet along Wells Road and 248.51 feet along the easterly side lot line, and is improved with a single-story frame house with garage and rear deck, as shown on the September 15, 1994 survey, updated September 13, 1995 by Joseph A. Ingegno. BASIS OF APPLICATION: Building D ' epartment s September 7, 2005 Notice of Disapproval, citing Sections 100-239.4B and 100-244 in its denial of an application for a building permit to construct proposed additions to the existing dwelling. The reasons stated by the Building Inspector in the denial are: (1) that the distance to the rip rap structure is less than 75 feet, and (2) the proposed additions are less than the code required minimum setbacks of 15 feet on a single side and combined side yards of 35 feet. The setback to the rip-rap (rock revetment) is shown at 46 feet on the site plan (undated SP-1) prepared by Garrett Strang, Architect, with proposed extensions on both sides of the existing 18' x 14' deck (and shown on the survey at 48 feet). FIND NGS OF FACT The Zoning Board of Appeals held a public hearing on this application on December 15, 2005 at which time written and oral evidence was 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 REQUESTFD: The applicant seeks relief for additions shown on the site plan prepared by Garrett Strang, R.A. stamped by the ZBA Oct. 13, 2005, described as follows: (1) add a 46'x14' unenclosed deck at the southeast corner of the dwelling from the rock revetment, (2) 8.5'x14' unenclosed deck at 22+- feet from the westedy side line (20' to the proposed minor step area); (3) 1-1/2 story addition 8.4' x 51.1 feet at 15.7 feet from the easterly side line at its closest point; (4) 1-1/2 story 21.7'x16' addition on the north side of the dwelling , 15.56 feet from the side line at its closest point; (5) 1-1/2 story 24'x26' new garage/addition on the north side of the dwelling, 10.1 feet from the side line at its closest point. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of a variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The dwelling is currently nonconforming with 12 ft. westerly side yard and 15.6 Page 2 - December 27, 2005 ZB File Reft 5797 - T. and M. Marron CTM 70-4-10 easterly side yard, instead of the code required 15 and 20 ft. minimum. The property is narrow at 70 feet in width at the northerly road side of the properly. Attaching the garage to the dwelling as an addition will be more favorable than locating it as a separate structure closer to the road, and maintaining the same side setbacks of the dwelling will not be an undesirable change. The proposed additional new deck area behind the home is very large at 14' for the entire length of the home, and a 12' deck as an alternative for the same length will bring the setback into more conformity with the code required setback from the rip-rap under Code 100-239.4B. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance with respect to the additions at the northerly side of the dwelling. 3. The variance granted herein is substantial. The relief requested is a 29% reduction of the code required 35 feet total for combined side yards (15 and 20 ft. on each side). 4. The difficulty was self-created when plans were designed to enlarge the home, add a larger, deck, and to build a garage in areas that have been nonconforming for many years. 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 additions, 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 Dinizio, seconded by Chairwoman Oliva, and duly carried, to DENY the requested 14' deck areas at 46 feet from the rip-rap shown on the site plan prepared by Garrett A. Strang, and to GRANT alternative relief for a maximum of 12 feet for proposed decks along the south side of the home (instead of the requested 14 feet), increasing the setback two feet (from 46 feet to 48 feet from the rock revetment), with the Condition that the deck areas shall be open to the sky; and to GRANT a variance with respect to the additions at the north side of the home, as applied for, and shown on the site plan (undated SP-1) prepared by Garrett Strang, R.A. date stamped by the ZBA Oct. 13, 2005. 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. Vote of the Board: Ayes: Members Oliva (Chairwoman), Orlando, Goehringer, Dinizio, and Simon. Resolution was duly adopted (5-0). ~x~ ~) Ruth D. Olive, C'~airw~'~'an - 1/,~0/06 Approved for Filing This 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 October 17, 2007 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Garrett A. Strang, Architect 1230 Traveler St. P.O. Box 1412 Southold, NY 11971 RE: THOMAS & MARY IRENE MARRON 3125 WELLS AVE., SOUTHOLD SCTM#70-4-10 Dear Mr. Strang: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., October 17, 2007: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Permit #6234, as issued on November 16, 2005. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, President, Board of Trustees JFK:lms Albert J. Krupski, President James King, .Vice-President Artie Faster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ¼ constructed ~//Project complete, compliance inspection. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO...~ .................. DATE: ...~.py.e.m~....16,2O0 THOMAS AND MARY IRENE MARRON ISSUED TO ............................................ : .......................................................................................... Aut-h rizati u Pursuan* to *~ provisions of Chapfer ~l~ pf ~e ~s,~f fhe Sle~ of New Yo&, 1893; end ~pfer ~ of fhe ~ws o~ne Sfefe of New Yo~ 19~2; ~nd the Soufhold To~n Ord~nen~ f~d ?~R~U~TIN~ AND ~E P~OIN~ OF OBSTRUO~S IN AND ON TOWN WATERS AND PUBLIC ~DS e, wc-oE ~NDS .UNDER TOWN WA~RS:~.. and in ~¢~den~ wdh 'lhe Resol~ion of ~e Boerd ~dopfed et · meeting hel~ on ~0~....'.., end Jn ¢onsMer~fion of ~he sum of $..zso,.O0 ........ p~id by ~om~ ~d ~7 ~e~e H~ ...................................... of ........... ~.~.Y.~-~ ...................................... N. Y. end *ubjeef Terms end ~ndHions fisfed on the revere dde of ~ufhold Town Tr~ees eulhoHzes end permiH lhe ~e~ ~e~ ~o ~o~u~ ~d~o~ Lo ~be e~ ing and tO expand the ex~sting deck, with the conditions of a row of staked haybales landward of the line of trees duri~ construct~ion, drywells to contain roofrunoff an~ picted on the pla~dra~ b~ Ga~rett.~tr~ng date~ ~f~5~. aU in %cordance wdh the deta~d sp~i~hons as pre~mea m · ~e odglnatlng appfi~fi~. .' IN W~N~S WHERE'. ~e said Board Of Trustees ~re- ~.~ ifs ~r~rafe Seal to be a~xed, and ~ese ~es~nh fo ~ su~e-d by'~'mai~ of the sald ~rd .as of this darn. -. TERMS ,nd CONDITIONS ~e Pe~ Thomas and Mary Irene Marron I~g~ Southold . ,. . .r..., N. ¥~ '~ · o~p~: of the eoaskl,~tlo~ ~or the lsm~ce o~ ehe 1~-,~;, does uad~ ~ ~ to the foi~ L ~ Ihe said ~ o~ Tmsiees m~! Ihe Town o~ ~hold ~re rde~t~l f~mn stay ~ sll ~l,~,~es, oc ,-I,~,~ foe ~l,,-,~s, of mits egsiag dim:d? e~ Imlireclty ss ~ ~ of say o1~. with ~e~p~ct Ihet~o, ~-~ '~_,4usloa of ~ Bo~d of Trustees of the Tram o~ ~ Z ThatthlsP,,a~'~.~dlo~a~of ; 241, mos.~ig~b, ts ~i~sklered to be the e~sted ~ime's~xluLred eo ~omplete lt~ wodc tmvolv~l, Imt'~boald for an extension may be made to the Board at a 3. Tl~t this p,rmtc should be t'e~l~xl indef'mi~ely, or ts long ~ the s~ld F~.i~it~e wlshes ' m'mnlnt~ln the sm,~..~e ot project Involved. to provide evidence to tn/one concerned th,t nnd~- .oa~tjon was oti~ln~y <~dn~t 4. Tl~t lhe work involved will be subiect to the ~pecilon md appcov~l ~ ~he 13ottd ot t~wcation of ~1'~ p,-rmli by ~esolvdo~ of d~e ~ak] ~ 5. That d~ete will be no unre~r~x~le interference with mvig~ ~ · result of the ~ hetdn s~thodzed. ' ~'d~ notice, to mno~e ot alter d~ wodc o~ project het~n ~-_~4 ~ eq~s~ to d~e Town~ ~ m &l~ ~ whkh m~y-be abject to t, evo~ ~ ~-~,,.~ ~o gx~In same, Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1692 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 16, 2005 Mr. Garrett Strang P.O. Box 1412 Southold, NY 11971 RE: THOMAS & MARY IRENE MARRON 3'125 WELLS AVE, SOUTHOLD SCTM# 70-4-10 Dear Mr. Strang: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 16, 2005 regarding the above matter: WHEREAS, Garrett Strang as agent for THOMAS & MARY IRENE MARRON applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated September 30, 2005, and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 16, 2005 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 97 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, RESOLVED, that the Board of Trustees approve the application of THOMAS & MARY IRENE MARRON to construct an addition to the existing dwelling and to expand the existing deck, with the conditions of a row of staked haybales landward of the line of trees during construction, drywells to contain roof runoff, and all as depicted on the plan drawn by Garrett Strang last dated 9/25/05. 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, Albert J. Krupski, Jr. President, Board of Trustees AJK/hkc Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~. 3o ~ ~g reviewed by this Board at the regular meeting of p'~. I~, ~ ~ ~; following action was taken: ('v//~) Application Approved (see below) ( )Application Denied (see below) (__.)Application Tabled (see below) has been and the 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 the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: SIGNED: PRESIDENT, BOARD OF TRUSTEES Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. 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 9, 2005, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOVLED to TABLE the Wgtland Permit application of THOMAS & MARY IRENE MARRON to construct an addition to the existing dwelling and to expand the existing deck. Located: 3125 Wells Ave., Southold. SCTM#70-4-10 The CAC Tables the application because the project was not staked, however, the CAC recommends gutters and drywells are installed to contain the roof run-off and a 20' non- turf buffer. Vote of Council: Ayes: All Motion Carried Gmxe A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765.5455 Fax (631) 765.5490 September 13, 2007 James King, President Southold Town Board of Trustees POB 1179 Southold, NY 11971 Re: Matron, 3125 Wells Avenue, Southold, NY SCTM #1000-70-4-10 Permit #6234 Dear Mr. King and Members of the Board: We respectfully request an extension of the above referenced permit, set to expire on November 16, 2007, due to the fact that we have not as yet commenced with the construction phase. We do, however, anticipate breaking ground before the end of the year, with anticipated completion Spring/Early Summer 2008. Thank you for your consideration in this matter. Very truly yours, ~g, R.A. Architect PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: October 17, 2005 Re: Request for Administrative Permit for Thomas and Irene Marron SCTM# 1000-70-4-10 THOMAS & MARY IRENE MARRON requests an Administrative Permit to expand the existing deck and construct an addition onto the existing dwelling. Located: 3125 Wells Ave., Southold. SCTM#70-4-10 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at (631) 765-1938 if you have any questions regarding the above. Office Use Only Coastal Erosion Permit Application --~¢/etland Permit Application Administrative Permit Amendment/Transfer/Extension ,~'Rece~v-ved Application: ./~---~Reeeived Fee:$ .~------q2ompleted Application I O? ~]0 ~- __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordinafion:(date sent) C,,¢AC Referral Scm: ~-------t~te of Inspection: __Receipt of CAC RePort: ' __Lead Agency Determination:__ Technical Review: --'l~71~lic H earing H aid: __Resolution: Name of Applicant Address 8BP 3 0 2905 t,,J~" Phone Number:(' )~..q- ¢¢ ~'o ~/a/,~ AGENT: (If applicable) Suffolk County Tax Map Number: 1000 - 70 "O ~- 1 ~ Property Location: .~ 4 t..,.¢" /4/g~$ (provide LILCO Pole #, distance to cross streets', and location) ! of Trustees Applicati~ Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA Prior permits/approvals for site improvements: ~o Agency D~e __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspendpd by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): OBoard of Trustees Applicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: ~0o ~quare feet Percent coverage of lot: A//& % Closest distance between nt:arest existing structure and upland edge of wetlands: t~5" feet Closest distance between t~e~est proposed structure and upland edge of wetlands: ~- feet Does the project involve excavation or filling? ~'/ No Yes If yes, how much material will be excavated? How much material will be filled? Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: cubic yards cubic yards feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): LETTER OF AUTHORIZATION RE: 3125 Wells Avenue, Southold, NY I (WE) THOMAS AND/OR MARY IRENE MARRON HEREBY AUTHORIZE GARRETT A. STRANG, ARCHITECT TO ACT ON MY (OUR) BEHALF(S) WHEN MAKING APPLICATION TO THE UNITED STATES OF AMERICA, STATE OF NEW YORK, SUFFOLK COUNTY, TOWN OF SOUTHOLD OR ANY OTHER GOVERNMENTAL AGENCY IN CONNECTION WITH THE ABOVE REFERENCED PROJECT. to before'me this of &,~Y--,2005 Albert J. Krupski, President James King, Vice-President Artie Fester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-~ fo~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of a_ .... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~ ~/Z ~ ;'r ~. ,f~ ~,./a' , residing at /~'~ /-'-~.,~c~o~ being duly sworn, depose and say: That on the ~# day oftOoo¢,~e,,.~ 2006, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the postei' has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held 0~10~/. T} t[U. 1(~ roT00 ~' ' 'Om O Dated: Sworn to before me this day o~'~' 200.7- Not~'y Public Bar0ara A. Strang NOTARY PUBLIC, New York No. 4730095 Qualified - Suffolk County Comm. Expires July 31, ~ o z> PROOF OF MAII,ING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: SCTM #1000-70-04-09 Ellen L. Hufe SCTM #1000-70-04-11 Lang-Einczig, Yvette and Another 3195 Wells Avenue Southold, NY 11971 PO Box 2462 Malibu, CA 90265 SCTM #1000-70-03-25.1 J. Rich PO Box 208 Southold, NY 11971 I, GARRETT A. STRANG, residing at 1230 Traveler Street, Southold, New York, being duly sworn, deposes and say that: Onthe~ thof November, 2005, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their resPective names; that ti~e address set opposite the name of each person is the address of said person as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Offce at Southold, NY, that said Notices were mailed to each of said persons by (certified) mail. Sworn 'to before me this ~9 th day of,~..t~r~mfl~, 2005. (Notary Public) ~ Signature Barbara A. 8trang NOTARY PUBLIC, New York No. 4730095 Qualified ~ Suffolk County Comm. Expires July 31 t itALIBU, CA 9026§ ] ~ Reslrict(,d DeriveW Fee Cle~: ~Board of Trustees Applicati~ County of Suffolk State of New York '7~A~ h At/. tl.o,O 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 1N THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS ~7 OAYOF Notary Public Barbara A. Strang NOTARY PUBLIC, New York No. 4730095 Qualified - Suffolk County Corem. Expires July 31, Zoo ~. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the par~ of town officers and emolovees. The oumose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company, lfso, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Moodng Exemption from plat or official map Planning Other (If"Other", name the acfivily.) Do you personally (or through your company, spouse, sibling, parent or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, maniage, or bus'ness 'nterest. "Bus'ness 'nterest' means a bus'ness, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation inyEWshiCh the town officer or employee o~n/more than~the shares. If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold A~ o (-~/~.) ~. Title or position of that person Describe the relationship between yourself(the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shams of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner 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 Form TS I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the actfievement of the LWRP 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 LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: onlin (southoldtown.northfork.net), the Board of Trustees Office, the }: libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# t/&*o '70 ~ - /o The Application has been submitted to (check appropriate response): Town Board at the Town of Southold's webSite S0uth01d Town Board 0f Trustees [--] Planning Board [--] Building Dept. .~ BoardofTrustees .~ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) P6hidt; ~/ppr0val, license, certiii6iiii6n: : ...................... Nature and extent of action: Location of action: Site acreage:. Present land use:. Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (b) Mallingaddress: ~o f~:;>~ Iqlt (c) Telephone nmber: ~ea Code ~ 7 b ( - r (r ~ (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [-'] No [] If yes, which state or federal agency?. C. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [--]Yes [--] NO [~ Not Applicable Attach additional sheets if necessary Policy 2. Protect-an-d preserve-hiStoric anda¥'eh-aeolcgical' resources 'of the Town 0f S0u~thold;"S~ EWRP Section III - Policies Pages 3 through 6 for'evaluation criteria [] Yes ['~ No ~ Not Applicable Attach additional sheets if~ 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 73 Yes [] No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~ Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [] Yes [--] No []Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies~ Pa es 22 th~0it~h-32'Y6Fi~lu-~iijh i~riteria. ' g~-.. [] Yes [--'1 No [~ Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. At~ach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. 73 Yes No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. Yes ~ No~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold'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 [~ No [~ Not APplicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonie Estuary aud Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes [~ No ~ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lauds in the Town'of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [~ No [] Not Applie. able Created on 5/25/05 11:20 AM . :Board Of $outhoId Town Truste.es: SOUTHOED, NEW YO~K Mooring No, N/A PER~4]T NO. 2067 DATE-Au~. 28.~..,..~985 ] fo f~e ;- IN AND '. REMOVAL; OF SAND, GRAVEl-. '~R'OTHER : ;:'-:LANDS'UNDER !TOV~N :WA,TEP~" a.d': in' Terms and Conditions listed .on fha ~ .here6f, ".v Of Sou]fhoIC~ Town Trustees authorizes and A~ieation .appzove~ .under- the secure a peaTait for:,a' ~dc~c-~ Z~C~ in accordance with the a~plication sukmitt~d. all ,. accordance w,th the. defa,led specffi~at,ons as present, ed. m the orig~natlng application. IN WITNESS WHEP, EOF, The .said Board af Trustees .l~ere- by eauses?s Corporate.: Se~Lto be to 'be subscribed by a mel~rity of'the as Pl~-~e emnr-Off ~ ~ tO ~ Trustee Office. Board Of _C;n,,,thnlrt 'Town TERIvIS and CONDITIONS ~ffon of ~ Pe~t ~ ~olu~ofl ot ~e ~M B~d. BOAIID OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, S3095 Main Road P.O. Box 728 Southold, New York 1197] GRANUFATHER APPLICATION TELF~HONE. 765-1892 1. Name o£ Applicant. ~f~J~) 2. Address of ~pplicant: ~'~ ~ ~LL$ ~ ' ., 3. Telephone N~ber: '~ 4. Year of Construction: 5. - Sketch of the work including sizes: 6. Mark off on the map attached, where your property is located using an X. Signature: Please note that ere is a $5.00 filing fee, which is a one time fee, for this application. Mooring Applications-5~.O0 Apptica~on F~and a $5.00 annual renewal fee each year. Joseph A. Ingegno Land Surveyor SURVEY OF LOT 10 GEORGE H, WELLS SOUTHOLD TERMS a~l CONDITIONS O~tober 26, 1995, Suf£olk ~nvtronmental Consulting Bruce Anderson P.O. Box 2003 Bridgeham~ton Ny 11932-2003 WHEREAS, Suffolk Environmental ConsultS,on behalf of ~ARy I. application dated AugUst 17, 1995, and, W~EAS, a P~blic Hearing was held by the Tow~ Tzustees with all intereste~ persona were given an opportunity to be heard, and, WHeReAS, the Board ~as detex~ned that the project a~ Dropos~d will no= affect the heal,h, safety a~ general welfare of the cc. CAC NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM. 2. EXISTING CONTOUR LINES SHOWN THUS: lo---- 5. EXISTING SPOT ELEVATIONS SHOWN THUS: x~ FIRST AMERICAN TITLE INSURANCE COMPANY OF TfTLE No. 141-S-8665 MARY IRENE BURNS NEW YORK / ./ / "LOT ~'0. o SOUTHOLD TOWN or ISOU~HOLDI ~ SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1-000-7'0~04-10 SCALE 1"=20' SEPTEMBER 15, 1994 AUGUST 8, 1995 (UPDATED SUR~) SEPTEMBER 15, 1995 (R~SED AS PER SUFFOLK 'ENVIRONMENTAL x~ / AREA = 25,64Q.'90 sq. ff. (TO 11E LING 0.5B9 ac. CONSULTING, Inc.) PROPERTY OWNER: MARY IRENE BURNS 5125 WELLS AVENUE SOUTNOLD, N.Y. 11971 / .% // / ",,, / / / / / / T r :,~- SITE DATA SITE AREA 0.59 A~ES - 25,641 ~, FT. FI~D MAP DATA MAP OF PLAN OF LOTS OWNED BY RLED NOVEMBER 28~ 1~27 A5 ~ 8~9 SOUTHOLD~ TOWN O~ SOUTHOLD ~F~K COUNt, NEW YORK ZONING R - ~SiDENTIAL FLOOD ZONE "AE"(eL 8) and "X" ~IS~NG PRO~SED BUILDING ~ ~IST~ PROPPED LOT ~VE~ EX,STYe SUFFOLK COUNTY WATER AUTHORITY SING, LE FAMILY DWELLING SINGLE FAMILY DWELUNG 2,836 sq. FT. 8,004 SQ. FT. 11,1% 18.,6 % THOMAS & MARY IRENE MARRON 26 RANDDALL DR. ~q SHORT HILLS, NJ. 07078 ~+ THIS SITE PLAN WAS PREPARED WITH INFORMATION TAKEN FROM I~~~ I ~~~ ~. A SURVEY MADE BY JOSEPH A. INGEGNO, ~ SURVEYOR, I I1 / -~. ~ ./ ~ ~ I . . ................... , UPDATfD. AUeUiT ~, ~ I ~ " ' ~ //I I ~2~o T~r St*.et So.thold , !631,- 765 - 5455 ALL ELEVATION AND COUNTOUR UNES ARE REFERENCED TO N.G.V-~ I 631-765- 5