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HomeMy WebLinkAboutTR-6979Jill M. Doherty, President James F. King, Vice-President Dove Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. lll INSPECTION SCHEDULE INSPECTED BY: COMMENTS: Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ~ constructed t~ Project complete, compliance inspection. CERTIFICATE OF COMPLIANCE: Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Brederneyer Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 755-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0566C Date August 18, 2010 THIS CERTIFIES that the replacement of railings and deck surface on existing second-floor deck; removal of existing batheque and replacement with a masonry barbeque in a new location; square off of existing section of a deck; new deck area over near new barbeque; placement of relocated hot tub onto a deck structure; removal and replacement of deck surface finish; removal and replacement of existing deck railing; and repair/rebuild of sections of deck At 700 Teepee Trail, Southold Suffolk County Tax Map #87-2-25 Conforms to the application for a Trustees Permit heretofore filed in this office dated 9/11/08 pursuant to which Trustees Wetland Permit #6979 dated 10/15/08 was issued and Amended on 3/17/10 and conforms to aH of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is being issued is for the replacement of railings and deck surface on existing second-floor deck; removal of existing barbeque and replacement with a masonry barbeque in a new location; square off of existing section of a deck; new deck area over near new barbeque; placement of relocated hot tub onto a deck structure; removal and replacement of deck surface finish; removal and replacement of existing deck railing; and repair/rebuild of sections of deck. The certificate is issued to ROBERT PUFAHL owner of the aforesaid property. ~t~or~e; S~ignat~ur Jill M. Doherty, President James F. K/ng, Vice-President Dave Bergen Bob Ghosio, Jr. John Brederaeyer Town HallAnnex 54375MainRoad P.O. Box 1179 Southold, NewYork 11971-0959 Telephone (631) 765-1892 Fox (631) 765-6641 March 17, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Andrew J. Schmitz III, A.I.A. 23 Green Street, Suite 202 Huntington, NY 11743 RE: ROBERT PUFAHL 700 TEEPEE TRAIL, SOUTHOLD SCTM# 87-2-25 Dear Mr. Schmitz IIh The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 17, 2010: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit #6979 to replace the railings and deck surface on the existing second- floor deck; remove the existing built-in barbeque and replace with a masonry barbecue in a new location; square off the existing section of an existing deck; add deck area over near new barbeque; place relocated hot tub onto a deck structure instead of a slab on grade; remove and replace the deck surface finish; remove and replace the existing deck railing; and repair or rebuild sections of the deck structure as required, and as depicted on the revised site plan prepared by Andrew J. Schmitz III & Associates A.I.A. last dated February 16, 2010, and stamped approved on April 9, 2010. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, Ji~l~ M. Dohe)~y~ President, Board of Trustees JMD:eac Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., March 10, 2010, the following recommendation was made: CAROL PUFAHL to Amend Permit #6979 to replace the railings and deck surface on the existing second-floor deck; remove the existing built-in barbeque and replace with a masonry barbecue in a new location; square off the existing section of an existing deck; add deck area over near new barbeque; place relocated hot tub onto a deck structure instead of a slab on grade; remove and replace the deck surface finish; remove and replace the existing deck railing; and repair or rebuild sections of the deck structure as required. Located: 700 Teepee Trail, Southold,. SCTM#87-2-25 The CAC did not make an inspection, therefore no recommendation was made. Jill M. Doherty, President James F. King. Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer P,O. Box 1179 Southold. NY 11971 Telephone ( 631 ) 765 - 1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: CAROL PUFAHL requests an Amendment to Permit #6979 to replace the railings and deck surface on the existing second-floor deck; remove the existing built-in barbeque and replace with a masonry barbecue in a new location; square offthe existing section of an existing deck; add deck area over near new barbeque; place relocated hot tub onto a deck structure instead of a slab on grade; remove and replace the deck surface finish; remove and replace the existing deck railing; and repair or rebuild sections of the deck structure as required. Located: 700 Teepee Trail, Southoid,. SCTM#87-2-25 aOf area to be impacted: Itwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: L/'C"hapt.275 __Chapt. 111 other Type of Application: L/~etland __Coastal Erosion __Amend ment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: ~'~J~.J.King jr/'/. Doherty L/j.///BBBredemeyer- B.Ghosio, __ D. Dzenkowski other Form filled out in the field by L.~.Bergen~ Mailed/Faxed to: Date: April 5, 2010 Ms. Elizabeth Cantrell Board of Town Trustees Town of Southold 54375 Main Road P. O. Box 1179 Southoldl NY 11971 Re: Robert Pufahl (formerly Carol Pufahl) residence 700 Teepee Trail Southold, NY 11971 SCTM//1000-087-02-025 APR , 2010 Dear Elizabeth: As you are aware, Carol Pufahl recently passed away and the house ownership has been transferred to her husband Robert. As directed I have obtained an authorization document from Mr. Pufahl which I have enclosed for your records. All future corrrespondence and other documents shall refer to Mr. Pufahl as the owner. Should you require additional documentation, please contact my office. Sincerely, SOCIATES AIA Board o£ Trustees AppLication Robert Pufahl (print owner r~s~a{~ &t..164 East Shore Road (mailing a~lress) Huntington Bay, NY 11743 Andrew J. Schmitz III, Archite~t~pply for permit(s) from z3 Green street~' Huntington, NY 11V43 Southold Board of Town Trustees on ~behalf. (Owner's signature) Robert ~ufahl *Project adress: 700 Teepee TRail Southold, NY 11971 I0 39Vd S3B1~9~1 ~0 ~3~ IP99§9£ I0:PI File ¥iew Toolbar Help ~ jl~Jl Double click to open e window Jt~nes F. King, PreScient Jill M. Doh~rty, Vis. President Peggy A. Dickerson DavQ Bergen John Holzapfel '53095 Rou~e I~ P.O. Bax 1179 8outhold. l~l~v York 119714)959 Telephone (~1) 76~1892 Fax (631) 765,.~641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION ]FOR AN AME~ME~ TO A WETLAND PERMIT DATE February 16, 2010 OWNER Carol Pufahl PHONE 631-271-1767 ADD~x~SS 700 Teepee Trail, Southold, NY 11971 AG~I~T.. Andrew J. Schmitz III PHONB 631-271-9303 / 631-271-9308 (fax) Architect ADDR]~S 23 Green Street, Suite 202, Huntington, NY 11743 PROPERTY LOCATION 700 Teepee ~rail, Southolde NY 11971 TAX MAP NO. 1000-087-02-025 ~ Andrew J. Schmitz III to (see attached) r~luest an Amendment to Peri,nit # 6979 PROPOSED REVISIONS Carol Pufahl Residence 700 Teepee Trail Southold, New York 11971 The following is a list of anticipated modifications to the existing permit 6979 Existing second floor deck We have decided to keep the existing second floor deck. The decking surface and railings shall be replaced. Existing first floor deck Due to the deteriorating conditions in many areas of the deck, we have decided to do the following: 1. Remove the existing built-in barbecue and replace with a masonry barbecue in a new location. 2. Square off the existing section of the deck that currently comes to a point. 3. Add deck area over near new barbecue. 4. Place the relocated hot tub onto a deck structure instead of a slab on grade. 5. Remove and replace the deck surface finish. 6. Remove and replace the existing deck railing. 7. Repair and rebuild sections of the deck structure as required. $~uthhCd · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · PHnt your name and address on the reveme so that we can mturo the card to you, · Attach this card to the back of the mailplece, or on the front if space permits. B. Received If YES, enter deliver 3. Se~ce ~pe [] Cmtifled Meil [] E~press Mell [] Registersd [] Return Receipt for Merchandise [] Insured Mail [] C.O.D, 4. Resbicted Dellve~F? (Extra Fee) [] Ye~ 7006 0810 0005 7083 6810 Form 3811, February 2004 Domestic Return Receipt · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the maitplece, or on the front if ,%n~-~ permits. 2. Article Number Crrar~er from ~en~e/e~) B. Receded b If YES, enter deJivery ~ddmss below: [] Registered '~ [] Insured Mail [] Ag~at Date of Dellve 4. Restricted Deliver? (Exlra Fee) [] Yes 7006 0810 0005 7083 6803 PS Form 3811, February 2004 Domestlo Return Receipt · Complete items 1,2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. "Attach this card to the back of the mailplece, or on the front if space permits. B. 'PdntedName) C. I~te of Delivery [] No Type · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpleca, or on the front if space permits. 1. A,,flcle Addressed to: 4. Restricted DelNe~ (Extra Fee) [] Yes e. Received by ( ff YES, enter delivery eddress 3. Service Type :~:' : . · [] Certmed M~I ~3'E~5~ Mall 4. Restricted Delk, ery? (Extra Fee) [] Yes !.A~tic~Num~r 2.~tcleNumber ' 7006 0810 0005 7083 6841 ~s~r from service label, ~,~L 7006 0810 0005 7089 6834 Jill M. Doherty, President James F. King, Vice-President · Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold. NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of CAROL PUFAHL COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, depose and say: That on the ,4 day of ~ ,2010, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public heating. Date of hearing noted thereon to be held Wed.~ March 17~ 2010 on or about 6:00 PM. Dated: },lkg-Z~ 4 ~1~2~'~"-~ - ~- - 'l -- --~---" Sworn to before me this ,/Jr4^ day of 7]~.20~/7 ~otary Public GERALDINE R ~CHMII'Z ~ Publi,, S-.~.;e of New Yodg No. 4969258 Qualified In Suffolk County Commission E.xpire~ July 9, March 4, 2010 Ms. Elizabeth Cantrell Board of Town Trustees Town of Southold 54375 Main Road P. O. Box 1179 Southoldl NY 11971 Re: Carol Pufahl residence 700 Teepee Trail Southold, NY 11971 SCTM//1000-087-02-025 Dear Elizabeth: Enclosed please find receipts for certified mail sent to the adjoining property owners at the above mentioned project and the Affidavit of Posting. The notices were mailed on February 20, 2010 from the Huntington New York post office and the Notice of Hearing was posted on March 4, 2010. Should you require additional documentation, please contact my office. Sincerely, ASSOCIATES AIA NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOI__n in the matter of applicant: Carol Pufahl SCT~ 1000-087-02-025 YOU ARE HEREBY GIVEN NOTICE; 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: *Renovate sections of existing deck. *Remove existing built-in BBQ and construct new masonry BBQ *Remove & replace decking surface & railings. *Put relocated hot tub onto a new deck. 2. That the property which is the subject of Environmental Review is located* adjacent to your property and is described a~ follows: Lot 8 Map of Nunakoma Waters File #5126 ~- filed July 9,' 1968 3. That the'project which is subject'to Environmental Review under Chapters · 96,111 and/or 275 of the Town Code is qpen to public comment on: DATE: March 17, 2010 @ 6:00PM You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the BOard of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: Carol Pu£ahl MAILING ADDRESS: 700 Teepee Trailr Southold, NY 1'1971 PHONE #: 631-271'-1767 AGENT: Andrew J. Schmitz II!, Architect MAILING ADDRESS: 23 Green St., Suite 202, Huntington, k~y 11743 PHONE#: Enc: Copy of sketch or plan showing proposal for your convenience. ATTACH CEl~'rurmv MA ~. RECEIFr8 Thomas R. Carley Wendy L. Carley. Tax map ~1000-87-2-29 · Addr~: 350 Wamp~Way South01d, NY 11971 STATE.OF NEW YORK COLrN'rY OF SUI~OLK kndrew J. Schmit~ .,re~iditlgat, 23 Gree.n. St, Suite 202, Huntington, NY 11743 . .. ., being duly aw'om, deposes :uld says that on. tho 17~dayof February ,2030,deponentmailedatmecopyofthe. Notioe .. set fOrtk/n the Board of'Trustees Appli~atio~'cti~. ect~d to oaoh of thc aboxce .n~ned persons at the address~ set opposite thom r~Pootiv¢ name; that the addresses s~t oppos/te the uames of said persons are the ladd~s o£ said persons a~ shown on the alizeai . . a~se~sment roll Of the. Town of Southold; thi? said Notices ~ere mailed at.the United States Post O/~c~at Huntingtgn,. NY ,lhatsaidlqo~~~ofsaid.perSOnsby' ' .-. · . '/ · Sworn to tiofor~ me this' /(~. GERALDINE R SCHMfrZ Notary Publio, State of New York No. 4969258 Qualified*in Suffolk County Commission Expire~ July §, PRoo~ OF MAiL~G OF NO~CE Namc: Edward Dereeder Jr. Eleanor S. Dereeder Tax map #1000-87-2-30 Addr~s: 240 Wamp~n Way · SouthOld, NY 11971 STATE.OF Nq~W YORK COUNTY OF SUFFOLK · Andrew J. Schmitz III ,read.gat, 23 Gr~. St, Suite 202. Huntington, · NY 11743 , beiug duly sworn, d~po~es and says that on. the 17 day of ~ 20 ~ O, d~onent mailed a tree copy ofth~ Nofioe ' Se~ fOrth, in the Board of'Trustees Applieation,'di.re~ted to each of thc above named . persons at thc addr~s~ set opposite there r~'tiv¢ name; that the add~e,sse~ set opposit~ the names of s~id persons ate th¢i_addr~ss of said persons as shown on the ctuieat ase~sm~ni roll of thc Town of Southold; ihat said Noiic~ were mailed atthe United States Post Ofl~c,~ at Huntington, .NY. (certified) (regiaered) mail. Sworn to.before me this ~ / ' Notary Public ~_~ , that ~ch of said.petS°ns bY ' GERALDINE R SCHMITZ Notary Public, State of NeW York No. 4969258 Qualified in Suffolk County ' Commission Expires July 9, PROOF OF MAH .!NG OF NOTIC~ Marjorle Berson Blackburn C. Berson Tax map#1000-8~-~-26 · Addre~: 7 Winters Court Clark;. NJ 07066 STATE'OFNEWYORK COUNTYOFSO~POLK · Andrew J. Schmitz III .re~idhlgat, 23 Green St, Suite 202,. Huntinqton, 'NY 11743 · , being duly sworn, deposes and says tha~ on, th~ 17_. dayof Febru~ ,20.'t0, dcponcntma/ledatmecopyofthoNot/ce .. set forth,/u the Board of'Trdatees Application,'dkec~l [o each of the above n~ned persons at thc addr~s,~ set opposite th~m ~:!aPocti.v¢ names; that the adgxe,~ses set opposite ttze names o'f said persons am th~iad4i~s of said p~rso~ ~ shown on the cui~eat ~s~m~t roll Of mc. Tdvm of $outhol4; that said Notic~ ~re r~iled at.the United States Post O~ce a[ Huntin9ton .NY : , that said Aloti~~l~o each of said persons by ' ' GERALDINE R SCHMfi-Z Notary Public, State of New York · No. 4969258 Qualified in Suffolk County Commission ExpireS July 9, PROOF OF ~H.!NG OF NOTICE ATTA~CH CERIIFIED M,~II_, ~ Ad~h'es~: Luhrs Maryweld Revocable Trust Tax map #1000-8~-2~'24 ' 99 Mayfair Avenue Floral Park, NY 11001 STATEOF NEW YORK COUNTY OF SUi, vOLK -Andrew J. Schmit~ TTT , residing at ' 23 Green..St, Suite 202, .Huntinq~o~, NY · 11743 . .. ., being duly sworn, dcpo~e~ aud says thal on. the 17 · day of ffeb_~ ~ary_ ,20.1'0, deponent mailed a tree copy o f the Not/c~ · set fortkin the Boaxxl of'Tnmtees Applicatiom'di~. ect~l to each of the abo~e n~med . persons at the addresse~ set opposite there respective names; that the addtasse~ set opposite the names of said persons ate the[addie, ss o£ said persotm asl shown on the cuiieat . a~se~ment roll Of the. T~/wn o'f Southol4; ifiat said Notices were mailed at.the United Sta~ Post OflScc at Huntington! NY , that said ~of sa/d.pers°ns by ' DaY of ¢?~c~4~ .20/0 ' d '/ Notary P~bli¢ GERALDINE R SCHMITZ Notary Public, State of NeW York No. 4969258 Qualified in Suffolk County Commission Expires July 9, 2-~'/0 Po~ge $1.73 ~ 0743 · r,- [r;i~i',~:*,~roF ...................................................................... sent To .  ~. ~c~-~:~:--.---~i ............................................................ .... :'"": ............................................................................ [:~:-~.....:-......~..7.~.::~: ............................... 1 $1.73 $2.30 Postage Certified Fee Return Receipt Fee (Endorsement Required) RestriCted Delivery Fee (Endorsement Required) Total Postage & Fees $1.73 $2.80 $2.30 $0.00 0~17/2010 02/16/2010 12:S0 765664i BOARD OF TRUSTEES PAGE Town of Southold LWRP CONSISTENCY ASSI%~MENT FORM INSTRUCTIONS All applicants for permit* including Town of Southolcl agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Wate~fi-ont Consistency Review Law. This assessment is intended to supplement othcr information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including BuiMing Permit~ and other ministerial permits not located within the Coctvtal 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 omvoscd action will be e~el~ua_to~4 as to it8 Siggifier~r,t beneficial and adverse effects uvon 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 v~ll affect the achievement of the LWRP policy standards and conditions contained in the consistency review law..Thus, each ans~ver must be exolained in detail, I/zting both su~,m~rt;,;~, and nc: ~ If an aetinn cannot be certified as consistent with thc LWRP policy standards and conditions, it shall not be undertakers. A copy of the LWRP is available in thc following places: online at the Town of Sort&old ' s website (southoldtown.nortlffork.net), the Board of Trustees Office, the Planning Department, ail local libraries and the Town Clerk's office. ' DESCRIPTION OF SITE AND PROPOSED ACTION SCT~I#.._I}8/. 02 025 PROJECT NAM~ Carol Pufahl residence The Application has been submitted to (check appropriate respor~e): 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) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certiScafion: Nature and extent of action: ( see attached) PROPOSED REVISIONS Carol Pufahl Residence 700 Teepee Trail Southold, New York 11971 Nature and Extent of Action: *Existing second floor deck to remain. Replace decking surface and railings. *Remove existing barbecue and replace with new masonry barbecue. *Square off section of existing deck. *Add section of deck adjacent to new barbecue. *Set relocated hot tub onto new deck. *Remove and replace the existing deck railings. *Remove and replace existing finished deck surface. *Repair and rebuild sections of the deck structure as required. 02/16/2010 12:50 7G56641 BOARD [iF TRUSTEES PAGE 06 Teepee Trail, Southold, NY Lot #8, Locafionofacton:... Map of N~ Waters, File #5126; filed July 9, 1968. Siteacreag¢: 1.064 acres 46,360 sq. ft. Present !and use: Single family residence Pr~ent zoning classificalion: R-40 If an application for the proposed action has been filed with the Town of Southold agency, the follow/ag information shall be provided: (a) Name of applicant: Carol Pufahl (b) Mailing address: 700 Teepee Trail, Southold, NY 11971 (c) Telephone number: Area Code ( ) 631-271-1767 (d) AppliCon number, ifa~y: Bermit #-Board of Trustees 6979 #-Building permit 34827 Will thc action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No[] Ifyes, 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 return~l for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of $outhold 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 and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [~] Yes [~ No [~ Not Applicable 02/1G/2010 12:50 7~5GG41 ]~ARDOF TRUSTEES PAGE 07 AUach additional sheets ifneeess~3, Policy 3. E~snce visual qulli~ and p~t~ scenic rffou~ ~u~out ~e T~n of South~d. S~ L~ Sec~n IH - PolkJ~ Pag~ 6 though 7 for ~uafion c~ ~ Y~ ~ No ~ Not Applk~ble Attach additional sheets if neces,sary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section IH - Policies Pages 8 through 16 for evaluation criteria [] Yes [~ NO ~ NOt Applicable Ac;ach addRJona] shects ifneccssary 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 ifneoessary Policy 6. Protect and restore the quality and function of the Town of Southold eeosystems ineindfng Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria.. 02/16/2010 12:58 7656641 Yes No N~pHcab~ BOARD OF TRUSTEES PA6E 08 Attach additional sheets if Policy 7. Protect and improve air quality in the Town of Southold. See LWI~ Section Ill - Policies Pages 32 through 34 for evaluation criteria. [~ Yes [~No[~ Not Applicable Attach additional sheem ifnec¢~.~y Policy 8. Minimize environmental degradation in Town of SouthoM from solid waste and hazardous substances and wastes. See LWP. P Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] No [~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of $outhold. See LWRP Section m- Policies; Pages 38 through 46 for evaluation criteria. [] Y -eJ--] No ~Not Applicable Attach addifion~ ~h~et~ ffn~c~sary ~ 02/16/2010 WORKING COAST POL]~ BOARD ~ TRUSTEES PAGE 09 Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section IH,- Policies; Pages 47 through :~ for evaluation criteria. [] Yes [-~ No [] Not Applicable At~ach additional sheets Policy 11. Promote sustainable use of living marine resources in Long 'Island Sound, the Peconic Estuary and Town waters. See LWRP Section IH - Policies; Pages 57 through 62 for evaluation criteria. L-~ Yes ~-~ No ~'X'~Not Applieable Attach add~onal ~hects if necessary Policy 12. P~t~t a~cu~ lands ~ the T~n of Southoid. See LW~ S~fion ~ - Politic; png~ 62 ~rough 65 for ~luafion c~te~a. ~ Yes ~ No ~ Not Applicable Aaach add/florin! sheets ifn~es~ry Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP SeclJon IH - Policies; Pages 65 through 68 for evaluation critcria. [] Yes [] No ~Not Applicable PI~EPARED BY__Andrew J. Schmitz III 23 Green St., Suite '202 _ TITLE Agent / Architect DATE_2/ o February 17, 2010 Ms. Elizabeth Cantrell Board of Town Trustees Town of Southold 54375 Main Road P. O. Box 1179 Southold, NY 11971 Re: Carol Pufahl residence 700 Teepee Trail Southold, NY 11971 SCTM #1000-087-02-025 Permit ,f6979 Dear Elizabeth: As we discussed the other day, enclosed please find our application for an amendment to a wetland permit. Enclosed please find the following documents: 1. Check for $50 made out to the Town of Southold. 2. Application for an amendment to a wetland permit. 3. Notice to adjacent property owners. 4. Proof of mailing of notice and attached certified mailing receipts. 5. LWRP Consistency Assessment Form. 6. Three copies of modified plans. I understand that the hearing for our application is scheduled for March 17, 2010 starting at 6:00PM. Should you require additional documentation, please contact my office. Sincerely, IATES AIA James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction 1/2 constructed ~/Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6979 DATE: OCTOBER 15, 2008 ISSUED TO: CAROL PUFAHL PROPERTY ADDRESS: 700 TEEPEE TRAIL, SOUTHOLD SCTM#87-2-25 AUTHORIZATION Pursuant to the provisions of Chaptar 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on October 15, 2008 in consideration of application fee in the sum of $250.00 paid by Carol Pufahl and subject to t Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and following: Wetland Permit to construct a second-story master bedroom/bathroom addition onto the existing dwelling, remove and install new sanitary system, relocate existing hot tub, rebuild existing outdoor shower, replace the roof and siding on the dwelling, drywells for roof drainage, and as depicted on the site plan prepared by Andrew J. Schmitz Ill dated September 8, 2008. IN WITNESS WlfEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. James King (Absent) TERMS AND CONDITIONS The Permittee, Carol Pufahl, residing at 700 Teepee Trail, Southold, NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this perrnit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Pennittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Per,nit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Pennittee of the completion of the work authorized. 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 53095Route 25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 15, 2008 Andrew J. Schmitz III, AIA 23 Green Street, Suite 202 Huntington, NY 11743 RE: CAROL PUFAHL 700 TEEPEE TRAIL, SOUTHOLD SCTM#87-2-25 Dear Mr. Schmitz: The Board of Town Trustees took the following action during its regular meeting held on Wed., October 15, 2008 regarding the above matter: WHEREAS, Andrew J. Schmitz III, AIA on behalf of CAROL PUFAHL applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance, application dated September 11, 2008, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 15, 2008, 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of CAROL PUFAHL to construct a second-story master bedroom/bathroom addition onto the existing dwelling, remove and install new sanitary system, relocate existing hot tub, rebuild existing outdoor shower, replace the roof and siding on the dwelling, and add drywells for roof drainage, and as depicted on the site plan prepared by Andrew J. Schmitz III dated September 8, 2008. 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 ~nspection. (See attached schedule.) Fees: $50.00 Very truly yours, Dohe ~/ice-President, Board bf Trustees JMD/Ims James F. King, President Jill M. Doher[y, 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 Please be advised that your application dated c//I//0 '~ has been reviewed by this Board at the regular meeting of j OI/,,~'o ~ and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ~ Constructed ($50.00) V,//' Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) 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: BY: James F. King, President Board of Trustees Donald Wilder, Chain~an Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., October 8, 2008, the following recommendation was made: CAROL PUFAHL to construct a second-story master bedroom/bathroom addition onto the existing dwelling, remove and install new sanitary system, relocate existing hot tub, rebuild existing outdoor shower, replace the roof and siding on the dwelling, and add drywells for roof drainage. Located: 700 Teepee Trail, Southold. SCTM#87-2-25 The CAC did not make an inspection, therefore no recommendation was made. James F. King, Presidem Jill M. Dohelly, Vice*President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. P.O. Box 1179 Southold~ NY 11971 Telephone(631) 765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: CAROL PUFAHL requests a Wetland Permit to construct a second-story master bedroom/bathroom addition onto the existing dwelling, remove and install new sanitary system, relocate existing hot tub, rebuild existing outdoor shower, replace the roof and siding on the dwelling, and add drywells for roof drainage. Located: 700 Teepee Trail, Southold. SCTM#87- 2-25 TY~al~rea to be impacted: ter Wetland Freshwater Wetland Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 .Chapt. 111 other Type of Application: ~/~/Wetland Coastal Erosion __Administrative__Emergency __ Sound Bay __Amendment Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: __&King __J.Doherty __P.Dickerson __ __ D. Dzenkowski Mark Ter~._other Form filled out in the field by D. Bergen~B.Ghosio, Mailed/Faxed to: Date: Environmental Technician Review- Juu...f ,?..oO~ .~.,¢.'r.~,...¢ llq-/l November 5, 2008 Board of Town Trustees Town Hall 53095 Route 25 P. O. Box 1179 Southold, NY 11971 Re: Carol Pufahl residence 700 Teepee Trail Southold, NY 11971 SCTM #1000-087-02-025 Dear Trustees: Enclosed please find a check for $50 which represents the amount due for the final inspection. I understand we will now receive our permit, Please forward that document to my office. Sincerely, ANDRE?y~J. SCH_M!~Z III & ASSOCIATES AIA NOV- 2008 SoI:t~o~d Town '~' OFFICE LOCATION: Town Hall Annex 54375 State Route 25 Main Rd. & Youngs Ave. Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 Jim King, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Scott A. Hilary, LWRP Coordinator Date: October 6, 2008 Chapter 268, WATERFRONT CONSISTENCY REVIEW Wetland Permit for CAROL PUFAHL SCTM#87-2-25 CAROL PUFAHL requests a Wetland Permit to construct a second-story master bedroom/bathroom addition onto the existing dwelling, remove and install new sanitary system, relocate existing hot tub, rebuild existing outdoor shower, replace the roof and siding on the dwelling, and add drywells for roof drainage. Located: 700 Teepee Trail, Southold. SCTM#87-2-25 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John HoLzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _~affstal Erosion Permit Application --~etland Permit Application __ Administrative Permit / Amc ndme ntfFra~sfer/Ey~tgnsion ~rfl. ece~vved Application: 9/Received Fee:$o~--~)°-~~_ . ~.-'Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~2~WRP Consistency Assessment Form ~C Referral Sent: ,-ffYate of Inspection: Receipt of CAe Report: Lead Agency Determination:__ Technical Review: Resolution: Name of Applicant Carol pufahl Address 700 Teepee Trail, Southold, NY 11971 Phone Number:( ) 631-271-1767 Suffolk Cotmty Tax Map Number: 1000 - 087-02-025 Property Location: 700 'D~ Trail. West sic~ (vrater side) of Trail approx. 640 ft. south of Bow Road. Utility pole ~6. (provide LILCO Pole #, distance to cross streets, and location) AGENT: Andrew J. Schmitz III, AIA, Architect (If applicable) Ad,ess: 23 Green Street, Suite 202, Huntington, NY 11743 Phone: 631-271-9303 Fax: 631-271-9308 ~rd of Trustees Applicati~ Land Area (in square feet): Area Zoning:. R-40 GENERAL DATA 46,360 Previous use of property: Intended use of property: second floor existing residence on uroperty master bedroom & bathroon addition onto Covenants and Restrictions: Yes x If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency D.E.C. Suffolk Cnty Health Dept. Southold Building Dept. Southold Building Dept. No Date orig. date: Jan. 1981 / revis. 12/23/82 1/4/83 Ref. #12 SO 152 6/24/83 (new house) 11/14 /83 (two car garage) __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: N/A Project Description (use attachments i f necessary): Plans and elevations attached. See written description attached. Pro_iect Description Carol Pufahl 700 Teepee Trail Southold, New York 11971 September 2008 FIRST FLOOR *Convert the existing mechanical room into a laundry room. *Add on a new mechanical room. *Renovate existing powder room. *Convert existing laundry room into wet bar. *Renovate existing bathroom #1. *Remove masonry chimney and add a prefab direct vent fireplace. *Add new windows to the existing family room. *Add new windows to bedroom #1 and bedroom *Replace front door. *Replace door into wet bar. *Replace tile floor in kitchen, dining room and entry foyer. *Add a master bedroom suite which consists of a master bedroom, walk-in closets and a large master bathroom. *Expand and renovate the existing bathroom.*New windows in bedroom EXTERIOR *Rebuild existing service area deck. *Rebuild existing outdoor shower. *Relocate existing freestanding hot tub. Construct on deck. *Remove existing sanitary system and replace with a new, larger system. *Remove and replace existing roofing shingles. *Remove and replace siding with stained shingle siding. *Bury propane gas tank - 550 gals. *Connect existing and new leaders and gutters to drywells. ~rd of Trustees Applicatil WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~ a second story, master bedrcxxa/bath addition onto existing residence, remove and install a new sardtary system, Relocate existing hot tub. Rebuild existing outdoor shower. Reroof and re-side house. Add drywells for roof drainage. Area of wetlands on lot: 0 .square feet Percent coverage of lot: 0 % Property ends at high water mark of tidal wetlands. Closest distance between nearest existing structure and upland edge of wetlands: 217 feet Closest distance between nearest proposed structure and upland edge of wetlands: 210 feet Does the project involve excavation No x Yes excavation - new sanitary system/drTwells. If yes, how much material will be excavated? 208 cubic yards (sanitary) 324 c.y. drainage How much material will be filled? 88 cubic yards (sanitary) 272 c.y. drainage Depth of which material will be removed o.mSel~Sx 6.5 feet Proposed slope throughout the area of operations: 2% to 10% max. Manner in which material will be removed or deposited: ' 1 removed from site and trucked to another approved property in accordance with the Town of Southold requirements and the Suffolk County Depax h'L~nt of Health Services. 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): There will be no effect on the tidal wetlands. Nearest construction will be the installation of a drywell to pick off roof water runoff (210' away). of Trustees Applicati0 COASTAL EROSION APPLICATION DATA Second story master bedroom/bathroom addition onto Purposes of proposed activity: existing residence. Remove & install a new sanitary system. Relocate existing hot tub. Rebuild existing outdoor shower. Reroof & reside house. Add ~dryw~lls for roof drainage. Are wetlands present within 100 feet of the proposed activity? x No Yes Does the project involve excavation or filling? No X Yes IfYes, how much material will be excavated? 208 .(cubicyards)(sanitary)/324 c.y. drainage How much material will be filled? 88 (cubic yards) {sanitary)/272 c.y. drainage Manner in which material will be removed or deposited: Material shall be removed from site and trucked to another approved property in accordance with Town of Southold and Suffolk County Dept. of Health Services requirements. Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) There will be no enviromnental impact on the site. The new conmtruction ~ill actually imp£uve the conditions as they ex~st toOay. 1. Sanitary system - the existing system was installed 25 years ago. New system will help to grotect ground water and tidal wetlands. 2. Drainage systems - the additions onto the house do not increase the roof area/water runoff. A large portion of the residence runoff is net collected into drTw~ll~. The new rlrmlnaqe systems will collnct the water to better protect the eco systems at the site (beach grass, sand dunes, tidal wetlands). October 3, 2008 Board of Town Trustees Town Hall 53095 Route 25 P. O. Box 1179 Southold, NY 11971 Re: Carol Pufahl residence 700 Teepee Trail Southold, NY 11971 SCTM//1000-087-02-025 Dear Trustees: Enclosed please find the Affidavit of Posting for our project. Should you require additional documentation, please contact my office. Sincerely, ASSOCIATES AIA James F. King, President Jill M. Doher~y, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ........ ....................... COUNTY OF SUFFOLK) STATE OF NEw YORK) AFFIDAVIT OF POSTiNG ,residingat 7o0 T6~.l~ 77tArt., ~ou~',4o~, ,..t.~. IIq7! k Iooo - 087- 07- oz¢ being duly sworn, depose and say: That on the 9..& day of .~/:W ,200,~, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days p.ri~or to the _date of the public heating. Date of hearing noted thereon to be held/tJ~,-f t(?¢_~. /3. ,~ C(~ - . (signature) 1 ' Sworn to before me this day of 5~6P7, 2008' Ou~W1~d ~n Su~olk .C~.nt~ September 24, 2008 Board of Town Trustees Town Hall 53095 Route 25 P. O. Box 1179 Southold, NY 11971 Re: Carol Pufahl residence 700 Teepee Trail Southold, NY 11971 SCTM #1000-087-02-025 8EP 2 6 29,98 Dear Trustees: Enclosed please find receipts for certified mail sent to the adjoining property owners at the above mentioned project. These were mailed on September 24, 2008 from the Huntington, New York post office. Sincerely, ANDREW J. SCHMITZ III & ASSOCIATES AIA PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAI1, RECEIPTS Luhrs Maryweld Revocable Trust Tax mD #1000-87-2-24 Address: 99 Mayfair Avenue Floral Park, NY STATE OF NEW YORK COUNTY OF SUFFOLK Andrew J. Schmitz III , residing at 23 Green St, Suite 202, Huntington, NY 11743 , being duly sworn, deposes and says that on the "24 day of '~40'l~t. ,20o~, 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 there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; ~ ~ ~lnited Slates Post Office at ~4u~4m, To~, M.~(. , persons by (certified) (registered) mail. Sworn to,before me this ~ ~/ Day of~.r. , 20 ~)~ / / Notary Public (.~ GERALDINE R SCHMIIZ NOta~ Public., State of Now York No. 4969258 guelifled in Suffolk County mmi~slofl Expires July/l, USE Total Postage & Fees PROOF OF MAll,lNG OF NOTICE ATTACH CERTIFIED MAIl. RECEIPTS mallle: Marj orie Berson Blackburn C. Berson Tax map #1000-87-2-26 Address: 7 Winters Court Clark, NJ 07066 STATE OF NEW YORK COUNTY OF SUFFOLK Andrew J. Schmitz III , residing at 23 Green St, Suite 202, Huntington, NY 11743 , being duly swom, deposes and says that on the ~ day of !~d41~$'L ,20 O~, 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 there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notice e mailed at the United States Post Office at 14o~ll~TaO~ t,lr~d c~oOa_ , that said Notice~ were ~fsaid persons by (certified) (registered) mail. Sworn to before me this Day of,,~,u, 20 m NotmY Pu~blic ~ GERALDINE R SCHMI'~ No~r~ Publi~, StYe of New Yo~ No. 4969258 (~mlifl~d In Suffolk County ~ommi~,l Explrea July 9, Po~age $2.19 Cenined Fee (Endorsement Require~ Total Postage & Fee $ $7· 09 ' ..................................................... , P. .ti ~ ' ~ib~f~¢~- ....................... ~------: .................................. PROOF OF MAII,ING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Nal~lc: Edward Dereeder Jr. Eleanor S. Dereeder Address: 240 Wampc~a Way Southold, NY 11971 Tax map #1000-87-2-30 STATE OF NEW YORK COUNTY OF SUFFOLK Andrew J. Schmitz III , residing at 23 Green St, Suite 202, Huntington, NY 11743 , being duly sworn, deposes and says that on the t2-4- . day of .,~.J4~ ,20t~, 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 there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ~vunlu~?okl, tA.c~. , by (certified) (registered) mail. Sworn to before me this Day of/~r~/L, 20 / / t GERALDINE R SCHMITZ No~ry Publi=, State of New York No. 4969258 Qualified In Suffolk County Commisalon ER3ir~ July 9. ~0/~ PROOF OF MAIl ,ING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Nallle' Thomas R. Carley Wendy L. Carley Address: 350 Warflpum Way Southold, NY 11971 Tax map ~1000-87-2-29 STATE OF NEW YORK COUNTY OF SUFFOLK Andrew J. Schmitz III , residing at 23 Green St, Suite 202, Huntington, NY 11743 , being duly sworn, deposes and says that on the '/,4 day of ~TE~ ~l~/, ,20 C~, 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 there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said were mailed at the United States Post Office at 140d'llk~T0U%~ 14.c15 (certified) (registered) mail. Sworn to,befgre me this ~/ Day of./~2~/~t. , 20 / / Notary~Public GERALDINE R SCHMrlZ Nomr/Publi~ State of New No, 4969258 Qualified in Suffolk County Cornmmmon Explms Ju~y 9, ~-~/0 , that said Notices Postage 02.19 Ce~fled Fee $2.70 To=StF $7.09 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Carol Pufahl SCTM# 1000-087-02-025 YOU ARE HEREBY GIVEN NOTICE: That it is the intention of the undersigned to reouest a Permit fi:om the Board of Trustees to: *Add a second story roster ]~edroom/hthroom *Install a new sanitary system *Relocate existing hot tub *Rebuild existing outdoor shower *Reroof & reside house 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Lot 8 Map of Nunakc~ma Waters File #5126 - filed July 9, 1968 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 ofthe Town Code is open to public comment on: O~' I~ r/.~O~l ~/,~ . You may contact the Trustees Office at 765-1892 or in writing. P.~4. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. O~¥N-ERS NAME: Carol Pufahl MAIL~qG ADDRESS: 700 Teepee Trail Southold, NY 11971 PHONE #: 631-271-1767 Enc: Copy of sketch or plan showing proposal for your convenience. of Trustees Applicati0 AU'I'~ORI ZA~£-i ON (where the applicant is not the owner) Carol Puf~h] (print owner of property) Southold, NY Andrew J. Scbmitz III, Architect residing at 700 Teepee Trail (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ( Owner' s' si~ature ) eBoard of Trustees Application County of Suffolk State of New York Carol Pufahl BEING DULY SWORN DEPOSES AND Ab'IqRMS 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 TI-IlS 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), 11~ GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT TI-EE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signatu~~ SWO}~N TO BEFORE ME m~s ~, DA,,' OF e~Crm~ ,20~v~ r'lotary Public ~E~L~INE p. SCHMnZ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the vart of town 0fficom and employees. TI~ uuroose of thi~ form s to orovide information which can alert the town ofoossible conflicts of interest and allow it to rake whatever action is necessary to avoid same. YOUR NAME: Carol Pufahl-aoolicant / Andrew J_ gohm~-~ TTT--~_gent (Last name, first anme, gniddle 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 Building ~ Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If "Other", name the activity.) 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, marriage, or business 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 coqx}ration in which the town officer or employee owns more than 5% of the shares. YES NO ~' If you aaswered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(thc applicant/agent/representative) and the town officer or employee. Either cheek 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, o~ ~:hild is (cheek all that apply): ___A) the owner of greater than 5% of the shams of the corporate stock of the applic0nt (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, parmei', or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted thi~ Signature Print Nam~--D~i -Pufa~l signature ~ PROJECT ID NUMBER PART I - PROJECT INFORMATION 1. APPLICANT / SPONSOR Andrew J. Schmitz III - Architect 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) PROJECT NAME Pufah[ residence 3.PROJECT LOCATION: Southold, New York Suffolk ODunty, New York Municipality County 4. PRECISE LOCATION: Street Addess and Road Intersections Prominent landmarks etc -or provide map 700 Teepee Trail - west side (water side), approx. 640 feet south of Bow Road. 5, IS PROPOSED ACTION: [] New [] Expansion []Modilication / altaration SEQR DESCRIBE PROJECT BRIEFLY: *Add a second floor master bedroom/bathroom to existing residence. *R~move & install a new sanitary system *Relocate existing hot tub *Rebuild existing outdoor shower *Reroof and reside house *Add drywells for roof drainage 7. AMOUNT OF LAND AFFECTED: Ir~a~ .04 acres Ultimately ;04 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~ Yes L~ No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~---~Residential [--]lnduslrial ~-]Commercial i---]Agriculture [~ Park / Forest / Open Space ["--]Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, I~ NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Locat) OYes [-'-]No If yes, list agency name and permit / approval: D.E.C. permits / Suffolk County De~b. of Health Services 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? r-]Yes ~7]No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? EiSa, I No CE~ORMATION--T~"PRO. VIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature ~_~...__ ~// ~ ~ If the ~.~i~n is a Costal Area, and you are a state agency, complete the Coati Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by le~d A~lenc¥) rA. [~] Yes ["-] No DOES ACTION EXCEED ~NY TYPE I THRESHOLD IN 6 NYCRR. PART 617.47 If yes. coordinate the review process and use the FULL EAF. 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. r-]Yes J-~No C. COULD ACTION RESULT I'N ANy ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, it'legible) C1. Existing air quality, suer[ace or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, i t~ntia~! fo~ em?on, dminag~e or?~ ~o~cling p_robl~e_m~?_~x?a_in b?efly: _ _ C2. Aesthetic, agrinultumli archaeological, historic, or other natural or CU~urcss; or community or neighbo~'~ character? Explain briefly: C3. Vegetafion Or fa"na~~~red species?.EXplain bdeflY: C4. A commu~s officially? Explain btiefly: C5. Growth~~kely to be inducsd by the proposed action';' Explain briefly: Long term short ten,n, cumu ative, or other effects not identitied in CI-C57 Explain D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA {¢EAI? {If ;/es. ex[31ain brtefly: E. IS THERE, OR iS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL MPACTS? If yes explain: PART Iii - DETERMINATION OF SIGN FICANCE (To be completed by Agency} INSTRUCTIONS: For e_.adh adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect shou d be assessed in connection with its Ia) setting Ii.e. urban or [ural); (b) probability of occurring; (c) duration; Id) irreversibilfly; (e) geographic scope; and (f)imagnitude, If necessa~/, add attachments or reference supporting materials Ensure that ex I ' sufficient detail to show that all relevant adverse imna,~- h.,,~. ~...~. ;.~.,~., --.. -J ..... - .- . p al~atlons contain ~ ..... ~ ,~.,~. ,u~mm~'u ,~.u auequa[ely aaoresseo. It question d of part ii was checked yes, the delerminatJon of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or s/gnificant adverse impacts which MAY occur. Then proceed direclly Io the FUM FAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation that the proposed actior WILL NOT result in any significant adveme environmental impacts AND provide, on attachments as necessary, the reasons supporting thi.~ determination. Name of Lead Agency Date Title of Responsible Officer Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signatam of Preparer (If different from responsible officer) 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 Sonthold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- suooorting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Offic, ~e~Planning Department, all local libraries and the Town Clerk's office. ] F}~/'~ The Application has been submitted to (check appropriate response): . ~ 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) Permit, approval, license, ceffification: Nature and extent of action: Second story m~ster ht~r'nnm!ha~-hrr,crn ~n ~ ey~_~ti__~j r~_~i~.nce R~move and install new sanitary system. Relocate existing hot tub. Rebuild existing outdoor shower. Reroof & reside house. Add drywells for roof drsinage. Location of action: Trail, Southold, NY Lot ~8, Map of Nunakoma Waters Site acreage:. 1. 064 acre 46,360 sq. ft. Present land use: single family residence Present zoning classification: R-40 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: Carol Pufabl Co) Mailing address: 700 Teepee Trail, Southold, NY 11971 (c) Telephone number: Area Code (). 631-271-1767 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~ No ~;~ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [--] Yes [--] No [~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria Yes No ~] Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria Yes ~'] No [] Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes~ M 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; Pages 22 through 32 for evaluation criteria. Yes No Not Ap~able 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. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes ~ No [] Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~-~ Yes~ No [~ Not Applicable Attach additional sheets if necessary · · POLiCiE~I~ WORKING COAST Policy 10. Protect Southoid'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 Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes [~ No [~I Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~ Yes ~ No [~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Yes [] No [~ Not Applicable PREPARED BY Andrew J. Schmitz III TITLE Architect/agent 23 Green St, Suite 202, Huntington, NY 11743 DATE 9//8/08 September 10, 2008 Board of Town Trustees Town Hall 53095 Route 25 P. O. Box 1179 Southold, NY 11971 Re: Carol Pufahl residence 700 Teepee Trail Southold, NY 11971 SCTM//1000-087-02-025 Dear Trustees: Enclosed please find our application for an addition onto an existing residence. Included in this application are the following documents: 1. Check for $250 made out to the Town of Southold. 2. Board of Town Trustees application (3 copies). 3. Short Environmental Assessment Form (3 copies). 4. Applicant/agent Transactional Assessment Form (3 copies). 5. Preliminary construction drawings (3 copies). 6. Photographs of existing residence and site (3 copies). 7. LWRP Consistency Assessment Form (3 copies). 8. Property survey (3 copies). We have already filed our applications with the D.E.C. and the Suffolk County Department of Health Services and are awaiting permits. We anticipate starting construction once the permits are issued (Spring). The project is estimated to take 5 months. Once we have been notified of a hearing date, we will mail out the notices to adjacent property owners. Should you require additional documentation, please contact my office. Sincerely, ANDREW J. SCHMITZ III & ASSOCIATES AIA ~e~'~, AIA SURVEY OF LOT 8 MAP OF NUNNAKOMA WATEi~ FILE No, 5126 FILED JULY 9, 1968 SITUATE $OUTHOLD TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-87-02-25 SCALE 1"=20' DECEMBER 27, 2007 AREA = 46,560 sq. rs. (TO TIE LINE) 1.064 ac. CERTIFIED TO: ROBERT PUFAHL CAROL PUFAHL NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 EXISTING ELEVATIONS ARE SHOWN THUS:~o EXISTING CONTOUR LINES ARE SHOWN THUS: DATUM ~o~® \ \ \ \/ \ \ / / / / \\ \ \ 61× / / / N.Y.S Lic. No 50467 THE EXISTENCE OF RIGHTS OF WAY AND/OR E.~S£MENTS OF RECORD~ IF ANY, NOT SHOWN ARE NOT GUARANTEED. Nathan Taft Corw,n III Land Surveyor 10' 17' r-Ro CO/,ITROL DETAIL . 5 ERO CO/'ITROL DETAIL ~,~,,~-.,.~- APPROVED BY BOARD OF TRUSTEES TOWN OF,SOUTHOLD J'-I Garage roof 371.0a ~ fl. 95.18 cu. fi'. reefabed ~u_,~ou~,~.~l r~}'CC~L*~,~ ~ Z~ ~ x 4' ~ ~ LOT ~ ~~ , ~ ',~~/ X~-. ,~. ,. x.x ., -~.  ~' WO0~ x~ ' _ / , / LOT ~ , =~'~ 0 ~ ~ ~, LO ',,,, , a , ~ ',,, 2/ Toml 2 / I ,. . i _ ~ . ~ -~,.. ~~tC T~ 1200 ~0~ ~/~B ~ o . I 1 ~ . ,. A' , ~u ~ . [~)~=~ ~,,..,,_. A~' i I ,~ ~.,~ . 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