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Home My WebLink AboutTR-7010A 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 % constructed Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095Route 25 P.O. Box 1179 Southold, New York l1971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7010A Date of Receipt of Application: November 24, 2008 Applicant: Greg Karas SCTM#: 15-3-3 Project Location: 135 Soundview Road, Orient Date of Resolution/Issuance: December 10, 2008 Date of Expiration: December 10, 2010 Reviewed by: Bob Ghosio, Jr., Trustee Project Description: To construct a 142 square foot wood deck. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Metes & Bounds Surveying, last revised November 19, 2008, and received on November 24, 2008. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, PreSident Board of Trustees JFK:eac 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 Please be advised that your application dated /~)ot/e_,p~c2~f <~ has been reviewed by this Board at the regular meeting of '~,~,~/-/42~ c=,-?OO,~-' and your application has been approved pending the completion of tl~e 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) V~F/~ Constructed ($50.00) nal 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: $. ~-(-~ c'"~ BY: James F. King, President Board of Trustees James F. King, President Jill M. DoherW, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio~ Jr. P.O. Box 1179 Southold. NY 11971 Telephone ( 631 ) 765 - 1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Michael Macrina Architect, P.C. on behalf of GREG KARAS requests an Administrative Permit to construct a 142 sq.ft, wood deck. Located: 135 Soundview Rd., Orient. SCTM#15-3-3 Type of area to be impacted: / __Saltwater Wetland Freshwater Wetland~'Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chap~t.275 .Chapt. 111 other Ty~of Application: __ Wetland __Coastal Erosion __Amendment 'f Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Present Were: __&King __J.Doherty __P.Dickerson __ __ D. Dzenkowski Mark Terry__other Form filled out in the field by ~ Mailed/Faxed to: Date: D. Bergen t~.Ghosio, Environmental Technician Review- James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob ~nosic, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Applicatio.5,, ~Wetland Permit Application b,'" Administrative Permit AmendmenffTr and fer/Extension ~eceiv~d Application: ~eceived Fee:$ ,.C~mpleted Application __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordination: (date sent) ~"LWRP Consistency Assessment Form CAC Referral Sent: ~lgate of Inspection:~ Receipt of CAC Reportf Lead Agency Determination: Tectmical Review: ~ublic Hearing Held:~ Resolution: Name of Applicant ~ ~_.~.~1. Address ~ q Phone Number:( Suffolk County Tax Map Number: 1000- Property Location: (provide LILCO Pole #, distance to cross str[ets; and lodation) (If applicable) Address: Phone: ( ~b~ ~(~.- (~ ~'~"' bard of Trustees ApplicatiO GENERAL DATA Land Area (in square feet): Area Zoning: ~._ tq~ Previous use of property: Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. Yes ~No Prior permits/approvals for site improvements: {~v~Agellcy I D_~te __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended..C.by a governmental agency? ~ No Yes If yes, provide explanation: P?~ect Description (use attachments i f necessary) :. of Trustees Applica~ ~ WETLAND/TRUSTEE LANDS APPLICATION DATA PuTos¢ of the proposed operations: ~ &~d/~_~ /~ ~ fMcS.__ Area of wetlands on lot: 100 .square feet Percent coverage of lot: · q¢ % Closest distance bet~veen nearest existing~stmcture and upland edge of wetlands: I~'1 ,~'" feet (~>1 Closest distance between nearest proposed structure and upland edge of wetlands: !/_.~ ~-p feet (~ Does the project involve excavation or filling? No / Yes If yes, how much mateiial will be excavated? How much material will be filled? ' /~ Depth of ~vhich material ~vill be removed or deposited: Proposed slope throughout the area of operations: cubic yards cubic yards Q'~ feet Maturer in which material will be removed or deposited: Statement of the effect, if any, o_n the wetlands and tidal waters of the town that may result by r~son of such proposed operations (use attachments if appropriate): ~oard of Trustees Applica COASTAL EROSION APPLICATION DATA Purposes ofproposed activity: ~o ~/.I~. ~//h, ~fi~lL ~C'~lJ~l Are wetlands present within 100 feet of the proposed activity? No /Yes Does the project involve excavation or filling? No j Yes If Yes, how much material will be excavated? ~ (cubic yards) How much material will be filled? ~ (cubic yards) Mann,er in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting fryr~ implementation of the project as proposed. (Use attachments if necessary) PROJECT ID NUMBER PART I - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Ap )licant or Project Sponsor) PRECISE LOCATION: Street Addess and Road intersections, Prominent landmarks etc -or provide map SEQR 5 IS PROPOSED ACTION: [] New ~I'Expansion [] Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: AMOUNT OFolLAND AFFECTED: Initially ,,~)O ~ acres Ultimately acres 6. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? 'Yes []No If no, describe briefly: 99 ¥~HAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential E~lndustrial r~Commercial E~Agriculture []Park/Forest/Oper~Space ]Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY {Federal, State or Local) Yes 11,U~JES AN?-~NY~;UPEMI Oh IHE ACTION HAVE A CURRENTLY VAEID PERMIT OR %PP~O~AL? ...... ~Yes ~No If yes, list agency name and permit / approval: 12 AS A ~NLT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ~]Yes o '~ CE~ TH~NFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applica~sor Name ~ Signatu~_... / ~_~ ~/'~ ~ /~ If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL FAF, [] Yes [] NO WiLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Ct. Existing air qualify, surface or groundwater qualiiy or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, ~; threaiened or endang'eied Spe~ie'S'~ '~tain b;iefly. c4. A community's existing plans or goals as officially adopted, or a change in use or intensity et use et land or other natural resources? Explain briefly C5 Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly C6 Long term, short term, Cumul~ti~el 0~ othe~ e~fects noi identified in c1~c57' E~piain 5riefly: C7. Other impacts (including changes in use of either quantify or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL E iS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If '/es explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Foreachadverseeffectidentified above, determinewhetheritissubstantial, large, important or otherwisesignificanh Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duratioe; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that ali relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked y es,, t h e det ezmir:~ation ofsignifieaecemuct ev ..?.I uat ¢~epete~tiaki mpa ct cf thc prcpcscd c ct~o~'ct he eeviro ~maeta~characteristics of tPreGEA. C hack this box if you have identified one or more potentially large or significant adverse impacts which MAY occur, The n proceed directly to the F UD EAF and/or prepare a positive declaration. Check this boxer you have determined, based on the ~nformation and analysis above and any supporting documentation, that the proposed acfioi WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons suppoding thi determination. Name of Lead Agency Date Title of Responsible Officer Signature of Preparer (If different from responsible officer) Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Towh of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete tiffs CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail~ listing both supporting and non- suooorfiw, facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# I~"- ~ PROJECT NAME The Application has been submitted to (check appropriate response): TownBoard [] Pianning Board [--] Building Dept. [] BoardofTrustees/l~ 1. Category of Town of Southotd 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, certification: Nature and extent of action: ?(L.o~o_q~_) ~J?of)~ _ D~--.-~14~/<r-~2. Eff~'~ 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: (a) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code ( ) (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? ~ Nol~ If yes, which state or federal agency? Yes /- 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 Ill - Policies Pages 3 through 6 for evaluation criteria [-~ Yes [] No ~MNot Applicable At~ach 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 At~ach 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; Pages 22 through 32 for evaluation criteria. Yes No Not ) Attach additional sheets if necessary Policy 7. Protect and improve air quality in thc Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~--] Yes [] No ~fi~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southoid from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Yes [] No Not Applieable 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 ~fi~ Not Applicable / Attach additional sheets if necessary WORKING COAST POLICO 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 ~fi~Not Applicable / Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes [] No, Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~-~ Yes ~ No ~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 dCJ~ ~.~[~ [~c t~, TITLE AE1 ~r~ DATE Board of Trustees ApplicaPon County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEm AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION~?WI~sig~atureO~.~~~PLICATION Notary P'ublic To Whom It May Concern: I, c~"~-w~'~...;/-.z ~ .~,,~_~C~ , do hereby give my consent for Michael Macrina Architect, p.c, to act on my behalf for the purposes of submitting applications and obtaining permits for the home I own at o'Jv-ner ' s -si~nat u~e~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the part of town officers and employees. The out,ese of this form is to ~mvide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessarv to avoid same. ~ I ] [ (Last name, first name, Middle 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 (lf"Other", nan~e 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 corporation in which tile town officer or employee owns more than 5% ~:_shares. YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold 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 llne 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% oftbe shares 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, partner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted t~ .~0~_200 ~ Signaturec~. '! '"~11~-~ i Print Name ,l~ !~J...tx_f~ ~.- ? lF,~.4~ O&- 409 Lake Ave., Suite C, St. James, N.Y. 11780 [631) 686-6585, Fax: (631) 686-6786 MmacrJna@optonllne.net November 19, 2008 Board of Trustees 54375 Main Road Southold Town Annex Southold, NY 11971 Re-' Board of Town Trustees Application Karas Residence 135 Soundvicw Road Orient, N.Y. 11957 For whom it may concern, Please find enclosed an application for an administrative permit. If you have any questions and/or comments, please do not hesitate to call. ~/~Jha~ Macrina, AIA~-----~ ~ Kegistered Architect Member of the American Institute of Architects / United States Green Building Council LoNG ISLAND soUND 2 4 20C~ ~ Proposed Wood Deck -- (142 sq. ft,) TOP OF BLUFF HOUSE AFFROVED ?:? BOARD OF TRUSTEES TOWN OF $OUTHOLD DATE ~¢ /~ ~ Plot Plan 1" ---- 40' THIS IS AN ARCHITEC'ILJRAL SI~E PLAN BASED ON INFORMAl]ON FROM A SURVEY PREPARED BY: 'Metes & Bounds Surveying' Coram, N.Y. dated : August 12, 2008