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HomeMy WebLinkAboutTR-6987Jill M. Doherty, President James F. King, Vice-President Dave 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 OFTOWNTRUSTEES TOWN OFSOUTHOLD CERTIFICATE OF COMPLIANCE # 0597C Date October 26, 2010 THIS CERTIFIES that the 20'X 28' addition to the existing dwelling; gutters, leaders and drgwells; and 5' non-turf buffer landward of the bulkhead At 3085 Bayshore Rd., Greenport Suffolk County Tax Map #53-6-6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 9/5/08 pursuant to which Trustees Wetland Permit #6987 dated 10/15/08 was issued and conforms to all of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is being issued is for a 20'X 28' addition to the existing dwelling; gutters, leaders and dr~wells; and a 5' non-turf buffer landward of the bulkhead. The certificate is issued to DANIEL & URSULA VAVAS owners of the aforesaid property. A t~h~rize~d ~i~atur~e LANGDON TITLE AC;ENC¥, LLC October 20, 2010 Southold Town Board of Trustees PO Box 1179 Southold, NY 11971 Re: Title Number Premises County Owner LTACTSY-1187 3085 Bayshore Road, Greenpo~ Suffolk Daniel Vavas, Ursula Vavas, James Vavas, & John Vavas To Whom It May Concern, In reference to the above, enclosed please find a certified copy of the Declaration of Covenants. Please contact this office with any questions or comments. Thank you. Very truly yours, Jonat~h~~ J~onat~ an Heimowitz, Esq. 232 Madison Ave. ' Suite 307 ' New York, NY 10016 ' T (212) 686-6650 ' F (646) 330-5061 www.langdontitle, com COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK CC #: C10-37235 I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on'10113120'10 under Liber D000'12640 and Page 08'1 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 101'1312010 ~ ~ - SUFFOLK coUNTy CLERK JUDITH A. PASCALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Number of Pages: 6 Receipt Number : 10-0119585 District: 1000 Recorded: At: lO/13/2OlO 01:18:51 PM Page/Filing COE TP-584 Cert. Copies Received the Following Fees For Above Instrument Exempt Exempt $30.00 NO Handling $20.00 NO $5.00 NO NYS SRCHG $15.00 NO $0.00 NO Notation $0.00 NO $0.00 NO RPT $30.00 NO Fees Paid $100.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County LIBER: D00012640 PAGE: 081 Section: Block: Lot: 053.00 06.00 006.000 EXAMINED AND CHARGED AS FOLLOWS .Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument 3 Page / Filing Fee Handling TP-584 5. 00 15. 00 Deed / Mortgage Ta~cording/ Filing Stamps FEES Notation LA-52 17 (County) EA-5217 (State) R.P~T.S.A. Comm. of Ed. Affidavit ~Certified Copy NYS Surcharge Sub Total Mortgage Amt. 1. Basic Tax 2. Additional Tax _ Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town _ Dual County _ Held for Appointment _. Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two Sub Total ~_t 3'~.2 family dwelling only. Other --' -- YES __ or NO GrandTotal /&7 '__ /~ [IfNO, see appropriate tax clause on ~ ~ /'-'- I page g ~ of t~s in~ent '- ~ J ~ommunity ~ese~ation Fnna Real Properl ~ Consideration Amount $ Agency ~ -- Tax Service Verification 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: CPF Tax Due $ Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY 11901 www. suffolkcountyny, gov/clerk Improved __ (SPECIFY TYPE OF INSTRUMENT) Vacant Land TD TD Information Suffolk Count Recordin & Endorsement This page forms part of the attached ~ made by: The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of '-~G~J-'~/3'& ( d In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. DECLARATION OF COVENANTS THIS DECLARATION made this 23=d day of September, 2010, by Daniel Vavas, Ursula Vavas, James Vavas and John Vavas, each residing at 3085 Bayshore Road, Greenport, New York 11944, hereinafter collectively referred to as "DECLARANT(S)": W I TN E S S E T H : WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located on 3085 Bayshore Road, Greenport, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 053.00, Block 06.00, Lots 006.000 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the Trustees ) pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 5-foot wide "non-turf buffer" adjacent to and landward of the bulkhead; NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows: 2) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained adjacent to and landward of the bulkhead a 5-foot wide "non-turf buffer" as defined by Chapter 275 of the Town Code; and These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) 23rd day of September, 2010. has/have duly executed this instrument this OWNER'S SIGNATURE OWNER'S SIGNATURE OWNER'I SIGNATURE STATE OF New York: SS: COUNTY OF Kings On the 23rd day of September, in the year 2010, before me the undersigned, a Notary Public in and for said State, personally appeared James Vavas, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s) on the instrument, the individual or the persons on behalf of which the individual(s) acted, executed the instrument. STATE OF New York: ss: COUNTY OF Kings ~uta~ Public, State of New Yerk No. 14 -- 4880731 Qualified in Kings County ~ss~on Exp. D~c. 16. 20~ On the 23rd day of September, in the year 2010, before me the undersigned, a Notary Public in and for said State, personally appeared John Vavas, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s} on the instrument, the individual or the persons on behalf of which the individual(s) acted, executed the instrument. / Notary Public No~'y Public, State of New No. 14 - 4880731 Qualified in Kin~s County~z; ~.~r-,-~sioa Exp. Dec. 16. 20~ STATE OF New York: ss: COUNTY OF Kings On the 23rd day of September, in the year 2010, before me the undersigned, a Notary Public in and for said State, personally appeared Daniel Vavas, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s) on the instrument, the individual or the persons on behalf of which the individual(s) acted, executed the instrument.. STATE OF New York: ss: COUNTY OF Kings On the 23rd day of September, in the year 2010, before me the undersigned, a Notary Public in and for said State, personally appeared Ursula Vavas, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s} is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s) on the instrument, the individual or the persons on behalf of which the individual(s) acted, executed the instrument. Notary Public J Not~ Public, State of N~ No. 14 -- 4880731 Qualified in Kin~ County/~ ~mmissioa Exp. Dec. 1~, 20 2003, ?itl~rak -) 2o£: SCHEDULE A 'lille NIm~ba c C1E.2~717(~ ..... ~ ...... ,,~.-,0~ m ~moaoque, lOW~ ~ ~oulJ~l, Sul[ol~ C~l~lly, New yolk "urveyed July 13. 192~. bY Olio Van TuyI, E~gi~ee~ and Smveym.. of Gfem~. New ymk ired fired in ~ Olfice of'the Ckak ol'Suf~ik CmmtyOcfobet 4, 1947, i3e~] Lot No. 54. being 50 feel front and 170 feelin L°b N°' 62 and 53 as se~e me designaled and q~ m,i a ce~ me~ enfilim:l, ,ldap ~ Pec~ Bay Eslatm', which e~d map was made bY CNIo W. van TI~, Engineer and Su~,eym. o~(3~l, New Ymk, and is or flied Tn the OITce d 9m Clink o~ Ihe County of SulT~ Slale of New y~. The ~egoing p~em' ,me~ q~ra m~ a cetl~n map enaled' Amended Map A of Pecmic Bay Eatalm., which said nmp was made i~ Ofi° W' Van TuYI. Engim~ ma:lSun,~ of Greenlx~, New ymk, and fibd ~n the Ol, l~e ol, lhe Cfed~ ~ ~ Co~. IY °f Suffolk, Slate e( New Y. mk, ~ F,~Y 19,1933 ~, Map No. 1124 bounded and dem:d0~, as folhws: 9EC'INNING at a poinl (m IIm Nmgmastedy aide o~ 9ay Shine Ro~d (~atan11160.64 feet i,,k~leffy ~ side of laland View Lane; RUNI4HG T}'~NC~ i~ng rite Hodlteasledy side M Bay ~ Road, Ninth 234~pees 5l minules 00 ~',d8 Wesl I~G00 feel Io ,, poml; THENCE Nmlb O ~ TO a point: THENCE SQuib Z3,.1~uds SI mm~ 00 saco~ds East 150.00 feet to,, pei~l; or/ prom m'p~ece o~ BEGINNING. .' lying and 13emg al Amhamoflm:iue, ~n Ihe Tram1 o~ Southokl, Courtly of .SufTolk and Slale of ~ y~, k~ Sche~de A,btcludes Page I o~ 2' 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 ½ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6987 DATE: OCTOBER 15, 2008 ISSUED TO: DANIEL & URSULA VAVAS PROPERTY ADDRESS: 3085 BAYSHORE ROAD, GREEENPORT SCTM# 53-6-6 AUTHORIZATION Pursuant to the provisions of Chapter 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, and in consideration of application fee in the sum of $250.00 paid by Daniel & Ursula Vavas and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trnstees authorizes and permits the following: Wetland Permit to construct a 20'x28' addition to existing dwelling, with the condition of a line of staked hay bales with silt fencing is installed prior to construction, a 5' non-turf buffer is installed landward of the bulkhead, the installation of gutters, leaders and drywelis to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, and as depicted on the site plan prepared by Fairweather-Brown Design Associates, Inc., last dated October 16, 2008, and received on November 5, 2008. IN WITNESS WHEREOF, 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. Jameo~J "~ng -'~ Ab sen t TERMS AND CONDITIONS The Pemaittee Daniel & Ursula Vavas, ro~idin~ at 3085 Bayshore Road, Greenport, New York 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 permit, and the said Pennittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said F=m,ittee 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 ind~efmitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents; and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 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 fight 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 Permittec will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Pennittee of the completion of the work authorized. That the Permittec 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 H~l 53095Route 25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 October 15, 2008 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Amy Martin Fairweather-Brown Design 205 Bay Avenue Greenport, NY 11944 RE: DANIEL & URSULA VAVAS 3085 BAYSHORE ROAD, GREENPORT SCTM# 53-6-6 Dear Ms. Martin: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 15, 2008 regarding the above matter: WHEREAS, Fairweather-Brown Design on behalf of DANIEL & URSULA VAVAS applied to the $outhold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated September 5, 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 DANIEL & URSULA VAVAS to construct a 20'x28' addition to existing dwelling, with the condition of a line of staked hay bales with silt fencing is installed prior to construction, a 5' non-turf buffer is installed landward of the bulkhead, the installation of gutters, leaders and drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, and as depicted on the site plan prepared by Fairweather-Brown Design Associates, Inc., last dated October 16, 2008, and received on November 5, 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 inspection. (See attached schedule.) Fees:$100.O0 Very truly yours, ~ rDe°..~h~r trYt ,~)~e e s JMD/eac New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790 - 3409 Phone: (631) 444-0365 · FAX: (631) 444-0360 Website: www.dec.state.ny.us LETTER OF NON-JURISDICTION TIDAL WETLANDS ACT Alexander B. Grannis Commissioner Ursula & Daniel Vavas 3085 Bayshore Rd. Greenport, NY 11944 October 2, 2008 Application #1-4738-03864/00001 3085 Bayshore Rd., Greenport Dear Mr. & Mrs. Vavas: Based on the information you have submitted, the Department of Environmental Conservation (DEC) has determined that the property landward of the 10' contour as shown on the architect's project plan preparead by Robert I. Brown, dated 9/03/08, is beyond Tidal Wetlands Act (Article 25) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or disturbance within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. This letter shall remain valid unless site conditions change. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. iincerely, / / LDaeU;uat~'pSeC°r~dministratoZ° / ~r' CAF cc: Fairweather-Brown Design 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 been reviewed by this Board at the regular meeting and your application has been approved pending the completion of the following items checked off below. ' ' F~c~ ~ Revised Plans for proposed p~uj~ut ~ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) ~ ~ Constructefl ($80.00) ~ Final Inspection Fee ($50.00) ~ Dock Fees ($2.00 per sq. ft.) P~rmit fees are now due. Please make check or money order payable to Town of SoutNold. The fee is computed b~low accordin~ to the scheSul~ of rates as sot fo~h in Chapter 275 of the Southold Town The MIIowin~ fee must be paid witNin 90 days or re-application fees will necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEESr TOTAL FEES DUE: BY: James F. King, President Board of Trustees Donald Wilder, Chairman 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: Moved by Jack McGreevy, seconded by Peter Young, it was RESOLVED to SUPPORT the Wetland Permit application of DANIEL & URSULA VAVAS request a Wetland Permit to construct a 20'X 28' addition to the existing dwelling. Located: 3085 Bayshore Rd., Greenport. SCTM#53-6-6 Inspected by: Jack McGreevy The CAC Supports the application with the condition of a 10' non-turf buffer behind the bulkhead and gutters and drywells are installed on the house and garage. Vote of Council: Ayes: All Motion Carried James F. King, Plesident Jill M. Dohe~y, 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 DANIEL & URSULA VAVAS request a Wetland Permit to construct a 20'X 28' addition to the existing dwelling. Located: 3085 Bayshore Rd., Greenport. SCTM#53-6-6 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: __Chapt.275 Chapt. 111 other Type of Application: ~/55/Wetland __Coastal Erosion __Amendment __Administrative__Emergency 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_~.Ghosio, Mailed/Faxed to: Date: Environmental Technician Review- STIR NG 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 I 179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 To: From: Date: Re: Jim King, President Town of Southold Board of Trustees iF -- Mark Terry, LWRP Coordinator ' 0 ~q~ Scott A. Hilary, LWRP Coordinator October 6, 2008 Chapter 268, WATERFRONT CONSISTENCY REVIEW Wetland Permit for DANIEL & URSULA VAVAS SCTM#53-6-6 DANIEL & URSULA VAVAS request a Wetland Permit to construct a 20'X 28' addition to the existing dwelling. Located: 3085 Bayshore Rd., Greenport. SCTM#53-6-6 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. Office Use Only ~Coastal Erosion Permit Application Wetland Permit Application Administrative Permit V~z ~endment/Trans fer/Extet~sion V~eceived Application: ~_.~_~_ J~_Received Fee:$.~%TO ~J ~.~lJompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted ~cCAordination:(date sent).4..~ C Referral Sent: ~] [c,u~ ~Date of Inspection: i Receipt of CAC Report: Lead Agency Determination: Teclmical Review: ~7'Public Heating Held: I 0 Resolution: Address Suffolk County Tax Map Number: 1000- 05-.3 Property Location: '~0 fl-- (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: of Trustees Applicatio~ GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: ,_qt rl Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ,V/ No__ Yes If yes, provide explanation: Project Description (use attachments if necessary): 2¥t-/or~vo-¢6~ ~,~ B~d of Trustees Applicatio~ WETLAND/TRUSTEE LANDS APPLICATION DATA / Purpose ofthe proposed opera, tions: '7-'o ,d5~///-,6 /? Area of wetlands on lot: /'B(~,.8 ~ square feet cubic yards cubic yards Jrde Percent coverage of lot: ~'/-~ % Closest distance between nearest existing structure and upland edge of wetlands: ~,JJ. 5' feet Closest distance between nearest proposed structure and upland edge of wetlands: 75 '11" 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: 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): of Trustees Applicati, COASTAL EROSION APPLICATION DATA Purposesofproposedactivity: /% o z, , dJ, 3, Are wetlands present within 100 feet of the proposed activity? No vt/ Yes Does the project involve excavation or filling? No / Yes If Yes, how much material will be excavated? How much material will be filled? t~ o n~-- Manner in which material will be removed or deposited: (cubic yards) .(cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) /! '~ 617.20 :PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION ( To be completed by Applicanl or Project Sponsor) I. APPLICANT/SPONSOR 12, PROJECT NAIVE "' 3,PROJEC'~. LOCATION: I 4. PRECISE LOCATION: Street Addess and Road Intersections. PrOminent landmass etc - or orovlde ma° 5: IS PROPOSED ACTION: r'-] New [T~Ex~anSlc~l r-=l Mod~,.a~xl I alteration I I I I SEQR DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED'. Initially .. ~, acres Ultimately acres 8. WILL,PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? r~ll.4Yes L.~ No If no, describe briefly: PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) L~Resl~entJ,l r-]Industrial I~lcommercla, r---IAgricultur. F'~Park/Fores([/OpenSpace r--] Other (describe) NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, ~ (Fedem!, State or Local) II/lYes r~No If yes, list agency name and permtl / approval: ~O U T-~/O).~ 7-~,~ '7~ u.~ T~-~ .~z~ ~ulz-b /~ g 11. DOES ANYWAY A.~ECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? I'--~YeS If yes. list agency name and permit / approval: iIi~..LA.S A T OF PROPOSED ACTION WILL EXISTING PERM[T/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant , Spenso~/N.~e~ X ~~ Dateyz~. ~ (Jif the action la a Costal Area, and you ara a stata agency, complete the Coastal Assessment Form before procasdlng with this assessment FAIRWEATHER-BROWN DESIGN ASSOCIATES, INC. 205 Bay Ave Greenport, N.Y. 11944 631-477-9752 (fax) 631-477-0973 10/9/08 To: Southold Town Trustees From: Amy Martin ? '~ ''?Tr': { ....... Re: Vavas Hearing Mailing Notification Enclosed please f'md the receipts for the certified mailings as required and completed on 10/7/08. The Postal Clerk had problems with the machine and hand printed 2 of the receipts. Office Manager/Permit Agent Fairweather-Brown Design Associates, Inc. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Total Postage & F.es $ $5.q9 10/07/2008 r~j~)2:~7 ....................................................................... 1 gat ~ D~ ~ [~:~:z;~'"'-~'"~q .............................................. ] luly swom, depose~ and ~ays that on the L... "F { ~ deponent mailed a tree copy of the Notice ~ ~ ~s~'t";~7~h m mc' oumu m '/~;~'~'X~'/,c~tion, directed to each of the above named persons at the ad~esses set opposite there respective names; that the addresses set opposite the n~es ofs~d persons ~e the address of said persons ~ shown on the cu~ent assessment ~1 of the To~f Southold; ~at said Notices were mailed at the United States Post Of~. ~fl~/ , that s~d Notices were mailed to each of said persons by ~~istere~mail. Sworn to before me this''~ Day of t~ ~7~e2~ 200 ~ot~eublic JOYCE A STEVENS NOTARY PUBLIC, ~TATE OF NEW YORK FAIRWEATHER-BROWN DESIGN ASSOCIATES, 1NC. 205 Bay Avenue Greenport, N.Y. 11944 631-477-9752 (fax) 631-477-0973 Date: 10/7/07 Adjoining lots to: Name: Ursula & Daniel Vavas Address: 3085 Bay Shore Road, Greenport SCTM: 1000-53-6-6 Mailed to: -53-6-5 -53-6-7 -53-6-40 -53-6-41 George & Ann Nelson 11 Riverside Drive NY, NY 10023 Edward P Jurzenia PO Box 285 Greenport NY 11944 John & Stacia Rempe 3070 Bay Shore Rd Greenport NY Ann Lorenzo 2920 Bay Shore Rd Greenport, NY 11944 Bay Shore Rd #2955 #3165 #3070 #2920 of Trustees Applicatio~ Cotmty of Suffolk State of New York 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. 1N 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. SWORN TO BEFORE ME THIS IIOTARY PUBLIC, STATE OF NEW YORi( James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ......... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POST1NG residing at ~,/6v O~'J~/t'- being duly sworn, depose and say: ~ That on the ~ day of ~ · , 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 prior to the date of the public heating. Date of hearing noted thereon to be held Dated: Sworn to before me this ]Sday of Ct~tt¢00 ~ N~y Pu ~lLY HEALY'~ Notary Public, State Of New York No, 01 HE5059270 Oualified In Suffolk Count~ ~3mm~ssion Expires July ~3,~0,~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the oart of toven officers and employees. The t)uroose of this form is to vrovide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same. /¥ /~ (Last name, first name, middle initial, unlo~s you are applying in the name of someone else or other entity, such as a company. If so, indica~: 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 fi-om plat or official map platmmg Other ~_ (If"Other", name the activity.) Do you pexsonally (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, ineinding a parmership, in which the town officer or employ~ has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5%~e 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 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 greeter than 5% of the shares 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 apphcant 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 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnlovees. The ouroose 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. (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 (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 corporation in which the town officer or employee owns more than 5% of the shares. YES NO E~ 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 applicatu/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% oftbe shares 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 1 Submitt ay Signature /I/l~f. xx~ 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" 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- suooortin~ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, jt 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# /~00 - ,~,~1 -j~ '~ g The Application has been submitted to (check appropriate response): Townl~oard [~ Planning Board F-] 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) Permit, approval, license, certification: 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: (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? 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 - Polices Pages 3 through 6 for evaluation criteria [~ Yes [] No l~'l 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 [] 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 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 the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~-~ Yes ~-~ No ~Not Applicable Attach additional sheets if necessary Policy 8. Minimize enviromnental 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. Ycs NoApplicab,e 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 Mtach additional sheets if necessary WORKING COAST 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 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[--~N0tApplicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies;P/ages 65 through 68 for evaluation criteria. ~ Yes [] No ll-;n/~ Not Applicable DATE ~////~/Od~ FAIRWEATHER-BROWN DESIGN ASSOCIATES, INC. 205 Bay Avenue Greenport, N.Y. 11944 477-9752 (fax) 477-0973 September 3, 2008 Town of Southold Board of Trustees Re: Vavas Residence 3085 Bayshore Rd, Greenport, NY SCTM#1000-53-6-6 To the Board of Trustees, Attached please find our application to add a room to the existing residence on Bayshore Road. It has been proposed to be more than 75 feet + from the long-existing bulkhead. The property record card shows the owners as Moyer selling to Kiefer in 1985 and Kiefer to Vavas in 1998 The proposed addition to the residence is to provide a small indoor pool to be used by Mr. Vavas for physical therapy to help with his recovery from a recent stroke. Thank you for your time and consideration of oar request. If you have any questions, please do not hesitate to call me. Sincerely, -Brown Design FAIR. WEAT H ER-BROWN DESIGN A550CIATES,INC. 205 DAY AVENUE GREEN?ORT, N.Y. I 1944 G3 I -477-g752 (Fax) G31-477-0973 VAVA~ I O/I G/2008 APPROVED BY ~AF~D OF TRUSTEES ~O\'VN OF SOUTnOL., ~ASED ON DU~V~ O~ LOTD 52, 53, ~ 5~ IN AMENDED MA~ "A" PECONIC DAY E~TATE~ ~I~ATE A~DHAMOMAQUE TOWN OF ~OUTHOLD DUFFOL~ COUNt, N.Y. FO~ DANIEL VAVA~ AND U~A~ VAVA~ FM~ II 24 DATE FILED MAY I D, I TM~ I ~U~VEYED JULY 2 I, 2QO~ A~EA = 2G,25~ ~F. OK OG02 AC~ED BY: DTANL~ J. IDA~EN,J~. ELEVATION~ DHOWN H~EON A~E IN I ~2~ NGVD. ~LOOD ZONE DATA ID F~OM MAP NUMDE~ 3G I Q3CQ I 5D G, DATED MAY 4, 51TE PLAN SCALE: I "= 20'-0" NOV - 5 2008 ~ard of Tnfstees z NGG°Og'OO"E EL.= 13.2 t I' CONC. MON 2-RAIL FENCE 50UTH O¢\~&O?ERTY LINE \ \ / / / / LOT 52 ASPHALT DRIVE W/TIMBER CUR. DING LOT 53 5G'-4" FRAME GARAGE 5G'-5" / / / / . / 49' G" / / / / / FLR EL. = I 3. r' / / / SGG°OD'OO"W WOOD STEP5 ~XISTING WOOD D~CK. W/RAILING5 EXISTING WOOD FRAME '19 RESIDENCE /f FLR EL. = I 3.73' 004/~ ~/Z,s I 75.00' / / J / : / ~ / / WOOD / STE?5 / / / c~ I C ~, ~ / I~ I .::r. ~ - / I ~ ,~, 175.00' OCT 1 6 2 [~_ 1.~,2 N 66'09'00"E ASPHALT ORIYE3flAY w/TIMBER CURDING 56.3t WOOD DECK W/RAILINGS LOT 51 0 FRAME GARAGE S 66'09'00"W WOOD FRAME RESIDENCE LOT 55 / 75.00' I.or ~ ~OT 54 WOODEN GROIN, /PILINGS ONEACHSIDE ARSHAMOMAQUE, SUFFOLK LOTS 52, 5,3, 54 AMENDED MAP 'A' PECONIC BAY ESTATESS TOWN OF SOUTHOLD COUNTY, N.Y. © © SURVEYED FOR: DANIEL VAVAS URSALA VAVAS DATE FILED MAY 19, ?933 TM# 1000-053-6-06 GUARANTEED TO: DANIEL VAVAS URSALA VAVAS ELEYATIONS SHOWN HEREON ARE IN 1929 NOVD. FLOOD ZONE DATA IS FROM MAP NUMBER 56103C0159 G, DATED MAY 4, 1998. SEP - 5 2008 Soothhold Town Board of Trustees SURVEYED: 21 JULY 2008 SCALE 1'= 20' AREA = 26,258 S.F. OR 0.602 ACRES SURVEYED BY STANLEY d. ISAXSEN, JR. P.O. BOX 294 NEW SL~FOLX. N.Y. 11956 /NY$ Lio. VNo. 49275 08R7691-1 GROUND FLOOR VAVA~ 0~5/13/200~5 FAI R,WEATIfl EI~- B R, OWN DESIGN ASDOCIATES,INC. 205 DAY AVENUE GREENF'ORT, N.Y. I I D44 1-477-~)752 (Fax) G3 I -477-0D73 N.EAST ELEVATION ~.WE~T ELEVATION SEP - § 2008 Southhold Board of Trustees N.WE6T ELEVATION ELEVATION