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Home My WebLink AboutTR-7109 M U I. H Y B U R N H A M ;& B U T T R I C K 6 April 2012 Ms. Elizabeth Cantrell Clerk, Board of Town Trustees Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold NY 11971 l w' . Re: Mary Burnham, Peninsula Road, Fishers Island Al APR rr 9 2012 Request 1 Year Extension to Building Permit SCTM# 10-3-4.1 Permit No. 7109 & 7109C _ "'r'r�'''" -n3 " Dear Ms. Elizabeth Cantrell, I am writing in regard to a residential addition located at Peninsula Road, Fishers Island NY 06390, SCTM# 10-3-4.1. The project, a two story house addition and stand-alone garage was approved and issued permits by the Board of Town Trustees on July 24`h 2009. Last year(2011), an additional 1-year extension was issued for both permits. Due to the upcoming expiration of the issued permits (no. 7109 and 7109C); I am requesting an extension of both permits for one more additional year. Please find enclosed a copy of the current permits and a check for one hundred dollars. Sincerely, Mary Burnham AIA Partner Murphy Burnham & Buttrick Email: mburnham@mbbarch.com Tel: 212.768.7676 x12 Murphy Burnham & Buttrick LLP 48 West 37th Street Telephone 212 768 7676 Architects New York, New York 10018 www.mbbarch com yrs'' M U R P H Y B U R N H A M & B U T T R 1 C K T R A N S M I T T A L To: Date: Town of Southoldt r� "j7 '�,,,1 _,- - 06 April 2012 Board of Town Trustees 54375 Route 25 Southold, NY 11917 APR - g 201 2 4 &t From: I _—. Via: Mary Burnham athl;a;?;,y« T Fedex - � Beam r„ �• s,Pos , Murphy Burnham & Buttrick Regarding: Burnham Residence —Board of Trustees Request for Extension to Building Permit #7109 & 7109C ,y Dear Ms. Elizabeth Cantrell, Please find enclosed: • Letter Requesting 1 Year Extension to Building Permit #7109 & 7109C • (1) Check for one hundred dollars made out to the Town of Southold • Copy of permit #7109 & 7109C Thank you, Mary Burnham M, jw// fy �Y V Murphy Burnham & Buttrick t Murphy Burnham& Buttrick LLP 48 West 37th Street Tel 212 768 7676 Architects New York, New York 10018 www.mbbarch com James F.King,President ��OF SOUjyo Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G S �O Telephone(631)765-1892 Michael J.Domino OCOUr►m Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 18, 2012 Ms. Mary Burnham Murphy Burnham & Buttrick 48 West 37th St. New York, NY 10018 RE: PENINSULA RD., FISHERS ISLAND SCTM#10-3-4.1 Dear Ms. Burnham: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., April 18, 2012: RESOLVED, that the Southold Town Board of Trustees grants the last One-Year Extension to Wetland Permit#7109 and Coastal Erosion Permit#7109C, as issued on June 24, 2009. This is not an approval from any other agency. Sincerely, f Jam F. King, Presid t Board of Trustees JFK:lms APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD SITE PLAN LEGEND: NEW CONSTRUCTION ~ EXiSTiNG CONSTRUCTION · . I ~EXIST 1 STORY RESIDENCE GRAVEL I i \ 1 ,,3~,,SITE: 1,o, PLAN - FISHERS ISLAND PENINSULA- LOTS #33,34,35 &36 ~ LINE JUN - 7 2011 Southhold Town Board of Trustees Peninsula House and Garage Fishers Island New Yor( 00390 48 West 37th S~reetr 14th Floor Ne,,, York New Yo'k 10018 __ Telephone 212 708 7076 Fax 212.840 9871 22 Decembe 2008 Board o! TrJstee Su3missior: AO01 Site Plan I I I EXIST DOCK , SITE PLAN LEGEND: NEW 8UILDING EXiSTiNG BUILDING NEW DECKING 1 HOUSE ADDITION - SITE PLAN I I I I / ADDITION, AND OVERFLOW % NcwZ8 W-¢,r,.rk 37tnN¢~,Str~et to'~ ]4thl0oiFIoor8 FROM MAIN HOUSE CISTERNS fe cuhone 212 /68 7070 Fax2 2840~871 / DR~ELL CALCU~TIONS: ROOF AR~ / 1415 SF (~ISTING SHED ROOF) + / 522 SF (ROOF OF ~O ANB ONE STORY ADDITION ) 1937 SF / REQ'D CAPACI~ 1937 SF X (~12) 323 CU FT NEW DECKING, ~P TO MATCH EXISTING ROOF GU~ER AND L~DER, TYP OF 2, TO ROUTE ROOF RUN OFF TO CiSTERN/DR~ELL o~o~,~,~,o~ ~o ~,TO~x,~ ~ TIC / ~~¢%~o~,o~ % '% ~,% % / ~ House Addron 1 GARAGE - SITE PLAN 3,32' 1 '-0' I I I I \ // i// I I I I COASTAL ~ROSlON HAZARD IINE DRYWELL CALCULATIONS: ROOF AREA 514 SF REQ'D CAPACITY 514 S F X (2/12) 85 7 D U FT I I NOTE THERE IS NO INTENTIbN TO INSTALL PLUMBING AND/OR KITCHE~ FACILITIES WITHIN THIS GARAGE STRUGTURE I I I I WOOD ENTRY RAMP -- NEW RAMPED GF~,AVE L DRIVE / RAINSPOUT WITH ~P~UT EXTENSION GRAVEL LANDSCAPING TO DIVERT RUN OFF I TODRYWELL L Peninsula House and Garage 48 Wes1371,~ St'eel, 14rh Roar New York New York 10018 Terephone 2 f 2 768 7676 212 8409871 www mbbo,ch cam A003 Garage Site PJan Peninsula House and Garage Fishers Island New Yo& 00390 Murphy Burnham & gutlrlck Arch teds 48 West 37:h Stre¢ 14'h Floo~ New Yo'k, Ne,,',, York 100' 8 __ Teephone 212 70~ 7076 Fax 2/2840 g87 ~1~ GARAGE FLOOR GRAVEL FLOOR ~J '~9 3' 1 ] · 1 6 HIGH RAINSPOUTWITH SPOUT EXTENSION "~'~'" J ACNODNTBI,~TUCEUNSR'~OiNP~I~NE~2NLY IN BOARD GARAGE SOUTH ELEVATION 1/4' = 1'0" G-A401 Garage Elevation Fishers Isand New York 06390 48 West 37th Street 14th Floo~ New York, N!ev,, York 100 ~ 8 __ Telephone 212 708 7676 Fax212 840 9871 www mbbarch ,'om BOARD AND BATTEN RAINSCREEN SLIDING BARN DOOR RAMP U P TO ENTRY 'i STONE STEP GRAVEL SURFACED AREA UNDER GARAGE 1 GARAGE NORTH ELEVATION 1/4' = 1'0" T.O WALL 29' 4 1/2" GARAGE FLOOR G-A402 Garage Elevation 48 West 37:h Street 14th NevYok New York 10018 Telepkone 212 768 7676 Fax 212 8409871 ,¢ww mbbarch corn ~ T.O WALL ~r/ 29 - 4 1/2" GARAGE FLOOR GRAVEL FLOOR 5' SHEET METAL SPOUT EXTENTION BOARD AND BATI EN RAINSCREEN SLUCENT GLASS ROLL AWAY GARAGE DOOR RAINSCREEN 3ARAGE ENTRY 1 GARAGE EAST ELEVATION 1/4" = 1' 0 G-A403 - Garage Elevation Peninsula House and Garage F shers Island New York 063Q0 Murphy Burnham & Buttrick Architects 48 Wes 37hS ee 14'h:loor New Yo'k, New Yark 10018 __ Teephone 212768 7076 kax 212 840 9871 www mbbarch cam ~ TO WALL ~2 29 4 1/2" GARAGE FLOOR GRAVEL FLOOR 5" SHEET METAL SPOUT EXTENTION BOARD AND BATTEN RAINSCREEN FIXED SCREEN WITH GLASS ROLL AWAY GARAGE DOOR BEHIND D DOORS 1 GARAGE WEST ELEVATION 1/4"= I'0' G-A404 Garage Elevation Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen 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 June 22,2011 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Mary Burnham, AIA Murphy Burnham & Buttrick LLP 48 West 3fh Street New York, NY 10018 RE: MARY BURNHAM PENINSULA ROAD, FISHERS ISLAND SCTM# 10-3-4.1 Dear Ms. Burnham: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 22, 2011: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #7109 and Coastal Erosion Permit #7109C to increase the size of the proposed two-story addition from 425 square feet to 522 square feet; increase the size of the stand-alone garage from 436.4 square feet to 514 square feet; and increase the size of the deck from 241.8 square feet to 518 square feet; and the outdoor deck/wooden ramp at the garage to be 118.5 square feet, and as depicted on the revised site plan prepared by Murphy Burnham & Buttrick Architects, last dated May 31, 2011, and stamped approved on June 22, 2011. 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, Jill ~. Doherty ~,/ Pre§ident, Board of Trustees JMD:eac Jill M. Dohe~y, President Bob Ghosio, Jr, Vice-President James F. King Dave Bergen John Bredemeyer PO Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: MARY BURNHAM requests an Administrative Amendments to Wetland Permit #7109 and Coastal Erosion Permit #7109C to increase the size of the proposed two-story addition from 425 sf. to 522 sf.; increase the size of the stand-alone garage from 436.4 sf. to 514 sf.; and increase the size of the deck from 241.8 sf. to 518 sf.; and the outdoor deck/wooden ramp at the garage to be 118.5. Located: Peninsula Rd., Fishers Island. SCTM#10-3-4.1 ~wf area to be impacted: ater 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: __ Wetland __Administrative__Emergency Coastal Erosion Pre-Submission __ __Amendment Violation Info ne,eded :..~. Modifications: Conditions: Pre~nt Were' J~'¢'~ D/~oDo he rty U/'/B G ho sio L~,/3/. K'~i. King "~/Y~'~'. Breder~e~r' D. D~ent~owski other -- Form filled out in the ~l~by Mailed/Faxed to: Date: .~"D~ e rge n, Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen 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 May 18, 2011 Mary Burnham AIA Murphy Burnham & Buttrick 48 West 37th St. New York, NY 10018 RE: MARY BURNHAM PENINSULA RD., FISHERS ISLAND SCTM#10-3-4.1 Dear Ms. Burnham: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., May 18, 2011: RESOLVED, that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit #7109 and CoaStal Erosion Permit #7109C, as issued on June 24, 2009. This is not an approval from any other agency. Sincerely, Jill I~1'~/Doherty ~/ Presrdent, Board of Trustees JMD:lms M U R P H Y R N H A M & B U IT R I C K 31 May 2011 Ms. Elizabeth Cantrell Clerk, Board of Town Trustees Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold NY 11971 Mary Burnham, Peninsula Road, Fishers Island Request for use of revised drawings for June 22"~t hearing SCTM# 10-3-4.1 Permit No. 7109 & 7109C JUN - 7 2_011 Southhold lown Board of Trustees Dear Ms. Elizabeth Cantrell, I have a scheduled amendment hearing for June 22''~ in regard to a residential addition located at Peninsula Road, Fishers Island NY 06390, SCTM# 10-3-4.1. I previously submitted drawings for the amendment on April 27'~ 2011. Since then, I have made minor changes to those drawings and am submitting a revised set of plans to be used for the amendment hearing for June 22''a, please supersede the previous drawings with the attached revised signed and sealed plans. Please note the following changes from the set of plans submitted on April 27® 2011. The two story house addition and stand-alone garage remain in the same configuration. The outdoor deck footprint at the house increases, and the garage deck/ramp has been reduced. There are no increases to the footprints of the house addition or garage. The garage elevations have been revised to show a new top of wall height. The two story house addition remains at 522 square feet. The outdoor deck for the house increases to 518 square feet. The stand-alone garage remains at 514 square feet. The outdoor deck/wooden ramp ar the garage is 118.5 square feet. Overall the lot coverage remains well below the required limit of 20%; the area covered is 16.5% and includes the buildings and outdoor decking for the house and garage. Please feel free to contact me if any other information is required. Sincerely, Mary Burnham AIA Partner Murphy Burnham & Buttrick Email: mbu rnham Cc~ m bbarch.com Tel: 212.768.7676 x12 Murphy Burnharn& Bultrick LLP 48 West 37~h Street Telephone 212 768 7676 Archilecls New York, New York 10018 vvww.mbbarch corn M U R P H Y B U R N H A M & B U T T R I C K T RAN SM ITT A To; Town of Southold Board of Town Trustees 54375 Route 25 Southold, NY 11917 Mary Burnham Murphy Burnham & Buttrick S0utbheld lown Board of Trustees Date: 31 May 2011 Via: Fedex Regarding: Burnham R'esidence Board of Trustees Request for use of revised drawings for June 22~ amendment hearing (permit #7109 & 7109C) Dear Ms. Elizabeth Cantrell, Please find enclosed: · Letter requesting use of revised drawings for June 22''~ hearing (permit #7109 & 7109C) · (2) Revised signed and sealed sets of drawings for use at amendment hearing on June 22"'~ 2011 Thank you, Mary Burnham Murphy Burnham & Burrrick Murphy Burnham & Bultrick LLP 48 West 37th Street Tel 212 768 7670 Architects New York, New York 10018 www rnbbarch corn M U HY BURNHAM B U T T R I C K 26 April 2011 Ms. Elizabeth Cantrell Clerk, Board of Town Trustees Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold NY 1 I971 APR 2 8 2011 Re: Mary Burnham, Peninsula Road, Fishers Island Request 1 Year Extension to Building Permit SCTM# 10-3-4.1 Permit No. 7109 8: 7109C Dear Ms. Elizabeth Cantrell, I am writing in regard to a residential addition located at Peninsula Road, Fishers Island NY 06390, SCTM# 10-3-4.1. The project, a two story house addition and stand-alone garage was approved and issued permits by the Board of Town Trustees on July 24"' 2009. Due to the upcoming expiration of the issued permits (no. 7109 and 7109C); I am requesting an extension of both for one additional year. Please find enclosed a copy of the current permits and a check for one hundred dollars. Sincerely, Mary Burnham AIA Partner Murphy Burnham & Buttrick Emaih mburnham@mbbarch.com Tel: 212.768.7676 x12 Murphy Burnham & Butlrick LLP 48 West 37Ih Slreet Telephone 212 768 7676 Architecfs New York, New York 10018 www mbbarch com M U R4 H Y B U R N H A M B U T T R I C K 26 April 2011 Ms. Elizabeth Cantrell Clerk, Board of Town Trustees Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold NY 11971 Re: Mary Burnham, Peninsula Road, Fishers Island Request Amendment to Approved Permit SCTM# 10-3-4.1 Permit No. 7109 & 7109C Dear Ms. Elizabeth Cantrell, I am writing in regard to a residential addition located at Peninsula Road, Fishers Island NY 06390, SCTM# 10-3-4.1. The Board of Town Trustees approved and issued a permit for my 2 story house addition and stand-alone garage on June 24'h 2009 (7109 and 7109C). Since then, I have made minor changes to the original plans and am submitting an amended set of plans for approval from the Board of Town Trustees. Please find enclosed two sets of the amended plans and a check for one hundred dollars. On the amended plans please note that the two story house addition and stand-alone garage remain in the same configuration, with a modest increase in the outdoor deck footprint, and minor increases to the footprints of the addition and garage. The two story addition increases from 425 to 522 square feet. The stand-alone garage increases from 436.4 to 514 square feet. The outdoor deck increases from 241.8 to 461.2 square feet. Overall the lot coverage remains well below the required limit of 20%; the area covered is 15.7% and includes the buildings and outdoor decking. Please feel free to contact me if any other information is required. Sincerely, Mary Burnham AIA Partner Murphy Burnham & Buttrick Email: mburnham@mbbarch.com Tel: 212.768.7676 x12 Murphy Burnharn& Buttrick LLP 48 West 37th Streel Telephone 212 768 7676 Architects New York, New York 10018 www mbbarch.com M U R P H Y B U R N H A M & B U T T R I C K TRANSMITTAL Town of Southold ~1 · ~ ~---- ~ } Board of Town Trustees 'Il :'i t~L 54375 Route 25 i ': APl:{ 2 8 20]] '/ Southold, NY 11917 From: $o~thhold ~o~ Via: Mary Burnham .... Boa< of ~rusle6s [ ................................Fedex Murphy Burnham & Buttrick Date: 27 April 2011 Regarding: Burnham Residence - Board of Trustees Request for Extension to Building Permit #7109 & 7109C Request Amendment to Approved Permit #7109 & 7109C Dear Ms. Elizabeth Cantrell, Please find enclosed: · Letter Requesting 1 Year Extension to Building Permit #7109 & 7109C · Letter Requesting Amendment to Approved Permit #7109 & 7109C · (2) Checks for one hundred dollars made out to the Town of Southold · (2) Sets of signed and sealed drawings for amendment · (2) Copies of drawings for approved permit #7109 & 7109C · Copy of permit #7109 & 7109C Thank you, Mary Burnham Murphy Burnham & Burtrick Murphy Burnham & Buttrick LLP 48 West 37th Street Tel 212 768 7676 Architects New York, New York 10018 www.mbbarch cam James F. I~Ang, President Jill M. Doher~y, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghos~o, 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 ¼ constructed f Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7109 DATE: JUNE 24~ 2009 ISSUED TO: PROPERTY ADDRESS: PENINSULA ROAD~ FISHERS iSLAND SCTM# 10-3-4.1 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 Trnstees adopted at the meeting held on Jane 24. 2009, and in consideration of application fee in the sum of $500.00 paid by Mary Burnham and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board offrrnstees authorizes and permits the following: Wetland Permit to construct a two-story addition to the existing dwellifig, new ' deck, and new one-story fully detached garage, with the conditions that no retaining walls are constructed on the garage, no plumbing or kitchen facilities installed into the garage, the installatiOn of gutters, leaders and drywells or French drains t0,cdhtain roof runoff and in accordance with Chapter 236 of the Town COde-Storm Watei~ RUnoff, and as depicted on the site plan prepared by Engram, LLC last dated June 8, 2009, and received on June 11, 2009. · 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. TERMS AND CONDITIONS The Permittee Mary Burnham, residing at Peninsula Road, Fishers Island, 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 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 Pcrmittee 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. Tfihi~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 r~xluirc the removal and/or alterations in the location of the work herein author/zed, 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 sa~d Board will be notified by the Permittee 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 H~lAnnex 54375M~nRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Permit #: 7109C Date: June 24, 2009 SCTM#: 10-3-4.1 Name of Applicant/Agent: MBB Architects Name of Permittee: Mary Burnham Address of Permittee: 48 West 37th Street, 14th Floor, New York, NY 10018 Property Located: Peninsula Road, Fishers Island, New York DESCRIPTION OF ACTIVITY: Coastal Erosion Permit to construct a two-story addition to the existing dwelling, new deck, and new one-story fully detached garage with the conditions of no retaining walls on the garage, no plumbing or kitchen facilities will be permitted in the garage, the installation of gutters, leaders to drywells or French drains to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff. The Coastal Erosion Management Permit allows for the operations as indicated on the survey prepared by Engram, LLC, last dated June 8, 2009, and received on June 11, 2009. Permit to construct and complete project will expire two years from the date the permit is signed. INSPECTION: Final Inspection SPECIAL CONDITIONS: (apply if marked) N/A Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. N/A A relocation agreement is attached hereto and is a necessary special condition of this permit. N/A A maintenance agreement is attached with application and is a necessary special condition of this permit. Board of Trustees James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 June 24,2009 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Ms. Mary Burnham MBB Architects 48 West 37th Street, 14th Floor New York, NY 10018 RE: MARY BURNHAM PENINSULA ROAD, FISHERS ISLAND SCTM# 10-3-4.1 Dear Ms. Burnham: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 24, 2009 regarding the above matter: WHEREAS, MBB Architects on behalf of MARY BURNHAM applied to the Southold Town Trustees for a permit under the previsions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated December 26, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 & 4.1 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: no retaining walls constructed onto the new garage, no plumbing or kitchen facilities installed into the garage, the installation of gutters, leaders and drywells or French drains to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, and WHEREAS, a Public Headng was held by the Town Trustees with respect to said application on June 24, 2009, 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 and Chapter 111 of the Southold Town Code, WHEREAS, the Board has determined that the project as propose~ will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of MARY BURNHAM to construct a two-story addition to the existing dwelling, new deck, and new one-story fully detached garage, with the conditions that no retaining walls are constructed on the garage, no plumbing or kitchen facilities installed into the garage, the installation of gutters, leaders and drywells or French drains 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 Engram, LLC last dated June 8, 2009, and received on June 11, 2009. 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: $ 50.00 Very truly yours, 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 TO: Please be advised that your application:dated '-'~c~,,~__,~,~(~:~O~' has been reviewed by this Board at the regular meeting of and your application has been approved pending the ¢~mp(etion ~f 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) 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 2Z5 Of the Southold Town Code. The following fee must be paid within g0 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: $, ~-'~_.) O~ BY: James F. King, President Board of Trustees James F King, President Jill M, Dohe~'ty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio. Jr P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report MARY BURNHAM requests a Wetland Permit and Coastal Erosion Permit to construct a two-story addition to the existing dwelling, new deck, and new one-story fully detached garage. Located: Peninsula Rd., Fishers Island. SCTM#10-3-4.1 Type of area to be impacted: JSaltwater Wetland Freshwater Wetland Sound Distance of proposed work to edge of wetland O-//,.~&/~- ?o Part. of Town Code proposed work falls under: ~hapt.275 Chapt. 111 other Bay Type of Application: ~.~'Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: /ocdT[ .~ ,~P'-,' C Conditions: ~J.Doherty__P.Dickerson D. Bergen__ B.Ghosio, Present Were: __J.K~ng __ D. Dzenkowski __Mark Terry__other '~D,, TI Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review- 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., January 14, 2009, the following recommendation was made: MARY BURNHAM to construct a two-story addition to the existing dwelling, new deck, and new one-story fully detached garage. Located: Peninsula Rd., Fishers Island. SCTM#10-3-4.1 The CAC did not make an inspection, therefore no recommendation was made. TRANSMITTAL Andrea Steele Architect, LLC To Town of Southold Board of Trustees 54375 Route 25 Southold, NY 11917 631.765.1892 Fro m Andrea Steele Andrea Steele Architect, LLC 198 Betsy Brown Road Rye Brook, NY 10573 914.939.1951 Date 6.9.09 Via FedEx Re Burnham Residence - Board of Trustees - Revised Drawings per 5.20.09 Trustees Meeting Lauren/Elizabeth, Please find the enclosed material required per the Board of Trustees Approval at the May 20th meeting. · (2) original Signed & Sealed Revised Drawings per the Trustees comments: o Eliminate the (2) retaining wails of garage. o Showgarage elevations. o Show installation of all new gutters/downspouts into dry wells for both garage and house. o Add a note that states that there is no intention to install plumbing and/or kitchen facilities within this garage structure, · (1) $50 check made payable to Town of Southold (Final Inspection fee) Please contact me if you have any questions or require additional information for the President's review this Friday. Thank you for all of you r guidance. Andrea Steele Cc: Mary Burnham 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 To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Scott A. Hilaw, LWRP Coordinator Date: March 24, 2009 Re: Chapter 268, WATERFRONT CONSISTENCY REVIEW Wetland Permit and Coastal Erosion Permit for MARY BURNHAM SCTM# 10-3-4.1 MBB Architects on behalf of MARY BURNHAM requests a Wetland Permit and Coastal Erosion Permit to construct a two-stow addition to the existing dwelling, new deck, and new one-stow fully detached garage. Located: Peninsula Rd., Fishers Island. SCTM# 10-3-4.1 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 INCONSISTENT with LWRP policy standards and therefore is INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. Comply with statutory and regulatory requirements of the SouthoM Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. § 275-3 Findings; purpose; jurisdiction; setbacks. D. Setbacks. The following minimum setbacks apply to any and all operations proposed on residential property within the jurisdiction of the Board of Trustees: (a) Wetland boundary. [1] Residenbe: l OO feet. The dist~ance._.~s fro_~_m the and bounda to the ro osed actio o-sto addition new dec and new one-story fully inimum setback distance of 100 feet from the wetland boundary is required pursuant to Chapter 275-3. Findings; purpose; ]urisdiction~ setbacks. Please require that the applicant amend the application to meet the above policy to the greatest extent practicable. 4.1 Minimize losses of human life and structures from flooding and erosion hazards. The following management measures to minimize losses of human life and structures from flooding and erosion hazards are suggested: A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. 1. Avoid development other than water-dependent uses in coastal hazard areas. Locate new development which is not water-dependent as far away from coastal hazard areas as practical. b. Avoid hazards by siting structures to maximize the distance from Coastal Erosion Hazard Areas. c. Provide sufficient lot depth to allow relocation of structures and maintenance of required setbacks over a period of thirty years. The proposed actions are not "water dependent uses". Therefore~ it is recommended that new development which is not water-dependent be located as far away from the CEHA area as practical to maximize the distance from the "hazard area"~ minimizing the potential of future structural loss. § 268-5. Review of actions. IL. In the event the LWRP Coordinator's recommendation is that the action is inconsistent with the LWRP, and the agency makes, a contrary determination of consistency, the agency shall elaborate in writing the basis for its disagreement with the recommendation and state the manner and extent to which the action is consistent with the L WRP policy standards. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. MURPHY BURNHAM & BUTTRICK lO April 2009 Southold Town Board of Trustees Town Hall Annex Building P.O. Box 1179 Southold, NY 11971 Re: Trustee Meeting Postponement Request SCTM #10-003-4.1 Dear Board of Trustees, I am unable to attend the Trustees meeting in Southold on April 22, and would like to request that our hearing be delayed until the May meeting. Thank you for your consideration. Sincerely, Mary Burnham Murphy Burnham & Buttrick Murphy Burnham & Buttrick LLP 48 West 37th Street Tel 212 768 7676 Architects New York, New York 10018 www. mbbarch.com Office Use Only wet astal Erosion Permit Application land Permit Application Administrative Permit R Amendmenffrransfer/Extansion eceived Application: /.~/,O.~/O~ eceived Fee:$~'~E~O ~ ~Completed Application_ __Incomplete __SEQRA Classification: Type I Type II Unlisted__ CoordInafion:(date se~t) ~'~CAC Referral Sent: I I ~(3~X ' · ~ate of Inspection: ~~1~ Receipt of CAC Report: ~ ~ - __Lead Agency Determination: Technical Review: --.-~blic Hearing Held:~_ __Resolution: Name of Applicant Address 4~ ~$T .3'3 -fin ~0~ NY I~o[~ Phone Number:( ) 2-1:2. -~,~. Suffolk County Tax Map Number: 1000- l0 -- 0d-~ - ~. ( Property Location: PE~ N i N~o I.~ g-o 0~p / "~ob~ ~ SoO'l~t or.D) GOOtdlvb 0~' (provide LILCO Pole #, distance to cross streets, and location) o¢3qo AGENT: (If applicable) Address: Phone: of Trustees Al~lication~ Land Area (in square feet): Area Zoning: g ~ O GENERAL DATA 2."1 ~ Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date ~/ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~ No Yes If yes, provide explanation: --- Project Description (use attachments if necessary): of Trustees Application~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity:_ I~'$ ~ 0 ~'1,~ T1 ~ 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? £1~-. (o (cubic yards) How much material will be filled? ! 0 l, ~' Manner in which material will be removed or deposited: (Ttrrr~ B~ct,~M~i, -~ /tO, '7 c..u~tc .(cubic yards) (i~v IMoO~ ~1~ ~ Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) of Trustees Application~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: g-¢-~ t 0 ~ fk D Area of wetlands on lot: square feet (cot~'T' tAt-rd) Percent coverage oflot: /0, .~ % Closest distance between nearest existing structure and upland edge of wetlands: { ~. feet Closest distance between nearest proposed structure and upland edge of wetlands: ~ feet Does the project involve excavation or filling? No k/ Yes lfyes, how much material will be excavated? Zl'Z,~ cubicyards ~god~t~ --' 110.'7 c~', How much material will be filled? [151. cI cubicyards (¥~o /~ocrl) ~'tt~ ~ A 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: 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): James F. Ifing, 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 POSTING being duly sworn, depose and say: That on the [ ~.~day of,,S~,4~,~00~ 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 hearing. Date of hearing noted thereon to be held [.{JOff. ~/t~ O, c~ [. ,~l~tg~. Dated: (sigmatu~e}' / ' Sworn to before me this PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Naiile: Address: USE ........ , g at ~11~ Imm~r~ · being duly sworn, d~oses and says that on the _~ ~ day of~~_, 20~[, 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 ~3/e4- 4'~/'-~',z~/t,~,'~, that said Notices were mailed to each of said persons by (certified) '(~e~istere~l) mail. Sworn to before me this Day of .~,~,~.~ ,200 Notary PubRc NO. 01S~14780~ L MAR BURNHAM 40 FIFTH AVENUE NYC NY 100 I I 9 January 2009 Board of Town Trustees Town of Southold Town Hall Annex 54375 Route 25 Po box 1179 Southold NY 11971-0959 Dear Trustees Please find enclosed the notarized forms certifying that the sign has been posted on our site and we have notified our neighbors (mail receipts attached), in anticipation of the hearing on Jammry 2 Sincerely, Mary Burnham SCTM 10-003-4.1 48 West 37'h Street New York, NY 10018 212 768 7676 x12 mbunham@mbbarch.com Board of Trustees Application County of Suffolk State of New York ~. /// /'-{,/] ~2/'~ t/,/'q ~ a/'~ BEING DULY SWORN DEPOSES AiqD 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. 1N COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES 1N CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS .~ :~t.S. DAY OF ~"~;~--- ,20 O~ of Trustees Applicatio~ 1, residing at / (print owner of property) (~ifing address) do h~horize_ (Agent) // to apply for permit(s) from the Southold Board of Topees on my behalf. gnature) PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR 3~PROJECT LOCATION: I 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME couay ~ I,'FF: 0 4. PRECISE LOCATION: ~ Addess and Road Intersections. Pl~minent landmarks otc - ~ provide mad SEQR 5. IS PROPOSED ACTION: 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: CALL.- ~JOle. J~ O/~L¥ (-~/)i'Z~'-~ ~ IIo~, Z Se. ~ ~ ~~ I~ ~ J,O ~s UlUma~ ~ }, O a~s 8.~L~D ACTION COMFY ~TH ~1~1~ ZONING OR O~ RE~I~IONS? ~Yes ~ ~ ~ ~,~e~: ~AT IS PRESENT ~D USE IN VIClNI~ OF PROJECT? (Ch~ ~ ~ as apply.) ~0. ~ES A~ION I~OLVE A ~MIT ~OV~, OR FUNOI~, ~W OR ULTI~Ly FROM ~ O~ER GO~ENTAL AG~Y (F~ml, ~ or L~I) 11. ~ES ~CT OF THE A~ION ~VE A ~ENTLY V~ID PE~ ~ ~PROV~? ~Yes ~ Il ~s, 11st agen~ na~ a~ ~ / appmvah jtj~;A ~Ui~LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CE~C~THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Si~lnatu~ ~/~~L ~ ~ If/t~e action Is a Costal Area, and you are a Stale agency, complete f~e Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed b~ Lead Affenc¥) A. DOES ACTION EXCEED .Jd~lY TYPE I THRESHOLD IN 6 NYCRR. pART 6~ ?.47 If YeS, conrcllnsta the review process and uue the FULL EAF. r-I - I-I.o B. WILL ACTION RECEIVE COORDINATED I~cVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR. PART 61 ?,67 If NO, a negative cactamtJon may be superseded by another Involved agency. r-i ~es [::] Ne c. COULD ACTION RESULT IN ANY ADVERSE EFFECT8 ASSOCIATED WITH THE FOU_OWlNG: (Answers may be handwritten, if le~) Cl. Existing air quelk'y, smtace or g~uendwatM quality or quon~, ndue levels, exJs~ng trafric paflem, scdid waste proclucl~co or disposal, p~entiel for erosion, clmibage or flooding prel)lems? Explakt bdMly: C4. A ,...,,,~,,~nay'a exl'm~g' p~an$ or gosls as ,..';',,.~.';y .d~,v~,=d, or. change in ose or intese.~y of use or"i~hd or'o~e~, setursl msourcos~ ~=.~i; briery: C5. Growth. subsequent de.eluv,,rent, or LnMated actM~s tike y lo be Ind~d by the i~roposed ac~? 'E.:xPlal~ bdefly: ....... C7. (~4her ~,t,yo,J~ {including ,.I,., ~ In use of ~ ~ ,~m~;;~y or type ot' eesrg~ Expla~ brtafl¥: / D. WILL THE PROJECT HAVE AR IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHIvlENT OF A CRITICAL E. IS THERE. OR 18 THERE LIKELY TO BE~ CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~ explain: PART Ill - Dr: g ~.~AINATION OF SIGNIFICANCE (To be c~tated by Agency} INSTRUCTIONS: For each adverse effect identified above, determine whether II is substantial, barge, important or olhe~wise significant. Each effect should be assessed in connection with Its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duralion; (d) irreversibility; (e) geographic scope; end (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient de~il to show that all relevant adveme impacts have been identified and adequately addressed. If question d of pert ii was checked yes, the determination of significaene must evaluate the potential impact of tbs proposed action on the environmental charactaHelica of the CEA. Check this box ff y~J have idon6fled one or more p(Aenllally leq;le or significant ach~rse impacts which MAY occur. Than proM~KI dim(ally to the FULL FAF end/or prepare a positS1 decibraf~n. Check thle box if you have del~mined, based on the infq~maifon end analysis above and any supporting documentation, that the proposed actor WILL NOT result in ;my signircant adverse environmental k~paofs AND provide, on atlachments es necessary, Ihs reasons suppo~ng thi~ Name of Lead Agency Date Print or Type Name of Responsible OI/losr in Lead Agency Title of Responsible OfiiCer Signature of Responsible Officer in Lead Agency Signature of Prspanar (if different from tespooslbie officer) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Etlfics prohibits conflicts of interest on the vast of town officers and employees. The purpose of this form is to pmvlde information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. 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", 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 o in which the town officer or employee owns more than 5 Vo of the shares. YES NO ~/~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position oftlmt 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 provide& The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __A) the owner of greater than 5% of the 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, panner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this ~-~CAday of_ l)r~-~'l~.tt~- 200 ~_ si~nat~ ~ /~U, Om, a,a~ Print Name tq kt~.~ I~ 0 a.M I¢i~Vl 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 Waterfi'ont Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWP, P policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Deparlment, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# !0 00~" - ~. i The Appfication has been submitted to (check appropriate response): Town.oard ? P,a. ning Oep,. [] .uilding Oept. [] .oard o, Trustees/ 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: TIl~ P rco,l ~ 61'- ~r00Fl-Io~I 4q-~' -qF VI~OHVlMMT-t" 2-Utl.~iF O~ kllS~ Location of action: -'vo~ ~ cF Site acreage: 4-/~ O. 3 Present land use: Present zoning classification: g. H o Ac ~ If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplieant: ~4~g-'( (b) Mailingeddress: 4~5 ~J~CT (c) Teiephone 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? 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 HI - 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 [3~ 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 L-~Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the q,mlity 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 Applicable Attach additional shec~s 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 environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. Sec 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. Sec LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [-~ Yes~ No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~Yes ~ No ~ Not Applicable At~ach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes F~ No ~-~Not Applicable At~ach 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 Created on 5/25/05 11:20 AM TRANSMITTAL ENGRAM, LLC To Town of Southold Board of Trustees 54375 Route 25 Southold, NY 3.1917 631.765.1892 From Andrea Steele Engram, LLC 198 Betsy Brown Road Rye Brook, NY 10573 914.939.1951 Date 12.24.08 Via FedEx Re Burnham Residence - Board of Trustees Applications Lauren/Elizabeth, Please find · (3) · (3) · (1) · (1) · (1) · (1) · (1) · (1) the following material enclosed for the Board of Trustees review and approval: original Signed & Sealed Site Plans original Signed & Sealed property surveys (CME) original & (2) copies of Board of Trustees Application original & (2) copies of Transactional Disclosure Form original & (2) copies of LWRP Consistency Assessment Form original & (2) copies of Short Environmental Assessment Form $250 check made payable to Town of Southold (Board of Trustees application fee) $250 check made payable to Town of Southold (Coastal Erosion application fee) As discussed, our intention is to be included on the next Trustee agenda (January/February). Please contact me if you have any questions or require additional information. Thank you for all of your guidance. Andrea Steele 914.939.1951 O O APPROVED BY BOARD OF TRUSTEES ~., TOWN OF SOUT, ~OLD DATE SITE PLAN LEGEND: RESIDENCE \ engram, IIc 198 Betsy Brown Road Ry~ Bro(;k, NY 10573 tel. 914.939.1951 Revtslor~s A001 1$1~T..~=P~L. AN - FISHERS ISLAND PENINSULA - LOTS #33,34,35 & 36 (~ SITE PLAN SITE PLAN LEGEND: NEW BUILDING EXISTING BUILDING NEW DECKING EXISTING DECKING EXIST. DOCK (NO WORK) 1 ADDITION- SITE PLAN i / /// / / -._ / / / / I / / I/ / / I I I I /iI I I I I / / / I I [ // / / I J [' i /~--"-... / ) / I / ~. / / ! / RAINWATER COLLECTION ~ / ~. / / DRYWELL FOR TWO STORY ~% ADDITION, AND OVERFLOW % ~ / \ / FROM MAIN HOUSE CISTERNS % DRYWELL x / N N N N X / EXIST. ONE STORY / / / / / / / / / / EXIST. DECKING, TYP, (NO WORK) .? DRTWELL CALCULATIONS: ROOF AREA = 1415 SF (EXISTING SHED ROOF) + 425 SF (ADDITION ROOF & BREEZEWAY) = 1840 SF REQ'D CAPACITY = 1840 SF x (2/12) = 306.7 CU FT ROOF SCUPPER AND LEADER, TYP. OF 2, TO ROUTE ROOF RUN-OFF TO CISTERN/DRYWELL ONE STORY BREEZEWAY RESIDENCE / / / F,F. ELEV,. 15-0' d~o~. / / -- NEW DECKING, TYP. / / NEW TRENCH DRAI~NX~/ EXiSTiNG\ ~ AT EXISTING DECK .~ SEPTIC \ ~ SURFACE BELOW ~. \ / ' \ x SYSTEM I 'x ROOF DRIP UNE, \ ~ \ / PLUMBEDTO \ ~ \ // RAINWATER CISTERNS \~ \ %'""' ,~ 10 % %'.= %` COASTAL EROSION HAZARD LINE engram, 198 Betsy Brown Road Rye Brook, NY 10573 tel. 914939,1951 /IA002 ~ ""'--- "'-- / IHOUSE ~ ""-- ""-/ IADDITION \~ ~.~ .-.... [SITE PLAN 44'-3" / ~ DRYWELL/~. \ / m ' ROOF RUN-OFF TO / ~ J DRYWELL / ~o.c, 't. I I DRYWELL CALCULATIONS: ] ROOF AREA = 436.4 SF REQ'D CAPACITY = 436.4 SF x (2/12) = 73 CU FT NOTE: THERE IS NO INTENTION TO INSTALL PLUMBING AND/OR KITCHEN FACILITIES WITHIN THIS GARAGE STRUCTURE J I "h 18 \ / \ / I WOOD ENTRY I RAMP 17 I \1 iA003 GARAGE SITE PLAN 1 GARAGE - SITE PLAN StDE WALL PARAPET 28' - 2-1/2" GARAGE FLOOR ~ 17' - 7 1/4" (~ OPEN AREA 9' - 3' BATFEN RAINSCREEN WINDOW, TYP. OF 6 ~AND SHEATHING TO CONTINUE 'OPENING" ONLY IN BOARD AND BATTEN RAINSCREEN RAMP UP TO ~ GARAGE ENT~ ~ 1,9,A,..~4~,G~E ELEVATION- SOUTH A220 GARAGE ELEVATION BOARD ANC BArrEN WOOD SIDING SLIDING DOOR UP TO ENTRY DOOR GRAVEL SURFACED OPEN.AREA UNDER GARAGE 1 Gs~5..A=,.G~E ELEVATION- NORTH SIDE WALL PARAPET '~ 28' - 2-1/2" ,-JI~GARAGEFLOOR 198 Betsy Brown Road R~ Brook, NY 10573 lei. 914.939.1951 A221 GARAGE ELEVATION i~ SIDE WALL PARAPET 28' - 2-1/2' ~,,~ GARAGE FLOOR 17' - 7 1/4' ~,~ OPEN AREA 9'-3' 1 GARAGE ELEVATION - EAST SCALE: 1/4' = 1'~' PANEL RAINSCREEN GLASS GARAGE DOOR GARAGE ENTRY SIDE WALL PARAPET '~' 28' - 2-1/2" GARAGE FLOOR '~ 17'- 7 1/4' OPEN AREA 2 ~G~5,,.A_-~E ELEVATION- WEST PANEL RAINSCREEN ~'-0' HIGH ALUM. & GLASS GARAGE DOOR TO CLOSE OFF AREA UNDER GARAGE A222 GARAGE ELEVATIONS ; LOCATION MAP SCALE 1"=400' ROCK SLOPE 2.) IT IS A VIO~TION OF THE STATE EDUCATION ~W FOR ANY PERSON, ~AR~ ~/ w/ ~1 xxx // / ~ UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ~ND SURV~OR, TO ~ ' . 6,) BASE FOR L~ELS: N~D lg2g, Z OF IRON PIPE~ ' ~' (~> ~- ,~ROUP ~O . O~TE ABUSING PROPE~ LINE DATE: 02/08/2008 S~RUCTU~ G~PHIC ~ IN FE~ SHEET: 1 OF 1