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Home My WebLink AboutTR-7118AJill 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 OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0524C Date February 8, 2010 THIS CERTIFIES that the enclosure of the existing screen porch and relocation of windows At 6565 Indian Neck Lane, Peconic Suffolk County Tax Map #86-6-25 Conforms to the application for a Trustees Permit heretofore filed in this office dated 5/13/09 pursuant to which Trustees Wetland Permit #7118A dated 6/24/09 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 the enclosure of the existing screen porch and relocation of windows. The certificate is issued to WALTER CHADWICK & MARK LOWENHEIN owners of the aforesaid property. t) A lthorized SignatureJ 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 ¼ constructed JProject complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town H~lAnnex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Permit No.: 7118A Date of Receipt of Application: May 13, 2009 Applicant: Walter Chadwick & Mark Lowenheim SCTM#: 86-6-25 Project Location: 6565 Indian Neck Lane, Peconic Date of Resolution/Issuance: June 24, 2009 Date of Expiration: June 24, 2011 Reviewed by: Trustee Peggy Dickerson Project Description: To enclose an existing screen pomh with relocated windows, without changing the roof or foundation, and no increase in footprint. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Samuels & Steelman, last dated Apdl 11, 2009, and received on May 13, 2009. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, President Board of Trustees JFK:eac James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ,N k Please be advised that your application-dated /')'~,J I.~, ¢242~ has been reviewed by this Board at the regular Meeting 6f ..~c,~-~ .2~., ~,~20~ and your application has been approved pending the eom Cation of the following items checked off below. Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) __ ~ Constructed ($50.00) : Y" Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE:$,.~'~)~ BY: James F. King, President Board of Trustees James F. King, President Jill M, Doherty. Vice-President Peggy A. Dicke~son Dave B~g~ Bob Ghosio, Jr. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report // Samuels & Steelman ~.rchitects on behalf of WALTER CHADWICK & MARK LOWENHEIM requests an Administrative Permit to enclose an existing screen porch with relocated windows, without changing the roof or foundation, and no increase in footprint. Located: 6565 Indian Neck Lane, Peconic. SCTM#86-6-25 ~wf area to be impacted: ater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Pc~haf Town Code proposed work falls under: pt.275 Chapt. 111 other Type of Application: ~tland __Coastal Erosion __Administrative__Emergency Pre-Submission __ ~Amendment Violation Info needed: Modifications: Present Were: __&King __J.Doherty __ . kerson __ __. D. Dzenkowski Scott Hilary__other D. Bergen__ B.Ghosio, Form filled out in the field by Mailed/Faxed to: Date: 086 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOVv~NOFSOUTHOLD Office Use Only Coastal Erosion Permit Application /~Wetland Permit Application Major Waiver/Amendment/Changes -~eceived Application:~ /Received Fee:$ ~D" ...-Completed Application ~. Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent)_ , CAC Referral Sent:' --~ate of Inspection: l,~lf'l Receipt of CAC Rep0~t: - Lead Agency Determination: __ Technical Review: ~Public Hearing Held: (t') (~ Resolution: Minor 13 AGENT: (If applicable) NameofApplicant ~k{a14[~,A~ Clk6U~W;(J~ ~ Phone Number:( ) Suffolk County Tax Map Number: 1000- ~O- (provide L~CO Pole ~, dist~ce to cross streets, and location~ Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: 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 suspe~ed by a governmental ~_ No Yes If yes, provide explanation: agency? Project Description (use attachments if necessary):r'._l~//i O~OoCea ~ I Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposeoftheproposedoperations~ ~[~ ~&i !l~0 ~i ~[~ Area ofwetlands on lot: ~,~10017/- square feet Percent coverage of lot: ~t~ % 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 Yes If yes, how much material will be excavated? ~]& cubic yards How much material will be filled? ~/~ cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: t~4(t~ ~G{~,~ 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Are wetlands present within 100 feet of the proposed activity? No V/ Yes Does the project involve excavation or filling? '~ No Yes If Yes, how much material will be excavated? /X]~ (cubic yards) How much material will be filled? [',]/k (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Board of Trustees Application County of Suffolk State of New York BEINOD YSWOKN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, 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 DAY OF U '~,Jotary Public [',!~;;ry public, State of New York No, 01 RI6042467 Qualified in Suffolk County Commission Expires May 30, ~ s~?.2~ SEC AppendJ× C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor)J(~ ~-'[J'a"J~n FRO, ECTLODAT,ON: 4 Pe " b 4. PRECISE LOCATION (Slreet acl~re$$ and roaD/intersections, prominenl lanPmarks, elc., or 0ro~(~e m~p] 5. IS PROPOSED ACTION: ~ New [] Expansion DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LANO AFFECTED: ]0. 0DEE ACTION INVOLVE A RERt'~IT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY STATE R LOCAL]'~ ~e$ L-J No If 'les, list agency(s) and permit/approvals DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 12. AS A RESULT OF/PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? If the action is in 'the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER ,OART II-- =NVIRO,"~ M ENT~. SSES.SM ENT ;To ~¢,~ ¢'~.~m~.e--',=* '~ Oy -.~'~ PART I[I--0ETE.RMINATiCN OF SIGNIFICANCE ITc be comoteted by Agency) INSTRUCTIONS; For each ~dverse eifec', identified aCove, determine whetr~er it is substantial, ~rge. ~mco~an[ or o[~er~ise si~nii E~ch ei~ec~ should be ~ssessed in connection wi~ ~ts (~) setting (i.~. urDan or rural); (b} probability of occ~g; (c~ duraKi( Check ibis box if you have identified one or ,more ooteodally large or Significant &cverse LETTER OF AUTHORIZATION Walter Chadwick Mark Lowenheim PO Box 123 6565 Indian Neck Lane Peconic, NY 11958 734-5067 12 January, 1999 We hereby authorize SAMUELS & STEELMAN ARCHITECTS to act as our agent in gbtaining all permits required hy TOWN, SUFFOLK COUNTY and NEW YORK STATE for the construction of the renovations to our residence on Indian Neck Lane, Peconic, NY, Owner ~PPL~ANT TRANSACTIONAL DI~CLOS~H~ FOR~ The Town o~ S~u~hold's Code of Ethics D~ohibits conflicts of interest on the par~ of town officers and employe_~s, The purpose of this form is to provide information ~h--~ can alert the town of possible conflicts of interest end allow it to take whatever action is necessary to avoid same. you a~e applying In the name of someon~ else or other entity, such ~s a company. I[ so, in4icate NATO~E OF APPLICATION~ (check ~ll the{' Variance Change of zone A~p~al of plat , Exemption from plat or official map pa[ent, ou child) huve a relutionahip interest" means a buaine.a~ including a pattnerahip~ In which 6he to~n officer or employee baa even a partial ownership o~ (or employment by) a uorp.oration in which ~ you anavered aYES,", complete the balance OE ~hlg ~o~m and date aud aigu vhere indicated. Name o: person empluyed by the To~n of 8outhuld Title or poaibiun og thab person Deecribe the relationship between yourself (the applicant) appropriate line A) through D) and/o~ describe in the apace p[ovided. The town of:leer or employee u~ his or he: apouae~ sibling, parent, or child ia (check all that apply)~ A) the owner cE greater than 5% of ~he shares o~ ~he corporate stock Of the applic~n~ (wheo the appliua.t is a corporation); B) the legal or b~nefiuial owner noncorporate'en~ity (when the applicant la not a C) an officer, director, part,er, or employee of the applicant i or __.D) She ~ua1 applicant. DESCRIPTION OF RELATIONSHIP 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 rninisterial 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, pohcies and explanations of each policy contained in the Town of Southold Local Waterfi'ont 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 supoortin~ and non sum~orfin~ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION The Application has been submitted to (check appropriate response): Town Board [] Planning Board [] Building Dept. [] Board of 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: Location of action: Site acreage: Present land use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (b) Mailing address: ~ (c) Telephone number: Area Code ( ) '734 ¢405 (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 ali 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. [~es [] No [-~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria Yes No ~ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria /Yes No [] Not App,icab,e Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~ Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~/Yes [] No ~-~ Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ~-~ Yes ~-~ No ~-~Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~//Yes ~ No ~ Not Applicable ARach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous n ection III Policies; Pages 34 through 38 for evaluation criteria. I PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~/Yes [] No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Poli~y 10. Protect Southold's eer-dependent uses and promote sit~! 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 ~-~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 DATE Amended on 8/1/05 S A M U E L S S T E E L M A May 13, 2009 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 & N RE: RENOVATION TO THE CHADWICK & LOWENHEIM RESIDENCE 6565 Indian Neck Lane Peconic, NY 11958 TAX MAP # 1000-86-6-25 Dear Sir/Madam: We are requesting an ADMINISTRATIVE PERMIT for the above reference project, which involves the replacement of screen panels with energy efficient windows in an existing screened porch. Roof and foundation are existing and will remain; the footprint will not be enlarged. A wall between the existing porch and interior room will be removed, enlarging that room. For your review we are submitting the following documents: 2. 3. 4. 5. 6. 7. 8. Application Short Environmental Assessment Form Application Affidavit LWRP Consistency Assessment Form (2) SITE PLANS prepared by Samuels & Steelman Architects Site Survey Letter of authorization from Owner Check for $50.00 Please call us with any questions or concerns. Sincerely, SAMUELS & STEELMAN ARCHITECTS Architect enc. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 11935 ~631) 734 6405 FAX (631/ 734 6407 N N/F CRUICKSHANK CHIMNEY 2' 127.9' 8.3'x2. o' 12Z8' ts.2' EL. 9.65 10Z3' 2hJ' 6J. 6' METAL SHED · UTILITY POLE -- PATIO 4 10 6 8 SET CM WETLANDS DELINIA TION SET 12 SURVEYED 7/28/98 SCALE I"=40' AREA= 111,952.47 SF OR 2.570 ACRES TM 1000-086-06-25 GUARANTEED TO MARK S. LOWENHEIM WAL'[ER Al. CHADWICK FIDELITY NATIONAL TITLE INS. CO. NORTH FORK BANK TOH~N OF SOUTHOLD SURVEY OF DESCRIBED PROPERTY SITUATE P£CONIC, TO WN OF SOU THOLD SUFFOLK COUNTY, N. K' SET CM SURVEYED FOR MARK S. LOWENHEIM AND WALTER H. CHADWICK Copies c~ f!:~ ~;: NO TE: 1. LOCATE WETLANDS DELINIA TION AS SET BY LAND USE CQ. 16 OCT. 98 2. ADD EL. 10 CONTOUR 27 QCT. 98 5. REVISE 1st. FL. ~ ADD CONTOURS Ol FEB. 4 ELEVATION BENCH DERIVED FROM E 526 (EL. 20.11B ) E J26 DESTROYED. ELEV. SOURCE FROM SUFFOLK COUNTY DEPT. OF PUBL/C WORKS WA TERWA YS D/V. WETLANDS DELINIA TION 1. S 78' 16' OJ" E 103. 16' 2. N 83' 12' 04" E J4.70' J. S 89' J6' 55" E 41.75' 4. S 40' 36' 25" E 56.25' 5. S 21' 10' 12" E 4J. J2' 6. S 00' J5' 56" E J9. JS' Z S 10' J2'24" W J8.76' 8. S 11' JT' 46" W 58.26' 9. S 74' Jg' 49" W J1.49' 10. $ 05' 44' 15" W 39.39' 11. S J1' J8' OJ" E 64.74' SURVEYED BY STANL;:Y J;, ISAKSEN, JR. P.O. BOX 294 "U NEW-) FFOLK. NY 11956 /'~?,CEN~58A~N~ S'~ NYS LF. NO. -4927J -- 98R722 -'-'--- ~ - lITE: 111,952.47 Iq. ft. ~ ~IL., FI~N.~.,~ aURVEYOR: Stanley J. Iseksen New Suffolk, NY 11958 License # LS 4~273 APPROVED BOARD OF TRU3TEE3 TOWN OF SOUTHOLD DATE 11958 o~ II OG LOCATION MAP Ak o.~,: 4" Sheet Title: SITE PLAN ~ININ~ ~OOM KITCHEN 5!,JNI~OOl',4 ~UEST ~OOh4 FIRST FLOOR PLAN SCALE: 114" [] 1' PROJECT NO: 0805 TCS )ATE: 5/13109 SCALE: 114" = 1' - 0" SHEET TITLE: FLOOR PLAN SHEET NO: