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Home My WebLink AboutTR-6969Jill 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 # 0594C Date October 15, 2010 THIS CERTIFIES that the one-story addition to the landward side of the existing dwelling, new windows, exterior doors and siding, removal of roofing and insulation boards to expose existing roof rafters, installation of new insulation panels and asphalt shingle roofing, removal and replacement in-kind of existing wood decking and railings and new deck and stairs At 3760 Ole Jule Lane, Mattituck Suffolk County Tax Map #122-4-24 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 8/21/08 pursuant to which Trustees Wetland Permit #6969 dated 9/17/08 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 one-story addition to the landward side of the existing dwelling, new windows, exterior doors and sidin~ removal of roofing and insulation boards to expose existing roof ratters, installation of new insulation panels and asphalt shingle roofing, removal and replacement in-kind of existing wood decking and railings and new deck and stairs. The certificate is issued to ARTHUR & MELISSA BEISEL owners of the aforesaid property. Jill 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 DATE OF/. INSPECTION: iCh. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction /roc°nstructed ject complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: 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 1 st day of construction Y2 constructed __ Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6969 DATE: SEPTEMBER 17~ 2008 ISSUED TO: ARTHUR & MELISSA BEISEL PROPERTY ADDRESS: 3760 OLE JULE LANE~ MATTITUCK SCTM#122-4-24 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 September 17~ 2008 in consideration of application fee in the sum of $250.00 paid by Arthur & subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a one-story addition to the landward side of the existing dwelling, complete interior renovations, new windows, exterior doors and siding, remove roofing and insulation boards to expose existing roof rafters, install new insulation panels and asphalt shingle roofing, remove and replace "in-kind" decking and railings, and install new deck and stairs, as depicted on the site plan prepared by Mark K. Schwartz, AIA dated August 19, 2008. 1N 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, Arthur & Melissa Beisel, residing at 3760 Ole Jule Lane, Mattituck, NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this 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 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 right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the 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 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 September 17, 2008 Mark K. Schwartz, AIA PO Box 933 Cutchogue, NY 11935 RE: ARTHUR & MELISSA BEISEL 3760 OLE JULE LANE, MATTITUCK SCTM#122-4-24 Dear Mr. Schwartz: The Board of Town Trustees took the following action during its regular meeting held on Wed., September 17, 2008 regarding the above matter: WHEREAS, Mark K. Schwartz, AIA on behalf of ARTHUR & MELISSA BEISEL applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southoid Town Code, the Wetland Ordinance of the Town of Southold, application dated August 21, 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, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 17, 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 approve the application of ARTHUR & MELISSA BEISEL to construct a one-story addition to the landward side of the existing dwelling, complete interior renovations, new windows, exterior doors and siding, remove roofing and insulation boards to expose existing roof rafters, install new insulation panels and asphalt shingle roofing, remove and replace "in-kind" existing wood decking and railings, and install new deck and stairs, as depicted on the site plan prepared by Mark K. Schwartz, AIA dated August 19, 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: $50.00 Very truly yours, President, Board of Trustees JFK/Ims 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: (~l'Lu.n ~'-~TI'~I,c~ ~L ~ Please be advised that your application dated ~j~l IO~ has been reviewed by this Board at the regular meeting of and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1s~ Day of Construction ($50.00) __ ½ Constructed ($50.00) /,~ Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. fi.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: James F. King, President Board of Trustees Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 10, 2008, the following recommendation was made: ARTHUR & MELISSA BEISEL to construct a one-story addition to the landward side of the existing dwelling, complete interior renovations, new windows, exterior doors and siding, remove roofing and insulation boards to expose existing roof rafters, install new insulation panels and asphalt shingle roofing, remove and replace "ink-kind" existing wood decking and railings, install new deck and stairs. Located: 3760 Ole Jule Lane, Mattituck. SCTM#122-4-24 The CAC did not make an inspection, therefore no recommendation was made. James F. King. President Jill M. Dohetty, Vice-President Peggy A Dicke~son Dave Bergen Bob Ghosio, Jr. P.O. Box 1179 Southold. NY 11971 Telephone (631) 765~ 1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ~ / ~-4~'' ARTHUR & MELISSA BEISEL request a Wetland Permit to construct a one- story addition to the landward side of the existing dwelling, complete interior renovations, new windows, exterior doors and siding, remove roofing and insulation boards to expose existing roof rafters, install new insulation panels and asphalt shingle roofing, remove and replace "ink- kind" existing wood decking and railings, install new deck and stairs. Located: 3760 Ole Jule Lane, Mattituck. SCTM#122-4-24 Type of area to be impacted: ~c~--S'~ltwater Wetland Freshwater Wetland Sound ~aay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Cha~ other po of Application: c/Wetland __Coastal Erosion __Administrative__Emergency Amendment Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: ~J.King Jb'~.Doherty P..Oickerson __ D. Dzenko---~ski ~ark Terry ~her % ~ Form filled out in the field by ~. Bergen~ B.Ghosio, Mailed/Faxed to: Date: Environmental Technician Review- OFFICE LOCATION: Town Hall Annex 54375 State Route 25 Main Rd. & Youngs Ave. Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 Jim King, President Town of Southold Board of Trustees From: Scott Hilary and Mark Terry, LWRP Coordinators Date: Re: September 11,2008 Chapter 268, WATERFRONT CONSISTENCY REVIEW Wetland Permit for ARTHUR & MELISSA BEISEL SCTM# 122-4-24 Mark K. Schwartz, AIA on behalf of ARTHUR & MELISSA BEISEL requests a Wetland Permit to construct a one-story addition to the landward side of the existing dwelling, complete interior renovations, new windows, exterior doors and siding, remove roofing and insulation boards to expose existing roof rafters, install new insulation panels and asphalt shingle roofing, remove and replace "ink-kind" existing wood decking and railings, install new deck and stairs. Located: 3760 Ole Jule Lane, Mattituck. SCTM# 122-4-24 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 me, it is my recommendation that the proposed actions are EXEMPT pursuant to § 268-3; provided that the deck is to he replaced in-kind. The following section addresses the proposed in-kind replacement of the deck. MINOR ACTIONS -- Include the following actions, which are not subject to review under this chapter: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) la, where structures may not be replaced, rehabilitated or reconstructed without a permit; The following section addresses the proposed one-story addition to the landward side of existing dwelling. MINOR ACTIONS -- Include the following actions, which are not subject to review under this chapter: BB. Additions to the landward side of an existing dwelling constituting less than 25% of the original structure, except in a Coastal Erosion Hazard Area; [Added 6-6-2006 by L.L. No. 7-2006] Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determin: regarding the consistency of the proposed action. BOARD OF TOWN TRUSTEES TOWN OF sOUTHOLD Office Use Only ~wOaStal Erosion Permit Application etland Permit Application Adminislrative P~mit AmcndmenVTran~ fer/Ext~nsion ~'~ece~-ved Application: ~ !~F~ ec:s ~.4~mpleted Application __Incomplete SEQRA Classification: Type I Type 11 Unlisted Coordin~ion:(date sen~0t____._~_ ~ of Inspection: __Receipt of CAC Report: ~Lead Agency Determination: Technical R~vicw: __Resolution: Name of Applicant Arthur and Melissa Beisel 20187 Add.ss 5858 williams Drive Warrentown. VA PhoneNumber:( ) 703-926-5994 Suffolk Coun~ Tax MapNumber: 1000- 122-04-24 ~opertyLocmion: 3760 Ole Jule Lane Mattituck, NY 1221.28' west of Kraus Road (provideLILCO Pole#,distancetocrossstreets, andlocation) AGENT: Mark K. Schwartz, AIA - Architect (Ifapplicable) Add.ss: PO Box 933 Cutchogue, NY 11935 Phone; 734-4185 OBoard of Trustees Applicat~O Land Area (in square feet):. Area Zoning: R 40 GENERAL DATA 16, 908.2 Previous use of property: Single family residential Intended use of property:_ same Prior permits/approvals for site improvements: Agency Date Southold Town Trustees March 2006 TR #6392 __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: ~oje~ De~ri~ion (u~ attachments if necessary):_ Construct a one story addition to the street side of house, complete interior alterations, new windows, exterior doors and siding, remove roofing and insulation boards to expose existing roof rafters, remove and replace "in-kind" existing wood decking and railings, install new deck stairs as shown in plans. ~d o~ ~ustoes ~li~atiO V¥'ETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe pmposcdopemt, ions: To expand the Livin9 areas, improve whole house energy efficlancy with new insulation, win~ows, exterior doors, siding and roofing. The addition is on the street side of the house and will remain a three bedroom residence. A drainage/dryweel system will be Area of wetlands on lot: 90 0 .square feet Percent coverage of lot: 5.3 Closest distance between nearest existing structure and upland edge of wetlands: 65 feet Closest distance between nearest proposed structure and upland edge of wetlands: same feet Docs the project involve excavation or filling? No X Yes If yes, how much material will be excavated? 10 cubic yards How much material will be filled? 10 cubic yards Depth of which material will be removed or deposited: 6 feet Proposed slope throughout the area of operations: 5 % +/- Manner in which material will be removed or deposited: smal 1 backhoe or comp_act excavator to be used on the street side only Statement of the effect, if any, on thc watlands and tidal waters oftbe town that may result by reason of such proposed operations (usc attachracnts if appropriate): The proposed construction will have a positive effect to the wetlands and tidal waters because the storm water runoff Board of Trustees Applica COASTAL EROSION APPLICATION DATA Purposes of proposed activity:. Additions and alterations to house, replace existing decking and railings, new stairs from deck to grade, new windows, exterior doors, sidinq and roofing Are wetlands present within 100 feet of the proposed activity? No X Yes Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? 10 (cubic yards) How much material will be filled.'? 10 (cubic yards) Manner in which material will be removed or deposited: small backhoe machine on street side only Describe the nature and extent of the environmental impacts reasonably anticipated resulting fi'om implementation of the project as proposed. (Use attachments if necessary) There will be no impact. The existing septic system will remain and new drywells for storm water runoff manaaement will be installed as Der Site Plan. The non-turf buffer will be constructed as approved by Trustees. 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNUSTED ACTIONS Only .PART I--PROJEUT INFORMA'IION 0'o be completed by Applicant or Pmje<:t sponso~ 1. AppII~..~/*SPONSOR j 2. PROJEGT NAME Mark K. Schwartz, AIA - Architect I Beisel House - Additions and Alts. mm~ Mattituck c~,~y Suffolk 4. PHEi~SE LOC~TION (Stmez ~ldm# ~d m4~ Int4f~.Uam. mm~dMm 18mlm~G, ~ m' ~ mi)) I. D~cFnBEFI~JECT~IEFLy: Construct a one story addition ~ the s~reet side, interior alterations, new windows, doors and siding, remove roofing/insulation, install new insulation panels and asphalt shingle roofing, remove and replace "in kind" existing wood decking and railings, install new deck stairs as shown on pl~,n~,. ~ 0,25 scm ummt~ 0-25 i~. e. ~ILL FflOPO~D .qG'TION ~OtdlK.y wmt EXISR/~ Z~IING Ol~ OTl~q EXlSIIItG L4HD U~ I~STIg~IC~ O~ 6TATE O~ I. OGUO? ~XIy,~ ONo It)m~,lk4agmm,A~dlmnnWNNxINM NYSDEC, Southold Town Trustees, Southold Building Dept 11. DQE~ ANY Ab~G*' OF 'IHE AOTION HAV~ A GURREN~Y VAJ. ID ~il~r OR A~.'F~AJ.7 Ollo I~)m~,l~tag~myMme~ncll~ NYSDEC and Town Tustees for new bulkhead and non-turf buffer area If the h'tloa is in thl Coastal Aria, and you am · state agency, complete the [ Coastal Assessmeflt Form before prooNding with thin assessment OVER SEQR County of Suffolk State of New York ~ard of Trustees Applicati~ ~Af/~ /~. ~~J/~ 7-~ BEING DULY SWORN 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 SA1D PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THELR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE icebox. SWORN TO BEFORE ME THIS /Ol~r'' DAYOF g~t.~,- ,20 ~"'l'Nbtary Public NO. o I~ U Qualified in Commission Ex~ i~es PROOF OF MAILING OF NOTICE ATTACH CERTI~'IED MAll, RECEIPTS Name: Address: ~ : Postage Certified Fee Return Receipt Fee ( orsement Required) Res ricted Delivery Fee Fl (Endorsement Required) Total Postage & Fees $2.20 ~.00 IS $6.07 ag duly sworn, deposes and says that on the __, deponent mailed a truc copy of the Notice mtion, directed to each of the above named · e respective names; that the addresses set he address of said persons as shown on the current Sent ro .> ~7 :~6~' ~' ~., .~... ~.~," I I; ~at ~id Notices were mail~ at ~e United S~tes Poa ~rPOBoxNo~/y~r'-~'~S'~°o"~ ' .......... 0,~'-": .................................................. co~c~ ~ ~ '-'/1 at ~~~M~ e~id ~mons by ................. Sworn to befo~ mc ~is Notary Public LAUREN M. STAttOi$~- oialy ~bllc, State of Ney0 No. 01ST6164008 Q~.alified n Suffolk County uomm~ssion Expires April 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 POSTING I, ~/~'{~ ffhf-~,~T'-t~residingat being duly sworn, depose and say: That on thef~"d_ay of ~/~ 200~, I p..ersonally posted the property known as by placing the Board of Trustees official poster where it Chh easily be s'een, ~nc~ that I have checked to be sure the poster has remained in place for eight d~ys prior to the date of the public hearing. Date of hearing noted thereon to be held /_l )off, _.,~O ]-7.'7 / .). c~O ~' ' (signa e)-/f ,S,,~om to before me this lq dayof~ 2009' ublic LAUR£N M STANDISH Public, ~te of New mm No, 01ST61~008 ~Jualifled in Suffolk **C~u. nty Commissior~ Exoims Apnl 9, Beisel 122-04-24 Ole Jule Lane, Mattituck 122-4-23 Mr. & Mrs. Robert Municer 114 Old Coach Road Basking Ridge, New Jersey 07920 122-4-25 Ms. Edwina Schaedel 3830 Ole Jule Lane Mattituck, New York 11952 122-4-27 Antonio P. Paladino 4160 Ole Jule Lane Mattituck, New York 11952 Mr. and Mrs. Arthur Beisel 3760 Ole Jule Lane Mattituck, New York 11952 540-349-1238 July 07, 2008 To Whom It May Concern: I, Arthur Beisel, authorize Mark Schwartz, AIA - Architect, to act as agent for permit applications to the Southold Town Board of Trustees, New York State Department of Environmental Conservation, and the Southold Building Department. The proposed residential additions/alterations construction project is located at 3760 Ole Jule Lane Mattituck, New York (SCTM# 1000-122-04-24). Arthur Beisel date: APPLiCANT/AGENTfREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM ~o dl~ode ~ibits c~_nflicts_o f inte~s~ on the Raft of tow~n offi~ · ~ ation whi~e town of ~ible conflic~ of ~ mst ~d ~low it to t~e whatever action ~s thisfo~ is~ ~ ' ' ' ~~~~ ~mate ~e omer (someone else or other entl~, such ~ a cOlll~m,y. ~on's or comply s n~ .) NAME OF APPLICATION: (Check all ~at apply.) Building Tax grievance Trustee Variance ~ Coastal Erosion Change of Zone ~ Mooring Approval of plat ~ Planning Exemption from plat or official map ~ Other (lf,,Other",nametheactivity.)· · ' n orchild)havearelati°nshipwithany°~cer°rempl°yee r~ .... nersonall¥ (or through your companY, s.pou? ,st, b~nf~Par~r]a~e or business ,nterest. 'Business ,nterest means a businesS, o~t~e T~)~0f South°ld? "RelaUonsh,p' mclunes oy o,oou, ,,,,~ ~, including a partnership, in which the town officer or employee has oven a partial ownership of (or employment by) a corporation in which the ~own officer or employee ownS more than 5% of the shares. NO __ ~ YES _ 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]repmsentafive) and the town officer or employee. Either check the apprOpriate line A) through D) and/or describe in tho space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): the owner of greater than 5% oftbe shares of the corporate stock o£the appfic~nt ~A) (when the applicant is a corporafion~;nterest in a non-corporate entity (when the B) the legal or beneficial owner of any ~ applicant is not a corporation); '--~e oftbe anplicant; or ~C) an officer, director, par~er, or employ* r ~D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Signature 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 Soothold Local Waterfront Revitalization Program. A proposed action will be evalu~-d as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). o If any question in S~tion C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, thc action should be analyzed in more detail and, if necessary, modified prior to making a det~mfinafion that it is consistent to O~ 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 Ihe following places: online at the Town of Southold's websile (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SfI'E AND PROPOSED ACTION SCT1VD~ 122 . 04 . 24 The Application has been submitted to (check appropriate response): TownBoard [] Planning Dept. [] 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: Build 1 story addition to street side of house, complete interior alterations, new windows, exterior doors and siding, remove roofing and insulation boards to expose existinq roof rafters, install new inulation panels and asphalt shingle roofing, remove and replace "in kind" existing plans ko~ationofaction: Ole Jule Lane, Mattituck Site acreage: 0.388 acres Present landuse: Residential, one family dwelling Present zoning classification: R- 40 if an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Mr. and. Mrs. Arthur Beisel ~) Mailingaddress: 5858 Williams Drive Warrentown, VA 20187 (c) Telephone number: Area Code ( ) 7 0 3 - 9 2 6 - 5 9 9 4 (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?. NYSDEC 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 The project entails a small addition on the road side, interior alterations, replacement of existinq decking and railing on a previously developed site ~ = ~=,,~l,, ~,~ community Policy ~ ~ ~ ~=~ ~ ~ = _~ t. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section IH - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No ~ Not Applicable The subject property does not contain nor does the project affect historic or archaeological resources; nor is the project located in a historic maritime area. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH - Policies Pages 6 through 7 for evaluation criteria [] Yes [] No ~ Not Applicable To the extent that this policy is applicable to the proposed project, visual quality and scenic resources will be protected at the site through the protection and maintenace of the 10' non-turf buffer area, buffering the Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. l%linimiTe loss of life, structures, and natural resources from flooding and erosion. See LWRP Section IH - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No ~ Not Applicable The project does not address nor affect erosion control structures or other erosion / floodin~ initiatives. Policy 4 is not applicable. Attach additional sheets ifnecessa~ 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 [] ~lo [] Not Aoolicable The proposea project ~ consistent via (2) major project components: 1- installation of a drainage system of drywells to control, manage, and and recharqe stormwater runoff: and 2- creation of a 10' non-turf area adjacent to the existing bulkhead buffering the developed portion of the site from tidal wetlands, which is to be preserved permanently but also protected from site disturbance durinq construction by a project-limitinq fence and staked haybales. 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 1H - Policies; Pages 22 through 32 for evaluation criteria. [] Yes [] No[] Not Applicable The project will be consistent with Policy 6 for the same reason described for Policy 5; because there will be no net loss of wetlands; and because the statutory and regulation requirements of both Town Trustees and NYS DEC will be compiled with. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. Sec LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [-~ Yes 1-~ No F-~ Not Applicable The project will neither affect nor have an impact on air quality in the Town of Southold. Policy 7 is not applicable to the project. Attach additional sheets if necessary Policy 8. MinimiTe environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [-~ Yes [] No ~ Not Applicable The project will neither create nor require the handling of solid waste or hazardous substances. Policy 8 is not applicable to the project. 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 IH - Policies; Pages 38 through 46 for evaluation criteriu. [] ,,,fi5 App,icuble AS the project area is limited to the upland portion of the property landward of the bulkhead, public access and recreational use of the adjacent coastal waters and public lands and resources will not be affected by the project. Policy 9 is not applicable to the project. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Santhold'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 The project neither proposes nor affects water-dependent uses. Policy 10 is not applicable tO the project. 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 The project neither proposes nor affects commercial or recreational fisheries or other uses associated with the livinq marine resources of T.nn~ T~l~ gnlln~ Dnl~y 11 ~ mst npplSmnhl~ tn th~ pwoj~nt 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 The project site is neither situated on nor adjacent to agriculture lands. Policy 12 is not applicable to this project. Attach additional shee{s if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section m- Policies; Pages 65 through 68 for evaluation criteria. [] Yes ~-~ No [] Not Applicable The project affects neither the use nor development of enerqy and mineral resources. Policy 13 is not applicable to the project. Created on 5/25/05 11:20 AM STRAW BALE DIKE DETAILS ~ ~dJ Id ~ STORHWATER MANAGEMENT REOUIREMENTS REEOHHENOED PRE-ASSEMBLED SILT FENCE SILT FENCE D~AILS SITE PHOTO: E SITE PHOTO: F SITE PHOTO: C SITE PHOTO: D SITE PHOTO: A SITE PHOTO: B SITE PHOTO: G LAWN OLE JULE LAN SITE PLAN LOT COVERAGE: PROPERTY: 15948 SQ. FT. BUILDING: 1955.4 SQ. FT. EXISTING DECK: 513.8 SQ. FT. COVERED PORCH: 35.0 SQ. FT. TOTAL: 2504.2 SQ. FT. LOT COVERAGE: 15.7 % SCALE: 1" = 20'-0' J[,%~TO'~'~A,. J MAP LEGEND APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE ~',~? /7 ~ e, SITE PREPERAT]ON, EXCAVATION MUST NOT BEGLN UNTIL THE LOCATIONS OF UNDERGROUND 'O~IRE5, CABLES AND PIPES HAVE BEEN MARKED OR UNTIL VERIFLCATiON FROM UTILITY REVISIONS: 89°0'1'10" £ 30.00' ×?4 X?~ % % x77 (71 59" 1.47' 1,221.28' TO KRAUS ROAD SURVEY OF PROPERTY SITUATED AT MATTITUCK TOLV,/N OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-04-24 SCALE 1"=20' MARCH 27, 2006 AREA = 16,908~20 sq. ft. NOTES: L ELEVATIONS ARE REFERENCED TO N.G V.D. 1929 DATUM EXISTING ELEVATION~ ARE SHOX.V.,'N THUS: EX]STING CONTOUR LINE~ ARE SHO'glJN THU~;: -P'/..P, ct 5-1 INf6 Nathan Taft Corwin III Land Surveyor 26-074