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HomeMy WebLinkAboutTR-7165 Glenn Goldsmith, President ®V s®(/��® Town Hall Annex A. Nicholas Krupski,Vice President ,`® �® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples ® a® Fax(631) 765-6641 cOUNII,� ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 17, 2023 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: DAVID & ALLISON AFFINITO 1675 PINE NECK ROAD, SOUTHOLD SCTM# 1000-70-5-42 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 15, 2023: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#7165 from John Fischetti & Deborah Deaver to David & Allison Affinito, as issued on August 19, 2009. 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 contact our office at (631) 765-1892. Since.rely, e Glenn Goldsmith, President Board of Trustees Glenn�,4smith,President 0�� �`�G Town Hall Annex A.Nicholas Kpski,Vice President y� 54375 Route 25 0 Eric Sepenoski ,z P.O.Box 1179 Liz Gillooly �y • O!� Southold,NY 11971 Elizabeth Peeples l �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time:tj 13Completed infield by: 6)i7ALD} 4 Petp(es En-Consultants on behalf of DAVID & ALLISON AFFINITO requests a Transfer of Wetland Permit#7165 from John Fischetti & Deborah Deaver to David & Allison Affinito, as issued on August 19, 2009. Located: 1675 Pine Neck Road, Southold. SCTM#: 1000-70-5-42 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment ✓ Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: S�*+o►1al� rwR,rr� . Okav h tw,Cw o xvu►i-4- X11 hS Present Were: G. Goldsmith N. Kru,C�ski E. Sepenoski L. Gillooly 4/ E. Peeples �F� At EN-CONSULTANTS PERMIT TRANSFER REQUEST October 26„ 2023 Town of Southold Board of Trustees Post Office Box 1179 Southold,New York 11971 Attn.: Elizabeth Cantrell Re: Wetland Permit#7165 1675 Pine Neck Road, Southold SCTM#1000-70-5-42 Dear Board of Trustees: Please accept this letter as a request to transfer Permit#7165 from John Fischetti &Deborah Deaver to the current owners, David & Allison Affinito, whose address is 220 Congress Street, Apt. 6G, Brooklyn,NY 11201. An Application for Transfer of Permit, transfer fee of$100, and a copy of the deed are attached. Sin rely, Robert E. Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting 41, g� .. Town Hall Annex Glenn Goldsmith,President - �f A.Nicholas Krupski,Vice President �C �� y t; 54375 Route 25 �� P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly v S;Z Telephone (631) 765-1892 Elizabeth Peeples ^,� �-` Fax(631) 765-6641 HOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR A TRANSFER OF A WETLAND PERMIT and COASTAL EROSION MANAGEMENT PERMIT DATE October 26, 2023 OWNER David &Allison Affinito PHONE 646-717-2772 MAILING ADDRESS 220 Congress Street, Apt. 6G, Brooklyn, NY 11201 9 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road, Southampton, NY 11968 PROPERTY LOCATION 1675 Pine Neck Road, Southold TAX MAP NO. 1000-70-5-42 I/We En-Consultants for David &Allison Affinito request a Transfer of Permit#7165 from John Fischetti & Deborah Deaver Signed By: Robert E. Herrmann, Coastal Management Specialist Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, David Affinito owners of the property identified as SCTM# 1000- in the town of, Southold York, hereby authorizes.___._.,._.___,...... En-Consultants to act as my agenI and handle all necessary work involved with the application process for permit(s) &om.the Southold Town Board of Trustees for this property. N/A Property Owner's Sleature Property Owner's Signature David Affinito SWORN TO BEFORE ME THIS DAY OF QC7d�&7�— 20 .2-3 ------...... NICOLE JEAN DOLIGALL --ft�T,�Notary Publi NOTARY PUBLIC,STATE OF NEW YORK Publi Registration No.0ID06303780 Qualified In Now York County Commission Expires May 19,2026 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Allison Affinito owners of the property identified as SCTM# 1000- 70-'`1' in the town cif' �Southold _ ,New York., hereby authorizes En-Consultants to act as my agent and handle all necessary work:involved with the application process for permit(s) fiom the Southold TolArn Board of Trustees for this property, .,-- N/A Property Owner's Si a e Property Owner's Signature Allison Affinito SWORN TO BEFORE ME'PHIS DAY OF 20 a 3 _ NICOLE JEAN DOUGALL NOTA J RY PUBLIC,STATE OF NEW YORK Notary Publ c - Registration No.01®06303780 Qualified in New York County Commission Expires May 19,2026 Board of Trustees Application AFFIDAVIT David Affinito DULY SWORN DEPOSES AND AFFIRMS THAI'HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED ITEREIN ARE TRUE TOTHE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND TI-Twi, ALI,WORK WILL BE DONE IN THE MANN ER SEET FORTH :IN-FI-11,13 J."iPPLICATION AND AS MAY BE APPROVED 13Y THE SOUT HOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD ANDTI-IE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERNTUT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHoRIZETHP TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, ]INCLUDING TFIE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MV PROPERTYTO INSPECT THE, PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTRE It AUTHORIZE THE BOARD OF TRUSTEES TO ENTER.ONT0 '1N1Y PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING TIE TERM OF THE PERMIT. ___...lG ___ N/A Signature of Pr rty Owner Signature of Property Owner David Affinito SWORNTOBEFORE ME THIS DAY OF 0 CT07-2,e7 . .20 -7-3 NICOLE JEAN DOUGALL NOTARY PUBLIC,STATE OF NEW YORK Registration No.OI D06303780 Notary Publid Qualffied in New York County Commission Expires M! 99,2126 j A Board of Trustees Appli-catLon AFFIDAVIT Allison Affinito BEING DULY SWORN DEPOSF,S AND AFFIR'181STRAT HE/SHE ISTffE APPLICANT FORTIIE ABON/E DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAJ'NED HEREIN AIU�iTRUE TO-THE REST OF HIS/.1=1IER KNOW'U' EDGE AND BEIAEF,A?',D TDA-r ALL WORK WILL BE DONE IN THE MANNER SET FORT14 11N THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF'I'RUSTEFS. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD ANF) TUE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DATNIAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, 1HEREBY AUTHORIZE 1-1-1.0 TRUSTEES,THEIR AGENT(S) OR RE,PRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO my PROPERTY -1.0 [INSPECT THE PRE,MISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FY URTHER AUTHORIZE THE BOARD O TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE, COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTA.1, EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERIVI OF THE PERMIT, mom/4A Signature o f-Frog 41) � 6 n — N/------ Signature of Property Owner Allison Affinito SWOIZjN'FO BEFORE ME THIS DAY OF' OC7Va, .20 "1--3 NICOLE JEAN DOUGALL M�� NOTARY PUBLIC,STATE OF NEW YORK Registraflon No.OID06303780 - Notary Publ c Qualffied in New York County - Commission Expires '_",�r May 19,2026 APPLICANT/AGENUREPRESENI'ATIVE TRANSACTIONAL DISCLOSURE FORM i ne Town of Sorithold's Code of Ethics prohibits conllicjs of interest on the part of town kers and cmnlovecs:The purpose jo This form is to provide Inforination which can alert the town of possible conflicts of interest and allow rl to take whatever action is neccssary to avoid same. YOUR NAME: Affinito,David (Last name,fust name,griddle 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally.-(or through your company,spouse,sibling,parent,or child)have a relationship with any oi3iser or employee of the Town of Southold? "Relationship"includes by blood,mtarriage,or business interest`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person - Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%o£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,partner,or employee of the applicant;or D}the actual applicant. DESCRIPTION OF RELATIONSHIP 2 3 Submitted this da of d h v" 20„ Signature Print Name affin to — Form TS i APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Sguthold's Code of Ethics prohibits conflicts of interest on the part of town ofticeis and employees:The purpose of mis faun is to provide information which an alert the town of possible ooptlrets of iotergt and allow ilto take whatever actionis necessary to avoid same. YOUR NAME- Affinito,Allison (Last name,first name,griddle 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"OtheC%name the activity.) Do you personally(or through your company,spouse,sibling;parent,or child)have a relationship with any otf'iscr or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interesL"Business interest"means a business; including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation. in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person _ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,of child is(check all that apply): A}the owner of greater than 5%of the shams of the.corporate stock of the applicant (when the applicant is a corporation); B)the legal or lteriAjcial owner of any interest in a non-corporate entity(when the applicant is not a corporation), C)an officer,director,.partner,or employee of the applicant;or D)the actunt applicant. DESCRIPTION OF RELA'T'IONSHIP Submitted this 7�day of_00.6�� 20 j Signature �� T Print Name;7�A fi to Form TS l APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME .• Herrmann, Robert E. (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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit X X Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 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,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 26th day of October 20 23 Signature Print Name Robert E. Herrmann 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 CERTIFICATE OF COMPLIANCE # 0544C Date May 21, 2010 THIS CERTIFIES that the single-family dwelling, front porch, 6' addition to existing deck, roof decks, addition to existing mud room, gutters, leaders and drywells At 1675 Pine Neck Rd., Southold Suffolk County Tax Map #70-5-42 Conforms to the application for a Trustees Permit heretofore filed in this office dated 7/23/09 pursuant to which Trustees Wetland Permit #7165 dated 8/19/09 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 a single-family dwelling, front porch, 6' addition to existing deck, roof decks, addition to existing mud room, gutters, leaders and drywells. The certificate is issued to JOHN FISCHETTI & DEBORAH DEAVER owners of the aforesaid property. HaU 20 10 09:13a Bertani Builders 6317653916 p,1 John Bert ni Builder Inc. 1380 Oakwood Drive Southold, N,Y. 11971 (631) 765-1594 FAX (631) 765-3916 May 20, 2010 John Fischetti, Permit # 7165 Ms. Jill Doherty, President Southold Town Trustees P.O. Box 1179 SoutY~d, NY 11971 We have removed the blac~ pipe for the John Fischetti Residence, 1675 Pine Neck Road, Southold, permit # 7165 as you requested. (Please note that them is another blacR pipe that is on the neighboring property- see the I:xoperty stake when making the inspection) Linda D. Beftani Vice Presida3t 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: Ch. 275 Ch. 111 INSPECTION SCHEDULE __ Pre-construction, hay bale line/silt boom/silt curtain __ 1st day of construction constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: OERTIFIOATE OF GOMPLIAN~~ James F. King, President Jill M. Doherty, 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 HOURSPRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ~ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK pERMIT NO. 7165 DATE: AUGUST 19, 2009 ISSUED TO: JOHN FISCHETTI & DEBORAH DEAVER PROPERTY ADDRESS: 1675 PINE NECK ROAD~ SOUTHOLD SCTM# 70-5-42 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 August 19, 2009, and in consideration of application fee in the sum of $250.00 paid by John Fischetti & Debgrah Deaver and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trnstees authorizes and permits the following: Wetland Permit to re-trim and shingle the existing dwelling; provide new front porch with roof; provide 6' addition to existing deck; new roof deck; and construct an addition to the existing mud room, with the condition of a line of staked hay bales with silt fencing is installed prior to construction, the drainage pipe is to be removed, the installation of gutters, leaders and drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, and as depicted on the site plan prepared by Samuels & Steelman Architects, last dated July 22, 2009, and received on July 23, 2009. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Conporate Seal ~o be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee John Fischetti & Deborah Deaver, residin~ at 1675 Pine Neck Road, Southold, 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 fi.om 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 wan'ant, 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 Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 August 19, 2009 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Mr. Tom Samuels Samuels & Steelman Architects 25235 Main Road Cutchogue, NY 11935 RE: JOHN FISCHETTI& DEBORAH DEAVER 1675PINENECK ROAD, SOUTHOLD SCTM#70-5M2 Dear Mr. Samuels: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 19, 2009 regarding the above matter: WHEREAS, Samuels & Steelman Architects on behalf of JOHN FISCHETTI & DEBORAH DEAVER applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated July 23, 2009, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 19, 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 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JOHN FISCHETTI & DEBORAH DEAVER to re-tdm and shingle the existing dwelling; provide new front porch with roof; provide 6' addition to existing deck; new roof deck; and construct an addition to the existing mud room, with the condition of a line of staked hay bales with silt fencing is installed prior to construction, the drainage pipe is to be removed, the installation of gutters, leaders and drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, and as depicted on the site plan prepared by Samuels & Steelman Architects, last dated July 22, 2009, and received on July 23, 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:$100.O0 Very truly yours, ja es~F.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: Please be advised that your application dated ,.T"~.~,I ~,~.~ ~,~oo~ has been reviewed by this Board at the regular meeting of ~=~~~ and your application has been approved pending the compl~ion of th~ 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) __ ¼ 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 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 Eckert, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 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., August 12, 2009, the following recommendation was made: Moved by Doug Hardy, seconded by Greta Schiller, it was RESOLVED to SUPPORT the Wetland Permit application of JOHN FlSCHETTI & DEBORAH DEAVER to re-trim and shingle the existing dwelling; provide new front porch with roof; provide 6' addition to existing deck; new roof deck; and construct an addition to the existing mud reom. Located: 1675 Pine Neck Rd., Southold. SCTM#70-5-42 Inspected by: Greta Schiller, Doug Hardy Vote of Council: Ayes: All Motion Carried James F. King. President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Samuels & Steelman Architects on behalf of JOHN FISCHETTI & DEBORAH DEAVER requests a Wetland Permit to re-trim and shingle the existing dwelling; provide new front porch with roof; provide 6' addition to existing deck; new roof deck; and construct an addition to the existing mud room. Located: 1675 Pine Neck Rd., Southold. SCTM#70-5-42 ~3altwf area to be impacted: ater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland L.~haf Town Code proposed work falls under: pt.275 Chapt. 111 other Type of Application: V/Wetland __Coastal Erosion __Administrative__Emergency Pre-Submission __ __Amendment Violation Info needed: Modifications: Conditions: ~ ~,~.A.~_~,, ,~,~',,,~¢~,~__¢- ,~ ~4~_.~ Present Were: ~t~.King ~.Doherty _(~.Dickerson ~'"~. Bergen__ B.Ghosio, D. Dzenkowski other Form filled out in the field by ~,4/' ~ Mailed/Faxed to: Date: OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING z~d)DRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-193S Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Jim King, President Town of Southold Board of Trus From: Mark Terry, Principal Planner LWRP Coordinator Date: August 13, 2009 Re: Proposed Wetland Permit for JOHN FISCHETTI & DEBORAH DEAVER SCTM#1000-70.-5-42 JOHN FISCHETTI & DEBORAH DEAVER request a Wetland Permit to re-trim and shingle the existing dwelling; provide new front porch with roof; provide 6' addition to existing deck; new roof deck; and construct an addition to the existing mud room. Located: 1675 Pine Neck Rd., Southold. SCTM#70-5-42 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 action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney 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 Office Use Only _..Coastal Erosion Pernfit Application ~/Wetland Permit Application __ Adminis~ative Permit Amendmen~]Trans fer/Extenston RC c ~ :v~d App licatio n :~ eceived Fce:$ ~__r~mnpleted Application ~ .~[ __incomplete ___SEQRA Classification: Type I Type 1! Unlisted LOordination:(date sent) WRP Consistency Assessment Fom~ ,-.~CAC Referral Sent:~_ ~'~ate of lnspection:~[ ~%'~0~. ~ Receipt of CAC Report: Lead Agency Determination: Technical Review: ~PPublic Hearing Resolution: Name of Applicant AO re s 50'4 ~ ~ iT. APl- t~ P, ~xl~,(o~, ~[_ ioo~- AGENT: (if applicable) Suflblk County Tax Map Number: Property Location: (~*{5 (provide LILCO Pole #, distance to cross streets, and location) ~ooo- 70- t3~5 Phone: B( of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions: Yes ¢ No If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend/ed by a governmental agency? ~/ No Yes If yes, provide explanation: ,~,~ Project Description (use attactm~ents if necessary): ?d of Trustees Applicatio0 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: TO ~QD ~16['{~J ~7 UNcov~gf~p ~ooD ~¢~ Area of wetlands on lot: ~.~6~+ square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: ~L~7, ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: dlLT, '7 feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? How much material will be filled? cubic yards cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: ~X~T]~ 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): :?lJo~Lp i'fAVF~ No lmt~tcT OAJ f,O~T(,AAIP~ A~ Oz~T~cTIoN 18 NoT ~N CO-CTL.AA)D~ ,_~. I~A. mF cfl uLLL,, F oTecrep PROJECT iD NUMBER PART 1 - PROJECT INFORMATION 61720 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) SEQR 1 APPLICANT / SPONSOR 3 PROJECT LOCATION: Mumcipalit, ~0O~ County 4 PRECISE LOCATION: Street Addess and Road Intersection~ Prominent landmarks etc ~ or provide map 6 DESCRIBE PROJECT BRIEFLY 7 AMOUNT OF LAND AFFECTED: ~nitially 0,?~ acres Ultimately O."Z-~ acres 8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yes [] No /f no, describe briefly: 9~T IS PRESENT LAND USE IN VICINITY OF PROJECT? {Chooseas many as apply.) sidential ~lndustrial ~Commerciai ~Agricult~re ~ Park / Forest / Open Space ~Other (describe) 10 DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY {Federal, State or Local) ~ 3~02 ~00r~O~ ~g,~. ~Yes ~ No If yes, list agency name and permit / approval: 11 DOES ANYqY ~[A PECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~Yes ~No If yes, tist agency name and permit / approval: 12 AS A R~ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ~es NO THE ~NFORMATtO P OViDED ,ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE If tho action i~ a Gostal Area, anO you are a state a~ency, complete tho Coastal ~ssossment Form beforo proceodin~ with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A DOES ACTION EXCEED ANY TYpE THRESHOLD NCNYCRR, PART61747 Ityes, coordinate the review process and use the FULL EAF WiLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS iN 6 NYCRR, PART 617 6? If No, a ilegative declaration may be superseded by another involved agency C COULD ACTION RESULT iN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING (Answers may be handwritten, if legible} C1 Existing air quality, surface or groundwa er qua y or quan y, noise levels, exisfing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2 Aesthetic, agricultural, archae01ogical, historic, or other natural or cuduraJ resources; or commun y or rleighborhood character? Explain briefly C3 Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly C4. A community's existing plans or goals as officially adopted, or a change in use or Jntensdy of use of la~d or othe~ natural resources? Exprain briefly C6 Laeg ~erm, short term, cumulative, or other effects not identifieO in Cl-Cfi? Explain briefly C7 Other impacts' (including changes ia use ~f oithe[ quantity Or typo of energy? Explain briefly: D WiLL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA ? tlr }/es, explain briefl)z: ENVIRONMENTAL iMPACTS? !f ),es PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For eachadverse effectidentified above, determinewhether it is substantial, large, important or othen, visesignificant, Each effect should be assessed in connection with its (a) setting (i.e, urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and {f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur Then proceed directly to the FULl EAF andJor prepare a positive declaration Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actJof WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessaq¢ the reasons suppoding thh determination Name of Lead Agency Date Title of Responsible Officer Signature of Preparer (If different from responsible ohqce¢) Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency James F. King, President Jill M. Dohe~ly, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghos[o, Jr. Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 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 JOHN FISCHETTI & DEBORAH DEAVER COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1, [C)~ ,~2IWJ'IL'~ ,residingat/dba ?OCJ being duly sworn, depose and say: That on the day of ~0,.~0.¢c , 200fi, 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 Wed. August 19~ 2009 on or about 6:00 PM. Dated: ~/l'~/~ Sworn to before me this 1-~ dayo~fo*-.~ 200? Notary Public PATRICIA RICHARDS Notary Public, State of New York No. 01RI6042467 Qualified in Suffolk County Commission Expires May 30,~2002'~ ,~ -~ Cerl.ied Fee m $2,80 $2.30 STATE OF NEW YORK COUNTY OF SUFFOLK ('~-~C.~,-. ~(J/lt~AP.~ , residing at c/K/z0 ~t'z~rl~4J~-J~ ~6~! ~ , being duly swom, deposes and says that on the ~ dayof /ql.)ql)~]'~ ,20~,deponentmailedatruecopyoftheNotice set forth in the Board otYl'mstees 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 (4.~ ~:~J~06-a/,..~ ~ , that said Notices were mailed to each of said persons by (certified) (registered~ mail. Sworn t~ before m~ this ! 7 Day of~ ~l l.d~p-. , 20~_ ..... ~ot~ ~ublic U Suffolk County i~pir# June 01, AUG 1 8 2009 Southhold Town Board of Trustees of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE. DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), ~ 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 Signature DAY OF 3-0 ,206_)~~ Notary Public PATRICIA RICHARDS Notary Public, State of New York No. 0'1 RI6042467 Qualified ~n Suffolk County Commission Expires May 30,-L~t~-'-~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Towu of Southold's Code of Ethics nrohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (L~t n~m¢: first o~me~ ~fiddle ~itial, ~mles$ you ~e applying in the u~me of someone else or other entity, such as a company. If so, indicate thc other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption fi'om plat or official map Planning Other (If"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO ¢ 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 youmelf (the applicanffaganqmpresentative) and the town officer or mnployee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); __B) thc legal or beneficial ownqr of any interest in a non-corporate entity (when the applicant is not a corporation); __C) all officer, director, partner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF KELATIONSH1P Form TS I Submitted this ~.z_day of x[ UL~ 200I Signature ~ J~l~ J.~.~ . ~ k '~ · PrintName l"-'"l-~lnla_¢ Q,~[I~LI)P_.b4. JOHN FISCHETTI & DEBORAH DEAVER 504 E. 63rd STREET, APT 23P NEW YORK, NY 10065 July 17, 2009 We hereby authorize Thomas C. Samuels of Samuels and Steelman Architects, at 25235 Main Road, Cutchogue, NY, to apply for all required permits from the Town of Southold, Suffolk County and State of New York, for my project at 1675 Pine Neck Road, Southold, NY 11971. Sincerely, Deborah Deaver Town of Southold LWRP CONSISTENCY A, SSESSMENT 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 infbrmation 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 exeinpt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detaii~ listing both supporting and non- supporting 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.northtbrk.net), the Board of Trustees Office, the Planning Department, all local libraries and the To~vn Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 7 © 05 4~ PROJECT NAME A_DJ)IT(~)]~ ~ ~)~pr'q]QQ '~o ~'{k~f"~{ The Application has been submitted to (check appropriate response): TownBoard ~] Planning Board ~ BuUdingDept. [] 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: Natm'e and extent of action: Location of action: Site acreage: Present land use: Residential Present zoning classification: R-40 If an application for the proposed action has been filed with the Town of Southoid agency, the following information shall be provided: Tom Samuels, Architect (a) Name of applicant: (b) Mailing address: 25235 Main Rd. Outchogue, NY 11935 (c) Telephone number: Area Code ( ) 734-6405 (d) Application number, if any: Will the action be directly undertaken, require fimding, 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 III - Policies; Page 2 for evaluation criteria. [~Yes ---]No [--] Not Applicable Addinq to an existinq residence preserves open space around the existing residence and makes efficient use of the existinq structure and property. Also the addition to the property is far less than the 20% lot coverage allowed by zonino. 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 There are no historic or archeological structures on property. Attach additional sheets if necessary Policy 3. Elthance 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 _ The addition to the existing residence is in keeping in style and scale of neighboring structures. 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 Ill - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No ~-~ Not Applicable All rainwater runoff is and will be retained on .qite with the u.qe of underground drywells. Durin~o ¢.ongtrtJctinn hay b~le.q placed temporarily between the construc, tion ~nd shore will ke~p rllnnff .qpnil.q nn sim Attach additional sheets if necessat~ 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 All rainwater runoff is and will be retained with the use of underground drywells. The sanitary .qy.qtem for the residence meets current Suffolk County Dept. of Health Services sta~dards for ~nitary wa.qte water. The prn?rty is ~erved with public w~ter from ~uffnlk County 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 No development will take place in the "protected" or "natural indiginous environment". 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 lbr evaluation criteria. [] Yes [] No [] Not Applicable The development will not add pollutants into the air. all construction vehicles meet the Federal standards for air pollution discharge. The mechanical systems of the residence meet the Federal standards for air pollution discharge. Attach additional sheets if necessary Policy 8. Minimize 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 Applieable The construction and use of the residence will make use of the town's disposal and recyclin.q center. All waste water "sanitary" will be discharged into an approved SCDHS sanitary system. 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 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 There are no public or commercial activities or uses on site. Historically this property and neighboring properties are residential in use and will remain residential. 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 This prnjc, ct will pinto.ct nnd prcm~rvo, tho. living m~rin¢, m~o.l~rn~ by mnint~inin~ nil rninwnmr dinnhnr~nn nnd ~2nitnry flnw frnm thn mnid~nnn nn ~ito. by npprnvnd R(';.DH.C:; ~2nitnry n?t~m nnd drywnll~ fnr rninwntnr mnnff Attach additional sheets il' 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 Thnrn 2m no ~nrinulturnl Innd~ on nito. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section II1 - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [--] No [] Not AppliCable The construction will be using equipment approved by the Federal government for energy usage. The residence will meet Federal standards for conserving energy "energy Star Program" and will use "New York Stat Energy Conservation and Construction Code" for construction of the residence. TITLE ,,~ ~ T~,.~T Created on 5/25/05 IJ.'20 AM S A M U E L S & July 23, 2009 S T E E L M A N~/~~ Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 RE: RENOVATIONS & ADDITION TO THE FISCHETTI I DEAVER RESIDENCE 1675 PINE NECK ROAD SOUTHOLD, NY 11971 TAX MAP # 1000-70-05-42 Dear Sir/Madam: We are requesting a WETLANDS PERMIT for the above reference project, which involves the replacement of the existing siding and roofing, the addition of a new covered porch, roof deck, and portion of Mud Room, and a six foot wide addition to an existing open deck. For your review we are submitting the following documents: 2. 3. 4. 5. 6. 7. 8. 9. Application Short Environmental Assessment Form Application Affidavit LWRP Consistency Assessment Form (3) SITE, FLOOR PLANS and ELEVATIONS prepared by Samuels & Steelman Architects Site Survey Letter of authorization from Owner Seven (7) photos showing stakeout Check for $250.00 Please call us with any questions or concerns. Sincerely, SAMUELS & STEELMAN ARCHITECTS '~uels, Architect enc. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK H935 (63 ] ) 734-6405 FAX(h31)734 6407 JOCKEy $ 89'47'40" 58.85' CREEK S 79'52'13,, £ 41.15' SURVEY OF LOT 5 MAP OF PROPERTY OF C. WELLS PHILLIPS FILE No. 297 FILED NOVEMBER 6, 1909 SITUATE SOUTHOLD TOWN OF SOUTHOLD ~. ""-.' ~ ,~ SUFFOLK COUNTY, NEW YORK ~' '-.... ' ~ -- S.C. TAX No. 1000-.7,0-05-42 ~ ~ \~ " ~ SCALE 1 c~ \\ ~' APRIL 30, 2009 AREA ; ,,.,0, ,,. ,. (TO TIE LINE) 1.100 1. ELEVATIONS ARE REFERENCED TO H.G.V.D. 1929 DATUM EXISTING EL~ATIONS ARE SHOWN THUS:.ea EXISTING CONTOUR UNE$ ARE SHOWN THUS: BIG APPLE ABSTRACT Corp. TITLE No. BAM 184B8 OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY STEVEN LEDERMAN 69g.5':i: N.Y-~. U~ No. 50467 Nathan Taft Corwin III Land Surveyor PHOHE (831)727-20g0 Fox (631)727-1727 ~L~_ LO,CATION MAP o NOTES: ~ 1. ELEVATIONS ARE REFERENCED TO N.G.V,D. ?29 DATUM [~ ~ EXISTING ELEVATIONS ARE SHOWN THUS. 5o ~ EXISTING CONTOUR LINES ARE SHOWN THUS: ...... 5 -- ~ '~ ii~ F. FL. - RRST FLOOR T.W, - ~OP OF WALL B,W. - BOT[OU OF WALL - BOTFOM OF BUM(HEN) $1TF AN SCALE: 1" [] 20-0 OAKLAWN AVENUE REGULATORY APPROVALS PROJECT NO: 05t2 SCALE: 1" = 20'-0" SHEET TITLE: SITE PLAN ;HEET NO.: 1 ........... -IJ ~00~ ~ROOM GLO'ET IT-lO" SECOND FLOOR PLAN SCALE: 1/4" = 1' -0" LO0 R PLAN TCS lATE: 719109 iCALE: 114"= 1'-0" iHEET TITLE: FLOOR PLANS SHEET NO: EXIE, TIN~ ~IC,~ C,,t-IIHI~ TO NORTH ELEVATION SCALE: t/4" = t' -0" EAST ELEVATION SCALE: t/4" = 1' -0" ~=XI~TIN~ N~l!J~4L C~ONTOtJ~ TO REk~IN -- ~ ~ILIN~ WEST ELEVATION SCALE: I/4" = 1' -0" SOUTH ELEVATION SCALE: 114" [] 1' ~)"' z~O O PROJECT NO: 0512 TCS DATE: 7/9/09 SCALE: t14" = 1' - 0"' SHEET TITLE: ELEVATIONS SHEET NO: 3