The URL can be used to link to this page

Home My WebLink AboutTR-7164 Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. FAng Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0675C Date: August 2, 2011 THIS CERTIFIES that the construction of an addition to the existing dwelling with an 8' extension of the wall southwest of the dwelling; gutters to leaders to drywells installed At 6300 Indian Neck Lane, Peconic, New York Suffolk County Tax Map # 86-7-2.1 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated July 17, 2009 pursuant to which Trustees Wetland Permit #7164 Dated August 19, 2009 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 construction of an addition to the existing dwellinE with an 8' extension of the wall southwest of the dwelling-', gutters to leaders to drywells installed The certificate is issued to JOHN SCOPAZ owner of the aforesaid property. u~hor '~:d~ i~a~ Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 TelePhone (631 ) 765-1892 Fax (63 I) 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: 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 JPre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7164 DATE: AUGUST 19, 2009 ISSUED TO: JOHN SCOPAZ PROPERTY ADDRESS: 6300 INDIAN NECK LANE, PECONIC SCTM#86-7-2.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 19. 2009 in consideration of application fee in the sum of $250._~Q~Q~00 aid b,~ ~and subject to Terms and Conditions as stated in the Resolution, the S0Uthold Town Board Of T/'ustees authorizes and permits l following: Wetland Permit to construct an addition to an existing dwelling with an 8' extension of the wall southwest of the dwelling, with the condition gutters, leaders and drywells are installed to contain roof run-off in accordance with Chapter Management of the Town Code, and the installation of a line of staked hay bales and: fencing landward of the top of prior to any construction activities, and as depicted site plan prepared by Samuels & Steelman Architects dated July 9, 2009. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. Bob Jr. - Absent TERMS AND CONDITIONS The Permittee, John Scopaz, residing at 6300 Indian Neck Lane, Peconic, 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 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 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 invg!ved 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 s~/id 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 August19,2009 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. John Scopaz P.O. Box1655 Southold, NY 11971 RE: 6300 INDIAN NECK LANE, PECONIC SCTM#86-7-2.1 Dear Mr. Scopaz: The Board of Town Trustees took the following action during its regular meeting held on Wed,, August 19, 2009 regarding the above matter: WHEREAS, JOHN SCOPAZ applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance, application dated July 17, 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, and, 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, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, BE IT FUTHER RESOLVED, that the Board of Trustees APPROVES the application of JOHN SCOPAZ to construct an addition to an existing dwelling with an 8' extension of the wall southwest of the dwelling, with the condition gutters, leaders and drywells are installed to contain roof run-off in accordance with Chapter 236-Stormwater Management of the Town Code, and the installation of a line of staked hay bales and silt fencing landward of the top of pdor to any construction activities, and as depicted on the site plan prepared by Samuels & Steelman Architects dated July 9, 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, Jame F.~King, Pres(~id~ 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 Please be advised that your application da{ed '7//'7 l0 ~' been reviewed by this Board at the regular meeting of~!.Iq ] 0~_ and your application has been approved pending the completion of the following items checked off below. has Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ¼ Constructed ($50.00) V/' 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 Ecke~'t, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., August 12, 2009, the following recommendation was made: Moved by James Eckert, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of JOHN SCOPAZ to construct an addition to an existing dwelling with an 8' extension of the seaward facing wall of existing dwelling, parallel to the bulkhead. Located: 6300 Indian Neck Lane, Peconic. SCTM#86-7-2.1 Inspected by: James Eckert The CAC Supports the application with the Condition of a 10' non-turf buffer from the patio to the bluff, and gutters and drywells are installed to contain roof run-off. Vote of Council: Ayes: All Motion Carried James F King, President Jill M. Doher~y, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr PO. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report JOHN SCOPAZ requests a Wetland Permit to construct an addition to an existing dwelling with an 8' extension of the seaward facing wall of existing dwelling, parallel to the bulkhead. Located: 6300 Indian Neck Lane, Peconic. SCTM#86-7-2.1 Type of area to be impacted: __Saltwater Wetland __Freshwater Wetland Sound v~ay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _~.~,4fhapt.275 __Chapt. 111 other Type of Application: V,,'~etland__Coastal Erosion __Administrative__Emergency __ Amendment Pre-Submission Violation Modifications: Conditions: ~,"Z~..×I ,, ,_~,£ Present Were: __&King __J.Doherty ~.Dickerson D. Bergen__ B.Ghosio, D. Dzenkowski other _ /"1 Form filled out in the field by Mailed/Faxed to: Date: New York State Department of Environmental Conservation Building 40 - SUNY, Stony Brook, New York 11790-2356 Telephone {516) ~?.d 0365 Facsimile (516) ~.~.~. 0373 L~TTER OF NONJURISDICTION TIDkL WETLANDS ~CT John P. Cahill Commissioner Febraury 3, 1999 Re: 1-4738-02163/00001 Scopaz Property Construct addition to house John and Linda Scopaz 6300 Indian Neck Road Peconic, NY 10803 Dear Mr. & Mrs. Scopaz: Based on the information you have submitted~ ~h¢ ~w~rk _state Department of Environmental Conservation has determined that: The property landward of the bulkhead which was constructed prior to September 20, 1977, as shown on the survey prepared by Roderick VanTuyl dated August 8, 1979 is beyond jurisdiction of Article 25. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. CAF cc: Samuels & Steelman Very truly yours, George W. Hammarth Permit Administrator OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southald, NY 11971 MAILIN(; ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Jim King, President Town of Southold Board of Trustees From: MarkTerry, Principal Planner \,.~/.~ LWRP Coordinator Date: August 13, 2009 Re~ Proposed Wetland Permit for JOHN SCOPAZ SCTM#1000-86-7-2.1 JOHN SCOPAZ requests a Wetland Permit to construct an addition to an existing dwelling with an 8' extension of the seaward facing wall of existing dwelling, parallel to the bulkhead. Located: 6300 Indian Neck Lane, Peconic. SCTM#86-7-2.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to 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 Office Use Only Adm~h~.ive Pe~mR ~coeCeived Fee:$ ~ _. ~n~l~ ~ I T~ ~ ~~n:(~ ~t) ~of~: R~ig of CAE ~R: T~i~ ~: ~c H~g H~d: ~ Name of Applicant Address ~. ~ Suffolk Co~ T~ Map ~o~ ~tion: I~(;' (provide L~CO Pole AGENT: Phone: (If applicable) Address: off T=uste~s ~q~l'ioation Land Area (in square fe~t): Area Zoning:. j~-~O GENERAL DATA Previous use of property: Intended use of property: S/,~E Covenants and Restrictions: If "Yes", please provide copy. Yes v'/ No Prior permits/approvals for site improvements: Date __ No prior permits/approvals for site improvements. Has any permit/approval evcr been revoked or suspended by a governmental agency? ~' No Yes If yes, provide explanation: Proje~ Description (use attachments if nce~sary): C O f,3.5 ~'T~c~c Y- o£ Trust.~s .~ppl~.ca~i. on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~,~M/~/~Y~ ~"~/~TF~'V~ ' ,.~W~¥~''~ ! Area of wetlands on lot: ~m~of~o~: ~,/'-/ % Closest distance between nearest existing struc~u, re and upland edge of wetlands: ~ feet /~i~ Closest distance between nearest proposed structure and upland , . edge of wetlands: ~ feet Does the project involvc excavation ~ . If yes, how much material will be excavated? ~-3~r-g cubic yards How much material will be filled? /d~ ~ ~a_ .~O-~ubic yards ~,~4¢- Depth of which matorial will be r~moved or deposited: .~'~, d~ P~opo~ slopo throughout t~ a~ or oporation~: I~,~/~ <d~ Manner in which material will I~ removed or deposited: / Stateroom of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (usc attachments if appropriate): PROJECT ID NUMBER SHORT ENVIRONMENTAL ASSESSMENT FORbl far UNUSTED AC1'10~$ Only ( To ~e comr~ete~ ~, .N~nt o~ Project S~,~o¥ SEQR PART 1 - PROJECT INFORJ~TION 1. APPLICANT I SPONSOR 2. PROJECT NAME S. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF ~ AFFECTED: ~.~u ~ ~o. co~¥ ~ ~ zo.,,~ o. o,,~ ~'c~°"s~ g. WHAT IS t'~e~T LAND USE IN VlClNIT~ OF PROJECT? {Choo~easmenyasapldy.) PART Il - IMPACT ASSESSMENT (i'o be cofl~lded b~ Lead A~mmy) C. COULD AC~ON RESULT IN ANY ADVF_RS~ EFFECI~ A~OClATED WITH THE FOLLOWING: (Answers may be hano~vflt~, if C1. Ex~ air quaaly, smface ~ gm4mdwa~r q~allly ~ quan~ly, netae levds, e~g traffic pattern, sor~ waste pmduc~o~ o~ d~, po~r,~ ~' eme~, dmimge m Oea~lng pm~eme? F_xpb~ I~d~y: c5. I D. ~LL TH~ PROJECT HAV~ AN IMPACT ON THE ENVIRONMENTAL CHARACTERIS'TIC~ THAT CAUSED ~ ESTABLI~ OF A CRITICA ENVIRONMENTAl. ARE~ ICEA~? L E. I$ THERE, OR I$ TI-IEEE LIKELY TO BE1 C-.O~'TROV ~Y RIELATF_D TO POTENTLY_ ~)VER~E ENVIRONMEh'TAL IMPACTS? If~, ~: r-I I-I.o! .......... PAler III - DE-IERMINATION OF $1(~NIFICANCE (To be comple~:i by Agency) effect should be e~ssed in connection with Its (a) seltl~g (Le. urban ~ rural); (b) pe~ebiliiy o~ occur~ng; (c) dumlion; (d) i~NI3~ily;, (e) geographic s~ope; and (f~ magnitude. If necessmy, add attachments o~ re~efe~ce supfx:~ng materials. Ensure that explanations ~ontain sufficient d~ail to show that all relevant advise impa~s have been ide~ifled and adequately ~. If ques~on d of part ~ was cflecked yes, the determ~atJon of sig~it'~an~e must evaluate the polenfial impac~ of the profx~ ecfion on the e~l ~ ~e C~ Chec~ t his ba~ if yaeJ have Iden~ed a~e or mom paem~ally la~e ~r sige~Icant adveme Jmpa~s whlcfl M~y occur. Th~ p~ ~ ~ FULl FAF mM/or prepare a poei~e dec~mlk)n. Nam~ of Lead Agency James F. King, President Jill M. Doherty, Vice-President Peggy A. Dicke~on Dave Bergen Bob Ghosio, Jr. Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of JOHN SCOPAZ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being du:~and ,~ a~5 .. y, That on the ~' day of ~. , 2000~ I personally posted the p,r~I]erty known as by placing the Board of Trustees official poster where it can easily be seen, and that I h~e checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. 19~ 2009 on about 6:00 PM. Date of hearing.noted thereon to be held Wed.~ August or Sworn to before me this C~'~ day ofO, M~ 2009 Notary Public ! ~ ! PROOF OF MAILING OF NOTICE Barbara and Brace Beaney Fruit Ledge Road Brookville, NY 11545 And 6200 Indian Neck Lane Peconie, NY I19~8 SC'TM~ 1000-86-7-1 Ruth and Peter Miller 6400 Indian Neck Lane Peconic, NY 11958 SCTM~ 1000-86-7-2.2 Eleanor Bodenstein Revocable Trust 6135 Indian Neck Lane Peconie, NY11958 SCTM~ 1000-86-6-19 STATE OF NEW YORK COUNTY OF SUFFOLK $2.~) $ $~.2~ r~' orPOBoxNo. ~ ( John M. Scopaz, residing at 6~lndian Neck Lane, Peconic, NY, being duly sworn, deposes and says that on thew nay of August, 2009, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses under their respective names, that the addresses under their respective names are the address of said persons as shown on the.current assessment roll of the_Town of Southold; and that said Notices were m~.ed at the United Sgm~es Post Ol~ce at Southold, NY, that said Notices were mailed to each of sai0/pe~sons b~certified~ail. //;$wo~ t° b_~efore me t~']~/~ day of A~ugus~ Notary Public Ooard of Trustees Applicati~ County of Suffolk State of New York JO/-/A] ~Zv/o,~ 2.- 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 SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROP~Ik~TY~TO INSPECT THE PREMISES m CONrONCTION wlm REvI~ OF miS APP~CA~'~. SWORNTOBEFO" ' MJ / /DAYOF Town of Southo~d 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 Soathold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not loccaed within the Coastal Erosion Hazard .4rea. Before answering the questions in Section C, the in,parer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed aetion will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in thc consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (sontholdtown.no~i~'ork.net), the Board of Trustees Office, the PlanninE Dep~'tment, 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): TownBoard [] Planning Dept. ~ Building Dept. [~/~BoardofTrustees Category of Town of Soethold agency action (check appropriate response): (a) Action tmdertaken directly by Town agency (e.g. capital [] constnmtion, planning a~tivity, 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: ~C)O /a)~/,~ ~/ ,'xJ ~f_2~ ~.-~ ~ Present zoning classification: If an application for the proposed a~ion has been filed with the Town of Southold agency, ~he following information shall be provided: (a) Nameofapplicant (b) Mailingaddr~ss: ~. &. ~)O~ (c) Telephone number. Area Code (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency?. Yes No ~"~ Ifyes, which state or federal agency?. DEVELOPEDCOASTPOLICY ~ /~7~/-[~b ~/~_~- ~ b~'~7~._~ Policy 1. Foster a patlern of devciopment 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 AVach additional shee~s if ~cessary Policy 2. Protect and preserve historic and archaeological resourt~ of the Town of Southold. See LWRP Section III- Policies Pages 3 through 6 for evaluation criteria ~-~ Yes [] No ~ Not Applicable Scopaz ..~'Tlif .1170-8~-7-2. ~l L WRP Consistency Assessment ~orm Developed Coast Policy Po/icy 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 effec~ of development. YES: The proposed addition will be sited so as to facilitate the renovation and expansion of an existing residence with a minimum of internal and extomal renovatfons. Except for an 8 foot extension of the existing residenUal stmcturo parallel to the existing bulkhead, the remainder of the addition will be landward of the existing structure and its current setbacks. The addiUon to the existing residence will be in keeping with the style and ~cale of the neighboring residences. Po/icy 2. Protect and preserve histodc and archaeological resources of the Town of $outhold. YES. The design and siting of the proposed addition will respect the integrity of the historic Wiles Art Studio on the adjoining property to the east. The Art Studio was converted into a residence and is identified in the SPL[A inventory. PO//O/3. Enhance visual ~uality and protect scenic resources throu~Thout the YES, The proposed addition was sited to avoid significant intrusion into mature stands of rhododendron bushes and trees which will help maintain the secluded and aesthetic qualities of the site for the adjoining neighbors as well as the property owner. There will be no significant changes to the existing roofline as viewed from the water, since the addiUon will extend the southerly or sea-ward facing wall of the existing structure (which is 39 feet long) only 8 feet westward, The roof height of the new addition facing the water will be about 7 feet lower than that of the existing roof, Since no ve~etaUon is being removed seaward of the existing first floor residence, the petanUal impact of the new addition on the visual quality of the shoreline (as seen from the water) will be minimal, The addition will be sided wiL;, the same type of red cedar used on the existing house, The two adjoining residences are also sided with cedar. Poi/o/,t. /¥inimize loss of life. structures, and natural resources I~m flooding7 and erosion. Scopaz SCT~f 100-B6=7-2.1 YES. All rainwater is and will continue to be retained on site using underground drywells. During construction, hay bales will be placed between the area of construction and the shoreline to keep runoff on site. No portion of the proposed addition will be placed closer to the waterfront or bulkhead than the existing southerly or seaward-facing foundation and wall of the first floor, which is situated 24 feet above sea-level. There will be no removal of vegetation or regarding southward (seaward) of the existing first floor elevation during the construction of the addition. Policy £ Protect and imnmve water aualitv and sunply in the Town of Sovthold. YES. Except for the proposed addition, no impervious surface area is being added. All stormwator runoff from the existing structure and proposed add~on will be channeled landward, to the north of the addition and recharged to drywells. No construction will occur near the private well supplying this residence. Po~icy 6. Protect and restore the aualitv and function o£ the Town o£ southold ecosystems indudino S/on#cant Coastal Hsh and Hr//dlife Habitats and YES. The proposed add~on is intended to expand the first floor living area, is modest in size and is being sited so as to result in the least removal of mature vegetation. There will be no intrusion or impact seaward of the existing structure. Pol/cy Z Protect and improve air quality in the Town of $outho/d. Yes. Renovated or new mechanical systems will meet federal standards for air pollution discharge. Po/icy 8. Minimize environmental de~_ radadon in Town of Southo/d from ~lid waste and hazardous substances and wastes. Yes. Construction debris will be properly discarded at the Town's Sanitary Landfull, or re-used on the site, e.g. bricks. Po/icy 9. Provide for nub/lc access to. and recreat/ona/ use of. coastal waters, nub/lc/ands, and nub/lc resources of the Town of Not Applicable, Po/icy lO. Protect Souti~lds. water-deoendent uses and nromote $~'n_q of new water-deoendent uses in suitable locations. Not Applicable. Po/icy 11. Promote sustainable use of livin_a marine resources in Long Island Sound. the Peconic Estuary and Town waters. Not Applicable. 2 SCTM 1~-8~-7-1.1 Po/icy 12, Protect agr/cu/t(/ra/ /ands /n the Town of Southo/d. Not Applicable, Almost all of the subject property is covered with mature woods, Po/icy 13. Promote aoorondate use and develooment of ene_r~v and mineral YES, The proposed renovations and addition will include upgrades to more energy-efficient heating/cooling systems, insulation and electrical appliances. Federal and state energy conservation and conch ucUon codes will be adhered to. 3 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Town of Southold's Code of Ethics orohibits conflicts of interest on thc nert of town or,cots and cmoloveas. The ournosc of this form is to omvide infm4nn6on which can alert thc town of oossibl¢ conflicts of interest and allow it to lake whatever a~tion is n avoid m . (Last name, lust name,~niddle initial, unless you ar~ applying in tl~ name of someone el.sc or other entity, such as a company. If so, iodicatc thc othcr porson's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Va.,lance ~ Trustee Change of Zoce Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other", name thc activity.) Do you personally (or through your company, s~ousc, sibling, parent, or child) havc a relationship with any officer or employee of thc Town of Southold? "Relationship" includes by blood, marriage, or businass interest "Business interest" means a business, including a p~'mership, in which ll~ town officer or cmploy~ has cvco a partial ownership of (or employment by) a corporation in which thc town officer or cmployee owns moro than 5% of thc sha~s. YES NO V/ If you answered "YES", complcte thc balance of this form and date and sign where indicated. Name of per, son omployed by thc Town of Southold Title Or position of that pemon Describe the mintionship b~twnen yourscff(the applicanl/agcnlffreprcscotativc) and the town officer or employee. Either check thc appropriate line A) through D) and/or dcscfihe in tl~ spocc provided. Thc town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __.A) thc owner of g~at~r than 5% of the shar~s of Ibc corporate stock of the applicom (when thc applicant is a corporation); __.B) the legal or ban~ficlal owner of any inten:st in a non-corporate entity (when thc applicant is not a corporation); ___C) an officer, director, parmer, or employee of tho applicant; or ___D) thc actual applicant. DESCRIPTION OF RELATIONSHIP Foml TS 1 ~ot~n I~. ~copa~ Suly 13~ 2009 James F. King~ President Board o£ Tros~ees Town o£ ~outhold P, O. Box 1179 ~outhold, IVYl1971 Re: Scopaz Residence 6300 [nd!an Neck Lane Pe~onJ¢ NYl1958 ~¢TI~ # 1000-86-7-2.1 Dear ~fr. King/ ! am requesUng an permit for the above-notedproperty, which fronts on Little PeconJ¢ Bay. Attached i$ a copy of the NYSDE¢'s Letter of Non-j'ur~dic~'on. !propose to renovato my exisUng residence as well as construct an addition. The proposed addition will ITYIIIJro an eight foot extension of the ~outherly (~eaward Pacing) wall of the exJ~fJng dwelling parallel to the existing bulkhead. The reminder of the addition (and ranovab'on$) will toke place landward of that point The following documents ara included with this request: · Application package (three copies) Site p/an ~urvey Photographs ofexigng bulkhead o LocaUon I~ap o LWRP Coa~talAswessment Form if you have any questions or concerns, please contact me directly at 631 734 $O06. P.O. BOx 1655 Southold, NYl1971 -- ADDRESS PECONIC, NY 11958 322 ROANOKE AVENUE RIVERHEAD, NY 11901 .~/ .'~',~ ~*~---,~. ~:.~'~I ~*-"~' ~ +~'~ ~'~' ~. LICENSE# 50467 DATED 8/25/08 ~ ~ ~ ~'",-.~.~'~'~ \~'~' x\ ///~///> '*' 4,~ .,,_~_,,o~..~ ~ ALLOWABLE SITE COVERAGE: 20% '~ .... T~OWN .OF SOUTHOLD SITE PLAN SCALE: 1" 40'-~0" REGULATORY APPROVALS SET =,,,. ~ ~ =~ I~OJECT NO: 0803 DRAWN BY: TCS CHECKED BY: I DATE: 7/9/09 ISITE PLAN ISHEET NO: PARTIAL SITF AN EXlSTIN~ P<ESIDEN~E ONE-HALF SCALE: 1" = 20'-0" REGULATORY APPROVALS SET 0803 DRAWN BY: TCS CHECKED BY: DATE: 7~09~09 SCALE: 1" = 20'-0" SHEET TITLE: ENLARGED SITE PLAN SHEET NO.: 2 SECOND FLOOR PLAN SCALE: tl4" = 1'-0" EXI~TIN~ ~ TO RE'MAIN I I I I I I I I I I I HAd-L FLO0~ A~EA OF NEP, I ADDITION ~HOI~N HATCHi=D, HALL5 5HOI,~N ~A~,.K I I FIRST FLOOR PLAN SCALE: tl4" = l'-O" EXI~,TINI~ PIR~T l~llO0~: ~:~ ~ AI::~ITION, 1,2.1E, TOTAL. FIRE*T PL.~O~, 2~ BI" PI.O~ ~ OP A~,,vlTION IN I~rl~AGt,~, REGULATORY APPROVALS o_ :~ROJECT NO: 0803 TCS )ATE: 7~9~09 SCALE: t14" = 1' - 0" SHEET TITLE: FLOOR PLAN SHEET NO: 3 /i EXlE~TIN~ t~OOf= .~TR.UC.'I1J~E TO ~,4AIN ROOF PLAN SCALE: 1/4" = 1'-0" ~,~I~,LT RDO~IN~ ~IIN~4 ts~ ON PL'YI'~. DI~IN~ ON 2xe, ~ HOrdE OFFIGE BEn. OH G1 HALL Lq'Ill'Pr' POOH iINE OP GANTILEV~ E~~ ~ R~INFOI~.,~ C,,X3I~. FOU]~ATION ON ~,x16 CON~. F¢~Ol114~ BASEMENT PLAN SCALE: tl4" = 1'-0" REGULATORY APPROVALS SET o z LU 7~9~09 SCALE: 114" = 1' - 0" SHEET TITLE: BASEMENT & ROOF PLANS SHEET NO: 4 SOUTH ELEVATION SCALE: 1/4" = 1'-0" ri WEST ELEVATION SCALE: tl4" = 1'-0" NE~ A:TDIlqON v~/C4~DAI~ ~HIN~d.E P~a.L FINISH ~ A-~PHALT ~ ~HIN~ r-q EXI~TIN~ BUIL~IK~ TO REMAIN EAST ELEVATION SCALE: 1/4" = 1'-0" ...................... J L--J i EXI~TIN~ I~UIU~IN~ TO R/~HAIN r~ i-' 5 L .................................... L----J ............... - -~ SCALE: 114" -- 1'-0" ~ ~ REGULATORY APPROVALS SET O 0803 TCS ~)ATE: 7/9109 ~CALE: 114" = 1' - 0" SHEET TITLE: I ELEVATIONS SHEET NO: