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Home My WebLink AboutTR-7163 Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0660C Date June 23,2011 THIS CERTIFIES that the demolition of the existing dwelling; construction of a new two- story single-family dwelling with full basement and located 75' from the bulkhead; demolition of garage/guest house; construction of new garage landward of dwelling; abandon existing sanitary system and construction of new sanitary system more than 100' from wetlands; and installation of gutters, leaders and drywells At 3270 Peconic Bay Blvd., Laurel Suffolk County Tax Map #128-6-8 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 7/27/09.pursuant to which Trustees Wetland Permit #7163 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 The demolition of the existing dwelling; construction of a new two-story single-family dwell in with full basement and located 75' from the bulkhead; demolition of garage/guest house; construction ora new garage landward of dwelling; abandon existing sanitary system and construction of new sanitary system more than 100' from wetlands; and installation of gutters, leaders and dr/wells. The certificate is issued to RYAN STORK owner of the_aforesaid property. Jill M. Dohetty, President James F. King, Vice-Presideat Dave Berge~ Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Tdephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTI~F~ TOWN OF SOUTHOLD DATE OF INSPECTION: L..../''j Ch. 275 Ch. 111 INSPECTION SCHEDULE L~ Pre-construction, hay bale line/silt boom/silt curtain INSPECTED BY: COMMENTS: __ 1st day of construction __ ~ constructed ~PmjPmject complete, compliance inspection. CERTIFICATE OF COMPLIANCE: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob GhosJ_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 I~Pre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7163 DATE: AUGUST 19~ 2009 ISSUED TO: RYAN STORK PROPERTY ADDRESS: 3270 PECONIC BAY BOULEVARD~ LAUREL SCTM# 128-6-8 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 Rvan Stork and subject to ~e Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to demolish an existing single-family dwelling; construct a new two-story single-family dwelling approximately 32'x70' overall, with a full basement, an~ in a new location 75' from the bulkhead; demolish an existing garage/guest house; construct new garage approximately 22'x37' overall in new location landward of new dwelling; abandon existing on-site sewage disposal system; construct new sewage disposal system in a new location more than 100' from the wetlands, with the condition of a line ofstaked hay bales with silt fencing is installed prior to ~nsCruction 20' landwat~l of the bulkhead, the installation of gutters, leader~ and d~nveils to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, and as depicted on the survey prepared by Stanley J. Isaksen, Jr., last dated Septembe~r 8, 2009, and received on October 7, 2009. IN WITNESS WHEREOF, the said Board of Trnstees 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 o The Permittee Ryan Stork, residing at 3270 Peconic Bay Blvd., Laurel, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said 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 Hail 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. James E. Fitzgerald, Jr. Proper-T Permit Services P.O. Box 617 Cutchogue, NY 11935 RE: RYAN STORK 3270 PECONIC BAY BLVD., LAUREL SCTM# 128-6-8 Dear Mr. Fitzgerald: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 19, 2009 regarding the above matter: WHEREAS, Proper-T Permit Services on behalf of RYAN STORK 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 27, 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 Headng 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 RYAN STORK to demolish an existing single-family dwelling; construct a new two-story single-family dwelling approximately 32'x70' overall, with a full basement, and in a new location 75' from the bulkhead; demolish an existing garage/guest house; construct new garage approximately 22'x37' overall in new location landward of new dwelling; abandon existing on-site sewage disposal system; construct new sewage disposal system in a new location more than 100' from the wetlands, with the condition of a line of staked hay bales with silt fencing is installed prior to construction 20' landward of the bulkhead, 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 survey prepared by Stanley J. Isaksen, Jr., last dated September 8, 2009, and received on October 7, 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. King~' ~------~ President, Board of Trustees JFK/eac James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghesio, 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 dated ._3'-~ has been reviewed by this Board at the regular meeting of ' ' and your application has been approved pending the coml: 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: $. I OC) O,,~ 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 (63 I) 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 Peter Young, it was RESOLVED to SUPPORT the Wetland Permit application of RYAN STORK to demolish an existing single-family dwelling; construct a new two-story single-family dwelling approx. 32'X 70' overall, with a full basement, and in a new location 75' from the bulkhead. Demolish an existing garage/guest house; construct new garage approx. 22'X 37' overall in new location landward of new dwelling. Abandon existing on-site sewage disposal system; construct new sewage disposal system in a new location more than 100' from the wetlands. Located: 3270 Peconic Bay Blvd., Laurel. SCTM#128-6-8 Inspected by: James Eckert The CAC Supports the application with the Condition of a 10' non-turf buffer, hay bales and silt fencing are installed prior to all construction activities, and gutters and drywells are installed to contain roof run-off. Vote of Council: Ayes: All Motion Carried James F. King, President Jill M, Dohe~ly, 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: RYAN STORK requests a Wetland Permit to demolish an existing single-family dwelling; construct a new two-story single-family dwelling approx. 32'X 70' overall, with a full basement, and in a new location 75' from the bulkhead. Demolish an existing garage/guest house; construct new garage approx. 22'X 37' overall in new location landward of new dwelling. Abandon existing on-site sewage disposal system; construct new sewage disposal system in a new location more than 100' from the wetlands. Located: 3270 Peconic Bay Blvd., Laurel. SCTM#128-6-8 TY~sal~f area to be impacted: water Wetland Freshwater Wetland Sound Bay Distan,,,(Ye of proposed work to edge of wetland ,~a[jr~f Town Code proposed work falls under: L,/~hapt.275 Chapt. 111 other Type of Application: d __Coastal Erosion ~Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: . Modifications: Conditions: / Present Were: :~/_,,.King rty __P.Dickerson __ D. Dzenk~)wski other D. Bergen__ B.Ghosio, Form filled out in the field by Mailed/Faxed to: Date: PHOTO A: Looking NNW at water side of existing house. (6/4/08 at 1440 hrs) 'HOTO B: Looking SSE at rear of main house. Garage/guest house is on the left. (6/4/08 at 1445 hrs) 2 S0uth~01~ ¢0ard 0f Truste~ PROJECT SITE PHOTOS Application regarding the property of Ryan Stork, SCTM # 1000-128-6-8 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 631-734-5800 July 24, 2009 PHOTO C: Looking NNW at garage/guest house. (6/4/08 at 1450 hfs) $outhhoid To~n Board of T~uste, es PROJECT SITE PHOTOS Application regarding the property of Ryan Stork, SCTM #1000-128-6-8 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 631-734-5800 July 24, 2009 1194~ AURE MA'1 TITUC~ 11952 THE AREA OF THE PROPOSED _ PROJECT IS CIRCLED SOUTH JAMESPORT G R E A' T P E C VICINITY MAP Application regarding the property of Ryan Stork, SCTM #1000-128-6-8 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogu¢, NY 11935 James E. Fitzgerald, Jr. 631-734-5800 May 26, 2008 THE SITE OF THE PROPOSED PROJECT IS SHADED Application regarding the property of Ryan Stork, SCTM #1000-128-6-8 Represented by PROPER~T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E, Fitzgerald, Jr. 631-734-5800 May 26, 2008 Proper-T Permit Se icbs P.O. Box 617, Cutchogue NY 11935 Phone: 631-734-5800 Fax: 631-734-7463 MEMORANDUM TO: Lauren - Trustees' Office FROM: Jim Fitzgerald SUBJECT: Ryan Stork; SCTM #1000-128-6-8 DATE: 10/5/09 Here are two copies of the survey/project plan revised to include drywells to retain roof mn- off and a haybale line set back 20' from the retaining wall. Also, per your "bill", here is a check for $100 to cover the two remaining fees. If you will call when the permit is ready I will pick it up. Enclosure: Survey; Isaksen, last dated 9/8/09 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: From: Date: Re: Jim King, President Town of Southold Board of Trustees Mark Terry, Principal Planner LWRP Coordinator August 17, 2009 Proposed Wetland Permit for RYAN STORK SCTM#128-6-8 S0uth0!d Town Board of Trusiees RYAN STORK requests a Wetland Permit to demolish an existing single-family dwelling; construct a new two-story single-family dwelling approx. 32'X 70' overall, with a full basement, and in a new location 75' from the bulkhead. Demolish an existing garage/guest house; construct new garage approx. 22'X 37' overall in new location landward of new dwelling. Abandon existing on-site sewage disposal system; construct new sewage disposal system in a new location more than 100' from the wetlands. Located: 3270 Peconic Bay Blvd., Laurel. SCTM#128-6-8 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 denoted following Policy Standards and therefore is CONSISTENT with the LWRP provided that the following recommendations to further the below listed policies are implemented. Policy 6. Protect and restore the quafity and function of the Town of Southold ecosystem 6.3 Protect and restore tidal and freshwater wetlands. E. Maintain buffers to ensure that adverse effects of adjacent or nearby development are avoided: Maintain buffers to achieve a high filtration efficiency of surface runoff. Avoid permanent or unnecessary disturbance within buffer areas. Maintain existing indigenous vegetation within buffer areas. If the action is approved it is recommended that the existinq trees on-site be preserved throu.qh the establishment of a perpetual landscaped buffer landward from the bulkhead. A sample definition follows: LANDSCAPED BUFFER -- a land area of a certain lenqth and width which is planted with indi.qenous, drou.qht tolerant, ve.qetation similar to that found within the immediate proximity of the parcel. Ve.qetation shall be installed in sufficient densities to achieve ninety-five (95) percent qround cover within two years of installation. Survival of planted veqetation shall be (ninety) 90 percent for a period of three years. Maintenance activities within the buffer are limited to removin.q ve.qetation which are hazardous to life and property, trimmin.q tree limbs up to a hei.qht of fifteen feet (15') to maintain viewsheds, replantin,q of ve.qetation and establishin.q a four foot (4') wide access path constructed of pervious material for access to the water-body. Further, to further Policy 5, "Protect and improve water quality and supply in the Town of Southold" and protect and improve the water quality and supply in the area; the following best management practices are recommended: 1. Require the installation of gutters, leader and drywells to minimize storm water impacts. 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 Albe~ J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Rou~e 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~Coastal Erosion Permit Application etland Permit Application Major __ Waiver/Amendmcm/CThaf3e s ece~-vved Application: 7/o~7/t eceived Fee:$~ O~ ~ompleted Application 9 ] a ~) 109 Incomplete __SEQRA Classification: Type I Type I/ Unlisted Coordination:(date sent) _~c Rcfe~l Se~t: q ~-49atc of Impecfion: Receipt of CAC Report: ~Lead Agency Detemtion: Technical Review: ~_.~tblic Hearing Held: ~ Resolution: Minor NameofApplicant Ryan Stork JUL 2 7 2009 Southhold Town Board of Trustees Ad.ess c/o Pugliese, 866 Peconic Bay Blvd, Jamesport Phone Number:( ) 631-722-5406 Suffolk County Tax Map Number: 1000 - 128 - 6 - 8 Property Location: 3270 Peconic Bay Blvd, Laurel (provide LILCO Pole #, distance to cross streets, and location) AGENT: James E. Fitzgerald, Jr. / Proper-T Permit Services PO Box 617 Cutchogue, NY 11935 631-734-5800 of Trustees Applicatio~ Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA 21,974 R-40 Single-family dwelling Single-family dwelling Prior permits/approvals for site improvements: Agency Date X 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: Project Description (use attachments if necessary): Demolish ex, isting single-family dwelling; construct new two-story single-family dwelling approximately 32' x 70' overall, with full basement, in new location 75' from bulkhead. De- molish existing garage/guest house; construct new garage approximately 22' x 37' overall in new location landward of new house. Abandon existing on-site sewage disposal system; con- stmct new sewage disposal system in new location more than 100' from wetlands. ~ard of Trustees Applicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: Achieve best use of land by upgrading dwelling and accessory structure. Area of wetlands on lot: - 0 - square feet Percent coverage of lot: N/A % Closest distance between nearest existing structure and upland edge of wetlands: 45 feet Closest distance between nearest proposed Structure and upland edge of wetlands: 75 feet Does the project involve excavation or filling? No X Yes Ifyes, how much material will be excavated? 600 cubicyards How much material will be filled? Non~ cubic yards Depth of which material will be removed or deposited: .9 feet e s t. Proposed slope throughout the area of operations: 0. Manner in which material will be removed or deposited: heavy land-based eqpt (est., for basement) 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): It is expected that the project will have no significant effect on the wetlands and tidal waters of the Town. 6t7.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 12.PROJECT NAME James E. Fitzgerald, Jr. - Proper-T Permit Services / Stork House and Garage 3. PROJECT LOCATION: Municipality Laurel County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 3270 Peconic Bay Boulevard See attached maps. Laurel, NY 11948 5. PROPOSED ACTION IS: [] New [] Expansion [~ Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Demolish existing single-family dwelling; construction new two-story single-family dwelling approximately 32' x 70' over- all, with full basement, in new location 75' Eom bulkhead: Demolish existing garage/guest house; consaxlct new gu- rage/guest house approximately 22' x 37' overall in new location landward of new house. Abaadan existing on-site sewage disposal system; construct new sewage disposal system in new location more than 100' from wetlands. 7. AMOUNT OF LAND AFFECTED: Initially less that 0.5 acres Ultimately N/A · acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Commercial Descdbe: Medium- to large-size private watcrfl'ont dwellings. ~-lAgriculture, [] Park/Forest/Open Space [] Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes [] No If Yes, list agency(s) name and perm t/app,,revals: Southold Trustees, NYSDEC, Southold ZBA 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If Yes, list agency(s) name and permit/approvals: 12. AS a RESULT Of PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? []Yes []No _.L.CERTIFY THAT~ JN~RMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/spon~na~e: Jam¢~ /~ Date: 7/24/09 Signature: ~~"~n/~ Y L, ?[ _, /, ] If tl~ action is in th~ Coastal Area and you are a state agency, complete the ~ ~' Coastal Assessment Form before proceeding with this assessment OVER I Reset 10 Godfrey Street London SW3 3TA England President Southold Board of Town Trustees Post Office Box 1179 Southold, New York 119~1 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T Permit Services to act in my behalf as my agent in the submission and processing of an appli- cation for a variance required for the construction of a new house on my property located at 3270 Peconic Bay Boulevard, Laurel, and designated by Suffolk County Tax Map No. 1000- 128-6-8, and to furnish, upon request, supplemental information in suppol~ of the application. STATEMENT TO THE SOUTHOLD BOARD OF TOWN TRUSTEES County of 8~ef'ot~ ) State of New York ) I, Ryan Stork, being duly sworn, depose and affirm that I am the owner of the property located at 3270 Peconic Bay Boulevard, Laurel, New York 11948, and identified by Suffolk County Tax Map No. 1000-128-6-8, and that all work will be done in the manner set forth in the present application and as may be approved by the Southold Board of Town Trustees. I agree 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. I hereby authorize the Town Trustees or their agent(s) or representative(s) to enter upon my property to inspect the premises in conjunction with the review o f the present ~/~li~ati~n. · ~g~ day of .~.~.~.~ ,200 ~.. Sworn to before me tiffs ........................ ~.. ................. Notary Public TINA STEWART NOTARY PUBLIC - State of New York No. 01ST6145421 Qualified in Queens Cpur~ty Commission Expires ~ APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of To'~m officers and employees. The Dumose 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 necessar~ to avoid same. YOUR NAME: Ryan Stork (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 or company name.) NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance XX Chan~e of Zone Approval of Plat Exemption from Plat or Official Map 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 Towu 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 Sonthold: Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship 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 thc 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 ~.m~:~-3, Si~a*ure: -/'~~ PrimName: ' ~'~kn 'Stork Date.'~ugust 10, 2009 TO: Adjacent Property Owners (Names and addresses are listed on the attached sheet.) F TRSU TEES, TOWN OF SOUTH BOARD O In the matter of: Rvan and Jennifer Stork, SCTM #1000-125-6-8 YOU ARE HEREBY GIVEN NOTICE THAT: 1. An application, is being submitted to the Board of Trustees for a permit to: Demolish existing single-family dwelling; construct new two-story single-family dwelling approximately 32' x 70' overall, with full basement, in new location 75' from bulkhead. Demolish existing garage/guest house; construct new garage approximately 22' x 37' overall in new location landward of new house. Abandon existing on-site sewage disposal system; construct new sewage disposal system in new location more than 100' from wetlands. The project described above is proposed on property adjacent to yours. The street ad- dress of that property is as follows: 3270 Peconic Bay Boulevard, Laurel, NY 11948 The project, which is subject to Environmental Review under Chapters 96, 111, or 275 of the Town Code, is open to public comment. A public hearing will be held at Town Hall, 53095 Main Road, Southotd, New York 11971 at or about 6:00 PM on Wednesday, August 19, 2009. If you wish to comment you may call the office (631-765-1892), or applications may be reviewed and comments may be submitted in writing up to 24 hours prior to the headng. The project described above will be reviewed by the Board of Trnstees of the Town of Southold. The project may require independent review and approval by other agencies of the Town, State, or Federal governments. PROPERTY OWNER'S NAME: MAILING ADDRESS: PHONE NO.: Ryan and Jennifer Stork 866 Peconic Bay Boulevard Jamesport, NY 11947 631-722-5406 A copy of a sketch or plan showing the proposed project is enclosed for your convenience. July 22, 2009 RYAN STORK: ADJACENT PROPERTY OWNERS NOTICE NOT SENT (PROPERTY OWNER) 1000-128-6-8 Ryan and Jennifer Stork 866 Peconic Bay Boulevard Jamesport, New York 11947 NOTICE SENT 1000-128-6-7 Carll Austin Post Office Box 1 Laurel, New York 11948 1000-128-6-9.1 Ludivoica Romanelli 1 Azalea Court Farmingdale, New York 11735 1000-128-6-9.2 Ludivoica Romanelli 1 Azalea Court Farmingdale, New York 11735 1000-127-3-12 Half Hollow Nursery Realty Group 624 Deer Park Avenue Dix Hills, New York 11746 STORK RESIDENCE LALFREL ?ETER. TOKAR, A.I.A.[ ARCHITECT (631)208-4697 Fex (631) 208-4099 , AFFIDAVIT OF POSTING TO THE SOUTHOLD BOARD OF TOWN TRUSTEES IN THE MATTER OF THE APPLICATION OF: Ryan Stork STATE OF NEW YORK COUNTY OF SUFFOLK I, James E. Fitzgerald, Jr., residing at 385 Haywaters Drive, Cutchogue, NY 11935, being duly sworn, depose and say that on the 11th day of August, 2009, I personally posted the property known as 3270 Peconic Bay Boulevard, Laurel,, 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, which date is noted thereon to be Wednesday, August 19, 2009 at or about 6:30 PM. Sworn to before me this 19th day of August, 2009 BONNIE J. DOROSKI Notary Public, State Of New York No. 01D06095328, Suffolk Coun~ Term Expires July 7, 20 [ { AFFIDAVIT OF MAILING TO THE SOUTHOLD BOARD OF TOWN TRUSTEES IN THE MATTER OF THE APPLICATION OF: Ryan Stork STATE OF NEW YORK COUNTY OF SUFFOLK James E. Fitzgerald, Jr., residing at 385 Haywaters Drive, Cutchogue, NY 11935, being duty sworn, deposes and says that on the 10t~ day of August, 2009, deponent mailed a Ixue copy of the Notice set forth in the Board of Trustees Application, directed to each of the named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addresses of said persons as shown in the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Cutchogue, NY 11935, that said Notices were mailed to each of said persons by Certified Mail/Return Receipt Re- Sworn to before me this 19th day of August, 2009 BONNIEJ. DOROSKI Nota~ Public, StateOfNewYoA No. 01D06095328, Suffolk Coun~ TermExpiresJuly7,20 [( APPLICANT: RYAN STORK SCTM #: 1000-128-6-8 Policy 1 [] YES LWRP CONSISTENCY ASSESSMENT FORM (Revised 9/22/08) Foster a pattern of development in the Town of Southold that enhances com- munity character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. ~NO [] NOT APPLICABLE Replacement of an existing waterfront dwelling and accessory structure, resulting in a modest net gain in the area of the footprint is consistent with the character of the waterfront community, and because the immediate area is heavily developed it is felt that there is no adverse impact on the desired preservation of open space. In- fxastmcture use is not a factor since the project is for the replacement of an existing structure while retaining the same use. The project is certainly a beneficial use of the coastal location, and the incremental increase in development in the area is in- significant. Policy 2 [] YEs Preserve historic resources of the Town of Southold. [] OTA PUCA LE There is no evidence to indicate that the immediate area of the project includes his- toric features. Policy 3 [] YEs Enhance visual quality and protect scenic resources throughout the Town of Southold. ~NO [] NOT APPLICABLE The structures proposed will not be inappropriate in the proposed location. They are compatible with other existing waterfront structures in the area, and will not adversely affect the dynamic landscape elements (tidal fluctuations, seasonal vege- tation changes, changing light) which might conlribute to ephemeral visual quali- ties. Policy 4 []YES Minimize loss of life, structures, and natural resources from flooding and ero- sion. [~NO [] NOT APPLICABLE The likelihood of the proposed project contributing to increased hazards which could result in the losses lis~ed is minimal. Natural protective features will not be adversely affected; there is an existing bulkhead. Policy 5 [] YEs Protect and improve water quality and supply in the Town of Southold. ~NO [] NOT APPLICABLE The proposed project will utilize a new Health Department-approved on-site sew- age disposal system. During construction a line of haybales and/or a silt fence will be in place to minimize the chance of silt entering the bay. There will be no distur- bance of the bay bottom during construction. Policy 6 [] YEs Protect and restore the quality and function of the Town of Southold's ecosys- tem. ~NO [] NOT APPLICABLE There is no wetland vegetation on the site, and as has been mentioned the property is behind an existing bulkhead and a retaining wall. Steps will be taken to insure that silt does not enter the bay during constmctiun. The project is not located in a Significant Coastal Fish and Wildlife Habitat. All statutory and regulatory re- quirements, at all levels of government, will be strictly complied with. No dredg- ing, excavating, or filling of the bay bottom is proposed. Policy 7 [] YES Protect and improve air quality in the Town of Southold. ~/NO [] NOT APPLICABLE The construction or use of the project as proposed will not result in significant amounts of new air pollution. Policy 8 [] Minimize environmental degradation in the Town of Southold from solid waste and hazardous substances and wastes. ~NO [] NOT APPLICABLE It is not expected that the project as proposed will, over time, result in the genera- tion of significant additional solid waste; it will be disposed of in accordance with the required or recommended practices of the Town and the SCDHS. Any handling and storage of petroleum products will be accomplished through the use of ap- proved containers and facilities, and approved methods of handling and storage will be followed. Policy 9 Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. [] NO ~OT APPLICABLE This policy is not applicable to the proposed project. Policy l0 [] Protect Southold's water-dependent uses and promote siting of new water- dependent uses in suitable locations. [] NO [~NOT APPLICABLE This policy is not applicable to the proposed project. Policy 11 [] Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. [] NO ~NOT APPLICABLE This policy is not applicable to the proposed project. Policy l2 [] Protect agricultural lands in the Town of Southold. [] NO ~I~OT APPLICABLE This policy is not applicable to the proposed project. Policy 13 [] YES Promote appropriate use and development of energy and mineral resources. ~NO [] NOT APPLICABLE The planning and construction of the project is, and will be, such that energy effi- cient design criteria are applied throughout, based upon local and State building codes. As has been stated, any handling and storage of petroleum products will be accomplished through the use of containers, facilities and methods of handling and storage as approved for residential property use and generally accepted as safe. Site drainage and water control will be designed and accomplished in accordance with Town policies and requirements. Roofnmoff will be retained on-site. Excess spoil resulting from the basement excavation will be removed to a site at which it will pose no environmental burden. Proper-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 (631) 734-5800 July 27, 2009 Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 000 Re: Application for Permit on Behalf of Ryan Stork; SCTM # 1 Dear Sir: Attached are documents which have been prepared in support of the application for a permit to demolish existing structures and construct a new house and a new garage on the property of Ryan Stork in the Town of Southold. Proper-T Permit Services represents Mr. Stork in this matter, and a letter of authorization is part of this submission. If there are any questions, or if additional information is needed, please call me. , Sincerely, ~ ~'J Enclosures: Application Fee ($250) Application Form (3 copies) Letter of Authorization (3 copies) Notarized Statement (3 copies) Transactional Disclosure Form (3 copies) LWRP Consistency Assessment Form (3 copies) Short EAF (3 copies) Vicinity Map (3 copies) Tax Map (3 copies) Site Plan/Survey of Property (3 copies) Project Site Photos (3 copies) Aerial Photo (3 copies) a subsidiary of THE PECONIC EASTERN CORPORATION BITE PLAN F'OF~ STORK R F~SIDENCE ,~ ~:> I iT' U A-F E T~A UR EL TOk'qN OF $OUTkqQLD - $UFFOLK COUNT'F, 2, - $CALE~ I' INCM = 20~ =REPARED FROPd OFFICE RECORDS~ q/15/O5 PETER TOKAR, A.I.A. ARC H I TE C T 3718 Sound Ayenue, RiverheM N.Y. 11901 (631) 208-4097 Fax (631) 2084099 FEET ? SITE PLAN HOP-. STORK R RSID ENCE TOb,lN OF SOUTFtOLD - SUFFOLK COUNTY', N.Y'. :.,. - SCALE: I'l INCH = 20' FEET ~I~.EPA~.ED FF'.OM OFFICE PETER TOKAR, A.I.A. ARCHITECT 3718 Sound Avenue, Riverhead N.Y. 11901 (631) 208-4097 Fax (631) 2084099 JUL 2 7 ~00= Southhold Tow Board of Trustees Z DESCRIBED PROPERTY LAUREL, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: RYAN STORK JENNIFER STORK N/F AUSTIN RESIDENCE SERVICED BY SCWA LiNE T~ 1000-128-08-008 PROPOSED BUILDING FOOTPRINT CONTAINING 5 B~DROOMS SCALE 1"= 60' T SEPTIC TANK SPECIFICATIONS: LEACHING POOL SPECIRCATIONS: HISTORIC HIGH WATER LEVEL FOR THIS AREA WAS FOUND TO BE EL, 2.26 1998 MATCH L/NE 2-RAIL FENCE ('PROP) PROPOSED SANITARY SYSTEM EL 18 (PROP) C) [ OUTDOOR SHOWER WALL OF ADJACENT RESIDENCE TEST HOLE LOCATION NOTE: I~LDG DRIF OVER LINE 0.3' '~-NOTE: BLD ON (PBOP) LrNE BETWEEN BUILDINBS EAST AND WEST OF PROPOSED RESIDENCE SCALE APPARENT HIGH WATER LI OF BULKHEAD S 31'20'39"W TIMBER MO~ 22.17' RETAINING WALL 54° 17'22 "W 10.21' :o' 6 ' 0 APPROVED BOARD OF TRUSTLL , TOWN OF SOUTH,.~L GUARANTEED TO: RYAN STORK JENNIFER STORK M/D-ISLAND ABSTRACT, LLC SURVEYED BY STANLEY d. ISAKSEN, JR. P.O BOX 294- SUF~'OLK N.Y. 1~9~ NEW ~YS Lira ~o~49273/ 0