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TR-7211A
James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob GhosJ. o, Jr. Town Hall 53095Route25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ~ constructed Project complete, compliance inspection. 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7211A Date of Receipt of Application: December 14, 2009 Applicant: Richard Ranno SCTM#: 53-6-3 Project Location: 2855 Bayshore Road, Greenport Date of Resolution/Issuance: December 16, 2009 Date of Expiration: December 16, 2011 Reviewed by: Board of Trustees Project Description: To construct a 16'x6' porch over the front door of the existing dwelling. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Richard Ranno, received on December 14, 2009, and stamped approved on December 18, 2009. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, President Board of Trustees JFK:eac James F. King, President Jill M. Doherty, 'vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~'~~-/':/, ~,~Oo?has been reviewed by this Board at the regular meeting of ~7'j~,~,o,,~,~--?~, ~7'~Q' and your application has been approved pending the completion of tl~e ' following items checked off below. __ Revised Plans for proposed project __ Pm-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 m-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 053 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. 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 To: From: James King, President Town of Southold Board of Truste~.e,~' Mark Terry, Principal PlannerN,V'c"' LWRP Coordinator Date: December 15, 2009 Re: Proposed Wetland Permit for Rick Ranno SCTM #53-6-3 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 determination that the action is EXEMPT from LWRP review pursuant to § 268-3. Definitions. Minor Actions item BB which states: BB. Additions to the landward side of an existing dwelling constituting less than 25% of the original structure, except in a Coastal Erosion Hazard Area; [Added 6-6-2006 by L.L. No. 7-2006] Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. CC: Lori Hulse, Assistant Town Attorney 12/14/2009 li:59 765664! P~ 82 James F. K/.~, President Jill M. Doherty, Vice. Pr~klent Peg~lF,& Dickerson Bob. Gn~e/,o, Jr. Tow~ Hall 53095 Route 35 P.O. ~ 11"9 New York 11V71-0959 Telepho'ae (631) 765-1892 Fax (681) 765-6641 TOWN OF SOUTHOLD (provide LILCO Pole ~,'~'~tnee to cross streets, and location) AGENT: (If applicable) Address: Phone: 12/14/200~ ll:§~ PA~E 83 7656641 BOP~I) O~ TRUS]]~ GENERAL DATA Land Area (in square fcc0: V -~ © Previous use of Froperty: Intended use of property: Covclmnts and. Restrictions: If "Yes", please provide copy. Yvs ___~No Prior permitsAq~provals for sxte improvenients Agency Date No prior permit~approval~ for site improvements. Had.any p~mit/approval ~wr been revoked or su~tcd by a govor~mental agoncy? __/~_ No Yes Ifyez, provide explanation: Project Description (use attachments if necessary): ? 0,vv- ................. 12/14/2889 11:59 WETLAND/TRUSrw. E LANDS APPLICATION DATA Purpose o£the proposed opera~ions: PA~E 04 Ares of wetlands on lot: square £ec~ Percent coverage of lot: % Clo~st dis~ce bemc~ ne~ ~is~g ~c~e ~d ~l~d ~ge ofw~ds: _ ~ f~ Clot di~ce b~e~ n~t proposed s~c~e ~d upl~g ~ ofw~:~ ~ f~t .. ~ ~c p~j~t i~volve excava~on ~ filling? ~ No Yes ~, how much m~al ~]l be exc~vatc~7 How mu~ mat~ will be ~H~? cubic y~s ~ of which mattel will bc r~oved or d~osi~: Pm~ slope ~u~out ~e ~ea of opera, ohs: M~ ~ wM~ m~ ~ll be r~oved or d~osi~: cubic yards feet reason of s~l~ proposed operations (use attachments if appropriate): ........ 12/14/2009 11:59 7656641 L:OJECT ~O NUMBER PART 1 - PR-~)E-~' INFORMATION 1, AP~UCA,HT I SPON~iOR 3,pROJECT LOCATIONt 617.20 ~NDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNL~TED ACTIONS Only ( To be ~ompletad by Ap~nt or project sponsor) 4. PRECISE LOCATION: S~'eet Addess and Paaad Int~'~lor~, Prominent I~ma~ e~ -m ~ee mad . D~BE PR~E~ BRIEFLY; AMOUNT OF LAND AFFECTED: Initially ecg'es U .l~ately a~'es ~:~LL PR~ED A~ION cO~Ly ~ ~IS~ Z~ING OR OT~ ~ICTIO~? AT IS PRESENT LAND ~$E IN VICINITY OF PROJECT? (Ch~ as many as apply.) ,,Idanlla, [~,ndu,bia, Dgomm.~., ~lAgrlcultuee DP"rk/Fom"t/OpanSp"ce ~O.'DO~8 ACTION INVOLVE A PERMIT ^PPR0V~I.':' OR AGE~Y ~eml. ~ ~ L~ r.-] Other PAGE 05 SEQR i A OF PROPOSED ACT1ON WILL EXI~'TING PERMIT/ APPROVAL REQUIRE MOoIFICATION? I' CERTIFY THAT THE INFORMATION PROVIDED A~OVE I~ TRUE :1'0 mE BEs'r OF MY ~WLEDGE - ' $'~mr~ If the action I. a Costal Ama, and you are a state agency, complete the Coastal Assessment Form before proceeding with this aseesement NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL PART II - IMPACT ASSESSMENT ('re be completed by Lead A~lenc~/) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL F.~F. r~Yes ~-]No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be supemeded by another involved agency. [--]Yes [--]No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be han ,~dtten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for emsion, drainage or flooding problems? Explain briefly: I C2. Aesthetic, agricultural, amhesological, historic, or other nathml or cuifura~ resources; or community or neighborhood charac[er? Explain briefly: I C3. Vegetation or fauna, fish, shellfish or wildlite species, significan~ habitats, or threatened or endangered species? 'Explain briefly:. C4. A community's existing plans or goals as officially adopted, or a cflange in use or intensity of use of land or other natural resources? Explain briefly; [ C7. Other impacts (including chances in use of either (~uanti~ or t~e of ener~l}/? Explain briefl~y: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL 1 E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL iMPACTS? If yes explain; I-1 Yes I--INel ...... PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadvemee~ectidenti~edab~ve~determinewhetheritissubstantia~'Iarge~irnp~r~ant~r~therwisesigni~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban o~ 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 Check this box if you have identified one or mom poten~ally large or significant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/or prepare a posifi~e declaration. C~e~'~ box if y~ ~-~-d ~-~ i--~(~; ~ ~ ~ a %~ -[h-~ -j~f(~ ~'n~ ~ {[o-n' =n~l ~y~Js ~-b~;/e 'a-nd-~ ~'po~ti~ ~lo~u~n{~'{i'~-~' t-h~ the pro~ ~ WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessaP/, the masons suppo~ng thl~ determination. Name of Lead Agency Date Title of Responsible Officer Pdnt or Type Name of Responsible Officer in Lead Agency Signaiom of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) PA~E 8G County of Suffolk State of New Yo~ SWORN TO BEFORE ME THIS /t/Ytd DAY OF ,,. ,-Z)fiT--~'~'~-~'-~ ,20 {) ~i' Notary PubJ'i~// APPLICANT/AGENT/REI~TI'ATIVE TRANSACTIONAL DISCLOSURE FORM SAM~ OF AW~IC~ON: .(¢ho~k alt that Vsdance C~mg~ of Z~ne , Approval of pict Exemption fiom plat ot official map _ (if"Other', name the activity.) Building Mooting platming Do'~n eersonallv [or tl~outh ¥o~t coml~ny: ~ ~bli~ ~nk ~ ~ild) ~ n =l~ip ~ith my o~ ~ ~p~ of ~e Town of~l~ "Re~n~lp" ~1~ ~ b~, ~ ~ ~ m~ B~i~ :n~ mare a ~ ~ i~l~i.8 a ~h~. in which ~ m~ o~ ~ ~p~ ~ ~ a ~nl ~ip or (~ amb~m~ ~) n w~m~n in wh~ ~ t~ offi~ or cmp~y~ ~ m th~ 5% of~e ~ _ NO ~ ., ~ a~ Ii~ A) thmu{h D) ~m ~ in ~ ~ ~i~ ~ ~wn u~ ~ mm~lo~ or his ~ ~ ~, ~blin~, ~ ~ ~i~ ~ (~ ail ~ a~ly): ~lk~ Is n~ m ~ ~ D)~ ~ ~{i~ 07 DGSCRIPTION OF IL~LATIONSHIP Form T~ ! i2/i4/2009 11:59 7656641 BO~D OF TRUSikkS PAGE 09 Town of Southoid ~WRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agen¢iez, shall complete this CCAF for proposed actions that a~e subjeci to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplemeat other information used by a Town of Southold agency in making a detenninaiton of consistcncy. *Except minor exempt actions including Building Permit~ and other mintsterial permit.~ not located within the Coastal Erosion Hazard Area. Before answering the questions in Soction C, the preparer of this form should review the exempt minor action list. policic,s and explanations of ~ach policy contained in the Town of Southold h)cal Watedrom Reviudizafion Program. A vrovos~d action will be evaluated as to its..si~ufificalg beneficial and adverse effects uoon the coastal area (which includes all of Sonthold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect thc achievemeilt of the LWRP policy standards and conditions caotaincd in the consistency review law. Thus. each a]J~v,r must be e,4plained in de~ail~ Ih..tin~ both suunortina and nonr suuoorline facts. If an action cannot be certified as consistent with thc LWRP policy standards and A copy of the LWRP is available in the following places: online at thc Town of Southold ' s website (sontholdtown.northfork.ne0, the Board of Trustees Office, the Planning Dep~'ta~ent, all local libraries and the Town Clerk's office. B. DESCRIFrlON OF SliCE AND PROPOSED ACTION . 00% scrM# Thc Application b~ b~n subm~ed to (cb~k a~a~ ~s~): Ca, gory of Town of Southold agency action (check appropriate re, six)nsc): (a) Action un~ directly by Town agency (c.lb capital (b) (c) commmtian, planning activity, agency regulation, land wansaction) Financial assistance (c.g. grant, loan, subsidy) Permit, approval, licc~, certification: Location of notion: Site acreage: Present !and usc: Preseaxt zoning ciazsification'__ /0 If an application for the proposed action ha~ bce~ filed with the Town of Southold asency, the following information shall be provided: (c) TelcVhone n.m~: A~ Code ( ) ~ --3 (.V ! ---~O ~ ~ (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 fedea'al agencf. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Proetiees that will further each policy. Incomplete answers will require that the form be returned for completion. ~VEL..OPF_,D COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community eharactar, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effect~ of development. See LWRP Section IH - Policies; Page 2 for evaluation criteria. I-lYes [] No ~NotApplieable / Policy 2. Protect and preserve historic and archaeological resources of the Town of Sonthoid. See LWRP Ssetion III - Policies Pages 3 through 6 for evaluation criteria [-~ Yes ~-~ No~[~ Not Applicable 12/14/2889 11:59 7656641 BEI~RD 0~ TRL6~S PAGE 11 Attach additional shc~ts ifneoessnry Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section HI - Policies Pages 6 through ? for evaluation criteria [] Yes [] No ~ Not Applicable At~acl~"addifio~sl sheets NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes [] No [~ Not Applicable Attach ad&ti~nsl sheets if flecessar/ Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section - Policies Pages 16 through 21 for evaluation criteria ~-] Yes [] No ~]~ot Applicable Attach additional sheets if necess~*y Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems indudinj Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section IH - Policies; Pages 22 through 32 for evaluation criteria. 12/14/2889 11:59 Yes No 7656641 Not Applicable BOP~D OF* ]'RI_~H~ P~GE 12 A't~teh additional sheets if necessary Policy 7. Preteet and improve air quality in the Town of $outhold. See LWRP Section III - polities Pages 32 throu~b 34 for evaluation criteria. [] Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental de~'adation in Town of Southold from solid waste and hnznrdom substances nnd wastes. 8ce LWRP Section HI - Policies; Pages 34 through 38 for evaluation criteria. Yes [] No ~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access toy and recreational use of, coastal waters, public lands, and pnblie resources of the Town of Soutbold. See LWRP Seetian HI - Polities; Pages 138 through 46 for evaluation criteria. [] ye.,~'--] No~ Not Applicable Attach additional sheets if necessary 12/14/2889 11:59 7656641 BOkRD OIr TRUSTEES PAGE WORKING COAST POLICIES Policy 10, Protect Southold's water-dependent uses and promote siting of new water-dependent asea in suitable Ioeations, See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria, [] Yes [-'] No ~ Not Applicable Attach additional sh~ if n~essary Policy 11. Promote sustainable use of living marine r~sources in Long Island Sound, the Peeonie Estuary and Town waters. See LYVI{P Section IH - Policies; Pages 57 through 62 for evaluation criteria. ~-~ Yes [] No ~Not Applicable ARach additional Policy 12. Protect a~rteulturol lands in the Town of Southold. See LWRP Section IH - Policies; 62 through 6~ for evaluation criteria, [] Yes [] No ~. Not Applicable Attach additional sheets if~asary Policy 13. Promote appropriate me and development of energy and mineral resources. See LWI~ Section III-Policies; Pages 6S through 68 for evaluation criteria. ~-] Yes ~'~ No [~Not Applicable PREPARED BY , TITLE ~ ' / UXISTIN~ PORCH POST ~Y, lSqi'46 Concrete aaa SI,Wee Porch / FOU~O CON& POOflNd SUe1' OH 2v,(~ ri¢t¢ PIP~RgLASS ROOF I/2"CPY, PLYWO00 (2) 2'AC 2) 2×8 ," PORCH POST [×ISTINd Concref, e an~l .qa~ce P~ch . Pier w/ ¢wne veneer CON& PoonNd PUC1' ON PLANS OF PROPOSED PORCH FOR: 2855 Bayshore Road Greenport, NY Drawn by:[ Date: sc,~.~: ~/4": ,'-o" ] BLADYKAS & PANETTA L.S. & P.E., P.C. Oyster Bay, N.Y. (5~6) B~ra' of ~ustees ':7