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Home My WebLink AboutTR-7240 Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hail 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 # 0686C Date September 9, 2011 ' THIS CERTIFIES that the addition to the existing dwelling with interior renovations and new sanitary system At 2105 Calves Neck Rd., Southold Suffolk County Tax Map #70-4-46.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 1/15/10 pursuant to which Trustees Wetland Permit #7240 dated 2/24/10 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 An addition to the existing dwelling with interior renovations and new sanitary system. The certificate is issued to LUKE & RITA LICALZI owners of the Aforesaid property. u~t~or~ed Si)~atu~re Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John 13redemeyer Town Hall, 53095 Main Rd. P.O. Box l 179 Sontho[cl, NY 11971 Telephone (63 l) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE __ Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction __ ~ constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Halk 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 7654641 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 ¼ constructec~ Project complete, compliance inspection. BOARD OF SO.HOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7240 DATE:, FEBRUARY 24, 2010 ISSUED TO: LUKE & RITA LICALZI PROPERTY ADDRESS: 2105 CALVES NECK RD. SOUTHOLD SCTM#70-4-46.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the T~)wn Code of the Town of Southold and in accordance with the Resolution of the Board 0fTrUStees ~dopted at the meeting held on February 24, 2010 in consideration of application fee in the sum of $250.00 paid by Luke & Rita Licalzi and subject to the Terms and Cond tions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the folloWing: Wetland Permit to construct a new addition to an existing dwelling with interior renovations to the existing dwelling and new sanitary sYstem, With the condition staked hay bales and silt fencing is installed prior to construction activitie~ and maintained throughout construction, and as depicted on the site plan prepared by Samuels & Steelman Architects dated January 4, 2010 and stamped approved on February 24, 2010. 1N WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of t~s date. TERMS AND CONDITIONS The Permittee, Luke & Rita Licalzi, residing at 2105 Calves Neck Rd., .Southold, NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this pen'hit, 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 obtainlxl. That the work involved will be subject to the inspectlon and ~pproval 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 Permittec will obtain all other permits and consents ~at may be required supplemental to this permit, which may be subject to revoke upoh faihifb to obtain same. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 February 24, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Thomas C. Samuels Samuels & Steelman Amhitects 25235 Main Rd. Cutchogue, NY 11935 RE: LUKE & RITA LICALZl 2105 CALVES NECK RD., SOUTHOLD SCTM#70-4-46.1 Dear Mr. Samuels: The Board of Town Trustees took the following action during its regular meeting held on Wed., February 24, 2010 regarding the above matter: WHEREAS, Samuels & Steelman Architects on behalf of LUKE & RITA LICALZl 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 January 15, 2010, 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 February 24, 2010, 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 conceming 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 LUKE 8, RITA LICALZl to construct a new addition to an existing dwelling with intedor renovations to the existing dwelling and new sanitary system, with the condition a line of staked hay bales and silt fencing is installed prior to construction activities and maintained throughout construction, and as depicted on the site plan prepared by Samuels & Steelman Architects dated January 4, 2010 and stamped approved on February 24, 2010. 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, ohert ,Bbard of Trustees JMD/Ims Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 [ ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ///~'-]lO has been reviewed by this Board at the regular meeting of .2!,.]u. ~ 10 and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project v/ Pm-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) __ ~ 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: Jill M. Doherty, PreSident Board of Trustees Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Thurs., February 18, 2010, the following recommendation was made: LUKE & RITA LICALZl to construct a new addition to an existing dwelling with interior renovations to the existing dwelling. Located: 2105 Calves Neck Rd., Southold. SCTM#70-4-46.1 The CAC did not make an inspection, therefore no recommendation was made. Jill M. Doherty. President James F. King, Vice-President Dave Bergen Bob Ghosio. Jr. John Bredemeyer 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: LUKE & RITA LICALZI request a Wetland Permit to construct a new addition to an existing dwelling with interior renovations to the existing dwelling. Located: 2105 Calves Neck Rd., Southold. SCTM#70-4-46.1 T~Se of area to be impacted: altwaterWetland Freshwater Wetland Sound /Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: L--'OThapt.275 Chapt. 111 other Type of Application: ~Wetland __Coastal Erosion ~Administrative__Emergency Pre-Submission __ ~Amendment Violation Info needed: Modifications: Conditions: c~"~ ~, C,~_~///~' Present Were: __~J.King ~J.Doherty ~ Bredemeyer B.Ghosio, __ D. Dzenkowski t./ other Form filled out in the field by ~ ~×d,~Z~ ¢~ Mailed/Faxed to: Date: Bergen__ Licalzi Residence, 2105 Calves Neck Road 9/21/09, 9:30 am, #1 View West Licalzi Residence, 2105 Calves Neck Road 9121109, 9:30 am, #2 View South Licalzi Residence, 2105 Calves Neck Road 9/21/09, 9:30 am, #3 View North Licalzi Residence, 2105 Calves Neck Road 9/21/09, 9:30 am, ~4 View East Licalzi Residence, 2105 Calves Neck Road 9/21/09, 9:30 am, #5 View West Licalzi Residence, 2105 Calves Neck Road 9121109, 9:30 am, #6 View Northeast 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 TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: February 18, 2010 Re: Proposed Wetland Permit for LUKE & RITA LICALZI SCTM#1000-70-4-46.1 Samuels & Steelman Architects on behalf of LUKE & RITA LICALZI requests a Wetland Permit to construct a new addition to an existing dwelling with interior renovations to the existing dwelling. Located: 2105 Calves Neck Rd., Southold. SCTM#70-4-46.1 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 James FKing, President Jill M. Doherty, Vice President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971 0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application l~Wetland Permit Application Administrative Permit ~ Amendment/Tra~ fer/~Extension ~'~Received Application: I~.//O ~ Received Fee:$e~5'O'~" ~Completed Application II! ___Incomplete __SEQRA Classification: Type I Type ii Unlisted Coordination:(date sent) ~LWRP Consistency Assessment Form I/~ _~-452AC Retbrral Sent: I/e]e~ lib .~4)ate of Inspection: 'Z1 I ,/~ __vReceipt of CAC Report: ~ · Lead Agency Determination:__ Tcclmical Review: ~'Public Hearing Resolution: Name of Applicant Address / ? AGENT: (If applicable) /2/ 7',4 Phone Number:( ) Suflblk County Tax Map Number: 1000- 7~)'~ O 'f-'- Property Location: ff~:~ ~/',~(.//~,~ ~ ~ ~rovide LILCO Pole ~, distance to cross streets, ~d location) Phone:_ ~,~/ Address: Be of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: httended use of property: GENERAL DATA Covenants and Restrictions:__Yes /'~ No If "Yes", please provide copy. Prior penmts/approvals for site improvements: Agency Date NO p~5or permits/approvals fbr site improvements. Has any pemfit/approval ever been revoked or suspended by a governmental agency'? ~< No Yes If yes, provide explanation: Project Description (use attactm~ents if necessary): rd of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~¢~/f.~¢?7~_Z~//'flff~fl 0~:~ ~ feet Area of wetlands on lot: O square feet Percent coverage of lot: (~) % Closest distance between nearest existing structure and upland edge of wetlands: /, 7'.~ feet Closest distance between nearest proposed structure and upland edge of wetlands: "7' ~- feet Does the project involve excavation or filling? No / Yes If yes, how much material will be excavated? 7~,~ cubic yards How much material will be filled? ~) cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Maimer in which material wilbbe removed or deposited: 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): 617.20 Appendix C State I-'nvironmental Q,,ality Review SHORT EN¥1RONMENTAL ASSESSMENT FORM For UNMSTFD ACTIONS Only P~A~_T? - PROJECT INFORMATION o be corn letedb A Iicantor Prolect 5 onsor 4. PRECISE LOCATION (St~eet address and road intersections, prominent landmarks, etc., or pr0vide map) ~ New ~"~ecaien ~difi~tien/alleralies ?. AMOUNT OF I~NO AFFECTED: 8. WILL PROPOSED ACTION COMPLY WiTH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [~es [] No If No, describe bhefly 9. WHAT I~_.,~ESENT LAND USE IN VICINITY OF PROJECT? L._~Residential [] Industrial [] Commercial Des~be: [] Agriculture [] ParYJForest/Open Space [] Other 10. D~E~ ACT~N INV~LVE A PERM~T APPR~VAL~ ~R FUND~NG~ N~W ~R ~LT~MA TELY FR~M ANY ~THER G~VERNMENTAL AGENCY (F~EDE~L, STATE OR LOCAL)'~ L.I_.I~es [] No ' If Yes, list agency(s) name and perrrtil/approvals: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL'~ [] Yes ~ If Yes, list agency(s) name and permit/approvals: ' 12. AS A RESULT OF PROPOSED~CTION WiLL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE iNFORMATiON PROVIDED ABOVE S TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: '~&~) '~ ' (~'~"~"~ ~-~ Date: ~ Signature: PART II - IMPACT ASSESSMENT (To be completed by i ~ A~]ency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. I-l as [--INo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another Involved agency. [--~ Yes UNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quallly, surface or groundwater quality or quantity, noise levels, existing ffaffic pattem, solid waste production or disposal, potenfial for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, hiMoric, or other natural or cultural resources; or community or neighborhood character? Explain bdefly: C3. Vegetation or fauna, fish, shellfish or wlldllfe species, significant habitats, or threatened or endangered species? Explain bdefiy: C4, A community's existing pans or goals as officially adopted, or a charge in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Exptain briefly: C6. Long term, shat tsrm, cumulative, or other effects not identified in C1-C57 Explain bdefly: C7 Other impacts (including changes in use o/either quanlJty or type ofenergy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? [] Yes [] No If Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENV RONMENTAL IMPACTS'~. [] Yes [] No If Yas, explain bdefly: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether ti is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (bi probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (fi magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detair to show that ail relevant adverse impacts have been identified and adequately addressed, if question D of Part II was checked yes, the determination of significance must evaluate the potential impact of the proposed action on rite envimnmentar characteristics of the CEA. ] Check this box if you have identified one or mom potentially large or significant adverse impacts which MAY occur. Then proceed dimctiy to the FULl EAF and/or prepare a positive declaration, [] Checkthis boxif you have determined, based on the information and analysis above and anysupporting documentation,that the proposed acfion WILl NOT result in any significant adverse environmenfai impacts AND provide, on attachments as necessap/, the reasons supporting this determinabo~ Name of Lead Agency Pdnt or Type ~la ~ne of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Date Signature of Preparer (If different from ~sponsible officer) PART II - IMPACT ASSESSMENT (To be completed by Lead A~lenc¥) A. DOES ACTION EXCEED ANY TYPE i THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. r-lYes r~lNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. j'~ Yes [Z]No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED W1TH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agdcoltural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community s ex~stmg pans or goals as officially adop ed, or a change n use or ntensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain bdefiy: ° _ , .... I C6, Loog term. shod term. comulative, or other effects not identh~d in C~-Cfl7 Explain brfefly: C . Other ~mpaots Imclodm~ cban~es in use o! either quanfit~t or ~[~e et ener~ly? Explain bdefl~: I.o D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL IRONMEN~TAL AREA (CEAI? IIf yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: [::::3 Yes [:Z]N° I PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~~arge~imp~rtant~r~therwisesigni~cant, Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potenfially large or significant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actior WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination. Board of Trustees Name of Lead Agency Jill M. Dohert¥ ,i~IP~i ilat~u r~N~a m~ Office r in La ad Ag e n cY 'g ature of Responsib[~/qlficer in Lead Agency President Date Signature of Preparer (If different from responsible officer) Title of Responsible Officer of Trustees Application County of Suflblk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPI~ICANT 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 tN 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), 1~' GRANTED. IN COMPLETING THIS APPLICATION, I HEREBy AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF~ ,-~ h _,20L _ State of Ne~ ¥ .,.'. 01RI6042467 SUffolk -Xp~res May LUKE & RITA LICALZI / ?~ Prospect Avenue Garden City, NY January 4, 2010 I hereby authorize Thomas C. Samuels of Samuels and Steelman Architects, at 25235 Main Road, Cutchogue, NY, to apply for all required permits from the Town of Southold, Suffolk County and State of New York, for my project at 2105 Calves Neck Road in Southold NY 11971. Sincerely, R(i'r'ad~i~lzi'/__./ Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of LUKE & RITA LICALZI COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, 7~cg}xq ~:3~/74642J~ , residing at~a~) ~)~:~"- being duly sworn, depose and say: That on the t~ day of ~ , , .2010, I personally poste~l the property known as by placing the Board of Trustees official poster where it can easily be seen, and thht I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of heating noted thereon to be held Wed.~ Februar~ 24~ 2010 on or about 6:00 PM. Dated: Sworn to before me this 23day of ~ 20[~) l¢~ota~y Public- /IAILING OF NOTICE ITIFIED MAIL RECEIPTS tm Address: Return Receipt Fee (Endorsement Required) $2.30 ;;~;;~ene F. Zarcone ....................................... -q/3~ , being duly sworn, deposes and says that on the ~,_ day o£ ~'-~ ,20/~1, 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 set opposite there respective names; that the addresses set opposite the names of said persons are the address o£ said persons as shown on the current assessment roll of the Town ot; Southold; that said Notices were mailed at the United States Post Office at ~J'[~.~ , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn tone,ore me this Day of~f]~ ~(gL~, 20 Notary Public ~NST~C~ LISO~ ~ ~bli~ S~te of New y~ No. OILI61I~O0 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts ofinterast on the part of town officers and employees. The purpose of th s form is to nrovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is (L~st name,'first'name, middle initial, unless you are applying in the name of someone else or other entity, such as a company, lfso, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemptian from plat or official map Planning Other (lf"Other', name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business ietercst "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO ~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between youmelf (tbe applicant/agentJrepresentative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); __B) the legal or beneficial owner of any interest in a non.-corpomte 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 Form TS I Submitted Signature Print Name Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfi'ont Consistency Review Law. This assessment is intended to supplement other information used by a Town of Sonthold agency in making a determination of consistency. *Except minor exempt actions including Building Permits' and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfi'ont Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the 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 (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 70 04 46 . 2_ The Application has been submitted to (check appropriate response): TowaBoard [] Planning Dept. [-~ BuiidingDept. [] BoardofTrustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital [] construction, planning activity, agency regulation, land transaction) [] (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Construction of a new addition to an existing residence with interior renovations to the existing residence Locationofaction: 2105 Calves Neck Road, Southold, NY Site acreage:. 1. 343 AC Present land use: Single Family Residence Present zoning classification: R- 40 If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: GARDEN CITY, LUKE & RITA LICALZI 19 PROSPECT AVENUE NY (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 [] If yes, which state or federal agency? NYS DEC DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [] Yes [] No [~ Not Applicable Adding to an existing residence preserves open space around the existing residence and makes efficient use of the existing structure and property. Also the addition to the property is far less than the 20% lot coverage allowed by zoning. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes ~ No [] Not Applicable There are no historic or archeological structures on property. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [] Yes ~ No [] Not Applicable By improvinq the existinq residence, and not demolishinq it and expanding it greatly, the scenic resources are thereby preserved and enhanced Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No [] Not Applicable All rainwater runoff is and will be retained on site with the use of underground drywells. During construction hay bales will be placed between the construction and the shore, to keep runoff spoils on the site. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [] Yes [] No ~ Not Applicable All rainwater runoff is and will be retained by use of underground drywells. The sanitary system for the residence meets current Suffolk County Dept. of Health Services standards for sanitary waste water. The property is served by public water systems. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. [] Yes [] No [] Not Applicable No development will take place in the "protected" or "natural indiginous environment". Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [] Yes [] No [] Not Applicable The development will not add pollutants into the air. All construction vehicles meet the Federal standards for air pollution discharge. The mechanical systems of the residence meet the federal standards for air pollution discharqe. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes ~ No [] Not Applicable The construction and use of the residence will make use of the town's disposal and recycling center. Ail waste water "sanitary" will be discharged into an approved SCDHS sanitary system. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [] Yes~ No [-~ Not Applicable There is no a right-of-way to public lands or coastal waters. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~-~ Yes [] No [] Not Applicable There are no public or commercial activities or uses on site. Historically this proDerty and neiqhborinq DroDerties are residential in use and will Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section Ill - Policies; Pages 57 through 62 for evaluation criteria. [] Yes ~ No [] Not Applicable This project will protect and preserve the living marine resources by maintaining all rainwater discharqe and sanitary flow from the residence on site by approved SCDHS sanitary system and drywells for rainwater runoff. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No ~ Not Applicable There are no agricultural lands on site. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~ Yes [] No [] Not Applicable The construction will be using equipment approved by the Federal government for energy usage. The residence will meet Federal standards for conserving enerqy "enerqy Star Proqram" and will use "NY State E~erqy Conservation and PREPARED BY Tom Samuels TITLE Architect DATE Jan 6, 2010 Created on 5/25/05 11.'20 AM S A M U E L S & S T E E L M A N Januaw 4,2010 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 RE: LICALZl RESIDENCE 2105 Calves Neck Road Southold, NY 11971 TAX MAP # 1000-70-04-46.1 Dear Sir/Madam: We are requesting a WETLANDS PERMIT for the above reference project, for the construction of a new addition to an existing residence, with associated improvements. For your review we are submitting the following documents: 2. 3. 4. 5. 6. 7. 8. 9. Application Short Environmental Assessment Form Application Affidavit LWRP Consistency Assessment Form (3) SITE, FLOOR PLANS and ELEVATIONS prepared by Samuels & Steelman Architects Stamped current Survey Letter of authorization from Owner Check for $250.00 Six photographs of existing site conditions Please call us with any questions or concerns. Sincerely, SAMUELS & STEELMAN ARCHITECTS Thomas C. Samuels, Architect enc. ARCHITECTS 25235 MAiN ROAD CUTCHOGUE, NEWYORK 11935 (631) 734 6405 FAX (631) 734 6407 4 N. N \ S 80"46'40,, // / / / / / / 2nd x~ ×125 X 145 x~ 193.58, ?4' DEED) SURVEY OF PROPERTY SZTUA TED A T CALVES NECK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No, 1000-70-04-46.1 SCALE 1"=20' SEPTEMBER 7, 2000 OCTOBER 24, 2003 UPDATE SURVEY JANUARY 25, 2004 ADDED ROCR REVETMENT MARCH 4, 2004 ADDED HIGH WATER AS PER DEED APRIL 6, 2004 ADDED ADDED TIE-OFF RILINGS SEPTEMBER 22, 2004 ADDED ADDED TIE OFF PILING FEBRUARY 12, 2009 ADDED PROPOSED 2nd STORY OVER GARAGE AREA 58,518.87 sq. ff. 1,545 ac. NOTES. 1. ELEVATIONS ARE REFERENCED EXISTING ELEVATIONS ARE TO N.G.V.D. 1929 DATUM SHOWN THUS:~ THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. No, 50467 Nathan Taft Corwin III Land Surveyor PHONE (651)727-2090 Fsx (631)727-1727 OFFICES LOCATED AT MAILING AOORES5 20-488 F~I~NT SITE DA_~TA PROPERTY: 2105 CALVES NECK ROAD ADDRESSSOUTHOLD, NY OW.E.: LUKE~.,TAL,CA'~. · t9 PROSPECT AVENUE, GARDEN CITY, NY ZONING: R-40 SURVEYOR: NATHAN TAFT CORWIN III PO BOX 1931 RIVERHEAD, NY 11901 LICENSE # 50467 -- PlOC~, DATED FEb PATIO POOL HO!JSE BULKHE,~:~ :<<.:<.:.:.' SEPTEMBER 7, 2000 ........ ×~ OCTOBER 24, 2003 UPDATE SURVEY JANUARY 23, 2004 ADDED ROCK REVETMENT /~, MARCH 4, 2004 ADDED HIGH WATER AS PER DEED "' ~,-. APRIL 6, 2004 ADDED ADDED TIE-OFF PI:L. INGS ~N SEPTEMBER 22, 2004 ADDED ADDED TIE OFF PILING 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM A~ITION TO RESIDENC.,E~_. EXISTIN~ C~VEL '% ~ ,.,-f3.~ e.~ / EXISTING ELEVATIONS ARE SHOWN THUS: ~ ~ -L,.'"*~K.. ~// LOCATION MAP E~JLKHEAD 79"16'3¢" W APPROVED BY ~,O,7:RD OF TRUSTEES TO% N OF SOUTHOLD EXISTIN~ BULKHEAD EXISTIN~ /{e~ PILIN~ x~ ~/o/'~ ~'OHN t~qAMffR ~ VA~P~B ll~Al~R SITE PLAN SCALE: 1" [] 20'-0" '% x~ .EXISTIN~ C, ATI'~ALK EXlSTIN~ Pe, OOD GATPi,~LK EXIE~TIN~ PIOOD' 5TEF~ TIE LINE ALON~ AFPAEENT HI~,H I, qA"r~R MARK EXI~TINE~ 5TONE RIP-~P REGULATORY APPROVALS z 0<3: -0 PROJECT NO: 0910 DRAWN BY: TS, UT CHECKED BY: TS DATE: 114110 SCALE: 1" = 20'-0" SHEET TITLE; SITE PLAN SHEET NO.: 1