The URL can be used to link to this page

Home My WebLink AboutTR-7253AJill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0558C Date July 30~ 2010 THIS CERTIFIES that the removal of the existing patio/deck and replacement with a new porous stone patio/deck and pergola above At 1400 Sound Beach Dr., Mattituck ' Suffolk County Tax Map #106-1-35 Conforms to the application for a Trustees Permit heretofore filed in this office dated 2/19/10 pursuant to which Trustees Wetland Permit #7253A dated 3/17/10 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 the removal of the existing patio/deck and replacement with a new porous stone patio/deck ~above. The certificate is issued to CHRIS MESKOURIS owner of the aforesaid property. Jill M. Doherty, President .lames F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Halt, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE .~N 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 1 st day of construction ¼ constructed V'/' Project complete, compliance inspection. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7253A Date of Receipt of Application: February 19, 2010 Applicant: Chris Meskouris SCTM#: 106-1-35 Project Location: 1400 Sound Beach Drive, Mattituck Date of Resolufionllssuance: March 17, 2010 Date of Expiration: March 17, 2012 Reviewed by: Board of Trustees Project Description: To remove the existing Patio/deck and replace with a new porous stone patio/deck and pergola above. 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 site plan prepared by Amhitechnologies, last dated January 14, 2010, and received on February 19, 2010. 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. Board of Trustees JMD:eac Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated F~acu~'-v / ~r c~O/O has been reviewed by this Board at the regular meeting of.P,/)n~'-c~/n//~ c20/O and your application has been approved pending the completion of the 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 Southotd. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: Jill M. Doherty, President Board of Trustees Jill M. Doherty. President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer P.O. Box I 179 Southold. NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: Frank Notaro on behalf of CHRIS MESKOURIS requests an Administrative Permit to remove the existing patio/deck and replace with a new porous stone patio/deck and pergola above. Located: 1400 Sound Beach Dr., Mattituck. SCTM#106-1-35 Type of area to be impacted: ~ ~,~9~ltwater Wetland Freshwater Wetland __~"Sound Bay Distance of proposed work to edge of wetland af Town Code proposed work falls under: pt.275 Chapt. 111 other Type of Application: ~/Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were:~J.King J~. D°herty J~. Bredemeyer B.Ghosio, v' D. Dzen~wski --~tl~er Form filled out in the field by · Bergen__~ Mailed/Faxed to: Date: James F. King~ President Jill M. Doherty. Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio. Jr. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Architecnologies on behalf of CHRIS MESKOURIS requests a pre- submission inspection to discuss the proposed replacement of tlo. e existing patio and construction of a pergola. Located: 1400 Sound Beach Dr., Mattituck. SCTM#106-1-35.1 Type of area to be impacted: ,j '~,~altwater Wetland __Freshwater Wetland"'Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: __ Wetland Coastal Erosion ~Amendment __Administrative__Emergency z~"Pre-Submission Violation Info needed: Modifications:~ Conditions: Present Were: ~/~J.King __¢'//J.Doherty ~/~P.Dickerson __ D. Dzenkowski other D. Bergen__ B.Ghosio, Form filled out in the field by Mailed/Faxed to: Date: P.O.Box 93 July 30, 2009 Southold Town Trustees Town Hall 53095 Route 25 P.O. Box 1179 Southold, N.Y. 11971 Re: Pre-Submission Field Inspection Request Meskouris Residence 1400 Sound Beach Drive S.C.T.M. # 1000-106-01-35 To Whom It May Concern: Mr. Chris Meskouris would like to request a pre-submission field inspection for his property located on 1400 Sound Beach Drive. It is our understanding a pre-submission field inspection will help facilitate the planning for a replacement of the existing patio and addition of a pergola on the lot. The proposed residence will be staked out and preliminary plans will be submitted. Please feel free to contact our office at 631-298-1129, or mail to: Frank Notaro, R.A. P.O. Box 93 Mattituck, N.Y. 11952 Sincerely Yours, Frank Notaro, R.A. 87/29/2009 12:07 2123714221 EASTSIDE REALTORS PAGE 01 Chris Meskottris 1400 Sound Beach Dr Ma~tituek, NY 11956 917-807-1380 July 29, 2009 Town of Southotd Trustees Town H~II 53095 Rt PO Box 179 Southold, NY 11971. Dear Sir/madam: T give the town permission to enter and inspect my property. Home Owner_ ITECNOLOGIES P.O.Box 93 July 30, 2009 Southold Town Trustees Town Hall 53095 Route 25 P.O.Box 1179 Southold, N.Y. 11971 Re: Meskouris Residence 1400 Sound Beach Drive S.C.T.M. Cf 1000-106-01-35,1 To Whom It May Concern: Enclosed please find: 1. A letter requesting a pre-submission field inspection. 2. Check in the amount of $50.00. 3. Letter from the current owner allowing the Town access to inspect the property. Please feel free to contact our office at 631-298-1129, or mail to: Frank Notaro, R.A. P.O. Box 93 Mattituck, N.Y. 11952 Sincerely Yours, Frank Notaro, RA. 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: Jill Doherty, President ~,, Town of Southold Board of Tr From: MarkTerry, Principal Planner¢37 LWRP Coordinato'f Date: March 15, 2010 Re: Proposed Wetland Permit for CHRIS MESKOURIS SCTM# 1000-106-1-35 The proposed action is not located within the Coastal Erosion Hazard Area. Frank Notaro on behalf of CHRIS MESKOURIS requests an Administrative Permit to remove the existing patio/deck and replace with a new porous stone patio/deck and pergola above. Located: 1400 Sound Beach Dr., Mattituck. SCTM#106-1-35 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 EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "B" which states: Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit; Cc: Lori Hulse, Assistant Town Attorney 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 Office Use Only __Coastal Erosion Permit Application __Wetland Permit Application ~ Adminis~ative Permit Amendment/Transfer/Extension ~.~ece~vved Application:~ /"Received Fee:$ ~0 ' ,~Completed Application Incomplete SEQRA Classification: Type I__Type I1 Unlisted Coordination:(date sent) ./LWRP Consistency Assessment Form ~2AC Referral Sent: ~ oc .~.~Date o f Inspection: Receipt of CAC Report:.. - Lead Agency Determination:__ Technical Review: ~blic Hearing Held: ;~[ Resolution: Name of Applicant Address Phone Number:( ) d~"1 - ,~ -' I 9' Suffolk County Tax Map Number: 1000- j ~'~.F~ ' ~ } ' -~ (provide LI~CO Pole ~, dist~e m =oss &ts,l=d ~o~aon) AGENT: (If applicable) Address: ~ard of Trustees Applicati¢ GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. Yes :.~ No Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? '~ No Yes If yes, provide explanation: Project Description (use attachments if necessary):. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA I~- Area of wetlands on lot: square feet Percent coverage of lot: ~t..~ % Closest distance between nearest existing structure and upland edge of wetlands: I 'k~'~ ' feet Closest distance between nearest proposed structure and upland edge of wetlands: II ~' ' feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? ~..~.~.. cubic yards How much material will be filled? ~,. ^. cubic yards Depth of which material will be removed or deposited: ,o.~. · feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of_the e~_ffec[, if any, 09 `thC we_t!_ag~. ~S and tidal waters of..t)_~ _town _that maX r__e§_u!Lb_y- reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER 6'17.20 SEQR APPENDIX STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 o PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2. PROJECT NAME 3.P LOCATION: Munici~)ality i County ~----~L~t~ i~ 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks~ etc -or provide map 5. IS PROPOSED ACTION: [] New []Expansion ~----']Modificatlon/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: ~,~ ~-~ ,~.-e~.~l~-- r~_~,~ $~._~ ~p~:~ . Initially acres Ultimately acres 8, WILL PROPOSED ACTION CQMPLY ~TH EXISTING ZONING OR OTHER RESTRICTIONS? 9. WHAT PRESENT ~ND USE iN VICINI~ OF PROJECT? (Ch~se as many as apply.) ~ntial ~,nOustda, ~Commercia, ~Agriculture ~ParklForestlOpenSpaco ~Olher (describe) )E ACTION INVOLVE A PERMIT APPROVAL, ~(Federal, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL State or Lo~I) ~s ~No ~ yes, list agency name and pe~it / approval: 11.UL) ANY A~P'EL;I OF IHE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~es []No If yes, list agency name and permit / approval: RES ~r OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION'~ 12. ASA ~o I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature ~ ~ C~ If the a al Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYpE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. E~Yes [~]No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. [] Yes [] NO C* COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surfaco or gmundwatsr quality or quantity, rioise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain bdefly: L,o C2. Aestheticl ~gflcultural, archaeological, historic, or other natural er cultural msonrcos; or community or neighberhond cflaracter? Explain briefly: C$. ¥o~et~tion or leUua, tish. ~beilfiah or wildlile species, $i~nificont habltat~, or thraaten~ or endangered ~c~s? Exphain b~fly: G4. ~ community's ~x~tin~ plans or gual~ ,~ off~ll~ add,ted, or a chang~ In u~ or intes~lt~ of uss o~ lesd or o~sr natural msour~s? Explain briefly: C5. Growth, subsequent development, or related activ'ties likely to be induced by the proposed action? Explain briefly: C~. Long term, shod term, cumulative, or other o~ecls not klenti~l in C1 -Cti? Explain I 07. Other impa~ts Iinctudin~l cbe~es in use of etiber quanti~ or t~ nf en~ ~lale I,, ...... D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS TRAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain bdefl¥: E. IS THERE, OR IS THERE LIKELY TO BE1 CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachedversee~ectidenti~edab~ve~determinewhetheritissubstsnbe~~~arge~imp~rtant~r~thenvisesigni~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 raferance 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 chec~ked 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 mom potentially large or slgnlflca nt adverse impacts whirl1 MAY occur. Then proceed directly to the FU Lt FAF 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 prebosed actior WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessep/, the masons supporting thti determination. Board of Trustees Name of Lead Agency Jill M. Doher[y P~Ty~/~ame of Responsible Offic, er in Lead Agency /)'/ S/gnatura of R~~d Agency . President Title of Responsible Officer Signature of Preparer (if different from responsible officer) Board of Trustees Appli~n Coumy of Suffolk State of New York DEP~IRMS ~"~ BEING DULY SWORN THAT I~/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF H/S/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS Signature DAY OF ,20 / t9 No~j~lR]~l!tl~[ (DO U G H E RTY ~ Notary No. 01DIJ 62045z~ Qualified in Suffolk Coun~ {~ommission Expires April 20, 201S Chris Meskoufis ! 400 South Beach Dr. Mattituck, N.Y. ! 1952 917-807-t380 To whom it may concern, Town of Southoid Zoning Board of Appeals. This letter is to ce~tit'y Frank Notaro of Architecnoiogi.¢s is my agent of entat on in ctdn a royals for work to do on my property. repres g g PP - ~ v ~WATt~LUKDAR . .. Not~ Pubtlc, State of New YO~ No. 01'[A~435~ ~'~' Ou~ified n Queens Coun~ , O~mmlssJon ~pire* Aprit lO, 2o 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 Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not 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 Waterfront Revitalization Program. A proposed action will be evaluated as to its si~ificant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- suovorting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.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 The Application has been submitted to (check appropriate respon§e): TownBoard ~ Planning Board ['~ Building Dept. [~/ Board of Trustees [~/ 1. 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: Site acreage: '1 · :~'~'> ~e..~ P t resen zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [-~ N~ If yes, which state or federal agency? 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 Practices that will further each policy. Incomplete answers will require that the form be returned for completion. 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. ~es [--] No [] Not Applicable 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 , es [] Applicable 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 ~ NoNNot Applicable 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 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 Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southoid 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 licable 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 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. 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~ N~ Not Applicable Attach additional sheets if necessary WORKING COAST POLIC~ 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 ~-~ Noto~Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Ycs 'Not Applicable 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. 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. PI~PARED BY~~ ~~ TITLE APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohibits conflicts of interest on the oart of town officers and emnlove~s. The ouroos~ of this form is to urovide information which can alert the town of ~ossibl6 conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: u are applying in the name of (Last initi some6ne el~e or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building ,/ · Variance Trustee v Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other", name the activity.) Do you pemonally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% o/fAhe shares. YES NO '//1~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agan*drepresentative) 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 ~hild 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 corpora6on); ___B) the legal or beneficial owner of any interest in a non-corporate entibd (when the applicant is not a corporation); ___C) an officer, director, parmer, or employee of the applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this I__.~ day o~,e.4o'f200 ~ Signature '-~,~ ' ' Print Name .'E~XISTING LOT COVERAGE 11.323 s~.ff 1o MHFIM 2754/11325 = ~% 6045 sq. fl. fo Coesfal Erosion Hazm'd LiRe 2754/6045 = 45°5% 6900 so. fl. to bulkhead. 2754/6900 = 40% 38.00,00. L'O? COtZERAGE AFTER CONSTRUCTION I1~$Z$ sq. ft. to MHR/M 1458/11325 . L3~ 6045 sq. fl. fo Co~sld E~'e$1on Hazard Line 14~ ~45 = 6900 ~.ft. fo bulkhead [~8/6900 = ~0.~ Zor NOTE' LOT NUMBE/~S ARE REFERENCED TO 'MAP OF CAPTAIN KIDD ESTATES, BLOCK 2' FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON JAN. 19, /949 AS MAP NO. 16T~ CERTIFIED TO' FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK SOUTHOLD SA VINGS BANK JAMES MESKOURIS CHRIS MESKOURIS AREA = 11,323 sq ft. to tie 8ne iNY AL TERA TION OR ADDITION TO THIS SURVEY 15 A VIOLA TION OF SECTION ?~09 OF THE HEW YORK STATE EDUCATION LAW. ;EXCEPT AS PER SECTION ?209 - SUBDIVISION Z.. ALL CERTIFICATIONS HEREON ARE VALID FOR ~ MAP AND COP~S TMEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED ~EAL OF THE SURVEYOR ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM "ALTERED BY' MUST BE USED BY ANY AND ALL 6~IRVEYOR$ UTI. IZ~V6 A COPY aP ANOTHER SURVEYOR'S MAP. TERMS ~UCH AS 'INSPECTED' AND 'BROU6HT-TO'DATE°ARE NOT ~1 COMPLb4NCE FILTH THE LAW. WOOD DECK TO REMOVED SETBACKS SHOWN ~4RE EXISTING OR AFTER CONSTRUCTION SURVEY OF PROPERTY A T MA TTITUCK : TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. FLOOD ZONES FROM FIRM $6103C0159 G MA Y 4, 1999 ~oAsTAC ~:l~o~/o~ ~-/A ~,~t,'~O 6~~l~ ELEVATIONS A~D CONTOUR LINES ARE REFERENCED TO N.G.V.D. 1000 - 106- 01- 35 SCALE: 1" = 20' APR. 17, 1986 NOV. 12, 1999(t0po.) JUNE 12~ 2009 (PROP. PERGOLA) JAN. £0, 2010 (REVISIONS) P. O. BOX ~0~ IR30 TRAVELER STREET SOUTHOLD, N.Y. 11971 DECK DEMOLITION PLAN ~ ~'ff'~ ......... PROPOSED FOUNDATION PLAN NOTE PROPOSED PATIO PLAN r DRAWING LIST A-1 COMPOSITE CONSTRUCTION PLAN, DEMO, FOUND., NOTES, PATIO PI~N GENERAL NOTES OFFICE SET ] NORTH ELEVATION SECTION "B" EAST ELEVATION SECTION "A" PROPOSED OFFICE SET J 1.1410