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Home My WebLink AboutTR-7179 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE I/~"Pre-construction, hay bale line st day of construction constructed ~Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7179 DATE: SEPTEMBER 23~ 2009 ISSUED TO: MICHAEL & DE~BORAH THOMPSON PROPERTY ADDRESS: 9280 NASSAU POINT ROAD~ CUTCHOGUE SCTM# 118-6-6 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on September 23, 2009, and in consideration o~application fee in the sum of $250.00 paid by Michael & Deborah Thompson and subject to the Terms atd Conditions ~s stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a first floor addition of 17.9 square foot'~nd second floor 129.2 square foot living space to exPand kitchen on first floor, extend bedroom and add two dormers on second floor; rebuild rear deck 481.5 square foot total (30.1 square foot more than existing), rebuild side deck 113.3 square foot and expand front porch by 19.9 square foot (total 135.2 square foot), new pool and patio, with the conditions that the existing buffer on the property is to be maintained, a line of staked hay bales with silt fencing is installed prior to construction, 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 site plan prepared by Mark K. Schwartz, Architect, last dated August 25, 2009, and received on August 25, 2009. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee Michael & Deborah Thompson, residing at 9280 Nassau Point Road, Cutehogue, 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 cimumstances 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 Pennittee wishes to maintain the structure or project involved, to provide evidence to anyone concemed 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 heroin authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittec 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 Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 September 23, 2009 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Mark K. Schwartz, Architect P.O. Box 933 Cutchogue, NY 11935 RE: MICHAEL & DEBORAH THOMPSON 9280 NASSAU POINT ROAD, CUTCHOGUE SCTM# 118-6-6 Dear Mr. Schwartz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 23, 2009 regarding the above matter: WHEREAS, Mark K. Schwartz, Architect on behalf of MICHAEL & DEBORAH THOMPSON 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 August 25, 2009, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 23, 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 MICHAEL & DEBORAH THOMPSON to construct a first floor addition of 17.9 square foot and second floor 129.2 square foot living space to expand kitchen on first floor, extend bedroom and add two dormers on second floor; rebuild rear deck 481.5 square foot total (30.1 square foot more than existing), rebuild side deck 113.3 square foot and expand front porch by 19.9 square foot (total 135.2 square foot), new pool and patio, with the conditions that the existing buffer on the property is to be maintained, a line of staked hay bales with silt fencing is installed pdor to construction, 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 site plan prepared by Mark K. Schwartz, Architect, last dated August 25, 2009, and received on August 25, 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 ~nspection. (See attached schedule.) Fees: $100.00 Very truly yours, 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 /~o(,¢i~¢ ,d~-~ (:~-O~ has been reviewed by this Board at the regular meeting ~ ~_.~ ~c~¢,~ ~' and your application has been approved pending the cor~pletion of the following items checked off below. __ Revised Plans for proposed project V/ 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: $ /~_~ BY: James F. King, President Board of Trustees James Eckert, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box I 179 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 Wed., September 16, 2009, the following recommendation was made: Moved by Peter Young, seconded by James Eckert, it was RESOLVED to SUPPORT the Wetland Permit application of MICHAEL & DEBORAH THOMPSON to construct a first floor addition of 17.9 sf. and second floor 129.2 sr. living space to expand kitchen on first floor, extend bedroom and add two dormers on second floor. Rebuild rear deck 481.5 sf. total (30.1 sf. more than existing), rebuild side deck 113.3 sr. and expand front porch by 19.9 sf. (total 135.2 sr.), new pool and patio. Located: 9280 Nassau Point Rd., Cutchogue. SCTM#118-6-6 Inspected by: Peter Young The CAC Supports the application with the Condition gutters, leaders and drywells are installed to contain roof run-off. Vote of Council: Ayes: All Motion Carried James F. King, President Jill M. EX)hetty, Vice-President Peggy A. Dickerson 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: MICHAEL & DEBORAH THOMPSON request a Wetland Permit to construct a first floor addition of 17.9 sf. and second floor 129.2 sf. living space to expand kitchen on first floor, extend bedroom and add two dormers on second floor. Rebuild rear deck 481.5 sf. total (30.1 sf. more than existing), rebuild side deck 113.3 sf. and expand front porch by 19.9 sf. (total 135.2 sf.), new pool and patio. Located: 9280 Nassau Point Rd., Cutchogue. SCTM#118-6-6 aarea to be impacted: ter Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland wn Code proposed work falls under: 75 Chapt. 111 .other Type of Application: L"'~Wetland __Coastal Erosion ~Amendment ~Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were:__. lng __J.Doherty__ . ickerson__ D. Dzenkowski other Form filled out in the field by ~D/Berge~hosio, Mailed/Faxed to: Date: SOUTHOLD OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILIN(; ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 To: Jim King, President Town of Southold Board of Trustees LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD ltl i~ ~',~ ~, ~ III MEMORANDUM From: Mark Terry, Principal Planner LWRP Coordinator Date: September 15, 2009 Re: Proposed Wetland Permit MICHAEL & DEBORAH THOMPSON SCTM#1000-118-6-6 Mark K. Schwartz, Architect on behalf of MICHAEL & DEBORAH THOMPSON requests a Wetland Permit to construct a first floor addition of 17.9 sf. and second floor 129.2 sf. living space to expand kitchen on first floor, extend bedroom and add two dormers on second floor. Rebuild rear deck 481.5 sf. total (30.1 sf. more than existing), rebuild side deck 113.3 sf. and expand front porch by 19.9 sr. (total 135.2 sf.), new pool and patio. Located: 9280 Nassau Point Rd., Cutchogue. SCTM#118-6-6 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 wet/ands. E. Maintain buffers to ensure that adverse effects of adjacent or nearby development are avoided: 1. Maintain buffers to achieve a high filtration efficiency of surface runoff. 2. Avoid permanent or unnecessao/ disturbance within buffer areas. 3. Maintain existing indigenous vegetation within buffer areas. If the action is approved'it is recommended that the areas void of veqetation in the non-turf buffer be improved through 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 indigenous, drought tolerant1 vegetation similar to that found within the immediate proximity of the parcel. Veqetation shall be installed in sufficient densities to achieve ninety-five (95) percent ground cover within two years of installation. Survival of planted vegetation shall be (ninety) 90 percent for a period of three years. Maintenance activities within the buffer are limited to removing vegetation which are hazardous to life and property, trimming tree limbs up to a height of fifteen feet (15') to maintain viewshedSl replanting of vegetation and establishing a four foot (4') wide access path constructed of pervious material for access to the water-body. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Office Use Only Coastal Erosion Permit Application ~/etland Permit Application __ Administrative Permit Amendm enffTr ans fgr/Extetnsion ece'~ved Applica..tion: ~o'2 ~O7 Received Fee:$ o/-~ ,~"Completed Applicafi on ~ ~12.~) ~3~ Incomplete SEQRA Classification: Type I Type II Unlisted__ Coordination:(date sent)~ ~CAC Referral Sent: C~ I q IO g ~.~.S~ate of Inspection: e~l. q ~Oq. ~Receipt of CAC Report: Lead Agency Determination: Technical Review: ---4~blic Heating Held: q [;TLX {~ql Resolution: Name of Applicant Michael and Deborah Thompson Address 1105 Park Avenue, 6A, New York, New York 10128 Phone Number:( ) (212) 348-8454 Suffolk County Tax Map Number: 1000 - 118-6-6 Property Location: 9280 Nassau Point Road, Cutchogue (provide LILCO Pole #, distance to cross streets, and location) AGENT: Mark K. Schwartz, Architect (If applicable) Address: 28495 Main Road, P.O. Box 933, Cutchogue, NY 11935 Phone: 734-4185 of Trustees Applicatil GENERAL DATA Land Area (in square feet): 55,259.7 sq. ft. (52462.3 sq. ft. to bulkhead) Area Zoning: R40 Previous use of property: Sin[lie Family Residence Intended use of property: Sin.qle Family Residence Prior permits/approvals for site improvements: Agency Date ~ No prior permits/approvals for site improvements. Has any permiffapproval ever been revoked or suspended by a governmental agency? _[~_No I---I Yes If yes, provide explanation: Project Description (use attachments if necessary): Proposed first floor addition of 17.9 sq. ft., and second floor 129.2 sq. ft. living space to expand kitchen on 1st. floor, extend bedroom and add 2 dormers on 2nd. floor. Rebuild rear deck 481.5 sq. ft. total (30.1 sf more than exisitng), rebuild side deck 113.3 sq. ft. and expand front porch by 19.9 sq. ft. (total 135.2 sq. ft.), new pool & patio of Trustees Applicati0 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Additions and Alterations to existing Single Family Residence. Area of wetlands on lot: 27974.4 _square feet Percent coverage of lot: 18.4 % Closest distance between nearest existing structure and upland edge of wetlands: 75.7 feet Closest distance between nearest proposed structure and upland edge of wetlands: 75.7 feet Does the project involve excavation or filling? [-1 No [7] Yes If yes, how much material will be excavated? 509 cubic yards How much material will be filled? 457 cubic yards Depth of which material will be removed or deposited: 4 Proposed slope throughout the area of operations: 1/2": 1'-0" +/- Manner in which material will be removed or deposited: Remaining soil will be left on project site and used for finished grade. feet 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): Positive effect. Project haybale line will be installed to contain site disturbance dudng construction. A drainage system of drywells will be installed to capture and recharge roof runoff and existing non-turf buffer will be maintained. PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1, APPLICANT I SPONSOR Mark Schwartz, Architect 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicanl or PrdJect Sponsor) 2. PROJECT N,~ Thompson House Courtly Suffolk 3.PROJECT LOCATION: Munlc~e~y Cutchogue 4, PRECISE LOCATION: Street Addess and Road Interseclk~s. Prominent landmark8 etc 9280 Nassau Point Road, Cutchogue, NY SEQR IS PROPOSED ACTION: [] New F-~Expansion r~Modlfica~on/aEerafion 6. DESCRIBE PROJECT BRIEFLY: Proposed first floor addition of 17.9 sq, ft, and second floor 129.2 sq. ft. living space to expand kitchen on 1st. floor, extend 1 bedroom and add 3 dormers in front on 2nd. floor. Rebuild rear deck adding 30.1 sq. ft. more than existing (481.5 sf total), rebuild side deck (113.3.6 sO and expand front porch by 19.9 sq. ft. more (135.2 sf total), new pool and patio. 7. AMOUNT OF LAND AFFECTED: Initlal~ 0.1 aces Ultimately 0~2 ec~s 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? r~Yes [--I No If no, describet~tefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Ch.)se as many as apply.) [~Resl~entlal E~]lndustflal r--ICommerclal DAgriculture E~ParklForestlOpenSpace E~]other (desc~be) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, AGENCY (Federal, State or Local) r~Yes r-~No if yes. list agency name and permil I apploval: Southold Building Department, NYS DEC NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL 11. DOES ANY' ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? I--~Yes r~No If yes, list agency name and pan'nit / approval: I~AS A ~F.~ULT OF PROPOSED ACTION WILL EXISTING PERMIT / APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant I Sponsor Name Date: Sl~lnatum If the action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART Il - IMPACT ASSESSMENT ('to be completed A. DO~S ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If ye~, coordlnath the revtew princess and uos the FULL EAF. ~B, w~LLAcT~~NRECE~VE~~~RD~NATEDREv~EwASPR~~~DEDF~RUNL~S~EDACT~~NS~N6NYCRR~PAR~617~6? ffNo, ansgative dectsraifo~ r~ay be s ~orseded by another Involved agency. C. COULD AC'tqON RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwrlttsn, if legible) C1. ExiMing air qua~, surface or groundwater ~ or quantity, noise levels, exib~flg traffic pattsm, solid waste production or disposal. I 1 C2. Ansthe~c, ag~icutiural, archaeological, hlstod~ or ofhor ~ or cultural m~ources; or community or oslghbortx.:d chamcte~ Exptaln briefly: I I C3. Vegetation or f~u--n~'fish, shellfish or ~;;~ ,pactss, algnificant habitats, ~' 6'lmatsnsd or endangered species? Explain briefly: I I C4. A community's e~ ptsos o~ gosts as ofl'ctstiy edepted, o¢ a ¢Ynen~e tn uos or i~tenNty o~ use of lend ~ ~ther natural msourcos? Explain bdefly: ! I D. WtLL THE PROJECT HAVE AN IMPACT ON TH~ ENVIRONMENTAL CHARACTERISTICS THAT CAUSED 'R-IE ESTABLISHMENT OF A CRITICAL ! E. IS THERE. OR IS THERE LIKELY TO SE~ CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ye,~ ex~lain: PART III - Dr: ~'i=RMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect idor~lflad above, determine whether it Is substantial, large, important or othe~vise significant. Each effect should be essessed in connection with Its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irrevereibility; (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 in~oacts have been identified and adequately addressed. If ques0on d of part ii was checked yes, the determination of significance must evaluate the potential i m pact of the proposed action on the environmental charactsdstics o~ the CEA. ~ this box if you have Identified one or mom potentially large or sign;flcaof adverse Impacts which BAY oc~. Then proceed dimctiy to the FULL FAF aed/or prepare a positive declaration. Check mis box if you haw determlneif, based on the infommtk~ end analysis above and any sup~x~ing documeofat~on, that the proposed actibr WILL NOT result in any significant adveme envimnmeofal impacts AND pmvlde, on attachments as necessary, the masons suppo~ng thi~ de~mtinafion. Name of Lead Agency Date Tlbe of Responsible Officer P~nt or Type Name of Responsible Officer In Lead Agency Signature of Responeible Offiosr in L®ed Agency ' Slgnatura o f Propane' (If cliff, roof from"~ospoosibl® ofticar) James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickcrson Dave Bergen Bob Ghosio, Jr. Town Hail, 53095 Main Rd. P.O. Box I 179 Soulhold, NY 11971 Telephone (631 ) 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 ,(/~/~ COUNTY OF SUFFOLK) / ~ "~'~ d:: ~ ¢ being duly sworn, depose and say: That on the[.~ay of aert~-~J~ , 200'~, I personally posted the property known as by placing the Board of Trustees official poster where it cdn 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. Date of hearing noted thereon to be held Wed, September 23~ 2009 on or about 6:00 PM. Sworn tobefore me this 2..-,- day o f,~200~ (signature) /~~ Notary Public ALICIA WALKER Hotar~ Public, Sta_te of New Yo~ No. 01WAfl153064 - Qua fie~ in Suffolk ~ount'/ commission txp res ~ept. 25,'~%~ ~ PROOF OF MAILING OF NOTICE ATFACH CERTIFIED MAll, RECEIPTS Address: frl Tot~l P~stege & Fee~ ~. ~[ ~ M~lrie Trombone 9[~ Nassau Point Road CBtchogue, New York 11935 ~J~l [] ~.rl 2. Article Number (Transfer from service lal~ , ~ 0 ~ A PS Form 3811, February 2004 Domestic Return Receipt Sworn to before me this Day of ~..k~.x..~ ,20c~ 1300 0001 7025 2921 ,that on thc aY of the Notice lbove named ddresses set ~hown on the current d at the United States Post each of said persons by ~..~_x~.: ,,..~ ~ Nomzy Public ALIClA WALKER Notaly pul~ic, State of New York No. 01WA6153064 Qualifmd in Suff~01k Co_unty_ Commission rr.~ires bept. 25, ~z.-~x~ Michael Thompson 118.-6-6 1105 Park Avenue Apt. 6A New York, New York 10128 118.-6-5.1 Marie Trombone 9180 Nassau Point Road Cutchogue, New York 11935 118.-6-7 Michael Gambarella 19 Westbury Road Garden City, New York 11530 119.-1-1 James J. Posch 9475 Nassau Point Road Cutchogue, New York 11935 119.-1-2 David R. Bergen P.O. Box 1008 Cutchogue, New York 11935 of Trustees Applicati0 Cotmty of Suffolk State of New York DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES 1N CONJUNCTION WITH REVIEW OF THIS,4~PLICATION. SWORN TO BEFORE ME THIS ~d'4 DAY OF ~/~,.~/ ,20~q Commission Lxpires ::,ep[. , ~ ,. Michael and Debra Thompson 110.5 Park Avenue #6A New York, New York 10128 212-348-8734 August 03, 2009 To Whom It May Concern: I, Michael Thompson, authorize Mark Schwartz, AIA - Architect, to act as agent for permit applications to the Southold Town Board of Trustees, New York State Department of Environmental Conservation and Southold Town Zoning Board of Appeals, Suffolk County Department of Health and the Southold Building Department. The proposed residential construction project is located at 9280 Nassau Point Road, Cutchogue, New York (SCTM# 1000-118-06-06). Sincerely, date: ~'~ ~;o~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of oossible conflicts of interest and allow it to take whatever action necessary to avoid same. YOUR NAME: (Last name, first name,tm'iddle initial, unless you are applying in the name of someone else 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 Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning 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 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 pardal 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 yourself(the applicant/agent/representative) 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 chiId 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-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 Form TS 1 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 significant beneficial and adverse effects upon the coastal area (winch 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 Hannin~ Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 . 118 The Applieation has been submitted to (check appropriate response): Town Board [-'] Planning Dept. ~'] Building Dept. ~ Board of Trustees 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: Proposed first floor addition of 17.9 sq, ft, and second floor 129.2 sq. ft. living space to expand kitchen on 1st. floor, extend 1 bedroom and add 2 dormers in front on 2nd. floor. Rebuild rear deck adding 30.1 sq. ft. more than existing (438.5 sf total), rebuild side deck (56.6 sf) and expand Location of action: 9280 Nassau Point Road, Cutchogue Site acreage: 1.3 acres (1.2 ac. to bulkhead) Present land use: single family residence Present zoning classification: R40 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: Michael and Deborah Thompson (b) Mailing address: 1105 Park Avenue, #6a, New York, NY 10128 (c) Telephone number: Area Code ( ) (212) 348-8754 (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?. 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 IH - Policies; Page 2 for evaluation criteria. ~Yes [--] No ~-] (Not Applicable- please explain) This project entails additions and alterations to a single family dwelling on a previously developed site in a heavily developed neighborhood. Policy 1 is not applicable to this project. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section lIl- Policies Pages 3 through 6 for evaluation criteria I [ Yes No l¢1 (Not Applicable - please explain) This project does not contain nor does the project affect historic or archeological resources; nor is the project located in a historic maritime area. Policy 2 is not applicable to the project. Attach additional sheets if necessary Policy 3. Enhance visual q-~lity 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 - please explain) To the extent that this policy is applicable to the proposed project, visual quality and scenic resources will be protected at the site through the protection and maintenance of the existing non-turff area. 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 - please explain) This project does not address nor affect erosion control structures or other erosion / flooding control initiatives. Policy 4 is not applicable to the project. Attach additional sheets if necessary Policy 5. Protect and improve water qna~ty and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~ Yes ~ No ~-] (Not Applicable - please explain) The proposed project is consistant with policy 5 via 2 major components: 1. Installation of drywells to control and recharge stormwater runoof, 2. Retention of existing non-turff area buffering the project from the tidal wetlands, which is to be preserved permanently and also protected from the site disturbance during construction by a project-limiting fence and staked hay bales. 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 - please explain) This project will be consistent with policy 6 for the same reasons as Policy 5. AOach 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. See Section III - Policies Pages; 34 through 38 for evaluation criteria. ~'~ Yes ~ No ~'~ (Not Applicable - please explain) The project will neither affect nor have an impact on air quality in the Town of Southold. Policy 7 is not applicable to the project. Attach additional sheets if necessary Policy 8. N4inimiT~ 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 - please explain) The project will neither create nor require the handling of solid waste or hazardous substances. Policy 8 is not applicable to the project. 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. ~ Ye~ No ~ (Not Applicable - please explain) As the project is limited to the upland portion of the property, landward of the bulkhead, public access and recreational use of the adjacent coastal waters and public lands and resources will not be affected by the project. Policy 9 is not applicable to the project. 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 Ill - Policies; Pages 47 through 56 for evaluation criteria. ~'~Yes ~ No ~-] (Not Applicable - please explain) The Project neither proposes nor affects the water-dependent uses. Policy 10 is not applicable to the project. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. Sec LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~Yes ['-] No ~ Not Applicable - please explain The project neither proposes nor affects commercial or recreational fisheries or other uses associated with the living madne resources of Peconic Bay. Policy 11 is not applicable to the project. At~ach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southoid. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~-] Yes ~ No ~'~ Not Applicable - please explain The project is neither situated on nor adjacent to agriculture lands. Policy 12 is not applicable to the project. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section lll- Policies; Pages 65 through 68 for evaluation criteria. ~ Yes ~ No ~ Not Applicable - please explain The project affects neither the use nor the development of energy and mineral resources. Policy 13 is not applicable to the project. CERTIFIED TO~ MICHAEL J. TblOMPSON DEBRA ,,4. STABILE FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK MELLON TRUST OF NEW ENGLAND, N.A. t,t101~ AREA = 1.269Acres to tie lines FLOOD ZONES FROM FIRM 36105C0502 5/04/98 SURVEY OF LOT 92 "AMENDED MAP A OF NASSAU POINT" FILED AUG. 16,1922 MAP NO. 156 A T NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 118- 06- 06 ANY AL T'ER-~T/ON OR ADD/TION TO THIS SURVEY /S A VIOLA TI~ OF SECTION 7E09 OF TNE /,~F/ YORK STA 7'~ EIXIC,4 TION LAF/. Sca/e, 1"-- 50' Jan. 23, 2009 EXCEPT AS PER ~ECTION 7~09 - 5UBDI~ ~. ALL CERTIFICATION$ t~V ARE VALID F~)~ TI'tIS MAP AND COP~$ THEJr~O~' Ol~ y jr Irt'IO~MAP OR COP~S BEAR THE IMC't~S'EF-D SEAL OF THE"~URV~YOR$/GN,4 ~ APPEARS t~EREOI~ . tS~CONl~p.(631)O. 76. ,,~B0,~ 1230 TRA SOUTHOLD PECONIC 75 7' N 54° 43' 00" E S 54° 43' 00" N/O/F GAMBARDELLA PHOTO PHOTO -E- PHOTO -I- PHOTO -F- PHOTO -J- PHOTO -G- PHOTO-K- N/O/F A.C. ABORN 624.02' 481.14' SITE PLAN SCALE: 1" = 30'-0' 5CTM# 1000-1113-06-06 DR.Y~.X) ELLS REQUIRED: BY PHOTO -H- ?o? ~. ~ ....... :.-lEGEND AUG 2 5 2009 ~0 r~ <T S-1