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Home My WebLink AboutTR-7257Jill 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 # 0583C Date September 24, 2010 THIS CERTIFIES that the second-story addition onto the existing dwelling, deck, and drywells At 350 Park Ave., Mattituck Suffolk County Tax Map #123-7-8 Conforms to the application for a Trustees Permit heretofore f'fled in this office dated 2/23/10 pursuant to which Trustees Wetland Permit #7257 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 a second-story addition onto the existing dwelling, deck, and drvwells. The certificate is issued to BUD HOLMAN owner of the aforesaid property. A~t~ or~e~ S~l.g~? Jill M. Doherty, President James F. K~ng, 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 DATE OF INSPECTION: '~h. 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 Hall, 53095 Main Rd. P.O. Box I 179 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 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 constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTItOLD, NEW YORK PERMIT NO. 7257 DATE: MARCH 17~ 2010 ISSUED TO: BUD HOLMAN PROPERTY ADDRESS: 350 PARK AVENUE~ MATTITUCK SCTM# 123-7-8 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution 0fthe Board of Trustees adopted at the meeting h~ld on ~March 17, 2010, and in consideration of applicati0n fee in the sum of $250100 paid by Bud Holman and subject ~ the Terms and C6nditions as Stated in the ResolUtiOn, the S0uthold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a second-story addition onto the existing dwelling, a 265 square foot deck, and install a drywell to contain storm water runoff, and as depicted on:the survey prepared by Nathan Taft Corwin III, last dated September 12, 2009, and stamped approved on March 17, 2010. IN WITNESS WHEREOF, the said B.oard of Trustees hereby causes its Corporate Seal to be affrxed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS Thc Permittee Bud Holman. residing at 350 Park Avenue, Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extensii)n 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 concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 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 Mamh 17, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Denise Heyse Charles Thomas, R.A. Office 206 Lincoln Street Riverhead, NY 11901 RE: BUD HOLMAN 350 PARK AVENUE, MATTITUCK SCTM# 123-7-8 Dear Ms. Heyse: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, Mamh 17, 2010 regarding the above matter: WHEREAS, Chades Thomas, R.A. on behalf of BUD HOLMAN 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 February 23, 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 March 17, 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 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 BUD HOLMAN to construct a second-story addition onto the existing dwelling, a 265 square foot deck, and install a drywell to contain storm water runoff, and as depicted on the survey prepared by Nathan Taft Corwin III, last dated September 12, 2009, and stamped approved on March 17, 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: $50.00 Very truly yours, Jill I~. Doherty ~/ Presid-' ' ne t, 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 TOW3N OF SOUTHOLD Please be advised that your application dated ~e-Joc,.~c,'*~',~.~ OO/o has been reviewed by this Board at the regular meeting of ~)a~-t'~/ 1'7... ~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) V// 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: Jill M. Doherty,'President Board of Trustees Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-664I Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., March 10, 2010, the following recommendation was made: Moved by Doug Hardy, seconded by Anne Tdmble, it was RESOLVED to SUPPORT the Wetland Permit application of BUD HOLMAN to construct a second-story addition onto the existing dwelling, a 265 sr. deck, and install a drywell to contain storm water roof run-off. Located: 350 Park Ave., Mattituck. SCTM#123-7-8 Inspected by: Doug Hardy Vote of Council: Ayes: All Motion Carried Jill M. Doherty, President James F. King, Vice-President Dave Be~en Bob Ghosio, Jr. John Bredemeyer PO. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: BUD HOLMAN requests a Wetland Permit to construct a second-story addition onto the existing dwelling, a 265 sf. deck, and install a drywell to contain storm water roof run-off. Located: 350 Park Ave., Mattituck. SCTM#123-7-8 ~wf area to be impacted: ater Wetland Freshwater Wetland Sound Distance of proposed work to edge of wetland t~hof Town Code proposed work fails under: apt.275 Chapt. 111 other Type of Application: V~etland Coastal Erosion __Amendment ~Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: ~J.King V~Dj Doherty J~. Bredemeyer__ __ . __ . B.Ghosio, D. Dzenkowski other Form filled out in the field by [~D. Bergen~ Mailed/Faxed to: Date: Office Location: Town Annex/First Floor, North Fork Bank 5,1375 Main Road (at Youngs Avenue) Southold, NY 11971 Mailing Address: 53095 Main Road RO. Box 1179 Southold, NY 11971-0959 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765-9064 October 22, 2008 By Regular Mail and Fax Transmission Abigail A. Wickham, Esq. Wickham Bressler Gordon & Geasa PC 13015 Main Road P.O. Box 1424 Mattituck, NY 11952 Re: ZBA # 6203 - Application for Variances (350 Park Avenue)) Dear Ms. Wickham: Enclosed please find a copy of the Zoning Board of Appeals determination rendered at its Meeting of October 16, 2008 for your permanent records and use in the next step with the Building Department. If you have any questions, please feel free to call. Thank you. Very truly yours, Ehcl. Copy of Decision 10/22 to: Building Department Town Clerk (original for filing) Linda Kowalski APPEALS BOARD MEMBER{~ Gerard 1~ Goehringer, Chairman Ruth D. Oliva James Dinizio, Jr. Michael A. Simon Leslie Kanes YVcisamn Mailing Address: Southold Town Hall 53095 Main Road. P.O. Box 1179 Southold, NY 11971 0959 Office Locatioa: Town Annex/First Floor, Ne~ tls Fo~k Bm~k 54375 Main Road (at Youngs Avenue} $outhold, NY 11971 Imp://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631'} 765-1809 · Fax (631) 765-9064 FINDINGS, DELIBEP~ATIONS, AND DETERMINATION MEETING OF OCTOBER 16, 2008 ZBA # 6202 - BUD GEORGE HOLMAN, Applicant PROPERTY LOCATION: 350 Park Avenue, Mattituek CTM 1000-123-7-8 SEQtLh DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEqRA. PROPERTY FACTS/DESCRIPTION: The subject property is a conforming 77,758 sq. ft. lot in the R40 District with125' frontage on Park Avenue, 124.41' frontage on Great Peconic Bay, 623.56' on the easterly boundary and 629.74' on the westerly boundary. It is improved with a one story frame house and garage. BASIS OF APPLICATION: Request for Variances under Sections 280-14 and 280- 116, based on the Building Inspector's May 20, 2008 Notice of Disapproval concerning an as-built porch enclosure and deck addition to the existing dwelling, which are less than the code-required minimum of 15 feet on a side yard in this R-40 Zone, and less than 75 feet from the bulkhead adjacent to Great Peconic Bay. LWRP DETERMINATION: A Letter confirming inconsistency was submitted to the Board of Appeals under Chapter 95, Waterfront Consistency Review of the Town of Southold Code and Local Waterfront Revitalization Program (LWRP) standards. A site inspection by the Board of Appeals found that the applicant's bulkhead has been recently reconstructed and is in excellent condition, the bluff is vegetated and stable, and the applicant's property is fiat and does not slope toward the bluff. The Board finds that these conditions are sufficient to bring the application into conformity with the intent of the LWRP. RELIEF REQUESTED: The applicant requests variances for: (1) a heated as-built enclosed porch with bay window over an existing concrete slab that replaced an original roofed over screened porch built in 1971, located at 66' from the existing bulkhead while the code requires a minimum 75' setback and (2) an as-built deck on Page 2 - October 16, ZBA# 6202 Bud George Holman CTM 123-7~8 the westerly side of the house measuring 13.5' x 16.8' setback 66' from the bulkhead with a 14' side yard setback where the code requires a minimum 15'. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board ~nakes the following findings: 1. Town Law §267-b(3)(b)(3)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Neither the enclosed porch nor deck is closer to the bulkhead than the original dwelling. The house originally contained an attached screened porch with roof and the owner merely replaced the screens with windows, added heat and a bay window in 1971. The appearance remains the same. The deck was added in the westerly side yard more than 20 years ago and is located only one foot shy of the required 15 ft. side yard setback in one corner. The west side of the property is well buffered by a neighborhood right-of-way path to the beach and is very heavily landscaped with mature evergreens. 2. Town Law ~267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The porch is where it was originally built pursuant to a building permit and the cost to the apphcant to remove one foot of decking seems excessive given the substantial existing landscape buffer and right-of-way. 3. Town Law §267-b(3)(b)(3). The variance granted herein is not substantial. Both structures are located at the same distance from the bulkhead as the original house and the setbacks appear to be in hne with the residence to the east. The deck requires only a 1' variance and although the bay window does extend slightly closer to the bulkhead than the original porch, it is above ground and without foundation and is no closer to the bulkhead than the original roof overhang. 4. Town Law §267-b(3)(b)(5). The difficulty has been self-created. 5. Town Law §267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The structures are behind a new bulkhead and do not create any increase in flooding or erosion danger to the subject property or neighbors. See LWRP Determination above. 6. Town Law §267-b. Grant of the requested relief is the minimmn action necessary and adequate to enable the applicant to enjoy the benefit of a deck and enclosed heated porch, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. Page 3 - October 16, ZBA i 6202 - Bud George Holman CTM 123-?-8 RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 26%B, motion was offered by Member Weisman, seconded by Member Oliva, and duly carried, to GRANT the variances as applied for, and shown on the site plan drawn by Donald A. Denis, Az-chitect dated November 28, 2001, subject to the following Condition: The deck must remain unenclosed and open to the sky. That the above condition be written into the Bnilding Inspector's Certificate of Occupancy when issued. Any deviation from the variance given such as extensions, or demohtions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: Members Oliva (Chairwoman), Dinizio, Simon and Weisman. This Resolution was duly adopted (4-0). Member Goehringer was absent. RUTH D. OLIVA, VICE CHAIRWOMAN Approved for Fihng 10-~-2008 New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790 - 3409 Phone:(631 )444-0365 FAX:(631 )444-0360 Alexander B, Grannis Commissioner October 24, 2008 Wickham, Bressler, Gordon & Geasa, P.C. P.O. Box 1424 Mattituck, N.Y. 11952 Attn: Abigail Wickham Re: Application #1-1-4738-02089/00005 Holman Property 350 Park Avenue, Mattituck, N.Y. SCTM#1000-123-7-8 Dear Ms. Wickham: The Department of Environmental Conservation (DEC) is in receipt of your client's request for a Non-Jurisdiction determination and we are returning the request for the following reasons. DEC made a determination regarding the limits of Tidal Wetlands Act (Article 25)jurisdiction at this property on May 11, 2001, a copy of that letter is enclosed. This office does not make repeated jurisdictional determinations for the same site. The limits of DEC's jurisdiction were indicated in our original Non-Jurisdiction letter. Therefore, your client's recent request is being returned to you. Non-Jurisdiction letters remain valid indefinitely unless substantial changes in site conditions have occurred. In addition, these determinations are issued for the property's and therefore it is not necessary to transfer them to new owners. The original letter for this site should be saved for your client's future reference. Please do not hesitate to contact me at 631-444-0365 i~an~~ i~ie~lt Admi cc: Mr. Holman, file ERIC J. BRESSLER ABIGAIL A. WICKHAM LTN'NE M GORDON JANET GEASA LAW OFFICES WICKHAM, BRESSLER, GORDON & GEASA, P.C. 13015 MAIN ROAD, P.O. BOX 1424 MATTITUCK, LONG ISLAND NEW YORK 11952 631-298-8353 TELEFAX NO. 631-298-8565 wwblaw~aol.com November 26, 2008 ! Bud George Holman / c/o Kelley Drye & Warren, LLP 101 Park Avenue New York, New York 10178 WILLIAM W1CKHAM (06-02) 275 BROAD HOLLOW ROAD SUITE 1 I 1 MELVILLE, NEW YORK 11747 631-249-9480 TELEFAX NO. 631-249-9484 Re: 350 Park Avenue, Mattituck, New York SCTM# 1000-123-7-8 Dear Bud: Enclosed is your Administrative Permit issued by the Board of Town Trustees on November 19, 2008, and a copy of the Letter of Non-Jurisdiction issued by the DEC, \ on May l 1, 2001. You should now b~ able to apply for your building permi(~L~,. ~J. If you have any questions concerning the enclosed, please do not hesitate to call. Ver,] J~ly yours, Abigail A. Wickham ' AA W.-cs Encls. Zba/Holman/ltrholmanl 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 $outhold, New York 11971-0959 Telephone (631) 765~[892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6996A Date of Receipt of Application: November 3, 2008 Applicant: Bud George Holman SCTM#: 123-7-8 Project Location: 350 Park Ave., Mattituck Date of Resolution/Issuance: November 19, 2008 Date of Expiration: November 19, 2010 Reviewed by: Trustee Jill Doherty Project Description: Existing porch and deck located on the southwest side of the dwelling. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Cede. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Donald A. Denis, Architect dated November 28, 2001. Conditions: None 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. Jamesq=. King, President' Board of Trustees IJJi JJJjJj~ ~"'-':~'~L-- T~ CO~TY ~ SUFFOLK ~ j) ~ ~ 123 Tax ~vl~ ~ ~ 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 .;,.., tH ,,: :, ~,,' lown of Southold 8oard of Trustoos / .... I-'/ From: MarkTerw, Principal Planner ~Z LWRP Coordinator ~ ~~ Date: March 16, 2010 ~ Re: Proposed Wetland Permit for BUD HOLMAN ~ SCTM¢1000-123-7-8 Charles Thomas, R.A. on behalf of BUD HOLMAN requests a Wetland Permit to construct a second-story addition onto the existing dwelling, a 265 sf. deck, and install a drywell to contain storm water roof run-off. Located: 350 Park Ave., Mattituck. SCTM#123-7-8 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the below 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 JPMorganChas~C) Conference Centers Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr John Bmdemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765 664 [ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _C~aastal Erosion Permit Application ~'~.Vetland Permit Application Administrative Permit Amendment/Transfer/Extension .~ece~vved Application:~ Dlt,,Received Fee:$ -,..C~mpleted App h cW'a tio n~t[(~[- __Incomplete __SEQKA Classification: Type l~Type 11 Unlisted Coordination:(date sent) . ~-LWRP Consistency Assiessme~ Form ~,~AC Referral Sent: ~=-~o~511 ~te oflnspection:..r~!i~")! lB Receipt of CAC Report: __ __Lead Agency Determination: Technical Review: ---~oblic Hearing nel~:~.~. Resolution: Name of Applicant Address Phone Number:( ) _ 7c-7- '7 q ,tS Suffolk County Tax Map Number: Property Location: (provide LILCO Pole #, distance to cross streets, and location) (If applicable) ~ ~5 ~ ~~ Address: ~ ~ ~ Phone: S/-7Z7. ,ard of Trustees Applicat: Land Area (in square feet): Area Zoning: /~ Previous use of property: Intended use of property: GENERAL DATA 75 7 sT Covenants and Restrictions: Yes ¥/ No If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend,~l by a govenu-nental agency? ~x No Yes If yes, provide explanation: ,ard of Trustees Applicat: WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: .square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands:_ /-~ [, .5' feet Closest distance between nearest proposed structure and upland edgeofwetlands: &/4 . ~ feet Does the project involve excavation or filling? V/ No Yes If yes, how much material will be excavated? /~'/~ cubic yards How much material will be filled? ,,d///9f cubic yards/ Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: /V 0 Manner in which material will be removed or deposited: 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): of Trustees ApplicatJ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No x// Yes Does the project involve excavation or filling? V'/ No Yes If Yes, how much material will be excavated? How much material will be filled? Of///~- Manner in which material will be removed or deposited: ~h//~(cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc - or Provide map 5. IS PROPOSED ACTION: [] New E~pansion [] Modification / alteration 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( TO be completed by Applicant or Proiect Sponsor) 2. PROJECT NAME SEQR 6. DESCRIBE PROJECT BRIEFLY: 4 'z- Initially acres Ultimately acres 8.1~,PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? MYes [] No If no, describe briefly: ISPRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ential [~lndustrial []Commercial E~Agriculture E~] Park / Forest / Open Space []Other(describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E~Yes r~ No If yes, list agency name and permit / approval: / ll, DOES ANY'~Y AS..~-ECAS T OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [--]Yes ~o If yes, list agency name and permit / approval: RES~°'~'~- OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ~Yes I CE IFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY Applicant ' Signature ~ ~/v If the action is a Costal 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 Al~enc¥) 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. [] Yes [] NO WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negafi','~ deciaretion may be superseded by another involved agency. [~] Yes []No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answem may be handwritten, if legible) C1. F-=dafing sir quality, surfaco or groundwater quality or quantity, doise levels, existing traffic pattem, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricofiural, archaeolegical, histoflc, or other natural or cufiural resources; or community or neighborhood character? Explain briefly: l"° C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain bdefly: ° C4. A community's existing plans or goals as offic~l~y adopted, or a change in use or intensity of use of land o~ other natural resources? Explain briefly: NO C6. Growth, subsequent development, or related activities likely Io be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in CI-Cfi? Explain b:lefiy: C7. Other ;,,~f,&~L~ Iincludin~l chanties tn use of either quanti~ or ~pe of enelTil;/? Explain bi'lefi},,: ....... D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITI( ~I~eOsNME~NTA~oAiEA ICEAI? lifyes, explain bfiefi},: I E. IS THERE, OR IS THERE LIKELY TO BEr CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~'es explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important.or othen~ise significant. Each effect shoukJ 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 advei~'~e impacts have been identified and adequately addressed. If question d of part ii was check(ed 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 potentially la rge or sig nitleant adverse im pacts which MAY occur. Then proceed directly to the FU L[ EAF and/or prepare a positive declaration. heck this box if you have determined, based on the ~nformat on and analysis above and any supporting documentation, that the pmpassd acfior WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thh determination. Board of Trustees Name of Lead Agency Jill M. Doherty Print or Type Name of Respp30sib~ Officer in Lead Agency President Signature of Preparer (If different from responsible officer) Title of Responsible Officer 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 (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of BUD HOLMAN COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I,I)£tl"~C ~-/ ~- , residing at /dba ~ 0 0/ ~.~ L, ]/'q S~ being duly sworn, depose and say:' Throe the ~aygf''~ .2010, I pe[sonally posted the prope~y known as by placing the Bo~d of Trustees official poster wh~e it c~ easily be seen, and that I have chec~ea to be sure the poster h~ rmained in place for ei~t days prior to the date of the public hemng. Date ofhe~ng noted thereon to be held Wed, March 17~ 2010 on or about 6:00 PM. Dated: (signature) Sworn to before me this ~'t~day of/H~d,2001D Boaz'~ o~ T~ustl~ea Appl~oetion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Postage $0.61 $2.B0 $2,30 $5.71 Address: 52- , being duly swom, deposes and says that on the ~r~tt dayof /~t ~/c/~ ,2010,deponentmailedatmecopyoftheNotice' 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 of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Officeat S'~J~/]~'I ~_ ,thatsaidN~°t~cesweremailedt°each°.fsaidpers°nsby Sworn to before m~ this Day of [N~O~-CJ~ , 2 Q~ Notary Pu~li~ OBoard of Trustees Applicat~lon County of Suffolk State of New York ~{; ~ ~" ~(7, c//~'~-._ BEING DULY SWORN .DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/I-IER 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), l~ 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 ~ REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS o2~rd DAYOF ~0 ,20/0 ~N6tary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Town of Southold's Code of Ethics orohibits conflicts of intarast on thc hart of town officers and emolovees. The ouruose of this form is to orovide inr~,6.~ion which can alert the town of oossible conflicts of interest and allow it to ~ wh~i~w, action (Last name, first name, r~lddi¢ uutlal, unless you a~ applying m me name ox 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? "Rel~onsinp mc udcs by b cod, toarmge, or basmess nteres[ Business interest~ means a business, including a parmership, in which thc town officer or employee has even a pa~ial ownership of (or employment by) a coq~oration 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 persou 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 Child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of thc applic0nt (when the applicant is a corporation); __B) the legal or beneficial ownqr 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 Submitted this day of 200 Signature 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 (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 dctail~ listing both supporting and non- su~,orting 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 SCTM# / 0 0 0 PROJECT NAME The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board ~] Building Dept. [] Board ofTrustees 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: Location of action: Site acreage: Present land use: Present zoning classification: 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: ~ / (c) Telephone number: Area Code ( ) ~ '] I ~ ~ Z '7 ' '-7 q 6~ '~_, (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? 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. [~Yes [] No [~7~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 [~ Yes [] No ~7~Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Pol~'cies Pages 6 through 7 for evaluation criteria [] Yes ~ No ~ Not 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 Scion III -~olicie~es 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 Ill - Policies Pages 16 througJ~l 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 Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LVO1P Section III - Policies; Pages 22 through 32 for evaluate/criteria. Yes No Not, cable 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 f~,~'evaluation criteria. [] Yes ~--] No [___J Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and waste~. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~ Yes [~ No[--3/~ Not Applicable 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 Southoid. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~JN [] Yes~ No ot Applicable Attach additional sheets if necessary · WORKING COAST POLIC~ Policy 10. Protect Southoldts 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 Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, thc Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes [-~ No [~Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section Ill - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; P, ages 65 through 68 for evaluation criteria. [] Yes ~ No ~/Not Applicable TITLE DATE ~-/2 ~/~/E) 667.00' SURVEY OF PROPERTY SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-123-07-08 SCALE 1 "=30' NOVEMBER 6, 2000 APRIL 9, 2001 ADDED TOPOGRAPHY OF BLUFF SEPTEMBER 12, 2009 UPDATE SURVEY AREA = 77,758 sq. ff. (TO TIE LINE) 1.785 oc. NOTE: 1, THIS PROPERTY iS SHOWN AS MAP OF MARRATOOKA PAHK FILE IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON NOVEMBER 1, 1905 AS FILE No. 450 2. FLOOD ZONE INFORMATION TAKER FROM: FLOOD INSURANCE RATE MAP No. 56105C0482 ZONE VE: COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION); SASE FLOOD EL~ATIONS DETERMINED ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN, I. ELEVATIONS ARE REFERENCED TO N.O.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: EXISTING CONTOUR LINES ARE SHOWN THUS: ...... 5 SET BACK 7'- 2" LANDWARD FROM EXISTING FF £ND STORY ADDZTION APPROVED BY BOARD OF TRUSTEES TOWN OF $OUTHOLD 77'-2" FROM BULKHEAD 104.8' FROM A.H W, NO CHANGE TO EXISTING EOOT PRINT N.Y.$. U=. Ne. 50487 Nathan Land Taft Cot Surveyor ImflONE (~31)727-20~6 FOX (~1)727-1727 ZONE GREAT pECO t3A Y ~O--OO4 HOLMAN RESlD NC DRAWINGS LEGEND: SHEET1 -ELEVATION DRAWINGS SHEET2- ELEVATION DRAWINGS SHEET3- FOUNDATION PLAN &:FIRST FLOORPLAN SHEET4- SECOND FLOOR PLAN SHEET5- CRBSS SECTIBNS/DET~ILS DETAIL SHEET 1 DETAIL SHEET 2 FEB L J APPROVED BY ~OARD OF TRUSTEES TOWN OF SOUTHOLD I i,i ARCHITECT THESEDRAWINBS AND ACCOMPANYING SPECIFICATIONS, AS INSTHUMENTS OF SERVICE, ARE THE EXCLUSIVE PROPERTY OF ME ARCHITECT ARB THEIR USE AND PUBLICATION SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR WHICH ?dRY WERE PREPARED. REUSE, REPRODUC~ON OR PUBLICATION BY ANY METHOD, IN WHOLE OR IN PART, IS PROHIBITED EXCEPT BY WRIT~N PERMISSION FROM THE ARCHITECT, flEE TO THESE PLANS SHALL REMAIN WITH THE ARCHITECT, VISUAL CONTACT WIEH THEM SHALL CONSTITUTE PRIMA FACE EV1DENCE OF ACCEPTANCE OF 1HESE RESTHICRONS, 5/4"x4" WINDOW & DOOR REMOVE ROOF T.O. SECOND FLOOR 8-0 PLATE HEIGHT T,O. WINDOWS T,O, FIRST FLOOR PLATE HEIGHT WINDOW~ SECOND FLOOR SOUTH SCALE: 1/4" = 1'-0" ELEVATION / '-.. % / % / 22'-D" 3'-4" EXISTING ADDITION WEST ~. T,O, SECOND FLOOI LU T,O, RRST FLOOR .<:~ ELEVATION SCALE: 1/4? = 1'-0" SHEET NO. 1 ][ 8'-0" PLATE HEIGHT T,O, WINDOWS WINDOW DOOR SURROUNDS T*O, SECOND FLOOR EAST ELEVATION SCALE: 1/4" = 1'-0" iNESE DRAWINGS AN[} ADCOMPANYINO SPECIFICATIONS, AS INSTRU'~ENTS OF SER~CE, ARE THE EXCLUSIVE PROPERTY OF THE ARCHITECT AND THEIR USE AND PUBUCAllON SHAM DE RES]RICI[D TO THE ORIGINAL SIR FOR ~ICH THEY WERE PREPARED REUSE, REPRODUC]]ON OR PUBLICATION BY ANY METHOD, IN WHOLE OR IN PART, I$ PROHIBITED EXCEPT BY WRITTEN PERMISSION FROM THE ARCHITECT, TITLE TO THESE PLANS SHALL REMAIN WITH THE ARCHITEgT.~ISUAL CONTACT WITH THEM SHALL CONSllTUTE PRIMA FACE EV[DEN£E OF ACCEPTANCE OF THESE RESTRID]]ONS, LLI SHEEP NO. 2 ADDle}ON ........ ~- ~ E<.¢~S [(~[~S ~.~ S ----~ ~ PROPOSED ~ ~s I ~-~~ ~ BE W o ~ ~ ~l B E D R O O M REMAIN , ~ ~ ~ ~ S OKE OVa" '~ "00 ~,' I I I CLOSET I I II II ~i~ ~ . ,.. ,,~. ~. _ Ii Ii ~,~ ~/~'~ ~ ~--~~I~ Ii I , , . i , i, ~-- I // , EX'~TIN~ ROOF ~ I I~ / I I ~ SECOND FLOOR PLan ]1 I ~ ) ri ~ I II I i Iii ~ ii I I~ ~ -~ ....... ]lir I ;' I II ' ~ I I ~ ~x,sr~ ~o~ ~ I I i ~:s ~ o II II IIII ~ XITIN ' ' H ~