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Home My WebLink AboutTR-7273 Jill M. Doherty, President Bob Ghosio, Jr., Vice-Pres/dent Jmnes F. King Dave Bergen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: /~ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction __ ~ constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen 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 # 0666C Date: July 8, 2011 THIS CERTIFIES that the removal of the existing roof and expand the second-floor within the existing footprint; construct new covered porch, gutters to leaders to drywells on the dwelling and detached garage At 7080 Peconic Bay Boulevard, Laurel, New York Suffolk County Tax Map # 126-11-7 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated March 31, 2010 pursuant to which Trustees Wetland Permit #7273 Dated April 21, 2010 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 roof and expand the second-floor within the existing footprint; construct new covered porch, gutters to leaders to drywells on the dwelling and detached garage The certificate is issued to JOAN E. SHANNON owner of the aforesaid property. rized Signatu~ Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (63 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 ½ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7273 DATE: APRIL 21~ 2010 ISSUED TO: JOAN E. SHANNON PROPERTY ADDRESS: 7080 PECONIC BAY BLVD.~ LAUREL SCTM#126-11-7 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 April 21, 2010 in consideration of application fee in the sum of $250.00 paid by Joan E. Shannon and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and the following: Wetland Permit to remove the existing roof and expand the second-floor existing footprint; construct new covered porch on the landWard side of the existing dwelling; and install drywells for proposed dwelling and existing detached garage, and depicted on the site plan prepared by Robert Stromski last revised 12/11/07. IN WITNESS WHEREOF, the ~aid 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 Pcrmittee, Joan E. Shannon, residing at 7080 Peconic Bay Blvd., Laurel, NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released fi.om 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 extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That thC 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 authoriZ&t. That there shall be no interference with the fight 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 flee navigation, the said Permittee will be req~tired, 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 compleiion of the work authorized. That the Permittee will obtain ail other permits and consents that may be required supplemental to ~his 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 April 21,2010 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Mr. Gerald Lang Aleet Enterprises P.O. Box 676 Mattituck, NY 11952 RE: JOAN E. SHANNON 7080 PECONIC BAY BLVD., LAUREL SCTM#126-11-7 Dear Mr. Lang: The Board of Town Trustees took the following action during its regular meeting held on Wed., April 21, 2010 regarding the above matter: WHEREAS, Aleet Enterprises on behalf of JOAN E. SHANNON applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance, application dated March 31, 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 Apdl 21, 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, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, BE IT FUTHER RESOLVED, that the Board of Trustees APPROVES the application of JOAN E. SHANNON to remove the existing roof and expand the second-floor within the existing footprint; construct new covered porch on the landward side of the existing dwelling; and install drywells for proposed dwelling and existing detached garage, and as depicted on the site plan prepared by Robert Stromski last revised 12/11/07. 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, JMD/Im~ Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631 ) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., April 14, 2010, the following recommendation was made: Moved by Audrey Horton, seconded by Anne Trimble, it was RESOVLED to SUPPORT the Wetland Permit application of JOAN E. SHANNON to remove the existing roof and expand the second-floor within the existing footprint; construct new covered pomh on the landward side of the existing dwelling; and install drywells for proposed dwelling and existing detached garage. Located: 7080 Peconic Bay Blvd., Laurel. SCTM#126-11-7 Inspected by: Audrey Horton Vote of Council: Ayes: All Motion Carried Jill M. Doherly, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Brcdemeyer PO. Box 1179 Southold, NY 1197l Telephone (631 ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: JOAN E. SHANNON requests a Wetland Permit to remove the existing roof and expand the second-floor within the existing footprint; construct new covered porch on the landward side of the existing dwelling; and install drywells for proposed dwelling and existing detached garage, Located: 7080 Peconic Bay Blvd., Laurel. SCTM#126-11-7 Type of area to be impacted: __Saltwater 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 Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: __&King __J.Doherty __J. Bredemeyer __ B.Ghosio, __ D. Dzenkowski other Form filled out in the field by D. Bergen__ Mailed/Faxed to: Date: 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 Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: April 19, 2010 Re: Proposed Wetland Permit for JOAN E. SHANNON SCTM#1000-126-11-7 Aleet Enterprises on behalf of JOAN E. SHANNON requests a Wetland Permit to remove the existing roof and expand the second-floor within the existing footprint; construct new covered porch on the landward side of the existing dwelling; and install drywells for proposed dwelling and existing detached garage. Located: 7080 Peconic Bay Blvd., Laurel. SCTM#126-11-7 The Consistent recommendation made In December of 2007 is still in effect as no significant changes to the action were proposed. 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 ~7'Wetland Permit Application Amendment/Transfer/Extension g~'Rece~vved Application: '~. ~ l ]'~'~ ~-Received Fee:$~2.~ ,~--'~ompleted Application~_ __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordination:(date sent)_ ~TWRP Consistency Asse~ts_m~nt Form q ~AC Referral Sent: q/~g [O ' ~..l~ate of Inspection: q ~[ ill I~ __Receipt of CAC Report: __Lead Agency Determination: ~Technical Review: ution: Administrative Permit Name of Applicant Address 7 mhoneNumber:( ) .~/ Suffolk County Tax Map Number: 1000- Property Location: (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: ,rd of Trustees Applicati¢ Land Area (in square feet): Area Zoning: /~ ~ fl"t7 Previous use of property: Intended use of property: GENERAL DATA Covenants and Restrictions: If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Yes ./~ No Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or ,/~ No Yes suspe, n.,q[ed by a governmental agency? If yes, provide explanation: Project Description (use attachments if necessary):. ~ ~'~ /~/~6~ Ms. Joan Shannon P.O. Box 151 7080 Peconic Bay Blvd. Laurel, New York 11948 SCTM# 1000-126-11-7 Project Description · Remove existing roof and expand second floor within existing footprint. Existing second floor ceilings are lower than 8'-0' and a major reason for the expansion. · Existing first floor interior plan will be modified slightly to enhance the main entry and relocate the kitchen. · A new covered porch is proposed on the landward side of the existing house. (approximately 35'-7" x 6'-4') · Drywells are proposed to contain a 2" rainfall for the proposed residence and existing detached garage. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposeofthe proposed operations: Enlarge second story master Suite to achieve more desirable ceiling heights. Create covered porch for first floor. Area of wetlands on lot: 0 Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: ~r~0:~ feet Bulkheaded lot Closest distance between nearest proposed structure and upland edge of wetlands: 6 7.7 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? 2 0 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 4 Proposed slope throughout the area of operations: < 5 % Manner in which material will be removed or deposited: Material will be removed from site by truck square.et Bulkheaded lot 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): No adverse effect will be incurred by approval of this project to Town Wetlands. Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes 0fprop0sedactivity: Expand second story within building footprint. Create covered porch for first floor. Are wetlands present within 100 feet of the proposed activity? No x Yes Does the project involve excavation or filling? No x Yes If Yes, how much material will be excavated? How much material will be filled? 0 Manner in which material will be removed or deposited: will be removed from site by truck. 20 .(cubic yards) (cubic yards) Material Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Proposed project will not greatly impact tho existing environment. In fact, by installing proposed drywells to contain roof water runoff impact to the environment may be reduced by approving proposed project. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Nalne: Address: STATE OF NEW YORK COUNTY OF SUFFOLK Sworn to before me this ]])ay of~, 20__/0 ~.~r~,.~ L~464C4 ,residingat, ~.q'oeO aa-~,~ ,70 ~ ~ day of ~r-- · ~ ~,~ ~utn, aeposes ~d says ~at on the set fo~.,n ~e Bo~d of Trustees ;;~,r---)-~ep~ne~t ?~l~ a ~e copy of the Notice vv-wt~on, ~r~tea to e~h of ~e above ~ed pemom at ~e ad~esses set opposite ~ere resp~tive ~es; ~at ~e ad~ess~ set oppqsite ~e n~es ofsfid porsom ~e ~e M~s ofs~d p~om ~ sho~ on ~e c~ent ~sessment roll of~e To~ ofSou~old; ~at sfid Noti~ were m~led ~ the U~t~ S~tes Post Office at ~ or~awD ff ~ , ~at s~d Notices were mail~ to ~ch of s~d persons by (ce~ifi~) (registerS) mail. Notary Public LAUREN M STANDISH Notary Public, S~te of New ~rk No. OtST6164008 Qualified n Suffolk County Commission Expires April 9, 20 Sales Receipt Product Sale Unit Description Oty Price F CROTON ON HUDSON NY $0,44 10520 Zone-1 First-Class Letter 0,80 oz. Expected Oelivery: Sat 04/10/10 *** Return Rcpt $1.10 (Electronic) Use label ~ 70092250000149784813 for inquiry on Return Receipt (Electronic), Certified Label #: Issue PVI: $2.80 70092250000149784813 $4,34 Issue PVI: MERRICK NY 11586 $0,44 Zone-1 First-Class Letter 0,80 cz, Expected Delivery: Fri 04/09/10 Return Rcpt (Green $2,30 Card) Certified $2,80 Label ~: 70092250000149784806 $5,54 Issue PVI: LAUREL NY 11948 $0.44 Zone-1 First-Class Letter 0.80 oz, Expected Oelivery: Fri 04/09/10 Return Rcpt (Green $2.30 Card) Certified $2.80 Label #: 70082250000149784820 $5.54 CROTON ON HUDSON NY $0.44 10520 Zone-1 First-Class Letter 0,80 cz. Expected Oelivery: Sat 04/10/10 Return Rcpt (Green $2,30 Card) Certified $2,80 Label ~: 70092250000149784813 Customer Postage -$4.34 Subtotal: $1,20 Issue PVI: $1.20 Total: $18.62 Paid by: MasterCard $16.62 Account #: XXXXXXXXXXXX6766 Approval ~: 253997 $0.~ 0971 FU Totel Postage & Fees $OAq Gertiflnd Fee r'-I Return Receipl Fee Res cted O.live~/i~d~ 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of JOAN E. SHANNON COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~t~--z-'~D Z'~-'h4 ~ , residing at/dba /c ~4/_~'T ~/~/c~.-~ T>,/ca~'~:"9' being duly sworn, depose and say: That on th~ day of~g/~ ,2010, I p~sonally posted the prop~y known as by placing the Board of Trustees official poster where it can easily be seen, ~d that I have checked to be sure the poster has remained in place for ei~t days prior to the date of the public hemng. Date of hearing noted thereon to be held Wed. April 21~ 2010 on or about 6:00 PM. Dated: (signature) Sworn to before me this &'day oft2ptM2OgO Public , STA ISH Ou '" 1S16164008 ~ ahfied in Suffolk County ~omrnission Exo res April 9, of Trustees Applicat~ AU'£HORI~ATION (where the applicant is not the owner) (print owner of property) residing at ~OF'~5~t(~I (mailing address) do hereby authorize ~4~3) (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. .(~ne~' s §igna~.ute ) 8 ~oard of Trustees Applicati~ County of Suffolk State of New York BEINGDU Y SWOKN 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/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH 1N 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 TIlE 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 ,~ ( DAY OF (~.k~--O-~ ,20. ( O Notary Public VlCKI TOTH NOt~rL.Pu~ic, State of New _ ' No. 011'06190696 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Town of Southold's Code of Ethics prohibits conflicts of intorest on the cort of town Officers and cmnlovces. The ~uroose of this form is to urovidc information which can alert the town of oossible conflicts of interest and allow it to take whatever action is ne~ssarv to avoid same. (Last name, f~at name ~niddle in' ' , y app y'ng' someone cl~e or other entity, such as a company. If so, indicate thc 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, tnarriage, or bUSiness interest. "Business interest" means a bUSiness, including a parmership, 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% 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/agenl/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 greator than 5% of the shares of the corporate stock of the applic0m (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 __.I)) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME SEQR 3.PROJECT LOCATION: Municipality ~ 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide mae 5. IS PROPOSED ACTION: [] New [] Expansion [?~lvlodiflcation / alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: initially ~ acres Ultimately acres WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? J~Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [~esidential ~] Industrial r~ Commercial [---~Agricultum [] Park / Forest / Open Space ]Other (descdbe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. State or Local) r'~Yes [] No If yes. list agency name and permit / approval: '~"~T~. '/¥'4~ ~* ~,.~,~!~/'~ ~)! ~-.--7'! ~'~¢~ 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~Yes ~---]No If yes. list agency name and permit / approval: 12. AS A RESULT 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 ~.~po~_~ ~. _ Date: Signature ~ '- ~ / ' If the action is a Costal Ares, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment Ms. Joan Shannon P.O. Box 151 7080 Peconic Bay Blvd. Laurel, New York 11948 SCTM# 1000-126-1 I-7 Pro'ect Descri tion Remove existing roof and expand second floor within existing footprint. Existing second floor ceilings are lower than 8'-0" and a major reason for the expansion. Existing first floor interior plan will be modified slightly to enhance the main entry and relocate the kitchen. A new covered porch is proposed on the landward side of the existing house. (approximately 35'-7" x 6'-4") Drywells are proposed to contain a 2" rainfall for the proposed residence and existing detached garage. PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL FAF. B. WILLACTION RECErVECOORDINATEDREVIEWASPROVIDEDFORUNLISTEDACTIONSiN6NYCRR, PART617.67 IfNo, anegative declaration may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WiTH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, sudace or groundwater quality or quantity, noise levels, existing traffic pattem, solid waste production or disposal, potential for erosion, drainage or flcoding problems? Explain briefly: C2 Aes he c, agncultural, amhaeolog~cal h~s, tonc, or other natural or cultural resources, or commumty or ne~ghborhcod character? Explain beery C3. Veo~t~tlun or fauna, fish, shellfish or wildl~o species, significant habitats, or thmatonsd or eedangemd s~cies? Explain briefly: co mumty s ex~sting plans or goals as officially adopted or a change Jn use or mtenstty of use of land or other natural resources? Explain beery subsequent development or related acbwfies hke~y to be mducsd by the proposed action? Explain beery 1 C6. Long term, short term, cumulative, or other effects not identified in C1 -C57 Explain briefly: C7. Other imcacts includin~l chan~es in use el either ~uantit,/or t~e o[ ensr~? Ex¢lain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRmCAL ENVIRONMENTAL ARFA (CEAI? Ill ~/es, explain btiefl¥: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~~arge~imp~rtant~r~therwisesigni~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessapj, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environ mental characteristics of the CEA Check this box if you have identified one or more potenUally large or significant adverse impacts which MAY occur. Then proceed directly to the FULL 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 proposed actio~ WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necsssa~, the reasons supporting determination. Name of Lead Agency Date Title of Responsible Officer Print or Type Name of Responsibie Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) 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 HazardArea. 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 Waterfxont 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 detail~ listing both supporting and non- suooorting 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# t' 6 - / ? _ :7-- PROJECT NAME The Application has been submitted to (check appropriate response): TownBoard [] Planning Board ~ BuildingOept. [] 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: Ms. Joan Shannon P.O. Box 151 7080 Peconic Bay Blvd. Laurel, NewYork 11948 SCTM# 1000-126-11-7 Project Description Remove existing roof and expand second floor within existing footprint. Existing second floor ceilings are lower than 8'-0' and a major reason for the expansion. Existing first floor interior plan will be modified slightly to enhance the main entry and relocate the kitchen. A new covered porch is proposed on the landward side of the existing house. (approximately 35'-7' x 6'-4") Drywells are proposed to contain a 2" rainfall for the proposed residence and existing detached garage. o Location of action: Site acreage:_ Present land use: _x~/Az G w~' ~"/S,~ t/ ~llg~rtP~---. P~sent zomg cl~sificafion: ~ ' ~ ~ ~ r ~ r~ If ~ application for ~e proposed action ~ ~ filed ~ ~e To~ of Sou~old agency, ~e follo~g ~o~afion s~l be prohded: (a) Nmeofapplic~t: ~~~ ~ ~) M~l~gad~ss: ~- ~ ~ 7~ (c) Tel~hone nmber: ~ea Code ( ) d J/' ~ ~ - ~ ~f (d) Application nm~r, if ~y: Will ~e action ~ ~recfly ~de~en, req~ ~g, or approv~ by a sram or fede~ ~ency? Yes ~ No ~ If yes, whch state or fede~ 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 Ill - Policies; Page 2 for evaluation criteria. [] Yes ~-~ 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 Yes ~ No ~/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 - Policies Pages 6 through 7 for evaluation criteria 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 ~J 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 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 ~N~ot AI.~ 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 []NoG Not Applicable At~ach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~[~ Yes V'-] No ~-] 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 Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [] Yes~ No ~NNot Applicable At~ach additional sheets if necessary WORKING COAST POLU Policy 10. Protect Southoid's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. ~ Yes ~ No ~TNot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconie Estuary and Town waters. See LWRP Section HI - 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 III - 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; Pages 65 through 68 for evaluation criteria. Yes ~-] No ~ Not Applicable PREPARED BY ~ ~ ~-/l~t~ ~.f TITLE SURVEY OF DESCRIBED PROPERTY SITUATE LAUREL, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: JOAN E. SHANNON TM# 1000-126-1~-007 GUARANTEED TO: dOAN E, SHANNON WOOD FRAME RESIDENCE SURVEYED: 12 JUNE 2007 SCALE 1"= AREA = 22,352 OR 0,513 ACRES SURVEYED BY STANLEY J. ISAKSEN, JR p.o, E~OX ,.~94 NEW sur?~tX. N.Y. 11956 NY$ Lie, No. 49~73 07R1593 N PROPOSED RESIDENCE FOR " N NN 7080 PECONIC BAY BLVD., LAUREL, NY 11948 SURVEY OF DESCRIBED PROPERTY ........ SITUATE 1~ 31 ;_olo LALJREL~ TOHN OF SOUTHOLD SUFFOLK COUNT¥~ N.Y. $.C.T.M,II 1000-12¢-11-007 LOT AREA = 22~352 SO, FT. (.513 ACRES) ELEVAII6N5 ~N HEREONARE IN Iq2q RGVD ADSAC~NS A~EA LOT COVErAGe: ~N ~,m s~o *~ STORH ~ATER CALCULATIONS: DIA. X 4J-O' RI~5- ~3 ~.~. (HUST DEC 12 ~"~'~.,/ SITE (~) LOC~TION MAP N,, ~ EXISTING FRAME 0 NOOD FRAME RESIDENCE A[ [;':i~.OVED BY LOARD OF TRUSTEES TOWN OF SOUTHOLD Z ~PLAN ~ I'. ~ ~i} SEARLES, STROMSKI, gg ASSOCIATES -v ARCHITECTS PLANNERS, P.C. Proposed Addition & Alteration for: IMs.'Joan E IShannon 7080 Peconic Bay Blvd. Laurel, NY 11948 REVISIONS ICl Issued To Towu Trustees For Review lC) Issued To N.'l .S.D.E.C. For Review lC) 12-11-07 Revised As Per N.Y.S.D.E.C. lO lO. IG IG I0 I0 TITLE Site Plan SHEET S-1 PROPOSED ADDITION AND ALTERATION FOR MS. JOAN E. SHANNON 7080 PECONIC BAY BLVD., LAUREL, NY 11948 BEDROOM BEDROOM BATH FOTER · ._~ZZZZZZZZZZZZZZZZZZZZZZZ2-1 U SITTING ROOM LIVING ROOM DINING ROOM KITCt4EN MASTER CLOSET MASTER BATPtROOM I~-~' x BATIJ 7 MASTER BEDROOM Ii IL FIRST FLOOR PLAN 5EC. CND FLOOR PLAN OFFICE ~j~ SEARLES, STROMSKI, ~ ASSOCIATES m ARCHITECTS PLANNERS, P.C. Proposed Addition & Alteration for: IMs. Joan E Shannon 7080 Peconic Bay Blvd. Laurel, NY 11948 REVISIONS 10__ IQ IQ IQ IQ IQ IQ lO. lO_ IQ SEAL DRAWN By TITLE Building Floor Plan SHEET A-1 I 'I'I:I' 'd) liiril ::l 1. IIII ,Ill?Il I,I l]l irl]llil[lllllllli, iI Il Il [,[, l l'l , I lilll~l[ ll[',¢ll i lldldll .... 1 l IL_ [l ]ll TL~L! Ill Ii I Ill I Il , ! [ T Ill I lillilljl: ll[llril~l ~ ~I ~--~~[ -- Il [ :I ,[ ,lI I ll,l,lll,lll,l,l,l,lll[[~]l ] [[][.l.ll.l I [Irl~]lll llll Il II lJrl Il I ..... l iI Ill i I llill - I I, I: il lilllll ~ [I[ Irll ii ililJl]ll i~IFiliri'r ~ T ....... d I lllHllll[ll]l i I i II I lllllii[lll~ ~llllllll[l rll[llllllil I I il Il iii rll [ : ~ [ Ill llll II Il Ir I I II Q FRONT ELEVATION RIGt-IT 51DE ELEVATION EXISTING C(31DITIOfI5 ~ SEARLES, STROMSKI, ASSOCIATES ~ ARCHITECTS PLANNERS, P.C. Proposed Addition & IAlteration for: Ms. Joan E IShannon 7080 Peconic Bay Blvd. Laurel, NY 11948 REVISIONS IL lO__ Q REAR ELEVATION Q LEFT 51DE ELEVATION SEAL TITLE Building Elevations SHEET A-?