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TR-7275
James F.King,President ��OF SOyQ Town Hall Annex Bob Ghosio,Jr.,Vice-President h0 l0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q Michael J.Domino Telephone(631)765-1892 �yCOU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 21, 2012 Dellen Zimber Technologies LLC c/o Carol R. Denson 1184 Corner Ketch Rd. Newark, DE 19711 RE: CAROL DENSON 750 OLD MAIN RD., SOUTHOLD SCTM#56-6-8.7 Dear Ms. Denson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., March 21, 2012: RESOLVED, that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#7275, as issued on April 21, 2010. This is not an approval from any other agency. Sincerely, James . King, Presiden 7 Board of Trustees JFK:Ims r Dellen Zimber Technologies LLC c/o Carol R. Denson 1184 Corner Ketch Road Newark Delaware 19711 _ -- (302) 593-8845 �� Email: crdenson@udel.edu f MAR Board of Truteesp TO: James King, President Board of Town Trustees Town of Southold FROM: Carol R. Denson DATE: March 7, 2012 RE: Permit Extension# 7275 The Old Barge Restaurant SCTM#56-6.8.7 This letter is to request an extension to the subject project issued April 21, 2010. Enclosed is the application fee in the amount of$50.00. James F King,g,Piesident CO P O Box 1179 Bob Ghosio,h ,Vice-President �� Gy Southold,NY 11971 Dave Beigen Telephone(631 765-1892 John Bredemeyei ,y Fax(63 1)765-6641 Michael Domino �Q Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: CAROL DENSON requests a One-Year Extension to Wetland Permit#7275, as issued on April 21, 2010. Located: 750 Old Main Rd., Southold. SCTM#56-6-8.7 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: J. King B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: 0 0 bOtiQgUf���O Jill M.Doherty,President Town Hall,53095 Main Rd. James F.King,Vice-President P.O.Box 1179 Dave Bergen A Southold,NY 11971 Bob Ghosio,Jr. Q �'� Telephone(631)765-1892 John Bredemeyer 1 �' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: & LO-P Oa rw Dr) Please be advised that your application dated 319416 has been reviewed by this Board at the regular meeting of qa///a and your application has been approved pending the completion oft a following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 at Day of Construction ($50.00) % Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ BY: Jill M. Doherty, President Board of Trustees Jill M. Doherty,President Town Hall,53095 Main Rd. James F.King,Vice-PresidentP.O.Box 1179 Dave Bergenyy,�� Southold,NY 11971 Bob Ghosio,Jr. �y74 �� Telephone(631)765-1892 John Bredemeyer 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 Pre-construction, hay bale line 151 day of construction '/z constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 7275 DATE: APRIL 21.2010 ISSUED TO: CAROL R. DENSON PROPERTY ADDRESS: 750 OLD MAIN RD.,SOUTHOLD SCTM#56-6-8.7 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 inconsideration of application fee in the sum of$250.00 paid by Carol R.Denson and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permit the following: Wetland Permit to repair the floor at the north end of the existing restaurant building, and as depicted on the plan prepared by Condon Engineering;P.C. received on March 9, 2010 and stamped approved on April 21,2010. 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. M �A 16Ah L?' r2 �Crrre G� TERMS AND CONDITIONS The Permittee,Carol R. Denson,residing at 1184 Corner Ketch Rd.,Neward DE 19711 as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. 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. 2. 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. 3. 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. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and noncompliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. 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. 7. 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. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. 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. 0 • Jill M. Doherty, President �raF sorry Town Hall Annex James F.King,Vice-President h0� �� 54375 Main Road P.O. Box 1179 Dave Bergen Southold,New York 11971-0959 Bob Ghosio,Jr. CA �e John BredemeyerG.� �O Telephone(631) 765-1892 Fax(631) 765-6641 �y00UN�'1, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 21, 2010 Mr. John Condon Condon Engineering, P.C. 1755 Sigsbee Rd. Mattituck, NY 11952 RE: CAROL R. DENSON 750 OLD MAIN RD., SOUTHOLD SCTM#56-6-8.7 Dear Mr. Condon: The Board of Town Trustees took the following action during its regular meeting held on Wed., April 21, 2010 regarding the above matter: WHEREAS, Condon Engineering, P.C. on behalf of CAROL R. DENSON 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 March 9, 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, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 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, 2 • 0 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 APPROVES the application of CAROL R. DENSON to repair the floor at the north end of the existing restaurant building, and as depicted on the plan prepared by Condon Engineering, P.C. received on March 9, 2010 and stamped approved on April 21, 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 M Doherty President, Board of Trustees JMD/Ims Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary T P.O. Box 1179 Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., April 14, 2010, the following recommendation was made: Moved by Doug Hardy, seconded by Audrey Horton, it was RESOLVED to SUPPORT the Wetland Permit application of CAROL R. DENSON to repair the floor at the north end of the existing restaurant building. Located: 750 Old Main Rd., Southold. SCTM#56-6-8.7 Inspected by: Greta Schiller, Doug Hardy The CAC Supports the application with the Condition drainage is assessed. Vote of Council: Ayes: All Motion Carried r i Jill M.Doherty,Presidentpip%UfFOk Co!- P.O.Box 1179 James F.King,Vice-President 'F Southold,NY 11971 Dave Bergen y Telephone(631)765-1892 Bob Ghosio,Jr. Fax(63 t)765-6641 John Bredemeyer y�ol 41 app! Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: d � L V CAROL R. DENSON requests a Wetland Permit to repair the floor at the north end of the existing restaurant building. Located: 750 Old Main Rd., Southold. SCTM#56-6-8.7 Joe of area to be impacted: altwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application: -�ONetland _Coastal Erosion _Amendment —Administrative—Emergency Pre-Submission Violation Info needed: Modifications: Conditions: On �� P Present Were: _J.King _J.Doherty J. Bredemeyer D. Bergen_ B.Ghosio, --yrs D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: oc, 7-0 \ THE OLD BARGE RESTAURANT Condon Engineering, P.C. OLD MAIN ROAD 1x55996MNuea SOUTHOLD,NEW YORK r..-T,r,..�.,.. Metes.New Yak 11951 (631)2961986(631)2*-%51fax PHOTO SITE PIAN w .ax4awn�wa+g.mm d[ a k Ir i_ :. ' ® ® y. ` a< « \/? � « . � � � ! ^�- RD EALTH ETSOOFHPLANS D " O FORM NO. 1 SURVEY . . . . . . . . . . . . . . . . . ... TOWN OFSOUTHOLD CHECK . . . . . . . . . . . . . . . . . . . . . . � 9 BUILDING DEPARTMENT SEPTIC FORK . . . . . . . . . . . . . . . TOWN HALL pEpt SOUTHOLD, N.Y. 11971 NOTIFY , q TEL.: 765-1202 -3. . . .. . . . i a0 , , • • • • , Examined I Q . . „ 19 MAIL TO : Approved . �,/, �. . . 19 .�9• Permit No. .t JO — . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Y"� . . �L. "'L . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations• or for removal or demolition, as herein described_ The applicant agrees to comply with all applicable laws, ordinances, building code, housin, code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (? u1 n. nR , . . . . . . . . . . . . . . . . . . .../. .n. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . . . fY��l� �. x 0! o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . .. (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No... . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . L . tocation of land on which proposed work will be done. . .�Q�,<•C�R� �y�t SCJ House Number Street. Hamlet • ' ' . • • • • • County Tax Map No. 1000 Section FP,3. Bloek . . . . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . . . . Subdivision . . oW. .g . . uQ�riac. Pd �. . :� ems.�. . . Filed Alap No. . (Name . ,�. . . . Lot . . . . . . . . . . . =. State existing use and occupancy of premises and intended use and occupancy of proposed construction: � 9 a. Existing use and occupancy . . . . Re J. R.k 4 0,..,7- • • . . . , b. Intended use and occupancy . • .YI.�. • • • • • • • • • • . • . . . . . . . . . . . . . . 3, Nature of work (check which applicable): New Buildin Re air , , pP . . p �• • . . . _ Removal . • • . . . Addition . . . . . . . . Alteration Demolition . . . . . . . . . . . . . . Other.Work: ,,,,, .fA% .. . . 4. Estimated Cost . c>av — "(`Description) /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . .V 6? 0 S. If dwelling,number of dwelling units . . . . . . . . ./ lt0 be paid 0n`fllrng'thtsappfirution) If paragc, number of cars Number of dwelling units on each floor. . , , , ""' 6. If business, commercial or mixed occupancy, specify nature and extent of eac 7. . . . . . . . . . . . . . . . . Dimensions of existing structures,if any Front .f TaQ_ �� "Pe of uVe Height . . . . . . . . . . . . . . . Number of Stories . ,':d Rear . ... . . . . . . . . . . . Depth . . . . . . . . . . . . . Dimensions of same structure with alterations or:. lditions. Front _ . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . Height . . . .ront ._ . . . . . . . . . . . . . . . . Number o�StoricsRear . . . . . . . . . . . . . . , . . . 8. Dimensions of entire new construction: F . . . , Height Number of Stories Rear Z u . 3 : . . . Depth . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot; Front . 10. Date of Purchase ./• " Rear . . . . . . . . . . • . Depth 11. Zone or use district in wh . . . wh c . ' . . . . . . . . . . . . . . . . . . Name of former Owner ich premises are situated . , • • . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. WUI lot be regraded . . . . . . . . Will excess till be removed from premises; Yes No . . . . . . . . . . . . . . . . . .. . . . . 4. Name of Owner of premises . . , (,(p,�, •�'S�s ' ' Name of Architect . . Address . . . . . . . . . . . . . . . . . . Phone No.7G s 9, Name of Contractor Address . . . . . . . . Address . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . . . . , 15 .Is this property located within300 feet of a tidal wetland?n*YES. . � ' • *If yes , Southold Town Trustees Permit may be requiredLINO. . . . PLOT DIAGRAM . Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ;TATE OF NEW YORK, 'OUNTY OF . . . . . . . . . . . . . S.S • • • . ' ' ' ' ' ' • • • • • • • • • • . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. 'c is the . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this Tlication: that all statements contained in this application are true to the best of his knowledge and belief;and that the ork will be performed in tate manner set forth in the application filed therewith. vom to before me this a • . . . . . . . . . . . . . . /. . . /. .day of.Y) Yl(� . 19 rtarY Public. . . . . . . . .�ri t� . .Q,.(J � _ • ��• . . County .le (. J�.qJ . . NOTARY PUSIK sbte off1d�k r. Tem Expimss"/hUrch o30,1 , • (Signature of applicant) U 7 ; ° t:✓�►ff of ry 1 20 r�J6 1 U) APPROVED AS NOTED DATE: S /o B.P. N 8iaS� V� 6 FEE: /&I)v BY. . 6 IL - . ('v NOTIFY BUILDING DEPARTMENT AT 7 765-1602 9 AM TO a PM FOR THE FOLLOWING INSPECTIONS. 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH • FRAMING & PLUMBING 3. INSULATION a '' 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.Q. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ' STATE CONSTRUCTION 8 ENERGY CODES. NOT RESPONSIBLE FOR t L) DESIGN OR CONSTM=ON ERRORS -- --- _. O.�ww M nWMTY 10 W r H W.r. •..� wmr . aaw ___ am minatf m r s N6a ll • . m....w rmnr .-- m • a .: ru ar ainnm 1aah OXr M�17ga1170. :W.. .:.... t 4 a � J J r ma...w.,, ,°s• 'der°\ Y y�aNn J J� , vu\� .m � f a• � N O 4 ' J r 1 Jy° a� aMW �' n u fti.� rr • O J O ® J 4s wimu •� er _.jou 2 � yc es' Epp ��tr ,p nw.i 1 Jy r J � a.o...r...a \\Q l f F •a'° v.� l .�L�_\ �`�,^ \`r qs• At. O S s O / m'maraa ✓ © .ax:•Wianmu /\]//\/p'� >e.�w � ream \�\� a / r• ,P, 9� .m....r �.�`� a "y •d' !ea 4 I app • v+° '' . - ,. o b a 3e J 0 0„Y n t r 9 d 7 OJ noun a' V' p a• O �g�m¢ '. w —�_ ...`F -- _- _ __ �w.¢E COUiTY OF SUFFOLK © 1 SOW"m sxcnox ra x _____ -- — — —_ Red ProWty To Service Igi u 056 G (2) i �'a IOW wrem*r urn OFFICE LOCATION: OF $OUjyo MAILING ADDRESS: Town Hall Annex �� l0 P.O. Box 1179 54375 State Route 25 * Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) N Telephone: 631 765-1935 Southold, NY 11971 .t` A� Fax: 631765-3136 Awl 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 CAROL R. DENSON SCTM# 1000-56-6-8.7 Condon Engineering, P.C. on behalf of CAROL R. DENSON requests a Wetland Permit to repair the floor at the north end of the existing restaurant building. Located: 750 Old Main Rd., Southold. SCTM#56-6-8.7 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "EE" which states: A. Maintenance or repair involving no substantial changes in an existing structure or facility; Cc: Lori Hulse, Assistant Town Attorney James F. King, President ��Of suulyo Town Hall Jill M. Doherty,Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G Bob Ghosio,Jr. � i� Telephone(631)765-1892 IyCOU Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application _Wetland Permit Application _Administrative Permit —Amendment/Tran fer/ xtension /Received Application: 3 19110 1 _ ` _ L� Received ppn 31 q I h�__�, Completedd Application Applicatio _Incomplete _SEQRA Classification: i Type ell Unlisted I _Coordination:(date sent) �, .ZWRP Consistency Assessment Form yli4 fo 01 iu"-•'t s ECAC Referral Sent: WI -01� - _,LHate of Inspection: _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: ✓Public Hearing Held: 1 Resolution: Name of Applicant ema- Rt gJSOA), /►letPAQ77VE?e LG15A) Z*Wk- 16 k;1P1w'rBS �— Address J: ET ft Rt, ke:w-}et-- t 1 c 147711 Phone Number:(3471) — 2- Suffolk County Tax Map Number: 1000 - 56y - ©6 — '9. -7 Property Location: 75b OLD /yANU pD_ sw7i'/a.D. Iola M,c/wlg3se 74pprott 1.93 3 ' k&ksr o�'.pmo*N r&vc o,v sg7"—s106-0L,D &A A)1?V . wide LILCO Pole#, distance to cross streets, and location) hty N AGENT: SOCOAIDO , t✓OAJDOA) CAVO (If applicable) Address: 755 S(6SBE6 i�1R'(R rrx� h1 q5Z Phone: ��� • ate! d 'o2/a �� CriJ� t$�4{ Oard of Trustees Applicato GENERAL DATA Land Area (in square feet): 7q o s-& 5Q�Po2c FES% Area Zoning: kf AWC Previous use of property: �ES�t}U12f�a Intended use of property: 1?eSRW 2PrH11 Covenants and Restrictions: Yes No If"Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date 7RUSrEVS * 1(,oqO(0 6Iio/83 4 13Lz hrf I iLusrze-s " 5%4GaA ��21I oy P4 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ��CC No Yes If yes, provide explanation: Project Description (use attachments if necessary): PrPA-(2 !'G.002 Ar 1UoP-T-H r (b 15U1Cb1k)G tole LerTD v4-7-r1E Sod-t-N *S1VD(W4r 2Stbe57) W,ct OS Z Board of Trustees Application• COASTAL EROSION APPLICATION DATA Purposes of proposed activity: &MAS e 6F >Gx 1577,✓6 ao a2 aF F�cIS�i� � �B<rau?a.aT Are wetlands present within 100 feet of the proposed activity? No / Yes Does the project involve excavation or filling? No / Yes If Yes,how much material will be excavated? 0 (cubic yards) How much material will be filled? 750 (cubic yards) Manner in which material will be removed or deposited: .SX,-JO +JD l 9A.IF(. l✓iu (a6 P[Ac,cO erS1ge j7c/Srn(p Ale6i5 Yb Per, v,DE S�lRcF Su2Fi4CE JoCL QJ2?AI/le'3G P-Lyoe_J�1q,—�¢iAz waw PCAs i'D lu l t 9 A Cce Jd 0S>0&j 62 3y AA,)O, ) escr,be the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Nn FNVIRd aiftc�7 -- IM PA-GTs A& � A.u7jc�P�r1T � Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Or Fx15U. C, r&W-7 bF 6,ISTr�'r. gks�,p�QA,iT Area of wetlands on lot: iSO O square feet Percent coverage of lot: 101 3 % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands:_ �l/�� Peet Does the project involve excavation or filling? No ✓ Yes If yes, how much material will be excavated?_ cubic yards How much material will be filled? Z 50 cubic yards Depth of which material will be removed or deposited: 6.S +/— feet Proposed slope throughout the area of operations: td Manner in which material will be removed or deposited: ' ,4v D AJO �- i 6RLkJ69 iN5oc 6*1rS2a6 6MGE Tb PP-10 IoE iJVn/J;ni Wl"— BE /64-c--0 bilr4i A coNveyo2 SMAa- Cq� q1L ASD/o2 !3� µASD_ tatement 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): a A Nrcg; r= I M P&Crs ra 77VE 4054CgC� lei 44,.,OS qA)27 /1AL PROJECT IQ NUMBER 617.20 SEAR APPENDIX C .STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 •.PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME 6(Rq, P_ DIV SO AJ F'[oo2 iI&0X 1lz. 3.PROJECT LOCATION: Municipally So u rdixz) County So P F O c,it, 4.PRECISE LOCATION: Street Addess wW Road tntersections, Prominent landmarks etc •or provide map 175'0 oLD /GC4) ieo* SOrJ/I OL!), Ny //17/ S.IS PROPOSED ACTION: New F-J Expansion D Modl9ca9on/attention 6.DESCRIBE PROJECT BRIEFLY: &_0A r2 FGcc'e. yE7- /VOQ r( ��V D 6C [50tL p 1v0 r4/S ,eE)Ri e is 6W fGA2 7"D rAr Ft.6oe 2EH4re e-amPe-e rz-b Ar TIS wt �illr�CWhi sl ) o6Me, �!>/IM)6 . See �UrLDid/6 �E72m/T� �Bios Z 7.AMOUNT OF LAND AFFECTED: Initially 0 acres Ulumately acres S.WILL.PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ®Yes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) FIResidential n Industrial 1n/ Commercial OAgriculture 1:1Park I Forest I Open Space Other (describe) E5 z-A01eA-#J T 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR.FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) 0Yes ❑No If yea, list agency name and pannil / approval GILD/ T OVA�oLD %o GUIIJ 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 0Yes _ f � No It yes, list. agency name and permit / approval: I Aes a L1SA UJLT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? No I CERTIFY THAT,fTHE INFORMATION PROVIDED ABOVE IS TRUE TO�THE/,BEST, OF MYRKNNOOWLE./DGG.EE [� Applicant 1 S Or Nama /�e'+20L gV��Nf �r1W�i Y6i-tN hz('"ADa B• /- St ature 2A e[- 2 z I lzoi'p If the action Is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment • PART 11- IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR,PART 617.4? It yes,coordinate the review process and use the FULL EAE. Yes [0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another Involved agency. Dyes 2] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED VWTH THE FOLLOWANG:(Answers may be handwritten,If legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing track pattern,sold waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: No C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain brietly: No C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: No C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: No C5. Growth,subsequent development,or related activities likely to be Induced by this proposed action?Explain briefly: No C6. Long term,short term,cumulative,or other effects no Identified in CI-057 Fxltaln briefly: No C7. Other Impacts(including changes in use of ether quantity or type of lain briefly. No D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA 7 t s,explain briefly: I MYes ❑✓ No E. IS THERE,OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? if slain: F-1Yes 0✓ No PART 111-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether itissubstantial,large,important.oroterwisesignificant Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)Irreversibility;(e) geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box tyou have identified one or more potentially large orsignitcantadverse impectswhlch MAY occur.Then proceed diredyto the FULI EAF and/or prepare a positive declaration. Check this box if you have detemdned,based on the Information and analysis above and any supporting documentation,that tie proposed actio WILL NOT result in any significant adverse environmental Impacts AND provide, on attachments as necessary, the reasons supporting th determination. Board of Trustees Name of Lead Agency Date Jill M. Doherty President Pit or Type Name oNX n Lead Agency Title of Responsible Officer i � Signature of Res ons ble i3nilr Lead Agency Signature of Preparer(if different from responsible-officer) 04/07/2010 08:46 7656641 HOARD OF TRUSTEES PAGE 01 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TR5 TOWN OF SOUTHOLD In the matter of applicant C4 L1, n S o YOU ARE HEf2EBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: I� ' t I ��d , 1 n F�GC ! /VOrLr� ,- 2. That the party which is the subject of Environmental Review is located adjacent to your property and is described a-follows: Q r4C14 ACD ork 3. That the-project which is subject to Environmental Review under Chapters 98,111 andfor.275 of the Town Code is open to public comment on: HATE: Fr 1,, 2 O l D You may contact the Trustees Oflice at 765-1892 or in writing. The above-referenced proposal is under review of the Hoard of Trustees of the Town of Southold and does not ref nos any other agency that might have to review same proposal PROPERTY OWNERS NAME: C A 1 0 h K / 7 MMUNG ADDRESS b PHONE* AGENT: h h T - MAIUNG ADDRESS: 1 -7 { r , S 6 p PHONE#_1¢3-I-i 4,F - Em: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: � SS-- LuA2/Z 'pn � . l� ofGQS✓rr fhS Ai S��o� rp0 &- / / e�'36 LV 7 6 l Ca It Igo Yl -7�. � 7�e� f��c Cy �enn to jQM i ITT-� �S IC beers M D 1��3 STATE OF NEW YORK COUNTY OF SUFFOLK b� J residing at being duly sworn,deposes and says that on the day of 20j.Q,deponent mailed a true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named persons at the addresses set opposite there respective names;that the addresses set opposite the names of said persons are the address 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 Office at ' ,that said Notices were mailed to each of said persons by (certified)(registered)mail. Sworn to�ore�mpe this aO Day of F 20j,� _ Notary Public BARBARA H. TANDY Notary IOIState Of New York TA6086001 No. Clualifled In Suffolk County Commission Expires 01/13/20 . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Tr' 1J y `{ Jell S' y2! �eu Rr ��� 11Ci7� -e 6A e ,4 P S 6 h /� Am STATE OF NEW YORK COUNTY OF SUFFOLK (1 a bA n I (24n de, L/ residing az A �1 if c being duly sworn,deposes and says that on the day of 20.deponent mailed a true copy of the Notice set forth in the Board oLTnrstees 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 Office at that said Notices were mailed to each of said persons by (certified)(registered)mail- Sworn to before me this oZ0 Day of 200 Notary Public BARBARA H. TANDY Notary Public, State Of New York No. 01TA6086001 Qualified In S,u o0 count Commission Expires ��o�pgpFFD(,�coy Jill M. Doherty, President CO* Town Hall,53095 Main Rd. James F. King,Vice-President P.O. Box 1179 Dave Bergen Southold,NY 11971 Bob Ohosio,Jr. y'�/Q ��� Telephone(631)765-1892 John Bredemeyer 1 # y' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of CAROL DENSON COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING p I, ) 0hr1 J residing at/dba 7 �f s' 6e e � being duly sworn, depose and say: That on the day of g + i L 2010, I personally posted the property known as 7 � D Id 45a -e by placing the Board of Trustees official poster where it can 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., April 21, 2010 on or about 6:00 PM. Dated: (signa Sworn to before me this c day 40a2440 av l.0 N ary Public BARBARA H.TANDY Notary Public,State Of New York No. 01TA6086001 Qualified In Suffolk County Commission Expires 01/13/20 The Old Barge Restaurant Project Description March 4, 2010 The applicant proposes to repair the existing floor (approx. 1,800 sq. ft.) at the north end of the building. The southern end of the floor was repaired previously in 1989 (see attached building permit). The repair is necessary to prevent collapse of the floor and possible injury to the patrons and employees at the restaurant. The repair will consist of removing the existing wood /concrete floor and filling in the interior of the existing barge with sand and gravel to provide a stable base for a concrete slab on grade floor. 0 0 Board of Trustees Application r�1JC ejS4 County of SuffoW State of New-Werk O¢ Igwar'c� ( A t2y L \Z 172 N S C) BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SIZE 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 FORTII IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS 2 2 Nd DAY OF F{ U« Y h ,20 I 0 Notary Public STEVEN VIVOLO Notary Public-State of Delaware My Comm. Expires Sept. 8, 2012 .ard of Trustees Applicata Jr AUTHORIZATION (where the applicant is not the owner) �,// I, �'g-eo`le, par.ON r { &t,) residing at 119V 6R-A1B7Z'1�E-24 „Iprint oreof property) (mailing address) DM(- Z4At1S67Zj ftMAF01661&-S LL-'—'- l�71 do hereby authorize // Ql/ (Agent) �Alu l'AA)l�(�N to apply for permit( s) from the Southold Board of Town Trustees on my behalf . (Owner' s signature) 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest Qn the part of town officers and employees The purpose of this form is to rovide' fo - ati n which c al rt e wn of Bible conflicts of interest and now rt to take whatever action is necessary to avoid same. f �! ��� p '^i D /' may, /� _ YOURNAME: Arv-SoA) , CXrF'-"� IL.r ('(� -�-�'^' Z(I�L�t,�'.t��[D(p(ESL.L� (Last name,firsf name,quadle initial,unless you applying in the name of /&-+i 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 partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NOy 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 child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); _B)the legal or beneficial owner of any interest in a non-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 Submitted th' 7,'L-da f 204 O SignatureL Print Name Apoe— /2 9212S®O—Al Form TS I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. 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. 2. 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). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. if an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#�- tO - g The Application has been submitted to (check appropriate response): Town Board [11 Planning Dept. [11 Building Dept. X Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital 0 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: :25-5 04-0 M'4t J AAd /yY Site acreage: it qq Present land use: 124C-5rAQ,Q ,Q 11JT Present zoning classification: /✓hP=,i.!E 1� 2. 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: CA ko ,, n (b) Mailing address: J�U (nop iEYQ FTcjq f64 /v�t✓��rT DE 07/1 (c) Telephone number: Area Code ( ) C30z) 2,v7 9 —6'779 (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 LW RP Section III—Policies; Page 2 for evaluation criteria. ©Yes ❑ No ❑ Not Applicable TNt5 ;s A 12je4 v 7a_A 4Q2/ Q(t �� �J �x/�T��1zR c7 a PAy✓T 4r/�s Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L(WRP Section III— Policies Pages 3 through 6 for evaluation criteria l Yes Not—] Not Applicable II�QF-Mlle 66 P/7Z/&2 �F. a�C o f B�iU/i✓6 c D N� ��F �1(J�cFs [,yicr � .s1t!—ivr?iac ��'e tO Attach additional sheets if neeessan 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 L � Yes No ® Not Applicable a r- 4,J �,c Ar 52) Q u sof[zosejQG �QoTF��T n 4FW4A�r/.B Aa r /STi. 5111y / Cee L5F_D /� /�Tl P�•�L/G 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 S through 16 for evaluation criteria Yes © No © Not Applicable i5 ORaTF� /� A jer--p 1,2 .n rri�,,(Z 7;�! eo1--1-Ads,6 AAO ole 1C�,sh � Gi�r rs (�l�Do>✓S o�7E� �j, Qi 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 D No Not Applicable �U.. 020 ,r �,y, �r f_11N� t 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[0 Not Applicable rS �Qo� r,r lit htz� /t�✓E v.; A212-494-VO-C' I&PAe-M 72, one pk- Tcttla (LF �[z�rr�C� r Attach additional sheets if necessan' Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section Ill — Policies Pages 32 through 34 for evaluation criteria. © Yes ❑ No� Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ 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. n ® Ye�J No❑ Not Applicable ACc 55" - _A60147Fe-5 _gip j?AF- 47,v tam_ Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes 1:1 No �Not Applicable 6 — /20 Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. I Yes ❑ No R Not Applicable 11ilS P��EGT &,I L. i /AI"AZ—� 4y014e- E kC�c�Qc�d 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 1XliS PQt.�FeT /S cN�' �d�4T:62 N� �L��T-s?/2•�� Lr4N/fS 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 :iWt,t5- Av Evcrz,oC i.r a�J 46o ? ^'° /4,0+4« of =FL'fj ib"V Zc Created on 5125/05 11:20 AM Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck, New York 11952 Fax 631-298-2651 www.condonengineering.com March 4, 2010 Ms. Elizabeth Cantrell, Clerk Board of Town Trustees Town Hall Annex Building 54375 Route 25 Southold NY 11971 Re: Repair of existing floor—The Old Barge Restaurant, Southold, New York SCTM: 1000-56-6-8.7 Dear Ms. Cantrell: Attached are the following documents for the above referenced application: • Three sets of the Trustees Application, short EAF, LWRP Form and Transactional Disclosure Form • Check for$250.00 for application fee • Three Sets of the repair plans • Three sets of pictures of the site with site plan The applicant proposes to repair the existing floor at the north end of the building. The southern end of the floor was repaired previously in 1989 (see attached building permit). The repair is necessary to prevent collapse of the floor and possible injury to the patrons and employees at the restaurant. Yours truly, E. cc. Carol Denson P O SOUTIIOLD, N.Y. O� N� Gp DARG f X b SCALE.FT. �zy PECONIC BAY G 5� 1000 KEY MAP FREEZER FREEZER 0 NO WORK FOOD PREP AREA o NO WORK EMON ° S-2 I1ALF HT WALL COOKING AREA DAR I I EXISTING BARGE STRUCTURE I � N m W W N i y y 4 y G" P151! m BAR ARCA J J U � o — — — — — MEET EXISTING CONCRETE FLOOR -- '�� m n N o MP (APPROXIMATE LOCATION V.I.F.) NO WORK "�l.�U Li u o EXISTING BARGE STRUCTURE v N I DN BELOW(APPROXIMATE LOCATION) "� S a �,.,.. i© ®f �1 W L-7 T'iJViN OF SOIJTI oGID PROVIDE TEMPORARY SUPPORT TO M I I ^ EXIST.WALLS TO REMAIN PP.) I �� J _ ENTRY FOY R Y — — — — — — — — — I IJ 5T GE — — — — — — — — — — — — — — — — — — — — — — — — — — V p MEN WOMAN F N EX15TING NTRY TO RENAL I !{I t 7 PI I I REMOVE EXISTING WOOD AND �i�.~�I, CONCRETE FLOORING IN THE HATCHED AREA, PROVIDE TEMPORARYSUPPORTFORtn ` EXISTING WALLS TO REMAIN :a9� I "" MAIN ENTRY NO WORK REVISIONS Design Loads: -Ground Floor -Live Load -100 psf ��OF Co Y -Dead Load-50 psf coypp O9 Plans are prepared by Gordon Engineering,P.C. Itisaviolahonofthe New York Stale �F Education Lew,Article 145,Sectlan 7209,for any press unless acbrg under tin yf 919A2 �1V clenches ofd hcemed Professional Engineer,Architect,or Land Sunmyogloalterany 9OFESSIDNP�� Item In anyway.if en Rem heanng the seal also Engineer,Architect,or Land Su ares-le altered,the altering Engineer,Architect,ori-and Suresyorshell affix none Rem hlsther seal and the nolatlon•Ahead by'followed by hislhersgnature and the date of such alterations,and a specific descdphon of the aherahon. OLD BARGE RESTAURANT �-� Scale:1/4"=V-13" Condon Engineering, P.C. MAIN ROAD (ROUTE 25) 1755 Sijsbee Road SOUTHOLD NEW YORK Dawn by:JJC Maltituck, NLw York 11952 OF (631)298-1986 (631)298-2651 Fax /l� Date:12121/2009 www.condonengineedng.com FLOOR REPAIR PLAN 1 PROVIDE TEMPORARY SUPPORT TO EXIST.WALLS TO REMAIN REMOVE EXISTING WOOD AND CONCRETE FLOORING,FLOOR JOISTS AND DEBRIS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ — — — — EXIST.CRAWL EXIST.CRAWL I I I I I I I I I I I I i t I I EXISTING CMU FOUNDATION WALL V.I.F. EXISTING CMU FOUNDATION WALL V.I.F. I I I I I I I I I I 7B I I I I 70 I I I I I I I I I I I I I I I I I I I I I I I I I EXISTING TEMPORARY SHORING AND DEBRIS TO BE REMOVED NEW 4 112"CONCRETE SLAB d p Q d p d d d d d p p p d Q p - dpO d O EXISTING TIMBER BARGE STRUCTURE TO REMAIN 4p EXISTING CONDITIONS FLOOR SECTION SCALE:112'=I'-O' #4 REBAR @ 12"O.C. 10 MIL POLYETHYLENE VAPOR RETARDER 744RESAR@19'0.C. PROPOSED FLOOR SECTION COMPACTABLE GRANULAR FILL SCALE,1"=1'-0' 4"MIN. OR NEW 41/2'CONCRETE SLAB EXISTING WALL MATCH WALL WIDTH #4 REBAR @'12-0 C. #4 REBAR @ 1B"O.0 EXISTING GRADE P ' ' - 5I8"0X12'LONG GALV.ANCHOR BOLTS ��-'•- AT 28 OC MA% 1 MAX FROM CORNERS 2.. EXIST.CRAWL EXIST.CRAWL v � 2X4 ACQ SILL EXISTING CMU FOUNDATION WALL V.I.F. COPPER TERMITE SHIELD FOAM SILL SEAL EXISTING CMU FOUNDATION WALL V.I.F. i �' t. , NERAL NOTES: `i THECONTRACTORRIS TO BE IFY ALL BROUGHT TO THE ATTENTION OF FIELD THE ENGINEER EXISTING GRADE DISCREPANCIES ARE TO BE BROUGHT TO THEATTENTION OF THE ENGINEER ,. - PRIOR TO CONSTRUCTION. ° 1. 1- ALL CONCRETE 3,500 PSI AFTER 28 DAYS MINIMUM. 2. 2-ALL REBAR ASTM A-015 GRADE 60. 3. THE FOUNDATION CONTRACTOR SHALL COORDINATE WITH THE PLUMBING AND ELECTRICAL CONTRACTORS RELATIVE TO INSTALLATION OF SLEEVES FILL INTERIOR OF BARGE WITH CLEAN SAND AND OTHER PENETRATIONS PRIOR TO POURING CONCRETE. EXISTING CMU FOUNDATION WALL AND GRAVEL TO BOTTOM OF SLAB LEVEL (SEE CONTROLLED FILL NOTES) CONTROLLED FILL NOTES: REVISIONS PROPOSED FLOOR SECTION 1. DEWATERAND REMOVE DEBRIS PRIOR TOINSTALLATION OFTHE BACKFILL. (PROPOSED FLOOR SECTION AT EXTERIOR WALL SCALE:1/2"=1'-0' 2. THE EXISTING BARGE TIMBER FLOOR AND WALLS ARE TO REMAIN. SCALE: 0 Nf�y,y REMOVE ANY ROTTED OR DAMAGED TIMBERS AS NECESSARYTO INSTALL THE NEW FLOOR. fq �O�N J ONOO 3. BACKFILL THE INTERIOR OF THE BARGE WITH CLEAN MATERIAL(SAND AND i4 GRAVEL)TO THE BOTTOM OF FOOTING ELEVATIONS. THE BACKFILL IS TO n BE MECHANICALLY COMPACTED IN 6 INCH LIFTS. EACH LAYER IS TO BE Plans am prepared by Condon Enitmednh,P.C. It is a wdabon of the New York Slate Educationaw L ,ANde 145,Section 7209,forany placed unless acting underlhe COMPACTED T098%MODIFIED PROCTOR. ACLEAN FINE-GRAINED dimcllonofolicersed Pmfesslonal Engln.TArchiled,or Land Surveyor,todleram/ MATERIAL WITH AT LEAST 10 TO 30%OF PARTICLES PASSING A NO.100 item in any way,If an hem bearing the seal of an Engineer,Amhlocl,or Land Summnera OFESSLONPV" SIEVE BUT NOT CONTAINING SILT,OR ORGANIC MATERIAL IS altered,the closing Engineer,Armiteet,or Land Surveyor shall cal6 m Bre Item Manner RECOMMENDED. seelandtherolelbn-Allemtlby-fdlowedby hisener sgnalum aid IN dale of such altemllo,w,and a specgc description of the allemlwn. 4. THE COMPACTED MATERIAL SHOULD BE TESTED PERIODICALLY 70 DETERMINE THAT THE 98%MODIFIED PROCTOR COMPACTION RATE IS OLD BARGE RESTAURANT ACHIEVED. Scale:AS SHOWN Condon Engineering, P.C. IS-2 5. RECYCLED CONCRETE AGGREGATE(RCA)OR GRAVEL MAY BE Si a8 MAIN` ROAIDr (ROUTE 25) SUBSTITUTED FOR THE CLEAN SAND AND GRAVEL MATERIAL. DrdWn by:JJC 1755 Slgsbee Road $QIJTF{Qly, NEW YORK OF MaWtUck, NeW YOi`k 11952 (631)298-1986 (631)298-2651 Fax FLOOR REPAIR Date:12/2112009 www.condonengineedng.min SECTIONS AND DETAILS