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Home My WebLink AboutTR-7470 0 0 James F. King, President soory Town Hall Annex Bob Ghosio,Jr.,Vice-President �O� �� 54 Main Road y P.O.Southold, Box 1179 Dave Bergen T Southold,New York 11971-0959 John Bredemeyer G • 0 Telephone(631) 765-1892 Michael J. Domino '� i Fax(631) 765-6641 OVUMi'1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0793C Date: September 5, 2012 THIS CERTIFIES that the construction of a new four bedroom addition on the east side of the existing residence with new sanitary system and alterations of existing residence, include fapade facing water, and for the existing gazebo,• with the conditions of the installation of gutters to leaders to drywells on the dwelling in order to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storrnwater Management, and the installation of hay bales with silt fencing prior to construction At 800 Jackson Street, New Suffolk,New York Suffolk County Tax Map# 117-10-5 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 22, 2010 pursuant to which Trustees Wetland Permit#7470 Dated January 19, 2011 , 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 construction of a new four bedroom addition on the east side of the existing residence with new sanitary system and alterations of existing residence, include facade facing water, and for the existinggazebo• with the conditions of the installation of gutters to leaders to drywells on the dwelling in order to contain roof runoff and in accordance with Chapter 236 of the Town Code-Stormwater Management, and the installation of hay bales with silt fencing prior to construction. The certificate is issued to JOYCE TESE owner of the aforesaid property. Autdorized Signator Jill M. Doherty,President �g11fF�(�f'C Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President h�� P.O. Box 1179 James F. King 3 Southold,NY 11971 Dave Bergen Telephone(631)765-1892 m John Bredeeyer Gy Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: `t J 1 ( r Ch. 275 Ch. 111 / INSPECTION SCHEDULE V/ Pre-construction, hay bale line/silt boom/silt curtain 1 al day of construction % constructed Project complete, compliance inspection. INSPECTED BY: J a COMMENTS: C CERTIFICATE OF COMPLIANCE: U 4N(( ' - A an -low, 0 James F. King,President gUFFO(rco Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President �@ G� P.O. Box 1179 Dave Bergen i Southold,NY 11971 W JohnBredemeyer Gy bac Telephone(631)765-1892 Michael J. Domino -N/j Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: (3z' Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction / 2 constructed Project complete, compliance inspection. INSPECTED BY: q . f�e- COMMENTS: re CERTIFICATE OF COMPLIANCE: �r� 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 (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line __ 1s~ day of construction ½ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7470 DATE: JANUARY 19~ 2011 ISSUED TO: JOYCE TESE. PROPERTY ADDRESS: 800 JACKSON STREET~ NEW SUFFOLK SCTM# 117-10-5 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 11 l 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 Jaanarv 19, 2011, and in consideration of application fee in the sum of $250.00 paid by Joyce Tese and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a new four bedroom addition on the east side of existing residence with new sanitary system and alterations of existing residence, include faqade facing water, and for the existing gazebo; with the conditions of the installation of gutters to leaders to drywells on the dwelling in order to contain roof runoff and in accordance with Chapter 236 of the Town Code-Stormwater Management, and the installation of hay bales with silt fencing prior to construction; and as depicted on the site plan prepared by Samuels & Steelman, last dated December 21, 2010, and stamped approved on January 19, 2011. 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. John Bredemeyer~sent TERMS AND CONDITIONS The Permittee Joyce Tese, residing at 800 Jackson Street, New Suffolk, 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 extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Pennittee wishes to maintain the structure or project involved, to provide evidence to anyone 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 Bob Ghosio, Jr., Vice-President James F. King Dave Bergen 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 January 19, 2011 Mr. Tom Samuels Samuels & Steelman 25235 Main Road Cutchogue, NY 11935 RE: JOYCE TESE 800 JACKSON STREET, NEW SUFFOLK SCTM# 117-10-5 Dear Mr. Samuels: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 19, 2011 regarding the above matter: WHEREAS, Samuels & Steelman on behalf of JOYCE TESE 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 December 22, 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 January 19, 2011, 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 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 JOYCE TESE to construct a new four bedroom addition on the east side of existing residence with new sanitary system and alterations of existing residence, include fac~,ade facing water, and for the existing gazebo; with the conditions of the installation of gutters to leaders to drywells on the dwelling in order to contain roof runoff and in accordance with Chapter 236 of the Town Code-Stormwater Management, and the installation of hay bales with silt fencing pdor to construction; and as depicted on the site plan prepared by Samuels & Steelman, last dated December 21,2010, and stamped approved on January 19, 2011. 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:$100.O0 Very truly yours, Jill I~. Doherty I/ President, 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 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated -J~c~Mo~r~o~. c~OlO has been reviewed by this Board at the regular meeting offhand I ~.'~11 and your application has been approved pending the completion ~f th~ following items checked off below. __ Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ¼ Constructed ($50.00) ./~ Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of 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 Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (63 I) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Tues., January 11,2011, the following recommendation was made: Moved by Derek Bossen, seconded by Audrey Horton, it was RESOLVED to SUPPORT the Wetland Permit application of JOYCE TESE to construct a new four bedroom addition on the east side of existing residence with new sanitary system and alterations of existing residence, include fagade facing water. Located: 800 Jackson St., New Suffolk. SCTM#117-10-5 Inspected by: Audrey Horton, Derek Bossen The CAC Supports the application with the Condition the existing structure complies with the drainage code. Vote of Council: Ayes: All Motion Carried Jill M. Dohelly. President James F King. Vice-President Dave Bergen gob Ghosio, Jr PO, Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-664t Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: *- , JOYCE TESE requests a Wetland Permit to construct a new four bedroom addition on the east side of existing residence with new sanitary system and alterations of existing residence, include fagade facing water. Located: 800 Jackson St., New Suffolk. SCTM#117-10-5 Typ9 of area to be impacted: __Saltwater Wetland __Freshwater Wetland Sound 5' 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: B.Ghosio, / __&King ¥/J.Doherty__J. Bredemeyer 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 To: From: MEMORANDUM Jill Dohedy, President Town of Southold Board of Trustees Mark Terry, Principal Planner LWRP Coordinator Date: January 14, 2011 Re: Proposed Wetland Permit for JOYCE TESE SCTM# 1000-117-10-5 Samuels & Steelman on behalf of JOYCE TESE requests a Wetland Permit to construct a new four bedroom addition on the east side of existing residence with new sanitary system and alterations of existing residence, include fa(;ade facing water. Located: 800 Jackson St., New Suffolk. SCTM#117-10- 5 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 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 Office Use Only ~wOaStal Erosion Permit Application etland Permit Application Administrative Permit AmendmenlJTrans fer/Extension ~ece~vved Application: ~_Received Fee:$,~%~__) ¢o .fCompleted Applic~tion~,~..~ Incomplete __SEQRA Classification: Type I Type Il Unlisted Coordination:(date sent) ~_LWRP Consistency Assessment Form ,.~AC Referral Sent:~ L~_~k'I_(I ~.~ate of Inspection: i'[ [~1 __Receipt of CAC Repdr(: Lead Agency Determination: Technical Review: ,.~%blic Hearing Held: ~!!q Resolution: Name of Applicant Phone Number:( ) Suffolk County Tax Map Number: 1000- liT'/0- 05 Property Location: g~O ~O/'t ~./V'*g,) ~r~wde LILCO Pole ~ d~stance to cross streets, and location) (If applicable) Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): II1! Area Zoning: ~ -,~ Previous use of property: Intended use of property: ,d d,t, t4~ Covenants and Restrictions: Yes V/ 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 suspen~ded by a governmental agency? ~,' No Yes If yes, provide explanation: Project Description (use attachments irnecessary): ~ffd,0 ~Ut' /~/~'t Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: ~"~O add a ~¢~ ~Og' /~/'~ff/44 Area of wetlands on lot: ~ .square feet Percent covera, ge of lot: O % Closest distance between nearest existing structure and upland edge of wetlands: t ~'~ ~- feet Closest distance between nearest proposed structure and upland edge of wetlands: [ "[0 feet Does the project involve excavation or filling? No }/ Yes Ifyes, how much material will be excavated? ~t:~D cubicyards How much material will be filled? O cubic yards Depth of which material will be removed or deposited: ~ feet Proposed slope throughout the area of operations: ~2~ '~ ~ °/o Manner in which material will be removed or deposited: 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): Board of Trustees Application County of Suffolk State of New York ~ ~...d' 0' ~'~ 144dd.~. ~)~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR'THE ABOVE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE 1N THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS ~ / DAYOF Notary Public 12/21/2818 13:2~;.~ 21263~44 .......... b~64~7 UINCENTTESE ~ PAGE 01 PAGE 02/~2 AtrI~OP. IZ~TIOM (where the ~ppNc~at i~ no~ the OWI~) __do h~roby authorize $outhold Boa.,xl of Toven Trmt~ on my behalf, PROJECT LD. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS OnJy PART J--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) ~. APPLICANT ISPON$OR SE(:; 9. WHA IS PRESENT LA~'40 USE IN VICINITY OF PROJECT? H~ResldentiaJ []dnoustriat ~ Commercisl ~ AgdcuRure ~--~ Park/Fores~/Ooen space 30. flOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE R LOCAL)? ~'~Yes [] No ff yes,.l~s~ agency(s) ~nd permftlaoproval$ 11. DOES ANy ASP CT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 12. AS A RESULT OF ROROSED ACTION [] Yes ~N0 WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? If the action'is in the Coastal Area, and you are a state aeency, complete the Coastal AsseSsment Form before proceedin9 with th~s as__.,sessment OVER PART 11--aNVIRONME ;SESSME~IT ,To be csmsle*,ee 0¥ Agen PART III--0ETERMINATION OF SIGNIFICANCE (To De completed by Agency) INSTRUCTIONS: For ~ac,"i adverse ~ffec! identified a~:ove, aetermine whe~er it is sUbs[antiaJ, large, [mCo~an[ or otherwise signiti~ E~c~ ~fec: snouid be ~sses~ed in connection with it= (a) setting (i.e. urban o¢ rural); b} pro~a~uity of occ~g; ~c) duratJor ~rreversibiJi[y; (e~ geogr~onic 3coce; and {t) magnitude. If necessaW, add attachments or reference supposing malerial=. E~sure sxolanadons ccn~ain sufficient deIail lo s~ow [haK all retevan~ adverse impac[s have been identified and adecua[ely addressee. ~. Check ;~is box if you have identified one or more ~otentJaHy large or significant ~cverse imoacts which ¢,~A occur. Then ~roceed direo:ly ~o :rte FULL EAF =-nO/or prepare a positive-declara[ion. · -'; Check :his box if you ,lave de;ermined, based on [he information and analysis above and any suooortJn documenla[ior~. :~a[ ;he orooosed action ',*/ILL NOT result in..~.?.ny significant adverse enwronmeh[al imcac: AN0 Orovioe on a~acnmen[s as necessary, the reasons suocordng ~nis de~ermina[ion: Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box II 79 Southold, NY 11971 Telephone (63 I) 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 JOYCE TESE COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, '"f't3fvl ,~t[m0.~_ .residinga~ ~tT~,'~q:~/,.~ being duly swom, depose and say: That on the ] I day ofZrc#wo ~ ,201 l, I personally posted the property known as 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.~ January 19, 2011 on or about 6:00 PM. Dated: Sworn to before me this I~day of~0¢,. 2011 Notary Public (Endorsement Required) ~ ~ ~ ~ i Restdct~ Delive~ F~ ~ (Endorsement R~ulrod) (E~dorseme~ Requi~) ~,~ STATE OF NEW YORK COUNTY OF SUFFOLK ~Z~ ~c~.~ , residing at ?/t.b~x.)eJ~ t NA~ being duly sworn, depos""es and says that on the 1.~ day of' _'7/?g ~k_ ,20 Il , 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 o~,.Southold; that said Notices were mailed at the United States Post Office at ~~_,/(/tx/ , that said Notices were mailed to each of said persons by (certified) (registered) mail'. Sworn to before me tiffs Day of'--.X~e~q~*¢- L , 20 Notary Public ~IE D. BUNCH . Notary Public, State of New York · No. 01BU6185050 A Qua#fled In Suffolk County - uommlm~loll Explre~ April 14, 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 ~nd 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", 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 c~nsistent 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 9hall not be undertaken. A copy of the LWRP is .availabl~ in the following places: online at the Town of Southold's website (southoldtown.nofthfork~net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION The Application has been submitted to:~(check appropriate response): Tow. Boara PlanningOept. [] BuildingOept. BoardofTrnstees Category of Town of Southold agency acti6n (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, approv, al, license, certification: Nature and extent of action: Renovation and addition of a two story wood frame residence. Locationofaction: ~00 Jac]~son St. New Suffolk, NY Siteacreage: ///., ~c] ~. ,.~ f _~ ,tO..,.~ D Present land use: Single Fa~flily Residence Present zoning classification: R- 4 0 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: Thomas Samuels, Architect (b) Mailing address: 25235 Main Rd, Cutchogue, NY 11935 (c) Telephone number: Area Code ( ). 631-734-6405 (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [~] No [] If yes, which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [] Yes [] No [--] Not Applicable' Adding to an existing residence preserves open space around the existing residence and makes efficient use of the existing structure and property. Also the addition to the p'[operty is far less than the 20% lot coverage allowed by zoninq. 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 There are no historic or archeological structures on property. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes [] No [] Not Applicable The addition to the existing residence is in keeping in style and scale of neiqhborinq structures. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, struct~ures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for ~..valuation criteria [] Yes [] No ~ Not Applicable All rainwater runoff is and will'be retained on site with the use of underqround dr}wells. 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 []All YeSrainwater [] No ~tfA~liaCn~dblewill be retained wit the use of underground drywells. The sanitary system for the residence meets current Suffolk County Dept. of Health Services standards for sanitary waste water. The property is Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. [] Yes [] No [] Not Applicable No development will take p~a'ce in the "protected" or "natural indiginous environment". Attach additional sheets if necessary Policy 7. Protect and improve air quaiity.in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [-~ Yes [] No [-~ Not Applicable The development will not ad~ poll.utants into the air. All construction vehicles meet the Federal standards for air pollution discharge. The mechanical systems of the residence meet the federal standards for air pollution discharqe. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of $outhold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [~ No [] Not Applicable The construction and use of the residence will make use of the town's disposal and rec¥cling,~enter. 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 ~-~ Not Applicable' No public land involved.'Littoral access unimpeded. 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 [] No [] Not Applicable There are no public or commercial activities or uses on site. Historically this property and neiqhborinq properties are residential in use and will 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. [] Yes [] No [] Not Applicable This project will protect and preserve the living marine resources by maintaining all rainwate~ discharge and sanitary flow from the residence on site by approved SCDHS sanitary system and drywells for rainwater runoff. 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 There are no agricultura'l lands on site. Attach additional sheets if necessary Policy 13. Promote appropriate use· and development of energy and mineral resources. See LWRP Section Ill - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [~ No [] Not Applicable. The construction will be using equipment approved by the Federal government for energy usage. The residence will meet Federal standards for conserving enerqy "enerqy Star Pro,ram" and will use "NY State Enerqy Conservation and Created on 5/25/05 11.'20 AM S A M U E L S & S T E E L M A N December 23, 2010 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 RE: ADDITION & RENOVATIONS TO THE TESE RESIDENCE 800 Jackson Street New Suffolk, NY 11956 TAX MAP # 1000-117-10-05 Dear Sir/Madam: We are requesting a WETLAN DS PERMIT for the above reference project to add to and modestly renovate south facing facade of existing residence, with addition of a new sanitary system (only for the addition, and associated improvements. All work is in excess of 100 feet from wetlands, and all drainage will be directed to subsurface systems. For your review we are submitting the following documents: 2. 3. 4. 5. 6 7. 8. 9. Application Short Environmental Assessment Form Application Affidavit LWRP Consistency Assessment Form (3) SITE PLAN, FLOOR PLANS and ELEVATIONS Stamped current Survey Letter of authorization from Owner Check for $250.00 Six (6) photographs of existing site conditions Please call us with any questions or concerns. Sincerely, SAMUELS & STEELMAN ARCHITECTS Thomas C. Samuels enc. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 11935 (631 ) 734-6405 FAX (631) 734-6407 TEST HOLE OATA _OOOZO~E .RMMA 'NUMBERJ,,oJco.,N SITE DATA McDONALD GEO.,~'ClENCE SEPTEMBER 25, 2009 ~ 1000-117-10~S 9/21/10 E~VA~ONS R~R~C~D ~ N.A.~D. ~ ~ · =M~UMENT PROPERS: 800 JACKSON STREET ~ ~ARK BRO~ LOAM ~ ADDRESS NEW SUFFOLK, NY ~ ......~ 1.5 D~I~ ~1o~ F~ ~ ~ ~ ~ OWNER: JOYCE TESE I ~ BRO~ CLA~Y SAND ~ ~ A~A x ~1~ x ~F~T~ X I I , ~ 12&~x (~12~J x I~ ~ ~11~.~. I I zo.,.~: .=sm.m~ 4o I I PALE BRO~ RNE ~ ~' ~' > 2ll ~U. ~. SURVEYOR: PECONIC SURVEYORS, PC ~ I ~ M~IUM SAND EP PO BOX 909 I I SOUTHOLD, NY 11971 I I.. I I I /I ~IA) FO~ ~IN~AT[~ RUNOFF l I I I /I~°~u''~s ~* ~ ...... 7 II ~ u "J I ~1 I Ill N~IOHBORIN~ ~ / I / ~OPOSED HAY ~AL~5 ~ / / I~1 (I)1000, eAL DEPTIO TAN~, (5T) I ~ / / / / - ID - I00' SETBACK FR~ I ~ ~ Z ~ .c~ EXI~TIN¢ ~A~ [] ~~;~:~'.l ~ ~1I i ri ' I I / ~:~:::~ x ~J' -~ % / % ' ~ -..N I~~- ,/,I/.,; ', a ~ ~z ~. ~ HOU~[I JAMES G~MAN DILL dR. ¢20.om ~ -- ~ ~ r~ ~ I ,r~l ~ ........ v (D~NG) N6'12'50 E 108.96 / ~'+ / PROJECT NO: D~WN BY: TS SITE PLAN ~l ~ ~~ CHECKEDBY: TS ~ ~;7,'.~ ;~7 .... .-. DATE: t2/2t/t0 '----- - ----_-j SITE ~q-E]~ , PLAN R~ G ~ [~TO RY ~ ~ bATH U___PPER LEVEL SCALE: 1/8" = 1' -0" 822 SF v~lle f;o be 1266 SF REGULATORY APPROVALS Z PROJECT NO: 1006 DRAWN aY: TS CHECKED BY: OA'r£: 12123/10 SCALE: tl8" = 1' - 0" SHEET TITLE: PLANS SHEETNO: 51E~INIS/'T'I~.IM ON EXI.~TIN~ F~EglDENC.,E NESfl A~DITION i~/FUI I EIA~EHENT ELEVATION SCAILE: 1/8" = 1' 4)" ~1 I I II !!~1 I1 NORTH ELEVATION SCALE: t/8" = 1' 4)" BBB NEY{ ADDITION I~I=ULL BA.~;~'Iv~-'NT REGULATORY APPROVALS CATE: 12P3/10 SCALE: 1/8" = 1' - O" SHEET TITLE: ELEVATIONS SHEET NO: 3 SURVEY OF PROPERTY ATNE~SUFFOLK TO~N OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-117-10-05 SCALE' 1'=$0' OCTOBER 13. 2010 TEST HOLE DATA ~/21/io J / // / / / I I I ZONE X STORy AREA-2.5618 ACRES TO TIE LINE FLOOD ZONE FROM FIRM MAP NUMBER .~8103C0501 H SEPTEMBE,'~ 25. 2009 ELEVA T/ONS REFERENCED TO N.A. V.D, · :MONUAfE^'T 4961~ {631) 765-5020 FAX (6,51) 765-179,7 P.O. BOX 909 1250 TRA VELER STREET SOUTHOLD, N.Y. 11971