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HomeMy WebLinkAboutTR-7357 Date File # TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM C/ Location of Complaint: Yo7D -;-7t �r v t! d CTM# / 3 ff Property Owner of Giardl Phone ? Address: 3C,cm' NATURE OF COMPLAINT: G or- o6k- r o d 0 o?3'-Cf-er e ACTION TAKEN: z Optional: r Complainant: 1 ( JSP By Phone Mail In Person Address Phone: Report Taken By: , Date Date'Referred to Code Enforcement: CODE ENFORCEMENT REPORT SITE INSPECTION REPORT/DATE: ACTION/DATE: ��'� �Y`a 6�� � 6 � i� Q��ec ` BOARD MEMBERS *rjF SOFT Southold Town Hall Leslie Kanes Weisman, Chairperson � y0� 53095 Main Road-P.O.Box 1179 Southold,IVY 11971-0959 James Dinizio Office Location: Gerard P. Goehringer G Town Annex/First Floor,Capital One Bank George Horning 54375 Main Road(at Youngs Avenue) Ken Schneider Irou {,� Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD RECEIVED Tel.(631)765-1809-Fax(631)765-9064 SS FINDINGS,DELIBERATIONS AND DETERMINATION Q7� MEETING OF OCTOBER 7,2010 Southold Town Clerk ZBA FILE# 6404 NAME OF APPLICANT:Roy Ward SCTM# 1000-137-01-8.1 PROPERTY LOCATION: 4075 Stillwater Ave.(adj.to East Creek aka Eugene's Creek),Cutchogue,NY SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type lI category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated June 15, 2010 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP: This application was referred for reviewed under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued his reply dated September 15,2010. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is EXEMPT from Coastal Consistency Review. The proposed roofed over porch is recommended as CONSISTENT with LWRP policy standards. PROPERTY FACTS/DESCRIPTION: Subject parcel is an improved nonconforming lot consisting of 31,334 sq. ft. It has 90 feet of frontage on Stillwater Ave.,349.84 feet along northerly property, 102.25 feet along East Creek (aka Eugene's Creek), and 315.38 along the southern property line as shown on a site plan dated May 27, 2010 prepared by Charles M.Thomas,Architect. BASIS OF APPLICATION: Request for Variance from Code Sections 280-124 and 280-116, based on an application for building permit and the Building Inspector's March 8, 2010, amended June 3, 2010 Notice of Disapproval concerning additions and alterations to an existing dwelling,at 1) less than the code required side yard setback of 15 feet, 2) less than the code required combined side yard setback of 35 feet, 3) less than the code required setback to a bulkhead of 75 feet. RELIEF REQUESTED: The applicant proposes to demolish a nonconforming one story second dwelling on the subject property and construct a two-story addition to the existing principal dwelling with a proposed 5.7 foot side yard setback where the code requires 15 feet.Additionally,the applicant proposes to construct a roofed over porch - addition with a proposed setback of 43.5 feet to the bulkhead where the code requires 75 feet.The additions to each side of the dwelling create a combined side yard of 31.7 feet where the code requires 35 feet. ADDITIONAL INFORMATION: The current survey shows two dwellings on this property. Applicant is proposing to remove the nonconforming one story house and detached deck. The existing dwelling is situated at an e Page 3—October 7,2010 ZBA File#6404—Ward CTM 1000-137-1-81 2. Total maximum combined side yards of 34.5 feet. GRANT, the variance for a bulkhead setback to the proposed porch as applied for and shown on the site plan, prepared by Charles Thomas,R.A. dated May 27, 2010 entitled proposed addition Ward Residence. Before applying for a building permit,the applicant or agent must submit to the Board of Appeals for approval and filing,two sets of the final site plan and architectural drawings conforming to the alternative relief granted herein.The ZBA will forward one set of approved,stamped drawings to the Building Department.Failure to follow this procedure may result in the delay or denial of a building permit,and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance given such as extensions,or demolitions which are not shown on the applicant's diagrams or survey site maps,are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code,other than such uses,setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the-Board., Ayes:Members Weisman (Chairperson), Goehringer, Dinizio, Schneider. (Member Horning by telephone, no voting rights) This Resolution was duly adopted(4-0). RECEIVE® + Leslie Kanes Weisman,Chairperson ? Approved for Filing�o/Id /2010 n� Soul old Town Clerk n 1> \`e 9 SURVEY OF PROPERTY k��. - '• \y" >± < SITUATE ,Zs boa E� �, \,qPM ��s ry _ CUTCHOGUE P& as \` 6 �� ' - TOWN OF SOUTHOLD �s m 0 SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-137-1-8.1 oSFop�`S`NE SCALE 1"=20' n AREA= 31,334 sq. ft. gp� or'�1 _ -623F3_i_ ? li N 1'+ 0 ^50 p 3�4c__ �O_ �,____ 435'_-w. Lu Z �oo �� � pVE�yM�NRO � � aal:d Its 0 Z Lu O� 4 NOJSE ��a o E Ff-� C) U OW 00 0I N FINAL MAP REVIEWED BY ZBA oIN, �d a s SEE DECISION# DATED io /'--- - -- o � 1 - """'--------' "cavw co « 9O MAR 10 2011 E OO, BOARD OF APPEALS L m - 9�C\ SITE PLAN `. SCALE 20 co L /*�tEGIsrF pj CHAR(F9t00 0 6y 1u m `�'YORKyn SCTM# 137 — 1 — 8.1 ZBA APPRVAL # 6404 DATED 10/07/2010 Sp C � J Y: `�. Board Of Southold Torte Trustees a« SOUTHOLD, NEW YORK w October 26, 2001 #, $ PERMIT NO. �... DATE: ROY WARD \ ' ISSUED TO ......................... ............. ................ .. . .......................... --..... .... 4 •`Y ±h Pursuant to the provisions of Chapter 615 of the Laws of ' the State of New York, 1893; and Chapter 404 of the Laws of they State of New York 1952; and the Southold Town Ordinance en- „� titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS •� IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the now i :. Resolution of The Board adopted at a meeting held on .--October...24, 2001 and in consideration of the sum of �,...200.00 paid by , RoyWard ---•-- -- .... . ... .. . . .... ........... .................................. � of ................Cutchogue N. Y. and subject to the Terms and Conditions lasted on the reverse aide hereof, Qf So hold Town Trustees authorizes end permits the,following: g' Wetland ermlt to construct an addition to the existing first floor approx. 72 sf., _an addition to the exist. deck, and to add a `' t second-story to the exist. one-story frame house, with the. cond_.: that the house and deck are no closer to the bulkhead than 361, a st ud row�f ha r a]t�s adt t e t. a . tl#e bulkhead i con a in actor ante i e etas d s 'ec� ica ions as presen t -the originating application. and that drywells and gutters are .:r installed to contain all roof run-off. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to 4 be subscribed by a majority of the said Board as of this date. z Trustees A c i ;SURVEY OF LOTS 12 4 13. --- - - - - - - --- - - - - - -- _ MAP OF PROPERTY OF M.S. HAND w � FILED SEPT. I6, I430 FILE No. 730 SITUATE: CUTCH064E TOWN: SOUTHOLD S EVF:FOLK COUNTY, NY SURVEYED 04-07-0I SUFFOLK COUNTY TAX a 1000-13"1-1-81 GGERTIFIED TO ROY R WARD,11 CITIBANK,N.A ITS 51JGCE55OR5 AND OR ASSIGNS,FOR TH15 TRANSACTION ONLY. ,FIR5T AMERICAN TITLE IN50RANGE i {COMPANY OF NEW YORK LOT .� i 14 349.84' a. ' ° n WOo FENCE wow — NWON o E OD / CO G4= ! 3(/, p m f+ i j4 STORYU w > m ~ o-� ,--------"I _FRAME v +' w t'/ \ o r-: LOT o�� L HDUSE rh I STORY FRAME ----_ _ -- - - - - --I - - - HOUSE GK -W Z pNPAVED DOCK I -------- ------------- 2 STORY P WooD WALK t' r d -- "" FRAME e LOTN�a_ GARAGE 12 H J hb � n O A` 1�, pq� Q � rVOOrwiKom u� L WIRE FENCE 3N of WIRE FENCE 561°49'20"w O65 315.38' , U3�' e LOT w If m$ f NE am OG- EJO NOTES: - j ■ MONUMENT FOUND Ep LAND AREA = 31,334 5F OR O T2 AGRES JOHN C. EHLERS LAND SURVEYOR GRAPHIG SGALE 1"=30' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 - RIVERBEAD,MY 11901 369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\01-140.pro ' n �,�x� �`�"o; ,�•�.'_* H�;'4+5 `m'S'•- '` ,'e'a�' �rsr �45'������v'�'zt`gs'�,.,, ..,:' `j ®ard Of Southold Town Trustees tz : Rb SOUTHOLD, NEW YORK A 7 w PERMIT NO. 143-5. DATE:11E�3' 7, ]980 .-... � Y Richard-W. Seelig - , ISSUED TO ............_-.. - , Pursuant to the provisions of Chapter 615 of the Laws of $' i z the State of New York, 1893; and Chapter 404 of the Laws of the / State of New York 1952; and the Southold Town Ordinance en- ' titled "REGULATING AND THE PLACING OF OBSTRUCTIONS " IN 'AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM i� LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on Nqv._ 5,. . 1-4 19 7-9, and in consideration of the sum of $- l 04 • paid by _ =• '�� - ., Richard W. Seelig z� of _ Cutchogue N. Y. and subject to the " J Terms and Conditions listed on the reverse side hereof, ` of Southold Town Trustees authorizes and permits the following: permission to place catwalk and floating dock at private ' p property of the applicant as per application subject to 'it being placed in the open ' of aea between th gra s y all in accordance witg the Setailed specifications as presented in mss ; the originating application. c� @ s IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. ''' O \ Ln .. r Y4' - .�'�i _.s'd�.�vria;+.w'..�esiF'=u"����.�."'r.��'.a/`• '�-w-w.— a a.z.'� S ^s- ' .t.rq T �rq�• � '=.r � 9f, �' �t10$j � SNq� F"� �' 11 pj- �, '•-Wsh.S` by i(�i^ �. p.$3�y-` f�1�� vl$!TB.�iJ !,'3<h�r�_q�l! ' �.rr. ,,}m;Z,�.+a±w�`��.y�;t���i'�%��.�.`.35' yg�s ixa'a ��,,sa '�s-�l �f`w.�. .,r3�.,�YY'T�`�.,'-s`��'••oak ,T- :,:,'k�i.kx• '�t� \ ::t:;:• _rte:- _-__ ` s�+s— z .a.� r_� b.�'—�.:�sy.:w��,.`6�w's�`s^' r� .._:.., _..�;:+e�.:....;:.`-. .,.. ��d:.«^:�G,:»r�� .�_"q'� r�, t'"..;r.,...K•F .� ...��...tw�,,` C^'y'S�"�'�'�:,"",' 't7' F O � =. -„ �.:tiw ,—�.''sri .,.•..s•a'.£:i^.r», - _.sem N,i� ��-^.xt..x'�kmm P/1 Rev/6,172 BOARD OF TOWN TRUSTEES Town of Southold \ Main Road Southold,New York 11971 To: ...Richard,W, ,Reel;igAnlig........................................................................................................ 1. Your application, dated ..........Se.ptPmber.. ...................has been reviewed by this Board,at a meeting of the Trustees held on...........November•5A...N 9........ and resulting in the action, as indicated below, (.. ) Application approved. j (............) Application denied. II (............) Application tabled. ' 2. Comments and remarks: Application approved with the provision that the catwalk and floating dock be placed in the open area between the grass. 3. If your application is approved above, A Permit Fee is now due, and should be made payable to the order of the Board of Southold Town Trustees. This fee is computed below according to the Schedule of Rates as set forth in the Instruction Sheet (Form 1/1). If the Permit Fee is paid in person to the Secretary of the Board,The Permit will be obtainable at-the some time.-If the fee is paid by mail, the permit will be mailed in reply. Computation of Permit Fee: - Float 81 x 101 = 80 s.f. @.10 = $ 8.00 Catwalk below highwater mark 101 x 41 = 40 s.f. _ $ 4.00 Total Fee for this application ............................................................$...........x,2.00................. Signed ,,.,.PHILIP .. G. HORTON ....................................... Chm,. Board of SSouthold Town Trustees. by ./42t` „'^. .1........ ...................... Secretary. r Aa Rev i/72 BOARD OF TOWN TALTSTEES Town O, §outlrold Main Rdid Southold,.New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's name and address:�.f..0 l�(�4r� .......w.. .Skax,.l.f�'............ ............. ..c5.77..1.a4.C..4cJ.�fA.r . .....1:Y&. ; .��?.nc--i 1..t2.�it�s ice..........1.vr..!.............� ' .... •�C i3a7c 'Ti�c7 153s- 2. Contractors name and address: ................................................................................................... .................................................................................................................................................................. 3. Briefly explain the purpose of this application: .. ......:t i.Y.?g....A...... ci ..(4..........5'.' f. 7' 5::7.X_4r1-'.7........A........grA.?::Z41,d<,A<....... jr ............ i�.S2.c 14........................................................................................................ ............................... ................................................................................................................................................................. 4. After issuance of a Permit, 1 expect to: (mark by f�an M (a) Commence work—AT ONCE ............: ASAP ..XS,.....,; UNKNOWN ............. (b) Complete work in — 1 DAY ............: 1 MO. ...k.....; 1 YR. ............; FUTURE............. j 5. Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN A CIRCLE indicate as closely as possible the location,of this dock. On the reverse side of this map, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape and'size of the dock and any supplemental pilings which are needed to hold a floating dock ! or tie-up a boat. Give all dimensions necessary to determine the area of the dock surface- which extends offshore from the 0. H.W.M. 6. Will any portion of this construction extend offshore into Town Waters beyond,an imag� line or boundary formed by other similar structures-along the areas shoreline? YES o NO If it does extend beyond this so-called dock line indicate by how for,approximately,.......... 7. Provide the following documents: (a) A Licensed Engineers Survey of the property involved. (b) , A copy of the Contractor's Plans and Specifications. 8. Will this construction require the Filling of any land offshore of the Ordina igh Water Mark or the Dredging of any material from Town lands under water?YES o NO If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached s port of this application. 9. In requesting approval of this application, I submit that: the information presented herein is true and correct to the best of my knowledge and belief; I am the person accountable for the performance of the work in accordance with the plans and specifications attached; I have read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. S � 1 .... ... .... ......... Accepted �/ Dated: ftp ' Ohl UA 01 t� JA Lq fu to SEC- .DL cop Thl Finac GUA ONj 4-4 at TlTu to T IGC'• ^ ,.�•"' --�.-....,.. .._,,,-,,,_,...-•"• _ - to r? ^7—•+ Mop, Ns -r Cl 4 Vuargrtteerf fa Vie f %P-0 P, Tide rvauctratti`2� Corry gtlq ��. .^ j ,'�V,� ds Slurve�t d Jar). 3, :9.75 - r • 3i; �f:;; Lo�S„ ',t3 `:` ' 8 6j:! ER y R_D �ZOCIc"t�IL�f �rCli1 ltl:�f, �`. �. o i Stc,rvfc:�ct i+�7c��� dc^3, `i �r FF bYtttFHL ttf! -'` AT ja -- tkV,ars 7_.-YL �osv 1zS736t ' At4:6Nc3e4 Sc? 'l�S=rdlpLW F hlY l i _ .e- Foy 8 Dawn wal cl 75 Stillwatei Ave.. * _" ,� ► --trtchogue CTfv1Y`137-'I-8.'1 �,�.• � � � ...,.r._.�,__ lip 16 blo. gr * gip' r 11 , • r � y r .�Ifa. ,v 'f r i ,r s - . �• _- � "NVQ' '.7. - � �' p �� - ., �' � . w t jr �+ l k` Roy 8 DawN-n wal cl -1475 Stillw-atei Ave.. �..' , _ . Cutchogue SiYTrv1-'137-1-8.'1 i ke 1al0. . rS 4 j i ffi 1r� � t A c 411 s " � x „- ice. ► � .1��� At" v y ty� Pi. [y7 , x , + d � y 1 9 r u 1 _ _ . % I yds s t ; • % P d "`. `40 low,Is _ 1- s. r 40 4r •,s. ti let a C r .k»I 6 c w'• YP loop ` gUFFO(,�- James F Kin-0,President � G P O Box 1179 Bob Ghosio,Jr,Vice-President S Southold,NY 11971 Dave Bergen y Telephone(631 765-1892 John Bredemeyer Fax(631)765-6641 Michael J.Domino 4, 'F Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: �� y ROY & DAWN WARD Site Inspection for a possible Wetland violation of an unpermitted patio area with associated BBQ/Kitchen area on the seaward side of the dwelling, and an existing dock, ramp and float larger than originally permitted. Located: 4075 Stillwater Avenue, Cutchogue. SCTM# 137-1-8.1 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: }} C_ty J Modifications: Conditions: ` v.�, � ) � � /z 4;.-;-c� `�o � ��-•-� �� 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: r-t Jill M.Doherty,President �QF SU!/rTown Hall Annex James F.King,Vice-President ,`O l0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971.0959 Bob Ghosio,Jr. v+ nhr John Bredemeyer Ol �� Telephone(631) 765-1892 Fax(631) 765-6641 OOUNT`I i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: to �2 f� Ch. 275 Ch. 111 l INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: 1 COMMENTS: Lc►c �� C9 I C 0. ,� r'�;:✓'.� ���b%L i-V? CERTIFICATE OF COMPLIANCE: 0 0 gpfFQJ,e`�G�.rt Jill M. Doherty,President y Town Hall,53095 Main Rd. James F.King,Vice-President y- R P.O.Box 1179 Dave Bergen ��, Southold,NY 11971 Bob Ghosio,Jr. 1 �'0� Telephone(631)765-1892 m John Bredeeyer 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 1 st day of construction % constructed Project complete, compliance inspection. IN BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 7357 DATE: JULY 21. 2010 ISSUED TO: ROY& DAWN WARD PROPERTY ADDRESS: 4075 STILLWATER AVENUE, CUTCHOGUE SCTM# 137-1-8.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter I I 1 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 July 21,2010,and in consideration of application fee in the sum of$250.00 paid by Roy&Dawn Ward 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 remove an existing cottage; construct a two-story addition landward of the existing dwelling; and construct a porch; with the condition that the sanitary system be outside the jurisdiction of the Board of Trustees; and as depicted on the site plan prepared by Charles M.Thomas,Architect, last dated May 27, 2010, and stamped approved on July 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. Mote ' Vf G bhp e� er✓ at �a TERMS',kND CONDITIONS The Permittee Roy&Dawn Ward residing at 4075 Stillwater Avenue Cutchogue,New York 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 non-compliance 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 0 Jill M. Doherty,President �OF so�jy Town Hall Annex 0 54375 Main Road James F.King,Vice-President ,`0 "to P.O. Box 1179 Dave Bergen Southold,New York 11971-0959 Bob Ghosio,Jr. John Bredemeyer Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 21, 2010 Ms. Denise Heyse Charles M. Thomas, Architect 206 Lincoln Street Riverhead, NY 11901 RE: ROY & DAWN WARD 4075 STILLWATER AVENUE, CUTCHOGUE SCTM# 137-1-8.1 Dear Ms. Heyse: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 21, 2010 regarding the above matter: WHEREAS, Denise Heyse on behalf of ROY& DAWN WARD 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 June 18, 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 July 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 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 ROY & DAWN WARD to remove an existing cottage; construct a two-story addition landward of the existing dwelling; and construct a porch; with the condition that the sanitary system be outside the jurisdiction of the Board of Trustees; and as depicted on the site plan prepared by Charles M. Thomas, Architect, last dated May 27, 2010, and stamped approved on July 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, Ji l . Doherty Pr sident, Board of Trustees JMD/eac 0 0 p��gpFFOJ,e Jill M. Doherty,President w Town Hall,53095 Main Rd. James F. King,Vice-President P.O.Box 1179 Dave Bergen ��, �r ' Southold,NY 11971 Bob Ghosio,Jr. Telephone(631)765-1892 m John Bredeeyer Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Ch Please be advised that your application dated / a, 09()/0 has been reviewed by this Board at the regular meeting of —1—Wsi C21 0 rgolh and your application has been approved pending the completichli oft the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) % 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: dJ TOTAL FEES DUE: $ �C) BY: Jill M. Doherty, President Board of Trustees Peter Young,Chainnan Town Hall, 79 Main Rd. Lauren Standish,Secretary T P.O. Box 1179 � Southold,NY 11971 Telephone(631)765-1892 1 41 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., July 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 ROY 8r DAWN WARD to remove an existing cottage; construct a two-story addition landward of the existing dwelling; and construct a porch. Located: 4075 Stillwater Ave., Cutchogue. SCTM#137-1-8.1 Inspected by: Peter Young, Jack McGreevy, Audrey Horton The CAC Supports the application with the Condition of a 10' non-turf buffer landward of the bulkhead and turf is removed from underneath any elevated decking. Vote of Council: Ayes: All Motion Carried f ? _ -__ ► -ewe". . Ls .,,3 . A t �` `q . . . S 07114!'2010 14 : 44 Jill M. Doherty,President �gUFFOL�.c �' O P.O.Box 1179 James F.King,Vice-President �� GZ� Southold,NY 11971 Dave Bergen y Telephone(631)765-1892 Bob Chosio,Jr. T Fax(63 1)765-6641 John Bredemeyer ap Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 4 (H ( ( �D ROY & DAWN WARD request a Wetland Permit to remove an existing cottage; construct a two-story addition landward of the existing dwelling; and construct a porch. Located: 4075 Stillwater Ave., Cutchogue. SCTM#137-1-8.1 TK�AAe of area to be impacted: , SaltwaterWetland _Freshwater Wetland —Sound _Bay Distance of proposed work to edge of wetland 4_6 Part of Town Code proposed work falls under: ,2!�,Chapt.275 _Chapt. 111 _other Type of Application: Wetland _Coastal Erosion _Amendment —Administrative—Emergency_Pre-Submission Violation Info needed: ? s!�tIte (J�c4�:d^ Modifications: Conditions: Present Were: xJ.King "�/-J.Doherty AJ. Bredemeyer,-><-D. Bergen B.Ghosio, __*D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: y\ �� �,✓ /� � fie,` '1��i ,. _ r' a. t Y II N l `r- f� ff 1-4 owl1 t I { x F7 w� cl 10 kill ' i♦♦F a, 1 Y\/ st �r-++�� - .�-�'� •`'3" ..:� SSG 'L / t ! `�' i x �Y i � d^ ��vJ' ♦•,q'C W 14 t�l 6�M� y?4-v'�a .meq, \ ;r,• -. r. Mi'W.^+'.J, j.�( A +,Y�1 .4 �Y ♦�� }, ~w � „ 1� y ' i" -.•, f f._.i".�. 2 - •• •�" ,• ,:"` =•_ ..�.�. ..,a a ked Property Imp Servim AgN¢ a / IyE / a 1 Z0/ \• \ 1 \ \ M � 1 \\ \ \ M} uxn 1 / •1 1 1 \\U \\ y 'rU \ 1 s4a 3>V A a a R a D Ash aY S Y COUNTY OF SUFFOLKRQ L �.a $OUiNOLO sccRwx N0 m��.,,,w�a Red hroartY Tm sernm ka�cY * 137 usF � E ur.. _ _ p IWe PROPERTY YM DM i OFFICE LOCATION: �q SO(/ly MAILING ADDRESS: Town Hall Annex ��� Ol0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 H Telephone: 631 765-1935 �p Fax: 631 765-3136 Q ply 4 NTY,N� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President - Town of Southold Board of Trustees I From: Mark Terry, Principal Planner LWRP Coordinator Date: July 19, 2010 Re: Proposed Wetland Permit for ROY & DAWN WARD SCTM#137-1-8.1 Denise Heyse on behalf of ROY & DAWN WARD requests a Wetland Permit to remove an existing cottage; construct a two-story addition landward of the existing dwelling; and construct a porch. Located: 4075 Stillwater Ave., Cutchogue. SCTM#137-1-8.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT from LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney �Q��gy,FFO(kco� Jill M. Doherty,President y - Town Hall,53095 Main Rd. James F. King,Vice-President ,i. T P.O. Box 1179 Dave Bergen dy �' Southold,NY 11971 Bob Ghosio,Jr. Telephone(631)765-1892 John Bredemeyer �1 # �� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application Wetland Permit Application - Administrative Permit D l�J LS _Amendment/Transfer/Extension D /Received Application: 6 O Received Fee:$ JUN 18 2010 ./Completed Application _Incomplete _SEQRA Classification: Southhold Town Type IType IIUnlisted Board of Trustees _Coordination:(date sent) -- LWRP Consistency Assess ent Form 1 I t}' 1� /CAC Referral Sent ��Hate of Inspection: Receipt of CAC Report: _Lead Agency Determination: _Technical Review: clic Hearing Held-.7 Resolution: Name of Applicant O�/ fi Z`I� .�} ✓� Q/(` d / ddress L� r7c> S 8 L,) AC- l Q Phone Number:( ) 7_3 sy Suffolk County Tax Map Number: 1000 - 3 [ — _ • I Property Location: S /"t e /5 a. YI ' Te Pe_eJks ( e`{ S Ale��- (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: ;?—_O 6/ h / e ? l a Phone: 72 7 - 7�1 � 1 0 0 Board of Trustees Application GENERAL DATA Land Area(in square feet). J 1 .J Area Zoning: R e-5" A e-V-\ G� Previous use of property: /�V/ o C h (k✓L !A P Intended use of property: /yy CLI a ✓1 to 'e— Covenants and Restrictions: Yes No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals—VYes No If"Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Z 2 A Date T"RvSLEE: S 1� y � t.. � inJG No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspende0by a governmental agency? V No Yes If yes, provide explanation: Project Description (use attachments if necessary): Z 1 2C5 , ACvt Cn �/ur'1 0/,OD C clrur'-I W a G � Y S � , n u II C ✓ S e 4- U U CA 0Jn � 6ir Sa (AV� r 0 Board of Trustees Application COASTAL EROSIONj�APPLICATION DATA Purposes of proposed activity:& i ✓) Ot I U ��l �/ ✓1 d Ctrl , o -cr-L4SC '70V7 n � Are wetlands present within 100 feet of the proposed activity? No V Yes Does the project involve excavation or filling? st V No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) & ,\A '-1pa1✓-f-3 9 0 Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: I` Q / ) 0 ✓ _ li re 5 l� n c e— t lP"tV Z ( Z 51cc4 �tCin li i5 I r /l G� {� A rt vl o J V1 S 1 d U. C' e- Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 3 N .11 feet Closest distance between nearest proposed structure and upland edge of wetlands: L4 'A feet Does the project involve excavation or filling? V/ No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited:: r_ feet Proposed slope throughout the area of operations: I Y # c h m K q Manner in which material will be removed or deposited: J Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reassoof such proposed operations (use attachments if appropriate): Aro 617.20 SEAR PROJECT ID NUMBER 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 I SPONSOR 2.PROJECT NAME Vtol' 'SEe y St, 1 +fir l,/h 2 3.PROJECT LOCATION: Municipality C v tC l 0 County U FF ,) I 'c- 4.PRECISE LOCATION: Street Addese rd Road Intersections. Prominent landmarks etc -or provide map yor75 S I1 W cd el— A ✓�, CL) c� a9 5.IS PROPOSED ACTION: ❑ New r_�Expansion I6cation/akerstion 6.DESCRIBE PROJECT BRIEFLY: L /-10 V L CA, 1Z, 5 e—6 rO o M C, /A vi )L tj A r-- & o M e4 i -1 14 o%jS e , P ro L)" 6 �e 7� V tOV l� o � Se proJl_ (:� L cr, -\_-�> or- Ch to I �I� dL✓a � � S , a /" l a l ✓L 7.AMOUNT OF LAND AFFECTED: /O �' tT� } 1i� _1 Initially acres Ultimately acres J 1 U d / j ✓1 / Cl a 6.WILL PROP0,W6 ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes No If no,describe briefly: 91W T IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply) Residential [:]Industrial ❑Commercial DAgdculture ❑Park I Forest/Open Space Other (describe) C rt�� ro✓�� % DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGE os (❑reNo State yes.Ior Listlagency name and permit / approval: Z 1J A-/ 11.DOES ANY ECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yea No If yes, list agency name and permit / approval: i . ASA Vj6LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ea No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / S6 or Name` �`✓1. S C— l W '�y SL— Dare: Si nature Z0A If the action Is a Costal Area,and you ars 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? If yes,coordinate the review process and use the FULL FAR ❑Yes ©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. ❑ Yes ❑✓ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,If Iegibie) CI. Existing ah quality,surface or groundwater quality or quantity,rWse levels,exIsft trafic patter.solid waste production or disposal, potential for erosion,drainage or(boding problems? Explain briefly: No C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or cormntmtty or neighborhood character?Explain briefly: No C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered spades?Explain briefly: No C4. A communWs existing plans or goals as officially adopted,or a change in use or Interreay of use of lard or other natural resources?Explain briefly: No C5. Growth,subsequent development,or related activities likely to be educed by the proposed action?Explain briefly. No 06. Longterm,short term.cumulative.or other effects not Identified in CI-05? Explain briefly: No C7. Other im ads, udi dna la use of either quantityor of ane in brie No D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? If Yes.exnlain briefly: Yes W]No 17 1 E. IS THERE,OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? It Yes explain: Yes Q No F� PART 111-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS; Foreach adverse effect Identified above,determinewhetherit Is substantial,large,importantorotherwise significant 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 suffidentdetall to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part i was checked yes,tnedeterrnination of significance mustevaluate the potential Impactofthe proposed action on the environmental characteristics of the CFA. Check this box tiyou have identified one ormore potentially large orsignif cantadverse hnpaclswhbh MAYoccur.Then proceed directly to the FULI EAF ands 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 aeft WILL NOT result in any significant adverse environmental impacts AND provide,on attachments as necessary, the reasons supporting thil determination. Board of Trustees Name of Lead Agency Date Jill M. Doherty President Pnnt h Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature11�1 s onsibie rce-Wm Lead Agency Signature of Preparer(If different from responsible officer) Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM _ PROPERTY LOCATION: s.GT.M.#: ' THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 1 IV, 0 `-5_J 1 p ' ' STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL FLAN Imular on -a6aF— �C— ool�� dIfffiliffiD BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What Is the Total Area of the Project Parcels? I Will this Project Retain All Stamm-Water Run-Off (Include Total Area of all Parcels located within Generated by a Two(2')Inch Rainfall on Site? the Scope of Work for Proposed Construction) O e t�> (This Item will Include all run-off created by site J a b. What is the TOM Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent Creation of constriction activity? Impervious surfaces.) ts.y.l Aaaal 2 Does the Site Plan and/or Survey Show All Proposed / PROVIDE-BRIEF PROJECT DESCRIMON iwa+Navddlms Pawaa,daaso) Drainage Structures Indicating Size a Location?This V El shall Include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion ❑ and sediment control practices that will be used to control siteerosion and storm water discharges. This Rem must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading a Excavation where there Is a change to the Natural ❑ �/ FAsting Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities ' Encompassing an Area In Excess or Five Thousand v (5,ODO S.F.)Square Feet of Ground Surface? ❑ 6 Is there a Natural Water Course Running through the ❑ J Site? Is this Project within the Trusteas jurisdiction V General DEC SWPPP Rewhannms: or within One Hundred(100')feet of a Welland or Submission of a SWPPP a required for AN Construction activities involving soil Beech? disturbances of one(1)or mon acres; inwding disturbances of less than one acre met 7 Will there be Site preparation on Existing Grade Slopes ) ala part of a larger common plan mas ultimately disWre one or masa ewes of land: which Exceed Fifteen(15)feat of Vesical Rise to El \/ Including Construction activities Involving soil disturbances of lees than one(1)am where One Hundred(10/')of Horizontal Distance? the DEC has detemYned that a SPDES permit Is required ler storm water discharges. (SWPPP's Shall meet the IAntrmrum Requirements of the SPINES General PahmR 8 Will Driveways,Parking Areas or other Impervious forSbrm Water Discharges from Construction activity,-Pa ant No.GP.0.70.001.) Surfaces be Sloped to Direct Stomt-Wafer Run-Of 1.The SWPPP shell be prepared prior to the submittal of the N01.The NO]shell be Into and/or In the direction of a Town right-oli. submitted to the Deparmant prior to the camnehrenrrht of oonsburlbn aW.*. 2.The SWPPP shag desaslbe the erosion and sediment control practices and where 9 Wil this Project Require the Pfacement of Material, / required,postawnsWcton storm water management preclkm that will be used andlor Removal of Vegetation and/or the Construction of any ✓ constructed to reduce she pollutants in storm water dscisain and to assure tem Within the Town Right-of-Way a Road Shoulder compliance with the terns and conditions of this inumil.in adddion,the SWPPP shell denary potential sources of pollution which my meaeonably be cupected to~me Areal tutu.urn am xmr„wk,e.n.a,arr awe wp,lv.wy,Ap,a,a.) quakyofstommwatardlschaMes. NOTE: NAnyA.Iw OwatlanaDm#n hNinotsAnaweredwrhaCMak Mark 3.AN SWPPPs that require the post-construction slonn water management pacoce In a Son and the construction she disturbance Is between 4000 S.F.a 1 A.in ama, component shall be prepared by a qualiaed Design Professional Licensed In Now York a etoonANlat r,Grading,Drainage L Enelon Control Plan is Rayatred by the town of that is knowledgeable In the pnnaples and practices of Stamm Water Management. Sautlwid anti Nust ba Sul I d ler Rsvlw Pdorw hsuarhG of Any&Mding Pam,IL (NOTE: ALTxk Mrrt(�)ar,amr ArwwerMeaal Ouwbhb Reaaksd fwsCarigbb lPPMafion) STATE OF NEW YORK, COUN TY OF...........................................SS /..........kA.Q......._� ..........being duty sworn,deposes and says that he/she is the applicant for Permit, (Name of Ind lAdeal eipNng he�ntI) And that he/she is the ......................�..T... P 11. f..!....... ...�!... ..Ll.Ll ... (Ormer,Contraoom ArPm, b Olriaer,etc) Owner and/or representative of the Owner or Owners,and is drily authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application file h with. Sworn to ore me this; I' � ......... . ...............................day of... [:a.(-k.. ................. 20.141 VVV .. .. <i/�J� Notary Publ'c: .... Q dA t P.. .. .:......... ....... .�m. I At lqgp 41 TANDISH ( egeMBaAu +m) FORM - 06110 Notary Po0110, N0.01ST6164008 Qualified in Suffolk CoultN Commission Expires April 9.20011_ 1 i April 15, 2010 i Town oi'Sou hold I j RI : 4075 Stillwater Avenue Cutchogue, New York f 1'o Whom It. I Aay Concern: Plcas find this letter as mthorizationforChucl Thomas Aichite ❑nd liis employee (D Wise [leysc) to apply for permits, and to r�present our appli ation on (hc ahove rcterei ced property. i I Should you have any questions orrequire additional information, '-)lcanc con(arl Dawn at (631) 804-2741. Very truly yours, Roy R. an I Dawn L. ar �i I I l I I i f � i } i i r i I I `i I FOARA OF TRUSTEES FAGE 01 • �f1� f. COv • �azz:ce F. 1tin;;,iaeKEr'e'nc; ;� 4a 9j 'Town Mwl �al M. Gonarty, Viae-President N" ti� �G6i 0 ��ab� 1�19� Ppur!.A ptckercrna y '�"k { r:c y� T:1epnOtte{631)765-1672 ..1 snCSW,Jt. ��0 Fix i6311765-6641 T10 AIM Or TOWN TPRTUSTMS TOJtN Or t,-0LM10LD 60Arilt JF :RUSTSIUS: TO'W,^v OF SOU 1-I104D -------------------------------------------------- In the mhtt,T 0i the !kvolication of �1-"NTV CF SU777 S777OLKI . 2 Ti 'f ' 'F ;�E'h' AFF.TDAV1T OF POSTING T. t_YL_LP._ residing at 2 D L t e u S ter -- being duly swom, depose and say: hat on the i2-Say of 7!/ , 24* :1 pessomi posted the property known as t�Lm `✓'� 1--- - �4 �_ S /r l -4%.)C,) J�c 4 o, 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 da a h^public hearing. Date of hearing noted thereon to be held�a�'L j C'--o r D Dated: �S1g11atUYe� Sworn to before nlc this play of TI2090/ _--- ,1� C .k JUL L �'J10 ✓ 1 N„ma.wm,,s orz�zmroak I, No.mmwvzse ' t q,hfiW in Mkeomr ';2 ! J I t1v Ca,omida,Fiolmlwrl0. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK residing at Z' 6 n c p v1 r. vC� Cad being duly sworn, deposes and says that on the 17— day of 20( O, 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 oll of the Town of Southold;that said Notices were mailed at the United States Post Office at ,t V tl e a,(± ,thatsai otices were mailed to each of said persons by (certified) (registered) mail. ` a4-- Sworn to before me this a I— Day of �T20 /0 LgawA.7' �O k F'"'S"Of..Yah NW OITM931299 q-dif'"b ,pwa"30, -.2L7" -/ a u is 0 Board of Trustees Application County of Suffolk State of New York —De/1 SL h t l., S C, BEING DULY SWORN DEPOSES AND AFFIRMS THAI 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 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 REVIEW OF THIS APPLICATION. 1 Signature SWORN TO BEFORE ME THIS &�DAY OF 20/o Notary Public Stank of Nov lbrk No.O1STU64m � �" "� Qualified in Suffolk County -1 `-7 , v *Jk Commission Expires April 9.2 _/[ ary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same'.. —/��7 n YOURNAME: 1 C—� s c, tAt,-I or (La'st name,first name,middle initial,unless y u are applying in the time of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of ares. 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 applicandagem/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 this day of 200 Signature Print Name Form TS 1 0 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. 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# ( The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. E Building Dept. El Board of Trustees ' Z 5A 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: 1 0C[ \,) ai a 5- ae- G YIoin �5 roJ � 0 Aky,� ;20rCJ1 io L,.ur c� Location of action: LI D r7 S f,- I 1 ale r— A ✓e CJ i Lk Site acreage: n ✓ �+ Present land use: /\e.5; Cte 1� t Gl 1 Present zoning classification: \ L 5 e < 't �1, GLI 'h A IL FCL-n-'. 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: (b) Mailing address: (c) Telephone number: Area Code( ) (d) Application number, if any: Will the action becjirectly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No amu/ 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 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 LJ 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 Yes 0 No NNot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Sect' n III—Policies Pages 8 through 16 for evaluation criteria Yes 1�1 No [:� Not Applicable ^ ii /-� l l C �' lr i 1_ 5 � ',1 �+ t-J a/ S -a l p ,-- ,g V1 . dA _� vfi1 �r- A r . tl Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Po cies Pages 16 through 21 for evaluation criteria Yes 0 No O Not Applicabl$ e r — e 0 �r kJ 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. EYes [] No E] Not Applicable Foolr (—Uri V�i G r j7; re- C-i 1 6 2r / Lit if Atfach 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 lnation 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. WRP 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. ❑ YesD No MNot Applicable 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 locations7NotAApplicable RP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town7Nnt s. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ElNo 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;ZtA ' n criteria. 1:1 Yes ElNopplicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pa es 65 through 68 for evaluation criteria. El Yes ❑ No RNot Applicable Created on 5125105 11:20 AM '-5e m� V �35 SURVEY OF PROPERTY ,p�° - �P� al � SITUATE 9 ° 1 12.5' Cp�GR Ifo r4'o '``��o \'fit F �lP 0 � CUTCHOGUE %. $ '9.] ``x.8 TOWN OF SOUTHOLD ��y SUFFOLK COUNTY, NEW YORK CD ° z°y14 A 2 �.\ ;Ai5 apGK a S.C. TAX No. 1000- 137- 1 -8. 1 SCALE 1 "=20' Ez OP`�G i 9.4 ', AREA = 31,334 sq. f4. PCD1 P�SEQ N tP�' n 4f 1 tI 0 9 s PRi oR VA � � o �' m o a 12. _ 2POa\t\off li �O �0 /P OG C e• o i it o Ln x �.( . E i DUt oe •.e --- 4.71 E-411N �h.2 t,,{� a o ! GnS Ez C P I y \ ,I -0:?.Ne IYy II (� - ¢ N 1 JC St 4 P &0 0) 0 w L-_..._C '6R PO ED ,Y . O V r F O oRM qo ,. .r_ ts.0 _ I � � o w a °R °� , �'� i:FR09 PORCH ftD✓,1F I'll, /On W ¢ (O/ / /� j,/ F5 ~ oD 'yt:�i• ' O I P uj k 3 �NpJSE S,�DpMa^(O FEN ; 1— Lu O rp s�.n DWR 0 W V) LL Q APPROVED BY d BOARD OF TRUSTEES � cn to oNeP P�EGP TOWN OF SOUTHOLD ILj a o � eR rysa / obs DATE 7 fo 5 -------------- 0. ------- 1 y Cx(`�^ " \RE e PROJECT DESCRIPTION $e NO DISTURBANCE SEAWARD OF EXTG. HOUSE E REMOVE EXISTING (2) BEDROOM ONE STORY 90 NON— CONFORMING FRAME HOUSE EXISTING NORTH SIDE YARD 2.8 10O= PROVIDE 2 STORY ADDITION TO REAR OF HOUSE 0 n PROPOSED NEW NORTH SIDE YARD 5.7' E / E•s ALL PROPOSED CONSTRUCTION IS LANDWARD 0 41 EXPANSION INTO REAR AND SIDE YARD OF =_ EXISTING 2 STORY RESIDENCE � *' 'ss SITE PLAN n R � SCALE. 1 : 20 PC,f4p 1V opQ19P SIDE YARD TABLE L \ EXISTING NORTH SIDE YARD 2.8 PROPOSED NORTH SIDE YARD 5.7' EXISTING SOUTH SIDE YARD 32.7' PROPOSED SOUTH SIDE YARD 26.0' EXISTING COMBINED SIDE PARD 35.5' 0' PROPOSED COMBINED SIDE YARD 31.7' MIN REQUIRED COMBINED SIDE YARD 35.0' NIE4 PUMXR ANO ACCWP41YIN0`PEOFlLAPMS A511611LXFHR EF`FIIVIQ ANE IPE EFPIH'.E PPOCIIIIY°F 1NE AXOIIRCI'AH°IWNIlff.1XP PHPIICAIId 91ALLHPESIPICIEEp IN ME OPI61Xk SIR Cp!NWd MfYWEPE PIIEPAPED PFLEf PfPM411CPP1 OY FYICLIGMI!Y NIY PEPIW IN WIW Ox"PM! 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