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Home My WebLink AboutTR-7606 James F. K/ng, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0746C Date: April 25~ 2012 THIS CERTIFIES that the construction of a second-floor addition and alteration on south side of dwelling; one-story addition on west and north sides of dwelling; second-floor addition and alteration on north side of dwelling; new porch on north side of dwelling; gutters to leaders to drywells on dwelling At 7180 Peconic Bay Boulevard, Laurel, New York Suffolk County Tax Map # 126-11-9.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 1~ 2011 pursuant to which Trustees Wetland Permit #7606 Dated August 24, 2011 and conforms to ali 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 second-floor addition and alteration on south side of dwelling; one- story addition on west and north sides of dwelling; second-floor addition and alteration on north side of dwelling; new porch on north side of dwelling; gutters to leaders to drywells on dwelling The certificate is issued to EDWIN & MARGARET PISANI owner of the aforesaid property. Authorized Signature James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box t 179 $outhold, NY 11971 Telephone (63 I) 765-1892 Fax (63 I) 7654641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 i/. c Ch. 111 INSPECTION SCHEDULE X __ Pre-construction, hay bale line/silt boom/silt curtain __ 1st day of construction 14 constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: Jill M. Doherty, President Bob Ghosio, Jr., Vice-Pres/dent James F. King Dave Bergen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ___ Ch. 275 /7 20 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain __ 1st day of construction ~ constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE __ Pre-construction, hay bale line 1st day of construction % constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7606 DATE: AUGUST 24~ 2011 ISSUED TO: EDWIN & MARGARET PISANI PROPERTY ADDRESS: 7180 PECONIC BAY BOULEVARD~ LAUREL SCTM# 126-11-9.1 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 August 24,2011, and in consideration of application fee in the sum of $250.00 paid by Edwin & Margaret Pisa~t and subject to the Terms and Conditions as stated in tlie Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a second-floor addition and alteration on south side of dwelling; one-story addition on west and north sides of dwelling; second-floor addition and alteration on north side of dwelling; new porch on north side of dwelling; and install drywells to contain roof run-off; and as depicted on the site plan prepared by Mark K. Schwartz, Architect, last dated June 17, 2011, and stamped approved on August 24, 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. TERMS AND CONDITIONS The Permittee Edwin & Margaret Pisani, residing at 7180 Peconic Bay Blvd., Laurel, 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 Permittee 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 thq said Board will be notified by the Permittce of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may ba 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 Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 August 24, 2011 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mark K. Schwartz, Architect P.O. Box 933 Cutchogue, NY 11935 RE: EDWIN & MARGARET PISANI 7180 PECONIC BAY BOULEVARD, LAUREL SCTM# 126-11-9.1 Dear Mr. Schwartz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 24, 2011 regarding the above matter: WHEREAS, Mark K, Schwartz, Amhitect on behalf of EDWIN & MARGARET PISANI 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 August 1,2011, 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 August 24, 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, 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 EDWIN & MARGARET PISANI to construct a second-floor addition and alteration on south side of dwelling; one-story addition on west and north sides of dwelling; second-floor addition and alteration on north side of dwelling; new porch on north side of dwelling; and install drywells to contain roof run-off; and as depicted on the site plan prepared by Mark K. Schwartz, Architect, last dated June 17, 2011, and stamped approved on August 24, 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 ~nspection. (See attached schedule.) Fees:$100.O0 Very truly yours, President, Board of Trustees JMD/eac Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~c(c~ uq"l/L ], ~,~01/ has been reviewed by this Board at the regular meeting of and your application has been approved pending the com~eti°n of {l~e following items checked off below. __ Revised Plans for proposed project X/~ 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: 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 I 179 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., August 17, 2011, the following recommendation was made: Moved by Jack McGreevy, seconded by Audrey Horton, it was RESOLVED to SUPPORT the Wetland Permit application of EDWIN & MARGARET PISANI to construct a second-floor addition and alteration on south side of dwelling; one- story addition on west and north sides of dwelling; second-floor addition and alteration on north side of dwelling; new pomh on north side of dwelling; and install drywells to contain roof run-off. Located: 7180 Peconic Bay Blvd., Laurel. SCTM#126-11-9.1 Inspected by: Audrey Horton, Jack McGreevy Vote of Council: Ayes: All Motion Carried Jill M Doherty, President Bob Ghosio. Jr, Vice-President James F King Dave Bergen John Bredemeyer PO. Box 1179 Southold, NY 11971 Telephone(631 765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: /¢ ct (r- / '7 -/? /r~J''~ ~'D EDWIN & MARGARET PISAN t request a Wetland Permit to construct a second-floor addition and alteration on south side of dwelling; one-story addition on west and north sides of dwelling; second-floor addition and alteration on north side of dwelling; new porch on north side of dwelling; and install drywells to contain roof run-off. Located: 7180 Peconic Bay Blvd., Laurel. SCTM#126-11-9.1 Type of area to be impacted: J __Saltwater Wetland Freshwater Wetland Sound -/Bay Distance of proposed work to edge of wetland P~C of Town Code proposed work falls under: hapt.275 Chapt. 111 other / Type of Application: ,~Wetland __Coastal Erosion __Administrative__Emergency Amendment Pre-Submission __Violation Info needed: Modifications: Prese~nt Were: ~u~J. Doherty B. Ghosio ~J. King __ t./j. Bredemeye( D. Dzenkowski other Form filled out in the field by ~' /~' ? ~U 6 Mailed/Faxed to: Date: D. Bergen, N 126 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, IVY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator I 8 20tl SS; Tifllold Iown Date: August 18, 2011 Re: Proposed Wetland Permit for EDWIN & MARGARET PISANI SCTM# 1000-126-11-9.1 Mark K. Schwartz, Architect on behalf of EDWIN & MARGARET PISANI requests a Wetland Permit to construct a second-floor addition and alteration on south side of dwelling; one-story addition on west and north sides of dwelling; second-floor addition and alteration on north side of dwelling; new porch on north side of dwelling; and install drywells to contain roof run-off. Located: 7180 Peconic Bay Blvd., Laurel. SCTM#126-11-9.1, 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 with the Policy Standards and therefore is CONSISTENT with the LWRR 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 l~r(2wOmtal Erosion Permit Application etland Permit Application Amendment/Transfer/Extension .~Rece~vved Application:~ 7Received Fee:$ _~Completed Appli~tfo~ ~ }l ]I] __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordinafion:(date sent) ~'LWRP Consistency Assessmel~t Form ,.~AC Referral Sent:~~_ ~__MSate of Inspection:_ ~ I U I I tJ Receipt of CAC Report: __Lead Agency Determination:__ Technical Review: ~ .. /Public Hearing Held:~.~ __Resolution: Office Use Only Administrative Permit Name of Applicant Edwin and Margaret Pisani Address 7180 Peconic Bay Boulevard, Laurel NY 11948 Phone Number:(917) 378-7114 Suffolk County Tax Map Number: 1000 - 126-11-9.1 Property Location: 7180 Peconic Bay Boulevard, Laurel NY 11948 600 feet +/- east of Bray Avenue, Lilco Pole No. 39 in front (provide LILCO Pole #, distance to cross streets, and location) AGENT: Mark K. Schwartz, Architect (If applicable) Address: P.O. Box 933, Cutchogue, NY 11935 Phone: (631) 7344185 of Trustees Applicati~ GENERAL DATA Land Area (in square feet)' 37 612 sq. ff. total 34504 sq. ft. to bulk head Area Zoning: R40 Previous use of property: single family residence Intended use of property: single family residence Covenants and Restrictions: ~ Yes [-~ No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals If "Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Date ] Yes No ~ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suslxe~ed by [a-~vemmental ~ No~.._L Yes If yes, provide explanation: agency? Project Description (use attachments if necessary): 2nd. floor addition / alteration on south side of house, 1 sty. addition on west and north sides of house, 2nd floor addition / alteration on north side of house, new porch on north side, intedor alterations. Drywells to be installed to control water runoff from the house to reduce erosion. of Trustees Applicati0 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Additions and alterations to existing house, install drywells Area of wetlands on lot: 3108 square feet Percent coverage of lot: 9 % Closest distance between nearest existing structure and upland edge of wetlands: 50.4' feet Closest distance between nearest proposed structure and upland edge of wetlands: 58.3' feet Does the project involve excavation or filling? l-] No Yes If yes, how much material will be excavated? 60 cubic yards How much material will be filled? 15 cubic yards Depth of which material will be removed or deposited: 4 feet Proposed slope throughout the area of operations: +/- 5% Manner in which material will be removed or deposited: Excavated shall be used for final grade, new fill for septic shall be contained on property. 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): The proposed work shall have a positive impact on the wetlands and tidal water through the installation of drywells to control water runoff, a pervious driveway for natural drainage. ~rd of Trustees Applicati0 COASTAL EROSION APPLICATION DATA Additions and alterations to existing house, install drywells Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? [-I No Yl Yes Does the project involve excavation or filling? [~] No ['~ Yes 60 If Yes, how much material will be excavated? (cubic yards) 15 How much material will be filled? _(cubic yards) Manner in which material will be removed or deposited: Existing soil, excavated, shall be used for finished grade to level to ground within a 5% slope around house. New clean fill shall be used for the septic system. Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) There are no impacts on the environment resulting from implementation of this project since the project shall be controlled with installing (and maintaining) hay bales with silt screen fencing to control erosion and debds around project work area. The project site will also maintain daily cleanup to control debd escaping the work site so as to not impact the wetlands, water and surrounding neighbors, PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR Edwin and Margaret Pisani 3 PROJECT LOCATION: Munic~lily Southold 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SNORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2 PROJECT NAME Pisani Property County Suffo k SEQR 4 PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map 7180 Peconic Bay Boulevard, Laurel, NY 5 IS PROPOSED ACTION: [] New r~Expansio~ ~"]Modifioa6oo/a#eralion $. DESCRIBE PROJECT BRIEFLY: 2nd Floor addition / alteration on south side of house. 1 sty. addition on west and north sides of house, 2nd floor addition / alteration on north side of house, new porch on north side, interior alterations. Drywells to be installed to control water runoff from the house to reduce erosion. 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~e aYeS [] No If no, des~ibe briefly: re unable to obtain the required set back from wet lands due to the existing site conditions. 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply,) r~--~lResidendal r~llndus~a, [~Commercia, r~Agriculture [~Park/Forast/OpenSpace ~lo~ler (describe) 10 DOES ACTION iNVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. State or Local) []Yes F~No if yes. list agency name and permil / approval: I).ILC., Building Deparmtent 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~Yes ~'~No II yes, list agency name and permit / approval: I 12. AS A J~SULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE ID THE BEST OF MY KNOWLEDGE Applicenl / Sponsor Name Date: Signature If the action Is a Costal Area. and you are a state agency. complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. [~Yes [~"] No WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If NO, a negative declaration may he superseded by another invel'~.'~:l agency. [~Yes ~'-~No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers rrmy he handw~ten, if legible) C1. ExislJng air quality, surface or groundwater quality or quantity, noise levels, e~dstiog traffic pattern, solid waste prnducbon or disposal, potential for erosion, drainage or rending problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, histefic, or other natural or coiturel resources: or community or neighborhood character? Explain bdefiy: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: I 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 rssoun:ss? Explain I~iefiy: I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I C6. Long term, short term, cumulative, or other effects not identified in Cl-C57 Explain briefiyl I C7. Other impacts lincJudin~ changes in use of either quanlt~ or t~pe of energy,? Explain bfielt~,': I,, I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ICEAI? IIf ~'es, explain briefl},: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY [-~ Yes [~]No RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~'es explain: I PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) . INS'I~UCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise 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 necessa~j, add attachments or reference suppoding materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed, ff question d of part ii was checked yes, the determination of significenco must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potenltally la rge or significant adverse impacts which MAY occur. Then proceed direcUy to the FULI FAF and/or prepare a positive declaration. Check this box if you have determined, based on the informatieo and analysis above and any supporting documentation, that the proposed a~o~ WILL NOT result in any significant adverse environmental impacts AND provide, on altachments as necessary, the reasons supporting thi: determination. Board of Trustees Name of Lead Agency Jill M. Dohert¥ Pri,~t or Type Name of Responsible Officer in Lead Agency .,~ S~lgnature- ol"Resp~hslble Offeerth Lead Agency ' /? President Title of Responsible Officer Signature of Preparer (If different from responsible officerI Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROP~TY LOGAllO~: ~-~.TJ~ THE FOLLOWING ACTION.q MAy REQUIRE THE 8UBMIS&ION OF A 1000 126 11 9.1 ~TORM-WATER~ GRADINGr DI~AINAGE AMD ERO~IO# COMlrROL PLAN mstd~t eecuo, a~ ~ot CERTIFIED BY A DESIGN I~I~OFE881ONAL IN THE ~I'ATE OF NEW YO~K. $COPE OI;WORK - PROPOSED CONSTRUc.'I'ION l'l'llM # / WORK.~$F_~IVI~NT Yes No a. What is the Total Area of the Project Pan~.s? (Include Total Area Of all Parcels located within '1 Will Ibis Project Retain All Stomt-Water Run-Off the Scope of Work for Probesad Censfn~ction) 37612 / 0.863 Generated by a Two (2") Indn Rainfall on Site? b. What is the Total Area of Land CIsadng {S.F. I,~=,) (This Item wlil include all run-off created by site clearing and/or construction acSvities as well as a~ and/or Ground Disturbance for Ihe proposed 4500 sf +/- Site Improvements and the permanent cmatien of constm~on activity? imbewtous surfaces.) (~"'~': 2 Does the Site Plan and/or Survey Show All Pmposad PROVIDE ]B. RI~ PROJgCT DE,~CRIFI1ON ~..~.*~ Drainage Structures Indlcal~g Sf-ze & Loca6on?This Item shall include all Proposed Grade Changes and 2nd floor addition / alteration on south side of house, Slopsa Cen~ ~urface Water Flow. 1 story addition on west and north sides of house, 3 andD°eSsedimentthe Site Ptanconlmland/OrpractlcesSurveYthatdescribewiti be usedthe emslonto ~'~ control site erosion and storm wator discharges. This -- 2nd. floor addition / alteration on north side of house, Item must be maintained throughout the Entire Cons~JCtion Period, new porch on north side, interior alterations. Drywells 4 Will ~ls Project Requite any Land Riling, Grading or Excavation where there is a change to the Natural to be installed to control water runoff from the house Existing Grade Involving mom than 200 CublcYords of Mateffa/within any Pamel? to reduce erosion. 5 Will this Application Require Land Disturbing AcKM~fisa Enc~mpasaing an Area In E,~cass of Five Thousand (51000 S.F.) Square Feet of Ground Sur~ce? 6 Is them a Natural Water Course Runnthg through ~e Site? is this Project wi~in the Tmstesa jurisdiction General DEC SWPPP Ra~ulrmneats: or within One Hundred (100') feet of a Wetland o~ are pari of a Jatger common plan ~h~t will ultimately disturb o~e or more aceas M land; which Exceed Fiffsan (15) feet of Vertical Rise to including Co~t ruclion activilte~ involving sell cisturbance~ of less then one (1) a~m where One Hundred (100') of Hodzo~al Distence? i_ 1_ That I, .....~.~..~:~,~.~.~b~.~...]....~.. bein~ duly sworn, del~eS and ~y~ that he/~h¢ is thc a~pli~mt for Permit, ............................................ ............................................................... And that Owner a~.d/or repr¢,entafive of the O~er or Owners, and i~ duly a~thorized to perform or thave pert'onned the ~aid work and to make and file this application; that all *tatement~ contained h~ thi~ application are ~rue m d~¢ bert oflfi~ lu~owledge a~d I~lief; and that fl~e work will be performed in the mann~ ~t foffi~ in fl~e application filed herewifl~. Sworn to before me d'ds; ........................ v.._~.--~ ........... . ....... ~I." .............. t;Ot~y'~l~, ~te~f New mr~ / ///! d/-."~l NolaryPub c-(~..(~ ..~i~.-' ~' No. 01ST6164008 . /s,,,~7'-''~ / ................. (~t~alifiad-~'Suffolk Coun~ ~ ..................... (....~. ............ ] ............. mmissi0. .................. FORM - 06/10 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 (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 EDWIN & MARGARET PISANI COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I,~'~l~_~ or~r'C residing at /dba Z~?/" /-v,~'~'.~ being duly sworn, depose and say: That on the day 9f_ 201, I personally posted thepffOl~erty 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 heating. Date of hearing noted thereon to be held Wed, August 24~ 2011 on or about 6:00 PM. Dated: Swom to before me this day of O~. 20// (signature) -~// Notar~dblic LAUREN M. STANDISH Notary Public, State of New York No. 01ST6164008 Qua ified in Suffolk C0unt~ Commission Expires Apr ! 9. ?~/.I~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS r~ c~ ~.~o~.~ ~ $5.59 ~ ~.~ [] Express Mail ~ ~ota~ p~st ~ ~ ..~ ~ Return R~lpt for Memhandi~ ..... t ~ ~ ~,~~~ .......... ~ ~ (~ F~) ~ y~ ~.,,~ .......... - ~ ~ys that on the ' ' ' [ ' ~y o~~~.~ ~,~;.~ ...... Opy of the Notice s~ fo~ in ~c B~ ofTmsmes Appli~tion, directed m each o~thc above named ~ns at ~e ~s~s ~ op~site ~em ms~tive n~cs; ~at the addresses set op~sim ~e ~es o~id ~ns ~ the ~dmss o~said per.ns as sho~ on the cu~nt ~scs~cnt mil of~¢ To~ of Sou~old; ~at said Notices were mailed at thc Unit~ Sates Po~ Sworn to before me this Dayof _/~t~_ p. .20l! Notary Public IAUREN M. STANDISH Notary Public, State of New York No. 01ST6164008 Qualified in Suffolk County Commission Exl)ires April 9. Margaret Pisani 7180 Peconic Bay Boulcwu-d Laurel, Ncw York (331-298-4345 June 03, 2011 To Whom It May Concern: I, Margaret Pisani, authorize Mm'k Schwinn, A1A - Architect, to act as agent for permit applications t() file Southold Zoning Board ot' Appeals, Soufi~old Town Board of Trustees, New York State Department of Environmental Conservation, Sufiblk County l)eparOnent of Healfl~ and the Southold Town Building Department. I also consent to inspection of this property by the aforcxnenfioned authorities. The prol)osed residential construction project is located at 7180 Peconic Bay l~oulcvard, Laurel, New York (SCq~M# 1000- 126-1 l-.q.l). Sincerely, Mar~trct Pisani date: Board of Trustees Application County of Suffolk State of New York · /~Fm~/~7 ~ ~/~,,q-"7/' BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/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, 1 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. SWORN TO BEFORE ME THIS Signature DAY OF ,20 ;/ Notary Public JOANNE M, DOUGHERTY Notary Public, State of New Yo~ No. 01 DO6204526 Qualified in Su~lolk County Commission Expires April 20, 2015 of Trustees Application County of Suffolk State of New York /4d, qt g__ BEr O ou v swo DEPOSES AND AFFImS THAT ~/SHE IS ~ APPLICANT FOR Tm ~OVE DESCRIBED PEmIT(S) AND T~T ALL STATEmNTS CONTA~D HE~IN A~ TR~ TO THE BEST OF HISSER KNOWLEDGE AND BELIEF, AND ~T ALL WO~ ~LL BE ~ ~ T~ MA~ER SET FORTH ~ THIS APPLICATION AND AS ~Y BE APPROVED BY THE SOU~OLD TO~ BO~ OF TRUSTEES. T~ APPLICANT AG~ES TO HOLD THE TO~ OF SOUTHOLD AND ~E TO~ ~USTEES ~LESS AND F~E FROM A~ AND ALL DA~GES A~ CLA~S ARIS~G ~DER OR BY VIRTUE OF SAID PER~T(S), IF G~NTED. ~ CO~LE~G THIS APPLICATION, 1 HE'BY AUTHO~ZE THE TRUSTEES, THEIR AGENT(S) OR ~P~SENTATIVES(S), TO ENTER ONTO MY PROPER~ TO ~SPECT THE P~MISES ~ CONJ~CTION WIT~~APPLICATION. ~l~amre SWORN TO BEFORE ME THIS //.~ DAY OF /~, (.J~ ,20 /[ ~-~ ~otary Public LAUREN M. STANDISH NotaW ..Public, State of New York plo. 01ST6164008 Qua fled in Suffolk County ,-~ Commission Expires April 9 20j_~. APPLICANT ~ TRANSACTIONAL DISCLOSURE FOR~I~ (FOR SUBMISSION BY OWNER andOWNER'S AGENT) 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. YOUR NAME: ~'/~.~'~z;,/ m~,~,~' ~ (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: Check all that apply.) Tax Grievance I Variance I Special Exception If"Other", name the activity: Change of Zone Approval of Plat 1 Exemption fi.om Plat or Official Map Other 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. YEsL I Complete the balance &this form a ow where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship 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 oftbe corporate stock of the applicant (when the applicant is a corporation); I .l 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 F'-'--~ D) the actual applicant. DESCRIPTION OF RELATIONSHIP APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the oart of town officers and employees. The l>umose of this form is to orovide information which can alert the town of oossibl¢ conflicts of interest and allow it to take whatever action is necessaiw to avoid sam~e,. YOURS^ME: Tz, E. (Last name, first name, mifldle initial, unless you are applying in the nme of someone else or other entity, such as a company. If so, indicate the other pemon'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 Mooting Exemption from plat or official map Planning Other (lf "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, maninge, 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 NO l/ 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 applican I/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 llw~ applicant (when the applicant is a corporation); 13) the legal or beneficial owner of any interest in a non-~orporato entity (when the applicant is not a coq>oration); C) an officer, director, partner, or employee of the applicant; or __D) the actoal applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this ]f~day of /~/-/~./~"- 200 [ Signature ~ "-'~-//~_i ~ -- Print Name .M/t,~tTE/F_ f'~t" ,L~tg~/"-~' _ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP poli.(~y 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 L WRP 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# 1000 .126 _ 11-9.1 The Applimtion has been submitted to (check appropriate response): Town Board ~ Planning Dept. ~ Building Dept. [~] Board of Trustees ~ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: additions and alterations to existing 2 story house. Masonry crawl space under additions. New drywells to be installed for errosion control. Location of action: 1st. floor; east, west and north side, 2nd floor; south and north sides Site acreage: gross = 0.863 acres, to bulkhead = Q792 acres Present land usc: single family residential use Present zoning classification: R40 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: Edwin and Margaret Pisani (b) Mailing address: 7180 Peconic Bay Boulevard, Laurel, NY 11948 (c) Telephone number: Area Code (~) (717) 378-7114 (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? DEC, Health, Bluilding, Town DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section Ill - Policies; Page 2 for evaluation criteria. ~Ves V~ No V~ (Not Applicable- please explain) The project entails the reconstruction of a single-family dwelling on a previously developed site in a heavily developed community. Policy 1 is not applicable to the project. 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- please explain) The subject propoerty does not contain nor does the project affect histodc or archaeological resources; nor is the project located in a historic madtime area. Policy 2 is not applicable to the project. Atlach 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 - please explain) To the extent that this policy is applicable to the proposed project, visual quality and scenic resources will be protected at the site through the protection and maintainance of the well-vegetated embankment buffering the developed porlion of th,, site from the tidal waters of Great Peconic Bay. Attach additional sheets if nceessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures~ and natural resources from flooding and erosion. See LWRP Section Ill - Policies Pages 8 through 16 for evaluation criteria ~-~ Yes ~ No ~-] (Not Applicable - please explain) The project does not address nor affect erosion control structures or other erosion/flooding initiatives. Policy 4 is not applicable to the project. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southoid. See LWRP Section Ill - Policies Pages 16 through 21 for evaluation criteria ~ Yes ~ No ~ (Not Applicable - please explain) The proposed project is consistant with policy 5 via (3) major project components: 1 - upgrade and relocation of the existing sanitary system more than 100 feet from the wet lands to ensure effective treatment of the sanitary waste; 2 - installation of a drainage system of dr/wells to control, manage, and recharge stormwater runoff; and 3 ~ retention of the existing vegetation on the site buffering the developed portion of the site from tidal wetlands, which is to be preserved permanently but also protected from site disturbance dudng construction by a project-limiting fence and stacked haybales. Attach additional sheets if necessary Policy 6. Protect and restore the q.ality 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 - please explain) Project will be sonsistant with Policy 6 for the same reasons described for Policy 5; because there will be no net loss of wetlands; and because the statutory and regulation requirements of both the Town Trustees and NYS DEC will be complied with. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southoid. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. See Section III - Policies Pages; 34 through 38 for evaluation criteria. ~ Yes ~] No ~-] (Not Applicable - please explain) The project will neither affect nor have an impact on air quality in the Town of Southold. Policy 7 is not applicable to the project. Atlach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. Sec LWRP Section Ill - Policies; Pages 34 through 38 for evaluation criteria. ~Yes ~'] No ~ (Not Applicable - please explain) The project will neither create nor require the handling of solid waste or hazardous substances. Policy 8 is not applicable to the project. 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 lll- Policies; Pages 38 through 46 for evaluation criteria. ~ Ye~ No ~'~ (Not Applicable - please explain) As the project area is limited to the upland portion of the property landward of the top of an embankment, public access and recreational use of the adjacent coastal waters and public lands and resources will not be affected by the project. Policy 9 is not applicable to the project. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's~er-dependent uses and promote s~ of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. [---}Yes [~ No ~ (Not Applicable - please explain) The project neither proposes nor affects water-dependent uses. Policy 10 is not applicable to this project. Attach additional sheets if neeessary Poficy 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 - please explain The project neither proposes nor affects commercial or recreational fisheries or other uses associated with the living madne resources of Long Island Sound. Policy 11 is not applicable to this project. Attach additional sheets if neeessary Policy 12. Protect agricultural lands in the Town of Southoid. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~Yes ~'~ No~ Not Applicable-please explain The project site is neither situated on nor adjacent lands. Policy 12 is not applicable to the project. 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 - please explain The project affects neither the use nor development of energy and mineral resources. Policy 13 is not applicable to the project. REVISIONS: JOAN SHANNON / ~ [PUBLIC YqATER] EL '~ SITE P~N $CTM ~ 1000-126-11-9.1 o "x II / ~ ..... ~' =': ....... ~ ~s AN~ BOUNDS ~y: HA*HAH TA~ CO~W,N LOCATION: AREA: LOT COVE~GE: REMAR~: O ~ EX. HOUSE w/ADDITIONS: 2028.0 SQ. ~. 5.4% 298 SQ. FT. ADDITIONS ~ ]OWN OF SOU ~ ..... , j EXI~ING REAR DECK: 390 SQ. ~. 1.1% ]oBSCALE:~: TOTAL: 3090.4 SQ. ~. 8.3% V1EV~ VI Ex,V -C- REMSIONS: NORTH ELEVATION SCALE: 1/8" = 1' EXISTING NORTH ELEVATION SCALE: 1/8" = 1' REVISIONS: I A-1 WEST ELEVATION SCALE: 1/8" = 1~ EXISTING WEST ELEVATION SC. ALE: 1/8" = 1' REVISIONS: m SOUTH ELEVATION SCALE: 1/8" = 1' EXISTING SOUTH ELEVATION SCALE: 1/8" = 1' REVISIONS: EAST ELEVATION SCALE: 1/8" = 1' EXISTING EAST ELEVATION SCALE: 1/8" = 1' REVISIONS: E×,.,NO L,",.O ,.^CE: ,,o~.o ~o" Ilo PROJECT EXI~TINC, ~TOOP: 75.0SQ ET [I O .EMAIN) NORTH 7-1¥?" ~ iST. FLOOR PLAN SCALE: 1/8" = 1' REVISIONS: / / "'i 1/ ~PROJE~ NORTH 2ND. FLOOR P~N S~LE: 1/8"= 1' REVISIONS: I A-6