Loading...
HomeMy WebLinkAboutTR-7848 James F. King, President *QF SO(/rTown Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O.Box 1179 Dave Bergen # Southold,New York 11971-0959 John Bredemeyer y Michael J. Domino • a0 Telephone(631) 765-1892 Q�yCOU ' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0873C Date: July 15, 2013 THIS CERTIFIES that the construction of a screened porch over part of the existing rear deck; and installation of drywells At 2715 Nassau Point Road, Cutchogue,New York Suffolk County Tax Map # 104-13-8 Conforms to the application for a Trustees Permit heretofore filed in this office Dated June 20, 2012 pursuant to which Trustees Wetland Permit#7848 Dated July 18, 2012,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a screened porch over part of the existing rear deck; and installation of drywells. The certificate is issued to ROBERT SULLIVAN owner of the aforesaid property. pt-k 0 Authorized Signal ►re i James F. King,President O�gVfFO(,rCO Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President P.O. Box 1179 Dave Bergen Southold,NY 11971 John Bredemeyer 4 Telephone(631)765-1892 t Michael J. Domino JL (631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 7 (/ I / Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction , Y2constructed Project complete, compliance inspection. INSPECTED BY: �r42� f�:. COMMENTS: CERTIFICATE OF COMPLIANCE: /�l a r K Sc hw a v-Iz ra s-}' James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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 ¼ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7848 DATE: JULY 18~ 2012 ISSUED TO: ROBERT SULLIVAN PROPERTY ADDRESS: 2715 NASSAU POINT RD. CUTCHOGUE SCTM#104-13-8 AUTHORIZATION Pursuant to the provisions of Chapter 275 and Chapter 1 l I 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 18, 2012 in consideration of application fee in the sum of $250.00 paid by Robert Sullivan and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits Wetland Permit to construct a screened porch over part of the existing rear deck and not expanding the lot coverage and install drywells to control water run-off from porch, and as depicted on the site plan prepared by Mark K. Schwartz, AIA last revised May 7, 2012. 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, Robert Sullivan, residing at 2715 Nassau Point Rd., Cutchogue, NY as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Tmstees 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 Tmstees 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 rnarks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the comPletion of the work authorized. That the Permittee will obtain all Other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, 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 July 18, 2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mark Schwartz, AIA P.O. Box 933 Cutchogue, NY 11935 RE: ROBERT SULLIVAN 2715 NASSAU POINT RD., CUTCHOGUE SCTM#104-13-8 Dear Mr. Schwartz: The Board of Town Trustees took the following action during its regular meeting held on Wed., July 18, 2012 regarding the above matter: WHEREAS, Mark Schwartz, AIA on behalf of ROBERT SULLIVAN 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, completed application dated June 20, 2012, 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 18, 2012, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVES the application of ROBERT SULLIVAN to construct a screened porch over part of the existing rear deck and not expanding the lot coverage and install drywells to control water run-off from the porch, and as depicted on the site plan prepared by Mark K. Schwartz, AIA last revised May 7, 2012. 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, Jame .~King, Presid-~ Board of Trustees JFK/Ims James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bm&meyer Michael J. Domino Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ¢/0bO; £ NN(6( n Please be advised that your application dated [/91 o~l~ ~' has been reviewed by this Beard at the regular meeting of - ~. !~ !l ~ and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) __ ½ 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: James F. King, President Board of Trustees Peter Young, Chairman Lauren Standish, Secrctary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., July 11, 2012 the following recommendation was made: Moved by William McDermott, seconded by John Stein, it was RESOLVED to SUPPORT the Wetland Permit application of ROBERT SULLIVAN to construct a screened porch over part of the existing rear deck and not expanding the lot coverage and install drywells to control water run-off from the porch. Located: 2715 Nassau Point Rd., Cutchogue. SCTM#104-13-8 Inspected by: William McDermott, Jack McGreevy, John Stein The CAC Supports the application with the Condition of a 5' non-turf buffer landward of the timber wall. Vote of Council: Ayes: All Motion Carried James F. King. President Bob Ghosio, Jr. Vice-President Dave Bergen Michael J. Domino PO. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631 ) 765-664 [ Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ")////¢ ~__.. / ~/o Mark K. Schwartz, Architect on behalf of ROBERT SULLIVAN requests a Wetland Permit to construct a screened porch over part of the existing rear deck and not expanding the lot coverage and install drywells to control water run-off from the porch. Located: 2715 Nassau Point Rd,, Cutchogue. SCTM#104-13-8 area to be impacted: aterWetland Freshwater Wetland Sound ' Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ,,-Ct~apt.275 Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Pres.cBt Were: /'- J. King B. Ghosio__ / J. Bredemeyer Michael Domino / D. Bergen, D. Dzenkowski Form filled out in the field by Mailed/Faxed to: Date: other OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM JUL 1 7 2012 To: Jim King, President Boord of Trustees Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: July 17, 2012 Re: Proposed Wetland Permit for ROBERT SULLIVAN SCTM#1000-104-13-8 Mark K. Schwartz, Architect on behalf of ROBERT SULLIVAN requests a Wetland Permit to construct a screened porch over part of the existing rear deck and not expanding the lot coverage and install drywells to control water run-off from the porch. Located: 2715 Nassau Point Rd., Cutchogue. SCTM#104-13-8 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Office Use Only Coastal Erosion Permit Application ~Wetland Permit Application Administrative Permit Amendment/Transfer/Extension ~ Rece~vved Application: 0 ~L~[~ ~_Received Fee:$ ~z;0~' ' ~_~_Completed Application ~ __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~LWRP Consistency Assessment Form [~ ~ ~- ~CAC Referral Sent: (0 ~ox~l~' /T)ate of Inspection: i-~ ! 1~ [ [ ~ Receipt of CAC Repori: Lead Agency Determination: Technical Review: ~blic Hearing Held: r). !l~ II '~ Resolution: Board ofTmstees Name of Applicant Robert Sullivan Address 118 Hampton Road Phone Number:(s~6) 742-0707 Suffolk County Tax Map Number: 1000 - 104-13-8 Property Location: 2715 Nassau Point Road, Nassau Point (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) 734-4185 ~d of Trustees Applicatio~ GENERAL DATA Land Area (in square feet):.28,824 sq. fi. to bulk head (30,824 total) Area Zoning:. R40 Previous use of property: single family rosidenco Intended use of property: single family residence Covenants and Restrictions: [] Yes [7] 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 sus~a~ted byla-elovernmental Itl No_l~l_Yes If yes, provide explanation: agency? Project Description (use attachments if necessary): Proposed screened porch is proposed to be constructed over part of the existing rear deck and not expanding the lot coverage. Drywells to be installed to control water runoff from the porch to reduce erosion. of Trustees Applicatio~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Proposed screened porch is proposed to be constructed over part of the existing rear deck. Drywells to be installed to control water runoff from the porch Area of wetlands on lot: 2000 square feet Percent coverage of lot: 6.5 % Closest distance between nearest existing structure and upland edge of wetlands: 38.3 feet Closest distance between nearest proposed structure and upland edge of wetlands: 46.5 feet Does the project involve excavation or filling? 71 No [] Yes If yes, how much material will be excavated? o cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: +/- 5% Manner in which material will be removed or deposited: no excavation to occur for proposed construction. 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. PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR Robert Sullivan 3.PROJECT LOCATION: Municipality Cutchogue 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 Sullivan Property County Suffolk PRECISE LOCATION: Slteet Addess and Road Intersections. Prominent landmarks etc - or ~rovide mal~ 2715 Nassau Point Road, Nassau Point, Cutchogue, NY SEQR 6. DESCRIBE PROJECT BRIEFLY: Proposed screened porch is proposed to be constructed over part of the existing rear deck and not expanding the lot coverage. Drywells to be installed to control water runoff from the porch to reduce erosion. 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? V~e aYeS [] No If no, desm'ibe briefly: re unable to obtain the required set back from wet lands due to the existing site conditions. 9. WHAT IS PRESENT I_AND USE IN VICINITY OF PROJECT? (Choose aa many as apply.) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or LOCal) JZ]Yes J~JNo if yea, list agency name and permil / approval: ZBA, D.E.C., Building Department 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? r-lYes Ja~JNo If yes, list agency name arid permit / approval: 1 , AS A ULT PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I I CERTIFY THAT THE INFORM~TJON PROVIDED ABOVE IS TRUE '(O THE BEST OF MY KNOWLEDGE If the action Is a Costal Area, and you ara a state agency, complete the Coastal Assessment Form before proceeding with this assessment =ART II - IMPACT ASSESSMENT (To be completed by Lead A~lenc¥) A. DOES ACTION EXCEED ANY TYPE I THRESHOLO IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF, B. WiLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 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 legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2 Aesthetic agricultural, archaeological, historic, or other natura or cu tufa resources; or communi y or nmghborhood character? Explain bnefly: C3 Vegetabon or fauna fish shelffish or wddhfe speoes s~gmficent habitats or threatened or endangered species Exp a b y I C4. A community's existing plans or goals as officially adopted or a change in use o~ inie~ity ~f use of ~and or oiher natural resound? Explain briefly: I I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain bdefly: I ,I C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: I C7. ~ther impacts lindudin~l chanties in us¢ o~ ~ith;; q~;~fii~' (3; ~p~ o~ ;~;;~'~ Explain briefli: / D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA {CEAt? {If ~'es, explain briefly: E IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: I--lYes 171No PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidentifiedab~ve~determinewhetheritissubstantia~~~arge,imp~rta~t~r~therwisesignificant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials, Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or sig nifica nt adverse impacts which MAY occur. Then proceed directly to the FULI EAF and/or prepare a positive declaration, Check this box if you have determined, based on the information and analysis above and any supporling documentation, that the proposed actio~ WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi~ determination Board of Trustees [] Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Sigr~ure of Responsible Office~ in Lea~ency Date President [] Title of Responsible Officer Signature of Preparer (If different from responsible officer) (./ t_ L ! t/'/9 Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCA'nON: $.C:r.M. #: THE POLLOWING AC'TION8 MAY REQUIRE THE SUBMISSION OF A SCOPE OF WORK - PROPOSED CONSTRUCTION ][,,,~1,~,~ /WORKASSESSMENT ] Yes No a. What is ~ Total Area of the Project Parcels? ' I Will this Project Retain All Storm-Water Run-Off (inctude Tote, Ama of all Perca. located wllhin ~1,O r ~.4 Generated by a Two (2') Inch Raiofstl an Sde? the Scope of Work for Pn3posed Constlltction) /r--q cleating and/er coaslm~Vdan aclJvides as web as all and/or Ground Dlsterbence for the proposed ~ ..~ ~:~ Sde Improvements and the penmaner~t ca-eation of construction aclivily? impenaou$ aurfacas.) (s,,.,~..) 2 Does the Sde Plan and/er Survey Show NI Proposed PROVIDE. BRIF~ PRO.!~-T DESCRIFI'ION I~,,~,~.Ss~d DralnageStructoreslndica§ngSize& Locstten?This ~r~ item shall include all Proposed Grade Changes and  Slopes Controlling Stm'ace Wa~' Row. and ~mcliment control pmcllcas that wll be used to ' ' controlsdeerca~Onandatonnwater~qsca'larges. This -i-i Canstruc~on Per]od. 4 Wilt this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural r~ Existing Grade Involving mole than 200 Cubic Yards of Material within any Pemel? S Will this AFpllcatiofl R~lulm Lend Disturbing Activllles Encompassing an Ama in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Sun~aca? G is there a Natural Water Coursethe Running through the Site? Is this Project wi~in Trustees judedJc~on General DE e recants: or wtthln One Hundred (100') feet of a Wetiand or Itsturbancesof~'te(t)ormereacms; includlngdla~lrblmcesofle~alhml~eacmlhat 7 W'~ltharebeSdepmparadenonF.~l~lngGradeSIopan am ~ of a ~e~ger conmlon plan that w~l ulttmele~y disturb one or rnem acres of land: which Excaed Ftitean (15) teat of Ve~llcal Rise to Inc~ud~g Con~,tuc~on aetleffies bwolvhg $~ dl~zu~oar~es ~ lesa Ihan ene 0 ) a~e where One Hundred (100') of Horizontsl DIstsnca? ~IIR~I~'a 8hah meet the I~d~lmum Re~uimmenfa of the SPOE8 C'emmd Pem~ll 8 Will Dr]veways, PerkLng Arsas or o~er Imperious 2. The b'WPPP shall de~be t he emak~l afld sedtmmff c~31e01 pra~toes and where 9 Will this Project Requde tbe Placemant of Material ~e~ace wah I~e terms and con.ions of ~h~ pem~. ~n ad~t~c~, ee SWPP'P ~1 item Wdein the Town Right-of-Way or Road Shoulder COUNTY OF ............ L..C..~..?..~... ......... SS And that he/she is the ..................................' '--"- ----T' ~'-''''-~- ./~:~.~}~i~..~.... g ~;,.~i Owner and/or representaiiv¢ of ~he Owuer or Owners, and is duly authorized to perform o~ have performed the said work and to make and £de this appllcadon; that aJl statements conta~ed in this application are true to thc best of his Imowledge mid beliet~ and that the work will be performed in thc numner set froth in the applicaion fded horewitl~ FORM - 06/t0 James F. King, Ih'csidcnl Bob Ghosio, Jr. , Vice-President Dave Bergen Johll Brcdcmcycr Michact J. Domino Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 1t971 Telephonc (631) 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 ROBERT SULLIVAN COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING at/dba ~? ~"~J- F'~,~.,' being duly sworn, depose and say: Tlaa'[ on the~'~ay of ~ [/(, ~t ,201 , I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place tbr eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed., July 18~ 2012. Dated: Sworn to belbre ~ne this day o~,. 20 I~ Notary Public (signature) CONNIE D. BUNCI~ Notary Public, State of Ne~' ',' or~, No, 01BU61850!!, ' Qualified in Suffolk Co : Commission Expire~'" Apr t i~ .: ~.) I ~ BOd of Trustees Applicatio~ County of Suffolk State of New York 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, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS 2£';''*~'~ DAY OF ~.~-{.)r~e ,20 i7_ Iqptary Pubt~c LINOA P. NOTARY P~IC, ~tat~ ~ ~ ~ Ne. m I~'1#~ Board of Zoning Appeals App. lication AUTItORIZATION (Where the Applicant is not the Owner) (Print property owner's name) residing at l/~3/dorr~,Di-ot7/~d. (Mailing Address) do hereby authorize ~/1 ~'~ -~P~Wf2F¢2~- (Agent) to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. (Prifit Owner s Name) APPLICANT 'RANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER andOWNER'S AGENT) The Town of Southold's Code of Eth.cs prohibits conflicts of interest on the pan 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: Schwartz, Mark (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.) Special Exception ~ Tax Grievance Variance If "Other", name the activity: 7-/1~ 6t ~7--~ ~ ._~ Change of Zone I I Approval of Plat [ I Exemption from Plat or Official Map L l Other I I 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. VESl I No[ ¢' J Complete the balance of this form and date and sign below 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): I [ ] A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); I 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, panner, or employee of the applicant; or I D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this ~d,ay of~/?-~ Signature:_ ~'-W',~-_.-~ [(~ ~ Print Name: ,l,t,~.~. ~. .FC~/'~t~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of in.rest on the part of town officers and employees. The purpose of this form is to provide information which can aler~ the town of possible conflicts of interest and 011ow it to take whatever action is _nq. cessas'y to avoid same ~ (Last name, first ~amd, 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's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Vahance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"Other", name tl~ activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee oftbe Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest' means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES 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 applicanffagenffrepresentative) 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 Form TS I Submitted t~d.ay of A~/ff~ 200]~ Signature ~ .~. _~t2c/~ Print Nam[ 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 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# 104 _ 13 .8 The Application has been submitted to (check appropriate response): TownBoard ~-~ Planning Dept. ~] Building Dept. [~ BoardofTrustees 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: Proposed screened porch is proposed to be constructed over part of the existing rear deck and not expanding the lot coverage. Drywells to be installed to control water runoff from the porch to reduce erosion. Location of action: rear of house over existing deck. Site acreage: gross = 0.71 acres, to bulkhead = 0.66 acres Present land use: 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: Robert Sullivan (b) Mailing address: 118 Hampton Road, Garden City (c) Telephone number: Area Code ( )_516-742-0707 (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [7] No [~ If yes, which state or federal agency? DEC, 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 III - Policies; Page 2 for evaluation criteria. [-'-]Yes [---] No ~ (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 maritime area. Policy 2 is not applicable to the project. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~ No ~-] (Not Applicable - 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 portion of the site from the tidal waters of Peconic Bay Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~-] Yes ~ No ~'] (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 III - Policies Pages 16 through 21 for evaluation criteria ~ Yes ~-~ No [--~ (Not Applicable - please explain) The proposed project is consistant with policy 5 via 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 quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section llI- Policies; Pages 22 through 32 for evaluation criteria. Yes ~-~ No [-"] (Not Applicable - please explain) Project will be consistant 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 Southold. 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. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~-']Yes ~ No ~ (Not Applicable- 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 III - 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 w dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~--~Yes ~ No ~ (Not Applicable - please explain) The project neither proposes nor affects water-dependent uses. Policy 10 is not applicable to this project. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~"~Yes ~ No ~ Not Applicable - 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 necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section Ill - 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: JUN 2 0 2012 ~3oard of lrustees - . . N 78°36'20" E 305.15' EX. 2 STORY x ~ 7~5~'~o" w ~?].~' SITE PLAN SCALE: 1" = 30'-0' APPROVED BOARD OF TRUSTEES EAST ELEVATION SCALE: 1/8" = 1' EXISTING EAST ELEVATION R[ x, ISIONS Ill SURV~E'r' Ot= LOT I0 "Amended Hap A, Nossou Polnt;" Flied Augus~ 16, Iq22, 1'4op No. IE:~ SITUATE: NASSAU POINT TOINN: 5OUTHOLD SUFFOLK C, OUNTT, N'r' 5U~.~¥FO IO-I-/-O2 UF~ATE IO-IO-O-/ SUFFOLK C,C~NTT TAX # lOOO-IO4-1~-8 ca~'~'~ T~, ROBI~.T G. SULLIVAN JUN 20 2012 E0ard ot Trustees NOTES: 2 505 5tt.69' · MONUI'4ENT FOUND O PI~ FOUN~ FEHA FLOOD ZONEO I~EFERENC. E FIRN1 HAP No. D610~,C0164 6 HAh" 4, I'qq& At;24~A = ~;'D24 ~,F or' 0.-/I ,:::;or'se, ®F~,APHIC SC, ALE I"= ~0' 2 stor~ N E JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STRRRT N.Y.S. LIC. NO. 50202 RIVERH~AD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Compaqserver~os\02~Y2-293 update 11-05-2007.pro