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TR-7872A
Glenn Goldsmith, President ®_,`�®v S®U�jso®� Town Hall Annex A. Nicholas Krupski,Vice President ® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 c®UNT�,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 17, 2022 Martin D. Finnegan, Esq. Finnegan Law, P.C. P.O. Box 1452 Mattituck, NY 11952 RE: JOSHUA & KERRY FRUM 350 MacDONALDS CROSSING, LAUREL SCTM# 1000-145-4-18 Dear Mr. Finnegan: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, November 16, 2022: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #7872A from Margaret Gannon to Joshua & Kerry Frum, as issued on August 22, 2012. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sin rel , ' Glenn Goldsmith, President Board of Trustees GG/dd lnGiin Goldsmiin;President ��p��S� Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski v; ,x P.O.Box 1179 Liz Gillooly �y • ��� Southold,NY 11971 Elizabeth Peeples l �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Il,//./22 Completed infield by: G_ GolAsnn,4[n Martin D. Finnegan, Esq. on behalf of JOSHUA & KERRY FRUM requests a Transfer of Administrative Permit#7872A from Margaret Gannon to Joshua & Kerry Frum, as issued on August 22, 2012. 350 MacDonalds Crossing, Laurel. SCTM#: 1000-145-4- 18 Type.of area to be impacted: v Saltwater Wetland Freshwater Wetland Sound Bay 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 Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: /� �<a,q\,k 'Cc���n/QCx [J f� ;n t�GCL7cr�C.�C� w �-�. Qp iM 4176-72- A Present Were: J G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples FINNEGAN LAW, P.C. 13250 MAIN ROAD P.O. BOX 1452 MATTITUCK,NEW YORK 11952 (631) 315-6070 MARTIN D. FINNEGAN, ESQ. MFINNEGAN @NORTHFORK.LAW Via USPS Regular Mail � � ++�, 00 October 21St, 2022 D ED Town of Southold OCT P ,� Board of Trustees 54375 Route 25 SOUthold°>Town Post Office Box 1179 13aoiPd 0f Tr steel Southold, NY 11971 Attn: Glenn Goldsmith, President Re: Transfer of Wetland Permits 350 MacDonalds Crossing, Laurel, NY 11948 SCTM 1000-145.00-04.00-018.000 Permit Nos. 7872A; 7690 (and 7690E); E-145-4-18 Dear Trustee Goldsmith: Please consider this letter a request to transfer the referenced permits from Margaret Gannon to Joshua Frum and Kerry Frum, as they are the new owners of the subject parcel effective October 20th, 2022. I have enclosed a copy of the executed deed for your records, along with an executed Affidavit, Owner's Authorization, Owner's Transactional Disclosure Form, Agent's Transactional Disclosure Form, and three (3) personal checks payable to the Town of Southold each in the amount of$50.00 for the required transfer fees. Kindly advise our office if you require anything further to process this request. Very trul you~s, M n D. Finnegan MDF/as Encl. NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING TBIS INSTRUMENT-TFUS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the G-T~ day of October in the year 2022 BETWEEN Margaret Gannon,having an address at 350 Macdonalds Crossing,Laurel,NY 11948 party of the first part,and Joshua Frum and Kerry Frum,husband and wife,having an address at 562 Washington Avenue,Apt.1, Brooklyn,NY 11238 party of the second part, WITNESSETH,that the party of the first part,in Consideration of Ten Dollars and other valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, 114111 mini ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, i inti bin SEE SCHEDULE A ATTACHED HERETO OCT4 �o AND MADE A PART HEREOF 22 Id T Gf�$teM Being and intended to be the same premises as conveyed by the Grantor herein by the deed dated February 10,2011 and recorded March 24,2011 in Liber 12655 Page 74. TOGETHER with all right,title and interest,if any,of the party of the first part of,in and to any streets and roads abutting the above-described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the parry of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the ���daQ�,yand_year first above written. IN PRESENCE OF: AkA~� Margaret Gannon USEACRNOA7ED;MFM'FORMBELowwriwINNEWYORKSTA780NLY: USEACRNOWIEDGAMNTFORMBEIAWwrrBzNNEWYoWTA7EONLY.• State of New York,County of Suffolk )ss.: State of New York,County of )ss,: On theZ'Oday of October in the year 2022 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared MARGAREPGANNON personally known to me or proved to me on the basis of satisfactory personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are)subscribed to the evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed within instrument and acknowledged to me that he(she/they executed the same in his/her/their capacity(ies), and that by his/her/their the same in his/her/their capacity(ies), and that by his/herAheir signature(s)on the instrument,the individual(s),or the person upon signature(s)on the instrument,the individual(s),or the person upon behalf of which the individ cted,executed the instrument behalf of which the individual(s)acted,executed the instrument KNEV7YOR,]K Notary Public NOTARY NUBL10,STATE OF Reglsm"onNo.01FL6 Oualtfied in Nassau Commission 'ea Marc ACRNOWLEDGMENTFORMFORUse WITHINNEWYORKSTATEONLY: ACRNOwfEDGMENTFORMFORUSE Ou7SIDENEWYORKSTATEONLY: INew York Subscribing Witness Acknowledgment Certificate] /Our of Stare or Foreign General Admowledgment Cerrifrcatel State ofNew York,County of )ss,: 1 (Complete Venue with State,Country,Province or Municipality) On the day of in the year before me,the undersigned,personally appeared On the day of in the year before me,the undersigned,personally appeared the subscribing witness to the-foregoing instrument,with whom 1 am personally acquainted,who,being by me duly swom,did depose and personally known to me or proved to me on the basis of satisfactory say that he/she/they reside(s)in evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed (ifthe place ofresidence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s) ifany,rhereol);that helshe/they know(s) on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument,and that such individual to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision his/her/their name(s)as a witness thereto, ocher place the acknowledgment was taken). RVE D 1ftl1 OCT 2A 202222 BARGAIN&SALE DEED wmr COVENANTS Awaurorunrea s ACTS 77TLENo. SP47919-S DISTRICT 1000 SECTION 145 BLOCK 4 MARGARET GANNON LOT 18 TO COUrrrY oR TowN Suffolk County JOSHUA FRUM and KERRY FRUM RETURN BY MAIL TO Martin Finnegan,Esq. Finnegan Law,P.C. 13250 Main Road PO Box 1452 Mattituck,NY 11952 w U LL t7 Z 0 O U W S 0 O W N R O LL W E N U) iE W W NW W S First American Title Insurance Company SCHEDULE A DESCRIPTION OF PREMISES (Amended October 20,2002) Title No. SP47919-S ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at or near Laurel, Town of Southold, Suffolk County, State of New York, as shown on Map entitled "Map of Edgemere Park" at Laurel, L.I.,NY, D. R. Young, Surveyor, Riverhead, NY, dated March 1931 and filed in the Office of the Clerk of the County of Suffolk on July 2, 1931 under Map No. 742, and which said lots are more particularly designated as and by the Lot No. 8 and the easterly one-half of Lot No. 9 on said map, being more particularly bounded and described as follows: BEGINNING at a point on the southeasterly side of Macdonalds Crossing, distant 68.00 feet northwest of the northerly end of the curve which connects said southeasterly side of Macdonalds Crossing with the northeasterly side of Macdonald Road (Edgemere Avenue); RUNNING THENCE-along said southeasterly side of Macdonalds Crossing, North 51 degrees 07 minutes 00 seconds East 75.00 feet; THENCE South 31 degrees 50 minutes 00 seconds East 158.31 feet to a bulkhead at the high water line of Peconic Bay; THENCE along said high water line, South 45 degrees 07 minutes 54 seconds West 72.37 feet; THENCE North 33 degrees 11 minutes 40 seconds West 165.47 feet to the said southeasterly side of Macdonalds Crossing, at the point or place of BEGINNING. FOR CONVEYANCING ONLY:TOGETHER with all right,title and interest of the party of the first part,of,in and to the land lying in the street in front of and adjoining said premises. DESCRIPTION D VE Board of Trustees .Apok- c`--ops AFFIDAVIT JOSHUA FRUM AND KERRY FRUM BEING DULY SWOP DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND TH�+A�'�g'�ALL STATEMENTS �HEREgIt`�rgr� ARE WORK 4�9.�H E d O THE BESTp�OF H,T1rS//Hy.AgER /6.'��17tl�0T KNOWLEDGE L��j1'V.Yg1��9.97E�SUIEF,+ L�1g��D S{HA Ag,{�,�T A7S��J77L •ip'7 O�pR pK WILL BE DONE H1�9y�QA Ap-3+gd�g�+Mt9-1pVg1�7yER SgEg�Y, �FOygH�Qa�TH I1W T�jY�7 IS APPLICATION AND 1A'�S�1yGg MAY BE APPROVED�v�yll3�Ag{�JlgX9�E Sg��fy��/ HO�L�TH3g�A try BOARD 0�F7}7�JlYbg�i�IyS�IlEES. THE APPLICANT Si 7L1Ct�371� T AGREES TOS 3JtYJ'SJ31'�p�7�yY�E TO��gg,,1ggV�'OF SpOp��L�JTY�I}'1�JLD 7Allgs`�9�{J-�DAMAGES q-vy,� BOARD OF TRUSTEES HARMLESS AND FREE FROMI ANY AND A.i.lJLl 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) ORREPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL, aOENTER ONTO MY PROPERTY O INSPECT THE PREMISES 1NCONJUNCTION WITH THIS APPLICATION, INCLUDING AFINY1INSPECTION. I FURTHER A6TORldETHEBOARU0{ TRUSTEES TO ENTER TO MYPROPERTY AND AS REQUIRED OPERAYi9DASREQUIRED 3l INSURE COMPLIANCE $ g3H ANY CONDITIONOF ANYWETLANDOR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM, OF THE PERMIT, Sign` e of Prope y Owner Signature f Property Owner JOSHUA FRUM KERRY FRUM SWORN TO BEFORE ME THIS 20th DAY OF OCTOBER 12022 Notary Public Notary ='4c S: �'wYork Commission Expires march 6 1�Board of Trustees Appca":;;,.an AUTHORIZATION (Where the applicant is not the owner) JOSHUA FRUM AND KERRY FRUM I/We, , owners of the property identified as SCTM# 1000- 145.00-04.00-018.000 in the town of LAUREL ,New York, hereby authorizes MARTIN D. FINNEGAN, ESQ. to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Prop y Owner's Signature Property wner's Signature T JOSHUA FRUM KERRY FRUM SWORN TO BEFORE ME THIS 20th DAY OF OCTOBER 2022 Notary Public NIARTINI D. �!�#aryci ;elv Yak Comp ,ssr.•n - ,:;re x .aicn 26: 4 APPLICANT/AGENT/REA-PRESENTATIVE TRANSACTIONAL ZONAL DISCLOSURE FORM Tltc Towrt of Southold'sCode of Ethics nrohibits confiicls of ttttcrc�E on tltc,i?ari of sown nfTcus,trnl crnnlovccs.'l he nu�r use;of this form is toprovide inferin;dirni wwhish can ales the town of possible:conflicts ol:interest and allow-itit io sake wlsatf;.mr action is necess_t�to<cvoid same. YOUR NAME: JOSHUA FRUM AND KERRY FRUM ___ (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's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance _ Building Variance Trustee Change ofZone —^_ _._ Coastal Erosion Approval of plat ^� Mooring Exemption from plat or official map Planning Other (If"OtheC',name the activity.) Do you personally(or through your company,spouse,sibling parent,or child)have a rejacionship with any officer or employee of the Town of"Sotithold? "Relationship`includes by blood,marriage,or business interest."i3cisine;ss interest"means rc business, including a partnership, in which the towvn officer or employee has even a partial owncrship of(or empk;ynunt by) a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X 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 Dcscribc the relationship between yourself(the:applicant/agcnUrepresentative)and the town officer or employee.Either check the appropriate line A)through D)anti/or describe in the space provided. The town officer or employee or his or her sponse,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 RELATIONS14IP 20th October 2022 Submitted this day of , Form TS 1 JOSHUA FRUM KERRY VRQJM 1 I APP lL I`1 A Y T/L1GE Y Y/REE-t .Lix/1.E \R A 1 Y I E TRANSACTIONAL DISCLOSURE FORM The Town of Southold'S Code of Ffhics ohibits conflicts of—"' on 11'�c part of tnwn officers and cmnlovecs.'I lie taurnost Of this form is to provides information which can alert tltc town of possible cons licts of iiiterst and—allow it to take tivhatc;;cr acliatt is necessary to avoid sante. YOUR NAME: MARTIN D. FINNEGAN _ (Last name,first name,jniddie 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 alt that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat A 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 intcresL"Business interest"mean: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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person _ Describe the relationship between yourself(the applicant/ag4nt/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 applicont (when the applicant is a corporation); B)the legal orbencficial 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 20th er �2 Submitted this _ Signature_ �. Print Name MA IND INNEGAN Form TS 1 y James F. King, President oF souryol Town Hall Annex Bob Ghosio, Jr., Vice-President 54375 Main Road 'l O P.O. Box 1179 Dave Bergen 4 Southold, New York 11971-0959 John Bredemeyer G Q • .a0 Telephone (631) 765-1592 Michael J. Domino OOUNT'I, Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0937C Date: December 2, 2013 THIS CERTIFIES that the demolition of existing detached garage and construction of a two-story addition to existing dwelling with an attached two-story garage: for the existing shed, and abandon a single specific cesspool. At 350 MacDonald's Crossing, Laurel, New York Suffolk County Tax Map # 145-4-18 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated August 1, 2012 pursuant to which Trustees Administrative Permit #7872A Dated August 22, 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 demolition of existing detached garage and construction of a two-story addition to existing dwelling with an attached two-story garage; for the existing sha and abandon a single specific cesspool. The certificate is issued to MARGARET GANNON owner of the aforesaid property. /L." Oc 4 Authorized Signature James F. King, President OVlfFD(,r Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President a~O~ C~Oy P.O. Box 1179 Dave Bergen C* Southold, NY 11971 x ey Telephone (631) 765-1892 John Bredemeyer Telephone (631) 765-1892 Michael J. Domino Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: NO? 2,0 ZO 3 V Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 151 day of construction _ % nstnJCted _Project complete, compliance inspection. INSPECTED BY: ILI COMMENTS: CERTIFICATE OF COMPLIANCE: gt1fF0(,~ James F. King, President Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President P.O. Box 1179 Dave Bergen Southold, NY 11971 John Bredemeyer • Telephone (631) 765-1892 Michael J. Domino y'IOj # ~Da 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 James F. King, President of so~Tyo Town Hall Annex Bob Ghosio, Jr., Vice-President 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer G Q Telephone (631) 765-1892 Michael J. Domino ~.yCOUNTY Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7872A Date of Receipt of Application: August 1, 2012 Applicant: Margaret Gannon SCTM#: 145-4-18 Project Location: 350 MacDonald's Crossing, Laurel Date of Resolution/Issuance: August 22, 2012 Date of Expiration: August 22, 2014 Reviewed by: Trustee Jim King Project Description: To demolish existing detached wood frame garage; construct two-story addition to existing single-family dwelling with attached garage on first floor and bedrooms on second floor; for the existing as-built accessory shed; and abandon a single specific cesspool. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by Nathan Taft Corwin III, last dated on June 22, 2012 and stamped approved on August 22, 2012. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. )XP-" Cz 6k7--1,r James F. King, President Board of Trustees ~~o~'~uFFa~,~~o James F. King, President o ti Town Hall Annex Bob Ghosio, Jr., Vice-President w 54375 Route 25, P.O. Box 1179 Dave Bergen 0 4, Southold, NY 11971 John Bredemeyer raj Telephone (631) 765-1892 Michael J. Domino Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: lapel'- T krw l Servi' es or) behe l-F W A&4ai-e-( (ter) Please be advised that your application dated its o has been reviewed by this Board at the regular meeting of S D a and your application has been approved pending the comp tion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) '/2 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: rn a I ZnS~xc-Von - 0S0. Dv TOTAL FEES DUE: $ SD-bb BY: James F. King, President Board of Trustees gpF F0(,~ James F. King. President P.O- Box 1179 Bob Ghosio, Jr., Vice-President Southold, NY 11971 Dave Bergen i Telephone (631 765-1892 John Bredemeyer Fax (631) 765-6641 Michael J. Domino y~o1 f ,~aa Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ? i 7 -44 / Z Proper-T Permit Services on behalf of MARGARET GANNON requests an Administrative Permit to demolish existing detached wood frame garage; construct two-story addition to existing single-family dwelling with attached garage on first floor and bedrooms on second floor; for the existing as-built accessory shed; and abandon a single specific cesspool. Located: 350 MacDonald's Crossing, Laurel. SCTM# 145-4-18 Type of area to be impacted: -Saltwater Wetland -Freshwater Wetland -Sound ~18ay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: P'~6hapt.275 Chapt. 111 -other Type of Application: Wetland -Coastal Erosion -Amendment ~-Administrative_Emergency Pre-Submission Violation Info needed: Modifications: /Vou(Di- /J/Zy fro C e2._ 12 C, or jx=9 Conditions: Present Were: i,-J. King _B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: V Date: PHOTO A: Looking SE at the N elevation of the N existing detached garage. 4- ~(7/12/12 at 1448 hrs) f TP, IA' _ 1 OWN % PHOTO B: Looking SE. b - Existing accessory shed visible at right; pink- r F'N 'x flagged stake (circled) marks SW corner of exte- rior shed portion of pro- posed house extension. (7/12/12 at 1644 hrs) t PROJECT SITE PHOTOS Application regarding the property of Margaret Gannon, SCTM 41000-145-4-18 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 631-7314-5800 July 15, 2012 I q.' rr ~ r, k7: 9 _ PHOTO C: Looking ¦ = = SSE. Pink-flagged stake (circled) marks NE corner of proposed house exten- sion. (7/12/12 at 1643 hrs) ;t r' r - PHOTO D• Looking WNW. Pink-flagged stake (circled) is the same one as in Photo C. (7/12/12 at 1645 hrs) ~dvSW~ PROJECT SITE PHOTOS Application regarding the property of Margaret Gannon, SCTM #1000-145-4-18 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 631-734-5800 July 15, 2012 ' ~ h f'.* ~1 • ~1.• F ,Y~ ~}ate ~ j ~i 5,~ ` ~ - I ~ ~ A~ -3 1 ; x.. G • x~k, :As fit. ON 1 3. ' • µ jT " 'err t t r> ? z } v~ t ' All. ? w r n. c 6. ` s ~_t •j 'Y . - • 'h~.i3.h + ,MI.-M1 I11~,'~ ` at 1 r - _ 'Nr - " 4 a ko;, 1 o } 4 ~ 3 1 ~9~ a~i M M.4 0 NIVM 1 000 071y3 N030 } >630 000M \ Z9'S'1jj 'ON'O.0 N o 8'Ll NO } W 03N33805 3,9'0 0 in 30N3j o =O ,0'9l 2 ° W ,0'9 'n W r a L 09 .09l , l'OZ ' N ~w ~ e aqi N Sd31S Z'I ro 4Z9 m Goom II ,f'9Z o .0'9l } ~j 83N r = 1JNn 110N07 altl~ a3H5 a3HOV1-LV u ,061 ~1oJ ,b'L£ Q> U r I Z0'M h~ Go mm- Z ~o b 3N30 wW o0w IU 6-171j.0 8313N m wj ¢ I N08dV 'JN07 \ O ;O N i C w Oy of ~ y d m z $ ni 00 OO 3 6 1 30 3003 e NOT TO SCALE PHOTO VIEW ANGLES Application regarding the property of Margaret Gannon, SCTM #1000-145-4-18 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 631-734-5800 July 15, 2012 ~c~~fFD(k~o ANRY P. SMITH HONE JOHN M. BREDEMEYER, III, President Ln ( 5516) 16) 7 765.1892 /John BednoskiJr. ALBERT KRUPSKI, JR. Vice-President BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 March 25, 1988 Mr. Donald G. Feiler Architect 61-H Ole Jule Lane Mattituck, New York 11952 Re: Gannon Residence Dear Mr. Feiler: Pursuant to your request for a waiver of the Wetland ordinance for the above referenced, please be advised that the Trustees have inspected the site on March 17, 1988. The Board has approved your request for a waiver at the March 24, 1988 meeting. Please contact the Building Dept. for a determination on the need of any other permits that may be required for this work. Kindly remit the $25.00 fee for this request at this time. Very truly yours, -7f John M. Bredemeyer, III President Board of Town Trustees JMB:ip CC: Bldg. Dept. file NEW YORK*TE DEPARTMENT OF ENVIPONMENTASERVATION ! Regulatory Affairs Uait Bldg. 40, SUNY-_.Room:2lg Stony Brook, -NY'`11794 (516) 751-7900 Der 7-` 4~ . Y 12 Y\ A review has b?an made of your proposal to: ~ Locz Wn : ` R (Cu - C (j v ~t",- ~ J0 J New InY~C StatF Dep,ar:meet of. T'..wlitti:ntat'.n::al. Crr.servaticn has fours '1:1,e _X- project -'r, be.: Gielit-r than 30V fresa invtut:,~ried tirial wetla-lds. I j x 7 ~n a i. Of a as an 1 rau ! ,.Q 1~. c s ri +z Y£ Sr? 41 «.tEc"In lv+J A A.E.2gl'.~:. 10, 1`i''h~i. Lars --ar_-d of 10' con t our elavution abLre uenr -see. lcew-I 03-. a ..gradual, not- oral slope. _ Laodwzrd of topoglaphir-al crest of bla ff,..cl_*_f o~_ dine-.in excesa of 10 feet ir, elevation above mean-sea.-level, The3wforeno' permit- under Article 25 (T,.daI. Wetlar-.ds of the Fan 3q ~rssn*a] Conref vaticn Law) is required at this -tia1e. since f u8 c:xr;~xn prtr,n . '_s beys;nd _ State mand~, _d '`.a3*"IsdictJzu auxeuant to Y-,nis act.o 8:1C?•FT"li':2, any Work or modif"cations to the-project may r,cquire a perdu. it, is yor+.x: :a:esponsibJ_Uty to notify thie-office, in writiug, lf..auch ai.3j*.i=ma l.trn:k of mj&Ui ~s are conhum t!atod. a Very truly yc;;ra,_ , / Regional.. S;:,p&rvi.oor-of s ti C D Na11oc in P Dx µ.a in xs.r s MATTITUCK w irT6 p m f Lpe °rata ~ a it a i Laurel m•, 11952 , -----tame n " rrr YS. caNERVADON CAMI AIRPORT O AREA NAtt ~6 of .v. n m\~ A U R E L 11'I = s .nnc. e I m`O s c 9 '•rw. y r err. e s 9W' 25 1194 l ~0`n vel °a P5 s M. 0. oA menmp R' • \ R ~ w 4 N 0 i . \yyp~ n h,a t•G `\u 0 \ THE AREA OF THE PROPOSED 0 I PROJECT IS CIRCLED s c s~ O T e 9\ A 9 s A Browne Pt G e IFIFg" - t f" ? 1C INITY MAP Application regarding the property of Margaret Gannon, SCTM #1000-145-4-18 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 631-734-5800 July 15, 2012 / / m % ' e^ ® y m \ \ \ THE SITE OF THE PROPOSED PROJECT IS SHADED +'1 d a 0 \ m j ° Sari / s 7 q> C ~J +b Q~COc\C TAX MAP Application regarding the property of Margaret Gannon, SCTM #1000-145-4-18 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 631-734-5800 July 15, 2012 , , - / A a'a \ / 3 y x j ~ x\ / e w.o ~ j \ j \ ~J (O f KI A- COUNTY OF SUFFOLK © v wmnn cmxxo L 7-2-7 FO - _ Real P, Tax S pApenry 6 145 c un - _ - - ores.. wremx ws Proper-T Permit Services P.O. Box 617, Cutchogue NY 11935 Phone: 631-734-5800 jefitzge@suffolk.lib.ny.us Fax: 631-734-7463 MEMORANDUM DATE: August 8, 2012 TO: Elizabeth Cantrell - Trustees' Office FROM: Jim Fitzgerald i ,i SUBJECT: Gannon Application - SCTM #1000-145-4-18 AUG - 9 2012 L~) Southhold Tcnm Here's the stormwater thing you requested. Board of Trmtees OFFICE LOCATION: OF SOUTyo MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Cn Telephone: 631 765-1938 Southold, NY 11971 ~O Fax: 631 765-3136 cougm LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees ? I AEG 1 0r'Cii I L1% From: Mark Terry, Principal Planner I LWRP Coordinator ` - ---J-J--JJ ?a21;1 Gf 'IfUSftBS Date: August 10, 2012 Re: Proposed Wetland Permit for MARGARET GANNON SCTM# 1000-145-4-18 Proper-T Permit Services on behalf of MARGARET GANNON requests an Administrative Permit to demolish existing detached wood frame garage; construct two-story addition to existing single-family dwelling with attached garage on first floor and bedrooms on second floor; for the existing as-built accessory shed; and abandon a single specific cesspool. Located: 350 MacDonald's Crossing, Laurel. SCTM# 145-4-18 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "AA" and "BB" which states: AA. Removal of a structure greater than 75 feet from a wetland: BB. Additions to an existing dwelling constituting less than 25% of the existing structure where the addition is greater than 75 feet from a natural protective feature except where the parcel is located in a coastal erosion hazard area: 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 i -Coastal Erosion Permit Application a Ic ' ' ; i -Wetland Permit Application ~ _ Administrative Permit AmendmenVTransfer/Extension Received Application: 1 a. !1 t,' AUG - ~ 2[12 Received Fee:$ -Completed Application Incomplete Sau,liSohJ Tcwn _SEQRA Classification: i?oard of Trustees Type I Type ll Unlisted _Coordination:(date sent) LWRP Consistency Assessment Form v.-~ I T -CAC Referral Sent: r__Ip'f OTDate of Inspection: t -Receipt of CAC Repo -Lead Agency Determination: Technical Review: _Public Hearing Held: Resolution: Name of Applicant Margaret Gannon Address 350 MacDonald's Crossing, Laurel Phone Number:( ) 631-298-8721 Suffolk County Tax Map Number: 1000 - 145-4-18 Property Location: 350 ^lacl)onald`s Crossing, Laurel (provide LILCO Pole distance to cross streets, and location) AGENT: James F. Fitzgerald, Jr. - Proper-T Permit Services (If applicable) Address: PO Box 617, Cutchogue, NY 11935 Phone: 631-734-5809 • • Board of Trustees Application GENERAL DATA Land Area (in square feet): 11,747 Area Zoning: R-40 Previous use of property: Single-family dwelling with detached garage Intended use of property: Single-family dwelling with attached garage Covenants and Restrictions: Yes XX No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals XX Yes No If "Yes", please provide copy of decision. T t' s pending. Will this project require any demolition as per Town Code or as determined by the Building Dept. XX Yes No Does the structure (s) on property have a valid Certificate of Occupancy _XX_Yes No Prior permitslapprovals for site improvements: Agency Date Trustees 2012 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? XX No Yes If yes, provide explanation: Project Description (use attachments if necessary): Demolish existing detached wood frame garage; construct two-story addition to existing sin- gle family dwelling with attached garage on first floor and bedrooms on second floor. Docu- ment existing as-built accessory shed. Abandon a single specific cesspool. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Provide added living space. Area of wetlands on lot: -0- square feet Percent coverage of lot: N/A % Closest distance between nearelvexisting structure and upland edge of wetlands: N/.A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? No XX Yes If yes, how much material will be excavated? 2 0 cubic yards (estimated) How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: 1 e s t feet Proposed slope throughout the area of operations: unchanged Manner in which material will be removed or deposited: Bobcat or similar 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): It is expected that the Droject will have no significant Iffect upon the wetlands of the Town, or upon its tidal waters. • 617.20 • Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION To be completed b Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECTNAME James E. Fitzgerald, Jr. - Proper-T Permit Services Gannon house expansion 3. PROJECT LOCATION: Municipality Laurel County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 350 MacDonald's Crossing See attached maps. Laurel, NY 11948 5. PROPOSED ACTION IS: Q New Expansion Modificationtalteretion 6. DESCRIBE PROJECT BRIEFLY: Demolish existing detached wood frame garage, construct two-story addition to existing single family dwelling with attached garage on fast floor and bedrooms on second floor. Document existing as-built accessory shed. Abandon a single specific cesspool. 7. AMOUNT OF LAND AFFECTED: Initially NMT 0.1 acres Ultimately NSA acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes No If No, describe briefly Lot coverage exceeds maximum allowable in R-40 District. 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential Industrial Commercial Agriculture Park/ForesVOpen Space El Other 0 Describe: Medium-size single-family dwellings. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? Yes No If Yes, list agency(s) name and pennittapprovals: Southold Building Department 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ? Yes 0 No If Yes, list agency(s) name and permit/approvals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes 0 No I CERTIFY THAT ATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor. James i Date: 7/15/12 Signature: if t ction is in the 459astal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 Reset PART II - IMPACT ASSESSMENT To m leted b Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 677.4? If yes, coordinate the review process and use the FULL EAR Yes No B. WILL ACTION RECEIVE. COORDINATED REVIEW ASPROVIbED FOR UNI-STEDACTIONSIN 6~NYCRR, PART 67.67. 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) Ct. 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 natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, a a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: - - C6. Long term, short term, cumulative, or other effects not Identified in C1-C5? Explain briefly: C7. Other impacts (Including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? ? Yes ? No If Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? Yes No If Yes, explain briefly: PART 111- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: 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; (e) 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 significant adverse impacts which MAY occur. Then proceed directly to the FU EAF and/or prepare a positive declaration. Checkthis box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WlL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination Name o e Agency Date not or Type Name 61 Responsible r in e Agency Title of Responsible Officer Signature Responsible Officer In e Agency Signature rer ( from responsible officer) Reset • PART 11 - IMPACT ASSESSMENT To be completed b 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. E] Yes 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. 0 Yes 0 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 natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: F C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: I C7. Other impacts (including changes in use of either quantity or type of energy? Explain briefly: - E D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA 7 If es explain briefl : El Yes a No E. IS THERE, OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es explain: Yes R1 No I I PART 111- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: 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 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 mustevaluate the potential impactof the proposed action on the environmental characteristics of the CFA. Check this box If you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL - EAF andlor prepare a positive declaration. Check this box If you have determined, based on are information and analysis above and any supporting documentation, that the proposed actin WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Board of Trustees p Name of Lead Agency Date President p Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) r Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATlox: s.C.T.MAk THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ;0~ (000 QS 91 Is STORIYFWATER, GRADR^ DRAINAGE D EROSION CONTROL PLAN Bra'6f'Co -mac Ter- C RWnFRID BY A DBSION P FESGRINILL IN Tm arTATE of new YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION YMM # / WORK ASSESSMENT Yes No Ii. What is the Total Area of the Project Parcels? (Include Taal Area of all Parcels located within Generated Wilt this Project Retain Stum ardor oRnn-Or the Scope of Work for Proposed Construction) -I, , f S''E Generated by a Two (2') ) Inch RNnfat on Site? (S.F.lbes) (This Item will Include all run-off created by site b. What is the Total Area of Land Cleating r [c clearing andfor construction activities as wag as all and/or Ground Disturbance for the proposed it 500 V.T•f She Improvements and the permanent creation of oonshudlon activity? Impervious surfaces.) (e.F.l Awes) 2 PROVIDE BWJ PRO3ECr DESCRUMON t ^ Pepn®NUUmi Drainage Doan the Structures Planures Iand/or ndicating Survey Size & Show Location? Ali Proposed This ? Item shall Include at Proposed Grade Changes and Slopes Controlling Surface Water Flow. Demolish existing detached wood frame 3 Does the Site Plan and/or Survey describe the erosion garage; construct two-story addition to ex- and control site ~e'~°andstotorman erdischarges. This isting single family dwelling with attached Item must be maintained throughout the Entire garage on first floor and bedrooms on sec- C inelnlction Period. ond floor. Document existing as-built ac- 4 Winthis Project Require anyLand Filling, Grading or ? Excavation where there is a change to the Natural cessory shed. Abandon a single specific Existing Grade Involving more than 200 Cubic Yards CeSSp001. of Material within any Parcel? rj Will this Application Require Land Disturbing Activities a Encompassing an Area In Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Tnmtess jurisdiction F1 V/ nenanl DEC SMPP Reaaram rob, or within One Hundred (10(Y) feet of a Weiland or submission of a SWPPP Is required for M Construction activities Involving sal Beach? disturbances at one (1) or more acres: Induding disturbances of less tren one ace suet 7 WB there be Site praparetlon on Existing Grade Slopes am part as knew cornaton plan that will uwmetely &strb one or more soma attend: which Exceed Fifteen (15) feet of Vertical Rise tit inducting Construction activities hnvoMng sal disturbances of less then one (1) acre when _ the DEC has determined that a SPDES Poet Is required for storm water tliedwrges. One Hundred (100') of Horizontal Distance? ( SWPPPs Shag most the Minimum Regrdnments of the SPDES General Pamq 8 Will Driveways, Parking Areas or other impervious ? for stem Weer Dlscherm from ConstueWn meth t -Permit No. GP-040-001.) Surfaces be Sloped to Direct Sbmm Walar Run-Of t. The SWPPP shelf be prepared pdorto the sedxrtltal of the Not. The Not SW be Into arid/or In the direction of a Town dgh&W-way? subaeled to the Department Prior to the WrmlerlCenhenl of construction activity. 2. The SWPPP anald99oibe the emsim and sediment control prectl es and where 9 Will this Project Require the Placement of Material, ? required, poslc ass maon amrm water management precious that wM be used and/or Removal of Vegetation and/or the Construction of any mnstrrxded to nduas to poarmae h storm water decthwges and m assure Item Within the Town Right-of-Way or Road Shoulder oompharice with the terra and condtimo afthis parnt. In addition. the SWPPP ghat Area? RNA hYe Ma NOT hrw4,r6a ma MwYtlmapdwWay Apwesl weney pobsNkl vaussea pollution which may nationality be expxted to affect ft Nore: N~AnswtsQcapawraOrW ar a aox and the eenaauctlpr anti tlkmnw Is Nlnbn AMawandware~ ~ quality of storm water 3. AM SWPPPs that require an a qualified Died DngonnwetermangemaM practice n shag _ cat Is kesign St m tLicensed er Man in New Vodc a Sturm- mbe ! and s ErosionPdcontrol arW Plan satiated by die Town of that Is knowledgeable In Imperial d by Prinapks and Practices of a Stems Water Management Southold! and Mum be submitted for Review Prlar W Isswo w achy tm-rmag PwmR PLATE: aches newd(ha"arQnr..wrta.aaiQuestion mPewaedft.Ceapw/wnlumn) STATE OF NEW YORK S( H COUNTY OF .....:...).........L C SS 11atI.James F. T7 i t z v er.. being drily sworn, deposes and says that he/she is the .................................................a ..1 .....d.,......J ....r applicant for Permit, (Name a Ir,tllridcal attiring Dcasantj And that he/she is the ....:A a e n t . (Owner, Contra", Agee. Cccpcnne Otter. Owner and/or representative of the Owner or Owners, and is drily authorized to perform or have performed the said work and to snake and file this application; that all statements contained in this application are true to the best of his knowle and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ti .........................:511............... day of ~ k.......» , 2012, Notary Public- ~..~T M (sgnawrea - FORM - 06170 BONNIE W. j Notary Public State of New York No. 01MA4667612 Qualified in Suffolk County Commission Expires August 31, 20t), 0 MacDONP`L.VS "U PROPOSED DRYWELLS EACH 8' diem. X 4' deep (each 200 cu. ft.) Q PROPOSED 2 STORY EXPANSION 696 sq. ft. WOOD EXISTING FRAME 1 STORY SHED DWELLING REGARDING SITE TOPOGRAPHY: THE ELEVATION AT THE NORTHWEST PROPERTY LINE AVERAGES 2-0' AND THE ELEVATION AT THE BULKHEAD AVERAGES 45' INDICATING THAT A HAYBALE BARRIER IS NOT NEEDED. SCALE: 1"= 20' ,,GONIG SAY STORMWATER MANAGEMENT Application regarding the property of Margaret Gannon, SCTM #1000-145-4-18 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 631-734-5800 August 8,2012 Post Office Box 1625 Mattituck, New York 11952 President Southold Board of Town Trustees Post Office Box 1179 Southold, New York 11971 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T Permit Services to act in my behalf as my agent in the submission and processing of an appli- cation for an Administrative Permit for the construction of an addition to the existing single- family dwelling, the demolition of an existing detached garage, and the recognition of an as- built accessory shed on my property located at 350 MacDonald's Crossing in Laurel, and des- ignated by Suffolk County Tax Map No. 1000-145-4-18, and to furnish, upon request, sup- plemental information in support of the application. Sincerely, A U _t~ Margaret Gannon STATEMENT TO THE SOUTHOLD BOARD OF TOWN TRUSTEES County of Suffolk ) State of New York ) I, Margaret Gannon, being duly sworn, depose and affirm that I am the owner of the property located at 350 MacDonald's Crossing, Laurel, NY 11948, and identified by Suffolk County Tax Map No. 1000-145-4-18, and that all work will be done in the manner set forth in the present application and as may be approved by the Southold Board of Town Trustees. I agree 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. I hereby authorize the Town Trustees or their agent(s) or representative(s) to enter upon my property to inspect the premises in conjunction with the review of the present application. ~j Margaret Gannon Sworn to before me this ....JY...... day of 2012 :4,~.,V . . Notary Public PATRICIA RICHERT Notary Public, State of New York No.30-4741154 s Qualified in Nassau /SU c72% Commission Expires a 3[ APPLICANVAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Dart of town officers and employees The pumose 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. YOURNAME: cannon, ^4ara,aret (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's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance X Trustee X 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 ausnness, 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 applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSIRP Submitted this day of 204 Signature ~A a x o - PrintName 'rarFaret nnon Form TS 1 LWRP CONSISTENCY ASSESSMENT FORM SCTM# 1000-145-4-18 PROJECT NAME GANNON HOUSE EXPANSION The Application has been submitted to (check appropriate response): ZBA ~ Planning Board ? Building Dept. Board of Trustees ? 1. 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: d Nature and extent of action: Demolish existing detached wood frame garage; construct two-story addition to existing sin- gle family dwelling, with attached garage on first floor and bedrooms on second floor. Location of action: 350 MacDonald's Crossing, Laurel Site acreage: 0.270 acres Present land use: Single family dwelling Present zoning classificati on R-40 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: Margaret Gannon (b) Mailing address: PO Box 1025, ?Tattituck, NY 11952 (c) Telephone number: Area.Code 6 31- 2 9 8 - 8 7 21 (d) Application number, if any: Will the action be directly undertaken, require finding, or approval by a state or federal agency? NYSDEC Yes [~?f/No ? If yes, which state or federal agency? APPLICANT: MARGARET GANNON SCTM 1000-145-4-18 LWRP CONSISTENCY ASSESSMENT FORM Policy 1 Foster a pattern of development in the Town of Southold that enhances com- munity character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. ? YES 'N' 0 ? NOT APPLICABLE The construction of an addition to an existing waterfront dwelling, with other renovations yielding no net gain in the area of the footprint, is consistent with the character of the waterfront community, and because the immediate area is heavily developed it is felt that there is no adverse impact on the desired preservation of open space. The proposed addition will include an attached garage which will re- place an existing, and to be demolished, detached garage, and this also has no sig- nificant impact on the overall coverage on the property. Infrastructure use is not a factor since the project is for the modification of an existing structure while retain- ing the same use. The project is certainly a beneficial use of the coastal location, and the incremental increase in development in the area is insignificant. Policy 2 Preserve historic resources of the Town of Southold. ? YES O 'NO ? NOT APPLICABLE There is no evidence to indicate that the immediate area of the project includes his- toric features. Policy 3 Enhance visual quality and protect scenic resources throughout the Town of Southold. ? YES RNO ? NOT APPLICABLE The addition proposed will be set back further from the front property line than the existing detached garage. It is compatible with other existing waterfront structures in the area, and will not adversely affect the dynamic landscape elements (tidal fluctuations, seasonal vegetation changes, changing light) which might contribute to ephemeral visual qualities. Policy 4 Minimize loss of life, structures, and natural resources from flooding and ero- sion. ? YES ENO ? NOT APPLICABLE The likelihood of the structure proposed contributing to increased hazards which could result in the losses listed is minimal. Natural protective features will not be adversely affected, there is an existing bulkhead. Policy 5 Protect and improve water quality and supply in the Town of Southold. ? YES UV NO ? NOT APPLICABLE The proposed project will utilize an existing on-site sewage disposal system. Dur- ing construction a line of haybales or a silt fence will be in place to minimize the chance of silt entering the bay. There will be no disturbance of the bay bottom dur- ing construction. Policy 6 Protect and restore the quality and function of the Town of Southold's ecosys- tem. ? YES K3'NO ? NOT APPLICABLE There is no wetland vegetation in or near the proposed construction area, and as has been mentioned the property is behind an existing bulkhead. Steps will be taken to insure that silt does not enter the bay during construction. The project is not located in a Significant Coastal Fish and Wildlife Habitat. All statutory and regulatory requirements, at all levels of government, will be strictly complied with. No dredging, excavating, or filling of the bay bottom is proposed. Policy 7 Protect and improve air quality in the Town of Southold. ? YES 5? (NO ? NOT APPLICABLE The construction or use of the project as proposed will not result in significant amounts of new air pollution. Policy 8 Minimize environmental degradation in the Town oif Southold from solid waste and hazardous substances and wastes. ? YES [?NO ? NOT APPLICABLE Although the project as proposed may result in the generation of additional solid waste, it will be disposed of in accordance with the required or recommended prac- tices of the Town and the SCDHS. The handling and storage of petroleum products will be accomplished through the use of approved containers and facilities, and ap- proved methods of handling and storage will be followed. Policy 9 Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. ? YES ? NO RNOT APPLICABLE This policy is not applicable to the proposed project. Policy 10 Protect Southold's water-dependent uses and promote siting of new water- dependent uses in suitable locations. ? YES ? NO [~J /NOT APPLICABLE This policy is not applicable to the proposed project. Policy 11 Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. ? YES ? NO NOT APPLICABLE This policy is not applicable to the proposed project. Policy 12 Protect agricultural lands in the Town of Southold. ? YES ? NO UV NOT APPLICABLE This policy is not applicable to the proposed project. Policy 13 Promote appropriate use and development of energy and mineral resources ? YES RNO ? NOT APPLICABLE The planning and construction of the project is, and will be, such that energy effi- cient design criteria are applied throughout, based upon all local and State building codes, or upon practices generally recognized as desirable in this regard. As has been stated, any handling and storage of petroleum products will be accomplished through the use of containers, facilities and methods of handling and storage as approved for residential property use and generally accepted as safe. Site drainage and water control will be designed and accomplished in accordance with Town policies and requirements. Roof runoff will be retained on-site. Excess spoil result- ing from any excavation will be removed to a site at which it will pose no envi- ronmental burden. Proper-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 (631) 734-55800 July 31, President AUG 1 2012 Southold Board of Town Trustees Post Office Box 1179 S00001d Town Southold, New York 11971 Board of Trustees Re: Application for an yefttmiffor Margaret Gannon; SCTM #1000-145-4-18 Dear Sir: Attached are documents which have been prepared in support of the application for an adminis- trative permit to demolish the existing detached garage and construct an addition on the landward side of the existing single-family dwelling on the property of Margaret Gannon at 350 Mac- Donald's Crossing in Laurel. Proper-T Permit Services represents Ms. Gannon in this matter, and a letter of authorization is part of this submission. If there are any questions, or if additional information is needed, please call me. Si cerely, 'J es E. Fitzgerald, J?. Enclosures: Application Fee ($50) Application Form (2 copies) Letter of Authorization (2 copies) Notarized Statement (2 copies) Transactional Disclosure Form (2 copies) LWRP Consistency Assessment Form (2 copies) Short EAF (2 copies) Vicinity Map (2 copies) Tax Map (2 copies) Project Site Photos (2 copies) Aerial Photo (2 copies) Survey of Property/Project Plan; Corwin, last dated 6/22/12 (original plus 1 copy) Trustees' Waiver, dated 3/25/88 ---P-NYSDEC Non-Jurisdiction, dated 3/11/85 a subsidiary of THE PECONIC EASTERN CORPORATION NOTES: 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM SURVEY OF EXISTING ELEVATIONS ARE SHOWN ° T OrTi Q U & P/O LOT 9 EXISTING CONTOUR LINES ARE SHOWN WN THUS: s- - - - J~ 1 L FF`_ - FIRST FLOOR MAP OF G.FL. - GARAGE FLOOR TB - TOP OF BULKHEAD EDGEMERA PARK B.B. - BOTTOM OF BULKHEAD FILE No. 742 FILED JULY 2, 1931 SITUATE LAUREL TOWN OF SOUTHOLD 2012 SUFFOLK COUNTY, NEW YORK AUG V 1 S.C. TAX No. 1000-145-04-18 socthhold town SCALE 1"=20' Raaro of trustees ,~Gj• ° OCTOBER 13, 2011 i, JUNE 22, 2012 ADDED PROPOSED ADDITIONS acsq. . °OO 00(TO BULKHEAD) 0.270 11,747 ft. ° x0. ° " d oZ C a \ OF, o ° APPROVED v of, ooh ~ ~ \ \ g\ G \ ` BOARD OF TRUSTEES Z ° G`` m TOWN OF SOUTHOLD °Z,L2o O \ \~fn OP9~ird,~r~P ) \ ry0 Z.f. f~C' ~OZ CO \ ES~~ \ ~~Gs O F a ayP~c ° ~2 DATE o~ O o a \ e~P90 ~ v° Z Z Zci/ Z I F~ s ~ y,,pto G \ \ 5 c~ O o`GO CO p1 17Q, o, o s s 3 II N ` O _ -Ito ho OQ O,r 0~ E~. 4~' v. QQ",gS P' y~' ~A~o JAR m- P GO~p d 6p fE ~E. 'C V P 0 P, J~ 0 X P9 B~iFF Yom. 100 ~^y o. X_~_7 . o OG S m of o O ~ O 00 f, op \TV. ~ ~C,FyV Jy~ ~ Z ` a~~a 301` x ~X q p 0 cn O oµG p~rx'Sg I \X N S\~ foal) ID, 4.7 G / a. oEG ~"Oo EXISTING LOT COVERAGE 1.7 2 ros rn1 oP y, DESCRIPTION AREA % LOT COVERAGE 4 7X C X 44 EXIST. HOUSE 11448 sq. ft. 12.3% X / \ n Qb ~V °OO GP EXIST. SCREENED PORCH 218 sq. ft. 1.9% i6 p a.4 10 ~g?~p ^fl o~ti / / X / f QO"4• ,~P~O \ V EXIST. DECK & WALK 429 sq. ft. 3.6% \ 6~ EXIST. GARAGE 42B sq. ft. 3.6% X¢"$ \ / ~y? EXIST. SHED 6.1 67 sq. ft. 0.6% TOTAL EXISTING 2,590 sq. ft. 22.0% PROPOSED LOT COVERAGE s X ~ooopo wo0p cR DESCRIPTION AREA %LOT COVERAGE 4.6 tie h` ^ 0jN V EXIST. HOUSE 1,448 sq. ft. 12.3% EXIST. SCREENED PORCH 218 sq, it 1.9% ! 0 EXIST. DECK & WALK 429 sq. ft. 3.6% _J X~ EXIST. GARAGE 428 sq, ft. 3.6% EXIST. SHED 67 sq, ft. 0.6% PROPOSED ADDITION 624 sq. ft. 5.3% PROOSED SHED 72 sq. ft. 0.6% APL PROPOS TOT ED 2,858 sq, ft. 24.3% UNAUTHORIZED ALTERATION OR ADDITION PREPARED IN ACCORDANCE WI THE MINIMUM Nathan Taft Corwin TO THIS SURVEY IS A VIOLATION OF STANDARDS FOR TITLE S A BUSHED SECTION 7209 OF THE NEW YORK STATE BY THE E.I.A.L.S. A A TED EDUCATION LAW. FOR SUCH USE T D TITLE ASSOCIATI P Surveyor COPIES OF THIS SURVEY MAP NOT BEARING Land dJ~ ~~PF :~jt ~F THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. s A CERTIFICATIONS INDICATED HEREON SHALL RUN I z Successor To: Stoney J. sOksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY \ Joseph A. Ingegno L.S. IS PREPARED, AND ON HIS BEHALF TO THE 1 TITLE COMPANY, GOVERNMENTAL AGENCY AND (11 Title Surveys - Subdivisions - Site Plans - Construction Layout LENDING INSTITUTION LISTED HEREON, AND 0, TO THE ASSIGNEES OF THE LENDING INSTI- 51~ TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. '~~S PHONE (631)727-2090 Fax (631)727-1727 FD!ANCJS / THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1566 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. N.Y.S. Llc. No. 50467 Jamesport, New York 11947 Jomesport, New York 11947 n, +rir.