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1000-77.-1-4
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 TeIephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Principal Planner LWRP Coordinator Date: September 24, 2012 Re Coastal Consistency Review for ZBA File Ref DANIEL McGOVERN - #6599 SCTM#1000-77-1-4 A site inspection was performed on Fdday September 21, 2012. The Board of Trustees issued an Administrative Permit (7789A) for the action in 2012. Further in 2002 a permit was issued for a bulkhead replacement on the property and a 10' wide non-turf buffer landward of the bulkhead was required A 20' wide sand buffer currently exists on the property (See plans titled "Property"). Request for Variances from Article XXII Code Section 280-116(B) and Article XXlII Section 280-124 based on an application for building permit and the Building Inspector's May 9, 2012, amended September 6, 2012 Notice of Disapproval for deck addition to single family dwelling, at; 1) less than the code required bulkhead setback of 75 feet, 2) less than the minimum side yard setback of 10 feet, located at: 830 Oak Avenue (adj. to unnamed Street & Goose Creek) Southold, NY. SCTM#1000-77-1- 4 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 determination that the proposed action is CONSISTENT with the LWRP polices and therefore CONSISTENT with the LWRP. 'It is recommended that the 20' wide non-turf buffer on site is acknowledqe in a decision. Pursuant to Chapter 268, the Board shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Eric. Cc: Jennifer Andaloro, Assistant Town Attorney Jame~ F. King, Pr~ident Bob Ghozio, Jr., Vice-President Dave Bergen John Bredem~r Miatmel d. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7789A Date of Receipt of Application: May 1~2012 Applicant: Daniel McGovem ' SCTM#: 77-1-4 Project Location: 830 Oak Ave., Southold Date of Resolution/Issuance: May 16, 2012 Date of Expiration: May 16, 2014 Reviewed by: Board of Trustees Project Description: To construct two (2) §round-level decks (side by side) 8'X 12' and; 2'X 26'. Smaller deck at base of steps and larger deck across back of house. Findings: The project meets all the requirements for Issuance of an .Administrative Permit set forth in Chapter 275 of the Soulhold Town Code. The Issuance of an Administrative Permit allows for the operations as Indicated on the application received on May 1, 2012 and plans stamped approved on May 16, 2012. 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. Jam F.~, Presid~t Board of Trustees O~ffice Location: Town Annex/First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 Mailino_ Address:P4V~-~¢ C)~ 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 http://southoldtown.north fork.net BOARD OF APPEALS TOWN OF SOUTI-IOLD Tel. (631) 765-1809 Fax (631) 765-9064 September 11, 2012 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. # 6599 McGOVERN, Daniel 1000-77-1 o4 Dear Mark: We have received an application for a deck addition to a single family dwelling. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-5D is requested within 30 days of receipt of this letter. Thank you. Encls. Very truly yours, Leslie/~.~eisman By: t_/~"~ · FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT NOTICE OF DISAPPROVAL TO: Daniel McGovem 138 Fiflh Ave. Kings Park, NY 11754 DATE: May 9, 2012 Amended: September 6, 2012 Please take notice that your application dated May 1, 2012 For a permit for a deck addition to a single family dwelling at Location of property: 830 Oak Ave., Southold, NY County Tax Map No. 1000 - Section 77 Block 1 Lot 4 Is returned herewith and disapproved on the following grounds: The deck addition on a non-conforming parcel, is not permitted pursuant to Article XXIII Section 280-124 which states: "This section is intended to provide minimum standards for granting of a building permit for the principal buildings of lots which are recognized by the town under 280-9, are nonconforming and have not merged pursuant to 280-10." Lots measuring less than 20,000 shall have a minimum side yard setback of 10' feet. The survey, indicates a side yard setback of 6.7'. Also, the proposed addition is not permitted pursuant to Paticle XXII, Section 280-116B, which states: "All building ... on lots upon which a bulkhead exists.., shall be set back not less than 75' from the bulkhead." The proposed deck will be approximately 61.6' from the bulkhead. Authorized Signature Amended to reflect new July 10, 2012 survey. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT NOTICE OF DISAPPROVAL TO: Daniel McGovern 138 Fifth Ave. Kings Park, NY 11754 DATE: May 9, 2012 Please take notice that your application dated May 1, 2012 For a permit for a deck addition to a single family dwelling at Location of property: 830 Oak Ave., Southold, NY County Tax Map No. 1000 - Section 77 Block I Lot 4 Is returned herewith and disapproved on the following grounds: The deck addition on a non-confbrming parcel, is not permitted pursuant to Article XXIII Section 280-124 which states: "This section is intended to provide minimum standards for granting of a building permit for the.principal buildings of lots which are recognized by the town under 280-9, ar_c nonconforming and have not merged pursuant to 280-10." Lots measuring less than 20,00tl shall have a minimum side yard__setb_a~k__of !0' The survey, indicates a side yard setback of 4'. Also, the proposed__a_d_diLio_B.j_s, tzo_t._gcrm_i_t[e_d_a~ursuant to Article XXII, Section 280-l 16B, which states: "All building ... on lots upon which a bulkhead exists.., shall be set back not less than 75' ti-om the bulkhead." The proposed deck w be _al)l~roximatcly 63' fi',m the bul , .................................... ~_hea~. Authorized Signature NO. BU~fLDING PERMIT APPLICATION CHECKLI Do you have or need the followbg, before applyt Board of Health 4 sets of Building Plans Planning Board approval Survey. Cheek Septic Form Storm-Water Assessmem Form Contact: Mail to: Building Inspector Date ~KI[ JZ. ,20 I~ ~UCTIONS th by ~pe~ter or in ink and submi~ed ~ the Building Inspector with 4 bui~ings on p~mises, relmionship to Mjoin~g premises or public s~eets or ~t ~ co~enc~ befo~ iss~ce of Buil~g P~iL B~il~ng ~tor will isle a B~Iding Pe~it to ~e applic~t. Such a pe~fit ~ ~ ~ ~ ~ ~ ~ ~ ~ ~o~ ~e work. ~ ~ ~ p~ for ~y pu~se whm so ever until the Building ~s~ctor w~ a~o~ h~ not ~c~ wi~ 12 monks ~er ~ d~e of ~m such date. If no zoning ~dmen~ or other re.latins affect~g · l~tor ~y au~ofi~, in ~t~g, ~e extension of~e ~[t for ~ B~td~g D~ent for the iss~ce of a Building Pe~it pursuit to ~e Suffo~ Co~, New York, ~d o~er applicable Laws, ~ces or M~. or ~m~ons or for ~mov~ or demo[i~on ~ ~e~in de~fibed. ~e ~es, build~g code, hous~g code, ~d regula~ons, ~d to admi~ ~ i~fions. ( '~e ofa~lic~t or n~e, ifa co~omfion) ~hit~t, engbeer, genial con.actor, elec~ci~, pl~ber or builder (.4 on the tax roll or latest deed) ff app/~am i~ a c.~ao~ si~wn~me of duly aufl~rized officer (l~me ~1 ti~ of~ officer) Fkm~ N~mff~x Stre~ Hamlet Fml~Fan4sioa Filed Map No. Lot State existing use and occupencv of premises and intended use end occupancy of proposed construction: a. Existing use and occupa~cy ~Jldw~,%t'~f hC,n~a,e Jf~O~v~r¥~ / b. Intended use and occupency _~/Dv~e. v' ~o'rYl~ / Y'~,~t,-cr~{' Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work~(' Estimated Cost ~ ~"~00 ~ If dwelling, number of dwelling units If garage, number of cars Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor I If business, commemial or mixed occupancy, specify nature and extent of each type of use. Dimensions ofexistlng structures, if any: From ~9- ~L~,~' Rear ¢)~l~_t;r Depth Height Number of Stories I Dimensions of same structure with alterations or additions: Front ~, ~4L~ Rear Depth Height Number of'Stories Dimensions of entire new construction: Front Rear Height Number of Stories Size oflot: Front ~10 ~V Rear '~O [~_tdC' Depth._[l[~O ,. Date of Purchase 10~1 Name of Former Owner LDc)c0 · Zone or use district in which premises are situated .Depth '.. Does proposed construction violate any zoning law, ordinence or regulation? YES NO ~. L Will lot be re-graded? YES~ Will excess fill be removed from premises? YES NO ~JA- [.Names ofOwnerofpremisesD0~n ~ ~Ov'¢/D Address~ ~'~/q~-~l~~laoonden No.[t~l'r2~ ]~'D Name of Architect Address. Phone No Name of Contractor Address Phone No. 5 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES V/ NO __ ~ IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIKED. b. Is this property within 300 feet of a tidal wetland? * YES / NO ~ IF YES, D.E.C. PERMITS MAY BE REQUIRED. 5. Provide survey, to scale, with accurate foundation plan end distances to property lines. ?. If elevation at any point on properly is at 10 feet or below, must provide topographical data on surv~. g. Are there eny covenants and restrictions with respect to this property? * YES_ NO ,~ · IF YES, PROVIDE A COPY. rATE OF NEW YORK) SS: '"~Oj~. 1 ~, YY¥2(~O",J~( ~ be ng duly sworn, deposes and says that (s)he is the applicant (~Name of individual signing contract) above named, ~)He is the (Contractor, Agent, Corporate Officer, etc.) i f said owner or owners, and is duly anthorized to perform or have Perf°rmed the said w°rk and t° raake and file this applleati°n; mt all statements contained in this application are true to the best of his knowledge and belief; and that the work will he erfonned in the manner set forth in the application filed therewith. Iworn to be ore llle this '- - OSignature of Applicant E~DE pJo.~ ' GOOSE CREEK UNNAMED STREET BULKHEAD (48' WIDE) N4-9'56'40"E 70.00' I-- I CURB CURB F ..... ~c ..... q O 0 © S4-9'56'40"W 70.00' OAK AVENUE (20' WIDE) 5' SRF 0 0 247.12' ,3' SRF LEGEND: GUARANTEES ~NDICATEG HEREON SHALL RUN ONLY TO THE PERSON FOR W~OM ME SURVEY IS PREPARED, AND ON HIS OEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY, LENDING INSTI~JTION, AND THE ASSIGNEES OF I~E LENDING INSTITUTION GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INS[~RJHONS OR SUBSEQUENT OWNERS UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY iS A VLOLA~ON OF SECTION 7209 OF THE NYS EDUCATION LAW. THE OFFSETS (or DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE fl~E EREC~ON OF FENCES, RETAINING WALLS, POOLS AND ANY OTHER CONSTRUCTION SRF CRW © PROPERTY LINE FENCE UNE PROPOSED FLUSH DECK OVERHEAD ~MRES SPUT RAIL FENCE CONCRETE RETAINING WALL TREE OIL FILL (INACTIVE PER HOMEOWNER) SURVEYED ON JULY 10, 20/2 DISTRICT I000 SECTION 77 BLOCK LOT 4 JOB NUMBER I SCALE 213084 I "=30' SURVTECH JOHN R. McWILLIAMS N,Y. LICENSE NO. 050277 7 6 5 4 3 D 0 42.5ft 32.0fl 7 Off 8 Oft 't ,~o. k' 69.3ff 26.0fl 65.7fl 20.O fl SAND Property Pro Deck DesignT" Estimate Prepared for: CATHERINE LUCARELLI 138 5TH AVE KINGS PARK, NY 11754-4317 6315440765 Store Information: 6167 - 65 CROOKED HILL ROAD ~t6167 COMMACK, NY 11725 (631)499-1420 Estimate Created: 04/27/2012 Days Valid: 14 Estimate Prepared by: TIA Decks Total Price (I)re-tax): $2,168.74 "Please take this quote to the Contractor Services or Special Services Desk." "Products and prices shown online may vary from those at The Home Depot store near you. Prices shown on this quote may be different due to changes in product availability and market conditions. Prices for identical items may also vary from store to store," "Los productos y precios demonstredos en linea pueden variar de los en el almacen The Home Depot ceroa de usted Los precios demonstrados en esta cotizacion pueden ser diversos debido a los cambios en condiciones de la disponibilidad y del mercado del producto. Los precios para los articulos identicos pueden tambien variar de almacen al almacen" "* Special Order Items where price is not included in total - Please take to The Home Depot Special Services Desk for a price quote" "* Los Articulos de la Orden Especial donde el precio no se incluye en total - Favor de llevar a la Mesa de Servicios Especiales del Home Depot para una cotizacion del precio" Warning and Important Instructions, This ia not a final design plan or estimate. EDGENET, INC assumes no responsibiti~ for the correct uae or output of this program AIl informafion contained on this page is SubleCt to the term~l in the disclaimer located at the and of this document Advartencia e instrccionee importantes: Esto no es un plan ni una esfimacien final del disefio. EDGENET, INC. no asuma ninguna responsibilidad del uso o de la ;lelide cormcto de alta programs Toda la informaoi~n contenida an aata pagine estll conforms a los t~rmtnos an la negaci0n, situada en el axtremo de aste documento Copyright O 1989-2012 Edgenet, Inc. Page 1 of 1 7 ooc ID c86ffcb4-sggB-4a4?*Scg2-74bcb8191387 BiG Pro Deck Design" Dimension View - Deck 1 Warning end Important Instructions This is not e final design plan or estimate. EDGENET, INC. assumes no responeibility for tho correct usa or output of this program. All information contained on this page is subject to tho terms in the disclaimer located st tho end of this document. Advertencia e instrcciones importantes: EBro no es un plan ni una estimeci6n final del dieefio. EDGENET, INC. no esume ninguca responsibilidad del uae o da lo 8elide cormcfo da eete pmgrsme. Toda la Informeci6n contenide an este pdlglne este conforme Il lee t~rminoa on la negaciOn, situede on el extreme de este decumento Copyright O 1989-2012 Edganet, Inc. Page 4 of 1 7 O,~ ID c86ffcbi-agtlB-ia47-ac92-74bcb81913e? Pro Deck Design'" Dimension View - Deck 2 Deck 2 8ft 8ft Warning end Imporlent Instructions: This is not s final design plan or eafimste EDQENET, INC assumes no responsibility for the correct uae or output of this program. All information contained on this page ia subject to the terml in the disclaimer located et the end of this document Advertencia · instrccionea importentea: Eato no es un plan nj une eatimecidn final del dieefio EDGENET, INC no aaume ningune responaibilldad del uso 0 de la ~lsllde correcto de eats progremaToda ia InformsciOn contenida en eats paglne eats conforms s los terminoa en la negsci0n, ~litueda en el axtremo de asto documanto. Copyright O 1969-2012 Edgenet, Inc. Page 5 of 17 Do~ ID caeffcb4-egsa-4.47-ecg2-74bct)e1913e7 Pro Deck Design" Post View - Deck I Wllming lind Important Inatructionll: Thio ia not II final deeign plain or eetimllk,. EOQENET, INC. lllaUmell no re~ponlibility for the correct u~e or output of thief progrllm Ail inforTnlfion ~antlined on thief plgll ill lubjllc~ to thll tormll in thll dillclllimor Ioc, lt~] ct thll lind of thil documllnt Advllrtencill II inlltrccionel importantee: Elto no llll un plain nj unll lllltimll~0n finial dill dllll~o. EDGENET, INC. no allumll nlngunll reeponllibllldlld dill ulo 0 del ill illlldll ~orrecto del elto progmmll. Todll Ill infom~llcidn contonidll en llllta paglnll elite conformll II loll terminoe an Ill nllgllctOn, aitulldll lin el extmmo del atto documllnto. Copyright O 1989-2012 Edgllnet, Inc. Page 6 of 17 D~ ID r. aeffr, t)4-agga-4147-Scg2-Z4b~81913e7 Pro Deck Design'" Post View - Deck 2 Warning and tmportlnt Inatruottona: Thi~ il not a final dm~ign plan or ~timata. EDGENET, INC. Ilalumti no ralporlaibJlity for the correct u~e or output of thla program. All information contained on thia page ia lubjact to ~a tampa in the dilclaimar IoOltad at Ula and of thil document. Advertancla a inatrocionaa tmport~ntaa: Eato no aa un plan ni una aatlmaci0n final del dlaa~o. EDGENET, INC. no aauma ninguna maponaibilidad del uae o de la lalicla corracto de eata programa. Toda la informactbn contenida en aata pdgina aatl conforme a los tllrrntnoa en la negation, lituada an el axtramo da alta documanta. Copyl~ght O 1989-2012 Edganat, Inc, Paga 7 of 17 o~ ID ceeffr, u4-eeee-4a47-ees2-?4bcbele13e7 Pro Deck Design'" Joist Layout View Warning end important Instructions: This ia not a final design plan or satimate EDGENET, INC auumes no responsibility for the correct uae or output of this program All information contemned on this page ia subject to the terms in the disclaimer located et the end of this document. Advertencia a inatrccionas importantea: Eato no aa un plan ni una aatimaci6n final dsl diaafio. EDGENET, INC no asume ninguna reaponaibilidad del uso o de la aalids correcto de este programs Teds ia informacibn contenids en site p~gina sat'~' conforms a los terminos an la negeciOn, aitueda en el extreme de eats documer~to. Copyright 0 t989-2012 Edgsnet, Inc. Page 8 of 17 D~ ~D c86ffcb,4-SSSS-4a47-Scg2-74bct)alg13e7 Pro Deck Design Deck Information Deck 1 Construction Method - Beam Flush With Joist Footing Type - In-Ground Live Load - 60 Dead Load - 10 Decking Spacing - 1/8 in Joist Spacing - 16 in Beam Spacing - 104 in Post Spacing - 69 1/4 in Decking - L5/4x6 Treated Southern Pine No. 2 Beams - L2x8 Treated Southern Pine No. 1 Joists - L2x6 Treated Southern Pine No. 1 Posts - L4x4 Treated Southern Pine No. 2 Deck Height - 24 in Diagonal Bracing - Yes Joist Overhang - 0 in Beam Overhang - 0 in Decking Deflection Factor - 360 Joist Deflection Factor - 360 Beam Deflection Factor - 360 Pref Decking Size - 5/4x6 Pref Joist Size - NONE Pref Beam Size - NONE Pref Post Size - NONE Diag Brace Height 1 - 24 in Diag Brace Height 2 - 24 in Deck 2 Construction Method - Beam Flush With Joist Footing Type - In-Ground Live Load - 60 Dead Load - 10 Decking Spacing - 1/8 in Joist Spacing - 16 in Beam Spacing - 96 in Post Spacing - 69 1/4 in Decking - L514x6 Treated Southern Pine No 2 Beams - L2x6 Treated Southern Pine No. 1 Joists - L2x6 Treated Southern Pine No, 1 Posts - L4x4 Treated Southern Pine No. 2 Deck Height - 6 in Diagonai Bracing - Yes Joist Overhang - 0 in Beam Overhang - 0 in Warning and Important Instructions: This iii not a final design plan or estimate EDGENET, INC assumes no responsibility for the cornlct uae or output of this program All information contained on this page ia subject to the terms in the disclaimer located et the end of this document Advertencte · inatrcciones importantea: Eato no es un plan ni una eatimacibn final del disafio, EDGENET, INC no aaume nmguna reaponiiibilidad del uso o de ia ~alida correcto da sate programs Toda la informacibn contenida en a~te pagina aata conforms a Ica t~rmlnoa an la negacic3n, aituada en el extremo da sate documento. Copyright O 1989-2012 Edganat, inc. Page 9 of 1 7 D~: iD c86ffcb4-8998-4~47-Sce2-?4bcb81913e? Pro Deck Design'" Decking Deflection Factor - 360 Joist Deflection Factor - 360 Beam Deflection Factor - 360 Pref Decking Size - 5/4x6 Pref Joist Size - NONE Pref Beam Size - NONE Pref Post Size - NONE Diag Brace Height 1 - 24 in Diag Brace Height 2 - 24 in Warning and Important Inatructiona: Thio ia not a final deaign plan or eatimate. EDGENET, INC. aasumea no reapocaibility for the correct uae or output of this program. All information contained on this page ia subject to the terms in the disclaimer located at the and of this document. Advertencia · inatrccionas importantea: Eato no es un plan nj uno estimacl6n final del dilefio EDGENET, INC no aaume ninguna reaponaibilidad del uso c de la aalida correcto de eato progrema Toda la informaci6n contenide an eats palgina alta cof~forma a Ica terminca an la negaciOn, ~lituada en el extremo da eats documento Copyright O 1989-2012 Edgenet, Inc. Page 1 0 of 17 ooc tD cSeffcb4-aSes-4a47-Scg2-74bcb81913e7 Usage Sku Pro Deck Design Sku Usage List Description Qty Beam 255411 Beam 255676 Decking 168793 Joist 255376 Joist 255457 Post 257974 Post 258132 Rim Joist 255376 Rim Joist 255411 Rim Joist 255457 Decking DeckScrew Green 735003 Standard Materials Beam Bolt 4x4 544208 Beam Nut 538892 Beam Washer 538981 Blocking Nails 192708 Conc IG Ftng 666249 DiagBraceBeam 258132 DiagBraceBeamB 544208 DiagBraceBeamN 538892 DiagBraceBeamW 538981 DiagBraceJoist 258132 DiagBraceJoistBel 544208 DtagBraceJoistNut 538892 DiagBraceJoistWa 538981 Rim Joist Nail 446408 Simpson 2x6JH 865827 Simpson 2x6JHS 479710 2X6-12 PT #1 WEATHERSHIELD 2X8-12 PT#1 WEATHERSHIELD 5/4X6-12 PT PREM-WEATHERSHIELD 2X6-10 PT #1 WEATHERSHIELD 2X6-16 PT #1 WEATHERSHIELD 4X4-10 #2 PT 4X4-12 ~r2 PT 2X6-10 PT #1 WEATHERSHIELD 2X6-12 PT #1 WEATHERSHIELD 2X6-16 PT #1 WEATHERSHIELD Treated Southern Pine No. 2 DECKMATE SCREW, GREEN, 3 IN, 5LB Standard Deck Materials CARRIAGE BOLT-GALV. 1/2 X 8 HEX NUT GALV 1/2 FLAT CUT WASHER GALV 1/2 16D 3-1/2" HOT GALV COMMON 5 LB 60LB SAKRETE CONCRETE MIX 4X4-12 #2 PT CARRIAGE BOLT-GALV. 1/2 X 8 HEX NUT GALV 1/2 FLAT CUT WASHER GALV 1/2 4X4-12 #2 PT CARRIAGE BOLT-GALV. 112 X 8 HEX NUT GALV 1/2 FLAT CUT WASHER GALV 1/2 16D 3-112" HOT GALV BOX 1 LB LUS26Z DOUBLE SHEAR HANGER Z-MAX SIMPSON #10 X 1.5" CONNECTOR SCREW 2 6 74 24 4 3 6 6 4 1 4 36 36 36 2 36 5 36 36 36 5 36 36 36 4 64 8 Warning and Important Instructions: This ia not a final design plan or estimate EDGENET, INC. assumes no reaponaibility far the correct uae or output of this program All information contained on this page is subject to the terms in the dlaclsimsr located at the end of this document Advertencia e instrccionee importantea: Esto no es un plan nj uno eatimaciOn final del dise~o. EDGENET, INC no eeume ninguca respocaibllidad del uso o de la solids correcto de eats programs Teds ia informaci0n contenide en eats paglna slltJl conforms a lea t~rminos en la negacibn, situada en el extreme de eats documento Copyright O 1989-2012 Edganet, Inc. Page 11 of 17 Doc ~O caeff~b4-eege~a47-ec~2-74b~81913e7 Pro Deck Desigff" Warning and Important Instructions: This iii not a final design plan or estimate EDGENET, INC Iieiiumeii no reiiponaibility for the correct uae or output of thiii program All informiitlon contained on this page iii Iiubject to the terms in the disclaimer located lit the end of this document. Advertancia a inetrccionea importantes: Eeto no ee un plan ni une aatimaci6n final del dieafio EDGENET, INC no aaume ninguna reepcneibilided del uso o de la Iielida correcto de elite progriima. Tode le informeci6n contenida en alta p~'gina site conforms Il Ice t~lrminoe en la negaci0n, aitueda en al extremo de elite documento Copyright O 1989-2012 Edgenet, Inc. Page 12 of 17 Do= ID cS~ffclo4-iiilllB-4a47-$cJ2-74bcb81913e7 Pro Deck Design'" Qty UOM SKU Description Material List Stock Items 74 EA168793 5/4X5-12 P~..EM-WE^~.ERS.,ELD IIIIIIIIIIIIIIIIIII 2 BX 192708 160 3-1/2" HOT GALV COMMON 5 LB IIIIIIIIIIIIIIIIIII 30 EA255376 2X6-10 PT #1 WEATHERSHIELD IIIIIIIIIIIIIIIIIII 6 EA 255~11 2X6-12.~#1W~AT.~.S.,ELD IIIIIIIIIIIIIIIIIII ~ ~A ~.~ ~x.-~..~ w~..~s...~o IIIIIIIIIIIIIIIIIII ~ .A ~..~ ~X.-~.~.~ W~..~S~,~O IIIIIIIIIIIIIIIIIII ~ ~ ~ .X.-~0 ~ .~ IIIIIIIIIIIIIIIIIII ~ ~ ~.~ ~X.-~.~ IIIIIIIIIIIIIIIIIII . .~ ....0~ ~O~-~".O~A~V.OX~ ~. IIIIIIIIIIIIIIIIIII ~ .~ .~.~0S,..SO.~0X~.."CO~.~O~O. SC.~W IIIIIIIIIIIIIIIIIII ~0..~.~.~.~ .~X.U~A~V ~ IIIIIIIIIIIIIIIIIII ~0..A~..~ ~CU~W~S...~A.V ~ IIIIIIIIIIIIIIIIIII ~0~ ~~..~0~ CA...~..O.~-~.V. ~ X.IIIIIIIIIIIIIIIIIII ~ .~ ~.~.~.0~.. S~..~. CO.O..~..,X IIIIIIIIIIIIIIIIIII . .X ~.00~O.O~. SCreW. ~..~. ~,~, ~.. IIIIIIIIIIIIIIIIIII ...A .~.~ ~US~ OOU.~ S~..~ Z-~ IIIIIIIIIIIIIIIIIII Total Price $2,168,74 Estimate Created: 04/27/2012 Days Valid 14 This price does not include any Special Order items. Please see Store Associate to adjust the design or to price and order items. Parameters used for Deck 1: 60 psf live load, 48 inch footing depth. Parameters used for Deck 2:60 psf live load. 48 inch footing depth. Warning and Important Instructions: This is not a final design plan or estimate EDGENET, INC essumee no responsibility for the correct use or output of this program. All information contained on this page ie subject to the terms in the disclaimer located at the end of this document. Advertencie · instrcciones ~mportentee: Eato no es un plan ni uno estimaci0n final del dise~o. EDGENET, INC. no esurne ningu~la maponaibilidad del uno o de le solids cormcto de este programa. Toda la informacl0n con/enide en esta plglna esta conforme a los t&rminca en la negacl6n, siluada en el extremo de este documento. Copyright O 1989-2012 Edgenet, Inc. Page 16 of 17 DoclD cS~fct~l-8998-4e,47-Sca2-74bcb81513e7 Pro Deck Design" Disclaimer Warning and Important Instructions: EDGENET, INC. assumes no responsibility for the correct use or output of this program. This is not a final design plan or estimate. Variations in building codes, specific architectural considerations, and site conditions may require changes to the design and estimate. You are responsible for the final structure, conforming to local building codes, materials and structural safety of the final design. EDGENET, INC. does not engage in the practice of engineering, architecture, or general contracting. EDGENET, INC. does not assume any responsibility for design, engineering, or construction; for selection or choice of materials used; for compliance with any codes, laws, or standards of workmanship. All designs, estimates and final structures should be examined by a qualified professional to determine they are reasonable and accurate. DO NOT CUT LUMBER AND/OR MATERIALS IN ADVANCE. Advance cutting may lead to lumber and/or materials that are too long or too short for the structure. EDGENET, INC. does not assume any responsibility for lumber and/or materials cut that do not fit the structure. Advertencia e Instrucciones Importantes: EDGENET, INC. no asume ninguna responsabilidad por el uso correcto ni pot los producfos de este pregrama. Esto no constituye un plan de diser~o o estimaci0n final. Las variaciones en los c6digos de construcci6n, las consideraciones arquitect0nicas especlflcas y las condiciones del sitio pueden requerir cambios en el diser~o y la estimaci6n. Usted es responsable de qua la estructure final cumpla con los c6digos de construcci6n locales y con la seguridad estructural y de los materiales del disetlo final. EDGENET, INC. no participa en la ingenieria, la arquitectura ni en la contrataci0n general. EDGENET, INC. no asume responsabilidad alguna porel diser~o, la ingenieria, o la construcci0n; por la selecci0n o la eleccibn de los materiales usados; por el cumptimiento de los c6digos, las leyes, o los estandares de mano de obra. Todos los disef'los, las estimaciones y las estructuras finales deben ser examinados por un profesional calificado para determinar que sean razonables y exactos. NO CORTE LA MADERA NI LOS MATERIALES CON ANTELACION. Si la madera o los materiates se cortan con antelaciOn, pueden ser demasiado largos o cortos para la estructura. EDGENET, INC. no asume responsabilidad alguna si la madera o los matariales que se cortaron no encajan en la estructura Warning and Important Instructions: Thil ia not s final dallgn plan or estimate. EOGENET, INC assumes no mspocaibility for the correct uae or output of this program. All information contained on this page ia subject to the terms in the disclaimer located at the end of thil documsnt. Advsrtencla a instrcoiones importantel: Elto no ea un plan ni una eatimacibn final del dilsfto EDGENET, INC. no llume nlnguns reaponaibilided del uso o de le lelids correcto de alta programs Toda la Informscl0n contenida an asta pal]ina alta conforms I Iol t~rminol an Is nagaciOn, litueda en el extremo de site documsnto Copyright O 198g-2012 Edgenet, Inc. Page 17 of 17 Doc ID c88ff~b4-Bgga-4a47-acg2-74bcb81915e7 Fee: $ Filed By: Assignment No._ APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS ~__~_A_VAm~CE HouseNo. 8~O Street O~LK SCTM 1000 Section -I-'1 Block Address: Telephone: Lot(s) Hamlet 5o~c-~ol d LotSize o2Z ACt'eSZone ID .C~VE)- A~. ~P~EAL~T~. WRITTEN DETERMINATION OF ~ B~D~G ~SPECTOR A'a~D ~ ~ ~ ~ ~ ~ SASr~ ON S~Y/Sgr PL~ ~A~D ~ t. ~t~ Applieant(s)/~ner(s): ~ j~ ~~ NO~: In 9ddition to the above, please complete below if application is sign~ by applicant's a~orney, agent, architect, builder, contract vendee, etc. and name of person who agent ~pr~en~: Name of Repr~entative: ~ for ( ) Owner ( )Other: Emaih ~le~e, check to specify who you wish correspondence to be mailed to, from the above names: (V~fApplicantJOwner(s), ( ) Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED ~0~. I tLo~'L- and DENIED AN APPLICATION DATED~{~.q I j ~o17.. FOR: ( ) Building Permit ( ) Certificate of Occupancy ( ) Pre-Certificate of Occupancy ( ) Change of Use ( ) Permit for As-Built Construction Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning Ordinance by numbers, Do not quote the code,) ,Article: ~'~ ~l | q~/~llSection; ~--.~O Subsection: ~_'~ T~ II~t~ Type of Appeal. An Appeal is made for: ( ) A Variance to the Zoning Code or Zoning Map. ( ) A Variance due to lack of access required by New York Town Law- Section 280-A. ( ) Interpretation of the Town Code, Article Section ( ) Reversal or Other A prior appeal ('x) has, C~ has not been made at any time with respect to this property, UNDER Appeal No(s). Year(s). . (Please be sure to research before completing this question or call our o~l~ce for assistance) Name of Owner: ZBA File# REASONS FOR APPEAL (Please be specific, additional sheets may be used with preparer's signature notarized): 1. An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby prope~n~'Yfff g~ted, iOecause: 2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to p~.~,mue, other than an area variance, because: _ 3. The amount of relief requested is not substantial because: 4. The variance will NOT have an adze effect or impsO& the physical or enviromental conditions b e neighborhood or district because: 5. Has the alleged difficulty been self created? { } Yes, or {/No Why: Are there any Covenants or Restrictions concerning this land? [~No { } Yes (please furnish a copy) This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the character of the neighborhood and the health, safety and welfare of the cunmmuity. Sworn to b~fore me this ~licant or Authorized Agent (Agent must submit wffiten Authorization fi.om Owner) APPLICANT'S PROJECT DESCRIPTION APPLICANT: ~q~-~ }'~C~.tr},'~ DATE PREPARED: 1. For Demolition of Existing Building Areas Please describe areas being removed: HO ~._d~611 hOY'~ H. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extensi.on:. ~,~f~ NJ O.~/kl ]~- Dimensions of new second floor. ~.0 Dimensions of floor above second level: Height (fi.om finished ground to top of ridge): Is basement or lowest floor area being constructed? .If yes, please pro~d¢ height (above ground) measured from natural existing grade to first floor: HI. Proposed Construction Description (AlteratiOns or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: Number of Floors and Changes WITH Alterations: IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: Proposed increase of building coverage: Square footage of your lot: Percentage of coverage of your lot by building area: V. Purpose of New Construction: E Dtc b',t tcLe. VI. Please describe the land contours (flat, slope %, heavily wooded, marsh area, etc.) on your land and how it relates to t_he difficulty in meeting the code r~equire?_ eat (s): Please submit 8 sets of photos, labeled to show different angles of yard areas after staking corners for new construction, and photos of building area to be altered with yard view. 4,2012 ~O b t&nq t,> Io<,n-q conducted QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION Is the subject premises listed on the real estate market for sale? Yes X No B. Are there ~-. any proposals to change or alter land contours? ~ 1~o ' Yes please explain on attached sheet. 1.) Are there areas that contain sand or wetland grasses?to,~.~_ O~ 2.) Are those areas shown on the survey submitted with this application? 3.) Is theproperty bulk headed between tho wetlands area and the upland bul'lding area? ~-~(~ 4.) If your-property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination ofjurisdict3p~n? L~. Please confirm status of your inquiry or application with the Trustees: ~-~t~- 0.~0~q)~_ and if issued, please attach copies of permit with conditions and approved survey. Is there a depression or sloping elevation near tlie ar~a of proposed construction at or below five feet above mean sea level? Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting?. ~) Please show area of the structures on a diagram if any exist or state none on the above line. Do you have any construction taking place at this time concerning your premises? yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: If Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. Do you or any co-owner also own other land adjoining or close to this parcel? If yes, please label the proximity of your lands on your survey. P~exr~ase list present use or operations conducted at this parcel ~/tOh fftox 5lff-)°xLlL ~, ~ ~d the proposed useO( ~ ~ ~OC . (cx: cxisth8 s~glc f~ily, pro~d: s~c with pool or other) AGKICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: Th/s form must be completed by the applicant for any special use permit, site p. inn appr. o. val, use variance, area variance or subdivision approval on property within an a~rlru!tural d.~_lstrwt OR within 500feet ofa farrn operation located in an agricultural distrlca All ~pplications requiring an agriculturat data statement must be referred to the Suffolk Coun~ Department of Planning in accordance with Section 239m and 259n of the General Munic~al Law. 1. NameofApplicant: ~,~{ 2. AddressofApplicant: I,:~ )t.~..,~ ~ ~lg'~,t~% ~t~"~ gA--f_ 3. Name of Land Owner (if other than AppliCant): ~Z~'~.~ ' 4. Address of Land Owner: ,~..~ 5. Description of Proposed 6. Location of Property: (road and Tax map Is th.e parcel within 500 feet ora farm operation? { } Yes ~/~ No Is thts parcel actively farmed? { } Yes ~No '1' Name and addresses of any owner(s) of lan[:l within the agricultural dislxict containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff, it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937) or from the Real Property Tax Office located in Riverheadl NAME and ADDRESS (Please use the back of this page if there are additional property owners) Signature of ~ Date Note: I. Fhe local Board will solicit comments from the owners of land identified above in order to consider the effect of thc propo$od a~tion on thait latin operation. Solicitations will be made by supplying a copy of this statmlcnt. 2. Commcnts returned to the Ioc~ Bonrd will be taken into consideration M part as the overall review of this application. 3. Copies of thc completed Agricultural Data Statement shall be sent by applicant to the properly owners identified above. The cost for mailing shall be paid by the Applicant nt the time thc application is submitted for review 617,20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION ~o be completed by Applicant or Project Sponsor) 1. APPL CANT/SPONSOR 12. PROJECT NAME D n cl cc c orr ! 5. PROPOSED ACTION IS: 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. ~U.~ROPOSED ^CT,O. COMPL* mT. EX,S~NG ZO.,NG O. O.HER ~,ST,NG mD ~SE .~STR~CTIO.S? 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~Residendal E]lm:lust~al E] Commercial E]Aglicuiture E~Park/ForesliopenSpace E]Othe, Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes ~l~ No If Yes, Hst agency(s) name ami permif/approvals: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~Yes [] NO If Yes, list and permli/approvals: 12. AS A RESULT OF.PROPOSED ACT ON WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? I If the ectlon i~ In the Coastal Aree. and you ere · etate a~ency, complete the Coastal Ae~e~ment Form before proceedlno with tEle asseesment OVER 1 .PART II - IMPACT ASSESSMENT (To be completed by Lead A~encT) ~.. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. r~Yes ~No B. V~LL ACTION RECEIVE COORDINATED REVIBNAS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR PART 617 67 If No. a negative de,.~damfion may_~ superseded by anethor involved agency. ' * * I lYes ~'No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WTrH THE FOLLOWING: (Answers may be handwritten, if legible) C1. F_~ air quality, surfaco or groundwater quality or quantity, noise levets, existing irafrm pastern, solid waste production or disposal, potential for erosion, drainage or flooding pr(Yolems? Explain txtet~. C2. Aesthetic. agricultural amhasulogical, historic, or other natural or c~tural resources; or community or neighborhood character? F-~q~ain bee~. (:;3. Vegetadon or fauna, fish, sha~lfish or ~'ld rife species, significant habitats, or threatened or endangered species? Explain bhelly: C4. A semmunkys existing plans or goais es officially adoptad, or a change in use or intensity of use of lar,:l or c~har natural mseorcos? Explain bK. eff/: C5. Growth, subsequent development, or related ac~h,tties likely to be induced by the proposed action? Explain b~felty: C6. Long lerm, short term. cumulath~e, or other effes~s not identitied in Cl-C57 Explain briefty: 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 b~ietiy: E. IS THERE. OR IS THERE LIKELY TO BE, CONTROVERSy RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] NO If Y~S, explain briefly: PART III * DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adveme effect identified above, determine whether it is substantial, large, important or otherwise signiflcanL Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) dumlJon; (d) irreversibility; (e) geographic scope; and (0 magnitude. If necessary, add attachments or reference supporting materials. Ensure thai explanations contain sufficient detail to show that ati reiovent adveme impacts have been identified and adequately eddmssed. If question D of Part II was checked yes, the determination ol'significance must evaluate the potentfal Impact of the proposed action on the environmental charactedsflcs of Ihs CEA. ['-I ~c?~c-k--~?b~x~fy~uheveidentiitedos~orm~rep~t~n~la~ylarge~r~igrd~osn~adverse~m"ctswhishMAYososr ThenproceeddlmctlytothaFUU [] Chec~ this bex if you have determined, bssed on the intormaflon and analyNs abeve and any supportthg documentatine, that the pmposad actlne WIL[ NOT result in any slgfliflcant adverse eflvkonmentel Impac~ AND provide, off attecflmenl~ se necessary, the masuna suppoding Ihi~ delarminsllos Name of Lead Agency Prlct or Tye~ Name of Rosponllb~ Off. ca' In Lead Agent/ Signalure of Re~pneal~e Oiflcer la Lead Agency Date ~ of Respon~ela Offer $1gnstu,'e of Preparer (if different f~om r~ officer) APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Soulhold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAM~: ~'~ (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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Variance )~ Change of Zone Approval of Plat Other (activity) Building Permit Trustee Permit Coastal Erosion Mooring Planning 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. YES NO ~ If yon 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 that 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 Submiitedthls ~- dayo]~Lf ,20~~- Signature /~/~ '~'-~--~ r 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 arm 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# The Application has been submitted to (check appropriate response): TownBoard [] PianningOep,. [-~ 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: _ Location oraction: Site acreage: Present land use: ~3t%~1~ ~b[q. ~rk~q~ Present zoning elassitication: ~ 12~LLYs. ~-L 0_~ If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Co) Mailing address: (c) Telephone number: Area Code ( ) (d) Application number, if any:_ Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [~ No [] Ir'yes, which state or federal agency?_ DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use ora coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes []No ~l~ (No! Applicable- please explain) Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section H1 - Policies Pages 3 through 6 for evaluation criteria [] Yes ~ No ~(Not applicable - please explain) A1~ach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH - Policies Pages 6 through 7 for evaluation criteria ~7 Yes [] No [] (Not Applicable - please explain) 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) Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~ Yes [] No ~ (Not Applicable- please explain) At~ach 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 II1 - Policies; Pages 22 through 32 for evaluation criteria. ~ Yes [] No~ (Not Applicable- please explain) Attach additional sh~rs if nceessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section HI - 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) 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 HI - Policies; Pages 34 through 38 for evaluation criteria. Yes ~ No ~ (Not Applicable - please explain) 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 Southoid. See LWRP Section Ill - Policies; Pages 38 through 46 for evaluation criteria. [] Ye~ No ~. (Not Applicable- please explain) Attach additional sheets if necessary WORKING COAST POLICIES TOWN OF SouTHOLD PROPERTY RECORD CARD OWNER _ FQR.MER OWNER~nr~ ~ RES. VL STRE~ /._,..D VILLAGE W DISTRICT SUB. TYPE OF BUILDING LOT LAND lOoo /0-04 TOTAL 3F,--, J FARM DATE COMM. IND. CB. MISC. I &t..Mkt. Value AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Tillabte Tillable 2 Tillable 3 Woodland Swampland Value Per Acre Brushland . House Plot Total Acre Value FRONTAGE ON ROAD BULKHEAD ~. ~ DOCK Extension . $ "-! ,7.~, o· ~ Basement ~Pl ~/'-, Floors ! Extensi~ . Ext, Walls ~ Interio~ ~inish [xteml~ ~ [ire Place ~ ~ ~ ~ Heat '~ ~'~' / ~ ' f~ X ~' Porc~ ~& Roo~ Ist Floor Breezew~ ~ ~ / ~ ~ r Patio Rooms ~2nd Flor ~arage , '~ Drivew~ Dorme~ James F. King, President Bob Ghosio, Jr., V/ce-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. BOx 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7789A Date of Receipt of Application: May 1, 2012 Applicant: Daniel McGovern SCTM#: 77-1-4 Project Location: 830 Oak Ave., Southold Date of Resolution/Issuance: May 16, 2012 Date of Expiration: May 16, 2014 Reviewed by: Board of Trustees Project Description: To construct two (2) ground-level decks (side by side) 8'X 12' and 12'X 26'. Smaller deck at base of steps and larger deck across back of house. 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 application received on May 1,2012 and plans stamped approved on May 16, 2012. 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 $outhold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Board of Trustees 'MAP OF PI~OPERTY -" SLIiTVEYED ALFONSO J",~ · ,_ .. ANN . TQV,/N OF,..5OUTNOr I, LOT N_O~,~FEt2_ ~:':L: R LO'~:6 N, · NeW;'~'~ork State Department of Environmental Conservation 'Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631)444-0365 · FAX: (631)444-0360 Website: www.dec.state.ny.us Erin M. Cmt~y Commissioner Ms. Catherine A. McGovern Lucarelli 138 Fifth Ave Kings Park, NY 11754 February 15, 2002 Re: NYSDEC Permit # 1-4738-02972/00001 830 Oak Ave Southold NY Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. R~Vf EVDep~ty Rae~,onal Permit Administrator NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738-02972/00001 FACILITY/PROGP-%M NITMBER(S) TYPE OF PEP~MIT · New [] Renewal PERMIT EFFECTIVE DATE February 15, 2002 EXPIRATION DATE(S) February 15, 2012 · Article 15, Title 5: Pro- tection of Waters [] Article 15, Title 15: Water Supply D Article 15, Title Water Transport D Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers · 6NYCRR 608: Water Quality Certification D Article 17, Titles 7, 8: SPDES ~ Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Recla~- tion [] Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [] Permit to Operate [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management D Article 27, Title 9; 6NYCRR 373: Hazard- ous Waste Management [] Article 34: Coastal Ero- sion Management Article 36: Floodplain Management [] Articles 1, 3~ 17, 19, 27, 37; 6LIYCR/{ 380: Radiation Control PERMIT ISSUED TO Catherine A. McGovern Lucarelli ADDRESS OF PERMITTEE 138 Fifth Ave., Kings Park, NY 11754 TELEPHONE NL94BER 631 361 633~ CONTACT PERSON FOR PERMITTED WORK J.M.O. Consulting NA/4E ~ ADDRESS OF PROJECT/FACILITY Lucarelli Property TELEPHONE NUMBER 631 653 0607 LOCATION OF PROJECT/FACILITY COUNTY I TOWN Suffolk 830 Oak Ave., Southold SCTM # 1000-77-1-4 WATERCOURSE Southold Goose Creek NYTM COORDINATES DESCRIPTIONOFAUTHORIZED ACTIVITY:Remove 70' of concrete bulkhead and construct in place 70' of bulkhead. Backfill new bulkhead with 20 cubic yards of clean fill from upland source. All work must be done in accordance with the attached plan prepared by JMO Consulting December 17, 2001 and stamped NYSDEC Approved February 15, 2002. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (ese pa~e 2 & 3) and any gpecf&l Conditions included as part of this permit. PERMIT ADMINISTP. ATOR: Roger Evans ADDRESS Bldg. #40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE February 15, 2002 Page 1 of 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS ~tem A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, agents, and assigns for all claims, suits, actions, damages, and costs of ever7 name and description, arising out of or resulting from the permittee's undertaking of activities or operation and maintenance of the facility or facilities authorized by the permit in compliance or non-compliance with the terms and conditions of the permit. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Pemfittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the dpadan dghts of others in order to perform the permitted work nor does it authorize the impairment of any dghts, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401 (3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permiffee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in wdting. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Admlnlstretor, Region 1, SUNY Bldg/140, Stony Brook, NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the dght to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations is found; b) the permit waa obtained by miarepraeentation or failure to disclose relevant facts; c) new matertal information Is discovered; or d) environmental conditions, relevant technology, or applicable law or regulation have materially changed since the permit was issued. DEC PERMIT NUMBER I PAGE _~. OF 4 ~ -47~38-02972/00001 I NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or wetfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obsf~ucfions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or dght to compensation shall accrue from any such damage. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restora the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 9. At least 48 hours prior to commencement of the project, the parmittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were preparad by JMO Consultinc. 1 DEC PERMIT NUMBER I PAGE_3_ OF 4 1-4738-02972/00001 ~ -- NEVV YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. Any debds or excess matedal from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debds is permitted in tidal wetlands and or protected buffer areas. 2. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 3. All peripheral berms, cofferdams, rock revetments, seawalls, gabions, bulkheads etc. shall be Completed pdor to placement of any fill matedal behind such stmcturas. 4. Equipment operation below apparent high water is sb'ictiy prohibited. 5. Bulkhead constructed directly adjacent to vegetated tidal wetlands shall be jetted in with no disturbance to the tidal wetland. Trenching is strictly prohibited. 6. Prior to any construction or removal of bulkheads and other shoreline stabilization structures all backfill shall be excavated landward of the bulkhead and retained so as not to enter the waterway, tidal wetland or protected buffer 7. There shall be no discharge of runoff or other effluent over or through any bulkhead or shoreline stabilization structure or into any tidal wetland or adjacent area. 8. Staked filter cloth shall be placed on the landward edge of the existing inter tidal marsh prior re commencement of regulated activities and remain in place in a functional condition until all activities are completed. DEC PERMIT NUMSER ~ PAGE 4 OF 4 1-4738-02972/00001 I BLKD TO BE RECON ~N PLACE' .Apphc~nt: Catherine A McOo~m Luc ' t. . , arelh ..ocati,.o~,. 830 Oak Avenue, Southold _?pose. Bulkhead recons~uction ~ J ' Datum: Apparent Low Water S.C.T. MNo, 1000-77-1.4 LOCUS: Applicant proposes to remove :t:70' of concrete bulkhead and to reconstruct in place ?0' of C-Loc 4500 Vinyl Sheathing and to backfill structure with +_ 20 c.y'. of clean sand to be trucked in from an uphmd site. At Goose Creek, Southold, Town of Southold, Suffolk County. New York. APPROVED AS P~R AND CONDITION~ 13.1