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HomeMy WebLinkAboutStefanides, DeanBOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7283 DATE: APRIL 21 ISSUED TO: DEAN STEFANIDES PROPERTY ADDRESS: SCTM# 31-18-17 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 21, 2010, and in consideration of application fee in the sum of $500.00 paid by Dean Stefanides and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trastees authorizes and permits the following: Wetland Permit to remove one existing dormer on the north side and create a dormer with cathedral ceiling, install new windows and exterior doors, new siding and roof shingles, and add a 4'x8' drywell for roof run-off, and as depicted on the site plan prepared by Mark Schwartz, AIA, received on February 4, 2010, and stamped approved on May 5, 2010. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee Dean Stefanides, residing at 780 Rabbit ! .ane, East Marion, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and Iow water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittec of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town H~lAnnex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT .~J Permit #: 7283C J ,,'~('6 ,~p~. Date: April 21, 2010 ~'~/ _ nlp~-' .~C)~_~ Name of ApplicanYAgent: Msrk Schws~, AIA Neme of Permittee: Dean Stefenides Address of Permi~ee: 455 Esst 5~~ Street, Apt. A, New York, NY ~0022 Prope~ Locsted: 780 R3bbit Lsne, Esst M~rion, New York ~ ~935 DESCRIPTION OF ACTIVITY: Coastal Erosion Permit to remove one existing dormer on the no~h side end creste a dormer with csthedral ceiling, install new windows and exterior doors, new siding end roof shingles, znd zdd e 4'x8' d~well for roof run-off. The Cosstal Erosion Msnsgement Permit allows for the operations as indicated on the site plen prepered by Mark Schws~, AIA, received on Februs~ 4, 20~0, end stamped spproved on May 5, 2010. Permit to construct and complete project will expire ~o years from the date the permit is signed. INSPECTION: Final Inspection SPECIAL CONDITIONS: (apply if marked) N/A Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. N/A A relocation agreement is attached hereto and is a necessary special condition of this permit. N/A A maintenance agreement is attached with application and is a necessa~ special condition of this permit. ~ill M. Doh~dent Board of Trustees SURVEY OF PROPERTY :£ITLM T£ EAST MAR[ON TOWN OF- $OUTNOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-31-18-17 SCALE I "=30' JULY 24, 2009 AREA = 7.0~3 sq. fl. D~,~, i,,.I '~TP_-.FA M 119~ ,&PPROVED BY ~ 2'~'~hD OF TRUSTEES · ©WN OF SOUTHOLD Nathan~Corwin III Land Surveyor PHONE (631)727-2090 F~x (65;)727-1727 29 1~5 .% % .-.9 Nathan TaFt Corwln III Land .~urvm~lor Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 1197t Telephone (631) 765-1892 Fax (631) 765~5641 BOARD OF TO'NN 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 ½ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7283 DATE: APRIL 21~ 2010 ISSUED TO: DEAN STEFANIDES PROPERTY ADDRESS: 780 RABBIT LANE, EAST MARION SCTM# 31-18-17 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meetring held on A_oril 21,2010. and in consideration of application fee in the sum of $500.00 paid by Dean Stet'anides and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove one existing dormer on the north side: and create a dormer with cathedral ceiling, install new windows and exterior doors} new s'iding and roof shingles, and add a 4'x8' drywell for roof run-off, and as depicted on the site plan prepared by Mark Schwartz, AIA, received on February 4, 2010} and stamped approved on May 5, 2010. ll'q WITNESS WHEREOF, the said Board of Trustoes hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee Dean Stefanides, residing at 780 Rabbit Lane, East Marion, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittec assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Permit #: 7283C Date: April 21, 2010 SCTM#: 31-18-17 Name of Applicant/Agent: Mark Schwartz, AIA Name of Permittee: Dean Stefanides Address of Permittee: 455 East 51st Street, Apt. A, New York, NY 10022 Property Lo~,ated: 780 Rabbit Lane, East Marion, New York 11935 DESCRIPTION OF ACTIVITY: Coastal Erosion Permit to remove one existing dormer on the north side and create a dormer with cathedral ceiling, install new windows and extedor doors, new siding and roof shingles, and add a 4'x8' drywell for roof run-off. The Coastal Erosion Management Permit allows for the operations as indicated on the site plan prepared by Mark Schwartz, AIA, received on February 4, 2010, and stamped approved on May 5, 2010. Permit to construct and complete project will expire two years from the date the permit is signed. INSPECTION: Final Inspection SPECIAL CONDITIONS: (apply if marked) N/A Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. N/A A relocation agreement is attached hereto and is a necessary special condition of this permit. N/A A maintenance agreement is attached with application and is a necessary special condition of this permit. ~ill M. Doh~dent Board of Trustees Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Brederneyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 Apdl 21, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Mark Schwartz, AIA P.O. Box 933 Cutchogue, NY 11935 RE: DEAN STEFANIDES 780 RABBIT LANE, EAST MARION SCTM# 31-18-17 Dear Mr. Schwartz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 21, 2010 regarding the above matter: WHEREAS, Mark Schwartz, AIA on behalf of DEAN STEFANIDES applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated February 4, 2010, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on Apdl 21, 2010, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 and Chapter 111 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of DEAN STEFANIDES to remove one existing dormer on the north side and create a dormer with cathedral ceiling, install new windows and exterior doom, new siding and roof shingles, and add a 4'x8' drywell for roof run-off, and as depicted on the site plan prepared by Mark Schwartz, AIA, received on February 4, 2010, and stamped approved on May 5, 2010. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, President, Board of Trustees JMD/eac Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 [) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated FL~o,o,,--,//'/. ~30/O has been reviewed by this Board at the regular meeting of /3r~,' ) ~31: ~o/o and your application has been approved pending the compietion of'the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of COnstruction ($50.00) __ ~ Constructed ($50.00) V/Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold.' The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: Jill M. Doherty, President Board of Trustees Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 1197} Telephone (63 I) 765-1892 Fax (631 ) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., April 14, 2010, the following recommendation was made: Moved by Greta Schiller, seconded by Anne Trimble, it was RESOLVED to SUPPORT the Wetland Permit and Coastal Erosion Permit applications of DEAN STEFANIDES to remove one existing dormer on the north side and create a dormer with cathedral ceiling, install new windows and exterior doors, new siding and roof shingles, and add a 4'X 8' drywell for roof run-off. Located: 780 Rabbit Lane, East Marion. SCTM#31-18-17 Inspected by: Greta Schiller, Doug Hardy The CAC Supports the application, however, has a concern with the configuration of the existing bulkhead. Vote of Council: Ayes: All Motion Carried Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio. J~. JO]lB Bredemeym P.O. Box 1179 Southold. NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: DEAN STEFANIDES requests a Wetland Permit and Coastal Erosion Permit to remove one existing dormer on the north side and create a dormer with cathedral ceiling, install new windows and exterior doors, new siding and roof shingles, and add a 4'X 8' drywell for roof run-off. Located: 780 Rabbit Lane, East Marion. SCTM#31-18-17 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound "/'Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ¢"Chapt.275 /Chapt. 111 other Type of Application: l'/'-Wetland C/Coastal Erosion __Administrative__Emergency __ Amendment Pre-Submission Violation Info needed: Fo. Modifications: Present Were: __&King __J.Doherty ¢"'J. Bredemeyer B.Ghosio, D. Dzenkowski other Form fill~h~e,~~~ ~ Mailed/Faxed to: Date: D. Bergen__ OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING Al)DRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: April 19, 2010 Re: Proposed Wetland Permit for DEAN STEFANIDES SCTM# 1000-31-18-17 Mark Schwartz, AIA on behalf of DEAN STEFANIDES requests a Wetland Permit and Coastal Erosion Permit to remove one existing dormer on the north side and create a dormer with cathedral ceiling, install new windows and exterior doom, new siding and roof shingles, and add a 4'X 8' drywell for roof run-off. Located: 780 Rabbit Lane, East Marion. SCTM1000-31- 18-17 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 ACTIONSitem II wh'ch states: II. Additions to an existing building or rebuilt residential structure which results in no net increase in ground area coverage, except where the parcel is located in a coastal erosion hazard area; Cc: Lori Hulse, Assistant Town Attorney BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Oflke Use Only A~CwOaStal Erosion Permit Application etland Permit Application Administxative Permit AmendmentJTransf~r/Extension ~/'Received Application: .Sil ql { ~) ~./R~:eived Fee:$ .Q 5'X)'- ~' Completed Appff~ation ' ~ __Incomplete __SEQRA Classification: Type I Type Il ~'~ Unlisted Cgordination:(date sent) --~AC Referral Sent: q~13 --,.A~ate of Inspection: q'~ ~q [ ~ __Receipt of CAC Report: __Lead Agency DetermInation:__ Technical Review: ~_.Pu'blic Hearmg Held: q ~% % %0 Resolution: Name of Applicant Dean Stefanides Address 455 East 51st Street Apt A NY, NY 10022 Phone Number:( ) 917-678- 6980 Suffolk County Tax Map Number: 1000 - 31 - 18 - 17 Property Location: 780 Rabbit Lane East Marion 750' east of the end of Bay Avenue ~rovideLILCO Pole#,distancetocrossstree~,andlocmion) AGENT: Mark Rmhwmrtz - Ar~hitm~t (If applicable) Ad.ess: PO Box 933 Cutchoque 11935 Phone: 734-4185 of Trustees Applicat0 Land Area (in square feet):~ Area Zoning:. R40 7,013 GENERAL DATA Previous use of property: single family residential Intended use of properS: same Prior permits/approvals for site improvements: Agency Trustees #E31-18-17 Trustees #4651 Date 12/21/92 repair bulkhead 09/26/96 bulkhead,stairs,deck,jetty __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): remove one existinq dormer on the north side and create a new dormer with cathedral ceiling, install new windows and exterior doors new siding and roof shingles. Add 4' x 8' drywell for roof runoff. of Trustees ApplicatO COASTAL EROSION APPLICATION DATA Purposes ofproposed activity: to slightly expand the second floor area and improve the windows, siding and roofing Are wetlands present within 100 feet of the proposed activity? No X Yes Does the project involve excavation or filling? No × Yes If Yes, how much material will be excavated? 18 _(cubic yards) How much material will be filled? 18 .(cubic yards) Manner in which material will be removed or deposited: small bobcat type machine for excavation for a new 4 ' x 8' drywell for roof runoff Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) No impact to the environment. There will be minor excavation of the existing site and the construction materials and debris will be contained and removed as necessary to keep a clean site. of Trustees Applicat0 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose oftheproposedoperations: to slightly expand the second floor area ~nd improve the windows, siding and roofing Area of wetlands on lot: 915 .square feet Percent coverage of lot: 13 % Closest distance between nearest existing structure and upland edge of wetlands: 24.1 feet Closest distance between nearest proposed structure and upland edge of wetlands: same feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? 18 How much material will be filled? 18 cubic yards cubic yards Depth of which material will be removed or deposited: 5 ' feet Proposed slope throughout the area of operations: sliqht slope Manner in which material will be removed or deposited: small bobcat type machine 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): No impact on the wetlands. There will be excavation for one 4' x 8' drywell and the construction materials will be contained and removed. PROJECThD. NUMSER 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only .PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) · '1. APPLICANT/SPONSOR I 2. PROJECT NAME Dean Stefanides by Mark Schwartz 3, PROJECT LOCATION: Munl¢ll~allty East Marion County Suffolk 780 Rabbit Lane East Marion, south end of Bay Avenue, 750' NY (SCTM#1000-31-18-17)located at the to the east SEQR 5. IS PROPOSED ACTION: L'~ New [~ Ex!~n$1on [] Mo~lflcatlon/allerallon 6. DESCRIBE PROJECT BRIEFLY: remove a dormer on the north side and construct a larger dormer with a cathedral ceiling, install new windows, exterior doors, siding and roof shingles 7. AMOUNT'O~ ~ANC AFFECTED: 0.0 0.0 8. WILL P~OPO~ A~i'ION COMPLY WITH ~I~ING Z~tNG OR ~H~ ~Yes ~No IINo.~H~f~ Proposed construction is within 75' of the existin~ bulkhead - requires Zonin~ Board Review and g. WHAT IS ~ENT ~ND USE IN Vla"~ ~ ~E~? 10, OOES ACTION INVOLVE A PERMiT APPROVAl.. OR FUNOINC~ ~ OR ULTIMATELY FROM ANY OTHER GOVEIqNMEN'rAL AGENCY (FEDERAL, STATE on LOCAl.}? [2] y. [] No If y~i, lilt agma~-y(m) I~l p~mlt/mpp~mll 00~A~A.%~'rOFTHEA~'ION R~A ~I~R~ITLYVNJD~RMI~ORAI~.OVA~ ~y. ~ lf~ll.t~~e.~pm~Southold ZBA, Trustees and Bldg Dept, NYSDEC and Suffoly Cty Dept of Health ~. ~ ^ .~ULT OF ~.OS~ ACT,ON ~LL .X,S~.~ ~.~,.~AL ~.~ ~0.~ I CE~ ~AT THE INF~A~N P~ ~E IS ~ ~ ~E E~ OF MY ~E Mark Schwartz/- ~itect ~,. S~natu~ ~ If the action is in the Coastal Ama, and you am a stats agency, complete the Coastal ~aessment Fo~ before p~ing with this assessment PART I! - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL FAF. [] Yes [] NO B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If NO, a negative denfarefion may be superseded by another involved agency. ~-I Yes ['~-I No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Exls6ng air quality, surface or groundwater quality or quartflty, noise levels, existing traffic pettem, solid waste prnduc~en or disposal, potential for erosion, drainage or flooding problems? Explain bdefiy: C2. Aesthetic, egdcultural, archaeslegical, historic, or other nalurel or cufiuml msuurcss; or community or nelghbodlood charecter? Explain bdefly: I?° C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: G4. A commune's e~i~fing plans or gmi~ as off~all~ adopt~:l, or a change in u~ ~ intessi~ oI u~ o~ land or other natural r~our~s? I C5. Gro~h, r~bseqsent development, or ~tst~ acli~ifies li~ely to be induced by the pm~-~d a~co? F~lele br~fiy: ° C6. Loeg term, ~bort tenn. comulativo, or other e~,cls not idenfif~d in C14gfi? E~ain b~ly: C7. Other ;,ipa~ linctudin~l chances in use of either quenfit~ or t~ of ene~? r:~dr ~!~ brlefl)': D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? if }~SS explain: PART I1! - 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) irrevereibility; (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 ident~ed and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact ofthe proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially lelge or significant adveme impacts which MAY occur. Then proceed directly to the FUL FAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any suppodi~lg documantafion, that the propesed acfio WILL NOT result In any significant adverse environmental irepects AND provide, on attachments as necessary, the raasuns supporting tht determination. Board of Trustees Name of Lead Agency Jill .M. Doherty  dnt or Type Name of Responsible Officer in Lead Agency  Sig~ature of, R'espon~lble O~r in Lead Agency President Title of Responsible Officer Signature of Preparer (If differord from responsible officer) Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOW~ TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of DEAN STEFANIDES COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~.~ ~'~.~/'~.~t [ , residing at /dba ~J:>4~?J-- being duly sworn, depose and say: That on theff4/~lay of ,4/a','~/C- ,2010, I personally posted the property known as by placing the Boa-rd/of Trustees o~fi-cial post-er where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public heating. Date of hearing noted thereon to be held Wed.~ April 21~ 2010 on or Dated: Sworn to before me this .:~O/~'day of~ '20fl/O (signature) ~ No~mty Public of Trustees Applicat0 Coun~ of Suffolk S~teofNew Yo~ Mark Schwartz BEINGDULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY T9 INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS ~l~~ v Sign~/ SWORN TO BEFORE ME THIS ¢~-- DAY OF~f~ ,20 /t O ~lq~o(ary Public LAUREN M. S]AND~Sh Nota~, Public, State of New Yor~ ['fo 01ST6164008 O~ali!ie, d in Suffolk County Commission Expires"Apri! 9, 20~ Dean Stefaifides 4,5,5 E51 Street New York, N.Y. 10022 March 10, 2009 To Whom It May Collcerll; 2010 I, Dean Stet~mi(tes, authorize Mark Schwartz, AIA - Architect, to act as agent for permit applications to the Southold Town Board of Trustees, New York State I)epartment ot' Environmental Conservation and Southold Town Zoning Board ot' Appeals ;u~tl the Soufl~old Building Department. The proposed resMenfial construction l)roject is located at 780 Rabbit Lane, East Marion, New York. Dean Stefanides February 1 lth, ~010 APPLICANT/AGENT/REPRESENTATIVE i''~ TRANSACTIONAL DISCLOSURE FORM/ i.~ The Town of Southold's Code of Ethics t~rohibits conflicts of interest on the part of town officers and emplo¥~e~?T~ of this form is to t~rovide information which can alert the town of rmssible conflicts of interest and allow it to take whatever a~t~o~'s"~,_~. YOUR NAME: (Last name, first name~ middle imtial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map ....... Planning Other (If"Other", name the activity.) Do you personally (or through your company, spouse~ sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO ~)~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicanffagenffrepresentative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or __D) lhe actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this/~day of Signature Pr'nt Name/-~) ~. ~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officem and employees. The ouroose of this form is to orovide information which can alert the town of ~ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. ~ (Last name, ~irst narhe, middle inttial, 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 of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO ~ lfyou 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 applicanffagent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in thc 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 thc applicant (when the applicant is a corporation); B) the legal or b~aeficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __.C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I STEFANIDES PROPERTY, Town of Southoid 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 To,am of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Depa~hnent, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 31 18 17 The Application has been submitted to (check appropriate response): TownBoard [-~ Planning Dept. ~-~ BuildingOept. ~-~ 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: remove a dormer on the north side, construct a larger dormer with a cathedral ceilinq, install new windows, exterior doors, siding and roofing. Location of action: 780 Rabbit Lane Site acreage:_ 0. 161 acres Present land use: East Marion sinqle family residential Present zoning classification: R40 If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Narne ofapplicant: Dean Stefanides (b) Mailing address: 455 East 51st St Apt A NY, NY 10022 (c) Telephone number: Area Code ( )_ 917 - 6 ? 8 - 6980 (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [~ No [~ If yes, which state or federal agency?_ DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section IH - Policies; Page 2 for evaluation criteria. ~ Yes [--] No ~ (Not Applicable - please explain) This project entails additions and alterations to a sinqle family dwellinq on a previously developed site in a heavily developed neighborhood. Policy 1 is not applicable to this project. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~ Yes ~-~ No ~'~ (Not Applicable - please explain) This project does not contain nor does the project affect historic or archeoloqical resources; nor is the project located in a historic maritime area. Policy 2 is not applicable to the project. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~ No [] (Not Applicable - please explain) To the extent that this policy is applicable to the proposed project, visual quality and scenic resources will be protected at the site throuqh the protection and maintenance of the existing site, decks and bulkhead that buffers the developed portion of the site from Orient Harbor. 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) This project does not address nor affect erosion control structures or other erosion/flooding control intitiatives. Policy 4 is not applicable to the project. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section Ill - Policies Pages 16 through 21 for evaluation criteria ~-~ Yes [] No ~ (Not Applicable - please explain) Th~ propo~d project 5s consistent with Policy 5 via 2 major components: 1. installation of drywells to control and recharqe stormwater runoff, 2. retention of the existing vegetation, decks and bulkhead on the site buffering the project from tidal wetlands, which is to be preserved permanentely and also protected from site disturbance durinq construction by a project-limitinq fence and staked haybales. A~chadditionalshe~sifneeessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes ~'~ No ~-~ (Not Applicable - please explain) This project will be consistent with Policy 6 for the same reasons as Policy 5. At~ach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. See Section III - Policies Pages; 34 through 38 for evaluation criteria. ~-~ Yes ~-~ No ~ (Not Applicable - please explain) The project will neither affect nor have an impact on air quality in the Town of Southold. Policy 7 is not applicable to this project. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Yes [] No ~ (Not Applicable - please explain) The project will neither create nor require the handling of solid waste or hazardous substances. Policy 8 is not applicable to the project. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southoid. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~-~ Yes~ No ~-~ (Not Applicable - please explain) As the project is limited to the upland portion of the property, landward of an embankment, public access and recreational use of the adjacent coastal waters and public lands and resources will not be affected by the project. Policy 9 is not applicable to the project. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southoid's water-dependent uses and promote of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. [] Yes ~'] No [] (Not Applicable- please explain) The project neither proposes nor affects the water-dependent uses. Policy 10 is not applicable to the project. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section Ill - Policies; Pages 57 through 62 for evaluation criteria. ~-~ Yes [] No ~ Not Applicable - please explain The project neither proposes nor affects commercial or recreational fisheries or other uses associated with the livinq marine resources of Lonq Island Sound Policy 11 is not applicable to the project. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~-~ Yes ~-~ No ~ Not Applicable - please explain The project is neither situated on nor adjacent to aqricultural lands. Policy 12 is not applicable to the project. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~ Yes ~-] No [] Not Applicable - please explain The project affects neither the use nor the development of enerqy and mineral resources. Policy 13 is not applicable to the project PREPARED BY ~~ , AIA Architect N 5UP-.VEY 01: I:'ROPEP,'P( EAST MARION Town of .~out:hold Suffolk Count:y, New York .5.C. TAX No. SCALE I" = 20' Area: 7,0 1 3 sq. E. or O. I G I acres 51TE PLAN Scale: I" = 20~ 41'36'1_9" E 9.12' (~} 51TE MAP ID(15TING R. O01= TO REMAIN ,=-XI~TING R. O0~ TO REMAIN EXISTING ROOF TO REMAIN ROOF FI_AN Scale: J/4" = I '-0" EXISTING FLOOR PLAN Scale: Y4" = I '-0" w! f~mF~r~ olas~ CP..la (2) CWI G ] WI N DOW REPLACEMENT PP-,.OPOSED FRONT ELEVATION Scale: ,!/4" = I'-0" FE3 / "' MARK SCHWARTZ ~ MAIN ROAD CUTCHOGUI~ ~ YORK 119~5 l~. PERMIT SET: Site Plan, Floor Plan~ Sections A-1 ~f rafte~ - typ. @ ~ G" O.C. (no~ apph~ble if color b~ are p~e~nO Pro.de al~rnabn~j HE # I'i I 0 or ~ual hurrlc~ strap~ I:o be roof rarer 5TI~??I NG DIAGRAM ToF, of ~lev. + 15'-I I~a "-+ '~ ' Top of Plab~ Top of ~ NeW Gambrel (~ EXISTING 5W SECTION 5cal~: }~" = I '-0" NW SECTION - DEMOLITION 5cal~:~" = I'-(~' PROPOSED 5W SECTION ,Scale: ~" = I '-0" PROPOSED NW SECTION Scale: Y4" = I '-0" MARK SCHWARTZ 23a~95 MAIN ROAD CUTCHOGUE NEW YOP~ O z' PERMIT SET: Site Plan, Floor Plan, Sections A-2 EXI`DTI NG `DW ELEVATION ,Scale: ~4" = I'-0" DEMOLITION `DW ELEVATION 5cale:/l~,I = ILO" F'RO?O`DED `DW ELEVATION 5cale:~" = I '-0" EXI`DTING NW ELEVATION 5~al~: ~4" = I'-0" DEMOLITION NW ELEVATION ,~cale: J/~" = ILO" w/t~mF~red ~Wss PROPO`DED NW ELEVATION 5cale:~" = I'-0" sd~n~j roof ~dd~bon EXI`DTING `DE ELEVATION 5ca1¢:~" = I'-0" to ~ removed DEMOLITION ,DE ELEVATION .Scale:~" = I'-0" ?R.OF'O`DED `DE ELEVATION MARK SCHWARTZ ~N'r~OP~ C~TCHOGL~ ~ YORK 119~ ~. ~1-~1~ PE~ SET: Eleva~om A-3