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HomeMy WebLinkAboutTR-6500 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375M~n Road P.O. Box 1179 Southold, NewYorkl1971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD CERTIFICATE OF COMPLIANCE # 0841C Date: February 21, 2013 THIS CERTIFIES that the demo of existing dwelling and construction of new dwelling with second-floor addition, new garage, front porch, raised patio, repair to foundation, pervious driveway, fill to reduce slopes and create swales to catch mn-off, installation of drywells, and 10' wide non-turf buffer At 350 West Lake Drive, Southold, New York Suffolk County Tax Map # 90-1-21 Conforms to the application for a Trustees Permit heretofore filed in this office Dated November 17, 2006 pursuant to which Trustees Wetland Permit #6500 Dated December 13, 2006, was issued and Amended on May 20, 2009 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the demo of existing dwelling and construction of new dwelling with second-floor addition, new garage, front porch, raised patio, repair to foundation, pervious driveway, fill to reduce slopes and create swales to catch nm-off, installation of drywells, and 10' wide non-turf buffer. The certificate is issued to NANCY CARROLL owner of the aforesaid property. ed Signati~re M. Doherty, President nes F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town HallAnnex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD DATE OFINSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE INSPECTED BY: COMMENTS: __ Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ¼ constructed ~//Project complete, compliance inspection. CERTIFICATE OF COMPLIANCE: James F. King, P~sidcnt Jill M. Dohe~:y, Vice-President Peggy A. Dick~rson Bob GhosiO~ Jr. Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (6311 765-1892 Fax (631) 765.~:~41 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE INSPECTED BY: COMMENTS: Pre-construction, hay bale line/silt ooom/silt curtain I st day of construction ½ constructed \/Project complete, compliance inspection. CERTIFICATE OF COMPLIANCE: CC #: C12-26439 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in myoffice on07/05/2012 under Liber D000'12698 and Page 302 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 0710512012 SUFFOLK COUNTY CLERK JUDITH A. PASCALF: SEAL DEC 2] 202 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Number of Pages: 4 Receipt N,,mher : 12-0076145 District: 1000 Recorded: At: 07/05/2012 11:43:42 AM Page/Filing COE TP-584 Cert. Copies Received the Following Fees For Above Instrument Exempt Exempt $20.00 NO Handling $20.00 NO $5.00 NO NYS SRCHG $15.00 NO $0.00 NO Notation $0.00 NO $5.00 NO RPT $60.00 NO Fees Paid $125.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County LIBER: D00012698 PAGE: 302 Section: Block: Lot: 090.00 01.00 021.000 EXAMINED AND CHARGED AS FOLLOWS EAST COAST ABSTRACT, INC. as authorized agent for: FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK TITLE NO. ECA 32971 (505-S-~414) SC~D~EA ALL that certain plot, piece or parcel of land together with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot No. 122 on a certain map entitled, "Sub-division Map of Cedar Beach Park, situate at Bay'view, Town of Southold, New York made by Otto W. Van Tuyl, Professional Engineer and Surveyor, Greenport, New York," and filed in the Office of the Clerk of the County of Suffolk as Map No. 90 oaDeeember 20, 1927 bounded and described as follows: BEGINNING at a point on the southerly side of West Lake Drive where the division line between ts ~.~nd Lot~122 intersect same, said paint being distant 284.38 feet easterly as per filed ma zr~l~ ong ~'corner tormed by the intersection of the easterly side of Little Peconic Bay Lane and thep southerly side of West Lake Drive;. RUNNING THENCE south 67 degrees 25 minuies 20 seconds East,'100.00 feet; THENCE south 21 degrees 14 minutes 40 seconds West' 126.24 feet to the wood bulkhead and apparent high water llne, (150.00 feet file map); TI'IENCE along said wood bulkhead and apparent high water line as of 11/22/01 and along a tie line having a course bearing north 37 degrees 57 minutes 23 seconds West 99.98 feet (North 67 degrees 25 minutes 20 seconds West 100.00 file map); THENCE north 21 degrees 14 minutes 40 seconds East 127.18 feet (150.00/'fie map) to the southerly side of West Lake Drive to the point or place of BEGINNING. Said Premises Known as: 350 West Lake Drive, Southold, New York DisU'ict: 1000 Section: 090.00 Block: 01.00 Lot: 021.000 For conveyancing only, if intended to be conveyed. Together with all right, title and interest of, in and to any streets and roads abutting the above described premises, to the center line thereof. 2) defined by Chapter 275 of the Town Cede; and as depicted on survey/sit~ plan last dated 01/02/2007 and stamped approved on 10/20/2006; and These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) day of ,~/~.w~. ~ ~ 20/~ has/have duly executed this instrument O~ER'S SIGNATURE ~ER ' S SIGNATURE this STATE 0F COUNTY OF~ On ~hJ~day of ~~_ in the u~dersig~ed, a Notary Pub~ '~nd for said Stat?ar 20W, before me the ~ ~ ~// erso - , personally appeared . . , P ~ally ~o~ tu me or proved to saris ctory evidence to m~ ~m~ ~ '= ~ ~ , ~ me on the basis of ~= =~= ~nu~vluuaz%s~ wnose n~e(s) is/are subscribed to the within instr~ent and ac~owledged to me tha~ he/she/they executed the s~e in his/her/their 'capacity, and that by his/her/their signature(s) on the instr~en5, ~he individual or the persons on behalf of which the individual(s) acted, executed the ins[r~enS. N/~ Public DECLAR3ITION OF COVENANTS THIS DECLAR3~TION made this residing at 620 East 20th Street, as "DECLARANT(S)". 2nd day of July, 2012, by Nancy L. Carroll, ~M]D, New York, NY 10009, hereinafter referred to W I TNE S SETH : WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located on 350 West Lake Drive, Southold, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 90, Block 01, Lot 21 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Tow~ of Southold (hereinafter the ~'Trustees~) pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required a ten foot "non-turf buffer" adjacent to and landward of the bulkhead. NOW, follows: 1) THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained a ten foot, non-turf buffer adjacent to the bulkhead, "non-turf buffer" as Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instmment Page / Filing Fee ~ 20. 00 Deed / Mortgage Tax Stamp FEES Handling TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. Affidavit Certified Copy NYS Surcharge Other 5. 00 15. 00 I 4 I Dist. Real Propert Tax Service Agency Verification SubTotal Sub Total Grand Total 1000 09000 0100 021000 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Mail to: Judith A. Pascale, Suffolk County Clerk 1C7o[ 310 Center Drive, Riverhead, NY 11901 .Name www.suffolkcountyny, gov/clerk ] Tide # RE' _- RB El, 23.2 ~' · .=i!i '.., IL i Cl~ , 1. *..:,. JUE:,/TH R. F'~qSCRLE CLERK OF '_-',U F FOLI<: COUNTY L '~,I3CICi 1 sJ6'9,9 F' 3O2 Recording / Filing Stamps Mortgage Amt. l. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County__ Held for Appointment Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO IIf NO, see appropriate tax clause on page # ___2_,~-~f~,is instrument. . 5 [Community Preservation Fund Consideration Amount $ CPF Tax Due $ Improved Vacant Land Title Company Informot!on The premises herein is situated in SUIq~'OLK COUNTY, NEW YORK. TO In the TOWN of :<~'x/~ff~ ~ In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) Suffolk County Recording & Endorsement Page This page forms part of the attached ~'~t~:~X.~t4?Ft4 ~t6) /~: ~TF~(J4/~J--~ ~nadeby: (SPECIFY TYPE O~F INSTRUMENT) James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 May 20,2009 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Mr. Franz Fenkl Shelter Island Design & Build, Inc. 11 Steams Point Rd. P.O. Box 363 Shelter Island Heights, NY 11965-0363 RE: NANCY CARROLL 350 WEST LAKE DR., SOUTHOLD SCTM#90-1-21 Dear Mr. Fenkl: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., May 20, 2009: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Permit #6500 to install a pervious driveway, and bdng in fill to reduce the slopes and create swales to catch run-off, and as depicted on the site plan prepared by The Green Frame Landscape Design dated April 9, 2009. This is not a determination from any other agency. Jame~ F. King, Presidefit Board of Trustees JFK:lms ~. ,,~.,,~ ..::: ..... ~:..: :::~~.~ ¥/~-~¢~ ,~ ~%.? j'.'.'.:.'.*.'.'.'~* ~.,.*~,-.'.',-.'.'.' :-.- ~.'.'. ~ I ..... ~ ~'" --~~' ' ~ APPROVED B James F. King, Jill M. Doherty, Vice~President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre"c°nstructi°n, haybaleline~/'?~10~' Ol~ ~'~ 1st day of construction % constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6500 DATE: December 13~ 2006 ISSUED TO: Nancy Carroll PROPERTY ADDRESS: 350 West Lake Drive~ Southold SCTM # 90-1-21 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 December 13, 2006, and in consideration of application fee in the sum of $250.00 paid by Nancy Carroll and subject to the Terms and Conditions as stated in and permits the following: Wetland Permit to demolish the existing dwelling and construct a new dwelling with a second-floor addition, new 16'X 24' garage, 8'X 58.3' front porch and 13'X 39' raised patio, and repair foundation, with the conditions of drywells to contain all roof runoff, a hay bale lin during construction, a 10' non turf buffer, and all as depicted on the plans prepared by Rober Tast Architect last revised October 16, 2006. 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. - oo6 - TERMS AND CONDITIONS The Permittee, Nancy Carroll, 350 West Lake Drive, Southold, 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. 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 13, 2006 Nancy L. Carroll 620 East 20th Street #MD New York, NY 10009 RE: NANCY CARROLL 350 WEST LAKE DRIVE, SOUTHOLD SCTM# 90-'1-21 Dear Ms. Carroll: The Board of Town Trustees took the following action during its regular meeting held on Wed., December 13, 2006 regarding the above matter: WHEREAS, NANCY CARROLL applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated November 17, 2006, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the Board of Trustees has furthered Policy 6 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the installation of drywells to contain the roof run-off, the installation of a hay bale line during construction, and a non turf buffer, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 13, 2006, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirements imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of NANCY CARROLL to demolish the existing dwelling and construct a new dwelling with a second-floor addition, new 16'X 24' garage, 8'X 58.3' front porch and 13'X 39' raised patio, and repair foundation, with the conditions of drywells to contain all roof runoff, a hay bale line during construction, a 10' non turf buffer, and all as depicted on the plans prepared by Robert Tast Architect last revised October 16, 2006. 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: $100.00 James F. King President, Board of Trustees JFK/hkc PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 Margaret Rutkowski Betsey Perkins Secretaries December 7, 2006 Southold Town Trustees P.O.Box 1179 Southold Town Hall Main Road, Southold, NY 11971 Re: 1000-90-1-21 Nancy Carroll Dear President King and Board: Assistant Town Attorney, Lori Montefusco suggested that I discuss a resolution of the criminal charges with an "ACOD", adjournment in contemplation of dismissal. In support ofthis position I would provide the Trustees with the following: The owner has a wetland permit for construction on her property, this permit was issued for the same building envelope and improvements after four separate applications to the Trustees: On January 23, 2002, after a public hearing, Permit #5481 was issued, on February 26, 2003 the Trustees granted an amendment to the permit to add the front porch. On January 19, 2005 the Board reviewed this application again and granted a one year extension to the permit. Same site plan submitted. In 2006 the applicant asked to extend the permit, the Board refused the extension and required the applicant to re-apply for a new permit. The same site plan was submitted. On March 22, 2006 the Trustees granted permit #6316 for the footprint of the house with the same conditions of a non-turf buffer and dry-wells. On August 8, 2006 a building permit was issued: the construction plans specifically identified demolition of most of first floor walls. The plans also described replacement of damaged "Floor Joist", as needed. Prior to construction the builder installed the haybales and requested an inspection of the staking. The builder was then authorized to begin. On or about October 12th, 2006 construction was started. Shortly atter construction began the builder began to see problems with the existing structure. The degree of damage could not be ascertained until the floor joists were exposed during construction (the first floor covered the floor joist). Once the floor joists were exposed, the general contractor Franz Fenkl, Shelter Island Design & Build, Inc, who is an experienced builder from Shelter Island and along the waterfront recognized the need to alert the building department to the existing conditions. On or about October 12th, he immediately went to the building department to identify the unanticipated structural problem. The Problem: The floor joist of the existing house had evidence of rot. Also, the foundation is a concrete block foundation, there was displacement of the masonry blocks (shifting and falling into basement). These conditions make the existing structure unsound. As soon as the excavator uncovered these conditions Mr Fenkl reported this problem to Damon Rallis. Damon advised that if the structure was unsound then replacement was necessary and appropriate. However, because of the wetland permit he directed Mr. Fenkl to the Trustees office to report the problem. He left the building department and reported to the Trustees office. Lauren properly advised Mr. Fenkle to apply for an amendment to the permit due to the unforseen structural condition of the joist and foundation. The contractor cleaned up the site and ceased further construction. An application for an amendment to the permit was filed immediately. The work was stopped the same day as the builder reported the problem to the Town. The architect provided to the building department and Trustees amended plans for the repair to the foundation and new first floor structure. The existing house has a 6' 8" basement and a concrete basement floor, three of the basement walls and the basement floor remain. The walls and slab of the existing garage could not be reused. The structural repairs which will be required to the existing foundation are shown on the attached drawing: the first two courses (16") out of the 10 courses of the existing foundation will need to be replaced, the existing block walls will be filled with cement and vertical bars. The existing footprint of the foundation of the proposed house has not changed throughout the permit process: the footprint has always included (1) the basement of the existing house, (2) the removed old slab under the existing garage (the area is part of the footprint of the proposed house) (3) a new garage and (4) new front & back porch. The property has bulkhead, drywells will be added to catch all water runoff, the sanitary is in the front yard, and a 10' nonturf buffer is shown on the plans. A criminal violation was issued on November 14, 2006 after the owner and builder had voluntarily stopped the work, notified the town and applied to the Trustees for an "amendment to the permit" for repairs to the existing foundation. All in good faith and as directed by Damon & Lauren. The owner did not intentionally demolish a house and have a new foundation dug. The area dug is the slab of the old garage (part of the main house) and the new garage. All work was consistent with the site plan. This owner had a valid permit, the work was in accordance with the permit but the condition of the foundation had to be exposed and reinforced. The owner requested an amendment before continuing the work. The construction remains within the footprint of the existing house, the excavation is for the new structures as shown on the permit (the garage& front porch) as shown on the permit since 2003. Three full walls of the existing house (South wall ~48, west wall ~34' and north wall ~36'- orange highlighter) remain and the basement floor of the existing house remain. The new garage was excavated and the exterior walls of the front porch were excavated (as shown on the permit). The Trustees jurisdiction is to review the permit for impact to the wetlands. The wetland permits have been issued and reissued three times because the property was developed, is protected by bulkhead and jetties. The lot is small, the house is in line with all the other homes on West Lake Drive, the rear deck was made smaller than the original deck and drywells and gutters are required. A nonturfbuffer is provided along the bulkhead. The sanitary is in the front yard. The owner got all the appropriate permits before construction. At the hearing for the amendment, the Trustees directed the owner to obtain a full permit. The construction has been stopped since October. A violation should never have been issued and an amendment to the existing permit should have been issued at the November meeting. We have proposed to the town attorney an ACOD "adjournment in contemplation of dismissal". We hope that given the efforts by the owner to obtain a permit to make the necessary repairs to the foundation, the Trustees will agree to an equatable resolution of the criminal charge. CCi Lori Montefusco Esq. Nancy Carroll Very truly yours, Patricia C. Moore m Ud c-' 0 > Y_ O°B SITE AREA PER FILED MAP PER TIE LINE TAX MAP ~ FILED MAP DATA FLOOD ZONE WATER SUPPLY OWNER SITE DATA 0.34 ACRES - 14,996 SQ. FT. 0.29 ACRES - 12,668 SQ. FT. 100 90 0t-21 LOT #122, MAP OF CEDAR BEACH PARK BAYVlEW, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK FILED MAP NO. 90 12-20-27 R/40 RESIDENTIAL "X" FIRM MAP #36103C0169G MAY 4, 1998 SUFFOLK COUNTY WATER AUTHORITY NANCY CARROLL 620 E.20 TH STREET NEW YORK, N.Y. 10009 USE EXISTING PROPOSED BUILDING AREA EXISTING PROPOSED LOT COVERAGE EXISTING PER FI.ED MAP PER TI,: LINE PREVIOUSLY APPROVED (1/1.3/05) PER Fh_ED MAP PER TIE LINE PROPOSED THIS PLAN PER FILED MAP PER TI;! LINE SINGLE FAMILY DWELLING SINGLE FAMILY DWELLING 1,935 SQ. FT. 3,350 SQ. FI. 17.3 20.5 20.8 24.6 22.5 26.4 · - = PHOTO NOM~)ER &'vlEW DIRECTION Young & Young 400 Os~rander Ave~e, Riverh~ad~ Ne~ York 11901 ~3 I- 727-2303 Howard ~. Y~, La~ Su~or Tho~ C. ~olpert, ~ofes~a[ E~ne~ Robe~ C. T~t, Architect Ronald E. P~ La--cape Arehitevt Do~ E. Ada~, ~ofes~o~al Engineer NOTES AREA : 12,667 SQ. FT. · SUBDIVISION MAP "CEDAR BEACH PARK" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON DEC. 20, 1927 AS FILE NO. 90. · SITE DATA OBTAINED FROM SURVEY PREPARED BY DESTIN G. GRAF DATED NOV. 22, 2001 · FLOOD INSURANCE RATE MAP NUMBER 36103C0169 G LAST DATED MAY 4, 1998. ROBERT CHARLES TAST/ARCHITECT, NANCY CARROLL LOT 122 "CEDAR BEACH PARK" At Bayview, Town of Southold Suffolk County, New York County Tax Mop m.t.:¢t 1000 Soctio. 90 Block 01 Lot 2t ARCHITECTURAL SITE PLAN REVISED PROPOSED PORCH MAP PREPARED OCT. 16, 2006 MARCH 1, 2006 FEB. 16, 2006 DEC. 20, 2005 AUG. 16, 2005 JAN. 3, 2005 DEC. 16, 2004 JULY 6, 2004 SCALE: 1"=30' JOB NO. 2004-0448 DWG. 2004_0448_A5 SP-1 GATH ER. lNG ROOM E:<TEND TOP C;I,.ORD TO DC~vfE~. BEDROOM # 2 ! SCALE: N.T.5. ~'Xll ?/6' IJl 3GO ~J @ I G' O.C. ~ DA,~9~;m TOF 2. COUKS,~5 CJI' I~1 ST. CMU AND CO N'ilNL;E EXLSTING BA..SEMENT N S /YOc ! ! Lot 122 SITE AREA PER FILED MAP PER TIE LINE TAX MAP # FILED MAP DATA SITE DATA FLOOD ZONE WATER SUPPLY OWNER 0.34 ACRES - 14,996 SQ. FT. 0.29 ACRES - t2,668 SQ. FT. 100-90-01-21 LOT #122, MAP OF CEDAR BEACH PARK BAYVIEW, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK FILED MAP NO. 90 12-20-27 R/40 RESIDENTIAL "X" FIRM MAP #36103C01690 MAY 4, 1998 SUFFOLK COUNTY WATER AUTHORITY NANCY CARROLL 620 E.20 TH STREET NEW YORK, N.Y. 10009 USE EXISTING PROPOSED BUILDING AREA EXISTING PROPOSED LOT COVERAGE EXISTING PER FI_ED MAP PER TI,:: LINE PREVIOUSLY APPROVED (1/15/03) PER FIt. ED MAP PER TI_- LINE PROPOSED THIS PLAN PER FILED MAP PER TIlt LINE SINGLE FAMILY DWELLING SINGLE FAMILY DWELLING 1,935 SQ. FT. 5,550 SO, FT, 17.5 % 20.5 % 20.8 % 24.6 % 22.3 % 26.4 % Yot~ng & Young 400 Ostwa~der Avenue, Riverhea~ Ne~ York 63 ?- 727-2303 Howa~ W. You~, La~ Su~eyor Robert C. T~, Architect R~ld E. P~ La--cape Architect 11901 NOTES AREA = 12,667 SQ. FT. · SUBDIVISION MAP - "CEDAR 13EACH PARK" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON DEC. 20, 1927 AS FILE NO. 90. · SITE DATA OBTAINED FROM SURVEY PREPARED BY DESTIN G. GRAF DATED NOV. 22, 2001 · FLOOD INSURANCE RATE MAP NUMBER 36103C0169 O LAST DATED MAY 4, 1998. ROBERT CHARLES TAST/ARCHITECT, NANCY CARROLL LOT 122 "CEDAR BEACH PARK" At Bayview, Town of Southold Suffolk County, New York County Tox Map oi.t.ict 1000 Section 90 Block 01 ~ot 21 ARCHITECTURAL SITE PLAN REUSED PROPOSED PORCH MaP PREPARED MARCH 1, 2006 FEB. 16, 2006 DEC. 20, 2005 AUG. 16, 2005 JAN. 3, 2005 DEC. 16, 2004 JULY 6, 2004 SCALE: 1"=30' 2oo.-o.. SP- 1 DWG. 2004_044-8_A5 N s/ I I Lot 122 - ¢ SI'T'~ A~EA f=t~R FIL~-;D MAP P~R TIE LINE TAX NAP ~ FLOOP ZONE Y~P~'"F~ R St, Pf~L¥ OI. NNER SlTtE DATA O.D4 ACJ~.E$ - 14,qq6 SQ. FT. LOT ¢122, NAP OF BA~VIE~, TO~N OF FILED HAP NO. ~O ~2-20-2~ NAY 4, NAN¢~ QA~OLL ~UILDIN~ A~IEA EXISTIN® PROPOSED LOT OOVE~E EXISTIN~ PE~ '-]E LINE ~VIOU~L~ AP~OVE~ (I/l~/O~) ~ "IE LINE ~IN®LE FAMILY DkqELLIN~ 5INGLE FAMILY DP4ELLIN~ I,~ SC~. FT. ~50 5~. FT. I-LD 2O5 20.8 22.B 26.4 Young & Young 400 Ostrander Average, Riverhectd, Near York I~90~ 63 ~-727-2303 Howard ~. Young, Land Su~eyor Thom~ C. Wolpert, Profes~al Engineer Robert C. T~, Arohitee~ Ronald E. P~hl, Lan~cape Architeot Dougl~ E. Ada~, Profes~onal Engineer NOTES AREA = 12,66-/ ~. FT. · ~U[3DIX/I~ION MAP - "~EDAF( ~EAGH PARK" FIL~J2 IN TH~ · SITE DATA OBTAINED FROM SURVt--Y P~k-PAt~-.ED E~Y ~E~TIN ¢. ~AF DASD NOV. 22, 2OOI LAST OA~O NA~ 4, 1~8. ~OBERT OHA~ES TAST/A~CHI~OT, N. NANG¥ C, ARI LL LOT 122 "GEDA~. BEA~,H PAt~.K" At; t~o~Jvl¢~, To~n of ~outhold Suffolk Oount~, N¢~ ~ork T~X ~ District lO00 Section ~0 Block O] Lot 21 A~F. J41*FCGllJ~N. ¢111~ PLAN PHOTO NUf'4~ER ,~ VIE~ DIt~I--OTION MAP MA~DH I, 2OD& DEC. 20, 200~ ~. I&, 20~ ~N. ~, DEG. I~, 2004 JULY ~, 2004 ~C, ALE. I"=BO' JOB NO. 2004-04-4-¢ DI^IE~. 2004_044~_A~ m I '~" ~' ~ '~ o.0 o Lot 122 ~ SITE ARE/: TAX MAP FILED MAP DATA FLOOD ZONE WATER SUP'PLY OWNER SITE DATA LOT #122, MAP OF CEDAR BEACH PARK BAYV~EW, TOWN OF SOUTHOLD "X' ;iRM MAF #56103C0169G USE EXISTING PROPOSEE BUILDING /',REA EXISTING PROPOSEL LOT COVEFAGE EXISTING PER FI ED MAP PER TC LINE PREVIOUSt Y APPROVED PER FI ED MAP PER Tii LINE PROPOSED THIS PLAN PER FI ED MAP PER TI lINE SINGLE FAMILY DWELLING SINGLE FAMILY DWELLING 1,955 SQ r'r 3,350 SQ FT. 173 % 20.5 % 208 % 24.6 % 223 % 264 % Young dc Young 400 Ostra~der ,4~,en~e, R{%~erhead, Ye~u York 63~ 727 2303 Howard W. Young~ Land Su~eyo~ Tho~ C Woipert Professorial Enginee-, Rober~ C. T~t, Architect Ronald E Pf~l, Lan~cape Architect Do~t E. Ada~, Profes~o~al Engineer NOTES AREA = 12,667 SQ. FT. · SUBDiVISiON MAP "CEDAR REACH PARk:" ~LED iN THE OFF CE OF -HE CLERK Or SUFFOLK CObNl' ON DEC 20, 1927 AB FILE NO 90 · SITE DATA OBIAINED FROM SURVETM PREPARED R'~ DESTINO GRAF DA~'ED NOV 22, 200: · FLOOD INSURANCE RATE MAP NUMBER 36105C0169 G cAST DATED MAY 4, 1998 ~?OBE~~ T, N TS NANCY CARROLL LOT 122 "CEDAR BEACH PARK" At Bayview, Town of Southold Suffolk County, New York County lcx Map District ]OOO Section 90 Block O] Lot 2~ ARCHITECTURAL SITE PLAN REVISED PROPOSED PORCH MAP PREPARED NOV. 29, 2006 OCT. 16, 2006 MARCH 1, 2006 FEB. 16, 2006 DEC. 20, 2005 AUG. 16, 2005 JAN. 3, 2005 DEC. 16, 2004 JULY 6, 2004 SCALE: 1"=50' JOB NO. 2004-0448 DWG. 2004_0448_A5 SP-1 0 EL 6" CONC. FOUNDATION WALL WITH I G" X 6" CONE #5@I21' EW --1 I0" CONC, FOUNDATION WALL /' WITH I 0" X 20" FOOTING U N EXCAVATED tu a F3 Fq +, a* I DATUH ~L O'-O" I I ~'--' '// I ~+' F~I~TIM~ I I I I I ~--~ N ', I I ',1 I I I1~ ,TS-~----~ ~ m DA~EMENT~O ~/ ~ ~ I~ I I I I1' - , x ~ I J EL + 2-5 = 5TA[~ = If~ oi L .... ~___J - I ~MOVe a I ~l ~ I CHIMN~ I ~o,~[~ ] I ~L I RAISED, i -- I ........ ' PROVIDEREMOVE ~ISTINGNEW W' CONc.DLAD [SLAB ¢ LOW'ATWALLDDAMEAND_- KEI~i. AL, E EXlbl. EU:VATION A5 DqST[NG HA,DEMENT PLOOR I OIL TANK, (DATUM EL 0'-0") UNDERPIN DqSTING WALL~ AND FRAMING BOILER, TOP 2 CO IP-.DES OF EXIST. CMU AND CONTIN FOUNDATION / PLATE WITH ~ E WITH ALL BLOCK, AND EACH NERD AND 2~ E T~[5 CONT. tONCRfTE PLATFOP~I L .... 9'6" JF ~ WITH I G" N 6" FOOTING5 U N EXCA~/ATED EILL AND rAMP ',AND- M~L 74L3'' FOUNDATION PLAN SCALE: I/4" = I '-O" 3BLO" A5 REQUII~D U N EXCAVATED NOTE5 I · DEMOLISH EXIDTING BUILDING TO TWO BLOCK COURSES BELOW TOP OE EXISTING FOUNDATION WALLS. P-ZMOVE $ LEGALLY DISPOSE OF ALL DEMOLISHED MATERIALS. 2. REFP~,ME FII~ST FLOOR AS SHOWN THIS DP. AWING. 3. DIMENBIONB 4- CONDITION5 OF REMAINING ENfSTING FOUNDATION SHALL SE VERIFIED IN FIELD PRIOR TO COMMENCING ANY WORK. NOTIFY ARCHITECT IN WRITING OF ANY DISCREPANCIES OR DAMAGED CONSTRUCTION TO ~J~MAIN. 4. DOUBLE ALL JOISTS UNDER NEW PAR. ALLEL PARTITIONB ABOVE. 5. PROVIDE (3) NEW SASEMENT WINDOWS "ANDEP-~EN" 231S COLOR TO MATCH UPPER WINDOWS. CENTER UNDER WINDOWB ABOVE DRYPACK ® ® ® -EXISTING FOUNDATION WALL$FOOTING VERIFY DE~'H [BELOW GRADEPRIORTO CONSTRUCTION -AREA OF UNDERPINNING SEE NOTES FOUNDATION .U,, NDERPINi' UNDEP~PINNING SEQUENCE: NG EXCAVATE PIT 3'-0" WIDE W[TN BIMULTANEOUS REQUIRED SHEETING AND BRACING EOR BEGMENT5(,~), PACK` VOIDS BEI~VEEN LAGGING ¢ SOIL WITH BOIL CEMENT. (LEAVE GLO'' CLEAR BETWEEN ?lTD) [5. PLACE NEWCONCRETE UNDERPINNING FORSEGMENT(D. CONCRETE [SHALL [SE HIGH-EARLY CONCRETE HAVING AL Pc = 7000 PSI AETER 3 DAY~. INSTALL 2" DRYPACK` MIXTUP. E I PART CEMENT TO 2 PARTS DAMP DANS ( O" BLUME) RAMMED INTO [SPACE [BETWEEN TOP OE UNDERPINNING 4s BOTFOM OF EXIST. ETG. TO TRANBEER LOAD. C. SHEETING $ [BRACING BETWEEN EITI~ EUTURE ?lT(~ ¢(~10 ~Z~MAIN D. EXCAVATE PIT 3'-0" WIDE WITH REQUIP-ZD D~-IEETING AND BRACING POP-. BEGMENT(T)FoR SEGMENT(~ BEGMENT(~)AND(~)FOR DEC,MENT (~} Young ¢ Young 400 O5~rander Avenue, Rivcrhead, New York I I DO I 63 I 727-2303 OCT 2 0 2006 ONE FAMILY RESIDENCE FOR NANCY CAP. ROLL AT CEDAR POINT, TOWN OF 5OUTIflOLD SUFFOLK COUNTY, NEW' YORK, FOUNDATION PLAN I DEDR I I~z'' LVL I 2'-2" I~Z"TJI !30@ IG"O. I~Z'' LVL- I"X I I" ELIT~ ELATE M5 ALIGN GLOBE (2) 2X6 CLOSer II M5 BEDF )OM 3 COVERED POP. CH (2)2 × I 0 (2)2 z (2) I ~" X I I ~z,, lV + J II X ~ r" FLITCH = FOYER I II OPEN TO ABOVE ~' × s.~,, (2) I ~" X I I~Z" LVL I" X 7' FLITCH PLATE OVER. [ G REAT~ ROOM OPEN T~ ABOVE II II (2)2 X I0 4L3?' ;SOLDIER AT (2) 2; (2) 2xlC PATIO 16' bTC~NE I BRICK PAVER5 OVI~R 4" CONCRETE 51LA~ I 8" CONC. APRON (2)2 X 12 3~'-o" I DOOR / x I J / (3) I~' × I1~Z [/_ _/ ii I I~'TJ1280 @ I ~" O.q. GAP~GE (4) I~" X I I~' LVL FIRST FLOOR PLAN SCALE: I/4" = I '-0" NOTEB: I. UNLE55 OTHERWISE NOTED, ALL INTE~IO~ DOOR~ DHALL BE b'-O" HIGH. 2, UNLE55 OTHERWIBE NOTED, ALL OPENINGB WITHOUT DOOR~ BHALL DE ARCHED BECTION~). SUBMIT ALTERNATE BID TO TRIM THEBE OPENING5 WITH COMEOUND WOOD TI~M BIMILAP-. TO DYKJ~B DOOR CASING SHOWN ON DRAWING 3. UNLE55 OTHERWIBE NOTED, ALL WINDOW ¢ EkCDERIOR DOOR H EADEE5 5HALL BE (2) 2x I O. Young ¢ Young 400 05tancter Avenue, Rlverhea& New York I I ~0 I G3 1-727-2303 ONE FAMILY REDIDENCE FOR NANCY CARROLL AT CEDAR ?OINT, TOWN OF 5OUTHOLD SUFFOLK COUNTY, NEW YORK J FIRST FLOOR PLAN J AUG. IG, 2O05 Telephone (631) 765-1892 Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., December 6, 2006, the following recommendation was made: Moved by Peter Young, seconded by James Eckert to TABLE the Wetland Permit application of NANCY CARROLL to demolish the existing dwelling and construct a new dwelling with a second-floor addition, new 16'X 24' garage, 8'X 58.3' front porch and 13'X 39' raised patio, and repair foundation. Located: 350 West Lake Dr., Southold. SCTM#90-1-21 Inspected by: Peter Young, James Eckert The CAC Tables the application until the violation is resolved. Vote of Council: Ayes: All Motion Carried ~/ool Fax Server AUTI OR/ZATiON SOUthold Towlq Trustees P'O'~ox 1179 SOUthold Town ~all Main Road, SouthOld, NY 11971 AGENT: name: Patricia C. Moore ~sq. address: S1020 ~ain Road, telephone numJoer: Dear Sir or Madam; LETTER Southold IVY 11971 631-765-4330 DuC The ~de~si~ed authorize , atto~ey and agent ~ Patrzcta c M ~or all s~mis~~ ~Ore Hsq. as my T~stees, The New York State ..... co the SOUthol~ To~ C°n~e~agi°n, and any Dep~tment of En~ronme~tal which may be require~ Other State, CO~ty, or Local a~en~ for oonst~ction of my residence. zoo~ EHDI~do JW'I ~q:~O0l~' Board of Trustees A~plication AUTHoRIZATioN (Where the applicant is not the OWner) ~do hereby author/z ; C I'~,. ~'~0--'0 i~_ ~ ~ t'~genO _to apply for permit(s) from the Southold Board of Town Trustees on my behalf. NOV 2 7 2006 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing both supporting and non- suooortine facts. 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 90- O1- The Application has been submitted to (check appropriate response): Town Board ~ Planning Board ~ Building Dept. ~ Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital [-~ construction, planning activity, agency regulation, land transaction) [~ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Location of action: Site acreage :. Presentlanduse: ~__~ F(-,~-'~,']~,/ ~$a~'~C-~ Present zoning classification: 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: ~/te~tr Cy ~3t~.O ~ (b) Mailing address: (~'~0 ~------~.-~P ~'~ ~'1~. 2~ / (c) Telephone number: Area Code ( ) 5oQ-/~) /~"71.~--~),~>,~ (d) Application number, if any: (A) ~ ~t~/C_,~4~ d Will the actioxn be d~ctly undertaken, require funding, or approval by a state or federal agency? I I No~ If yes, which state or federal agency? Yes C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. . / ~-~Yes ~ No ~Not Applicable Attach additional sheets if necessa/ Policy 2. Protect an.d ~.ese. rve historic and archaeolog!cal resources of the Town of Southold. See LWRP Section III ~licies Pages 3 through 6 for evaluation criteria [] Yes [] No,g~ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III~s Pages 6 through 7 for evaluation criteria [] Yes [] No/~ Not Applicable 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 - Polici~8 through 16 for evaluation criteria [-~ Yes [--] NofiC-~.Not Applicable , , · , , 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 t~h/21 for evaluation criteria ~ Yes [] No,~ Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not~pplicable h- 1o' be atc..,Ll,= cc.,n'/-_ _ c) - '~ 'c_.~,'= b'.~, _k~llf_.lqeod j"--= ' Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [] Yes [] No'et Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wasted/See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Yes~ No~NotApplicable Ai~ach additional sheets if necessary WORKING COAST POLI~IES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~ Yes ~ No ~ot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Pcconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes ~], N~Not Apnlicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 fo~n criteria. [] NSCSNot Applicable 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 c~-,~<~-kvcA'o~ W/Il rw.~'- or ~c~ ~5' ~~ PREPARED BY .[~C3~O,4~ry~]/ TITLE DATE Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., November 8, 2006, the following recommendation was made: Moved by Peter Young, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of NANCY CARROLL to Amend Permit #6316 to demolish the existing residence and replace an existing first floor framing in its entirety, maintaining the existing footprint. Located: 350 West Lake Dr., Southold. SCTM#90-1-21 Inspected by: Peter Young, Jack McGreevy The CAC Supports the application with the Condition the driveway is pervious, all run- off from construction is contained, and a drainage plan is submitted. The CAC questions the size of the footprint, because the foundation being poured appears to be larger than the original footprint. Vote of Council: Ayes: All Motion Carried James F. King, President Jill M. Doherty, Vice-President PegKy A. Dickerson Dave Bergen Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: i (/ fO/O ~ Name of Applicant: Name of Agent: Property Location: SCTM# & Street Brief pescription of proposed action: ch,: ¥--o V, ~U, Type of area to be impacted: __Saltwater Wetland Freshwater Wetland Sound Front t~BayFront Distance of proposed work to edge of above: ~ of Town Code proposed work falls under: __Chapt.97 Chapt. 37 other Type of Application: ~Wetland __Coastal Erosion ~Amendment __Administrative __Emergency Info needed: Modifications: Conditions: Present Were: X.,J~ng ~]--J'TDoherty ~.Dickerson Other: Mailed/Faxed to: Date: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. To~m Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Name of Applicant: Name of Agent: Property Location: SCTM# & Street Brief Description of proposed action: Type of area to be impacted: __Saltwater Wetland __Freshwater Wetland Sound Front Bay Front Distance of proposed ~vork to edge of above: Part of Town Code proposed work falls under: __Chapt.97 Chapt. 37 other Type of Application: Wetland __Coastal Erosion __Amendment __Administrative __Emergency Info needed: Modifications: Conditions: Present Were: __J.IGng __J.Doherty __P.Dickerson Other: D. Bergen Bob Ghosio, Jr. Mailed~Faxed to: Comments of Environmental Technician: Date: Board Of $outhold Town Trustees SOUTHOLD, NEW YORK NANCY CARROLL ISSUED TO ............................................................. Pursuant to the provisions of Chapter 615_ o.f ~e Lav~s.,of the. State of New YorS¢, 1893; and Chapter ~ of the ,L~, ws 0t the - State ~f New Yor~ 19S2; and the Southeld To~rn Ordinance en- titled J REGUI~"I'ING .AND THE PLAOING OF QBSTRUCILONS IN AND ON TOWN WATERS AND PUBLIC; LANDS end'-the REMOVAL OF SAND, GRAVEL' OR OTHER MATERIALS~.~.,~I~,.M LANDS UNDER TOWN WATERS:~. and in accordance wtfh 'the Resolution of The Board adopted at a meetlng held on .2Q.°..6...i., and in ¢onslderatlon of the sum of $~.~9,..-0..0. ........ pald by Nancy Carroll .................................. Of Southold , ..... N. Y. a.d subject to {'he of Southold Town Trudees aulhor{zes and permits th~ followlncj: Wetland Permit to construct a front porch, one-c~r garage ~nci second floor over existing dwelling, and a tar exist ng flrs~ floor wtthin ex sting fcotprint with the condition of a 10' non-turf buffer I~ndward of the bulkhead, drywells to contain ~oof runoff, pe~, ous dr vew~y ~d ~11 ~s pe~ plans drawn by Young and Young lest dated Febru~' f ~, 200G. all'in accordance with {'he detai~ed specificatlons as presented in .~he odcji~afJng IN WITNESS WHEREOF, T~e said Board Of Trustees I~ere- by causes its Corporate S.e. al to. be afl~.~xed, an~ fl~ese presents be su~sc.~bed by ~'maior~y o! fha said Board .as of this date, TERMS and CONDITIONS ~1~ Pet~ Nancy Carroll. ~et 350 West,Lake Drive, Sou~hold 8. That the said Board s~lll be notified by the Peri'tee ot the O~Med~ 6f the wm~c stash' James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen $ohn Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 22, 2006 Robert C. Tast Young and Young 400 Ostrander Ave. Riverhead, NY 11901 RE: NANCY CARROLL 350 WEST LAKE DRIVE, SOUTHOLD SCTM# 90-'1-2'1 Dear Mr. Tast: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 22, 2006 regarding the above matter: WHEREAS, Robert Tast as agent for NANCY CARROLL applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated February 17, 2006, and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 22, 2006 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 proposal complies with the standards set forth in Chapter 97 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, RESOLVED, that the Board of Trustees approve the application of NANCY CARROLL to construct a front porch, one-car garage and second floor over existing dwelling, and renovate and alter existing first floor within existing footprint with the condition of a 10' non-turf buffer landward of the bulkhead, drywells to contain roof runoff, pervious driveway and all as per plans drawn by Young and Young last dated February 16, 2006. 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.) This is not a determination from any other agency. Fees:$100.O0 Very Truly Yours, President, Board of Trustees JFK/hkc James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field lnspection/Worksession Report Date/Time: '~J[ ~ '- 0 0 Name of Applicant: Name of Agent: Property Location: SCTM# & Street Brief Description of proposed action: ~saOf area impacted: to be ltwater Wetland Freshwater Wetland Sound Front Bay Front Distance of proposed work to edge of above: P~cc~apf Town Code proposed work falls under: t.97 Chapt. 37 , other / Type of Application: X/Wetland Coastal Erosion Info needed: __Emergency __Amendment __Administrative Modifications: Conditions: Present Were: ~V-/J.Kingc~__J.Doherty __P.Dickerson~c/ ~/ D. Bergen~f..Holzap fel Other: Mailed/Faxed to: Date: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated -'/ has been reviewed by this Board at the regular meeting of /~ ~ ~, ,.m~o~"~l, and the following action was taken: V)Application Approved (see below) )Application Denied (see below) ( )Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ /O'D ,,/ BY: James F. King, President Board of Trustees march 15, 2006 Field Ins Telephone (631) 765~1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., March 15, 2006, the following recommendation was made: NANCY CARROLL to construct a front porch, one-car garage and second floor over existing dwelling, and renovate and alter existing first floor within existing footprint. Located: 350 West Lake Dr., $outhold. SCTM#90-1-21 The CAC did not make an inspection, therefore no recommendation was made. 090 Carroll Page I of I Shelter Isis,nd Design & Build, Inc. 11 Stearns Point Road (Box 363) Shelter Island Hts., NY 11965-0363 16,283 hi -- -' .... * .... l .... * .... ! .... i .... ~ .... · .... i .... l .... i .... w- - ()ffice (63 I) 749- 1870 ('ell (631) 831-9Ji~5 lq~x (63l) 749- 1641 Date: April 30, 2009 To: Town of Southold Board of Trustees Town Hall, Southold. NY 11971 Building Permit #6500 Nancy Carroll 350 West Lake Drive Cedar Point, Southold. NY Job: Dear Sir / Madame: Attached please find the completed application for an amendment to a wetland permit. The forms include: Application Authorization from owner to trustees Best Regards, Franz Fenkl Shelter Island Design & Build James F. King, president Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WET~I~p OWNER ~¢1D¢/ ff(trPa// PHONE ADDRESS AGENT ~4/~ /~t¢~,q' PHONE PROPERTY LOCATION '~ 0 ~[~5~ ~t~ ~ ~oard of Trustees A~lication County of Suffolk St=e of New York TRUE TO THE BEST OF I-US/HER KNOWLF..DOE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION'AND AS MA Y BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO I-IOLD TFIE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HA.RMLES'S AIND FREE FROM ANY AND ALL DAMAGES AlXlD CLAIMS ARISING UNDER OR BY VIRTUE OF SAIE} PERMIT(S), IF ORANTED. IN COMPLETINO THIS APPLICATION, l HEREBY.ALFI~ORIZE TI-IE TRUS'['~.ES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PI{OPERTY ?O INSPECT THE · PREMISES IN CONYUNCTION WiTH KEV1EW OF TI-IlS APPLICATION. sis-, mre SWOlL TO BEFORE ThiS DAY OF~/~?~ I L ._,20~ ~. SAB.q!NA GARCIA NOTARY PUBLIC, STATE OF NEW YORK r!O, 01GA6110006 QUAtt~ D ],"J BRONX COUNTY .:,m !, F :,PIRES MAY ~,201 ~ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfi'ont 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). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in dctail~ listing both supportin8 and non- suooortin~ facts. 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 website (southoldtown.northfork.net), the Board of Trustees Office]~}~q~lanning Dep~"""""""'m~,a~ local libraries and the Town Clerk's office. / The Application has been submitted to (check appropriate response): TownBoard ~] Planning Board ~-~ Building Dept. 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) Co) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: [] Nature and extent of action: r/~/Oo I ~, ' II / ' J It Location of action: Site acreage:. Present land use: ~-e~t' e/~,~ '~;a[ Present zoning classification: 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: (b) 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 ~ If yes, which state or federal agency?_ C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide ali proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes ~-] No ~ Not Applicable 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 Attach additional sheets if necessasy Policy 3. Enhance visual quality and protect scenic resources throughout thc Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~] No ~ Not Applicable 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 Applie~'le · Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section HI - PoliCies Pages 16 through 21 for evaluation criteria Yes ['~ No [~ Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Apeable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~ Yes ~] No ~-~ Not Applicable 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 PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section IH - Policies; Pages 38 through 46 for evaluation criteria. ~'~ Yes~ No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLl( Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. Yes ~ No ~] Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and. Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes ~ No [~ Not Applicable 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 ~r] Not ApPlicable 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 PREPAREDBY '~~~~ TITLE DATE~/[ Carroll Page Iofl Shelter Isla nd Design & Build, Inc. 31 West Neck Road (Box 363) Shelter Island Hts., NY 11965-0363 16,283 hi -- -~ .... $ .... i .... $ .... $ .... ~ .... ~ .... $ .... , .... ~ .... $ .... 1_ _ Of fi(,(, (631) 749- 1870 ('ell (631) 831-~625 lqlx (631) 749- 1641 Date: March 15, 2008 To: Job: James F. King Trustee, Southold Town Main Road, Southold, NY 11971 Southold Trustees Permit #6500 Nancy Carroll 350 West Lake Drive Cedar Point, Southold, NY MAR 1 9 2008 SQuthhold Board 0f Tf~stee~ Dear Mr. King; This letter is concerning the placement of three (3) A/C units at the above location. The units will be placed on pre-cast plastic slabs on the right side of the house facing the street. They will be located next to the outdoor shower as per plan. The Southold Building Dept. advised me to send a letter informing you of the location of these units. Best Regards, Franz Fenkl Shelter Island Design & Build PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Jim King, President Town of Southold Board of Trustees Ruth Oliva, Chair Zoning Board of Appeals From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: December 1, 2006 Proposed Wetland Permit for Nancy Carroll SCTM# 1000-90-1-21 NANCY CARROLL requests a Wetland Permit to demolish the existing dwelling and construct a new dwelling with a second-floor addition, new 16'X 24' garage, 8'X 58.3' front porch and 13'X 39' raised patio, and repair foundation. Located: 350 West Lake Dr., Southold. SCTM#90-1-21 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 INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6 Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The proposed distance to the deck from the marine wetland boundary is 43.3 feet. The distance to the garage from the marine wetland boundary is 63 feetl a minimum setback distance of 100 feet is required pursuant to Chapter ~ 275-3. Findingsl purposel iurisdictionl setbacks. The proposed 58.30' x 8' porch proposed on the landward side of the house is an minor exempt action and not subiect to review. Please require that the applicant amend the application to meet the above policy to the greatest extent possible. Additionally~ if the action is approved require the following to further Policy 5: Protect and Improve Water Quality in the Town of Southold: 1. The proposed driveway be constructed of a pervious material. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its wriRen determination regarding the consistency of the proposed action. Office Use Only __Coastal Erosion Permit Application ~--JWetland Permit Application Administrative Permit Amendmentrl'ransfer/Extension "l~ece~vved Application: I ] ! IQIO t ~l~,eceived Fee:$ oq,.'.'.'.'.'.'.'.'.'~ f E~mpleted Application /]! Incomplete SEQRA Classification: Type I Type II__Unlisted Coordination:(date sent) ~CAC Referral Sent: 1{ ~ ~Oate of Inspection: /,~-.////'Ob Receipt of CAC Report:. Lead Agency Determination: Technical Review: gubtic Hearing Held:~ Resolution: ~/~ _, ,, ~- N~e Applicant ? ^ddress ¢20 E~Xk 30~ 3P. ~e.~D, Phone Number:( Suffolk County Tax Map Number: 1000- 70 "0/ Prope~y ~ocation: ~, 5-c~ (provide LILCO Pole #, distance to cross streets, and location AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA LandArea(insquarefeet): /~, ~ /OC,('fi']CC~ I"'Y~I") G,~d [qt(~'(~/~,t'' Area Zoning: ~c~i~ ~} 0 Prior permits/approvals for site improvements: __ No prior permits/approvals for site improvements. Has any permi~ver been revoked or suspended by a gov~menml agency? No ~es If yes, provide explanation: ~: Project Description (use atmchmetts if nece~s~'y): , r .~¢n'tql~l~ot'! r, , ., .. C~g DIu .tof .d ' ""~" ~'-'-",-) Ot" C...X ,.~ h /]c, rcs ,d ~ce_.. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: /~r~?~ '~ ~_$ idence. ~d bo,'ld ne. co home_ ccccord,'~ Percent coverage of lot: Closest distance between llearest existing structure and ~l~.ano~ edge of wetlands: .t.~j feet BM ~ Closest distance between nearest proposed structure and upland edge of wetlands: .~,_~ feet Does the project involve excavation or filling? If yes, how much material will be excavated? ¢~ V%~'ar~~" How much material will be filled? 0 cubic y~ds Depth of which material will be removed or deposited: ~ feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: ,<;mc, dj Jo~,.lJ do z~; o~d 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): n'offtf- PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1 APPLICANT / SPONSOR 617.20 SEQR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME County 6 DESCRIBE PROJECT BRIEFLY: PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map , AMOUNT OF LAND AFFECTED: ' ' '¢''f.) ' Initially J~,~,~(~ ?.~,~ ~" Ultimately ,~ ¢ 8. WILL PROPOSED ACTION COMPLY WTH EX ST NG ZONING OR OTHER RE"STRICTIONS? ~Yes [] No If no, describe briefly; 9 AT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~R~sidential []industrial ~]Commercial [~Agriculture r-~ Park / Forest / Open Space E~ Other (describe) 10 DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, ~ (F~ Stl~t~:~, L~..c~l)agency name and permit/approval: I~,E~/ ANY ASPECT OF THE AC~T1ON HAVE a CURRENTLY VALID PER-MIT OR APPROV~'~? y es E]No If yes, list agency name and permit / approval: 12. AS A ES NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature / / If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead A~lenc¥) A DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. E~Yes i~No B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 61767 If No, a negative declaration may be superseded by another involved agency C COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5 Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: C7. Other impacts (including changes in use of either quantib/or t),~e of energy? Explain briefly/: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEAI? E. iSr~YesTHERE' ORr~No IlS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL, ,, , IMPACTS? !! yes explain PART III - 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 connect[on with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials, Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must eva~uata the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed acfio~ WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting determination. Name of Lead Agency Date Title of Responsible Officer Signature of Preparer (If different from responsible officer Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency BOARD OF TR~ES PaGE 0I James F, King, President Jill M. Doherty, Vice-President Pegsy A. Dickorson Dave Berge~ lohu Holzapfel BOARD OF TOWN TRUSTEES TOWN OF SOU'~HOLD Town Hall /~3095 Route 25 P,O, Box 1179 Southokl, New York 11971-0959 Telephone (681) 765-1892 Fax (631) 765-6641 CeO (::,tau APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: bdo / STATE OF NEW YORK COUNTY OF SUFFOLK ~/0.~rTc. x~ o// , residing at ~O ~-~/ c~ c;'¢XT,-J-/~ ~. ~qe~ ~'~ /~ / 0~'~ ~ , being duly sworn, deposes and says that on the .~o4~ day of [¥ol/-em.~r , 20 0b, deponent mailed a tree copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current Address: assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at that said Notices were mailed to each of said persons by (certifi~ed) (registered) mail. Swo~ ~re~ ~;i~ Public James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ..... ........................... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTiNG I, 5,7t~C.~ ~4'~KO //,residingat (zv~CY ~fff~t~5/ 20~d~ ~P, being duly sworn, depose and say: That on the o~ ~ day of NO ~/, , 200~ I personally posted the property known as by placing the Board of Trustees official poster ~here it can easily b~e seerf, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held (l}O~. e,_Q£f, / 3. oT(T~ ~ Dated: APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the oart of town officers and emolovees. The ourvose of this form is to nrovide information which can alert the town of vossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, middle initial, unless you am 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 Of"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 LJ 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 applicaniJagenqrepmsentative) 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 oftbe applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this dayof ,'7 200 Signature ~ ( ~ Print Name , .~/~-D/C,~J l,~,oog o~ ~An,n~o ol~ NoTtC~ AWrACg..CgR~,~!~ ~ g~C~TS , wolff TruSt John M. Hollis Robert L. HolliS Addre~: 218 Johnson street, Centerport, NY 11721 53 Briarcliff Drive, North Merrick, NY 11566 53 Briarcliff Drive, North Merrick, NY 11566 STATF-, OF lx~W yORK ' ~'~Bo~ °f~t°es ~pn~ pg~Rs fl ~o ad~S~ sgt oppv~, ~so~ ~ sho~ on ~c o~ .~. ~rm To~~- s~dN~ w~ m~1~ t° ~°h °f s~d pem~ by Sworn to bdore me this D~Y of October ,20 u°.--~ James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ..... t ...................... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFiDAVIT OF POSTING I, Robert C. Tast , residing at 400 Ostrander Avenue, Riverhead, NY 11901 being duly sworn, depose and say: That on the day of Nov. ,2006, I personally posted the property known as Nancy Carroll, 350 West Lake Drive, Bayview, T/O Southold, New York by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held ! 1 Io4. '-~ (31.3.[ ~.~ o)O/Y~ , 0/30 Nove~er 15, 2006 ~i~ /g Dated: (si~ lmure) Sworn to before me this 15th day of Nov.2006 ,/Aqota~y Publi~// YOUNG & YOUNG 400 Ostrander Avenue Riverhead, New York 11901 Telephone 631-727-2303 Facsimile 631-727-0144 admin@youngengineering, corn HOWARD VZ YOUNG, Land Surveyor THOMAS C. WOLPERT, Professional Engineer ROBERT C. TAST, Architect RONALD E. PFUHL, Landscape Architect DOUGLAS E. ADAMS, Professional Engineer Town of Southord - Building Department Town Hall Annex Youngs Avenue Southold, New York 11971 October 19, 2006 RE: CARROLL RESIDENCE West Lake Drive, at Bayview, T/O Southold, New York Section 90, Block 02, Lot 21 (04-0448) Trustee Permit #6316 Dear Trustees: Enclosed are the following items: 2. 3. 4. 5. application fee made payable to the "Board of Town Trustees" in the amount of One Hundred Dollars ($100.00), one (1) original - Application for an Amendment to a Wetland Permit, three (3) prints - revised Architectural Site Plan, last dated October 16, 2006, three (3) prints - revised Foundation Plan (Sheet A-l), dated October 16, 2006, three (3) prints - First Floor Plan (Sheet A-2), dated October 16, 2006. The building size, plan layout and building style does not change. This amendment is to replace the existing first floor framing beams, columns and girders with new floor framing. The change was necessary because of the deficiencies in existing floor framing uncovered during the demolition phase of construction. We respectfully request your approval of this amendment. Very truly yours, Robert C. Tast RCT/dc Encl. cc: Nancy Carroll Planning Engineering Land Surveying Architecture Town Hall, 53095 Main Road P,O. Box 1179 Southold, New York 11971-0959 Fax (631 ) 765~9502 Telephone (631) 765-1802 BUILD1NG DEPARTMENT TOWN OF SOUTHOLD STOP WORK ORDER TO: Nancy Carroll 620 E 20th St NeWyork, NY 10009 YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 350 West Lake Drive, Southold TA~, MAP NUMBER - 1000-90-1-21 Pursuant to Section 144-13 of the Code of the Town of Southold, New York, you are hereby notified to immediately suspend all work and building activities until this order has been rescinded. BASIS OF STOP WORK ORDER: GOING BEYOND SCOPE OF BUILDING PERMIT # 32276 CONDITIONS UNDER WHICH WORK MAY BE RESUMED: AMENDED PLANS MUST BE SUBMITTED AND APPROVED BY ALL AGENCIES AND NOTIFIED BY THE BUILDING DEPARTMENT. DATE: October 12,, 2006 (Cert. Mail) Buildi~f Inspector PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L~ TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: March 17, 2006 MAR 1 ? 2006 Re: Proposed Wetland Permit for Nancy Carroll SCTM#1000-90-1-21 NANCY CARROLL requests a Wetland Permit to construct a front porch, one-car garage and second floor over ex!sting dwelling, and renovate and alter existing first floor within existing footprint. Located: 350 West Lake Dr., Southold. SCTM#90-1-21. The proposed action is located in the Flood Zone X. The proposed action has been reviewed to Chapter 95, 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 INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6 Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The proposed setback of the structure from the wetland system is proposed at 43'.3" feet; a minimum separation distance of 100' is required pursuant to Chapter 97. Please require that the applicant amend the application to meet the above policy to the greatest extent possible, Additionally~ if the action is approved and to further Policy 5: Protect and Improve Water Quality in the Town of Southold: 1. Require that the relocated driveway be constructed of pervious material. 2. Require a planting plan for the 10' non-turf buffer including native, disease- resistant and drought-tolerant vegetation to minimize irrigation and fertilizer applications. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~"*Wetland Permit Application __ Administrative Permit Amendment/Transfer/Extension ~------Received Application: ~_Received Fee:$ -4ff6mpleted Application __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordmation:(date sen0 _..-LWRP Consistency Assessment Form ,..-CAC Referral Sent: ~lq --Bate of Inspection:~)j~ Receipt of CAC Report: Lead Agency Determination: Technical Review: ,~Public Hearing Held: Resolution: FEB .... Name of Applicant Address Suffolk County Tax Map Number: 1000- qO-- ~1- ~1 Prope.yLocation: ~+ ~l~ ~ ~ (provide LILCO Pole ~, dist~ce to cross streets, and location) (If applicable) Address: .d~ ~rd of Trustees Ap~ GENERAL DATA Land Area (in square feet): ~ 2; ~'~ ~ Area Zoning: ~ 'J~ / Previous use ofpropeny: J ~lt~h',.f~/'~IV&-I~C~' [U~. ~'~ ~tended use of prope~y: ~ ~1~ ¢Sqbl Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? tx No Yes If yes, provide explanation: Project Description (use attaclunents if necessary): ["~l~t)5~ 'l~ of Trustees Applica$ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~'/~A//~I~I>- l~:~q q?-~ ~1~-- ~'~U,(6 Area of wetlands on lot: ~ .square feet Pement coverage of lot: O Closest distance between nearest existing structure and upland edge of wetlands: ~f-,~ feet Closest distance between oearest proposed structure and upland edge of wetlands: ~r'~'~ feet Does the project involve excavation or filling? No g' Yes ~.~t4 t~ '[~ ~ cubic yards cubic yards If yes, how much material will be excavated? How much material will be filled? ~ Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: feet 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 attacNments if appropriate): PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Craig & Elizabeth wolff John M. Hollis Robert Hollis Address: 218 Johnson Street, Centerport, NY 11721 53 Briarcliff Drive, North Merrick, NY 11566 53 Briarcliff Drive, North Merrick, NY 11566 sTATE OF NEW YORK cOUNTY OF SUFFOLK - · 400 Ostrander Avenue, Riverhead, NY 11901 Robert C. Tast , residing at ~ ~ ~ .... the 13th day of March ,' 20 0~6, deponent totaled a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Riverhead , that said Not!~o~ s were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this 13th Day of March ,20 06 No. 4900158 - Sul~ Couray ~o Ca.amm~ F:~ July 20, '20 M- I James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ..... ....................... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING l, Robert C. Tast , residing at 400 Ostrander Avenue, Riverhead, NY 11901 being duly sworn, depose and say: 13th That on the day of March ,2006, I personally posted the property known as Nancy Carroll, 350 West Lake Drive, Bayview, T/O Southold, New York by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Dated: March 22, 2006. (signature) Sworn to before me this 22n~ayof Mar200 6 /~t-ary Public ~ PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROflECT LOCATION: Municipality ~----~,-~ ~-,/T J~' ~ 4, PRECISE LOCATION: Street Addess and Road intersection., b¢d 04, 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME County Prominent landmarks etc - or provide map SEQR 5. IS PROPOSED ACTION: [] New [~Expansion [~Modificafion I alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAN~esFECTED: ~11' Initially J~.l ~7 Ultimately ~-"1 ~"~ a~es 6. WILL PROPOSED ACTION COMPLY WiTH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yes ~ No if no, describe briefly: LW AT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~esJdential E~lndustrial E~Commercial ~'~Agriculture [~] Park / Forest / Open Space E~Other (describe} 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [~Yes r~ No If list name and / yes, agency permit 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~--~ Yes ~7~ N o If list name and / yes, agency permit approval: 12. AS A RESULT OF PROPOSED ACTION Will EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~]Yes []No CERTIFY THAT THE INFORMATION PROVIDED ABOVE iS TRUE TO THE BEST If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OF MY KNOWLEDGE Board of Trus=ees ApDlic&~io~ County of Suffolk State of New York ~q~ ~ c'-f ~/',~ ~ ~ SEm'O DULY SWOrn4 D~OSES ~ ~F~S T~T ~S~ IS ~ ~PUC~T FOR ~ ~O~ DESC~BD P~(S) ~ ~T ~L STATE~S CONT~ ~ ~ TR~ TO ~ BEST OF ~S~ ~O~EDGE ~ B~mF, ~ ~T ~L WO~ ~LBE DO~ ~~R SET FOR~ ~ T~S rePLICATION ~ AShY BE ~PRO~ BY ~ SO~O~ TO~ BO~ OF ~US~S. ~ mPLIC~ AGeS TO HOLD T~ mO~ OE SO~O~ ~ T~ TO~ ~UST~S ~ESS ~ ~E ~OM ~ ~ ~L D~OES ~O CL~S ~SmO ~ER OR BY ~TUE OF S~ PE~T(S), ~ G~. ~ CO~L~TmG THIS ~P~CATION, I ~BY A~O~ T~ TRUST.S, T~ A~(S) OR ~$ENTATX~S($), TO ~'l'~R ONTO ~ P~OP~TY TO ~SPECT T~ P~SES ~ CON~C~ON ~ ~W OF T~S ~PLICATXON. ,20 o ~, Board of Trus=ees ADpL%cation AUTHO~ ZATIO~ (where the applicant is not the owner) (print owner of property) {mailing address) ~o here~y authorize ~=~ C ( Agent ) to a~Dly for De.it(s) fr~ the Southold Board of Town Truatees on my bQhalf. net ' s~gn=t=re ) 9I 399d 9N~0A 9NQOA ~PI0&SZIE9 50:0I 9005/60/50 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: SCTM# 6]0 .-~ I - r) [ That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Enc: Copy of sketch or plan showing proposal for your convenience. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSUICE FORM L~ Th~ Town of Southold'~ Code or Ethics otohibit~ eonfliet~ of int~'cst an ~ ~ oft~e 0~ an4 ~olo~ ~c o~ of · ~ ~ is to ~v[~ ~nfo~ati~n which ~ ~ ~ ~ of ~ssible ~nfli~ of n~ ~ avoid (~ nam~ f~ ~ ~, ,~ you ~ ~ly~ in ~ ~c of T~ g~iev~ Buildin~ .' "~ . V~ T~ C~ of~ne ~ Erosio~ App~va[ of plat M~ring ~emplion ~m pla or officia~ m~ PI~g O~r (lf'O~', ~e ~e ~ you ~r~ly (ar ~h yo~ ~mp~y. ~. sib{~ ~n~ incl~ing a p~ah~p, in which ~c ~wn officer or umpioy~ ~ cvcn [n which ~c {own oiler or employ~ ow~ ~rv ~ 5% of~e YES NO ~ if you ~we~ "~S". compiv~ ~hc ba~ of~is fo~ and ~c aud si~ Nmn~ of~uon ~pluycd by ~c Town o~ ~ud~old TiHe or ~sigon of ~ ~on · c appropd~ line A) ~ugh ~) ~or d~ in ~ spa~ ~9~. ~ ~wn offi~ or vmp[oy~ or ~is or h~r s~. ~ibl~& p~ o[ ~hi~ is (~ ~1~ ~p{y): ...... ~) ~ o~r of gr~r ~ I% of t~ ~ of ~ c~ ~ of ~ ~li~ (whmn ~e ~li~l is a app[{~[ ii not a ___C) ~ offi~r, di~c~r. ~vr. or cmploy~ of~e ~piic~I; or D) ~ a~ ~pl{~t. DESCRII~I'ION 01-' RELATIONSHIP Fo,m TS I Bg~d 9NROA 9NOOA ~PZOLaLZE9 aO:0l 900[/GO/EO Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for perm/ts* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing both supporting and non- suoDortin~, facts. 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# O[ 0 19 I - q- I PROJECT NAM~ N ,A to ~.,~ ~Arle~-~t-o ~ The Application has been submitted to (check appropriate response): Town~oard [~ Plann~g Board [] ~uila~gDept. 7] ~oardofTrustees Category of Town of S outhold 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 of action: Site acreage Present land use: I Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: ~,J ~d~ ~/",a, ~.f~o~. (b) M~l~gad&ess: ~ ~. ~ ~r t ~' (c) Telephone number: Area (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? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide ali proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes ~-~ No ~ Not Applicable 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 Attach additional sheets it' 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 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 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 n ,d ....... ' Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. No~pplicable Yes No Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~-~ Yes ~-~ No ~ Not Applicable 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 PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Yes~ No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POL~ES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. [--] Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes [] No ~ Ng, t Applicable 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 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 PREPARED BY YOUNG & YOUNG 400 Ostrander Avenue Riverhead, New York 11901 Telephone 631-727-2303 Facsimile 631-727-0144 admin@youngengineering, com HOWARD W. YOUNG, Land Surveyor THOMAS C. WOLPERT, Professional Engineer ROBERT C TAST, Architect RONALD E. PFUHL, Landscape Architect DOUGLAS E. ADAMS, Professional Engineer HAND DELIVERED February 16, 2006 Board of Trustees Town of Southold Southold Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 RE: NANCY CARROLL Lot 122, "Map of Cedar Point Park" at Cedar Point, T/O Southold, New York (04-0448) S.C.T.N. No.: 1000-90-01-21 Permit #5481 FEB 1 6 2006 Dear Members of the Board: Enclosed are the following items: 2. 3. 4. 5. application fee - our check payable to the "Town of Southold" ~n the amount of Two Hundred Fifty Dollars ($250.00), one (1) original and two (2) copies - Board of Town Trustees Application (signed and notarized), one (1) original and two (2) copies - Short Environmental Assessment Form, one (1) original and two (2) copies - LWRP Consistency Assessment Form, and three (3) prints - Architectural Site Plan (Sheet A-l) last dated January 3, 2005. We understand that the previous Permit #5481 has expired and must be current during the construction of the project. This application is for a continuance of the permit (or new permit) in order for construction to begin on this residence. Planning Engineering Land Surveying Architerture Page 2 February 16, 2006 The proposed construction is to alter the first floor and add a second floor Master Bedroom and Sitting Room, construct a garage addition to the east, a raised patio/terrace on the south and a front porch on the north. All of this work was previously approved by the Board and a Zoning Board of Appeals Variance has been granted for the front porch. ! appreciate your review of this application and contacting us with any questions or comments. Thank you. RCT/mal Encl. l~obert C. Tast