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TR-8259A
Michael J.Domino, President QF SO(/j", Town Hall Annex John M.Bredemeyer III,Vice-President � Ol0 54375 Route 25 P.O.Box 1 Charles J.Sanders l Southold, New York 11971 Glenn GoldsmithTele hone(631) 765-1892 ski A.Nicholas Kru G �Q p p '`O Fax(631) 765-6641 COMM BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1423C Date: November 27, 2017 THIS CERTIFIES that reconstruction of the existingLmudroom and bathroom area which will increase the footprint of the existing dwelling by 27 square feet, At 65490 Route 25, Breezy Shores Cottage#13, Greenport Suffolk County Tax Map #1000-53-5-12.6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 15, 2013 pursuant to which Trustees Administrative Permit#8259A Dated August 21, 2013, was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the reconstruction of the existing mudroom and bathroom area which will increase the footprint of the existing dwelling by 27 square feet. The certificate is issued to Graham Willoughby owners of the aforesaid property. Authorized Signature w f �pF SOT Michael J. Domino,President � yQIO Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25� � P.O.Box 1179 Charles J. Sanders y Southold,New York 11971 Glenn Goldsmith �. • O � Telephone (631) 765-1892 A.Nicholas Krupski ��ij'OUitlT`I, � Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: d l - 2 5 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction % constructed Project complete, compliance inspection. INSPECTED BY: n 0 f(2.Z'&)�r I ev- COMMENTS: 1 PAWIJI CERTIFICATE OF COMPLIANCE: James F.King,President o�QgFQ(,I co Town gall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President �� Gy P.O.Box 1179 Dave Bergen y ae Southold,NY 11971 0 John Bredemeyer Telephone(631)765-1892 Michael J.Domino �1 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 9 st day of construction %constructed VProject complete, compliance inspection James F. King,Presidentg�fFO( Town Hall,53095 Main Rd. v� x Bob Ghosio,Jr.,Vice-President ti�� ��Cs P.O.Box 1179 Dave Bergen Southold,NY 11971 w John Bredemeyer Telephone(631)765-1892 Michael J. Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1"day of construction % constructed _/ �/ Project complete, compliance inspection James F. King, PresidentO��pF SO(/T�ol Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road O P.O. Box 1179 Dave Bergen * Southold, New York 11971-0959 John Bredemeyer C47 • O Telephone(631) 765-1892 Michael J. Domino Fax(631) 765-6641 eOUNiY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8259A Date of Receipt of Application: July 15, 2013 Applicant: Graham Willoughby SCTM#: 53-5-12.6 Cottage # 13 Project Location: 65490 Route 25, Breezy Shores Cottage # 13, Greenport Date of Resolution/Issuance: August 21, 2013 Date of Expiration: August 21, 2015 Reviewed by: Board of Trustees Project Description: To reconstruct the existing mudroom and bathroom area which will increase the footprint of the existing dwelling by 27 square feet. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Frank W. Uellendahl, R.A., last dated July 15, 2013, and stamped approved on August 21, 2013. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, President Board of Trustees James F. King,President p�SUf FOL C P.O. Box 1179 Bob(ihosio..lr..Vice-President �j vs� Southold.NY 11971 Dave Bergen Telephone(631 765-1892 John Bredemeyer G Fax(63 1)765-6641 Michael J_Domino Southold Town Board of Trustees Field Inspection/Work Session Report, Date/Time: A616" /y 20 13 /t) t44 u 5 r F Frank Uellendahl, RA on behalf of GRAHAM WILLOUGHBY requests an Administrative Permit to reconstruct the existing mudroom and bathroom area which will increase the footprint of the existing dwelling by 27 square feet. Located: 65490 Route 25, Breezy Shores Cottage #13, Greenport. SCTM# 53-5- 12.6 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt.. 1111 _other Type of Application: "Wetland _Coastal Erosion _Amendment ✓Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Aojog .4 DDI %to 1) �Al Present Were: LIJ. King _f�b. Ghosio D. Bergen, __,/J. Bredemeyer —/Michael Domino D. Dzenkowski other Form filled out in the field by J, u G Mailed/Faxed to: Date: Y \rt all 1 WILLOUGHBY RESIDENCE AT BREEZY SHORES - COTTAGE #13 PHOTO 1: SW DIRECTION - 03/28/13 (p� ECEIVE D �] D JUL 1 5 2013 _ /r uthol own ' Vj � -M- " WILLOUGHBY RESIDENCE AT BREEZY SHORES - COTTAGE #13 PWnT(1 9- \/IF1Al (1F RI 11 ww=a 1 - FACT nlPF=r'TlnKl - !Y2/7R/1 Z t j WILLOUGHBY RESIDENCE AT BREEZY SHORES - COTTAGE #13 PHOTO 3: SOUTH DIRECTION - 03/28/13 1, Y H . Y, L WILLOUGHBY RESIDENCE AT BREEZY SHORES - COTTAGE #13 C)WnTn A- QU/ r)lDF= `TIlIAI - M/9RH4 r.- t.. ' r? 3 / 28 / 2013 11 57 • • ' COTTAGE • • D ' • i r �� ° a ac'a'',ai• .r � tC !1 1A � V I • I:'fI yy ♦ y Fkf, r, `° r `ice 9 `a a e � ✓�° �,;. V,M �• PP, 1 rw., •''V24 au as e lip COUNP SUFFO K © Property TU Swim Ap v © 46a{eM � wim dea vreneu _ ♦J]I .iS �+ J } >S rumwi a) u iwa ¢ruR,va >L C � H�L�R �S�ANDSOUND ^ a = N 0 ll J1 ADDITION & RENOVATION OF THE ENCLOSED PORCH q �RESIME SUN ROOM GREENPORT, NY 9 ARCHITECT E P.032 316 oumw'my 119„ TEL 631-/77 6R, LNING ROOM PM 631 2RS mm MRS S MY wum 66R2Y m 13 Mow,m 11 OO r TFL 911-46 2341 ED An T ITCHEN �� ova UE[[E�k 4• I i ❑ � � � } y DBDOM 4 STORAGE BATH BEDROOM I N r D1@ 0//15MI3 n nL 1/4'=I•-0• H LINE OF PROPOSED 21 SF ADDITIONEXISTING 1ST FLOOR PLAN u t-r s-2 EXISTING FLOOR PLAN 11 w WEE 11� u•-r b „•-,• 1, A - 2 e� UKND ADDITION k RENOVATION OF THE O EXT'G WAIL NEW WALL ENCLOSED PORCH § RESIDENCE SUN ROOM GREENPORT, NY ARCHITECT e P,RY1Jig 'c MOW,63 XY 1192 k TEL sn-m 2991 4� P.V1.WI-!n 1991 LIVING ROOM a OWNERS - «M Ll \J :Fx,� MEM,w 1 IJ i (JEBP010,N!11 00 TFL 911-20 1341 00 R _a f h KITCHEN ' {E "- MBATH MUDROOM BEDROOM 1 q 5 ea p17L 01/15/1017 + �'� PROPOSED A fit' N �� S �� 1ST FLOOR PLAN u'-r +�•�• 4 PROPOSED FLOOR PLAN 11 15 A - 3 a�xo ADDITION & RENOVATION OF THE C RESIDENCE GREENPORT, NY N ARCHITECT nm uojBv . R Ron 716 a6nT-6311'-77 S9 M,631-177 1997 Ll OWNERS Rlowe It DKY MIM wav SIMI I3 r CJEII NI I 1619 91717-{161399 b CONTINUOUS ROOF LINE 0 E lPROPOSED NORTH ELEVATION EXISTING NORTH ELEVATION �8" DIA. SONOTUBE--/3 CONCRETE FOOTING �� of 07/122013 a� CYF ITIS 99 PROPOSED & EXISTING NORTH ELEVATION or,NNc A - 4 W No 9� BOARD MEMBERS �F S0 Southold Town Hall Leslie Kanes Weisman,Chairperson O�� y0 53095 Main Road•P.O.Box 1179 �O Southold,NY 11971-0959 Eric Dantes # Office Location: Gerard P.Goehringer G C Town Annex/First Floor,Capital One Bank George Horning �� � 54375 Main Road(at Youngs Avenue) Ken Schneider �yCOUNT'1 Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631) 765-1809 •Fax(631) 765-9064 FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF JULY 25,2013 ZBA FILE# 6661 NAME OF APPLICANT: Breezy Shores Community, Inc. (Graham Willoughby) SCTM#1000-53-05-12.6 PROPERTY LOCATION: 65490 Main Road Cottage #13 (aka State Route 25 and Sage Blvd.) (adj. to Shelter Island Sound), Greenport,NY SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated May 15, 2013 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated June 27, 2013. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION Subject parcel is located in the R-80 zone and contains 82.6 acres. It is improved with three dwellings, a brick building, two garages, 28 seasonal cottages and 20 sheds. The Breezy Shores community is a unique property deeply rooted in the history of the Town. The access to the property is via a private road(Sage Boulevard) and the property is adjacent on the south to Shelter Island Sound. The multiple cottages on the property are a pre-existing non-conforming use that was established prior to zoning by the Sage family in the early 1900s. The cottages housed employees of the Sage family brick factory and have been rented as seasonal cottages. In 2000, a real estate cooperative, Breezy Shores Community, Inc., was established by the community and shares were offered as an ownership interest in the Cooperative. The cottage at issue in this application is known as Cottage no. 13 and is owned by Graham Willoughby and Emily Williams. All as shown on the survey prepared by Howard Young, L.S., entitled Survey for Cottage 13 "Breezy Shores"at Greenport, dated Jan. 09, 2013. BASIS OF APPLICATION: Request for Variance from Article XXIII Code Section 280-123A and the Building Inspector's March 7, 2013, amended May 2,2013 Notice of Disapproval based on an application for building permit for additions and alterations to an existing seasonal cottage at; 1) a nonconforming building containing a Page 2 of 3-July 25,2013 • • ZBAN6661—Breezy Shores Community,Inc.(Willoughby) SCTM#1000-53-5-12.6 nonconforming use shall not be enlarged, reconstructed, structurally altered or moved, unless such building is changed to a conforming use. RELIEF REQUESTED: The applicant requests a variance to construct a 27 square foot addition for the reconstruction and alterations of the bathroom and mudroom, as shown on the architectural drawings, A-1, A-2, A- 3 and A-4, prepared by Frank Uellendahl, R.A., dated 04/30/2013. FINDINGS OF FACT/REASONS FOR BOARD ACTION• The Zoning Board of Appeals held a public hearing on this application on July 11, 2013, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and surrounding neighborhood,and other evidence, the Zoning Board finds the following facts to he true and relevant and makes the following findings: 1. Town Law 4267-b(3)(b)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood nor a detriment to nearby properties. This unique property represents its own neighborhood of 82.6 acres with substantial wetlands and is far removed from adjacent properties. Thus, no adjacent property owner will be adversely impacted by the proposal. These 28 seasonal cottages on the subject property have been in existence since the early 1900's when they were built for occupancy by workers in the Sage brick factory. In the1940's, when operation of the brick factory slowed cottages were rented to summer guests. Each of the adjacent waterfront units are similarly located from the bulkhead and are of similar size. 2. Town Law 4267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The existing seasonal cottage is a non-conforming building with a non-conforming use which, as per the code, requires a variance from Section 280-123 in order to permit any alterations and additions to the seasonal cottage. 3. Town Law 4267-b(3)(b)(3). The variance granted herein for relief from Section 280-123 is mathematically substantial, representing 100% relief from the code. However, the proposed addition of 27 square feet is minimal, representing a 3%expansion of the pre-existing cottage foot print and the proposed alterations will be in kind. 4. Town Law 4267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law &267-b(3)(b)(Q. The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. However, to the extent that a structure ultimately and unavoidably requires some reconstruction and/or alterations to allow for reasonable improvements to continue the safe use of the structure, the need for variance relief is not self-created but created by the zoning code that now prohibits activities which at one time were not prohibited 6. Town Law 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of an addition and alterations to the seasonal cottage, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Schneider, seconded by Member Goehringer, and duly carried, to GRANT, the variance as applied for, and shown on the architectural drawings, A-1 site plan dated 04/30/2013, last revised 7/11/13, A-2, A-3 and A-4, prepared by Frank Uellendahl, R.A., dated 04/30/2013. Subject to the following conditions; Page 3 of 3-July 25,2013 ZBA#6661—Breezy Shores Community,Inc.(Willoughby) SCTM#1000-53-5-12.6 CONDITIONS: 1. The structure shall be used only as an unheated seasonal cottage. 2. No future alterations or additions on the subject cottage may take place without review by the ZBA, other than necessary minor repairs as determined by the Building Department. That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s)granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: Members Weisman (Chairperson), Goehringer, Schneider, Dantes, Horning. This Resolution was duly adopted(5-0). Leslie Kanes Weisman, Chairperson Approved for filing 713o /2013 OFFICE LOCATION: OF S0(/ryO MAILING ADDRESS: Town Hall Annex ti0 l0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) CP Southold, NY 11971 Q Telephone: 631 765-1938 Ak. Fax: 631765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM D E Q E I V E D D D To: Jim King, President AUG 1 5 2013 Town of Southold Board of Trustees outhold Town From: Mark Terry, Principal Planner Board otTaistees—, LWRP Coordinator Date: August 13, 2013 Re: LWRP Coastal Consistency Review for GRAHAM WILLOUGHBY SCTM#1000-53-5-12.6 Frank Uellendahl, RA on behalf of GRAHAM WILLOUGHBY requests an Administrative Permit to reconstruct the existing mudroom and bathroom area which will increase the footprint of the existing dwelling by 27 square feet. Located: 65490 Route 25, Breezy Shores Cottage#13, Greenport. SCTM# 53-5-12.6 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my determination that the action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "BB" which states: BB. Additions to an existing dwelling constituting less than 25% of the existing structure where the addition is greater than 75 feet from a natural protective feature, except where the parcel is located in a coastal erosion hazard area; Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney ` James F. King,President • �Of SOpj • Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O� �� 54 Main Road P..O.O.Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer Michael J. DominoG� i� Telephone (631) 765-1892 Z?7' CO Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Applicatio _Wetland Permit Application Administrative Permit Amendment/TraTf r/E tension ec—e Received Application: Aompled Fee:$ E. I �/ ' Completed Application S 3 D Incomplete SEQRA Classification: Type I Type 11 Unlisted JUL 1 5 2013 �oordination:(date sent) WRP Consistency Assessment Form 3 SodoldCAC Referral Sent: mr0 Date of Inspection:_ _Receipt of CAC Report _Lead Agency Determination: Technical Review: Public Hearing Held: Tj Resolution: Name of Applicant (: iAgh Rk W/!_C_Ou6K6V Mailing Address J`¢'¢ e 00R,T ZT; '4PT :3 �0 L3 we&vypkJe /V Y 1123 Phone Number:( Suffolk County Tax Map Number: 1000 - ,J� " 1.2. �O Property Location: (6rj4r -g0 >ec(JTP 2!5 Z3�—`z'K Z�A41 t /85�.,V6 4rsf of 773j1eP4Ay V&VE 45_�of (provide LILCO Pole#, dist6nee to cross streets, and location) AGENT: FIz.�N� GI ELlN DANS �/� (If applicable) Address: -EILJ'TTnZ�C rCUE / �!✓ �✓(� �1 Phone: ( 3I '¢�` 9d72� rd of Trustees Application A GENERAL DATA Land Area(in square feet): !/ 7 g4 s F Area Zoning: K.—90 Previous use of property: Intended use of property: /L�E,tll7 AC Gd / r.� Covenants and Restrictions on property? Yes __�/_No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? -V—Yes No Does the structure(s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date V/ No prior permits/approvals for site improvements. ' / Has any permit/approval ever beeh revoked or suspended by a governmental agency? �/ No Yes If yes, provide explanation: Project Description (use attachments if necessary): M.7—. Vvnr "Ll r>eceAf -L1�D 8�l�-f A�.4 t COtlA� F�77°2/ivT 7D /.uc949F?4.6 85' 45F 3 IyEW Bo of Trustees Application . WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operation's: iQ�G4iU STe�2(JC� ,231V 2L�sI 7j��GCJdeE M[/.�•�O�Y /a ru�J !3R?�20o�-! '�D ��•g7� ��iP�O vEl� K1?'4HEN L.144'cOT- Au0 M��E BATf�AQtmN 49YtrUT �CD6 cb�-rJWA)N! Area of wetlands on lot: square feet Percent coverage of lot:—% Closest distance between nearest existing structure and upland edge of wetlands: 67 feet Closest distance between nearest proposed structure and upland edge of wetlands: �*.?j feet Does the project involve excavation or filling? No V Yes If yes, how much material will be excavated? 0,03;' cubic yards How much material will be filled?__cubic yards Depth of which material will be removed or deposited:__feet Proposed slope throughout the area of operations: ,V0 SL-OPE Manner in which material will be removed or deposited: 3 GO,y� )c:ta7-1x>65 -rD f3E 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): -roe- Powe ED Acv_ Al toiti- A)07" 6/Ay& A.UY �FF6A::�77 oA) -fWE � lszAk)D .soL,uD PROJECT ID NUMBER • • SEQR APPPENDIENDI X C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME 3.PROJECT LOCATION: Municipality ty �� T County 4.PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map `Ow"AL 5. IS PROPOSED ACTION: ❑ New I�Expansion ❑Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: ��L 7D 7.AMOUNT OF LAND AFFECTED: Initially g0 acres Ultimately " 2 acres 8.WILL PRO,rPOO,�SSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ❑Yes Iii No If no,describe briefly: 9.rAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) IXI evidential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open Space ❑Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) I Yes ❑No If yes, list agency name and permit / approval: VA ID PERMIT OR APPROVAL? ❑Yes No If yes, list agency name and permit / approval: 1122. LAS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? L]'es -toNo I CE I Y THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Spo Date: 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 If- IMPACT ASSESSMENT o be completed by Lead Agency) A DOES ACTION EXCEED ANY TYPE IfTHRESHOLD IN 6 NYCRR,PART 617:4? t yes,coordmale the review process andusethe FULL EAF. Q Yes Q No 0- Will AC11ON RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another kwolved agency. Yes ©No C.COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWNG:(Mswem may be handwritten,If legible) C1- Existng ale quality,surface or groundwater quality or quantity.noise levels.eAsting traffic pattern,solid waste production or disposal potential for erosion,drainage or flooding problems? Explain briefly. C2 Aesttefiq agricultural,atdtaedogical,tdslontc,or ether natral or cultural resOmec;or or neighborhood eharadrM FxpWa briutly: C3. Vegotatbn or forma.fish shell 'orwpd a;pedes,significant habitats.or threatened or endangered;pedes?ERAakt briefly. C4. A eommunily's exismng plans w goals as orrdaty adopted,or a-Change.in use or intensify of use of land ar other natural resources?Explain briefly; C5. Growth,subsequent development;or related activities likely to be induced by the proposed action?ErPubain briefly: C6. long term,short term,amula(ive,or other effects not identified in CI-05? Explainbriefly, C7- Other impacts(Including changes in use of either quan l or type or ene ? E tin briefly c--- - - - - O. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABUSHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? Of Yes.elg9vin brie , QYes a No Iry" OR IS THERE UKELY TO 0 RELATED TO POTEMIAL E ALµ,(P t{.�NO I—:— - PART Nf-DElBiMMLOW10N OF SKiNIH1CANCE(To be oatpleted by Agency) *MRUCMNS- Foreaohadvem tNedidtftihedalwva,determinewhedwitissubstao#aLldMkWottWorOtheWINSt nWsicanL Eads aged Should be a>ist111119ad in vonnedian WO Ns(a)soft(Le.urban Or fuf l);(b)Pmba bft of oocufing:(o)dWallon (d)kfavensl) ;(e) gaogtaphIC aOOM and(f)rrregnkkki. N nepesz;atyr add attadanents or reference,suppotdng niatrxfals. Burne.that ue>�Italloto contain- SdBoletddoWtosfawNta dreieYafttadveMaplpadshavebeenidenGfWWWadequak*addatsrSed. Neu digondofPad1*3sdmKW yaerthedeWm*u mof*nffi enoamustevaluatstmPote (WkPOB" MPraposedactionenthew*WMMWdwadedsftdtheCFA Checlr#6bwrNyouhiWid1 ililledonewmaapatenfatyWrgeorsigrttcarrl.advsrseImpactsMOMMAYOccur Then proceed directfytoIN EAF andfor prepare a posttwe dedawf L FULI Cher*time bon ItYOU lhave determkied,based on the Information and analysis above and any sWpuxfflig documentation,that the proposed acft WILL NOT result In any significant adverse environmental impacts AND provide, on atachmenis as necessary.the reasons supporting thi determination. Board of Trustees Name of Lead Agency Dale President Print or Type Name of Responsible Officer m Lead Agency Title of Responsible Officer ZIN Town of Southold Erosion, Sedimentation t& Storm-Water Run-off ASSESSMENT FORM $ PROPERTY I-OCATION: S.C.TAt.R. THE FOLLOWINO ACTIONS MAY REQUIRE THE SUBMISSION OF A I DUQ S3 �2•W' STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN s 3-4o TeT— CERTIF ED BY A DESIGN PROFESSIONAL N THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All Stonn-Water Run-Off (Induce Total Area of all Parcels opted within 110 A Z c7c Generated by a Two(2')Inch Rainfall on Site? ,t ❑ the Scope of Work for Proposed Construction) ytr� Is item will include ncue arunoff created be (S.F.I Ades) y .V/ site b. What is the Total Area of Land Cleaning clearing and/or construction activities as well as all and/or Ground Disturbance for the proposedCSC Site Improvements and the permanent creation of construction activity? (( Impervious surfaces.) 2 Does the Site Plan and/or Su `/ IDE BRIEF PROJECT DESCRIPTION Palm as(P,rnlf.AddadW Iawe.q Survey Show All Proposed PROVIDE 4 ❑ Drainage Structures Indicating Size 8 Location?This Item shall Include all Proposed Grade Changes and 1ZF.1'D�cJS7'QUCT A,up wQQE - Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion Gpq/.'j`Gry/eE Mtlfl pwew and sediment control practices that will be used to ❑ site erosion and storm water discharges. This Item m Item must be maintained throughout the Entire Construction Period. 70 1A KQ� W40-0&-A) Vn4-V 4 Will this Project Require any Land Filling,Grading or Aw � "n� nip cry f„y ea r� Excavation where there is a charge to the Natural ❑ JL/ /-(K C/fY/!T r[rC f/L Existing Grade Involving more than 200 Cubic Yards _V �� of Matedal within any Parcel? 5 Will this Application Require Land Disturbing Activities ❑ / Pr LG��� Intl WC�A5,o_ Encompassing an Area in Excess of Five Thousand _v Veen �1 !V r17� (5,000 S.F.)Square Feet of Ground Surface? L� �,J 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving sol Beach? disturbances of one(1)or mom acres; Including disturbances of leas than one acre thatWill there be Site preparation on Existing Grade Slopes ❑ /f am pan of a larger common plan that wultimately on disturb e or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to •V/ Including Construction activities Involving sol disturbances of leas then one(1)acre whew One Hundred(100')of Horizontal Distance? the DEC has determined Net a SPDES permit is required for storm water discharges. (SWPPF's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious for Sham Water Discharges from Construction activity-Permit No.GP-0.10-001.) Surfaces be Sloped to Direct StDrm-Water Run-Off 1.The SWPPP shall be prepared prior to in&submittal of the Not.The Not SW be into and/or In the direction of a Town right-of-way? submitted to time Department prior to the commencement of construction activity. 2.The SWPPP shag describe the emeion and sediment control practices and where 9 WIII this Project Require the Placement of Material, required,post-oonstruction stormwater management practices that will used and/or Removal of Vegetation and/or the Construction of any M constructed to reduce e pollutants in storm water discharges and to mum Item Within the Town Right-0f-Way or Road Shoulder compliance whir the lama and condltlees of this permit.In addition,the SWPPP shall Area?(Thio loam wdll NOT Include as IMaeaba of inh'aeay AM..) identify potential sounx s of poBrtion which may reasonably be expected to affect the quality of storm water discharges. NOTE: N Any Answar to Questions One through Nine Is Answered with a Cheek Mak 3.AN SWPPPs that require the post-construction storm water management praGks in a Be.and the wratmedon its dietwi ante A between 5,000 S.F.a 1 Ana N area, component shall be prepared by a quaffed Design Professional Licensed in New York a Storm-Wider,Grading,Drainage f Erosion control Plan Is Required by the Tovm of that is knowledgeable M time principes and practices of Stam Water Management Swthohl and Must be Submitted for RSNaw Prior to Issuance of Any Building Permit (NOTE: AChadt Mark(4)end/a AnsaarMe Ouedbnb Regrlmdkxa CmeNte Apolar ) (�QNNIF1) HI INGH STATE OF NEW YORK, Notary Public,State of New York COUNTY OF.... SS No.01 BU6185050 Qualified in Suffolk County A� iIJK L1E[GEAlORK� Commission Ex fres April 14,2CI3 ...................being duly swom,deposes and says that ppe/she is the applicant for Permit, That I........... :.............l,,ldual signing......mens. h (Name of indivitluel signing Document) And that he/she is the ...'.9 �..'.�..�-�'C� . .......... . ...................................................................................................................... (0 w r,Contractor,Agent,Corporate Officer.etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to a best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewithl - signs, Sworn to before meeGthis; ....................`iw2...................flay of ..� .G ......../.............,`10. .5 Notary Public: . C�`(.\.l�'.�1.'..... l. X�.................... ............... . .licart...........................ure of licanq FORM - 06/10 Boo of Trustees Application • County of Suffolk State of New York �ni1'1 y P' W ) IiCLM 1 GVO1gam W. I/VdlDUlkBEING DULY SWORN DEPOSES AND AFFIRMS THAT HWSHE THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PRO RTY TO INSPECT THE PREMISES IN CONJUNCTION WITH Wtureof APPLICATION. ty Owner SWORN TO BEFORE ME THIS DAY OF J 1 12013 Notary Pliblic NANCY S BANTOW Notary Public-stab of Now York NO.O1BA6246441 Oual"ied in Suffolk C u [! my Commission Expires L s l!�- Bo4d of Trustees Application. AUTHORIZATION (where the applicant is not the owner) 1,61 lA607 residing at 5 Cida'-1 Y, 6c av k (print owner of ope ty) (mailing address) do hereby authorize �1, 4 1 (Agent) /23 CGl�fi Gt� Gl(/� { Cil to apply for permit(s) from the Z o d of Town Trustees on my behalf.ignature) t3 V3 S BREEZY SNORES COMMUNITY, INC. P.O. BOX 92'51 MATTITUCK, NY 11952 Pecon icpaintingGxl lsouth.net April 26, 2013 1, Donald E. Wilson, President of Breen• Shores Community Inc. Coop Board, hereby affirm that the Board has reviewed the site plan and cottage for renovation of cottage number 13 for Graham Willoughby and Emily Williams, which was prepared by: Frank Ucllcndahl PO Box .> 16 Greenport. NY l 1944 and have no objections thereto. Both the Board and the Architectual Committee at Breezy Shores certifv that v.e have seen and approve0f your plans. DpnaW E. Wilsoq4,' APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE,FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose of this is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. - YOURNAME: (Last name,first name,rpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant . (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 12 day of_ J'�l 2 8 Signature j,^;;.� �- Print Name f YV i^•� �.� Lek V,i i ,�9 u I �6✓ Form TS 1 Town of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. 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. 2. 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). 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 detail, listing both supporting and non- supportine facts. If an action cannot be certified as consisteD V �c3c� ds and conditions,it shall not be undertaken. n A copy of the LWRP is available in the following places: o the�..IIU� f Southol C� website (southoldtown.northfork.net), the Board of Trustees f l e, the $I niMp e , all local libraries and the Town Clerk's office. uthold Town B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 -��- S - 12.ly COTl,9G-& !3 «LiG'y8Y PROJECT NAME 9P�i2Y 59ME6 C1J V-7;�« 4 (?j The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit,approval, license,certification: Nature and extent of action: Q4—L-co.ySTPy<T A ro C T1Ni20DM A A9 AMt E L3ftNK WP CODE COL(F4,qN'� Location of action: A43 D 'Oe 2G✓+ GAZY 6fV44ES Site acreage: SZ .t 7 G7G'e9 Present land use: p �(JT/.ZjC ��D/Viq� COs Present zoning classification: J ` Reo 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: 49c (b) Mailing address: ,Z;+Jt CDvRT 5 (c) Telephone number: Area Code( ) �9(�) -446 - 2341 (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No kf 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 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 Z 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 ❑ NoX 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—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No 54 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 0 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 ONot 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. 1-1 1:1X� Yes No Not Ap*ble 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 ❑ Noj% 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*0 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. ❑ Yeo Noo Not Applicable Attach additional sheets if necessary WORKING COAST POLICIEO . 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 X 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 0 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 ❑ NoN4 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. F] Yes ❑ No � Not Applicable PREPARED BY ��U'ltil>ti( TITLEAQ"arci DATE !//416 ADDl-;3N & RENOVATION RUN-OFF CALCULATION FOR 2" OF RAIN TO BE CONTAINED ON SITE PROPOSED 6'DIA. X 4' DEEP DRYWELL -(2) 89 Cu.Ft. EXT'G FOOTPRINT OF COTTAGE 897 SFTHE COTTAGE 897 SF : 100% run-off coefficient = 149 cu ft WITH GUTTER LEADERS FOR ROOF RUN-OFF ( YR/) PROPOSED FOOTPRINT 924 SF w INCREASED COVERAGE 27 SF = 3.01 % PROPOSED 27 SF ADDITION C-14 C-15 N 3 C-11 C- 12 C-13 _.—._ — ._.—•-.—.-.—.-.—._._ ._.— _.—._.—._._d � �} —._.—._.—._.—._.—._•—'14.1' RES QE iN CE - OR �IBREEZY SNORES "' GREENPORT, NY COTTAGE #13 0 ARCHITECT ._. .-• •-• o FRANK UELLENDAHL P0BOX 316 GREENPORT, NY 11944 TEL: 631-477 8624 FAX 631-477 2997 OWNERS GRAHAM WILLOUGHBY CIO E Q (L' I V F EMILY WILLIAMS w IS D \S��W.0 �q SHORE as 46 2341 Y -.-.-.-.- °: :' 3 :':':• :• .•. •.•- . . JUL 1 5 2013 . . k for �1 w uthold Town ; ^. Tr e t — Z: •`-```':': : ` `• ````•:': : : : : : : :` obi < ;. . . . . . . . . . . . . . . . . . : : : : : %..-GRA •.•: : : : : : : : : . . . . . . .`. . .. . . . . . . ...... . .•.LL.APPROVED BY o 3 z :,:::.:: ::.:.:.:::::LL:,: :: : :' : •:`:•:•:•:•`•: :'.`.•:•: •:':•:•:•:• BOARD OF TRUSTEES ' .- . . -.'.'.`.`.'. '.•. ` . . . ` . . TOWN OF SOUTHOLD o .'.'.'.'.'.'.` .' .'. .'.'.'. '.'.`. . . a . . . . . . . . . . . . s w � a : . : : :: ...: .. ...LL.... . . DATE Zl �3 � o � o � EXISTING BULKHEAD = TIDAL WETLANDS BOUNDARY _ o eso a _ _ -- ---- SCALE: 1/16" =1'-0" =a DATE: 07/15/2013 PEBBLE BEACH _ – — PROPOSED SITE PLAN scALe �'6° _ -o' CT # = 1000-53-05-12.6 x SHELTER ISLAND SOUND To rSLI � N OF SOUTHOLDDFFOLK COUNTY, NEW YORK g s DWG, NAME A - ' TRUSTEES APPLICATION g DWG NO � �a ,ADC'ITION & RENOVATION OF THE �I RES I DEN!C 0 GREENPORT, NY V_ 2 O T ARCHITECT FRANK UELLENDAHL PO.BOX 316 GREENPORT, NY 11944 TEL, 631-477 8624 FAX: 631-477 2997 - - - — - — OWNERS ® ® z GRAHAM WILLOUGHBY & EMILY WILLIAMS BREEZY SHORE Q a GREENPORT, NY 11,944 2341 x�PEo aRoy IIAI&\ c► � . cy i CONTINUOUS h ROOF LINE Ell T ® * 0 t pp, 3 Q iil N Z 0 25 O I o � I I E LPROPOSED NORTH ELEVATION EXISTING NORTH ELEVATION o \-8" DIA. SONOTUBE-----/ CONCRETE FOOTING o DATE 07/13/2013 SCALE: NTS PROPOSED & EXISTING NORTH ELEVATION 8 DWG. NAME A - 4 8 DWG NO ©a ADDITION & RENOVATION OF THE o EXT'G WALL NEW WALL ENCLOSED PORCH § �PMENCE 'r SUN ROOM GREENPORT, NY ARCHITECT �K LU-00K — - e P0°OX 716 CA Ta 531,NX9/4 11 1[L',671- 9614 LIVING ROOM r r 63117; OWNERS ERS JUL 1 5 2013 RAW Rosm 13 r GRED W,W 11 14 OO TEL 917-446 1741 Souihoid Town Board of Trusties 00 --�" KITCHEN ��M "o ` s FiffJ1, L n �1 M —a. r f9 a 4�Cy t�t 0 BATH MUDROOM BEDROOM 1 - ea N DATE, 07/15/101] 4 lir e PROPOSED " ° �k 3'-G' 4 " -- g IST FLOOR PIAN 14'-1• 1/.-4' PROPOSED FLOOR PLAN 01 o9c w& A - 3 1 VNG.NO 0� ADDITION & RENOVATION ENCLOSED PORCH § rl RESIDENCE %r SUN ROOM GREENPORT, NY ARCHITECi f K I.CUBlWIL E POCK 716 TD,531-477 5624 477 M7 WING ROOM `� 6J,-OWNqL ERS GR &E Y k YLY IAfWMS VEM 91DE IS G;MP K4,W 11 OO TEL:917-446 2341 00 ITCHEN wo FE-1 m� oRoouSTOw� BATH BEDROOM t T - O � nn: 07/15/2013 >r LINE OF PROPOSED 27 SF ADDNION EXISTING EXISTING FLOOR PLAN � IST FLOOR PIAN � �1WE �, a-r ,E 19•x• � A — 2 cwc nn 9� ADDITION & RENOVATION DD E Q V E D OF THE D JUI 1 5 2013 � � RESIDENCE - ----- - GREENPORT, NY W ARCHITECT FRWK UEW)RAHL P.083 316 q GREDPOIH,NY 11944 HE TEL:631-177 8621 F9 611-177 2997 OWNERS 8 DA "LLM 999 REM%" IJ XQW,W 11 a 917-446 2311 b CONTINUOUS ROOF LINE � 4 S PROPOSED NORTH ELEVATION EXISTING NORTH ELEVATION �8" DIA SuONOTUBE- CONCRETE FOOTING DATE D7/15/201 ow sWc HTS PROPOSED & il EXISTING v NORTH ELEVATION DK N" owc NO A 4 ECEIVE JUL 1 5 2013 a m Southold Town Board True .eA ,e MY .0.Y ra ® !!e.ae, carry wa w.or,mn n w.v. _ • T_ a Y Dem !!" � wm,wnrcm eM B u i �3 roorr...n.•o..w.mo.�.,�. � / .__„w,a,wr.rr„o..�rm..,., •m .rxorr.�w __ n m eM m ND (1)VNPUTIMI}ED PLTERPTCN q<iDDITON i0 M15 9JRVEY IS F NCIATW Cf SECTION)109 Lf ME NEW YgiN STATE FbJLATCN LAW.(2)dSTINUS SHOW HEREON MCV PRCPERIY IMES TO EgSTXC SIRUCTNIES ARE ECB P IDEOM IMPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY VXES CA EON ERECTOR C(TENCES.(3)COPIES C NIS SURVEY YAP NOT BEARING ME LAND SVRLEYON S INXED SEAL OR ENBOSYD SEAL SNK NOT BE CCNSIMED TO BE P VL D ME COPY.(4)CERMI AROH INDICATED HAREM TERA RUN Q i0 ME PERSON RWFOR NXCV IDE UIONSUR0IS CTIONNINA72 AND M HIS W YORK ST TE TT£COMPANY,LAW CA•EXNWN TAL AGENCY AND LENDING INSTNTON LISTED HEREON,AND TO ME ASSdEES O ME TEAMG MSTNTM,CERTHCATWS ME NOT NANSFTRAdE TO ADOITONAL INSTNTOHS CB SVBSEWENT OWNERS (5)ME LOCATM O N£LS(W).SMTC TAMS(ST)k UE `U-5(DR)SHOW HEREON ARE MCV BELO CBSERVATOHS AND ON DATA OBTAINED MpH OMENS, StAL 400 Ostrander Avenue,Riverhead,New York 11901 tel.681.'12'12303 fax. 63L-171.0144 odminoyoungenglneering.com o� q N Howard W.Young,Land Surveyor c Thomos G.Wolpert,Professional Engineer Douglas E. Adore,Professional Engineer 0 r Ratxrt G.Tact, Architect 0 0 I O 'o i 0 N O N 9 O W(1 O � / J O O O SURVEYORS CERTIFICATION a o DD a \ o ed�1O° g WO MIZRAHY � C,'• TTA6E 25 HOWARD W.YOUNG,N.Y E O fl 0 Q dG d bdDpp�p. . ." SURVEY FOR pQ � 4460'OD R abo _ C °"� oCOTTAGE 25, "BREEZY SHORES" of Greenport, Town of Southold A Suffolk County, New York WtLLOU6649y BUILDING PERMIT SURVEY County Tax Map Di.trid 1000 sI,won 55 9100A 05 Lot P/O 12.6 MAP PREPARED JAN.OF,2015 Record of Revlslons RECORD OP REVISIONS DATE 51 TE MAP 400 O 200 400 600 SCALE: I"=400' Scale: I" = 400' d JOB NO.2012-02"IO DINS.2010_0203_navd66\2010_0205_2012_02T0_bp I OF 3 71 = MONUMENT SET = MONUMENT FOUND = STAKE SET A= STAKE FOUND