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HomeMy WebLinkAboutTR-8298John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee sof so�ryo1 O �ycoUNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 CERTIFICATE OF COMPLIANCE Telephone (631) 765-1892 Fax (631) 765-6641 # 1097C Date: February 13, 2015 THIS CERTIFIES that the alterations to the existing dwelling consisting of 10'x20' first and second floor reconstruction and 16'x13' first floor reconstruction; storm -water roof runoff in accordance with Chapter 236 of the Town Code At 380 Midway Road, Southold, New York Suffolk County Tax Map # 90-2-4 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 19, 2013 pursuant to which Trustees Wetland Permit #8298 Dated September 18, 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 alterations to the existing dwelling consisting of 10'x20' first and second floor reconstruction and 16'00' first floor reconstruction• storm -water roof runoff in accordance with Chapter 236 of the Town Code. The certificate is issued to SHARI CAI owner of the aforesaid property. Authorized Signature i �► John M. Bredemeyer 111, President U'W' Town Hall,53095 Main Rd. Michael J. Domino, Vice-PresidentP.O. Box l179 James F_ King Southold, i�fY l1971 Dave Bergen Telephone (631) 765-1892 Charles J_ Sanders Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DAT/EF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, hay bale linetsilt boom/silt curtain 15f day of construction constructed Project complete, compliance inspection. INSPECTED BY: ('3W Q COMME TS: CERTIFICATE OF COMPLIANCE: James F. King, President Bob Ghosio, Jr., Vico-President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 0 Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 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 at day of construction % constructed v Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8298 DATE: SEPTEMBER 18, 2013 ISSUED TO: SHARI CAI PROPERTY ADDRESS: 380 MIDWAY ROAD, SOUTHOLD SCTM# 90-2-4 AUTHORIZATION Pursuant to the provisions of Chapter 275 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 September 18, 2013, and inconsideration of application fee in the sum of $250.00 paid by Jing Shari Cai and subject to the Tetras and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for alterations to existing dwelling consisting of 10'x20' first and second floor reconstruction and 16'x13' first floor reconstruction; storm water roof runoff to be in accordance with Town Code, Chapter 236; with the condition that a line of staked hay bales and silt fencing be installed prior to and during construction landward of the non -turf buffer; and as depicted on the survey prepared by John C. Ehlers, Land Surveyor, received on August 19, 2013, and stamped approved on September 18, 2013 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. 0 0 TERMS AND CONDITIONS The Permittee, Shari Cai residing at 380 Midway Road Southold. New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. 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. 4. 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. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. 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. 7. 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. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplementalto this permit, which may be subject to revoke upon failure to obtain same. 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino September 18, 2013 Ms. Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: SHARI CAI 380 MIDWAY ROAD, SOUTHOLD SCTM# 90-2-4 Dear Ms. Moore: 0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 18, 2013 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of SHARI CAI 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 August 19, •2013, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 18, 2013, 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, 0 0 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 the Board of Trustees approve the application of SHARI CAI for alterations to existing dwelling consisting of 10'x20' first and second floor reconstruction and 16'x13' first floor reconstruction; storm water roof runoff to be in accordance with Town Code, Chapter 236; with the condition that a line of staked hay bales and silt fencing be installed prior to and during construction landward of the non -turf buffer; and as depicted on the survey prepared by John C. Ehlers, Land Surveyor, received on August 19, 2013, and stamped approved on September 18, 2013. 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: $0.00 Very truly yours, James F. King President, Board of Trustees JFK/amn • 0 .lames F. Rini_ President p�n_ P.O- Box 1179 Bob Ghosio, Ir_ Vice -President Dave Bergen ZEN Southold, NY 11971 Telephone 765-1892 (631 john Bredemeyer Michael,l. Domino �, M G � �4 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: y z O Patricia C. Moore, Esq. on behalf of SHARI CAI requests a Wetland Permit for alterations to existing dwelling consisting of 10'x20' first and second floor reconstruction and 16'x13' first floor reconstruction; storm water roof runoff to be in accordance with Town Code, Chapter 236. Located: 380 Midway Road, Southold. SCTM# 90-2-4 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 _other Type of Application: _ Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre -Submission Violation Info needed: Modifications: Present Were: VJ. Kin / B. Ghosio tD. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski Form filled out in the field by Mailed/Faxed to: Date: other 0", Steven Bellone SUFFOLK COUNTY EXECUTIVE • 1Department of Economic Development and Planning Joanne Minieri Deputy County Executive and Commissioner July 11, 2013 Town of Southold ZBA 53095 Main Road P.O. Box 1179 Southold, New York 11971 Ms. Leslie K. Weisman, Chair Dear Ms. Weisman: Division of Planning and Environment RECEIVED JUL 17 2013 BOARD OF APPEALS Pursuant to the requirements of Sections A14-14 thru A 14-25 of the Suffolk County Administrative Code, the following application submitted to the Suffolk County Planning Commission is to be a matter for local determination as there appears totbe no significant county -wide or inter -community impacts. A decision of local determination should not be construed as either an approval or disapproval. Applicant Municipal File Number Withers, Michael 6670 Cai, Shari 6671 C&L Realty, Inc. 6672 Very truly yours, Sarah Lansdale Director of Planning 7 Theodore R. Klein Senior Planner TRK:mc H. LEE DENNISON BLDG ■ 100 VETERANS MEMORIAL HWY, 4th FI 0 P.O. BOX 6100 0 HAUPPAUGE, NY 11788-0099 0 (631) 8535191 �o, QiOFFICE LOCATION: `i��OF SO(/TyO i Town Hall Annex \/ (� 54375 State Route 25 \ (cor. Main Rd. & Youngs Ave.) Southold, NY 119710 �O COU J MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Principal Planner LWRP Coordinator Date: August 5, 2013 1[t� 05 2013 AUG 1 9 2013 j' Re Coastal Consistency Review for ZBA File Ref: SHARI CAI #6671 SCTM#1000-90-2-4 OFAPPEALS SHARI CAI #6671 - Request for Variances from Article XXII Section 280-116(6) and Article XXIII Section 280-124 and the Building Inspector's May 6, 2013 Notice of Disapproval based on an application for building permit for reconstruction and alterations to existing single family dwelling, at; 1) less than the code required bulkhead setback of 75 feet, 2) less than the code required minimum side yard of 15 feet, 3) less than the code required minimum combined side yards of 35 feet, located at: 380 Midway Road (corner West Lake Road) (adj. to Little Peconic Bay) Southold, NY. SCTM#1000-90-2-4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my determination that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "II" which states: ll. Additions to an existing building or rebuilt residential structure which results in no net increase in ground area coverage, except where the parcel is located in a coastal erosion hazard area; The proposed action is not located within the Coastal Erosion Hazard Area. Pursuant to Chapter 268, the Southold Town Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Jennifer Andaloro, Assistant Town Attorney COUNTY OF SUFFOLK 5,2.-,� 4pftww�- :c �. �. A: OUTHOLD SCTM: 1000-90-2-4 V - lt�r+, N,"i J)i r^� .:rte a A s ■ M( m Im i Y � 113 Y _ 9� \ MIT- �. LTA, • i •1,_ YT T. 6 D SOUTHOLD SCTM: 1000-90-2-4 �i. a f sa - 00 Midway R_- outhol�d�NY 11971. USA A Goode earth OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 OF SOUTyo� iN D��COUN% MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM S4 P To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: September 16, 2013 Re: LWRP Coastal Consistency Review for SHARI CAI SCTM# 1000-90-2-4 '3 Patricia C. Moore, Esq. on behalf of SHARI CAI requests a Wetland Permit for alterations to existing dwelling consisting of 10'x20' first and second floor reconstruction and 16'x13' first floor reconstruction; storm water roof runoff to be in accordance with Town Code, Chapter 236. Located: 380 Midway Road, Southold. SCTM# 90-2-4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided to this department as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "II" which states: II. Additions to an existing building or rebuilt residential structure which results in no net increase in ground area coverage, except where the parcel is located in a coastal erosion hazard area; The action is not located within the 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 Peter Young, Chairman Lauren Standish, Secretary O T All Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., September 11, 2013 the following recommendation was made: Moved by Jack McGreevy, seconded by William McDermott, it was RESOLVED to SUPPORT the application of SHARI CAI to construct alterations to existing dwelling 10'X 20' first and second floor reconstruction and 16'X 13' first floor reconstruction. Non -turf buffer already existing and drywells required by Town Code. Located: 380 Midway Rd., Southold. SCTM#90-2-4 Inspected by: William McDermott The CAC Supports the application with the Condition gutters, leaders and drywells are installed to contain roof run-off. Vote of Council: Ayes: All Motion Carried BOARD MEMBERS • Leslie Kanes Weisman, Chairperson Eric Dantes Gerard P. Goehringer George Homing Ken Schneider http://southoldtown.northfork.net • Southold Town Hall 53095 Main Road • P.O. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex /First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 • Fax (631) 765-9064 FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF AUGUST 22, 2013 ZBA FILE No.: 6671 NAME OF APPLICANT: Shari Cai SCTM#1000-90-2-4 PROPERTY LOCATION: 380 Midway Road, (comer West Lake) (adj. to Little Peconic Bay) Southold, 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 July 11, 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 August 5, 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 EXEMPT from Coastal Consistency Review. PROPERTY FACTS/DESCRIPTION : Parcel is improved with a two story frame dwelling with attached rear deck on a 26,656 sq. ft. lot in the R40 District. It has 112.66 feet of frontage on Midway Road (Private Road), 293.79 feet along West Lake Road (Private Road), 99.96 feet along Little Peconic Bay and 239.67 feet on the easterly property line as shown on the survey dated September 4, 2012 last revised June 21, 2013 prepared by John T. Metzger, LLS. BASIS OF THE APPLICATION: Request for variances from Article XXII Section 280-116(B) and Article XXIII Section280-124 and the Building Inspector's Notice of Disapproval based on an application for building permit for reconstruction and alterations to existing dwelling at; 1) less than the code required bulkhead setback of 75 feet, 2) less than the code required minimum side yard of 15 feet, 3) less than the code required minimum combined side yards of 35 feet. RELIEF REQUESTED: The applicant is proposing reconstruction and alterations to the dwelling with a bulkhead setback of 49.7 feet where the code requires 75 feet, a single side yard of 13.4 feet where the code requires a minimum of 15 feet and a combined side yard of 24.7 feet where the code requires 35 feet combined. ADDITIONAL INFORMATION Immediate neighborhood consists of several older improved non -conforming Page 2 o 3 -August 22, 2013 • • ZBA#6671 - Cai SCTM#1000-90-24 homes many of which have been renovated into year round homes. In the past the ZBA has granted the existing structure variances for the proposed side yard and bulkhead setbacks. The non -conforming as built seaward deck that is within 75 ft. of the bulkhead has a certificate of occupancy. FINDINGS OF FACT/ REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on August 8, 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 be true and relevant and makes the following findings: 1. Town Law 4267-b(3)(b)(1). Grant of the variances will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. This non -conforming waterfront subdivision has been in existence for more than 50 years. It consists of larger non -conforming dwellings fronting on Little Peconic Bay. Most of the existing smaller homes are fronting on the small creeks and inlets within this area. The dwelling with attached deck existed prior to zoning. The applicant's agent provided other variances for similar setbacks that were granted in this neighborhood. Although, the proposed additions are non -conforming as to setbacks, the specific proposed alterations are in keeping with the existing neighborhood. The proposed reconstruction and alterations to the dwelling are proposed within the existing footprint and a small addition is proposed on the front of the dwelling that is not part of this variance. 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 structure is set back 50 ft. from the bulkhead and the existing structure has a combined side yard of 24.7 ft. and a single side yard of 13.4ft. The renovations are using the existing building envelope therefore any renovation proposed would require a variance. 3. Town Law &267-b(3)(b)(3). The variances granted herein are mathematically substantial, representing 11% relief from the code for the single side yard setback, a 29% relief from the code for the combined side yards, and a 33% relief from code requirements for the non -conforming bulkhead setback. However, the home exists in its non- conforming location and all proposed improvements requiring relief are located within the existing footprint. 4. Town Law &267-b(3)(b)(4) No specific 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 4267-b(3)(b)(5). 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. 6. Town Law 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the proposed alterations requested 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 Dames, seconded by Member Weisman (Chairperson), and duly carried, to GRANT, the variances as applied for, and shown on the architectural drawings sheets 1-5 prepared by Malden Bay, RA, and dated 4/14/13, and on the undated survey by John C. Ehlers, Surveyor showing proposed additions and alterations with hand notes. Page 3+of 3 - August 22, 2013 ZBAA6671- Cai SCTM#1000-90-24 I* 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 mmunis 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 q6 /2013 PATRICIA C. MOORE, ATTORNEYb LAW 51020 Main Road Southold, NY 11971 (631) 765.4330 email: fpcmcoore@mooreattys.com To J.._'✓l�U�........... _...... LETTER S c�2o-� c,Ji -mac F t1 Env Sir fF ...... .....SIGNED _.. _.. _.. _.. ....... _.... ElPlease reply ❑ No reply necessary 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application _ Administrative Permit _AmendmenUTnms rB ension Received Application: aved Fee:$ 2SD _Completed Application 3 _Incomplete _SEQRA Classification: Type I Type 11 Unlisted Coordination:(date sent) 7LWRP Consistency Asse em t Form 3C' ECAC fInsp Referral �� _Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: Public Hearing Held: 3 R..nl.r:nn Name of Applicant SHARI Mailing Address 62-11 ASQUITH CRIES. REGO PARK NY 11374 10L1 Phone Number:( Suffolk County Tax Map Number: 1000 - Property Location: 380 MIDWAY ROAD 90-2-4 SOUTHOLD 11971 (provide LILCO Pole #, distance to cross streets, and location) AGENT: PATRICIA C. MOORE ESQ. (If applicable) Address: 51020 MAIN ROAD SOUTHOLD Town Hall Annex 64575 Main Road P.O. Boz 1179 Southold, New York 11971-0969 Telephone (631) 765-1892 Fax (631) 766.6641 NY 1197 phone (631) 765-4330 t 71, I •ard of Trustees Applioatiole GENERAL DATA Land Area (in square feet): 26,656 R-40 Area Zoning: Previous use of property: EXISTNG RESIDENCE Intended use of property: ADDITIONS & ALTERATIONS TO RESIDENCE Covenants and Restrictions on property? Yes X No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? X 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? X 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.? Yes X No Does the structure (s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date ZBA VARIANCE #6671 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Description (use attachments if necessary): ALTERATIONS TO EXISTING DWELLING 10'X 20' FIRST & SECOND FLOOR RECONSTRUCTION AND 16'X 13' FIRST FLOOR RECONSTRUCTION NON-TURFF BUFFER ALREADY EXISTING AND DRYWELLS AS REQUIRED BY TOWN CODE 236 ad of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ADDITIONS & ALTERATIONS TO EXISTING DWELLING Area of wetlands on lot: BULKHEAD square feet Percent coverage of lot: NONE % Closest distance between nearest existing structure and upland edge of wetlands: 10 feet Closest distance between nearest proposed structure and upland edge of wetlands: 44 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: FLAT Manner in which material will be removed or deposited: SMALL CONSTRUCTION EQUIPMENT 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): NONE- LANDWARD OF AN EXISTING BULKHEAD • • PROJECT ID NUMBER SEAR APPPENDIENDI X C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by plicant or Project Sponsor) 1. APPLICANT/ha,PONSOFt 2. PROJECT NAME ^ �` tvc4t�» ^ 1..� kC M 3.PROJECT LOCATION: 5�o M(C�Wk� Ro"'c1 5 �k Municipality County 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 3,!�ro maww, 5�e,Q 1J S. IS PROPOSED ACTION: ❑ Now Expansion ®Modification /alteration BRIEFLY: 8. DErS'C�RIB1EI -PROJECT _1 w,�—v c>rr✓fil C'_N S �a C N / S'{t 1. e C�Mf C-•c,Q,(Jt � `C1 r X 2 p ll 1001 oC Lk C, be Y E C Crvt S�Ct-7 r 7. AMOUNT LAND AFFECTED: r Initially acres Ulumately acres 8. V41LL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Eyes ❑ No If no, describe briefly: /as 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many apply.) E] RResidential Industrial El Commercial DAgrlculture 0 Park/ Forest /Open Space E]OBler (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Faders tate or Locag ❑Yes No It yes, lst'agency name and permit I approval 11.DO ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? as nNo If yes, fist agency name and permit / approval: 12. AS ARES OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes No I CERTIFY -;THAT -THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / am 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 0 0 PART If - IMPACT ASSESSMENT o be co (eted by Lead Agency.) . A. DOES ACTION OCCEED ANY TYPE t THREmow IN 6 NYCRR, PART e1T.47 If yes, coordinate the review process andusefire FULL FAF. QYes Q No Q mt ACTION RECEIVE COORDINATED REVIEW AS PRoviow FOR uNusTED ACTIONS IN 6 wcRR, PART 617.6? If No, a negative dedxa6on may be superseded by anaflfer Involved agency. Yes © No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwriltm if legible) C7. Erdsft air quafitTr. wtfaca «graadwater qua6ly or quantity. noise levels. edstkg traffic paaem; soW waste production or drsposal. e jal for erasion, drainage or floodkV favWAms7 Explain brIefiy: C2. ArJdhedo, agriadbaaf, ardraealogkal, or otlfer nahaai of cull" resbraoes: ar Of nalifibodvoctl don cleR Explain b C3. Vegetation of fauna, fish, stlellfthor spades, sigaiflprrt habitats, or axeatenod orendargesed species? Fxplakf briefly: C4. A eommuniiy`s witting plans or goals as offidally adopted, or a change in use or l ensay of use of land or other natural resouvoes? Fxplaln briefly: C5. Growth, subsequent devebpmenL or related. activities likely to ba induced by the proposed adion7 Explain briefly: 06. Long term, sfrort term, wmulalive, or other elects not identified in C i C57 Explain bdefty: - C7: O@et impact ndgdi cion es in use of eaher uantit .ort of air D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS - ENVIRONMENTAL AREA ? THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ❑ Yes Q No It r. E. IS THEIW- OR IS nlEBERKELY TO 'Yes Q!b R��ATTO POTENTIAL— AL IMPACTS?N s-�rss at-sacsn�cwnawnnans ver aasfarn:fvta,-t (f0 be aonynefedbi�aL7 WTI UCTIONS: Foreaahadv«seS feddd&lWoodd*Mdeiwn rewfteth«kiSK64 OUCUN9e,laipalWovodlerwlsesffiItiOOML Esdt :Red dw W be asaeased 1111 odrai8adorf w1dl ik (a) selft"alban«to) ri. (b) p at oowft (q) duraf l; (CQ feeverAW (e paay/eplac scope Mal M mWfMede• RIfiMS111)rr add adadm ft «refarNae sINIp0ldffQ fffatarlatR GfaaeBretagrkmadafs oopl( v0deMdetad b slaw Rated relevem adverse Nftpeote have been itfeWisd tuW b aridreaed. It"esilmdofIfutawaedutdw cheasdsboxlfyoatia"i0tirawOno «aterepofa e*ftrye«algniFicansadveraehpadawMtltMAYoowr. TtonProceaddiradlYbtheF EAF andforprepaM a poslfne dedargiie f. Chedr alk boot xyou4tave deferlffkfed, based an dre IMafaallost and analysts above and arty afgfpofdng documatUitilM slat flte pieposed a WILL NOT result M any sigrooanf adverse enVhonmental impacts AND provide, on attadtemft as necessary. the reasons supp(miifg detenninagon. Board of Trustees Name of Lead Agency tfs10y,E! f leli)G Prud ori\\Type �yName �olf Responsible OKrcer lrf lead Agency rip // 20/3 Dale President f7 ince of Responsible Officer 0 BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK In the Matter of the Application of Shari Cai Applicant's Land Identified as 1000-90-2-4 COUNTY OF SUFFOLK) STATE OF NEW YORK) 0 AFFIDAVIT OF MAILING I, Betsy Perkins residing at Mattituck, New York, being duly sworn, depose and say that: On September 5, 2013, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the persons listed on the attached list at the addresses set below their respective names; that the addresses set below 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 Southold, New York, that said Notices were mailed to each of said persons by CERTIFIED MAIURETURN RECEIPT. Attached hereto is the white receipt post -marked by the Southold Post Office on said date. Sworn to before me this /8 -day 2013 (Notary Public) PATRICIA C. MOORE Notary PUNIC, State of New York Suffolk County - No. 4861668 Commission Expires June 16,_2z4/ 0 AUSTIN J. POWER JR 8665 FRANCHI BLVD. FORT MYERS FL 33919 SCTM: 1000-90-2-5 CAI NEIGHBOR MAILING LIST 1000-90-2-4 PRESTON M. HARRINGTON III 256 VALLEY ROAD MONTCLAIR NJ 07042 SCTM: 1000-90-2-3 JOSEPH G. MANZI JR 9 ROCKHALL LANE ROCKY POINT NY 11778 SCTM: 1000-90-2-28 E ANNE R. SOWINSKI SARAH HERMAN 18 SNEDECOR AVE. LINDENHURST NY 11757 SCTM: 1000-90-1-26.1 RECEIPT RECEIPT 7104 2438 8090 0000 1674 RECEIPT 7104 2438 8090 0000 1881 RECEIPT 7104 2438 8090 0000 1867 FROM: FROM: 7104 2438 8090 0000 1898 FROM: Moore Law Office Moore Law Office FROM: Moore Lou, Office RE. cai trustees RE. cai trustees Moore Law Office REcai trustees RE'. cai trustees SEND TO: SEND T0: SEND TO: PRESTON M. HARRINGTON III JOSEPH G. MANZI JR SEND TO'. AUSTIN J. POWER JR 256 VALLEY ROAD 9 ROCKHAIN LANE gNNE R. SOWINSKI BLVD. MONTCLAIR NJ 07042 ROCKY POINT NV 1 ti78 SARAH HERMAN 18 SNEDECOR AVE FORT MVER$ FL 33919 FOR MYERSI ,.,.. ,=' LINDENF�IdRST NY 11757 S ._ FEES. !FEES: Postage' 0.46 CertHied Fee 3 10 PostagePostage CetlAietl Fee 046 F(Elt.pq5 ge/046 Cpttified Fee 3.10 Return Receipt 2.55 i2estrioted Return Receipt 2.55 310 itieQ Fee p.55 ReceiptRe3klctetl RQtwn Recaipt 265 Fastdpted rn tncte� 1 l OTAL gfi.11 TOTAL-. -- I g 6.11 - 5`6.'i1 . TOTAL ,, gx11 ,J `. POSTMARK OR DATE POSTMARK OR DATE T�TAL P(JSTfJIARK OR DATE POSTMARK OR DATE 0 BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK In the Matter of the Application of Shari Cai COUNTY OF SUFFOLK) STATE OF NEW YORK) Ll AFFIDAVIT OF SIGN POSTING (to be completed after posting remains in place for eight days) I, PATRICIA C. MOORE residing at Southold , New York being duly sworn, depose and say that: That on September ��2613, 1 personally posted the property known as 380 Midway Road, SoutholdNew York, (SCTM: 1000-90-2-4) by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the post has remained in place for eight (8) days prior to the date of the public hearing. Date of Hearing noted thereon to be held September 18, 2013 at or about 5:30 p.m. a ncia C. Moore Sworn to before me this �� day of epk a Cy 3 4NotaPu c BETSY A. PERKINS Notary Public, State of New York No. 01PE6130636 Qualified in Suffolk Coury� Commission Expires July 18, NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. 0 OWNER(S) OF RECORD: 5h&lr* Cai SUBJECT OF PUBLIC HEARING: Alterations to existing dwelling consisting of 10'x20' first and second floor reconstruction and 16'x13' first floor reconstruction; storm water roof runoff to be in accordance with Town Code, Chapter 236. TIME & DATE OF PUBLIC HEARING: W e"esJ% er / t do'3 - 04-or- If 4-orIf you have an interest in this project, you are invited to view the Town file(s) which are available for inspection Prior to the day of the hearing during normal BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 0 0 eo Town of Southold Erosion, Sedimentation & Storm -Water Run-off ASSESSMENT FORM Q[ PROPERTY LOCAnoar: S.c mat. k THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Y� STORM•WATER, GRADING, DRAINAGE AND FEOM C N P a�eE- -STo -NE TT' CBRI MOO BY A DESIGN PROFESSIONAL IN THB STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM R / WORKASSFSSMENT Yes No a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels boated within 1 Well this Project Retain Ag Storm -Water Run -Off Generated Ma Scope of Work for Proposed [• to by a Two (27 Inch Rainfall on Silo? /❑ G What b the Total Area of Land Clearin D'F'rAtl°s) Clearing g gem WE include all run-otcreated ✓ clear by sire clearing andbr construction activities as well as erg andlor Ground Disturbance for the proposed /V Oqe Site Improvements and the permanent creation of construction BCgvity7 _ (S.F.IAcres) IrrlperVIOUS SUIfaC&4.) 2 Does the Site Plan and/or Survey Shaw Ag Proposed / ❑ Drainage Structures Indicating Size 8 Location? This ✓ (tam shall Include all Proposed Grade Changes and PROVIDE BRIEF PROJECT DESCRIPTION Padd•wdaomd Pre rN„a,O Slopes Controlling Surface Water Flow. / 3 Does the Site Pian and/or Survey describe to erosion � and sediment control practices that will be used to ✓—/� control site erosion and storm water discharges. This item must be maintained throughout the Entire Con Period. %0� / mK5/ G{J L P601- {,��Wel 4 Will Prl this Project Require any Land Riling, Grading or Excavation where Mere is a change to the Natural f Existing Grade Involving more than 200 Cubic Yards of Material within any Parcell ❑ 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand ❑ (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? is this Project within Me Trustees jurisdiction or within One Hundred (100') feet of a Weiland or El General DEC SWPPP Ranulmments: - submission of a SWPPP is required for al Comtructbn activities invaNeg Boll Beach? dkslurb rens of ane (1) or more acme; Including dishabaees of leas than one acre that am Pan of a larger common plan that will ultimately disturb ane or man news of bat 7 Will Mere be Site preparation on Existing Grade Slopes 4id+ding Conalmdbn aclMtes iwcivbg sot danu manes of bee then one (1) sere where which Exceed Fifteen (15) feet of Vertical Res to One Hundred (10(r) of Hoi zonlal Distance? ❑ the DEC has determined and a SPDE9 Permit Is required for storm waterdkxhagas, (SWPPFS Shall cows the Minimum Requirements of tot SPDES General Permit for Samse Water Discharges kern Construction aeavhhr -Permit No. ep•/+le-00i.) 8 Will Driveways, Parking Areas or other ImpervI Surfaces be Sloped to Direct Stgmn-Water I. The SWPPP shall be papered prior he the rebmr,gta of the NW. The N01 shall be 9111M Usd m the Dapartmed Prior b Me camerencwrmenit of construction acgtlry. Run -0R ❑ Into and/or In the direction of a Towa wn M -of -� Z The SWPPP shall describe Me erosion and Sedinenloa,bd practices and where nquhad, Poaooremetoe Muco water maaganant Fracture thaMl be wed aroma constructed b ed rpollutants b tie discharges g Will this Project Require the Placement of Materia(, Removal of Vegetation and/or the Construction of any ❑ pollutants storm to water and assure compAanum with On tsma and conditions of lot permit. In addltbn, the SWPPP shell th Item Within e Town RIpMof-Way, or Road Shoulder— Idendly potential sources of pollution which may reasons* he expelled to affect the Area?pM,lbmvde norlwAe-eM hsmaehbeafpmsugp„of quality of storm wafer dhehames. NOTE: itA,y Awwrts Omeatlossow liawmmOi Mn -la A„swradsMhaCwct Msdm & AI SWPPPs that require Me post-0owMrodon storm water management Practice in s am and the construction sea asaaMnw ts Mre r, e,gw&F. At Awe re arae, component Mal be prepared by a gwlMed Oran Pwiress a l Licensed i, New York that Is knowledgeable lit the principles and peatoss of Storm Wafer Management a Man wWaw, Gnding, Drainage A Erosion conal Hw Is R-gdnd bya*Turn, W SouMaldend MPetbeewmittsd for Rules, Polar to Issuance ofAmrGWdtrg Peru (NOTE Arhat[March Nl oma ARrwforaatl,oru,raanb RgWed bre GbneNha appllweon) STATE OP NEW YORK, COUNTY OF ........ L ................ SS , „( Q,�..e.0............ being duly sworn, deposes and says that Wshe is the for Permit, applicant And that he(she is the .........................---... ............... .. e................................................................ (Owren ,AgtiiCu x, mccrwts allow, at¢)" 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 die best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed herewith. Sworn to efore me this; 2 . ............ day of ....... ....:..................... Notary Public: ....... .......... ............................. Com... . •.............................. ................... I .................. _ / A nookmd (siaehaeof APDl) FORM - d6/10�,y pubnc, State of New N0.01PE6130636 fhafified in Suffolk Courtt�,�� - Commission Expires July 18 L J Board of Trustees Application County of Suffolk State of New York SHARI CAI, BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. � r _ G Shari Cai worn to b fore me this �%� ay of -�� x_2013 will-01=120 CHOI FEI KO NOTARY PUBLIC -STATE OF NEW Y<-:' No. 01 K06190918 Qualified In Queens Count' My Commission Expires August 04 >C i6 10 0 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) Shari Cai, as owner of premises 380 Midway Road, Southold, (sctm: 1000-90-2-4) residing at 5 Ridge Circle, Manhasset, New York do hereby authorize my attorney, Patricia C. Moore, to apply for permit(s) and appear before the Southold Board of Town Trustees on our behalf. �/ �' (Owner's signature) APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) YOUR NAME: CAI, SHARI and MOORE, PATRICIA C. (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance Special Exception If "Other", name the activity: Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees X 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. Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation): C) an officer, director, partner, or employee of the applicant: or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Ydt l Submitted this day of Signature: Shari Cal atricia C. Moore APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM YOURNAME: SHARI CAI (Last name, first name. Middle initial, onlrma you aro applying In' the name of someone elsa or other en* such as a company. If so, indicate the.Odw person's or company's name.) NAME OF APPLICATION: (Check ell that. apply.) Tax grievance Building . Variance Truaw 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 oompany, 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 it>arwr means a business, including a partnership. in which the town officer or employee has even a partial owncobjp of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO X Ifyou 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 appiicant/agantfrepresentaive) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the apace provided The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater that 5% of the sham of the corporate stock of the applieW (wbeo the applicant is a owporstion); _B) the legal orberefieai owns of arty Interest in a noo-corpomte entity (when the applicant is not a corporation); ^C) an officer, director. partner, or employee of the applicant of _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 240 _ Signffiune printName Patricia C. Moore Form TS I Town of Southold • A. INSTRUCTIONS 0 LWRP CONSISTENCY ASSESSMENT FORM 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 oromsed action will be evaluated as to its simrificaut 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 IieNne both supporting and non- sumgordne 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 Il_)) F. d V. a Y SCPM# 90-2-4 n AUG 1 9 2013 PROJECT NAME SHARI CAI ADDITIONS & The Application has been submitted to (check appropriate response): aoa Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees 0 Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ constriction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ❑ Nature and extent of action: RECONSTRUCTION OF 10 X 15 FIRST AND SECOND FLOOR AND RECONS I RUC I ION OF 16 X 13 IST FtOOR ALL IN ACCORDANCE WITH ZBA APPROVAL #6671 Location of action: 380 MIDWAY ROAD SOUTHOLD Site acreage: 26.656 Presentlanduse: EXISTNG RESIDENCE Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: SHARI CAI (b) Mailing address: 62-11 ASQUITH CRES. REGO PARK NY 11374 (c) Telephone number: Area Code ( ) (212) 564-0808 (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No E 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 ❑X Not Applicable MINOR ACTION Exempt from Iwrp 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 El 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 0 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 S through 16 for evaluation criteria O 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 El Yes 1:1 No 0 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 Applicable 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 a Not Applicable Attach additional sheets if necessary Policy S. 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 X❑ 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. ❑ YesF1 No ® Not Applicable Attach additional sheets it necessary WORIQNG COAST POLICII0 0 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 M 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 [A 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 E Not Applicable PREPARED BY Patricia C. Moore TITLE AGENT DATE 8-16-13 SURVEY OF LOTS BY OF TRUSTEES OF SOUTHOLD / ... "5UBDIV1510N MAP OF CEDAR BEACH PARK" FILED MAP s 90 FILED DEC. 20,142'1 51TUATE. BAYVIEW TOM, 50UTHOLD SUFFOLK COUNTY, NY y 'Elcv.5- -o1 / W=FOLK L ry 'Al . aorao-:-< LFR -IFIED'0 OATHERIN N,DONALD AS T"TEE APPROVED BOARD TOVIIN BY OF TRUSTEES OF SOUTHOLD / ... DATE N W E i s 'FJo off,\q 8 N 9191- �v '�'l ..00� AUG 1 9 2013 L oothc i rows ,z)[I�'r f' 11St.r.Ft�•; , �',i >,'^ ItWVR'.�'{)k ,. LP711LAlid ,, 21-P.I . C 111' M, 11119 d<NllAI,. AY ,. ... �r —L �. 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I:ESI L .N �N»c.�.aLE t �� - J rs ms LOT COVERAGE HOUSE - 2193 sq./I. 2193/26656 - 8.2% DECK - 796 sq.//. 796/26656 - 3% total 11.2% t07-116 +4i O ,y. � J SURVEY OF PROPERTY AT BA YVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y, 1000-90-02-04 SCALE. 1'=30' SEPTEMBER 4,,2013 ( 2012 APRIL �✓,� JUNE 2242013 fldT COVERAG�1 �G r 'popa �' C `toys\ +0 9pJ yo AUG 1 9 2013 Board ol Tr -tc GOT 11S aRq \� i-zz o� N zqa. wn z Apt pE. t Q?4 Y 'v N69 58.11 W GN �4 `4D v (A(0AC nE u�9.96, LJ M.yW A<% 71 �L�' � BU�yEAO Paloo ftc g�Y AREA=26,656 SO. FT. TO TIE LINE / t0 T 114 / ELEVATIONS REFERENCED TO N.G.V.D. '29 LOT NUMBERS REFER TO "CEDAR BEACH PARK" ,ne FILED IN THE SUFFOLK COUNTY CLERKS OFFICE `f ON DECEMBER 20, 1927 AS FILE NO. 90 ANY ALTERATION OR ADDI nON TO THIS SURVEY IS A NOLA77ON OF SEC77ON 7209OF THE NEW YORK STATE EDUCA nON LAW. EXCEPT AS PER SEC77ON 7209-SUBDIWSION 2. ALL CERT7F1CAT7ONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. CERTIFIED TO* ✓ING SHARI CAI HSBC BANK U0A1 N.A. IT SUCCESSORS AND/OR ASSIGNS F7DELITY NAT70NAL TITLE INS A CE COMPANY ajY�LIC. NO. 4961 PECONIC SURVEYORS, P.C. (631) 765-5020 FAX (631) 765-1797 P.O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y. 17971 F12-241