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HomeMy WebLinkAboutFrazzitta, Joseph 1420 Inlet Way,Southold i/I 1/2012 ° AIIIA ., ...... .www. .,.•'y.+e� _ � .. t .,� aMa nom. +sq�h.• �°�" , 'x - -¢ ...,:. s§s^n '' J„. y moi.,'•K,.arh ^`- r. m,ye, ow" k. J y ' f 1 .•• 'r. it�.'. c .,. _t , 4 OgU�F�'�c James F.King,President Q P.O.Box 1179 Bob Ghosio,Jr.,Vice-President Southold,NY 11971 Dave Bergen ? Telephone(631 765-1892 John Bredemeyer p Fax(631)765-6641 Michael J. Domino Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: West Creek Builders, LLC on behalf of JOSEPH FRAZZITTA requests an Administrative Permit to rebuild and expand the existing storage sheds. Located: 1420 Inlet Way, Southold. SCTM#92-1-6 Ty�f area to be impacted: / Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland 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: Conditions: Present Were: J. King�B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in th efWid b�rQ� e� < <l Mailed/Faxed to: Date: 3. Nature of work(check which applicable):New Building .... iA "'� Alterato Repair .............. Removal .............. Dem Other Work............... O (Description) 4. EstimatTmsPa11 A 1si)000 ~ ...... ,,., . Telephone(631)765-1802 54375 Main Road n filing this application) Fax(631)765-9502 5. If dwelli&Qu"8r Ml Aielling units ............... i�$ ach floor................ If> ►dl�1 IgF 09"-0959..................... .'.finn► �4i 6. If business,commercial or mixed occupancy,specify nature d'E�t W�y f use ..................... 7. Dimensions of existing structures,if any:Front........... RIY l tt�....... Depth ............... Height ...............Number of Stories................. ................................ Dimensions of same structure with alterations or additions:Front ................. Rear .................. Depth...................... Height .........BU L.DING 1Di3A}1e IMEVU........... 1....... 8. Dimensions of entire new construction:Front ....TOWN 45FrSOUT-HOLEPepth ............... Height ...............Number of Stories........................................................ 9. Size of lot: Front ....... ............... Rear...................... Depth ......... .... ........ 10, Date of Purchase ........Name of Former Owner ............................. 11. Zone or use district in which premises are situated...................................................... 12. Does proposed construction violate any zoning law,ordinance or regulation: ................................ 13. Will lot be regraded ...... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises HX AX.k�5:rAWj lMddress BAST.M$V�-V?W...Phone No. Name of Architect W KQ A$,:S4�G .{t?G• Address �TF(�.Ml 11`.11. ....Phone No. 7�.'a50 Name of Contractor i�}jT'1 �..?r?7 T lj... .Address $44700(1-.0 .Phone No. 15. Is this property within 300 feet of a tidal wetland? *Yes...)<.... No......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines.Give street and block number or description according to deed,and show street names and indicate whether interior or corner lot. vd ro It sM tid Y TATE OF NEW YORK, 'OUNTY OF....SH!t5P�:K.. S.S V'O.............. being duly sworn,deposes and says that he is the applicant (Name of individual signing contract) rove named. e is the ........Ac-s.k-T. ......... (Contractor,agent,corporate officer,etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this tplication;that all statements contained in this application are true to the best of his knowledge and belief;and that the irk will be performed in the manner set forth in the application filed therewith. vorn to before me this 14 ......./, .. ......J.day of.... �DdEac.......... 19 9.2 nary Public, L County KARIN L STALTER Notw Public.State of New York ..... •..•.. No 13735" (Signature of applicant) Ouslihea in Suffow County Comm—Expkes October 22.1992 EN-C*L-PANTS INC. 1329 NORTH SEA RD. !74ro R SOUTHAMPTON N. Y. 11968Pr. 516-283-6360 1 W a eFEET• ��� �. n -p ao ,ro EDA �• v " CMN"Mor 1 CedarBeach Point i SITE f F ' 3 ' » 5uf1Fo&.X eat MA6sTRoo*-1 ° $ rtAP a'I i : s000• STpsr ie � � 4JNA LcQ • ea V a. it a�T.f�. GLp �� K14L% _ at 100.39' LITTLE PFCONj _.- . �- 3 'o� ULT, NTS + r IZr�o g1329 NORTH SEM RD. _ BAY--- SOUTHAMPTON N.Y. 11965 _1-- E116-283-6360 �oTB'S: QA'r to M w PRo Po S,&o ButsAWAA RZ P?oVAL f puR po5,6.- ,goS/oN R-FL CZtl4nlT *,=61ZG"o.v-r it of Jo a Z'•PH JFRAZ 7./TTA p Dar/ CA.4r o&JOVAC4 S: on G adA�' P.�coN�c 4 A Y <0--p CL 4 !` So�7'•Ho.�O� SuFFb�k �o SHEF T /of/ �o/7/9a, �o�iL/9.z West Creek Builders, LLC Custom Building * Remodeling RO, Box 256, New Suffoll, NY 11956 Tel 631,734-1416 Fax 166.352.5112 � x Existing Sheds Frazzitta r y • � "M.: / �'�,. eft, ��'.y�, /r „�; ' �•. i Residence P.I- 3 of 6 West Creek Builders, LLC Custom Building • Remodeling P.O. Box 256, New Suffolk, NY 11956 Tel 631.734-8416 Fax 866.352.5112 J s Existing Sheds Frazzitta Residence— 1420 Inlet Way, Southold Page 4 of 6 West Creek Builders, LLC Custom Building • Remodeling P.O. Box 256, New Suffolk, NY 11956 Tel 631.734-8416 Fax 866.352.5112 T i Proposed Expanded Shed Foot Print of Storage Area (5' x 8' /40sf) Similar to Existing Roof Raised Higher with Overhang and Counter Area Total Roof Line 8' x 10'6" (84sf) Ridge at 8'4" Frazzitta Residence— 1420 Inlet Way, Southold Page 5 of 6 • M West Creek Builders, LLC Custom Building • Remodeling P.O. Box 256, New Suffolk, NY 11956 Tel 631.734-8416 Fax 866.352.5112 t � . t� Existing Storage Sheds Frazzitta Residence— 1420 Inlet Way, Southold Page 2 of 6 West Creek Builders, LLC Custom Building • Remodeling P.O. Box 256, New Suffolk, NY 11956 Tel 631.734-8416 Fax 866.352.5112 Applicant: Joseph Frazitta Agent: West Creek Builders / Gary Steinfeld 1420 Inlet Way PO Box 256 Southold, NY 11971 New Suffolk, NY 11956 631-334-9205 Frazzitta Residence - 1420 Inlet Way, Southold Storage Shed Rebuild/Expansion cedar eea&Rd Cedar Beam Ra g19 71:1G $ 4 U �' tp �L .ne.nTr .t.mrir i�T a �dar G:.-r.wi h � ay,,,eV�Rd Ceder a , SeaCh Creek v QC y -0 00 V -r Oar Ay�M Or r C", Or N �4 VV tT Frazzitta Residence— 1420 Inlet Way, Southold Page 1 of 6 N i Ma�WAw Z uat QOM O r \ CEDAR .n t i HOG NECK BAY NR 6 R A �•^+-+^�- •--rte ^' -^•- ------ •- '01--+—^•••+ — -- COUNTY OF SUFFOLK © x n tmu�Nan SECTION NO ___ --r-- _ .aE..•iwi�w.wnm E erty Tax Service Agency Y "t Qw. React Pr p 92 ^r a _ w o.. y a James F. King,President *Qf SO!/ly Town Hall Annex Bob Ghosio,Jr.,Vice-President �� 0� 54375 Main Road Dave Bergen P.O.Box 1179 Southold,New York 11971-0959 John Bredemeyer vs Michael J.DominoO yOQ Telephone(631)765-1892 -.4- Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application ✓Administrative Permit _Amendment/Transfer/Extension LAeceived Application eceived Fee:$ _Completed Application _Incomplete "..` _SEQRA Classification: Type I Type II Unlisted I A U L - 9 2012 _Coordination:(date sent) ✓<WRP Consistency A'sessment Form 1 '� - CAC Referral Sent: 0A1 iIIate of Inspection: y _Receipt of CAC Report: _Lead Agency Determination:__ _ _Technical Review: public Hearing Held: —Resolution: Name of Applicant n uWoq Address INVI -sT ew N Phone Number:( ) 7oj6 ZS7 1 Suffolk County Tax Map Number: 1000 - q2 — (o Property Location: )42.0 JIM-1 1 (provide LILCO Pole#, distance to cross streets, and location) AGENT: W-f 5- F(,{ I Lpmz . Li-c-- (If applicable) Address: TO 150C 1156 sGf�l=1�10l k, dZY 7->J6 Phone: (y 3 3 �{ q Z® s rd of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: 12-4 0 Previous use of property: ►DQ L� J(Jy "g 1�.�Jt�'f J� Intended use of property: Sl"4& r-AIT 1 CY l e.S1OM jN']`j/8 L Covenants and Restrictions: Yes No If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes ___><'O'*No If"Yes", please provide copy of decision. Will this project requireany d olition as per Town Code or as determined by the Building Dept. Yes No Does the structure(s) on property have a valid Certificate of Occupancy Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description(use attachments if necessary): 1 -4(AL W 4AV 50TOt44A So C,�) rd of Trustees Applicati0o WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: STdV , Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? 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: Manner in which material will be removed or deposited: 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): PROJECT ID NUMBER 617.20 SEQR APPENDIX C Q 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 T Cs"*, ui L M JA&y ,+q 3.`4a 1411 V!41 Municipality County i�^ 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 2 0 GAIT G( o -Cl 0&0 y 5.IS PROPOSED ACTION: ❑ New ❑Expansion modification/alteration 6.DESCRIBE PROJECT BRIEFLY: uswm , ��J s' IOM 03 skbs) 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8.((WILL /�PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? LY�s ❑ No If no,describe briefly: ((9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) residential ❑Industrial ❑Commercial Agriculture /Forest/Open Space❑ P p ❑Other (describe) 10."DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) F]Yes pi� Vo If yes, list agency name and permit / approval: -- _ T-DOE .SANY ASPECT-OF-THE ACTION HAVE A- CURRENTLY--VALT6-pERM�t -OR Ap7pROVA L? _ ------- ❑Yes F01,10 If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? es No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name c Da Signature 7 4p/'Z_ If the action is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment • • PART II - IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. E]Yes a No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes a No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,If legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? if yes,explain briefl : ElYes a No E. IS THERE,OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: Yes a No = I PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance mustevaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FUL EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Board of Trustees p Name of Lead Agency Date President p Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) SUFFQ ° � Town of Southold Erosion, Sedimentation & Storm-Water� ter Run-off ASSESSMENT FORM N' PROPERTY LOCATION: S.C.T.M.# THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 92- STORM-WATER,GRADING,DRAINAGE D EROSION CONTROL PLAN Drs�fe- ceion -9f'T' CERTIFIED BY A DESIGN PRO — IONAL IN 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? _ (include Total Area of all Parcels located within Will this Project Retain All Storm-Water Run-Off the Scope of Work for Proposed Construction) Generated by a Two(2")Inch Rainfall on Site? b• What is the Total Area of Land Clearing (S.F.r Aar) (This item / include all run-off created by site F-1Gearing and/or construction activities as wait as all and/or Ground Disturbance for the proposed Site Improvements and the construction activity? permanent creation of (S.F./Acres) impervious surfaces) PROVIDE BRIEF PROJECT DF.SCRIP ,SCRUMON (arwida AdkMio"a ae 2 Does the Site Plan and/or Survey Show All Proposed °°s of NOBdBd) Drainage Structures Indicating Size 8 Location?This � ElItem shall include all Proposed Grade Changes and Gt7 �Idi0 -��/�i1S10� �} Slopes Controlling Surface Water Flow. vt S 3 Does the Site Plan and/or Survey describe the erosion and sediment control practices that will be used to `r control site erosion and storm water discharges. This a item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural Existing Grade involving more than 200 Cubic Yards of Material within any Parcel? F-1 _xel 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 the Trustees jurisdiction ❑0 General DEC SWPPP Requirements: or within One Hundred(100')feet of a Welland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres; including disturbances of less than one acre that are part of a larger common plan that win ultimately disturb one or more acres of land; 7 Will there be Site preparation on Existing Grade Slopes including Construction activities involving soil disturbances of less than one(1)acre where which Exceed Fifteen(15)feet of Vertical Rise to Elx the DEC has determined that a SPDES permit is required for stone water discharges. One Hundred(100')of Horizontal Distance? (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas Or other Impervious for Storm Water Discharges from Construction activity_permit No.G, hit 01.) Surfaces be Sloped to Direct Storm-Water Run-Off r 1.The SWPPP shah be prepared prior to the submittal of the NOI.The NOI shah be y� submitted to the Department prior to the commencement of const-The activity. into and/or in the direction of a Town right-of-way? re2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any ❑ constructed to reduce the pollutants In storm water discharges and to assure y� compliance with the terms and oonditiona of this permit.In addition,the SWPPP shall Item Within the Town Right-of-Way I Way or Road Shoulder /L identify potential sources of pollution which may reasonably be expected to affect the Area?(This lana win riot include are r,,.tuiuion a onv w.y Aprons quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark 3.Ali SWPPPs that require the Post-construction storm water management practice in a Box and the construction alta disturbance Is between 5,000 S.F.31 Acre In area, component shag be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable in the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior,to issuance of Any Building permiL (NOTE: A Check Mark(4)and/or Answer for each Question is Required for a Complete Applostion) FThatI, NEW YORK, COUNTY OF...........,t.1:�..f..16..IL............SS ..k.....!.� F� individual srn / fi .. ......••••........ being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of igng Daixnent) And that he/she is the ......................... (Owner.Contractor.A ant. .............................................................................. g rporate 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 the 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 before me this; ..............6............(......... day of...... 20.x), i Notary Public: L:�.ttr.'(�:::(..�..�.............. .... ... ....... 4!��VICKI j, Applicant) FORM - 06/10rc, Ka,c�') ev ,iF 1383 SuffaIR Caui:ry Corrini* ion Expires M13y 4, — �vl d of Trustees Application County of Suffolk State of New York J© H Fmk Tl+ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS 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 PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. 0 Sign ture SWORN TO BEFORE ME THIS DAY OF i ,20 / y- '—nta�111 public, Notary PuVic tt9_ L93 � Sut': 4� d of Trustees Application AUTHORIZATION (where the applicant is not the owner) I,— N 1 T 'r'rJresiding at J!q N /,Val 1-14q (print owner of property) (mailing address) SoW0014 /VY do hereby authorize G4M ,/ (Agent) Wlt - DW l~o LCC/ to apply for permits) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the tract of t�nwn nfi � n and .,, this form is to provide information which can alert the town of psssible conflicts of IrrPtrrr and si4, o vt necessary to avoid same. wit to tape whatever action i YOUR NAME: R j� rjt (Last name,first name,giiddle 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 ofZone 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 >e 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 applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater 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 -- --- Submitted this y of Jk.l Signature Form TS 1 Print Name A (tiff. I Jit t; i-c�� Town of Southold 0 0 LARD 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 Dronosed..action will be evaluated as to its sigmficant 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 do-A listing both supporting and non- ppyorting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold 's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#_ PROJECT NAME 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: i Location of action: ZO 14- 7 64Y Saanow ti'y Site acreage: Present land use: ,., Present zoning classification: 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:_ Jkd- ,IPH fVi--& JTTj- (b) Mailing address:_ Jy W I N IX'T WAY SAL-M&W Aly (c) Telephone number: Area Code( 765 Z. Z 1 (d) Application number,if any. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No — .0 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 Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No P 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 � Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No WNotApplicable 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 ApPable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and waste . See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. (� F1YeJ--1 No C Not Applicable Attach additional sheets if necessary WORKING COAST POLICIEP Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Se LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. F1 Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 6Not 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. FIV ❑ Yes ❑ NoLo Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policie , Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BYTITLE 1A'N299=:= DATE 7 /L West Creek Builders, LLC Custom Building • Remodeling P.O. Box 256, New Suffolk, NY 11956 Tel 631.734-8416 Fax 866.352.5112 F— �Linef Existin Bulkhead g i 10 5'-4" El ' Storage Counter Area Ot] - - - - - - - -1 OO LO � I I I I 4_911 I I I I I I I I I I I Line of Existing Bulkhead Proposed Plan -5'x8' Enclosed Storage Area -5'x8' Open Area under Roof Overhang .i JUL - 9 2012 Frazzitta Residence— 1420 Inlet Way, Southold Page 6 of 6 West Creek Builders, LLC Custom Building . Remodeling P.O. Box 256, New Suffolk, NY 11956 Tel 631.734-8416 Fax 866.352.5112 Frazzitta Residence 1420 Inlet Way, Southold Storage Shed Rebuild/Expansion Cedas eeacll Ra Ceaal Beach Ra Ab G CC fi t S�fiiagk '� GaU1.re(pl Vj Q CJ Mair, Cedar N Beach Creek a a, c yJ pa ' o i@ Od "(''U'ar 144). WCe v '�wy Rd � s Frazzitta Residence— 1420 Inlet Way, Southold Page 1 of 7 West Creek Builders, LLC Custom Building • Remodeling P.O. Box 256, New Suffolk, NY 11956 Tel 631.734-8416 Fax 866.352.5112 y M .* ... m . r ., ._'•f fir. i r Existing Storage Sheds Frazzitta Residence— 1420 Inlet Way, Southold Page 2 of 7 _West Creek Builders, LLC Custom Building • Remodeling P.O. Box 256, New Suffolk, NY 11956 Tel 631.734-8416 Fax 866.352.5112 yw rw - .}rte i i 71r vr._ Existing Storage Sheds Frazzitta Residence— 1420 Inlet Way, Southold Page 3 of 7 West Creek Builders, LLC Custom Building • Remodeling P.O. Box 256, New Suffolk, NY 11956 Tel 631.734-8416 Fax 866.352.5112 - fn ; s m r Existing Sheds Frazzitta Residence— 1420 Inlet Way, Southold Page 4 of 7 West Creek Builders, LLC Custom Building • Remodeling P.O. Box 256, New Suffolk, NY 11956 Tel 631.734-8416 Fax 866.352.5112 i Existing Sheds Frazzitta Residence— 1420 Inlet Way, Southold Page 5 of 7 West Creek Builders, LLC Custom Building • Remodeling P.O. Box 256, New Suffolk, NY 11956 Tel 631.734-8416 Fax 866.352.5112 i i Proposed Expanded Shed Foot Print of Storage Area (5' x 8' /40sf) Similar to Existing Roof Raised Higher with Overhang and Counter Area Total Roof Line 8' x 10'6" (84sf) Ridge at 8'4" Frazzitta Residence— 1420 Inlet Way, Southold Page 6 of 7 West Creek Builders, LLC Custom Building • Remodeling P.O. Box 256, New Suffolk, NY 11956 Tel 631.734-8416 Fax 866.352.5112 51_411 i ❑ i 21 Storage 10 - - - - - � Oo 41-911 El 51-4411 11 Existing Bulkheads Frazzitta Residence— 1420 Inlet Way, Southold Page 7 of 7