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HomeMy WebLinkAboutTR-8465A"t John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee 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 # 1132C Telephone (631) 765-1892 Fax (631) 765-6641 Date: July 13, 2015 THIS CERTIFIES that the replacement of windows & doors in new locations on existing dwelling; construction of a front entry porch with roof over; removal of existing roof overhang around attached garage and construction of a decorative trellis; construct an outside entrance into crawl space, resurface existing ±12'x39.9' deck, and extend the deck an additional 6'x39.9' for an overall deck size of 658sq.ft.; with the condition to establish and subsequently maintain a 10' wide non -turf buffer landward of the retaining wall. At 1815 Bay Shore Road, Greenport Suffolk County Tax Map #53-4-8 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 23, 2014 pursuant to which Trustees Administrative Permit #8465A Dated July 23, 2014, was issued, and Amended on November 19, 2014, 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 replacement of windows & doors in new locations on existing dwelling; construction of a front entry_porch with roof over; removal of existing roof overhang around attachedag_rage and construction of a decorative trellis; construct an outside entrance into crawl space; resurface existing ±12'x39.9' deck, and extend the deck an additional 6'x39.9' for an overall deck size of 658sq.ft.; with the condition to establish and subsequently maintain a 10' wide non -turf buffer landward of the retaining wall.. The certificate is issued to DORIS L. WILLS TRUST owner of the aforesaid property. Authorized Signature John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F King Dave Bergen Charles J Sanders DATE OF INSPECTION: " l / 2-e d� 3 - Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, silt fence 1St day of construction '/ constructed Project complete, compliance inspection. INSPECTED BY: COMME CERTIFICATE OF COMPLIANCE: Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 U/ L___L� 100 N901 VE 6 lCODU 11 LANDRECORDSl.1L RECEIPT Suffolk County Clerk JUDITH A. PASCALE County Clerk Receipt Number : Payor Name 15-0097495 RIVHARD C WILLS ----------------------------------- DESCRIPTION TRANS AMOUNT ----------------------------------- Type of Instrument: Page/Filing Handling COE NYS SRCHG TP -584 Notation Cert.Copies RPT DECLARATION $25.00 $20.00 $5.00 $15.00 $0.00 $0.00 $6.25 $60.00 Fees Paid $131.25 LIBER D00012824 PAGE 920 DATE: 07/22/2015 TIME: 01:50:02 PM ----------------------------------- RECEIPT TOTAL $131.25 CHECK AMT PAID $131.25 TOTAL AMOUNT PAID $131.25 CHECK REFUND $0.00 COMtdENTS CC # : C15-29478 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby`certify that I have compared the annexed with the original DECLARATION recorded in my office on 07122/2015 under Liber D00012824 and Page 920 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 07/22/2015 . I SUFFOLK COUNTY CLERK JUDITH A. PASCAL -E - SEA$r. SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION NuNbor of Pages: 5 Receipt Number : 15-0097495 Recorded: 07/22/2015 At: 01:50:02 PH D00012824 920 Lot: 008.000 $20.00 $15.00 $0.00 $-60.00 _$139:.21 JUDITH A. PASCALE ^ County Clerk, Suffolk County Exempt NO NO NO NO LIBER: PAGE: District: Section: Block: 1000 053.00 04.00 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Page/Filing $25.00 NO Handling COE $5.00 NO NYS SRCHG TP -584 $0.00 NO Notation Cert.Copies $6.25 NO RPT Fees Paid THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL D00012824 920 Lot: 008.000 $20.00 $15.00 $0.00 $-60.00 _$139:.21 JUDITH A. PASCALE ^ County Clerk, Suffolk County Exempt NO NO NO NO Number of This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2Fj1` Jul 22 01:50:02 F,K SIDITH A. PASCALE i CLERK OF StiFFILK COUNTY L D00012824 , P 920 Deed / Mortgage Instrument I Deed / Mortgage Tax Stamp I Recoding / Filing Sumps FEES 3 " Mortgage Amt. Page/ Filing Fee = 1. Basic Tax _T— — Handling 20. 00 2. Additional Tax Sub Total TP -584 SpeclAssit. Notation — — �� or i EA -52 17 (County) Sub Total _ Spec. /Add. TOT. MTG. TAX EA -5217 (State) R.P.T.S A. Dual Town , - Dual County_ Held for Appointment Comm. of Ed. 5 • 00 Transfer Tax •,! Affidavit lY® Mansion Tax a� The property covered by this; mortgage is :;CerEifiediogy or will be improved by a lone or two 15. 00Q- L family dwelling only. NYS Surcharge Sub Total oo YES or NO . Other J Grand Total v � � � If NO, see appropriate tax clause on page # of this. instrument. — 1 4Dist. 5 Community Preservation Fund 2965667 1000 05300 0400 008000 Real Property p T g Consideration, Amount$ :.• ; CPF Tax Due $ Tax Service R DHO A I m Agency 22 JUL-15 Improved Verification Satisfactions/Discharges/Releases List Property Owners Mailing Address 6 RECORD & RETURN TO: Vacant Land ��cAni►v� L {wa'a'�r 'DL W:ZI�Trw�— TD D Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Title # Suffolk Countv Recordin & Endorsement Page 8 This page forms part of the attached V)I'!? C- � a ra4 C),/) made by: (SPECIFY TYPE OF INSTRUMENT) TO The premises herein is situated in SUFFOLK COUNTY YORK. In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 72-o1ociwoekk (over) DECLARATION OF COVENANTS THIS DECLARATION made this 21 day of July, 2015, by the Doris L Wills Trust, Richard C Wills Trustee, residing at 19 Jeremy Drive East Lyme, CT 06333, hereinafter referred to as "DECLARANT(S)": W I T N E S S E T H: WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located on 1815 Bayshore Road, Greenport, Town of Southold; County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 53, Block 04, Lot 08 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 10(ten) foot wide "non - turf buffer", adjacent to and landward from the face of the waterside of the existing concrete bulkhead wall; NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows: Upon the substantial completion of the aforementioned permitted activ;jties there shall be established and subsequently maintained a 10(ten) f0bt wide "non -turf buffer", adjacent to and landward from the face of the waterside of the existing t I concrete bulkhead wall; 1) as defined by Chapter 275 of the Town Code; and as depicted on survey/site plan last dated and stam ed approved on 08/18/2014 see Exhibit A attached; and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this day of 1�tA� a 0 24 OWNER URE �± �� S�GNtIT Lls rTr�t5 2 OWNER'S SIGNATURE STATE OF 14etli �orK sus : COUNTY OF Sk)9 aLK On the !6T day of �-�� in the year 20 Is—, betPre me the �undersi ne a. otary Public in and for said State, personally, --appeared Ijc(Q�� �(( personally known to me or proved to me on the basis of satisfactory evidence to be the individual s) whose names) is/are subscribed to the within instrument and acknowledged to me that 'he/she/they executed the same in his/her/their capacity, and that by his/her/their signatures) on the_instrument, the individual or the per f which the individual(s) acted, executed the instrument. Notary Public Ruth Lave Notary Public State of New York No. OI L 00054063 2 Qualified Suf1elk.C�20 r Lj Commission Expp ires ern a IQ y-++ J51LT FMCS nerals I. L . F- APPROYEO BY vis, 10/MOFSW1UlU Q14 yy N H -Har, ALL deet mnsin plad.pleeeaap cdaF1mrA with da bWldlaga and itttpeov�tudwtcoaeasrtcd,mltuo-ac, lyingow butn3 at ATUbmwMaqua. in the Town of Southold, County of Suffolk and State of New York. hoatm and deaaigum" am Lot No. 29 mad the northerly half of Lot Pio. 30, on "Amended Map d Sacomic Say Ratatee" and filed in the Office of the county clock of the County of Suffolk. on Play 19, 1933. as Map No. 1124. BEING 69%8 nrMWED TO SS the ems prealaoa conveyed to the grantor herein by Dead dated January 6, 1964, recorded In the Suffolk County Clark'® Office on January 21. 1964 in Libor 3483 page 319. • John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee November 19, 2014 Ms. Nancy Dwyer PO Box 632 Southold, NY 11971 • �pF SO(/j�o ti o 0. yCOUNTY,�` BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: DORIS L. WILLS TRUST 1815 BAYSHORE ROAD, GREENPORT SCTM# 53-4-8 Dear Ms. Dwyer: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 19, 2014: RESOLVED, that the Southold Town Board of Trustees APPROVES the Administrative Amendment to Administrative Permit #8465A to include the re -surfacing of existing ±12'x39.9' deck; and to extend the deck an additional 6x39.9', with the overall size of deck to be 658 square feet; and as depicted on the revised site plan prepared by Nancy Dwyer Design Consulting, Inc., last dated October 29, 2014 and stamped approved on November 19, 2014. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, ?_ 49-t &707 .W_ John M. Bredemeyer III President, Board of Trustees JMB:amn FM a is L. Wills Trust 5 Bayshore Road, Greenport M# 53-4-8 Wil 46, meg, 4 t .. - • tt.w 6. .:� is L. Wills Trust 5 Bayshore Road, Greenport M# 53-4-8 Wil • John Bredemeyer, President g%iFFO(,t Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen 11 Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: ) 2. 01) J Nancy Dwyer on behalf of DORIS L. WILLS TRUST requests an Administrative Amendment to Administrative Permit #8465A to include the re -surfacing of existing ±12'x39.9' deck; and to extend the deck an additional 6'x39.9', with the overall size of deck to be 658 square feet. Located: 1815 Bayshore Road, Southold. SCTM#53-4-8 Type 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 . Type of Application: Wetland Coastal Erosion ✓ Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes Storm Water Management Review: Yes No Info needed: Modifications: Conditions: other No Not Applicable Not Applicable / Present Were: �J. Bredemeyer lel. Domino h. King Sanders vO. Bergen Bay Constable Form filled out in the field by Mailed/Faxed to: Date: Other • OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971IS pF SO�ryo� y�4UNVI • MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: November 17, 2014 Re: Proposed Administrative Permit for DORIS L. WILLS TRUST SCTM# 1000-53-4-8 Nancy Dwyer on behalf of DORIS L. WILLS TRUST requests an Administrative Amendment to Administrative Permit #8465A to include the re -surfacing of existing ±12'x39.9' deck; and to extend the deck an additional 6'x39.9', with the overall size of deck to be 658 square feet. Located: 1815 Bayshore Road, Southold. SCTM#53-4-8 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed actions are CONSISTENT with the Policy Standards and therefore are CONSISTENT with the LWRP provided the Board considers the following: The Zoning Board of Appeals issued a variance on October 16, 2104 with the following conditions: 1. The deck will remain open to the sky. 2. No additional encroachments in the non -conforming 9.6 ft. side yard shall be permitted other than the proposed basement entry stairs and AC unit as shown on the survey cited above 3. A 10 foot wide LANDSCAPED BUFFER shall be established landward from the top of the seawall. If the action is approved, it is recommended that a 10' wide LANDSCAPED BUFFER be memorialized in any permit issued. 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 BOARD MEMBERS • Leslie Kanes Weisman, Chairperson Eric Dantes Gerard P. Goehringer George Horning Kenneth Schneider SOUr,�,o� h O http://southoldtown.northfork.net 0 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 DETERIVIINATION MEETING OF OCTOBER 16, 2014 ZBA FILE: 6794 NAME OF APPLICANT: Doris L. Wills Trust SCTM: 1000-53-4-8 PROPERTY LOCATION: 1815 Bayshore Road (adj. to Pipes Cove), Greenport, NY SEQRA 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 Sept. 10, 2014, 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 Sept. 24, 2014. 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 requesting a nonconforming side yard setback is EXEMPT from Coastal Consistency Review, and furthermore, that the proposed action requesting a deck extension with a nonconforming bulkhead setback is CONSISTENT with the LWRP since the deck expansion will not encroach into a mapped FEMA Flood Zone, and a 10 foot wide LANDSCAPED BUFFER will be established landward from the top of the sea wall as a condition to the grant of the variance. PROPERTY FACTS/DESCRIPTION: The applicant's property is a 19, 982 sq. ft. parcel in the R-40 Zone. The northerly lot line measures 256.25 feet along an adjacent residential parcel. The easterly lot line measures 77.71 feet along Pipes Cove. The southerly lot line measures 276.60 feet along another residential parcel, and the westerly lot line measures 75 feet along Bay Shore Road. The parcel has 15, 978 sq. ft. of buildable area, and is improved with a single family dwelling, and accessory shed, as shown, with the proposed deck expansion, on the survey drawn by John T. Metzger, Licensed Land Surveyor, last revision dated April 15, 2014, and the site plan drawn by Nancy Dwyer, Design Consulting, Inc., dated Oct. 1, 2014. BASIS OF APPLICATION: Request for Variances from Articles XXIII and XXII, Sections 280-124 and 280- 11613 and the Building Inspector's August 4, 2014 Notice of Disapproval based on an application for a deck addition to an existing single family dwelling, at; 1) less than the code required single side yard setback of 15 feet, 2) less than the code required bulkhead setback of 75 feet. RELIEF REQUESTED: The applicant requests variances in order to construct a proposed new+/- 240 sq. fl:. deck addition with a nonconforming 43.9 ft. bulkhead setback where Code requires a 75 ft. minimum, and a 9.6 ft. Page 2 of 3 — October 16, 2014 • ZBA#6794 — Wills SCfM# 1000-53-4-8 single side yard setback a portion of which is reduced to 4 ft. to permit the construction of basement entry stairs., where Code requires 15 ft. FINDINGS OF FACT/ REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on October 2, 2014, 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. The original existing dwelling was built in 1958 without the need for any variances. The neighborhood is characterized by numerous dwellings with nonconforming setbacks. The proposed new deck will be constructed landward of the designated AE flood zone line. 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 dwelling has a non -conforming bulkhead setback of 49.9 ft., and a non -conforming side yard setback of 7.3 feet, so the proposed deck expansion cannot be built without the grant of the variances. 3. Town Law 4267-b(3)(b)(3). The variances granted herein are mathematically substantial, representing 42% relief from the code for the bulkhead setback, and 36% for the side yard setback. However, the existing bulkhead setback is 49.9 feet, with the proposed new deck representing a 6 feet expansion of the existing deck, seaward toward the bulkhead, in an area that is not within a designated flood zone. The existing side yard setback for the dwelling is 7.3 feet on the side where the deck expansion is proposed with a 9.5 feet side yard setback. 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)(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 benefit of a new deck, 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 Horning, seconded by Member Dantes, and duly carried, to GRANT the variances as applied for, and shown on the survey drawn by John T. Metzger, Licensed Land Surveyor, last revision dated April 15, 2014, and the site plan drawn by Nancy Dwyer, Design Consulting, Inc., dated Oct. 1, 2014. CONDITIONS: 1. The deck will remain open to the sky. 2. No additional encroachments in the non -conforming 9.6 ft. side yard shall be permitted other than the proposed basement entry stairs and AC unit as shown on the survey cited above 3. A 10 foot wide LANDSCAPED BUFFER shall be established landward from the top of the seawall. That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. Page 3 of 3 — October 16, 2014 ZBA#6794— Wills SCTM# 1000-53-4-8 Any deviation from the survey, site plan andlor 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), Schneider, Horning Dantes. Absent was Member Goehringer. This Resolution was duly adopted (4-0). AL- P*"�=ems' Leslie Kanes Weisman, Chairperson Approved for filing .10 / d/ /2014 • John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 E631) 76b-6641 S Y APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE OWNER t1j111S. MAILING ADDRESS PHONE dO aD AGENT IJP n wj 1 �U jZK t)e S) 31- PHONE % ADDRESS 6 ''v v -}'1-w P PROPERTY LOCATION 13to Shote 4U TAX MAP NO.�- I/We t w le,- aen &k1faF WUd /,S request an Amendment to Permit # �F(o, 4 to InClvde. 1' Syt O_eA✓14, 4-e-[ 15h&pc oieck_ 4vl�J 1/IG'e.k5-e._ Signed By: Town of Southold A. INSTRUCTIONS 0 40 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 proposed action will be evaluated. as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 1 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 - supporting 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 OCT 3 1 2014 1 Sauha:i �o;�t" 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: 6+7 tWi o i s1 2.¢ ��� nCr�As� .- 4 Q.�i ) -i r e s yr (e, 4J,^Are-. c�o-kik. ur k-- . 1 t(C1 v-1 s Ic,Qs h 4 row-- e— 0 Location of action: Site acreage: Present land use: Si (I e, 4 /lit t S Present zoning classification; ie- 7 b 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: POLvI (b) Mailing address: 0 &3a 90u+AO111 ,NY /1971 (c) Telephone number: Area Code (� i �� s f � 6- -7 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No Ph' 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 M Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable 0 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 `f—', Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III — Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria Yes ❑ No [:]Not Applicable 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. R ❑IF Yes No Not Applalble to 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 �ot 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 1PNot 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. ❑ YeF-1 No ONot Applicable Attach additional sheets if necessary WORKING COAST POLICIES 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 914t Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No* Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III — Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY 06tV) LAI P QI!' TITLE DATE 10,,-t?- • John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD • Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 1) 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 V/ Pre -construction, hay bale line 1St day of construction '/ constructed Project complete, compliance inspection • John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee pF SOUryo� CA 41C eouw,�, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8465A Date of Receipt of Application: April 23, 2014 Applicant: Doris L. Wills Trust SCTM#: 53-4-8 Project Location: 1815 Bayshore Road, Greenport Date of Resolution/issuance: July 23, 2014 Date of Expiration: July 23, 2016 Reviewed by: Board of Trustees • Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 Project Description: To replace windows and doors in new locations on existing dwelling; construction of a front entry porch with roof over; removal of existing roof overhang around attached garage and construction of decorative trellis; and construct an outside entrance into crawl space; with the condition to establish and subsequently maintain a 10' wide non -turf buffer landward of the retaining wall. 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 Nancy Dwyer Design Consulting, Inc., last dated August 12, 2014 and stamped approved on August 18, 2014; and as also depicted on the site plan prepared by Nancy Dwyer Design Consulting, Inc., last dated July 14, 2014 and stamp approved on August 18, 2014. Special Conditions: The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Inspections: Pre -Construction (hay bale line) & Final Inspections. 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. Michael J. Domino, Vice -President Board of Trustees Is 7J John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD • Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 TO: I JLt.)V r DC_SIgh (�pnStkl_ na Please be advised that your application dated �'' 2-3 has been reviewed by this Board at the regular meeting of Z3 and your application has been approved pending the completion of th follo i g items checked off below. Revised Plans for proposed project Pre -Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/z Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ SD 6 BY: John M. Bredemeyer 111, President Board of Trustees • John Bredemeyer, President SUFFO� Michael J. Domino, Vice -President c° James F. King Charles J. Sanders o • Dave Bergen go Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 1 (� ��. I t c�{ Dwyer Design Consulting on behalf of DORIS L. WILLS TRUST requests an Administrative Permit to replace windows and doors in new locations on existing dwelling; construction of a front entry porch with roof over; removal of existing roof overhang around attached garage and construction of decorative trellis; and construct an outside entrance into crawl space. Located: 1815 Bayshore Road, Greenport. SCTM# 53-4-8 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 Typ"f Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: ILL to — ut; ✓ Cond'tions: TIA t A 2 AL 0. ..+ ' fm Z a Present Were:. Bredemeyer/�. Domino NA King \. Sanders L" Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: Doris L. Wills Trust 1815 Bayshore Road, Greenport SCTM# 53-4-8 7/16/14 44", t ♦ !!!!!!4 ! ! ! ! !!!! *IT IF ! t '9 1 � n• \rMi n t' IIs Family L5 Bayshore Road, Greenport fM# 53-4-8 A/14 L IIs Family L5 Bayshore Road, Greenport fM# 53-4-8 A/14 John Bredemeyer, President SUFF010 Michael J. Domino, Vice -President cO James F. King Charles J. Sanders o Dave Bergen 0 Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: Nancy Dwyer Design Consulting on behalf of WILLS FAMILY requests an Administrative Permit to replace windows and doors in new locations on existing dwelling; add new decking over existing 12' deep by 39.9' wide waterside attached deck; construction of a front entry porch with roof over; removal of existing roof overhang around attached garage and construction of decorative trellis; construct an outside entrance into crawl space; construction of gable end walls and roof line in-place of existing hip roof to each bump -out on seaward side of dwelling. Located: 1815 Bayshore Road, Greenport. SCTM# 53-4-8 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: �hapt.275 Chapt. 111 Type of Application: Wetland Coastal Erosion Amendment administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes Info needed: Modifications: Conditions: Present Were: Bay Constable I)Ip67c avF other No Not Applicable J. Bredemeyer ✓M. Domino _/j. King C. Sanders Bergen Form filled out in the field by Mailed/Faxed to: Date: Other LOT NUMBERS REFER TO " AMENDED MAP A, PECONIC BAY ESTATES" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON MAY 19, 1933 AS FILE NO. 1124 FLOOD ZONES FROM FLOOD INSURANCE MAP MAP NUMBER 36103CO159H SEPTEMBER 25, 2009 ELEVATIONS REFERENCED TO N.A.V.D. BUILDABLE LOT AREA= 15,978 SQ. FT. EXISTING LOT COVERAGE= 2,783 SQ. FT./ 17% AREA=19,982 SO. FT. TO TIE LINE OOJ SURVEY OF PROPERTY AT ARSHAMOM00UE TOWN OF SO UTHOLD SUFFOLK COUNTY, N.Y. 1000-53-04-08 SCALE: 1'--30' AUGUST 29, 2013 OCTOBER 15, 2013 (ADJACENT HOUSES S/B) MARCH 20, 2014 (REVISIONS & PROPOSED) APRIL 15, 2014 (REVISION) ECS" APR 2 3 2014 TEST HOLE DATA BY McDONALD GEOSCIENCE 8/8/13 1 PM EL 7.0' EL 1.2' I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUC77ON OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. The location of wells, cesspools & public water shown hereon a from field observations and or from data obtained from others. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209OF 714E NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209 -SUBDIVISION 2. ALL CER77FICA77ONS HEREON ARE VAUD FOR 774IS MAP AND COPIES 774EREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. WATER 2' 4' MIXED SAND AND LOAM BROWN SANDY CLAY CL PALE BROWN CLAYEY SAND SC 5.8' WATER IN PALE BROWN CLAYEY SAND SC r WATER IN PALE BROWN FINE TO COARSE SAND SW 13' N. Y.S. LIC. NO. 49618 ECONIC YORS, P.C. (631) 765-5020 FAX (631) 765-1797 P.O. BOX 90912,30 ,/ SOU TH R D, EN. R 11971 STREET 89-422 3Q• sEaec. qo. ou wtpl __ _ ONE u ,aero No. aff� w. a era, Ri N 'ie "'� so � � • ^� EaRPeR�E.Na. SEE—.3 Q� � eelq 4. TOMjbrSdRR0.D R t t0.M / 10'MI OF 90gil101a � / / r - °• 0.S I t) - �/i/.�', / � a • taiNU � e� /�T { N E O wnrnu %� ife a � 9drirglD T c Y ,t,Nq O r- e .` ,�aP Sam�ain `rY )J PNES CREW a ` 'Bd'P °" s 1 � 3 j 8�� � y ° � ♦ ' P P Ie P ♦ ym Sy ~.a ♦ Q) ♦ 4 i �♦ �J) A, 2 °S "s a ° t f �. �,, "-• ee�im�ri�)v. g 'gym T- M1` r ----- ----- 2------uNE wacH --a �---- --Z- uRE Tps ,ia! 5 SEE SEC. Mq. S6)SEEBEC.rq.05) _z _ _ a,l = - — »� NOTICE COUNTYOFSUFFOIK © i a SOUTHOLD SECTION _T — d ealProperty Taz Service Agertqvm53 — p w 1000 PROPERT LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD t:iCOr7_T►I�l��i�i To: John Bredemeyer, President Town of Southold Board of Trustees JUL 2 1 2014 r' From: Mark Terry, Principal Planner LWRP Coordinator ,+ Date: July 21, 2014 4Mm; s Re: Proposed Wetlai a Permit for DORIS L. WILLS TRUST SCTM# 1000-53-4-8 Dwyer Design Consulting on behalf of DORIS L. WILLS TRUST requests an Administrative Permit to replace windows and doors in new locations on existing dwelling; construction of a front entry porch with roof over; removal of existing roof overhang around attached garage and construction of decorative trellis; and construct an outside entrance into crawl space. Located: 1815 Bayshore Road, Greenport. SCTM# 53-4-8 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS items "B" and which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (inplace), including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but not limited to, groins, jetties, bulkheads, filled piers) located within Great Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound (excluding all creeks); 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 S�VlyOl OFFICE LOCATION: O��QF MAILING ADDRESS: Town Hall Annex O P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971Q y Telephone: 631 765-1938 00 U NO Fax: 631765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD t:iCOr7_T►I�l��i�i To: John Bredemeyer, President Town of Southold Board of Trustees JUL 2 1 2014 r' From: Mark Terry, Principal Planner LWRP Coordinator ,+ Date: July 21, 2014 4Mm; s Re: Proposed Wetlai a Permit for DORIS L. WILLS TRUST SCTM# 1000-53-4-8 Dwyer Design Consulting on behalf of DORIS L. WILLS TRUST requests an Administrative Permit to replace windows and doors in new locations on existing dwelling; construction of a front entry porch with roof over; removal of existing roof overhang around attached garage and construction of decorative trellis; and construct an outside entrance into crawl space. Located: 1815 Bayshore Road, Greenport. SCTM# 53-4-8 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS items "B" and which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (inplace), including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but not limited to, groins, jetties, bulkheads, filled piers) located within Great Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound (excluding all creeks); 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 Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold Town Building Department • Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Re: Verification of Building Department Permit Requirements SCTM#: 5_3 _ y - Telephone (631) 765-1892 r`l u JUL 1+ 2014 61 UG DEPT. TO6'iN of Property Owner Name: _L) Is Fiami l y - � y)"S eJ Date Sent to Bldg. Dept.:1, q The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of R , ewer Date Ju 111 14 08:52a 9 0 Wills Family Trust 1815 Bay Shore Road Greenport, New York, 11944 r 17 J U L 1 1 2014 May 1, 2014 To Whom It May Concern: 1, Richard Wills as the Trustee of the Wills Family Trust, authorize Thomas J. McCarthy and/or McCarthy Management, Inc. to act on my behalf and handle all necessary work involved with Local Townships. County and NYS municipalities or any other entity for permits, expediting, development, or any other matter for the subject property located at 1815 Bay Shore Road, Greenport, NY 11944, SCTM# 1000-53-4-8. Thank you. Sincerely, (:::�\ C.,k,,,J Jk-; Richard Wills �l p.1 Nancy Dwyer Design Consulting, Inc. P.O. Box G32 Southold, New York 1 197 1 o. G3 1-7G5-8GG7 f. G3 I -7G5-8GG5 c. G3 1-739-4G 17 D June 30, 2014 JUL - 5 X014 � RE: Wills Family T ` 181 5 Bayshore Road --_J Greenport, NY 1 1944 ----..._ 5CTM# 1000-53-4-8 To The Town of Southold Board of Trustees, The attached plans reflect an amendment to our original administrative permit application. The change made removes "resurfacing the existing deck structure". Our new plan is to leave the existing deck untouched. We would like to continue with an administrative permit for: • New windows and doors, in new locations • New siding • Construction of a front entry porch with roof over • Removal of roof overhang around existing garage and construction of decorative trellis • Outside entrance into crawl space If you have any questions concerning this change, please feel free to contact me. Reg s, Nan D e Designer 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: John Bredemeyer, President Town of Southold Board of Trustees i MAY 2 0 2014 From: Mark Terry, Principal Planner LWRP Coordinator - JC. fA Date: May 20, 2014�-- Re: Proposed Administrative Permit for WILLS FAMILY SCTM# 1000-53-4-8 Nancy Dwyer Design Consulting on behalf of WILLS FAMILY requests an Administrative Permit to replace windows and doors in new locations on existing dwelling; add new decking over existing 12' deep by 39.9' wide waterside attached deck; construction of a front entry porch with roof over; removal of existing roof overhang around attached garage and construction of decorative trellis; construct an outside entrance into crawl space; construction of gable end walls and roof line in- place of existing hip roof to each bump -out on seaward side of dwelling. Located: 1815 Bayshore Road, Greenport. SCTM# 53-4-8 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "B" which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (inplace), including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but not limited to, groins, jetties, bulkheads, filled piers) located within Great Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound (excluding all creeks); 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 pF SOUryo OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) G • Q Southold, NY 11971 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: John Bredemeyer, President Town of Southold Board of Trustees i MAY 2 0 2014 From: Mark Terry, Principal Planner LWRP Coordinator - JC. fA Date: May 20, 2014�-- Re: Proposed Administrative Permit for WILLS FAMILY SCTM# 1000-53-4-8 Nancy Dwyer Design Consulting on behalf of WILLS FAMILY requests an Administrative Permit to replace windows and doors in new locations on existing dwelling; add new decking over existing 12' deep by 39.9' wide waterside attached deck; construction of a front entry porch with roof over; removal of existing roof overhang around attached garage and construction of decorative trellis; construct an outside entrance into crawl space; construction of gable end walls and roof line in- place of existing hip roof to each bump -out on seaward side of dwelling. Located: 1815 Bayshore Road, Greenport. SCTM# 53-4-8 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "B" which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (inplace), including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but not limited to, groins, jetties, bulkheads, filled piers) located within Great Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound (excluding all creeks); 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 Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold Town Building Department Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Re: Verification of Building Department Permit Requirements SCTM#: S -2-) -- t —0 Property Owner Name: Date Sent to Bldg. Dept.: -5/6/ L Telephone (631) 765-1892 Fax (631) 765-6641 T1 MAY - 5 2014 t The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from he Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: �Z/ Signature o Reviewe Date Nancy Dwyer Design Consulting, Inc. P.O. Box 632 Southold, New York 11971 o. 631-765-8667 f. 631-765-8665 c. 631-739-4617 May 8, 2014 RE: Wills Family 1815 Bayshore Road Greenport, NY 11944 SCTM# 1000-53-4-8 To The Town of Southold Board of Trustees, • MAY - 9 2014 This is an application for an administrative permit to the Wills Family Residence. The work outlined on the attached drawings for the project consists of: • New windows and doors, in new locations • New siding � „ • New decking over existing deck structure la X 39. ` CA-) • Construction of a front entry porch with roof over • Removal of roof overhang around existing garage and construction of decorative trellis • Outside entrance into crawl space • Construction of gable end roof with walls under on the existing waterside "bump -outs" in place of current hip roofs If you have any questions concerning the application, please feel free to contact me. Regards, Nancy Dwyer Designer James F. King, president Bob Ghosio, Jr., Vice -President Dave Bergen John Brederneyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOU'T'HOLD Office Use Only Coastal Erosion Permit Applicatio Wedand Permit Application Administrative Permit �AmendmentlTrans xte ion }� Received Application: lot). Fee:$ b b TCompleted Application" Incomplete ._ _ SEORA Classification: Type i Type Il Unlisted _Coordination:{date sent)_ X,LWRP Consistency Assessment Form CAC Referral Sent: Date of Inspection: Receipt of CAC Report: ,, Lead Agency Determination: _Technical Review: Public Hearing Held: S' Resolution: Name of Applicant ''.,,'-I 1 � I S rA nA I Mailing Address t (� � � �U� �erYl 0 Town Hall Annear 54378 Main Road P.O. Box 1179 Southold, Now York 11971-09159 Telephone (631) 765-1892 Fax (631) 765-6641 Phone Number:( ) Suffolk County Tax Map Number: 1000 - Property Location: t3t qc. K o& 4""e eal P.O �� ,� P (o a l a S 0. (Nc, l Js �•ct,rr e b (provide LILCO Pole #, distance to cross streets, and location) 11 AGENT:4! YAC DVJ Ir .. � _Ld -21 YN — (If applicable) Address: Po_. t-2 J1 Ij Phone: APR 232014 and of Trustees Appiicatia* GENERAL DATA Land Area (in square feet): 19, , D �. Area Zoning: Previous use of property: Intended use of property: S IM Covenants and Restrictions on property? Yes _ 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 flans 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 flown Code or as determined by the Building Dept.? __--Yes No Does the structure (s) on property have a valid Certificate of Occupancy? X Yes No Prior permitslapprovals for site improvements: Agency Date 13LD6 hLhT- l g� `� ��j'�"✓ ``_ ., 7 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_XNo Yes If yes, provide explanation: Project Description (use attachments if necessary): M 0 C XX f'1..�-0 I n--ktr 600,: art rlh 0 t w to %(\.A ou)6, d oo Q -s 40d of Trustaae APPlication • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:i t% Q� S Ye- cle' dA - W-15 J Area of wetlands on lot: 0 0 i—square feet Percent coverage of lot:, ep a % Closest distance between nearest existing structure and upland edge of wetlands:_149.61 ^feet '�-W S2a V-A- Closest distance between nearest proposed structure and upland edge of wetlands: , .49, q , feet Does the project involve excavation or filling? No_—)� Yes If yes, how much material will be excavated? cubic yards zi►"19 we, j How much material will be filled? 'l cubic yards a I Depth of which material will be removed or deposited: '5- feet Proposed slope throughout the area of operations: P/ 6t * Manner in which material will be removed or deposited: S/h4. t ( &V r A, I h 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): �Hmrft-'R—A 617.20 Appendix R Short Environmental Assessment Form Instructions for Completing Part I - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part I - Project and Sponsor Information _ e Name of Action or Project: W1 I is- �kwltw Li ale..— Project Location (describe, and attach a locati n map): 1 Short_ Brief Description of Proposhd Action: Ci tea.!l s , (lei ✓1cl0a6, Name of Applicant or Sponsor: _ Telephone: 04, r)W GSl Ir -Mail: enc dw r a5►jn�ao Address: `(moo City/po;; State: Zip Code: 60, 1'0 H / bf I 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES ❑ If Yes, list agency(s) name and permit or approval: 3.a. Total acreage of the site of the proposed action? b. Total acreage to be physically disturbed? _.__. O aeges- CV Fl: c. Total acreage (project site and any contiguous properties) owned 9 aw4wpr- 11k,­ or controlled by the applicant or project sponsor?/ 'o � 4. Check all land uses that occur on, adjoining and near the proposed action. 4. Q Urban © Rural (non-agricuiturc) ❑ industrial []Commercial Mesidential (suburban) OForest ElAgriculture [Aquatic 0Other (specify): ______.._.. []Parkland Page I of 4 20 • • 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? 7. Is the site of the proposed action luted in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES F] K NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? c. Ane any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NNOOj YES ❑ 9. Does rho proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements describe design features and technologies: NO YES 10. Will the proposed action connect to an existing publiclprivate water supply? If No, describe method for providing potable water: NO YES 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: _ NO YES )IVI XI 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. is the proposed action located in an archeological sensitive area? NO YES 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterberdy? If Yes, identify wetland or erbody and extent of alterations in square feet or acres: NO YES EL uJo� acrd o 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: �horeline ❑purest E3 Agricultural/grasslands ❑ Early mid -successional Q Wetland O Urban ❑ suburban 15. Does the site ofthe proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES 1:1 16. Is the project site located in the 100 year flood plain? NO YES IKTT 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, a. will storm water discharges flow to ac)jaceitt properties? E�ro DYES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, fly ribe: F] NO >QyES NO YES ❑ 0 Page 2 of 4 U 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: NO YES ❑ to large impact 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: NO YES may occur occur I . Will the proposed action create a material conflict with an adopted land use plan or zoning o regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ___....� 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? lfYes, describe: NO VES El (� 4. Will the proposed action have an impact on the environmental characteristics that caused the El of a Critical Environmental Area (CEA)? I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE ` NGC, n c w ✓._-..__ Date: � %1-y' I � 20� Appticartt/ m : __._-.___.._... .... � � Signature: U Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should he guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" Page 3 of 4 No, or Moderate small to large impact impact may may occur occur I . Will the proposed action create a material conflict with an adopted land use plan or zoning o regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ___....� 3. Will the proposed action impair the character or quality of the existing community? El ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the El of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking or walkway'? 6. Will the proposed action -cause an increase in the use of energy and it fails to incorporate reasortabl available enera conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public / private water supplies? b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, 0 ❑ architectural or aesthetic resources? _ 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, ❑ waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 -- -------- ----- _ No, or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainageI"1 problems? t U 11. Will the proposed action create a hazard to environmental resources or human health? 1:1 Part 3 - Determination of signi!%ance. The Lead Agency Is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. QCheck this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town I Town of SoutWd - Board of Trustees J 1 `r Name of Agency — Date a r- CJC 11A�`1el President __. Print' y of ible Ofter in dead Agency Title of Responsible Officer tore of Res s` a icer in Lead Agency Signature of Preparer (if different from Responsible Officer) I PRINT Page 4 of"4 • • ate- Town of Southold Erosion, Sedimentation & Storm -Water Run-off ASSESSMENT FORM AY RMNRE THE UINlNsftOM OF A MWftRTY IOCAMMS TAL a: TM FOLLOWMe ACTU Ms Ntt D 115 3 -r scopE OF WORE. - PROPOSED CONSTRUCTION rrEM # / WORK ASSESSHENr Yes No a. Whet Is the Total area of the Piolecl Parcels? 1 win this Project Retain All stoma Mer Rust -Off (lode Total Area of all Percais located wlednqq qq /La..L.� Generated by a Two (2") Inch R��ati at Si%? the Scope of work for Proposed Construction) (S.f.1 Aarsa) (/his item will kxlude all run-off created by she b. what Is the Total Area of Laird Clearing clearing arrdior construction activities as well as all andlor Ground Distisbanee for the proposed '30 S 1= site improvements and the permanent c reatio t of IMPWAOUS COnnfbuCtior: aCtVNy1' (a.f.1 Ades) .) Propo � Hoes the Site Plan and/or SurveyShow& PROVIDE BRIEF PROJECT DESCRIPTION o wAma A* -w ftow rued) L ca ion? This Drainage Structures Indicating Size & Location? This item shall include all Proposed Grade Charnges and 1114crl0i Gd'/�! I�IQ- aJ� ilk slope's ConuoiingSurface Water Flow. 3 Does the Site Plan and/or survey dewA* the aroslorn sediment torrGroi That will be used 60 El 5 D ! S and practicer discharges. Ttds j o, - oil 1 —no control site erosion and storm water Item must be maintained throughout the Entire Conshuction Period. p f�aS2,a� oly-U W d will this Project Require any Land Filing, Grading or is change to the Nsiurw T" T I Excavation where there a Existing Grade Involving more than 200 Cubic Yards of Matelot within any Parcel? 5 Will ths Application Require Land Disturbing Activities L Encompassir g an Area in Excess of Five Thousand �( (5,000 S.F.) Square Peet of Ground Surface? 6 Is there a Natural Water Course Rurinb g dmovgh the Site? Is tris Projectwittin the Tnrslees jraiattcton or within One Hundred (1001 led of a Welland or OWN" OEC wit"p- mligheffb: submission of a sWPPP b wW*W far ON Cw6budam &*Aims hfva wrQ eoa Beach? dls6ubsnoss of one (t) a mws wow trrohatkfq dkaaberfcae of less afeff ane atm that 7 Will there be Site preparation an Existing Grade Slopes are p a axger common pian slat wlt ukkr4l* di" ono or more aass of *fvt which Exceed Fften (15) fest of Vwdcat Rise lb Owrreod on scIvi a kwdft will dMuttenl¢es of less Olin/ one (i) acro whets Orae Hundred (140') of Horizontal Distanoe? Me OEC h a datetioafed afat a SPOES pemdt ie required tar ownswater d►scliet r. (VMIPP s tilnrdt meet the Wnlatnm Kpmdrnrmeub of ane V= t4OMM PON* 8 Will Driveways, PaftV Area or other Impervious for *Wm Water ONaiarow from Co "buc#en w0ft - Prann Na OP44e4M I Surfaces be Sloped to Direct Storm-weler /tun -Off o �i 1. The SWPPP riga be papered peorlo the menilgf of ane NOi. TM Not shod be into andlor in the direction of a Town dglrFof-way'i S Wofted at are 011POWem Pdor to the oosmef>oarurd of oonatnocKM edAIY• 2. The sWPPP stun d1walbe the Mme M end Sediment M"M"predaeee and where R rite Placerrmertt of Maleriai, Will this P roject Require M"Init ; po*wmtr ctim sainn valor manegaoes afd ptec fothat wB be Hued wow Removal of Vegetation andlor the Constr ucilm of any Elk eonewcaed to roduoe On polutaft In elan. wAAa db frogos end to assure item Within the Town Right o -Way or Road ceder eoorfidlsace WM tis tem►a and oxidatons of ads pewit Inaditort, the SVAW dial Area? ince ev,e sal lnvr rndwfe a» Mr11 0 of 0**" nl #*mm) MoVy pconfat soums of posfdlon vAfioh may resso»abhr be expected to aftct de quaalyaf Alam wafer dam. NOTE: It Any Answer to Qu+saene oat dovugh tine is Answered s 0teck alk M s sox sad tfa n area dMtahwfas N bebwsn 4� S.f. 61 flat M arse, 3: Aa sVYPPPe art regrets ar poeFaarobttdinrf stain watw awauog�anent t> � a storfn•MYatar, ersdd►a, Mabfape i trrodon t:ordrel Pia M Negadred bytlletieeen of aoua►old arm Most be aubr�0ed fa R*Aowr Nato l wsace of Aay>ae�eg Va h die lidnalpla and wallow of Simm wow ��� MM. A Chedt Mak (i) sndbr Anwer /or eadr 6Mnaton oro P4q A*d for a ffanVW A�" STATE OF NEW YORK, Notary Public, State of New York COUMT OF ........................................... SS No. 01 BU6185050 Qualified in Suffolk County r......... ... being duly sworn, deposes ar�(I�llici$at'ermit, '1100"I"o (wt" of ) }� dw he/she is the Lc1.. .................................................. And .............................................. ,. {hxWa�pr, AQenl Cafparrli C>ljicer. etc } Owner and/or representative of the Owner or Owners, and is duty authorized to perform or have performed the said worts 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; . r �...�............... ......a3.�.�. .............. stay of h � . 4r! $_____j Notary'ublic....L...k. ."i . ...! .........Lj.�...Y,....4,.?.. , ......... ....... {9gnaoae FORM • O610 County of Suffolk State of New York Bc* of Trustees Application . 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. Signature of Property Owner c A J�� (( SWORN TO BEFORE ME THIS DAY OF _,20� MARINA KOKKINOS Notary Public - State of New York No. 01 K06191941 Qualified in Suffolk County Notary Public My Commission Expires Aug. 25, 2016 B d of Truatess Application 0 County of Suffolk State of New York �VtC� I✓vU I( 4D ts)41 BEING DULY SWORN DEPOSES AND FIRMS T HE/SHE IS E 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 WORD. 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. SWORN TO BEFORE ME THIS DAY OF -20 Notary Public tard of Trustees Applicatiolp AUTHORIZATION (where the applicant is not the owner) I, o r ; s L W'+) rHv residing at 19�Y (print owner of property) (mailing address) �., L-:. C r do hereby authorize c�w� (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENTIREPRESENTATM TRANSACTIONAL DISCLOSURE, FORM pYyto avoidsatne, YOUR. NAME: initial, � � /('a► {cast Heine, first , a�tiddk 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" ineludes by blood, marriage, or business interest "Business lntems;t" 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 applicant/agent/representative) and the town officer or employee. Either check the appmpriatte 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); of the applicant; or _Q an officer, director, partner, or employee D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day f`1gdL:fZ/ 0 Sigtsature. Print Name r I�FW...._..._ Form TS l r 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 fist, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A pngscd action will be evaluated as to itscan beneficial and adverse effects upon Lhe coastal area which includes all of So old 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, eaeh answer must be explained in detail, listing both suwortin and non - supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. 4. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the hoard of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION E C _ E V . E SCTM# � -�3--= �� F R 2 3 2014 PROJECT NAME The Application has been submitted to (check appropriate response): LZ Board Town Board ❑ Pianning 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 ofaction: f� ► 4cxa L4i o eA-s4 �e Si J& Location of action: �� S YS h d/ _ _ M_ __ Site acreage: ) 1, T 6 s4 rT 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: A C (b) Mailing address: PO Bo 3 (c) Telephone number: Area Code (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project wiU 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. D YE PED 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 JgNot 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 b for evaluation criteria ❑ Yes ❑ No 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 El Yes Q No P 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 R No PJ Not Applicable Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria PYes Q No F] 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 A licable 0 PP Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWR.P Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ NooNot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III — Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No ❑ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III — Policies; Pages 38 through 46 for evaluation criteria. ❑ Yel—I No P Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES • Policy 14. 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 R Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconle Estuary and Town waters. See LWRP Section III — Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 5� 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 ❑ 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`Q Not Applicable PREPARED BY f1 -c -m DwVi k TITLE_IDeSle,71u,,�Z.- DATE • / ROOF PLAN - EXISTING * PROPOSED ALTERATIONS SCALE: i 6" = P-0" Gutters continuously around; Leader location5 a5 shown - all leaders drain to G" 0 PVC pipe to new drywell(5). In areas where leaders are over deck areas, bring pipe to below deck and run buried drain line to drywell. RUNOFF CALCULATIONS: 702 x . I G7 x 7.5 = 879 gallons of runoff @ (1) 1'-0" x G' -O" 0 capacity = 175 gallons 879 / 175 = 5.02 Runoff Containment Reciuire5: /-....... ------ ...... _._.-\� SECOND FLOOR ROOF PLAN - EXISTING TO REMAIN SCALE: i 6" = I -O" SILT FENCE DETAILS )VED BY )F "TRUSTEES. SOUTHOlti ft. DAY5h0RE ROAD N44° 12'40"W 75.0' w 0 O O CZ EXISTING CHIMNEY TO REMAIN FKOP05ED NEW SHED DORMERS _ WITHIN EXISTING ROOF. FACE OF DORMER5 TO ALIGN WITH EXTERIOR WALLS BELOW NEW 4" X G" DECK BOARDS5 AND RAILING5 CONTINUOUS AROUND - "RAIILING5 NOT SHOWN WATER S 1 D E ELEVATION ON ELEVATION FOR CLARITY SCALE: 4" = 11-011 11 Isim. m OWN] 1. NEINE1 mi .1ml Mimi MINIM 19 (f), � CD NEW SLIDING DOORS WINDOWS OPENING TO EXISTING DECK. 0 LU O z Q Lu Q Lj PAGE: U Z >- 6 (f), � CD (S7 r J ca a� Q O s �I _J C C" C C Lj PAGE: EXI5TING ROOF "SKIT GARAGE TO BE REW CONSTRUCT NEW OI OVER WITH 5TRUCTI BRACKETS FOR 5UP RIGHT 51DE ELEVATION SCALE: 4" = I '-0" PAGE: zo O LU _ o 0, LJ J O LJ o Lu QLLJ I� Z _Z Q LU D cf� C) m OL � O � 12 _ L o °� m Ln J J >, Q) O O AN I 71-1 Lia EXISTING ROOF "SKIRT" AROUND W TW30410 rw3o410 GARAGE TO BE REMOVED. CONSTRUCT NEW OPEN PERGOLA n OVER WITH STRUCTURAL WALL O BRACKETS FOR SUPPORT Z O 71 1 11 -LLLLLLh-d-LlLlLLLLfL� LLLB-L-U FT JLLLLLIL Q TW25410 IELLLLL® TW2036 TW28410 TW28410 O LL LLLLL] z iLUJ LiLLLLit III lilUl 11IL11 11111, 111H 111 11 11,111 11 11 11 11 1 U LEFT SIDE ELEVATION z SCALE-4= 1-0" U ,n w z C) . (S) U z O � z Q U z z z o U cn ° w 0 PAGE: 4 NEW HANDRAIL - 4" X 4" POST W/ 2" BALUSTERS * CAP R CONTINUOUS AROU EXISTING DECK TO E NEW 41'X 6'I DECK B( AND RAILINGS AS SI WATER SIDE ELEVATION SCALE: 4' = 11-011 q IILIVIV IiLIV I LLI\✓ - "'--•• "" STAIRS, SLIEDER, CUPOLA ry OCT 3 1 2D14 �uufh"i.r �inrta .�r. ' PAGE: z O o m > N p � cf) O w Q — z C7 z_ LLJ Q � PAGE: r - TW30410 RIGHT SIDE ELEVATION SCALE: 4" = I -O" TW30410 TW28410 TW28410 U C) O � N > O N p (f) O w Q — z O LU _z U Q > C) (f) p m I— cn � o z co Q C2 + o � LL - Ln J >1u O m cD O it ( ) O � O J EXISTING DECK TO BE EXPANDED. O NEW 4" X G" DECK BOARDS AND RAILINGS AS SHOWN TW28410 TW28410 NEW HANDRAIL - 4" X 4" POST W/ 2" X 2" O BALUSTERS � CAP RAIL z 1 1131 CONTINUOUS AROUND LLJ II 11 1 1 71 NEW CONSTRUCTION PAGE: 2 L TW28410 LEFT SIDE ELEVATION SCALE: 4' = 1'-0" TW28410 TW25410 TW30410 TW30410 EXISTING ROOF "SKIRT" AROUND GARAGE TO BE REMOVED. CONSTRUCT NEW OPEN PERGOLA OVER WITH STRUCTURAL WALL BRACKETS FOR SUPPORT 0 0 ° Q i O N W Q O Z U' ZQLU Q U p cJ� F -- (S ►— o 73 a� U- m (S) o n Ln O ED o O W V O L O z O Q O W L.IL NEW 5TAIR5 TO GRADE DOWN 8--7- TW2841 0 TW254 10 TW284 10 c A NEW 2" X I G" O.C. 9 �5'-4 5, X G,, ILING ITCHED 2- 2xG CRC55 T—I—c� 4' DECK 110ARD5 I45E�I�ON DOWN T PITILHED 0 1 0 5ECTION WATMA-9TER 5EDROO� NEW LOCATION 212 5Q IffT. n 0 3 .8% L GHT 17.9% VENT 2xG CK055 2 Tj1E LINE Of CEIIJING CHANGE F— j I I I I z EX15TING C.J. I I TO REMAIN —7 81-01, C.H. bG8 bG8 r20G8 CLOSET CLOSET u c\j 0 c\j Lu LL - 0 0 23'-2" WATff R 51 DE 5TAI K5 RELOCATED TO CENTERUNE Of NEW SLIDER5 DOWN 4" X 4" P05T W1 2" X 2" DALUSTEK5 * CAP RAIL CONTINUOU5 AROUND OUTLINE Of EX15TING DECK EDGE EXISTING f-XiDANDED DECK RENOVATION TO EX15TING DUMP OUT AREA GG3G TW284 10 TW284) 0 < 11 -------- E 211 4'1 CJ Z @ >1 z K-30 INILATION TH KU I'L 5ECTI ON 30G6 CK055 13EAM5 Lu LL - 0 0 23'-2" WATff R 51 DE 5TAI K5 RELOCATED TO CENTERUNE Of NEW SLIDER5 DOWN 4" X 4" P05T W1 2" X 2" DALUSTEK5 * CAP RAIL CONTINUOU5 AROUND OUTLINE Of EX15TING DECK EDGE EXISTING f-XiDANDED DECK RENOVATION TO EX15TING DUMP OUT AREA GG3G TW284 10 TW284) 0 CX15TING C.J. 24G8 F TO REMAIN I CL05ET NEW 5ATH L 2G;GZ G8 C) 12 G8 I I (n < N 24G8 n. r% n x NEW 5ATH 0 2GG8 4G8 CD 6 I-IALL III = @ n�, — — — — — — — — — — - C) LINEN 13'- x < 11 0 c\1 E 211 4'1 CJ Z @ >1 z K-30 INILATION TH KU I'L 5ECTI ON 30G6 CK055 13EAM5 11 FITC&D LLJ p 0 1 U.J 3- 7 L L U511 HEADER +N -F -L 01 = - WALL *I -NC -- — — — — — — — -- REMOVED 104, FLAT CEILING H GHT THRU CENTE C, __j IN Lu EXISTING 5ffDR00M ALTERED (fOKMEK MA5TER) CL05ET REMOVE EX15TING MA50NKY CHIMNEY 1/ 188 5Q. FT. z :cc 15.5% LIGHT 8.7% VENT �7 LU 0-/ 81-01, C.H. 5� C) WITHIN PITCI ED AREA = 9 u R-30 IN5ULATION \J EX15TING C.J. 5ffDROOM CffILING5 1.3'-2 112" CX15TING C.J. 24G8 F TO REMAIN I CL05ET NEW 5ATH L 2G;GZ G8 C) 12 G8 I I (n < N 24G8 n. r% n x NEW 5ATH 0 2GG8 4G8 CD 6 I-IALL III = @ n�, — — — — — — — — — — - C) LINEN 13'- x < 11 0 c\1 L Z WETBAR - >1 z K-30 INILATION TH KU I'L 5ECTI ON 30G6 CK055 13EAM5 '221-2 /21, LLJ p 0 1 U.J GREAI 00m '41 C3 OUTSIDE < 104, FLAT CEILING H GHT THRU CENTE C, __j IN Lu CL05ET REMOVE EX15TING MA50NKY CHIMNEY 1/ R- 19 INnu -ATION Lu LINE qr CEILING 5KEAK WITHIN PITCI ED AREA = 9 u I I I I I EX15TING C.J. 11 0 o - CLOSET CL05ET I C L05E TO REMAIN 07 0 ENTIRE f IKf FLOOR ARE A 20G8 I 1 f-XI-5TINQ UP 0 -N�10 20G6 kD L fI ZA �� ?: it 1 1 �1 I (-Mr-N j I E INIFT 0 L- I cc, 14. 20G8 - LINE Of: CEI I IG BREAK F L+ @ CX15TING C.J. 24G8 F TO REMAIN I CL05ET NEW 5ATH L 2G;GZ G8 C) 12 G8 I I (n < N 24G8 n. r% n x NEW 5ATH 0 2GG8 4G8 CD 6 I-IALL III = @ n�, — — — — — — — — — — - C) LINEN 13'- x 15TING 4'-3" 'RA8F- MUDROOM 45 MINUTE F:IPE RATED DOOR DOOR wl 5EU` CL051NG HINGES, DOOR 5WEEF� STEEL JAMD L--- --J 8G8 F---- --1 - 20G8 20G8 1 0 CL05ET c\j DOWN z < L — — — NEW LOCATION OF: GARAGE ENTRANCE EX15TING GARAGE EX15TING GARAGE DOOR TO 5E REMOVED. IF RAME IN OPENING END5 fOK 5MALLER DOOR NEW 12'-0" X 7-0" DOOR. ffX15TING HEADER TO REMAIN NEW PERGOLA OVff R GARAGE DOOR TYPICAL ALL LAYOVER5 - DOLT TO RAIFTEK5 W1 8 LAG E301 -T5 * WA5HER5 STRUCTURAL BRACKET ATTACHED TO fKAME HEADER YS'F 4CT 10 N� NEW PERGOLA ALONG GARAGE WALL < 11 0 c\1 L Z C) Lu >1 z K-30 INILATION TH KU I'L 5ECTI ON 30G6 CK055 13EAM5 LLJ FIOCKET DOOR JI0 GUEST HALL EXISTING DEN U.J GREAI 00m '41 C3 REMODELED < 104, FLAT CEILING H GHT THRU CENTE 20GO 20G8 __j IN Lu PAN REMOVE EX15TING MA50NKY CHIMNEY 1/ c� LINE qr CEILING 5KEAK f [REPLACE = 9 u 3 NEW:f PLYWOOD 5U5fLOOR OVER NEW1401ST5. ALIGN COAT I EX15TING C.J. 11 0 o - TRY f LOOP, hCIGHT5 ThKU-OUT CL05ET I C L05E TO REMAIN — — — ENTIRE f IKf FLOOR ARE A 20G8 I 1 f-XI-5TINQ UP 0 -N�10 20G6 kD �O . JtW284 10 TW2841 o TW284 10 11 it E INIFT 15TING 4'-3" 'RA8F- MUDROOM 45 MINUTE F:IPE RATED DOOR DOOR wl 5EU` CL051NG HINGES, DOOR 5WEEF� STEEL JAMD L--- --J 8G8 F---- --1 - 20G8 20G8 1 0 CL05ET c\j DOWN z < L — — — NEW LOCATION OF: GARAGE ENTRANCE EX15TING GARAGE EX15TING GARAGE DOOR TO 5E REMOVED. IF RAME IN OPENING END5 fOK 5MALLER DOOR NEW 12'-0" X 7-0" DOOR. ffX15TING HEADER TO REMAIN NEW PERGOLA OVff R GARAGE DOOR TYPICAL ALL LAYOVER5 - DOLT TO RAIFTEK5 W1 8 LAG E301 -T5 * WA5HER5 STRUCTURAL BRACKET ATTACHED TO fKAME HEADER YS'F 4CT 10 N� NEW PERGOLA ALONG GARAGE WALL c 2- 2" x 8" h ff ADff R; I "x WRAP f IN15H 5TRUCTURAL 5RACKFT ATTACHED TO fRAMF HEADER AN2� 2"xG" R.R. x @ I G" O.C. c\j COVERED ENTRY FORCH f I K5T 1' LOOK PLAN III I I -oil SCALE: 4 1 P-2 112" 2GG6 EXISTING BEDROOM C) CL05ET * 51ZE ALTff RED 145 5Q.ff. 20 1 % LIGHT 11.3% VE�J U z LIJ IL/ 0 Lu 20G8 20G;8 2- 2" x (5" HEADER; I "x WRAP f IN 15H TW284 10 TW28410 POURED CONCRETE ENTRY 5TOOP; 3LUE5TONE 5LAB TOP MA50NKY VENEER WALL LEGff N D: u U� -r cm 2! < ALL TO DE REMOVED EX15TING 2" X 4" 5TUD fRAMf EXTERIOR WALL5 TO REMAIN. NEW R- 15 IN5ULATION DRYWALL ON INTERIOR; NEW 51DING ON EXTERIOR NEW CON5TRUCTION: 2" X 4" 5TUD fKAME PAKTITION5 A5 INTERIOR - -2LI' GYF'5UM DCARD ON EACH 51Dff; U5f M015TURE RE515TANT 50AKD IN ALL r\ITCH ff N, DATH *- M U DROOM AREA5 PROVIDE 2- 2" X (5" HEADER5, A5 Nff EDED, A13OVE ALL WINDOW5 DOOR5 UNLE55 OTHERW15E NOTED; MATCH NEW WINDOW5 TO EX15TING HEADER hEIGHT5; 4" MULLION 5FACE5 A5 5HOWN ON PLAN5 71 0 1-- u (V 0 u Z LL - 2" X 5" FT Lu CK055 13EAM5 LLJ z U.J C3 < 0 0 x CZ IN Lu c 2- 2" x 8" h ff ADff R; I "x WRAP f IN15H 5TRUCTURAL 5RACKFT ATTACHED TO fRAMF HEADER AN2� 2"xG" R.R. x @ I G" O.C. c\j COVERED ENTRY FORCH f I K5T 1' LOOK PLAN III I I -oil SCALE: 4 1 P-2 112" 2GG6 EXISTING BEDROOM C) CL05ET * 51ZE ALTff RED 145 5Q.ff. 20 1 % LIGHT 11.3% VE�J U z LIJ IL/ 0 Lu 20G8 20G;8 2- 2" x (5" HEADER; I "x WRAP f IN 15H TW284 10 TW28410 POURED CONCRETE ENTRY 5TOOP; 3LUE5TONE 5LAB TOP MA50NKY VENEER WALL LEGff N D: u U� -r cm 2! < ALL TO DE REMOVED EX15TING 2" X 4" 5TUD fRAMf EXTERIOR WALL5 TO REMAIN. NEW R- 15 IN5ULATION DRYWALL ON INTERIOR; NEW 51DING ON EXTERIOR NEW CON5TRUCTION: 2" X 4" 5TUD fKAME PAKTITION5 A5 INTERIOR - -2LI' GYF'5UM DCARD ON EACH 51Dff; U5f M015TURE RE515TANT 50AKD IN ALL r\ITCH ff N, DATH *- M U DROOM AREA5 PROVIDE 2- 2" X (5" HEADER5, A5 Nff EDED, A13OVE ALL WINDOW5 DOOR5 UNLE55 OTHERW15E NOTED; MATCH NEW WINDOW5 TO EX15TING HEADER hEIGHT5; 4" MULLION 5FACE5 A5 5HOWN ON PLAN5 71 0 1-- u (V 0 u LINE OF 75'-0" 5ETE3ACK OFF Of EX15TING 5EA WAI. --u NANCY DWYER DE51GN CON5ULTING, INC. 5outhola, New York * G3 1-7G5-bGG7 13AY5HORE ROAD RENOVATION TO HOU5E N44'1 2'40"W 75.0' Wl LL5 fAM I LY TPU5T Day5hore Roaa Greenport, New York 1000-53-4-8 DRAWING: 51TE LAYOUT 5CALE A5 NOTffD DATE 10.29.2014 Dy N. DWYER