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TR-8486A
John M_ Bredemeyer[[t, President O�OgUEFO( -� Town Hall,53095 Main Rd.. Michael J. Domino, Vice-President �� �Gy� P.O. Box 1179 James F. King N Southold,NY 11971 a631 Charles J.Sanders � � �� Tele phone( )765-1892 Dave Bergen mal ��O Fax(63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1St day of construction '/ constructed Project complete, compliance inspection John M.Bredemeyer III, PresidentV6 SQVT�� Town Hall Annex Michael J.Domino,Vice-President �� lO 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G �` • a0 Telephone(631) 765-1892' Charles J.Sanders,TrusteeCOU .:Fax(631) 765-6641 o BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8444 Date of Receipt of Application: July 24, 2014 Applicant: John & Daniella Venetis SCTM#: 87-6-4 Project Location: 2600 Takaposha Road, Southold Date of Resolution/Issuance: August 20, 2014 Date of Expiration: August 20, 2016 Reviewed by: Board of Trustees Project Description: To install windows and sliding doors in new locations; connect roof over existing dwelling to roof over garage portion of dwelling; install a trellis over existing +/-25'x12' deck; and install a 10' wide non-turf buffer along the landward edge of the bulkhead. 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 Chorno Associates, last.dated March 21, 2014, and stamped approved on August 20, 2014. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter,275 of the Southold Town.Code, a Wetland Permit will be required. This is not a determination from any other agency. John M. Bredemeyer III, resident Board of Trustees Town of.Southold -A- 27-17 Suffolk Zounty,ff The People of the State of New York as. ` LAST NAME(DEFENDANT) - .FIRST-NAME '--MIDDLE INITIAL �f STREETADD ESS APT.NO. CITY /j STATE zip. q 'LICENSE OR REGISTRATICN NUMBER - STATE TYPE OF OCENSE DAEXPIAES ,SEX DATE OF BIRTH - �{ `j}J�/�� �q ��yq OPERATOR .-N' �i 1 t f��l B�Lf� _l MOCLE D_ D °a 1" OYES�❑INO 1 THE OPERATOR OR'REGISTERED,OWNER QFVEHICLE'DESCRIBED BELOW,,'. - PLATE NO. .'DATE EXPIRES STATE _ .PLATE TYPE s 1:1 N.Y. ❑N.J. ❑N.Y. ❑N.J. ❑ ❑PASS. '❑COMM ❑ VEHICLEMAKE ❑ DODGE ❑ BUICK - ❑-• CHEV - ❑. CADILLAC- ❑ -PONTIA0 - ❑ FORD ❑' OLDS ❑ P.LYM 13 TOYOTA t. ❑ VOLKB' } '❑ :BODY ❑ '2 DR, ❑ 4DR ❑ Bt1S . ..❑ MCY ❑ S.W. 'TYPE :❑ TRUCK --.❑ TRAILER•. :. ❑ VAN' =❑. - - VIN NUMBER- " -- THE PERSON.OESCR)BED MOVE IS CHARGED AS'FOLLOWS PLACE OFOCCURRENCE r; - - - ,B -:pDr 2t� 59. .X17: 5 ��A DATTT�OFOFFENSE AM Tlylfi PM -..CITY, WN,VI E:O HA LET 'SU1FOLKC.UNTYNY INVS CTION SUBD.. -OF THE❑VEHICLE AND TRAFFIC LA W OFTHE STATE OF NEW YORK 1.815M,ER(SPECIFY) �� r ❑O.S. ❑COM ❑BUS ❑HAZ t 2, ., _ DEF, VEH -MAT 1 1 ❑ SPEEDING OTHER OFFENSE -- l3 I MPH IN A "MPH ZONE AUG Z 5 2014 t FACTUAL PART(NOT FOR TVB) w ` THE ABOVE NAMED DEFENDANT D .ON ESTATEDDATE;TIMEAND PLACED. $611�11{?Id TOWN j 1�+ -ti`_. i Y� f v 12.4 The F-mgoing's based on__(pEEers eleekndwled e)e -' '- - - Q rn -(s{)of dateo (9 PARKING SCHEDULED FINES CONTACT-COURT❑ THE PERSON DESCRIBEDABOVE IS SUMMONED TO,APPEAR AT ' SOUTHOLD TOWN JUSTICE COURT,53095 ROUTE 25,SOUTHOLD,'NV 11971 DATE OFAPPLAMNCEiNOT FORTVBj' 4qs! ( ZC/ V. FALSE STATEMENTS HEREIN ARE PUNISHABLE ASA CLASS A MISDEMEANOR PURSUANTTO SECTION 210.45 OF THE P.LN.Y.S. COMPLAINANT - DATE f � Z�tf,It L BADGE# i Z, 6 r e 'J —� PI r ' ti.i� iil `0li� +.+ 1;11!! r �� ��1111111111 1 ♦ ♦ ♦ ♦ ♦ • �•� �`+.�*� ♦�����+�+� ♦���� + ♦ ♦ ♦� :♦�♦�♦ ♦�, ♦ ♦ ♦ � .�� �♦ ♦ ♦ • ♦? , ♦ ♦ ♦� � +SPP♦P �1� �,,�,-- , � ♦ � �� 1111 1 � ♦ ♦ ,, ♦ ♦ ♦ � � ♦ P � 111111 1 � ♦ ♦ ♦ i� ♦ � � ♦ ♦ 111111111 ♦♦♦� # • r ♦ ��+ 111 ��� ♦ ,i � ♦+♦ ♦�„ � � ohn& Daniella Venetis 2600 Takaposha Road, Southold CTM#87-6-4 /13/14 i 6 µ. #iLLy , h i FF vS J aV.A ,r .11 Takaposha Road, SoutholdSCTM#87-6-4 �! "' 2/13/14 A John Bredemeyer, President �o$uFFot��, Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King y ; P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen y�O1 ,� �a°! Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: LV Patricia C. Moore, Esq. on behalf of JOHN & DANIELLA VENETIS requests an Administrative Permit to install windows and sliding doors in new locations; connect roof over existing dwelling to roof over garage portion of dwelling; install a trellis over existing +/-25'x12' deck; and install a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 2600 Takaposha Road, Southold. SCTM# 87-6-4 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion . Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No- Not Applicable i Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: J. Bredeme er a'M. Domino --Kin 'C. Sanders✓6 Ber en Y 9 g Bay Constable Other. Form filled out in the field by Mailed/Faxed to: Date: /74 �� E C �, , Flu. .R 3 JUL 242014 -1 :: 4 f IF +4441•♦ n � • ♦ t ♦ ♦ • e ♦ ' ♦ e • ♦ ♦ � ♦ ♦ ♦ ♦ ♦ ♦t� a ♦ z I`� J� ''`-a''- ♦ ♦ ♦ ♦ ♦ P ♦ � ♦ �`. t` 1.� ,may ;♦ .r- 2' - _- , ` T • � f :i ...�:.r` Ems. �<I!6•.sy,� as •nF yy z mm � a.E'o-• fill .x<m • N` txNj'�IKa�.:' alNq e...` u \ x,.t, � ,�o-m ♦ a _,�. � l A. s z _ e W t]dB yy{c1 I \•I' SEf SEC.On 1' ]�t/ •I �y rJ.J Jr <<�< �.....J ihE CO..—T.— O e�ia A' x] 2]N<7 aa< AS J• 'I t MiNN 9"'A I .rw �. 'V IYl<I av(p K b. U,x � � loHxrPSOUNQD / p t1A �... 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Box 1179 54375 State Route 25 1 l Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) y � O � Telephone: 631 765-1938 Southold, NY 11971 Fax: 631 765-3136 olyC4U ,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM EAUG ]jl ' 2 0 201To: John Bredemeyer, PresidentTown of Southold Board of TrusteesFrom: Mark Terry, Principal Plannernd LWRP Coordinator Date: August 19, 2014 Re: Proposed Administrative Permit for JOHN & DANIELLA VENETIS SCTM# 1000-87-6-4 Patricia C. Moore, Esq. on behalf of JOHN & DANIELLA VENETIS requests an Administrative Permit to install windows and sliding doors in new locations; connect roof over existing dwelling to roof over garage portion of dwelling; install a trellis over existing +/-25'x12' deck; and install a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 2600 Takaposha Road, Southold. SCTM#87-6-4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS .items"II" which states: II. Additions to an existing building or rebuilt residential structure which results in no net increase in ground area coverage, except where the parcel is located in a coastal erosion hazard area; The property is not located in a coastal erosion hazard area. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney John M. Bredemeyer III,President V sorry® Town Hall Annex Michael J. Domino,Vice-President � lQ 54375 Main Road P.O.Box 1179 TJV?ier- .(�ir�g;`I16s I Southold,New York 11971-0959 U' h P Tele hone(631) 765-1892 Charles J. Sanders,T t O � AUG -4 2; ��C�UNTY,� Fax(631) 765-6641 �,.. BLDG. DEPT, TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold.Town Building Department Re: Verification of Building Department Permit Requirements SCTM#: f> �—L q— Property Owner Name: 4- Dd Date Sent to Bldg. Dept.: 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? V Will The proposed project require uire a variance determination from q t oning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Cc--" COMMENTS: ! _ a� f S-0 1 An wc 4 ltvard- 1 J Signature of wer Date • Y\ • It SU Town Han Annex James F.King,President, 0��0 U�yOlr t Bob Ghosio,Jr.,Vice-President 5437b Main Road 1 O' P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G i ® �O Telephone(631)765-1892 Michael J.Domino D Fax(631)765-6641 i BOARD OF TOWN TRUSTEES j. TOWN OF SOUTHOLD i Office Use Only . Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extensionv�ov' � Received Application: Received Fee:$ i Completed Application ` Incomplete J U Z 4 2014 _SEQRA Classification: Type I Type TI Unlisted Coordination:(date sent) , _LWRPConsistency Assessment Form CAC Referral Sent: Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: Public Hearing Held: Resolution: Name of Applicant Mailing Address J'7 /�`c�PSS(�o{� �a�1 e, AA O.n kn S c _f !`N 11030 Phone Number:( 7 7 OJ 0 7 Suffolk County Tax Map Number: 1000- Property Location: 2 6,00) Rct J (provide LILCO Pole#,distance to cross streets,and location) AGENT: [ t C i0. C M o f7 (If applicable) Address: 6102.0 Maw, Rona N 1 C Cf 71 Phone: Venetis Project description use existing garage for interior expansion of 2,383 sq.ft. existing structure,remove 201 sq.ft. of decking in front to comply with ZBA decision; replace windows, install new windows and sliding doors. Connect existing roof over existing house to roof over garage portion of house. Proposed trellis over existing @25'x 12' deck located 22.3' from bulkhead. Install nonturf buffer AJ Pe ed floa 895) a al rior its hous i deck er to J &D fella V netis. istin fl relocated straight out, as previously a proved in rmit Z g Jird of Trustees Applicatio` i GENERAL DATA Land Area(in square feet): n I• Area Zoning: {� Previous use of property: t ,sae 4-- 120cY, Intended use ofroperty� p .-� l Covenants and Restrictions on property? Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. is Does this project require a variance from the Zonin Board of Appeals? X Yes No If"Yes",please provide copy of decision. Fyv��, i Will this project require any demolition 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 s a improvements: Agency � � Date . y:3 5� o f TV OCA ( -3 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): QS-e ( IS' G Gicvra e •WanS(cr wfnjcxu)s cw-a nao 251,d(VIG dODI', L-,)(5}7/y1Q C04- 0-o-w M k sh/�( hoop c Coy)oe�j ��is-I�r��_ref 6-U�- g aycLg e reduces (cam c o rre-96 (Pict 1 F _ ..�,d of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: i i Area of wetlands on lot: (F CO 'B�r square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland I. I. edge of wetlands: 2-Z - feet SC�yv.e l Closest distance between nearest proposed structure and upland edge of wetlands: 2 feet ,, - Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? cubic yards i How much material will be filled? (1? cubic yards 66 I` Depth of which material will be removed or deposited: A)(A 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): Vl 61k I f .Y .'Short Environmental Assessment Form Part 1 -Project Informataon Instructions for Completing Part 1-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 1 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 1-Project and Sponsor Information l/'v s•{-::ems-- — �/'/'�/1'��l 5 (/�fit'J�-�/-a��1 � Name of Action or Project: CP Project Location(describe,and attach a location map): nO (a 7z-(,p C� c s q f �� Brief Description of Proposed Action: Lp A 101 /`���C9'1/l 7 �`( r s f--yK Com[�f VUZL� - /�o q6 r�,ry7oZ� �,t-t cl-��1� tri �dvc� /6A C 6tl- C_ Name of Applicant or Sponsor: (� Telephone: E-Mail: Address: City/PO: State: P/,o p Code: ,i1�0✓/�r 6?G SS e / 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 M1 F1may 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: r 5le-e—:1 - ❑ 3.a.Total acreage of the site of the proposed action? q 2 YY,-W-Acres b.Total acreage to be physically disturbed? C�acres —rC4WW 1C,,-f 9,-C1PCJ,_ c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? /211V 5yGacres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ,❑_,Industrial El Commercial ❑Residential(suburban) ❑Forest ❑Agriculture 0]Aquatic El Other(specify): &.{KILeeze ❑Parkland Page I of 3 5. Is the proposed action, NO YES YANIA a.A permitted use under the zoning regulations? L ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑ ET 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES ❑ . b.Are public transportation service(s)available at or near the site of the proposed action? PT ❑ _ff c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ b.Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES 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 waterbody? If Yes,identify the wetland or waterbody and extept of alterations in square feet or acres: 14. Ide f the typical.habitat des that occur on,or are likely to be found'on the project site. Check all that apply: Lff reline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional Ly Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO ;SAES by the State or Federal government as threatened or endangered? ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point ources? NO YES If Yes, ❑ a.Will storm water discharges flow to adjacent properties? NO ❑YES b.Will storm water discharges be directed to established conveyance systems runoff and sto ams)? If Yes,briefly describe: LJ NO ES Page 2 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: Er ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor na `9 l Date: /. / Signature: PRINT FORM Page 3 of 3 t 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 drainage 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? P 1:1 Part 3-Determination of significance. 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. Check 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 of Southold-Board of Trustees 0,&� /7 `� Name of Lead Agency VDafe lj1/I�Qi�� -T— JO-V f� I President ✓0 Print or Type Name of ResponsibleOfficerin Lead Agency Tide of Responsible Officer Signature of Resp ible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 s soard of Tasees'.ApP]. aatna County of.Suffo l State of-New York _ Y ( y . . c h r� y1.z YL BEING.D.ULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR:THE:ABOVE DESCRIBED PERMII'(S)AND.THAT ALL''SfiA'I< :CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND.THAT:ALL WORK l WILL BE DONE:1N THE MANNER SET FORTH.INTHIS APPLICATION:AND AS MAY BE APPROVED:BY THE SOUTHOLD TOWN BOARD OF TRUSTEES THE-APPLICANT . AGREES TO HOLD THE TOWN OF SOUTHOLD-AND:THE TIjWN TRUSTEES. HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR:BY VIRTUE OF SAID PER.MIT(S), IF GRANTED. IN COMPLETING.THIS APPLICATION,'I HEREBY AUTHORIZE THE.TRUSTEES,THEIR AGENTS)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION-WITH REVIEW QW TIVS;ALyP ,..0 Sipattueo erty:Owner SWORN TO BEFORE.ME THIS DAY OF pain mlohoS Y®rk publlb State of New No4aryQueens County EY-01 031011 ®18 CommissionQ Xp16218.S� - Board of Trustees Application l 1 AUTHORIZATION (where the applicant isnot the owner), T: I Lill t s R _ .. __ :•. (print owner of property) (mailing address) do hereby authorize (_Agent) r to apply for'petinit(s)from the 4 Southold Boar f own Trustees.on-my behalf (Owner`s s ature) APPLICANT/AGENT/REPRESENTATWE f TRANSACTIONAL DISCLOSURE,FORM E The To of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnlovees.The putposd of this form is to provide information which can alert the town of ssible conflicts of iltterest and allow it t0 take whatever action is ! ' I. neves M:oavoid same. YOURNAME: oh n�e nes ccv►r� an I e 11� c �J �-``�G�1 a (Last name fiist name,Vddle initial,unless you are applying id the name of I someone else or other entity,such as a company.If so,indicate thb.other person's or company's name) 1 NAME OF APPLICATION:-(Check all that.apply.) -Tax grievance Building i Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning i F. Other Ii (if"Other,name the activity.) ! I Do you personally(or through Your company,spouse.sibling,parent,or child)have a relationship with any officer or employee ofthe Town of Southold? "Relationship"includes by blood,marriage,or business ihterest."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 i+ in which the town officer or employee owns more than 5%ofthe shaves. ; I YES NO '•' '' lfydu answered"YES",complete the balance of this form and date and sign where indicated. I�' Name ofperspn employed by the Town of Southold i Title or position of that person I' • Describe the relationship between yourself(the applicant/ag4nt/representahthe town officer or emloyee.Either check and P ►•• 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): I' A)the owner of greater than 5%of the shares of the corporate stock ofthe applicpnt (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); !I: C)an officer,director,partnei,or employee of the applicant;dr D)the actual applicant. DESCRIPTION OF RELATIONSHIP ' Submitted this of aoo Signature-/ PrintNam e�}v rAA Form TS.1 Cr Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies,shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C,the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program.A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered"yes",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law.Thus,the action should be analyzed in more detail and,if necessary,modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions.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# 1000-87-6-4 EU AGENT: Patricia C. Moore :L2 The Application has been submitted to (check appropriate response) Town Board ❑ Planning Dept. ❑ Building Dept. ❑ _.__ LdiewnBoard of Trustees x Zoning Board of Appeals ❑ Trustees,, __, J 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: ❑ Type: Town of Southold LWRP Consistency Assessment Form 1 Nature and extent of action: _Use existing garage to expand internally the existing house, replace existing windows and new sliding door to existing deck. The trellis is being added over the existing deck. The existing roof will be connected with new roofing to the garage roof. Remove part of the existing deck in the front yard in order to reduce the overall lot coverage per ZBA decision. Relocate existing float straight out Location of action: 2600 Takaposha Road, Southold Site acreage: 8,995 sq.ft. Present land use: house and dock Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency,the following information shall be provided: (a)Name of applicant: John & Daniella Venetis (b)Mailing address: 57 Aldershot Lane,Manhasset,NY 11030 (c)Telephone number: (-112 777-0509 (d)Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No X If yes, which state or federal agency: _ 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 X No ❑ Not Applicable ❑ Discussion(if appropriate): no exterior expansion of existing dwelling. Renovation of interior and relocation of existing float to permitted dock& float 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 X Discussion (if appropriate): Town of Southold LWRP Consistency Assessment Form 2 Policy 3. Enhance visual quality andprotect scenic resources throughout the Town of Southold. See LWRP Section III-Policies Pages 6 through 7for evaluation criteria Yes X No ❑ Not Applicable ❑ Discussion (if appropriate): renovations will enhance property and increase value 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 X Discussion (if appropriate): no change to existing dwelling which expands foot print of house, ZBA approved larger second floor expansion wich is not being done, project made "more consistent" with LWRP by reduction of existing lot coverage_ 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 Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): _No change Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III- Policies; Pages 22 through 32 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): No change Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III- Policies Pages 32 through 34 for evaluation criteria. See Section III-Policies Pages; 34 through 38 for evaluation criteria. Yes ❑ No ❑ Not Applicable X DiSCUSSiOn (if appropriate): 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. Town of Southold LWRP Consistency Assessment Form 3 Yes ❑ No ❑ Not Applicable X Discussion(if appropriate): PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters,public lands, and public resources of the Town of Southold. See LWRP Section III-Policies; Pages 38 through 46 for evaluation criteria. Yes ❑ -No ❑ Not Applicable X DISCUSSIOn (if appropriate): _Adjacent open space is not affected WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LW,RP Section III-Policies;Pages 47 through 56 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): 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 X Discussion(if appropriate): relocation of existing float outward will reduce disturbance to water body by existing vessel 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 X Discussion(if appropriate): _ 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 X Discussion (if appropriate): Town of Southold LWRP Consistency Assessment Form 4 ri PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631)765-4330 Fax: (631)765-4643 July 24, 2014 Board of Trustees Town of Southold E C E �n Main Road Southold NY 11971 LD RE: VENETIS JUL 2 4 2014 PREMISES: , L SCTM: 1000-87-6-4 Sout ieid inwnW-�� ar of trustees TQ-_,...-�.. Dear President and Board members: Il:ito the above, enclosed pleas��ind_a-co{aaf-tl�e-previ est Gin to transfer & place the float in the original locatio_D appreved in 1;i1iermi #4895. My client had paid for the applicatio u�thenTiad to postpone it. Please consider the E est reac ' ave attached the Sea Level Mapping survey. The dock has een 6' x 30'. The previous owner purchased a 30 ft. Grady and had to submit o e Trustee, aff� ime, in or oc . 1 Secondly, a permit to construct a SECOND story addition to the existing dwelling, construct a trellis over the existing rear deck, construct alterations to existing dwelling, change windows and siding, remove part of deck in front yard and repair/replace sanitary system in the front yard, if required, permit#7739 issued February 22, 2012 expired and the owners are NOT going to build the second floor. The current application is to use the existing garage to expand internally the existing house, replace existing windows and new sliding door to existing deck. The trellis is being added over the existing deck. The existing roof will be connected with new roofing to the garage roof. No new sanitary is required. Thank you and please do not hesitate to call should you have any questions. Very truly yours, Jtricia C. Moore C: Mr. & Mrs. Venetis ELEVATIONS REFERENCED TO N.A. V.D. FLOA77NC DOCK N FLOOD ZONE FROM FIRM RATE MAP NUMBER J6103CO 166H a SEPTEMBER 25, 2009 SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTH-OLD ' SUFFOLK COUNTY Nm Y. g / @ ; 00 1000®87-06®04 JUNE 9, 2011 MF.gyy�GH JULY 14, 2011 (REVISIONS) � �� ` FEBRUARY 8, 2012 (REVISIONS) MARCH 6, 2012 (revisions) E C May P., 2012 (BUFFER ADDED) t �® J�/ t I TIDAL WETLANDS BOUNDARIES AS DELINEATED BY - - , pq�y 1wa oo MEAN HIGH WA ALONG BULKHEAD a EN-CONSULTANTS ON DECEMBER 12, 2008 TIDAL WETLANDS BOUNDARIES AS DELINEATED BY / '� �R� 'I i qp 1' EN-CONSULTANTS ON DECEMBER 12, 2008 I , ,� _ J U L 2 4 2014 € N8,6014'38"E716 LINE 72.060. 0' PlantedN BufferEL. 3.3' of Baalt{r,? EL. 3.3' tv PROPOSES TRELus OVER BA YVIEW ROAD NOTES ExlsnldG DECK 400' SUBSURFACE SEWAGE DISPOSAL EL. 4.1' ZONE AE l LAWN LAWN SYSTEM DESIGN ®yP. (� �� TO JACOB'S LANE BY, JOSEPH FISCHETTI P.E. NATURE CONSERVANCY NATURE CONSERVANCY HOBART ROAD ® 13.7' PROPOSED SECOND FLOOR F>n Tr SOUTHOLD N.Y. IIB71 ZE A/C / (631) 765-2954 CONC. Z 20:7• 68.1 ^, - I STORYour �, o rSTdP� S1,'QRY GARAGE;g ftly (VACANT) SANITARY SYSTEM 7s' (VA CAN r) LA TNM �� L' ,SME"H Y/ w o: . // I NG F.F. EL REPLACE EXISTING SANITARY IN KIND ® TO8 . ' RAISE BOTTOM OF SYSTEM TO 2' � � 650SL4 I ABOVE GROUND WATER REMO 4 L. .8' 46 7 0 CH 13.0' E9. .' 20.6' / 13:6' PROPOSED m EL. 4.3' PORCH WATER VALUE ha TEST HOLE DA TAS I AREA OF� I PAVERS � LAWN MCDONALD GEOSCIENCE 1 SEPTIC LAWN n PAVERS b LOT COVERAGE DARK BROWN LOAM OL EL '3,0' 'r BROWN SILT ML EL..2.8' y m ° EXISTING HOUSE DECK, ���®93°�O��P/ / n 100,0® ( PORCH, STEPS) 8. 2,363 / 9,044 x 100=26.39 WATER 31 WATER IN BROM SILT ML DIRT ROAD o 7 °' EXISTING NdATER MQfPI LocATTONs PROPOSED (HOUSE, DECK, PORCH, STEPS) Road 2,182/ 9,044 x 100=24.1 WATER PALE BROWN RNE P�'Iv®fe UTILITY TO MEDIUM SAND SP POLE — N.Y S LIC N0. 49618 ANY AL TERA TION OR . DDI TION TO THIS SURVEY IS A VIOLA 77ON -AlFIECONIC S EYORS, P.C. OF SEC77ON 7209OF THE NEW YORK STATE EDUCA TION LAW. - NATURE CONSERVANCY EXCEPT AS PER'SECRON 7209—SUBDIVISION 2. ALL CER77FICATIONS (631) 765-5020 FAX (6,31) 765-1797 AREA-99 044 80. Fr, HEREON ARE VALID FOR THIS MAP AND COPIES 7HEREOF ONLY IF P.O. BOX 909 �3• .T® ME LINE (VACANT) SAID MAP OR,COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y 11971 _1 61 uP 1 - - - ------ ,�"•j(lS /GGA r C7- fit T WINDOWS AND DOORS SCHEDULE l i , ' r - WINDOWS ` .. l A 61-0" x 4 -0 C34 • i c B 11511 x 41_01, CR14 z o-o/ �' � _ � , � ' , /9� sF - �_ ,�, C- 41-9" x 41_011 egress ' �`' /o..o �_ - -�• 2 4Z 2•G' 2 / �2 - ¢2 /2 rEyTs -(2) /��� /2�3 D 21_$11 x 11_511 AR281 r �,,� ,,a ;E 2 -5" x5'-O" OW15 egress �'� 2&/� 'a.�. �F 31011 X 51_011 P3050 picture 1 { mac. G 21_811 x 21_811 M281 - - _ _.�__�_ H 4'-9" x 5'-0" CW25 egress 1_011 x 21_811 AX31 _ \ J 6'-0" x 5'-0" C35 - /./ f '� 10 DOORS v k t16 1. __ - • °` D1 G'-0 x 61_811 6068 , ,f;� • a ! - I _ �s-'o'/ y► - - 3 -�z� _ Tope,4<� _ 6, up 17 rr • tom} Tr IvteR } _ 7 - -- - ANDERSON STORMWATCH PROTECTION, i01 r • Ci ir 4 _D t • -FX�s- J . sT�.�-L�'wTo ,tzi�r�►/" / - WC3�2.L�" _ 2 -Of� .GOJAIG / f , PLUMBING DIAGRAM � ` I Ilk 000 , DD l C i i__- ...._ {t -- __ ._ ___._ - J U L ' ,� 2 4 2014 i 444 A _ =o x FOU".a� '/O�1' �DE7".� 1_L _ APPROVED BY • ,d ,•_ '! �� / BOARD OF TRUSTEES � TOWN OF SOUTHOLD DATEt 01 _ _ r k r \ !! I I I . -- -- - - - ----_ -- -- __ _ -- - _ - - - _ - - _- ._.... ..,..-.-.r t__,. 1, � _,.. . . • - � � ___._..� �__ . - I -i_ _Nil 1 QUO-87-Ob-04 �-- QED qR - DATE: 3-21-14 I ° w�•=� �.� VENETIS RESIDENCE •l • SOUTHOLD NY ` Nom7'/-/ &&EVA 7-10&.,r .• ; .fir _ j .079150 �oA I ' OF N EVy 1 CHORNO ASSOCIATES (v arcnttect& SOUTHOLD, NEW YORK r ---- -- 1 - -- - - - - --- - - - -- _