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HomeMy WebLinkAboutTR-8647 '4401�� ` aiF -'''',,q,..1. ] = --- ^464:4'4131, e R + A !fy �vi .• F� `fi*.rip, r„ t > t�� '"mu" 1 j/Fa..5a.,2ur. 1 tV�b- � ,zt\d �; i:i;.x. ru4,; "` o x"t t.� r ,. ' -I� > �� \ \ 3 w^'..' -‘-)"c: ',0 _)"" t'w ,- - s' yi /,, °v ,/ ` 4, � zay ..l•. ?Tis .£.•Y _,,..,.,tix.:n,v.,rn::,,,X, sY -,,,,,,44-,,,,,-1-m:''''',"'''''''°."''''',17'''''''''''... a%ryh n: .F.: ..xw4.f.. M '75,;',,,,!"..'')4t ;1 ,,,%" 'v[;.7%!., d,r0)?"4719.M. ".,' .'.; 211::\,w:: 1.:,','• BOARD Off' SOUTHOLD TOWN TRUSTEES `` . � . 1 i SOUTHOLD, NEW YORK ._� "cam.4,tr,1 ; • Imo' PERMIT NO. 8647 DATE: JULY 22, 2015 -� ISSUED TO: MARTHA BROOKS .c 1 PROPERTY ADDRESS: 65490 ROUTE 25, BREEZY SHORES ; ?..) ..,s1. s � �' COTTAGE #4, GREENPORT ~' SCTM# 53-5-12.6 0..:''''''-1—-P__ ...„..:?III...:5- !.. it,,,,4-. !;:c AUTHORIZATION t Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in - ' 1 accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 22,2015,and in .---.1.t4:74` . 4 consideration of application fee in the sum of$250.00 paid by Martha Brooks and subject to the Terms and , ;f;;7!": -• 1 Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the A . , following: /'' ! -)., _.? ,...,. ' Wetland Permit to raise the existing cottage to an 8' floor elevation; raise the cottage i � . roof for an additional 1' of headroom; and construct a new 4'x4' landing with steps to � -44:z` rade and a new 4'x8'1" landin with ste s to rade• and as de icted on the site lan t .� g P g P P �" prepared by Fairweather& Brown Associates, received on June 12, 2015, and stamped approved on July 22, 2015. �' �c ''s IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, I ,, `,, ' : and these presents to be subscribed by a majority of the said Boa ,',s of this date. (gig;- x ,,, :„ s , A. /, ,_ ,..,.,,,_y,t ?;0P -.(9i ,,,,,,,,,,,,,,,,, „.„::,,,,,,t,eici7:4:1 -, of 0/4- -.... j. '1 i . 0.,,,,....-z--...4 O 4 f j.� 1 j • /3 r , ,..,, -_,. .;-,„ I 1 A�'1 t--. it.,Y' YS art i4,MP it �hl 01 Yr, '`�',l+' L I ., "-M: 4:..---if_.ti 1 ) . .- . i 1 1 1,,i,t t,..„‘..,L1?**.'.<:::i 1 3,:s ii,rf..4'1 xl.3,,, ii I i., .„ ,3L'9k.„. ',/I. :rki. --- ?'k ,.. .: t6i4lAg t a, 1£ 1(624,06.i'+?YdYX5k7A:s. ctW '+Mxilx�k4`;.rias ii I ti V '� Y TERMS AND CONDITIONS The Permittee Martha Brooks, residing at 65490 Route 25,Breezy Shores Cottage#4, Greenport,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. John M. Bredemeyer 111, President ,oma%,s11FF �-c Town Hall,53095 Main Rd. Michael J. Domino, Vice-President ���� �Gy� P.O. Box 1179 James F. King ti Southold,NY 11971 Charles J Sanders yO� ,r�� Telephone,(631)765-1892 , � Dave Bergen Fax*01' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, silt fence 1st day of construction '/2 constructed Project complete, compliance inspection 'of' John M. Bredemeyer III, President '•ofo1*OFSO//14,— OI Town Hall Annex ' O : 54375 Main Road Michael J. Domino,Vice President [ P.O. Box 1179 James F. King,Trustee �, T ; Southold, New York 11971-0959 ik Dave Bergen, Trustee ` ) �O�t O Telephone (631) 765-1892 Charles J. Sanders,Trustee Fax(631) 765-6641 .fl 01' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 22, 2015 Amy Martin Fairweather& Brown 205 Bay Avenue Greenport, NY 11944 RE: MARTHA BROOKS 65490 ROUTE 25, BREEZY SHORES COTTAGE #4, GREENPORT SCTM# 53-5-12.6 Dear Ms. Martin: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 22, 2015 regarding the above matter: WHEREAS, Amy Martin on behalf of MARTHA BROOKS applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 12, 2015, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 22, 2015, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of MARTHA BROOKS to raise the existing cottage to an 8' floor elevation; raise the cottage roof for an additional 1' of headroom; and construct a new 4'x4' landing with steps to grade, and a new 4'x8'1" landing with steps to grade; and as depicted on the site plan prepared by Fairweather& Brown Associates, received on June 12, 2015, and stamped approved on July 22, 2015. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, doe- gv‘ 64.40442747 John M. Bredemeyer III President, Board of Trustees JMB/eac li MI _ No. L.) Issued TofflOr ��ks Date � S � as Addressl5feezy S%we3G# e 44 THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 rl•IO'" ,�-c; John M. Bredemeyer III, President ,I SU FFOTown Hall Annex Michael J. Domino, Vice-President ,� �Gy 54375 Route 25, P.O.Box 1179 James F. King vim, x Southold,NY 11971 Charles J. Sanders Py �P�,�� Telephone(631)765-1892 Dave Bergen ol '1 '0,§0 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: gin/ f /Cts 1-�� r '1 ke-AziP C�� Maori/A , b764 Please be advised that your application dated 3c.&r'i e has been reviewed by this Board at the regular meeting of ,Tc 1 y 4, o)5— and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Silt Fence Inspection Fee ($50.00) 1st Day of Construction ($50.00) % 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: min 5 ecbon Fee i ' ' TOTAL FEES DUE: $ .50 Ob/5- BY: John M. Bredemeyer III, President Board of Trustees John Bredemeyer, President • Town Hall Annex Michael J. Domino, Vice-President ��° coGy;; 54375 Route 25 James F. King P.O. Box 1179 Charles J. Sanders •oy .. Southold, NY 11971 Dave Bergen $a°.." Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: JJ. i S� Ya tS Amy Martin on behalf of MARTHA BROOKS requests a Wetland Permit to raise the existing cottage to an 8' floor elevation; raise the cottage roof for an additional 1' of headroom; and construct a new 4'x4' landing with steps to grade, and a new 4'x8'1" landing with steps to grade. Located: 65490 Route 25, Breezy Shores Cottage #4, Greenport. SCTM# 53-5-12.6 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound /Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 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 Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditio s: ire&,rol -e6 Present Were: 1/1. Bredemeyer 'Domino ,J. King ✓D. Bergen. Sanders Bay Constable Other Form filled out in the field by >No) 4..S- Mailed/Faxed to: Date: .,... g - (-114-7-4 414/. /a•-,' ''a -,. ... . , ,.v „..-.4-4,,./. „ ,!‘._ .. ...• ,•,',.:• 00' -. -A..4, , - _ - •--,-.', - 4! 1 - ' .,........ 1 i 1 i , A - ''. ., ,. _.. . -7, ,,e A 411Fr , . . , . • A: .•-•,,--. ....ez- - • -,. k i i .., . , I , . :t::,,, ....''.. .... ifr.-- .. . ' -. , . „e< i ,•, ,... 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COUNTY OF SUFFOLK © e •.• n _ ReeLPy mpertyNTax Servi a Agenq r §3 — a /�_i M • _✓ —�— u` (311 O ..'. --r— --+r-- r :G .sem c'"r ' eu .aurin w 1000 PROPERTY MAP _ _ — -- W fy� ).„........2,, Utau M•n —__ rorAr�wssxxt�OErt+. - pawexoworN.r+a>ma _.... , — _ EfUO I nr p�}app' Fmm 11EElR.NO NO UNE 1 - WTCM WTON U E =a 12 • 9611):67- � a.a • �.ff i G aE.a roR aEC r+o SEE eEppC.Nxoo ��, �'� a� r �'4&44&."I it firOi w ill _ 88 +xW1 4 ! m�Faso,z e° MIL-cs� a - I; 26 egritkiii6OTOkt:\ ' ''' ____ ...„. . • L. 104 14 42.6 y0 *.' . 10 �� (aq j aala - \ •0,..p//� i 20.1A(c)z 1101111,t) 0/ . . . \ , 'AS - •\,. o'Nv . SOUND ISIOD SHELIER S � S E "' ...... — -- '� --"-- NORGE • COUNTY OF SUFFOLK © x o.Nv MO.. SECTION NO c — - C�l> `-" Q --r-- a.m. _—_4--_ Real Property Tax Service Agency v av H - �. u. ___ '" u. ---- --.-- .' =m...e.•m.•NmIN.•.N Thaw Mare '� Nu.•" 57 0 tim. » a.r �x�N. u u..u- —__� r --.-- �� --�-- +m.wu m.nmww �•'y?.... m n le omNCT•o r ¢� ryu ---_— `�� --.-- py.go.nrr to a[•mcx•a•cr ® Iw PROPERTY aUP �,0%pF SO(/j"0 MAILING ADDRESS: OFFICE LOCATION: O Town Hall Annex ���, h e9P.O. Box 1179 54375 State Route 25 Jill Jill Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 ipQ� ,' , Telephone: 631 765-1938 � CDUNI '''- ... i_sI LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM arE,C EE tio2 To: John Bredemeyer, President L� Town of Southold Board of Trustees „4 "W*---- From: Mark Terry, Principal Planner LWRP Coordinator Date: July 20, 2015 Re: Local Waterfront Coastal Consistency Review for MARTHA BROOKS SCTM# 1000-53-5-12.6 Amy Martin on behalf of MARTHA BROOKS requests a Wetland Permit to raise the existing cottage to an 8' floor elevation; raise the cottage roof for an additional 1' of headroom; and construct a new 4'x4' landing with steps to grade, and a new 4'x8'1" landing with steps to grade. Located: 65490 Route 25, Breezy Shores Cottage#4, Greenport. SCTM#53-5-12.6 The proposed actions have 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 CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. The raising of the structure to meet FEMA base floodplain el 6.0' (F.F. elevation at 8') furthers LWRP policies. 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 eE Peter Young,Chairman o ; Town Hall,53095 Main Rd. Lauren Standish,Secretary ,��„ P 0 Box 1179 41$ Southold,NY 11971 6°4 �t't Telephone(631)765-1889 1 JP •• Fax Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., July 15, 2015 the following recommendation was made: Moved by Peter Meeker, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of BREEZY COTTAGE #4 OWNER-MARTHA BROOKS to lift cottage from current 6' elevation to 8' floor elevation raising roof for additional 1' of head room, new landings and stairs to provide egress. Located: 65490 Route 25, Greenport. SCTM#53-5-12.6 Inspected by: Keith McCamy, Doug Hardy, Peter Meeker The CAC Supports the application with the Condition of a 10' non-turf buffer. Vote of Council: Ayes: All Motion Carried Cantrell, Elizabeth From: Karen Szczotka <Admin@fairweather-brown.com> Sent: Tuesday,June 09, 2015 12:22 PM To: Cantrell, Elizabeth Cc: amy@fairweather-brown.com Subject: Brooks cottage Attachments: Brooks -Trustees Autho n Dim -060915021.pdf Hi Elizabeth, Attached please find an authorization form from Martha Brooks,please advise if I need to drop off the original copy to you or if the attached will suffice. The proposed landings (stoops as referred to in drawings) The landing with*is 4'x 4'and the landing by the sliding doors referred to as *''`is 4'x 8' 1". Please let me know if you have any further questions or require any additional information for the application. Thanks. Sincerely, kaKew Karen Szczotka Robert I Brown,Architect PC Fairweather Design Associates Inc 631-477-9752 1 -4*Neu) '''Cir)P/L.AiK.)D1A: , I 4'-9" r -j) 1 �� JUN "* 92015 1.` rx`� 1 t i � I I 3 ! it { �t4',�I4 • 4' 14',cli!-V) OZ NEW WINDOWS 0 PHASE I I 0 0 t. -F. o - o z cb. .NEW z STOOP o r AND J' z STEPS F -- hievAr ice l', NEIN ' STOOP c AND " ' . EPS m lik.\ 1 A k . . FRIDGE STOVE `T N-W DOO!' AND C.:--CPC pt.., c.-C BOARD MEMBERS � �- Southold Town Hall SOUP �- . Leslie Kanes Weisman,Chairperson ,+ 4, 53095 Main Road•P.O.Box 1179 41-• Southold,NY 11971-0959 Eric Dantest A Office Location: Gerard P.Goehringer tcrs Zke Town Annex/First Floor,Capital One Bank George Horning `, ice tt 54375 Main Road(at Youngs Avenue) Kenneth Schneider IrC,�U *70$ Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 %, )1 June 19,2015 JUN 2 2 2015 Amy Martin 205 Bay Avenue Greenport,NY 11944 RE: ZBA Application#6862—Breezy Shores(Brooks) Dear Ms.Martin: Transmitted for your records is a copy of the Board's June 18,2015 Findings, Deliberations and Determination, the original of which was filed with the Town Clerk regarding the above variance application. Before commencing any construction activities, a building permit is necessary. Please be sure to submit an application along with a copy of this determination to the Building Department. If you have any questions,please call the office. Sincerer Vicki Toth End. Cc: Building Dept. BOARD MEMBERS , soU001' Southold Town Hall riy 53095 Main Road• P.O.Box 1179 Leslie Kanes Weisman,Chairpersonp`� O! ' d a Southold,NY 11971-0959 Eric Dantest sig Office Location: Gerard P.Goehringer G Q ,; Town Annex/First Floor,Capital One Bank George Horning ,��,i4 •�� 54375 Main Road(at Youngs Avenue) Kenneth Schneider =r'teOUOV.10 Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF JUNE 18,2015 ZBA FILE#6862 NAME OF APPLICANT: BREEZY SHORES COMMUNITY, INC.(MARTHA BROOKS) PROPERTY LOCATION: Cottage #4 Breezy Shores Community, Inc., 65490 Main Road (aka State Route 25)aka Sage Blvd.(adj.to Shelter Island Sound)Greenport,NY. SCTM#1000-53-5-12.6 SEORA DETERMINATION• The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated June 2, 2015 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 May 26, 2015. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department,as well as the records available to us, it is our recommendation that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION: Subject parcel is located in the R-S0 zone and contains 82.6 acres. It is improved with three dwellings, a brick building,two garages, 28 seasonal cottages and 20 sheds.The Breezy Shores community is a unique property deeply rooted in the history of the Town.The access to the property is via a private road(Sage Boulevard)and the property is adjacent on the south to Shelter Island Sound.The multiple cottages on the property are a pre-existing non-conforming use that was established prior to zoning by the Sage family in the early 1900s.The cottages housed employees of the Sage family brick factory and have been rented as seasonal cottages. In 2000, the community established a real estate cooperative,Breezy Shores Community,Inc., and shares were offered as an ownership interest in the Cooperative. The cottage at issue in this application is known as Cottage no.4 and is owned by Martha Brooks.All as shown on the survey prepared by Howard Young, L.S.,dated January 9,2013 and a site plan by Robert I Brown,Architect,dated August 18,2014. BASIS OF APPLICATION: Request for Variance(s) from Article XXIII Code Section 280-123, Article XXII Section 280-116 (B)and the Building Inspector's January 12,2015 Notice of Disapproval based on Page 2 of 3—lune 18,2015 ZBA File#6862—Breezy Shores(Brooks) SCTM#1000-53-S-12.6 an application for building permit to add and alter, to include raising an existing seasonal cottage at; 1) a nonconforming building containing a nonconforming use shall not be enlarged, reconstructed,structurally altered or moved, unless such building is changed to a conforming use, 2) less than the code required bulkhead setback of 75 feet. RELIEF REQUESTED: The applicant requests variances to make alterations to a seasonal cottage with a nonconforming use where the code permits no enlargement, reconstruction or alterations unless the building is changed to a conforming use, and a non-conforming bulkhead setback of 59.5 feet where the code requires a minimum of 75 feet. ADDITIONAL INFORMATION: The Board received a letter dated July 29, 2014 from the Secretary of the Breezy Shores Community Corporation indicating approval of the applicant's plans. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on June 4,2015 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 nor a detriment to nearby properties.This unique property represents its own neighborhood of 82.6 acres with substantial wetlands and is far removed from adjacent properties. Thus,no adjacent property owner will be adversely impacted by the proposal.These 28 seasonal cottages on the subject property have been in existence since the early 1900's when they were built for occupancy by workers in the Sage brick factory. In the1940's,when operation of the brick factory slowed cottages were rented to summer guests. Each of the adjacent waterfront units arc similarly located from the bulkhead and are of similar size. 2. Town Law$267-b(3)(b)(2).The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than area variances. The existing seasonal cottage is a pre- existing non-conforming building with a pre-existing non-conforming use with a pre-existing non- conforming bulkhead setback of 59.4 feet. Therefore, any proposed additions and alterations will require relief from the code. 3. Town Law 4267-b(3)(b)(3). The variances granted herein are mathematically substantial. The variance for Section 280-123 represents 100%relief because the code prohibits the enlargement of non- conforming buildings with non-conforming uses, However,the proposed addition of a door with a 4' x 4' landing on the west side of the cottage and a sliding glass door with a 4' by 8' landing on the East side of the cottage will add 2.22%to the existing footprint. This is in line with de minimus additions the ZBA has granted in previous decisions. In the context of the entire community,the variance is not substantial. The variance for the bulkhead setback is substantial representing 21%relief from the code. However,the nonconforming cottages have existed in their current locations since the 1940's with each waterfront cottage unit having a similar non-conforming bulkhead setback. The location of the proposed structure shall remain the same. 4. Town Law $267-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. Page 3 of 3—June 18,2015 ZBA Fi1016862—Breezy Shores(Brooks) SCTM it1000-S3-5-12.6 5. Town Law 5267-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.However,to the extent that a structure ultimately and unavoidably requires some reconstruction and/or alterations to allow for reasonable improvements to continue the safe use of the structure,the need for variance relief is not self-created but created by the zoning code that now prohibits activities which at one time were not prohibited. 6. Town Law 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of additions and alterations to the seasonal cottage, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Dantes, seconded by Member Goehringer,and duly carried,to GRANT, the variances as applied for, and shown on the Architectural plans by Robert I. Brown, Architect labeled site plan, foundation plan, existing floor plan, road side, west, water side, and east elevations,and section for phases I and II and dated March 3,2015. Any deviation from the survey,site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s)granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured,and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration,grant an extension not to exceed three(3)consecutive one(1) year terms. Vote of the Board: Ayes' Members Weisman(Chairperson), Schneider,Horning,Dante,Goehringer.'This Resolution was duly adopted(5-0). Leslie Kanes Weisman, Chairperson Approved for filing 44 1,22. /2015 I 0f,tx soup John M. Bredemeyer III,President `j k Town Hall Annex $ �^.. 54375 Main Road Michael J. Domino,Vice-President P.O. Box 1179 James F.King,Trustee res , Southold,New York 11971-0959 Dave Bergen, Trustee �� ' ti Telephone(631) 765-1892 Charles J. Sanders,Trustee ��, N\ � f Fax(631) 765-6641 Q 0 7 ••'"+ S '.vagi- BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application Ni P Wetland Permit Application [Fir_Administrative Permit Amendment/Transfer/Extension Red ica , - JUN 1 2 2015 s- )1 Receiceiveved Fee:Appl$otion:• Completed Application:6/)2l/ Incomplete: SEQRA Classification: Type I Type II Unlisted Coordination:(date sent): LWRP Consistency Assess t eret Form: 740/15- CAC //O/15CAC Referral Sent: a /5 Date of Inspection: EV Receipt of CAC Repo : _Lead Agency Determination: Technical Review: .,- p Public Hearing Held: 2/ 91/5 Resolution: Name of Applicant: rc• &u?7,,- ii a v Ill Ct ZrooA s Mailing Address: G2-4/ L4F4y7TSY ' 1 I p /J / Ai y 1©O I d. Phone Number: DI 837- o o 15-- Suffolk 5Suffolk County Tax Map Number: 1000 - 53 - T' - /°Z ' b Property Location: 0 9 d -itar ri re,e,nre4- AKA &- c R i--- (provide LILCO Pole#, distance to cross streets, and location) (; / , AGENT: A m r fit il r e e-r a4 FGf�1 co- ��)f- rf c c (If applicable) r Address: ),0 5 b ,4 (Q 1 m re �� I I�► y fl yv-ci Phone: 477—11Sa, 1 Sef`' I / c 1 rd of Trustees Applicatic oi GENERAL DATA Land Area(in square feet): sic.) • ( A- Area Zoning: 126-0 Previous use of property: ri(,{ 1'e....- Intended use of property: 5-0,m -k--2 Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. ZDA- o n 1,t1 a,(16-w 5 3°/6 - Will this project require a Building Permit as per Town Code? /Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. , / Does this project require a variance from the Zoning Board of Appeals? V Yes No If"Yes", please provide copy of decision. Will,this project require any demolition as per Town Code or as determined by the Building DtYes No ..e,..pwri I- :i4Do-rr� Does the structure(s)on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date Z PAT — 1-6,04 44/14 1)E& iet-evop F33 , prOve55 No prior permits/approvals for site improvements. Yzef)4,tars etil-cw' 19 Has any permit/approval ever been revoked or suspended by a governmental agency? /No Yes lip+-f LS C® , If yes, provide explanation: att.,ri..vv43 + S� +o L0 110 ( pY/3,PP.Y o4 co- cled) Project Description(use attachments if necessary): I tict ticCo fiLl 4-6-m 6. ,LF to t .e I€U&I'ce-r -h---0 S' -Floe-re ce_v MA 54411 (^004' -Pa,r A'.ddi a.-- 1 ' kMO w, heWLtlikt-SlAita ti- i 10 r, ilk ,press 2 (cont) ZBA Variance Cottage #5 ZBA file 6525 7/27/12 Variance Cottage #5 ZBA file 6557 7/27/12 Variance Cottage #11 ZBA file 6622 3/07/13 Variance Cottage #13 ZBA file 6661 8/07/13 Variance Cottage #25 ZBA file 6660 8/07/13 Variance Cottage #7 ZBA file 6704 12/ /13 Has any permit/approval ever been revoked or suspended by a government agency?None known Project Description: This is the lifting of an existing,seasonal cottage up from its existing 6'first floor elevation, using sonotubes to the proposed floor elevation of 8'0". There is an existing front entry door,that shall be moved to the west elevation as indicated with a new landing and stairs to front and rear,a new landing and stairs added to the existing waterside sliding door. The roof is proposed to be lifted and additional 12"for increased headroom throughout the cottage.This may require demolition of the existing roof. A drywell is shown to collect roof rainwater. Documents attached to this Application: • A copy of survey of entire property—with my note indicating Cottage#4 • B Site plan • C Foundation Plan • D existing floor plan • F. Proposed floor plan • F Road side (front) elevation • G West elevation • H water side elevation • I east elevation Board of Trustees Application 2 GENERAL DATA Land Area: 82. 6 acres Area Zoning: R-80 Previous and Intended Use of Property: Seasonal Cottages Cottage #4 owned by Martha Brooks Existing---808 square ft. (includes existing front door landing) Proposed----795 square ft.with 2 landings Covenants and Restrictions on property? Yes - some written and some assumed by previous zoning board rulings.No written copy is available Will this project require a Building Permit as per Town Code? Yes If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation plans will be required. Does this project require a variance from the Zoning Board of Appeals Yes Hearing 6/4/15 If"Yes"provide a copy of the decision. Attached Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes - at the site of the door relocation and repair as well as whatever foundation exists before it is Raised to Flood Plain requirements. The contractor may choose to remove the existing roof in the process of adding the 12" increase of ceiling height to the cottage Do the structure(s) on the property have valid Certificate(s) of Occupancy? Yes Other cottages have been worked on at Breezy Prior permits/approvals for site improvements: Agency Date Building Dept CO for 6 dwellings and 25 non-conforming seasonal cottages 7/24/84 Repairscottage#25 CO 11/29/05 Repairs cottage#4 CO 9/13/06 Repairs cottage #29 CO 7/16/07 Demolition of an existing building 8/28/07 As Built interior alterations cottage #28 CO 9/05/07 Interior alterations and foundation repair cottage #14 B. Permit 12/14/07 Interior Alterations (bathroom addition) cottage #15 CO 12/18/07 As built permit for Cottage #1 5/16/08 Electrical upgrade Cottage #29 CO 3/04/09 Demolition of Shed permit 6/17/09 Alteration/Footing Repair cottage #24 CO 3/28/12 Foundation to lift& reconstruction of pre-exiting Cottage #5 11/14/12 Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA • r f � 1/'�i Purpose of the proposed operations: ,� � i /)t; C Ci j c..- ;4 7 �G o fL r 1 / Ci 17 t ict i an/1..y-i' a a. 7 t e)-) f a c/ct e 9 re ,J jt `til V7 f[L-7�L 4.7�-sj j / /S f 1-0/,f' Area of wetlands on lot: square feet Percent coverage of lot: c, X r % ?"I(„1,7' c% ,)' �'.�.-1.e_.) Closest distance between nearest existing structure and upland edge of wetlands: 59. /f T feet to fa v fk I, a--‘4-1 Closest distance between nearest proposed structure and upland edge of wetlands: 5-9. t feet Does the project involve excavation or filling? No t/i Yes If yes, how much material will be excavated? cubic yards ire-1- How much material will be filled? cubic yards ...L.-4 ` --f .-0i Depth of which material will be removed or deposited: 2 � feet Proposed slope throughout the area of operations: () ito Manner in which material will be removed or deposited: Z--rix.-._. . 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): c • 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part I. 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 l -Project and Sponsor-tInformation� (� 4- roc k5 — r�,Yee &he .- Name of Action or Prdject: L cam/ if'R 1 g...� E�1Z 'S 5 Project Location(describe,and attach a location map): 46410 Ro id 4e ZS / SfY6 E .-\ ip Pr t vale 1 & L Brief Description of Proposed Action: 50,4( (0.4.4`"``1 4 Ci r t;-n.s a^-f1 ' Cc, �Irm�'� rs H • Name of Applicant or Sponsor: Telephone: pAi E-Mail: Address C p 1 Zoe- Vv -r74 YGht-t-t -01-----L:511_Ave. City/PO: State: Zip Code: C�iree4-vie -rt . ( //q0/- 1.Does the proposed actiot only involve the legislative adoption of a plan,local law,ordina e, 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 pproval: 4-5 1wu .0:5kt 3.a.Total acreage of the site of the proposed action? ��, acres g p P b.Total acreage to be physically disturbed? ,�sp� acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. / o Urban ural(non-agriculture) 0 Industrial ta�Commercial 'Residential(suburban) o Forest a1 Agriculture tM'Aquatic o Other(specify): o Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? 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? Y/ 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: ✓ 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? 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 technoll 541 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: J 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 extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: El/Shoreline 0 Forest 0 Agricultural/grasslands 0 Early mid-successional Wetland 0 Urban 0 Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES 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 sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? aIVO 0 YES J b.Will storm water discharges be directed to established conveyance systems(runoff an storm drains)? If Yes,briefly describe: 0 NO YES Page 2 of 4 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: 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 - j Applicant/sponsor name: /r IR ''� Date: 11/24//6.- Signature: RN a ► , 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 be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" • No,or Moderate • small to large - impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? V 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the v establishment 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 v reasonably available energy 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, 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 drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? 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 'mpacts. Sl 9Z) TiVv 11/3 1 i 5- Name of ad Agency Date/ Print or Typ- Name of Res 'ble I fl•icer'in Lead Agency pec of Responsible Officer / g Y p Sig ��e o Respo e Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) iot Page 4 of 4 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: 4)/(4,a,c) Address: 0054 '45" , i �, //76 c STATE OF NEW YORK COUNTY OF SUFFOLK i, I/4-k T/®/ , mat �`�/I,l v x.,� /V-6 -7 =t=i-0`5 1 c- 4.11l''��� r� , being duly sworn,deposes and says that on the // day of It/r , 20/deponent mailed a true copy of the Notice s-t forth in the Bo.hof T• tees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessmen . 1 of the Town of Southold; that said Notices were mailed at the United States Post Office at / ' ' i' ' , that said Notices were mailed to each of said persons by CERTI 131 , i /RETURN RECEIPT. / .4 LILL Sworn to before me this .f Day of LTi,,iy , 2015 Jartf_&& Notary Pu l4c TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,20 8 U.S. Postal ServiceTM CERTIFIED MAILTM RECEIPT u- (Don(estic Mail Only;,No Insurance Coverage Provided) m r1J For delivery information visit our website at www.usps.come M iTI1Ky i4 a . a a Postage $ $3.45 - 0944 Certified Fee $2.80 02 Postmark r Return Receipt Fee ?�•r r (Endorsement Required) $0.00 Here CI 0 Restricted Delivery Fee (Endorsement Required) CI 'Min 07/13/2015 r-9 Total Postage&Fees Sent To - m r-4 Street,Apt.No.; '~'- O or PO Box No. N City,State,ZIP+4 PS Form 3800,August 2006 See Reverse for Instructions ,j THIS SECTION ON DELIVERY COMPLETE SENDER: COMPLETE THIS SECTIONa 0 ,' A. Signature • Complete items 1,2,a�f�3• CI Agent III • your name and adclr`ess on the reverse X /1/f 1:1 Addressee so that we can return the card to you. / • Attach this card to the back of the mailpiece, B. Received (Pri d Name) CC... D to of Djlivery or on the front if space permits. .i,, /f7ii/Lc/ 7!L e&A /7/15/ 15 1. Article Addressed� to: ', D. Is delivery address different from item 1? CID Yeellss Agile/ ��{g C// �<,L7//�� :. f YES,enter deliveryaddress below: ❑No • �, . a. {f 3- vi / � 11111111 11111111 111 II 1111111 IIIIII I III 1111111 II'III III 30 Adult Signature. Service Type 00 Priority Mall Express®¢' ult Sied Mall®Restricted Delivery ❑Registered Mail Restricted Delivery 9590 9403 0355 5163 0893 30 0 Certified Mall Restricted Delivery 0 ReturnReceipt for Collect on Delivery 0 Merchandise isenConfirmation",ne Signature 2. Article Number_flranafer from service label) _ 0 Collect on Delivery Restricted Delivery ❑Slgnature Confirmation xi Mali 7 013 i1710 0001 0154 3235 ; Id Mail ResM(cted Delivery , [ G Restricted Delivery 900)' PS Form 3811,April1016 PSN 7530-02000-9053 Domestic Return Receipt ,,,,,,, ___ John Bredemeyer, President ,,,..,ofF04 -•-• Town Hall Annex Michael J. Domino, Vice-President •4 V e..v.‘ 11. t‘• 54375 Route 25 James F. King Z U3 1 P0. Box 1179 Dave Bergen \.6. p,, ; *..,, Southold, NY 11971 40 ,I.e.N. Charles J Sanders -, o Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of MARTHA BROOKS COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, 7477'7 /11)a-d- - , residing at/dba rd-i,e-e-a eiez—>L4A— t.z• 0-rat.c77L___, 4o.5-- ave,n".e.... giee4y.,6,_eezz- >Kr being duly sworn, epose and say: That on the day of /34, / , 201.571 personally posted the .roperty known as 4 P:ae-- ,it. -...fl "-Air '_ APAIII in / - -70e by placing the a oard of Trustees official poster where it can -asily be seen, 1 d that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, July 22, 2015. Dated: 7/ /' 5--- •: ature) 1 Sworn to before me this g 0±day ofjuly 2016 ,l I ' ' eir. 11 •, Notary lublic TRACE?L. DVVYER NOTARY PUBLIC,STATE OF NEW YORK NO,O1DW6306900 OUALIFIECI IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30.22,112_ NUTILL HtAKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: MARTHA BROOKS SUBJECT OF PUBLIC HEARING : To raise the existing cottage to an 8' floor elevation; raise the cottage roof for an additional 1 ' of headroom; and construct a new 4'x4' landing with steps to grade, and a new 4'x8'1 " landing with steps to grade. Located: 65490 Route 25, Breezy Shores Cottage #4, Greenport. SCTM# 53-5-12.6 TIME & DATE OF PUBLIC HEARING : Wednesday, July 22, 2015 — at or about 5:30P.M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 1 July 29, 2014 The Board of Directors of Breezy Shores Community Inc. (BSCI) 2013/2014, consisting of Steve Flotteron, President; Tom Charette, VP; Elena Colombo, VP; Mike Petsky, Treasurer; and Valerie Sakas, Secretary, hereby affirm that we have reviewed the repair and renovation proposal for BROOKS, cottage 4, which was prepared by: Fairweather Design Associates,Inc. & Robert I.Brown,Architect P.C. 205 Bay Avenue Greenport,New York 11944 Phone: 631-477-9752 I Fax: 631-477-0973 and have no objections thereto. Both the Board of Directors and the Architectual Committee of BSCI certify that we have seen and approved of the proposal which includes a variance to move the entrance to the west side of the cottage, a 3% increase in square footage by the addition of a waterside deck, the addition and moving of windows noted on the elevations, and the addition of a roof dormer on the waterside. Thank you, - Valerie Sakas, Secretary; on behalf of the Board of Directors BREEZY SHORES COMMUNITY, INC. P.O. BOX 925 MATTITUCK, NY 11952 board@breezysh ores.com peconicpainting©bellsouth.net Boa_ of Trustees Application 5 County of Suffolk State of New York M ARTRA R(70`C__S 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. A/14/144/ / I Signature of Property Owner SWORN TO BEFORE ME THIS oO DAY OF /f/ ,20/Lf • • Notary Public FRANCELIA FEBU8 Notary Public,Mao of Now w M ad s k Yogic Commission Expires Moult e ►4' `�/ ROBERT I.BROWN,ARCHITECT,P.C. 205 Bay Avenue Greenport,N.Y. 11944 631-477-9752 (fax)631-477-0973 AUTHORIZATION (where applicant is not the owner) 1, Martha Brooks residing at 3O 4 Av& Nag YORY- N y t O©O 3 (mailing address) do hereby authorize Amy K. Martin,or other of Robert I Brown Architect,P.C. and/or Fairweather&Brown to act as my agent to apply for all permits necessary for the proposed work to be performed at 65490 Route 25,Greenport,N.Y. ;AKA Sage Blvd..Breezy Cottage#4 (Owner's signature) 10 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. �+ y i ' YOUR NAME: ' 1200K--e; , M,/-(-. A -14 (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance V Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of ,20 Signature b Print Name 1\4A �-r ''rlJJA p i2-c70�5 7 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The'T. a O_ _.? the !'. .de+ thi. •..•hib. .+ilfl*,y. .fin .' . in iC 'o. i'wn Sand u'li i. Th` •ttnor`'O e i • .'+f;• 'rl' cont' +..o At: i'allow it •' % who •ver a • •is fig 1,� t, r�±v • in a'" __ liti w ich al- , necessary to avoid same. YOUR NAME: Pl. Mr TVA' fy\ (Last name,first name, unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you pecsatally(ar-throughyour company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the'Town of Southold? "Relationship"includes by blood.niarripge,or business interest."Business interest"means a business, including a partnership,iit which the town officer or employee has oven a partial ownership of(or employment by)a corporation in which the town.'(Wider etemployee;owns'more than 5%o(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 appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%ofthe.shares of the corporate stock:ofthe applicant (,When the"applicant is a corporation), B)the legal:r:heri finial owner of any interest n a non-corp©rat&entity(when the applicant is nota corporation); C)an officer,diirector,partneir,or employee oldie applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP • Submitted thi 2A.• . 213,1 " Signatu Print Nam A- 4,, /hem ivia Form TS I 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# /DDO - 5� - .5— - / . k /3/cook's Co TM a #4 The Application has been submitted to(check appropriate response): Town Board r- Planning Dept. r Building Dept. r Board of Trustees r Z 34 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital r construction, planning activity,agency regulation, land transaction) r (b) Financial assistance(e.g.grant, loan,subsidy) (c) Permit,approval, license,certification: Nature and extent of action: _ A--oo✓E F%/sf eLr9ND/NG //isr.9IL raid boot -/.0941/)/4'4J Tele• .(/�T/r✓6 /ire 6 /77�`S7�T�G�O�e &4114-7‘it/ hWat-T ALC t 192/3/N 5'-6,u/ mE 1c rs; /At. 7.9.4 oxy /Q-VN – C FE" • A/C.r.e - (.3 7/L/w 6 /d r /z – /iCJ M–le/c AZ, �,�—,�c'/AT/o�5 Location of action: 61-1/ ' lee 4 �' cd.r /OrArly S/jZ'N£S 1 earAd" bier- Site acreage: U ,g . 6 Present land use: J j(.? M/A.L (: 73- LN/3 L a -vfe-,S Present zoning classification: R-4 6 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("00/ pdX,$) Arrn i , 7? r//11' J J EW r MVP _ (b) Mailing address: -eyfry Alfr C7f 1Sr'/ 1x r //7 4' (c) Telephone number:Area Code( ) 77- 9 7 ,A (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 71 No If yes,which state or federal agency? N 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 Xi (Not Applicable- please explain) 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 El Yes ' I No V (Not Applicable-please explain) 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 7 Yes 7 No (Not Applicable—please explain) 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 r- Yes ri No )4 (Not Applicable—please explain) 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 r Yes r- No �^ro (Not Applicable—please explain) 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. ri Yes d No (Not Applicable—please explain) 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. See Section III—Policies Pages; 34 through 38 for evaluation criteria. ri Yes r No 1 (Not Applicable—please explain) 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. ' 1 Yes No (Not Applicable—please explain) 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. n H Yen No (Not Applicable—please explain) 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. Id Yes No IX (Not Applicable—please explain) • 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. idkVi Yes No �+ Not Applicable—please explain 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. F-1 Yes No /L4 Not Applicable—please explain 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. r Yes No 12 Not Applicable—please explain Nunemaker, Amanda From: Amy Martin <Admin@fairweather-brown.com> Sent: Thursday, May 29, 2014 10:14 AM To: Nunemaker,Amanda Subject: RE: Breezy/ Brooks application hits has gotten much more complicated than necessary .please postpone this application. New owner is learning the ropes and had not applied to their com.mun.tty Board yet. I hopefully we'll be ready for July. I.will be in to speak.with you a little later as I have to drop off mailing affidavit with Zft\ So sorry Best.Regards, \m' K. Martin, Office Manager/I'crmtt Agent Fairweather Design Associates, Inc Robert I Brown, Architect,P(; From: Nunemaker, Amanda [mailto:Amanda.Nunemaker@town.southold.ny.us] Sent: Thursday, May 29, 2014 10:09 AM To: 'Amy Martin' Subject: RE: Breezy/ Brooks application Hi Amy, We will need all paperwork by 4pm on Tuesday,June 10th at the very latest. If we do not get Breezy Shore authorization in time, we will need to postpone. I have a question for you,we just received a call from the contractor for Nancy Bradley and Jeanine Murphy(550 West Creek Ave, Cutchogue-permit#8216)for a final inspection. However, before we issue the Cert.of Compliance, we need covenants and restrictions filed for the 15' non-turf buffer. Does your office handle submitting those or should I contact the homeowner? From: Amy Martin [mailto:Admin@afairweather-brown.com] Sent: Thursday, May 29, 2014 10:02 AM To: Nunemaker, Amanda Subject: Breezy/ Brooks application Good Morning- It appears this client has not yet been through the Breezy board's review committee,and not sure when they meet or when we will have a letter from their board. How long do I have to get it in...and still make June... will have other paperwork today...may need to postpone...sorry Best Regards, Amy K. Martin, Office Manager/Permit Agent Fairweather Design Associates,Inc Robert I Brown, Architect,PC 1 --- eV,' Co e.� = Peter Young,Chairman ; o i I Town Hall,53095 Main Rd.P 0 Box 1179 E Lauren Standish,Secretary y. rR i G *`+Q Southold,NY 11971 `;44 bO•`. Telephone(631)765-1892 4Fi ,o Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Thurs., June 12, 2014 the following recommendation was made: Moved by John Stein, seconded by Doug Hardy, it was RESOLVED to SUPPORT the application of MARTHA BROOKS to lift existing cottage to first floor height of 8'. Landings and stairs to reach grade for egress. Relocate one window and door and replace vent with window. Replace door with window and remove small mid-window and repair siding. Located: Breezy Shores Community, 65490 Main Rd., aka Sage Blvd , Greenport. SCTM#53-5- 12.6 Inspected by: Peter Young, Keith McCamy, John Stein, Peter Meeker The CAC Supports the application with the Condition of a drainage plan for the roof run-off, the installation of a 10' non-turf buffer and a drainage plan for the sanitary system. Vote of Council: Ayes: All Motion Carried RE fa 0 ‘k„e fEg c !,:.:-.„ „.._:. JUN 1 3 2014 I __-._-T .;,,,; .- .. - - , -- .oars�,..ii_,:..— _— I i I I James F. King, President l°, OF SQ�r Town Hall Annex Bob Ghosio,Jr.,Vice President „is1/Ih O Q�� y0 54375 Main Road . P.O.Box 1179 Dave Bergen * *$ Southold,New York 11971-0959 John Bredemeyer % co % �ly N�,r Telephone(61) 765-1892 Michael J. Domino �' Fax(631) 765-6641 --_ 00UNTAet' BOARD OF TOWN TRUSTEES ® [ c E V s TOWN OF SOUTHOLD To: Southold Town Building Department MAY 2 8 2014 Re: Verification of Building Department Permit Requirements BLDG. DEPT TOINN!OF SOUTHOLD SCTM#: 53--5- I2' 1 Property Owner Name: Mar-I-h a 1-)rboks Date Sent to Bldg. Dept.: Si i it 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 • the proposed project require a Building Permit? V Will e proposed project require a variance determination from Zoning Board of Appeals? Will any part of this application be considered as Demolition as J described under Town Code? COMMENTS: 4.9-61-2--.4"r---- d� 1 ' / , Ea/V/iZi Signature of iewer Date John M.Bredemeyer III,President ec� �' SON-1, Town Hall Annex ks t"" 54375 Main Road Michael J.Domino,Vice-President P.O.Box 1179 James F.King,Trustee tre Southold,New York 11971-0959 Dave Bergen,Trustee ,'` ' ' Q4 Telephone(631)765-1892 Charles J.Sanders,Trustee „ eonfro, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfe /Ext9jns on Received Application:. 5 271' /Received Fee:$ �,Si 01 l Completed Application_ _I Incomplete SEQRA Classification: Type I Type 11 Unlisted Joordination:(date sent) ✓j.WRP Consistency Asses men Farm ..5 I ( D V.pAC Referral Sent: 1/Date of Inspection: 'CB Receipt of CAC Report: MAY 2 7 2014 `J Lead Agency Determination: /technical Review: J V Public Hearing Held: isim ,j _ Resolution; Name of Applicant Afpr �BDka kie i A Mailing Address 01-14-1 ate-, ill 5 NI 1000.. Phone Number:di) / -) _ '/5 Suffolk County Tax Map Number: 1000 - 53-65 ` /6/. 1, Property Location: (te,ry.. ���IOY� Ct1rnm -rLLt7 bido0 (e514-$9 teo.h (provide LILCOç/ Ktr le #, distance t cross streets, and location) AGENT: Prrr\Lj 10 1' f& (If applicable) Address: 0l-D5 VeAVV1--) +p,Q�1 Phone: 5.01) hoard of Trustees Applica" --a GENERAL DATA Land Area( 3-fit): dJ, /,,), g%eitzt Area Zoning: " p /e Previous use of property: LIr • I ' i Intended use of property: r , 1 Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. dc- Will this project require a Building Permit as per Town Code? / Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes / No If"Yes", please provide copy of decision. Will this project requireAny demolition as per Town Code or as determined by the Building Dept.? Yes V No Does the structure(s)on property have a valid Certificate of Occupancy? /Yes No Prior permits/approvals for site improvements: Agency Date `-'IUnc-eJ ,/9 ,, --A) No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? V No Yes If yes,provide explanation: /—ittie,,&41.4, Go-e.4--1-4-k). Project Description (use attachments if necessary): o x. -t 4) I . .I !.A C6.4Lor lb / ,cf. ittl eLh-�-�-� e, ./ e /11-741 ")4'(.24614-4-;"1116A°4- / .- J AdA-4- 4 Ail-f7G0'lw do-6-r 'f-Ay -/ and of Trustees Applicati-- WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: rOteei"' -eYY\ 4,54-67 -\ 6UE211-..e_14— Area of wetlands on lot: square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: ,_59 H feet Closest distance between nearest proposed structure and upland edge of wetlands: 57'54 feet Does the project involve excavation or filling? V No Yes fizerb` A� If yes, how much material will be excavated? 27 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: 6..cu 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): 617.20 Appendix B 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 1 -Project and Sponsor Information Name of AProject: ? / )eiA Project Location(dess'ccrrib�e,ya�nd�attach a 1. ation map): A Brief Desc 4e n of Proposed Action: O ,f4:1-1/ - ."._.,e_.&.x.+1,civ lye,,,A26 0-7(-- -- -o' 1:: ./.4_,A.4._ e ter...exi, a.,1-- er : ,,,k......__,,,,f,,‘L)-e-A-e-,<_-) 0-4-4- 14-4-4--;-73 r___„,, .. Name of Applicant or Sponsor: a--- Telephone; „17.7-7_ 9ysa (17x �-�T/A) "1"-`uE-Mail x� J/ p P.4 •Lore Address ydo i 6 5- )6, (1)4/L&A--24--t-- , (A�/ City/PO: St,te: Zip Code; iii, it tP71 1.Does the pjposed .tion only involve the legislative adoption of a plan,local law,ordin. , NO YES administr. ve 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: v-- hze---- o 3.a.Total acreage of the site of the proposedion? __ acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. [j Urban ❑Rural(non-agriculture) ❑industrial 0 Commercial DResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): _ _____ ❑Parkland Page 1 of 4 5. Is the proposed action, NO YE N/A a. A permitted use under the zoning regulations? n D b.Consistent with the adopted comprehensive plan? El 1^ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? j' 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: Ei 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO, YES n. b.Are public transportation service(s)available at or near the site of the proposed action? n 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,describ design feature and t chno ( �f I ice,_( 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: _ El 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: E Er 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? U b.Is the proposed action located in an archeological sensitive area? �(�I (`` 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? n b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ErEl If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Idpftify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: a(Shoreline 0 Forest 0 Agricultural/grasslands ❑Early mid-successional ["Wetland 0 Urban 0 Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16. Is the project site located in the 100 year flood plain? NO YES suri 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES if Yes, 1=1 ❑ a. Will storm water discharges flow to adjacent properties? [r/ NO DYES b.Will storm water discharges be directed to established conveyance systems(runoff and stor drains)? If Yes,briefly describe: LINO YES Page 2 of 4 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: Q 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 name: /, 4 1 4.' i�! Date: ,j/01.5///,‘" Signature: 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 be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning 11 CI regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? (� n 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment 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 (- ] reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: Eli i a. public/private water supplies? b.public/private wastewater treatment utilities? l i 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? i 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 lir fle 1011) 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 drainageEl ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? El 0 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. nCheck 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 Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 „,,s z, -,..‘... Town of Southold e I Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM 15 `� '- PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A "•-, 04 y(>' +`~ STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN ...",,,,,,,,,0” DistricttionBlockTot— CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE,OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT YesNo a. What Is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within Generated by a Two(2")Inch Rainfall on Site? LI - I the Scope of Work for Proposed Construction) (This item will include all run-off created by site b. What is the Total Area of Land Clearing (S.F/Acres) clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? impervious surfaces.) ¢S,F/Acres) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed) Drainage Structures Indicating Size&Location?This /0 Item shall include all Proposed Grade Changes and.-----19Y7 -— •8 tattitf J Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion Zij and sediment control practices that will be used to control site erosion and storm water discharges. This item must be maintained throughout the Entire IZiit - (-14- AAHCt-e'Uf ��. 4Construction Period. Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural ✓ /27646.61---. Existing Grade Involving more than 200 Cubic Yards _/ of Material within any Parcel? . 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the -- / Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities Involving soil Beach? disturbances of one(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to Including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? iZ the DEC has determined that a SPDES permit Is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious ftu'Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off V 1.The SWPPP shall be prepared prior to the submittal of the NOI.The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any / constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit.In addition,the SWPPP shall Area?(This Item will NOT Include the Installation of Driveway Aprons.) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice In a Box and the construction site disturbance Is between 5,000 S.F.&1 Acre In area, component shall be prepared by a qualified Design Professional Licensed in New York aStorrs-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. that Is knowledgeable In the principles and practices of Storm Water Management. (NOTE: A Check Mark(.J)and/or Answer for each Question is Required for a Complete Application) f:.t1NNIF T) Ht INCH STATE OF NEW YORK, Notary Public,State of New York COUNTY OF.. SS No.01 BU6185050 -ll Qualified in Suffolk County j�}���Q /�tJ Commission Expires April 14,2�/ That I, ., , / o ° being duly sworn,deposes and says that he/she is the applicant for Permit, (Nam of individual sig' Document) And that 4sef she is the G.... .. (Owner,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to 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; / ...., day of„...,...� ^.� . ,.20 l.L / di% Notary Public: .. .h:- ..,.... . . 4 ` »u.. ....11...........1.• 6.0,..,., , ....,,......... (Signature of Applicant) FORM - 06/10 B 11 of Trustees Applicatior AUTHORIZATION (where the applicant is not the owner) I, 1 )Pri fl*/ ?'' eA' residing at (print owner of property) (mailing address) do hereby authorize ,-an7 21)6t4r444-1 (Agen y04444,44kAd * to apply for permits) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The T6WirofSoutbold'e .e of Ethics prohibits confiiets of inteitst onthe patt Oftown s ff ears a nd,enirllc?vecs.The-our tpose o thin forttm is a:provide information which earl alert•iiie`town.of possible.conflicts oflt►terest and allow it In take what r action is necessary to avoid same. YOUR NAME: . . /r / (Last name,First name,middle initial,uuress you are applying id 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 e/ 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;sitbling,_pa t;•*r child)have a relationship with any officer or employee of the Town.of Southold? "Relationship":includes.by blood,rriarriage,or business interest."Business interest"means a business, including a:par itership,in which.the.town officer.or.employee has,even a partial ownership of(or employment by)a corporation in which the tawn':officer"or employee owns more tliarr 5%ofthe'.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 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 ail that apply): A)the owner.ofgreater than S%efthe sliares:ofthe corporate stock of the applicant ( lett the applicant is"a corporaion) ..B)the;Iegai or beneficial owner.of any inter 'iii anon-corporate entity(when the applicant is nota corporation); officer,director,parte er,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP • • Submitted this " '• • 201 Sigriatutc Print Name �. - (� rnti Form TS 1 a / 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 evaluatedas to its significant beneficial and adverse effects-upon the coastal area(which includesall of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus,°each answer must be,cxtilained.hi detail, listing both supportiug::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# /O6z _ 53 :" 0,5- - 1 'A4 D E C t� i, PROJECT NAME /57196 kJ MAY 272014 The Application has been submitted to (check appropriate response): Town Board pi Planning Board E-7BuildingDept. ❑ RN nard oT ��f ed:; . _ 1. Category of Town of Southold agency action(check appropriate response): ✓k�,��� � �lmwawc (a) Action undertaken directly by Town agency(e.g.capitals ,F- construction,planning activity,agency regulation,land transaction) ti .,G ❑ .X.41.0'L'•'`A1,14(1`) (b) Financial assistance(e.g. grant,loan, subsidy) -°� (c) Permit,approval,license,certification: //"' Nature and extent of action: � '.datl-r) ���L� ✓A. v fr4/0-t- ie$4-( .61_4 Xedia"6-4:x-j-(71/7-/L:44,441,- Ni Ae-ele,ta- ‘T7` detdreA-62e-- / fix,;�;� "� Location of action: -* A ' ' ' _ Al Site acreage: Present land use: Present zoning classification:. . ._. 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: 7G/A / .. . i AA . 41,(b) Mailing address: O/D� v- �c.c.L.A.---- 011 , A 1,4 (c) Telephone n f ber: Area Code( ) 4? -17,5-J- (d) 17 J-(d) Application number,if any; Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes J No If yes,which state or federal.ager y? 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. 0 Yes 0 No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP P Section III—Policies Pages 3 through 6 for evaluation criteria { t I Yes 0 No V 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 Q Yes ❑ No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies P es 8 through 16 for evaluation criteria El Yes CI: 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 thro gh 21 for evaluation criteria Yes C� 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. CI C E Yes No Not Al ;able 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. F. Yes 1 ! No ., Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wast s. See LWRP Section III—Policies; Pages 34 through 38 for evaluations criteria. H Yes 0. 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 No[21/Not Applicable Attach additional sheets if necessary WORKING COAST POLICIL'.., Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See WRP Section III Policies; Pages 47 through 56 for evaluation criteria. Q Yes Li No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town wat rs. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. U Yes f 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 forevaluat 0 Yes 0 No Not'on criteria. Applicable • Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; P es 65 through 68 for evaluation criteria. fl Yes .l No. . Not Applicable /PREPARED BY. c)tiTITLE DATE •�a L Y i