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HomeMy WebLinkAboutTR-8712 Glenn Goldsmith, President `�®F sou Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ,`®V� ®�® P.O. Box 1179 Eric SepenoskiB Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #2115C Date: January 4, 2024 THIS CERTIFIES that the demolition of existing dwelling with foundation to remain; construct a two-story(1 140sq ft first floor, 786 25sq ft second floor)dwelling with a 110.5sg.ft. second story deck onto foundation; remove and reconstruct concrete stoop on southeast corner of dwelling, add two (2) cellar windows airways to south side of foundation-, and install gutters to leaders to drywells to contain runoff; At 5218 Great Peconic Bay Blvd, Laurel Suffolk County Tax Map#1000-128-2-22 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 2,2015 pursuant to which Trustees Wetland Permit#8712 Dated December 16, 2015,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the demolition of existing dwelling with foundation to remain; construct a two-story(1 140sq ft first floor, 786 25sq ft second floor) dwelling with a 110 5sq ft second story deck onto foundation;remove and reconstruct concrete stoop on southeast corner of dwelling; add two(2) cellar windows airways to south side of foundation; and install gutters to leaders to drywells to contain runoff. The certificate is issued to Rick Nappi owner of the aforesaid property. = Authorize Signature c 1 Glenn Goldsmith, President _``,,�q� so��� Town Hall Annex ®V" A. Nicholas Krupski,Vice President a ® 54375 Route 25P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly cn G Telephone(631) 765-1892 Elizabeth Peeples ® �® Fax(631) 765 6641 C®UM, , BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 1/y/Z4 INSPECTED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1 st day of construction % constructed X Project complete, compliance inspection COMMENTS: o K 90< C 61� C. �u; 1� ;� accacao,�c�o w;�L. �cr.;$ � g��2 aid plates a;aaco�of 12/6/S - CERTIFICATE OF COMPLIANCE: C President p�pgllFFQC,� Town Hall, 53095 Main Rd John M. Bredemeyer 111, �G P.O Box 1179 Michael J Domino, Vice-President �� y� o r t a rry 971 James F. King N z �1 Telephone(631)765-1892 Charles J.Sanders p I Dave Bergen 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 % constructed Project complete, compliance inspection TERMS AND CONDITIONS The Permittee Rick Nappi residing at 5218 Great Peconic Bay Boulevard,Laurel,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 Pennittee 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 III, President ��®� S®Ujy® Town Hall Annex Michael J.Domino,Vice-President �® �® 54375 Main Road P.O.Box 1179 James F.King,Trustee jW Southold, New York 11971-0959 Dave Bergen,Trustee G Telephone(631) 765-1892 Charles J. Sanders,Trustee COUNTi Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 16, 2015 Michael A. Kimack 321 Riverside Drive Riverhead, NY 11901 RE: RICK NAPPI 5218 GREAT PECONIC BAY BOULEVARD, LAUREL SCTM# 1000-128-2-22 Dear Mr. Kimack: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 16, 2015 regarding the above matter: WHEREAS, Michael Kimack on behalf of RICK NAPPI 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 September 2, 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, a Public Hearing was held by the Town Trustees with respect to said application on December 16, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of RICK NAPPI for the demolition of existing dwelling with foundation to remain; construct a two-story (1,140sq.ft. first floor, 786.25sq.ft. second floor) dwelling with a 110.5sq.ft. second story deck onto foundation; remove and reconstruct concrete stoop on southeast corner of dwelling; add two (2) cellar windows airways to south side of foundation; and install gutters to leaders to drywells to contain runoff; and as depicted on the site plan prepared by LPA Architects, LLP dated November 10, 2014, and stamped approved on December 16, 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, John M. Bredemeyer III President, Board of Trustees JMB/dd John M. Bredemeyer 111, President gUEFQ(,�c Town Hall Annex Michael J. Domino, Vice-President �� �Gy 54375 Route 25, P.O.Box 1179 c Southold,NY 11971 James F. King US z Charles J_ Sanders y • �� Telephone(63 t)765-1892 Dave Bergen " Fax(63 l) 765-6641 BOARD OF TOWN TRUSTEES _ TOWN OF SOUTHOLD z TO: RICK NAM 40 MO*oL At 9,A4,q_K Please be advised that your application dated 0EP- 2' :�-0I S has been reviewed by this Board at the regular meeting of Din !�4 2O/� 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: TOTAL FEES DUE: $ BY: John M. Bredemeyer III, President Board of Trustees s=, t' John Bredemeyer, President �ogUFF91,t Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King ti = P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen �1 ,[. �a°! Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionNMork Session Report Date/Time: Michael Kimack on behalf of RICK NAPPI requests a Wetland Permit for the demolition of existing dwelling with foundation to remain; construct a two-story (1,140sq.ft. first floor, 786.25sq.ft. second floor) dwelling with a 110.5sq.ft. second story deck onto foundation; remove and reconstruct concrete stoop on southeast corner of dwelling; add two (2) cellar windows airways to south side of foundation; and install gutters to leaders to drywells to contain runoff. Located: 5210 Great Peconic Bay Boulevard, Laurel. 'SCTM# 1000-128-2-22 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: Conditions: Present Were: J. Bredemeyer. M: Domino J. King D. Bergen C. Sanders Bay Constable Other Form filled out in the field by t Mailed/Faxed to: Date: Jr_ ° 1 John Bredemeyer, President SUFF011( Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King ti x P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen O1 ,F �a Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 9 C- I" � Y I � f 9.' do Michael Kimack on behalf of RICK NAPPI requests a Wetland Permit for the demolition of existing dwelling with foundation to remain; construct a two-story (1,140sq.ft. first floor, 786.25sq.ft. second floor) dwelling with a 110.5sq.ft. second story deck onto foundation; remove and reconstruct concrete stoop on southeast corner of dwelling; add two (2) cellar windows airways to south side of foundation; and install gutters to leaders to drywells to contain runoff. Located: 5210 Great Peconic Bay Boulevard, Laurel. SCTM# 1000-128-2-22 Type of area to be impacted: dSaltwater Wetland -- Freshwater Wetland Sound ay Distance of proposed work to edge of wetland 4 7l�_ Part of Town Code proposed work falls under: 4,-'Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Ss-nubission Violation Notice of Hearing card posted on property: SuYes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: 1,4SS Modifications: 9 L?ujr\ /'yew czw"��g2 Conditions: Present Were: J. Bredemeyer � M. Domino King _ D Bergen C. Sanders Bay Constable Other Form filled out in the field by J Mailed/Faxed to: Date: Yra�f Rick Nappi r 5210 Great Peconic Bay Blvd.,Laurel SCTM#: 1000-128-2-22 10/14/15 Tv , rn a < • VI ameWl yr "� k lvvpk 1 - Iff -- HomeWrap HomeWrap HomeWrap HomeWrap HomeWrap r f k err w- q t Vol orr 0 1 oil r i. qqtt. 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Bill FIIIZ e,: 1)!W-360 To whom it may concern, I am writing this letter to state that after the Worior d'ernoftior,was completed al,the Nappi rel:,Iderlts al b21 8 Pnconir,6�jy Boulevard NY,that the exterior walls on the east %vest and south side of the 110Wse I-ad extensive termite and water darnp9ci, Once thatwis disIccvered my professio.-al ano PYperl Opini0f) aft0l I)ein':in husin(I"Is for twenty ip�us puirs,was inal those walls noedec;to be rohwlt Ic.in oraer to hold now 2nd iiioor addition, Pleas,)[eel free W contact my office with ariv cluestions I or concerns you may have egarding th!S 3,ncerply, Mr Mi:am Fitzbinimuns ip ubder-ii DEC 1 6 2015 BOARD MEMBERS Of $BUT Southold Town Hall Leslie Kanes Weisman,Chairperson �� �p 53095 Main Road•P.O.Box 1179 �O !O Southold,NY 11971-0959 Eric Dantes Office Location: Gerard P.Goehringer G Q Town Annex/First Floor,Capital One Bank George Horning �® I�4Z4` 54375 Main Road(at Youngs Avenue) Kenneth Schneider coUN'iY,�'�v Southold,NY 11971 http://southoldtown.northfork.net -- ZONING BOARD OF APPEALS ( E TOWN OF SOU HOLD C. I Tel.(631) 765-1809•Fax(i 31)765-9064 NOV 2 5 2015 I Southold ioNn FINDINGS,DELIBERATIONS AND DETE MEETING OF FEBRUARY 19,2015 MEETING NOVEMBER 19,2015(AMENDED DETERMINATION) ZBA FILE: 6828 Amended NAME OF APPLICANT: Rick Nappi SCTM#1000-128-2-22 PROPERTY LOCATION: 5218 Peconic Bay Boulevard(adj.to Great Peconic Bay)Laurel,NY. SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated December 29, 2014 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated January 28, 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 property is a non conforming 10,890 sq. ft. lot in the R40 Zone District. It is improved with single family dwelling, accessory shed and is bulk-headed. It is accessed from a 15 foot right of way off the south side of Great Peconic Bay Boulevard, it has 88.79 feet on the north property line, 147.93 feet on the east property line, 103.79 feet on Great Peconic Bay and 178.31 feet on the west property line as shown on the survey dated June 19,2014 prepared by Wallace T. Bryan,LLS. BASIS OF APPLICATION: -Request for Variances from Article XXIII Section 280-124 and Article XXII Section 280-116B and the Building Inspector's December 3,20141 Notice,of Disapproval based on an application for building permit for additions and alterations to a pre-existing neon-conforming single family dwelling, at; 1) less than the code required front yard setback of 35 feet, 2) less than the code required minimum single side yard setback of 10 feet, 3) less than the code required bulkhead setback of 75 feet. RELIEF REQUESTED: The applicant proposes to build a second floor addition and make alterations to the existing first floor of the pre-existing single family dwelling, requiring variances for; 1.) a front yard setback of 33.5 feet where the code requires a minimum of 35 feet, 2.) a single side yard setback of 8.5 feet where the code requires a minimum of 10 feet and, 3.)a 55 foot bulkhead setback where the code requires a minimum of 75 feet. Page 2 of 4—November 19,2015 ZBA##6828—Nappi SCTM##1000-128-2-22 FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on February 5,2015 and on November 5, 2015 to hear the amended and renewed application, at which time written and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 4267-b(3)(b)(1). Grant of the variances will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Nonconforming bulkhead, front yard and side yard setbacks of one and two story dwellings are characteristic of this neighborhood. The dwelling has existed in its location since prior to zoning and the footprint will not change. 2. Town Law V61-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 dwelling pre-exists in its present non-conforming location and proposed additions and alterations upon the pre-existing first floor and foundation will require variance relief. 3. Town Law 4267-b(3)(b)(3). The variance granted herein for a 33.5 foot front yard setback is not mathematically substantial,representing 4%relief from the code.The variance granted herein for a single side yard setback of 8.5 feet is mathematically substantial, representing 15% relief from the code. However, the pre-existing dwelling is not parallel to the subject side property line which creates a nonconforming single side yard setback to only a corner of the dwelling and this side yard setback increases along the side property line to a conforming setback. The variance granted herein for a bulkhead setback of 55+/- feet is mathematically substantial, representing 27% relief from the code. However, there are other dwellings in this neighborhood that have similar and lesser setbacks to the bulkhead. 4. Towri Law V67-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law V67-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law §267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of constructing additions and alterations to a single family dwelling upon the pre- existing foundation, 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 Schneider, seconded by Member Dantes , and duly carried,to GRANT, the variances as applied for, and as shown on the Survey of Property prepared by Wallace T. Bryan, L.S., dated June 19, 2014 and the architectural drawings prepared by LPA Architects, LLP, dated Nov. 10, 2014. 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. I =• 1 Page 3 of 4—November 19,2015 ZBA#6828—Nappi SCTM#1000-128-2-22 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,Dantes. (Absent was:Members Horning and Goehringer) This Resolution was duly adopted(3-0). (Signed, adopted and filed under Original Decision), Leslie Kanes Weisman, Chairperson Approved for filing / /2015 AMENDED DETERMINATION: ZBA FILE: 6828 Reopened and Amended NAME OF APPLICANT: Rick Nappi SCTM#1000-128-2-22 PROPERTY LOCATION: 5218 Peconic Bay Boulevard(adj.to Great Peconic Bay)Laurel,NY. BASIS OF APPLICATION: Re-Opened by Board Resolution-Request for Variances from Article XXIII Section 280-124 and Article XXII Section 280-116B and the Building Inspector's December 3,2014,AMENDED September 22,2015 Notice of Disapproval based on an application for building permit for to Demolition of existing single family dwelling and construction of a new single family dwelling, at; 1)less than the code required front yard setback of 35 feet, 2) less than the code required minimum single side yard setback of 10 feet, 3)less than the code required bulkhead setback of 75 feet. RELIEF REQUESTED: The applicant proposes to demolish the pre-existing single family dwelling down to the pre-existing first floor platform decking and construct a new single family dwelling upon the pre-existing foundation, requiring variances for; 1.) a front yard setback of 33.5 feet where the code requires a minimum of 35 feet, 2.) a single side yard setback of 8.5 feet where the code requires a minimum of 10 feet and, 3.) a 55 foot bulkhead setback where the code requires a minimum of 75 feet. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on November 5,2015 to hear the amended and renewed application, 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: Page 4 of 4—November 19,2015 ZBA#6828—Nappi SCTM41000-128-2-22 1. The agent for the applicant stated at the public hearing that during the construction of additions and alterations, the builder found that the pre-existing exterior walls had extensive termite and water damage which required their complete removal. Consequently, this added sufficiently to the amount of structure removed from the original dwelling to require the Building Department to determine the construction to be a demolition. 2. The Building Department placed a stop work order on the project because it exceeded the scope of the variance relief granted for additions and alterations and issued an amended notice of Disapproval on September 22,2015. 3. A letter dated November 9, 2015 from the applicant's builder confirmed that due to the extensive damage from termites and water in the pre-existing non-conforming dwelling, it is his professional and expert opinion that the first floor walls had to be rebuilt in order to hold the new second floor addition. 4. The new dwelling has been constructed on the pre-existing non-conforming foundation using the same architectural plans and setbacks as in the relief previously granted in this Appeal 46828 dated February 19, 2015. 5. The applicant's agent testified that the subject waterfront property is such that there is no location where a new dwelling could be built without requiring some variance(s). 6. The Board reviewed evidence that the existing structures, dwelling and boat house on the subject property are pre-existing. 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 Schneider, seconded by Member Goehringer, and duly carried,to GRANT, the variances as applied for, and as shown on the Survey of Property prepared by Wallace T. Bryan, L.S., dated June 19,2014 and the architectural drawings prepared by LPA Architects,LLP, dated Nov. 10,2014. Vote of the Board: Ayes: Members Weisman (Chairperson), Horning, Dantes, Schneider, Goehringer. This Res ll tion was duly dopted(5-0). eslie Kanes Weisman, Chairperson Approved for filing �J / �; /2015 Peter Young,Chairman H Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., October 14, 2015 the following recommendation was made: Moved by John Stein, seconded by Doug Hardy, it was RESOLVED to SUPPORT the application of RICK NAPPI for the demolition of the first floor as a result of finding extensive termite damage and reconstruct dwelling in accordance with Wetland Permit#8593. Located: 5218 Great Peconic Bay Blvd., Laurel. SCTM#128-2-22 Inspected by: John Stein, Keith McCamy Vote of Council: Ayes: All Motion Carried a i John M. Bredemeyer III,President \\Zf S®Ul'yD Town Hall Annex O l 54375 Main Road Michael J.Domino,Vice-President '` ® P.O.Box 1179 James F. King,Trustee Southold,New York 11971-0959 G Dave Bergen,Trustee �� Telephone(631) 765-1892 Charles J.,Sanders,Trustee O�yC®u �A Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SEP 17 2015 To: Southold Town Building Department Re: Verification of Building Department Permit Requirements SCTM#: Property Owner Name: ' Cier Date Sent to Bldg. Dept.: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? r COMMENTS: 0) Signature of kreviewer Date - i r , John M.Bredemeyer III,President � �oUjyO Town Hall Annex Michael J.Domino,Vice-President l0 54375 Main Road ames:F King;_ -rus e� v� =7. �... -. -=----.b.�"_.--S1179 buthiild;New York 11977=09 Dave Bergen,Trustee ® �O� Charles J.Sanders,Trustee 0 Telephone(631) 765-1892 lycoUMrl, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD - Office Use Only Coastal Erosion Permit Application i;?'Wetland Permit Application _Administrative Permit ' SEA - 2 2015 / _AmendmendTransf r/Extension y Received Application: icy�n Received Fee: $ Ode AS-NIL - TCompleted Application: ,Z-( it �Jli esc Incomplete: _SEQRA Classification: Type I Type II Unlisted Coordination:(date sent): q,` LWRP Consistency Asse,,s sment Form.- CAC Referral Sent: 7,30(6— Date of Inspection: 10 d! t L5 _Receipt of CAC Report: _Lead Agency_Determination: Technical Review: Public Hearing Held: _Resolution: �^e Name of Applicant: A/,C�-1 Mailing Address: 6'_W, A11Z To(J RZ,# E 6A O V,25--_ �y Phone Number: Suffolk County Tax Map Number: 1000 - /;7,P— Property Location: M )5� CDN`L' gA AFL UO L,4161P, e (provide LILCO Pole#, distance to cross streets, and location) AGENT: ,4 Aez&_� C/G 6; y�Y ��.C�yl1ZZ p t5. ,�o�C / 6 7 Z- Address:f1y"/MW/_VY B/?0/ /`W 27j- WC AIY f 63 7z7- l Phone: o� I_ :d of Trustees Applicatio `1 GENERAL DATA Land Area(in square feet): 4'��--7 Area Zoning: - 40 Previous use of property: 9CO a6&VA L Intended use of property: .9ECz W z- Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. 15--/ W I A E R 6tV W( pNG �J'T,�/2A,/ eDU/✓OAW S/ Will this project require a Building Permit as per Town Code? _ C 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 require any demolition as per Town Code or as determined by the Building Dept.? No Does the structure(s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Z�ti A-145Agency Date 2 2 ,/ NXFP,6c!z ram. or /Zo A I GM- cf VR1r,V1CT710N No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No K Yes If yes,provide explanation: &-P6 Aoe / AG6 0/2 Project Description (use attachments if necessary): d✓11 .2/ pE ,J'/"/ ,'-Jk>57 ' (Iv I vApowsl o Dom s,4�✓� ./'G,dl�lil� - r=rav� x�: %�v� c oN�:�`f-aop-fin Q LL (iI,BJV17 U!/� A1R WAYs r'6 JvlllwLn�1 aF bl®Us�• c e1.�/rnWC)-PRY vv�zc 'Py ,4..VA P C ay.rr w22v Ord of Trustees Applicatici y WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: V/�5 1y G .d 6 , D/yS iJ 1-.,,,5Jer11N7,WAZZA RPZ4 onVL . WO . V.0 ?1VW 4Z d01 W/ pal R)ed-� IX W it M YlMZ, Ak1/12 &&--rZZAI(, Area of wetlands on lot: —d — square feet Percent coverage of lot: —0— % Closest distance between nearest existing structure and upland edge of wetlands: g//) feet Closest distance between nearest proposed structure and upland edge of wetlands: /VVP feet Does the project involve excavation or filling? ,>C No Yes _ _If_yes, ho_w much.material_will_be_excavated?____A//,O___ cubic yards---- How much material will be filled? /(/,�2 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: (�c11 —W41-Z,y 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): 6I Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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 Action or Project: Project Location(describe,and attach a location map): C Brief Description of Proposed Action:RZV C�/� OOyLS Amp Dt oowvp y/-/7-'y�/..,A5yer .4iv'V/NT W141 t -S X/_F M 0®'_ z'_/17,z �rM / . /p�L�/�o •�r)� N,X- EST ttiCN�JD�I/.S; D vons.�1a+�� J1X)1A/(�• esG"6VO OXT CONC. P o� 2 ddil J,� f"o!U1JE/2 U�' ID G!>�c a✓G ba rw o /W ��"LL.�1>2 IevIAW d ?w4Y.P r0 ./�0VrIs�f'lI� 0�P � r C 6�!✓'J"/2UC� nny �//�L L mil' l J Name of Applicant or_Sponsor:_ Telephone: �_ z 3 Address: z/ City/PO: State: Zip Code: i V115AAA064AV &Y I 9 of 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that � ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agenc (s name and ermit or approval: 3.a.Total acreage of the site of the proposed action? S616cres b.Total acreage to be physically disturbed? .-0 - acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? :-We acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban El Rural(non-agriculture)_ ❑Industrial ❑Commercial residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? cal( ❑ ❑ b.Consistent with the adopted comprehensive plan? 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: �0 ❑ 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 technologies: ❑ Uc dA/ w 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: QM1—_J'J f5 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? IM ❑ -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? ET 9 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: 0 EL 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline El Forest ❑Agricultural/grasslands ❑Earlymid-successional ❑ Wetland ❑Urban 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.WilI storm water discharges flow to adjacent properties? XNO ❑YES ❑ �I b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe- ]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: L/N I ❑ 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: 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: CC_ Date: 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 l. 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? D ❑ 3. Will the proposed action impair the character or quality of the existing community? Ey 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? LJ 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: a.public/private water supplies? a b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological; ❑ architectural or aesthetic resources? LJ 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 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 impacts. Town of Southold-Board of Trustees /-0 _ Name of Lead Age cy / Date President Print or Typ acne of e ponsible Officer in Lead Agency Title of Responsible Officer Sign re of Ne nsible Officer in L&dd Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 i ' e Postal CERTIFIED MAILo ■ ® MA M ■ EQEIPT CO (Domestic oniy;No insurance . Domesticb to N LAUREL MW � C 0 A L U ,� I1 -0 MERRICSx P .L-� cc Postage $ 3.45 N Postage $ f3.45 Certified Fee 0 ® �' I Certified Fee ^c Postmark p Return Receipt Fee . Here p Return Receipt Fee p (Endorsement Required) C] (Endorsement Required) p Restricted Delivery Fee / g ((��(( �3_ O Restricted Delivery Fee (Endorsement Required) �1 (Endorsement Required) I?; p 3/Z�� p r ru 1 p 149 YV°f r:1 Total Postage&Fees $ ?_ I M Total Postage&Fees ru Sent To LSe4ToStreet&Apt NO, �f /�G^ Y ��+ �/ QJ pt.No.;or PO Box ir No. �Y __ l_5�1f`/.__�lr4dN� �� oxNo. --------------------City,State,ZIP State,ZIP+4 L, Al- l/ b - PostalTM aDomestic Mail Only N 'm $3.45 r Postage $ rq Certified Fee i p Return Receipt Fee r CJ (Endorsement Required) ® y p Restricted Delivery Fee /p (Endorsement Required) 1/13Q15� ru � 11333 rl Total Postage&Fees ru t Sent TO a ----------------------- ' Street& pt.No., or PO Box No. --------------- f John Bredemeyer, President °gOFF9j* Town Hall Annex Michael J. Domino, Vice-President ��° ash 54375 Route 25 James F. King y P.O. Box 1179 Dave Bergen oy . Southold, NY 11971 Charles J. Sanders 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 RICK NAPPI COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, M/6V xL 04, &! ,l , residing at/dba being duly sworn, depose and say: That on the y/Z day of' O P7V6'6A , 201l,I personally posted the property known as lIZ/00 CON/C' .X4Y ACW ZA4,&�L by placing the Board of Trustees official poster where it can easily be seen, and 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, October 21, 2015. Dated: (signature) Sworn to before me this a')•}'� day of Otf 20 (j Lon Notary Public CONNIE D.BUNCH ,Notary Public,State of New York No.01 BU6185050 Qualified In Suffolk County Commission Expires April 14,2_Q� 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: C OCAIS' y,O/O/2tXc- eVY/l�G URA/W I z?- Z-!7 �g*'�Tn-4n P�rf�j2foA1 �tH l°f'rd NY L1�'-5 UA/a B , /qF .5�aoo �/P�.�r I'�Cv�//C ,C��7Y � • STATE OF NEW YORK COUNTY OF SUFFOLK &/('hW�-1 A 6/AWQ�residing at fz1 R1 V,,Fq=� X. e2/Vfiew6w NY (/pU/ , being duly sworn, deposes and says that on the 1:?IA day of dCjT , 20/4';deponent mailed a true copy of the Notice set forth in the Board of Trustees 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 assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at foee d Z o , that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. L i Sworn to before me this Day of , 20_15- Notary Public CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 a Qualified in Suffolk County Commission Expires April 14, ,NUTILL U :!� HtA 'KING 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: RICK NAPPI SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the demolition of existing dwelling with foundation to remain; construct a two-story (1 ,140sq.ft. first floor, 786.25sq.ft. second floor) dwelling with a 110.5sq.ft. second story deck onto foundation; remove and reconstruct concrete stoop on southeast corner of dwelling; add two (2) cellar windows airways to south side of foundation; and install gutters to leaders to drywells to contain runoff. Located: 5210 Great Peconic Bay Boulevard, Laurel. SCTM## 1000-128-2-22 TIME & DATE OF PUBLIC HEARING : Wednesday, October 21, 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 Board of Trustees Application. AFFIDAVIT K Nan, 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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. SAure of P perty Owner SWORN TO BEFORE ME THIS DAY OF , 2p No ary Public Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, AP/QK &ALVZ1 residing at__ (print owner of property) (mailing address) —do hereby authorize W-1 14,/� C� (Agent.' mv PAV/,U ;rAN- azz/ —to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) - TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics12rohibits 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.YOUR NAME: V10 d (Last name,first name,giiddle initia,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 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 than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted is 311 day of 2005 Signatur Print Name �&to ZA Af0.Jt� Form TS 1 AP-P-LICANUAGENTMPRESENTATIVE TRANSACTIO1- A.L DISCL0SURKF0RMT- �- The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The pumose 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. YOUR NAME: AI RA C16 ./mil f A& (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee )� Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"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"Y-ES'%complete-the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this _day of/!VG IJ S 20�/ Signature _- Form TS 1 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" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supRorting 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# LZP - 2 - ZZ PROJECT NAME"Bp> 9-'/�,�Jt/� A5/16 VAV4Al The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. M Board of Trustees I. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval, license,certification: ¢�YrGl�6/1V_r Nature and extent of action: � ��'� 'e b 6}' , . WAILS. A,��yoVVG 1j7.;l)r OXT Wi�LL S.4/led !/ITT 4 _VWt - �ll2,S`1"�� • /j/AdJ'P T i SX�l�ls •FT o bY� IV OXr WIM0dW-r, V o� aCZl C�C1.17//VG CONC. ProOr 6W f e Co a!= ® J�11cr C n WIA,0 LV 9 #LRWAYS 06-CO VA?Plp-e O 4tJs;-'e Location of action: ,�2/� p CG/VJ e /gL Ili,, /�U12.9 L 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: (b) Mailing address: (c) Telephone number: Area Code( ) �/6 91—q— -7,4¢ (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No g Not Applicable 97 dAl /LL D C 45A1 Y1 A C _ vq L v C a vo Div Attach additional sheets if necessary Policy_-2._=P-rotect=andresee-historic-and—ar- hlogial- esouce -ofte' on—of:Soth-p a old_—See- LWRP - - Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No K Not Applicable r ; ' C4 L. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Z Not Applicable 11A 77,6/IJ A= l,Ddl� y .0 woe ;0tB1,e51-1 ZA1-6 Wle l I1 A M 4Z�1,4 O)e- Al D 1A2;eA Of Oti QU�Z'Y Aoe:- Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No 0—Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No XNot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish"and Wildlife Habitats and wetlands. See LWRP Section III=Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes [] No[] Not Applicable O .f72W& J' aVM2l - Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. - - - -----Yes -O--No 1- -Not Applicable - - - - -- - - - - - --- - --- --- ------ ---- ------ -- - - --- -- - W/G L 1 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. YeJ0 No Not Applicable �2.4�5d/2 ,� AA- IL 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 5G f_or evaluation criteria.. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 9 Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for.. evaluation-criteria. --- - ---- - --- ---- - - ❑ Yes ❑ NoJSJ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No, Not Applicable PREPARED BY �� '� TITLE DATE Q Sheet Notes: z 0 z 0 v 13 ca � _._ . ❑ Zit 1H J\ - El - i J I g N ft - � RCVISIOfK: 0 �uw.�w►�aewn�a�rww MMWwaMWWrNMWOMNNW wwow+r�wroc�wrrwoorwuwwl�s*owtwos'Mera Ir1 M1tr�All�1�lMMiT,rl/�M�ewl11/lelef�•1r1A1�' rw, 011 nMwwn"AR MWOMM ML 601mmeuroeaao��Al nouar+�wrr,aoo w,MooecnM�rwuMewMr�rwirrwawwora \ Proposed AdditioWAkeration Nap i Resi ence 5218 Peconic Bay Boulevard Laurel, New York 11948 LPA Architects LLP 1 - FARC.ITECTURE PLANNING ' www.lpa-plans.com {!tJ Tt 631 S"2914 foe 631 W9 OM �a SEA' 2 2015 � - t ! or AW IM,aM nw oocwwir • _ y ,�1'4tt�h to"TaC*1^7e tM haw 44 ` Dow WX102014 i I I ` 11 I DO: 2014 �+-- -�I. i � J ==-- +I '�'`,�-• sale: • AS NOTED .3.-1' L 1 14028 EAP JUL* chadc w BOARD-OF I aZUSTEES . NAPPI KMP >',-TOWN OF SOUTH_ OLD: �;` Sheet Notes: o macs o T /s'i P1 11 O z ow rr 20 n21 ;I 0 1 •\ t, I1.I6 UP j LLJ -- o_ ( I �y X MA4 P;M � _ f2 INN �I�• I NA C�1'1fiN4 WA/M114 .9 I i � fig'Him PI��(•oF,Vis"( 'I` NO � I � \ : ] IT'S N _.. �, Gil.• O :IP WM~"OAM"'s�.:r�iAw.w'�iarw �� ==Fmwwwiwrvtw.c�rwwwiws��wv.��w�is • ^M' `✓`� �'+ 1 w�rw�w�wruwrw+eMws+sr.�uMwr��wm�wrwwra I+Y ' 3 T 16�1�- — 7xJi ��� Proposed Addition/Alteration Nap i 4 j Resi ence 5218 Peconic Bay Boulevard ` i f Laurel, New York 11948 LPA Architects LLP ARCHITECTURE MANNING U _ - 1 i ►' � 1 �I p Gh�W,I II Q 14• www.lpa-plans.com :.a4Tt t..'�rlTt ?LOH WAS,-TA?.*H- UP � T a'1'Ar1.Vs.o1J l..I°I�If I21.:G P-mmm Sa MdiY 11792 / TGE 631 Sf!2714 Fs 6.31 Sp i735 Iw-phv— � I OF r i � NwrMowm A&COCwater 10M r�v:aX^TW"aoori, � ---- — "NOV 10 2014 Project Dome: SEP 2014 Sak: Il5 NOTED N--- - _ 14Na1lp4 170 ib 14028 EAP s�.l Cho* NAPPI KMP