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HomeMy WebLinkAboutTR-8738 Michael J.Domino,President QF S0(/TTown Hall Annex John M.Bredemeyer III,Vice-President �QVv Ol0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith 1 [ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 OOUNT`I;� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 20, 2019 Frederick Weber 41 East Maple Road Greenlawn, NY 11740 RE: RAYMOND RAIMONDI 1150 MASON DRIVE, CUTCHOGUE SCTM# 1000-104-7-6 Dear Mr. Weber: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, September 18, 2019: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8738 to relocate grill further landward; and as depicted on the site plan prepared by Frederick Weber, Architect, received on August 12, 2019, and stamped approved on September 18, 2019. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJD/dd FREDERICK ROBERT VJEBEn &RCHOTECT 713 AUG 12 2019 1 -Y� CS) e'L51%NG S"O ,Ae % O LS SITE PLAN 6f JAN 2 6 MG NEW RESIDENCE IRA111111 11.E.A-N T PROPOSED HAY BALE SILT FENCE 0 ARCHITECT, PROPERTY OWNER FREDF-'.K I WE... 11.-1_..ROAD GRE—AwN NY 11140 RAYMOND I ANN RAIMONOI WATER N —PATH TOM OF 50UTHOLD MLL _FoLK COLNTY NEW YORK • 1.09,18,111 —VEY-O-ATION, TEL D$. 1:0 4401, ES8�NSTF%RS LAND 80RVCYOR -U-ETE. 'T """'Wy X° .. —..AL S? LL I AREA TO'L OT AREA;..TL.AEL'.l".1Ul.1 O OOO Ne I'w 2931, —1- —T. YARDS,(FRNOPALI u) aH�NSITE PLAN N"NR lo 5 FkoIT B—HEAD) "A LIT RAGE,20%MAX—M e_T, 2141 5r 11 IAN 2011 E-TING"OU"' O�, ESTING TOTAL DATE, 1- MR-05E-.A.F 101.— 1-SF F-10- TING ..E., ,1SP 1, JOB No .01208 NYS DEC NOTES -Sn4 53i SP Ie sZl -ARS—TON ("K P.., I TOT 11PLIC. 'IET"R OF mE*,r31 11 1121 A...NO ID.Rkll—n rROFER— FLOOD PL A.A.-'I ---- ------ ---- ---- ' ' V II ,} - I 1 I � 1 1 t F� I I 11 I F"•"."��'' r w - - -- :01 --------------- _ ILI- ;i i g -- ^• ' . gr T 6 - Q 77-7 rn --� 00 , ® -_ :kR 00 =moved further =k . _ - ;z, _ ir'the ter. _ -m6� for ", with rays _ - II to stones Southold Town 'Bo r of;rusfees � ' Town Hall Annex Michael J. Domino, President O�QSVFFO(�C' John M. Bredemeyer 111, Vice-President !V- Route 25 Glenn Goldsmith P.O. Box 1179 A.Nicholas Krupski ® Southold,NY 11971 Greg Williams ��Ol o! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD t Date/Time: -)411 Completed in field by: � 4 Frederick Weber on behalf of RAYMOND RAIMONDI requests an Administrative Amendment to Wetland Permit#8738 to relocate grill further landward. Located: 1150 Mason Drive, Cutchogue. SCTM#: 1000-104-7-6. CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2 Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet & Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: / / / V I l O �� l U c w f i l' -f Cj Q w t OW o[wa�ol l OLci p.r . I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Im II ------------------- DINING ROOM -;__ 1 I IIOak -- II I II II ___________________ \ -- II ___ _ ________________ _________ i 1 4 II 11 I --------------- 1 / 11 / I _________________________________ �'' r SUN ROOM I FAMILY ROOMOF P Bluestone i Oak Bluesbo e,,- - Porch EI. Fin. Floor `�- --- E Top or Found •-/\ / EL +10'-0 -------- H � Porch EI � � ' •` 1,9 �0g Ste'sW-2"l 11 011 \`. `Se O { — �'— ---Pr sed s foo I — P* 10 I ` Bluton Grad 1' anddm --- cA - - ale+ aL�gu ar) s I 1 i o i I — Stone Pedestal w/Blueston$ Top for Grill Stand a Footprint or Removed House J Stone Co in r EI +II'-O' L _ — — — _ — d— 1 BI sto Pa ers u 1 I PROPOSED I n ses Irtl I I rL,se id) Grill FFF-�, � R,411'10ND11,� I PATIO PLr4N NORTH LiPa[o a Grade3,-q 1/4"I; CU MASON DRIVE IRemove Existin CUTCHOGUE, NYcn g 5Paco w Grade �VJULY 12, 2011Frederick Weber, Architect� JUL 13 2017 APPROVED BY BOARD OF 1RUSTEES %,L:_,___•- j TOWN OF SOUTHOLD �y�pA DATE tiowsr ro,zoi Z i w BURGER CONSTRUCTION , INC . POST OFFICE BOX 934 , CUTCHOGUE , N . Y 11935 TELEPHONE: 631-734-5217 FACSIMILE: 631-734-5249 August 8,2019 Town of Southold Trustees Southold Town Hall Annex 54375 Main Rd. P.O. Box 1179 Southold, NY 11971 Dear Trustees: Thank you very much for your consideration of this amendment to an existing permit,#1558C, pertaining to the residence located at 1150 Mason Drive in Cutchogue. Attached is the original, approved plan and a new sketch noting that the grill has been moved further from the water. Thank you for your time and consideration of this amendment. Please feel free to contact me anytime to discuss it. My cell phone number is(631)484-9763. Sincerely, Eugene Burger, President ELE AUG 12 2019 Southold Tovrn B r o;'ru '^°s Michael J.Domino,President 0f S0!/TTown Hall Annex John M.Bredemeyer III,Vice-President h0 lQ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Q Telephone(631) 765-1892 Greg WilliamsYOOU Fax(631) 765-6641 NT`1,�1c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1558C Date:February 8, 2019 THIS CERTIFIES that the demolition of existing one-story dwelling and construct new two-story single-family dwelling L(3 468sq.ft. first floor footprint), with a 186sq.ft* front porch, and a 254sq.ft. rear porch; first floor to be raised to meet flood zone conformance; install new sanitary system; existing 22'x48' garage and 14'x24' shed to remain-, remove existing seaward side patio and install a 480sq ft patio area with steps to ground and attached stone grill pedestal; and to install a drywell to contain the patio runoff reconfigure driveway and add approximately 200 cubic yards of clean fill; with the condition to establish and subsequently maintain a 10' wide non-turf buffer along the landward edge of the bulkhead; At 1150 Mason Drive, Cutchogue Suffolk County Tax Map#1000-104-7-6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 21, 2015, pursuant to which Trustees Wetland Permit#8738 Dated February 17, 20161,was issued and Amended on August 16,2017 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 one-story dwelling and construct new two-story single-family dwelling (3 468sq.ft. first floor footprint),with a 186sq.ft. front porch, and a 254sq ft rear porch,• first floor to be raised to meet flood zone conformance; install new sanitary system,• existing 22'x48' garage and 14'x24' shed to remain; remove existing seaward side patio and install a 480sq.ft_patio area with steps to ground and attached stone grill pedestal; and to install a drywell to contain the patio runoff, reconfigure driveway' and add approximately 200 cubic yards of clean fill; with the condition to establish and subsequently maintain a 10' wide non-turf buffer along the landward edize of the bulkhead.. The certificate is issued to RAYMOND RAIMONDI owner of the aforesaid property. a Authorized Signature LAW OFFICES WICKHAM,BRESSLER&GEASA,P.C. 13015 MAIN ROAD, P.O.BOX 1424 MATTITUCK,LONG ISLAND ERIC J.BRESSLER NEW YORK 11952 WILLIAM WICKHAM(06-02) ABIGAIL A.WICKHAM JANET GEASA 631-298-8353 TELEFAX NO.631-298-8565 awickhamk@wbglawyers.com February 15, 2019 Attn: Ms. Elizabeth Cantrell ;, FED 1 3 Board of Town Trustees Town of Southold Post Office Box 1179 Southold,New York 11971 Re: Trustees' Permit No. 8738 issued to Raymond Raimondi Premises: 1150 Mason Drive, Cutchogue,New York SCTM# 1000-104-7-6 Dear Ms. Cantrell: Pursuant to the terms and conditions of the Trustees' wetlands permit referenced above, enclosed is a copy of the Declaration of Covenants and Restrictions which has been recorded in the Suffolk County Clerk's Office in Liber 13000 page 965 on February 14, 2019 against 1150 Mason Drive, Cutchogue,New York. W truly yours, Abigail A. Wickham AAW/cs ! end 30/shdtrusteesRai m ondi2019 CC# : C19-7492 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 02/14/2019 under Liber D00013000 and Page 965 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 02/14/2019 SUFFOLK COUNTY CLERK JUDITH A.PASCALE SEAL 1 I IIIIII I IIII VIII VIII III II ILI I VIII VIII VIII IIII IIII IIIIII VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 02/14/2019 Number of Pages : 7 At: 04 :07 :24 PM Receipt Number : 19-0032681 LIBER: D00013000 PAGE : 965 District: Section: Block: Lot: 1000 104 .00 07 . 00 006. 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $35 .00 NO Handling $20 . 00 NO COE $5 . 00 NO NYS SRCHG $15 .00 NO TP-584 $0 . 00 NO Notation $0 . 00 NO Cert.Copies $10 .40 NO RPT $200 .00 NO Fees Paid $285 .40 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County r 1-1�F2] RECORDED 2019 Feil 14 04a 07.,24 PM _�UDITI-i A. PASCALE Number of pages CLERK OF SUFFOLK COUNTY L G,OOOITO0O This document will be public P 965 record.Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee 5-115s Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. �� C � Held for Appointment Comm.of Ed. 5. 00 s Transfer Tax Affidavit Mansion Tax The property covered by this mortgage is (Certif!d Copy 2 or will be improved by a one or two r� familydwellingonly. NYS Surcharge 15. 00 -�C . Sub Total y YES or NO Other Grand Total If NO, see appropriate tax clause o page# of this instrumet. 4 Dist 3817250 1000 10400 0700 006000 16.000 5 Community Preservation Fund Real Prop PTS IIIU�III�I��I�I�II��III1�11� Consideration Amount $ ATax Servic R LPA 1'�I - Agency 14-FEB49 CPF Tax Due ,_ $ Verificati( .- - Improved _ 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land' TD Wickham, Bressler& Geasa, P.C. P.O. Box 1424 TD Mattituck,New York 11952 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 81 Suffolk County Recording & Endorsement Page This page forms part of the attached Declaration of Covenants made by: (SPECIFY TYPE OF INSTRUMENT) Raymond R. Raimondi, Jr. and The premises herein is situated in Ann S. Raimondi SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold In the VILLAGE or HAMLET of Cutchoigue BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over t v DECLARATION OF COVENANTS THIS DECLARATION made this 8th day of February, 2019 by RAYMOND R. RAIMONDI, JR. and ANN S. RAIMONDI, residing at 161 E. 79th Street, Apt. 813,New York,New York 10075, hereafter referred to as `DECLARANT": WITNESSETH : WHEREAS, DECLARANT is the owner of a certain real property located at 1150 Mason Drive, Cutchogue, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 104.00, Block 07.00, Lot 006.000, which is more particularly bounded and described as set forth in "Schedule A" annexed'hereto, hereafter referred to as the Property; WHEREAS, the Property is situate on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, DECLARANT, has made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees have required that a 10 foot wide "non-turf buffer" adjacent to and landward of the bulkhead, as shown on the site plan prepared by Frederick Robert Weber, Architect, last revised'January 22, 2016 and stamped approved on February 17, 2016, (the "Plan"), attached as"Schedule B", and the Trustees' Permit No. 8738 dated February 17, 2016, attached hereto as "Schedule C"; and WHEREAS, the Declarant has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property; NOW, THEREFORE, THE DECLARANT does hereby covenant and agree as follows: 1) Upon the,substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained a ten (10) foot"non- turf buffer"adjacent to and landward of the bulkhead as defined by Chapter 275 of the Town Code and as depicted on the Plan described above; and 2) These covenants shall run with the land and shall be,binding on the .� = DECLARANT, their heirs, assigns,purchasers, or successors in:Interest and may only be modified after a public hearing and upon resolution of the Trustees. J 3) These covenants shall constitute a notice covenant and deed restriction restricting the Property as aforesaid. 3 IN WITNESS WHEREOF,the owner has duly executed this instrument this day of February, 2019. Raymon aimondij-,r, *�:::A STATE OF NEW YORK) ) ss.. COUNTY OF SUFFOLK) On the day of February, in the year 2019, before me, the,, undersigns�__ a Notar ,PAublic in and for the State, personally appeared RAYMONE AIMONDi,A id A�IMONDI, personally known to me or proved to me on the Basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individ*OT d, executed this instrument. PUBLIC re%&rWetlands ,ABIGAIL A.WICKHAM Notary Public State of New York No- 52-4642871 Qualified in Suffolk County Commission Expires Sept.30,20?,/ _ Ili t SCHEDULE A SCTM#1000-104.00-07.00-006.000 ALL that certain plot,piece or parcel of land, and the buildings and improvements thereon, situate, lying and being at East Cutchogue, in the Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at an iron pipe on the southerly side of Mason Drive distant 75.34 feet westerly from the corner formed by the intersection of the said southerly side of Mason Drive with the westerly side of Broadwaters Drive; RUNNING THENCE South 12 degrees 08 minutes 10 seconds East, 266.82 feet to the average highwater mark of Haywaters Cove along land now or formerly of Abrahams; THENCE along the said average highwater mark of Haywaters Cove the following(7) seven tie line courses and distances: 1. South 86 degrees 09 minutes 18 seconds West, 44.01 feet; 2. South 67 degrees 09 minutes 01 seconds West, 29.14 feet; 3. South 15 degrees 54 minutes 50 seconds West, 22.24 feet; 4. North 83 degrees 46 minutes 47 seconds West, 29.31 feet; 5. South 49 degrees 52 minutes 27 minutes West, 14.47 feet; 6. South 37 degrees 55 minutes 42 seconds West, 41.18 feet; 7. South 78 degrees 00 minutes 37 seconds West, 70.18 feet to land now or formerly of William J. Smith; THENCE along said lands North 12 degrees 08 minutes 10 seconds West 2.87.85 feet to the southerly side of Mason Drive, at an iron pipe therein; THENCE North 72 degrees 24 minutes 30 seconds East along said southerly side of Mason Drive 226.02 feet to the point or place of BEGINNING. FREDERICK ROBERT YMER 03 ARCHMECT -3'V 0 -A 0) V" q F 00 0". oo 'E 7_ V3 SIYE PLAN eo ID PCI t, Clul I L F AT 14 JAX 26 2M NEIU RESIDENCE ---------- RAMONDI A%.F'R P05ED HAY BALE 51LT FENCE PROPERTY Wl MOND 1— R.IMO.01 .0 —W— U"NowM M.- 5evog"S'll, ON 14.01, —R.LAN.O 5� WMAY DONTT ms LOT AR-:T.OTA h-14 -1 AR_ V1...— No —01 SITE PLAN 2 1.-'Oo-N, T 11 , 20-0 --T— LOT COVERAGE 20%M-,, REV. 'oo 0. DATE DEC A]Ci M,MI., 33OCALA,- 4 5P NYS DEC NOTE OF .—T 3".-1 11-3 __,'APPROVED BY OFIAME%. Ll 11 Of A. SCHEDULE C BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 8738 DATE: FEBRUARY 17,2016 ty ISSUED TO: RAYMOND RAIMONDI PROPERTY ADDRESS: 1150 MASON DRIVE CUTCHOGUE _ SCTM# 1000-104-7-6 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in, accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 17,2016,and in consideration of application fee in the sum of$250.00 paid by Ravmond'Raimondi and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits,the following: Wetland Permit to demolish existing one-story dwelling and construct new two-story single-family dwelling(3,468sq.ft.first floor footprint),with a 186sq.ft. front porch, and a 254sq.ft. rear porch; first floor to be raised to meet flood zone conformance; install new sanitary system; existing 221x48' garage and 141x24' shed to remain; reconfigure driveway; and add approximately 200 cubic yards of clean-fill; with the condition-to establish and subsequently maintain a 10'wide non-turf buffer along.the landvi►ard' 'r edge of the bulkhead; and as depicted on the site,plan prepared by Frederack.R.Web&,- revised January 22,2016, and stamped approved on February 17, 2016. ' _�', rq / nl 'fes a r1 IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. O t Michael J. Domino,President �'rjf SID�rTown Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President h0 �Q P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Telephone (631) 765-1892 Greg Williams 'Ol 00UPJT`I, Fax(631) 765-6641 'Y �c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ✓ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: N. 40," COMMENTS: 140, b►d�� b� 1� 4. spats --dV_.40 Iff-p CERTIFICATE OF COMPLIANCE: Michael J. Domino,President O��QF S0(/Ty�l Town Hall Annex John M.Bredemeyer III,Vice-President h Q 54375 Route 25 Charles J.Sanders '�!` '�° P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 G � ® pQ Telephone(631) 765-1892 A.Nicholas Krupski �C4U O Fax(631) 765-6641 1lVTV,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 16, 2017 Frederick Weber 41 East Maple Road Greenlawn, NY 11740 RE: RAYMOND RAIMONDI 1150 MASON DRIVE, CUTCHOGUE SCTM# 1000-104-7-6 Dear Mr. Weber: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 16, 2017: :. RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8738 to remove existing seaward side patio and install a 480sq.ft. patio area with steps to ground and attached stone grill pedestal; and to install a drywell to contain the patio runoff;and as depicted on the site plan prepared by Frederick Weber, Architect, dated July 12;2017, and stamped approved on August 16, 2017. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, e Michael J. Domino President, Board of Trustees MJD/dd .......................... ........................................................ . .................................................................................................I.I. III --------------------------------------- I I I II ----------------- - =-=-'=------------- --- I �- ILI DINING ROOM .................................................... .......................... ................................. ' Oak ........ i-;- I I I I .•'�• � •''• i i I II I II -------------------r---------'' ------------------- ''---- -- \ I I I r--------r= = --'�-- \ -------------------- , I.............................................. ...�..... ----------------------- -------------------=-.-.-------- I i----- ...� ............................................................. ...................... ................. .......... .. .... .. . ............................................... .................:...................................:. :. ............... . I I ........ / I ------------------------------------ - ------------------- -------------�--- \\ I , ................... SUN ROOI"1 ....... �.............. F�4MILY ROOM Of=,EN P RCI--I --' ' Bluestone i Oak II �� N I II --------------------------------------- t3U'e tl'o �- -------------------=------------------- I / Porch EI. Fin. Floor .. ...........................................�. :� Ilr_0„ El +11'-0 1/2" I I ,--'' ''••; `\�•'' '��, 4• Top of found. EL +10 -------- \ Poch EI. _ _______________________________ 10?.- rr /��N I 4• �I `\ Ste s _� ,• Steps _I C_2„ 12,_x„ �,_2„ 1. 0,. 0 � _ - = roposed 90,E o P�A TIO OIL! on I r S� Gra i' and m 1`11!:jUlul%-%-"s EI +C1 o = Stone Pedestal I Ste s `• w/Bluestoni Top — �. for Grill Stand 8 Footprint of Removed House Stone Coping El +11'-O" J Blu %ton Pa ers ❑ I O 1 PROPOSED (Lo seid) ❑ Grill 7+17E] LIF I- Sqc- - - � RAIMONDI Remove Existing � PATIO PLAN- NORTH I I Patio Grade 3 1150 MASON DRIVE Remove Existing CUTCHOGUE NY I Pato Grade12, _ — JULY 12, 2011 1 , — Frederick Weber, Architect ',' / JUL 1 3 2017 -� APPROVED BY ! . • BOARD OFTRUSTEES TOWN OF SOUTHOLD DATE Ad&usT roe 20 7 >-: I w John M. Brederneyer f ll, President o�oS�FFDLk�o Town Hall, 53095 Main Rd G P.O. Box 1 179 Michael l Domino, Vice-President o -z SVtl"Oiu, '14" 11971 James F. King y � Ilk- Dave Telephone(63 t) 765-1892 Charles J Sanders O Dave Bergen ��l �a 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 SOHEDULE Pre-construction, silt fence 1st day of construction '/ constructed 7Project complete,-compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8738 DATE: FEBRUARY 17, 2016 ISSUED TO: RAYMOND RAIMONDI PROPERTY ADDRESS: 1150 MASON'DRIVE, CUTCHOGUE, 66 SCTM# 1000-104-7-6 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution,d the -of Trustees adopted at the meeting held on F 6bi�gj�"17,2016 d'hd cc 9 i onsider'aii 'f 056.00 paid by I - I neconsideration application - kaym6rid kaimondi and s'ubj&ci'ib,the Terms and Conditions as stated in the Rego'lutidn,the Southold Town BoAkd of Trustees authori'z'es Arid permits the following: Wetland Permit to demolish existing one-story dwelling and construci�nie­w­ two-story W single7family delling f'i'st ftf8pnds re"ar p ho"'o'-f",to-be raised to meet Hood z6ht conlormance;'instau" new sanitary system; existing 221x481 garage and 141x247 shed to remain; rdednfigure 5%,drivelyay; and,add approximately,200,cubic yards of clean fill; with the,condition to , establish and subsequently,maintain:alq,,wide,nontturf,buffer alongt]*e landward M edge of the bulkhead; and,as,,depicted on,the site plan prepared by Frederick R.Weber, revised,January,22,2016;,and,stamped approved on February 17,2016. .1V ''INWITNES S WHEREOF,the said Board of Trustees hereby causes its Corporate Seal,to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. 01 fir., TERMS AND CONDI'T'IONS The Permittee Raymond Raimondi residing at 1150 Mason Drive Cutchogue,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 al6ng 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. 11. 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 ®��®f S0 01 Town Hall Annex Michael J. Domino,Vice-President O 54375 Route 25 D�fl P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® aQ Telephone(631) 765-1892 Charles J. Sanders ���COUNFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 17, 2016 Frederick Weber 41 East Maple Road Greenlawn, NY 11740 RE: RAYMOND RAIMONDI .1150 MASON DRIVE, CUTCHOGUE SCTM# 1000-104-7-6 Dear Mr. Weber: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 17, 2016 regarding the above matter: WHEREAS, Frederick Weber on behalf of,RAYMOND RAIMONDI 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 December 21, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policies 4.1, 5 and 6 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: raising the first floor of the proposed two-story dwelling to meet flood zone conformance; and the installation of a 10" wide non-turf buffer along the landward edge of bulkhead ; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 20, 2016 and February 17, 2016, at which time all interested persons were given an opportunity to be heard, and, 2 yi 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, 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of RAYMOND RAIMONDI to demolish existing one-story dwelling and construct new two-story single- family dwelling (3,468sq.ft. first floor footprint), with a 186sq.ft. front porch, and a 254sq.ft. rear porch; first floor to be raised to meet flood zone conformance; install new sanitary system; existing 22'x48' garage and 14'x24' shed to remain; reconfigure driveway; and add approximately 200 cubic yards of clean fill; with the condition to establish and subsequently maintain a 10' wide non-turf buffer along the landward edge of the bulkhead; and as depicted on the site plan prepared by Frederick R. Weber, revised January 22, 2016, and stamped approved on February 17, 2016. 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 _ +1 r . , John M. Bredemeyer 111, President gUFFQ(,Yc Town Hall Annex Michael J. Domino, Vice-President ,�� �Gy 54375 Route 25, P.O.Box l 179 a Southold,NY 11971 James F. King ti Charles J.Sanders y '� �� Telephone(631)765-1892 Dave Bergen '�'� �y0 Fax(631)765-6641 BOARD OF TOWN TRUSTEES 2 94 TOWN OF SOUTHOLD TO: PAVALOP RA- koijDI VD ft6u.,< lveeeA Please be advised that your application dated min - 211 has been reviewed by this Board at the regular meeting ofAlC'M17 201(0 and your application has been approved pending the completion n 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: $ 00 BY: John M. Bredemeyer III, President Board of Trustees FREDEROCK ROBERT WEBER ARCHOTECT 710 30 0 n o i 10 O � �-A I � 0��� 0 3 i �ZuMP i . 0 t 0 \ CA _710 �Klei& � � 1122, .� � \.\ \DWl 2 1 Q 0 ?0v / a \ A 6 O 'N ewe i 1 -5 0- o 0G�e,� , / c ncret e \ 22 Z Q °�of / 0 O .� (*ting t -s ✓ P \G PO Y-' yP3 1 0 1 - ` \ 1 p\ � 1 CD ► N DRAWING TITLE: - 1 ` _ Y SETBACK 1 ; ► o SITE PLAN tproposed Nevose 0 O SETBACYy� 1 �N F OSE S�New) N�e to V T` QWutE 1 , PO gG 9 JOB: NEW RESIDENCE 1 - , ---- �, E 9 JAN 2 6 2016 RAIMONDI 1 ' J, _ — — � -moi / `, •- l� ) / xiztin too? b.l. 5� pai`° ;` su 1150 MASON DRIVE Nad of Trustees CUTCHOGUE, NY �� ,- -m PROPOSED HAY BALE 0" TOWN OF SOUTHOLD SILT FENCE � � SCTM# 1000- 104-01-6 O ` s CA 0 \`�---------------- -------------- ----- — PROPERTY OOWNER:NER: - -- ---"`- , N ARCHITECT: -3 O ----------------- ------ -------- m FREDERICK R. WEBER 41 EAST MAPLE ROAD •� O RAYMOND ANN RAII'10ND1 GREENLAWN, NY 11'1'40 TO1MllNE01= SOUCUTTHOLD UE oo 52 NOYAC PATH M °�s 6►K�o S� 0h„ n� SUFFOLK COUNTY, NEW YORK WATER MILL. NY 11914 5840 O°I'18 SURVEY INFORMATION: TEL 1.31 154-5555 0 O NSW �� O1' JOHN EHLERS LAND SURVEYOR fweberarchitectsyahoo.com 0\ 6 EAST MAIN ST., RIVERHEAD, NY �� o ` SURVEYED: SEPTEMBER 12, 2005 c o 6 �� ^ A bu�khe add SEAL: U-A3 yq� ,ln e a1on9 � o�G (t1e SCTM# 1000-104-1-6 ,c?�� \cK C� LOT AREA (TOTAL): 61,944 5.F. LOT AREA (BUILDABLE): 59,937 S.F. X00 Na3 (0 0ry ZONING: R-40 �qe219. NORTH YARDS: (PRINCIPAL) , aU) SITE FLAN FRONT 50' W p ` � ��• SIDE (ONE): 15 SIDE (BOTH): 35' • " o o a\on9 ��� = 2O�_0�� REAR: 15' (FROM BULKHEAD) Xf�f� o'�j ry� LOT COVERAGE: 2090 MAXIMUM Z , � '� EXISTING HOUSE: 2946 Sr S5' Setback JAN 22. 201L Ike EXISTING GARAGE 1056 SF a �H�Ap C9 G EXISTING: SHED: 334 SF REV.: FOOD gU� CID EXISTING TOTAL: 4336 SF (1.290) DATE: DEC 21, 2015 -JOA$� PROPOSED HOUSE: 3921 SF SCALE : I' = 20' �Q EXISTING GARAGE 1056 SF DECOTES: B'QEfl o �"� on9 bulk'�ead� \" EXISTING SHED: 334 5F JOB N0: W201208 N.Y.S. C -`$ O e a1 APPLICATION FOR "LETTER OF NON-JURISDICTION" �t1e / W � PROPOSED TOTAL: 5311 SF (8.9%) / (BULKHEADED PROPERTY) HEIGHT (MAX.): 35', (2 1/2) STORIES DRAWING NO. � � FLOOD PLAIN: AE-6/ X :'� � �rAPPRQ ..� VED .BY... OF 1RUSTEEB . :{ sou , 1 fi „t L lVZ_ 16 OF AS 5URVEY OF PROPERTY 51TUATE: EA5T GUTGH06UE � TOWN: 5OUTHOLD 5UEEOLK GOUNTY, NY E SURVEYED Oci-12-2005 / SUFFOLK COUNTY TAX # 1000-104-1-6 S ut 'd M TO: ])ISay�aond]f84 If3aiffi®ndlu Jr. Ann�.]f3aiffionda Commonwealth]Land Title IInsu mce many Wells]Fargo Home Mortgage VA �O 26A ` rS ` / 1 l rr,nq 1 _ Obi \ 1 r 1 tory c9 1 N f 1 \F�Qme v ° o .01Q.1 ' 1 'GQrQ9e m o 1 r,lr 1 6 I 1 A 1 6 0 9 s) ° s Nov ° ° r i Q 1 Q o ' _ 1 ` \ 1 ° 3 \ is\O 1> Q 5�_ a o °°a �,wfi 586 Oa PISA d,\k '44.01 1 eQ6) (tle Une°IOng nu;.r,1, eq,u, 1 0 �47 W rq ry 0 o � ° g \\ne - ;Y tle 40v '1 waoae.,lvx�ua (�O C 6 iA a 5'16° --- ie ---- °1On9 b�kheQd) Nd`,���rP/� D 7 rl '3 DEC 2 1 2015 Southold Town Board of Trustma "p��` ®� +f..•u.y l:,r,m,Y/n L.�,,^vmin�l, xrr.may y � nnq+Ml+^.vL�nlL cr rl;pv .�,r+ •nll ��� P,..1( 111 ° L,b ,I _ru:r i; .I.nn:.lw�l;rr"•�n;.�� T'� D lo-r nl"11. L..Iw.nlnrr 1. nt•*,I+Y Ir Mn lluf nL,YvrI n11LU'xn v.^y L rvr LI.NI ui lb LnA•�.yr g•r 51/arq p,l' rrl Jx,ll N4 rr�irl,• rl In lw+ nILI IrV `� ♦ Z '� 'r.+Irlknl r•,..L,I.rrt.^rJ 1.-r.err•.rrnlrl l N.19," NOTES: ��, _�-_ ® ,u♦r,�, n,x 7n ..I br...,4rL vJlL llv. v, \ 6 L n 1-ptr4-nl 14.14. Irn '� aIr1 ^V 1y 11 14n wl a.ice. Moa..la•I1.n.lv•r,,Nlr.41Irrr MONUMENT FOUND W,vnnrlll`,r r 4 11,1 ,rrly -• �•. In^t�',... nr I•n ri 11.. vrti:I,'x.hn%/.A -AND .m, u.l I:mtr,u.ml. q•r L,, G G Inl n,.-r.y.v.l 1-rvr4.,YylilVli nr Irl+I I.+t nn r AREA — 61,44 5f or 1.422 or-re 1 - L- ,p r•1 4rmw,L ldulLw r.n lil I W..•s. r.•1 Irrwyl,04v In•v11114,.N Lv,I II VILr. JOHN C. ]EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202 6RAPHIG SCALE 111= 40' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.Z:\pros\05\05-273.pro John M. Bredemeyer III President �pSpfFO(q�OGy Town Hall Annex Michael J. Domino, Vice-President ZZ LT= 54375 Route 25 Glenn Goldsmith y ,? M P.O. Box 1179 A. Nicholas Krupski Southold, NY 11971 Charles J. Sanders Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: Frederick Weber on behalf of RAYMOND RAIMONDI requests a Wetland Permit to demolish existing one-story dwelling and construct new two-story single-family dwelling (3,468sq.ft. first floor footprint), with a 186sq.ft. front porch, and a 254sq.ft. rear porch; first floor to be raised to meet flood zone conformance; install new sanitary system; existing 22'x48' garage and 14'x24' shed to remain; reconfigure driveway; and add approximately 200 cubic yards of clean fill. Located: 1150 Mason Drive, Cutchogue. SCTM# 1000-104=7-6 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual/2: _ "X" 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Setback waiver required Part of Town Code proposed work falls under: SEQRA Type Ch. 275 Ch. 111 Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 -E ay, & Z !� a„�e� \�, �'Y s'�,/-� G� 'F ��'Y h g:� x' } U✓p�„ a �a� t syr �.+t R .�� °\\�.�"\'�c� �Yt� .�,.: �� ��'' 'a'•, a �I� x q n ,� as� �x '' S•':�xa�+• �� �,?•�� ��� � «, .y �� �� `� ` �,��a •� � q,: `` �....:„ 3 t4 w earth feet 600 meters 1100 �- 7.z , � p f John M. Bredemeyer 111, President Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A. Nicholas_Krupski Southold, NY 11971 Charles J. Sanders Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Frederick Weber on behalf of RAYMOND RAIMONDI requests,a Wetland Permit to demolish existing one-story dwelling and construct new two-story single-family dwelling (3,468sq.ft. first floor footprint), with a 186sq.ft. front porch, and a 254sq.ft. rear porch; first floor to be raised to meet flood zone conformance; install new sanitary system; existing 22'x48' garage and 14'x24' shed to remain; reconfigure driveway; and add approxii-hately 200 cubic yards of clean fill. Located, 1150 Mason Drive, Cutchogue. SCTM# 1000-104-7-6 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands-of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: -1. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MtT=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion,protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes� Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date- leted By: c7 'Present: J. Brederneyer, _M. Domino 'G. Goldsmith N. Kru'pski -/91�Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 C� Save home M Share CORRECT HOME FACTS <�)SAVE GET UPDATES SHARE MORE - City, State, or Zip New York CutchoguE llpr- -° a. e� LTJ' E o s STIMATE PREMIER AGENT 2) S _:... .._ REMIER Carthy AGENT 33) s a PREMIER AGENT 13) S 3 1150 Mason Dr, � � � 4 PER Email Cutchogue, NY 11935-2308 JAN 202016 • U 1150 Mason Dr Gooearth feed -- • �� gle 00 1, �g John Bredemeyer, President gOFF01,rc Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith ti P.O. Box 1179 A. Nicholas Krupski �y • ! Southold, NY 11971 Charles J. Sanders �Ot ,� �a° Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board .of Trustees, Field Inspection/Work Session Report Date/Time: su Frederick Weber on behalf of RAYMOND RAIMONDI requests a Wetland Permit to demolish existing one-story dwelling and construct new two-story single-family dwelling (3,468sq.ft. first floor footprint), with a 186sq.ft. front porch, and a 254sq.ft. rear porch; first floor to be raised to meet flood zone conformance; install new sanitary system; existing 22'x48' garage and 14'x24' shed to remain; reconfigure driveway; and add approximately 200 cubic yards of clean fill. Located: 1150 Mason Drive, Cutchogue. SCTM# 1000-104-7-6 Type area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetlands/ 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: aIr 44a2Tj,_,A Present Were: / T r4redemeyer M. Domino Gfk — G. Goldsmith , _ Krupski a jam,,f C. Sanders Bay Constable Other Form filled out in the field by To A Mailed/Faxed to: Date: IA r - 1 - ate. K � �" •, . _ . _ c #t ^ .� ` -.roar• � �:- �, ""`' - - N. r +t Now Awl r - _ .i .�. .. � .. .. -.a•'w... �1151 Mason Dr.,Cut chogue ,�r•mss '7�^'°'` � ' �'` �r -C-rM#1000-104-7-6 4/19/16 yy«+ �v e ... .. ,.- _. � .•� .. ._ "` '' .. ! .a..., x <=sw.�'�' _.. .-yam_ — p ,.r -� � �. 4 ,... �� "� .�. r A � ..c. `-' ,� Mme„•. ��. ��..` +. - ; 1w. 1r/ 19/2 016 17 - 42 t A _ k -41 i ie e Y _.y t Y t ! 1 I I fs RD kw� BAC LII STERfiN o / Jy r t 1 m - x o:=-i ,- as q 3 I DEC 2 1 2015 ' souti'mid Tovm Board QfT ftevagns Bei � k • ,F 1 P 9 ume aro� ro 1� t 30d0 ' e •R ♦ 0a �� 0 ,1 0 6 0 9NI 2 r+ s CREEK aC/jU� �QIB >\ �14 11 o 60S1U; • - F R 6' y, ,® ) • Ms's'I]9Mt1 �3B—�` LRN o]0J 09�O8 r� 0 -'1 r ty ''e^�• _�e �ij a>,D 33'' w ��s ` /C/ \a ,'J`' O.' P + '� •s aN 6,1.11 +yne ,® y +a n 22S IIS 6elyc7:_ ® m 10 1qt P9 t a�w�moo�+\$ 93y 10 F ` q +BPR , C b- r O a•� O P +,�.�(A 2C�1 \ 1Y � 1 BROAOWATERS COVE B \ TOWN OF SOUTHOLD \ +SAN � JJ y�Rpl t4� &1` o VI V ryMl i� 0 a�S � I>1d B ..fl,V'"tititic �i!iy 'pF\ Yl d• I� � ®' p s 16• , '' r ASF HAYWATER COVE �Q+ r q wv n.e 9 � 0 a• n>V`4 v Y�. � ea ,• InA e'3 +02,n � m s F un � ��'�- n b �`D >>`. r do r ,� "+ � �1¢a•PO � 6�y n, 9� F �\ R �,,,� e,. .• �.,, — -- orou. --a-- - s.•ir --n-- NOTICE COUNTY OF SUFFOLK © K a SOIITROLD SECTION NO E �,... —zz— e (2+t �,,, 0 d-�- --•-- ^--�- -- -- RealProperty Tax Senlce Agency v 104 Al - _ OFFICE LOCATION: ��®f s®���® MAILING ADDRESS: Town Hall Annex �® �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold,NY 11971 �� Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM D E GV E I To: John Bredemeyer, President F E 8 1 0 2016 Town of Southold Board of Trustees From: Mark Terry, Principal Planner S t oidTown LWRP Coordinator N Qf T e Date- February 9, 2016 Re: Proposed Local Waterfront Revitalization Coastal Consistency Review for RAYMOND RAIMONDI SCTM# 1000-104-7-6 Frederick Weber on behalf of RAYMOND RAIMONDI requests a Wetland Permit to demolish existing one-story dwelling and construct new two-story single-family dwelling (3,468sq.ft. first floor footprint), with a 186sq.ft. front porch, and a 254sq.ft. rear porch; first floor to be raised to meet flood zone conformance; install new sanitary system; existing 22'x48' garage and 14'x24' shed to remain; reconfigure driveway; and add approximately 200 cubic yards of clean fill. Located: 1150 Mason Drive, Cutchogue. SCTM# 1000-104-7-6 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the below listed LWRP policies and therefore INCONSISTENT with the LWRP. Policy Standards 4.1 Minimize losses of human life and structures from flooding and erosion hazards. The following management measures to minimize losses of human life and structures from flooding and erosion hazards are suggested: A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. Portions of the new structure are proposed to be built within a FEMA AE EI 6' flood zone. Where depth of the parcel allows, structures should be located outside of these hazard areas ,to avoid and minimize loss. /J1 h .90 Figure 1�Subject parcel showing FEMA flood zone AE. In the event that the action is approved the following is recommended to further policies 5 and 6. 1. Require a vegetated, non-turf buffer landward of the wood bulkhead. Existing beneficial plants should be preserved and the area supplemented with native, drought tolerant species. Fertilization is not recommended. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. " T ��ggpFFO�k�d� Peter Young,ChairmanH Town Hall,53095 Main Rd. Lauren Standish, Secretary %No- P O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 r Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., January 13, 2016 the following recommendation was made: e Moved by John Stein, seconded by Peter Meeker, it was RESOLVED to SUPPORT the application of RAYMOND RAIMONDI for the demolition of the existing one-story house with existing garage and shed to remain, construction of new two-story single-family dwelling with first-floor raised for flood zone conformance, new conforming sanitary system, and reconfigure driveway. Located: 1150 Mason Dr., Cutchogue. SCTM#104-7-6 Inspected by: Peter Meeker, John Stein The CAC Supports the application and recommends best management practices for the driveway to allow for proper drainage. Vote of Council: Ayes: All Motion Carried � t 52 9`fACK PATI 1,{PO 6016 13741, 1/ATi=R IliSLL, 1 YORK Y1976TEL 631-754-5555 f�ROBERT BER ��(� X11 EAST MAPLE ROAD, GREEVLAWN, NEW YORK, 11740 FAX 631�26I-1 84 %jIE8EP [) EEI JAN 2 6 2016 January 26,2016 o oIoid Town Southold Town Trustees: Re:Raymond Raimondi 1150 Mason Drive,Cutchogue,Town of Southold,NY SCTM# 1000-104-07-6 I have done some research and measuring of the"seaward projection of homes in the general vicinity and on either side of the subject lot"in relation to existing bulkheads and wetlands boundaries as listed below and referenced on attached surveys: Haywaters Cove(East to west from surveys found in Town of Southold files): East: 104-7-16.1: Wetlands to deck=20' (+/-), Wetlands to house=33' 104-7-12: Bulkhead to house=69' (+/-),MHW to house=78' (+/-) 104-7-11: Bulkhead to deck=50' (+/-),Bulkhead to house=60' (+/-),MHW to house= 77' (+/-) 104-7-10: Retaining wall to house=60' (+/-),MHW(1991)to house=80' 104-7-9.1:Bulkhead to deck=47',Bulkhead to house=57' Broadwaters Drive: 104-7-7: Bulkhead to deck=58' (+/-),Bulkhead to house=67' (measured 66'-6") Subject Property: 104-7-6(Raimondi): Proposed bulkhead to house=85',MHW to house=89' West: 107-7-5:Bulkhead to house=146' (measured,no survey available) 107-7-4:MHW to house=212' (+/-) 107-7-3: Bulkhead to deck=57' (+/-),Bulkhead to house=72' 107-7-2: Wetlands to patio=102'-6" While the adjacent property to the west is setback a significant distance,the normal setback in the area is considerably less. On the subject parcel, additional setbacks will require removal of more trees and an awkward arrangement with the existing garage. Please use this letter and accompanying surveys as supporting information in our Trustee application for a proposed 85' setback. Thank you for this consideration. Vgry truly , Frederick Weber,Architect � E JAN 2 6 2016 Southold Torn T p wSTiRi n ; r j fT( e E IV E 2 6 2016 a JAN outhcid T � � � + dve wMy,� osvn ,�► . � v 71 jr 01 nae.Am-•w lf�t:-stlEN'� � � ® � tv A �k ryp ✓`t; � �r J 31* iL 00 G SURVEY OF PROPER , A ® p,yEME 137.9 o SITUATE EOOE°p pit, CUTCOGUE 3° TOWN OF SOUTHOLD 00. _o • SUFFOLK COUNTY, NEW ' Y FcOUND�,pN• EROSION&SEDIMENT CONTROLS S.C. TAX N o. 1000- 104-07— oKc shall Include but not be limited to: SCALE 1 "=40' y A well maintained Construction Entrance, STONE°RKVAY Wire Backed Slit Fencing,stabilization& AUGUST 19, 2009 Seeding of exposed and/or inactive soils. DECEMBER 1, 2014 SHOW PROPOSED LOCATION OF SF AREA = 62,613 sq. ft. o (TO TIE LINE) 1.437 ac. " ;(OUSE 50 I Ta „o t `SFR �Ne oT 5�R MS� ' 3�AD L —�<D <r CERTIFIED TO: •��,K {ppC�(> � g,og's SCOTT AMBROSIO lite 1G17 �. ar���Ns��``"s�`"Q�'iegTEo ,�,�� ¢!>i •��{UP8''�� � NOT S• 1. ELEVATIONS ARE REFERENCED TO MEAN LOW WATER ELEV. 0.0 EXISTING ELEVATIONS ARE SHOWN THUS:L4 i EXISTING CONTOUR LINES ARE SHOWN THUS: ------t-- x� AL �.. ` xo� AL A '8 APPROVAL OF STORMWATER MANAGEMENT ' zA. &I ' `,\`� CONTROL P N - n Cod a er 236 n y� +� \�\ Date: Z 9 ;yC y W��ND5 `�\, �I�J ApproL+ d V. 9 JAN 2 6 2016 i All- 00 66?'X rte` f'; Southo;d Earn of/ Trugm o� Sp„ 2.°a �I LO 11� =U9 66 fl X-LRQ xis 1 I 2 E;• .� �.'— ---:--- -- ___-,•.._. ,"„�, �i� r' ;� � JAN Sguthold Town if to PRO P l.�y�. i� S `'f'� n 4Nyy � ,1 y , n'� � 4 '+A-` �.S':�^._:' • =2"'' ,Y.': _ ' �'.. :.. i*,r Vhf• r:L ^,.. .r'' , w. f .:,� ,. , I.. 3 1V : ' i-{5. .,4. '+Y,,� _ +' .. . 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SAUCE ®=MONUMENT THE BRIDGEHAMPTON NA77ONAL BANK a=PIPE Y Y BRIDGE ASS7RACT LLC o0=pWETI A[}ND�y�FLLAG ry �oFNe, ART 777LE INSURANCE COMPANY AREA-29,4'98 80. Fr. t���'�� TO TE LINES t,K ! 7 !` N.Y. N0. 49616 ANY AL7E77A7TON OR ADORION ]71 7HlS SURVEY IS A VlOLA770N iii,:(; -,' OF SEC77ON 7209OF 7NE NEW YORK STA7E EDUCA770N LAW. ' l��4y�"�,`L ONIC SURVEYORS, P.C. EXCEPT AS PER SEC770N 7209-SUBOMSION 2.ALL CER77RCA77ONS �-•✓' 31) 765-5020 FAX (631) 765-1797 HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF -,LA --p 0. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7NE SURVEYOR I1230 TRAVELER STREET WHOSE SlGNAIURE APPEARS HEREON SOUTHOLD, N.Y. 11971 11-176 50 i IVE N rI� SON I E! tj F. `may us �'' JAN 2 6 2016 as1 o < B a f Tr ee �' y �� + r SURVEY- OF `_ AT PROPER T�-yY - �fir.� ��� ITE AT EAST" CUTCY 6VGV.IE g9 + S TOWN OF SOUTHOL1� �, ���� � � r�9 s m K p ST0.9,10 SUFFOLK COUNTY, N. Y t � r�� 1000 - 104 - 07 - 07 Scale 1" = 301 March 21, 1991 a r f Og AREA = 17,287 sq. 5 r 4 ft. /yo�o' OJ (to tip line) t , � ��`� CER771ED TO: PAOLO LAVAGETTO T1COR ME GUARANTEE € = NOV - 91992 '!° RzGG.JEzYL g Tomi QT 3017,i L LD�y + a Prepared in accordance with the minimum standard&for title survoys as established ..,,may•• by the L.J.A.L.,S.and approved snd adopted ". .S LIC, ND 49678 for such ue®by Tho,New York State Land Iitls Associatrarx [f, PEC ONC SURVEYORS, P.C. (516)765-5020 P O. Box 909 MAIN ROAD 71971 SOUTNULD ,r N.Y. P:aP 9 C r A N MASON DRI V - [ �! T h N 72. 24' 30N E nE= 527.38' JAN 2 6 2016 75.34 FDcw o A N 4SoutVVI Tev,nn B a of Tru 0 M �— c 570RY Y� Q r.r RES w O a DORMERS L"LLAR 11.2'r°S 328' 14 CTTl,S Q] r 1 1 1 } i N/P CORBLEY 1 1 1 " 1 1 I� 1 1 l N/F Sul RL UlA1N I.PENCE � ' I 1 1 1 � E 6 t O O Q GUARANTEES INDICATED HERE ON SNAIL RUN ONLY TO BLE PLR50N FOR i1770u ALE SURVEY N WATER INE (v RLS PREPARED.AND WT NIS BEHALF TO RIF BF CO.VPANY.COVERNNENrAL AGENCY" I-1 WAIVING I1-9SR7Ul]ON,6 LISTED N£R£OV"AND IT S TO THE AsWwECS OF THE LENfiNO 1NSNrUBON �\ (J) GUARANTEES ARE NOr TRANSFERABLE TO PPRpX O ADOIBONAL INSRR/Ro45 oR SUBSEOUENr ONNCRS a FD !P tWAUMsuRwr IS OL TION Or OR ADD)HON I N TO MS /� �/ Sf1R42Y LS A VIOLATION OF SEClIDN JZ09 Of S 79' 26' 45' W THF NEW Yaw 57AYE EDUCATION LAZY '{ OS 7 16• ✓• COPIES OF RIIS SURh£Y MAP NOT BEARMC nif S 32' 20' 29' W N 7 BE'M490EI4£D r°O OfD SURVEYERS °A�VALID ATRUCALC 33.03' �g ILK"EF° cu'r. S 77' 43' 41-W D+uNr 18.24' N 36' 13' 14' W TE�B - Co OF SURVEYED 26 MARCH. 2001 SURVEY OF SCALE T"=40' AREA= 22.55086 Sr DESCRIBED PROPERTY OR 0 516 ACRES S17UATE CUTCHOCUE, Vii, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. TAI IOCC-104-07-04 - SURVEYED FOR RICHARD Pd BLAIR. Jr. SURVE)7D BY STANLEY J ISAKSE£N, JR PA. BOY 294 NEW ,117"OLK NY 179 6 631 SE3,j5 r i 5® L FE JAN 2 6 2016 N Seurilr,�1-ITL;L,rn O io a fTr ea y 1 1 rn O I'�1 L -, •- ' CI / auIcil { '1-1 SURVEY OF PROPERTY SITDAT-rD A7' PECONIC _ TOWN OF SOUTHOLD kAl t k SUFFOLK COUNTY, NEW YORK I S.C. TAX No. 1000-104-07-03 SCALE I"=20' AUGUST 12, 2005 SFPi2M3ETt 76,2ODS AOOCD SffE PIAN FOR AREA m DE DRCUGEO 2006 ADDED PROP-ADDG(ONS.WEIAND LIN! SET PLASTIC pip,—, x AREA=ZI.M.96 9q.11. Qa 1C+rut 0.570 ac. 1 2 p•n @fv \ 13 \ Y yrr//�1 S C jjl`IILLII _..' 1 ` y_li 1 J+ I -�7 I'1 I-ELEVATIONS ARE REFERENCED TO N.GA.D. 1929 DA1UU \l��-` •��.!.}l � >u�11 1 l'�•• EXISTING ELEVATIONS ARE SHOWN LHUS:- •'"_ MSTING CONTOUR LINES ARE SHOWN THUS:--———a-- p + F,1 _E4_ l•1'�y. i PROPOSED CONTOUR LINES ARE SHOWN THUS; � D 4.t 2 Y•{1 ._C.�._--__ 1 , �1 1• io1\ ` 2 FLOOD ZONE INFORNATLON TAKEN FROtd: - ars++ ` i 1' I4- 1xi•��Ih 1-• _ie� 1 FLOOD INSURANCE RATE MAP No.36104CD164 G 7PiEfE. DASL FU300 EID/ADUAS DETERUIGED ZGNF%. /'N S DEIEW ED TO D-OUiSo Ctm-YFA@ IAODDPIPIH f1 3.APPROXIMATELY 175 ew Yds.OF MATERIAL TO 6E DREDGED 1 %t 14:, co-. �iaa vnc s'�"'O0P`isoo le 0 1 -• f ;rl$-;:=t; fig, ---- ' �p jf Joseph A. Ing a_ k N�6n�9 e "a �1 P.A.-W-1—rm` Land Surveyor �Ui 4lMtS0ND gmM��S&,at�H1Y➢i•m �+R py y yy_Se]bwbN—5!v P1mv—lagpvita^,4 �1 Pxm¢ Fm(ssgn7 nn TNC Fi.OtyC[4F RLS65 b SPAT OFTIZS I Xv N Fina mw ♦eym�4w t Ur a(CC9a.Y m—6KNU PD Ba 19]1 -- Xn.Nof 1,9M1H t�Nat CIIDW1160. 1✓«.Nx Yat 11901 pb'ulna,Nee YOM1 I79J1-�63 T •.' "�.c„a-.^":C,'Ts^T"•:7,"';=+,, ..— �cT,^.'+• _ ,.. .Y,};'�i!o..•- t r•.ts I.^ ,N" rV it „t�"-.",.gin.:,/y� ,?j 'i �'"•' "'r '%l' S'**%*>Fr•:.-.r.a x,w e5etii.`•',• .;s,-E ,,,t.z\ .^yr .., -^v+l. • ., , 1!ell I P ! { 11 SITE ®A�'A II, 'P SCTMA 1008.101.7.2 JAN 2 6 2016 � i JJJ I ' PENNY ADRESPROPESTM 570 MASON DRIVEE ' CUTCHOGUE,NEW YORK SITE 50,04080 FT.-1.2985AC, Land now or formerly of: AREA SOL'Thold jun? Charles Boyer, Jr, ZONING R-00 f TU 88 PUBLIC WATER FLOOD x I , ZONE SURVEYOR JOHN C.EHLERS f RIVERHEAD.NY. UCENSEO 50202 1 a0 I __- _ / DATED-1.12.2(108 E 1 000,\07e uIET� , •__ ;�',,O• O NOTES FOR ELEVATIONS AND O �o qE __ �,�53.rb+ "`r� TOPOGRAPHIC CONTOURS REFER TO E / \ �e �8' ^M1 — — — TOPOGRAPHIC r ccn '---— - ^r , M.S.I.M.&L DAVM BRETOWNS,FROM I 111 'r�` poa _�� �—�-—--umbe.rvtalnmG+m ------- , •• •�� ',♦ � C� I;'I J MAPS OF THE F1VE 70WN8. LV , ` r,. a I 5176.90 _� � --- PROPSED RESIDENCE WILL BE TIED INTO ,�. I„1 7Efl SUPPLIED BY9C.WJL BI' c e oW I �' ♦ '•I I I:' PUBLIC WA pl- 1,7YFE"K”COPPD2 851 �,-�+ 7 �w THE LOCATIONS OF WELLS AND CESSPOOLS fA WATER LII�FiiOM __ `I � (`, I.I , SHOWN HEREON ARE FROM FIELD Z 01 54,AA VAULT FF i - J �SAeE i5- T T� I ,I 1 009ERVATONBANDORDATAOBTAINED O~ 1 - - r$ -. FROM OTHERS F _ {� �� 1 L®C/'!TI®!tl MAP O 0 .:` •, `�, I - REE ` I : !„ S p� •• ♦. i�l� "� �{ ,� i W - 1'� % 1 I � I L�`?`1' _1" % �`ta:r6t'^%• a a tG$L" ♦♦, 0 1 \i, --Ic EXISTING HOUSE TO 41A \ b I Y, I ` ty i - _ \ • Y'ry+„.air.; 6 49A`IDONED` , • d1 E ♦♦ `� 4- , I I ♦``'! \ : n\ / '}fa' �v�y3 ` /��.,��-� ,Tf_�i�tEV$'- 1 i 'P�'--DEMOLISHED � Z-"• "/ 'VO \ F1AY' A/ WON :l y 102,(, i \h 1 ; IY k YI 11,,1, T” ,. 1',,S°•4a' ii„;t. )DATION OF DC(5TIN6 1 `\�%••1l ! ` I 1 I I $ ` ';', L ) I 1 1 i y;?;i S.CYLA.K4ULT � � ♦ % i:' L. ,1 IDA' \ �• 1� , , 1 I .8 1 `^111{T X \, '?1•�? '^..'! {•.' ,y{, , . �` \I \I CP Q , ♦ ly` F*-�--' DA5H20 LINE INDICATES��k.1 1 `t `1'1 a m ` 11 11��, ` -/� 1 `� .fi�•.i' E�.;ry°"',�. 100, i XISTI 46 DNELLING yyy + , 1 `I 1 11 LJ i r+�. j texro He�al6 3a S^—EX15711,10 TIhMBEf�.l `I `I 1 i•'t,; 4`. NABOx Oqqyy¢8 %'�, 1 1 \ vr;��,,, `t,• ` -` 95'„ I•1'7,1 8 RETAININS WALL I 1. t r`I ` \ ,'♦+ �U70No0Uf^,I,HH I� of•' '•�' T i _.+— .' ...'. i F a, EASING T - I ♦ ` v •'•• , � � , h SYSTEM(TO O 9EE 1 '.jr +`♦`r``♦ TIDKIVEYIA . �+ IOD' Ea ;♦♦ 10 `F, REMOVED) I i ♦ ♦,'�,=�; -_ _ , ✓„ O REMOVED , m .!/J- �.•" 1 ` T '\ .� ,F cDVLazED� --�- 'o, %-' N''i TEST HOLE W' 11 �T�Idn TES HO 2/ 8/02 ` 5 13LUESTONE N0805 30 LE DAT 6 EL 6 Oft. DRIVWAY to EXISTING PROPERTY UNE 'I ____\ I -^ ^(ty 'tl S6 SEPTIC SYSTEM ' G!y0'. % '• vvvn+,rnm,a.®e.,i N a GG— (I)IOOO GAL 5cPTIO TAWC Land now or formerly of: (5)5 FT.H16H X b FT.DIA Jane Sweeney LEACHING FOOLS SERVED BY !-. e . ' S,f I l g rt nrolx cr r W/W 5 FT.HIGH X B FT DIA. PUBLIC WATER 4 �` Fun EXPAN51ON POOLS ,,0 ,.D P. .1•l7i'1.D } U �I lI!• .•17.; .3f�1 CORP =01WORICMON 1 co I•ALIACBP ON o� CO OLA TOWN S. � � LY,,:`:.I'if1.1,b - ,���..•--' ' � _.. YNTtA,6lR KO.i[WAtR PLUMBING IIIFRHAl9HDCRP NES11X0 wgT"LeDUNi0.5Yv1 ONID[B ASTO PAIL 90E Big �.C•,/ BUILDING WALL lE1,WOeEfORENOUFRga ryY.EtA1E0WL01R000DL 71'� nmula lauad PLUMBER CFR71fl np ec o- PROPOSED GRADE LINE ELEVATION .9 5' Arn���o OIVLEADCONTENT EFo wx0 0f types K 7TFICA7E OF OCC PA I' MIN„2'M/a)( ar LO CER --8-k SOLDER USED IN q7E cxECKEo er ' J mnKnyrR SUPPLYSYSTEM NO ops; EXCEED 2/14 o11B' A 8110 I/4"�T I/4„AfT, PROVID OPENINGS FON {9„+.Td, i ccus 1 ERG CY ESCAPE AS APPRO II ASOTEl1 1-2 SEPTIC LEAOHIN , US711 OUNBIHGT600L T XI xeTIFY AUIIL 0 D AITtlE AT IE.+8 3' TANK IE+1.89' POOL DO NOP RCCEEDWITH TSS 1101 R AU TO t RK FO I KING NTILSUENTY ro1LnyIRORrsiEcnONy SITE F FOU ON LOCATION L i0U110ATlOx-T{IO IFWI Ep ! ---� Q 1iA5 BE APPROVED. rnwmo A pwu Ha 50 ft, 140 It G kFIta nox ���� ���� PRO\10F 1DOKE-DF1R patco•mFoRUOnOND e} D B ATE NFARNG oecouPELTewRoa 6ROUNt7 WATER EL 19 Ff1 TD PPILTEl1 C[S1LAS �•coxsmucnou axpu V rrr BWUIBEDBYPARE TNA IEOUIIUE14M OF THE X SCALE:7^n20'-0” ILYS BUILDI118 rAeL 717.8(0I(AI OF CouesC um"OloN ius mee 0a ' SEPTIC PROFILE - N• 3TATEBUGDINGCDDED�ICN cA—x ro N T.S. PPm-",;Nn FIFO; OCCOPANCy0 ROOfk.\WXM Iq USE IS UNEAINF L ' PARr24731b'I OF WITHOUTCEMR TE John M.Bredemeyer III,President ��OF SO(/j�® Town Hall Annex Michael J.Domino,Vice-President �® l® 54375 Main Road P.O.Box 1179 James F.King,Trustee "Southold,New York 11971-0959 Dave Bergen,Trustee G Q �® Telephone(631) 765-1892 Charles J.Sanders,Trustee ��� COUNTi Fax(631) 765-6641 � ,N� BOARD OF TOWN TRUSTEES ! � TOWN OF SOUTHOLD DEC 22 2015 To: Southold Town Building Department Re: Verification of Building Department Permit Requirements .,`; o I SCTM#: Property Owner Name: on i ® j 1 Date Sent to Bldg. Dept.: 1,,90,,1 J 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 requir, a variance determination fro the Zoning Board of Appeals? Will any part of this application'be considered as Demolition as described under Town Code? COMMENTS: c Signature of eviewer Date 14f sov ` John M.Bredemeyer III,President �(,k Town Hall Annex Michael J.Domino,Vice-President 54375 Main Road i P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee ' ; Telephone(631)765-1892 Charles J.Sanders,Trustee � ' Fax(631)765-6641 BOARD OF TOWN TRUSTEES r TOWN OF SOUTHOLD - Office Use Only - - -- _Coastal Erosion Permit Application , Wetland Permit Application 1 v F DD _Administrative Permit �Amendment/TransferBxt nsion D EC 2 1 2015 Received Application: _Received Fee: $ _ Completed Application: r'0l out�ald Torn _Incomplete: _SEQRA Classificati n: Type I Type IIUnlisted - Coordination:(date sent): fLWRP Consistency Asse sine t Form: I d/6 CAC Referral Sent: /7 Date of Inspection: Receipt of CAC Report: ' _Lead Agency Determination: _Technical Review: �ublic Hearing Held: ¢ 2,I' lb 4 Resolution: a Name of Applicant: Mailing Address: cp1 t�A61 —t94k 125r ; / �, Phone Number: Suffolk County Tax Map Number: 1000- . 77-7-(© _ Property Location: (provide LILC®Pole#, distance to cross streets, and location) AGENT: � �' 1 (If applicable) Address: V T Mteu& DOAC>' - _ - Phone 1 1 1l Board of Trustees Application p, GENERAL DATA Land Area(in square feet): _ (01 Area Zoning: `" Previous use of property: �AVA Intended use of property: -'QYt 3V%,S Covenants and Restrictions on property? Yes _>No If"Yes",please provide a copy. 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 5�',- 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.? Yes No Does the structure(s)on property have a valid Certificate of Occupancy? ><- Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? >< No Yes If yes,provide explanation: Project Description(use attachments if necessary):_ biiazd of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: - 9;K A�a6 ikl'31P M"'S<�-Uf Area of wetlands on lot: IjWl square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 3!2o�-'-' ' feet Closest distance between nearest proposed structure and upland edge of wetlands: _ _ "1�' feet Does the project involve excavation or filling? No �G,- Yes If yes,how much material will be excavated? cubic yards How much material will be filled?- 04O� cubic yards Depth of which material will be removed oreposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: f 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 Foam Instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part i-Project and Sponsor Information Name of Action or project: - - - Project Location(describe,and pattach a location map): t Brief Description of Proposed Action: Name of A pplicant or Sponsor; Telephone: 1—; S _ r a'�f�.F�1Y� / '�►��-� E-Mai]: �31�i,f-�'Gh� �' a'��r Address: City/PO: State: Zip Code: 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 reauire"a_permit,approval or funding from any other governmental Agency? NO YES if Yes,list agepgn�cy�(s)�name9and twat orra�pyp/rovalal:]�y■ ��(g�fj�]�/�/' 1Nk� O+✓�� V� -\ 11-O�`)�•V'^'�+�ME'\'.,�" -3.a.Total acreage-ofthe-site-Of the'propoi6d action? acres b.Total acreage to be physically disturbed? a acres c.Total acreage(project site and any contiguous properties)owned ,,pp� or controlled by the applicant or project sponsor? 1 a` 1, acres 4. Check all'land uses that occur on,adjoining and near the proposed action. ❑Urban []Rural(non-agriculture) ❑Industrial [-]Commercial �)i Ukesidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑ eci ( P fi'Other s ❑Parkland Page 1 of 4 5. is the proposed action-, - NO YES N/A ' a.A permitted use under the zoning regulations? 'o S ❑ b.Consistent with the adopted comprehensive plan? a 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? El ;K 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO t 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 technologies:' ❑,. �l 10. Will the proposed action connect to an existin ublic/ rivate water supply? N®_ YES If No,describe method for providing potable water: - - - _ _ __-_ __ _ _ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO_ YES IL1�r.� P�iJ�i�tlVlrli�v� - - If No,describe method for providing wastewater treatment:6OW'-SVM 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: ,3KShoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-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 st rm water discharge,either fom point or non-point sources? M, ' YES If Yes, �vcbF JPR,&j G a.Will storm water discharges flow to adjacent properties? >,�4­iO nYES Imo} Z�il' b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ,3;&ES -0I�4- SITS 4?R- � 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: OD 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: �j ❑ ' 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 i ��"' C Applicant/sp o m : - G Ve _fLate: Signature: Part 2-Impact Assessment. The Lead)Agency is responsible for the completion of Part 2. Answer all of the.following z questions in Part 2 using the information contained in Part I 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? ❑ 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 I� establishment of a Critical Environmental Area(CEA)? J S. 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 I� reasonably available energy conservation or renewable energy opportunities? El L 1 7. Will the proposedaction impact existing: a.public/private water supplies? El- b.public/private wastewater treatment utilities? �� 8. Will the proposed action impair the character or quality of important historic,archaeological, l� architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, (�I waterbodies,groundwater,air quality,flora and fauna)? - u 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? L�J 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. t 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. Jf7J1 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 �J / Name of Lead Agen-y - Date- - -- -- !� �//�l/ President Print or Type Ame of Resible O facer i Lead Agency Title of Responsible Officer Si ire of Res ib e Officer in Lea Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 0. 6(24NDS IV1 iv[U-�,OW elt, t�/ C.� , 450 STATE OF NEW YORK COUNTY OF SUFFOLK residing at 'At We being duly sworn, deposes and says that on the day of Zj;64u, ,� , 20 r deponent mailed a true , p 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 CQ12A� L•AW Q, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. J Sworn to before me this Day of Notary ublic i F - , ANNETTE LYNNE RIEG� Notary Public-State of New York N0.01R16272953 Qualified in Suffolk Co y My Commission Expires - l e ' e M 0 (Domestic M e. s. e ro Er —a ICUTCHtlij f E'NY435r tel -j' Gil �. ErPostage $ $3.45 I7' Postage $ $3.45 412 off E3 i r r� ``x/0340 C)b ru Certified Fee "0740,,,. ' Certified Fee • �� [((Post ark- �� P.ostmar Return Receipt Fee • "� ti 0 Return Receipt Fee , ` {Here (Endorsement Required) Here O (Endorsement Required) / / Restricted Delivery Fee Restricted Delivery Fee / O (Endorsement Required) r3 (Endorsement Required) Y t ru r ru '01/ 2/2016 Total Postage&Fees 01/12/2016 co, O Total Postage&Fees • M r 1. 177 $6.74`� 1 '—�^ ^f7 Sent To Sent To Vv y1„x�•% cJ � � 1S 1 c3 �`�--- - p -PO ApG No.; c ----------------------------------`--------, or PO Box No. 0 Street,Apt No.; . !}��j Iti __ or PO Box No. .� b�sl7 tl State,ZIP+4 -_ ---------------------------------------------- -------------- ------------------------------ -- - ` - _ -------------------- ------- c icerm Cdy,State,ZIP+4 ^ �E'^r �v' 1 /7e��j L W ■ ■ o ® ® ® 0 B• Insurance,coverage.fro;ided)L IT+ •- - . -e - Ir OTTSUIC EIaA 42 � 1. .� GARDEX89 ITYH1f=11530 s ti;, - � l �=,�, � -_ r9 Ir Postage $ X3.4► D- Postage $ $3.45 � C3 w,. ,r Certified Fee T0740 r' Certified Fee ,c.,�740 �� C! � • • f Postmark. ` Return Receipt Fee 111 m06 061 Postmark`% O Return Receipt Fee , '' Here % O (Endorsement Required) • �, Here- ✓ O (Endorsement Required) / / B �� J Restricted Delivery Fee Restricted Delivery Fee / � e ,/ (Endorsement Required) / " - (Endorsement Required) �__ .- ru . Ol/12/2016 R1 . 01/12_65A4, m Total Postage&Fees $ O Total Postage&Fees M M Sent To / r 171 Sent To rl O �T►� -� - ----- Street,Apt No.; ______________ Street,Apt No.; r%_ or PO Box No. rJ --PO Box No. ti Ci State,Z/P+4 ------------------------------------------------------ Ciry,State,ZlP+4 1�N t15 i Ir /. e NEY YORK NY`,10075 '' ." _... Q' Postage $ E3.45 / ud O Certified Feeru u�40 1 mow` Return Receipt Fee ' 6 Postmark,* 0 (Endorsement Required) • ° tier\ Restricted Delivery Fee -3 r (Endorsement Requred) ru `0!/12/201 i Total Postage&Fees $ M M Sent To rq M Street,Apt No.; or PO Box No. Ste' State,ZIP-- ----------------------------- City, ` i-�1 v �t�N Y� �• L dowG� John M. Bredemeyer III, Presicient �o�SUf C�c� i own Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith h P.O. Box 1179 A. Nicholas Krupski �,y �� Y Southold, NY 11971 Charles J. Sanders �� �a� { 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 RAYMOND RAIMONDI COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING,REMAINS IN PLACE FOR NOT LESS THAN SEVEN DAYS i residing at/dba being duly sworn, depose and say: That on the IBJ day of .qA-PZZ A , 201(0, I personally posted the property kno n as 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,January 20,2016. Dated: 00/n (si nature) Sworn to before me this day ofc1�+�-20 o/ (/ RYAN=1knty ON Notary PubNew York N0. 81QualifieountyNotary ublic My Commissug 18,2018 ,NUTILL U '1= HL: AKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 (!/lain Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: RAYMOND RAIMONDI SUBJECT OF PUBLIC HEARING : For a Wetland Permit to demolish existing one-story dwelling and construct new two-story single-family dwelling (3,468sq.ft. first floor footprint), with a 186sq.ft. front porch, and a 254sq.ft. rear porch; first floor to be raised to meet flood zone conformance; install new sanitary system; existing 22'x48' garage and 14'x24' shed to remain; reconfigure driveway; and add approximately 200 cubic yards of clean fill. Located: 1150 Mason Drive, Cutchogue. SCTM# 1000-104-7-6 TIME & DATE OF PUBLIC HEARING : Wednesday, January 20, 2016 — 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 B6ard of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1, kAgmg j A[> K,,��yV1�Jtiv i�t residing at -- (print name of owner of property) (mailing address) N\ IT14$ 201 �a 100,15 do hereby authorize (Agent) -t.1E> t to apply for permit(s) from the Southold Board of Town Trustees on my behalf. �j (®wner's signature) B®A$d of TruSteee Amlioation AFFIDAVIT ZAMM9�D �VV�V�� BEING DULY SWORN DEPOSESAND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)ARID THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER]KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL DE 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 SOUTHOLID AND THE BOARD OF TRUSTEES HARMLESS ARID 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,THEIN AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONVICTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOAS 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 TIME TERM OF THE PERMIT. Sign ture ffffroperty wner SWORN TO BEFORE ME THIS DAY OF , Q Cern�� ,20__LE S Notary Public YMONICAM.CARBONELL � MY COMMISSION i FF 117322 'lp �`'`' BondedThruENo ryUPublicUndeeriamters r '" tC t �PpR�2L'l..tSal�11�AY4E ME Rx��SL'i�1Vn'.f'U q, AT TRANSACTIONAL NSA CTIONAL DISCLOS RE FOS[ 1 1 The Town of Southold's Code or Ethics prohibits conflicts of interest on the part of town-officers and cm to ees.'17ie plaose of this form is to ovide inforination which can alert the town or anssible conflicts of interest and allow it to tale whatever action is necessary to avoid same. - YOUR NAME: (Last name,first name,giiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) j NAME OF APPLICATION: (Check all that apply.) j Tax grievance Building Variance Trustee Change of Zone. Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other Of"Other',name the activity.) Do you personally(or through your compan),,"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 whieh•the town officer or employee bas even a partial ownership of(or employment by)a corporation in which the town otiicer or employee owns more than 5% ie 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 applic-grit (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(�+hen 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 J day of/D) " 20015 (� Signatu a .�J Print Name r / r� Form TS l ""' "'. MON{CA M.CARBONELL riY MY COMMISSION a FF 117322 EXPIRES:August 3,201 a Bonded Thru Notary NWIc Underrnters r APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORINT The Town of Southold's Code of Ethics prohibits conflicts of interest on the cart of town officers and em llaecs The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allowjt to take whatever action is necessary to avoid same. YOUR NAME: (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.) 1 Do you personally(or thfough your company,spouse;sibling,parent;or child)have a relationship with any officer or employee of the Town of-Southold?"Relationship"includes by blood,nlairiage,or business interest."Business interest means a business, including a partnefship,in which'ft town•officer or_employee has even a partial ownership of(or employment by)a corporation ' in which the town officcr.or employee owns more than 5%ofthe shares. i YES NO X. 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 applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. I 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 j (when the applicant is_d corporation); B)/lie legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corp oration); C)an officer,director,partner;or employee of the applicantLor D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this tZ day of _200 Signature / Print Name Form TS 1 v' > _ Z t ` 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- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME Rcliffle)JOCI). li P si del/1 CP-- The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan, subsidy) I&I '9,1 (c) Permit, approval, license,certification: r-, a-►d�- ('o�'- n 166 Sir-. 4 Nature and extent of action: W67w- A�" 2S-,f S, P- 1 h of CA 5 S7b -Tb f ema in, CQns7hyc-h" of nP u) a s-yey 51 ry- Ie& c1WCMrJ1 u11113 13 �•rs f -F!o o r i.sefb Con k i-m iv i�h, -I and reot9i r'n nne-t- .J N-eu) Con-FDrm j,,)g ,Sa hi'Mi-y sysfem. Ner,� bryLL el Is. Re curl�i j urea° dr)vC oua,!j. Location of action: i so 1" 1©l S oy) 'Dy-'%ye-J CuT cak 0(-;;, U Fi, N y Site acreage:61 T 14q 3; Present land use: R C S i d P i h aJ Present zoning classification: R 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: n (a) Name of applicant: �0�,�1 VY�c'7 Y1�� �� a�_ Ann 5 R a i mand i (b) Mailing address: (a t E:AST 19-T S+YL-r--GT A f I ZZ I�Syc "Y0(21G, too-is (c) Telephone number: Area Code( ) (.2 a 6-70- 6,977 64) U l� 312 �f-6O(C) (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? DE C 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. LN Yes ❑ No ❑ Not Applicable 17NST'2i) GT I m G blC pNEp tM )N 4 2-5-MO- / Dai Fil-04 Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No X Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes ❑ No ❑ Not Applicable 10 h GAA Ce a Le— c Ne-w r-Qnr m i ncg ,tea o i la rwny- th w i IL-ram cf- re'50u rC e 5 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 S through 16 for evaluation criteria rV Yes ❑ No ❑ Not Applicable e raise-d raise-dso if C--v1-5Grm-S W i 1► t-1t) 0j Zone re-q U 1 re m r r 6. 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 IX Yes ❑ No ❑Not Applicable Ne-Lu Cr�� rmi1�� sales rV �Sks m f i All "pt d ro i np +,,arl r y 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. F1 Yes [] No� Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YeF-1 No NJ Not Applicable �'6\iokres�� �ia,Q Attach additional sheets if necessary WORE NG COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes [:1 No W 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 50 Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No R] 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 5Q Not Applicable PREPARED BY F-re. d tk)e-, 1r TITLE Ar CDATE 2-! ,!�- i � I I 7- 00 W Z11, __L_;_� I 031 U ; ts : ! D EC 2 1 2015 ol I SI G y,F � a Ail •R . y •�� i� ��� —;-_ -- _ .tea-- — . __ . _I , .�� S CO. WNJVOW. $CtrC y mob"" 1r �� II M�n� i F►'ut•i t+i lit, pE w' SIti11='ibW� f ; . y4► � II 51 L,4 It c s f DEC 2 1 2015 Pk GIE�' IGE_ It lg2CM— - C,K _ I Art ox i- -- ----- ----------------- -- - ; T7 ilk 17 14 a IL ! S - �D�i r ! • I ' ". It 1 2015 DEC 2 _ l