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HomeMy WebLinkAboutTR-8833 John M.Bredemeyer III,President �O��O� S�(/TyOI® Town Hall Annex Michael J.Domino,Vice-President P.O. Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G ® Q Telephone(631) 765-1892 Charles J.Sanders O�coUNFax(631) 765-6641 �' TY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1293C Date: November 29, 2016 THIS CERTIFIES that the construction of a single-family 1-1/2 story 3,350sq.ft.dwelling with attached garage approximately 106' landward of top of bluff with the installation of gutters to leaders to drywells to contain roof runoff, 80' landward from top of bluff install a 16'x32' in-ground salt water swimming pool; install a 576sq ft bluestone pool patio; install 4' high pool fencing around the Proposed pool patio, install a 4'x25' bluff staircase for beach access using natural cedar wood;re-vegetate approximately 2 500sq ft of bluff face using native beach grass- and plant 8'tall arborvitae trees along the east and west property lines; At 100 Park Avenue,Mattituck Suffolk County Tax Map#1000-123-7-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 23,2016 pursuant to which Trustees Wetland Permit#8833 Dated June 22,2016,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a single-family 1-1/2 story 3,350sq.ft. dwelling with attachedarg age approximately 106' landward of top of bluff with the installation of gutters to leaders to drywells to contain roof runoff, 80' landward from top of bluff install a 16'x32' in-ground salt water swimming pool,• install a 576sq ft bluestone pool patio-, install 4' high pool fencing around the proposed pool patio,• install a 4'x25' bluff staircase for beach access using natural cedar wood;re-vegetate gpproximately 2 500sq ft of bluff face using native beach grass; and plant 8'tall arborvitae trees along the east and west propert lines. ines. The certificate is issued to 100 PARK AVENUE CORP. owner of the aforesaid property. Authorized Signature t r John M.Bredemeyer III,President OF SO(/Tjfro1 Town Hall Annex ,`O Michael J.Domino,Vice-President 54375 Route 25P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G ® p Telephone(631) 765-1892 Charles J.Sanders �O a Fax(631)765-6641 < COUNTIi BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 11,/24,1J. Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed _A/ Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: John M Bredemeyer III, President ^=ro�0 coG Town Hall Annex Michael J Domino, Vice-President c= �� 54375 Route 25 Glenn Goldsmith ;� 2 ` P.O. Box 1179 A. Nicholas Krupski "��� �;J Southold, NY 11971 Charles J Sandersof , ��;:=Y Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1St day of construction '/ constructed Project complete, compliance inspection V3R, MM Arm".mv m",%m i':vr" 5 BOARD OF SOUTHOLD TOWNTRUSTEES SOUTHOLD,NEW YORK Te PERA11T NO. 8833 DATE: JUNE 22,2016 ISSUED TO: 100 PARK AVENUE CORP. PROPERTY ADDRESS: 100 PARK AVENUE,MATTITUCK SCTM# 1000-123-7-3 AUTHORIZATION Pursuant to the provisions, of Chapter 275 'of the Town Code of the Town of Southold and in accordance with the Resohiii'on of-ihe'Board of Trustees adopted it the meeting:held on June 22, 2016, and in consideration of application fee in the sum of$250.00 paid by-100 Park Avenue Corp.and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the 1 following: Wetland Permit to construct a single-family 14/2 story 3,350sq.ft. dwelling with attached gara ge approximately 106' landward of top of bluff with the installation of of 'to'i idrywalls4o contain rui f, gutters ea:ders to 80' landward from top of bluff q install a 161x32' in-ground salt water swimming pool; install a 576s *.ft. bluestone pool patio: install 4' high pool fencing ground the proposed pool patio.•,install,a 4'x25' bluff, staircase for beach access using natural cedarmood; re-vegetate approximately ri i 2.500sq.ft. of bluff face using native beach grass; and plant 8' tall arborvitae trees along the east and west property,fines; and asAepicted on the surveyprepared by Pinnacle Land SurveyorsLLP, last dated June13,2016, and,stamped approved on June 30, 2016. E IN WITNESS WHEREOF,the'said Boiard of Truste6&her6by causes its Corporate Seal to be affixed, Rv, and these presents to be subscribed by a majority of the said Bo as of this data CZ W 41- N' TERMS AND CONDITIONS The Permittee 100 Park Avenue Corp.,P.O. Box 783, Mattituck,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. r' John M.Bredemeyer III, President ®F SOlBjy® Town Hall Annex Michael J.Domino,Vice-President '`® l® 54375 Route 25 Glenn GoldsmithP.O.Box 1179 Southold,New York 11971 A.Nicholas Krupski Telephone (631) 765-1892 Charles J. Sanders ® Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 22, 2016 100 Park Avenue Corp. P.O. Box 783 Mattituck, NY 11952 RE: 100 PARK AVENUE CORP. 100 PARK AVENUE, MATTITUCK SCTM# 1000-123-7-3 Dear'Mr. Pawlowski: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 22, 2016 regarding the above matter: WHEREAS, Paul Pawlowski, on behalf of 100 PARK AVENUE CORP. 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 May 23, 2016, 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 and 6 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: relocation of the pool and patio to be further landward; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 22, 2016, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, 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 100 PARK AVENUE CORP. to construct a single-family 1-1/2 story 3,350sq.ft. dwelling with attached garage approximately 106' landward of top of bluff with the installation of gutters to leaders to drywells to contain roof runoff; 80' landward from top of bluff install a 16'x32' in-ground salt water swimming pool; install a 576sq.ft. bluestone pool patio; install 4' high pool fencing around the proposed pool patio; install a 4'x25' bluff staircase for beach access using natural cedar wood; re-vegetate approximately 2.500sq.ft. of bluff face using native beach grass; and plant 8' tall arborvitae trees along the east and west property lines; and as depicted on the survey prepared by Pinnacle Land Surveyors LLP, last dated June 23, 2016, and stamped approved on June 30,'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 The offsets or dimensions shown from structures to the property lines are for a specific purpose and use,and therefore,are not intended to guide in the erection offences,walls pools,patios,additions to buildings and any other construction Subsurface and environmental conditions were not examined or considered as a part of this survey Easements,Rights-of-Way of record,if any,are not shown Property corner monuments were not placed as a part of this survey Certifications on this survey signify that the survey was prepared in accordance with the current existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors,Inc The certification is limited to persons for whom the survey is prepared,to the title company,to the governmental agency, and to the lending institution listed on this survey Said certifications indicated hereon are not transferable SITE DATA: ' TAX LOT ' PROPERTY IS ZONED R-40. 1000-123-01-2.2 TAX LOT N (AIRPORT) 1000-123-01-05 REQUIRED PROPOSED NO APPARENT WELL/POOLS VACANT NO LOT SIZE 40,000 S.F. 67,572 S.F. OrO, WITHIN 150' OF SUBJECT PROPERTY 1 5,04 MINIMUM LOT WIDTH 150' 119, 3 LOT DEPTH 175' 586' '7.F / MINIMUM FRONT YARD 50' 312' L 1 1 r + MINIMUM SIDE YARD 15'/35' TOTAL 15'/35' TOTAL $ o4 PARK AVENUE f MINIMUM REAR YARD 50' 5% -J MAXIMUM LOT COVERAGE 20% (BY BUILDING) 5% (3,350 S.F.) ght-15.01 +14.78 +7 11 +1524 +14.85 � - __1- - - +17.53 PROPOSED EDGE OF OH r- '� PROPOSED TOTAL LOT COVERAGE IT PAVEMENT 9 OHNE WATER ��-� -- PUBt±ISV BUILDING: 3,350 S.F. N 120 SV '� 1069.99, POOL: 512 S.F ' PATIOS & WALKS: 1,500 S.F. 1 PROPOSED PARKING AREA: 1,350 S.F. MASONRY DRIVEWAY APRON: 302 S.F. \ APRON �A 7,014 S.F. OR 10.4% OF LOT AREA a \ +1$yJ ' J 743 TEST BORING +17.o + 6.�r STABILIZED 1I 5/18/16+ EL 17.0 \ COE RANCE N 1 l �� >\ TAX LOT 5.3 &TOPSOIL +14,7 RESIDENCE 0O (OL) } +753 I c 1 `i 73.9 .� 1 PUBLIC WATER 1 BROWN +,7.6. SAND f (SM) n I 1FINE ` I 1 150 v ` +14.8f +14.4 £ 15.� AND +172 I I &W (SP) N f / ; I 1 I r �J.B ' EL 2.3 WATER 14I rq 1 +1 � TEST BORING PROVIDED +�� 1 �� ` BY PAWLOWSKI, INC +778 I I I I �( `J NOTE: DEPTH TO GROUNDWATER IS CONSISTENT 17 J' +777 WITH USGS MAPS;-NO NEARBY WELLS FOUND TO I l \ DETERMINE HIGHEST EXPECTED GROUNDWATER O LEVEL. r +18.2 O I y 150 1 1.r - " I -CP TAX LOT 6 NOTES +,6..7 0 1 \ f 1. LOT AREA = 67,569 SQ.FT. TO APPARENT HIGH WATER LINE. I l 1 l! LLI 18.1 +18.7 RESIDENCE 2. DEED REFERENCE LIBER 11507 PAGE 589. I 00 170+ PUBLIC WATER (TAX LOT 1) IL) _ + .o sox 3. LANDWARD OF THE TOP OF BLUFF, THE PROPERTY LIES IN FLOOD EXISTING / \ \� PROPOSED EXP > ZONE X. AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL WELL 1 + .6. / MAwG AREA OLP 1D• , CHANCE FLOODPLAIN, SEAWARD OF THE BLUFF, THE PROPERTY A O 327p 1 P M1t �\ UES IN FLOOD ZONE VE (EL 8), ACCORDING TO FEMA FLOOD �� MAP NUMBER 36103CO482H, REVISED SEPTEMBER 25, 2009. TAX LOT 21uu+ 1 P J PSMD +wry` 4. EXCEPT AS SHOWN, SUBSURFACE AND ENVIRONMENTAL CONDITONS f 16.2 '+17 SYSTEM'0 1 7Be=F 18..0 WERE NOT EXAMINED OR CONSIDERED AS PARE OF THIS SURVEY. rf-14.6 VACANT +153 o *� �1N / 5. ELEVATIONS REFER TO NAVD 1988. 220.0* 2 = 6. ALL IMPROVEMENTS TO BE CONSTRUCTED FROM APPROVED RD- 1 W 16.6 o PLANS AND IN ACCORDANCE WITH THE STANDARDS AND 15 m � 174. ,F%b I SPECIFICATIONS OF THE TOWN OF SOUTHOLD, S.C.D.H.S & 40,D• 13,G• N.Y.S. D.E.C. AS APPROPRIATE. +14.5 +747 �� _ ° ';, CF.175 60 ^50' .ti 7. PROPOSED 1-1/2 STORY DWELLING WITH BASEMENT & 4 BEDROOMS. I teB Ql� INSTALL (1) 1500 GALLON SEPTIC TANK (ST) & (2) 8' 1 7.5 O DIAMETER/ 8' DEEP LEACHING POOLS (LP). (SYSTEM r' I oM1 PROPOS'A° ' o• .�� O OVER-DESIGNED BY OWNER). B +,s7j hry 2`10 1-1/2 srORroz . / TAX LOT 7.3 +144 = �,. °'` RD-1/ • Pit-D,o 10 - RESIDENCE . O M4o0�O MIN c / WOOD ! +JB4 (TAX LOT 1) � _ 17 PLATFORM ` 18.4 N PUBIC WATER EXISTING tt50 • �O' SANITARY N �h rA, SYSTEM • ,I£9 , POOL RIM / ' .11" WASH 170 , APPROVED BY +15.2 �w b PROPOSED M SILT FENCE Of 1RUSTEES r PROPOSED UTILITY 4•x25•WALK/ +17.1 STAIRWAY Box w/ _ 4�� (•(, � Z: l TO BEACH 17.7+ ❑SPIGOT AIE +17 DRAINAGE CALCULATIONS +157 TOP OF BLUFF I STORAGE REQUIRED F 15.4 as !9 V ��' � ROOF AREAS l _ - t� a= `- WALL 1 3'E RD-1 2160 SF X 6= 360 CF BLUFF To BE RD-2 840 SF X = 140 CF VEGETATED WITH NATIVE W BEACH GRASS(2,500 SF RD-3 350 SF X = 58 CF J _ _ _ _O - q - a aw POOL WASH: (20% OF POOL VOLUME) + � HIGH WATER APPARENT \ Itfi .� -� " t'�t'� I'-'+ °,-•�' - VOLUME=23,000 GALLONS X 0.2= 4,600 _ _ 1 J - -LINE- GALLONS. 4600 GALLONS_ 615 CF STORAGE PROVIDED RD-1 (1) 10' DIAM. X 6 DEEP. (6) X 68 42 - - _ 521300 W -O t c I���' ( JUN 2 3 2016 410 CF z i RD-2 (1) 8' DIAM X 4 DEEP. (4) X 42.24 y ¢ t Southold 169 CF r ow RD-3 (1) 6' DIAM. X 3 DEEP. (3) X 22.34 8+� BAY ��„__ yrftgfTs�Fe • - _ = 67 CF POOL WASH: (1) 10' DIAM. X 9 DEEP. (9) X PECONIC 68.42= 615 CF Title No.: Date Revision- PREPARED FOR: ANNE & PAUL PAWLOWSKI PLOT PLAN 95A�nLU� KPON Y 15 POINT ROAD MATTITUCK, 100 PARK AVENUE (631)-445-4348 MATTITUCK, NY 11952 06/23/2016 REVISED POOL ORIENTATION 06/02/2016 PLOT PLAN FOR SUBMISSION TO SCDHS Lnauthorized alteration or addition to this survey it a violation of Section 7209,sub-division 2, New Tax Map:DISTRICT 1000 SECTION 123 BLOCK 7 LOT 3 York State En Law OF NEINE1yp0 Situate:MATTITUCK,TOWN OF SOUTHOLD County:SUFFOLK .ZPINNACLE Map of:DESCRIBED PROPERTY LAND SURVEYORS LLP Map Lot:-- Map Block:-- - File Date:-- File No.:-- �'' • `sFp Scale: 1"= 601 4 155 VETERANS HIGHWAY, SUITE I I 63 I .648.9273 s Q rtrg the land RONKONKOMA, NEW YORK 1 1 779 WWW PLSLI COM Copies of thi :,u surveyor•;embossed tea in ;I,Uture shall not Date: MAY 18 2016 Project No.:160135 © 2016 PINNACLE LAND SURVEYORS LLP be considered to be a true and valid copy John M Bredemeyer III­'-,,I'esident ?'o��S_ XooG Town Hall Annex Michael J. Domino, Vice-President ``or ; y y<? 54375 Route 25 Glenn Goldsmith " w ,? h P.O- Box 1179 A. Nicholas Krupski Southold, NY 11971 Charles J. Sanders `4, 01 , ���: Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: 100 P A���IB1 7b PAUL �A Vt1�0�1lK[ Please be advised that your application dated 1,11,4y 23F, 20/& has been reviewed by this Board at the regular meeting of 1TA 2, 2-016o and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) 1/2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the 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. 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: I TOTAL FEES DUE: $ 5®� 'aI�F� BY- John M. Bredemeyer III, President Board of Trustees John Bredemeyer Board of Trustees President ❑ E L v E Box 1179 i Southold, NY 11971 June 17, 2016 JUN 2 0 2016� � Southold Town fT Dear Me. Bredemeyer, We are writing this in pursuant to the application of Mr. Paul Pawlowski, 100-Park Avenue LLC! To build a single family dwelling on SCTM District 1000 Section 123 Block 7 Lot 3. We have resided at 272 Park Avenue, which is the property adjacent to the Pawlowski Application, for the past 25 years. During that time Mr. Jay Wickham was the owner of the said property and he was always very considerate of the view we had of the Peconic Bay. He realized that the view was an integral part of our home and we were consulted concerning his landscaping of the property to maintain the view. In the application of Mr. Pawlowski to site his home and his proposed landscaping on this property it effectively takes away the entire view of the Bay. While we do not deny his right to build his home we are asking that the trustees consider the view that has existed for us for the past 25 years and to work with Mr.Pawlowski to maintain this view. We understand that there is precedent for the Trustees to consider the view of neighboring property owners when approving site plans and urge you to consider this with Mr. Pawlowski's —application. Sincerely, i elvyn o Mary 'senstein 272 Park Avenue,Mattituck,N.Y. 11952 r� ' r\ j. r 2016 a 1' Southold i 3 1 of Trustees - l' • yY ,...�ff�f � 1. �' ' r .. .,_ •. z 84'-0'- 0 GAF G- 22'-10" 40'-05/8" --9-01- 13'-51/2" O-o 5 GKLXI-KOOM -40'-l' FVI F'yl F"',vl T)I iV ;2 -391-911/1611- -21'-0' MAY 2 3 2016 z < ---505thoill,�Tollqq iL rlK,5T FLOOR FLAN OL3.- a - U, Z X DATE I I NI +125116 SCALE- 5/9/16 j " -25�1 1 7/8" 2 rT r. Jo --------------------------- ----------I-,---_— I I I I `— I tr- -- _ - Z L r. D D D �— ,ii� „g r, - I I I t F t I I° GARAGE5LA6 Oh GRADE MAY 2 3 20161 DI I QO4L--I Southold TmAin I I I I � •� I I v p I I ° D ° p I I I I 1 1 ----707-10 e �9 n -------------------------------------- I r-- — --- -- -- ---( r--------- --� I I I I I I r O I ,.,:,�..,,•� i I P I FULLI3ASEMF—NT -------v———— l� i I Ii 9 WALL5 _-- -- I I I I I I o I b I I I I --------------- -- - t I I r--, r I--I r—I r—-i 1--1 I o .(X/♦ L_J 1_-1 L_—_j L_J I_I I I I = L 1 O —7'-0' P-7-t-4 I'll I I I I I I I --I I I I---- —j -------------- I I I _ I 117— I I ------------------------------------------------- I--_ ----- --1 1 --- ---- — — , I N SLAB ON GRADE. I I I I I I I GARAGE I I Ld I I I I I I I 4 Z I N — CRAWL 5FACE. N DEPT TO TOP OF FOOTINGSFA I I I I I 'I FULLE)A5r-ME.N I I I DATE °FT WALLS +125116 l l i i °i' i i 5/9/16 I I I I I I I I I I $ 5CALE I LlI' I I I I I r = IFT ' r(DUNDATION PLAN I I I 191 1 I 9 - - - - - - -!11 SAGE. '-z° 9'-z° I I I -----e--------------- B-9._7 l ov-3' Z I iJ } II II r � 11 II N it lk —Si GUE5T 5L.DKOOM O MAY 2 3 2016 `-�` " -�}- I I � II 11 ------ GARAGE 'n` II II [Lj ----- I — Southold TO"Vnf 11 11 11 I I p0 ,z of T.Uvt@Or q I I u q n � I I i 11 C 11 I I ii J VN C�] ii OQ I I i I I ii ii 9'-7 T31-076'-0'73"-o°TI �f ° II eJ DN 11 STA!ftR'ELL - n o n _iw 11 ' •,r ass ,oro ,oso naso " - --- _ - 0 IZ'O" 5ECOND FLOOR BE-DROOM LALINDRY KOOM i e's• 3'-0 O MUD KOOM 4 � - - R i OFFICE " p " GRE.AT ROOM PCOM FYI F"'�rl FY� 1 1 CL 1 = ,a„ ' \J OUs, = SEDROOM � Q d O � MA5TER5ATLLJ H " 1 s s cLoseT BATHROOM CL05ET _ 4 p v 4 MA5TF-K 61=DKOOM DATA i g +125116 g 519116 FIKST FLOOK FLAN I 5CALE- i 5EDROOMa) FT N 20'-0° =8'-0° 20'-0° FAG E— �ra ,Aso 6'-9°--►ice j'-o°+hK j'.o•+h—6'-I I I ow-s° FMAY ;I Z v- 2 3 2016 souttlol,Town st G. O CL VFE' IV L------------ -J7-. .. .. .. O O SOUTH ELEVATION �Qw Orr H o zF-0-1 FM-1 FO-1 ----------- DATE ,Wll� 4W�� toa +125116 6 SCALE- FT rAGr- TORT ELEVATION! 5 , z LLTLLI LL zo -E] El �7 BOO wx� j . , EAST ELEVATION � o z Id Z z j MAY 2 3 2016 < Soulmold TQ,,vn EE DATE PL, v 7 5CALF- III = 1rT WE-5T ELEVATION rAGE- The offsets or dimensions shown from structures to the property lines are for a specific purpose and use,and therefore,are not Intended to guide In the erection offences,walls,pools,patios,additions to buildings and any other construction Subsurface and environmental conditions were not examined or considered as a part of this survey Easements,Rights-of-Way of record,if any,are not shown Property corner monuments were not placed as a part of this survey Certifications on this survey signify that the survey was prepared in accordance with the current existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors,Inc The certification is limited to persons for whom the survey Is prepared,to the title company,to the governmental agency, and to the lending Institution listed on this survey Said certifications Indicated hereon are not transferable L15.04 �h P AVENUE -J 1 .! , +1478 +7 +15.24 f +14.85+1753 EC TO no. Ic WATER - N\ L 1069.991 ' PROPOSED , MASONRY APRON I 1 +14.3 \ I +/3 +15.1 +170 I / TAX LOT 5.3 +14.7 RESIDENCE 0 1 +15.J �� PUBLIC WATER +17s +16.81 \a � ` / , I a O U +14.4 0 160 +14.8 I 15.1 +17.2 +J B +r6.2 +14.I l 1 17.7.0+177 r \ 1 i +16..2 O I +15 1 IF 15.0 I q- +16.71 +,6.7/ p 1 1 -� TAX LOT 6 cC 181 +181 RESIDENCE / 00 _1Z0 1 + s0 + 50% PUBLIC WATER EXP + •8 1 PROPOSED LP -�16.1 \1 1 MASONRY O 16 °4 PARKING AREA Oµ1N \ TAX LOT 2 , \ CLI �\PROPOSED \ SANITARY +15.3 +14.6 I l6.2 172+ SS TE Ad Wo -F 18.0 VACANT 1 ST J 206 1 N 5' ,74 1 �� tm 166 400' 0 130 I N N +14.7 '4 +145 -a r60' 1 I ' 41.2 20' +18.0 168 ro {18.1 e II 1 '-O n 1�5 t1r 6. PROPOSM lad O SrTE DATA: +15.E 21° -1 2 NG =N TAX LOT 7.3 +14.4 � PROPERTY IS ZONED R-40. n 21 / RESIDENCE O PROPOSED - INGROUND / 4 ODD1B.4N+184 PUBIC WATER REQUIRED PROPOSED POOL PLATFORM MINIMUM LOT SIZE 40,000 S.F. 67,572 S.F. ,s 17.5 MINIMUM LOT WIDTH 150' 119' + 1 LOT DEPTH 175' 586' MINIMUM FRONT YARD 50' 312' MINIMUM SIDE YARD 15'/35' TOTAL 15'/35' TOTAL +15.21 m SRO ENED cA / MINIMUM REAR YARD 50' 130' MAXIMUM LOT COVERAGE 20% (BY BUILDING) 5% (3,350 S.F.) \ PROPOSED UTILITY 4'x25'WALK/ EEE STAJRWAY Box w +171 TO BEACH 17 1 WATER +17. - PROPOSED TOTAL'L T COVERAGE 0 SPIGOT BUILDING: 3,350 S.F. +15.7 j ro OF BLUFF POOL: 512 S.F +15.41 / 1 PATIOS & WALKS: 1,500 S.F. u ^^--�- PARKING AREA: 1,350 S.F. WALL DRIVEWAY APRON: 302 S.F. _ - - - _- _ - 1 3'E 7,014 S.F. OR 10.4% OF LOT AREA - - - 13WFF TO VEGETATED WITH NATIVE WALL NOTES: ' BEACH GRASS 4=,500 SF 4 4,W, r " 1. LOT AREA = 67,569 SQ.FT. TO APPARENT HIGH WATER LINE. / APPARENT - \ HIGH WATER , 2. DEED REFERENCE LIBER 11507 PAGE 589. - - INE l 3. LANDWARD OF THE TOP OF BLUFF, THE PROPERTY LIES IN MAY 2 3 2016 FLOOD ZONE X, AREAS DETERMINED TO BE OUTSIDE THE 0.2% 0 PROPERTYHLIES EIN FOLOOD�ZONE ANNUAL IN, EVE (EL. 8),WARD OFTHE ACCORDNG TOQ.7-�-,- 5230" V-o ` -C FEMA_ FLOOD MAP NUMBER 36103C0482H, REVISED SEPTEMBER 25, 2009. 4. EXCEPT AS SHOWN, SUBSURFACE AND ENVIRONMENTAL o 3 l.�. '1':«''ru`X y- CONDITIONS WERE NOT EXAMINED OR CONSIDERED AS PART OF 3 BAY THIS SURVEY. 5. ELEVATIONS REFER TO NAVD 1988. PECONIC 6. THIS PLAN IS NOT TO BE USED FOR CONSTRUCTION. Title No.: Date Revision PLOT PLAN Unauthorized alteration or addition to this survey Is a violation of Section 7209,sub-division 2,New Tax Map:DISTRICT 1000 SECTION 123 BLOCK 7 LOT 3 York State Education Law Situate:MATTITUCK,TOWN OF SOUTHOLD County:SUFFOLK -.2PINNACLE, A` Map of:DESCRIBED PROPERTY LAND SURVEYORS LLP Map Lot:-- Map Block:-- i �} File Date:-- ' File No.: 4 1 55 VETERANS HIGHWAY, SUITE 1 1 631 6489273 Scale: 1"= 60' RONKONKOMA, NEW YORK 1 1 779 WWW PLSLI COM Copies of this survey map not bearing the land surveyor's embossed seal and signature shall not Date: MAY 18 2016 P -ct No.: 160135 be considered to �e and valid copy � c v 2016 PINNACLE LAND SURVEYORS LLP. , The offsets or dimensions shown from structures to the property lines are for a specific purpose and use,and therefore,are not Intended to guide In the erection offences,walls,pools,patios,additions to buildings and any other construction Subsurface and environmental conditions were not examined or considered as a part of this survey Easements,Rights-of-Way of record,If any,are not shown Property corner monuments were not placed as a part ofthis survey Certifications on this survey signify that the survey was prepared In accordance with the current existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors,Inc The certification Is limited to persons for whom the survey Is prepared,to the title company,to the governmental agency, and to the lending Institution listed on this survey Said certifications Indicated hereon are not transferable C +16.04 PARK AVENUE lu _ j 1 -- +7(11 +1524 +14.85 X +14.78 15.01 +17.53 \ / TO - OHCONNECT S / PUBLIC WATER - , '-- \ PROPOSED 1069.99 MASONRY \ APRON a 1 �� +143 +170 +\ 3 +15.II o 1 +13. / q\ TAX LOT 5.3 1\ 1 / III +14.7 RESIDENCE � 1 0 +/39 1 PUBLIC WATER a £ +17.6 +16811 +l5.3 3;11 O 16.0 \ +1481 1 +14.4 N £ 15.1 om +172 +178 11 f ra + + t14.¢ +r6.2 0 'G +,76 / I I \1 177.0+177 1 1 1 +1s2 O 1 1 1{ 150 1 r +16.71 -++15` 1 1 1 £ u - TAX LOT 6 / 0 1/ 11.61 1 1 1 1 + 161 +18.1 RESIDENCE 770 PUBLIC WATER 1 1 1� 60 SDP EX + •6 PROPOSED LP -�16.1 \1 1 MASONRY O 10. �\ PARKING AREA L P MIN g £ !A TAX LOT 2 1 \ L P PROPOSED \ SANITARY +153 +146 ` 162 17.2+ SYSTEM X180 VACANT I 1 ST 20 0 1 5' < " 174 1 1m c� 40 0, .0 1-30. 1 +145 +147 a' .a r n m 60 f 5_° I _ -412=_ ___ .� -20' 1 +18.0 1,ry�5B m m 18.1 n r 175 +16B PROPOSED 1Ba 0 SITE DATA: +153 21° -'I,� 'N TAX LOT 7.3 +14.4 _ PROPERTY IS ZONED R-40. 1102� ROPOSED / RESIDENCE REQUIRED PROPOSED 0 POOLDWOOD//PLATTFORM 84N+184 PUBIC WATER MINIMUM LOT SIZE 40,000 S.F. 67,572 S.F. ► 17.5 I MINI6MUM LOT WIDTH 150' 119' /r + a LOT DEPTH 175' 586' + MINIMUM FRONT YARD 50' 312' \6� jit MINIMUM SIDE YARD 15'/35' TOTAL 15'/35' TOTAL +15.2 m �PROPFOSEDE �"" 4 MINIMUM REAR YARD 50' 130' MAXIMUM LOT COVERAGE 20% (BY BUILDING) 5% (3,350 S.F.) \ PROPOSED UTILITY 4'x25'WALK/ +17.1 BE LNn STAIRWAY BOX W/ PROPOSED TOTAL LOT COVERAGE � O .4 ACH 171 SPIGOT +17. BUILDING: 3,350 S.F. +15.7 TOP OF BLUFF POOL: 512 S.F +15.4 _ �¢ PATIOS & WALKS: 1,500 S.F. ���µ x PARKING AREA: 1,350 S.F. - i WALL 3'E DRIVEWAY APRON: 302 S.F. - - - _- _- " w 7,014 S.F. OR 10.47 OF LOT AREA - - - BLUFF ro 6E"= NOTES: _ VEGETATED WITH NATIVE WWF BEACH GRASS 12,500 5 F 4 4,W 4 _ _ 1. LOT AREA = 67,569 SQ.Fr. TO APPARENT HIGH WATER LINE. APPARENT - \ rt a HIGHINE�R� 1,t✓c`4 \�?' b..:s [f .°+, (,�'y { 2. DEED REFERENCE LIBER 11507 PAGE 589. - - ,� - y 1 3. LANDWARD OF THE TOP OF BLUFF, THE PROPERTY LIES IN FLOOD ZONE X. AREAS DETERMINED TO BE OUTSIDE THE 0.2% m MAY ���C 1 ANNUAL CHANCE FLOODPLAIN, SEAWARD OF THE BLUFF, THE .n ^ 7� _ 'VA U PROPERTY LIES IN FLOOD ZONE VE (EL. 8), ACCORDING TO 30„ tit -0 FEMA FLOOD MAP NUMBER 36103CO482H, REVISED SEPTEMBER _ - - o 25, 2009. o c t 1 o 5UthoiL_Tom 4. EXCEPT AS SHOWN, SUBSURFACE AND ENVIRONMENTAL o 3 CONDITONS WERE NOT EXAMINED OR CONSIDERED AS PART OF 3 ••,-- lT I fi �18Q4S THIS SURVEY BAY 5. ELEVATIONS REFER TO NAVD 1988. PECONIC 6. THIS PLAN IS NOT TO BE USED FOR CONSTRUCTION. Title No.: Date Revision PLOT PLAN Unauthorized alteration or addition to this survey Is a violation of Section 7209,sub-division 2,New Tax Map:DISTRICT 1000 SECTION 123 BLOCK 7 LOT 3 York State Education Law . i Situate:MATTITUCK,TOWN OF SOUTHOLD County:SUFFOLKZPINNACLE Map of:DESCRIBED PROPERTY - � LAND SURVEYORS LLP A Map Lot:-- Map Block:-- File Date:-- File No.:-- 1 4 1 55 VETERANS HIGHWAY, SUITE 1 1 63 1 .646.9273 Scale: 1"= 60' RONKONKOMA, NEW YORK 1 1 779 WWW.PLSLI COM Copies of this survey map not bearing the land surveyor's embossed seal and signature shall not Date: MAY 18 2016 Project No.:160135 © 2016 PINNACLE LAND SURVEYORS LLP be considered to be a true and valid copy The offsets or dimensions shown from structures to the property lines are for a specific purpose and use,and therefore,are not Intended to guide In the erection offences,walls,pools,patios,additions to buildings and any other construction.Subsurface and environmental conditions were not examined or considered as a part of this survey Easements,Rights-of-Way of record,If any,are not shown Property corner monuments were not placed as a part of this survey Certifications on this survey signify that the survey was prepared In accordance with the current existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors,Inc The certification Is limited to persons for whom the survey Is prepared,to the title company,to the governmental agency, and to the lending institution listed on this survey Said certifications Indicated hereon are not transferable C 16.04 PARK AVENUE +15.24 -{-14.85 �k{-15.01 +1478 +,7.53 / CONNECT TO _ PUBLIC WATER N\ L 1069.990 1 PROPOSED MASONRY \ APRON r ' 15 I �F -I-14.3 \ +15.10 +J3. f ,7.0I / + �3 TAX LOT 5.3 +1f7 RESIDENCE -{-153 I o I <+139 �� 1 PUBLIC WATER 7 +17.6 +/61811 a I ml 16 0 U \ +1481 1 +14.4 � £ 15.1 ow +172 +178 1 / 3 II i3 +,49% // + +762 14 +ns / I I - - £ 17 T"0+17.7 l 1 1 +s2 O ' +15.� 1 15.0 1 r +16.71, 0 \ \ 1 £ � -0- TAX LOT 6 / 0 1 I I 1 / 1 1 JB + 16,1 RESIDENCE 770to 0 + PUBLIC WATER { 6 EXP \ PROPOSED LP -016.1 a I I MASONRY O it \ - PARKING AREA 0 LP IN MM TAX LOT 2 1 \ L P �\PROPOSED \ SANITARY 14.6 I 16.2 172+ sSsTE 1 + 5T6 +153 ----F 1B.0 VACANT 1 _ 20 1 N 174 I 166 ca5 40 0' •0 13 0 I +145 +147 m 60' C5D' _ 'at 2' �ZO' � +18.0 "--- -- 16 8' m a m 181 / 175 -0 � r +16. PROPOSED is / 0 SITE DATA. +15* 2, '-'otwtiuT TAX LOT 7.3 +14.4 = N PROPERTY IS ZONED R-40. ¢ 21 ! RESIDENCE O 0 PROPOSED r INGROUND /pLWTORM OOD 18.4,^+18.4 PUBIC WATER REQUIRED PROPOSED POOL V, MINIMUM LOT SIZE 40,000 S.F. 67,572 S.F. 1B 17.5 MNIMUM LOT WIDTH 150' 119' LOT DEPTH 175' 586' MINIMUM FRONT YARD 50' 312' + 152 \sem �PROPOSED\ 1 / MINIMUM SIDE YARD 15'/35' TOTAL 15'/35' TOTAL 1 m SILT FENCE MINIMUM REAR YARD 50' 130' MAXIMUM LOT COVERAGE 20% (BY BUILDING) 5% (3,350 S.F.) \ PROPOSED uriun 4'x25'WALK/ Box w/ +17.1 STAIRWAY o TO BEACH 17'+ WATER +17 SPIGOT PROPOSED TOTAL LOT COVERAGE _76 ❑D BUILDING: 3,350 S.F. +15.7 v TOP OF BLUFF i POOL. 512 S.F +15.4 1¢ PATIOS & WALKS: 1,500 S.F. u - - - _{ /� x wµ Y PARKING AREA:,, 1,350 S.F. - - - - i' "� �O" ^- ` 133 DRIVEWAY APRON: 302 S.F. _- - - _- _- , 1 3'E 7,014 S.F. OR 10.4% OF LOT AREA - - - 713LUFF TO BE ^LL NOTES: VEGETATED WITH NATIVE WALL` BEAC.H GRASS 12,500 SF 4 4•W - h Y; €i:� FJf it 1. LOT AREA = 67,569 SQ.FT. TO APPARENT HIGH WATER LINE. APPARENT - ice, - HIGH IW TER I`^ �•__._..,.m_.....,.......-. -- --.__11 , 2. DEED REFERENCE LIBER 11507 PAGE 589. - - 3. LANDWARD OF THE TOP OF BLUFF, THE PROPERTY LIES IN a, _ � 1 j MAY 2 3 2016 FLOOD ZONE X, AREAS DETERMINED TO BE OUTSIDE THE 0.2% rn II ANNUAL CHANCE FLOODPLAIN, SEAWARD OF THE BLUFF, THE r n PROPERTY LIES IN FLOOD ZONE VE (EL. 8), ACCORDING TO � 3O C I FEMA FLOOD MAP NUMBER 36103CO482H, REVISED SEPTEMBER _ - - 0 1 ; 25, 2009. Z "Ro -----�--------------�•.-- S0t1tllQlti TOM'f{ 4. EXCEPT AS SHOWN, SUBSURFACE AND ENVIRONMENTAL o a -)rtQ-fL_� CONDITONS WERE NOT EXAMINED OR CONSIDERED AS PART OF ; THIS SURVEY. BAY 1 5. ELEVATIONS REFER TO NAVD 1988. PECONIC BAY 6. THIS PLAN IS NOT TO BE USED FOR CONSTRUCTION Title No.: Date Revision PLOT PLAN Unauthorized alteration or addition to this survey Is a violation of Section 7209,sub-division 2, New Tax Map:DISTRICT 1000 SECTION 123 BLOCK 7 LOT 3 York State Education Law Situate:MATTITUCK,TOWN OF SOUTHOLD County:SUFFOLK AdPINNACLE Map of:DESCRIBED PROPERTY • LAND SURVEYORS L L P 1,fd Map Lot:-- Map Block:-- �� File Date:-- File No.:-- 41 55 VETERANS HIGHWAY, SUITE 1 1 63 1 .648.9273 Scale: 1"= 60' RONKONKOMA, NEW YORK 1 1 779 WWW PLSLI COM Copies of thls'survey map not bearing the land surveyor's embossed seal and signature shall not be considered to be a true and valid copy Date: MAY 18, 2016 Project No.: 160135 © 2016.PINNACLE LAND SURVEYORS LLP A PARK AVENUE — 120.00' 4,85­31'ff E., TAX I'M S eUSUC WATER -A -4 A 'AN LOT 6 'Of i-I PUSUC WAXR 72 C3 M m TAX ILOT 2 IkX LM 7�3 'RiM 04 04 k iir t zv-, t Wlsf IISI� >t54�1�f zkMON10 �m 'i i, 71"1 .F4cW 44' M.W-r r, Y<044,1 t!f r J--e to 4t :,T,,,f Tr_'r a7 cllfl�lcl,M INR.� �cf ;Arl-r1l PIECONIC BAY 1_2w rf ANNE Fr PAUL PAWL0W5Xt Tar M:�P-DISTRICTIM SECTION 123 BLOCK 7 LOTS zi PINNA LJ CL E V 1� Y 0 P Map 9 fcKk.— �lr­wve_st: v V 60' D*tWMAY 18,Wlfi rlrcj,erthila-16013S John M Bredemeyer III, President �- pS� Ff a K o Town Hall Annex Michael J. Domino, Vice-President ��� Gym 0 54375 Route 25 Glenn Goldsmith o ` P.O. Box 1179 A Nicholas Krupskio Southold, NY 11971 Charles J. Sanders ��j0! � Telephone (636) 76565-1892 Fax -6641 1BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 'A5/a it 5' Completed infield by: C C� f61S M,A 100 PARK AVENUE CORP. requests a Wetland Permit to construct a single-family 1-1/2 story 3,350sq.ft. dwelling with attached garage approximately 106' landward of top of bluff with the installation of gutters to leaders to drywells to contain roof runoff; 50' landward from top of bluff install a 16'x32' in-ground salt water swimming pool; install a 576sq.ft. bluestone pool patio; install 4' high pool fencing around the proposed pool patio; install a 4'x25' bluff staircase for beach access using natural cedar wood; re-vegetate approximately 2.500sq.ft. of bluff face using native beach grass; and plant 8' tall arborvitae trees along the east and west property lines. Located: 100 Park Avenue, Mattituck. SCTM# 1000-123-7-3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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 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 Public Notice of Hearing Card Posted: Y / N ` Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment t,-"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: 2-t3A S No 1 s5 ue-5 Present were: �'� J. Bredemeyer �� M. Domino `- ` G. Goldsmith N. Krupski ^� C. Sanders Other Page 1 of 2 John M. Bredemeyer III, President �p%affa ��o Town Hall Annex Michael J Domino, Vice-President �o Gym 54375 Route 25 Glenn Goldsmithy P.O. Box 1179 A. Nicholas Krupski o P" Southold, NY 11971 Charles J. Sanders y�j�l dao Telephone (631) 765-1892 . Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: 100 PARK AVENUE CORP. requests a Wetland Permit to construct a single-family 1-1/2 story 3,350sq.ft. dwelling with attached garage approximately 106' landward'of top of bluff with the installation of gutters to leaders to drywells to contain roof runoff; 50' landward from top of bluff install a 16'x32' in-ground salt water swimming pool; install a 576sq.ft. bluestone pool patio; install 4' high pool fencing around the proposed pool patio; install a 4'x25' bluff staircase for beach access using natural cedar wood; re-vegetate approximately 2.500sq.ft. of bluff face using native beach grass; and plant 8' tall arborvitae trees along the east and west property lines. Located: 100 Park Avenue, Mattituck. SCTM# 1000-123-7-3 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: I. 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 MET=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: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 4 Ad w Ar t ` IL 10 4 A'. e it< lk IOU . � s�} � � s rs ��.,. � � ,� • gyp � 'rte all ✓L- b ttr + . 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SEE SEC NO 115 wKw.. 11NE �' WTGt UNE N,i61uNE ^ —ZZ -- �— � JFE lIEC x0.rr5 — rvDz eez 3 i i i + 33 • S FOR PCL.NO. i W g sE a SEE SEC NO 32 1 I� �t<y` 1 �lC� I y, lrsrzo+e 15-0&001 a A 11• y9 C g 2 g � FOR FCL.NO a 1 3 m w �^�' , O � 5.1 5 3 T ! 9 10• 1 We •1.7+ � M, \� `e P .a.SNc) �• 10I11d 1.Wq 11 SEE SEC � $ �1 5 a • � • i5, TO—OF 21 S ,a - 10 _ 1W, 1T m SOUTHOLD i] O �5yrp1 5 St. ..:51, T5.w $ GENtER zs ,s B5 xs '�' xn 1 - P .A u l a13 x'112 qP A(.) an + � 1 jq�1 u . .•r 6 Q�M/. .e ..s a5 �� •� `gid• '� tioNl `• u.z a�'m +'1'D+ ,5 ,3 p� a t Sac, a n• • N 58e B] a �pK + `, ```1 1 bar •� � 'A � 74 7 25 Sir 9 P1R`I S3 5 1 / B n s ,• O ; + 22,,0 m Y� a' Y• We IIT w / 15 a s 1aa 11 15 1201 1 l<1 ,. ,2.3 pD•71 % ,•, ,a AS IT �6 O • 1l. .ea��,•P�yl 15PLU s,B'1 121 /ns 8 10 A ,�lh • / � 5z,,iala • ,�%' • .. / IG BAY T,� a3 • •j:,,, t AEGON a3 aql i5E i 5• !�� GRA Nmeeo G�a _�_ O `� __�_ m NOTICE C1500! COUNTY OF SUFFOLK © E rwwlx solmlao SECTION NO Rural Property Tax Service Agency v Nee.eryumerRPe,tl.aa.NY"KH ,1u.Nza 123 O wr•. n r a,Malwrzr —_� 1r•u. --•-- o.....--rw-- .w.rzv. a A 'P 1�o PROPE,YWP OFFICE LOCATION: s ��®F s® �® MAILING ADDRESS: Town Hall Annex �® JAL�® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) us sc Southold, NY 11971 Telephone: 631 765-1938 ®��c®UNTY,� , LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: June 20, 2016 Re: Local Waterfront Revitalization Program Coastal Consistency Review for 100 PARK AVENUE CORP. SCTM# 1000-123-7-3 100 PARK AVENUE CORP. requests a Wetland Permit to construct a single-family 1-1/2 story 3,350sq.ft. dwelling with attached garage approximately 106' landward of top of bluff with the installation of gutters to leaders to drywells to contain roof runoff; 50' landward from top of bluff install a 16'x32' in-ground salt water swimming pool; install a 576sq.ft. bluestone pool patio; install 4' high pool fencing around the proposed pool patio; install a 4'x25' bluff staircase for beach access using natural cedar wood; re-vegetate approximately 2.500sq.ft. of bluff face using native beach grass; and plant 8' tall arborvitae trees along the east and west property lines. Located: 100 Park Avenue, Mattituck. SCTM# 1000-123-7-3 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 LWRP policies and therefore INCONSISTENT with the LWRP provided the following is required for further Policies 4 and 6. 1. § 275-3. Findings; purpose; jurisdiction; setbacks. requires a 100' setback form the swimming pool and related structures to the top of bluff. In the event.the action is approved: 1. Require that a vegetated, non-turf buffer be established landward of the top of bluff. 2. Require a pool de-watering well. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. J -� Fflg,��d� Peter Young,Chairmany Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council 'held Wed., June 15, 2016 the following recommendation was made: Moved by Keith McCamy, seconded by Greg Williams, it was RESOLVED to SUPPORT the application of 100 PARK AVE CORP. to construct a 3,350 sf. single-family dwelling; 16'X 32' in-ground swimming pool with bluestone patio and 4' pool,fence around proposed patio; plant native be along bluff to revegetate bluff; plant 8' tall green giant arborvitae along east and.west property lines; and construct a 4'X 25' staircase for beach access. Located: 100 Park Ave., Maitituck. SCTM#123-7-3 Inspected by: Peter Yound`, Peter Meeker, Keith McCamy The CAC Supports the application with the Condition the location of the pool and patio are at the required setbacks in accordance with Chapter 275-Wetlands Code. Vote of Council: Ayes: All Motion Carried John M- Bredemeyer III, President ��0J Ss Town Hall Annex Michael J. Domino, Vice-President �O l4 54375 Main Road P-O- Box 1179 James F. King,Trustee `3S` Southold, New York 11971-0959 Dave Bergen,Trustee G Telephone(631)765-1892 Charles J_Sanders,Trustee 'Q co Fax(631) 765-6641 BOARD OF TOWN TRUSTEES Li D TOWN OF SOUTHOLD MAY 2 4 2t To: Southold Town Building Department BUILDING DEPT. Re: Verification of Building Department Permit Requirements TOWN OFSOUTHOLD SCTM#: 0 a3-7— da fA,e- P AWE, C R �0 PSL fAW"WSKI Property Owner Name: ' Date Sent to Bldg. Dept.: , I The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO the proposed project require a Building Permit? ill the proposed project require a variance determination from /,,.,41e Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: (G / Signature of Fkliewer Date John M.Bredemeyer III,President �*of S®UjyQTown Hall Annex Michael J.Domino,Vice-President h0 l0 54375 Route 25 i [ P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 CA A.Nicholas Krupski ; ® a0 Telephone(631) 765-1892 Charles J.Sanders 2lNTY � Fax(631) 765-6641 ]BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Zoastal Erosion Permit Application _Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: 6-a-3.lip ,, Received Fee:$ � l'3 r. �� F=� ;' a y {� Completed Application 5.2-4-19 Incomplete ; a ! Q i MAY 2 3 2016 SE RA Classification: Type I Type II Unlisted oordination:(date sent) +� 9 LWRP Consistency Assessment Form �'�' Soi,ttjo ToTorn "a DAC Referral Sent •����d $'err f t VE of Inspection: (./15-1 _Receipt of CAC Report: _Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: c 6R.P Name of Property Owner(s) j 9100 pox-k- N e- Address � /L i �-n�� /yl'el /7v��.d�� Phone Number:( ) �-�/ �/�/�� ' �`'� jvtoj Suffolk County Tax Map Number: 1000 - Z Property Location:/gyp &�/,- �Y�i✓�.� /�l-� �'��� f`� ll Z (provide LILCO Pole#, distance to cross streets, and location) AGENT: �5; (If applicable) Address:—4, It 7Y5 Phone: jlj C� CG/ ��� Property: 100 Park Avenue Mattituck MAY Z 3 2016 To Whom It May Concern: Sosths;itl TOO T I Paul Pawlowski would like to seek permission for the following items r 1. Single family home that will be 3350 sq foot in size The setback for the home from the top of bluff line will be 100 See survey for dimensions Note all storm water runoff drains will be as per code, height of home will be within code 2. (1) in ground pool 16'x32+ total dept of 8'with bluestone patio around pool area, the setback for pool from top of bluff line is 50' and 117' from high tide mark �"-�& � i OU Note this will be a salt water pool and any drains required will be installed 3. Plant 2000 native beach grasses along bluff to re vegetate bluff 4. Perimeter 4' pool compliant fence -4--L e4.,-+t +g' P/O po ctib fA-:h o S. 8' tall green giant arborvitae trees planted along east and west property lines 6. 4'x25' staircase for beach access, these stairs to be made out of nature cedar wood rd of Trustees Applicatic GENERAL DATA Land Area(in square feet): Area Zoning: 4"//0 Previous use of property: Intended use of property: 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 ^KNo 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 o _X Does the structure(s) on property have a valid Certificate of Occupancy? Yes XNo Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. X` 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): �Lc•��ui a� � S'i,c,�c ��,v7 Gl�iitP �'�� ��u-�� � �-G��"✓-u-1 a� si �J sJd' i t✓ir Lrd of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: l Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No X, Yes If yes,-how much material_will_be excavated? 200 cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: As exp Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): /1 E) C-A 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information IUD Awe (,c.4:f_ Name of Action or Project: 1 Project Location(describe,and attach a location map): Brief Description of Proposed Action: Name of Applicant or Sponsor: too ?4&L LLC Telephone: (t31 r ltgs—1-(3 109 (� E-Mail: (.Qel — k`i�- _ kf3 Address: City/PO: State: Zip Code: 9-1,- ��3 M.�[� � IJ� w y 115-,> 2- 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 1:1 01 3.a.Total acreage of the site of the proposed action? s acres b.Total acreage to be physically disturbed? es gi5pC) S c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land u�es tha^t occur on,adjoining and near the proposed action. ❑Urban t�f (non-agriculture) F-1 Industrial E]Commercial ❑Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5 is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑ 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? ,1— F-1c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? �J2 ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a.Does the site contain a structure that is Iisted 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 YE wetlands or other waterbodies regulated by a federal,state or local agency? �' - ❑ a 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. Identi the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: horeline ❑Forest ❑Agricultural/grasslands El 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 storm water discharge,either from point or non-point sources? ],NO YES If Yes, ❑ a.Will storm water discharges flow to adjacent properties? IPO ❑YES b.Will storm water discharges be directed to established conveyance systems(runoff andstrains)? F]If Yes,briefly describe: NO ES f�2L Cw Lt C14- l 1 --�© 1� t aJ-Q L , Pac,e 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: ❑ [�f 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE /! Applicant/sponsorname: ir� t � Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 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 11regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? n� 113. Will the proposed action impair the character or quality of the existing community? �J ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the F-1establishment of a Critical Environmental Area(CEA)? ET 5. Will the proposed action result in an adverse change in the existing level of traffic or F-1affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, Vt hat the proposed action may result in one or more potentially large or significant adverse impacts and an nvironmental impact statement is required. heck this box if you have determined,based on the information and analysis above,and any supporting documentation, hat the proposed action will not result in any significant adverse environmentti impacts. Town of Southold-Board of Trustees /� 10 Name of ead Agency rD//ate �1Jh n President Print or Type Name of Respo ible fcer in Lead Agency Title of Responsible Officer Sig re of sponsible Off i r in Lead 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: STATE OF NEW YORK COUNTY OF SUFFOLK residing at P On being duly sworn, deposes and says that on the day of 120' deponent mailed a true copy of the Notice set forth in the Board f Trustees Appli ion,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 , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of 20.1 - CONNIE D.BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County i Notary Public Commission Expires April 14, Postal Service TM i IQ AIM ■ , O RECEIPT sDomestic ■ Do N - ._ - . . a -• . o our Ir u 139 M ,MATfiT}TU+�KrisY 15sY' S7 a ia93� i' 'N 0 A� C Pos�a14 9' / r 09355 �" Postage JUN —6 ?0 "05 C3 GI ru Certified Fee $0.00 ijiY� 11 � � Certified Fee Postrq�k;� M $9.00Postman p Return Receipt Fee $0:60dre Return Receipt Fee p p (Endorsement Required) $0.0[i to + Q (Endorsement Required) C� C3 i� ({.."" 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Restricted Delivery Fe ' (ru Endorsement Requ cedl 6?016 car 1 p (Endorsement RequI4 -47 �Q/8e�� r-a �t ff` 0 I p U� ru Total Postage&Tg: Qr� r ru Total Postage&16 GG /2 r��06 2.16 U �- Sent To ,�- Sent To a Spencers ���, �nli�khC timeln h1crrr.s 111 - -------ani `ser -----c-r, p Street&Apt 1Vo.,-------------------------------------------- - i O Street&Apt%Vo., ------------------- - --- -------------------------------- or PO Box No. ---------"-""- r\- or PO Box No. `2- 2„. ��o� --------------- --1`�0 S Cye SC�vi lir Paa-K C�ty State,ZIP+4 --"""" Crty,State,ZIP+4 'M "'"" " ----------- ------------- Y PROOF OF MAILING OF NOTICE ATTACK CERTIFIED MAIL RECEIPTS Aji Name: C��FIT Y lc1 et�7t7r� )0 3 - 51 / a3 - - �rG STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public r fY�$OFFO('� � John M. Bredemeyer III, President ,, Town Hall Annex Michael J. Domino, Vice-President yam' , 54375 Route 25 Glenn Goldsmith "ti z P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders ��o� ��° � Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of 100 PARK AVENUE CORP. COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING_DATE L!,,Li ,residing at/dba 9:�> being duly sworn, depose and say: That on the day of , 201 , I personally posted the property known as -e- L- by placing the Board of Trustees official ster 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, June 22, 2016. Dated: signature) Sworn to before me this day of-V,,-t 201 G L Notary Public CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qual fled in Suffolk County Commission Expires April 14,2Q-�j o NOTILEL. OF Ht: Am11,%11NG NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: 100 PARK AVENUE CORP. SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a single-family 1-1/2 story 3,350sq.ft. dwelling with attached garage approximately 106' landward of top of bluff with the installation of gutters to leaders to drywells to contain roof runoff; 50' landward from top of bluff install a 16'x32' in-ground salt water swimming pool; install a 576sq.ft. bluestone pool patio; install 4' high pool fencing around the proposed pool patio; install a 4'x25' bluff staircase for beach access using natural cedar wood; re-vegetate approximately 2.500sq.ft. of bluff face using native beach grass; and plant 8' tall arborvitae trees along the east and west property lines. Located: 100 Park Avenue, Mattituck. SCTM# 1000-123-7-3 TIME & DATE OF PUBLIC HEARING : Wednesday, June 22, 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) 765-1692 Lrd of Trustees Applicati f AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE-PERMIT. - - Signature of Property Owner SWORN TO BEFORE ME THIS rA DAY OF , 20 f Notary Public CONNIE C.BUNCH Notary Public,State of New York No.01 BU61$5= Qualified In Suffolk Count Commission Expires April 14,'2--QX Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, f f. YL residing at (print name of owner of property) (mailing address) do hereby authorize c� l��-►.—c3� Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ,towZees ignature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of p9ssible conflicts of interest and allow it to take whatever action is necessary to avoid same. � YOUR NAME: / � d (Last name,first name,apiddle initial,unless u are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of th -shares. YES NO If you answered"YES'-',complete the balance-of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP 2 Submitted this �of 204e- Signature 04e Signature� -- t Print Name Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its sigaificant 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# - - -2 — 3 PROJECT NAME cl2P. `n wrt- 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 Z' 6 planning activity, agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit, approval, license, certification: Nature and extent of action: ' P , Location of action: � �� 14ue*-� � Site acreage: Z, Present land use: l�� T?-1--t , Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: XZ1w- 147"1111-c'.111— (b) Mailing address: t2 (c) Telephone number: Area Code (d) Application number, if any: Will the action be rectly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No If yes, which state or federal agency? C. Evaluate the project t 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. P(Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III–Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable 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 F] Yes ❑ N �NotApplicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ N �NotApplicable 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 thr ugh or evaluation criteria Yes ❑ No V Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal-Fish and Wildlife Habitats and wetlands. See LWRP Section HI—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Appucable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. F] Yes [:] No of Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LVVRP Section III—Policies; Pages 34 through 38 for evaluation criteria. -Yes ENo- -- - 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. Ye�] No Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES - Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See WRP Section III•—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No t Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town w ers. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ NP"� 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 luation-criteria-.- ..___-_ _-- __--_--- ---.---- _-- - ----- _--- _-- - - - ❑ Yes ❑ o Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Poli67'Not ages65 through 68 for evaluation criteria. ❑ Yes ElNo Applicable PREPARED BY TITLE DATE /8 lip CC# : C16-32773 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 DEED recorded in my office on 08/02/2016 under Liber D00012873 and Page 712 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 08/02/2016 SUFFOLK COUNTY CLERK JUDITH A.PASCALE SEAL 1111111 IIII VIII illll VIII VIII VIII VIII VIII IIII III 111111 II1111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/02/2016 Number of Pages : 4 At: 10 : 12 :53 AM Receipt Number : 16-0118636 TRANSFER TAX NUMBER: 16-00173 LIBER: D00012873 PAGE : 712 District: Section: Block: Lot: 1000 123 . 00 07 . 00 003 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $750,000 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20 . 00 NO Handling $20 . 00 NO COE $5 . 00 NO NYS SRCHG $15 . 00 NO EA-CTY $5 . 00 NO EA-STATE $250 . 00 NO TP-584 $5 . 00 NO Notation $0 . 00 NO Cert.Copies $5 .00 NO RPT $200 . 00 NO Transfer tax $3, 000 . 00 NO Comm.Pres $13,500 . 00 NO Fees Paid $17,025 . 00 TRANSFER TAX NUMBER: 16-00173 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County l as RECORDED Number of pages 2016 Aug 02 10;12:53 AM .JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00012873) P 71 Social Security Numbers DT# 16-00173 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. OQ `- 2, Additional Tax TP-584 , Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) --� TOT.MTG.TAX R.U.S.A. ��� Dual-Town Dual County Held for Appointment Comm,of Ed. S. 00 s TransferTax Affidavit + , . Mansion Tax �. 56 � The property covered by this mortgage is Certified C or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total , If NO, see appropriate tax clause on page# of this Instrument. 4 IDist.100516022565 '1000 12300 0700 003000 Community Preservation Fund Real Property P TS Consideration Amount$ 750,000.00 Tax Service R DHO A IIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Agency IIIIIIII -Y3 500. Verification CPF TDue 0 0 on 01-AUG-1 $ 0 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address % RECORD&RETURN TO: Vacant L nd David S. Desmond, Esq. TD Van Nostrand & Martin, Esq. 53 Broadway TD Amityville, NY 11701 ' TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name fl, o)4ej y7' E— www.suffoikcountyny.gov/clerk Title# / - s Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in Jay P. Wickham SUFFOLK COUNTY,NEW YORK, TO In theTOWN of .Sou hold 100 Park Avenue Corp. In the VILLAGE or HAMLET of Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. r Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY `7 THIS INDENTURE, made the 28th day of July, 2016, BETWEEN JAY P.WICKHAM, residing at 50 Park Avenue, Mattituck, NY 11952 party of the first part, and 100 PARK AVENUE CORP., a domestic corporation with offices at 950 Lupton's Pt. P. O. Box 783, Mattituck, NY 11952 party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten and 00/100 ($10.00) Dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, together with the buildings and improvements thereon erected, situate, lying and being at Mattituck in the Town of Southold in the County of Suffolk and State of New York, being more particularly bounded and described on Schedule"A" annexed hereto and made a part hereof. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated March 13, 1992, and recorded in the Office of the Clerk of the County of Suffolk on July 24, 1992, in Liber 11507 at page 589. SUBJECT TO COVENANTS, RESTRICTIONS, AGREEMENTS AND EASEMENTS OF RECORD, IF ANY. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all, the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties"when ever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly exec ted this deed the day and year first above written. ' .r I ay . Wickham r ` TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of Suffolk ss: State of New York, County of Suffolk SS: On the 281h day of July in the year 2016 On the day of July in the year 2016 before me,the undersigned, personally appeared before me,the undersigned,personally appeared Jay P.Wickham personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is satisfactory evidence to be the individual(s) whose name(s) is (are)subscribed to the within instrument and acknowledged to me (are)subscribed to the within instrument and act nowledged to me that he/she/th y executed the same in his/her/their capacity(ies), that he/she/they executed the same in his/her/their capacity(ies), and that by is/ eir sip,nature(s) on the instrument, the and that by his/her/their signature(s) on the instrument, the . individual(s) or a per n upon behalf of which the individual(s) individual(s),or the person upon behalf of which the individual(s) acted,exec th nstr t. acted,executed the instrument. (Sig ture an office o ' vidual taking a acknowledgment) (signature and office of individual taking acknowledgment) Robert O Arrigo rRO)" ��O. �ff to Notary Public,State of New York Suffolk County,No.4862988 Term Expires August 18,20 ze TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District,Territory, or Foreign Country) of Ss: On the day of in the year before me,the undersigned,personally appeared 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 the 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 individual(s)acted,executed the instrument,and that such individual made such appearance before the undersigned in the in (insert the City or othvr,polit-f�al Subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office,of individual taking acknowledgment) SECTION 123.00 BLOCK 07.00 BARGAIN AND SALE DEED LOT 003.000 COUNTY OR TOWN of Southold WITH COVENANT AGAINST GRANTOR'S ACTS STREET ADDRESS 100 Park Avenue Title No. JAY P. WICKHAM Recorded at Request of TO COMMONWEALTH LAND TITLE INSURANCE COMPANY ARCHIVIST CAPITAL RE 50 PARK, LLC 'RETURN BY MAIL TO: Distributed by David Desmond, Esq. Van Nostrand &Martin, Esgs.• 53 Broadway \rorlmonwealth Amityville, NY 11701 COMMONWEALTH LAND TITLE INSURANCE COMPANY RESERVE THIS SPACE FOR USE OF RECORDING OFFICE _ i Fidelity National Title Insurance Company Policy No:NY-FRVH-SAM-2730632-1-16-101508 Title No.: F16-7404-101508-SUFF SCHEDULE A-1 Description Amended 07/26/2016 ALL that certain plot,piece or parcel of land, situate, lying and being in Mattituck, in the Town of Southold, County of Suffolk and State of New York,more particularly bounded and described as follows: Commencing at a point on the southerly line of Park Avenue,which said point is located at the northeasterly corner of premises about to be described and the northwesterly corner of lands now or formerly of Thomas E. Carey and from said point or place of beginning: RUNNING THENCE South 24 degrees 24 minutes 05 seconds East along lands now or formerly of Thomas F. Carey, now or formerly of Eisenstein and Morris and now or formerly of Sokol a distance of 564.15 feet to the mean high water mark of Peconic Bay; THENCE along said mean high water mark of Peconic Bay along the line bearing South 75 degrees 12 minutes 33 seconds West a distance of 120.81 feet to the lands now or formerly of Kathleen A. and Spencer H. Wickham. THENCE along said lands of Kathleen A. and Spencer H. Wickham North 24 degrees 24 minutes 05 seconds West a distance of 558.47 feet to the southerly line of Park Avenue; THENCE along said southerly line of Park Avenue North 72 degrees 31 minutes 55 seconds East a distance of 120 feet,to lands now or formerly of Thomas F. Carey and the point of beginning. Schedule A-I(Description) Owner's Policy Page 2 Rev.(02/04)