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Home My WebLink AboutTR-8906A Michael J.Domino,President SO Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith CA Southold,New York 11971 A.Nicholas Krupski �pQ Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 l BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE - AMENDED # 1525C-Amended Date: December 6, 2018 THIS CERTIFIES that the replacement of the existing_+/-516sq.ft. deck with a+/-241sa.ft. deck, At 400 Long Creek Drive, Southold Suffolk County Tax Map#1000-55-4-23.3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated October 20, 2016 pursuant to which Trustees Administrative Permit#8906A Dated November 16, 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 replacement of the existing+/-516sq.ft. deck with a+/-241 sa.ft. deck . The certificate is issued to Louis &Bette Weiskopf owners of the aforesaid property. Authorized Signature A P VECTOR EAST LTD . VE CTO RE AST COM 7-71FET 7,-*-,\ 0 In ' DEC 7018 December 5,2018 ATT: Board of Trustees,Town of Southold RE:Weiskopf Residence 400 Long Creek Drive7----, Southold, NeyY.6-k11971 Permit#41290 x Greetings: B A We,VectorYEastLtd., built a deck at 400LonR Creek Drive in Southold according to plaM submitted!jy P Robert I Brown,Architect under BP#41290.We decided to forego construction of the stairs on the easterly side of the building, so the deck has no stairs at all. To close this permit and obtain a new certificate of occupancy, in lieu of amended plans, it is understood by all parties that the omission of the stairs is acceptable, but further understood that if we decide in the future to add stairs,we will need to reapply for permission to do so. Thank you for your consideration in this matter. Please don't hesitate to conta t me with any questions. q Sincerely ` Astrid Loveless Office Administration 631-740-7435 x6 3 1 3 3 3 4 V 9 0 3 7 vectoreastQ?g mail.cc m PO BOX 148 GREEMPORT NEW YORK 11944 John M. Bredemeyer III, Presii Y2 o�aSUF J Town Hall Annex Michael J. Domino, Vice-President ,� y�� 54375 Route 25 Glenn Goldsmith N a P.O. Box 1179 A. Nicholas Krupskio Southold, NY 11971 Charles J. Sanders y-, p�, Telephone (631) 765-1892 ��ay, Fax (631) 765-6641 �` rxrrzt7X' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD nn Date/Time: 4 1 Z#YVU Completed in field by: M r Robert Bro4Achit'ect, P.C. on behalf of LOUIS & BETTE WEISKOPF request an Administrative Permit to replace the existing +/-516sq.ft deck with a +/-241 sq.ft. deck with stairs on easterly side of dwelling. Located: 400 Long Creek Drive, Southold. SCTM# 1000-55-4-23.3 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 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 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: Z Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J.Domino,President OF S0(/TyO Town Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G � p Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 COUNT`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: !v 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: �l COMMENTS: 0 IV CERTIFICATE OF COMPLIANCE: Michael J. Domino,President �O��OF SU!/rypl0 Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski aQ Telephone(631) 765-1892 Greg Williams OI��,DUNTI,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1525C Date: October 24, 2018 THIS CERTIFIES that the replacement of the existing+/-516sg.ft. deck with a+/-241sa.ft. deck with stairs on easterly side of dwelling; At 400 Long Creek Drive, Southold Suffolk County Tax Map#1000-55-4-23.3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated October 20, 2016 pursuant to which Trustees Administrative Permit#8906A Dated November 16, 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 replacement of the existing+/-516scLft deck with a+/-241 sq.ft. deck with stairs on easterly side of dwelling; The certificate is issued to Louis &Bette Weiskopf owners of the �y aforesaid property. !� a a Authorized Signature Michael J.Domino,President oF SOUryO Town Hall Annex John M. Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G � � Telephone(631) 765-1892 Greg WilliamsyCDUNT`l O Fax(631) 765-6641 � ,N� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ! v ft- 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: -xl COMMENTS: p � 06 CERTIFICATE OF COMPLIANCE: John M.Bredemeyer III,Pre'siaent o�� SOUTy®l Town Hall Annex Michael J.Domino,Vice-President O 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® �p� Telephone(631) 765-1892 Charles J.SandersOl�00Ul Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8906A Date of Receipt of Application: October 20, 2016 Applicant: Louis,& Bette Weiskopf SCTM#: 1000-55-4-23.3 Project Location: 400 Long Creek Drive, Southold Date of Resolution/Issuance: November 16, 2016 Date of Expiration: November 16, 2018 Reviewed by: Michael J. Domino, Trustee Project Description: To replace the existing +/-516sq.ft deck with a +/-241 sq.ft. deck with stairs on easterly side of dwelling. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Robert I. Brown Architect, P.C., dated May 23, 2016, and stamped approved on November 16, 2016. Special Conditions: None. - Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. John M. Bredemeyer, III President Board of Trustees John M.Bredemeyer III,Presaent �� SOUTyo 1 _-' Town Hall Annex 54375 Route 25 Michael J.Domino,Vice-President ,`O l0 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® Telephone(631) 765-1892 Charles J.SandersO Fax(631) 765-6641 �y�DUNT`I,� 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/silt boom/silt curtain 1St day of construction V / '/2 constructed V compliance Project complete, inspection P - John M. Bredemeyer III, Presi �yo�o�FFO�K�G j 4 f! Town Hall Annex Michael J. Domino, Vice-President �� yq 54375 Route 25 Glenn Goldsmith y z P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders �d�'ot �ap�,J Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1 Z Completed in field by: Robert Brown A chitect, P.C. on behalf of LOUIS & BETTE WEISKOPF request an Administrative Permit to replace the existing +/-516sq.ft deck with a +/-241 sq.ft. deck with stairs on easterly side of dwelling. Located: 400 Long Creek Drive, Southold. SCTM# 1000-55-4-23.3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=1 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 Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Surveys 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: ,� n Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other ,I Page 1 of 2 John M. Bredemeyer III, Presit�% o,10FO441, Town Hall Annex Michael J. Domino, Vice-President °� �Gy� , 54375 Route 25 Glenn Goldsmith o '` P.O. Box 1179 A. Nicholas Krupskio Southold, NY' 11971 Charles J. Sanders '� ®' o�� , Telephone (631) 765-1892 ��l baa Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Robert Brown Architect, P.C. on behalf'of LOUIS & BETTE WEISKOPF request an Administrative Permit to replace the existing +/-516sq.ft deck with a +/-241 sq.ft. deck with stairs on easterly side of dwelling. Located: 400 Long Creek Drive, Southold. - SCTM# 1000-55-4-23.3 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: r Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 ISSUES/REV1510N5 APPROVED Y BOARD OF TRUS EES TMVN OF BOUT OLD DA TE EXISTING STRUCTURE AND FOUNDATION TO REMAIN NEW 30 RAIUNG 30"x 30"x 12"d r —— 9--G- POURED CONCRETE FOOTING MINIMUM 3'-0" BELOW GRADE (TYP.) L —J w O I � B N � r^ —, 0 8x8 COLUMN IL--------a] El I I � I I � II � L _J -� Q Q N I EXISTING STRUCTURE 2x8 JOISTS P.T. AND ROOF TO REMAIN N I I N PROPOSED REAR ELEVATION L __j SCALE: 114" = P-0' EXISTING EXCEPT AS INOTED 23 MAY, 201 G EXISTING STRUCTURE C rE' APRIL 14, 201 G r — AND FOUNDATION TO I REMAIN L on g edge of pavement Lu DECEMBER 21, 2015 136.27' J N N85'31'WE fla0 O S72- D r� 1 ' THESE PLANS ARE AN INSTRUMENT OF SERVICE gpole V CJ AND ARE THE PROPERTY OF THE ARCHITECT. X »E INFRINGEMENTS WILL BE PROSECUTED 305-00, INFRINGEMENTS 2014 ALL RIGHTS RESERVED I N N OLr� ard�o'1 30"x 38"x 12"d r 6'-4" 3'-2" 1 1 0-4" 3'-2" tTa POURED CONCRE FOOTING MINIMUM = �,� '^L �`'`� 2000, 8J' 3'-0' BELOW GRADE z ° 4 Robert 1 . brown I I b o 0 L- NEW STAIR �EW`��41RZy O w v Architect, P.C. RISE: 73/4" 3 e O I RUN: 10" RUN: 10" 0 roof overhang /k O w ° a o 2105 Day Ave. Greenport NY N RISERS: 15 RISERS: 15 jso�$ oaQ I � I 2W � G31 -477-9752 ltect.com I I I I EXISTING 2 STORY FRAME 3, HOUSE W/GARAGE BELOW tot o t 3' 10'-G" 9 21 Lot 22 101- 3 �~ 1 n atK' IT 15 A VIOLATION OF THE LAW FOR ANY PERSON, °a „' 1a P, UNLESS ACTING UNDER THE DIRECTION OF A 58'x 30"x 12"d DECK PLAN I, ,, BASED ON SURVEY BY LICENSED ARCHITECT,TO ALTER ANY ITEM ON JOHN C. EHLERS LAND SURVEYOR THI5 DRAWING IN ANYWAY. ANYAUTHORIZED POURED CONCRETE Lot 2 � FOOTING MINIMUM ALTERATION MUST BE NOTED,SEALED, AND SCALE: 1/4' = P-0" ',e® (�a DATE 10-03-201 G DESCRIBED IN ACCORDANCE WITH THE LAW. 3'-0" BELOW GRADE oe (TYP) EXISTING EXCEPT AS NOTED _- 23' , SCTM No. 1000-55-4-23.2 shed a� R, r, 0� ' 1000-55-4-23.3 , ea b „E 87..02' LOT 23.2 AREA: 26,84 I SF N77'2310emelt N LOT 23.3 AREA: 2,344 SF e Eas a � EXISTING STRUCTURE EXISTING STRUCTURE �n N Era a 4s °`° TOTAL AREA: 29, 185 SF OR .G7A �s, AND ROOF TO REMAIN AND ROOF TO REMAIN W =�/ e, o of � w EXISTING HOUSE:$ edge E: N Si,�23"�o9,0 e 1 553.3 SF NEW 3G" RAILING NEW 36' RAILING � 6� � ' EXISTING SHED: 80,0 SF NEW tax lot 1000-55-4-23.3 194.07 56.28 EXISTING BRIDGE: 148.0 SF CLIENT OWNER IxG DECKING tax lot 1000-55-4-23-2 EXISTING DECK: 5 1 G. 15F (TO BE REMOVEC WEISKOPF 2 2x I O P.T. GIRDER 2x8 JOISTS P.T. @ I G"o.c. 2os 569. 3,50"V1 PROPOSED DECK 24 I .8SF 400 LONG CREEK DRIVE O 9 NEW 2x8 LEDGER � TOTAL PROPOSED COVERAGE: 5OUTHOLD, NY BOARD TO REPLACE f�Ce 118.50 EXISTING S85'01'20"W 2539.2 SF = 8.7% Lot 31 i Lot 30 8x8 COLUMN m PROJECT TITLE NEW STAIR RI5E: 73/4" Lot 29 I T E PLANT .i`= -- I , DECK REPAIR RUN: 10" F ' ! I!? RISERS: 15 I � ' METAL POST BASE N TH SCALE: 1 " = 201 = 13 4' BALUSTER P. 1 �G16 n ~' I OCT 2 0 EXISTING EXCEPT AS NOTED -1/2' 112-SPACE DRAWING TITLE 12" DIA. SONOTUBE 12' DIA. SONOTUBE M EXISTING STRUCTURE AND FOUNDATION TO CLEAR PINE TOP 30'x 30"x 12"d REMAIN AND BOTTOM RAILS I DECK PLAN POURED CONCRETE WITH 5/4'CLEAR 58'x 30'x 12'd FOOTING MINIMUM CEDAR BED AND POURED CONCRETE A m D ETA I L HANDRAIL 3'-O' BELOW GRADE ALL PRIMED AND PAINTED FOOTING MINIMUM ') _ ! 1/2' = P SCALE 3'-0" BELOW GRADE 101 OCTOBER, 201 G �) noted DECK ELEVATION DECK SECTION DETAIL 12" DRAWING NO. G'WOOD COLUMNS SCALE: 114' = I'-O" SCALE: 114" = P-0' TO BE SELECTED EXISTING EXCEPT AS NOTED EXISTING EXCEPT AS NOTED (TYP.) i SURVEY OF LOT 22 $ PART OF LOT5 2cl, 50 4 51 k N MAP OF YENNEGOTT PARK �� FILED OCTOBER 4, 1468, FILE No. 518? Long ed e of avpment 51TUATE: 5OUTHOLI? TOWN: 50UTH01X0 � f/�� s , 1I ° SUFFOLK 6OUNTY, N1r !,®�1�00"� flagpole � �lS+ SURVEYED 10-03-2016 I ,, I 5UFFOLK COUNTY TAX # 1000-55-4-23.2 1000-55-4-23.3 I C) % /® CMTEMO TO: � 0`'� cpm' 20.00 B]ET7C1E vmsK01?IF39 LOW WWW" overhang- --- �OO 0 ({� 25' stoop ° 8 steps / / u P $ if 2 %ory ;i ,' � Frame �' HoUse/ Garage under ;` Z (- a}.n 11 pingI i Lot a2 as- i Lot 23 __ -_ -- ` 9120z loo -------- woes�•.cr € okeps j ,i '^ 29' under deck 4h '��• � �. _._. . __ Shed --- d`• 4 �p F NE. .1°aE 97 C. E ok m ,20 °0' to° S,5_�-- S77 �'-� --"�^ lot IODO 55-4- fip LANDsv4 � _ -- tax Ig4.0"t� taX \\ vrmJn-4ad alter°tlon or witlRkr ra a Deww i y 585°4t%2�°(N lot 1000-55-4-23.2 mrY� d a tltsn d DwD,a•,malt. 3 nw xn x<tu,rf 6GMK an tna /p tarn Yore StdA EMG°t•aD W'i• NOTES: ' pp ! / / a�ewtnm'or�Yul oe tem I��a c+�b 20 I � SSrxQCtl eoai e1f11 bs carederM to he Wird tN° MONUMENT FOUND ( �, ( rj•- -' J —mil— IA56 LarMWa:b,wNa4teah°rooneyry tnwmb �° ! Di,sy eeOD oparca n oc,:oramem•<oa+e�Dx- ( + _tl__•.---O" "•-•p `�G� t 11%� ' 'xu'�m te�i,r�5r«a!o eco rP:orneL.`ntli r p YI^O� i e' 'ryttl^d xwycr° yard cerNFKatlatn c^an nn ony ( , 6fi• �_ ..—tiJ O p/y 1 w�na m trn n•e aria eam4 o °p'Da, TAX LOT 23.3 AREA = 26,841 S.F. OR 0.62 ACRE 7 / 905 Ot 20 TAX LOT 23.2 AREA = 2,344 S.F. OR 0.05 ACRE m rtr or tDa;arae rDtn,e.,n.errtveo- ,(' 0 Lot 30 JOHN C. EHLERS LAND SURVEYOR r r GRAPHIC SCALE I"= 20' ( Lot(2�f 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 ( RIVMMAD,N.Y.11901 369-8288 Fax 369-8287 ( ! REF.—C:1UsersVohnlDcopbox105W5105-178 update 2016.pro G D 6 e i ,� f � • V y � T $ 15060 . Y rY4t t � •f y c. a 4.1✓L Weiskopf Residence, 400 Long Creek Drive, Southold, NY tJ�..: A'A�: k � 4 /• .�" + � t 'µ1k• 41�-� �` _ a S t r s e� "' f ;. ., -_.+� -.d' � +�r •ce T+.0'_-mow. as - i LOOKING EAST FROM UNDER EXISTING DECK. THE FIRST SET OF FLAGS ARE THE MARKERS OF WEST SIDE OF PROPOSED DECK. :.4 y��r 5ro� �u . e. x ; 4 vat ' �. � � ��.•; �!'•., 'moi'- �'�` ;�.c•&t',+.: ;.. l •�T a �rw SEE SEG NO 051 MATCH —_-z-___ 47 SEE SEG NO\ No 44 14.(.) 2s4 6 21, 1 1A '4_5 84 .A(c) 42 5.1 . 61 d'A 'A 186 34 53 812 &9 8.16 alo 5 8.13 n1 103 2 193 m a 20 19 -.o 54 1 5m 21 .SA 92 fdA 36 104 mm12 nn �w X1161 .3 V 14 A, y63P 242 5 35 (LI 7 4NC) 4 ,545 29 akc) 94 IS IAa 2,A ol &4 mm It" 13 54 15Y`c 's ,,P .41 MA is i7p,( TOWN OF OLD �W 16 6a,uN,06 92 '0 IA 13 9A 317 Is- nva PCL NO 3 SEESM110 �2.421 24 M N� MATCH —Z--LINE Z—---------NNE rmANOFsounmla "° MATCH SEE SEC NO �: CE COUNTY OFSU LK @ K souTHoLD SECTION NO Real Property Tax Agency 055,.. WWI 74 MT OFFICE LOCATION: ®��I ®(/ryOl MAILING ADDRESS: Town Hall Annex '` ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) us Southold,NY 11971 ® Q Tel 631 765-1938 O Fax: 631765-3136 c®UNT`I,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM D E 0V NOV 1 4 2016 To: John Bredemeyer, President Town of Southold Board of Trustees Southold Town From: Mark Terry, LWRP Coordinator , Board of Trustees' Date: November 14, 2016 Re: LWRP Coastal Consistency Review for LOUIS & BETTE WEISKOPF SCTM# 1000-55-4-23.3 Robert Brown Architect, P.C: on behalf of LOUIS & BETTE WEISKOPF request an Administrative Permit to replace the existing +/-516sq.ft deck with a +/-241sq.ft. deck with stairs on easterly side of dwelling. Located: 400 Long Creek Drive, Southold. SCTM# 1000-55-4-23.3 It is my recommendation that the as-built deck is INCONSISTENT with the below listed Policy Standards and therefore is INCONSISTENT with LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction, 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The structure was constructed without a Board of Trustee permit. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. John M Bredemeyer III, Prer }a,nt ��,1�3r 6U(/T�Q Town [-tall Annex 1" 54375 Main Road Michael J. Domino, Vice-Pref it ,t`� l0 �• P O. Box 1179 James F. King,TrusteeSouthold, New York 11971-0959 Dave Bergen,Trustee G Charles J.Sanders, `Trustee 'Q Telephone(631) 765-1892 I,YC,oU�'�� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES D TOWN OF SOUTHOLD D To.- Southold.Town Building Department 0 C 2 6 2016 Re: Verification of Building Department Permit Requirements BUILDINGDM. ',rr TOWN OF SOUTHOLD SCTM#:- 55 `f - 2- Property Property Owner Name: I�lS�bp fir✓ Date Sent to,Bldg. Dept.: 10!2-G'`l 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? ill the proposed project require a variance determination from he Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature or tReviewer Date John M. Bredemeyer III, President �F `� � Town Hall Annex Michael J.Domino,Vice-President 54375 Main Road P.O.Box 1179 James F. King,TrusteeV Z' m" Southold, New York 11971-0959 Dave Bergen, Trustee `Q4� Telephone (631) 765-1892 Charles J. Sanders,Trustee NI A � i Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application etland Permit Application Administrative Permit / __ Amendment/Transfer/Extension I�,CReceived Application: l vdzoi((p i✓ Received Fee:$ 40100 Completed Application: TDZ�p _Incomplete: -9 DE ��`�g _SEQRA Classificatio . Type I Type II Unlisted Coordination:(date sent): OCT 2 0 2016 Z LNRP Consistency Assessment Form: CAC Referral Sent: -tt Date of Inspection: ji q W Southold Toean _Receipt of CAC Report: , r _Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: Name of Applicant: Mailing Address:_MZj' Phone Number: _ Suffolk County Tax Map Number: 1000 - Property 000 -Property Location: (provide LILCO Pol #, distance to cross streets, and location) AGENT: I (If applicable) Address: �IzC �1�7 ; Phone: �31- t Board of Trustees Appli' :ion GENERAL DATA Land Area(in square feet): Area Zoning: O Previous use of property: Intended use of property: �S,iil C � Z2� 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 __X_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 . id 16 � `T4 3 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?e-< No Yes If yes,provide explanation: Project Description(use attachments if necessary): Board of Trustees Appli ;ion WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: � 9 Area of wetlands on lot: square feet Percent coverage of lot: �, % Closest distance between nearest existing structure and upland edge of wetlands: _ 9,*3,'�!— feet Closest distance between nearest proposed structure and upland edge of wetlands: ��, Z feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? 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: Manner in which material will be removed or deposited: Lo— 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): r - 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part l 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 of Project: Project Location( escribe,and attach a location map Brief De ription of Proposed Action: 1 ii dam.�- Name of Applicant or Sponsor: p Telephone: i1� r L1, E-Mail: Z L Address: o'�J City/PO: State: Zip Code: 1.Does the propo ed action only involve the legislative adoption of a plan, local law,ordina ce, 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 andel�pen-nit or approval: A✓1,6b y071Y�'Ld�od?�x�s2� " ec — � ❑ �) 3.a.Total acreage of the site of Ae proposed action? ., acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. AT E]Urban El Rural(non-agriculture) El Industrial F]Commercial A'Residential(suburban) El Forest ❑Agriculture Aquatic ❑Other(specify): ❑Parkland � � `� sj� Page I of 4 t1 S Is the proposed action � � � � "NO YES N/A a. A permitted use under the zoning regulations? 0 [ ] 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? (1 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? tNO YES If Yes,identify:..._-._________-_--_ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO jY`E�S !_.I b.Are public transportation service(s)available at or near the site of the proposed action? El c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? Isi ❑ 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? ,lNO YES If No,describe method for providing wastewater treatment 1" 12 a.Does the site contain a structure that is listed on either the State or National Register of Historic O YES Places? �j b.Is the proposed action located in an archeological sensitive area? �.J EL 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NOYES wetlands or other wpterbo�regu ated by federal,state or local agency? ��ff b. Would the p oposed action physical y a ter,or encroach into,any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: _ El 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: El Shoreline ❑Forest ❑Agri cultural/grasslands ❑Earlymid-successional Wetland F-1-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? El 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? �NO YES F-1 b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: I�QNO []YES Page 2 of 4 18 Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: _ El 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/sponsor ame Signatur 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?" u T � 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? 0 EL 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? El 4. Will the proposed action have an impact on the environmental characteristics that caused the (—1 establishment of a Critical Environmental Area(CEA)? EJ 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? El 1:1 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 o ortunities? El l—! 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? El El 8. Will the proposed action impair the character or quality of important historic,archaeological, - ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, (� waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 _.._ ,._._.._. _ _____ _ _ ___—______ --- --- ------------•• �'" No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and,magnitude. Also consider the potential for short-term, long-term and cumulative impacts. (� Check this box if you have determined,based on the information and analysis above,and any supporting documentation, t that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental mpa'cts�/. Town of Southold-Board of Trustees �- p _ JO�ame o ad A ency — MM Date President Print or Type Na e f Responsible icer inea d Agency Title of Responsible Officer Signature sponsible fficer in Lead Ag cy Signature of Preparer(if,different from Responsible Officer) PRINT Page 4 of 4 APPLIC'E NTYAGE NTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of South d'a Coe of Ethic,,;orohibits conflicts of interest on the art of town fficers and em la ees.The a osc of this form Is to'providc information which can alert the town of nosible conflicts of interest and allow it to take wlit K!zf action is ; necessary to avoid same. YOUR NAME: (Last name,first name,middle t�1011syou are applying in the name of someone else or other entity,such its a company.If so,indicate,'tttc.other person's or company's name,) NAmr OF APPLICATION. (Check all that apply.) Tint grievance F3uilding Variance Trustee _u Change ofZ6ne 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 cit'Southold? "Relationship"includes by blood,ttaarriage,or business interest."Business interest"means a business, including a Partnership,in mvhieh the town officer or'eruployce has even a partial osystcrsltip or(orctitploymcnt by)a corporation in which the town officer or employee owns more than 5%of the shares. YES If you answered"YES",complete the Balance of this form and date and sign-where indicated., Nansc•ofperson'employed by the Town of Southold Title or position of that person Describe the;relatianship between yourself(the applican tiagentlrapr%zentative)and Xlte,loWn Officer or etttployee.Hi(her check the apprgpriate line A)through D):tndtor describe in the space provided. The town•offtcer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of f reatcr than 5%ofthe shares'ofthe'corporate stock of the applicant (when the applicant is a,corporations 43)the legal or}eneficial ownerof any interest in a non-corpoh,tc entity(when the.- applicant is not a corporation); C)an off icer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION.OF RELATIONSHIP Sthis day of 2tt iro . Signatur�'eatury��.mP... _ Print Name Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of S e to d's Codo of Ethics. inhibits g2nilicts of-' tcrest o f a -a t o rc e 1 ces t se f thi,�form is to provide inforinntian-which can ater(tlie town of wmible conflicts-of interest and fellow it to bike whatever actiian is necessary to avoid same. YOUR NAME: 1 (Last name,first name,itiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name,) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"•means a business, including a partnership, in which the town officer or employee has even a partial-owncrship of(or-employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO \ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of-person employed by the Town of Southold Title or position of that person _ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this I day 20p6 Signatuf-e-T Print Name - Form TS 1 APPLICANT/A.GENT/IEPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Soutbold's Code of Ethicsrp ohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provideinformation which can alert the town of possible.conflicts of interest and allow it 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 acompany.If so,indicate the other person's or company's name.) NAME OF APPIJCA77ON: (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 personalty(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,inarriage,or business interest"Business itorest"•means a business; including a partnership,in which the town officer or eniployce has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO /10 � If you answered"YES",complete the balance of this form and date and sign where indicated. Mame 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 cheek the appropriate line A)through D)and/or desciibe in the space provided. The town officer or employee or his or her spouse,sibling„parent,or child is(check all that apply): 21)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 die applicant is not a corporation); G)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION Or RELATIONSHIP Submitted this l da 20 Wg Signature Print Name Forin TS I APPLICANT/AGENT/RE PRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose of this form is to provide information which can alert the town of possible cot lets of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: �� (Last name,f rst name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICA'T'ION: (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? "Rclationsbip"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES _ _ NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): __ A)the owner of treater than 5%of the shares of the corporate stock of the applic,1nt (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this M day 20�& Signature Print Name Farm TSI f Board of Trustees Application AUTHORIZATION (where the applicant is not the ownef) J- -- �o7 - � residing at 2� (pint n aInef owner ofproperty) (mailini;jaress) do hereby authorize -P.2h&r-:r (Aggent) ./vt to apply for pennit(s)from the Southold Board of Town'Frustees on my behalf. (Owevsignature) Board of Trustees Applici on AUTHORIZATION (where the applicant is not the owner) I _y=,\<� —j residing at qct O LO►� �F�P@ br. �J ' (print name of owner of property (mailing address "Jy 04®`L y do hereby authorize &&�� Z (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. h6c-b", (Owner's signature) Board of Trustees Applica 'on AFFIDAVTT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE fS 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 DAY OF ® t0 _ . , 20 I to NINA E QOLDSMS Notary Public.State of New York No.4841330 Notary Public Qual'fied in Nassau County "\�1 Commission Expires Sept.30,2uu Board of Trustees Application AFFIDAVIT K 1-0 I 0 kk t S BEING DULY SWORN DEPOSES AND A aTIRINIS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PER-MIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAI' 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 HERE-BY 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 90ARD 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. CHRISTINA LOFARO X(2 Notary Public,state of New York No.011-050812919 Qualified in Suffolk Signature or Property(&1w 10 Commission Expires� — SWORN TO BEFORE ME THIS DAY OF C)C 2QL( ---1-- off Notary,Ptjb1ic,, , Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCA:F 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 si fi�ig iCanL beneficial and adverse.effects upon the.coasuil 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. `T=hree .each answer ntust he-ex Iained in 'detail., listing both-su. ortin and,noxi- 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 i's 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 /OOF SITE AND PROPOSED ACTION SCTM# % Z� PROJECT NAME The Application has,been submitted to(check appropriate response): Town Board F] Planning Board 0 Building Dept. ❑, Board of Trustees A' 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑. construction,planning activity, agency regulation, land transaction) (b) Financial assistance(e.g. grant, loan,subsidy) -(c) 'Permit,approval,license, certification: Nature and tent of action, ` 2 Q,o , Location of action: Site acreage: s � Present land use: Present zoning classification: 2,, If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: a (a) Name of applicant: &.& 4)/J (b) Mailing address: (� (c) Telephone number: Area Code,( (d) Application number,if any: ------ Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes No❑ If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the.project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. { Yes Nol] 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 F] Yes Q 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 Yes [:] NogNot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages S through 16 for evaluation criteria Not Applicable Yes 1:1 No 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 Q Yes No ot Applicable Attach additional sheets if necessary Policy 6. Protect and- restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes No \NG _pplicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No'N 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. ElYesL❑ No\K] 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. ❑ YesO NoQNot Applicable Attach additional sheets if necessary WORKING COAST P®L.,.ES 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 ❑ No NNot 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 LVVRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes 1:1 N\1� Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See L Section III — Policies; Pages 62 through 65revaluation criteria. Yes 1:1No 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 [:1 NoS� Not Applicable PREPARED B- TITLE � �_ DATE J� 10LAI�4 ROBERT I. BROWN, ARCHITECT P.0 205 Bay Avenue Greenport,NY 11944 631-477-9752 (fax)631-477-0973 info@ribrownarchitect.com Transmittal Date: October 19, 2016 FR 2 0 2016 ; To: Town of Southold Trustees ' OCTEouthold Torn f sees Re: Weiskopf Residence 400 Long Creek Dr. Southold,NY 11971 Enclosed please find an Administrative permit application for a deck replacement of the above referenced. Thank you, Robert I Brown Architect PC