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Home My WebLink AboutTR-9023 Michael J.Domino,President Qf S0!/rTown Hall Annex John M.Bredemeyer III,Vice-President ,`OOl0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith [ Southold,New York 11971 A. Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �'� �� Fax(631) 765-6641 �yC4UIdT`I,N BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1595C Date: July 22, 2019 THIS CERTIFIES that construction of an 18'x15.9' two-story addition onto the northwestern side of the existing+/-24 5'x40 5' two-story dwelling; install a 17sq.ft. cantilevered bay window onto the north side of the proposed addition; and to install a 6' high privacy fence along the eastern side yard lot line between the two dwellings; At 275 West Road, Cutchogue Suffolk County Tax Map#1000-110-7-11.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 3, 2017 pursuant to which Trustees Wetland Permit#9023 Dated May 17, 2017,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 an 18'x15.9' two-story addition onto the northwestern side of the existing+/-24 5'x40 5' two-story dwelling; install a 17sq.ft. cantilevered bay window onto the north side of the proposed addition-, and to install a 6' high privacy fence along the eastern side yard lot line between the two dwellings. The certificate is issued to Robert 8 Patricia Ellisott owners of the aforesaid property. d Authorized Signature Michael J. Domino, President *oE SU!/jyo Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G � O Telephone (631) 765-1892 Greg Williams 'rUU O Fax(631) 765-6641 NTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ��I Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction / % constructed 1/ Project complete, compliance inspection. INSPECTED BY: COMMENTS: C) Jro I sNP- N0 C •_C_t- +0 CftOVf Ow SGL► CERTIFICATE OF COMPLIANCE: Douglas McGahan P.O.Box 602 Cutchogue, N.Y. 11935 June 20,2017 Board of Southold Town Trustees P.O. Box 1179 Southold,N.Y. 11971 RE: Permit#9023,Robert and Patricia Elliott Dear Board members: The building department has asked me to contact you and get a letter of approval for the cantilevered bay window on the north side of the proposed extension,since it was not shown on the site plan that was submitted to you for the application.The site plan that was submitted shows the new foundation for the proposed extension,and since the bay window is cantilevered without a foundation,it does not affect the footprint of the extension, but it does add 17 square feet to the floor area that you may not have been aware of.We feel that the bay window adds a lot of appeal to the extension and hope that you will approve this as part of the permit. I am enclosing the original plot plan and the floor plan and elevation to help you Understand the situation.Thank you for your consideration. Very truly yours, Douglas Mcgahan p EU` E IC JUN 2 0 2017 Southold Town Board f Trustees 'r John M.Bredemeyer III,President ��I S004t,, Town Hall Annex Michael J.Domino,Vice-President �O l® 54375 Main Road P.O.Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G Telephone(631) 765-1892 Charles J. Sanders,Trustee2471- UM`l Fax(631) 765-6641 BOARD OF TOWN TRUSTEES (' D TOWN OF SOUTHOLD U APR 20 To: Southold Town Building Department 17 Re: Verification of Building Department Permit Requirements FUILDMODEPT• TOWN OF SOUTHOLD SCTM#: //0 — 2-- //e I r Property Owner Name: Rc)b Pe,4r1-6_1-CA_ C Pi dTT Date Sent to Bldg. Dept.: 2 The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from ? � the Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: auA x S/1 & t� Signature of Reviewer Date Michael J.Domino,President O��Qf S®(�fyo� Town Hall Annex John M.Bredemeyer III,Vice-President h 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith ® Telephone(631) 765-1892 A.Nicholas Krupski '® �� Fax(631) 765-6641 I�COUft�T`1I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 19, 2017 Douglas McGahan P.O. Box 602 Cutchogue, NY 11935 RE: ROBERT &Q, PATRICIA ELLIOTT 275 WEST ROAD, CUTCHOGUE SCTM#: 1000-110-7-11.1 Dear Mr. McGahan: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, July 19, 2017: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9023 to install a 17sq.ft. cantilevered bay window onto the north side of the proposed addition; and as depicted on the site plan prepared by Douglas McGahan, received on June 20, 2017, and stamped approved on July 19, 2017. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJD/dd Michael J. Domino, Presider' O C Town Hall Annex John M. Bredemeyer III,Vice-Presiaenr �� Z , 54375 Route 25 Charles J. Sanderso z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski -by�o gyp! Telephone(631)765-1892 Fax(631)765-6641 ��zrcr�t L� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Dateffime: •7l1/i7 � Completed in field by: Douglas McGahan on behalf of ROBERT & PATRICIA ELLIOTT to install a 17sq.ft. cantilevered bay window onto the north side of the proposed addition. Located: 275 West Road, Cutchogue. SCTM# 1000-110-7-11.1 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 o -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: � a;-' + (yf,jDrA Present were: Bredemeyer M. Domino G. Goldsmith N Krupski C. Sanders Other Page 1 of 2 Michael J. Domino,Presided �QgUFFOj�Ot Town Hall Annex John M. Bredemeyer III,Vice-President ,�� G�� 54375 Route 25 Charles J. Sanders ro z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Douglas McGahan on behalf of ROBERT & PATRICIA ELLIOTT to install a 17sq.ft. cantilevered bay window onto the north side of the proposed addition. Located: 275 West Road, Cutchogue. SCTIVI# 1000-110-7-11.1 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 PORCII APPROVED BY _ t.%I EUVINC � - -46ARD OF TRUSTEES 1Ul TOWN OF SOUTHOLD DATE - 1-41 1 q i - 1 1 lO - 1 1 , WSI.Man QP 103 10E 15'-0• d EJ DN O i�lsr.a. DN 105 103 0 1 F.CLSI:llINIAC lot loo 100 Shiny lou Wood I� 101 i PORCH N O 1 io p EEIE 1 s Inz N JUN 202011 Southold Town T-e' s'-e• z'-o• Board of Trustees r-'\,-PROPOSED FIRST FLOOR PLAN \J Scale 17 4° = 1'-0° NOMI IL A All Azek trim (typ.) -7771 All Azek trim (typ.) Fin. grade JUN 2 0 2017 I Southold Torn—BoaW of Trustees PROPOSED NORTH ELEVATION �, New Addition Michael J.Domino, President o� S®UPy®� Town Hall Annex � O John M. Bredemeyer III,Vice-President 54375 Route 25P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith Telephone(631) 765-1892 A. Nicholas Krupski o�if'`+®U 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/silt boom/silt curtain 1St day of construction Y2 constructed Project complete, compliance inspection 5 �yi't�i,p •-k�•�-�i°� "��il•ity •'�1lt•y 0l`'� '�y1t•+P�' -4. 02F 'M V'%0 AVT STEES n ARD" OF 'SOU'"I"HOLD TOWN TRUS TI SOUTHOLD, NEW YORK PERMIT NO. 9023 DATE: MAY 17, 2017 f ISSUED TO: ROBERT & PATRICIA ELLIOTT PROPERTY ADDRESS: 275 WEST ROAD, CUTCHOGUE SCTM# 1000-110-7-11.1 AUTHORIZATION 543 Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 17, 2017, and in consideration of application fee in the sum of$250.00 paid by Robert & Patricia Elliott and subject to the _3V Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits 6 . the following: Wetland Permit to construct an 18'x15.91 two-story addition onto the northwestern side of the existing+/-24.5'x40.5' two-story dwelling; and to install a 61 high privacy fence along the eastern side yard lot line between the two dwellings; and as depicted on the site plan prepared by David Bruce Mann,Architect,dated March 28,2017,and stamped approved on May 17, 2017. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. _4%%AF F8t R coo 3 ;J} i; A/ CPO g1j. 4-01 1A. 4 ...... f ........... . ...... 'ERI-S AND CONDITIONS The Permittee Robert&Patricia Hiott,residing at 275 West Road, Cutchogue, New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation perfonned pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Pennittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension inay 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. GENERAL NOTES Site Data 1 � 1. ALL WORK SHALL CONFORM TO ALL LAWS, RULES, AND REGULATIONS, INCLUDING REFERENCES STANDARDS, OF THE NEW YORK STATE BUILDING CODE, FIRE PREVENTION CODE, FIRE DEPARTMENT REGULATIONS, UTILITY COMPANY ` \ REQUIREMENTS, AND THE BEST TRADE PRACTICES. ALL MATERIALS AND EQUIPMENT USED IN THE PROJECT SHALL Property Address CONFORM TO, AND HAVE APPROVALS IN ACCORDANCE WITH THE LOCAL MUNICIPALITY, ALL REFERENCE SUBCODES, AND p WITH ANY OTHER PUBLIC AUTHORITIES OR AGENCIES OR AGENCIES HAVING JURISDICTION OVER THE PROJECT. 2. BEFORE COMMENCING WORK, THE CONTRACTOR SHALL FILE ALL REQUIRED CERTIFICATES OF INSURANCE WITH THE DEPARTMENT OF BUILDINGS, OBTAIN ALL REQUIRED PERMITS, AND PAY ALL FEES REQUIRED BY GOVERNING NEW YORK 275 West Road, Cutchogue, Town Of AGENCIES. / , ` Southold, Suffolk County, New York. 11935 3. THE CONTRACTOR SHALL BE LICENSED WITHIN THE COUNTY OF WORK. \ �� 4. THE CONTRACTOR SHALL PROVIDE WORKMEN'S COMPENSATION, LIABILITY, AND PROPERTY DAMAGE INSURANCES TO yG LIMITS AS REQUIRED BY THE LOCAL MUNICIPALITY AND /OR OWNER, AND SHALL BE RESPONSIBLE FOR OBTAINING AND ' / `� 1 a'J S.C. Tax No. 1000-110-07-11.1 PAYING FOR ANY AND ALL PERMITS REQUIRED BY THE LOCAL BUILDING DEPARTMENT AND ARRANGING FOR ALL REQUIRED NOTIFICATIONS, TESTINGS, INSPECTIONS, AND APPROVALS. v�' 5. THE CONTRACTOR UPON COMPLETION OF THE WORK, SHALL APPLY AND ARRANGE FOR DEPARTMENT OF BUILDINGS A ' _ -� �' C. o INSPECTIONS AND SIGN-OFFS REQUIRED. _ 11 6. THE CONTRACTOR SHALL VISIT THE SITE AND BECOME FAMILIAR WITH THE EXISTING SITE CONDITIONS. THE �5 ' �10(F O`�Ctik1 el 6�bi goo st°C9 / °' S CONTRACTOR SHALL CHECK AND VERIFY ALL EXISTING CONDITIONS AND DIMENSIONS IN THE FIELD PRIOR TO �� / �C��A� b>>c w�teC� VVoros�cute e�2 tl ies;aerc� COMMENCING WORK, AND SHALL REPORT ANY DISCREPANCIES BETWEEN DRAWINGS AND FIELD CONDITIONS TO THE ARCHITECT. R ,�eab9 Vo �vooae bea`tooCri� �. 4e" � \ ` O Lot Area - 7. IN A RENOVATION OR RESTORATION PROJECT, ALL DIMENSIONS AND CONDITIONS SHOWN ARE APPROXIMATE, AS ALL / 1'� �otsavv ate`* 0.480 ACRES - 20,925 SF NEW WORK MUST JOIN AND ALIGN WITH EXISTING CONDITIONS. THE CONTRACTOR SHALL DETERMINE ACTUAL FINISHED ( vea DETAILS OF CONSTRUCTION RELATING TO HEIGHTS, SIZES, ETC. BASED ON FIELD MEASUREMENTS, ALL IN ORDER TO JOIN \ l 't'Co �i�tcsjeY �stsw leek Atit \ \ , AND ALIGN NEW TO EXISTING WORK. t / c I ',00a 8. MINOR DETAILS NOT USUALLY SHOWN OR SPECIFIED, BUT NECESSARY FOR PROPER CONSTRUCTION OF ANY PART \ ovea ? ` OF THE WORK SHALL BE INCLUDED AS IF THEY WERE INDICATED ON THE DRAWINGS. sl aPPC ��52 ce»S 9 \ _ Existing 1 Story Frame House 9. THE CONTRACTOR SHALL LAY OUT HIS OWN WORK, AND SHALL PROVIDE ALL DIMENSIONS REQUIRED FOR OTHER ou.y ,to e _ uce {ovei - t vea�ce� rre`^p5ea>�*'° ° 'CO �erit� t°O ory o , and Garage Coverage - 1,342 SF TRADES (PLUMBING, ELECTRICAL, ETC.) Co COP ' eat° i bast .P us1Y aVP st°CY P ee b \ 2 neck 10. PLUMBING AND ELECTRICAL WORK SHALL BE PERFORMED BY PERSONS LICENSED IN THEIR TRADES, WHO SHALL \ ,&,o atria SF e `" A�5 'Soo& EOK� ARRANGE FOR AND OBTAIN INSPECTIONS AND REQUIRED SIGN-OFFS. Y oP°se 1b°�e tb 0 11. THE CONTRACTOR SHALL DO ALL CUTTING, PATCHING, AND REPAIRING AS REQUIRED TO PERFORM ALL OF THE o{PC aa��t;°n me Wi ga0 \ Existing 2 Story House WORK INDICATED ON THE DRAWINGS, AND ALL OTHER WORK THAT MAY BE REQUIRED TO COMPLETE THE JOB. ` f c gIston i us�y �q��2� `� 230 Coverage = 1,158 SF 12. THE CONTRACTOR SHALL PROTECT AND BE RESPONSIBLE FOR THE SITE AND ADJOINING PROPERTIES, BUILDING e�s� �uag` rn pCe oveaXysG tib '" o{ \ STRUCTURES, PAVEMENTS, SIDEWALKS, STREETS, CURBS, LANDSCAPING, UTILITIES, AND IMPROVEMENTS WTHIN THE AREA douse /i aPPC osea1stoCY �" e�� OF OPERATIONS UNDER THE CONTRACT. THE CONTRACTOR SHALL PROVIDE ALL NECESSARY TEMPORARY CLOSURES, i Prov ao`vto ah ` fl. 68 Biu - �, z b yam' sting {,ri.5 oa / Existing Lot Coverage - 2500 SF GUARD RAILS, BARRICADES, ETC., TO ADEQUATELY PROTECT ALL WORKMEN, OCCUPANTS, AND THE PUBLIC FROM , A S' ~ 4�ce ext 22. O / POSSIBLE INJURY. IF NECESSARY, TEMPORARY PROTECTION AND A CHAIN LINK FENCE SHALL BE CONSTRUCTED TO \ `� CeP ouCY stoop 515 3.2' 3.0' FX~st'e�X ' PREVENT UNAUTHORIZED ACCESS TO THE PROJECT SITE. THE CONTRACTOR SHALL BE RESPONSIBLE FOR ANY i g94 RY 'M m °{over 255 30 a 602 �� \ = 11.9% VANDALISM OR DAMAGE RESULTING FROM UNAUTHORIZED ACCESS TO THE SITE FOR THE DURATION OF THE PROJECT. °�a \ Q" �- c StO F C° 'Loo -In;n Q� 13. ALL EXITS SHALL BE KEPT READILY ACCESSIBLE AND UNOBSTRUCTED AT ALL TIMES. o \ 21. 5 f 1CD��G (ik s. ti bucks over 14. ALL PIPING AND WIRING SHALL BE REMOVED TO A POINT OF CONCEALMENT AND SHALL BE PROPERLY CAPPED OR c9 Z� i GARS' Co°{ stoop \ \ Previously approved PLUGGED. %\ \ 2 S 2�5 {0.11. 66 {to{�. b ck o 15. CONTRACTOR SHALL PROVIDE FOR THE LEGAL REMOVAL AND DISPOSITION OF RUBBISH AND DEBRIS, AND FOR THE W e 2j.2 225 proposed 1 Story Frame GENERAL CLEANING FOR THE FOR THE DURATION OF THE PROJECT. THE SITE SHALL BE LEFT DAILY WITH ALL MATERIALS AND TOOLS STORED IN AN ORDERLY FASHION, WITH ALL AREAS BROOM SWEPT. NO ACCUMULATION OF DIRT 2g� / g2 244 \g0 / ' House and Garage Addition OR DEBRIS SHALL BE PERMITTED, UPON PROJECT COMPLETION, THE CONTRACTOR SHALL LEAVE THE PREMISES FREE ate j e ous�y Coverage = 1,427.5 SF AND CLEAR OF ALL RUBBISH AND DEBRIS, AND IN A BROOM SWEPT CONDITION. � � t �C a16. ALL EXPOSED FINISHED SURFACES SHALL BE TREATED, CLEANED, VACUUMIED, OR POLISHED IN ACCORDANCE WITH �Y15etes/� e2 ev�ous{y roOckst°oV �4VCoosea2st55 c11�uey o / MANUFACTURER'S RECOMMENDATIONS. ` / / 2G pt Covea bn PC°Pa{CTO' I �' 17. DISTURBANCE OR DAMAGE RESULTING DIRECTLY OR INDIRECTLY FROM THE OPERATION OF THE CONTRACTOR, 2�.2 aVP o"a X ce11� e veo° aaveou INCLUDING DAMAGE TO LAWNS, PLANTINGS, OR OTHER LANDSCAPE ITEMS, SHALL BE PROMPTLY RESTORED, REPAIRED, i esuug ovea PC°P 1tue eutt�c S�a Previously approved AND/OR REPLACED TO THE COMPLETE SATISFACTION OF THE ARCHITECT AND OWNER AT NO ADDITIONAL COST TO THE \ aeC� stoCY OWNER. \ � tewre 333 aaaaori a vev / , Total Proposed Lot Coverage = 2,585.5 SF 19. UNLESS OTHERWISE PROVIDED, THE ARCHITECT AND ARCHITECT'S CONSULTANTS, INCLUDING EQUIPMENT \ MANUFACTURERS AND THEIR REPRESENTATIVES, SHALL HAVE NO RESPONSIBILITY FOR THE DISCOVERY, PRESENCE, - HANDLING, REMOVAL, DISPOSAL OF, OR EXPOSURE OF PERSONS TO HAZARDOUS MATERIALS IN ANY FORM AT THE 12.3 PROJECT SITE. THIS INCLUDES, BUT IS NOT LIMITED TO: ASBESTOS, ASBESTOS PRODUCTS, POLYCHLORINATED BIPHENYL t (PCB), LEAD PAINT CONTAMINANTS, OR ANY OTHER TOXIC SUBSTANCES OR CONTAMINATE. SHOULD ANY HAZARDOUS MATERIAL BE ENCOUNTERED OR SUSPECTED, THE CONTRACTOR SHALL CEASE WORK IMMEDIATELY AND REVIEW THE Previously approved PROJECT CONDITIONS WITH THE ARCHITECT AND OWNER PRIOR TO PROCEEDING WITH ANY WORK OF THE CONTRACT. \ / - Proposed Coverage of 20. EXCAVATION FOR UTILITY PIPING OR FOUNDATIONS SHALL BE THE RESPONSIBILITY OF THE GENERAL CONTRACTOR. 2 story frame addition CONTRACTOR SHALL NOTIFY THE LOCAL BUILDING DEPARTMENT AND/OR UTILITY COMPANY TO DETERMINE LOCATIONS OF y ANY EXISTING UNDERGROUND UTILITIES, AND PROVIDE PROTECTION FOR SAME DURING EXCAVATION PROCEDURES. \ q� t0 existing 2 story frame 21. THESE DRAWINGS AS ARTICLES OF SERVICE ARE PROPERTY OF THE ARCHITECT AND SHALL NOT BE USED FOR O q OTHER BUILDINGS, PROJECTS, OR PROPOSALS, OR PORTIONS THEREOF UNLESS SPECIFICALLY APPROVED BY THE ` \ i' house = 375 Sf ARCHITECT. IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF THE ARCHITECT, TO ALTER THIS DOCUMENT IN ANY WAY. THE INFORMATION, CONCEPTS, IDEAS, AND DESIGN CONTAINED IN ves el THESE DOCUMENTS ARE PROTECTED BY UNITED STATES COPYRIGHT LAWS. SCh �" w eauveN�,y S�AZ� by JbVew*dteC,� Previously approved� \ - °{S�o� �SJvP�,ea P Total Proposed Lot Coverage - 2,960.5 SF = 14% 34.5 � X10��S;T Cbuel ` 4to \obve`>u� � \ aot suPP,�eaby P � \ ve \ t {itriPCo NOTES: INFORMATION FOR THIS PLOT PLAN WAS TAKEN FROM A SURVEY PREPARED BY a L !1M SITE PNATHAN TAFT CORWIN III LAND SURVEYOR JAMESPORT NEW YORK DATED DECEMBER �S0 22 1998 AND CERTIFIED TO FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK, NORTH NORTH FORK BANK, ROBERT J. TAPP, AND NICHOLAS ELLIS. APR ' 3 2017 So:l4tlald Ta;dm E r7 1 ISSUED FOR ZONING REVIEW 03/28/2017 number issued for date PRINT RECORD David Bruce Mann, Architect 122 East 55th Street New York,NY 10022 Tel(212)644-6416 Fax(212)644-6913 APPROVED BY Client Date BOARD OF 7 RUSTEES ELL.IOTT RESIDENCE sale TOWN OF SOUTHOLD275 WEST ROAD AS NOTED CUTCHOGUE NY 11935 DATE t7( Dratwi By ��( 2at7 Fide Sheet PROPOSED FENCE SPF-1 ®F Michael J.Domino,President so Town Hall Annex�®� ®�® John M. Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders v, Southold,New York 11971 Glenn Goldsmith �� Telephone(631) 765-1892 A.Nicholas Krupski ®l`�C®UNTV Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 17, 2017 Douglas McGahan P.O. Box 602 Cutchogue, NY 11935 RE: ROBERT & PATRICIA ELLIOTT 275 WEST ROAD, CUTCHOGUE SCTM# 1000-110-7-11.1 Dear Mr. McGahan: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 17, 2017 regarding the above matter: WHEREAS, Douglas McGahan on behalf of ROBERT & PATRICIA ELLIOTT, 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 April 3, 2017, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 17, 2017, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of ROBERT & PATRICIA ELLIOTT to construct an 18'x15.9' two-story addition onto the northwestern side of the existing +/-24.5'x40.5' two-story dwelling; and to install a 6' high privacy fence along the eastern side yard lot line between the two dwellings; and as depicted on the site plan prepared by David Bruce Mann, Architect, dated March 28, 2017, and stamped approved on May 17, 2017. 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, Michael J. Domino President, Board of Trustees MJD/dd ,�- - -; Michael J.Domino,PresidentSUFFQ(��Q CC Town Hall Annex John M.Bredemeyer III,Vice-President �� GyJ,�, 54375 Route 25 Charles J. Sanders Y P.O.Box 1179 Glenn Goldsmith 0 ® Southold,NY 11971 A.Nicholas Krupski yh p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: kooar�P -al,&A- etuoTz (l® POO&A5 Please be advised that your application dated ��(- 3c 0-61-7 has been reviewed by this Board at the regular meeting of 94N 17, 20I and your application has been approved pending the completion of the following items checked off below. bb!! /� �@ Bu Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) B/ % 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: , es .l TOTAL FEES DUE: BY- Michael J. Domino, President Board of Trustees r" f,l ' Cantrell, Elizabeth From: Tom Wacker <wackerfutures@nyc.rr.com> Sent: Wednesday, May 17, 2017 10:18 AM To: Cantrell, Elizabeth Subject: proposed expansion of 275 West Road. Attachments: May 2017 letter to Trustees.docx Michael Domino: President Southold Board of Trustees Dear Sir, We are writing to express our concern about the proposed expansion of the houses located at 275 West Rd. in Cutchogue. Our property is across the street at 320 West Rd. Thanks for your attention to this matter. Tom and Isabel Wacker ECEQVE MAY 1 1 1111 Southold Town B ar Trustees 1 Thomas and Isabel Wacker 6006 th Street Brooklyn, New York 11215 June 30, 2015 VIA FAX AND EMAIL ECEIVED MAY 1 7 2017 The Board of Trustees Town of Southold 5ouihold Town 53095 Main Road Bar Tru ee P. 0. Box 1179 Southold, New York 11971-0959 Re: Robert and Beth Elliott—Request for Wetland Permit Dear Trustees: We have owned the property located at 320 West Road since 1986. Over the years we have seen the property across the street, now owned by the Elliots, change dramatically and we want to be sure you are aware of the history of this environmentally sensitive property, prior to making your decision on their application. We believe their application is not the standard application for a variance to expand a house on the landward side of a bluff. Although the Elliott's property is about a half acre, a substantial part of the property is bluff and beach. Thus,the actual size of the property which is buildable, is quite small . The primary house on the property was located near the road and was expanded from a small cottage to its current size prior to 2000. The house which the Elliot's now want to expand was originally a secondary structure, a summer- only shed, similar to the Pequash Club located next door. It had no internal walls,was not a year-round residence and was substantially smaller. About fifteen years ago,the prior owner of the property, Bob Tapp, petitioned the Zoning Board of Appeals to renovate the shed into a large year-round house. After a lengthy review process,the Zoning Board of Appeals issued an opinion permitting the construction of the new house under certain conditions. One of the conditions imposed by the ZBA was that the house would not exceed a certain size (basically its current size). We believed the Elliot's purchased this property,just a few years ago, with full knowledge of the limitations imposed by the ZBA. Prior to purchasing the property,they insisted that Bob Tapp obtain ZBA approval for certain additional items (retaining walls; walkways and patios on the south side of the house near the bluff) which he added after the construction in connection with the extensive gardens he f installed near the new house. The Elliots did enough due diligence to know that these changes were not covered by the original ZBA opinion and thus, required Bob to legalize them. Shortly after purchasing the property,the Elliotts decided they needed another bedroom and applied for a variance to expand the back house (near the street). This variance was granted in 2015 but they did not expand that house. In 2016,they applied for an additional variance to expand the house on the bluff. We assume the current application is for the same expansion and we have no idea if the old variance is still valid—but as a variance runs with the land,we are afraid it is. This is a very small piece of property and it seems that every few years,we're being notified that the owners are seeking another variance to expand the two houses on it. The house they now want to expand is located very close to a bluff. If this house were not here,would you ever permit it to be built in its current location? If not,why permit this expansion under these circumstances? This house was only built a few years ago, and under very restrictive conditions. There has been no drastic change,of which we are aware, in the Elliot's circumstances since they purchased the house. Even if there were, if they need another bedroom,they have permission to expand the house near the road—away from the bluff from a previous variance. We're not happy about that—but it's better than polluting the bay. We are also concerned that permitting this expansion will set a terrible precedent for the Town of Southold. ZBA opinions limiting the development on small, environmentally sensitive properties will be meaningless. I don't think this is the message the Town of Southold or the Trustees should be sending. We are aware that across Southold waterfront houses are being expanded into large structures. But the property across the street is small, and contains two substantial structures one of which is located on a critical unprotected bluff which drains into a shallow bay. We have grown up swimming, fishing and clamming in these waters. We own a house on a very environmentally sensitive creek which we have been fighting to protect. The quality of its water and fisheries is the greatest asset of the Town of Southold and the one that, in our opinion, is most imperiled by development. Please consider this application carefully. Thank you for your time. Best regards, Tom and Isabel Wacker EV^ EIE M AY 1 7 2017 Southold Town Board of Trustees -z rT-�=- i`-�- I I I T, ` T UEELF T- 1-TIFILIL fill Ila �i i i I I •! ,L-I rli r' ( II �L -r' I I a a; , i n A w -t--�_' i-- i.�_ I _ _ - _ 1, 1 - 1 i I I i I I i I I i —I - - _ I i - fi' T _ 1 T �T-' l i� T TTr� - 'r - I� � I I — � - t � � 1 i I I _ i _ i i ) �.,, I I it .I,� k-- _ - o I- i _ - 1 i� i — i o - Q' i I I � I I � I I I c0 , , II II -}— I I i I I I I i --i-= - T �- ,, � '- _• - •-- I- I.-._ 1_1 .._ 1 L ,( i I ,i I I .� �_ � 1 �. r 1 I I d i i � t 1-;-�-r T T � I 1 ! I 1 I I —� T 1 - -;-T I I I ! 1� IT I I � i � IT T t I Finished grade — I I _1 1 - Finished grade E; 0E � APR — 3 zo» Southold town T 1 ISSUED FOR ZONING REVIEW 03/28/2017 number issued for dote 0—PLAN 8c �11�VAIIINI OF PROPOSED FENCE PRINT RECORD Scale 1/4" 0David Bruce Mann, Architect SEE SITE PLAN FOR FURTHER INFORMATION 122 East 55th street New York,NY 10022 Tel(212)644-6416 Fax(212)644-6913 Client Date ELI..IOTT RESIDENCE Sale 275 WEST ROAD AS NOTED CUTCHOGUE NY 11935 Drawn By JCPV 'Title Sheet PROPOSED FENCE F-1 SURVEY OF PROPERTY SITUATE CUTCHOGUE TOWN OF SOUTHOLD FGo. SUFFOLK COUNTY, NEW YORK ° ce ENS GONG. oEpPO� CG 1� S.C. TAX No. 1000- 1 10-07- 1 1 . 1 o ua c e �GGa - �6J• 7f ° e o�R�s, �� SCALE 1 =20' SjREEj� d a rr, oJE�N� DECEMBER 22, 1998 R\N a 5j, / ++ F DECEMBER 17, 2003 UPDATE SURVEY & ADDED TOPOGRAPHICAL SURVEY ° faJN� MaN 'O� FEBRUARY 2, 2005 ADDED WELLS & CESSPOOL TO EAST PROPERTY 6t`�`� JULY 2, 2008 FINAL SURVEY \A I� a aop0 GJRB\NG ��R N P�� `� oi^ AREA = 20,925 sq. ft. 0 d �Q PR o �� (TO TIE LINE) 0.480 CSC. cp e < ° •NP�� v£ o S sTONF 95 Cc r. F N A a Cad d e �� GONG. d ee de e.. CRfTf cd as �� h d e P �C u a da O 1P c d ° GaNG\A\O •�L.c+ S O J aa9� cT a ��O Y O M y O 6 5 O m ! I de �02� o�� —q� � E��✓� O a sfo SONE n� STaNF CZ °aF S�CpS y'pRk L � pt\G 2� 1 sENµ y sroN Fo SEPTIC SYSTEM TIE MEASUREMENTS HOUSE HOUSE HOUSE CORNER FA CORNER[g] CORNER tL c O�SFes o % £ T SEPTIC TANK ° qF JER p 51 �2o COVER X 22' 28' so 5� OF S"\aa LEACHING POOL 22' 26' X 2� 0\G COVER e 0 ,fir O `� s' O�A yo O v� cy o � Za 5 S�OREG\� roti O o. Jo 0 09 a oa0 o<^ S��pS/ ��a0 Sp\o G� OE ,NaaO pP�\0 O o� GaNG. f OF \ o2n�C' \aP g�N 02 O CP Zc J' �JFE of 9 SZEps CERTIFIED TO: \ FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK \ e�PGN PREP NORTH FORK BANK / ROBERT J. TAPP NICHOLAS J. ELLIS \\N N CP .o \ P 5 20 S 6 G PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED C BY THE L.I.A.L.S. AND APPROVED AND ADOPTED FOR SUCH USS BY THE NEW YORK STATE LAND TITLE ASSOCIATION. , .� m ID .' `✓ 2017 APR — 3 N.Y.S. Lic. No. 50467 NOTES: Nathan Taft Corwin iii UNAUTHORIZED ALTERATION OR ADDITION 1 . ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM TO THIS SURVEY IS A VIOLATION OF EXISTING ELEVATIONS ARE SHOWN THUS: SECTION 7209 OF THE NEW YORK STATE Land Surveyor. EDUCATION LAW. EXISTING CONTOUR LINES ARE SHOWN THUS: COPIES OF THIS SURVEY MAP NOT BEARING - FIRST FLOOR THE LAND SURVEYOR'S INKED SEAL OR - GARAGE FLOOR EMBOSSED SEAL SHALL NOT BE CONSIDERED - TOP OF BULKHEAD TO BE A VALID TRUE COPY. - BOTTOM OF BULKHEAD Successor To: Stanley J. Isaksen, Jr. L.S. CERTIFICATIONS INDICATED HEREON SHALL RUN - TOP OF WALL Joseph A. Ingegno L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY - BOTTOM OF WALL IS PREPARED, AND ON HIS BEHALF TO THE Title Surveys — Subdivisions — Site Plans — Construction Layout TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND PHONE (631)727-2090 FOX (631)727-1727 TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 THE EXISTENCE OF RIGHT OF WAYS James ort, New York 11947 James ort, New York 11947 AND, N EASEMENTS OF RECORD, IF P P ANY, NOT SHOWN ARE NOT GUARANTEED. Michael J. Domino, Presr O00tf 4(C�' J Town Hall Annex John M. Bredeme er III Vice-President Gd y � �,, 54375 Route 25 Charles J. Sanders P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN-TRUSTEES TOWN OF SOUTHOLD Date/Time: S Completed in field by: ` yr'p�k Douglas McGahan on behalf of ROBERT & PATRICIA ELLIOTT request a Wetland Permit to construct an 18'x15.9' two-story addition onto the northwestern side of the existing +/-24.5'x40.5' two- story dwelling; and to install a 6' high privacy fence along the eastern side yard lot line between the two dwellings. Located: 275 West Road, Cutchogue. SCTM# 1000-110-7-11.1 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 o 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/appli}c,ationi completeness/comments/standards: Present were: J: Bredemeyer M. Domino G. Goldsmith N. Krupski ^7 C. Sanders Other Page 1 of 2 Michael J. Domino, Presic. ��Q uFF��XC` Town Hall Annex John M. Bredemeyer III,Vice-President � � G%5A 54375 Route 25 Charles J. Sanders y P.O.Box 1179 Glenn Goldsmith ,f Southold,NY 11971 A.Nicholas Krupski ?�� Cpl Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Douglas McGahan on behalf of ROBERT & PATRICIA ELLIOTT request a Wetland Permit to construct an 18'x15.9' two-story addition onto the northwestern side of the existing +/-24.5'x40.5' two- story dwelling; and to install a 6' high privacy fence along the eastern side yard lot line between the two dwellings. Located: 275 West Road, Cutchogue. SCTM# 1000-110-7-11.1 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 I � • M • � •f ��J� I� .. -�, j . . �r - Asa _ r� .� i�.•' .,� i..,. � * $$�•., __ .c`h'i.i ` �. � ' v r ► % f b r fir^ _ • r a7 i.. d IWO r �� r y rTw I r �'t • %41- -10 { V 4 Rims 12 27 BB mmo; ' MATCN SEE SEL NO,0.t 08030] xzevomw LINE ,¢n ^,•' . d`�, oa 00.00 —07 0FOR PLL No Ot t,13 02ESEC S02 NO M A w .w 9 m^6B By @ '® ' d. dA Q..P 0�F b q �. °IA t 02 9Jw5M 1 n,1 10 b'a q ''v3' O $'< `� P. vE CF y11 ° �$�SP o'eids p, mho 2n(c) r1c cµt y mz e!`o� s g M1 p bs,� oe as05' .n 9� '1 r d, B ,^ ^ x 9 ppr,� 1] 1d r 11"lrl 1• TOWN OF 2, y 8 3s + �y ^'x •n u O.1Et .^ P3� A s b g0 m g SOUTNOLD ^ SaA � � � Al A q� '� r � � •* F°'/ 3 N�NEL°�xFN,N,xN,s, e( � � l 1 s O�� 1"i% •9.b fi� ;� a �'�v�'NA ,q `5: /i 1111,00", ,tea o• g `r a a a � � rc e 13 � ,� max,- ,„ .•a^� ^ m B44 < b,e ' s a// S 1B 2AN. a / OsrcO,"ENIF SCH D 9 'd 62A(c7 FOR PCL NO SEE SEC NO i09 OS02J 2 1\ /A U \� FOR PCI NO ,Z 2`• J . �' / Q / @o J E CAI,) A � /� e WICKS RD ISDI m 85A(c) � Pi ' I .1 rte., @ p uat6i 1 v 1C 1�A 9 � /� `- /�/ / S OAK a 10 11@ 12 B I�YJe Icons wnnov°vSeN[wrl 8 SEE SEC NO 117 E � u�ww "° `^ __O-- v.�. '° ^"wqw "_= da NOTICE Gor COUNTY OF SUFFOLK K ov SOUTHOLO SECTION NO --�— d�..� lY1) '� ovre d. w-- awu.--»<r_—E __ Real�PropertyTaxSernceAgency r >. ,on« 110 w N se N �_...._. .r J..... ,...q.«....a..».us...m.y. u.xm.n... :tr.x...:.--r—m.. _ ___ ......... BooO .r_wevu. v. rc.s �wnx� wmww. John M.Bredemeyer III,President Town Hall Annex Michael J.Domino,Vice-President �� l® 54375 Main Road P.O.Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G Q • �O Telephone(631) 765-1892 Charles J.Sanders,Trustee OICoU Fax(631) 765-6641 D BOARD OF TOWN TRUSTEES D TOWN OF SOUTHOLD APR 262017 To: Southold Town Building Department Re: Verification of Building Department Permit Requirements EUILDINGDEPT. TOWN OF SOUTHOLD SCTM#: ' 2- 10 r Property Owner Name: �c��j PoJrr C_ Date Sent to Bldg. Dept.: �do�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? Will the proposed project require a variance determination from the Zoning Board of Appeals? C�R'c�St7��@� Will any part of this application be considered as Demolition as C described under Town Code? COMMENTS: Sly 1� Signature of Reviewer Date BOARD MEMBERS ®�S® Southold Town Hall Leslie Kanes Weisman,Chairperson ®�� '®�® 53095 Main Road-P.O.Box 1179 Eric Dantes Southold,NY 11971-0959 Office Location: Gerard P.Goehringer Town Annex/First Floor,Capital One Bank George Homing �` ® J® 54375 Main Road(at Youngs Avenue) Kenneth Schneider ®�"`CowN Southold,NY 11971 R V52/0;6 http://southoldtown.northfork.net e4• : • 5ZONING BOARD OF APPEALS 2 TOWN OF SOUTHOLD QL Tel.(631 765-1809-Fax 631 765-9064 (Southold'Town Clerk FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF JULY 21,2016 ZBA FILE: 6967 NAME OF APPLICANT:Robert and Beth Ellioft PROPERTY LOCATION: 275 West Road Cutchogue,NY SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated June 22, 2016. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is CONSISTENT provided that the applicant verifies the location of the sanitary system. SUFFOLK COUNTY SOIL AND WATER CONSERVATION DISTRICT: The applicant was referred for an evaluation and recommendation. According to the information provided in a letter dated July 6,2016,following an evaluation conducted on May 25, 2016, it was recommended that heavy equipment be used and stored at a minimum setback of 25 feet from the top of the bluff. Additional recommendations include the installation of gutters and leaders in order to divert storm water to drywells, and the inclusion of two drywells, one on either side of the home capable of capturing 100%rooftop runoff. PROPERTY FACTS/DESCRIPTION: The applicant's parcel measuring .480 acres is adjacent to Cutchogue Harbor and is improved with a two story frame home and a one story accessory cottage with an attached garage. The parcel has 74.96 feet on West Road to the north,278.04 feet along the westerly property line,281.75 feet along the easterly property line and 75.20 feet along Cutchogue Harbor,as shown,with building setbacks, and a sketch of proposed building alterations,on the site plan (SP-1,) and building plans (EX-1,EX-2,EX-3,A-1,A-2,A-3)drawn by David Bruce Mann,Architect,dated March 15,2016,and last revised April 6,2016 . . BASIS OF APPLICATION: Request for Variances from Article XXII Section 280-116A(1) and the Building Inspector's March 17,2016 Notice of Disapproval based on an application for building permit to construct an Page 2,July 21,2016 #6967, Elliot SUM No.1000-110-7-11.1 addition to an existing single family dwelling at; 1)proposed addition is less than the code required setback of 100 feet from the top of the bluff,2)proposed addition exceeding 1,150 sq. ft.total building area as stated in condition no. 1 of the prior ZBA decision No. 5555,dated October 7,2004 RELIEF REQUESTED: The applicant requests variances to construct a two story addition to the existing two story frame house (main seaward dwelling) with a proposed setback of 60.2 feet from the top of the bluff, where the code requires a minimum setback of 100 feet; and relief from a prior ZBA determination (File 45555, October 7,2004)which limited the total square footage of the subject dwelling to1,150 sq.ft. ADDITIONAL INFORMATION: The proposed additions to the subject dwelling (the seaward dwelling on the subject property) total 283 sq. ft. more than, what, was permitted by prior variance relief (ZBA file # 5555). Additionally, on April 2, 2015, the ZBA granted additions and alterations to the existing landward "cottage "with attached garage on the subject property that included a second story addition with a non-conforming single side yard and front yard setback(ZBA File#6834). At the hearing the applicant indicated that should the variances for the seaward dwelling be granted,they did not intend to construct the approved additions to the landward"cottage." At the hearing,the neighbor across the street objected to the proposed construction based upon the previous ZBA grant to enlarge the landward cottage,and a partial blocking her water view. AMENDED APPLICATION FOR ZBA FILE # 6834 : During the hearing, the applicant was asked to bring the plan into more conformity with the Town Code. The applicant's agent,Douglas McGahan agreed to submit a new architectural plan for the as built landward one story "cottage" which would eliminate the previously approved second story addition (ZBA File# 6834) and limit construction on the cottage to minor renovations that would not increase the existing footprint or height including a new bay window and a vaulted ceiling in the existing one story cottage. On July 18, 2016,the Board received revised"one story cottage"plans depicting the amended changes as shown on site plan(SP-1), Elevation Plans (A-1) and Elevation Plans (A-2), by David Bruce Mann, Architect, last revised July 18,2016. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on July 7,2016_at which time written and oral evidence were presented. Based upon all testimony,documentation,personal inspection of the property and surrounding neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 5267-b(3)(b)(1). Granting the variances will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The agent for the applicant proposed a small, 283 sq. ft.two story addition to the front of the seaward dwelling on the subject property which will result in a two story dwelling that is smaller than many of the other homes on West Road. Moreover, the subject dwelling is set back more than 80 feet from West Road. 2. Town Law 5267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The entire as built seaward dwelling is located within the 100 foot setback of the bluff.Therefore,any addition will require variance relief. 3.Town Law$267-b(3)(b)(3). The variance granted herein is mathematically substantial, representing 40%relief from the code. However,the proposed addition is landward of the existing dwelling and as far away from the top of the bluff as possible; is LWRP consistent; and will be more conforming to the code than the previously granted additions and alterations to the landward cottage on the subject property, now amended by resolution in this decision. .l Page 3,July 21,2016 #6967, Elliot SCTM No.1000-110-7-11.1 4. Town Law 4267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code and the applicant has agreed to comply with the evaluation done by Suffolk County Soil and Water Conservation dated July 6, 2016., and its findings and recommendations. 5. Town Law §267-b(3)(b)(Q. The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. The applicant has two legally existing dwelling units on a sub-standard half acre Iot in an R-40 zone district. 6. Town Law &267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of an addition to the main seaward dwelling on this parcel while preserving and protecting the character of the neighborhood and the health,safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B,the following motions were offered and seconded,and duly carried, RESCIND condition #1 in ZBA File #5555 (October 7, 2004) limiting the total square footage on the seaward dwelling to 1,150 square feet. A motion was offered by Member Weisman (Chairperson), seconded by Member Schneider. Vote of the Board: Ayes: Members Weisman (Chairperson), Schneider, Dantes, Horning, Goehringer. This Resolution was duly adopted(5-0). RESCIND the prior approvals for the landward cottage additions and alterations as granted on April 2, 2015 in ZBA File# 6834 and herein approve construction on the amended one story cottage as noted on the site plan(SP- 1),Elevation Plans(A-1)and Elevation Plans (A-2), by David Bruce Mann,Architect,last revised July 18,2016. A motion was offered by Member Weisman (Chairperson), seconded by Member Schneider. Vote of the Board: Ayes: Members Weisman (Chairperson), Schneider, Dantes, Horning, Goehringer. This Resolution was duly adopted(5-0). GRANT the variance as applied for as shown, with building setbacks, and a sketch of proposed building alterations, on the site plan (SP-1,) and building plans(EX-1, EX-2, EX-3, A-1, A-2, A-3) drawn by David Bruce Mann,Architect,dated March 15,2016,and last revised April 6,2016. SUBJECT TO THE FOLLOWING CONDITIONS: 1. The proposed addition to the seaward dwelling shall not exceed the sizes noted on the plans and the architectural drawings submitted to this Board by David Bruce Mann,Architect, last revised April 6,2016. 2. The applicant must comply with the findings and recommendations made by the Suffolk County Soil and Water Conservation District in their letter dated July 6, 2016. See page 1 of this determination. 3. The location of the existing sanitary system must be verified and conform to the requirements of the Department of Health per LWRP recommendation That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. A motion was offered by Member Weisman (Chairperson), seconded by Member Goehringer. Vote of the Board: Ayes: Members Weisman (Chairperson), Schneider, Dantes, Horning, Goehringer. This Resolution was duly adopted (5-0). Page 4,July 21,2016 #6967,Elliot SCTM No.1000-110-7-11.1 Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board ofAppeals.er 22, i Any deviation from the variances)granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The-Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may,upon written request prior to the date of expiration,grant an extension not to exceed three(3) consecutive one (1)year terms. Vote of the Board: Ayes: Members Weisman (Chairperson), Schneider, Dantes, Horning, Goehringer. This Resolution was duly adopted(5-0). Leslie Kanes Weisman, Chairperson Approved for filing /�a /2016 i OFFICE LOCATION: S ® MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) cos Telephone: 631 765-1938le Southold, NY 11971 � a® TeP C®UNTV,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: May 16, 2017 Re: LWRP Coastal Consistency Review for ROBERT & PATRICIA ELLIOTT SCTM# 1000-110-7-11.1 Douglas McGahan on behalf of ROBERT & PATRICIA ELLIOTT request a Wetland Permit to construct an 18'x15.9' two-story addition onto the northwestern side of the existing +/-24.5'x40.5' two-story dwelling; and to install a 6' high privacy fence along the eastern side yard lot line between the two dwellings. Located: 275 West Road, Cutchogue. SCTM# 1000-110-7-11.1 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 CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Peter Young,Chairman y 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., May 10, 2017 the following recommendation was made: Moved by Greg Williams, seconded by James Abbott, it was RESOLVED to SUPPORT the application of ROB & BETH ELLIOTT to construct an 18'X 15' two-story addition and install a 6' high privacy fence. Located: 275 West Rd., Cutchogue. SCTM#110-7-11.1 Inspected by: James Abbott, Peter Young, Greg Williams Vote of Council: Ayes: All Motion Carried *riF SU(/T�, Michael J.Domino,President Town Hall Annex`� Ol0 John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders C, Southold,New York 11971 Glenn Goldsmith Telephone(631) 765-1892 A.Nicholas Krupski lif'COUNTi Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD nn ,�Er_. t This Section For Office Use Only �etland astalErosion Permit Application APR - 3 2011 Permit Application Administrative Permit Amendment/Transfer/Exte ion Southold Town Received Application: 3 /7 a Tr s Received Fee: $ _ Completed Application: / Incomplete: SEQRA Classification: Type I_ Type II Unlisted Lead Agency Determination: Qoordination:(date sent): L Consistency Assessment Form Sent: -515117 AC Referral Sent: Date of Inspection: 17 Receipt of CAC Report: /Technical Review: y Public Hearing Held: Q11 Resolution: Legal Name of Property Owner(s): l®-M Mailing Address: 1�j2 'PNS� 73 '�;Tq-:IFET Phone Number: S(6 S$ Suffolk County Tax Map Number: 1000 e Property Location: W&3T. Ry-to L'Mmoc yE T1. 119 3 5, (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): bov L 1.A'3 M C&kN Mailing Address: P-C) . 1 )C G o-j- , C'yT-eko 6 y,;, �N (l° 35 Phone Number: b 3 p�"I card of Trustees Applicati' GENERAL DATA Land Area(in square feet): 2-o, 92.,E Area Zoning: � u Previous use of property: 91 NG UU %um X10 e� Intended use of property: co f- y m aU5%D cc Covenants and Restrictions on property? Yes ---$—No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Z Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. - Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes _t 4—No Does the structure(s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes,provide explanation: Project Description (use attachments if necessary): -2— SiM4 ftbMeM oard of Trustees Applicati WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ls%W FJ-Mx,k M 9,�eM a Nov bGbkZ-#v1 Area of wetlands on lot: 01, 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 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: 6.5' feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: tZ x 2 �V 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): 61Z20 Appendix B Short Environmental Assessment Form Instructions for CommletinjZ 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 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: Project Location(describe,and attach a location map): Brief Description of Proposed Action: Y. (q, ck Z S ADDk,.WQN W, F'AU`N RU:A-N Name of Applicant or Sponsor: Telephone: 63, 4T; 4163 iD pv at_k5 ML 6 E-Mail: A 4 x.c Address: V-o, 3D1- 6 t"2— City/PO: State: Zip Code. C 1 lt�3s 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 M ❑ 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: 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? , 6d2_ 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. F1 Urban El Rural(non-agriculture) ❑Industrial E]Commercial Wesidential(suburban) EJ Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page I of 4 1 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? ❑ 191 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 0 ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES .❑ b.Are public transportation service(s)available at or near the site of the proposed action? ® F-1- c. c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? rm F] LIN 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: ❑ M 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: El fel 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 0 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ® F1 b.Is the proposed action located in an archeological sensitive area? ❑ ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? E] b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ® E If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline El 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, FK Ela.Will storm water discharges flow to adjacent properties? NO YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: [4NO ❑YES Page 2 of 4 1 � 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: V-1 r] 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 INFORMAT OVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: `; '3o—`4 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: 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? IL 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environments imp cts. Town of Southold-Board of Trustees �� (Y n Na e of Lead A ncy Date President Print or Type Name of ResponsiJqJ Officer in Lead Agency Title of Responsible Officer Signature of Respo sible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 )ard of Trustees Applicat! AFFIDAVIT t V# BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. PkqAA &eL Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS 3-01y-'1--DAY OF 1 Notary Public DEBORAH H.VAN DUZER NOTARY PUBLIC,STATE OF NEW YORK Registration No.01VA6186177 Qualified in Suffolk County Commission Expires April 28.20 -)ard of Trustees Applicati, 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. 1?11vqt' LA4, Signature of Property Owner SWORN TO BEFORE ME THIS 3 DAY OF MO O rC 20 Notary Public DARL-ENE K BRUSH Notary Public-State of New York N0.01 OR6318051 -Qualified In Suffolk County My Commission Expires Jan 20,2019 ;)ard of Trustees Applicati, AUTHORIZATION (Where the applicant is not the owner) I/We, Pa+ CQ 4 U1 L04 k,9t T E I I t Olt , owners of the property identified as SCTM# 1000- �� ` a -' <<• in the town of New York,hereby authorizes c 4,AVJA hN to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS J04--DAY OF P14YI �j 20 is DEBORAH H.VAN DLrM NOTARY PUBLIC,STATE OF NEW YORK 28, gW a 0n No.0 VA6186177 QwMed in Suffolk Commission Expins A� 'card of Trustees Applicata, AUTHORIZATION (where the applicant is not the owner) I,�/A 4r I G I A, Wl , ,W� residing at a 7 rd � (print name of owner of property) (mailing address) 735 S do hereby authorize (Agent) n L G to apply for permit(s) from the Southold Board of Town Trustees on my behalf. aC2-f (Owner's signature) 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 possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: DtA-C-+k5 IWC (Last name,first name,diddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of•Southold? "Relationship"includes by blood,marriage,or business interest "Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"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/AQ I day of lC�205 Signature Print Name Me Form TS 1 t APPLICANUAGENUREPRESENTATIVE 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 ppssible conflicts of interest and allow it to take whatever action is necessary to avoid same. }�,, , l 'a YOURNAME: '� YJCA (Last name,first name,-yaiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO l/ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent(representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. 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 applic4nt (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 J da of / J V Signature Print Name Form TS I �' S �✓ (45 1�-pr'DE& H.V D NOTARY PUBLIC,STATE OF NEW YO Registration No.OIVA6186177 Qualified in Suffolk Courcy Commission Expires April 28.20 APPLICANT/AGENT/REPRESENTATNE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. ' YOUR NAME I GL (Last name,first name,tpid a initial, _less you are applying tri 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 Mood Exemption from plat or official map Planning Other (If"Other,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or chip have a relationship with any officer or employee of the Town of Southold? "Relationship'°includes by blood,marriage,or business interest"Business interest'-means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO , Ifyou answered"YES",complete the balance of this form and slate 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,of child is(check all that apply): A)the owner of greater than 5%of the shaves of the corporate stock of the applicoat (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant_ DESCRIPTION OF RELATIONSHIP Submitted this •` day of '�'1 I 204 Signature Print Name ti-A- L �v i 1 �— DEBORAH H.VAN DUZER OTARY PUBLIC,STATS OF NEW YORK Registration No.OI VA6186177 Qualified in Suffolk County Commission F.Phu Apti128,2& PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS r,f Name: Address: J `fid i C ,` 4V r i/z i vjj , 1 tq 4 c � tIttt i PAT L- T��ar T-W qU Llc( S L sem. ?�A , VA 3k� STATE OF NEW YORK COUNTY OF SUFFOLK C1611 , residing at JRA $Tli i.NL G being duly sworn, deposes and says that on the day o , 20L , 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 Officeat �T— that said Notices were mailed to each of said persons by CERTIFIED MAEURETURN RECEIPT. i Sworn Nefore me this Day of20� J60i Notary Public DEBORAH H.VAN DUZER NWARY PUBLIC,STATE OF MW YORK Registration No.OIVA6196177 Qualified in Suffolk County Commission Eaplm Apn128, �F— r PostalCERTIFIED ` RECEIPT ICERTIFIED A ILT. RECEIPT Lr] ru Wt —(Domest1q.Mail Only,N61nsdrathce"Coverage Provided) ru (OPIPOSHC *Urance Coverage Provided) M ; m hIA: {I T3N. hl f2 3i j' t 3 :: BRL `elf i 12 r..' .. „ m M 4:.:✓ t 4 t1 L ', iAt J llfr;�� m S�y."p 3 1' r:s Fu c ! I fL �t E Post d a J 935 Post�g9• w //�i�935 � Certified Fee $p•j t�� .ro � Certified Fee $0.a0 0''/" $ r� _ O Return Receipt Fee • - P ark I O Retum Receipt Fee •- O) Ye ask OO (Endorsement Required) $0.f_I(1 ;fro (Endorsement Required) (J•u(I re ��y�I a � Restricted Delivery Fee VU.UU &� ��', i Restricted Delivery Fee 0 (Endorsement Required) b I ! t3 (Endorsement Required) l, ru O Total Postage&Fees, � c l� Total Posta e&Fees til M 't Ic M C1,,/�t412C117 m g 05/ 017 Sent To SAAM m Sent To 1- f --------—p- "_--'--=--,'^ .0'.1!! ------•�(-,,� ------,-•• i rl '------- —Ilkwe -— -----------------------^-------- p Street Apt.No.; r � � �°" Q Street,Apt.No.; P- or PO Box No. 1 r{ IF'�` �..r`I.39 I or PO Box No. ro�� City§i----Z%P+4 t-- `---�...__._„_....,_...--- { =Ci State.Z/P+4-- - --- ------------------ See Reverse for InstructiorIll __ r ■L PostalServiceTrV1 ® • / CERTIFIED MAIL. RECEIPT 43 m � M m LINr F f AL ( NORIA.: {gip 3 ¢,i :I ='z ,C UT00 i NT 1 3 :I t?., ' d S O�,,,f ee %f + 935 f 0 Post;. �a U7 a r O Poste A, �p Er D^ 1kQ 4c; i Certified Fee �(� (}(i IN � � Certified Fee $f5.00 � )OWark 0 Retum Recei t Fee MM Post 1 M Return Receipt Fee • re M (Endorsement Required) $(�. W 'He °' M (Endorsement Required) • $ Restricted Delivery Fee /- Restricted Delivery Fee ru 6' £� 0 (Endorsement Required) yn (Endorsement Required) 9 l }- R1 ' f1. �� f;€'; RJ $l7. M Total Postage&Fees /&/2017 m , Total Postage&Fees U5/(t /��11 � m • M Sent To m Sent To -- ,� t wlS --�-- b__---__._---______--___. � Street Apt No.; ,, "-""•••"""-` i p Street,Apt.No.; a r;� N or PO Box No. (-\O- S � or PO Box No. P-�____: .___(_____ _____________------------------ _g ___-------- _-___a.____. Ciry,State,Z/P+4 A ,Z 2 (� Ciry,State,ZIP+4�, N �` ,� PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS ��I C�CEf1� 6`W►r'C�.C'7?f�.S Name: /10 - 3 �r //0 - 5 - 39 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 LIRETURN RECEIPT. l Sworn to before me this Day of , 20 I i Notary Public i Michael J. Domino,President QU DC Town Hall Annex John M.Bredemeyer III,Vice-President ��a` 2�, 54375 Route 25 Charles J. Sanders ro P.O.Box 1179 Glenn Goldsmith o �r Southold,NY 11971 A.Nicholas Krupski �® �p � Telephone(631)765-1892 Fax(631)765-6641 'zaz--ccr'c`. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ROBERT & PATRICIA ELLIOTT 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 1, b6j4,i K64hiAst-i , residing at/dba k�tZs SMkk ftp!L eve �4PGLW �, kwr'>i' being duly sworn, depose and say: That on the *day of M#,\t , 201-f, I personally posted the property known as 7-?5 WET VA&,v - e��e � _ . 1 lq 3S by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, May 17, 2017. Dated: (signature) Sworn to before me this 17 day of f 4a(f 2011 Notary u li EVE L.GA`PZ-SCHWAMBORN VOTARY PUBLIC.STATE OF NEW YORK Registration No.OIGA6274028 Qualified in Suffolk County Commission Expires Dec.24,20Z NUTILI: Uim HLA 'KING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 (\/lain Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: ROBERT & PATRICIA ELLIOTT SUBJECT OF PUBLIC HEARING : For a wetland Permit to construct an 18'x15.9' two-story addition onto the northwestern side of the existing +/-24.5'x40.5' two-story dwelling; and to install a 6' high privacy fence along the eastern side yard lot line between the two dwellings. Located: 275 west Road, Cutchogue. SCTM# 1000-110-7-11.1 TIME & DATE OF PUBLIC HEARING : Wednesday, May 17, 2017 — 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 ti Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supQorting 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# WO - 1)1 - `1 ,1 PROJECT NAME eb-kow R!Z;5 t 0ek.�J CE The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. 9 Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan, subsidy) (c) Permit, approval, license,certification: Nature and extent of action: 51 R25t9 GSJW Location of action: &OAD Site acreage: 1y. Present land use: S t u�l,� IMW.A3 tic 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: 1J"ov C Q6 M G 4 h-*A-N (b) Mailing address: ?1 O $'V1(J 6 a-2- . c L l9 3s (c) Telephone number:Area Code( 63 S- 'A'k 6--S (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No F"' If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No V 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 ❑ Yes ❑ No 5q Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages S through 16 for evaluation criteria ❑ Yes ❑ No LFC7�] Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No O Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not A',r.�cable -- 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 L Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes 1:1No N 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. NA ❑ YeZ] No L17 Not Applicable Attach additional sheets if necessary WORKING COAST POLICI) - 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 $ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 1� Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No� Not Applicable PREPARED BY 17oU4,LA5 . {v.t 644AfJ TITLE A400�4- DATE