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HomeMy WebLinkAboutTR-9041 Michael J. Domino, President ��0f S0(/Tyo Town Hall Annex John M. Bredemeyer III,Vice-President �� ' 54375 Route 25 P.O. Box 1179 Charles J. Sanders Southold, New York 11971 Glenn Goldsmith G • Q Telephone(631) 765-1892 A. Nicholas Krupski O Fax(631) 765-6641 �y00UNTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1427C Date: December 6, 2017 THIS CERTIFIES that the as-built 9'6" long by 15' wide deck extension to the front porch,• as-built section of 35' long y 10'4" wide deck extension on the seaward side of dwelling; as-built replacement of a 10' wide garage door with a wall for added living space, and for the as- built existing 20'.8"x 10'10" screened-in porch replaced with walls for added living space onto existing 2 304 6sq ft one-story dwelling; with the condition to establish and perpetually maintain a 10' wide non-turf buffer from steps of dock seaward; and install gutters to leaders to drvwells to contain roof runoff; At 880 Dem Hole Drive, Mattituck Suffolk County Tax Map #1000-115-12-13 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 8, 2017 pursuant to which Trustees Wetland Permit #9041 Dated June 21, 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 as-built 9'6" long by 15' wide deck extension to the front porch; as-built section of 35' long by 10'4" wide deck extension on the seaward side of dwelling;as-built replacement of a 10' wide garage door with a wall for added living space; and for the asbuilt existing 20' 8"x 10'10" screened-in porch replaced with walls for added living space onto existing 2 304 6sq_ft one-story dwelling; with the condition to establish and perpetually maintain a 10' wide non-turf buffer from steps of dock seaward,• and install gutters to leaders to drvwells to contain roof runoff. The certificate is issued to DAVID KRUPNICK owner of the aforesaid property. Authorized Signature Michael J. Domino, President � y�lO Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 P.O. Box 1179 Charles J. Sanders Southold,New York 11971 Glenn Goldsmith • �O Telephone(631) 765-1892 A. Nicholas Krupski Oli�COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction % constructed Project complete, compliance inspection. INSPECTED BY: G. GoI dsn,, COMMENTS: 11 t Geo wJ 13v'4 opy�Ik .nnn OACcoy-Jk0 � Perm►f ©ko'y To,r Cot C. CERTIFICATE OF COMPLIANCE: *QF SO(/ry Michael J. Domino, President Town Hall Annex`� Ol0 John M. Bredemeyer III,Vice-President 54375 Route 25 18 P.O. Box 1179 Charles J. Sanders Southold, New York 11971 Glenn Goldsmith ® �O Telephone(631) 765-1892 A. Nicholas Krupski Oliy"OuffN 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 1 st day of construction / Y2 constructed V Project complete, compliance inspection 7 ,'� 7 A,+ 4u4 oil Seo Warn( So�e of o�C-c 1,916 MUMC4 To SPP&/ FO- Amid tr r4k- 4r-r& Cao Z,6.181) tj CC# : C17-38179 J �. r COUNTY CLERK'S OFFICE ,r STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 09/12/2017 under Liber D00012929 and Page 194 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 09/12/2017 r - SUFFOLK COUNTY CLERK JUDITH A.PASCALE SEAL - w[ k'r' �..`uI IIIIIII IIII VIII IIII ,. , r „4�,. illllllllllllllllllll ' - of .- ' ililllllllill �t+.,4,�� � • �y1 � — �������IIIiIIIIIIIIIIIIII SUFFOLK COUNTY CLE RK` RECORDS OFFICE RECORDING PAGE : .. of Instrument: DECLARATION Recorded: 09/12/2017 :Wer of Pages: 8 At:;.` Receipt Number : 17-0158117 12 :51 :28 PM LIBER: D00012929 ' District: Section: Block: PAGE : 194 1000Lot: 115 .00 12 .00 013. 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $40. 00 NO Handling COE $5.00 NO NYS SRCHG $20. 00 NO $15. 00 NO TP-584 $0 .00 NO Notation $0.00 NO Cert.Copies $10.00 NO RPT $200 . 00 NO Fees Paid $290. 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County g/i Y' f.4H ❑ Number of pages r"� FE' 51 Pm 1TH A. 4S:y_t LERi-- OF This document will be public `=!FFO-11r. record. Please remove all L ''00 �"; Social Security Numbers - prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stam 3 P Recording/Filing Stamps FEES Page/Filing Fee Mortgage Amt. Handling 20. 00 L Basic Tax TP- 2. Additional Tax 084 Sub Total -Notation SpecJAssit. EA-52 17 (County) Total ,.c. or Sub _ Spec./Add. FA- 217 (State) TOT.MTG.TAX RP.T.S.A. Dual Town Dual County Held for Appointment Comm. of Ed. 5. 00 Transfer Tax Affidavit Mansion Tax Certified,Copy The property covered by this mortgage is or will be improved by a one or two \'YS Surcharge 15. 00 Sub Total family dwelling only. � J Other (� YES or NO Grand Total O9 -O-� U14/ If NO,see appropriate tax clause on G c/ page# of this instrument. Dist. 3473592 1000 11500 1200 013000 5 1 Community Preservation Fund Property PTS Consideration Amount $ Tax Service � R VITA I IIIIII VIII VIII VIII IIID VIII VIII IIII IIII - Agency 12-SEP-17 CPF Tax Due fication $ 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address Improved RECORD & RETURN TO: Vacant Land /� TD ` 0 481 'b- TD >��-�"�Tvck- �ti� � 19s� • TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Compan-y Information 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk T-Co.Name Title# , new f 4ff 't 5- co Transfer Tax J Mansion Tax The property covered by this mortgage is 7 j or will be improved by a one or two NY-5 e t 5 pp family dwelling only. Sub Total '�t - l _ YES or NO Odr Grand Total r�.J If NO,see appropriate tax clause on G li page# of this instrument. 4 Dist. 3473592 1000 11500 i2001013000 $ Community Preservation Fund TS Real Property P �I I�I II Consideration Amount $ Tax Service R VITA I IIIIII VIII VIII VIII VIII VIII VIII IIII IIII Agency 12-SEP-17 CPF Tax Due $ Verification Improved 6 . Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land VISj• �v�'IV�( TD TD MA T ITU k-- )Vq 119 S~ate TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 0.N e www.suffolkcountyny.gov/clerk Title# 8 .Suffolk Coun ty Recording & Endorsement Page This page forms part of the attached ��C L� F-1T � V made by: (SPECIFY TYPE OF INSTRUMENT) - f' . A(Ild The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of` i�0 In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING'OR FILING. 12-0104..10108ac (over) u_C=_B_T ON O-� COVENANTS THIS DECLARATION made this 8th day of September, 2017, by, David Krupnick residing at 880 Deep Hole Drive, Mattituck, NY 11952, hereinafter referred to as "DECLARANT(S) W I T N E S S E T H WHEREAS, DECLARANT (S) is/are the owner (s) of certain real property located on 880 Deep Hole Drive, Mattituck, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, ' Section 115. 00, Block 12. 00, Lot 013.000 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction -of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the, property may thus be subject to the regulation and approval of the -Trustees prior to being conducted; WHEREAS, the DECLARANT (S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law. of the Town of Southold to undertake certain regulated activities; and WHEREAS, ' as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 10' wide "non-turf bu=fer" adjacent to and landward of steps of dock seaward; v NOW, THEREFORE, the DECLARANT S) do/does hereby covenant and - agree as r+lows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained 10, wide from ,steps of dock seaward "non-turf buffer" as defined by Chapter 275 -of the Town Code, to wit: "A designated area where turf grass, .pesticides and fertilizers are not permitted." and as depicted on the revised site plan prepared by Mark Schwartz & Associates, dated June 30, 2017, and stamped approved on August 4, 2017, see Exhibit "A" attached; and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner (s) has/have my execu ed this instrument this 8th i' day of September, 2017. OWNER'S SIGNATURE OWNER'S SIGNATURE STATE OF NEW YORK ) COUNTY OF--- y, ) ss: On the // day of in the year 20 /7, before me the undersigned, a Notary Public in and for said State, personally appeared 'P14//) . , personally known to me or proved to me on the basis of satisfactory evidence to be the individual (s) whose name (s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature (s) on the instrument, the individual or the persons on behalf of which the individual (s) acted, executed the instrument. Notary Public LEO P WHITE Notary Public,State of New York, No. 1953778 Qualified in Suffolk Countv Commission Expires July 18, 2 First American Title Insurance Company SCHEDULE A ® D DB'S POCY ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, Suffolk County,State of New York, bounded and described as follows: BEGINNING at a point on the Westerly side of Deep Hole I?rive, 864.28 feet Southerly along said Westerly line from New Suffolk Avenue from its Intersection with the Southerly line of New Suffolk Avenue being the Southeasterly corner of land of Connor, RUNNING THENCE along said Westerly line of Deep Hole Drive, South 2 degrees 40 mMutes 40 seconds West, 110.00 feet; THENCE along land now or previously of Wendt, North 87 degrees 1.9 minutes 20 seconds West, 187.11 feet,the high water mark of Deep Hole Creek; THENCE Northerly along the high water mark of Deep Hole Creek the following two (2)tie line courses and distances: 1. North 07 degrees 44 minutes 35 seconds East, 52.34 feet; 2. North 24 degrees 33 minutes 36 seconds West, 65.09 feet to land now or formerly of Connor, THENCE aiong land now or-formerly of Connor, South•87 degrees 19 minutes 20 seconds East, 212.28 feet to the Westerly line of Deep Hole Drive at the point or place of BEGINNING. FOR Me policy to be hived ander thlt report wM lmwm the title to such buildhp end Impmvemeats erected on the CONYBYANOW8 by law constlteta real prop". Premtsee wDiob ONLY TOGETHER with all the rlf,Me.and latereet of the party of the Brat part,of,In and to the lead tying in the etroet to bent of end adloliftsald pmmlaee. uml l a v ' Lu E EL C U SITE PLAN 3 SCALE: 1" = 10'-0' APPROVcr) 6Y 'BOARD OF I,<USTEES TOWN OF SOUTHOLD SITE DATA: SCTM#1000.115.12-13 DATE v&PST 201 o I DESCRIPTION: SQ.FT AREA: LOT COVERAGE: PROPERTY- 21.056 ACRES 0A83 ACRES N F I! EXISTING HOUSE 2304.6 SQ.FT. 11.0% -' Z 4d ppci ( 1 Tn EXISTING EAST PORCH: 250.1 SQ.FT. '1.2% `IN sCyL !M� EXISTING WEST DECK 186.0 SO.FT 0.9% `Y WEST DECK EXPANSION: 285.5 SQ.FT. 1.4% ' P l �� d0 TOTAL 3026.2 SQ.FT. .4.1% pE UV. DDMEETS&BOUNDS � DRAWN:MHI MS BY JOHN EHLERS LAND SURVEYOR Illl „eI AUG -3 2017 SCALE: 1/4'•7'-0" DATED:05-21-2014 JOB 0: =30J017 2017 SHEET NUSIBER: .1.r S-1 4. CD O 00 X �n w 21.3' / 25.9' I Z m \ v, m r C O o, .-n . N NQ 010 O A, r- op C% T G m 864.28' S 2040'40"W 110.00' 0 EP HOLE ®- RIVE CK HOUSE SITE PLAN E r 'HOLE DRIVE 5 X,NEW YORK SITE PLAN C: I Z Ji 7�:4' LL 40.3 M C) 44.0'TON N TURF B R _ �'G���l \ CONIC.V r -A Zi i D i EL 4 N 87019' I UNDERGROUND PIPE 'I O® Ii LAND NOW OR FOF f I LORRAINE WENI Ii II �I STORM WATER MANAGEMENT DETAILS HOOFAx&-umw.R. N.T.S. AT IM WAM NIe.ORi:II!W. OxWDF 111 f M x e DEV ONYwetle I • � Dxvweu CAPAgT':Ip W.fT. . I III � 'll PLY nGEE GUTTER-srANDARD s A}oo nar acm DSr�WATten uxrn nlprvAm ww:pw rxovp"r m®"xm. =1.memurwx: I / }aux savAa ncxanav mma ro osrAUAttox. I el.vxeAxe wxvAos DSS xltlo051I�IeE110[D p ra MMDIKTYIE 1eD Aoaevac ne psr xaun rox nle snnun uxou nlc vxoxa Dononroxs, \ 4 rADrrwwAlm vxou sar.ra"eo swAta wmxrAa wrtx oaspuAx iarAis wox more[rwe eauxD vAorr. r.u+srAwrxxr. "}veuam wool u Aamw.xoe wrm osv x.xaax AHa rxe ouwlx�s. 1}anm ro ee mom rowAwa vAoal r ro r wx evertr a a w.. 3}9ler MRAL xxx texena WIM WAmiffM JO0Y11. }ovvu uAo:nAa AxD sam amw ro oowxsouo AxD Aoaraues. e}Awaxuw:over Aw uuix wlm A wrn YA�Axr an lona oameclop. iI � l4 oaeocr oowxvoun ro moxx stwrx nsrerl k oxxurm.rta i. oxnxlmn w"mrmrt. - DRY WELLS TO BE IT MIN. .}vxorerao AWAY FROM HOUSE "b motsrbrsrutm mmlC'ts urtamv.lc^o"a moxa• e}rDuo++n,wAw ox xexAe ouucm morns piaxe ansrAxnu. i Ooveurmn o e e i LAND NOW OR FORMALLY CONSTANCE&PAUL CONNOR I , EL 4 EL 6 EL 8 S 87°1920" E 212.28' EL 10 ,, A-� / r; Lel 6 �3o SpA M - -/ / NpNBILCO OZ; FF CH -0 RZ84.1' , 43.8' 55.2'TVON TURF BUFFER DEEP HOLE J �' ��� �- 80 R x ` W 2 CREEK ( ( \ \ EXISTING N . 1 STORY Pc '- '- 75.9' HOUSE 59.4'TO NTUI\FBUFFER DOCK bV if STEPS m \\ \ ao p BASIN Nlm �, ri \ iv Q ®F SOUj Michael J. Domino, President � yQl® Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 Charles J.Sanders P.O.Box 1179 CIO Southold,New York 11971 Glenn Goldsmith ® a0 Telephone(631) 765-1892 A.Nicholas Krupski �lif'COU 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 1 st day of construction Y2 constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9041 DATE: JUNE 21, 2017 ISSUED TO: DAVID KRUPNICK PROPERTY ADDRESS: 880 DEEP HOLE DRIVE,MATTITUCK - SCTM# 1000115-12-13 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 21, 2017, and in consideration of application fee in the sum of$500.00 paid by David KWnick and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the as-built 91611 long by 15'wide deck extension to the front porch; as built section of 351 long by 1014"wide deck extension on the seaward side of dwelling; as-built replacement of a 10'wide garage door with a wall for added living space; and for the as-built I existing 20'.8"x10'10"screened-in porch replaced with walls for added living space onto existing 2,304.6sq.ft.one-story dwelling; with the condition to establish and perpetually maintain a 101 wide non-turf buffer from steps of dock seaward; and install gutters to leaders to drywells to contain roof runoff; and as depicted on the revised site plan prepared by Mark Schwartz& Associates,dated June 30,2017, and stamped approved on August 4,2017. I 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. & h ries J.Sand sent U A. 'Nicholas Kn ki-Absent TERMS AND CONDITIONS The Permittee David Krupnick,residing at 880 Deep Hole Drive, Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete t=ie work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perforin 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. Michael J.Domino,President ��oF SOUlyO Town Hall Annex John M.Bredemeyer III,Vice-President �O l0 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith G "� ® Telephone(631) 765-1892 A.Nicholas KrupskiyCoUNT`l O Fax(631) 765-6641 l ,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 21, 2017 Mr. David Krupnick 880 Deep Hole Drive Mattituck, IVY 11952 RE: 880 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-115-12-13 Dear Mr. Krupnick: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 21, 2017 regarding the above matter: WHEREAS, DAVID KRUPNICK applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 8, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered policy of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of permits for the structures; the installation of gutters to leaders to drywells; the installation of a 10' wide non-turf buffer, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 21, 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of DAVID KRUPNICK for the as-built 9'6" long by 15' wide deck extension to the front porch; as-built section of 35' long by 10'4" wide deck extension on the seaward side of dwelling; as-built replacement of a 10' wide garage door with a wall for added living space; and for the as- built existing 20'.8"x10'10" screened-in porch replaced with walls for added living space onto existing 2,304.6sq.ft. one-story dwelling; with the condition to establish and perpetually maintain a 10' wide non-turf buffer from steps of dock seaward; and install gutters to leaders to drywells to contain roof runoff; and as depicted on the revised site plan prepared by Mark Schwartz &Associates, dated June 30, 2017, and stamped approved on August 4, 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, e Michael J. Domino President, Board of Trustees MJD/dd �: � QFFO( Michael J. Domino, President {y�NQS ,4- Town Hall Annex John M.Bredemeyer III,Vice-President ��� G2� 54375 Route 25 Charles J. Sanders N x z 4 P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES 17y, TOWN OF SOUTHOLD To: Please be advised that your application dated 8`< 2017 has been reviewed by this Board at the regular meeting of Ti/41 At Z01 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed projectWJD&Noy T'14F OdRW) i Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/ Constructed ($50.00) 7— Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) V/ 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: TOTAL FEES DUE: $ 5®`0 BY: Michael J. Domino, President Board of Trustees REVISIONS: N E W S U F F 0 L K AVE LAND NOW OR FORMALLY CONSTANCE & PAUL 00 N CONNOR 4 00 EL 4 EL 6 EL 8 S 87019'20" E 212.28' EL 10 EL 10 0 183 �, � in el 6 r M � o (-A ( �o N F J Z j � � UF,c�R C H 62.9' 1 10 F v� G� Z �fi� 84.1' 1 + 43.8 �--� Q \ 55.2' T ON TURF BUFFER Z ti J O D vi EEP _ N CID H OLE A M W O Lu \ ' J� � 22.3' EEK , , „ ��f- N .� C \ J � J , / Xl TING `^ C%4 1 STORY d~-' PORCH J 75.9' ' ' HOUSE 59.4' TO N TURF BUFFER N. DOCK J.6' (3.6 .6' \ 0 w% 18 .8' (rte u STEPS Z 0b co 0 \ / � }- � 1111111mmlillillilli s \ E O le,/ moi �� � ri rn BAS I N N rn r�l � ur" r'/ �J�� � V W �" i 76.4LL // 40.3' w r� t.. j X �� 44.0' TON N TURF B R " "' Q M � �� ) .0; CONIC. W ALK 00 {....J NJ rn lu EL 6 EL4 N 87019'20" W 187.11�� Qy V DERGROUND PIPE 0040 LoU z N � w LAND NOW OR FORMALLY SITE PLAN LORRAINE WENDT SCALE: 1" = 10'-0' APPROVED BY W BOARD OF 1 RUSTEES H STORM WATER MANAGEMENT DETAILS TOWN OF SOUTHOLD u SITE DATA: � SCTM # 1000-115-12-13 0 DATE AVC46T 4, 20(7 ROOF AREA:685.6 SQ.FT. N.T.S. DESCRIPTION: SQ. FT. AREA. LOT COVERAGE: Qy AT 100%WATER RUNOFF:115 CU.FT. PROVIDE(1)8'DIA.X 4'DEEP DRYWELLS PROPERTY: 21,056 ACRES 0.483 ACRES 6 DRYWELL CAPACITY:169 CU.FT. EXISTING HOUSE: 2304.6 SQ.FT. 11.0% OGEE GUTTER--STANDARD 5" . ... NOTES: EXISTING EAST PORCH: 2501 SQFT12% p," 1 ON. A � . - W 1).EXECUTI . �~`�. A).DO NOT BEGIN INSTALLATION UNTIL SUBSTRATES HAVE BEEN PROPERLY PREPARED. EXISTING WEST DECK: 186.0 SQ.FT 0.9% ,0 2).PREPARATION: WEST DECK EXPANSION: 285.5 SQ. FT. 1.4% A).CLEAN SURFACE THOROUGHLY PRIOR TO INSTALLATION. x ~ B). PREPARE SURFACES USING METHODS RECOMMENDED BY THE MANUFACTURE FOR TM, ACHIEVING THE BEST RESULTS FOR THE SUBSTRATE UNDER THE PROJECT CONDITIONS. b r Q. PAINT CONCEALED METAL SURFACES AND SURFACES IN CONTACT WITH DISSIMILAR P I METALS WITH PROTECTIVE BACKING PAINT. g 3.INSTALLATION: A).PERFORM WORK IN ACCORDANCE WITH CDA HANDBOOK AND THE DRAWINGS. t4 1).GUTTER TO BE PITCHED TOWARDS LEADER 1"TO Y'FOR EVERY 40'OF RUN. ��� � 2).SHEET METAL JOIN LENGTHS WITH WATERTIGHT JOINTS. TOTAL: 3026.2 SQ.FT. 14.5 a).COPPER/LEAD:FLASH AND SOLDER GUTTERS TO DOWNSPOUTS AND � iin �j�r/ DD i - ACCESSORIES. 8).ALUMINUM:RIVET AND CAULK WITH A BUTYL SEALANT SLIP JOINT \ CONNECTORS. 3).CONNECT DOWNSPOUTS TO STORM SEWER SYSTEM AS INDICATED.SEAL MEETS & BOUNDS X11 DRAWN: MH MS CONNECTION WATERTIGHT. BY: JOHN EHLERS LAND SURVEYOR I AUG 3 2017 SCALE: 1/4"=1'-0" DRY WELLS TO BE 10'MIN. 4).PROTECTION: AWAY FROM HOUSE A),PROTECT INSTALLED PRODUCTS UNTIL COMPLETION OF PROJECT. DATED: 05-21-2014 ((( JOB#: B).TOUCH-UP,REPAIR OR REPLACE DAMAGED PRODUCTS BEFORE SUBSTANTIAL COMPLETION. June 30,2017 Oa o Southold TownSHEET NUMBER: e a c o S. 1 Michael J. Domino, Pres r�®�O u�F���C�� ` Town Hall Annex John M. Brederneyer III,Vice-President �� �� 54375 Route 25 Charles J. Sanders P.O. Box 1179 Cn Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski y�0 gyp!�{ Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 9/1.3/1-7 2,3.5 Completed infield by: DAVID KRUPNICK requests a Wetland Permit for the as-built 9'6" long by 15' wide deck extension to the front porch; as-built section of 35' long by 10'4" wide deck extension on the seaward side of dwelling; as-built replacement of a 10' wide garage door with a wall for added living space; and for the as-built existing 20'.8"x10'10" screened-in porch replaced with walls for added living space onto existing 2,304.6sq.ft. one-story dwelling. Located: 880 Deep Hole Drive, Mattituck. SCTM# 1000- 115-12-13 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 / SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: No Avu �') ti✓ or, decd`n v band•. FIonA,r,a AnAl col - lQ« Aan 6`x 20 " 4 lam a (� yy ori �. Non 6,; S 6J gVe,r 'Gran 2nla Sf�A t,jeaA :v Aeg.s 1© "avers 4 drywee lhs aN �o o6'�. Present were: VJ J. Bredemeyer ✓ M. Domino ^� G. Goldsmith V/ N. Krupski C. Sanders Other Page 1 of 2 vFFGt Michael J. Domino, Pres 0 C Town Hall Annex John M. Bredemeyer III, Vice-President „y` '�� 54375 Route 25 Charles J. Sanders P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski pl Telephone(631)765-1892 �Ol $0 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 'Date/Time: Completed in Work Session by: DAVID KRUPNICK requests a Wetland Permit for the as-built 9'6" long by 15' wide deck extension to the front porch; as-built section of 35',long by 10'4" wide deck extension on the seaward side of dwelling; as-built replacement of a 10' wide garage door with a wall for added living space; and for the as-built existing 20'.8"x10'10" screened-in porch replaced with walls for added living space onto existing 2,304.6sq.ft. one-story dwelling. Located: 880 Deep Hole Drive, Mattituck. SCTM# 1000- 115-12-13 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 IXImNG DECK E%.LNINO ROOM g BATH 00 KITCHEN 00 EX.U&EQQH . UU�--+I=U ............. o NR ............................. EX.BmRoom IX.BEDROOM EXISTING FLOOR PLAN SCALE:1/4"=1' PROJECT NORTH MAY 8 2017 -MN6 DECK OG IJA ExF1 EX.DINING ROOM �\ IFHI 0 ......... ........ 0 7*-7* t 4'-C' .......... U13 O d1AQEfl ; � EX.RAm Sfi9 (AD lap FLOOR PLAN SCAIE,IM'=1 JI PROJECT NORTH f 12� MAY 8 2017 A I.— I A-3b REVISIONS: 0 =o o o 0 0 - o ED 0 , _-' Cn O PROPOSED EAST ELEVATION W SCALE: 1/4" = P G4 �o 00 00 - - 00 Our -o D O LJ 11 x Ll oo Q H 000 Ems" oor� --- * PROPOSED SOUTH ELEVATION r�oo SCALE: 1/4" = V o 0 _ _ o N v PROPOSED NORTH ELEVATION 0 o � �� v P � mom SCALE: 1/4" = V o o mmt Lf) ^� v ``fl. cn a � o w JL U o� O o ' 0� ' 4 D o - V ,,.,.A r, �° PROPOSED WEST ELEVATION � -. . _ .� bdA. ��:=ate� � .�► SCALE. 1/4„ — , Y s�. duh �,e12334,5 d�f DRAWN: MH/MS SCALE: 1/4"=1'-0” M s JOB#: March 21,2017 SHEET NUMBER: a � a QPa A- 1 �� �� REVISIONS: 35'-0" 2'-4" 8'-0" 2'-4" 11'-2" 10 •(3)2X8 GIRDER N _ _ _ _ . --------------------- (3)2X8 GIRD _ _(3)2XSGIRDER (3)2X8GIRDER — _-� �-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -' � 12X12X48 � CONC.PIER ' F (TYPICAL) CZ I ' 00 i i � . 1 � W ' Z Q N � Z EXISTING PORCH m O 2X6 ACQ PLATE PERIMETER AND g MID WAY Z EXTERIOR TO HAVE TERMITE SHIELD O AND SILL SEAL PER CODE V1 EXISTING BASEMENT W O � � Q W� w z a x ri U Q H 191-820 P..( 00 00 rn I 2X6 ACQ FRAMED WALL UNDER NEW FLOOR SYSTEM 0 EXISTING GARAGE O 1 ADD 2X4 ACQ PLATE OVER M O O CONC.WALL(SEE DETAIL) is ,F o ;fi2u m 2X6 ACQ FRAMED WALL UNDER NEW FLOOR SYSTEM Cu O O X 0 v o u , v CLOSE OFF EX.OPNG. 70"PIER -� 4 2X2XI FTG *�' - 0) Y BELOW GRADE (j , >~ v I (3)2X8 ACQ ; ; (3)2X8 ACQ ; ; (3)2X8 ACQ all GIRDER GIRDER GIRDER 00 v - --- ------ - ------------ - ------------- ----------- ------- CLOSE OFF EX.OPNG. 5-0" 5'-0" 5'-0" 15'-0" w H u 0 W S N FOUNDATION PLAN PROJECT NORTH � E SCALE: 1/4" = V u U un DRAWN: MH/MS ,� ,f SCALE: 1/4"=1'-0" .0 JOB#: March 21,2017 SHEET NUMBER: A-2 REVISIONS: 35-0" 11'-2" 12'-8" 11'-2" 1 Z 1 1 I ' 1 EXTENDED DECK o b EXISTING DECK 00 W d 20'-8" E-� a 1 a 1 I 1 FWG120611-4 ' 1 � 0 a w 00 I R 0 ® EX. DINING ROOM EX. LIVING ROOM Z M N I rn 0 00 N N MASTER BEDROOM(@ Q 0 %0 CATHEDRAL CEILING � KITCHEN I A w � -00 Jaz � W BATH r--------- Q 1 `--------- p O ALTERED 1 1 0 0 pp 13'-0" �'""-""""- EX. BEDROOM 1 1 O I---------- 3 ------------ ' L--------- I 1 1 I , �I O ---"-- ' 48X48 ' 1 1 i SKYLIGHT i N --------- 1 1 I I 8, 0„ i 7, 7„ i 4, 0„ 1 1 - --------- — — o O i O i _ _ _____(2�2X8w---STEEL HEADER____-_______ N v o 1 I 1 0 �. + N PORCH EX. BATH �° rn o o 't MASTER ' I `N 1 1 EXPANDED 4 `� X O N BATH ._____________ � NEW MAHOGANY DECKING a w uu 0� (u (D 00 DNr I 0 u �-+ 4 W/D wLo=�jj all CTI ~" (n I MUD ROOM `V w EX. BEDROOM rl EX. BEDROOM -------------------------------- ------- 10 ----------------------------------------- w TW2436 V O ----------- W �J ----------- S N PROJECT NORTH FLOOR PLAN �1 E SCALE. 1/4 = 1 Ux IF } [y I�r;fix �•4 i-,� L - DRAWN: MH/MS SCALE: 1/4"=1'-0" �h or >� a JOB#: March 21,2017 SHEET NUMBER: "o TDD�fl aT 1 _3 i SURVEY OF PROPERTY N SITUATE: MATTITUCK i. TOWN : SOUThOLD JEW SUFFOLK AVENUE x 15UFffOLK COUNT , NY ` SURVEYED 1 2- 1 1 -2014 j S SUFFOLK COUNTY TAX # Ir 1000 - 115 - 12 - 13 cp CERTIFIED T0: David Rrupnick LAND NOW OR F0P49ERLY OF: Lowell T. Blumenthal CONSTANCE A CONNOR Bank of America,N.A. PAUL J. CCNN7R First American Title Insurance company 5870, 1 9'20°� Advantage Title Agency, Inc. W ® � _ 2 2 o ® 5 „ {E. I.[' - 2�{ =ate cry rnQ � C.E. o �� 4 P �� rn Chltv.. W •O (?� tIX y vo 43a -------GZ9-------- W o LLJ t ® tt az S ` U)'^1 22.3 W --,1---- _75.9 W 0 DOC t 2' 10 r U L BAS! �� tt \\ 16.6 v�NPY zz m N II 0 4 tLLJ E PSpNP��-pPJ - N W W W W 9 \t 1 51— �\ oN`�� O Q C) N z \ OV- N UNDE��GRO D �o I e�I "V� _ — � Ln DRAIN PIPE ) (57. 1 LAND N0V✓OR FC)P.MEP.LY OF: MAY 8 2017 �# WETLOP.RAINE VVENDT SNOV+Rd TF1U5 5 f �BY SURVEYOR AT EDGE OF VEGETATED WETLANDSScut ON OG-05-14 UTIL15ING BACCHARI5 BU5H A5 IDENTIFIER "Ut)1+iiu a"vtiY(7 W > LEV MONS REFERENCE N.G.V.D. 1929 DATUM FLOOD ZONE ANNOTATED FROM F.I.R.M. 3G 103C04-8-2 NOTES- ` > ..;�„'�= "op beating licensed n addition's c survey ADJACENT AREA D NOTES- MONUMENT QUND JOHN C. E h LE�5 LAND S U RV EYO ~`r _ l s mop bearing a licensed land sur.,ys r seal,s a -H,'r notation of section 7209. sub-dm<_ion z,of The COVERAGE CALCULATIONS WOOD PENCE >K > vl New York State Education Law" } ;.'-/r--3 :;�; "Cnly copies tram the original of t„,s s,r..ey EXISTING HOUSE= 626 Sq. Ft. PROPERTY ZONE R-40 € S marked with an onc-1 of the land surveyor's T marked seal shall be considered to be valid true G EAST MAIN STREET N.Y.5. LIC. NO. 50202 ;` �' : copies` EXISTING STOOP= 61 Sc}. Ft. t - -• -Certifcations mccated herean s,gnif) that this EXISTING CONC. WALK= 152 Sq. Ft. RIVERHEAD N.Y. I 1501 3G9-8288 Fax 369-8287 `�f` � sarve was prepared in accordance S ..,illi the ex- TOTAL COVERAGE= Area = 21 056 Se(. Ft. , i #, A- J r ^_s song Cooe of Practice fc'Lend Suraeys adopted 839 5q. Ft. Area = 0.483 Acres y /i4 -f i� by the New York State Association of?rofessonci Ion 15landland5urve or.com `-�; �' %> Lond Surveyors Said certifications shc)n n only ADJACENT AREA= 8 GRAPHIC SCALE I"= 30' 9 Y to the person tar wham the surveys prepared, ,V7 1 5 Ft. and g c andb.hit to the tine company aa.ean,cnd TOTAL COVERAGE= 9.5% _ •- � to agency and lead"ung institution listed hereon,and a the assignees of the lend:rq instrtutiCertifim- 1 antions aro not trcnsferable to adddicnal institutions .> j. ► „ + tow r �� . y 'bWy.. f •� • / r� ' , • 0 4r David Krupmck �180 Deep Hole Drive,Mattituck C 1000-115-12-13 1-115-12-13 1/13/17 y As r op i. . f. h y.. Y ^l .'rT„ `(. .i alK� c'_"'iy p�#:�'V. _ 11 •4 h r� Asti- .. 0�1' ,. ,.qty p'i,�y '�/'•'' s r ;� «9fr•"��" 4 �►�, ;r-1rj�► 1 s• yr r�• `. .,ir`:-. _. r+{t •' +� 111 S FF x � .j } - 4� S' � r• cam. {��f- ---�� /",`.. /.r 7 ,y.y•.S ,ear" / ,, ti / .� ,� ••.:riv �. ';.fir'• � a _ � ` 4 • I • �� �/ +SAM b •� 280 Deep Hole Drive,Mauituck XTM#: 1000-115-12-13 i Ir _ •7 1� �` � \ •I •� *fix � � • ��' .�}• 7F�F yea - - Q... 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) hone: 631 765-1938 Southold, NY 11971 ® �� Telephone: LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: June 12, 2017 Re: LWRP Coastal Consistency Review for DAVID KRUPNICK SCTM# 1000-115-12-13 DAVID KRUPNICK requests a Wetland Permit for the as-built 9'6" long by 15' wide deck extension to the front porch; as-built section of 35' long by 10'4" wide deck extension on the seaward side of dwelling; as-built replacement of a 10' wide garage door with a wall for added living space; and for the as-built existing 20'.8"x10'10" screened-in porch replaced with walls for added living space onto existing 2,304.6sq.ft. one-story dwelling. Located: 880 Deep Hole Drive, Mattituck. SCTM# 1000- 115-12-13 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 action is INCONSISTENT with the below listed Policy Standards and therefore is INCONSISTENT with LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction The structures were built without a Wetland Permit. In the event the action is approved require a vegetated buffer incorporating existing vegetation against the wetland line and stormwater controls pursuant to Chapter 236 of the Southold Town Code. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. ��Qg�FFOCk�O Peter Young,Chairman y Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 EO Southold,NY 11971 *A ! Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., June 14, 2017 the following recommendation was made: Moved by Greg Williams, seconded by James Abbott, it was RESOLVED to SUPPORT the application of DAVID KRUPNICK for the existing front deck extension; back deck extension; removed front garage door and enclosed wall; enclosed back screened porch (2 walls) 20'8"X 10'10". Located: 880 Deep Hole Drive, Mattituck. SCTM#115-12-13 Inspected by: Greg Williams, James Abbott Vote of Council: Ayes: All Motion Carried Mai 54MacKael J DomBox V�cc-Presidcn`__\ '�� lO P.O.O. Box Road � 1179 James C FCing.Trustee1 —cithold,_New York 1197L-0959 x Cave Bergen_Trustee G Telephone(631)765-1892 Cltarles J. Sanders. Trustee Ear(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Vs To: Southold-Town Building Department D Re-_ Verification of Building Department Permit Requirements t{flAY 1 2 2011 BUI SCT �: 115-12--13wN O�O O MLD Property Owner[Mame: Date Sent to Bldg- Dept_: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Departrnent's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? ill the proposed project require a variance determination from the Zoning Board of Appeals? _z Will any part of this application be considered as Demolition as -described under Town Code? - COMMENTS: Date Signature of Reviewer �pF so Michael J.Domino,President ®� �l0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith ® �� Telephone(631) 765-1892 A.Nicholas Krupski o�ycou ff � Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only �LCoastal Erosion Permit Application V Wetland Permit Application Administrative Permit Amendment/Transfer/Extensionl Received Applicatapn: S,9" Received Fee: $ 104,60 ;7 —Completed Application: 541Z•17 � • Incomplete: SEQRA Classification: Type I_ Type H Unlisted MAY _ $ -2017 Lead Agency Determination: Coordination:(date sent): LWRP Consistency Assessment Form Sent: �'9(7 �7 CAC Referral Sent: Date of Inspection: G.13,17 Receipt of CAC Report: Technical Review: Public Hearing Held: 2-4-1-7 Resolution: Legal Name of Property Owner(s): Mailing Address: eo . �� �r i% C, L Ili Phone Number: Q �� o ' Gl�' �� 7��` t �( S� 1{�'tO qO� Suffolk County Tax Map Number: 1000- Property Location: No 'Ne (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: Phone Number: ��0 Board of Trustees Applicz on 0g GENERAL DATA Land Area(in square feet): v Area Zoning: 10x_ R,-11 Previous use of property: res 1 Intended use of property:Covenants and and Restrictions on property? Yes No -----If-"Ys;please provide a copy. Will this project require a Building Permit as per Town Code? X 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 Y No I Does the structure(s)on property have a valid Certificate of Occupancy? /1Z, Yes No Prior permits/approvals for site improvements: Agency Date 2& 5-11fi- //S_ 3�isvf 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 neces ary), �tl 11,fJ '�,� (� �C q ! d i 7 - U Board of Trustees Applica - ' Dn WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: �. d Area of wetlands on lot: isq e feet Percent coverage of lot: 5 % Closest distance between nearest existing structure and upland edge of wetlands: l' 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: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): 617.20 Appendix B Sliort Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part I. 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): _b MR �N%PMQ A ��_ �r_ Brief Description of Proposed Action: r 611 se Name of Applicant or Sponsor: Telephone: 5��;—?10?7:2-1 6 E-Mail: -1 LE JL4 J Address un City/PO: State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? X If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that KI/ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. I 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? 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. Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial gResidential(suburban) ❑Forest ❑Agriculture [I Aquatic ❑Other(specify): ❑Parkland Page I of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ® ❑ b.Consistent with the adopted comprehensive plan? 1:1 F711 1:1 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ® ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ` 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: P F 10. Will the proposed action connect to an existing public/private water supply? NO I YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES 1f No,describe method for providing wastewater treatment: ❑ F01 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? � ❑ �b.Is the proposed action located in an archeological sensitive area? ❑ LLJ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? VLJV If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: L/ 1 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands EJ Early mid-successional Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ® ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ ❑ a.Will storm water discharges flow to adjacent properties? ❑NO YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: NO AYES Page 2 of 4 r 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: © ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE r\ , Applicant/sp sor n �/ �?� �-� C � �� Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the_following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur , occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ] ❑ regulations? u 2. Will the proposed action result in a change in the use or intensity of use of land? [;7] ❑ I 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, Elwaterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? NO 11. Will the proposed action create a hazard to environmental resources or human health? Iff 1:1 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-willnot be-significant.Each-potential_iznpct shoulde assessed considering its_settin�,_probability of occurring, _ _ duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental im acts. Town of Southold-Board of Trustees p ( Name oLead ency Date President Print or Type N me of Resp m ibl Officer in Lead Agency Title of Responsible Officer Signature of Response le Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of } J APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Hart of town officers and employees.The purpose of this form is toprovide 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 �,�✓ `� (Last name,hist name,"rpiddle 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,rnarriage,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 thi day of 20 t Print NameJ� Form TS 1 Board of Trustees Applica•'-=,�n AFFIDAVIT "o-PAi 9 oc— 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 T ALS WOMK WILL I DONE IN THE NUNNER 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 ISSUEDBY:THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS '6- DAY OF OAe-� 12011 Notary Public BARBARA H.TANDY Notary Public,State Of New York No. 01TA6086001 ' Qualified In Suffolk County Commission Expires 01/13/20� Michael J. Domino, President y� SpFFO(�' � Town Hall Annex John M.Bredemeyer 111,Vice-President 54375 Route 25 Charles J.Sanders Cn '} a P.O.Box 1179 Glenn Goldsmiths Southold,NY 11971 A.Nicholas Krupski �, apl�` Telephone(631)765-1892 - 1 i Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of DAVID KRUPNICK 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 residing at/dba being duly sworn, depose and say: That on the t/7 day of �ud� , 201.7, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be,held Wednesday,June 21,2017. Dated: (signature) Sworn to before me this v1day of017 • �� Notary Public,St0f Newyork X10.4953778 Notary Public Qualified in Suffolk County commission Expires,July 18, 7_0Z_1 . r PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: l S t! 5L � 7rrrr�t� ' y dso2 i,.,�d�- �� �,t1��T �-�' �►dd.(��s c�-t`e.��a� 5 a� �u,�y�'�� rU'�I �(''�� STATE OF NEW YORK COUNTY OF SUFFOLK residing at "bE&P L z—: l - 11A being duly sworn, deposes and says that on the 6!-th day of jy-x -- ,201 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 KII TTtTUC,,k- n ,that said Noti w re mailed to each of said persons by CERTIFIED MAILIRETU CEIPT. Sworn to before me this to Day of ,20 /-j LEO F vmUYE Notary Publie,State of iyew York 4,953778 �ualifi Non dn Suffolk CeuwtV ! Notary Public mnlission Expires July 18"7,0 z/ t�;"r ,a.' •�l��,. 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OWNER(S) OF RECORD: DAVID KRUPNICK SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the as-built 9'6" long by 15' wide deck extension to the front porch; as-built section of 35' long by 10'4" wide deck extension on the seaward side of dwelling; as-built replacement of a 10' wide garage door with a wall for added living space; and for the as-built existing 20'.6"x10'10" screened-in porch replaced with walls for added living space onto existing 2,304.6sq.ft. one-story dwelling. Located: 880 Deep Hole Drive, Mattituck. SCTM# 1000-115-12-13 r TIME & DATE OF PUBLIC HEARING : - Wednesday, June 21, 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) 765-1892 ,e Town of Southold LWRP CONSISTENCY ASSESSMENT FORINT A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form,should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, lis&—F, both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B.- . DESCRIPTION OF SITE AND PROPOSED ACTION SCTM9 _ - I 1p-, - 13 PROJECT NAME1�-- The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation,land transaction) ❑ (b) Financial assistance (e.g. grant,loan,subsidy) (c) Permit, approval,license,certification: Nature and extent of action: �� ,����� � ( a�� n Sri- DNGhw-d1 ! dvrkl Location of action: Site acreage: Present land use: Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (d V N M�— (b) Mailing address: P-061, (c) Telephone number:Area Code( ) 09-1-Mllc- .l J&- =� �,2vq (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No lam' 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 LMW Section III-Policies; Page 2 for evaluation criteria. ❑Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria El Yes ❑ No r Not Applicable h Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No 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 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 Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes No�g Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III-Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye❑ No Not Applicable Attach additional sheets if necessary i WORKING COAST POLIC,irS' 4 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 ❑ No94 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 Not Applicable ` Attach additional sheets ifnecessary Policy 12. Protect agricultural lands•in the Town of Southold. See LWWP 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 TITLE �� 1DATE J