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TR-9099
Glenn Goldsmith,President QF S (/j Town Hall Annex Michael J. Domino,Vice-President ,`O� y�lO 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A. Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �' �� – __ --- -- -- COU wvo ctl�5 A4t 00K WO - -- 00KW lRD OF TOWN TRUSTEE. q lr,2.0 TOWN OF SOUTHOLD G��� CDPD AIIE FICATE OF COMPLIA'.,..� SD �� Date: September 16, 2020 Lmolitionxistin sin le-famil dwellin construct new sin le- ��((� `20.2sq.ft.footprint; a 601.6sq.ft. attached garage; a 160.4sq.ft. 05 _r ntry stairs; a 422sq.ft. seaward side deck attached to dwelling,_a D � install gutters to leaders to dDMells to contain roof runoff, and in 015' 0�_ C*K ?vn Code-Storm Water Runoff, and to abandon existingsanitary anitary filling;with the condition to establish and perpetually maintain a turf buffer from the bulkhead to the stone wall; ---— At 155 Lake Drive, Southold Suffolk County Tax Map#1000-80-3-14 Conforms to the application for a Trustees Permit heretofore el ` I oo�� office Dated September 11,2017 pursuant to which Trustees Wetland P I October 18, 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 demolition of existing single-family dwelling; construct new single-family,two-story dwelling with a 1,820.2sq.ft. footprint; a 601.6sq.ft. attached garage; a 160.4sq.ft. seaward side screened porch with side entry stairs; a 422sq.ft. seaward side deck attached to dwelling; a 238.6sq.ft. seaward side on-grade patio; install gutters to leaders to dry ells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, and to abandon existingsanitM Ustem and install new landward of dwelling;with the condition to establish and perpetually maintain a minimum 15' wide non-turf buffer from the bulkhead to the stone wall. The certificate is issued to Jeffrey&Carol Oak owners of the aforesaid property. r 7eJ��a.a/Y� Authorized Signature c Glenn Goldsmith, President *QF SQ(/T Town Hall Annex Michael J.Domino,Vice-President ,`Qy�lO 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III 1 [ Southold, New York 11971 A. Nicholas Krupski G Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 �yc0UN1`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION.: INSPECTED BY:` i/ Ch.°275 . Ch. 111 INSPECTION SCHEDULE Pre-construction;.haybale line/silt% boom/silt curtain 1St day of construction Y constructed Project complete, compliance inspection COMMENTS: l �y Ala CERTIFICATE OF COMPLIANCE: *QF SOury Michael J.Domino, President �O� OlTown Hall Annex 0 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 �yCOUNVFax(631) 765-6641 s 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. FAIL=URE 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 % constructed Project complete, compliance inspection l J10111 M .................. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9099 DATE: OCTOBER 18,2017 ISSUED TO: JEFFREY & CAROL OAK PROPERTY ADDRESS: 155 LAKE DRIVE, SOUTHOLD SCTM# 1000-80-3-14 AUTHORIZATION M W 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 October 18, 2017, and in consideration of application fee in the sum of$250.00 paid by Jeffrey&Carol Oak and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the 5 following: -family dwelling; construct new single-family,two-story 5 Wetland Permit to demolish existing single dwelling with a 1,820.2sq.ft.footprint; a 601.6sq.ft. attached garage;a 160.4sq.ft.seaward side screened 2 porch with side entry stairs; a 422sq.ft.seaward side deck attached to dwelling; a 238.6sq.ft.seaward side on-grade patio; install gutters to leaders to drywells to contain roof runoff,and in accordance with Chapter 236 of the Town Code-Storm Water Runoff; and to abandon existing sanitary system and install new landward of dwelling;with the condition to establish and perpetually maintain a minimum 15' wide non-turf buffer from the bulkhead to the stone wall; and as depicted on the revised site plan prepared by rown,Architect,P.C.,dated October 20,2017 and stamped approved on October 23,2017. Robert 1.B 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. F F Dtt W U ----------------- All TERMS AND CONDITIONS The Permittee Jeffrey &Carol Oak residing at 155 Lake Drive Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense,defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Pen-nit 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 Pen-nit 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 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. F ------- E C E I E SEP 1 5 2017 Southold Town r r ge OAK RESIDENCE 155 Lake Drive, Southold, NY R00f= PLAjN 5C�Ltx` 0- rev. Sept. 15, 2017 vO ARC SCALE: 1/8" = i'o" I.BR t O THE Robert I. Brown ER-ANY Architect P.C. AN'fYA- THORIZED ;'X, Af-T EF" 114 Z0?, Bay, Ave. Greenport NY E. in (o@ribrownarchitect.com 631-477-9752 i I I I � I I IT], Ll I -� I st fl EL 9.0 I I �I EL70 r" BFE G.0 GRADE EL 5.0 SOUTI-t WEST (FRONT) ELEVATION GRADE EL 4.0 SCALE-i I O' OAK RESIDENCE 155 Lake Drive, Southold, NY D E C .. rev. Sept. 15, 2017 Eo AR SCALE: 1/8" = i o" SEP 1 5 2017 LL_W+'„ ��Q°� Robert I. Brown Architect P.C. Southold Town ar of r J q s 4' 2055 Bay Ave. Greenport NY info@ribrownarchitect.com 631-477-9752 i i I i i i ® ® FFH LU- EEEI F[HHE®FEB FEE] I E EL 8.0 min Itst'fP —52 GRADE Er-1,7.10 BFE 6.0 GRADE F;L 5.0 GRADE EL 4.0 OAK RESIDENCE 155 Lake Drive, Southold, NY D E I %f E rev. Sept. 15, 2017 E¢V-D ARC SCALE: 1/8" = 1`o" SEP 1 5 2017 o'TF P, e� Robert I. Brown Southold Town - :..•..;; * * Architect, P.C. a of Trustees - I. T's 341 -4OP� 2 Bay Ave. Greenport NY �� F' NES info@rlbrownarchitect.com �_ 631-477-9752 w532503' 1 - 12x4- 1 1 2 egress ws 2640 casement i -- - - - - - - i 0 ws 2840 2'-7.5 x 3'- 1 1 2 M FU i 15t fl EL 9.2 EL 8.0 min Ist L10 ----- EL 7.0 {�' GRADE EL 5.0 GRADE EL 4.0 NORTH EA5T (REAR) ELVATION �( SEP 11 2017 Southold Tov;10 oar of T us ee IT 13 A VIOLATION OF T E U"AW FOP%N t'FFRSOE�9 - D AR A y €.INLESS ACTING UN;ER T!alp DaPECT€UN OF Pte.LICENSED AEr—Hi T ECT9 TO AVER NY 2 I C El'.a ON THIS DP�,I ING IN A1.2-MRATION MMST BE NOTED,FD,SEALEDa,AND DESCRIBED INA,CCORrDANC0 NE 12 %RT€I T ME Iffl 3- 1/tet OAK RESIDENCE 155 Lake Drive, Southold, NY July 26, 2017 15t fl EL 9.4 SCALE: 1/8" = 1 O" —°"°°E�5-0 min 15t fl BFE G.O Robert I. Brown GRADE EL 5.0 Architect P.C. GRADE EL 4-0 N O R T H W E S T ELEVATION 205 Bad Ave. Greenport NY into@ribrownarchitect.com 631-477-9752 * PROVIDE MIN. 15' } "e ra\S ,/ o a �P�S�GF ry ;, q `� g� �y NON-TURF BUFFER �\ A �` �,� APPRO Y EL1 ®� IN TH15 AREA BOARD OF TRUSTEES TOWN OF SOUTHOL® DATE 6 STONE WALLS TO FUNL":cS7 CT cNCS U,l�^k';DER TIKE ` �`'= ti/ BE REMOVED 0-) �. F Pt p'4..t'l•�� i 1y 0�.p:D 1 �N t-!!.",.1"t QIM,]'k-111IC r.y S„'81N'11T-111 114 mr3- Al ille��(.lIfifi •-p')`�Af: ut•pI'LLf'bl YN2 POLE ,�3 --CONCRETE W�12 1 0� ;r% TO)5E REMOVED 3 , ABOVI!-GPXbE U, SILT FENCtf FOR o W nrl F- I ONSTRUCTION OCT 2 0 2017 ___ _ --------------- CONCRETE + `J+9 + II Co Southold Town WALL TO BE, +y�+ '\ � Board of TRI g P REMOVED I+ CD EXISTING ARBOR,` /� - 7 , Qo 5 S I T E P L A N BUILDING 3ZoP`` 155 LAKE DRIVE, 50UTHOLD, NY 1 1971 NOTE: NEIGHBORING ENVELOPE / �� � w� 6- PROPOERTIES ARE /� �- j � BASED ON SURVEY DY NATHAN TAFT CORWIN III CONNECTED TO ��/ / DI�VAGE 158G MAIN ROAD, JAME5PORT, NY 1 1947 / zO /( 1 SCTM No. 1000-80-03-14 PUBLIC WATER + / N / DATED 08-04-201 G AREA = 22,032 5F = 0.506 ACRES BUILDING, // / —7 ELEVATIONS ARE NORTH AMERICAN VERTICAL DATUM 1986 ENVELOPE TOWN OF 50UTHOLD ZONE R-40 i --_-..:IL DRAINAGE CALCULATIONS ZONE 1: 1159 SF x O 17 = 197 0 CF REQD CONCRETE ✓ 1 \ IN -Z PROVIDE (2) 1 O'DIA x 2'D DRYWELL5 = 273 G CF WALL TO BE I ` REMOVED ZONE 2: 2 178 SF x 0.17 = 370.3 CF 29, �� REQD. K I I I PROVIDE(3) 1 O'DIA x 2'D DRYWELL = 4 10.5 CF J �y>/ — ;; I ` dw 9 LO y D p10 I -- - — --i - - — -- — 3 4 0 LOT COVERAGE: o`� s! �,�' o PPOP05ED HOU5E(INCLUDING y / NEW / �j+ N GARAGE AND SCREENED PORCH): 2,5 10 SF GRAVEL DECK 449 51' / ( I l ,• DRIVEVGAY TOTAL 2,959 5F 2,959/22,032 SF = 13 4% p� /+/ / `' E ISTxNG WATER ® I j ,ETE.I\JO BE f / + — — EXISTING ELEVATION / / / �` 1 ELOC , C EACH G P, / J CONTOUR PROP S / +� I IR 2j RE - - — PROPOSED ELEVATION =�� NEW W9 TER I 1 D INAGE CONTOUR �WETEK 1� ZO 2 + 0 EXISTING �, + LOfLATI ;/� 1 APPROX. LOCATION OVERHEAD �p + I J� �P�ER EXI5TIN TEM WIRES TO ��} �/ E --L/2 �i ® N-EW TRS C IN M� E REM —�� BE RUN -S RWCE /- - G\PN UNDERGROUND p eE ° 1 �I + 6 73 D ' � D D % D 111 ° D OAK RESIDENCE (0 (D / / yJSj\NG P�� D D SP,t R 155 Lake Drive, Southold, NY 15' 20 OCT., 2017 SCALE: 1" = 20' Robert I. Brown +� Architect, P.C. D 55 44 38 ° 1 D D NEW TRENCH DRAIN (N.T.5) 2o5 Bay Ave. Greenport NY + info@ribrownarchitect.com D 631-477-9752 D ° ° D SURVEY OF LOTS 7 & S NOTES: MAP OF RE-SUBDIVISION OF MAP OF 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:.sn REYDON SHORES EXISTING CONTOUR LINES ARE SHOWN THUS: — ———5———— BLOCK F F.FL - FIRST FLOOR C.FL- GARAGE FLOOR FILE No. 1215 FILED OCTOBER 7, 1936 TB B - TOP OF OF BULKHEAD SITUATE TW - TOP OF WALL BW - BOTTOM OF WALL BAYVIEW 2. FLOOD ZONE INFORMATION TAKEN FROM: TOWN OF SOUTHOLD FLOOD INSURANCE RATE MAP No. 36103CO167 H ZONE AE: BASE FLOOD ELEVATIONS DETERMINED SUFFOLK COUNTY, NEW YORK a ZONE X: AREAS OF 0.2% ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL CHANCE FLOOD C� S.C. TAX NO. 1000-80-03-14 WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN SCALE 1"=30' 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD. AUGUST 4, 2016 AREA = 22,032 sq. ft. (TO BULKHEAD) 0.506 cc. 311 �5�N S 8,3'1,3'0999 E .,NGS•a 4 OjyX27 =x BICFI*ATM m" ��f Com" • ��WOOD x�u i / TIV ►\� x2.9 / aeir y� A 1101 xu s x1m � x t'� t`I; ��n \\ A604, xZa / // x , V Lam, 11 U E \\ -- - SEP 2017 x i� ,�_ ''° // \\\ x-U// AZ Southold —�y Southold Town f �e — \\ �� X-42 _ — ,:s. �C e, � X / 4 �s Board of Trustees XJLZ \ s� N 66 x --- xAJ 71. � — x� \ � `/ I L 6) _ \\\ • C4'Pq�G,p \� y AD x PREP F�ARCCARD�NCE-WITH THE MINIMUM gONE AES \ ''� / q'Y `��, CFF le STANTLiE� L;3 p ESTABLISHED n 7 /oNE X x� \ A / soft ,a S o o �SUO EWVED D ADOPTED 4°0�'0 •s � — \ • ' i • Q � '/ ^ Qt9 ORK' ATE LAND ,4+'nXaa' tti / \\\fig sAy \\\\d3 i �•• � e• X aJ z pC • % • • . m • '. / Ao qtr. • A . . A / .ZY \d, • GF PAF1i7' Y. / yQ BOO « ••" 4 / x ^ 0L N.Y.S. Lic. No. 50467 e r—wy x� Aj UNAUTHORIZED ALTERATION OR ADDITION L % •aV TO THIS SURVEY IS A VIOLATION OF • �• SECTION 7209 OF THE NEW YORK STATE ■ • 4' •�, ,\ 0000, EDUCATION LAW. Nathan a t Corwin III Lry COPIES OF THIS SURVEY MAP NOT BEARING A� F a THE LAND SURVEYOR'S INKED SEAL Land Surveyor • EMBOSSED SEAL SHALL NOT BE CONSISI DERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN R T y1g ONLY TO THE PERSON FOR WHOM THE SURVEY a -C/ •'q IS PREPARED,AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. LS. •X 4 TITLE COMPANY,GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S. LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INsn- Title Surveys -Subdivisions - Site Plans - Construction Layout TUITION. CERTIFICATIONS ARE NOT TRANSFERABLE, PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF OFFICES LOCATED AT MAILING ADDRESS ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 } Michael J. Domino,President OE S0UTy0 Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O.Box 11 Charles J. Sanders Ji[ Southold,New York 11971 Glenn Goldsmith Telephone(631) 765-1892 A.Nicholas Kru ski O Fax(631) 765-6641 p �`Y�OUfVTT`1,�� _ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 18, 2017 Robert Brown, Architects, P.C. 205 Bay Avenue Greenport, NY 11944 RE: JEFFREY & CAROL OAK 155 LAKE DRIVE, SOUTHOLD SCTM# 1000-80-3-14 Dear Mr. Brown: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 18, 2017 regarding the above matter: WHEREAS, Robert Brown Architects on behalf of JEFFREY & CAROL OAK 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 September 11, 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 October 18, 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 i 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 JEFFREY & CAROL OAK to demolish existing single-family dwelling; construct new single-family, two-story dwelling with a 1,820.2sq.ft. footprint; a 601.6sq.ft. attached garage; a 160.4sq.ft. seaward side screened porch with side entry stairs; a 422sq.ft. seaward side deck attached to dwelling; a 238.6sq.ft. seaward side on-grade patio; install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Storm Water Runoff; and to abandon existing sanitary system and install new landward of dwelling; with the condition to establish and perpetually maintain a minimum 15' wide non-turf buffer from the bulkhead to the stone wall; and as depicted on the revised site plan prepared by Robert I. Brown, Architect, P.C., dated October 20, 2017 and stamped approved on October 23, 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. Domini President, Board of Trustees MJD/dd Michael J. Domino, 1`,-...z�)-ident :rSUfFOLK Town Hall Annex John M. Bredemeyer,±III, Vice-President ;;t�o`� C°oy�,, 54375 Route 25 Charles J. Sanders So <;ti P.O. Box 1179 Glenn Goldsmith .?" Southold, NY 11971 A. Nicholas Krupski y oma`�' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN 'TRUSTEES TOWN OF SOUTHOLD .yi ,I CAkot, OAK VO- �Oe5gr 5q01VA1 AR'C'f uTa�l� TO: Please be advised that your application dated Serle�W !1t 2'0(7 has been reviewed by this Board at the regular meeting of ATO `fid and your application has been approved pending the completion of the following items checked off below. V Revised Plans for proposed project °— Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/z Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement(complete original form enclosed and submit to Board of Trustees Office) 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: $ ,50,60r 10", 1•l7 BY: Michael J. Domino, President (ALM Board of Trustees Michael J.Domino,Presi { Town Hall Annex John M. Bredemeyer III,Vice* e"sident yam, 54375 Route 25 Charles J. Sanders y P.O.Box 1179 Glenn Goldsmith 0 Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1011ali 7 12-35 Completed in field by: Robert Brown Architects, P.C. on behalf of JEFFREY & CAROL OAK request a Wetland Permit to demolish existing single-family dwelling; construct new single-family, two-story dwelling with a 1,820.2sq.ft. footprint; a 601.6sq.ft. attached garage; a 160.4sq..ft. seaward side screened porch with side entry stairs; a 422sq.ft. seaward side deck attached to dwelling; a 238.6sq.ft. seaward side on- grade patio; install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-8torm Water Runoff; and to abandon existing sanitary system and install new landward of dwelling. Located: 155 Lake Drive, Southold. SCTM# 1000-80-3-14 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: ion �-�� � s�.���d �� ��a�� ��►l Present were: ✓ J. Bredemeyer M. Domino ZG. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino, Presi O�QS�FFO(�COG Town Hall Annex John M. Bredemeyer III, Vice-President �� yam, 54375 Route 25 Charles J. Sanders C z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski y p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Robert Brown Architects, P.C. on behalf of JEFFREY & CAROL OAK request a Wetland Permit to demolish existing single-family dwelling; construct new single-family, two-story dwelling with a 1,820.2sq.ft. footprint; a 601.6sq.ft. attached garage; a 160.4sq.ft. seaward side screened porch with side entry stairs; a 422sq.ft. seaward side deck attached to dwelling; a 238.6sq.ft. seaward side on- grade patio; install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Storm Water Runoff; and to abandon existing sanitary system and install new landward of dwelling. Located: 155 Lake Drive, Southold. SCTM# 1000-80-3-14 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 Jeffiey&Carol Oak 155 Lake DTive,Southold SCTMff: 1000-80-3-14 10-10-17 -as, �a�I e i I - ::,, -. a-:-_� . . - _ _ ' -'" _. __. _ +a.•— rV _ I"t,-q.�,.. NS'A`'k ns' h 4 ti V �� n �1 � n -./ + a.5�5°gjr •FN .q.e,�}@�,� s s �;,,�7d _"�,� �, y i� .i?A.`."F ��IA` -'�s ' .., � �, ,Y. . . ..-.,r..- .o .... ..:• .. ,. _::7F72�';.•..:. �' ;,.: .' '. F;. a !'� �" ..,v)k .,."."w`; _ ,{ � 4�i��gx a� � �:'C 's.;; to r�� 'v � i fi 1i � t- •1 rl j�s "� f�k k � `'�� t .- n\�`"�' k•• `"i_1�' w ` �n,y6��I �i r a:�r, ti{� � n � �, , ' ty".*?f- r ,�..a 1 �.� x. �1^S .�` � �a;F��-.�i{���f��i ��3' s.•�*;,v� ""ti { ,egiL��, 'S s�3' tr ��,` � �_. r q Y 0 0 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONS'tKJATION Division of Environmental Permits,Region 1 SUNY @ Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-0365 1 F:(631)444-0360 www.dec.ny.gov LETTER OF NO JURISDICTION August 8, 2017 Jeff Oak 3422 Deanwood Ave. Ellicott City, MD 21043 Re: Application #1-4738-04553/00001 Oak Property: 155 Lake Drive SCTM# 1000-80-3-14 Dear Mr. Oak Based on the information you submitted the Department of Environmental Conservation has determined that the existing bulkhead is functional, more than 100 feet in length and was constructed before August 20 1977, as shown on tidal wetlands aerial photo 718-546. Therefore, the property landward of the bulkhead is beyond Tidal Wetlands Act (Article 25) jurisdiction and no permit is required for work landward of this structure. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or disturbance within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the jurisdictional boundary and your project (i.e. a.15' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. This letter shall remain valid unless site conditions change. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, ark Carrara Deputy Regional Permit Administrator cc: Robert Brown Architect PC BMHP File NEW YORK Department of STATE .... Environmental Conservation Brigantine BooksV 0 0Aeros Cultured Oyster c ? `n Citi p � V C N Flayview Rd o v� A Measure distance Total d.stance 1,968 02 ft(599 85 m) A Walk in the Woods Aft_ _..-__Map data 02017600Q1@ urwtedstates Tema send feedback-_.200ft� � ✓� Ott �f�� t � � c N ��'"� �� f~ ��'? 4 i Avg I ,. . OWM ; FN„ RD FACING NORTH ., a L-�3 bq .,�, w`: y�t� S+ 'r%K �t f' � :. y�r;° ,�c ` • r, �" i _ � ` 7R ,}1� ,, ► AeAfJIW 'Ate ; a y w rte/ '�. t r' ,• r r { ,x ll!'00; . , a) NORTHERN SIDE YARD FACING EASTERLY + } ILL _ .a'�4 kY�� rt'".- � �'• l°�' � .^t..+:. � h= �"ti ''Tiy F a°a t .., � .,� -� Ems. ..-R+�''�- .,Ik ��• •,�,. • _ wv '� •, .. a i�;,'� -,�:„� •� '� x - � ..rte'. f t Y 'w' . r 3) NORTHERLY SIDE , '::; YAR !"PACING EASTER �OWARDS WATERFRONT � w OAK 1 DRIVE, • • 1 -i000-8o-03-14-7/26/2017 w =� � � 111 �•��� �^`�i NORTHERLY1 ' ' 1 FACING EASTERLY n iAR I. i - J M;' YA �� 1_ f Pd q4: _ L y.: x's?::. X 3 5) NORTHERLY SIDE YARID ` :... , FACING WATERFRONT AND ' REAR YARD y } r a .'"T .• .ar N , i � S�ax,, � � � V. � w ^^i S* j, F.' Y.Z� ly w ` [�1 r ar mac►._ # �'"' ,t j,. _ tH LMJ Aft ill000! W.1W ti '8 ,�'f•e rt".' �� rYl. i.. �- y:.if F ,�.' if'7/Y" L. -�_ 'e `;1> r .TIS�T j..'�� ., �`�, i ,.d�_:.�� M��f� 4 r_+f ���•�. );. •is >� ! y �. ,.�.e..-meatraw�rnu.•.�S�srw+ e.N,reuwr.,.,.. .,. .. .. y: '0. .. Ao YARWFACIN6WTLI p AIMPW r r. d� .. J y 14 -9•-�3 �'"�-!�`' i�' �� a``n a aSy, i y{ ,f`k +m.�"t � �.R 7 t y No 41 id � � , ter. _ •. `+� � K� - *- u . WARD FACING EASTLRL Y FACINiG WATERFRONT ifP i *.N �y },,,�."P - jr { �� L,'ta ! �� r(iT9� �,��.� �� .,fit R.` .\ �S �f yy � �•�< ,r `�` . � S ,. � � "fi 'Ai ��,/r.i1 fir._ ��• ir;, ���_ ,'.� Y,X� \ .y 1 Y! {� •r •w .<9 wY�`i Air ,z+.`" ., • p ...- A - S ORO*.:.. .; i - '. a •. + oar -' 1✓..; a i.•4.1 Y At .47 op F t j 8) SOUTHERN SIDE YARD FACING " EASTERLY .x. UPM-P4—PER F7. SEE SEC NO IM 4 11 (V ---------- 12 2i 4?A 42 13 ------ - -- ------- ---------- -,-- ----------54 -______b__ ------ 151 -------- - H -- ------ ----------- 161 -22--m -------- ---- ---------- - -7 --- . * -------,---- 6 of - --- q�_. I ; - R ---- - ------ - --- ----- - - 18 3.ma 19 113 (F) ---------- --------- ----------- ------ --- 17 20 --- -------- LAKE DR 112 (PVT RD) L :2; ---------- ------- ---- :25: ---------- ---------- ----- - 22I - -----Im z w ---------- 23.j 0 - ------- --------- 14 ----- 24 1 ------ Af 13 ISI 121 28 ezfi GROVE IS 28 27 7P NOTICE COUNTY OF SUFFOLK @ K Cx ta3 soUTRo. SECTION NO 80 A P (21) Real Property Tax Service AgencyY m 9n t8a8 PROPERTY NIAP v� s ROBERT I. BROWN, ARCHITECT P.0 205 Bay Avenue Greenport, NY 11944 631-477-9752 (fax)631-477-0973 info@ribrownarchitect.com Transmittal Date: Re: ��YG E C E � V E 'i OCT 2 0 2017 `J Thank you, Southold Town Robert I Brown Architect PC Board o Tn;sisc�J OFFICE LOCATION: ®��®f S®Uly®� MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 � �® P c®U9� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: October 16, 2017 Re: LWRP Coastal Consistency Review for JEFFREY & CAROL OAK SCTM# 1000-80-3-14 Robert Brown Architects, P.C. on behalf of JEFFREY & CAROL OAK request a Wetland Permit to demolish existing single-family dwelling; construct new single-family, two-story dwelling with a 1,820.2sq.ft. footprint; a 601.6sq.ft. attached garage; a 160.4sq.ft. seaward side screened porch with side entry stairs; a 422sq.ft. seaward side deck attached to dwelling; a 238.6sq.ft. seaward side on-grade patio; install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Storm Water Runoff; and to abandon existing sanitary system and install new landward of dwelling. Located: 155 Lake Drive, Southold. SCTM# 1000-80-3-14 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 CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. 1. Due to zoning regulations, there is no ability to relocate the structure out of the FEMA flood zone AE EL 6'. 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 ti 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., October 11, 2017 the following recommendation was made: Moved by John Stein, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of JEFF OAK & CAROL OAK for the demolition of the existing single-family dwelling and new construction of a single-family dwelling with a garage and decking totaling 2,959 sf. Located: 155 Lake Dr., Southold. SCTM#80-3-14 Inspected by: Keith McCamy, Peter Meeker, John Stein The CAC Supports the application with the Condition of a 15' non-turf buffer. Vote of Council: Ayes: All Motion Carried 54:i/3 [via tn Ho3d M.chael J Domino. V,cc-Prestdcnt P O Box 1179 Jam ` es F Kens. Trustee 1�` So Id. Ne— York 1197 1-0959 x Dave Bergen_ Trustee �p� Telephone(631) 765-1892 Charles J- Sandcrs.Trustee ��� r� Fax(631) 765-6641 BOARD OF TOWTy TRUSTEES TOWN OI'SOUTHOLD D L5�L5O V J To- Southold-Town Building Department DD Re: Verification of Building Department Permit Requirements SEP 1 1 2017 BUILDING DST. OF S"''UfSOLD Property Owner Mame: ' 0A Date Sent to Bldg_ Dept-: 9.�� I The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Departfnent7s permitting requirements stated below: YES ILIO r([ 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: Date Signature or Reviewer .I ROBERT I. BROWN, ARCHITECT P.0 205 Bay Avenue Greenport, NY 11944 631-477-9752 (fax)631-477-0973 info@ribrownarchitect.com Transmittal Date: 9115-11 -7 ECE � � To: SGC SEP 1 5 2017 Southold Town ar r Re: i� Thank you, Al Robert I Brown Architect PC J L John M.Bredemeyer III, President a so Town Hall Annex Michael J.Domino,Vice-President " 54375 Main Road P.O. Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen, Trustee IS ° Telephone (631) 765-1892 Charles J.Sanders,Trustee r, OU } A� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfe xte ion Received Application: �'• ceceived Fee: $ 0-50',©O ompleted Application: � •[� _Incomplete: � � 2E p p V// _SEQRA Classificat' n: D I Type I Type II Unlisted Coordination:(datesent): LWRP Consistency Aessment Form: __ SEP 1 2017 AC Referral Sent: "/:Z��7 Date of Inspection: /0 cl0 Southold Town _Receipt of CAC Report: _Lead Agency Determination: f Trustees jechnical Review: �t// Public Hearing Held: zo aTUC rl Resolution: Name of Applicant: ad,len Mailing Address: 21013 Phone Number: Suffolk County Tax Map Number: 1000- , Property Location: (provide LILCO ole#, distance to cross Teets, and location) i AGENT: __ 44 (If applicable) Address: &v zlla— "I Phone: a Cantrell, Elizabeth From: Karen Szczotka <Karen@ribrownarchitect.com> Sent: Monday, October 02, 2017 2:59 PM To: Cantrell, Elizabeth Subject: Oak Here ya go..... Square footage of Oak project • Deck : 422 SF not including steps or screened porch • Screen Porch: 16o.4 SF • On Grade Patio: 238.6 SF • House: 1820.2 SF first floor, not incl. garage • Garage (attached): 6o1.6 SF Thanks! -Karen i ;Board of Trustees Applic& 4n GENERAL DATA Land Area(in square feet): -nw�i C)<-3r-q Area Zoning: -'1—L-1 Previous use of property: Intended use of property: Covenants and Restrictions on property? Yes _No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? A 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 Jg_No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure (s) on property have a valid Certificate of Occupancy?4_Yes No Prior permits/approvals for site improvements: Agency 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): tBoard of Trustees Appli.ca, >n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: 3,. Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: ,_ - -7j" feet Does the project involve excavation or filling? No-A Yes If yes, how much material will be excavated? Z4- cubic yards How much material will be filled? — cubic yards Depth of which material will be removed or deposited: (O feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 42e"A2f� Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification, Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part l -Project and Spon r Information Name of Action or Project: Project Location(describe,and attach a location map): Brief Description of Proposed Action:` , G12 _1w / a- NargfApplicant/ornsor: Telephone: ol W_ 1. 7 _ & E-Mail Address: CC d 6— y� City/PO: State: Zip Code: 1.Does the proposed Sction only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. 1f 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: dip &e,49-� �� Esc. t 3.a.Total acreage of the s e of the proposed action? O,_ acres b.Total acreage to be physically disturbed? __.d� acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.504,—acres 4. Check all land uses that occur on,adjoining and near the proposed action. F-1Urban ElRural(non-agriculture) ❑Industrial ❑Commercial Residential(suburban) ❑Forest ❑Agriculture Aquatic El Other(specify)- ❑Parkland <a�� Page 1 of 4 5 Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? H b.Consistent with the adopted comprehensive plan? L�_I 11❑�� 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,identi fy: 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? NEI 0 9. Does the proposed acti m or exceed the state energy code requirements? NO YES If the g on w o propsed action exec requirements,describe design features and technologies: _ _ _ - --- --------_ _ _- ___ ❑ 10. Will the proposed action connect to an ex sting public/ rivate water supply? NO YES If No,describe method for providing potable water: m NE 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing was tew ter t•eatm�ntN//���&A'::&n ❑ 12 a. Does the site contain a structure that is listed on either the State or National Register of I listoric NO YES Places? IS ,❑ b.Is the proposed action located in an archeological sensitive area? 13.a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: 'S Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional �❑ Wetland ❑Urban ❑Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? ❑NO YES F b.Will storm water discharges be directed to established conveyance systems(runoff a storm drains)? If Yes,briefly describ : [:]NO YES Page 2 of 4 r �,..,,,...__-__ .._.......--_ __--__ --__ __ ......_.�,..._.._....................w,,,,.._......__... ._____ ---- _. 18. Does the proposed action include construction or other activities that result in the impoundment of NO YCS 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 of an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe:.___._.___. —_ - -----_ 20. Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: F-! L _ Date: _ 9/(0 7�, 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? 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? L _I 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 ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should,in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-tern, long-term and cumulative impacts. (� Check this box if you have determined,based on the information and analysis above,and any supporting documentation, t_I 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 "��#7 Na pe of Lead ency Date President Print or Type Nam of Re po sib Officer in Lead Agency Title of Responsible Officer Signtore of ResI onsi Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I,— �� a Az- 1- ��. _residing at t. (print name of owner of property) (mailing address) do hereby authorize 1 k 7"" (Agent) to apply for permit(s) from the A�fLt Southold Board of Town Trustees on my behalf. (Owners signature) I l APPLICANT/OWNER 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' t C, .jCrl-- (Last name,firit name,middle initial,unless you are applying in the name of someone el%e or other entity,such as n company.irso,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance ,Q Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning 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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the 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 that 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 11 4 Submitted this L Vdray of ,20 ja Signature �I � C n Q ct k, Print Name.[' Board of Trustees Application AFFIDAVIT -111W&L &Aj A10-14AII, BEING DULY SWORN DEPOSES AND AFFIRMS HAT 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. I ature of Property Owner SWORN TO BEFORE ME THIS 1 4�1 DAY OF J6,nL;ar , 201'7 IVA, OTARy Notary Public _ pUeLyG N' _ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM tre' of u ho e # ` hi ' co fl' i to °" a t c i s an` ` i�It,�'er� ,T��h taurnose of thi fr±ritr , t rovide.'uf ' ritio 'ch_o al' o Letts f" e zel I +v it to e w vera ti Y necessga to avoid same. ) YOUR NAME: (Last name,first name,Vidqk 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 persdoully'(or through your company;spousc,sibling,paient,.or child)have a relationship with any officer or employee of the'rown of St?uthaid?"itelaiianslrip"iriciudes by blo4' tit2irriag4,or,business interest."Business interest"means a business, including a.partnership,in wbich`the"town officer or employee has oven a partial ownership of(or employment by)a corporation in which the town officer or ermployee,owns more than 5%oethe 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/agcnt/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 turner af',greater.than:S"/o of the shares of the c0r,0 ate.stock of the applicant (when ilio applied it is a_tiorporation); the:lcgal or bet►eficial.owner of any interest in a,non-cor}Xorate entity(when the appli ant is not a corporation); C)an officer,diit"eor,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONS14IP , Submitted this day of 91, 00 Signat Print Nam Form TS 1 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORINT The Town of Southold's Code of Ethics prohibits conflicts of interest on the Vgrt of town offio, and emlrl9vices,IWAITIML4 tI' e inforination which can alert the town -conflicts of inlacst md allow it to take whatever action necessary to avoid same. YOUR NAME: (Lasi name,first name,4114A 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,paren4 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 cmployce 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 I 1 I .I 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 corpoYate stock of the applicpnt (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 t l day of S ienat� Print Name Form TS I Ln M (J I'T1 Certified Mad Fee ,'.r � ° i Certified Mad Fee 1^ Er $ rill 1-III C�- �/ EXtra Services&Fees(check box,add fee��ppoate) (�,G ) Extra Services&Fees(check box,add fee Q'�ep(q,Qfar L (/ I - ❑ Return Receipt(hardcopy) $ \,.� ❑Return Receipt(hardcopy) $ 1I 1^°1 ISI�� POStmark 1 l,i. 1 'Postmark f © ❑Return Receipt lelectronic) $ 1171, _ Here 0 ❑Return Receipt(electronic) $ 99 I I f i l l C'Here ' Q ❑C rlfied Mad Restncted Dehvery $� -C3 ❑Certified Mall Restricted Dellvery $ '� O FJ []Adult Signature Required $ t-e-tlll Q [3 Adult Signature Required $ r �; >Q []Adult Signature Restricted Delivery$ I3 []Adult Signature Restricted Delivery$ Postage - 1 O Postage i�°49 a 6 i17 Ln $ $0.49 `s $ r- Total Postage and Felts c� r_ Total Postage and Fev°``t C 0 $ $ Sent To g>� Lam`t - ,!r � Sent To � -�•Y_4�----L-i-- -- --------------------- ----------- � ,/ "- -O BO -- 1�4________ =-- yy�� Str(feetandApt o,orP�O�B(o/x�NQ� �QJ/t �V I� StreetandAAp7L,N}o�..or PO Box No ---r------------------------------------------ - -------------------------------- L`- _-L �S�T_t-`=�-=_- ''"__"-- t C/ �� Cdy,State, IP+4a )r 1�" a 0 1 J City,State,ZIP+4 �j ( I 1 i � a Ont _ I', � t - ° © ® ■ n ® ■ 0 ■ ® ° N ®. Er so Mau j • It Il an (1944 r TUC ii�� ��y { t C3 rn Certified Mad Feec M CertlfleOMail Fee 1 944 � e ) ����p �5 .� e 1 i5 Extra Services&Fees(check box,add(ee, p Q�rate 0 0.., $ _ I ❑Return Receipt(hardcoPY) $ I POSlmark r Extra Services&Fees(check box, add(ee AsinoPmradate) C N p/Q-�' a ❑Return Receipt(electronic) fl ;III Her ❑Return Receipt(hardcopy) $ P1JJ1 1111��I P��`-1�Sim�r�§�0- []Certified Mali Restricted Delivery $�-- e ---'® �' I 0 ❑Return Receipt(electronic) OJ " Here $ ❑ certified Mail Restricted Dehvery $ [] ❑Adult Signature Requued [[[JJ t] N ,�` I []Adult Signature Restricted Delivery$ O [] ❑Adult Signature Required $ -° C3 ❑Adult Signature Restricted Delivery$ I O Postage $0.49 Postage6 6� $l_1°49 ' and l7 �� j• , f1�A � Total Postage Fees� Irl $ �� o.•.9 Total Postage and Feres e 59 O . o�G U Sent Toter• Sent To r� 1_ -B _ �' __________________ C3 Street and Apt No or OBoxIJo• - --�-- Sfreet and Api No.,oqr-O Box No. ___- -- 0Ctty,S ate.ZIyyP��+4° y -G _ J P` CO rA®• C3 -1 •i� •(�--'� 1 r1 Certified Mad Fee $3.35 0944 Er $ $2.75 P0 115 co Extra Services&Fees(check box,add fee$Wp(t{,�'ate) ''AA� ,. [IReturn Receipt(hardcopy) $ V +1' 13 E]RetuReturnReceipt(electronic) $ $0—-- C-.Postmark E3 ❑Certified Mall Restricted Delivery $ • 0°(II I Here d ❑ACult Signature Required $ C;7 0 ❑Adult Signature Restricted Delivery$ ID j Postage !a '� IM t �l i°49 u I $ r,- Total Postage and$ Fe s p C3 v*85 r-1 Sd or�Pd O JN �(l�/_L/2'?!!R'=Y�-1 w-------------------------- --- --- Apt_:�(r [-� Y--------------------------------------- City, ZIP+ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: %F 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 rr opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. 1 Sworn to before me this Day of , 20 I Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: s STATE OF NEW YORK COUNTY OF SUFFOLK �a� IAadresiding a ,�yj �. Y07 , being duly sworn, deposes and says that on the D ay ofP.a� , 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 r 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 m that said Notices were mailed to each of said persons by CERTIFIED MAM/RiETUAN RECEIPT. x Sworn to before me this Day of G 20 �P Notary Public CONNIE D. BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County 11,, Commission Expires April14,2�"V S�FF04 r Michael J.Domino, President O�Q �'�G Town Hall Annex John M.Bredemeyer III,Vice-President �� yJ,' 54375 Route 25 Charles J. Sanders o P.O.Box 1179 v� x Glenn Goldsmith ® Southold,NY 11971 A.Nicholas Krupski 'y p� Telephone(631)765-1892 ��� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JEFFREY & CAROL OAK COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, fC!/1 J , residing at/dba ?-- q� being duly sworn, depose and say: That on the «11"Jay of O& xe� , 2017, I personally posteA the property known as e-1 by placing the Board of Trustees official poster where it can 6sily 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, October 18,2017. Dated: (syy ature) Sworn to before me this day of(b `+ -20 wap � CONNIE D. BUNCH Notary Public Notary Public,State of Now York No.01 BU6185050 Qualified in Suffolk County Commisslon Expires Aprfl 14,i6lQ NUTILL Uim Ht: ARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: JEFFREY & CAROL OAK SUBJECT OF PUBLIC HEARING : To Robert Brown Architects, P.C. on behalf of JEFFREY & CAROL OAK request a Wetland Permit to demolish existing single-family dwelling; construct new single-family, two-story dwelling with a 1 ,820.2sq.ft. footprint; a 601 .6sq.ft. attached garage; a 160.4sq.ft. seaward side screened porch with side entry stairs; a 422sq.ft. seaward side deck attached to dwelling; a 238.6sq.ft. seaward side on-grade patio; install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Storm Water Runoff; and to abandon existing sanitary system and install new landward of dwelling. Located: 155 Lake Drive, Southold. SCTM# 1000-80-3-14 TIME & DATE OF PUBLIC HEARING : Wednesday, October 18, 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 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and advorse effects,upon.the coastal area(which includes all of Soutlold 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 explaln6d in detai1jisting bothsHVjLorting, and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. Board of Trustees t-1 I. 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 an xtent of action: Location of action: /`5` � :3 Site acreage: Present land use:- Present zoning classification: 'Z/U 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: vz" (b) Mailing address: 4L� Alp 3 (c) Telephone number: Area Code( )�t24/ & (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes F-1 No If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes F] 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 r] Yes D No'V 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 ❑ NoN 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 n Yes F1 No jNot 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 ",through 21 for evaluation criteria Q Yes [3 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. ❑ CI Aj Yes No Not Appficable 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 [:] Non 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. F] Yes ❑ No 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. YeO No N Not Applicable Attach additional sheets if necessary ' - r WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III•—Policies; Pages 47 through 56 for evaluation criteria. ❑j Yes ❑ No❑J 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. No Not Applicable ❑ Yes ❑ N ' Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 ' r evaluation criteria. El yes F] 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 .❑� Non Not Applicable PREPARED B TITLE i��� ._ DATE �o / 7