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HomeMy WebLinkAboutFritz, Joan & Peter James F.King,President �o��gFO(,�co Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President �Cy P.O.Box 1179 Dave Bergen y Southold,NY 11971 John Bredemeyer Telephone(631)765-1892 Michael J. Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO'MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1St day of construction %constructed Project complete, compliance inspection James F. King,President ��Of SOVry� Town Hall Annex Bob Ghosio,Jr.,Vice-President '`� l0 54375 Main Road P.O.Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer Q Telephone(631) 765-1892 Michael J.Domino �l,Y`OUNN Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Trustee Matters Storm Water Runoff With the recent heavy rainfalls, we are reminded once again of the problems Southold Town has with storm water runoff. With over 100 road ends terminating at creeks,bays, inlets, or Long Island Sound, as well as all of the lawns and homes lining our miles of shoreline, 100's of thousands of gallons of storm water runoff enters our wetlands every year. Carrying sediment that prevents sunlight from reaching aquatic plants, nutrients from animal waste and lawn fertilizers that promote algae blooms detrimental to shellfish, and bacteria and other biologicals that in high doses can be harmful to swimmers, storm water runoff is one of the Trustees main public safety concerns. So important, in fact, that Southold has a Storm Water Management Code. Southold Town's Chapter 236 provides an outline for how people need to deal with storm water runoff from their properties. For example, new construction or renovation is required to contain any potential runoff to the wetlands from the construction by installing hay bales and silt fencing. This acts as a barrier and keeps our wetlands clean. Another example in Chapter 236 is that every building must have provisions to collect and disperse, ON-SITE,at least a 2 inch rainfall. This is usually handled by installing gutters, leaders and drywells to the home. The Trustees also have a standing policy of requiring pervious non-turf buffers along bulkheads and at tops of bluffs that help keep run off from entering the wetlands and prevents erosion to bluffs. These are important measures to keep our wetlands safe and clean! Before deciding to renovate or build, the Town Trustees urge you to check our website and the other department's websites to make sure what you are planning to do meet the Town's Codes. These codes have been developed for the good of all citizens. And the wildlife all around us too! SOUTHOLD TRUSTEES , Issued 'T Fr Date Address. , "155 Nocfi�rish Dro' Sbu:Lb n Id THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE-.TOWN OF .SOUTHOLD' SOUTHOLD, N.Y. 11971 TEL.: 765-1892 I/ I111■I illut.InH nuuluMtmil..s �O�■� l 1 1 1 i ninon. tiunuunurnlx:nw. - .nljlnn ninwmnlnunmlmuul.��� ��_ 0111111111 l 111111111111111/11111111,1111 1111.. .1111)111.11.- oil 111111111111113111111111 Estill 1.I11W1. ��� .1.�l/ 1 1 •:j.. ■Illllallmllll" 1■IIIIl�1�1��I1111.I111.I1��a�1�11.IW.tIL.` -r7nuuu■nn■ :finn.uu_uunum_lnuunl.\ • Iunnuunm Iiwuninn uuunm ... nllmuuu I 1 .wl������ muminu ninulnlnl III uulnnllrlrllmmllnlnnl. \ - - -- - nr.unu ■iununmw.li VIII ununm mlmnn.nln.. 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' . r.b.rr,.x.rr...a+a.bbe�rw.mrnNgw.Y►wnms EXI5TING FRONT ELEVATION' n mns_,o,ba b...m�r:ge r�r+w baa.y. :rr,w Waw mad b q ep,ms m rmee q� nd+um Pq,•e m r.dr.e eq.w w.rr w rr.,rn ux r•dw.xv .ar mr:umw•+.r.ms ue argar•++':n um m e.< - i SCALE:�•_I•.O PAGE: pu uamemxne rR'em.rrc aue vY.<wr+.:r,nypenmbe re •Me.ear.Yenmwy:nma. - .ex,.enrawcPn ry.s. 4rnar wr.w,w m:<w w:ne.l a r<ner deq aeu u•.m,eu, r.qm q.me w<a u.r.e r• ,m m.e..m u�.nr^r w:..: erar� r........m.•v.J.rawr<d rK b...y. I I 1 SUINEY OF PROPERTY N AT BA YYIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 101J0-71-01-08 S'E'AL& 1'=80' JULY 31, 2013 y .4b, DECEIVE AUG 2 3 2013 nF old Town e 01 / y OPA BOUNDARY -' _ A w a � � �•3' y 1 ��vsJJJ a3 ice 1Z2— •6 m ---Too so i Alo � r CG �� AF3EAa23,309 So. FT. TO TE UNE FLOOD ZONE FROM OM FIRM RATE MAP NUMBER 36103001.66 H SEPTEMBER 25, 2009. - kfaiv-rOa wtt��cs Lam S c� ELEVATIONS REFERENCED TO N.A.V.D. ANY ALIERAMW OR ADDITION TO MIS SURWY 1S A WMA 77 N _ N.YS: LIG NO. 49618 OF SrC11ON 7.20 OF 1H£ NEW YORK STA 1E EDUCA 11ON LAN! ExCL111II.0 YC?RS, P.C. HEREON ARE s�'CAON VAU9 FOR THIS�-' �� 2 ALL � n�5 � (631) 765=5020 FAX (6,31) 765-1797 E {IAP AND COPIES THEREOF.aNLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ■ =MONUMENT P.O. BOX 909 WIOSE SIGNATURE AGARS HMEON ® =PIPE 1230 7RAVELER STREET SOUTHOLD, N.Y. 11971 12-1�4 _- - - Y.dMecMOvlmq'n.mFwssi?-.:.m_-avcwa_�..r_.. •._ . , _• x.. .=»-..�-.r- -zf-r yu James F. King, President �OgUfFQ(�.c Town Hall Annex Bob Ghosio,Jr., Vice-President ,`�4 �G� 54375 Route 25, P.O. Box 1 179 Dave Bergen Southold,NY 11971 John Bredemeyer �y • Telephone(631)765-1892 Michael J. Domino �a0� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Patricia C. Moore, Esq. for Joan & Peter Fritz Please be advised that your application dated 8/23/13 ' has been reviewed by this Board at the regular meeting of 9/18/13 and your application has been approved pending the completion of the following items checked off below. XX Revised Plans for proposed project (line of staked hay bales with silt fencing and drywells) XX Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) XX Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 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: $ 100.00 BY: James F. King, President Board of Trustees ma(, d t w e r� w J , �.►AM , 1 4 „ .s B17, r y, t r� gUFFQ(�. James F King,President P O Box 1179 Bob Ghosio,Jr.,Vice-President Oy Southold,NY 11971 Dave Bergen y Telephone(631 765-1892 John Bredemeyer Fax(631)765-6641 Michael J Domino Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: Patricia C. Moore, Esq on behalf of JOAN & PETER FRITZ request a Wetland Permit to renovate the existing 60'x32' two-story single family dwelling by constructing a 5'10'x30'2.5" first floor addition over existing deck on west side; new deck stairs in rear of dwelling; new 7'x22' addition to landward side of dwelling; for the existing 10'x28' deck and existing 24'x24' garage; reconstruct and expand existing masonry patio below deck; and for the existing pervious dryset patios and stone walkways on-sand Located: 755 North Parish Drive, Southold. SCTM# 71-1-8 Type of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town.Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: -"�J. King B. Ghosio �'� D. Bergen, J. Bredemeyer ✓ Michael Domino D Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: 0 .- ,S OL USTEES UT. H D IR No. �i�nergency P rw► - \ Issued T Date'4. L.�l� Address 255 s�,rMN- -bf47k -&r6s � �_�•g , 1 THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765.1892 1 - f James F.King,President o�*OE so�ryo "Town Hall annex i 64375 Main Road f Bob Ghosio,Jr.,Vice-President P.O.Boz 1179 { Dave Bergen Southold,New York 11971-0959 John Bredemeyer N Telephone(681)766-1692 Micbael J.Domino41�,� � Fax(01)765-6841 I. vY�l► i' p �, �• BOARD OF TOWN TRUSTEES ECEIVE TOWN OF SOUTHOLD FEB — 12013 � HURRICANE SANDY EMERGENCY APPLICA 10 nod own Valid thru June 1, 2013 f i 1 Property Owner Name: �� ►� -t`��- Y }2-- --7 Permanent Mailing Address: // ntCc t32.-, Oct ,. ,.. ii 03 00 Phone Number(s): �I y�;~ J rayl - ,j ,Sti � �d Property Address:_ ?o 5 UrTF� 4 G' { i Suffolk County Tax Map Number: 1000 - 7/ Agent(if applicable) `7 �{ 7 '-e Address: 51 0;e-0 /nCI rn 4:7Gd, S� tic /pl IY 1r57r/ Phone Number(s): Board of Trustee Permit Number(s): -711 Will any part of this project regtlireBuilding Permit? N3 How much fill will be required? yL� ' r ' Project Description: /a cam" d %Lv I! j'pl� �'t'l.�lf rin. �e e sEr,hi s�� ��a d-� "/ �-C1 leo i c� 4'!`CCt S /f�y►l�Wlt Y� /!C��}tc CW-Wukel l jt,EC7 age( C7`4,'1C f M,aj /Y5'k'7`C &2r70 rL' i.xF"!�P trr ft 5 ra✓A'L 11 sf 1tfCt�ie t h c ' -s James F.King,President '\,oF So�ly Town Hall Annex Bob Ghosio,Jr.,Vice-President � �/_ 54 Main Road � `O P..O.O.Box 1179 Dave Bergen 4 4 Southold,New York 11971-0959 John Bredemeyer N G Telephone(631)765-1892 Michael J.Domino �� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0768C Date July-9..2012 THIS CERTIFIES that the construction of 50' of new bulkhead,• installation of 60' of 1 to 2 ton, 2-row rock low profile revetment• fill void areas landward of new bulkhead and revetment with clean trucked-in fill approx. 40 cy • construction of a 4' wide access stairway to beach; 10' wide vegetated non-turf buffer area along the landward edge of the bulkhead and rock revetment: and new stone patio At 755 North Parish Dr., Southold Suffolk County Tax Map#71-1-8 Conforms to the application for Trustees Permit heretofore filed in this office Dated 6/23/11 pursuant to which Trustees Wetland Permit#7633was issued on 8/24/1 land Amended on 4/18/12 and conforms to all of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is being issued is for The construction of 50'of new bulkhead; installation of 60' of 1 to 2 %z ton,2-row rock low profile revetment; fill void areas landward of new bulkhead and revetment with clean trucked-in fill, Approx. 40 cy.,construction of a 4' wide access stairway to beach; 10' wide vegetated non- turf buffer area along the landward edge of the bulkhead and rock revetment; and new stone 24L10. The certificate is issued to PETER&JOAN FRITZ owners of the Aforesaid property. )so-" CZ 4 Authorized Signature 1 rjf James F.King,President �Ok SQUjyO� 7Town Hall Annex 3 b Main Road Bob Ghosio,Jr.,Vice-President P.O.Bos 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G �� Telephone(631)766-1892 Michael J.Domino1�CO Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 18, 2012 Mr. Scott Kruk Natural Images Landscaping, Inc. 34990 Route 48 Peconic, NY 11958 RE: PETER &JOAN FRITZ 755 NORTH PARISH DR., SOUTHOLD SCTM#71-1-8 Dear Mr. Kruk: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., April 18, 2012: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit#7633 to re-vegetate the area landward of the bulkhead and install a stone patio, and as depicted on the revised project plan prepared by Natural Images Landscaping, Inc. received on April 24, 2012 and stamped approved on May 1, 2012. This is not a determination from any other agency. Sincere JameF. King, Presid nt Board of Trustees JFK:Ims — �- • .� a' ATD��r 1 MARSN_NAuos t DULK NpA9 ''!I L4"I,riio`Rr L h.W H I .NORC JYMI►!R O T `I ,Mn • ` A O Io rw Mrewq . * N!41MAM� AD 1 RnsTINa uArLu cLtrHR� NOTES: _ ALL RANT MhTQR1AL CNOSRN PKOYI TNG CORNP4 J CO6r[RATIY9 CYTLN4041 90ASNORi MANTIN6 rAri! �Ar[Ay9R�rJ�N— DAT9D S SLI&HT R9VIII04 1110 6 A,NOTN►#- V(TNM GlJwl eRA54 i s79µ0 4imm&!A.R►�I shN► Nh1(e �A TiD 406 1 f rRM>•IS e(VM APPROVED BY • Sr�°YI�Mreo`Mr 4.TwT�Itle asaMAs. BOARD OF TRUSTEES 1 {IIsr1N• sTars TOWN OF SOUTHOLD •NDAR DATE N/lY —IWMI DO APO 2 4 29Q LAWiq MARSH IAA LLOd 5 _ PROJECT: CONCEPTUAL DESIGN: PLN VIEW I ••. - FRrM RESIDENCE SALE: 1•-10•-0• — i 755 NORTH PAR _ ISH ROAD JLLI.' DATE: FEBRUARY 7,2012 y ZS Ex 19TING Ju NlrrR S011IHOLD,NY 11971 r REVES�NS: NATURAL IMAGES LANDSCAPING iNc. 631.734 6279 34990 ROUTE 48.SOUND AVENUE • PECONIC NEW YORK 11958 WWW.NATURALIMAGESLANDSCA P ING.NET _ 1 BOARD OF SOUTHOLD TOWN TRUSTEES 9 SOUTHOLD,NEW YORK I PERMIT NO.7633 DATE:AUGUST 24,2011 ISSUED TO: PETER&JOAN FRITZ y PROPERTY ADDRESS: 755 NORTH PARISH DRIVE,SOUTHOLD SCTM#71-1-5 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&qgust 24,2011,and inconsideration of application fee in the sum of$250.00 paid by Peter&Joan Fritz 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 to construct 50'of new bulkhead;install 60'+/-of 1 to 2%ton, 2-row rock low protUe revetment;fill Vold areas landward of new bulkhead and revetment with clean trucked in fill,approximately 40+/-cubic yards;construct a 4' wide access stairway to beach;with the condition of the instaDatlon of a 10'wide vegetated non-turf buffer area using Cape American beach grass along the landward edge of the bulkhead and rock revetment to be maintained;and as depicted on the site plan prepared by Costello Marine Contracting Corp.,last dated September 29,2011, and stamped approved on September 30,2011. 1N 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: I, �y1FFi1(,� Kin Nay Dave Bergen — Na v .,ofT Town _Loa�C f STTown �s Y' 4` AWWrMOAAD Mh&f y.r n...Ama. 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Som/eoo-7/•% Jury 2S,Zo/� stpr 1t}.sni/ �o mw�w�'Oi1 �`� • 1 �, , l / i off 1 ` M � s l 1p .• L y - C i`.4* 7a . on lot 0.4 J6 1 r + ....e. FRITZ sib 000 existing deck R ` l S as- I � i t 1 y..1 y i 40 0 nim 'FRITZ 4 ` _ =IIIb• � ._ -v}•i �i � :{. w• '�_ ,. a. low- 1000-71-1-8 - jW •� * • 00 �w � � �1': � � •�� � 5 ea 1 LL 44 IL ism 'FRITZ; SCTM: 1000-71-1-8; rear (water front side) of house; proposed second floor; t 1 � R a..rw..r+ a�A►� ii. �M Y •1k ted stairs f�om .•• , • • • ' T-. W9 .--- k% 0 � IV T _ Wl r te• �." �v• . a aOX ��-"� �. 1 • 1 t RINI lip IL �. Pr f FRITZ SCTM: 1000-71-1-8 existing patio under deck to be replaced and modified 4 E •.w 1- _- �� y .. V. ♦LL .. or f a 000 1,sa, - 6 N NJ en i b 9 SOUTHOLD BAY �; •°ter 4D•43 b 1A 9 N a JO/ a e a F a e a e ,r 2 I •, jay ,a1(q I ) 2 J1p i b 1 tr I 2t Y ,s4q� �tgNra y N � , lop MQ� ' A b � bYMsiElo � •V NJ a M _ pr vs 6 ess»sen L+-•• COUNTY OF SUFFOLK © K , > awrNo,u secnoNNo —2�— ,� (2') —_—_ —_ Real Ptq)erty Tax Service Agency r OFFICE LOCATION: OF SO(/ryO MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 Gc� Q Telephone: 631 765-1938 • �O Fax: 631765-3136 oly00U ,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD V 9: MEMORANDUM SEP 1 7 2013 S01411C d TOINq Boar f Trus e To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: September 13, 2013 Re: LWRP Coastal Consistency Review for JOAN & PETER FRITZ SCTM#1000-71-1-8 Patricia C. Moore, Esq. on behalf of JOAN & PETER FRITZ request a Wetland Permit to renovate the existing 60'x32' two-story single family dwelling by constructing a 5'10'x30'2.5" first floor addition over existing deck on west side; new deck stairs in rear of dwelling; new 7'x22' addition to landward side of dwelling; for the existing 10'x28' deck and existing 24'x24' garage; reconstruct and expand existing masonry patio below deck; and for the existing pervious dryset patios and stone walkways on sand. Located: 755 North Parish Drive, Southold. SCTM#71-1-8 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of, Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed actions are CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing.its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Peter Young,Chairman co y Town Hall,53095 Main Rd. Lauren Standish, Secretary P.O Box 1179 Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory. Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 11, 2013 the following recommendation was made: Moved by William McDermott, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of JOHN & PETER FRITZ to renovate the existing 60'X 32' single-family dwelling; new 5'10"X 30'X 2.5' proposed first floor addition over existing deck on west side, new deck stairs in rear of house and new TX 22' addition to landward side of house with existing deck and attached 24'X 24' garage. Reconstruct and expand masonry patio below deck 75' from sea wall; permit for existing pervious dryset patios and stone walkways on sand, landward of new sea wall. Located: 755 North Parish Dr., Southold. SCTM#71-1-8 Inspected by: William McDermott Vote of Council: Ayes: All Motion Carried James F.King,President rjf.SoUjy Town Hall Annex I ad Bob Ghosio,Jr.,Vice-President h�� �l0 54375 P.O.Box Dave Bergen Southold,New York 11971-0959 John Bredemeyer G ® 0 Telephone(631)765-1892 Michael J.Domino �O�y � Fax(631)765-6641 BOARD OF TOWN TRUSTEES k TOWN OF SOUTHOLD 4 Office Use Only oastal Erosion Permit Application Wetland Permit Application Administrative Permit / _Amendment/Transf r/Ext rasion 3�3 leceived Application:eceived Fee:$ EE 0V EDompleted Application 2 j3 D : _Incomplete _SEQRA Classification: Type I Type II unlisted AUG 2 3 2013 oordination,(date sent) �WRP Consistency Asse sme. t Form Jed. 3 outhold Town _CAC Referral Sent: 3 :7v.6ate of Inspection:. 1-3 _Receipt of CAC Report: 7 _Lead Agency Determination: �chnical Review: blic _Hearing'Held: _Resolution: Name of Applicant Joan & Peter Fritz I Mailing Address 71 Chapel Road, Manhasset NY 11030 Phone Number.( ) (516.)445-3642 Suffolk County Tax Map Number: 1000- 71-01-08 755 North Parish Drive Southold Property Location: , (provide LILCO Pole#,distance to cross streets, and location) AGENT: Patricia C Moore (If applicable) Address: 51020 Main Road Southold, 'NY 11971 Phone: (631) 7654330 ua Pard of Trustees Applicatic. i GENERAL DATA Land Area(in square feet): 17,316 r-40 Area Zoning: Previous use of property: Residence Intended use of property: Residence-renovation Covenants and Restrictions on property? Yes X No If"Yes",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 .X No If"Yes",please provide copy of decision. ! Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes x No Does the structure(s) on property have a valid Certificate of Occupancy? X . Yes No 1. Prior permits/approvals for site improvements: Agency Date Trustees#0768 7/9/12 f' No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes,provide explanation: Project Description(use attachments if necessary): attached xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx PROJECT DESCRIPTION Renovation of existing of 60' x 32 single family dwelling. 60 X 32 second floor. New 5'10" X 30'2.5" proposed first floor addition over existing deck on West side, proposed new deck stairs in rear of house and new 7 X 22 addition to landward side of house as shown on plans by Nancy Dwyer, with existing 10' 28' deck and attached 24' x 24' garage. Existing residence and deck located 75 feet from new sea wall, setbacks shown on survey prepared by Peconic Surveyors. Reconstruct and expand masonry patio below deck 75' from sea wall; permit for existing pervious dryset patios and stone walkways, (on sand), landward of new sea wall all as shown on plans prepared by Natural Images Landscaping Inc. ] rd of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: renovation of existing residence and proposed patios .Area of wetlands on lot: 1,700 square feet Percent coverage of lot: 1 % ` between neatest existing structure and upland Closest distance g p edge of wetlands: 75' feet Closest distance between nearest proposed structure and upland edge of wetlands: 75' . feet Does theroject involve excavation or filling? p. J g I .No X Yes If yes;.how much material will be excavated? 0. cubic yards How much..material will be filled? 0 cubic yards Depth of which material will be removed or deposited: cement slab feet Proposed slope throughout the area of operations: gradual Manner in which material will be removed or deposited: I . small equipment 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): none- pervious patio adjacent to sea wall (existing)and impervious patio 75' from sea wall ! ' i PROJECT ID NUMBER 817'20 SEQR it APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1 PPLICANT/SPONSOR 2.PROT NAME 2`C irk (Z TZ ! i' 3.PROJECT LOCATION: 1 Municipality Sc_� � A r 6c) 1� County 4.PRECISE LOCATION: Street Addess nd Road Intersections. Prominent landmarks etc -or provide map �G�-L.l I 5.IS PROPOSED ACTION: ElNew ®Expansion Modification/alteration IL�1 i 6.DESCRIBE PROJECT BRIEFLY: ; n I. I' I. 7 AMOUNT OF LAND AFFECTED- Initially acres Ultimately S acres II 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? NYes ❑ No If no,describe briefly: i 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open Space ❑Other (describe) i ' I i 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ❑Yes No If yes, !ist'agency name and permit / approval: ! �I 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ElYes El No If yes, tist agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes No I CERTIFY THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / sor Name f���iCGi G 00 Date: 7 Signatu If the action is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PROJECT DESCRIPTION Renovation of existing of 60' x 32 single family dwelling. 60 X 32 second floor. New 5'10" X 30'2.5" proposed first floor addition over existing deck on West side, proposed new deck stairs in rear of house and new 7 X 22 addition to landward side of house as shown on plans by Nancy Dwyer, with existing 10' 28' deck and attached 24' x 24' garage. Existing residence and deck located 75 feet from new sea wall, setbacks shown on survey prepared by Peconic Surveyors. Reconstruct and expand masonry patio below deck 75' from sea wall; permit for existing pervious dryset patios and stone walkways, (on sand), landward of new sea wall all as shown on plans prepared by Natural Images Landscaping Inc. PART it- IMPACT ASSESSMENT go.be co feted by Lead A enc . A,DOES ACTION EXCEED ANY TYPE tTr4RESl-i=IN 6 NYCRR,PART 61.T.4? if yes,coordinate the review process and use the FULL EAR 0 Yes Q No 8. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN-6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another Involved agency. 13 Yes Q No: C.COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED MH ME FOLLOWING:(Answers may be hatdwrfttm If legible) C1. E)dsting air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern;solid waste production or disposal, potential for erosion,drainage of flooding problems? Explain briefly. C2 Aesthetic.agricultural,ardweologI*ftistodc.or other natural or adfurai resbufoes;of or nelglIborh000 dtaracter?Explain bdeft r. C3. Vegetation or fauna,fish shelifis 'or wild de-spedes,significant habitats,or threatened or endangered species?9;lain briefly: C4. A community's existing plans or goals as offidatly adopted.or a-change.in use or intensity of use of land or other natural resouroes?Explain txietfy: C5. Growth,§ubsequent development;or related activities likely to be induced by the proposed action?Explain briefly: C67 long lean,short.term,cumulative,or other effects not identified in C1-05? Explain briefly- C7.Othet impacts Qndpding changes in use of either uantity.-or type of energy? Iain briefl ; O.WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA 7 If brie Q Yes L,/ No E IS THERE,OR IS THERE LIKELY TO RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPAQTW if . lrc .0 Yes Q No PART!t1-OE7ERIMNA'"Ott OF SIGNIFICANCE(To be cximpleted by Agency) R MTRUCUONS: For each adverse eff ect idenffted above,determine whu aw k is substantil,lar ager krlpartantorothervvise t bn1ficamt Eadt ata shout be assessed in conneWM YM its(a)setf9rtq(Le.urban or rune:(b)probability of oocuring;(c)dumflm(d)kfewl ft.(e) SeW c eooper and(Q magnitude. if neWmy,add attadlmerrts or refetence suppodtV materials i WM Mat WTWna6=contain- suffident detati to show Oiaf adf relevant adverse knpacts hens been idenfdted and adequa*addressed. If quesliotr d of part ti was dmdced yes.,Me determination ofs ufficance mudevaluatethe potential bWadof the pmposed acorn on the envtnoninefftl ofiafadefishcs ofthe CEA Check Ihis box if you have i a fi ied vile ormore potentially large orsigntlicarrtadverse knpads wtticft MAY occur Then • EAF andtor prepare a posNW declaration directlyto Check fhls box if you tiave determkled,based on the kdbffnation and analysis above and any suppoft documentation,that the proposed 1MLL NOT result M any sigrilficarif adverse environmental impacts AND provide, on.attaldmlents as necessary,the reasons supporting Qui determination. Board of Trustees Name of lead Agency Date President O Pnnt or Type Name of Responsible Officer in Lead Agency Pfle of Responsible Officer Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATIOW S.C.T.M THE FOLLOWING ACTIONS M"REQUIRE THE FROL PLAN ERFESIGEEROSION O CERTIFIED BY A DESIGN PROFESSIONAL INAGE N THE STATE NEW YORK i SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No i a. What Is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within q I Will this Project Retain All Storm-Water Run-Off the Scope of Work for Proposed Construction) 49 , �!the by a Two(27 Inch Rainfall on Site? (S.F./Acres) (This item will include all nm-off created by site Elb. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed �3lb�/ Site Improvements and the permanent dation of I construction activity? (S.F/Acres) impervious surfaces.) AD PROVIDE BRIEF PROJECT DESCRIPTION iPrdoAdaoenmaa9mmN=daM 2 Doan the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size 8 Location?This i �+ �/� L item shall Include all Proposed Grade Changes and dG�i7� Lb OY a4'WC� A v Slopes Controlling'Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion ZEI and sediment control practices that will be used to control site erosion and storm water discharges. This i �✓ �lyGr?�L�y,Ep >c��� item must be maintained throughout the Entire C J L Construction Period. � h� /d/S7V41 U,/te 4 Will this Project Require any Land Filling,Grading or /J S PiL,� 'L _ } Excavation where there is a change to the Natural M V✓/A D6j017S/r cz6hl'� Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand E-1 V (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction Genorai DEC SWPPP Requirements• or within One Hundred(100')feet of a Wetland or — Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more sates; irhduding disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes / are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to ❑ o� including Construction activities Imdving soil disturbances of less than one(1)acre where One Hundred(1001)of Horizontal Distance? the DEC has determined that a SPDES permit b required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.G134.10-001.) Surfaces be Sloped to Direct Storni-Water Run-Off F-11.The SWPPP shag be prepared prior to the submittal of the Not.The NOI shag be Into and/or In the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. i. 2 The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,postconstrudlon storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-0f-Way or Road Shoulder M complance with the terms and conditions of thio permit in addition,the SWPPP shag Area?�item vola Nor �fl the tratlon of t Amo m) i Identity potential sources of poaution which may reasonably be expected to affect the quality of storm water discharges. NOTE: It Any Answer to Questions one through Nine is Answered with a Check Marty 3.Ali SWPPPs that require the post-construction storm water management practice In a Box and the eonsaucdon site disbabance Is between 3,000 S.F.d 1 Acre In area, component shag be prepared by a qualified Design Professional Licensed In New York a Storm-Water,Grading,Drainage a Erosion Control Plan is Required by tho Town of i. that Is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to issuance of Any Building PemdL (NOTE: A Chedr Nark(J)and/or Answer for each Quesdon Is Required for a Complete Apglcason) ` STATE OF NEW YORK, COUNTY OF 5 �L �. ..>1L................SS That I,...F W..0—...... ..�../...1..�8� �.........being duly swots,deposes and says that he/she is the applicant for Permit, ' (Name of ldlvtdual signing Document) Andthat he/she is the ............................... .......................................................... (Oivrier, Asem Caiparate Officer,air-j Owner and/or representative of the Owner or Owners,and is my authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are due to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; day of..... ,20. ..... ........... Notary Public: .. ........................ ..... ... j (Sgruature of Applicant) FORM - 061 0 No.01 PE6130636 " Qualified in Suffolk Coungfl,,i Commission Expires July 18, f l yos"�t Town of Southold - Chapter 236 - Stormwater Management SWPPP - Storm Water.Pollution Prevention Plan Assessment Forrn GENERAL INFORMATION:(All'Requested Intforrnation.is Required for a,Complete Application) APPLICANT NAME: Owner-Agent-6idiant=C ontracfgror,Other(Circle One) Property'OWNER.(IfDlRerent than App llcant). L` Joan & Peter Fritz - _ Address: 71 ape Manhasset NY 11030 Address:. I; Telephone k•516-445.-.._ 42 Fax0; "Telephone Fax A.. 36. 'E-Mail: E-Mail:- Property Address: 755 North Parish Drive, SOU(h01d -BrieED:escription of Cunauiiction Ac&v ,PnDposed SoMetnial aMPa,soil a.C.T.M..tk _1060 - _ S_�baliiafiou B_MPs,Pnn—Scope and/or Sequence of Canstiuction.Adivity Dlselcl'. aWlon .Black :La. _ - i"Addhlonal Paw as Need-0 i second floor addition to existing dwelling, deck Nemo of Contractor addfor Contac Pcrson Respoiisiblo'for Imploinentattori'of SWPPP: •addthon-ta-ex(stirrTdeck----------------------- Address: --_---____-_..._.._--_.----_-------------------- drywells,.•g_Lg(tr &leaders to beprovided__: Telephone Fax " - ------''--"— ----- E-Mall: ----------------------------.- --.---_--- , ---'------------------------•----------------- Name of Persons Responsible for Installation$Maintenance of Erosion Control Practice: owner ---------------------------------- Address:. Telephone#: Fox# --------- --------------------------- ------ E-Mail: --------------------------------------------- Total Area of A] 23,099 Total Area of Land clearing 1 O I Project Parcels: and/or Gfowd Diskwbance: ----------------------------------»_.--_----_ (aF./Aon) I (SF IAsn) j Project Duration: StartEnd -•--=-----_---- (Antl ipated) Date: Date: i (wmnnacmendorw,a) ----------_--.._----•------------------------ W111 this Project Disturbe five(S)or More Acres at. Q © �, Any One Time During the Proposed Development? Yes No -----------------__---.----------------------- ifYES:Please Answer the Followingl -------.------------..-.---- -"'--- a. Does the Applicant have a Qualified Inspector On Q Q: �• Staff To Conduct the Required InspeciJons? Yes No b. Does the SWPPP Indicate How Frequently the Site Q Q List the NAMES or description of all Potentlallr impacted Waterbodles andfor Wetlands: Inspectionswill Occur and for What Period of Time`? Yes, No Southold Bay ----_ c. Does the SWPPP Adequately IddnipfyQiiTemporary Q , and/or Permanent.so(IStabal(ia"Measures? Yes- `No ---------"-------------'- _ - __._--_-_--_-__-- d. Does the SNfP,PP Adequately Identity a Complete - ProJect Phasing'P.lan•? Yes No status of.Impacted waterbody(eg:TreDL,3o3(d)usted,bnpairea ) e. Does the.SVVPPP Indicate Additional Site Specific, Q Q Practices that Will be Ufifi ed to Protect Weiter.Quelity? Yes No -none-.,- f. Done___f. Has the Applicant Submitted a Completed DEC Notice Of Intent and SWPPP Acceptance;l orm for Review- Q Q ,Typs'of ek;Impacted Waterbocip(eg.Lake,creaay,Pond;Sound,Freshwater Wetland.-) W the Town of Southold.? Yes No - STATE OF NFW YORK, al � COUNTY OF...:S.........» �....L ...-..-.--.- ...-..»....SS 2..C Yt C l-'( L._ being duly swo deposes and.says that he/sbe is the applicant forTermit, That I,.»»........ P. » m, (Name of IndMdtral a n Document) And that hc�slie is the .. ,..:. �....» : :. .;; .:::.:. . - ................................................... .... ............ ".(offer.con .Agent;'Corporate Odlcer,els.) Owner and/or representative of the Owner or Owners,and.is.duly,authorized'to perform or have performed the said work and to •make and filethi's-application;that all statements coniaiiied.in this application are true.to the best of his knowledge and-belie'f,.and that the work-wiU be performed.in,the,mannu setfordi in4he application filed herewith. Swon�b2 re mite this; / � I ........................... ......... ay of... .............,20.3 L 9 Notary1'uUlir .... .. ........ . ........................ (Signature of applicant) SWPPP Assesmen g Notary Publla,r State of New York No.01 PE6130630 Qualified In Suffolk Cour Commission Expires July 18, PROJECT DESCRIPTION Renovation of existing of 60' x 32 single family dwelling. 60 X 32 second floor. New 5'10" X 30'2.5" proposed first floor addition over existing deck on West side, proposed new deck stairs in rear of house and new 7 X 22 addition to landward side of house as shown on plans by Nancy Dwyer, with existing 10' 28' deck and attached 24' x 24' garage. Existing residence and deck located 75 feet from new sea wall, setbacks shown on survey prepared by Peconic Surveyors. Reconstruct and expand masonry patio below deck 75' from sea wall; permit for existing pervious dryset patios and stone walkways, (on sand), landward of new sea wall all as shown on plans prepared by Natural Images Landscaping Inc. t , BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF MAILING JOAN & PETER FRITZ Applicant's Land Identified as 1000-71-1-8 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I,Betsy Perkins residing at Mattituck, New York, being duly sworn, depose and say that: On September , 2013, deponent mailed a true cop of the Notice set forth in the Board of Trustees Application, directed to each of the persons listed on the attached list at the addresses set below their respective names; that the addresses set below 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 Southold, New York, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Attached hereto is the white receipt post-marked by the Southold Post Office on said date. Ld Signatu D) � Sworn to before me this 18' day o 2013 Notary Public) PATRICIA C. MOORE Notary Public,State of New York Suffolk County-No.4861668 Commission Expires June 116,11-91y FRITZ NEIGHBOR MAILING LIST SCTM: 1000-71-1-8 MARGARET CROASDALE 695 N. PARISH DRIVE SOUTHOLD NY 11971 SCTM: 1000-71-1-7 LOUIS & ROSEMARIE SIRACUSANO PO BOX 264 SOUTHOLD NY 11971 SCTM: 1000-71-1-9 JOHN & MARGARET MERRILL 700 N. PARISH DRIVE SOUTHOLD NY 11971 SCTM: 1000-71-1-31 I RECEIPT RECEIPT I RECEIPT 4 7104 2438 8090 0000 1904 I 7104 2438 8090 0000 1911 i 7104 2438 8090 0000 1928 FROM I FROM: ` FROM Moore Law Office f Moore Law Office ; Moore Law Office RE r,i tnistaes(,"il f RE:4mkrustees I�I SEND TO' SEND TO' SEND TO' MARGARET CROASDALE 695 N.PARISH DRIVE LOUIS&ROSEMARIE SIRACUS I JOHN&MARGARET,MERRILL PO BOX 264 N.PARISH DRIVE { SOUTHOLD NY 11971 { I SOUTHOLD NY 11971 S_OUTHOLD Y 11971 `nF VSPSI F Si==" s?' k;0.46 F Post 46 Postage ^f1 0.46:,10 t Ce ied Fee 3.10 FQgp�i 20133.102.55 i tJ+R um Receipt 255 t Rec i 255 9 I Restricted ,� Restricted 5 2 11TOTAS�� � $6.11 t�T0 1L /DA!lk OR DATE t \ POSTMARK OR DATE i POSTMARK O T , BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK In the Matter of the Application of AFFIDAVIT OF SIGN POSTING JOAN & PETER FRITZ (to be completed after posting remains in place for eight days) COUNTY OF SUFFOLK) STATE OF NEW YORK) I, PATRICIA C. MOORE residing at Southold , New York being duly sworn, depose and say that: That on September , 2013, 1 personally posted the property known as 755 North Parish Drive, Southol New York , (SCTM: 1000-71-1-8) by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the post has remained in place for eight (8) days prior to the date of the public hearing. Date of Hearing noted thereon to be held September 18, 2013 at or about 5:30 p.m. Patricia C. Moore Sworn to before me this l� day of Xo4taryPulic �a BETSY A.PERKINS Notary Public,State of New York No,01 pE6130636 Qualified in es July 18�1 Commission Exp NOTICE OF HEAR- ING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town - Hall, 53095 Main Road, Southold, New York, concerning this property. �. OWNER(S) OF RECORD:TOOn 4 . SUBJECT OF PUBLIC HEARING- Renovate the existing 60'x32' two-story single family dwelling by co.nstructing.a 5'10'x30'2.5" first floor addition over existing deck on west side; new deck stairs in rear of dwelling, new 7'x22' addition to landward side of dwelling, for the existing 10'x28' deck and existing 24'x24' garage, reconstruct and expand existing masonry patio below deck, and for the existing pervious dryset patios and stone walkways on sand TIME & DATE OF PUBLIC HEARING: er I S X01 - a�-or 5 : 3017') es Sic 3 If you have an interest in this project, you are invited to view the Town file(s) which are available for ins ection rior to the day of the hearing during normal business days- between the ours o 8 a.m and ,4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 Board of Trustees Application County of-Suffolk. 'State.of New York Joan and Peter Fritz BEING DULY SWORN DEPOSES-AND AFFIRMS tHAT HE/SHE i-S,THE A- PPLICANT FOR THE ABOVE DESCRIBED PERMIT(S.);AND THAT ALL STATEMENTS CONTAINED.HEREIN-EREIN ARE TRUE TO T14E BEST-OF.14f9/REk 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 TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER ORB Y VIRTUE OF SAID PERMIT(S);IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S)-OR R-EPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT TH PREMISES IN CONJUNCTION WITH REVIEW OF THIS.APPLICATION. Si nature (-3 SWORN TOBEFORE ETHIS—ZZ MDAY OF ,20 Notat y Pu�Iic, BETSY A.PERKINS Notary Public,State of New York No.01 PE6130636 Qualified.in Suffolk CountY) Commission Expires July 18, Board of Trustees Application AUTHOkIZATION (where the applicarit ' riot the.owner). 1, Joan and Peter Fritz residing at 71 Chapel Road (print,owner,of property) (mailing addre"s"s) Manhasset, NY 11030 do.hereby authorize Patricia C. Moore (Agent) to apply for perinit(s)from the Vwef T Trustees on my behalf. ii APPLICANTIAGENUREPRESENTATIW TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the bad of town d mpi e of �officers an e oyees purpose this form is to provide inforination which can alert the town of possible conflicts of ibigm and allow it to take whatever action is necessary to avoid saw F YOUR NAME., Joan & Peter Fritz (Last name,flist name,Middle initial,unless you am applying id 4 name of someone else or other entity,such as a company.If so,indicate,tht.other person's or company's name.) NAME OF APPLICATION: -(Check all'that.apply.) 'Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"OtheC,name the activity.) Do you personally(or through.your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business hitprest."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. if YES NO X . Ifyou 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 thespaceprovided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); Q an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP u nitted 2 Print Name Form TS 1 Town of Southold ' t LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. i 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 oronosed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town) 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency 'review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. _ i { A copy-'of the LWRP is available in the following places: online at the Town of Southold's website(soutfiw oldton.northfork.net), the Board of Trustees Office, the Planning Department,.all 1 local libraries and the Town Clerk's office. B. DESCRIPTION OF SIAND PROPOSED ACTION D 0 TE SCTm 71-01-08 AUG- 2 3 2013 f. PROJECT NAME Fritz renovation and patios i o , o oven The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees LEI 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: renovation of existing residence, reconstruct impervious patio under deck and permit for existing pervious patiuS aluny Sed Wall �`see. a a Ing d PROJECT DESCRIPTION Renovation of existing of 60'x 32 single family dwelling. 60 X 32 second floor. New 5'10" X 30'2.5" proposed first floor addition over existing deck on West side, proposed new deck stairs in rear of house and new 7 X 22 addition to landward side of house as shown on plans by Nancy Dwyer, with existing 10' 28' deck and attached 24' x 24' garage. Existing residence and deck located 75 feet from new sea wall, setbacks shown on survey prepared by Peconic Surveyors. Reconstruct and expand masonry patio below deck 75' from sea wall; permit for existing pervious dryset patios and stone walkways, (on sand), landward of new sea wall all as shown on plans prepared by Natural Images Landscaping Inc. Location of action: 755 North Parish Drive Southold Site acreage: 17,316 Present land use: Residence Present zoning classification: r40 I 2. if an application for the proposed action has been filed with the Town of Southold agency, the-foil owing information shall be provided: (a) Name of.applicant: Joan.& Peter Fritz (b) Mailing address: 71 Chapel Road, Manhasset l NY 11030 (c) Telephone number:Area Code( ) (516)44573642. (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No❑ If yes, which state or federal agency? i 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. XJ Yes F] No [:] Not Applicable renovation of existing residence, reconstruct patio under existing deck and permit fora walkways & patios enhances community character Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LNW Section III Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No n Not Applicable i 1 Attach additional sheets if necessary i' 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 x❑ Not.Applicable ; 1 I 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 ❑X- Yes ❑ No a Not Applicable - hnuse is 75 feet from seawall ❑atins are existing Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply_ in the Town of Southold. See LWR:P Section III -Policies Pages 16-through 21 for evaluation criteria ❑ Yes ❑ No 0 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. ❑ ❑ 7 , I Yes No Not Applicable i 4 Attach additional sheets if necessary i Policy 7. Protect and improve air quality in, the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. , YesE] No❑X Not Applicable 1 !'r r 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 El No El Not Applicable i 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. El Ye:] No® Not Applicable Attach additional sheets if necessary i WORE NG 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. ❑ Yes ❑ No 0 Not Applicable 4+ r f 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. ` X I ElYes ❑ No❑ Not Applicable all improvements are landward of.sea wall } I t Attach.additional sheets if necessary. ' Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes. ❑ No Not Applicable ' Attach.additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources.'See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Q Not Applicable PREPARED BY Patricia C Moore TITLE AGENT DATE 8-19-13 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: 631) 765-4330 Fax:�631) 765-4643 www.mooreallys.com email: pcmooreQmoorea s.com betsy(@mooreattys.com August 23, 2013 Board of Trustees p E8V E Town of Southold Main Road (Town Hall Annex) AUG 2 3 2013 Southold NY 11971 hand_ delivered Southold Torn bard Trustus RE: FRITZ. PREMISES:.755 NORTH PARISH DRIVE, SOUTHOLD SCTM: 1000-71-1-8 Dear President.and Board members: With reference to the above, enclosed please find an original and 3 copies of- 1. £1. Application for Wetlands Permit signed and notarized by owner together with authorization from owner 2. Transactional Disclosure signed by agent and owner 3. LWRP 4. Short EAF 5. Storm Water Run-off Assessment form I have also enclosed four sets of the site-plan/survey together with my client's check for the filing fee. Please place.this matter on your next available calendar. Thank you and please call should you have any questions. Very truly yours, Patricia C. Moore PCM/bp encls. C: Mr. &Mrs.,Peter Fritz