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Silvino Family Trust
Michael J.Domino,President ��®F So jy® Town Hall Annex John M.Bredemeyer III,Vice-President �O lQ 54375 Route 25 Jx[ P.O.d, Box 11 79 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams O a Fax(631) 765-6641 Cou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 16, 2018 Robert Wilson P.O. Box 49 Southold, NY 11971 RE: SILVINO FAMILY TRUST 2750 GLENN ROAD, SOUTHOLD SCTM# 1000-78-2-42 Dear Mr. Wilson: The Board of Trustees office received your application for an Administrative Permit at the above mentioned property on March 28, 2018. On April 13, 2018, the Board of Trustees office received your letter requesting to withdraw said application and for a refund of the application fee. As check#1138 from Press Start Permits for the application fee had not yet been deposited, it is being returned to you as said requested refund. Sincerely, Michael Domino, President _Board of Trustees :. -.•"�.•'Z�..e/e,�''<,&..C'r.'P.(�:•�":.x5"�J..tr �:9n d,'� �y'�k.q�.','t0. •'T: _ �','?�:d«'!ti,ti"., :�a:.i"''_. .,s�'c'"s'z<'t.•.:`:--:',t';r,.-.�"`.''`:4'fi•":�.,,;r-ti; 'w,�-..r -� "..+�. -s._.3•,'•.r,''�`� :4�'S.".s`"., _5+�.,}„S,8',A.1,¢:� F,...,.,,.:"'+-", _,.idQ-t,wr r";'`T`::,;•-. :'Y,; Y�s'.. ;;sa7+���� 4"'q'. -'��. 'f'. ,�¢,�y iu-'" r '• -2- '� .r_ 3s•c+-i'r•_� �...'�s..,%-+ £,�,s'`L" €,z> r.�a-" �a,^� �^"� PRESS-,START-00IV�IT�sg'd,. .�.,, :. ,. '* $T�� ,.•.•f.: .. 3' ` 4 �7V t;•3'Fi'6. ..'_Q_ p' `'Lr.w .moi a`-!'l«..t,;•. yE:'.a'k�"`���' as 'j...=�"'�"�»?+�,£: h. .zsS.O' UTHOLI Vy , 9 ` : 7, ;L="rs}'"t t,:; �.:t�,' yc„ti£�'�' ',y' .l'��L:7'�'. •� [7' ';° i *- �a„'' i 0 R. �«. ggyi''+Ji�:y9 4�` .�` � _ `•i.?ap�p�” .i4... 8'afC. <<ti.6 C p .st�w"IX.i 'w �'•;- J,' ,�' ,`a;r F, .'.>iti'.' `9 �t4�� °t.. ;,k. t.• vr' 'r�t,, ,.;�_'� ;,,ti.' ":S'�N '7+�#�.I.',Tr ��V;-,'�",;-w:- " :°�,T:.":li'`a..r1.`+S •4� a�e,'.-••_-e...,,..°.x��' _Y.e': �:F•..: itS, Y7 ..�--,:�., iy� 'rt' ?.'i`,�Y,:,a•' -y'^..:"'-�..�?TM�,'?:,°:`d:{[�* ;%'„m�'Y��� P.at 3:'`' !fir 4., � r yi: �P':.:`•sC d., ..a- t c+, �Y>-,i.p: E; %a, .�,:�A„�'`f'�r tl:P`. .'r�-' °S' ��- ''k�-•, � '� - o,♦'"r, d'',.i'� ,.y" _ ,.a" e'.4:' ;"'b,. -'S�,''''";,;:^..`Vq-:•�".'�i,. ";.� :..a"'-k�,..;a. »,t%t?..i'a::`"j., ii; fir'^- _ �x�; ..`z"?,a.a-..;.c•1„'-"^ci�~:.o..,a ca�'.� sr,+,,.r.ri ":".u..s;� 3F• - - � a,u-�;�f#. x'^4 ��"` ';, _. T1��J+.1 .T`,. .. 'b' `.,,,1-.,"';. ,.K,-a,z..ti-�,Ru $••;�'��'� ���r� -A - • eS, .�J' ��} 'tiy� '`�}t�dV 4wl��L�3 � rye' F3.. F 5�",' S..,r.�: :;�,.•t�"IIY�"... ;lF''j'. -�,`•t..a• }�' To whom it may concern, On March 28th 2018 we filed an application for an administrative permit from the Southold Town Trustees to legalize the as-built decks attached to the house at 2750 Glenn Rd. Southold NY, on behalf of the Silvino Family Trust. During the process of reviewing the application it was determined that the application would require a zoning board variance before a trustees permit could be issued. We informed the owners of the property of this, and at that time they informed us of their intention to perform further renovations which would also require a variance. The owners at that time decided to wait and obtain a single variance for the whole project. In light of that decision we would like to withdraw the application, and have our check for the application fee returned. Robert Wilson APR 1 3 2018 -A James (- (Gng- Trustcc ^` )OUL110W. tJC— York by/1 Vy�7 x Oa.e Bergen- Trustee Iephocnc(63L) 765-L892 Charles J_ Sandcrs. -rrustce Fa-e (631) 765-6641 co W, BOASD OF TOWN" TaUSTEES D ��jL5��� TOWN O['SOUTHOGD - DD To- Southold-Town Building Department APR - 4 2018 Re: Verification of Building Department Permit Requirements BUMDINGDEPT. TOWN OF SOUTHOLD SGTM#: -7$"-2 -4? Property Owner Mame_ s)c.v I A!o Date Sent to Bldg- Dept-: ' `fig The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department`s permitting requiremeats stated belomr- YES N-0 Will the proposed project require a Buifding Per r-r�it? dl the proposed project require a variance determination from the Zoning Board of Appeals? Will anypart of this application be considered as Demolition as described under Town Code? _ - -- --------------- - --- - ------- --- -- COMMENTS: nzJ --a S - ,rarer U ► b� � OJS l Signature or Reviewer _ �_ y 1 . y 4 Michael J.Domino,President �� �i� r, Town Han Annex er III,Vice-President 54375 Route 25 John M.Bredeme Y � ��,� P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith �` '' Telephone(631) 765-1892 A.Nicholas Krupskia� rj ; Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit ApplicationE E Wetland Permit Application D Adnunistrative Permit MAR 2 8 NIS Am endment/Transfer/Extension Received Application: 31 Z?"IV ,ReceivedFee: $ �0�� J�5—P�ILT Southoltllown Completed Application: 'fAVW a Tr Incomplete: SEQRA Classification: Type I_ Type H_ Unlisted Lead Agency Determination: Coordination-(date sent).- 7Lent):7LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of GAC Report: Technical Review: Public Hearing Held: W iQa n Resolution: Legal Name of Property Owner(s): Silvino Family Trust Mailing Address: 106 Via Sevilla Redondo Beach CA 90277 Phone Number: (631)504-8842 Suffolk County Tax Map Number: 1000- 78-2-42 Property Location: 2750 Glenn Rd. Southold NY 11971 1250' East of Shephard Dr. (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Robert Wilson Mailing Address: PO Box 49 Southold NY 11971 Phone Number: (631)504-8842 Board of Trustees Applf tion GENERAL DATA Land Area(in square feet): 27,444sq. ft. Area Zoning: R-40 Medium density residential Previous use of property: Single family residential Intended use of property: -Same Covenants and Restrictions on property? Yes _ No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes .No' If"Yes",be advised this application will be reviewed by the Building.Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",,please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s) on property have a valid Certificate of Occupancy? _Yes No Prior permits/approvals for site improvements: Agency Date Southold.Town Building Department August 2nd. 1988 Southold Town Building Department August 18th 1987 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): Obtaintrustges.pe. o :.un 'attached rear recreation area consisting of two raised decks connected by an in-grade stone patio. The larger of the raised decks is-23'-10"x 11'-9"for a total of 280sq. ft. and is raised 4' above the,-gC�.de, The,G_17)allPr ds �s 19'-9"x'10'-0" or 197.5 sq.ft. and is raised 2'-3" above the grade. The in grade patio is 68'-6"x 20'-8"with an area of 931 sq. ft. The overall dimensions of the decks and patio are68'-6"X 20-B or 1410sg_ ft_ Board of Trustees Appl:,, Cion WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: Legalize existing decks and patio-attached to rear of house. As-built deck and patio consists of two raised wood framed decks surrounded and conected by an in grade stone patio. Area of wetlands on lot: 6098 square feet Percent coverage of lot: 22 %. Closest distance between nearest existing structure and upland edge of wetlands: 59' _ feet Closest distance between nearest proposed structure and upland edge of wetlands: 59' feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated?. N/A cubic yards' How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: Flat _ Manner in which material will be removed or.deposited: N/A 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): –An,y a ,t on w qds-Qr-fidaLwat -rs will a minium n-outdoor— recreation space comprised of two small wood framed decks, 19'-9"x10'-0"and 23'-10"x11'-8"the decks are connected,by an in-grade stone patio. The total area including both decks and the atio is 1420sq.ft. No part of the construction comes into contact with wetlands or tidal waters. Drainage for additional stormwater run off from the deck is provided in the former ks, and two drains leading to dry-wells set into the lawn between the,patio and the water's edge. ` Board of Trustees AppI4 tion COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Obtain a trustee's permit to legalize the "as-built" rear and recreation space consisting of two raised,wood framed decks connected by an in grade stone patio attached to the seaward side of the exisiting house. Are wetlands present within 100 feet of the proposed activity? No �� Yes Does the project involve excavation or filling? V No Yes If Yes,how much material will be excavated? N/A (cubic yards) How much material will be filled? N/A (cubic yards) Manner in which material will be removed or deposited: N/A Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed,including erosion increase or-adverse effects on natural protective features. (Use attachments if necessary) The project consists of two wood-framed decks, and an in grade stone patio. The entire project is as-built so there will be no impacts from construction. The project is set back more than 50'from the water. Any storm water run-off generated by the deck that could cause erosion are ca tured b two existing dry-wells. 617,20 Appendix B Short Environmental Assessment Form lnstructions ebr 6mrilvtintt 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 I based on information currently available.1f additional research or investigation would be needed to filly respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: Silvinp Deck Project Location(describe,and attach a location map): 2750 Glenn Rd. Southold NY 11971 SCTM:1000-86-6-20 Brief Description of Proposed Action: � � Legalize an as-built recreation area attached to rear of house consisting of two wood framed, raised decks and a stone in-grade patio surrounding and conncect the decks. Name of Applicant or Sponsor: Telephone:` (631)504-8842 Robert Wilson E-Mail:pressSTARTpermitsegmail.com Address: PO Box 49 _ _ - City/PO: State: Gip Code: _Southold _ _ _ _ _ _ _ _ NY_ -11971 A.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, _ NO I YES administrative rule,or regulation?If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that El1101 may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: - _� Southold Town Building Department_4 3.a.Total acreage of the site of the proposed action? 063 acres b.Total acreage to be physically disturbed? ,0 03 acres (141 Osq ft) c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.63 acres 4. Check all land uses that occur on,adjoining and.near the proposed action. Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial [gResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page I of 4 5. Is the proposed action, N/A a.A permitted use under the zoning regulations? V11 b.Consistent with the adopted comprehensive plan?, El R 0' 6. Is the proposed action consistent with the predominant cliaracter7of the existing built or natural V NO YES landscape? E] v 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES IfYes,identify._ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? [;d 0 c.Are any pedestrian accommodations or bicycle routes available on or near site of the,proposed action? El 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies; 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: The project in question is strictly an outdoor recreation area. No potable water will be hooked up LYI 11.Will the proposed action -connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: The project in qyestion,is strictly an Rv El outdoor recreation space. No wastewater will be,generated. 12. a.Does the site contain a structure that is I isted on either the State or National Register of Historic NO VES Places? 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? Fv] Li If Yes,identify the wetland or waterbody and extent of alterations in square feet or acrcs:.,.--.- 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: (0 Shoreline El Forest El Agricultural/grasslands El Early mid-successional �a Wetland ElUrban 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? .121 El 16,Is the project site'locaked 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 -VUS If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO [—]YES b,Will stiorm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly,describe: EJN0 AYES' Page 2 of 4 h 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? 1f Yes,explain purpose and size:-, ���_ - _ •4' _��__ �' _�_� �_�� �-�`^—�.�.�' 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe:_ _.. ,. _ r w a_,. 1 .E 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 ISTRUE' AN®ACCURATE TO THE BEST OF MY KNOWLEDGE g ao Applicant/sponsor name: ��r� Date: Signature: Part 2-Impact Assessment. The Dead Agency is responsible for the completion of fart 2. Answer all of theufollowing 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 lVloderatc smallto 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? El m 1:1 3. Will the proposed action impair the character or quality of the existing communiy? 4. WilI the proposed action have an impact on the environmental characteristics that caused the _ (� establishment of a Critical Environmental Area(CEA)? L_....1 5. Will the proposed action result in an adverse change in the existing level of traffic or EJ affect existing infrastructure for mass transit,biking or walkway? El 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate �, w _ reasonably available energy conservation or renewable energy opportunities?_ 11 7. Will the proposed action impact existing: _ a.public/private water supplies?' b.public/private wastewater treatment utilities? El 8. Will the proposed action-impair the'eharacter 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, l "} waterbodies,groundwater,air quality,flora and fauna)? 0 Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed actionresultin an increase in the potential for erosion,flooding or drainage problems? Ej 1:1 11. Will the proposed action create a hazard to environmental resources,or human health? 0 EJ Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part Z 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 potentiai'impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the'potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis'above,and any supporting documentation, that the proposed action may result in one or more potentially'large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President _ Print or Type Name of Responsible Officer in-Lead Agency Title of Responsible Officer Signature of ResponsibleOfficerin Lead'Agency Signature of Preparer(if different from,Responsible Officer) PRINT Page 4 of 4, r Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, i l/ lthSJ, S i <<V ►+no d�n� Su.(ti"e Amn i h o T✓�S S 1 owners of the property identified as SCTM# 1000- 78-2-42._ in the town of Southold ,New York,hereby authorizes Robert Wison to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owne s SignatP erty Owner's Signature SWORN TO BEFORE ME THIS DAY OF Cam , 20 YANLING CONDRON r/0 Notary Public-California Y'\ Z "� Los Angeles County z otary P blic Commission#2096977 MY Comm.Expires Jan 25,2019 1 Board of Trustees Application AFFIDAVIT _BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature o ropertOwner !! S'gn ture of Property Owner SWORN TO BEFORE ME THIS _DAY OFDeumbe�_20- 1 YANLING CONDRON Notary Public-California Los Angeles County z z ' Commission#2096977 Not Pu 11CM Comm.Ex fres Jan 25,2019 !f� t APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM n - 8 The Town of Southold's Code of Ethics nrohibits conflicts of interest on the part of town dfHcers and employees.The numose of t his Lorin is io brovi lac information which can alert the tomm of possible conflicts of interest and al ow_itto take whatever action is necessary io avoid same. , f YOUR NAME: A V 110 J l-A.Lt.P (Last name,first name, iddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other s 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.) i D,,q�you personally-(dr through your company,,spouse,sibling,parent,or child)havea relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,njarriage,or business interest."Business"interesf-7 means a business, including a partnership,in which.'the town officer oremploycehas even a partial ownership of(or emnloynnent,by)a"corporatiou in which the town officer-or employee owns more than 5%of the shares. r YES NO 1 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 applicanUagcndrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe-in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of-greater than 5%of the shares'of the corporate stock.of the applicant i L (when the applicant is a corporation); B),the legal-or beneficial'owner of any interest in a non-corporate entity,(when the 1 appiicant'is not it corporation); C)an officer,director,partner,or employee ofthe applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this qdaf � 20Signature- PrintName E .cS( Form TS 1 . i i APPLICANVAGENT/REPRESENTATIVE j TRANSACTIONAL DISCLOSURE FORM The-Town of Southold's Code of Ethics prohibitsjoonflicts of interest on the part of town officers and cmnloyecs.The'puroose-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. t YOURNAME: 1111 and (Last name,first n e,�tddle 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 a Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of Ilia Town of Southold? "Relationship"includes by blood,njarriage,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%ofthe shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. f Name of person employed by the Town of Southold i Title or position of that person i Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check I the appropriate line A)through D)and/or describe in the space provided. j The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant ! (when the applicant is a corporation); i 13)the legal or beneficial owner of any interest.in a non-corporate entity(when the applicant is not a corporation); C)an Officer,director,partner,or employee-of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this of rr2 I� Signature Print Name Form TS I AFPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM T to T wn of Soutfio) ' Code F t 'cs hib'ts conflicts f intcresk on tl'a ['tow office s-and cm lo'e'`q h - t d e of this f ti is to rovid 'n orintitian wli ch- a alert the town of ossible conflicts " to 'r ailo •itto take whatever a tion neee�s„_,_ arw to a�oid s;tnie: . YOURNAME: Robert Wilson (Last name,fust name,ipiddle initial,unless you are appiying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map _ Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)Dave a relationship witifany officer or employc,e of flit- own of Southold? "Relationship";includes by blood,marriage,or bui iiicssJntt*st "Business intGrst"pneRns'a business, hictuiling a partnership,hrwhich the town officer or entployce"has.ovcn a partial owgership,of(or employment by)a corporation in which the,tawn Wt`Wcr of employee owns inose than 5%,of die 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 66tween yourself(the applicattt/agentlrepresentative)and the town officer or employee.Either check "the eporbpriate line A)through D)andlor describh`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 n;suer",of gre ager than S°�u of the sitaru of the corliornte'stock,ofthc sipplictint ,(when the applicant isacorporatior); ),die legal orbeneficial owner,otany interest in a non-corporate entity(when tlie" appliOnt is nat a corporation); _____�'C)an officer,dlrCGter,parts I or,employee of the tspplicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this of /MRr Ci\ 20�1 Signature, n Print Name rt ISon� Form TS i t Town of Southold LWRP CONSIiSTENCY.ASSESSMENT FORM A. INSTRUCTIONS L 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 proposcd action will be evalua M as-to its, sigm—'ficmf beneficial and adv6rse-t ffcc:fs upon the coastal area(which'includes all cif 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, eack answer,-must-be gx41ainW in-tlettail, listing both siipportina and non- :su poriin` faats. If an action cannot be certified as consistent with the LWRP policy standards and conditions,itrshall,nofbe 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 SIVE AND PROPOSED ACTION SCTM# 078 2 - 42 PROJECT NAME , Silivino Deck_ The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. 0 Board of Trustees Q 1. Category of Town of Southold agency action(check appropriate'response): --°� (a) Action undertaken directly by Town agency(e.g-capital :LJ construction,planning activity,agency regulation,land transaction) El(b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Obtain a trustees permit to legalize an as-built outdoor recreatjg � rside of the exiiting ._ residence. The project includes two raised wood framed decks surrounded and connected by an in-grade stone patio. The larger of the two decks is 23'-10"x 11'-5"for a total of 280 sq.ft.The smaller deck is 19'-g"x 10'with an area of 198 sq.ft. The stone patio has overall dimensions of 68'-6"x 20'-8"with an area of 931 sq.ft. t Location of action: 2750 Glenn Rd. Southold NY 11971 SCTM: 1000-078-2-42 Site acreage: 0.63 Acres Present land use: Single family residential Present zoning classification: _ R40 Medium density residential 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: Robert Wilson (b) Mailing address: PO.Box 49 Southold NY 11971 (c) Telephone number: Area Code( ) (631)504-8842 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. 1lQ1 1. .LOPED-COAST POLICY Policy 1. Foster a pattern of development is 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 LNVRP Section III—Policies; Page 2 for evaluation criteria. F,/]Yes ❑ No ❑ Not Applicable The decks are small and attractively desi ned.The ma'on of the,construction is"in rade"so as to be nearly invisible from the water The two raised decks are only 23'-10"x 11'-9"and 19!-9"x 10"-0". No part of the project comes within 50'of the water,and the entire project is architecturally in keeping with the other homes along-the creek. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the 'Town of Southold. See LWR- P Section III—Policies Pages 3 through 6 for evaluation criteria L V Yes ❑ No ❑ Not Applicable There are no known historic or archaeological sites present on or adjacent to the site of construction. r Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources_throughout the Town of Southold. See LVVRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ❑ Not Applicable The constr-tGtion is in keening with the ar.hit . .t gyral Gtv�IQ of the designed in such a way as to minimize any impact on the visualua�of the scenic resources in the area. The majority of the project,is set in-grade so as to be nearly invisible from the water. Attachadditional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss`of life, structures, and natural resources from flooding and erosion. See LW11P Section III—Policies Pages g through 16 for evaluation criteria 2 Yes,] No ® 1Not Applicable The project will have no significant impact on flooding or erosion. No part of the pTject is within 50 feet of the water. The sand soil under the two raised sections of deckwill-provide some drainage for stormwater run off,as well as the two existing drains leading to dry wells Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the'Town of Southold. See LSP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No F1 Not Applicable The deck will have no effect on the quality or supply of water In the Town of Southold. Attach additional sheets if necessary Policy 6. Protect and restore the quality- and function of the Town of Southold ecosystems including Signihicant Coastal Fish and Wildlife Habitats and wetlands. See LVVRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Applicable The project will have no effect on the marine habitat in the-town of Southold. 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. 0 Yes Fj No[] Not Applicable The propsed construction will have no impact on air quality in{the Town of Southold. Attach additional sheets if necessary Policy S. NIiniinize environmental degradation in Towns of Southold from solid waste and hazardous substances and wastes. See.LNVIZP Section III—Policies; Pages 34 through 38 for,evaluation criteria. RI Yes 11:1 No 1:1Not Applicable The project is as-built so no construction waste will be generated.The continued use of the decks and patio will not generate any additioinal solid waste,and no hazardous waste or substances will be'generated at all 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 L'WRP Section Ili—Policies; Pages M through 46 for evaluation criteria. ® YeO No® Not Applicable The proposed construction will have no effect on the access to or use of any coastal waters. Attach additional sheets if necessary __ y WORNMXG COAST POLICIES =i Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LVVRP Section III•—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No ❑ Not Applicable The propsed construction will have no effect on Southold Town's'Water-dependent uses." 1. 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. 2 Yes ❑ No ❑ Not Applicable ' The proposed construction will have no effect on the sustainable use of living marine resources. 'Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See L'WRP Section III--Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑1 No 0 Not Applicable There are no agricultural lands that will be effected bj this project. ,Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes '❑ No ® Not Applicable The proposed construction will have no effect on the development and use of energy or mineral resources. PREPARED BY Robert Wilson . TITLE—Permit Expediter , DATE 12/10/17 S.C.T.M. N0. DISTRICT: 1000 SECTION: 78 BLOCK: 2 LOT(S): 42 U.P. *W.V. EDGE OF PA GLENN ROAD a BELG. BLK. U.P. APRON S 8030'00" E 121.88' 'z' ` o P LOT 25 - 34.5 V1 O n 9.c ..3Q;2• G3o 7" Jtll CONC. LATE ORCH ?'r:::i::::•::•.p.n 9.2' 2 ` o N` : LOT 24 :.:::.::: .;' 44 2 10 g.1' �\ ;.:.�.9:• WOOD f {C DECK / F ..WOOD CONC•ISIA -i N X pgCK PpT10 _� r ��FlRM ZONE Bo��Df DRA114 py�N C C EDGE OF LAWN ti -•• _ MHW UNE 127-06' 8641'50" W JET SKI FLOATING DOCK FLOAT WEST CREEK .—. 0 ter: V !' I' MAR 2 8 2018 ` Srn111id T vin —— Board of lru:+ecs_,__...__._...- THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS FEMA MAP#36103CO166H AND OR DATA OBTAINED FROM OTHERS- AREA: THERSAREA: 27,446.91 SQ.FT. or 0.63 ACRES ELEVATION DATUM: ------------------------ UNAU774ORIZED AL7ERA77ON OR ADD17ION TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCATION 'LAW. COPIES OF THIS SURVEY VEYOR'S EMBOSSED- SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY O THE PERSON FOR WHOM. SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INST77UAON MAP NOT BEARING THE LAND SUR LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS77TUT70N, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS MNUMENT SHOWN HEREON FROM 774E THE PROPERTY LINES OR TORGUIDE THEOPERTY NERE ON OF FENCES,ES TO THE 4EADD 77ONAS ARE R STRUCTURES A SPECIFIC POR AND OTHER URPOSE AND SMPROVEMENTS.�EASEMENTS NOT INTENDS AND/OR SUBSURFACE S7RU�TLIRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY CERTIFIED T0: NICHOLAS J. SILVINO; SURVEY OF: LOT 25 WEST CREEK ESTATES JULIE MEYER SILVINO; NICHOLAS J,. SILVINO & MAP OF: JULIE MEYER SILVINO, AS TRUSTEES OF SILVINO FILED: AUGUST 19, 1963 No. 3848 FAMILY TRUST; SITUATED AT: SOUTHOLD FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC; TOWN OF: SOUTHOLD KENNFTH M WOYCHUK LAND SURVEYING, PLW _ SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, •New York 11931 PHONE (831)298-1588 FAX (831) 298-1588 FILE # 17--73 -SCALE'::1"=30� DATE; MAY,25; 2017 N.Y•S. LISC. N0. x050882 meintainina•the records of Robert J. Hennessy & Kenneth M. Woychuk 191-9 EXISTING HOUSE 23'-10" 7 7,_82,. 4 3.. 4 GIRDERS FASTENED BY TECO TO ---GIRDERS FASTENED BY TECO TO 202 LEDGER BOLTED TO HOUSE WITH 202 LEDGER BOLTED TO HOUSE WITH 112" DIA. LAG SCREWS AT 16" O.C. 112" DIA. LAG SCREWS AT 16" O.C. x'2 GI DFJ, C N 2'x1 G 11 DER ON 4x4 POST TYP. 44 POST TYP. C6 ]x SILVINO RESIDENCE i 8 IDER Ok I i 4X4 POSTSYP. 121IF R 0 ! , I ; 2750 GLENN RD. 1 ; Dj 4 4 POST TYP. 0 SOUTHOLD NY f 2x8 JOISTS—Txj T3 16 :!0. EXISTING: ONE STORY SINGLE FAMILY LN 6 RS� C 7 1x6 ENG. DECKING PROPOSED: SAME WITH AS-BUILT 19'-9" 1x6 ENC (DECKING x 11 DECK ATTACHED TO REAR ENTRY C6 AND AS-BUILT 23'-10" x 11'-4" DECK AND INGRADE2x12 GIRDER STONE PATIO. ALSO NEW REAR 0 1Z FASTENED TO 4x4 POSTS ENTRY STOOP, AND NEW WIDENED STEP W% COATING OR EQUAL SIMSON STRONGTIE LPC POST CAP WITH ZMAX 0 DOWN FROM REAR ENTRY DECK. POSTS ANCHORED TO 8" DIA CONCRETE PIER WITH SIMPSON STRONGTIE RPBZ RETROFIT POST BASE WITH ZMAX COATING \ ON 18" DIA x 8" POURED CONCRETE FTG TYP. 202 GIRDERGENERAL NOTES FASTENED TO 4x4 POSTS W% SIMSON STRONGTIE LPC POST CAP 1. All work shall conform to the requirements of the Residential Code of New York WITH ZMAX COATING OR EQUAL State, County and Town Department Regulations, Utility Company requirements and POSTS ANCHORED TO 8" DIA CONCRETE PIER WITH SIMPSON STRONGTIE RPBZ RETROFIT best trade practises. POST BASE WITH ZMAX COATING 2. Before commencing work the Contractor shall file all documents required by the STONE PATIO IN GRADE ON 18" CIA x 8" POURED CONCRETE FTG TYP. Building Department, pay all fees required by local agencies and obtain all required 0 STONE PATIO IN GRADE DOWN 2 R S DOWN 2 RIS permits. @ 7-1/2" @ 7-1/2" 3. The Contractor shall visit the site and verify all dimensions and the existing STONE PATIO IN GRADE conditions affecting the work prior to construction. Any discrepancies which would interfere with the satisfactory completetion of the work described herein shall be reported to the architect or property owner. Do not start work until such conditions have been examined and a course of action mutually agreed upon. Failure to notify the owner or architect of unsatisfactory conditions will be construed as an acceptance of the conditions to properly perform the required work. 4. All work is to conform to the drawings and specifications of the architect and engineer consultants. F_ 5. The Contractor is to maintain a complete and up to date set of plans on the job site at all times 6. The drawings are not to be scaled under any circumstances. 7. It shall be the Contractor's responsibility to ascertain all prevailing procedures cc including storage and toilet facilities,protection of existing work to remain,access to work area, hours of permitted work,ava ilabi lity of water and electric power and all Z other conditions and restrictions for this particular location in order to execute the o work in a careful and orderly manner with the least possible disturbance to the public. Be The Contractor shall make the neccesary arrangements to utilities and services temporarily disconnected while performing the work as required. 9. The Contractor shall provide all dimensions and cut-outs for other trades. 10. The Contractor shall provide proper shoring and bracing for all remaining structure 68'-6" prior to removal of existing structure. 11. Plumbing, electrical, HVAC and similar work shall be performed by licensed persons who shall arrange for and obtain all required inspections.The General Contractor shall be responsible for scheduling all other inspections as required. 12. The Contractor is solely responsible for construction safety and shall hold the owner and architect harmless from litigation arising out of the Contractor's failure to provide construction safety means and methods. CONSTRUCTION NOTES 1. All footings shall rest on undisturbed soil at a minimum of 36" below fin. grade. PLAN 2. Poured concrete shall have a minimum psi of 2800 at 28 days unless noted. 1/4" = 1'-0" 3. Sill plates shall be preserved, treated wood and be installed above a 16 oz. copper termite sherd. 4. Shingle siding shall conform to ASTM D 3679 and be installed in accordance with the New York State Building Code and manufacturers specifications. 5. Pilings shall be installed by a licensed contractor to a depth and bearing agreed u pon by an engineer and certificates shall be issued stating same. 6. Unless otherwise noted all framing and structural wood components shall be #2 or better Douglas Fir. 7. All framing techniques and methods shall be as prescriptive design based on AF&P Wood Frame Construction Manuel for One and two Family Dwellings (WFCM) or as specified in R301,2.1.1 8. All building envelope components shall comply with Chapter 6 of the Energy Conservation Code of the State of New York. 9. Fireblocking shall be provided in all wood framed construction in accordance with NYS Code R 602.8 to form an effective fire barrier between stories and between the top story and roof space. 10. Protective panels shall be provided for glazed openings in accordance with NYS code R301.2.1.2 if they are required. 11. All portions of the new structure are designed to comply with local geographic and climatic criteria as stated in the following table. HAND RAIL @ 36" GEOGRAPHIC & CLIMATE DESIGN CRITERIA GROUND SNOW LOAD 45 psl WIND SPEED 130 MPH HAND RAIL @ 36" SEISMIC DESIGN CATATGORY B 1x6 ENG WOOD DECKING1x6 ENG WOOD DECKING WEATHERING SEVERE FROST LINE DEPTH 36" 2x8 JOISTS @ 16" O.C. _2x8 JOISTS @ 16" O.C. TERMITE THREAT MODERATE TO HEAVY 202 GIRDER STRAPPED TO 2x12 GIRDER STRAPPED TO DECAY SLIGHT TO MODERATE FASTENED TO POST BY WINTER DESIGN TEMPERATURE 11 FASTENED TO POST BY STRONG-TIE _PC POST CAP 2x8 GIRDER 'SIMPSON STRONG-TIE FLOOD HAZARD AS NOTED SIMPSON WITH ZMAX COATING OR EQUAL LPC POST CAP WITH ZMAX COATING OR EQUAL 4x4 POST ANCHORED TO PIER BY --4x4 POST A-101 DECK PLAN AND SECTION SIMPSON STRONG�TIEIRP13Z RETROFIT POST BASE STONE PATIO IN GRADE ANCHORED TO PIER BY WITH ZMAX COATING OR EQUAL SIMP SO T E: SEl B WITH ZMAX�VP COATING OR EQUAL 8" DIA SONOTUBE OR EQUAL �:"--8" DIA SONOTUBE OR EQUAL DECK PLAN AND SECTION SCALE AS NOTED JANUARY 2ND 2018 18" DIA. z 8" POURED F-- 18" DIA. x 8" POURED '&,FTGS,TYP. DE GR CONCRETE FTGS. TYP. 0'0 N3 RB FL oress @ 3- BELOW GRADE ROBERT WILSON POBOX 49 NEW SOUTHOLD NY 11971 D. START 631-294-4241 c:) �E�!� 0 i ;. permits drpftin expedifing jJ VAR 2 8 2013 SECTION 1 `�� A 10 1 1 /4" = 1'-0" SsIt- i 1 OF 1 Photo take from the South by P4 aken from the east by ., :4 obert Wilson 3/14/20 RA ilson on 3/14/2018 + ryry f FI.AILe i 9 , � Photo taken from the Wes , by Photo taken fi-om tape outheast by Robert Wilson 3/14/2018 �_` `' Robert Wilson on 311,/2018 4A Lh ,,may{ s .. V-►I t 'r ♦a � Gr�ssdqq��,furl 0 - IL qw will,11 �� � �`. � � .1�► a �„ �,y a Google` !. 1'+,ae"� - .6: � u:r�x ,21KdF«izi�^; �3+nw. Y.." r«Smir`:' ^y-'q'—Vii',.•°"' ,•+••�mwu:ry•.._—. :^Y`e,r;.iait-' "xt'-Rawe'. "t .aa`�R'aMcwNJYuitin`seRasatSe!"` taue(,Y$,e�BllrebW.NYaiNi m x a'a �*�: mi+.+`m.�'� lzlh f�' ,.iwtw:��.._ e#,,..r;or4�+.wi•s . er`,oa1u� �w— ti.aa.c� �a' ,ess-tmrxs. 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