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HomeMy WebLinkAboutTR-10881A ®��� - Town Mall Annex ��� S o� ® 54375 Route 25 Glenn Goldsmith, President P.O. Box 1179 A. Nicholas Krupski, Vice President `® Southold, New York 11971 Eric Sepenoski Telephone (631) 765-1892 Liz Gillooly ' �® Fax (631) 765-6641. Elizabeth Peeples COUN`V,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CO NTACT THE OFFICE OF THE BOARD OF p TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECK BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 151 day of construction '/2 constructed When project complete, call for compliance inspection; Glenn Goldsmith, President QF soUr� Town Hall Annex A. Nicholas Krupski,Vice President ,`O� ��® 54375 Route 25 P.O. Box 1179 Eric Sepenoski J�L Southold, New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples ®l�• a0 Fax(631) 765-6641 COUNT`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10881A Date of Receipt of Application: November 7, 2025 Applicant: Timothy & Jennifer Schmitt SCTM#: 1000-117-10-15 Project Location: 15 Fourth Street, New Suffolk Date of Resolution/Issuance: December 17, 2025 Date of Expiration: December 17, 2028 Reviewed by: Board of Trustees Project Description: remove existing 5'x6'4" wood landing and 11'x4'4" steps and relocate to the east side of the dwelling; remove and relocate existing outdoor shower; reconstruct existing 52.8' x 8.3' roofed over porch in-place; construct three planting areas and stepping stones on grade; expand existing on grade masonry patio from 592 sq.ft. to 853 sq.ft. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the.Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Marshall Paetzel Landscape Architecture, received on November 7 2025, and stamped approved on December 17, 2025. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees SCHMITT RESIDENCE �B_9 — 15 Fourth Street Cutchogue, New York BOARD OF 'I I;USTEES TOWN OF SOUTHO!D DATE DWELLING DWELLING (USES PUBLIC WATER) (USES PUBLIC WATER) Marshall poetzel N/0/F _A �IDSCAPE ARCHITECTURE N/0/F CORNELLA P. ROGERS 3 RICHARD A: COODALE LUCILLE GOODMAN +� o Q M �3 00 PO Box 478 5175 Middle Road p z a w i, ,• ,``•�'- "": TM.� � ' Mattituck, NY 11952 S 83048'00" E W 126.92' METAL FENCE T f CE STOCKADE FENCE F aN o'0 . t!O V Paz ne: (631) �631)315-5000 WOOD FENCE ! 1.1'N• 1 It ^ r email. stud i p astudlo.com FENCE ... CONC. N. d i 'o@m I 0.5'S. 0.91E. t� HEDGE ROW rt� V 1 N D E WALL '.� .:,•�ti' i•."�r=' •c•:4....: 16.5' 5.7' BLOG. Z r- FENCE tPAD T 'coY '� 2.5's I 2o's, 09 ` SURVEYOR: 4 STOCKADE— - c uNrrs ' _ ` " ' a Corwin Land Surveyor O s2.7 sTEPs +: .;tip . .• �y� Z y � IT}1MARALE)m `'i a 1586 Main Road Y Nathan Taff c0 RCN DOF OVER i°. ROOM o s "� ':' • ` !`�4 t� I� " ao 11.9'S. WC OD PORCH •�' L0 z:� o o�w % 3 Jamesport, NY 11947 �t 9L n $ 22.1' � 3 Office: (631) 727-2090 L0 x 44.4' .•;{;:.,° ROCK WALL 3 0 � • m WOOD WOOD ' a + 8.3 .�� OCK WALL STEPS DECK `a 2-1 /2 STORY ;o k ' • +.++++++++�+,++++++++++++++,+ FRAME HOUSE ' <' ° • O f + ++ +++ ++ WITH REAR WALK OUT ."P MANHOLE-^!�d STONE +*+ + + + + + + + , + + ++a*+ + (coNc. eLK. BASEMENT) N b r • d COVER j b Y�.COLUMN A. + +`+` « •.� ,; R G ,c ' .. EXISTING PROPOSED WOOD +'+ +++ + + + + + + + + + #++`+`+ + +'+`# BLOCK APRON MEN .. I RESIDENCE LANDINGS+STEPS ` CONC.WALL •'.• a•. " • a n. .p. a el ELGIAN + + + # + +B ++++ ++++++ + `+++' 52.8' �' « « + + + « + + « DRAI :- EXISTING ROOFED-OVER PORCH WOOD LAN NG AND ^WOOD FRAME a .5. Alp w � < . Q NE B'�GUARp RAIL SHOWEOR UNDER PROPOSED +++'+'+ +`+'+'+'+++ +`+`+'+ °D STIENo 8392 TO B� RECONSA RUC�TED IN-PLACE)DS MR m &S �° COLUMN +'+ + ++ + + + +++'+++ +++++ GRAVEL PARKING 4'-6"X 6'-0"TOP WOOD LANDING ++` * + . ++`' + # + + + Jqi ++ + + '+++ + + + '+ SPLIT RAIL . ( 6,_Orr 9,_6„ + + + +++ +++ +++T + + +++++ +++ + +++ ++++++'PORCH 'a.ui +: .i i; , v • j. a , h FENCE ON + + + +' 2.7E ' w STONE WALL +' `+`+ +`, '+'+ + +`+ + + +`+ `++A d d• • e + + +++ +++ +++ +++, $TUNE � i ---'.' _ _ -- - ------ `+ + ,+ ++ +}+ COLUMN a # + 3' '• e a BULKHEAD I ++ + ++ +++ + + +++++ + ++ +++ WOOD LANDING CONC. �!' --- I I I DN ++'«++'+++++++++'+`+`+++ ++ +++ do STEPS COVER '+ . . +REl+WNS - + + + +'+ + + + + +', + # } + + + i } +`4 + + +++++ � OF SIC. I � --� —� � i I +«i ++ + + + ++++++ + +++�'++ SEEINSET A *�.y5.�c, ', +++++'+ ++{}'+++ + +�+'+'#'+'+`, FOR PROPOSED �G`I`pytA� I _ _ DN - #,+;+`.' ;;;};�'++++'+i+*+++*,#,*+ EXISTING 4'-6"X 6'-0" ,I++++++++ ++++,++++� ++++ +++++++++'# + + + + +'# + +'+ W OUTDOOR SHOWER + , a + + ++b++++`#+.+.+++++#+#+,+, ++++ TO BE REMOVED+ +' a+ ++++ ++++++ ++ +++++++'++++++++ '+6+}++ + + } I I Z '� +`+ + + + PROPOSED W CONC..� }J - I �" RELOCATED +++++� '+ +}i+',* `+`++ + PLANTING + + COVER F- _ I + + �++ + '*'*'.*`*'*' ;+'# +`# +++'+' + + + + ++ +' '+;a = w 52._1,. `- +'*'+' +':�+ +`a PROPOSED+�++'+'+'+ + + + I '+'++++++; +++++++++++++'+'+++++++ W I O I + +a+#++ , PLANTING+ # +'+' +++`+'+' I ##` '+ + ++++++ ' ++++++ + +*+ �! a I EXISTING I F —i— r—T-—I— —T —i—-r—T-—i— + +`+ + + ++++++ ++++ ' + # + + } + +++` ROOFED-OVER I I I I I I I I I I I I I ' ` ` ' ' ' ' ' ' ' ' + +'+` ' '. ` '+'+ + a + + +'+' ''+++ + + + + }++,+++ + + + # + +aa+#+#++ + + + + + + + + a + }PORCH W i r 3 I EXISTING 5'-O"x 6'4"----""I ,;. I I I I I I I I I I I I I I I I I I I I I I I I I SITE DATA: WOOD LANDING+ SCTM#: 1000-]17-10-15 O ( I 11'-0" ' "X 4-4 STEPS I I I I I I I I I I I I I I Zoning District: R-40 O I I TO BE REMOVED+ O I I I I I I I I I I I I I Lot Area: 19,383.30 SF (or 0.445 acres) :. M •••• RELOCATED L_----_.----1_L—I—�—L—i-1—L—I-1—LJ tt o I _ ------------------- 00 I NOTES: W FiAG-�S • EXPAND EXISTING 592 SF 0 D�K ( POIE \i O I + + + +++++ + ++++++++++#+++ II GRADE LEVEL MASONRY // +'#'+++++++ + a+#+#+++, +'+`#`+'+ + ^i: 0.7W. PAVING TO BE 853 SF TOTAL 1 " ` ' STEPPING nc........10 NON TURF BUI"FER AS PER..... ........ ..... .................- � . ,*,*}'#*+' : .:.: ::.. .. .• .: .. .. ; CorwinLand T WN OF UTH019 WETLANDS QKING ::::.. . :•: 'r IN AWN L aa... ......... .....•. PER IR No ••.. .... .. .. . .. .... . .. .. .. . .. ....•, .:•... .. .. . .. ::.:•. +++++ +++++++ +'+*+ PROPOSED ++.'+ + + prepared doted Nathan 4 2017. .. ..::. .. ..•• .. ... .. ••.... .... ., • :. .. I - ++{ + � STONES Y Y :... .. 3.. 0 6 .. .. .. .. .. .. + + +'+'+ + + + PLANTING BED ,++'+'+'# +++++ BU 0 NC + + + + + + +_+++'+++','+', +++ +'+ VINYL BULKHEAD TTE LINE ALONG APPARENT 5.7V I , « , # « « } « + « + + « « + + + + + + + , , ———————————————————————— , + + + + + # + + + + + + + + �� PLANTING BED + , , , 1 4' This drawing is for the purpose of +++'4 + +`a a HIGHWA7ERMARKONAPRIL25. 2013 + + + + + + + + + + # + + + + + + + + + + +# ' ' +a .' ' obtaining permits only. NOT FOR 85' 8'14" W 95.92' N 87°52'47" W CONSTRUCTION. MASONRY T TO N 2 I EXISTING E I 3. Unauthorized alteration of this Ian is a 31 .41� O B BE P REMOVED+EXPANDED violation of NYS Education Law. 0 Qv z I M LU Ig o o W I REVISIONS o I �07) ODW x DATE DESCRIPTION COd r m BAY GREAT PECONIC � l j Diy ` s e a I EXISTING SURVEY A INSET A: PROPOSED CHANGES DSC'4P 1 Plan Scale: 1"=20'-0" Plan Scale:a'= V-0" �� Kar/ co �;�, `o m 0 ST 0027'1 c) OQ' qTF a r II Ar- TITLE: SITE PLAN SCALE AS NOTED DRAWN BY: A.SCHEEL CHECKED BY: J.PAETZEL,RLA C�I"� DATE:2025.10.22 J r REVISED: SOUTHOL.D TRUSTEES No. ' 1 o g81 A Issued T0 ���} 5��,:�er sfA,A:,rDate 13*/i�/�.s Address. �S To=, S recr + New SitolK THIS. NOTICE MUST BE DISPLAYED, DURING CONSTRUCTION ..TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 Glenn Goldsmith,President } O�pSUFfO(�-�o� Town Hall Annex A.Nicholas Krupski,Vice President 4ya y<'u 54375 Route 25 Eric Sepenoski o ,?;`1§ P.O. Box 1179 Liz Gillooly �y • 0�� Southold,NY 11971 Elizabeth Peeples �Ol Telephone(631)765-1892 r� rs Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report A� Date/Time: �� Completed in field by: N' Sol Searcher Consulting on behalf of TIMOTHY & JENNIFER SCHMITT requests.an Administrative Permit to remove existing 5'x6'4" wood landing and 11'x4'4" steps and relocate to the east side of the dwelling; remove and relocate existing outdoor shower; reconstruct existing 52.8' x 8.3' roofed over porch in-place; construct three planting' areas and stepping stones on grade; expand existing on grade masonry patio from 592 sq.ft. to 853 sq.ft. Located: 15 Fourth Street, New Suffolk. SCTM# 1000-117-10-15 Type of area to be impacted: Saltwater Wetland Freshwater Wetlan Sound Bay 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 Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: ep4 �o y 1 site (W.A) Present Were: JG. oldsmith V N. YE. pski V E. Sepenoski L. Gillool y Peeples JACKSON SSURVEY OF PROPERTY SITUATED AT G ` MON. NEW SUFFOLK 0 TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 1 17-- 10- 15 DWELLING SCALE 1 "=20' (USES PUSLIC WATER) J U N E 79 2001 N/p/F DWELLING APRIL 28, 2005 HIGH WATER MARK (USES PUBLIC WATER) JUNE 1, 2005 UPDATE SURVEY & ADDED TEST HOLE CHARD COODALE N/p/F JULY 19, 2005 TOPOGRAPHICAL SURVEY CORNELLA o -ROC SEPTEMBER SEPTEMBER 23, 2008 LOCATE WOOD JETTY RETURN AT S.E. CORNER OF PROPERTY LUCILLE GOODIE APRIL 25, 2013 UPDATE SURVEY 3 AUGUST 12, 2013 ADD PROPOSED DECK SEPTEMBER 4, 2013 LOCATE FENCE ON EAST PROPERTY LINE S 83 " °o M MARCH. 2O11 2UPDATE REVISE NOTES NEHAY W REAR PORCH METAL FENCE e 48'Q� C• a � ; D FENCElCE STOCKADE W11121.12 ' � N 0.5'S.FENCE 1.1'N. FENCEP- 0.9'E i' � W sroc� r :, N r g!N AREA = 19,3$3.30 sq. ft. 0 oNC, PAD '% • .. ;"11' H E ROW 1 p`� • , (TO TIE LINE) 0.445 ac. UNITS i�.., ,;..<•:•��..• MOM. ITCH 52.E �� ,�;, �• •:• ••' '•:,�'�:••�: t •:•' S1E 11.9'S. WOOD Po0 PORCH ',.t:y t . i.'CORD.''i��.:., 4.•.. 2LOG.8.5' --- B C ) y H tt.o's. m FRAME GA 2;o's. 0,9 '. • V d Z � RAGE b :r t •�J a ROOM ABOVE a° •`•+x3. � � �' I,W. � I 04 hv. ! • cr .% ROCK WALL M 22.1 Q w _ ;.� 2 $ 8.3 a e. ' o V Q SS FRAME HOUSE ocK WALL WOOD WOOD '�t a .• m z 3 (WITH CONC.REAR WALX OUTBLK. A� 4+ STEPS ` DECK : {.��\ 3 j CONC. W p• c MANHOLE A O y 4 A COVER-4Q-•, STbNF •' • H 32.8' a.COLUMN 1y ���•. '�� BELGIlW"'� � e A y r v �'EXIS(CON��-DER PORCH .� • s.. ' , BLOCK APRON WOTER ' • r No. 83922)p PURSUANT` Wjb00D LANDING AND r WOOD s A, , ' _ METER •. ? r"",,J RECONSiRUCiEp IN-UCE�MR 96 a, SHOWER ,� ... DRAIN ELGWN 2PORCH :: ^".+: a R� BLOCK CURB E GRAVEL PARKING '�' ° NE ~"e'�e COLUMN GUARD t,.•t' E r . . .�, • '° RAIL CoCoNC A I d• • a „�1 SPLIT RAILW000 LANDING •A FENCE ON $ STEPS CONC. m �' a v COVER WALL w I s .. •. i CCO�OLUMN euLKHEAD � O 0 3 O , REMAINS V V OF CONC. croon 0 I = ovER I I I • LU I r� 0 I TEST HOLE DATA MT HOLE DUG BY McDONALD GEOSCIENCE ON MAY 19, 2005) --• s:; • I a' " o NOV 7 202) 1 DECK 0 . ::$...O..pEORMDR WNo.LA81 '� MtED SAND LONA:; ... .. U N POLE ...................... 0 •.0 "i VINYL �: e' ... .. .. . .. .. .. .. . BULKHEAD .. ...:•.: , ,•. N 85e28'14" d BROWN FINE SAND SP PREPARED IN ACCORDANCE WITH THE MINIMUM TIE LINE ALONG APPARENT • W HIGH WATER MARK ON APRIL 25. 2013 BULKH REMAINS STANDARDS FOR TITLE SURVEYS AS ESTABLISHED 78• &7'W OF CONC. BY THE L.I•A•LS. AND APPROVED AND ADOPTED 95.92 FOR SUCH USE BY THE NEW YORK STATE LAND N 87e52'47" VI/ TITLE ASSOCIATION. Q �Q � qtq;111f1/// x 3 1 .4 1 WATER IN BROWN& PALE (E OF N BROWN FINE SAND SP � �'�P tc. Z ` �.•0AN TAFT `09 ��'53 dW 14. --. - � GREAT PECONIC BAY $ 1 �J�+�� N.Y.S. Lic. No. 50467 UNAUTHORIZED ALTERATION OR ADDITION Mahan Taft Corwin fil TO THIS SURVEY IS VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. Land Surveyor COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. LS. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno LS. IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout LENDING INSTITUTION USTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727 TUTION, CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 I 5'L cL1. f / 0 /A (-Z� r PA C'G c t U s t!� ov (k ill C. � "4+ 1 n, t ^1 Jeri I_ , v! 1 �40 (.1 f1�O �J f1�1 CU C-I j �t S t V4 B611aB to,wT aanm Be1xm Isxaai � 2B 3° t1 6 �l z-was s— �N�N1' O + TWcI ILL RD. aal.0 %ryi B 3 +� m' mJ .3& s a iv 41 I Fa Pa N� 13 1E>E� BNBet 14 �SiSE eBsat r s �� BT 2 O 9 IANq 5 $ z. a., 10 °�� CUTCHOGUE _ 14 HARBOR er W 1 r 2, 21 xe p lu K. 9 - n R2A2q g'jycl 3B. F6HE,x Pwr141 ; 12 All t aNcl 1!2 �r p i0� SY cl — Mt = 62 1B0 R+ I r N ST " 1x t42 NEW 9,1FW,1t ° ' 12 ' _tT 214.1 5.1 0.t ° 2BHc1 15. r 2B 5 y 15Nq ry� t ,.Wcl 2.Wc1 '�901x # t.aAa, 8 f z5 N _ 1e> t5z mx,tas 1 S+A(q ,.SAT 3.5 , R 4 12A -1 1 xDa 10. SMtaw y0 �-- e 29 J SAY PECONIC GREAT — _ Y 211 — —_ _- -- ^+� __"-- „„s NorlcE o>u COUNTY OFSUFFOLK © e B1 ggrNp sEcnoNNo `i Real Property Tax Service Agency v �J Nti -..�.. .. r =_ �r --•-- try--~-- �.^ YJ3,.^•�+ ] ,w� ♦tt5n A �Y P fwc,BB 1000 PROPERTY 441P 9 OFFICE LOCATION: so MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) y Telephone: 631 765-1938 Southold, NY 11971 • Q i LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees Cc: Honorable Lori Hulse, Attorney From: Heather Lanza, AICP, Planning Director LWRP Coordinator Date: December 16, 2025 Re: LWRP Coastal Consistency Review TIMOTHY & JENNIFER SCHMITT, SCTM# 1000-11 T-10-15 This application is to remove existing 5'x6'4" wood landing and 11'x4'4" steps and relocate to the east side of the dwelling; remove and relocate existing outdoor shower; reconstruct existing 52.8' x 8.3' roofed over porch in-place; construct three planting areas and stepping stones on grade; expand existing on grade masonry patio from 592 sq. ft. to 853 sq. ft. The proposed action has been reviewed to Chapter §268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the policies of the LWRP as follows: While the plan includes some actions which are consistent with the "Administrative Permit" requirements of Chapter§275-2 A of the Wetlands Law of the Town of Southold, including the proposed removal and relocation of the outdoor shower, reconstruction of the roofed porch, and installation of planting beds which qualify under §275-3 (b) Removal of any material or structure, provided that a project limiting fence and a silt fence with hay bales is installed to contain disturbance if deemed necessary and provided that such operations will not have an undue adverse impact on the wetlands and tidal waters of the Town, (d) Remodeling or renovation of a wetlands- permitted structure, provided that such activity will not have an undue adverse impact on the wetlands and tidal waters of the Town, and (k) Minor restoration or alterations of landscaping, the proposed expansion of the impervious patio on the water side of the structure does not satisfy the requirements of an Administrative Permit and should be reviewed under the regular permitting requirements. Due to the increase in pervious surface on the waterside of the house, this application maVjustify the establishment of a non-turf buffer. 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. 2 yj. Glenn Goldsmith,President , ,� ' �'' Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 P.O.Box 1179 Erin Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples -, Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Seetion For Office Use Only --- „ Coastal Erosion Permit Application bb , Wetland Permit Application $ ' Administrative Permit NOV 7 2025 Amendment/Transfer/Extension Received Application:. Received Fee:$ S0Ulnc?1dT0vm Completed Application: Board of Trustees Incomplete: SEQRA Classification: Type I _ Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: --Public Hearing Held:._ Resolution: Owner(s)Legal Name of Property(as shown on Deed): Timothy and Jennifer Schmitt Mailing Address: 87 5th Street, Garden City, NY 11530 Phone Number: 917-834-1247 1 Suffolk County Tax Map Number: 1000- 117-10-15 Property Location: 15 Fourth St, New Suffolk, NY 11956 necessa ry,ary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable):David Bergen Mailing Address:Box1008 Cutchogue NY 11935 Phone Number: 516-848-6438 Email:davebaergen78@gmaii.corn Board of Trustees Application GENERAL DATA Land Area(in square feet):20,038 Area Zoning:R,40 Previous use of property:Residential Intended use of property: Residential Covenants and Restrictions on property? _aYes _JZ^No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes _allo 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 _R_No If"Yes",please provide copy of decision. J is project re nany 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_E]_No Prior permits/approvals for site improvements: Agency Date TR 8392, 9038 4/23114, 6/21/17 TR 5722, 6183 3/.18/.03, 89/24/03. TR 7951 E 12/4/12 r ENo prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?J1 NoE Yes If yes,provide explanation: Project Description(use,attachments if necessary): Remove existing wood landing and steps, relocate to the East side of house, remove and relocate existing outdoor shower-, add three planting areas and stepping stones on grade, expand existing on grade masonry patio from 592 sf to 853 sf. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: to reconstruct outdoor shower and relocate steps;to expand exisiting masonary patio_on grade Area of wetlands on lot: 0 square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands:�J- _ feet Does the project involve excavation or filling? ® No Yes r If yes,how much material will be excavated? cubic yards How much material will be filled?. cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect,if any,on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): none f 617.20 Appendix B Short Environmental Assessment Form Instructions f6r Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part]'based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part l Project and Sponsor Information Timothy and Jennifer Schnitt Name of Action or Project: Schmitt Property Improvements Project Location(describe`,and attach a location map): 15 Fourth St, New Suffolk, NY 11956 Brief Description of Proposed Action: Remove existing wood landing and steps, relocate to the East side of house, remove and relocate existing outdoor shower, add three planting areas and stepping stones on grade,.expand existing on grade masonry patio from 592sf to 853sf. Name of Applicant or Sponsor: Telephone:9 17-834-1217 Timothy and Jennifer Schmitt E-mail:ilschmitt4@gmail.com .`Address: 87 5th St City/PO: State: Zip Code: Garden City NY 11530 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES . administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ 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 fiinding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? .46 acres b.Total acreage to be physically disturbed? <01 .. acres c.Total acreage(project site and any contiguous properties),owned or controlled by the applicant or project sponsor? •466 acres 4. Cho I land us at occur on,adjoining an ar the prop action. Urban Rural(non-agriculture) Industrial Commercial ❑✓Residential(suburban) Forest ❑Agriculture ✓Aquatic QOther(specify):. Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ✓ b.Consistent with the adopted comprehensive plan? ✓ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO ._. YES. landscape? LL ✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES. If Yes,identify: . ....... Fv 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 nearthe site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO. YES If the proposed action will exceed requirements,describe design features and technologies: NA .. .. 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ .1✓I 11.Will the proposed action connect to existing wastewater utilities? NO YES If if No,describe method for providing wastewater treatment: drywell for shower P g _ R ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic JNO- YES Places?b.Is the proposed action located in an archeological sensitive area? P 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain YES wetlands or other waterbodies regulated by a federal,state or local agency?b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:... Great Peconic Bad -- - 14. ntify the typical-habitat types that oc n,or are likely to be found on tIMroject site. Check all that apply: ✓ Shoreline Forest Agricultural/grasslands "Early mid successional Wetland Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? CL 16.is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non point sources? NO If Yes, a.Will stone water discharges flow to adjacent properties? []NO DES Cl* b.Will storm water discharges be directed to established conveyance systems ff anOwAafm drains)? If Yes,briefly describe: NO YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size rv_..._ 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 . a ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES. completed)for hazardous waste? If Yes,describe:. I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE / I Applicant/sponsor name::DaVId Berg6tl Date: 41 T/...- J`�' Signature:... ... Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? El 2. Will the proposed action result in a change in the use or intensity of use of land? 3. W ill the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the El El of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? - b.public/private wastewater treatment utilities? ❑ El 8. Will the proposed action impair the character or quality of important historic,archaeological, El or aesthetic resources? El 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? ❑. mJ Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 16. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? a' E 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ElCheck 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-Hoard of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 yard of Trustees Applicai 1 AUTHORIZATION (Where the applicant is not the owner) owners of the property identified as SCTM# 1000-_ -` b. _ _ _. in the town of New York,hereby authorizes a C C97 H 1j 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. Q.9-API bA Property Owner's Signature Pr erty OwVer'sSignature SWORN TO BEFORE ME THIS DAY OF otary Public (/ My Commission Expires April 30, 2026 Dard of Trustees Applicai 1 AFFIDAVIT Y BEING DULY SWORN DEPOSE AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Si of roperty Owner SWORN TO BEFORE ME THIS Z Z DAY OF h� , 20 Notary Public V a4 e^'flv1!P-- ovd)'Z ply Commission Expires April 30, 2026 , APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL'DISCLOSURF FORM The Town of southoid-s Code of Ethictpiohibits'conflicts of interest on the partoftownofficer§and employees.The pne4se:of _ ,this'form is to'provide iinfornration which can alertthe town of possible conflicts d interest and allow ii to take whatever action s necessary i avoid same. YOUR NAME (Last name,first nam ,piddle initial,unliss you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) - Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map, Planning Other (If"Other,name the activity.) Do you personally(or through your company,spouse sitiing;pan nt;or child)have a-relatioriship'with any officer or employee, of the Town ofSouthold? "Relationship"includes.by'blood,.marriage,or business interest."Business`inttrest"means&busirress, including a parinership.::in which the townwoffcer•or employee;has even a partial ownership,of(or employment by)a corporation in which the town officer or'employee owns'more.then,A dlfieshares. YES n NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold , Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. _ The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): JaA)the owner of:greate'r than 5%of the shares of the corporate stock of the app(ctuit _n (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corpor ate;entity(whenAhe applicant is not a corporation); C)an officer,director,partner,or employee ofthe applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this / ay,Qf .S' IVA 20 � Signatures.. •ar ` Print Name . _ /ra►n ._SGda�.� Fonn IS 1 APPLICANTUGENT/REPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM -ne Town ofSouttiold's Code of Ethics nroh b is cowicts of.interest on the oartaftown officers and employees:The purmse of this form_is to provide information which can:alert the town of possible conflicts of intemst and allow itto take whateveraction'is necessarirto avoid YouRNAME: David Bergen (bast name,fim nmre,4uMe initial,unless ycil are ap bftiii the naar of someone else or other entity,such as a company.If so,indicate the other person's or company's mate.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change ofZone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other",name the activity.) Do you personally(or through Y 1 y your,company,spouse;sitihng,parent,or.child)have a relationship:with any officer or'employee of the Town of Southold? "Relationship"includes by blood,-marriage;or busuress:interest "Business inte mW means.a;business, including a, partnership;in which the:townoffaxoremploycehaseven:a.partiafownershipof(oremplpyrnentby).a.corpoiabon in which the tow�n-otfi6er or employee owns more than' 51%of the shares. YES f" I.. NO n If you answered"YES,complete the balance of this form and date and sign where indicated. Name ofperm employed by the Town ofSouthold Self Title orpositionofthatperson boat Operator Describe the relationship between yourself(the applic anVagenthepresentative)and the town officer or employer.Either check the appropriate One A)through D)andfor describe in the space provided The town officer or employee or his or her spouse,sibling,parent,of child is(check all that apply): f,A)the owner of greater than 3%ofthc shares of the corporalastock of the applicant � (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-coipon tc entity(wherilhe applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of o 20 1A Signature. PrintNatne�David Elbrgen Form 13 1 Town of Southold LWRP CONSNMNCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt -minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A_proposed.action. will be evaluated. as jo. 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 detail=.listing both supporting and non- insupportina facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 _117.-10 -15, PROJECT NAME Schmitt residence Improvements The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees l 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.giant;loan,subsidy) (c) Permit,approval,license,certification: 0 Nature and extent of action: Remove existing.wood.landing and steps,.relocate to East side.of.the house,... ._.. remove and relocate.existing outdoor.shower, add three planting areas and stepping stones on grade, expand existing on grade patio from 592 to 853sf i Location of action: 15 Fourth St, New Suffolk, NY 11956 Site acreage: -46 Present land use: residential Present zoning classification:R-40. 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: Timothy and Jennifer Schmitt (b) Mailing address: 87 5th St, Garden City,-NY 11530 r (c) Telephone number. 917-834-1217 ,. Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 0 No V] If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. } DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies;Page 2 for evaluation criteria. OYes 0 No ✓V Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes No 0 Not Applicable Arta addidlD Sheets ifnecessary 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 a Yes ❑ No❑✓ Not Applicable no proposed improvements will interfere with current visual quality or interfere with scenic resources .. ........ Attach additional sheets if necossary 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 ` j Yes ❑ No❑�- Not Applicable Attach additional sheets�f necessary Policy 5. Protect and improve water quality and supply in the Town of,Southold.See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria '❑ Yes 0 No Oot Applicable drywell will be provided for outdoor shower Aftcho sheets. necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies;,Pages_22 through 32 for evaluation criteria. ❑ Yes ❑No M Not Applicable Attach additional shuts ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III —Policies Pages 32 through 34 for evaluation criteria. Yes ❑No❑✓ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies;Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable ... .. ...... . PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III-Policies;Pages 38 through 46 for evaluation criteria. ❑ Yell No LJ Not Applicable Attach additional sheets 4necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III:—Policies; Pages 47 through 56 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources'in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies;Pages 57 through 62 for evaluation criteria. nn Yes U No RI Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria: ❑Yes ❑ No L,1 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. EjYesF] No Fv] Not Applicable PREPARED BY David Bergen TITLE Agent _. ... DATE ti 7 z Box 1008 Cutchogue, NY. 11935 November 7, 2025 Southold Town Trustees Town Hall Annex 54375 Rt. 25 Southold, NY. 11971 Dear Trustees: I am respectfully submitting to you the attached application packet for an Administrative permit for the relocation of stairs and outdoor show, plus expansion of patio for the Schmitt property located at 15 Fourth Street, New Suffolk; SCTM# 1000-117.-10-15: Administrative Permit Application Short Environmental Assessment Form Authorization Form Owner Affidavit Applicant Transactional Disclosure Form Agent Transactional Disclosure Form LWRP Consistency Assessment Form Site construction plans Property survey Color photographs -Location Map -Check to cover the$250 application fee Thank you for your consideration of this application. Please do not hesitate to contact me at 516-848-6438 should you have any questions. Sincerely, David Bergen _ .-_ - Sol Searcher Consulting Agent for Schmitts ',' NOV 7 2025 SOUii itiiu Town