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HomeMy WebLinkAboutTR-6421 ' Y James F. King,Presider. . QF SO&P Town Hall Jill M. Doherty,Vice-President 0 53095 Route 25 Peggy A. Dickerson J P.O. Box 1179 Dave Bergen CASouthold,New York 11971-0959 John Holzapfel �!y �Q Telephone(631) 765-1892 COUt� 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 1 St day of construction Y2 constructed , Project complete, compliance inspection. ,..` 1... 1 Ij, Y `1 `�/. ,.• �� j9Tr"• •�1'1f lli Q+ f ---._ ��:a.. x� �a s 'C<'•V 'I'I''�'� °d: �§ ��•if�1 O,iDrr _ t�,.��+,Nf• /ri°r�:� , . .fr � - ��4V' .,.J _- I •ir.� rrrr.; } 1 ._ i "�,.rr'r �. }}.. . 1 �l rr• 11 11 r d 1ft 11 • 11•1� I' �BOARD OF SOUTHOLD TOWN TRUSTEES ff SOUTHOLD, NEW YORK PERMIT NO. 6421 DATE: August 23, 2006 , ISSUED TO: IRWIN SEIGEL I PROPERTY ADDRESS: 17327 AIN RD. EAST MARION NYC s�f SCTM#23-1-14.1 � �� •viA•� & r�'ryw AUTHORIZATION c r Pursuant to the provisions of Chapter 275 and/or C r 111 of the Town Code of the Town of Southold and in accordance wit Resolutio oard of Trustees adopted at the meeting held on ff,�:.`•, August 23,2006, and in consideration of application fee in the sum of$250.00 paid by Irwin Seigel,and •���q subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: r L Wetland Permit to construct an addition to the existing residence and to repair the existing residence and as depicted on the survey prepared by John C. Ehlers last dated August 21, 2006. �,� �ff �; rPA➢ . 's�y IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, �.�// �i and these presents to be subscribed by a majority of the said Board as of this date. E ` co co OF e ifW. v�Bl �` ►.f�:P • s<� •.i•_, 9���:.r .:�4 .. : ,� ..��� ,.': '• �-z.�'�:�if yA� _ �.. A� .�. •4..�,_.,fNi�r :.. TERMS AND CONDITIONS The Permittee Irwin Seigel residing at 17327 Main Rd.,East Marion, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required.to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if,in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. James F.King,Presideni V�*OF SO!/l�o Town Hall Jill'M. Doherty,Vice-President ,`O l0 53095 Route 25 Peggy A. Dickerson P.O.Box 1179 Southold,New York 11971-0959 Dave Bergen G John Holzapfel �O �� Telephone(631) 765-1892 Is ,Ulm Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 23, 2006 Regi Weile, Architect 905 Aquaview Ave. East Marion, NY 11939 RE: IRWIN SEIGEL 17327 MAIN RD., EAST MARION SCTM#23-1-14.1 Dear Ms. Weile: The Board of Town Trustees took the following action during its regular meeting held on Wed., August 23, 2006 regarding the above matter: WHEREAS, Regi Weile, Architect on behalf of IRWIN SEIGEL applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated July 19, 2006, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, said application was found to be Consistent with the Local Waterfront Revitalization Program, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 23, 2006, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of IRWIN SEIGEL to construct an addition to the existing residence and to repair the existing residence, and as depicted on the survey prepared by John C. Ehlers last dated August 21, 2006. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Jam s F. King President, Board of Trustees JFK/Ims James F.King,President ��a SDUro Town Hall Jill M.Doherty,Vice-President ,`O y01 0 53095 Route 25 P.O. Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen John Holzapfel �Q Telephone(631) 765-1892 couffN Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: .S6w'k Please be advised that your application dated �) I lq (0� has been reviewed by this Board at the regular meeting of a 3 and the following action was taken: �) Application Approved (see below) �) Application Denied (see below) �) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: mil C1� l ` (r .CEO TOTAL FEES DUE: $ �� C BY: James F. King, President Board of Trustees o��SUFFot,��o Telephone Town Hall (631)765-1892 _ T 5 09 Route 25 O P.O.Box 1179 Southold,New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., August 16, 2006, the following recommendation was made: IRWIN SEIGEL to construct an addition to the existing residence and to repair the existing residence. Located: 17327 Main Rd., East Marion. SCTM#23-1-14.1 The CAC did not make an inspection, therefore no recommendation was made. 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VOIaO �2 r 4 logo F.D.Z6 M.D.60 P.D.65 L.D.10 10 a u v y5 }4ci LOMn• � ._ 1�•D 50 1Wcl �I III' • r I ell-e Y COUNTY OF SUFFOLK © SOUTHOLD secrioN No .... 6 >r.,wu• ------ ....... ,..m„c.in --•-- rEiM E.4iFa.iIXL.EP, Property Tax Service Agency r .�,... --- <a .p". n.noi 6 w,wme.6 9e Y iwz s n nni� a rr u.w:v.,.....u. —__— ._._._. _ _��..��—_ •� •• � surn>mwr.,r ..... .._. _ c—+Y 4nts AlMypp,N T ll9% M ' ' i | � i VEY URVE-i" OF LOT (b LONG SURVEYO]F' L.O}TV'��6 LONG X x x 1SLa x � � MAP OF ✓1 \I ON L•O I D pO X A®PA W WATER SOUND � BY THE SEA x X X x X V F I LED AU6U5T 22, I a78 x N 0_30 --------- �sx"-E_ (T-IEFILE No. 6111 -- --LINE X A`xON Gx A*xA REN_T_H-IG-H-WX--A-TE-R- X xX - X --_ x7FJ 'L'51TUATE: EA5T MARION - ---- X----- S X � -- --TOWN: 5OUTHOLD x 5UF=F=OLK COUNTY, NY Xk�" SURVEYED 07-25-01 REMOVED PROP05ED X X X s I X AGTION5 06-30-06 X I �PROP. ADDI TION5 06-21-2006 --- --- X----- `�'BARR�ER`'h16�„X X X X II X X X - FL ,qE FL 11 FLOOD ZONEnVE EL Is X X SUFFOLK GOUNTY TAX # X X X 5 X -- -------------- X -Tn X X 1000-23-I-14.1 - -- ---a-----------� X ZOi '-- I -nyrn FLOOD 711 XrYwti,^y . FLOOfS ZO 4 - I '- GERTIFIED TO: Q - --- I 3 IRWIN SEIGEL X j C% N ---1 LAL I C -9o510N HARD LII� —44.9o'— — --r- v3 'r• �O ` n ` ` I o I \ •cy,,�R} 1 I I Ni y I N � r ' v O as 1' o LOT frll \ I I I - I z ro -------------------- 3 I Q` ; '1 ___________T- -__ ---- _ _ I ` ' 1 i 1 1 --- i -- 1 ; - - - - - - - - - - - - - - - -1 _- --- ------ - 2 IDE R.O.W. PER FILED MAP I 95.00' i S5607'30"W ,r 1 1 300.359 a' I I, I l I ,I I I 1 1 I I I 11 I 1 zl LOT I 1 I ollll LOT 1 5 r 1 'I OIiN . , 2 3 2006 AUG I 1 � I � I ICI I 11 N APPROVED BY Itl Ma BOARD OF TRUSTEES I I I TOWN OF SOUTHOLD I DATE 8 Z310 6 1 , I I 1 I f I 1 1 1 1 I I — ^✓4�M a IlueeG Ima�^QA'b mal b a 1 I 11 N-Y-d.. Ed..t� L�__-._ 1'���WyY��r�l�l 1�•.' mofedw=h Fnam w.a1g th .uh on of Fh.Intl yr. 9 1 �1 t,• ( ► I I 1 elnpetl�I slnlf�b.'aan�m�tl m b.„de t,�. `, NOTES: YwN�albo�tabE hv.on sleytlfy I!�tlJs J` \ .• -: j`^+> /,' ,�I 1, 1 1 0 PIPE FOUND by tFe N...Ya«5fala.asocidan d Fid� \ �i(1�. � I 1 1 �1 l.od 5vv�p9.Sad cart6katine shNlMonly ` �. � � -�.--_`-L`r-`' j�' 1 N�paem Po-.Ian tln vrv.y b prepn'eQ r\'/'. 1 I 1 aM hb b.fNl/�tdoY�ligr tMe g��'�a*����d " ELEVATIONS REFERENGE NCGVD'29 JOHN C. EHLERS LAND SURVEYO g I AREA = 77,284 SF OR I.-17 ACRES 6 EAST MAIN STREET N.Y.S.LIC.NO. 02 �gl RIVERHEAD,N.Y. 11901 GRAPH I G SGALE I"= 40' 369-8288 Fax 369-8287 REF.\\Compagserver\pros\01\01-238.pro ��¢ regi weile architect 905 aquaview, east marion, new York, 11939 post office box 223 e-mail vregiweile@aol.com 631 477-9735 6 November 2006 NOV - 8 2005 Board of Town Trustees 53095 Route 25 PO Box 1179 Southold, NY 1197$ Re: Seigel Residence 17327 Main Road, East Marion SCTM: 1000-23-1-14.1 Dear Trustees, Enclosed please find a check for the Permit fees for the above Property. Thank you and have a nice day Respectfully submitted, r weile, architect MAILING ADDRESS: PLANNING BOARD MEMBERS P.O. Box 1179 JERILYN B.WOODHOUSE O_a`,\OF SOUlyOl Southold, NY 11971 Chair h O OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR va 54375 State Route 25 GEORGE D.SOLOMON aQ� (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND O1�1' � Southold,NY CQU �� Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: James King,President Town of Southold Board of Trustees -- =-- - --- �,_ r n From: Mark Terry, Senior Environmental Planner ! - LWRP Coordinator I AUG 2 3 2006 Date: August 21,2006 Re: Request for Wetland Permit for Irwin Seigel Residence SCTM#23.-1-14.1 - Regi Weile,Architect on behalf of IRWIN SEIGEL requests a Wetland Permit to construct an addition to the existing residence and to repair the existing residence. Located: 17327 Main Rd., East Marion. SCTM#23-1-14.1 The proposed action has been reviewed to Chapter 95,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 denoted following Policy Standards and therefore is CONSISTENT with the LWRP. CC: Shawn Kiernan,New York Department of State,Division of Coastal Resources regi weile architect 905 aquaview, east marion, new york, 11939 post office box 223 e-mail vregiweile@aol.com 631 477-9735 30 July 2006 Amendment to Application --- - ---- ----- 17 Wetland and Shoreline Permit i LC Town of Southold r: Seigel Residence Addition ` I j J U L 3 1 2006 17327 Main Road, East Marion, New York Applicant: Regi Weile, Architect Lot: #1000-23-1-14.1The Following is Additional Clarification of Permit as Required by the Town of Southold. 275.6. Application 1] Submitted with application. 2] Schedule for proposed activities: Commencement of Construction 10/06 Completion of Construction 10/07 3] Purpose of Proposed. Addition to existing Residence and attached Garage. Repair of Existing due to failure of exterior coating and work to comply with Governing Codes. 4] Removed Material: Material for construction of Footings. New First Floor to be slab on compacted material. Removal for footings = +/- 110 cubic yards. 5] Area to be constructed is at, and attached to the east and south of existing residence. 6] Depth of removal. Footings to be located 6' 0" blow grade to match existing footings. 7] Manner in which material will be removed. Backhoe or equal and by hand. 8] Survey: Submitted with application. [Updated Survey indicating Proposed Work is pending]. 9] Effect on Wetlands: None 4 10] Prior Operations: Existing Residence was built in 1982. Prior Proposal for an Addition, which was never built, was filed and approved in 2001. All 2001 Permit and the original C of 0 is on file with the Southold Department of Buildings. 11]Applications have been submitted to the Southold Building Department and are being reviewed. Application has been send to the DEC with no reply to date. 12] Replanting and restoration:At present the proposed construction is in an area without plantings. Existing gravel driveway to remain. 13] Photos: Submitted. Views are North and East. Date of Photo is May 2006. 14] Drainage upgrade: Site will be graded to insure water drains away from Structure and in a Southerly direction on the property. 15]Affidavit Under separate cover by Owner. 16] Ethical Disclosure: Submitted with application. 17] False Information Statement Submitted with Application. 18] Local Waterfront Revitalization Program Consistency Assessment Form: Submitted with application. END OF AMENDMENT VIED ARCh,/T VkEG/AfIq k V r srq� Ne�yo James F.King,President �*Of SUUro Town Hall Jill M. Doherty,Vice-President ,`O y0. 0 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen John Holzapfel % Telephone(631)765-1892 ly`,oU Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application - Administrative Permit _Amendment/Transfer/Extension deceived Application: .deceived Fee:$ ash' pleted Application l O —Incomplete _SEQRA Classification: i C �i `,(J i,,_`°, u Type I Type II Unlisted Coordination:(date sent) I ,hWRP Consistency Assessment Form j U U L ° SAC Referral Sent: �I( c 1 9 2006�, ,__ , J;s&, e of Inspection: O Receipt of CAC Report: —Lead Agency Determination: _Technical Review: Public Hearing Held: 02 G _Resolution: Name of Applicantt-- zlWi• �y���'r,rp'"a�" Address Nkwtq\ 1114 NVIdY\ East Marion Phone Number:( ) 631 4771797 Suffolk County Tax Map Number: 1000 - 23-1-14.1 Property Location: 17327 Main Road, East Marion NY Main Road (provide LILCO Pole#, distance to cross streets, and location) AGENT: & . UWeL C � (If applicable) Address: ajqAmao mej VYMv�L, n _ Phone: oard of Trustees Applicai a GENERAL DATA Land Area(in square feet): 77,284SF [1 .77Acres] Area Zoning: Residential Previous use of property: One Family Residence Intended use of property: One Family Residence Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ao� No Yes If yes,provide explanation: Project Description(use attachments if necessary): Addition to existing Residence and repair of existing Residence. Existing is a Concrete Structure and the proposed addition will be frame construction. Attached please see plans. oard of Trustees Applica a WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose of the proposed operations: Addition on o R s d n _ Area of wetlands on lot: None square feet None Percent coverage of lot: 1 .7% % Closest distance between nearest existing structure and upland edge of wetlands: NA feet Closest distance between nearest proposed structure and upland edge of wetlands: NA feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? cubic yards How much material will be filled? None 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 see attached Site Survey ioard of Trustees Applica n COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Addition to Residence Are wetlands present within 100 feet of the proposed activity? x No Yes Does the project involve excavation or filling? No x Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: NA Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) see attached site plan PROJECT ID NUMBER 617.20 SEQR 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.APPLICANT/SPONSOR 2.PROJECT NAME Regi Weile, Architect for Irwin Seigel, Cwner Seigel Residence &PROJECT LOCATION: Municipality Main Road, East Marion, NY 11939 county suffolk 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 17327 Main Road, East Marion, NY 5.IS PROPOSED ACTION: ❑ New ❑Expansion ®Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: Addition to Existing Residence and repair of existi 3structure. 7.AMOUNT OF LAND AFFECTED: Initially 1 77 acres Ultimately acres S.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? WYes ❑ No If no,describe briefly: 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) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) 1-1Yes ❑No If yes, list agency name and permit / approval: L J Building Departnent of Southold Town 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes No If yes, list agency name and permit / approval: 12, AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: regi weile, architect 6/6/06 Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT(To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. Yes Q No B. 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. Yes No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: No C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: No C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: No C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: No C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: No C6. Long term,short term,cumulative,or other effects not identified in C1 C5? Explain briefly: No ...... . C7. Other impacts(including changes in use of either quantity or type of energy? Explain bnefl : D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? If yes,ex lain briefl : Yes [3j No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If Xes explain: Yes GJ No PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and (f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance mustevaluate the potential impactof the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actin WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of Lead Agency Date 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) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: r 1WC4 Address: �05 �►j�elUl4v 2�S M AW, STATE OF NEW YORK COUNTY OF SUFFOLK (eq i tuiaL , gk�jb�t ,residing at 00C 4aUo QLe J ,being duly sworn, deposes and says that on the !?21 day of , 206(0, deponent mailed a true copy of the Notice set forth in the Board of T tees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town o Southold; that said Notices were mailed at the United States Post Office at k � Adyl a ,that said Notices were mailed to each of said persons by (certified) (registered)mail. /i Sworn t forethis D ofk6\)Sr , 200(o 1� Not P blic BONNIE----ROS Notary Public,State Of New York No.O1D06095328,Suffo unty Term Expires July 7,20 m '�� b�'� ay it • I / I • • ON y O.. ° k H 3 ig a 3 ■ Complete items 1,2,and 3.Also complete A. Signature o f W a g »W 0 item 4 if Restricted Delivery is desired. X ❑Agent ai ''i gz y ■ Print your name and address on the reverse ❑Addresse �4 so that we can return the card to you. B. Received by( o live_] ' 't ■ Attach this card to the back of the mailpiece, M p u V R a Cn or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: �i if YES,enter delivery address below: ❑No r,3 j= CDYDi �- dlaa�Y� ti Yoilk * J 2233 DC01 3. Service Type ��i1 ro _, 5•= CD • E%CerUfied Mail ❑Express Mail ❑ Registered 'iLRetum Receipt for Merchandis ,.��•+, y ❑Insured Mail ❑C.O.D. ,(�33 i 4. Restricted Delivery?(Extra Fee) ❑Yes Ja 2, Article Number (Transfer from servic 7002 0 510 0000 8730 4175 PS Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03-P-41 7002 0510 0000 8730 4168 ni °�; � m • I • •N DELIVERY y S o» o� � ° � � m ■ Complete items 1,2,and 3.Also complete A. S ure xi k�' a CL a a= item 4 if Restricted Delivery is desired. ❑Agent o ■ ■ Print your name and address on the reverse X ❑Addresse m m R -D so that we can return the card to you. B. eceive y e) Q.Date of Deliver __.» y ■ Attach this card to the back of the mailpiece, CD 8m m m or on the front if space permits. r • Is deli ddress dterent fr mj Im 1? .❑Yes Article Addressed to: _ if YES, deliv dre ow: ❑"No r w �10� ■ l�so+ N1�mar, tiY 3. Service Type 1 r�" ertifie'd Mai QG I ❑Express Mail - �..� ys ■ �136� ❑ Registered '19■Retum Receipt for Merchandise ' ❑Insured Mail ❑CAD. +i _° •" 4. Restricted Delivery?(Extra.Fee) ❑•Yes x 2. Aanstrfrom 7002 0510 0000 8730 4151 Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03 PAC M2 0510 0000 8730 4151 SENDER: • . N DELIVERY ■ Complete items 1,2,and 3.Also complete 7T'na m m m �'—., � item 4 if Restricted Delivery is desired• 3 0 ■ ■ Print your name and address on the reverse e 0o [3 Agent CD a; • o; m gym• �� z so that we can return the card to you. ❑Addresse 1 m 2 T o 1 ■ Attach this card to the back of the mailpiece, Rec ed b (P red e C Date of Delivei O g iu or on the front if space perrhits. M . • D. Is delivery•addr is diftere t from item 17 ❑Yes S 1, Article Addressed to: if YES,enter delivR address below. ❑No -4 *Okeuz4 ID 0 3. Service Type J0 M Certified Mail "❑Express Mail❑Registered. MAetum Receipt for Merchandise •• ■ ❑Insured Mail ❑C.O.D. al ' CD 4. Restricted Delivery?(Extra Fee) ❑ Yes m d rr. 2. Article Number - RL �`� (transfer from se 7002 0 510 0000 8730 4168 }PS Form 3811,August 2001 Domestic Return Receipt 2ACP11I-03 P 4C James F. King,President ��OF SOUj Town Hall Jill M.Doherty,Vice-President ,`O l0 53095 Route 25 Peggy A. Dickerson P.O.Box 1179Southold,New York 11971-0959 Dave Bergen G Q John Holzapfel Telephone(631)765-1892 �IyCOU '� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD. BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of --- Y .Jtn-S_C1--`---- i_l ► .Q-_EAv�n%�4 lYwa� Dwvuv COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, L ,residing at 0s 04\ \1\" MaA m UU 3 being duly sworn, depose""''and say: That on the J4 day of rCU� , 200�, I personally posted the 'roperty known as .52 'a- asL E-WA 1AW W) I by placing the Board of Trustees official poster where it can e sily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held °h orb Dal !o% 3d Dated: f (signatu ) Sworn to efore me this day of po� NAAJ, otary Publ b BONNIE J.DOROSKI Notary Public,State Of New York No.01D06095328,Suffolk C udy Term Expires July 7.20.b Board of Trustees Application County of Suffolk State of New York jj i (0 � BEING DULY SWORN DEPOSESAND AFF S 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 TOWN 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(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS l DAY OF 2066 Notary Pull u li BONNIEJ. ROSKI Notary Public,State 0f Newyork No.01D06095328,Suffol my Term Expires July 1,20 Board of Trustees. Applica n AUTHORIZATION (where the applicant is not the owner) I, Irwin Seigel residing .at 17327.Main Road, EastMarion (print owner of property) (mailing address) do hereby authorize (Agent) Regi Wei]e, Architect, to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Ow ' s sig ture) 8 APPLICANT/AGENT/REPRESENTATWE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The pumose 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. Reg Weile, Architect YOUR NAME: (Last name,first name,.piddle 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 x Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship.with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); . B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day a 200 Signature Print Name Form TS l y Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant icant 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. 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 f( SCTM# JUL 1 g 2006 PROJECT NAME seicrie Residence gesidence Addition Southold Town The Application has been submitted to (check appropriate response): Board of Trustees Town Board ❑ Planning Board❑ Building Dept. 0 Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial.assistance (e.g. grant,loan, subsidy) (c) Permit, approval, license,certification: ❑ Nature and extent of action: Location of action: 17327 Main Road, East Marion, NY Site acreage: 1 .77 acres Present land use: Residential Present zoning classification: 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: Regi Weile, Architect for Irwin Seigel, Owner (b) Mailing address: 905 Aquaview Ave. East Marion, NY 11939 (c) Telephone number: Area Code( ) 631 477 1797 (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. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No 2 Not Applicable AdeLition to existing Residence Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWnRP Section III-Policies Pages 3 through 6 for evaluation criteria 4 Yes ❑ No © Not Applicable no v c q Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No x❑ Not Applicable m��i���inn ln��ln aYld1 tea j g, ► F-i, nvioAdoj =6UAca Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ 'Yes ❑ No © Not Applicable M1Ultmom kAnd �a iX1GQ, Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No 1:2 Not Applicable QUO- CA) tpV?)wrl A Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not i licable rYl t �Yvk�v'fl 2� a Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [:] No[�] Not Applicable rro PnniS�i�sy�s AYn�,louv� �,,,`t�n a��c�ay� DU1�� , vl 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 10 Not Applicable S 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. ❑ YesEl No 0 Not Applicable �J►�a� Ql�� ,a Attach additional sheets if necessary WORKING COAST POLICrra 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 a Not Applicable 9L1 W �2Q Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 0 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 0 Not Applicable {�v►�I� �1 C32.J 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 ❑x Not Applicable PREPARED BY Regi weile TITLE Architect DATE 6/6/06 regi weile architect 905 aquaview, east marion, new york, 11939 post office box 223 e-mail vregiweile@aol.com 631 477-9735 Board of Trustees Southold Town Town Hall P.O. Box 1179 E JUN 6 2008 Southold, New York Southold Tovvn 4 June 2008 -Po3rd of Trustees Re: Irwin Seigel 17327 Main Road, East Marion, New York SCTM#23-1-14.1 Southold Trustee Permit#6421 Dear Board of Trustees, I would like to request renewal of the Trustee Permit for the above property. I am enclosing a check for $50.00 as per your request. Please advise me as to the status of this Permit after your review. Thank you ,li Weile, Architect D ARj_ VkEG 0&,-'p. !V M > N James F.King, President 0f SU(/ry� Town Hall Jill M. Doherty,Vice-President O 1 53095 Route 25 Peggy A.Dickerson l [ P.O.Box 1179 Southold, New York 11971-0959 Dave Bergen Bob Ghosio,Jr. �l� �� Telephone(631) 765-1892 Fax(631) 765-6641 WN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 18, 2008 Regi Weile, Architect P.O. Box 223 East Marion, NY 11939 RE: IRWIN SEIGEL 17327 MAIN RD., EAST MARION SCTM#23-1-14.1 Dear Ms. Weile: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., June 18, 2008: RESOLVED, that the Southold Town Board of Trustees grants a One-Year Extension to Permit#6421, as issued on August 23, 2006. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, James F ing President, Board of Trustees JFK:Ims