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HomeMy WebLinkAboutTR-7118A Jill M.Doherty,President �QF SO(/r y Town Hall Annex James F.King,Vice-President ,`O� Ol0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 Bob Ghosio,Jr. • OQ Telephone(631) 765-1892 John Bredemeyer Fax(631) 765-6641 � COUNT`i,�c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0524C Date February 8, 2010 THIS CERTIFIES that the_enclosure of the existingscreen porch and relocation of windows At 6.565 Indian Neck Lane, Peconic Suffolk County Tax Map #86-6-25 Conforms to the.application for Trustees Permit heretofore filed in this office dated 5/13/09 pursuant to which Trustees Wetland Permit#7118A dated 6/24/09 was issued and conforms to.all of the requirements and conditions 'of. the applicable provisions,of Jaw..The project for which this certificate is being issued is for the enclosure of the existin scg reen porch and relocation of windows. The certificate is issued to WALTER CHADWICK&MARK LOWENHEIN owners of the aforesaid property. Authorized Signature tg{JfF0J ram Jill M.Doherty,President 4 Town Hall,53095 Main Rd. James F.King,Vice-President ti y. � P.O.Box 1179 Dave Bergen �� Southold,NY 11971 Bob Ghosio,Jr. 7Jp1 ��' Telephone(631)765-1892 John Bredemeyer �` Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction % constructed Project complete, compliance inspection. INSPECTED BY: . COMMENTS: CERTIFICATE OF COMPLIANCE: ® � James F.King,President ��q S0V)yO Town Hall JillM. Doherty,Vice-President 53095 Route 25 Peggy A.Dickerson P.O:Box 1179 Southold,New York 11971=0959 Dave Bergen G Bob Ghosio; Jr. �0 �Q Telephone(631)765-1892 l `,oU 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 PRE-CONSTRUCTION.INSPECTION. FAILURE TO DO. SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE . PERMIT. i INSPECTION'SCHEDULE Pre-construction, hay bale.line _ 1 st day of construction . % constructed r/ Project complete, compliance inspection. James F.King,President �OF so yQ Town Hall Annex Jill M. Doherty,Vice-President ,`O �� 54375 Main Road P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G Q '� • O Telephone(631) 765-1892 Bob Ghosio,Jr. Q Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7118A Date of Receipt of Application: May 13, 2009 Applicant: Walter Chadwick &.Mark Lowenheim SCTM#: 86-6-25 Project Location: 6565 Indian Neck Lane,Peconic Date of Resolution/Issuance: June 24, 2009 Date of Expiration: June 24, 2011 Reviewed by: Trustee Peggy Dickerson Project Description: To enclose an existing screen porch with relocated windows, without changing the roof or foundation, and no.increase in footprint: 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 Samuels & Steelman, last dated April 11,.2009, and received on May 13, 2009. 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. James F. .King, President J Board of Trustees JFK:eac James F. King,President SO(/ryO Town,Hall Jill M.Doherty,Vice-President 53095 Route 25. Pe A.Dickerson P.O. Box 1179 Peggy Southold,New York 11971-0959 Dave Bergen Q Bob Ghosio;Jr.., Oly� a� Telephone(631)765-1892. . COU�,� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD tholdw'ck �_Ocjen.k* im Please be advised that your application.dated. 3CY�. has been.,reviewed by this Board at the regular meeting 6f one, and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project - Pre-Construction Hay.Bale:Line:Inspection Fee ($50.00.) 1 st Day of Construction ($50.00) Y2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00:per sq..ft.) Permit fees are now due. Please make check or money order payable to Town. of Southold,,The fee is computed below according to the schedule of.rates.as set forth in Southold,, of the Southold Town Code. The following-fee must be paid within 90-days.or re-application fees will be necessary. You will receive your permit upon completion of.the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE:,$ BY: : James F..King, President Board of Trustees osu�Foc,� James F.King,President Off' CQ P.O.Box 1179 Jill M.Doherty,Vice-President �� Gyp Southold,NY 11971 Peggy A.Dickerson ti Telephone(631)765-1892 Dave Bergen V, Fax(631)765-6641 Bob Ghosio,Jr. Southold Town Board of Trustees Field Inspection/Worksession Report . Date/Time: Samuels & Steelman Architects on behalf of WALTER CHADWICK & MARK LOWENHEIM requests an Administrative Permit to enclose an existing screen porch with relocated windows, without changing the roof or foundation, and no increase in footprint. Located: 6565 Indian Neck Lane, Peconic. SCTM#86-6-25 Typ"f area to be impacted: tiSaltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Partt f Town Code proposed work falls under: Part Chapt. 111 other Type of Application: �,A Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: / Modifications: Conditions- Present Were: J.Kin J.Dohert VP- .Dickerson D. Bergen_ B.Ghosio g — Y— g — , D. Dzenkowski Scott Hilary_other Form filled out in the field by Mailed/Faxed to: Date: All �' - sEE s[c.m.oT] sCC s6c.lal.oT] I o6•00 e so . p' - e SEE scG s6C scc. s¢szc laaTs ua ssC s[c.Ia on �- �-- • woT1 —�— lu)a NAT. fWi P lc.Np.. 6•�)-x° evucl — 6FE ac.IL. 6EF SEG IID. 6EE 6EG IA ..j'SEE SFL IA _ �' R-eb-pp e•+e •� 4 r' �A 1 p)S-p6-pCGI p15-p6-ops p15-p6-%1 p)S-0T-ppLl r•d:,x , z3NG1 x _ o,'o, � Y'P'• by ta] ]R 5P sauce �ae.os � I t• _ r y um uN 4/a \ari UA �s r „ oa \ ]R y ] IJi 0 a AN- W 2 x 1p"5 4.4. 12) 44m RT CPEEK r� -_'Z7 - f iO • 6•] Y SyJ w 'D ' R' � Al 6s 1]u l\ ra Pw xa O J. - ]a M sra s6G xa ]y +a j� . 6 Q m ou-oroas2. c�,_ ° 0-J ww - ->•R " to �6 - - ).wa zLR � laud Ile i t] 1 .•+ ]6 T 1e '..4 L}A p,R ]•j'i i� IA61U � r 4. vN •'BSI ' `l'� of L6• W. - . _ usla —�--uE w ^ srt sscra mp " a SEE SEG IA OeD COUNTY Of SUFFOLK © K 0A 0 SOUTHOLD LSECTION NO ..w "•- — -- — u,RexE.YORN EGR " Red Property TaK Service A envy v r �p p E x�.w"aw —�— r+n,.. 121) O x".. _ _ a Trt � C [oinfy Center WverMal,N Y lls91 O V 6 Y G "" r • — «•" 4 A PROPERTY NM .a '-y}':'� r.-...nw-3..:sa ..:. .a.r, ..�,k..Fl.-V.ai•�'e5'1d F�J�_SJ�_ -. w..;. ..^" .. .-�.:..... ..�. .-.. .�._...c� ,+. _ �..._� ...._. ......_._..-___....-.--_...._..._...�_... ..-._...... _... �..—...._`......... _ _. _-..�._.....,._....�� , °•,re w e mrm ] l Albert J.Krupski,President o�11FFO(�C Town Hall James King,Vice-President h� ®�j� 53095 Route 25 Henry Smith o P.O. Box 1179 Artie Foster Southold, New York 11971-0959 Ken Poliwoda O Telephone (631) 765-1892 4,J 0� Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application .Wetland Permit Application Major / Minor _Waiver/Amendment/Changes °'Received Application: ,deceived Fee:$S completed Application _ ^� _Incomplete _SEQRA Classification: j Type I Type II Unlisted MAY 13 Coordination:(date sent) 21 log CAC Referral Sent:'ftb southhold,6a-te of Inspection: Qoard of Town _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: _,yublic Hearing Held: _Resolution: L c1Uq P (0 Name of Applicant1� Address W99 . L k U mt gz(/ " kw Nq �a 57 Phone Number:( ) q Suffolk County Tax Map Number: 1000 - Property Location: 6, l WA km Lam , y ft nvti� �G e tut u� S Si de ser✓t Y`s cl,�� Wd (provide LILCO Pole#, distance to cross streets, and location AGENT: f'W (If applicable) Address: �J� koIA. �Q,bll l� M&OMA Ci Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: — 7 D Previous use of property: (Atod(,Gt.(, Intended use of property: A m b Prior permits/approvals for site improvements: Agency Date fownl-Nstet6 �f��� gig IJRg Ui qg No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspe ed by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): ���1,�� Oat lm &"Kew tire► rOOC or - cwda>f t'Oo . NO Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: I, $ Area of wetlands on lot: pb1� 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: 55 feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? NA cubic yards Depth of which material will be removed or deposited: feet R Proposed slope throughout the area of operations: Manner in which material will be removed or deposited` .)y 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): ear- Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No V Yes Does the project involve excavation or filling? v No Yes If Yes, how much material will be excavated?. (cubic yards) How much material will be filled? �A (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) K0 IiYVyh U1 Ili/r A so e ggir Board of Trustees Application County of Suffolk State of New York BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERNUT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/BER 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 13 DAY OF—M 20 Notary Public pA-FRiCiA RiV�ARE)S Notary Public, State ®f NOW York ... 0I R160424657 Qualified in Suffolk county Codvaaliission Expires fUlaY S0, -�� 1.4-16:4(2/87)—Text 12 PROJECT I.D. NUMBER 61 71,21 SEC Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) -12 1. APPLICANT ISPONSO i 2. PROJECT NAME O tC fjwel�cw 3. PROJECT LOCATION: „ ( Municipality [ -`HV,I (A County 6. PRECISE LOCATION (Street address and road/intersections, prominent landmarks, etc., or provide map) at 0 of K�e�se� c c Q���e��s � �cxd 5. IS PROPOSED ACTION: U New ❑Expansion Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: R ecos2 eK' din San �orl on!n ew enema 4,ciegf iV o Mcreu6 W' f oof mif - 7. AMOUNT OF LAND AFFECTED: Initially _ acres Ultimately D acres 3. Wvy": ROPOSED ACTION COMPLY WITH DUSTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? s ❑No If No, describe briefly 9. WHyf IS PRESENT R LAND;;USE IN VICINITY OF PROJECT? esid 0 ential ,!ndustrial G Commercial 0 Agriculture L!Park/Forest/Open space Li Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STAT!R LOCAL)? Yes ❑No If yes, list agency(s)and permit/approvals feu-oi v(,A T-vm fu)(4m 11. DOES ANY ASPECT OF THE ACTIO14 HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes' LSO No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE .MODIFICATION? ❑Yes Nb I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE 70 THE BEST OF MY KNOWLEDGE Applicant/sponsor name: V y�l ul. ( �ku e t b Date: I It sto ddSignature: C If the actionis in-the Coastal Area, and you are a state acency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART II—=NVIFiC?1MEN T. . SSESZS.1kEM-I Igo be r_Cr,Cietec by Age.n. A. JoEs ACTiCN EXC= ANY r -E t''r.RES•H.GL7!N o >JYC:=,n, if yes.Zacrdiriare me review :rocass and use me =UL, °sAF. Yas 'No 3. 'NILL..CTIC.J :?ECENE: 2CP.CINAicC REVIEW AS?RCVIGE]=CR UNUSTE-D iN $ NYCRR, PART 517.77' it No, a negauve aec:ar; may be sucerseded ay another;nvolvea agency. I_!Yes !-: No ... C. COULD ACTION RESULT iN ANY ACVEFSE EFFECTS ASSCC ATED WITH -^E FOLLOWING: 'Answers may ce .nancwrit:en, It :egible) I C1. Existing air quality, surface or'grounawater duality or cuanaty, raise levels. existing .,aific 7altems, solid waste Precuc:!cn -jr also: potential for erosion, ararnage or:loading problems? E.-plain briefly: C2. Aesthetic, agricultural. archaeological,historic, or other natural or cultural resources:or community or nelgnbcfnCdd c,^.aracter? =.:olaln Ca. `/egetatlon or sauna. !Isn, srellfisn or wildlife species, slgnHicanr hacitars,ar threatened or endangered :oec:es? =slain 7riarly: C». A community's existing plans or goals as offlc:ally adooted,or a change in use or intensity cr use of!and or other natural resourcas7 Explain C5. Growth, subseauenl :evelooment,or related activities likely to be induced by the arcoosea ac:ien? Exolarn oriefly. CS. _eng :erm, snort term, cumulative• or other erfec:s not icentifiea in C:•CS? Explain briefly. I " I Cther imoac:s Onc:ucing c`anges in use of a!ther quantity or :ype or energy)? =-Alain briefly. I • i •J. :5 THERE, ,R iS -HERE _:XE_. 7C SF—CONTROVERSY RELATEC TO ?OTE'!T!r,L ADVERSE EVVIRCNPAENTAL FACTS? i — Yes _�Jo it Yes. exclain ariefly PART III—DETERMINATION OF SiGNIFiCANCE (To be Completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large, important orotherwise signit Each eifect should be assessed in connection with its (a) setting (i.e. urban or rural); (b),arobabrlity of occ��r1g; (c) duratic irreversibility: (e) geogracnic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensur• exclanations contain sufficient detail to snow that all relevant adverse impacts have been identified and adequately addresser i Check this box if you have identified one or more potentially large or significant adverse imoacts which ;ri: occur. Then .�rccaed directly to the FULL E:A anclor prepare a positive-declaration, '? Check this box if you have determined, based on the information and analysis above and any su000rti: documentation. :hat the proposed action WILL 140T result in��ny significant adverse environmental imcac ! AND provide on attachments as necessary, the reasons supcorting this determination: i I i .V„rne nr _eid agency i lr,nl Jr :vac N.irne Dr �e)oon core jinc�r,n .vao.,�gencv iiUe or -<—oonSrore Umcer I jrgnJ Wr^•)r 1elcon Uele '-inch n .e-w .agency ii,4na;ure •)r l+t•oarer!It ter::Brent from rY,700nsiDie orrlc?rl ' Jarc n LETTER OF AUTHORIZATION Walter Chadwick Mark Lowenheim PO Box 123 6665 Indian Neck Lane Peconic, NY 11958 734-5067 12 January, 1999 We hereby. authorize SAMUELS 8 STEELMAN ARCHITECTS to act as our agent in obtaining all permits required by TOWN, SUFFOLK COUNT`( and NEW YORK STATE for the construction of the renovations to our residence on Indian Neck lane, Peconic, N.Y. Owner Date J��— G /Z A- ow6er p e - APPLICANT TRANSACTIONAL DISCLOSURE PORN The Town of Southold's Code of tbhics oiohibibs conflicts of interest on the part of town officers and employes. The -ur ose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. • YOUR NAH6s Last name, first name, m dd•le Initial# unless you are applying in the name of someone else or other enbiby, Such as a company. If no, indicate the other person's or company's name. ) NATURE Olt APPLICATION: (Check all that apply. ) Tax grievance Variance Change of zone ' Appipval of plat h Exemption from plat or official map Other (If "other, " name the acbivity. ) 4WIZi Do you personally (or through your CbMpany, g•poude, 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 em Ioyee owns more than 5% of the shares. YES NO " If you answered "TES ell. complete the balance of thin form and date and sign where indicated. Name oC person employed by the Town of Southold Title or position. of bhab person Describe the relationship between yourself (bhe applicant) 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) t A) the owner of greater than 576 of the shares of the corporate stock of the applicant (when the applicant isja corporabion)l g) the legal or beneEicial owner of any interest in a noncorporate'entity (when the applicant is not a corporation), c) an officer, director, partner, or employee. of the applicanbl or D) the aptual applicant. DESCRIPTION OF RELATIONS111P . .,. ,. : .i'if ifiJ Vic.>c;•.. s;' [TV• r' subinibted _. •Prinb names ` :: ' l�n:M'15+�1 , fi'j"�t'S. (t4,J5 �f :.:. j;'.•:: Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold To)yn) 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 SCTM# PROJECT NAME k eAQ ,t 1 D S JC c The Application has been submitted to (check appropriate response): Town Board 0 Planning Board 0 Building Dept. Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital 0 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: Renov*#,fm of 'I,, or E oreat h .-Ii 0 S < 61k["At0 f. Oil ar � Location of action: J r Site acreage: Present land use: re 9;Ae�TG d Present zoning classification: 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: (b) Mailing address: � _ � GJe(9&ae ''rr (c) Telephone number: Area Code( ) � �i' - 605 (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 ❑ Not Applicable 3 edy­ ' Aa rpy e 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 11 No 2Not Applicable Il e no i s � � o 6 ' , -�j uc v o 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 N'Yes [] No 0 Not Applicable Vem wo (5 .5a(e of t 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 D'Yes 0 No 0 Not Applicable t7k, OR 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 0 No 0 Not Applicable l Qa WAD rtl i b! Q P o�� a evl,-F r�ew led I OtA S 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 0 No[a/Not Applicable 4wrb&WC& a te 0V'-WfFVMT 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. E/Yes ❑ No❑ Not Applicable nof a6Qth air, o-M5fr&j&jCW r f `014 o Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous subst aces and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No ❑ Not Applicable L COVI f Y YCH Old A v e 5 `ke,1A 0Q, WW NA CALSD0574 Gi I a 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. E- Yes❑ No❑ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's ' -r-dependent uses and promote sit..ig of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No 4Not Applicable Theme, art no arc ccl nvr l'€NIMPrtl & lw n -00 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. dyes ❑ No ❑ Not Applicable `"h ko b ro k et w X b ro l_C_ Am, YI r o's cy(m, rQaIIA,Lc bi Q irnId � �f ci�i a 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 ❑ lu No I� Not Applicable `h ere, ire, no o av�cu,l 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. DYes ❑ No ❑ Not Applicable C t w' t4S-2 i a, &1 Fib M z@ 4 i ! '� PREPARED BY ► W�I�IEG�SVYI/UL el(A TITLE DATE Amended on 811105 S A M U E L S & S T E E L M A N May 13, 2009 �� MAY 1 3 2009 / Southold Town Board of Trustees Town Hall Annex soutZo—ld TawQ Main Road Board of Trustees Southold, NY 11971 RE: RENOVATION TO THE CHADWICK & LOWENHEIM RESIDENCE 6565 Indian Neck Lane Peconic, NY 11958 TAX MAP # 1000-86-6-25 Dear Sir/Madam: We are requesting an ADMINISTRATIVE PERMIT for the above reference project,which involves the replacement of screen panels with energy efficient windows in an existing screened porch. Roof and foundation are existing and will remain;the footprint will not be enlarged. A wall between the existing porch and interior room will be removed, enlarging that room. For your review we are submitting the following documents: 1. Application 2. Short Environmental Assessment Form 3. Application Affidavit 4. LWRP Consistency Assessment Form 5. (2) SITE PLANS prepared by Samuels & Steelman Architects 6. Site Survey 7. Letter of authorization from Owner 8. Check for$50.00 Please call us with any questions or concerns. Sincerely, SAMUELS & STEELMAN ARCHITECTS T omas C. Samuels, Architect enc. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405 FAX(631)734-6407 i EC Tad Rl CHM OND N MAY 13:1!59 Southhold E 47" E 6' S3• �� CM board of Tru + 32 N $0•,58 •o 3r,� S - 6 6.69 IQ �S• 19'20 E N 6 2 6 X F 'S81' A16 PRE y� s A P s S,• 277 o--� 10 n.is ��. 7.7' 1 STY 2. CHIMNEY WOOD 127.9' 8.3X2.0' 3 RAMS COVERED RES PAn0 IRST FL. 18.2' EL. 9.63 15.0' N 127.8' 37.5' N N � LLAR © � SHED T. B EMENT EL. 3.73 N WETLANDS DELINIATION o NSF 107.3' O "-RUICKSHANK FR'2 1�1 ARAG 8 21.3' SET CM METAL 0 SHED 8 9 e UTILITY ss 6'. POLE ???, 4 R. 4 63.6' FGARAGE A O O O n 6 SET �\ cM � O . 0� 26 CJ W � 0 0 8 SET S�p� CM SET W 110.5 0 10 CM . 13+ 40 S 79 ELEVATION BENCH DERIVED FROM E 326 (EL. 20. 118 ) 12 R 0 A E 326 DESTROYED. ELEV. SOURCE E G K I \ FROM SUFFOLK COUNTY DEPT. CM + 30+ I �I OF PUBLIC WORKS WA TERWA YS DI V S73 29 WETLANDS DELINIA TION SURVEY OF 1. S 78' 16' 03" E 103.16'. DESCRIBED PROPERTY 2. N 83. 12' 04" E 34.70' SURVEYED 7128198 Guarantees indicated here on shall run SITUATE J. S 89' 36' 55" E 41.75' SCALE 1"=40' only to the person for whom the survey 4. S 21' 10'36' 12 "25" E 3. 2 ' •ARE A= 111,952.47 SFis prepared, and on his behalf to the 5. S 21' J5 56 E 39.38 PECONIC, 6..S 00' 35' S6" E 39.38' 2.570 ACRES tiil� ccm,;. Gover:;:entel Agency, TOWN OF SOU THOLD 7 S 10' 32' 24" W 38.76' r•<iir:; iratit aicn, it lists ' h�reor., and 8. S 11- 37' 46" W 58.26' SUFFOLK COUNTY, N. Y.- 9. S 74' 39' 49" W 31.49' to the cssianees of th• lendir.;; institution. 7M 1000-086-06-25 C,ucrantees are not trcns:: -ruble to 10. SOS' 44' 15" W 39.39' 11. S 31' 38' 03" E 64.74' additional institutions or subsequent ovSMVEYED FOR MARK S LOWENHEIM AND SURVEYED B)'. Unauthcrized alteration or addition to this WALTER H. CHADWICK GUARANTEED TO sLrvey is a violation of Section 7209 of Copies of this survey map not bearing STANCE Y`J. `JSAKSEN; JR. MARK S. LOWENHEIM the New York State Education Law. the Land Surveyors embossed seal shall P.O. 3. 0X,294 WALTER M. CHADIMCK not be considered to be a valid true NEW 5UF1-OLK NY.11956 FIDELITY NATIONAL TITLE INS. CO. NOTE.' copy. 516 17Jq=7,58 NORTH FORK BANK 1. LOCATE WETLANDS DELINIA.TION AS SET TOWN OF SOUTHOLD BY LAND USE CO. 16 OCT. 98 2. ADD EL. 10 CONTOUR 27 OCT 98 NYS LI 10. 49273 3. REVISE 1st. FL. & ADD CONTOURS 01 FEB. 1999 98R722 i ® 5. 44,9 at miIIIIIIIIIII"mm D Ez PR ,eRw. 6565 Indian Reck L w* C ADDRESS Peconic, NY OWNER: 734-5067 SITE: 111,952.47 . ft. ---..... �� sq AIMA 2.570 acres ZONING: R-80 FLOOD: � \ e ZONE 2 FAI L 9 N �' SURVEYOR: Stanley J. Isaksen \ FO ,�, New Suffolk, NY 11968 License# LS 49273 4 :,.": - III Is Dated: October 27, 1998 aA r �EVA7 ID BN GuD N� $�FE� CAD NINO IV Sotfihhold • I Board of Trustees TOWN OF SOUT6 iG - 4zCJ ' 1 � f m Goon W -J • ,L } = z , Lfi / / M N LJJ • N - n OF NF s 0�8350-A � 11958 Project No: �182�0 \ 0 L D \• `` \� Drawn By: � Lt1 ' s Checked ey:T5 k EAST ay Date: , O �-/ \ r,�urcaoouc scale: SIT' • ` �p•r;�'�' o sneer Tine: j DN -ex hT: Dl p"r 01 I v'I-WAr' ` NOG NECK' � 1 • � 0\ 140 : B A Y SITE PLAN I/ay�•r LOCATION sneer No: .SITE -PL ✓ SCALE : 1" = 201- 0" Z - I . ui V z uj >- ® Z Cl V Lj L u O H v w ® - a. F LEI w � z Z' ® LU J ® L,u o 01; z a L.I\Y I NCv (2)2x4 FRAMING BOTH SIDES ROOM (2)2x10 HDR. ABOVE uLAI ❑ RELOGA4 0II.I6HT5 EXISTING FOUNDATION 4 ROOF E STRUCTURE TO REMAIN co Lo PROVIDE SLEEPERS ON * Lo MASONRY, FIN. FLR. TO MATCH - -a I EXIST'& WD. SUNROOM FLR. , RELOCATE EXIST& WINDOYVS �- FROM LIVING ROOM/PORCH 2)13'" xJ Ilfil-O XI IrSH O —— =` /�—— SHORE EXIST'& FLOOR/ROOF ABOVE. REMOVE DINING ROOM i I "' I I ``� A �� PROVIDE N STRIZTURE, 's " 4 „ HAN&ERS FOR EXIST'& J015TS SUNROOM I ( EXISTS WINDOWS TO REMAIN �tS Z- T • Y 1=0Yfi� J f a ° W J• a Lu• g UP U cq al-• � m KITCHEN co co- CGUrz5T ROOM OF NFk,r BPS C' Sq O'P p - 0�83�)-� PROJECT NO: . 0805 DRAWN BY: TCS 1HECKED BY: DATE: 5113/09 SCA[E--.m I R'" T Fm m 0"" R RL "A N. SCALE: 1/4" = 1' -0" 1/4" = 1' - 0" �i SHEET TITLE: 13 2000 rout,}hots To,v dof rrUStP s FLOOR t� PLAN SHEET NO: