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TR-7275
James F.King,President ��OF SOyQ Town Hall Annex Bob Ghosio,Jr.,Vice-President h0 l0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q Michael J.Domino Telephone(631)765-1892 �yCOU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 21, 2012 Dellen Zimber Technologies LLC c/o Carol R. Denson 1184 Corner Ketch Rd. Newark, DE 19711 RE: CAROL DENSON 750 OLD MAIN RD., SOUTHOLD SCTM#56-6-8.7 Dear Ms. Denson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., March 21, 2012: RESOLVED, that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#7275, as issued on April 21, 2010. This is not an approval from any other agency. Sincerely, James . King, Presiden 7 Board of Trustees JFK:Ims r Dellen Zimber Technologies LLC c/o Carol R. Denson 1184 Corner Ketch Road Newark Delaware 19711 _ -- (302) 593-8845 �� Email: crdenson@udel.edu f MAR Board of Truteesp TO: James King, President Board of Town Trustees Town of Southold FROM: Carol R. Denson DATE: March 7, 2012 RE: Permit Extension# 7275 The Old Barge Restaurant SCTM#56-6.8.7 This letter is to request an extension to the subject project issued April 21, 2010. Enclosed is the application fee in the amount of$50.00. James F King,g,Piesident CO P O Box 1179 Bob Ghosio,h ,Vice-President �� Gy Southold,NY 11971 Dave Beigen Telephone(631 765-1892 John Bredemeyei ,y Fax(63 1)765-6641 Michael Domino �Q Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: CAROL DENSON requests a One-Year Extension to Wetland Permit#7275, as issued on April 21, 2010. Located: 750 Old Main Rd., Southold. SCTM#56-6-8.7 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion Amendment —Administrative—Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: J. King B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: Jill M.Doherty,President ti Town Hall,53095 Main Rd. James F.King,Vice-President V__ P.O.Box 1179 Dave Bergen dp Southold,NY 11971 Bob Ghosio,Jr. �j. t1 Telephone(631)765-1892 John Bredemeyer Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: �a lls9-P 1�1Z DLO o rl Please be advised that your application dated 3Iq /l 6 has been reviewed by this Board at the regular meeting of a/fly 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) %Constructed ($50.00) L/ Final Inspection Fee ($50..00) Dock Fees.($3.00 .per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter.275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive-your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ �j O o OD BY: Jill M. Doherty; President Board of Trustees FFOAt Jill M.Doherty,President N Town Hall,53095 Main Rd. James F.King,Vice-President P.O.Box 1179 Dave Bergen Southold,NY 11971 Bob Ghosio,Jr. �� Telephone(631)765-1892 John Bredemeyer 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 AV 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 % constructed V Project complete, compliance inspection. .�'1./'1/'�'•-- '�.. • _. ..��� /r�' -' ..�� ��`1'I"�" >a i'iviP'./•S-:. y.'�~il r .. ��-.'lil.i•/iy I -.. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW'YORK >_.. ,,a/ PERMIT NO 7275 DATE APRIL 21 .2010 ISSUED TO ,CAROL-R-DENSON PROPERTY ADDRESS: 750 OLD MAIN RD—SOUTHOLD SCTM#56 6187 .. • 1s, AUTHORIZATION :,•,p;o, Pursuant to the provisions of:Cl apter'275 and/or Chapter 01 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adoptedat`the meeting held:on_ April 21 2010 m consideration of application fee in the sum of$250 00 paid by Carol R.Denson andsubject to the Terms and Conditions as stated m the Resolution,the Southold Town Board'of Trustees n;authozes and permit the following - Wetland Permit to repair the floor at the north end of the existing restaurant ' . a T ,,. i > .building,'arid as!depicted on the`plari'preparedly'Condom Erigme ring,P C received on March 9,2010 and stamped approved on April 21,2010. /1111', 111 IN WITNESS WHEREOF,the said Board of Trustees hereby causes`its'Corporate S'eat'tHe affixed, and these presents to,be subscribed by a majority;of the said Board as of this date VO� 11 j C i OwO a �1111 � rll%r '1: fir 'N11 I b _ 1'1'oI l *„ �1..:��s4 •, erl• 111e ry/ipa 11,1iA. '- '�rr 1111iV •--• .. _.r4, 11.. -' �..w�,�/ 111i... � ri/// /1 i�' TERMS AND CONDITIONS The Permittee, Carol R.Denson residing at 1184 Corner Ketch Rd.,Neward,DE 19711, 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. Thatthere.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. 4 8. That the said Board will be notified by the Pernttee of the completion of the work authorized: ' 9. 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. Jill M.Doherty;President oE so�Tyo Town Hall.Annex James F.King,Vice-President ,`O l0 54375 Main Road Dave Bergen P.O.Box 1179 4 Southold,New York 11971-0959 Bob Ghosio,Jr. John Bredemeyer Ol� �Q Telephone(631) 765-1892 Fax(631) 765-6641 CoUtM,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 21, 2010 Mr. John Condon Condon Engineering, P.C. 1755 Sigsbee Rd. Mattituck, NY 11952 RE: CAROL R. DENSON 750 OLD MAIN RD., SOUTHOLD SCTM#56-6-8.7 Dear Mr._ Condon: The Board of Town Trustees took the following action during its regular meeting held on Wed., April 21, 2010 regarding.the above matter: WHEREAS, Condon Engineering, P.C. on behalf of CAROL R. DENS ON 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 March 9, 2010, 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, in accordance with Chapter 268, said application was found to be Exempt .from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect.to said application on April 21, 2010, 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, 2 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 APPROVES the application of CAROL R. DENSON to repair the floor at the north end of the existing restaurant building, and as depicted on the plan prepared by Condon Engineering, P.C. received on March 9, 2010 and stamped approved on April 21, 2010. 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, IV. Jill M Doherty President, Board of Trustees JMD/Ims Chairman O -�� Town Hall,53095 Main Rd. Lauren Standish,Secretary d P.O.Box 1179 A�/ Southold,NY 11971 �� Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., April 14, 2010, the following recommendation was made: Moved by Doug Hardy, seconded by Audrey Horton, it was RESOLVED to SUPPORT the Wetland Permit application of CAROL R. DENSON to repair the floor at the north end of the existing restaurant building. Located: 750 Old Main Rd., Southold. SCTM#56-6-8.7 Inspected by: Greta Schiller, Doug Hardy The CAC Supports the application with the Condition drainage is assessed. Vote of Council: Ayes: All Motion Carried �SUFFO(,� Jill A Doherty,President Off' CQ P.O.Box 1179 James F.King,Vice-President Southold,NY 11971 Dave Bergen y Telephone(631)765-1892 Bob Ghosio,Jr. Fax(631)765-6641 John Bredemeyer Southold Town Board of Trustees Field InspectionNVorksession Report Date/Time: CAROL R. DENSON requests a Wetland Permit.to repair the floor at the north end of the existing restaurant building. Located: 750 Old Main Rd., Southold. SCTM#56-6-8.7 T e of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application: �Netland _Coastal Erosion Amendment —Administrative—Emergency Pre-Submission Violation Info needed: Modifications: Conditions: hil Present Were: .. J.King _J.Doherty_J. Bredemeyer D. Bergen_ B.Ghosio, D..Dzenkowski other Form filled out in the field by . Mailed/Faxed to: Date: a MAR 9 2010 1 N� SAG' '9 e A e s e �k a ee e e e e N N\ �•• N_ e e e e e ee THE OLD BARGE RESTAURANT Condon Engineering, P.C. OLD MAIN ROAD 1755SigsbesRoad SOUTHOLD,NEW YORK Draunby JJC Mattihtck.New York 11952 Dale 3Aaom (631)298-1936(631)298-2651 fax PHOTO SITE PLAN www.oDndoneroneering.com �� � .,rr ,amour I�tf � �.. .- � � �: � - � ,� r_. � .; M, 4 ,.. ice...,. C., vnp'i �, � �f;� � II!1 #A} �o►�. ''s;91+a,1 ll�,�;,� Ilse T11�_ .�. _��a,��...- .� �� T I , x r' y. _... a ..... .'., ..: ;ILRD OF HEALTH • . JETS OF PLANS FORM NO. 1 . . D L5 t� SURVEY . . . . . . . . . . . . . . . . . a TOWN'OF SOUTHOLD CHECK . . . BUILDING DEPARTMENT SEPTIC FORM . . . . . . • . • • TOWN HALL pEp>L I SOUTHOLD, N.Y. 11971 NOTIFY U 7�pN q TEL.: 765 1802 CALL . .7� 5• • .3 / 0�0 . . . . . . . . Examined . . �. . . 1.Q�• ..., 19 MAIL T 0 : . . ' Approved . .QLZI •1 .�i. . ., 19� Pctmit No. J. Z Disapproved a/c . . . . . . . . . . . .'. . . . . . . . . . .. . .41 (Building.Inspector) . APPLICATION FOR BUILDING PERMIT Date . . .. . . . . . . . . . 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. .b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining- premises or public streets or areas, and giving a detailed description of la cation. yout of property must be drawn on the diagram which is part of this appli- ca e. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throuzhout the work. e. No building shall be;occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. { APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building.Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The.applicant agrees.to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections_ ' (Signature of applicant, or name, if a corporation) i (Mailing address of applicant) i State whether applicant is `owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . .Q.uJ n� [� /2. . . . .i. . . . . . . . . . . . . . . . . . . . . Name of owner of premises { . . . . . . oC� ����, . •� o;'-.�'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . (• . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation,!signature of duly authorized officer. .. . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . (Name and title oif corporate officer) i Builder's License NO. . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . EIectrician's License No. . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1 ` rL'ocation of land on Which proposed work will be done. .�.QQ,, J� . • �,;� -. � � A. House Number ; Street. • • • . • • • • • •• Hamlet Count _ y Tax Atap No. 1000 Sectio_ n .c�6. —.(R . ..�Blocl: . . . . . . . . . . ,Lot . . . . . . . . . . . . . . . Subdivision :Pf�./:5� Q: r -CL,.:.,. . . . Filed Map No. . ?>� ���. (Narnc) Lot _. . . . . .. ,state existing use and occupancy of premises and intended use and occupancy PancY of proposed construction: existing use and occupancy . . . . 1 �45 �. .e<A cw7. . . . . . . . f. . . . . . . . . . nded use and occupancy`. . :�rl.�-. . . . . . . . . . . . ' .3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition lfcrafion Repair . . x. . . . . ' . . . Removal . . . . . . . . . . . : -�_• - - - •j• • . . . . . . . . Demolition Otticr,-1Vork .,d,: • . ;r . 1 • • `����scription). 4. Estimated Cost Fee �6 O "••�-� { r (to be paid dh`fi}I tins appl motion) S. If dwellin-g,number o;f dwelling units . . , . . . , -v - • - • . . . . . Number of dwelling units on cach�floor.. Ifgarage, number of ears . . . . . . . . . . . . . . . . . . . ' ' "� ' ' ' ' ' ' ' . . „ • , 6. If business, commercial or mixed occupancy, s _ • • •� - •- . _�ecil a[ura.and ��rterrt of-,ca y' �" e o f u'se 7:Drnrrnsrons of c:�cisttnb szructures,rf an I'iont - / • ' ' . • • :��Rear Depth . Height. , , , , , , , , , - .I. . . . Number of Stories . `� . ... . . . . . . . . .. . . . . . . . . . . . ... . . Dimensions of same structure with alterations or.,;lditions: Front• • . • , .-�. .,ty.p. • •Rear . • . .Depth . . . . . . . . . . . .I. . . . . . . . . . height . . . . . . Number. . . . . . . ... . 8. Dimensions of entire new construction: ' • ' • • • • • • • Number of Stories . . . . . . . . . . . . . . . . . . . . . . Front . . . , ' _Height_._ - --- Rear :7. �c :7.' Depth �.-.: .- --- of-Stories . . ._ - •' 9. Size of lot: Front . . .i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . .,� Rear . Depth 10. Date of Purchase f S' �. . . . . . . . . . . . . , , , , NameofFormcr • - . • • . . . . . . .. . . . . . . . . . . . . . . . 11. Zone or use district in'w iclr Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . h premises are situated . , , , ,C'�,t,� ,q�p��f . • _ 11. Does proposed construction violate any zoning law, ordinance or regulation: • • • • • • . • • • . 13. Will lot be regraded " " " " • • - •' • - . . . . . , .Will.excess fill be removed from premises: • • Yes No 14. Name of Owner of premises . . - t�P.Qe., ,/ Za,�. • , Address . Phone No.'2 Name of Architect . . . . . . . . . . . . . . . . . . . Address _ _ _. . . . . . . . . Phone No. . Name of Contractor . . • . . , Address . . ' • • . Phone No. • • - .. . . .15.Is this property •loca:ted. within 300 feet of• a. tidal wetland? *YE:S_•�1N0. *If yes, Southold Town. Trustees Permit may be required. . . • - -- __ - PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show•street names and indicate whether interior or corner lot. i I I t f 'TATE OF NEW YORE, =OVNTY OF . . . . . . . . . . . . . . S.S ' ' ' ' • • • • • - being duly sworn,deposes and says that he is the applicant (Name of individual signing contract) bove named. I eisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and js duly authorized to perform or have performed the said work and to make and file this rplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therewith. -vorn to before me this . . . . . . . . . . . .!: . . . .clay of. . . . . . . . . . . . . .. 19��.� )tart' Public, . . . . . . . . '^;�J ..� .kJ. D . . County HELEN K.QE VOE . . . . . • • • . . NOTARY PUBLIC,State of N' ' A (Signature of applicant) N,9.4707378,Suffolk PA _ Term Expires March 30,IL u •�L` � i9�t,F�I of � 0k,S pw L tip..✓ C•4�r G A, �f.S �q 5ts '_G ry w APPROVED AS (VOTED B.P. / p DATE: `S �� # / OrUSr� b FEE: /�3 . -- BY: . NOTIFY BUILDING DEPARTMENT AT - 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS. • 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING 11 PLUMBING , -� 3. INSULATION 4. FINAL - CONSTRUCTION MUST IW BE COMPLETE FOR C.Q. ALL CONSTRUCTION SHALL MEET r THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION 6 ENERGY No. f,ROl(rS`� - � r CODES. NOT RESPONSIBLE. FOR / fl) DESIGN OR CONSTRUCTION ERRORS I=rf0perTy iux arKe AEFICY 0 P ijFAPROFERY.&A�'P6?li Am 'A 24.4ld L--,.ol of-o t MAIN 4� Q W "N- A113- &OS Fad F.D. A3 R "DIP do ta ;T M SECTION NO NOTI COUNTY OF SUFFOL SOUTHOLD F Q Red Property Tax Service GIn.m«nw C."Ct� rd-t.4N, Agency nvav 056 D E N M A EP PROPERTY MAP �DF SOUjyO MAILING ADDRESS: OFFICE LOCATION: 0� l� P.O. Box 1179 _ Town Hall Annex h Southold,NY 11911 54375 State Route 25 (cor.Main Rd. &Youngs Ave.) G A Telephone: 631 765-1938 Southold,NY 11971 �O • �O Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM _ To: Jill Doherty, President APR 19 2010 E.. a L:;'r Town of Southold Board of Trustees r Planner From: Mark Terry, Principal P LWRP Coordinator Date: April 19, 2010 i Re: Proposed Wetland Permit for CAROL R. DENSON SCTM# 1000-56-6-8.7 Condon Engineering, P.C. on behalf of CAROL R. DENSON requests a Wetland Permit to repair the floor at the north end of the existing restaurant building. Located: 750 Old Main Rd., 'Southold. SCTM#56-6-8.7 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 EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "EE" which states: A. Maintenance or repair involving no substantial changes in an existing structure or j facility; Cc: Lori Hulse, Assistant Town Attorney James F.King,President �OF SOUjy Town Hall Jill M.Doherty,Vice-President ,`O� Ol0 53095 Route 25 P.O.Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen CA Q Bob Ghosio,Jr. 0 �� Telephone(631)765-1892 ly��UNTY,� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application Wetland Permit Application Administrative Permit /� Amendment/Trail fer/ xtension V Received Application: q D L' L (Received Fee:$ S�Ul�r`'j`} _Completed Application 319 +'.a _Incomplete MAR - g 2010 _SEQRA Classification: _ _ t Type I Type II Unlisted Coordination:(date sent) ./1'WRP Consi to cy Assessment Form '��' � "rtof 5e's I CAC Referral Sent: LOX0 _,Date of Inspection: _qjl Vila _Receipt of CAC Report: _Lead Agency Determination: Technical Review: _✓Public Hearing Held: Resolution: Name of Applicant GA/eoL ba/zx) Mgt-p0,9eiNcla LECGEA) Z(P.Qt- 16W4)PZW(6- ' [ -<— Address Co iali ya, �tTGtt f�-, AJEWA er- 1 JE- 1'/7/1 Phone Number:(BL 2.) - Z 39 -O 4'77 Suffolk County Tax Map Number: 1000 - 5 - ©(o 9, Property Location: 75b OG.L-) 1q.41du sDUTi'�GIo, P o(a wotB'3�' 74pp rock is 31 14sr WDo6-y1Av ti&yt; ox.;so v rN-sroe-OtA &Al N la( . (pro de LILCO Pole#, distance to cross streets, and location) AGENT: 50 N DIUDON C�04)b 0 4) buG1NEr/ZW6 (If applicable) �^ � Address: I*A-M arx U 1 5 -, Phone: �P3 l �( �ro� l$\� and of Trustees Applicat:. GENERAL DATA Land Area (in square feet): 7y,O 5-& u tai FED% Area Zoning: A(M-10E Previous use of property: OE5FAVP-Pre Intended use of property: f?ESTf1rEJ 2PrA)J Covenants and Restrictions: Yes No If"Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date 7RUSEEVS * (&oq � 406 9AZ>193 '51Z3�8 11g -users 7ja 1 j 0 y 5410 7 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? u No Yes If yes, provide explanation: Project Description(use attachments if necessary): Ale-A+1 rz F100 2 A r No P-M �5-1U ib A50 C b1416 M PLC l) -04-t7xE Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: &-pAJ e, 66r ,Ex 15zli'-6 RLoyAO nF C c--is ,,j 6 Are wetlands present within 100 feet of the proposed activity? No__/ Yes Does the project involve excavation or filling? No Yes If Yes,how much material will be excavated? Q (cubic yards) How much material will be filled? Z50 (cubic yards) (m Manner in which material will be removed or deposited: $AfJp 4104— (� Pt c -P IV It-9- A CCej1)e0fl ; 9- 6P i4,4.40 escribe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 7741� U 4 9=9E/JA1 2- a E 4.,J �' rSTI•u(o 6v,L rn)(n, "- Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:/2 OF 614 ri-)a Rk—S.,o,-,24,J 7_ Area of wetlands on lot: 6 Sd c> square feet Percent coverage of lot: /Q 1 3 Closest distance between nearest existing structure and upland edge of wetlands: O feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No ✓ Yes If yes,how much material will be excavated? C7 cubic yards How much material will be filled? Z S-b cubic yards Depth of which material will be removed or deposited: S ¢ — feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: S'/�✓ �,✓� (��r/��- 52 9�E '50E— 4-cC F 2 9!W&,eo,v(11 J&ice A47-1 � tatement 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): PROJECT 11) 'NUMBER APPENDIX C. ;STATE tiMRONIVIEtVTAL QUALITY REVIEW. SIlC3RT EN1I9FtONMENTAL AS SSMENT FPJ.RM fpr.uNL$190 ACTIONS Only. PROJEGt (to bie:ccimpteted I3y Appllcant or Proleet Spah 1,:Ar]PZiCfWT1Si?ONSfJFt;. 2;PROJEOI tVAfv1E �L SD �'G Op(t2 ,&,0,4!t 2- 3:PROJEGT;LOCATION:. SO UT I�wL so F�oLK. Municipality ,D Coussty 4,PRECISE: .L:O.CATION. Street Addess.and Road Intersections P[omrne it: l6hfteib ate ar provide mati 475'0 064D /unit u Rot+6 Sor,vwiJ) N y til 7/ �oL.IZ-- q40 S.IS FEZQPOSED: A4TIt3N:;: New LJ . nsion iNodiNcationT21IeratioreExpa . 6.'DESl1CRIBE. .FROJEGT BRIEFLYc &OA-(Z C1006 AFT- ,V0014 EW d� [50te DWK r/S d_0 M10« lb fi-t 7 � �Or� Pclefn(7 :L— � M(]U(VT OF .LAND .AfFECTEt3 Initially: � acres d Ultimately �cr�s'. B':tMLL:FROPOSED ACTION COMPLY V1:6, 1 XESTING:ZO:NING`OR OTHER RESTRIGI[ONS7 Np if:m0*0scribpbriefly; 9:.WHAT:IS PRESENT:LfilD USE IM VIGINtTY bF PROlEG C7:.(Choose.as;;manyas apply:] }esldential �[:lnausttial. Comrtierclai A rieulture Parlt_1 ForesfYOpe,..a06.: Other;(Cescrlbe}: 10: DOES ACTION INVOLVE A'PERIVI APPROVAL, OR.FUNDI.O. No OR: aTiM eLy FROIN: ANY:OVtk GOVERNMENTAL AGENCY':tPederal;. State a 0.c,al). Yas No 1€ybs, list agency dame .anal perm t_l.approuai< �iLDi (o i wi o� 7b60A) 1:1 DOES ANY-ASPECT;13P THE AGT1fiN NAVE A CURREN ...y VAlla. . Rt.lIT OR: A?PROV;4L7 l'es No i s yes Ilst agency. name..apd perrnft !Approyar: I2 AS A RE$UI.'1 OE 0.ROPOSED ACTION WILL tk!1 T-iNG PERMIT/,APPROVAL REQUIRE MODIFICATION?: []Yes No. 1 GE1tTIF1' THAT.-- TI{E :INFORMATION: PROVIDED` ABOVE IS YRUOTFE 8E57OF Y'KN0DGM E Appl,canf / Sponsor Name 6+20L 9l(6=0AJ� M9/'��7A�n� � Zit � 4 n fiats, $ignature..... rf`the action l a=CaStal`Area,;and you area.state;agency, complete the C+piastat Assessment bdf6ro ptoceed[na ,rith this as cssn► , PART II- IMPACT ASSESSMENT(To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617A? If yes,coordinate the review process and use the FULL EAR Yes FZ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative declaration may be superseded by another involved agency. ElYes 0 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: Eo- 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. Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly: No C7. Other im acts,(including changes in use,of either quantity or type of energy? Explain briefly: No D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA)? if Les,explain briefly: Yes ❑✓ No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es ex lain: EYes a 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 impact of 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 FUL 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. . Board of Trustees Name of Lead Agency Date Jill M. Doherty President Pn orr Type Name of Re pon able O c r in Lead Agency Title of Responsible Officer 6 Signature of Responsible Office Le Signature Signature of Preparer(If different from responsible officer) 04/07/2010 08:46 7656641 BOARD OF TRUSTEES PAGE 01 4 ' NOTICE TO ADJACENT-PROPERTY OWNER BOARD OF TRUSTEES TOWN OF SOUTHOLD In the matter of applicant: CA P,� h S 'nn SCTM# �6 8 -S�� - - 7 YOU ARE HEREBY GIVEN NOTICE: ` 1. That it is the intention of the uridersigned to request a Permit from the Board of Trustees to: I r- o Af '16 0 Q� 0'� 7"l l ru �GQ a �J �c �G� i 1 G� 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described ad follows: SA At orb 3. That the-project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE- r j :� l� ® l 6 You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: C 4 � � 7 MAILING ADDRESS: 10, 71 PHONE AGENT: r-- Co n d MAILING ADDRESS: 1 6 p PHONE#:�Jo Enc: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILLING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS LName: Address: U)19 5q ( � wih , 1� otc�S� � `fh S �o�`� St^16� 6 . 9&� / V 3b 60-1-1 6 14� Cn tl sa ��- ls-��nn '-7 6 STATE OF NEW YORK COUNTY OF SUFFOLK J b� residing at 7 �-� �15S L being duly sworn,deposes and says that on the day of ,2010_,deponent mailed a true copy of the Notice set forth in the Board of Trustees 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 of Southold;that said Notices were mailed at the United States Post Office at r ,that said Notices were mailed to each of said persons by (certified)(registered)mail. Sworn to b fore me this Day of 20_jO_ Notary Public BARBARA H.TANDY Notary Public, 001 w York oualified In Suffolk County commission Expires 01/13/20 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: rrTr- 11�b ' l �, i��e F � • ,f y q'� Coy n ,t:e-1-,_ C -2-7 n SO C M-109 STATE OF NEW YORK COUNTY OF SUFFOLK T 6 n_ 3` residing a7 I f 1��)t �-/ S kC e Pe'-A' being duly sworn,deposes and says that on the day of ,20 ,deponent mailed a true copy of the Notice set forth in the Board ofTrustees 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 of Southold;that said Notices were mailed at the United States Post Office at ,that said Notices were mailed to each of said persons by (certified)(registered)mail_ Sworn to before me this o�-)o Day of 20_4 Notary Public BARBARA H. TANDY Notary Public,State of New York No. 01 TA6086001 Qualified in Suffolk Count commission Exp Jill M.Doherty,President ti Town Hall,53095 Main Rd. James F.King,Vice-President ,�. P.O. Box 1179 Dave Bergen Southold,NY 11971 Bob Ghosio,Jr. �� �� Telephone(631)765-1892 John Bredemeyer �' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- . In the Matter of the Application of CAROL DENSON COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1, C End 6 residing at/dba 2 �l f s- ke `e L ec� being duly sworn, depose and say: That on the day of 2010, I personally posted the property known as 7� 01 by placing the Board of Trustees o ficial poster where it can easily 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 Wed., April 21, 2010 on or about 6:00 PM. Dated: oignfa " , Sworn to before me this pPO day of4a2-90 0-o1.0 A4&�__A N ary Public . BARBARA H.TANDY Notary Public,State Of New York No. 01 TA6086001 Qualified In Suffolk County Commission Expires 01/13/20 The Old Barge Restaurant Project Description March 4, 2010 The applicant proposes to repair the existing floor (approx. 1,800 sq. ft.) at the north end of the building. The southern end of the floor was repaired previously in 1989 (see attached building permit). The repair is necessary to prevent collapse of the floor and possible injury to the patrons and employees at the restaurant. The repair will consist of removing the existing wood /concrete floor and filling in the interior of the existing barge with sand and gravel to provide astable base for a concrete slab on grade floor. Board of Trustees Application -JE (ISM l e County of SuffWk State of Nerk 0.e'l y,W ct rl�' C' aZ() L \Z of ry S d BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE 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 Z Z DAY OF Pe- h r v a r� ,20 I Q " . v Notary Public STEVEN VIVOLO Notary Public m State of Delaware My Comm. Expires Sept.8, 2012 'I Ward of Trustees Appllcatj�. f ! - AUTHORIZATION (where the applicant is not the owner) I, eLeoepE.. bmsoN, r AU bW&J residing at /���7 �r' /�' xci- (print ownet of troperty) (mailing address) '�- p�Ltr�x/ ZtM 1367t, 'r�.FfNU�o�r�s �-�-�- i nf1-i2k �� 7 do hereby authorize z L /f �,,/ (Agent) (�f�A) �P)bv'V to apply for permit(s) from the i Southold Board of Town Trustees on my behalf. t I I (owne;r' s signature) - !9 f i i i i I f I i I `I 4 �5 4 1 f l l 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southol d's Code of Ethics prohibits conflicts of interest on the art of town officers and em to ees.The purpose of this form is to rovidel information which can alert t own lhe t of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. L ,� YOURNAME: �C!(�So /" C ' �jJ �o lES L name of (Last name,firs name,ipiddle initial,unless you a applying in the 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 i Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or,through your company,spouse,sibling,parent,or child)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 y If you answered"YES",complete the balance of this form and date and sign where indicated. i Name of person empioyed 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 Ai)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 .i i Submitted this ?,Z ��da f U 2040 Signature P— Print Name 0AP-04— (�• Dr✓�S 8 IV Form TS 1 I 4 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 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 Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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 b SCTM# 5G - - 71 The Application has been submitted to (check appropriate response): Town Board 0 Planning Dept. F 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. grant,loan,subsidy) (c) Permit,approval,license,certification: rim Nature and extent of action: RE eAtP 0 F 66¢AFL O -Ou AC, c����A�✓T Location of action: 2 5 &J Site acreage: it � Present land use: IZE51 AuX k.n T Present zoning classification: MA21 xj r �. 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: C O C /�, prN SoyJ (b) Mailing address: R,,J 96 I97/1 (c) Telephone number: Area Code( ) oZ) ?,3`% —8 979 (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?_ 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. RJ Yes ❑ No ❑ Not Applicable 15 U.S F 5V aew yN,T�7P 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 Not Applicable 7-NE ZEMIR O Al �,� Cow , �� a urL�i,✓� �eSau�c -5 J 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 E Yes D No ® Not Applicable 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 S through 16 for evaluation criteria ® Yes R No 0 Not Applicable a s ,4 pz- a IgF Ane-i Sew �, �'�v c-i-2,9 !�� i*i r= I 3'ua ia; aP / ky s 6 r W5 s of ZV:ft P- 7461 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 13 No Not Applicable v � 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 r7' Not Applicable 77 iS r'T 11 LC A.�f�&4*ee Avv u Al Fz-��/91 A&C— ' R- f 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 r 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 � 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. ® Yeso No❑ Not Applicable Attach additional sheets if necessary 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 �/S �'�o�Ec� IS �s4 2 .Q�✓� y'6 ,��_� -��/"i�G ,�/c�i�h ,. ��'/�i�� 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. L�Yes ❑ No R 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� Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ©Yes ❑ No ® Not Applicable 4,-r�e(je —� Created on 512510511:20 AM A Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck, New York 11952 Fax 631-298-2651 www.condonengineering.com March 4, 2010 Ms. Elizabeth Cantrell, Clerk Board of Town Trustees Town Hall Annex Building 54375 Route 25 Southold NY 11971 Re: Repair of existing floor—The Old Barge Restaurant,Southold, New York SCTM: 1000-56-6-8.7 Dear Ms. Cantrell: Attached are the following documents for the above referenced application: • Three sets of the Trustees Application, short EAF, LWRP Form and Transactional Disclosure Form • Check for$250.00 for application fee • Three Sets of the repair plans • Three sets of pictures of the site with site plan The applicant proposes to repair the existing floor at the north end of the building. The southern end of the floor was repaired previously in 1989 (see attached building permit). The repair is necessary to prevent collapse of the floor and possible injury to the patrons and employees at the restaurant. Yours truly, cc. Carol Denson Page 1 of 1 Standish, Lauren From: Standish, Lauren Sent: Friday, November 19, 2010 12:32 PM To: 'John J. Condon' Subject: RE: The Old Barge Floor Repair-Carol Denson John, Jim King and Jill Doherty reviewed your request and found this method of construction to be acceptable. Lauren From: John J. Condon [mailto:condon77173@optonline.net] Sent: Friday, November 19, 2010 9:47 AM To: Standish, Lauren Cc: 'Carol Denson' Subject: The Old Barge Floor Repair - Carol Denson Lauren, We are proposing to fill in the barge and install a new concrete floor for the north end of the Old Barge. The contractor intends to remove a large portion of the northern gable end wall on the building and use a bobcat to dispense the sand fill into the barge instead of bringing the sand into the building by hand. I just to verify that this will be acceptable to the Trustees prior to the start on construction. Please let me know if this will be acceptable and if you have any questions. Yours truly, John J. Condon, P.E. Condon Engineering, P.C. 1755 Sigsbee Road Mattituck, NY 11952 631-298-1986 631-298-2651fax www.condonengineering.com condon77173@optonline.net 11/19/2010 PO O SOUTHOLD, N.Y. O� \O N U� BARG P X O,9 O O 5CALE:FT. FECONIC BAY 0 500 1000 KEY MAP FREEZER FREEZER NO WORK FOOD (PREP AREA NO WORK o SECTIONS 0 L S-2 HALF HT.WALL OFFI E AREA . . . . . . . . . . . . COOKING77 BAR UxI TiNG BARGE STRUCTURE XIMATI=LOCATION) _ . . . . . N V) - - LU BAR AREA c=n v=i . . 6"RISE . . . .co . . . cn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . cn . . . a . . . . . Qt . . . . . . . . . . . . . - . . . . . . . FLOOR m m m m — um ( PPROXIMATE LOCATION V I ) v a. . 5 . _ NO WORK MEET EXISTING CONCRETEDN pP A F. 1 a a 0 . - - - BELOW t, ' PROVIDE TEMPORARY SUPPORT TO - T O R . . t r'i L / EXIST.WALLS T REMAIN(TYP.) 1/10 . . .. . . . . ENTRY FOY, R _.�_—_ . 5T GE . . . . — . . — . . — . . — .— — . — .— . . . .c� O . .MEN WOMAN TO REMAI r REMOVE EXISTING WOOD AND CONCRETE FLOORING IN THE j HATCHED AREA. PROVIDE TEMPORARY SUPPORT FOR 111 f EXISTING WALLS TO REMAIN MAIN ENTRY NO WORK REVISIONS Design Loads: O� -Ground Floor -Live Load - 100 psf �� CONS }'0 -Dead Load- 50 psf / . :� f co Plans are prepared by Condon Engineering,P.C. It is a violation of the New York State Education Law,Article 145,Section 7209,for any person unless acting under the �cS' 819 direction of a licensed Professional Engineer,Architect,or Land Surveyor,to alter any �O��S$;4��(>L� item in any way.If an item bearing the seal of an Engineer,Architect,or Land Surveyor is altered,the altering Engineer,Architect,or Land Surveyor shall affix to the item his/her seal and the notation'Altered by"followed by his/her signature land the date of such alterations,and a specific description of the alteration. Scale:l/4"-,'-o" CondonOLD BARGE RESTAURANT Engineering, P.C. MAIN ROAD (ROUTE ) 2L_ 1755 Silsbee Road SOUtHbLb NEW YORK Drawn by:JJC Mattituck, New York 11952 ' OF (631)298-1986 (631)298-2651 Fax Date:12/21/2009 www.condonengineering.com FLOOR REPAIR PLAN PROVIDE TEMPORARY SUPPORT TO EXIST.WALLS TO REMAIN REMOVE EXISTING WOOD AND CONCRETE FLOORING,FLOOR JOISTS AND DEBRIS _ 77 - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - EXIST.CRAWL I- F_ I- F_ EXIST.CRAWL EXISTING CMU FOUNDATION WAL'.L V.I.F. EXISTING CMU FOUNDATION WALL V.I.F. 7'-Om EXISTING TFENPORARY SHORING AND DEBRIS TO BE REMOVED NEW 4 1/2"CONCRETE SLAB 4 4 4 4 4 • 16. .10 4 0 7 7 EXISTING TIMBER BARGE STRUCTURE TO REMAIN 4 4 EXISTING CONDITIONS FLOOR SECTION - SCALE:1/2"=1'-0" #4 REBAR @ 12-O.C. 10 MIL POLYETHYLENE VAPOR RETARDER \_#4 REBAR @ 18'O.C. PROPOSED FLOOR SECTION COMPACTABLE GRANULAR FILL SCALE:1"=V-0' 4"MIN. NEW 4 1/2"CONCRETE SLAB OR EXISTING WALL MATCH WALL WIDTH #4 REBAR @ 12'O.C. #4 REBAR @ 18'O.C. EXISTING GRADE 7, 518"0 X 12"LONG GALV.ANCHOR BOLTS N AT 28'O.C.MAX.,12-MAX.FROM CORNERS EXIST.CRAWL EXIST.CRAWL z 2X4 ACQ SILL EXISTING CMU FOUNDATION WALL V.I.F. rw:V., EXISTING CMU FOUNDATION WALL V.I.F. FOAM SILL SEAL COPPER TERMITE SHIELD Er/ Diu A GENERAL NOTES: 4 ........... TIRACTOR IS TO VERIFY ALL MEASUREMENTS IN THE FIELD AND ANY EXISTING GRADE THE CON .......... DISCREPANCIES ARE TO BE BROUGHT TO THE ATTENTION OF THE ENGINEER % ti.' PRIOR TO CONSTRUCTION. 0 7 Z Z ZZ 7 _Z__1j 1. 1- ALL CONCRETE 3,500 PSI AFTER 28 DAYS MINIMUM. 4 4 2. 2-AL.L REBAR ASTM A-615 GRADE 60. 3. THE FOUNDATION CONTRACTOR SHALL COORDINATE WITH THE PLUMBING AND ELECTRICAL CONTRACTORS RELATIVE TO INSTALLATION OF SLEEVES FILL INTERIOR OF BARGE WITH CLEAN SAND AND OTHER PENETRATIONS PRIOR TO POURING CONCRETE. AND GRAVEL TO BOTTOM OF SLAB LEVEL EXISTING CMU FOUNDATION WALL (SEE CONTROLLED FILL NOTES) CONTROLLED FILL NOTES: V A REVISIONS PROPOSED FLOOR SECTION 1. DEWATER AND REMOVE DEBRIS PRIOR TO INSTALLATION OF THE BACKFILL. PROPOSED FLOOR SECTION AT EXTERIOR WALL SCALE:1/2-1-0 2. THE EXISTING BARGE TIMBER FLOOR AND WALLS ARE TO REMAIN. OF Ni REMOVE ANY ROTTED OR DAMAGED TIMBERS AS NECESSARY TO INSTALL SCALE:1"=V-0" S CO THE NEW FLOOR. co . "0 0 3. BACKFILL THE INTERIOR OF THE BARGE WITH CLEAN MATERIAL(SAND AND GRAVEL)TO THE BOTTOM OF FOOTING ELEVATIONS. THE BACKFILL IS TO BE MECHANICALLY COMPACTED IN 6 INCH LIFTS. EACH LAYER IS TO BE Plans are prepared by Condon Engineering,P.C. It is a violation of the New York State COMPACTED TO 98%MODIFIED PROCTOR. A CLEAN FINE-GRAINED Education Law,Article 145,Section 7209,for any person unless acting under the MATERIAL WITH AT LEAST 10 TO 30%OF PARTICLES PASSING A NO.100 direction of a licensed Professional Engineer,Architect,or Land Surveyor,to alter any SIEVE BUT NOT CONTAINING SILT,OR ORGANIC MATERIAL IS item in any way.If an item beading the seal of an Engineer,Architect,or Land Surveyor is RECOMMENDED. altered,the altering Engineer,Architect,or Land Surveyor shall affix to the item his/her seal and the notation'Altered by"followed by histher signature and the date of such 4. THE COMPACTED MATERIAL SHOULD BE TESTED PERIODICALLY TO alterations,and a specific description of the alteration. DETEIRMINE THAT THE 98%MODIFIED PROCTOR COMPACTION RATE IS ACHIEVED. Scale:AS SHOWN b o n d o n Enolheering, OLD BARGE RESTAURANT 5. RECYCLED CONCRETE AGGREGATE(RCA)OR GRAVEL MAY BE MAIN ROAD (ROUTE 25) =2 SUBSTITUTED FOR THE CLEAN SAND AND GRAVEL MATERIAL. Dawn by:JJC 1755 Sigsbee Road SOUTHOLD, NEW YORK Matfiiuck, New York 11952 OF (631)298-1986 (631)298-2651 Fax FLOOR REPAIR Date:12/21/2009 www.condonengineefing.com SECTIONS AND DETAILS