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HomeMy WebLinkAboutBrickman, Keith & Laura James F.King,President �QF sorry Town Hall Annex Bob Ghosio,Jr.,Vice-President Ol0 54375 Main Road Dave Bergen P.O.Box 1179 g Southold,New York 11971-0959 John Bredemeyer N G p� Telephone(631) 765-1892 Michael.J.Domino Fax(631) 765-6641 �yIrou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 16, 2012 Ms. Nancy Dwyer Nancy Dwyer Design Consulting PO Box 632 Southold, NY 11971 RE: KEITH & LAURA BRINKMAN 560 DEER DRIVE, MATTITUCK SCTM# 114-10-4 Dear Ms. Dwyer: The Southold Town Board of Trustees reviewed the site plan last dated June 4, 2012, and determined the proposal to create a new exterior stair and landing at existing rear sliding doors is out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance,of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the top of the bluff, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a determination from any.other agency. 2 If you have any further questions, please do not hesitate to call. Sincerely, James F. King, President Board of Trustees JFK:amn 1 �S'FFO(,I- James F.King,President yj� CQG P.O.Box 1179 Bob Ghosio,Jr.,Vice-President L Southold,NY 11971 Dave Bergen y Telephone(631 765-1892 John Bredemeyer Fax(631)765-6641 Michael J.Domino i' Southold Town Board of Trustees Field InspectionMorksession Report , II Date/Time: ,'l 27 - /9 - /6' a !/ Z z; Nancy Dwyer Design Consulting on behalf of KEITH & LAURA BRINKMAN requests an Administrative Permit to provide new exterior stairs and landing at the existing back sliding doors. Located: 560 Deer Drive, Mattituck. .SCTM# 114-10-4 - Type of area to be impacted: �altwater 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: iN 4-. Ald AJ - J u/2lf 0/"c7'1'6 I II Modifications: i Conditions: Present Were: !/ J. King Ghosio Bergen, cMcael Domino D. Dze nkowski&/J. Bredemeyer other Form filled out in the field by i Mailed/Faxed to: �', Date: UnSBB N EEE SEG ND.1a] � � 44 6F¢t�y 1M UNE w x OSOSBa W SE�CW —' - tpaaB9 .. j• t,an., FOR P—NO. nu�D § '..� Z a t± j• •` t',.< smsEaia O. I 6 a.Via; �i ._—. � � r j �� 8 ® F• I� ohm � F � �, � , ♦a , ti ® d a1 Iv BM110 do-♦ _ x� Ai \.!_.. "1 /-� -' uM g 0.VFREE udI°3____ '-_ J `\ —DisrRlcrS Tavm�asoumatn ( M1 1 Q• - :� zr •� ° r o r'�iDj ,�'\ % Q8 Emy •� WTRUG(MTIXOISTRICT ���I•I.� .�� ,y M1 p °z ° d �' a fi°Ty� r + �•Tz a�9 g / 2 ��-I "'q �AF'�' «` O�r M1P '4r � ° ,/ ` �.A 15 �um •' �° I cRt°TH10- a �K cN.- tiify.p ^P I� VA `y.9 4 ,P �. > \x t p ♦M1 s P� ] 19 � M1o..lml VI � 5 I Q'910 213 ]ul 'tpµcl FO O R POI.NO. 11 1B A t1 SEgSFL NO. r 11.1 a r t = I zats verl`1 p ' NEW $U�OIAt ^ fi fi T fi •mR 13 m IVFxsvKA g I I 11;"t �I xa z y 4.1.. 42 1.1A µA P 5 T' 1AIA- FOR Pn_NO. � pN0 ¢e�� 2 FOR Pca_Na. vlu a2' -- DotA zBNcl a-0$oo1 WTLN —� UNE t].fi � 1� WTCH -� UNE x>o;Ni / 1.TA(a) $EE SEC.NO.It] R .4 uAca, E NOnCE COUNTY OF SUFFOLK b© K to $OIrtxUD SECTION NO o —�— u R11 O s..W —_ °" -- �p.� _. Real Pro uerty Tax Service w..n�..a.xr,tw,A9eO� y °f 114 H ri.� •••�•• '� ___ "' _—�__ — __ "W yO�' p ,t] mcr xo toW PROPERTY NAP xP wn ,>u ru w.o.�u ��x.�u —.. wrrs OFFICE LOCATION: *OF SUUjyO MAILING ADDRESS: Town Hall Annex ,`O l0 P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 G Telephone: 631 765-1938 ,r �O Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM f { I U AUG - 92012 I� Southhold Town To: Jim King, President Board of Trustees Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: August 9, 2012 Re: Proposed Wetland Permit for KEITH & LAURA BRINKMAN SCTM#1000-114-10-4 Nancy Dwyer Design Consulting on behalf of KEITH & LAURA BRINKMAN requests an Administrative Permit to provide new exterior stairs and landing at the existing back sliding doors. Located: 560 Deer Drive, Mattituck. SCTM# 114-10-4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Dan l� E 0 Office Use Only E­."'MA _ 3 2012 _Coastal Erosion Permit Application _Wetland Permit Application Administrative Permit ot Town Amendment/Tran 1a ension Board o Trustees g Received Application: Received Fee:$ Completed Application g V a. _Incomplete _SEQRA Classification: Type I -Type H Unlisted _Coordination:(date sent) -7-LWRP Consistency Assessment Form G. )c� _CAC Referral Sent: _( Date of Inspection: 6 a _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: I_Public Hearing Held: Zl Resolution: SGei urn Name of Applicant ) 1 f1 G{ DEZ—GI jt4,,-e� Address �0 Phone Number:( ) Suffolk County Tax Map Number: 1000 - Property Location: t5too beex tYI ye-- (provide LILCO Pole#, distance to cross streets, and location) AGENT: 0&yl(�� I ul1 (/Y tDe,6( darlso `i (If applicable) G Address: f2Lq J Phone: Bc;, 1 of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: `t'o Previous use of property: 1v1!M 1k --I--dt AA( ( n Y- SI Je4LCk— Intended use of property: Ct oLt—p, Covenants and Restrictions: Yes _ No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes _Z<�_No If"Yes",please provide copy of decision. Will this project require�7r lition as per Town Code or as determined by the Building Dept. Yes o Does the structure (s) on property have a valid Certificate of Occupancy Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or sus en ed by a governmental agency? No Yes If yes, provide explanation: Project Description(use attachments if necessary): I CLC, V16AAJ ICJ to �dr�• Bc. - 1 of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: D P(o\)l 8'C' f-.Vl g'V Gl ik 40,9(. Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 0 r 3 - feet Closest distance between nearest proposed structure and upland edge of wetlands: `- a - feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect,if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): I v�,rv�a,Q Ill I wor Iz-- w,I ( he, �,re-�►� 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 01 3.PROJECT LOCATIO : Municipality County 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map b�etr �YLuU� 5.IS PROPOSED ACTION: ❑ New ❑Expansion Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: �I ,2�c�s�-, r,�r s 11d0&� C coo ram. 7.AMOUNT OF LAND AFFECTED: ��S Initially o S s Ultimately acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? � es ❑ No If no,describe briefly: 9.W T 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 (Feder , State or Local) ❑Yes nNo If yes, list agency name and permit / approval: CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes- o If yes, list agency name and permit / approval: 12. AS A KXLT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes o I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUUEE TO THE (BEST OF MY KNOWLEDGE Applicant / Spa sor Nam NGV(�t,(/I l,�t* D.�� (,P771'S() 1-� n Date: Signature 1 If th ction 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 1 THRESHOLD IN 6 NYCRR,PART 617A? 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 IZ 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: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: L .......... C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: 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: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short term,cumulative,or other effects not identified in C1-05? Ex lain briefl : C7.- her impacts jincluding changes in use of either uantit or tXpe of ener ? Ex lain briefl ; - D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA 7 If yes,explain briefly: El Yes a No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes ex lain: ❑ Yes M✓ No i 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 must evaluate 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 whim 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 p 4 it/ f 0 �✓D Name of Lead Agency l Date jeA4 Ir s /:�` /�I P Zj President p Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signal ur of Responsible Officer in Lead Age Signature of Preparer(If different from responsible officer) �d�s° � Town of Southold Erosion, Sedimentation .& Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.ts: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 01 Q� v STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN 6'1Tict Sebtidn �FtToc tf of CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORM i i SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? (include by a Two(2")Inch Rainfall on Site? ude Total Area of all Parcels located within n 1 Will this Project Retain All Storm-Water Run-Off the Scope of Work for Proposed Construction) « Z✓ (S.F. Acres) clearing item will include all run-off created by site b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed S Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.F./Acres) 2 Does the Site Plan and/or Survey Show All Proposed —�---� PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed) Drainage Structures Indicating Size&Location?This C �I1 Item shall include all Proposed Grade Changes and 161=�1 0 n s.T u t ' yi e,,j 9_x4 /©r Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion �t +&A and sediment control practices that will be used to 1- 1 control site erosion and storm water discharges. This /� f Qa—y- s .I Ll item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or Excavation where there is a Change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities ❑ Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of land; Which Exceed Fifteen(15)feet of Vertical Rise to including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious ❑ ` _ for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the Not.The Not shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any ❑ constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this.permit.In addition,the SWPPP shall Area?(This item will NOT Include the Installation of Driveway Aprons.) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges.- NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000 S.F.&1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water.Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable in the principles and practices of Stone Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit (NOTE: 'A Check Mark(4)and/or Answer for each Question is Required for a Complete Application) STATE OF NEW YORK, 0"(AACOUNTY OF...........................................SS That I,........ ...... ... .�.//. ....................being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) Andthat he/she is the .................................*P ... .................................................................................................. (Owb6r,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this.application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; J................................. f................. .........................,26.. Notary Public:�(Izly_&...................... (Si ature of A lica ) FORM - 06/10 No.01 66-00696 Qualbled in SuW G County Commission 1=* lash 28.% �.(_p Bo- -'', of Trustees Application i_ I i County of Suffolk State of New York BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING f 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 W TH REVIEW OF THIS APPLICATION. I Si e i SWORN TO BEFORE ME THIS 3 DAY OF A-vkg:�,� 20 l i Notary Public VICKI TOTH Notary Public State of New York No.O1TO-6190696 Qualified in Suffolk County Commission Expires July 28,20 L4 APPLICANT/AGENUREPRESENT,A_TIVE TRANSACTIONAL DISCLOSURE,FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose 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. �,, 1 YOUR NAME: j 14"`� 0 quq (Last name,first hame,ipiddle initial,unless y u are applying in the name of someone else or other entity,such as a company.If so,indicate the.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,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 °/c of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship 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 orbeneficial 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 thi day of 200 Signature Print Name C1l<V7 Form TS I s ' I " 1 i 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 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 SCTM# PROJECT NAME The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees l. 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: P Location of action: Site acreage: Present land use: �1 d�4��� � 6 (iy�► �'L S l J&K-e Z1 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: (c) Telephone number: Area Code( ) (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 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 0 No INot Applicable 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 M 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 8 through 16 for evaluation criteria ❑ Yes ❑ No IL Not Applicable 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 of Applicable 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 App;� =�)le 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 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. ❑ Ye�] No of 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 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 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 JLNot 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 PREPARED BY (L���[�1( TITLE ���;/� DATE (ar K7.1z �-r... L�, 'AUG V EI.- - G - 32012 50 Southhold Town Board of Trustees'LOT Pi 1 111 � i Nr.. . DAmm _U Lf B. K. 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W.r'ft~tt •f rf vr•E �. -• �.��i�l•!Or'�?T N 4 t.� �r"'►o v i E3R1, NKMAN RE51DENCE Z ll N W ou - " j= 1- Oz � Q J Lu AUG - 32012 W Southhold Town Q Lu Board of Trustees o In I I C)I Im O O Q � � o = W Jul 'F 'HH HHFFE Fill w L I lu M LIU LLLIH Ira AH ry RONT ELEVATION N F w SCALE: 4" = I '-O" Lu LU � U Jp EXISTING BREEZEWAY; — WALLS * DOORS ADDED UNDER HEADERS. REBUILD STAIRS TO GRADE Lu � z LL RLL k an-,PIL mi , —EXISTING HOU5E STRUCTURE TO REMAIN, ALL AREAS U z � (VU � J p D . III , ,,mmill III, , it Lj L-1 Ll U 0 — z U � 1 Q z � z z _ U o w p BACK ELEVATION PAGE: i z fl- L N JLJ oz 0 z !� O Q z SEC110N WALL LEGEND: A I WALL TO REMAIN z_ 9_9 J W UNDER EX15TINGG HEA ER5; R I I C) (n C m + IN5ULATION, BEADBOARD FIN15H ON o INTERIOR, " PLYWOOD 5HEATHING v CEDAR 51DING TO MATCH HOU5E DOWN LANDING O O DECK STEPS m TO GRADE Q 3068 STATIONARY G068 GLIDER Z_ O Z 9 F Q > sz/ H w w L E)Ovvl J W 00 TO B w o� Q 00 2668 In Q EXISTING KITCHEN z TO REMAIN z O in MUDROOM x ~ N <i EXISTING GARAGE }- 2868 EX15TING BREEZEWAY C) TO REMAIN ,^ ENCLOSED; UNHEATED ^n UP TO C.) W KITCHEN N Lu ~ W 3068 2846 _ m U Lu EXISTING HEADER Q COVERED MA50NKY m EXISTING DINING ROOM ENTRY STOOP W TO REMAIN EXISTING HEADER z N sEcnON In U z � � UIn FI RST FLOOR PLAN ►�+ SCALE: ' U 77 QUz � z z o U (s) � Lu 0 PAGE: 2 i z z O [ ~ N p W i— n O o O� Q z 22'_a' se A 4"X 4"ACQ POST, ON 10"50NOTUBE z A W/ POURED CONCRETE FOOTING, Lulu 20"X 20"X 8", 3'-0" BELOW GRADE v Q n cn n cn PROVIDE 51MP50N LGUM2G-2 4'-10 112, CONNECTOR BOLTED TO FOUNDATION WITH TITEN HD g'X 4" BOLTS,TYPICAL BOTH ENDS OF GIRDER 2- 2"X 8" ACQ GI O _ v O O "2 X 8 cm c9 — TO HOUSE FRAME WITH 5" N { {_ cv @7 "LEDGERLOK' SCREWS @ I G"O.C.; HANG D.J. FROM LEDGER WITH { 1 z o — { 5IMP50N W25 CONNECTOR I { E-21 Q > = N n H_ EXISTING CONCRETE BLOCK I { I { F- W a-/FOUNDATION WALLS AND Lu FOOTINGSo � FOOTINGS TO REMAIN 11 I II EXISTING GARAGE Q I^ EXISTING BASEMENT I { SLAB TO REMAIN { a v J TO REMAIN EXISTING BREEZEWAY I I \5LA13 * BRICK FIN15H I I W Q EMAIN N { { I I w � o Lu ' z Q b SECTION A I � U zr ry Lu z o FOUNDATION PLAN tjm SCALE: 4" = 1'-O" (� ram^ U J �-- z v ILI Q U z z z o 0 S N V t Lu n PAGE: 3 I GENERAL NOTE: w • These plans and drawings reflect work performed approximately 18 years ago and O z was completed as Shown to the best of my knowledge. 16 o N a/ z w — jU O ON ELECTRICAL NOTE: w � • All electrical work to be BOARD OF FIRE UNDERWRITERS approved and to Include installation of fixtures per specifications. GFI outlets required at exterior areas. Outlets as per z code. All work done In Strict accordance with the New York.State Code by a licensed ele ri n. w w EXISTING HOUSE STRUCTURE TO REMAIN _, o z �I Lip m IIII„ EXISTING RAFT Q ROOF STRUCTURE TO REMAIN zLU~ Q > v CD > EXISTING CEILING JOISTS EXISTING 2- 2"X 1 O" HEADER = N i= EXISTING BEADBOARD RUNNING FULL LENGTH OF WALL I— w w CEILING MATERIAL TO REMAIN;TYPICAL BOTH SIDES p 2"X 4" STUD FRAME WALLS UNDER EXISTING HEADER DOORS ?' EXISTING HEA R, STUD WINDOW AS 5HOWN ON PLAN. FRAME RET I RN WALLS W/ m BEADBOARD FINISH ON INTERIOR, SHEATHINGID11NG 2' SHEATHING t CEDAR5IDING TO REMAIN "x6" DECK BOARDSI FN }" EXISTING FLOOR HEIGHT KITCHEN DOOR�1 EXISTING SLAB BRICK 4"X 4" F05T W/ 2"X 2" EXISTING MAS NR;Y FINISH TO REMAIN LU ENTRY STOOP — BALUSTERS CAP RAIL N � 2x6 AC 1 11 X 8" RIM >:- Q DJ BOARD LU I G" OC W N — PROV. H4 CONNECTOR UNEXCAVATED 2- 2"X 8" ACQ GIRDER (�] U LU 5IMP50N ABU44 CONNECTOR J EXISTING CONCRETE BLOCK �,FOUNDATION WALLS AND 4"X 4" ACQ POST, ON i O"50NOTUBE � NAILING SCHEDULE FOOTINGS TO REMAIN W/ POURED CONCRETE FOOTING, 20"X 20"X ,5% 3-0" BELOW GRADE 4-MAX. 4-MAX. NAIL NAIL „ U 4•DIA MMIMUM JOINT DESCRIPTION QN SPACING NOTES 2 X 8 ACQ LEDGER BOLTED Q 4•DIA.MAXIMUM JOIST TO: 4-8d COMMON PER TOE TO HOUSE FRAME WITH 5"SILL,TOP PLATE OR GIRDER JOIST NAIL LEDGERLOK SCREWS @ 16II O.C.; BRIDGING EACH TOE HANG D.J. FROM LEDGER WITH TO JOIST 2 -8d COMMON END NAIL SIMPSON LU28 CONNECTOR, BLOCKING 2 -6d COMMON EACH TOE TYPICAL ALL LEDGER LOCATIONS TO JOIST END NAIL BLOCKING TO: 3- i 6d COMMON EACH TOE BUILDING 5 ECT I O N "All DecKmoRcri RA<uNG SILL OR TOP PLATE BLOCK NAIL STAIR RAILING LEDGER STRIP EACH FACE ---- --- TO BEAM 3- I Gd COMMON JOIST NAIL SCALE: i" — I '-O" ""mum Ace JOIST ON LEDGER 3-6d COMMON PER TOE 4 } { TO BEAM JOIST NAIL BAND JOIST PER END TO JOIST 3 Gd COMMON JOIST NAIL U 5TAIR TREAD BAND JOIST TO: PER Z NA BOARD ... SILL OR TOP PLATE 2- 16d COMMON FOOT TOE NAIL R BAW5THL5 n S RINGH DPEN-.1TER TNED ro wAu DECK t- PORCH NOTES: HANDRAIL CONNECPON ALL"ANDRAIIS5NALLBECON1-5—MLLi— l}, Unless otherwise noted,all framing material to be#1 ACQ pressure treated lumber. W O—E5Ta R5.NANOGRIPPORTIONOFALLNANDRAIW STRINGER To DecK/PORcri coNNEcnoN All fasteners, hangers and anchors to be galvinzed or stainless steel. SHALL NOi BE LESS 1HAN -I/4'NOR MORE h1AN 2'IN C1L(JSS SECTIONAL DMHISION,DR THESNAPE SHPll PROVIDEAN EOUIVALEWGMRPING5UREACE 2). Girders for deck Joists to be bolted or anchored to each post or pier with washers and nuts. Girders on concrete piers shall be anchored with proper steel connectors anchored TOPPIM OFBIJUNDER Q roPPlEce of SIDING AND into concrete with a minimum 1/2"dia x 7"long anchor bolt with washers and nuts. LAPPED OVER FIR5TOOMIR • PIECE OF SIDING BELOW GIRDEwn�m 3). Posts supporting girders shall be anchored to a 1 2"xI 2"x1 2"thick concrete footing. L /z•DIA LAC Boos wr w— Use a minimum 112"dia x 7"long anchor bolt with washers and nuts.Footings Shall p CONNECTED TO BLDG.Q 16.00 P05T/CO W MN be 4 ft. below grade. U O FLOOR FR 11Z 4). Deck Joists to have blocking at 6'0 o.c.. Q 2.101515 U Z BLOCKING MR JOIST BPNGBC 5).A minimum of 10 inch flashing shall be installed between the budding and ledger. CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA z LAG BOCT5 POSTTO-ci KDERmEADER CONNECTION Ledger to be fastened to building with 1/2"dia. bolts with washers and nuts K"A J0I5T/ LOCAIiON USP WMBB, D6CRIPTON APPLICATON at i G"o.c. V WEATHERING SEVERE DECK/POKCN LEDGEP.CONNECTION G).Concrete piers shall be a minimum G"above grade. ,^ O 7). All Joists to be supported with hangers and anchors.Each Joist shall also be anchored FROST LINE DEPTH )1-0II U ) W togirder(s). TERMITE MODERATE TO HEAVY POST DECAY SLIGHT TO MODERATE WINTER DESIGN TEMP. 1 1 21 2•+I 2' C°NCRETE EDDYING GIRDEWH FADER DECK CONNECTION ICE SHIELD UNDER- AS PER MANUFACTU RE R'S PAGE: DECK POST ErG.GONNEcnON LAYMENT REQUIRED SPECIFICATIONS/ STATE CODE LOLAl10N N5PN)MBER DgLRIPl10N APPUCA710N DETAILS N.T.5. SPLICED JOISTS OVER NEADER/GIRDER IDCA-(ION U5P NJMBER DCiCRiPIION APPLICATION FLOOD HAZARDS I N30°48'00"E 130.65 1 TIE LINE Z 0 N LU OC O O N cn Q �0 Z O lD O Z J W Nr Q U) to Z G SITE PLAN o SCALE- 3y = 1'-0" Q N tU z 0 = SCTM: 1000- 1 14- 10-4 m m Information taken from u °' ° °j survey prepared by w ~- Roderick VanTuyl, Land Surveyors w w Q Greenport, New York m o :E dated June 7, 1957 EXISTING RETAINING >- WALL TO REMAIN Q `APPROX LOCATION ANGLE N Q LL1 LU ( ) * EXISTIN OOL, FENGE C 4� PATIO N GRADE TO NEW LANDING 4 U REMAIN STEPS TO GRADE W J n IV cp Lu / Q z 3 ► -o° EXISTING HOUSE, GARAGE * BREEZEWAY TO REMAIN U z r 3 1'-T in Lu z J c� N p t� • O Q U z t m z z W U LU Q PAGE: DEER DRIVE 545°05'20"W 130.0' 5 I