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HomeMy WebLinkAboutTR-8247 :..p r �i .1�� ^fi's. =��'y�-'f�fi✓.- - _- '��10�`f1Fm��` _ �\�0�'•�t�':F~.� �i��4'�f' � c - �1�'•.f:j ''.-� ft�Vf0�0`:- �,:/�'f�ti`�� ��'� �.y+'�':.'r.-r��r.`'.n -�+, � �i/`/, _ �H 1 /1/(�e a01� ►} �r•. - :��� 9 P�''v': _ �iV 1 il!/���.. �` 1 /�p�. � _.� i:' - �:�'�_, _:�✓'F6. -��:;� �� �_ � „�Y;,� Z�r. � �.�'�l % ''`E�� ^J� l Z r e ':�p o v ,jt'�, e_ � "%�..` �y'� yi `���.?v�crc;!c.mP'4!�`!,.�L.qr,}?e�n�!Y'iF+x#'�'Sl�y'.�Stz�'S.,.,Ttrr^+xTM•>T�¢';a;"'.P'...3.'n'-�:g"°.7°7:'T�'l�'�'���"'�,'�.'^�`"^...�otYcn.-;�'-�`�Sq•,��L^�:t'�$^���T'A`h"..=;T'�'.�r"''�.!:S2'm�m`:'"'.S.4a+`"n.=QY!ea..7•'s"2nsm,raNr!S_'�''u..�,�"y.'�'''�.^'�- � �3 '•'.� = ��''i_``;i + .s � . ' i� �4A � BOARD OF SOUTHOLD TOWN TRUSTE�S. � � � Vif �� , � ♦ . n' SOUTHOLD, NEW-YORK � = �,;� _ � �. _ `� , . ��" - .:� _ _, � PERMIT NO. 8247 DATE: JULY 17, 2013 � � � � � � - '_ y , - � + " a , ��'•. � ISSUED TO: MICHAEL MANTIKAS • _ -�. � ' - -_- � �,.. � ?� PROPEI�TY ADDRESS: 80 SOUTH LANE,EAST MARION ' � ��;.� �=�` � `� ' �� �S > ' � � SCTM#37-6-3.5 � � �C O� � , I� � . � . � � . , y . _ �, = . � � � AUTHORIZATION � - � „ :� ; � - , � �.'a _ � ; � ,. ' `" ��, Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in ` �'� � accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 17,2013,and in � ,.,. , � � -0 consideration of application fee in the sum of$250.00 paid by Michael&Argy Mantikas and subject to the � - � Terms and Conditions as stated in the Resolution,the Southold Town Boazd of Tnzstees authorizes and pertriits � � ' � •: � the following: . _ � , � . �` , � VVetland Permit to demolish th�e existing dwelling and using the same footprint � '_ � ''` � construct a new 56'8"x26'S" dwelling arid foundation; remove old septic system and � '" ' .'� � install new landward of dwelling; and add gutters to leaders to d.rywells on dwelling to �, �a~ `.,, � contain roof runoff; with the condition that a line of staked hay bales with silt fencing � ' � be installed 5' landward of top of bank;,and as depicted on the survey prepared by � � �. , � John T. Metzger, Land Surveyor, last dated June 14,2013, and stamped approved on -� - =" - � , •• - = July 17,2013. - ` ti.. � � . _ '� '� lN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, - "" � . � and these presents to be subscribed by a majority of the said Board as of this date. , _ � , � , - � - - , � , ' � �4 � s - O�oS���Q(�.0 � , � _ = � �� �G� ._ -� : _ , ---�� � � � . � � � � � , � o `� � _ •'� J� �.1� o�' �£ �t . � 1 �� � . , � _ ' , . 1 '� � . � � � . . - . _� , , . � � -y _ _4 _ v� � � , � :' 1 r'� _ -^ , � ��`--_ " i:` O• ^��'��2PdSf"l.va'.�Zd[`k.'a`1�"ulfi�si.v`&a73Y:Gi ntf�l`"�GFt'Yi'o"IT1&PfaS'x'^WPi�'�.�Z�u"5i'u"'a�.."6�u u�"`'ve�".57Y$;.dli.I�i.'�sia�aan�i`�'G�'�b'.iPt2�u�L'`LiE:?a"`�•k'+i7fiES'%�'�'%%'` -_ '� , = �idiww',7ii,�"aSY+i+r�u.r'e9iv�CSi�tuuu�irkiw`YT?d"xtuzi3�r}Yi3�'r�,if�"u`tc ;� ` o ��+ i 'YU� 1 i e -� 9 - � +. a � � " � . .• ��Y,/'r•J =' �P�= �U• � � �*`.�. �s .,v "^�'/�r_ l� P�' � 1��f � i __`'�i�jJ �s o �..��.�`' �i .uw , - `�.- ` ' i1� .., a. . L' _ �1 '� �l _/; . -"F�_,_� •� � ��.ti , �rr � " �-'�! V e• ! i�n _ 1 4: 1 N 4 ' V. � .J.�. :.:'�'.. ...�\�s�S:;,4`'�- ""j.,,�il ��u.r'" _ .C'�s / 10..'" _ ..n� lae.:., .as�/4 �6��..- -_ y�.-, - - _ ' _ `s :�t" -�A:.<.�'- ,�•-�::::�., :_,..�- .,m.: F,f=. _ ...i; _ _ '_ ".}n _o ' ' � ,��_. 1 ' James F.King,President �ag�FFO(,I.c Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President OG�� P.O.Box 1179 Dave Bergen w Southold,NY 11971 John Bredemeyer �y Telephone(631)765-1892 Michael J.Domino ��! Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction %constructed Project complete, compliance inspection Cg11Q111 //%h•• -- .•1111 1 1/rr -`. 111 Il •P.I. , 11 1 Iv ^�•1111 I r � 1 1/ I/,.. 11 I• y _ 1 ,•11 1� BOARD OF SOUTHOLD TOWN TRUSTEES ` SOUTHOLD,NEW YORK PERMIT NO. 8247 DATE: JULY 17,2013 .._ ISSUED TO: MICHAEL MANTIKAS _ PROPERTY ADDRESS: 80 SOUTH LANE,EAST MARION SCTM#37-6-3.5 AUTHORIZATION i Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 17,2013,and in consideration of application fee in the sum of$250.00 paid by Michael&Ar&Mantikas and subject to the w. Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: . Wetland Permit to demolish the existing dwelling and using the same footprint construct a new 56'8"x26'5" dwelling and foundation; remove old septic system and install new landward of dwelling; and add gutters to leaders to drywells on dwelling to contain roof runoff; with the condition that a line of staked hay bales with silt fencing 1/ be installed 5' landward of top of bank; and as depicted on the survey prepared by r John T. Metzger, Land Surveyor, last dated June 14 2013 and stamped approved on g � Y � � � P PP July 17,2013. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. f gt1t:FOit Ca -- "_ � Off • �� '4 r •� -1� au&I'L�7�i4$Y!&'�e'. e�u�a_. `.--%a%ir rco" _ i�viu ` ' ie�a`i�'A.dwL�iY6'i%f38F v�ix�tr�'rkHYY l- �,/ i,F" _. '.xw�'�4i 111ii`-' — - ,.;AO// 111�i:'••,.• �/sl � .-".r.ir111 1 lip - :ill{ •Iii1-"�_ •� I�p. •. TERMS AND CONDITIONS The Permittee, Michael Mantikas,residing at 80 South Lane, East Marion,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: l. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties, and the said Permittee • assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee 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, LOT NUMBERS REFER TO "MAP OF SECTION TWO OF GARDINER BAY ESTATES" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON SEPTEMBER 23, 1927 AS MAP NO. 275. N APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD SURVEY OF PROPERTY DATE A T EAST MARION 3 TO N OF SO UTHOLD SUFFOLK COUNTY, MY 1000-37-06-3.3 SCALE 1'=30' MA Y 23, 20I3 JUNE 7, 2013 (PROPOSED HOUSE) JUNE 14, 2013 (C.E.H.L.) 1pvp�` Q v� t RAIN RUNOFF CALCULATONS �� ° �� - \ PROPOSED HOUSE= 1,406 sq. ft. /' `p 0� '( 1,406 x 1 x 0.17= 239 cu. ft. LQ 239/ 42.2 = 5.6 VF 5�Z$ s J �; \ PROVIDE 1 DRY WELLS 8' DIAMETER x 6' DEEP OR EQUAL. PROPOSED SEPTIC a e'* \ (FOUR BEDROOMS MAX.) \ 1,000 GALLON SEPTIC TANK [11 2] 6' DEEP x 8' DIAMETER LEACHING POOLS 37.98E EXISTING SEPTIC SYSTEM TO BE REMOVED IN Q \ � SHED \ \ ACCORDANCE WITH S.C.D.H.S. STANDARDS LOT COVERAGE HOUSE=1,406 SQ. FT. 11Z \ SHED= 68 SQ. FT. ti \ �� act► ` `�,, °'` ` ? \ 1406+68 / 13930 x 100=11.0% e � Ilk \ O � O `oJ� \ C" 2 TEST HOLE DATA BY McDONALD GEOSCIENCE 5/15/13 EL 15.0' DARK BROWN LOAM OL --- 0.5' BROWN SILTY SAND SM \ --- 3' • BROWN FINE TO COARSE SAND SW �Av --- e' PALE BROWN FINE SAND SP EL —O.,V ——— 1 s.4' C9 ' WATT 1-r WATER IN PALE BROWN FINE SAND SP \ \ \ AREA-13,930 80. Fr. TO TIE LINE ELEVATIONS REFERENCED TO N.A.V.D. FLOOD ZONE FROM FIRM MAP NUMBER 36103CO177H SEPTEMBER 25, 2009 , OF E b^ I am familiar with the STANDARDS FOR APPROVAL d z AND CONSTRUCRON OF SUBSURFACE SEWAGE SUP 1 9 2Qj3 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the , k .• ., Southold Town Trustee f,permit to construct. oar of The location of wells, cesspools & public water shown hereon are �. "=,�: 'd, from field observations and or from data obtained from others.ANY AL TERA 77ON OR ADDITION TO THIS SURVEY IS A VIOLA 77ON OF SECTION 72090E THE NEW YORK S7A7F EDUCA77ON LAW. 'w 4D EXCEPT AS PER SECTION 7209—SUBDIWSION 2. ALL CER77nCA77ONS N.Y.S. LIC. NO. 49618 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF ECON/C YORS, P.C. COPIESSAID MAP OR IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON (631) 765-5020 FAX (631) 765-1797 COASTAL EROSION HAZARD LINE FROM COASTAL ® =MONUMENT P.O. BOX 909 48�6106-83 HAZARD AREA MAP PHOTO N0. 0 =REBAR SOUTHD,, NE� S TREE f 1971 T 1 3-174 James F.King,President OF SOUr Town Hall Annex Bob Ghosio,Jr.,Vice-President ��� y�l 54375 Main Road Q P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q Telephone(631) 765-1892 Michael J. Domino �0 Fax(631) 765-6641 o< '00 NTY,�`� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 17, 2013 Ms. Eileen Santora 650 Vanston Road Cutchogue, NY 11935 RE: MICHAEL MANTIKAS 80 SOUTH LANE, EAST MARION SCTM# 37-6-3.5 Dear Ms. Santora: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 17, 2013 regarding the above matter: WHEREAS, Eileen Santora on behalf of MICHAEL MANTIKAS 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 June 19, 2013, 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 July 17, 2013, 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 approve the application of MICHAEL MANTIKAS to demolish the existing dwelling and using the same footprint construct a new 56'8"x265" dwelling and foundation; remove old septic system and install new landward of dwelling; and add gutters to leaders to drywells on dwelling to contain roof runoff; with the condition that a line of staked hay bales with silt fencing be installed 5' landward of top of bank; and as depicted on the survey prepared by John T. Metzger, Land Surveyor, last dated June 14, 2013, and stamped approved on July 17, 2013. 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: $100.00 Very truly yours, o� James F. King President, Board of Trustees JFK/amn James F.King,President 4= Town Hall Annex Bob.Ghosio,Jr.;Vice-President w e 54175 Route 25,P.O.Box 1179 Dave Bergen '.j. �' Southold,NY 11971 John Bredemeyer ' Q `3�' 1 � Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated. h's has been reviewed by this Board at the regular meeting of 11 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) , 1st Day of Construction ($50.00) %z 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 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: $ BY: James F. King, President Board of Trustees Peter Young,Chairman y -� Town Hall,53095 Main Rd. Lauren Standish, Secretary P.O.Box 1179 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., July 10, 2013 the following recommendation was made: . Moved by John Stein, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of MICHAEL MANTIKAS to demolish the, existing dwelling and construct new dwelling and foundation within the same footprint. Install new sanitary system and remove old according to Suffolk County Health Dept, and install a new drywell. Located: 80 Oak Court, East Marion. SCTM#37-6-3.3 Inspected by: John Stein Vote of Council: Ayes: All Motion-Carried IfM5 I I i I JUN 1 9 2013 rj I no 9�e'oa 2xlc' r I Southold Town I- - - rzn Ian rrr� I 2:1tz�o C<X¢G�v CU 041 } i 7 couceEle ttaae�� I I m oo. 1 I_ '_I 1%1 v I I t ' nu . "JT140'7 `r"ter�t� n �M , I I , I ; LouAT POc,reo I - - U ! �;r�Iud9 '0R2xlo" — �tip p I111IO-cl I I O X N aM I I I rr•� I ft 1 � I I 1 �-T i%i�l_O`�Piv POkGI-I I I I �A X I I I i I I I I I I-1=j NI FAI xo4 x l o wlgr'u FODUD�rlotil j2LW<' r-IF-I f• (=UZa? lA1.� I I g'1l IhMLRT�AJT I�jINL-iG� I 5(J�L� '/Q°�I'011 '5ZK- I I i Wj I I R6M,R5 MICHAEL MN ArIKAS _ iTV, M — -1 pgkCRT S4U-T4 LA...E,MRION NY laoo 37 Ob �3 . If-19'.'.m ..P.o.,. "f.ii*W"t'OUI-LDA�IotJ t�Lbhl iNEN"F�ND�i�OA}"!'13�'`-'IUUFlRSTFiG�CK'pEV'• /uv L5 N u 22'-20 I �,-3,' 22'•2" Zeal -2 �o � N LC, le 4 5 1R'Q 14 GhF 15 212*r, - • LTI9S.2g 95F1532/o35P �. 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Eileen Santora on behalf of MICHAEL MANTIKAS requests a Wetland Permit to demolish the existing dwelling and using the same footprint construct a new 56'8"x26'5" dwelling and foundation; remove old septic system and install new landward of dwelling; and add gutters to leaders to drywells on dwelling to contain roof runoff. Located: 80 South Lane, East Marion. SCTM# 37-6-3.5 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: �hapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: i Present Were: J. King B. Ghosio D. Bergen, � J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by J. lei til� Mailed/Faxed to: Date: BOARD MEMBERS OF SQU Southold Town Hall Leslie Kanes Weisman,Chairperson' �� TyQ 53095 Main Road-P.O.Box 1179 !p Southold,NY 11971-0959 Eric Dantest Office Location: Gerard P.Goehringer G Q Town Annex/First Floor,Capital One Bank George Horning �� �� 54375 Main Road(at Youngs Avenue) Ken Schneider �y�vu ,� Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809-Fax(631)765-9064 FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF MAY 16,2013 ZBA FILE: 6641 NAME OF APPLICANT: Michael Mantikas SCTM#1000-37-6-3.5 PROPERTY LOCATION: 80 Oak Court(aka South Lane)(adj.to Gardiners Bay)East Marion,NY SERA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated March 19, 2013 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION: Subject parcel is a non-conforming lot containing 14,093 sq. ft. in the R-40 i zone district. It is improved with a one story single family house and accessory shed. It has 17.44 feet of frontage on Oak Court (aka South Lane), 356.01 feet along the eastern property line, 54.77 feet on Gardiners Bay and 368.70 feet along the western property line as shown on the survey dated last revised May 17, 2012 prepared by Howard W. Young,LS. BASIS OF APPLICATION: Request for Variances from Article XXIII Section 280-124 and the Building Inspector's March 11, 2013 Notice of Disapproval based on an application for building permit to demolish and re- construct an existing single family dwelling, at: 1) less than the code required minimum side yard setback of 10 feet, 2)less than the total combined side yards of 25 feet. RELIEF REQUESTED: The applicant requests variances to demolish and rebuild a new single family dwelling with a minimum side yard setback of 5 feet where the code requires 10 feet and a combined side yard of 15.9 feet where the code requires 25 feet. ' i AMENDED APPLICATION: During the hearing,the applicant was asked to bring the plan into more conformity with the code. The agent for the applicant on May 8, 2013 submitted a revised site plan that changed the original building footprint to make it parallel to the side property lines,thereby creating a single side yard setback of 10 feet which is conforming to the code and increasing the proposed combined side yard setback from 15.9 feet, as applied,to of 20.9 feet which is more conforming to the code. i Page 21of 3—May 16,2013 ZBA Pile#6641—Mantikas SCTM#1000-37-6-3.5 ADDITIONAL INFORMATION: A letter was received from an adjacent neighbor with concerns over the close proximity to the property line. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on May 2,2013 at which time written and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law &267-b(3)(b)(1). Granting alternative relief will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Several properties in this neighborhood have reduced side yards due to the narrow width of the lots. The revised site plan submitted as an amended application shows a single side yard setback that is code conforming and the combined side yards are in more conformity with the code and in keeping with the neighborhood. 2. Town Law 4267-b(3)(b)(2). The benefit sought by the applicant can be achieved by some method, feasible for the applicant to pursue, other than an area variance. The applicant is proposing to demolish the existing dwelling and as such, can adjust the site orientation of the building footprint to allow for greater side yard setbacks. The alternative relief granted herein, eliminated one variance request and greatly reduced the percentage requested for the second variance request. The grant of alternative relief would allow the applicant to access their new dwelling without encroaching on the adjoining properties. 3. Town Law&267-b(3)(b)(3). The variance for alternative relief for a combined side yard setback granted herein is not mathematically substantial,representing 8%relief from the code. 4. Town Law 4267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. At the hearing the immediate adjacent neighbor was concerned with the narrowness of the parcel and how the construction would take place without disturbing their property. The grant of alternative relief has addressed the concerns and has eliminated one variance and greatly reduced the second variance request. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law &267-b(3)(b)(Q. The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law &267-b. Grant of alternative relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a new dwelling while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-13, motion was offered by Member Goehringer,seconded by Member Schneider,and duly carried,to DENY as applied for,and GRANT ALTERNATIVE RELIEF as follows: The minimum side yard setback shall be conforming along the western property line and a minimum of 10.9 feet along the eastern property line as shown on the site plan dated 5-7-2013 prepared by Eileen Santora, Residential Designer, signed and sealed by Joseph Fischetti, LPE, and the drawings by Eileen Santora labeled 1-5 showing foundation, section, elevations and floor plans. .Page of 3—May 16,2013 ZBA File#6641—Mantikas SCTM#1000-37-6-3.5 Any deviation from the survey,site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variances) granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: Members Weisman (Chairperson), Goehringer, Schneider, Dantes, Horning. This Resolution was duly adopted(5-0). Leslie Kanes Weisman, Chairperson Approved for filing /a 1 /2013 i� IICEI V 2013 Tivi _ r z ' id1 1 I d — rr��r mi 40 wewM�,w,���r�rrarrt�e�iAe�io i • i 14 pi 14 o � j � 1 fill ` _ fit• ..�1 1 �� aa''- \'IWO �LL y, M 2?% 4 aa»c, IF WIRT If N f�• lti' A% I I •' I• 'P P_ '•t P • I P � I ♦ n.t 9 e'er.`�. " am rdt v tW _ -- oR n a7, --- --- ________ '�. `;a � ^mom r6• ,� _ • a I� i I • v7iW ..r .�* P t ,•^ `° II oR�Exr ,t P•P m F l 4 P �. lo •••••^•• `rw- "' �•,� ------ `"u — NOnCECOUNTY OF SUFFOLK C o aanrm sECT1aR No E r._r —�— ..._.,.�.� R,r r� —Qz "•• --�— --�--_ s al Property Tax Service Agency v r.. a�....�.�..,.....,.,,., � 37 R..win.. "�.ti:.w� rsr. w s..0 �_- vru -- •, ws ,-- •-- ti rsraaeuinr,urrro�RP rwr,.. --.-- w��u--i-- ru.a wmrm wmartvwrR.r.wnxsM u e u a A ay PROPERTY WV ma.Po +xacae s ' , ' 9 a raw A ' � ry `�+_ ` • I•y;- -------- + A +„ f,I f f.ft J ftI f' I� '�^•""' `�"��" "• r.�_ ---�—' ""�'�� --�'— '+�`�� --•-- COUNTY OF SUFFOLK © x o BECTN)N NO NoncE .ou,xorn o•„� W —�— • Q __ — —_—_ —_—_ Real Property Tax Service Apeiwy v Mr� ....... ,� __� •.. _� ��.__ er+ror,N.rwaNrnw Y 37 - n vwooerm wv oexx.w oea.w � i l� OFFICE LOCATION: �fjf SOUjyQ MAILING ADDRESS: Town Hall Annex 'tom l0 P.O. Box 1179 54375 State Route 25 1�[ Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) N Southold, NY 11971 � Q Telephone: 631 765-1935 �� Fax: 631765-3136 olyC�"UN% LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM p EC EE VEDD JUL 1 6 2013 To: Jim King, President Town of Southold Board of Trustees Southold Town oard f Trus ees From: Mark Terry, Principal Planner LWRP Coordinator Date: July 16, 2013 Re: LWRP Coastal Consistency Review for MICHAEL MANTIKAS SCTM#1000-37-6-3.5 Eileen Santora on behalf of MICHAEL MANTIKAS requests a Wetland Permit to demolish the existing dwelling and using the same footprint construct a new 56'8"x26'5" dwelling and foundation; remove old septic system and install new landward of dwelling; and add gutters to leaders to drywells on dwelling to-contain roof runoff. Located: 80 South Lane, East Marion. SCTM# 37-6-3.5 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 determination that the action is EXEMPT from LWRP review pursuant to: § 268-3.. Definitions. MINOR ACTIONS item "B" which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (inplace), including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but not limited to, groins, jetties, bulkheads, filled piers) located within Great Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound (excluding all creeks); 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 James F.King,President ��0� S0!/Tyo Town Hall Annex Bob Ghosio,Jr.,Vice-President h0 01 0 54 Main Road P.O..Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Michael J.Domino � �� Telephone(631) 765-1892 �OU Fax(631) 765-6641 . NTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only astal Erosion Permit Application etland Permit Application Administrative Permit _Amendment/Tran f /Ex nsion -Aeceived Application: ceived Fee:$&kmpleted 2 Application 3 EC L IV E _Incomplete _SEQRA Classification: Type I Type II Unlisted J U N 1 9 2013 Coordination:(date sent)_ RP Consistency Ass ssme t Form CoCAC Referral Sent: Southold Town vPsate of Inspection: Board of Trustees _Receipt of CAC Report: _Lead Agency Determination: ';echnical Review: ✓Public Hearing Held: Resolution: Name of Applicant P e M 1 G+4,A 5 L-- t✓r A IQ T I I C A"s Mailing Address SAY V 1 F— tA/ 1Z r—) T�t—A c)om�, t �4 C712l Phone Number:( Suffolk County Tax Map Number: 1000 - �J �69 Property Location: �� DAK C e V(AeA 5Oc7fl4 LA) pi- -FO ( PeDI NC-l%S FJA( 6f)g V10K lq.� ; A&714 51 r-�15 Z)F 04/C CkT 5'7, W` CAST Dr 6&a49()A (provide LILCO Pole#, distance to cross streets, and location) AGENT: EILEAl f�l (If applicable) Address: &5D VA IUS-16 U P—Ifl Phone: &--5r 73q 2f)`0/4 C.P &:�1 ?6150�Z2 S�� - -rd of Trustees Application i GENERAL DATA Land Area(in square feet): �, 4&-p S Area Zoning: r 0 Previous use of property: Intended use of property: Covenants and Restrictions on Yes V No property? If"Yes",please provide a copy. { Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? VYes No If"Yes", please provide copy of decision. j Will this project require any demolition as per Town Code or as determined by the Building Dept.? j _ Yes No Does the structure (s) on property have a valid Certificate of Occupancy?_ Yes No Prior permits/approvals for site improvements: Agency Date z� MAY l(nl 2rDt-?-) i �y"' No prior permits/approvals for site improvements. Has any permit/approval ever been.revoked or suspended by a governmental agency? ✓No Yes If yes, provide explanation: Project Description (use attachments if necessary):DE:M6 00 5 ,gl 2J&� !� ()5w � T'P2 Y�1 T I� 1� G�l f. � F2� <15 �� CO oc�� -pDoN ,DA;r 0 (cekut� ae:uJ -PT-' c ;rd of Trustees Applicatie—. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: TO P-J-AL- e P RrS If D51N CC r-(r PbO L.I v 1 fJ CA ( bJ a C' l � ND Iv�I �6� D ��G r: �T� Wtf wI LL I STALL t4l [k3 51✓Prl GSLPT H lrvD P�Mbv 0�ISriN �l � c� square feet Area of wetlands on lot: J Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: (Po feet Closest distance between nearest proposed structure and upland edge of wetlands: & CP feet Does the project involve excavation or filling? No ✓ Yes If yes,how much material will be excavated? Ilk cubic yards How much material will be filled? cubic yards -Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: 04 It n01Z r� Manner in which material will be removed or deposited: i►2uc,K� � ������ 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): 617.20 SEQR PROJECT ID NUMBER 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 NEE M A 1c,1Tf � &PROJECT LOCATION:or Municipality County 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc - r provide map Bo 0,A ry GILT' e, "A► i o N DY,I©I� A �J �6 Cat lq 2DI nof-iFes( � 5Q,26' E; OP OLD CECJkAED 0 1 'SWT4�6t0C C'P 5.IS PROPOSED ACTION: WNew ❑Expansion G2rModification/alteration 6.DESCRIBE PROJECT BRIEFLY: OCI Gt 104�— {-fpCr I-j (N SUCq p N OU tJ D41I 0 I"J 1 L(___ T_U►LD K/E� J �-}-O M; � c5 W � 't' U I LD 14. (A CD65FZ�D US I N LA L5SLAET) -�-_WT -PO ktT lap WA,(� 5-n .v)CTO (2T-, , H-o()S-r,- HI LL- 'C- TWO (,'Jodt) eovnz5_,"C1-P bQ i W ITI- CQA W L SpA Cjt-� -P5 v �J'D SST 'q(0 �XI�TI N (� Cam?� � ( ` �S i�?C�7' 6�l>✓ OJI L 1. 5� t�-I�L F w ID4 )�eK) oV I N U Q vEki 7.AMOUNT OF .LAND AFFECTED: t I Initially' acres Ultimately acres 8.WILL OROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ❑Yes MNo If no,describe briefly: (:;S r D e YA,2 rJ,G CNO'W -v oh FDC P t N L4 LOT-) 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open Space ❑Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [Wes ❑No If yes, list'agency name and permit / approval: j _DFG POtCr1-11 7- 1 To' p' )�1�C,,< 7-- 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Eyes ❑No If yes, list agency name and permit / approval: � 'ZO Q / WL tA F�>e A A-F(2 WV A L 12. AS A RES T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? Dyes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name 'f2p Date: Signature 1%/U &' Rc/ If the action is a Costal Area, and you are a state agency, I complete the Coastal Assessment Form before proceeding with this assessment / i PART[I'- IMPACT ASSESSMENT o be comp feted by Lead A end .A.DOES ACTION EXCEED ANY TYPE t THRESHOLD IN 6 NYCRR,PART 61T.4? if yes,coordinate the reiriew process and-use the FULL EAF_ 0 Yes. ❑f .No a. WILD 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. El Yes a No: C. COULD ACTION RESULT IN ANY AOVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) Cl- 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 Aesthetio,agria moral,archaeological,historic,or other natural-or cultural resources;or community of neighborhood character?Explain briefly: C3. Vegetation or fauna;fish,shellfis 'or wildhfe-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,shorl term,cumulative,or other effects not identified in Ct-05? Explain briefly: - --- - C7_•Othet impacts(Including chap es in use of either 9pantity or type of ener ? Ex lain briell O.WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL.AREA CEA 7 Jtf es,a lain briefl . Yes a No E. IS THERE,OR IS THERE LIKELY TO t}E,CONTROVERSY RELATED TO POTENTIAL A VERSE ENVIRONMENTAL IMPACTS? If .es '❑ Lahr Yes Q No PART I((-OETERM(NATION OF SIGNIFICANCE(fo be completed by Agency) INSTRUCTIONS. Foreach adverse effectidentiffed above,determine whetheritis substaulial,large,important orotherwise significant Eactt effect should be assessed in connection with its(a)setting(Le.urban or rural);(b)probability of occurring;(c)duration;(d)imerslbitity;(e) geographic scope;and(f)magnitude. If net gessary,add attachments or reference supporting materials: Ensure.that explanations contain- . sufficient detail to show that ail relevant adverse Impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination ofrignMcance mustevaluatefhe potential lmpactvfthepreposedaction on the environmental characteristics ofthe CEA Check fhis box if you have iWdied one ormare potentially large orsignificantadverse impacts whkh MAY occur.Then proceed diredlylo the EAF and/or prepare a positive declaration. Check this box If you-bave determined,based on the information and analysts above and any supporting documentation,that the proposed alm�, WILL NOT result in any significant adverse environmental impacts AND provide, on'attachments as necessary,the reasons supportin determination. Board of Trustees © J//L e Z o/ 3 N,Came of lead Agency Date � e11465 / ' 16A)Is,- President . E7 Print or Type Name of Responslbi/e Offi r in Lead Agency Title of Responsible Officer PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: -3.2 bq JD n S T i P i oC I LL E C9ke Ny -Z HS. e�1.�hl 1��ZEI.I t��/2 2�7 T?�11�" JEJ2i�p 0 ��1- L�- •( . MSG M EbaC-C J WAbZ P6 .r�o i P,8 �c 1�� L�+�1�1�(©�, ►�'f l A 3Q STATE OF NEW YORK COUNTY OF SUFFOLK L6 6 IV .� A� , residing at (D CD V A Ill G 7Y9&J e D CU7,�C 5 , being duly sworn, deposes and says that on the 6 day of .� U (,� , 20__L-`� 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 atCt'7FG44,nCA v L= that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i Sworn to befo e me this Day of 20 _ Notary Public CONSTANCE LltOVh NOTARY PUBLIC-STATE OF NOW YORK No. 01-L16110900 44uclVled In Suffolk County MY;Cg�nmi 11411 Ex-Irej-�4(f19 G1, 26'14. Postal CERTIFIE Coverage Provided) /• • CERTIFIED ` RECEIPT Ln aDorne nly,'No insurance coverage Provided) mRI�I[LEQ l ? L m cD Postage $ $0.46 09 rD Postage $ $0.46 09 Sd Certified Fee 33.10 Certified Fee .0 S�. irostman( �� ReturnReceipt Fee Here" �1 Return Receipt Fee Here � (Endorsement Required) $2.55 ,-�� _ 0 (Endorsement Required) $2.55 Q M Restricted Delivery Fee O Restricted Delivery Fee �® (Endorsement Required) $0.00 (Endorsement Required) 0.00 [7 . C] C3 Total Postage&Fees $ $6.11 0 N�� I A Total Postage&Fees $ $6.11 m - - m Sant To A _-__,___ SontTo ,/ ��f % ,�-��y ------------WE,-�-��/--�� "�,r r-1 Street,Apt.No.' se r i Street Apt - %D__ ---- _ 1l a� ------ - O or PO Box No. -�L -U _. -------------- p or PO Box No. Y vs: [� C1ty State,ZIP+4� City,State,Z1P+4 / PostalPS Fort,,3800,August 2006 See Reverse for Ins ruc ons CERTIFIED MAILm RECEIPT a 1 U.S, Postal Service"r. (bornestic Mall Only,No Insurance Coverage Provide 0" _i, h m MACWO ld9 9" i F93), M�RiO��+pt�1 9s9 i I c0 M Postage $ $0.46 tt5 '��° J m �D 0 I Postage $ 0.4r} - Certified Fee /,.�d $3.10 1 �'Postmark �C I Certified Fee j Return Receipt Fee �' He r-9 $3.10 C3 (Endorsement Required) $2.55 �� I 0 Return Receipt Fee �+ t77 Postm M �E6�� Q (Endorsement Required) $2.55 a FIN �lier�� O Restricted Delivery Fee n (Endorsement Required) $0.00 - I a Restricted Delivery Fee Q (Endorsement Required) $0.00 �� Q a Total Postage&Fees $ $6.11 07/06/2013 1 0 � t-n Total Postage&Fees $ $6.11 47 MSent To W �" m - - -�- --"-- =---- ----=----------- ---- Sent To}� �/� r R Street,A t.ao.; i r V o Gl ---- ------�--------(�Ab� - ---------- p Q X r-1 Street,d t IV0 or PO Box No. , _ _ ___.______ I , [3 or PO Box No. pQ �j ! F` Clry State.ZIP+4ji, /F rYj Iti _J 7 � 1 City,State,Z1P+4 See Reverse for instructions 1: fit DN A� Q�tg�1FFQ� -�¢ James F.King,President ti Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President P.O.Box 1179 Dave Bergen ®A Southold,NY 11971 m John Bredeeyer ,1! Telephone(631)765-1892 Michael J. Domino e�1 �`� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MICHAEL MANTIKAS COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, -El Le e N JOMIDOq ,residing at/dba e P'5 a Zb being duly sworn, depose and say: That on the/5 day of , 2013, I personally posted the property own as On u 7-/ s -rS a 1/' C4�!' 96� &A & �—*aw 4�& by placing the Board of Trustees official 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 Wednesday,July 17,2013. Dated: �G�� G� 7JD I (signature) Sworn to b fore me this 15 day oQ 20 Notary Public COINSTANCE LISOWV NOTARY PUBLIC-STATE OF NEW PORK No. 01-L16116900 Qudl(ffted In Suffolk County MY:CommisOn Exttiros J%10*01, 2616 NOTICE OF- H* EA. RING NOTICE IS HEREBY GIVEN that a public hearing will be held b the SOUTHOLD BOARD OF TRUSTEES at the Town Hall 53095 y Southold New York co , Main Road, ncerning this property. OWNER(S) OF RECORD: isV)ael fnan* kas SUBJECT OF PUBLIC HEARING: To demolish the existing dwelling and using the same footprint construct a new 56'8"x26'5" dwelling and foundation; remove old septic system and install new landward of dwelling; and add gutters to leaders to drywells on dwelling to contain roof runoff. TIME & DATE OF PUBLIC HEARING: &Je4ne5day - If you have an interest in 'this project, you are invited to view the Town file s which are available for i � � ins re rior to the day of the hearing during normal business days between the ours o 8 a.m and .4 .m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 Br-.-r3 of Trustees Application I County of Suffolk State of New York eI Aj io0p 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 WITH REVIEW OF THIS APPLICATION. Signature of Property Owner SWORN TO BEFORE ME THIS �g DAY OF 6, ,20 /J" i Notary Public CONSTANCE LISO WY NOTARY PUBLIC-STATE OF NEW YORK No. 01•L16110900 Cuclifl®d In Suffolk County My Commission Explree June 01. 2616 i P^-rd of Trustees Applicatic- AUTHORIZATION (where the applicant is not the owner) L 1 c RA tl. M N4T-I K/h5 residing at 15 72;A`rV 1 (print owner of property) (mailing address) tilIANO12 N 1I do O herebyauthorize (Agent) -:SA KTC)2P to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The prose 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 ! necesM to avoid same. YOURNAME: (Last name,fist name,griddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate,the.other person's or company's name.) j 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.) i i 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. it 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 i Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is.(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); . B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP I Submitted this t 4 day o J U 9E 2005 Signature FWMAJ Print Name Form TS 1 CONSTANCE tISO.WY ' ;:NOTARY PUBLIC-STATE OF NEW YORK No. 011.16116900 Qudl(fled In Suffolk County My CommIsIldn ExpIf0i June 01, 2016 Town of So hold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A i Ol�j STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN s3Ttrict section _9Toc cF- Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? I Will this Project Retain All Storm-Water Run-Off k (Include Total Area of all Parcels located within �- 7 U�'`J 6 Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) /(S.F.I Acres) (This 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 5 oQ Site Improvements and the permanent creation of construction activity? (S.F./Acres) impervious surfaces.) ! 2 Does the Site Plan and/or Survey Show All Proposed — PROVIDE BRIEF PROJECT DESCRIMON (ProvideAddidanal Pages as Needed) Drainage Structures Indicating Size&Location?This Item shall include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. '� 3 Does the Site Plan and/or Survey describe the erosion H o U e �1-JT f K1 �PT- ,y and sediment control practices that will be used to control site erosion and storm water discharges. This f f r V /l'C�I c�k.f—►Nl�� �v C,� r'�,G,� item must be maintained throughout the Entire 1 L`D N C UJ , L0 r �y 6 j �,x s�iygt n Period. T'T 4 Wiff thiscs Project Require any Land Filling,Grading or Excavation where there is a change to the Natural ❑ / !/Vl'r (•�-� Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? i 5 Will this Application Require Land Disturbing Activities JWW 111s 7_7aUGT eylo 'U ply yk� //tJ/ Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? � G. I {%kU P,0V14/� �/u 79 // 6695 1-2202- 6 Is there a Natural Water Course Running through the / Site? is this Project within the Trustees jurisdiction — General DEC SWPPP Requirements: i or within One Hundred(100')feet of a Wetland or F-1 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 ❑ V 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 stone water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit $ 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 —✓ i 1.The SWPPP shall be prepared prior to the submittal of the Not.The NOI 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. i 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 Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit (NOTE: A Check Mark(,J)and/or Answer for each Question is Required for a Complete Applicailon) SPATE OF NEW YORK, LlL COUNTY OF...........................................SS I That I,...........tF f L �...............being duly sworn,deposes and says that he/she is the applicant for Permit, ..................................................... (Name of individual signing Document) Andthat he/she is the .......................A�....�j ..................................................................................................................... (Owner,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 i 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; f .......................... 0 f Z..........day of......... ..... .. 20.0 3 Notary Public: .........Lt C.2...... �. (Signature of Applicant) ! FORM - 06/1 Q . OTARY PUBLIC-STATE OF NEW YORK No. 01-LI61 10900 14upl(fted in Suffolk County MY;C0Tl%l J6ln Exp1fei-J409-01;,.2010 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 sib beneficial and adverse effects upon the coastal area(which includes all of Southold To i 3. If any question in Section C on this form is answered "yes" or "no", theri 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. 2 �0E2 B. DESCRIPTION OF SITE AND PROPOSED ACTION Lam, V SCTM# (p - JUN 19 2013 PROJECT NAME Southold Town oard of Trustees The Application has been submitted to(check appropriate response): ' Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees L1� 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g. capital ❑ -construction,planning activity, agency regulation,land transaction) ❑ .(b).. Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval, license,certification: Nature and extent of action: To f of U NT_-4,Q77a 4 6 0, 3� P081, Pby►W 1Xq MLL TIOZ rzI.f 0 Cc)k Orr, Location of action: 0 K G�C1 j�7" � , G'`�/�P1 D ill Site acreage: T Present land use: e'51 oC-iV iMA�- 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: 1� CJ PDALI 1 E�GfJ R-b PL A W Do U 1 (c) Telephone number:Area Code( 51 U' (d) Application number,if any: Will the action be directlyundertake require fundin or approval b a state or federal agency? � Q g� Pp Y g Y Yes ❑ No l"J 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 ❑ No n Not Applicable i 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 ❑ 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 ❑ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section M —Policies Pages 16 through 21 for evaluation criteria Yes ❑ No ❑Not 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. R?f ❑ ❑ Yes*,-, No Not All!,-,-_ 'able 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❑V 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. YeO No❑ Not Applicable Attach additional sheets if necessary WORKING COAST POLICII , 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 Ea 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. 0 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 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 rES;�E�1Tip�. PREPARED BY E 1 L �l�l SA,ZJ7'Z��U TITLE DATE- g �/