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HomeMy WebLinkAboutTR-11009A Glenn Goldsmith,PresidentQ FFf7(,�-C Town Hall Annex A.Nicholas Krupski,Vice President ��� Gyr 54375 Route 25 Eric Sepenoski N a P.O. Box 1179 Liz Gillooly • Southold,NY 11971 Joseph Finora 'y,� p�.a�' Telephone(631)765-1892 �Ol far 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/silt boom/silt curtain 1st day of construction Y2 constructed Project complete, compliance inspection Glenn Goldsmith,President ��F SO�,y Town Hall Annex 54375 Route 25 Nicholas Krupski,Vice President ,`O� ®�� P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Q Telephone(631) 765-1892 Joseph Finora Fax(631) 765-6641 o�yOOUNT`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 11009A Date of Receipt of Application: August 11, 2026 Applicant: Charles Cuddy SCTM#: 1000-115-3-19 Project Location: 1500 Marratooka Lane, Mattituck Date of Resolution/Issuance: September 16, 2026 Date of Expiration: September 16, 2029 Reviewed by: Board of Trustees Project Description: Install two (2) basement egress windows and an I/A OWTS septic system. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plans prepared by Young Associates and Charles M. Thomas, Architect, both received on August 11, 2026, and stamped approved on September 16, 2026. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO E%ISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE MOT TO BE USED TO ESTABUSH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION (CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS CST)&CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. NOTES FOR 400 Ostrander Avenue, Riverhead, New York IIc101 tel. 651.727.2505 fax. 651.727.0144 ABANDONMENT OF SANITARY STRUCTURES SITE DATA odmin@youngengineering.com nmatgaKoriatT SUNSET AVENUE ABANDONMENT IN-PLACE AREA = 1.283 ACRES - - - - - - ��� EXISTING SYSTEMS SHALL BE ABANDONED BY REMOVING ALL RESIDUAL � Y SEWAGE WASTES BY A LICENSED WASTE HAULER,REMOVING THE TOP OF THE * DATUM = NGVD 1988 STRUCTURE(5),BACKFILLING WITH SUITABLE SAND AND GRAVEL MATERIAL, I Howard W. Young, Land Surveyor AND PROPERLY COMPACTING. I Thomas 0. Wolpert, Professional Engineer ABANDONMENT BY REMOVAL * NUMBER OF BEDROOMS(DESIGN EQUIVALENT) =5 Douglas Adams, Professional Engineer $ Geologist Daniel A. Weaver, Land Surveyor EXISTING SYSTEMS MAY ALSO BE ABANDONED BY REMOVING ALL RESIDUAL SEWAGE WASTES BY A LICENSED HAULER,REMOVING THE ENTIRE * MINIMUM REQUIRED I/A OWTS CAPACITY =550 GAL I STRUCTURE(S),BACKFILLING WITH SUITABLE SAND AND GRAVEL MATERIAL, * PROVIDED I/A OWTS CAPACITY =700 GAL AND PROPERLY COMPACTING. �� �� IAj-1,l ARTM NT USE * LEACHING SYSTEM REQUIRED =400 SFSWA _ _ - - omu�aSsoaAtes ABANDONMENT OF SEWER PIPING * LEACHING SYSTEM PROVIDED =400 SFSWA I BOARD OF 1 RUSTEES THE ASSOCIATED SEWER PIPING SHALL BE CUT AND CAPPED AS A MEANS OF ABANDONMENT.THE DEPARTMENT SHOULD BE CONTACTED FOR FURTHER I TOWS! OF SOUTHOLD ABANDONMENT REQUIREMENTS,IF FUTURE CONSTRUCTION IS CONTEMPLATED IN THE AREA OF THE ABANDONED SEPTIC SYSTEM. NOTES DATE S re n.�o er- )�,( 1 o j( CERTIFICATION REQUIRED 1.THE OWTS SHALL BE MODEL CEN-7 MANUFACTURED BY FUJICLEAN USA. THE ABANDONMENT OF EXISTING SEWAGE DISPOSAL SYSTEMS,EITHER 9 _ , IN-PLACE,OR BY REMOVAL,MUST BE CERTIFIED BY EITHER A LICENSED ;g 2,THE DESIGN ENGINEER,FUJICLEAN USA REPRESENTATIVE,AND SCDHS REPRESENT;ATIVE5 SHALL DESIGN PROFESSIONAL OR LICENSED CONTRACTOR AS INDICATED BY THE OBSERVE THE INSTALLATION OF THE OWTS AND LEACHING SYSTEM. APPROVAL FROM ALL THREE PRIOR - DEPARTMENT ON THE PERMIT TO CONSTRUCT.FOR PROJECTS SERVED BY TO BACKFILL. MUNICIPAL SEWER DISTRICTS,THE APPROPRIATE MUNICIPAL AGENCY WITH I .o JURISDICTION SHOULD ALSO BE CONTACTED. 3.THE SYSTEM START UP WILL BE COMPLETED UNDER THE DIRECT SUPERVISION OF AI FUJICLEAN USA I TEST HOLE AUG 1 1 2020 REPRESENTATIVE. McDONALD GEOSERVICES � [ 6/10/26 --- f 4.AN EXECUTED OPERATION AND MAINTENANCE CONTRACT BETWEEN THE MAINTEN)ANCE PROVIDER AND Souti:Glu k)A PROPERTY OWNER MUST BE SUBMITTED TO THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES I EL=27.5 0.0' Pa^re}of TrlLf, 5 DARK BROWN - (SCDHS)PRIOR TO APPROVAL OF THE I/A OWTS REGISTRATION BY THE SCDHS IN ACCORDANCE WITH N _ 1 LOAM ARTICLE 19 OF THE SUFFOLK COUNTY SANITARY CODE. _ _ ---+IP (OL) 0.5' 5.FINISHED FLOOR ELEVATION(S)SHALL BE VERIFIED BY THE ARCHITECT. BROWN SILTY SAND 6.THERE ARE NO KNOWN EXISTING DRYWELLS AND NO PROPOSED DRYWELLS FOR THE SUBJECT PARCEL. (SM) n rr 3.0' 7.UNDERGROUND UTILITIES SHOWN HEREON ARE BASED ON ABOVEGROUND EVIDENCE AND AVAILABLE RECORDS,CONTRACTOR SHALL FIELD VERIFY ALL UNDERGROUND UTILITIES PRIOR TO ANY CONSTRUCTION � AND MAINTAIN REQUIRED SEPARATION DISTANCES. I ENGINEER'S CERTIFICATIONN,�,gA�riAI� 8.A GARBAGE GRINDER SHALL NOT BE INSTALLED UPSTREAM OF THE OWTS. "I HEREBY CERTIFY THAT THE WATER SUPPLY(5)AND/OR SEWAGE DISPOSAL I PALE BROWN SYSTEM(5)FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER,,MY FINE SANG I DIRECTION.BASED UPON A CAREFUL AND THOROUGH;S D'9• � SOIL, 9.CONTRACTOR SHALL CONFIRM INVERT ELEVATION PRIOR TO CONSTRUCTION.CONTRACTOR SHALL (SP) �(Fw1a) I SITE AND GROUNDWATER CONDITIONS,ALL FACII I� } S PROR NOTIFY ENGINEER OF RECORD OF ANY DISPCREPANCIES. o j m CONFORM TO THE SUFFOLK COUNTY DEPARTMENT��F'N A1,fWS t CESi�, j CONSTRUCTION STANDARDS IN EFFECT AS OF TFdIS t4f." 10.MAINTAIN A MINIMUM COVER OF 54"OVER THE TOP OF THE PROPOSED WATER 5UIPPLY LINE.MAINTAIN I N ✓* `A /! A MINIMUM SEPARATION OF 10 FT BETWEEN THE WATER LINE AND NEARBY SEWER/STORM COMPONENTS. I o 0 S I n u .� FIB�V a + uJ t (IJ 17.0' ' ' f (FW 13) I No WATER I ENCOUNTERED HOWARD W.YOUNG,N.Y.S.L.S.NO.45893n c E)aSn'NG - _ _ THOMAS C. WOLPERT,N.Y.5.P.E.NO.61483 vC - DOUGLAS E.ADAMS,N.Y.S.P.E.NO.80897 --�(Fwi�, 78002�1p„6 STRUCK ANlT,4RY C n0 0 _ .._..._. (FW 11) 630` ABANDONEDTO BF Charles R Cuda formerly l N' �� To (FW °) ;: .�; y Pe VOcab/e r I I SURVEYOR'S CERTIFICATION---, O I' % P,pF �VgCgnt) ruS�' 8wowawaal *WE HEREBY CERTIFY TO C H A R I E S R. C U Li Q HA H S U VEY o EXISTING I WAS PREPARED IN ACCORDANCE WITH THE CODE. F`PRT`ICf^f0�`.L�ND- \, n O % - 1 DRYWELL I �k� WATER % I SURVEYS ADOPTED BY THE NEW YORK STATE AS O d� N OFF' �0 N o a �d(FW e) SERVICE +27.73 PROFESSIONAL LAND SURVEYORS. Cq CMFjC oo ' �� 396.00 '" o WhP I I ; Ltj .+,.t_r Kr.;.•.'Y,�;„;- i yA- Q - 'V I;) v '�' ��o ��w EXISTING 1+1 �lr Qp,CFW ; ' ya ac �.^' '27.41 WELL �~ (FW6) -ge.i _ "' GRAVEL ----------------------------------- 208.2' ------------------------------------------------------------------- HOWARD W.YOUNG, 5.L.5. 45893 C 9 3 �lG h 2l 4�. ^ o• 9 DRIVEWAY w w n ------- .1os9 '4(V p sv� 4$(FW 5) J5 0 Q,�' (FW 4) a CO ` 106' , ti o 25.90 '-87.1' I 1 Q 12� r` O �(FW 3) r04,g• 'ti�•S=27.15 2qT 27.14 Q SURVEY FOR g WI) e}, OW 26.87 I d1 LP2 27.53 LES R. CU b Dv � Dp 4;`+9.88 24.05+% D626.9 C) 6RA55 � I C AR FE) LPl 1 O I \ 27.28 QF 25.06 M 0 , at Mattituck, Town of Southold Fxr poop 78 02 9" (V ' Suffolk County New York N / S ZNG SA S OSEO / ITV esC °.., STPUCrURNTTARy ANjrARy wDF CMF O ix BUILDING PERMIT SURVEY N // ABANOpN p SYSTr M l / BLUESTONE wDF DRI)EWq y I / iPRF Rob n formerly Br for formerly 456 31 o County Tax Map District 1000 Section 115 Block 03 Lot 19 I MAP PREPARED FIELD SURVEY COMPLETED MAY MAY 21,2026 9 / (Dwellin9 with wIC/C/7gm / &SUSgh Hedges I c+') Public Water) (0wellin Hedges wD CMF o LEGEND 9 with public Water I now or for I 3 0+a.85 Record of Revisions goltlw a<soriate I K1m Smt h rly I I REVISION DATE BBC = BELGIAN BLOCK CURB I (t)welling with l I I I GENERAL JULY 16 2026 CMF =CONCRETE MONUMENT FOUND Public Water) I Flew or former/ I CM5 =CONCRETE MONUMENT SET zgbeth Dorosk; I EOP =EDGE OF PAVEMENT Mwellin I I OL =ON PROPERTY LINE I 9 with public ►Hater PRF =POST RAIL FENCE I ) I RO =ROOF OVER W WDF =WOOD FENCE I WSF =WOOD STAKE FOUND 00 G W55 =WOOD STAKE SET 40 0 20 40 80 120 =UTILITY POLE Scale: 1" = 40' a • =END OF DIRECTION/DISTANCE O =WELL JOB NO. 2025-0035 DWG. 2025_0035_bp 1 OF 2 (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 72D9 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(D)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)k CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. 400 Ostrander Avenue, Riverhead, New York IIQOI tel. 631.727.2303 fax. 631.727.0144 admen®youngengineerin,34om FIBERSLA55 LOCKING COVER 5005-Ro B RISER SWEET AIR VENT GAP MF6 BY TUF-TITS MFG BY POLYLOK Howard W. Young, Land Surveyor 2 STORY (5' MIN FROM ANY DOOR OR WINDON RIM=26.0 Thomos C. Wolpert, Professional Engineer FRAME HOU5E ' - ' 18' Douglas Adams, Professional Engineer 8 Geologist (5 BEDROOMS) 22 5 Daniel A. Weaver, Land Surveyor RISERS $ GONERS FFEL=211.55 4" PVC, ® 4" PVC, @ 4" PVC (P ILOCKIN6 _T 2.00% MIN. WITH SAFETY LIDS 1.0096 MIN. 1.00% MIN. GA5TIN6 TO PRECAST z MPG BY TUF-TITE OR 6RADE TOP SLAB APPROVED EQUAL TRIM=2.7.2 OR DOME HEALTH DEPARTMENT USE co ao i RIM=26.0 oK:l EL=26.0 I I — — --AIR LINE---- A 0\-3 VENT IE=23.83 - i HOLE IE=23.76 IE=23.65 IE=23.50 t__r II IE=24.00 2 DDIISTPRIBu POLYPROPYLENE SEE CONNECT 3 PVG VENT LINE SEE DETAIL FOR TO VENT HOLE IN OWST OWT5 COMPONENTS MF6.BY POLYLOK MDL�'301-1-G24 OR APPROVED EGiUAL - I PROVIDE GLEAN OUT AT LP1 �^ou( FACE OF BUILDIN6 PROVIDE END GAP LEVELING DEVICE MDL#5L-4 MPG BY TUF-TITE OR -- AIR LINE TO BLOWER 'I00 SAL. I/A OWTS APPROVED EQUAL FOR ALL 00 MDL. GEN-1 MF6. BY FUJIGLEAN USA DISTRIBUTION BOX OUTLET PIPES HYDRAUL I G PROFILE 1330T=15.50 8' SANITARY LEACHIN6 POOL TOTAL OF (2) POOLS 400 SFSWA HIGHEST EXPECTED 6W EL NOTE: ALL CONDUITS BETWEEN PANEL AND TREATMENT TANK MUST BE SEALED TO PREVENT SA5 LEAKAGE INTO PANEL. FOR WIFI COMMUNICATION DEVICE; USE ALARM/CONTROL PANEL MDL#1045040 CONTROLLER "C" MF6 BY SJE RHOMBUS ENGINEER'S CERTIFICATION ALARM/CONTROL , 3 PANEL MDL#10419-12 CONTROLLER "A" I HEREBY CERTIFY THAT THE WATER SUPPLY(S)AND/OR SEWAGE DISPOSAL MF6 BY 5JE RHOMBUS SYSTEM(5)FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER MY o -1/2' VENTILATION PIPE CHAMBER Volume(gml) DIRECTION.BASED UPON A CAREFUL AND THOROUGH STUD w OIL, of SCUM BAFFLE B CONTROL PANEL MOUNTED Q Sedimentation Chamber 277 O N 4"x4" PRESSURE SITE AND GROUNDWATER CONDITIONS,ALL FACILIT A ')PdPQ,'5Ep, Anaerobic 278 CONFORM TO THE SUFFOLK COUNTY DEPARTMENT OF EiCL' H raER1?I� -10 2 5� ' _ naerobc Filtration Cam TREATED WOOD POSTS '-lo -7 0 (a) Aerobic Contact Filtration Chamber 127 CONSTRUCTION STANDARDS IN EFFECT AS OF TH <,(j — ECIRCULATION ® Storage Chamber 63 i " 4• \' f ,� ' AIR LIFT PUMP G < r.. Q Disinfection Chamber 4 o ISINFECTION i INSULATED 0 Total Volume 749 Z 1— N CYLINDER (OPTIONAL) H 1 AIR WEATHER / C7 ��, )j; N i BLOWER RESISTANT 4' INLET PIP OUTLET PIPE SPECIFICATIONS j I BLOWER l� — A 4 A Anaerobic Media PP/PE Filling Rate 32% i iI ENCLOSURE HOWARD W.YOUNG,N.Y.S.L.S.NO.45893n �. 6140 4'-0 ' �' © Board Type Aerobic Media PVC/PP/PE Filling Rate 16"Yo i THOMAS C.WOLPERT,N.Y.S.P.E.NO.61483 °e��o Aerobic Media PP/PE Filling Rate 570% I FIN. GRADE DOUGLAS E.ADAMS,N.Y.S.P.E.NO.80897 FESS� ca Blower 2.8 cfm ELECTRIC SUPPLY FFL LIFT Tank FRP TO BLOWER INLET BAFFLE ® AIR LIFT PUMP © © Piping PVC/PP/PE TO FUJIGLEAN Access Covers Plastic/Cast Iron OATS SPLICE BOX SURVEY FOR Disinfectant(Optional) Chlorine Tablets AIR LINE TO RECIRCULATION PIP LFLOW BAFFLE 1/2' AIR INTAKE ELECTRICAL SUPPLY FUJIGLEAN OWT5 FLOW OPENING <TYP, (CLEANING OPENING) B CONTROL PANEL BLOWER CHARLES R. WNW PLAN VIEW SCALE: NTS 4' MANHOLE 18' MANHOLE (TYP 18' MANHOLE (TYP 24' MANHOLE (TYP ISINFECTION CYLINDER (OPTIONAL) at MattltuC , Town of Southold M LOW ❑PENING Suffolk County, New York METER BOARD TYPE INCOMING SERVICE a CONTACT MEDIA BUILDING PERMIT SURVEY m g W DEDICATED 15 AMP BREAKER County Tax Map District 1000 Section 115 Block 03 Lot 19 0 120V AG, 10, 60HZ, 15 AMP POWER SUPPLY FIELD SURVEY COMPLETED MAY 19,2026 o #12-2 AW6 WITH 6ND IN I" PVC, CONDUIT MAP PREPARED MAY 21,2026 S'-5' © � 5'-5' ASSEMBLY MAIN SERVICE Record of Revisions 4'-4 4'-3 ® 4'-2 PANEL ELEC. CONDUIT REVISION DATE OWT5 WIRIN6 PER MF6. GENERAL JULY 16,2026 HARDWIRE EROBIC MEDIA ERATION ASSEMBLY El SECTION A-A VIEW SECTION B-B VIEW GROUND SJE RHOMBUS AIR FUJIGLEAN o CONTROL BLOWER OWT5 PANEL 40 0 20 40 80 120 a I/A OWTS MDL. GEN-5 MFCG. BY FUJ I GLEAN U5A OWTS ELECTRICAL ONE—LINE DIAGRAM Scale: P = 40' JOB NO.2025-0035 DWG. 2025_0035_bp 2 OF 2 ate,. i ARCH I-FECT I REVISIONS D E S C R I P T ION i PRE: FAB PLASTIC EGRESS WINDOW WELL REMOVE EXISTING WINDOW & EXISTING EXISTING SAW CUT EXISTING 2'-8" X 3'-4" 2'-8" X 3'-4" CXW14 CXW14 FOUNDATION FOR PROP. WINDOW WINDOW EGRESS EGRESS EGRESS WINDOW EXISTING EXISTING CMU WALL 6-4 TO TOP OF WINDOW PROPOSED WALL PROPOSED WALL I 2'I " CONS U TION (TYP) 14'-8" CONSTRUCTION (TYP) 4O* 66d Lu --- (nw cn i i x I�H O,F N F—=-- I - % --- ---j --i O U) Owl co Ia 0 0- 0 OD mms cr awl 6� x ohZ a j 3 w o o PROPOSED ?SEA I I �� PROPOSED QB DEN 00 z-ao F X o I! I ww BEDROOM I I BEDROOM �, cn Z �m I Z v M Ld w o SMOKE F-L) 0I I :IL I O�-DETECTOR I O�DETECTOR X N Z PROPOSED FINISHED CEILING PROPOSED FINISHED CEILING w o HEIGHT: 7'-0" EXISTING CMU WALLHEIGHT: 7'-0" - --- - - i PROPOSED WALL--- EXISTING DSMOKE ETECTOR rol EXISTING DROPPED DUCTS 6'-8""� EXISTING DROPPED DUCTS CONSTRUCTION (TYP) S 6'-8" CEILING HEIGHT x fx CEILING HEIGHT BENEATH DUCT BENEATH DUCT �6 caReoN tS� ©~DETECTOR NOXIDE 6'-8" TO TOP [EXISTING 2"X4" OPEN OF WINDOW FRAME WALL CONSTRUCTION EXISTING CMU WALL EXISTING DROPPED DUCTS EXISTING CMU WALL I 6'-1" CEILING HEIGHT FO6.1 BENEATH_pUCT2-9XI X 1 G10" DUCTWORK TO PROVIDE A PROPOSEDPANCAKE EXISTING WINDOW SITTING MINIMUM FINISHED CEILINGCLEAREXISTING ROOM BELOWADUCT.NCE F 6-4EXISTING 2'-3" X CRAWL SPACE ROPSED - 23'-8" ATH OOM 2'-0" CRAWL SPACE PROPOSED FINISHED CEILING x ACCESS I ' % HEIGHT: 7T`,-0" INSTALL ACCESS DOOR W TO CRAWL SPACE SMOKE Z 1 C DETECTOR = LL CARBON O�� I— ©----MONOXIDE p0-w EXISTING PROP O DETECTOR O V) 125 C EXHAUST Iwo UN. FAN 0 EXTERIORIOS P.C.CHIMNEY CL (L� >- 4-3" 5"-0" O PROPOSED RIGID FOAM BOARD R-15 Cl. EXISTING 2'-6" Q EXISTING (2) 2"X10" UP BOILER 7— HEADER UPSET (Z O EXISTING LOCUST POSTS o I L E G E N D Q TO REMAIN I Q O IZ EXISTING ROPOSE PROP. FINISHED HWH ti�b� CL¢SETD — EXISTING � 0 BASEMENT �� I I EXISTING UNFINISHED CEILING 'S� ____ — TO BE REMOVED W HEIGHT. 7'--3/4" RELOCATE EXISTING PROPOSED FINISHED CEILING I BOILER & HWH AS HEIGHT: 7'-0" `v — SHOWN PROPOSED I" SHEETROCK I — I — PROPOSED FRAME WALL Q SMOKE — —I CEILING OS �—DETECTOR " SHEET VINYL FLOORING — L _EXISTING DROPPED DUCTS 6'-1" NOTES: 0_ CARBON CEILING HEIGHT BENEATH DUCT ALL WORK SHALL COMPLY WITH THE 2025 New York State RELOCATE EXISTING �I O--DETECTOR MONOXIDE EXISTING Residential Code 2025, INCLUDING SECTION R313.1.2 -HABITABLE p I >0 COLUMN IN WALL r — — EXISTING EXISTING HVAC HVAC / ATTICS AND BASEMENTS IN EXISTING BUILDINGS. HABITABLE SPACES API ��� -� MECH ROOM SHALL MAINTAIN A MINIMUM CEILING HEIGHT OF 6'-B". BATHROOMS c EQUIPMENT AS AND LAUNDRY AREAS SHALL HAVE A MINIMUM CEILING HEIGHT OF BOARD = I 7'-3/4" CEILING HEIGHT SHOWN BOARD Off" -I RUSTEES 0n - PROPOSED "� 6'-4". A MINIMUM CLEARANCE OF 6'-4" SHALL BE PROVIDED 0 n 3 i) -HOUSE TRAP WET BAR EXISTING LALLY COLUMN BENEATH BEAMS, GIRDERS, DUCTS, AND OTHER OBSTRUCTIONS. L_l_ 57<X O ❑O WELL WATER EXISTING SINCE THIS SPACE IS DESIGNATED AS A MECHANICAL ROOM AND IS EXISTING TOWNOF SOUTHOtD a Q w,,�i ❑ RELOCATED EXISTING HVAC NOT CONSIDERED HABITABLE SPACE PER CODE DEFINITION, NOR IS N ARK OIL TANK IT A SLEEPING ROOM, THE EXISTING CONDITION OF A DUCT WITH A L[ Lj - N a CLEAR HEIGHT OF 6'-1" BELOW IS PERMITTED. ACCORDING TO THE m�e j 1 D�1 O 2025 NEW YORK STATE RESIDENTIAL CODE, HABITABLE SPACE IS DATE c` t� 1� SEWER DEFINED AS SPACE IN A BUILDING FOR LIVING, SLEEPING, EATING, LO EJECTOR OR COOKING. BATHROOMS, TOILET ROOMS, CLOSETS, HALLS, PUMP _ - - EXISTING CMU WALL STORAGE, UTILITY SPACES, AND SIMILAR AREAS ARE NOT ,y,` J/ EXISTING ELEC EXISTING CONSIDERED HABITABLE SPACES. -t- PANEL 2'-3" X 1'-3" R503.1.1.5 BELOW-GRADE WALL ALTERATIONS 2025 ECCCNYS WINDOW WHERE AN UNCONDITIONED BELOW GRADE SPACE IS CHANGED TO CONDITIONED SPACE, THE BUILDING THERMAL ENVELOPE WALLS ENCLOSING SUCH SPACE SHALL COMPLY WITH SECTION R502. ACCORDING TO TABLE R402.1.3 OF 2025 ECCCNYS- INSULATION PROP. BASEMENT PLAN MINIMUM R-VALUES AND FENESTRATION REQUIREMENTS BY P COMPONENT, BASEMENT WALL R-VALUE FOR CLIMATE ZONES 4,5 AND 6 SHOULD BE 15Ci OR 19 OR 13 PLUS 5 Cl. 1 _ SCALE: 1/4" 1'-0" ROOF f AUG 1 1 202G SDJ;.I,::fv Euvtn HOUSE p n ,.<<cpT:, I SECOND FLOOR I I I Charles m. Thomas FRESH AIR INLET a r c h i t e c t FIRST FLOOR PO BOX 877 JAMESPORT, NY 11947 (631) 727-7993 I CONNECT TO APPROVED PROJECT F.A.I.do SANITARY SYSTEM 1-t/ri-b r �.2Y r I I I I LAV I B BASEMENT J-4 �11 H PROPOSED FINISHED P."t Pff P" D E BASEMENT PLAN EJECTOR PUMP AS PER N.Y.S CODE PLUMBING RISER DIAGRAM DATE: 5/4/26 SCALE: N.T.S PROJECT No. DRAWING BY. MC CHK BY. DWG No. 1 OF 1 THESE DRAWINGS AND ACCOMPANYING SPECIFICATIONS, AS INSTRUMENTS OF SERVICE, ARE THE EXCLUSIVE PROPERTY OF THE ARCHITECT AND THEIR USE AND PUBLICATION SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR WHICH THEY WERE PREPARED. REUSE, REPRODUCTION OR PUBLICATION BY ANY METHOD, IN IWHOLE OR IN PART, IS PROHIBITED EXCEPT BY WRITTEN PERMISSION FROM THE ARCHITECT. TITLE TO THESE PLANS SHALL REMAIN WITH THE ARCH I TECTAA SUAL CONTACT WITH THEM SHALL CONSTITUTE PRIMA FACIE EVIDENCE OF ACCEPTANCE OF THESE RESTRICTIONS. S OUTHOLD . TRIUSTE'ES No. 1100q A Issu ed T&% Date q /1e /a�6 . Address. Moo MG «��ooKa Lcine, m*.jjjTuclK .THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765.1892 l �o��gUFFO(�-C� �, Glenn Goldsmith,Presiu�!« Town Hall Annex A.Nicholas Krupski,Vice President ��a < 54375 Route 25 Eric Sepenoski y ,? P.O.Box 1179 Liz Gillooly �y s 0 Southold,NY 11971 Joseph Finora .�� �� Telephone(631)765-1892 ` Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: g/ 126 Completed in field by: (L�2, (;6 1J5.•,. �1 CHARLES R. CUDDY requests an Administrative Permit to install two (2) basement egress windows and an I/A OWTS septic system. Located: 1500 Marratooka Lane, Mattituck. SCTM# 1000-115-3-1.9 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Typ of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info.need ed/Modifications/Conditions/Etc.: Present Were: y1 G. Goldsmith N. Krupski E. Sepenoski L. Gillooly J. 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(21) m� a Vag wmtprt vnNTer Fsassa atNs p - a _____ S FFAL Fli'7FBiIY TAY�i+lo=icetY ?� a�'�°v OFFICE LOCATION: ��0f so yo 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 • Q Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees Cc: Honorable Lori Hulse, Attorney From: Heather Lanza, AICP, Planning Director LWRP Coordinator Date: September 14, 2026 Re: LWRP Coastal Consistency Review CHARLES R. CUDDY, SCTM #1000-115.-3-19 This application is to install two (2) basement egress windows and an I/A OWTS septic system. The proposed action has been reviewed under 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 policies of the LWRP as follows: Policy 5. Protect and improve water quality and supply in the Town of Southold. 5.1 Prohibit direct or indirect discharges that would cause or contribute to contravention of water quality standards. C. Ensure effective treatment of sanitary sewage and industrial discharges by.• 3. modifying existing sewage treatment facilities to provide improved nitrogen removal capacity. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction The proposed installation of an Innovative/Alternative Onsite Wastewater Treatment System (I/A OWTS) is consistent with Policy 5.1.C.3 which calls for the replacement of existing sewage treatment facilities with one that has an improved nitrogen removal capacity. The proposed I/A OWTS will reduce nitrogen inputs into adjacent waters. The proposed action of installing a I/A OWTS system is consistent with Policy 6.3.A, which states that actions must comply with the Southold Town Board of Trustees' laws and regulations. The proposed I/A OWTS system complies with the wetland setback in Town Code §275-5D(a)[4] Septic tank: 75 feet. The proposed action has been reviewed under Chapter §268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. 2 i W. a Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski;Vice President �F � 54375 Route 26 e. enoski P.O.Box 1179 Eric fi p Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 x BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This`8ecteon For Office Use Only - 4 �1 L F`.--.^ It ll.. Coastal Erosion Permit Application e ; -- ----- �3 Wetland Permit A lcation ' Administrative Permit AUG 1 1 2026 Amer dment/Transfer/Extension Recewed Applicaion .a Received Fee Southold Town C , . .: _ Board of Trustees Completed Application . Incomplete kQRA'CIass�fication: Type I ' Type II Unlisted Negative Dec. Positive Dec z Lead Agency Determination Date: Coordination:{date LWRP tonsistencv_Assessment Form Sent: :,CAC Referral Sent Date of lnSpection Receipt of CAC Report Technical Review: Public Hearing Held tt Resolution. Owner(s) Legal Name of Property (as shown on Deed) Charles,.Cuddy Life Tenant,.... Mailing Address PO Box 1208'M6tttuck NY 11952 Phone Number 631 298 8452 Suffolk County Tax Map Number: 1000- 115 03 19 x. .-.. Property Location 150 Maratooka Lane Mattituck, NY 11952 (If necessary,provide LILCO Pole##, distance to cross streets, and location) AGENT (If applicable): Mailing Address ....... . Phone Number: Email:;char1escuddy optonline net. Dard of Trustees Applicat,- ;J \\ GENERAL DATA Land Area(in square feet):.,1.283 acres 55,600 square feet Area Zoning: ......: ..,.:::. Previous use of property: Residential Intended use of property: Residential Covenants and Restrictions on Yes property? � =No If"Yes", please.provide a copy. Will this project require a Building Permit as per Town Code? Yes N0 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? =Yes __No If"Yes", please provide,copy of decision. Tis project re any demolition as per Town Code or as determined by the Building Dept.? TYes No Does the structure(s) on property have a valid Certificate of Occupancy? _Yes=No Prior permits/approvals for site improvements: Agency Date _.. Snyzthold Building Dept. 8/5/2004 Southold Building Dept. 8/18/2021 NYS DEC 7/2/2001 ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?21—No ❑ Yes If yes,provide explanation:. r Project Description (use attachments if necessary): .and new sgp.tic_system � pard of Trustees Applicat' WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Residence for family members Area of wetlands on lot: 0 square feet Percent coverage of lot:_ Closest distance.between nearest existing structure and upland edge of wetlands: 62 feet Closest distance between nearest proposed structure and upland edge of wetlands: 62.., feet Does the project involve excavation or filling? No ... .. El Yes If yes, how much material will be excavated?N/A cubic yards How much material will be filled?,. ,, cubic yards Depth of which material will be removed or deposited: NA_._ feet Proposed slope throughout the area of operations: None Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason,of such proposed operations (use attachments if appropriate): All work inside existing structure 61 Z20 Appendix B Short Environinental Assessment Form Instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: Building Permit for home improvements Project Location(describe,and attach a location map): Home at 1500 Maratooka Lane , Mattituck Brief Description of Proposed Action: Add two bedrooms in house basement together with sitting room and bathroom Name of Applicant or Sponsor: Telephone: 631 298 8452 Charles Cuddy E-Mail:charlescuddy@optonline..net Address: 1500 Maratooka Lane City/PO: State: Zip Code: Mattituck PO Box 1208 NY 111952 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES. administrative rule,or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: Suffolk County Dept. of Health Services Septic System 3.a.Total acreage of the site of the proposed action? 1.283 acres b.Total acreage to be physically disturbed? 0.10 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.283 acres d. Che I land us"at occur on,adjoining an ar the prop action. Urban L_„IRural(non-agriculture) Industrial tCommercial ✓❑Residential (suburban) Forest ENriculture Aquatic ❑Other(specify): Parkland Page l of 4 5. Is the proposed action, ' NO YES N/A a. A permitted use under the zoning regulations? ✓ b.Consistent with the adopted comprehensive plan? V/ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO _YES landscape? - ✓ 7. is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES, If Yes,identify:. ❑ ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO.. YES b.Are public transportation service(s)available at or near the site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO- ,.YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the'proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: Well : ❑ 11'. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: Septic System � ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ✓ b. Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES 4 wetlands or other waterbodies regulated by a federal,state or local agency? ✓ b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. ntify the typic bitat types that oc n,or are likely to be found on tloroject site. Check all that apply: ✓ Shoreline Forest Agricultural/grasslands Early mid-successional Wetland Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO . : YES by the State or Federal government as threatened or endangered? ✓ 16.Is the project site located in the 100 year flood plain? NO YES T. IT 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO If Yes, a. Will storm water discharges flow to adjacent properties? ZNO DES ❑ b. Will storm water discharges be directed to established conveyance systems ff an m drains)? If Yes,briefly describe: 50 YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids (e.g.retention pond, waste lagoon, dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Charles R. Cuddy . Date: 17 Signature: t Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the.following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1 Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? ❑ 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑` 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? ❑ ❑ 5. Will the proposed action result in an adverse change in the existing level of traffic or �, ❑ affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate a ❑. reasonably available energy conservation.or renewable.energy opportunities? 7. Will the proposed action impact existing: ❑ ❑ a. public/private water supplies? b.public/private wastewater treatment utilities? ❑ , El 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? ❑ �. Page 3 of 4 No,or Moderate small to large impact " impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? ' a. 1 l. W ill the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you hav''determined based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is requited. ElCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Hoard of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible'Officei-in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 30ard of Trustees Appliaa :n .AFFIDAVIT. Charles R. Cuddy 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 HISIHER 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 BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS loth DAY OF August ,,2p 26 Notary Public Denise M. Cuddy Notary Public State of New York No. 01 CU6178519 Suffolk Coun Comission Expires Dec.3,20!�fi APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM .;The-Town of Southoid.'.s.Code of Ethics prohibits conflicts of interest on the part of town officers and emdlovees The purpose of this form is to provide-information which can:alert the town dimsible conflicts of interest and allow it to take whatever action"is necessary to avoid same: YOUR NAME: . . Charles R. Cuddy (Last name,first name,.tpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee 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;siblings pareot,,or child)have,a relationship,with any officer or'employee of the Town of Southold? "Relationship"includes,6y.blood marriage,or business interest. Business interest"means.a business, including a partnership,in.which the town officer or empJoyce'has.eyen;a partial ownership of(oremployment by)a corporation in which the'lown officer or employee owns more than 5%of lie shares. YES n NO n 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): fjA)the owner of greater than 5%of the shares of the corporate stock ofthe applicant, � (when the applicant is a corporation); B)the legal or-beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this- [i 'Iay o 20 Signature t Print Name Form IS 1 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: si 'ficant beneficaland,adverse effects:upon the coastal,area(which includes all of Southold Town). 1 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.suo orting 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# 1000 wi 15 „03-19 PROJECT NAME Cuddy Home improvement The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation,land iransaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit, approval, license,certification: ❑ Nature and extent of action: b(n5�'cnP,,l .rA S Location of action: 1500 Maratooka Lane, Matttituck NY 11952 Site acreage: 1.283 Present land use: Residence Present zoning classification: R-40 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: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No 0 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 Improvements are in.basement only 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 Z Not Applicable Work inside the home will nc ,pact historic or archeologic resou m 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 There will be no change in visual quality or scenic resources 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 E] Yes ❑ No 21 Not Applicable All work is inside the exiting residence A i i a c E additional sheets'if necessary q 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 ONot Applicable Continuing,residential use will not change the quality and supply of the water ttach 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 0 Not Applicable The interior addition will not affect wetlands 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 Air quality is not impacted by adding interior rooms 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. D Yes 1:1 No 0 Not Applicable The residence will not produce wastes or hazardous wastes 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. 0 YeEl No 0 Not Applicable Interior residential improvement do not have any impact on coastal policies Attach additional sheets if necessary WORKING COAST POLICii!;6' - 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 R Not Applicable There-is.no connection to Ovate . 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 Z Not Applicable ' The interior improvements do..not affect marine.resources Attach additional shorts'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 The home improvements do not impact agricultural lands 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. 0Yes El No❑✓ Not Applicable The.proposal house impoovements-do not affect-use and development of_energy and mineral resources PREPARED BY _ �_TITLE DATE )y� _ CHARLES R. CUDDY Attorney at Law 445 Griffing Avenue Riverhead, NY 11901 Mailing Address: Tel:(631)369-8200 PO Box 1547 Fax:(631)369-9080 Riverhead,NY 11901 e-mail:charlescuddy(a)optonline.net August 11, 2026 Glen Goldsmith, President Board of Town Trustees Town of Southold PO Box 1179 Southold,NY 11971 Re: Charles R. Cuddy Premises: 1500 Marratooka Lane, Mattituck,New York Dear President Goldsmith: Enclosed is a Waterfront Permit Application. I am the applicant and propose to renovate the basement in my home to include two additional bedrooms, a bathroom and a sitting room for my granddaughters with the exception of a new septic system no work is to be completed outside, all work is in the confines of the basement. Enclosed are the following: 1. Four(4) original stamped surveys. 2. Original and three (3) copies of house plan 3. Original and three (3) copies of Applicant Form 4. Short Environmental Form 5. Authorization Form 6. Applicant Transactional Disclosure Form 7. LWRP Form 8. Application fee of$1,250.00 Thank you. R E � V E ;!� Very truly yours, EAUG 1 1 2026 Charles R. Cuddy .SODUIOI(F T0V f1 CRC:dmc Board of Trustees Enclosures