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Home My WebLink About1000-86.-2-10 BOARD MEMBERS OF S (/j Southold Town Hall Leslie Kanes Weisman,Chairperson O�� yQ� 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Eric Dantes Office Location: Gerard P.Goehringer G Town Annex/First Floor,Capital One Bank George Horning 0 54375 Main Road(at Youngs Avenue) Kenneth Schneider �yCouffNI Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD rim Tel.(631) 765-1809•Fax(631)765-9064 D E C �1 March 24, 2017 MAR 2 A 2017 Southold Town Plan ' g Board Mark Terry, Principal Planner LWRP Coordinator Planning Board Office 10- Town of Southold l Pl Town Hall Annex Southold,NY 11971 Re: ZBA File Ref.No. #7065 —Serling, Robert Dear Mr. Terry: We have received an application for construction of a new single family dwelling in Peconic. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-5D is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairperson By:(D(- Encls. t d (l ,h Oka is X R BOARD OF SOUTHOLD TOWN TRUSTEES f4 S®1.THOLD,NEW YORK PERMIT NO. 5946 DATE: JANUARY fly.2017 r ISSUED '1'®o ROBERT SEREING ( PROPERTY ADDRESS: 3575 WELLS ROAD,PEC®NIC } _ SCTM#.1000-86-2-10 1000-56-2-10 +'q f AUJa HORIZL it it IO V ��1Q 4t 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 January 18.2017, and in consideration of application fee in the sum of$250.00 paid by Robert Serling and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: " Wetland Permit to construct a two-story,single-family 2,276sq.ft(footprint) dwelling with attached garage,600sq.ft.of covered and screened-in seaward side porches; 139sq.ft. covered entry porch, 684sq.ft. seaward side on-grade terrace; 183sq.ft.on-grade terrace on side of dwelling; renovate the existing 107sq.ft. shed, remove existing and install a new sanitary system landward of dwelling; install gutters to leaders to drywells to contain roof runoff; install drywell for proposed driveway;install underground electric and water lines; install and perpetually maintain a 10'wide non-turf buffer along the landward edge of the bulkhead; and a line of silt fencing is to be installed prior to and during construction; and as depicted.on the site plan prepared by Samuels& Steelman Architects,dated December 13,2016,and stamped approved on January 18,2017. a ., 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. �? Charle J. Sander P u TERMS ANY) CONDITIONS The Permittee Robert Serling residingat_ 3575 Wells Road Peconic New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. CMon 1•l � s�r'. YFi�T� Yr+ {3P+v.a,+'r"a '{A'`,`''*N.wc,+. ..� ` �.^a I - ■■■■■■■■�� ■■■ 1 NEI 00 ■■■■■■■■■ Mri_M■S■MEN ME IINFA i■ 0 Elm's NJ ME ME MEIN R-9 01 _ ■■■■■__.■SMA■ C�■�7■Y�i[Q� ■■■�■ MEN■■■ ■■■■■■� ■■■■■■■■■■■■■■■■■■■■ Interior Fin is, Rooms Ist Floor r 4 ij • 1 .. psi , _ '• -TIC Rooms 2nd Floor : v y TOWN OF SOUTHOLD P-R®PERTY RECORD CARE) OWNER STREET 7� VILLAGE DISTRICT SUB. LOT FORMER OWNER / f /r� N E ACREAGE S W TYPE OF BUILDING U0=�Gt� I� . ,�- �� ls- fc'c! RES._ ` j- SEAS. VL. ,31I FARM COMM. IND. I CB. MISC. LAND IMP. TOTAL DATE REMARKS `? a `� '^ . / (n �d�- IQ6 Vs 6u,i I1 ' o ife -hon _ 5(-Yo 31 1 /01 .511 3 0 32. )5SI i/'t' IC.h l A6 "j,� AGE BUILDING CONDITION NEW NORMAL BELOW ABOV Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot v Tota I � "`JS ham'• �. ♦•Ztj� ai ty"�! t. UIG A zto' A`�T,Ks✓`�v$ ,bw'ea�� ` �r •f i ^/✓-' •e.1�sM*1f3t ar �'��: �• e+� .,�k,?a* -,p.,. \ r�� f,,�@^"��` f7r � r�ss�! :;Fe",id1 �= rx:� w k�' .a v i^' f• ..•- er � `� T `4,. � r ♦'��`, n �,�r� oS c •-' /. I}0 �� f� A � �; ��r��; h= •r �� x ;;� S� o {j n t , 'a' � p 9�z 7, f r�r•� c-• M; �h u4, ft '.•t� � ��c F. .3�` �t'�� ,p: rt• ry_ +yf d. r' . .. T .. r ¢��,. Y:a`•! 'F'. '•k. .7i�a�.•l..;x''t•` ♦ c+.•u •� �5�'.r.�r y tiY" 'N37tv?, vg �'"s�E sm'sri,�=-;J "z �L ��*S�k� �i �-q'i �,'\�•I.1 'v cgY�'!#j 0 �.�p �� '�r� { •�v�!�R�`>F.•i 4N• ��1£ �i�t:!(7�x/q r, 'i'�i ",►`� ��1 oil '93� W•iy�' ,�1 <• -s•u �k Z.;•;�i��fi fLl�:,r`}k s alit j {3' '~ f��' � � , '��'iv,y2.NR t_, Yfi' f �A'". `i' `!,^. !(EwAp '�.Ci�'-. �4e.� - r�'. �.•ti APF ^_ " w w..w ,-aY`i{�� s , W�V�{iMwf `fs try j A A �4•* � ,��kr`I►��, ,`.yYq�Yt�;6-:�{. ��i;•. r' ',�'�4y gta 1�d gs ;� / e. j"p •}3 :i{'`� �N'i 1 f/J � 11)i��7 t "e „��t� � � •Et ,�-eCt�''�➢ i-t if� .tT, .✓. ',�Ls`'tell�yey• \ 1 a rfMl P' I \�•� �tiQ 4�l� �,t+i„i:f1 "t� i`'t',3v � ' S� g t.°�' t �eJ�,a'� �,�` "::44�� "T,•;�`t �� tal{ 1�' {M»11 ki �, ;.�' r.,r'! " 41,.�j1�� ii' '1�r a dna ,'•'1�`ti yk .{ ' s { ss h 1�W 4 Tit %h� 4 v ♦N 'Yfi 1. � `` r ,} r ��t S•,may ,(� ::f/. PfYL� � Y ^i►iF1ryM1 ` t�t9 ..;, e _ 'i']�.j��{f y �• y'^s� ir- a4 S€tht t \ 1• s� Jrt! � .{44 � tf � 9ls�� +r 9l rs rf 73� "( '��•;�! ,R'�• 4�.� 1�,`�^ ej,f : _`-.19�y �'��t*.'[� } b�� y., '^',•'may�.: . s1.f� 3 IMN Aix •M �r =1#'ti L t.; +i� �.�'' kms' •y� >�, .. {l 4`�L � �Yr� . r-, f, s - rw � r 'AMS ter„ ..,,�;,�"`-.z �• � �{ �� - _ r NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY @ Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-03651 F:(631)444-0360 www.dec.ny.gov February 27, 2017 Robert Serling 104 Roxen Road Rockville Centre,NY 11570 Re: NYSDEC iPermit#: 1-4738-01529/00010 Serli>ng Property,3575 Wells Rd.,Peconic Construct Single Family Dwelling,Driveway,Septic System Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act(Article 70, ECL) and its implementing regulations(6NYCRR,Part 62 1)we are enclosing your permit modification. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions,please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, Kevin Kispert Environmental Analyst II Enclosures KAK/file cc: Ml-1P Samuels&Steelman Architects f NEWYORte Departmentof 5Aid Gf Urrnuuer Environmental Conservation , ~ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility ITEC ID 1-4738-01529 PERMIT Under the Environmental Conservation Law (ECL Permittee and Facility Information Permit Issued To: Facility: ROBERT SERLING SERLING PROPERTY 104 ROXEN RD 3575 WELLS RDJSCTM 1000-86-2-10 ROCKVILLE CENTRE,NY 11570 PECONIC,NY 11958 Facility Appl catioa Contact: SAMUELS,&STEELMAN ARCHITECTS 25235 MAIN RD CUTC]HOGUE,NY 11935 (631)734-6405 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: PECONIC Facility Principal Reference Point: NYTM-E: 714.575 NYTM N: 4545.69T Latitude: 41'02'03.3" Longitude: 72°26'50.7" Authorized Activktya_,Remove foundation,regrade, and construct a new single family dwelling;with MP3-•.: :i..-: -'•. associated porches,.pervious driveway,utilities,drywells, and septic system in location of former storm damaged house,,all,as-'s owri'6n the attachd plans prepared by Nancy L. Steeman, dated 12/13/16; stamped "NYSDEC Approved" on 2/27117: Permit Authorizations Tidal Wetlands -Under Article 25 Permit ID 1-4738-01529/00010 New Permit Effective Date:2/28/2017 Expiration Date: 2/27/2022 NYSDEC Approval 1 By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator:ROGER EVANS, Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY r@ Stony BrookJ50 Circle Rd Stony Bro ,NY 1 790 -3409 Authorized Signature: _ _ Date a- / .3 /t 7 , Page 1 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-01529 Distribution List SAMUELS & STEELMAN ARCHITECTS Marine Habitat Protection KEVIN A KISPERT Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS '''' NOTIFICA PION OF OTHER PERMITTEE OBLIGATIONS Permit Attachments ??; 4e £ Site,Tlan 12/13/2016 ` NAT-U,JRAL RESOURCE PERMI'T-CONDI.TIONS -ApplytotheTollowing.- Permits: 'TIDAL WETLANDS 1. Conformance With Plans All activities authorized by this permit must be in,,strict conformance with the approved plans submitted by the applicant or applicant's agent As pa"rt of the permit application. Such approved plans were prepared by Nancy L. Steeman, dated 12/13/16,stamped "NYSDEC Approved"on 2/27/17. 2. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 3. Notice of Commencement At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project,�the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 4. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State,nor shall washings from ready-mixed concrete trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 5. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area(upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. Page 2 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC 1D 1-4738-01529 6. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 7. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation(grasses, etc.) immediately following project completion or prior to permit expiration,whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season-,-thei'&area shADbe-stabilized with straw or hay mulch or jute matting until weather conditions-favor germination. 8. Clean Fill Only All fill shall consist of clean sand, gravel,or soil (not asphalt,slag,flyash, broken concrete or demoliti6n debris). 9. Straw Sales or Other at Tidal Wetland A row of staked.straw bales or approvable-erosion control devices shall be placed at the landward edge of the buffer area or 30 linear feet from the tidaf,. etland boundary;.or as per the NYSDEC-approved plan,prior to commencement of any regulated activities and remain in'place and in good,functional condition until the project is completed and all disturbed'areas are stabilized with vegetation. Vt 10. Runoff Directed to Upland Drywells Roof runoff shall be directed to drywells a minimum of�50 linear feet landward of the tidal wetland boundary for immediate on-site recharge. 11, Driveway/Parking Area of•Pervious,Material Driveway,and-parking areas shall be,eonstructe,d of NYSDEC-approved pervious materials. 12. Sanitary Systems above Groundwater -Sanitary system(bottom of tank and leaching pools) shall be located a minimum of 2 feet above seasonal high groundwater. 13. Contain Exposed,Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales/silt curtains (or other NYSDEC approved devices)placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 14. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure,fill, excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners,shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. Page 3 of 6 a Aft NEIN YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Vow Facility DEC ID 1-4738-01529 15. State May Require Site Restoration if upon the expiration or revocation of this permit, the project hereby authorized has not been completed,the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New fork on account of any such removal or alteration. 16. Precautions Against Contamination-of Waters All necessary precautions shall be taken to preclude contamination of any.wetland or waterway by suspended solids,sediments, fuels, solvents, lubricants,epoxy coatings;paints,concrete, leachate or any other environmentally deleterious materials associated with the project. 17. State Not Liable for Damage The State of New York shall in no case be liable for my damage or faro' injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for'other purposes,,-.and no claim or right to compensation shall accrue from any such damage. tl GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility llispecfi`oyi•by Tfie De&rt�eut The permitted'site`or"facility, iincliidirig"rel'e`v`�nt-Yecords, is subject to inspection at reasonable hours and intervals by an authorized representative of the; Department of Environmental Conservation(the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SADA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. Page 4 of 6 • 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION v Facility DEC IID 14738-01529 1 3. Applications For Permit Renewals,.Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal,modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSD]EC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790-3409 4. Submission of Renewal.Application The permittee must submit a renewal application at least 30' ,days before permit expiration for the following permit authorizations:Tidal Wetlands. 5. Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds-for modification, suspension or revocation include: a...:materially false or inaccurate statements in the permit application or supporting papers; 11: failure by the permittee to comply with any terms or conditions of the permit; C. exceeding the scope of the project as described`iri'`tlie perriii't`application;""'" d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of.the existing permit; e. noncompliance with previously issued permit conditions,orders of the commissioner,any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. Page 5 of 6 NEW YORK STATE(DEPARTMENT OF ENVIRONMENTAL CONSERVATION MUM Facility DEC ID 1=4738-01529 LNOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies,expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the,State of New York, its representatives, employees, and agents ("DEC") for all claims, suits;�actioris, and damages`,16',the,extent attributable to the pennittee's acts or omissions in`c'onnection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any,claims,suits, actions, or damages to the extent attributable to DEC's'awn negligent or intentional aetssor omissions, or to any claims,suits,or actions naming the DEC and arising under Article 78 of.the New York Civil Practice Laws and Rules or any citizen suit or civil rights Ko under federal or state laws. vision Item B,:=Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors,employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while•acting as the permttee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee;: ;r Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for`obtaining any other permits, approvals,lands, easements and rights=of way that may be required to carry out the—activities that are authorized by this permit. Item ID: No Right to Trespass or Interfere with Ripariiin°Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Page 6 of 6 FORM NO. 3 TOWN OF SOUTHOLD V �% BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL. DATE: March 20, 2017 TO: Nancy Steelman (Serling) 25235 Main Road Cutchogue,NY 11935 Please take notice that your application dated March 13, 2017: For permit to construct new single-family dwelling at: Location of property: 3575 Wells Road, Peconic,NY County Tax Map No. 1000—Section 86 Block 2 Lot 10 Is returned herewith and disapproved on the following grounds: The proposed construction on this non-conforming 16,419 square foot lot in the Residential R-40 District is not permitted pursuant to Article XXIII Section 280-116B, which states; "All buildings or structures located on lots upon which a bulkhead, concrete wall, riprap or similar structure exists and which are adjacent to tidal water bodies other than sounds shall be set back not less than 75 feet from the bulkhead." The proposed dwelling has a setback of 68'11"to the existing bulkhead. 1 Auth Si ature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department, CC:file, Z.B.A. Fee:$ Filed By Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No. 3575 Street Wells Road Hamlet Peconic SCTM 1000 Section 86 Block 02 Lot(s)_ 10 Lot Size 0.376 ac Zone R-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 3/20/17 BASED ON SURVEY/SITE PLAN DATED 12/13/16 Applicant(s)/Owner(s): Robert Serling Mailing Address: 104 Roxen Road, Rockville Centre, NY 11570 Telephone: 516 766-5660 Fax: none mail: rserls _-hotmail.corn NOTE:In addition to the above,please complete below if application is signed by applicant's attorney,agent, architect,builder,contract vendee,etc.and name of person who agent represents: Name of Representative: Nancy Steelman for(X) Owner( )Other: Address: 25235 Main Road Cutchogue, NY 11935 Telephone: 631 734 6405 Fax:631 734 6407 Email:nancy@samuelsandsteelman.com Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), Q()Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 12/ 13 /16 and DENIED AN APPLICATION DATED 3/ 13 /17 FOR: ()o Building Permit ( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy ( ) Change of Use Q )Permit for As-Built Construction ( ) Other: Provision of the Zoning Ordinance Appealed. Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: XXU1 Section: 280 Subsection: 116 B Type of Appeal. An Appeal is made for: (,)o A Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law- Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Reversal or Other A prior appeal(X) has, )has not been made at any time with respect to this property, UNDER Appeal No(s). 2766, 1981 and 6907,2016 year(s). Please be sure to research before completing this question or call our office for assistance) Name of Owner:Rose Dansker ZBA File#2766 Robert Serling #6907(withdrawn) REASONS FOR APPEAL (Please be specific, additional sheets may be used with preparer's signature notarized): 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: SEE ATTACHED 2.The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue,other than an area variance,because: SEE ATTACHED 3.The amount of relief requested is not substantial because: SEE ATTACHED 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: SEE ATTACHED 5.Has the alleged difficulty been self created? { } Yes,or f)f No Why: SEE ATTACHED Are there any Covenants or Restrictions concerning this land? {)�No { } Yes(please furnish a copy) This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health,safety and welfar of the coTmunity. r � Signature o -AppY�tant or Authorized Agent (Agent must,/4bmit written Authorization from Owner) Sworn to before me this Z day / of A4.4 c 201. MUM M MCKISOCK WTAW P UC-STATE OF WYORK Notary Public F NO.01MI Qsftd In SAlk CMMY my Commission EXPIMS May 239��® PART B: REASONS FOR APPEAL 1. An undesirable change will not be produced in the CHARACTER of the neighborhood for a detriment to nearby properties if granted. The proposed two story residence is characteristic of other residential properties• in the neighborhood in scale, design and setbacks to the street and bulkhead. 2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance. The proposed Single Family Residence is a replacement for an existing residence that was totally destroyed by a fire in the Spring of 2016. An addition to the existing residence was currently under construction when the house was hit by lighting. The proposed residence is set back an additional 5'-7" from the existing bulkhead than the original house. All other setback have been maintained. The existing storage shed was damage and will be renovated with new siding, door and windows. 3. The amount of relief requested is not substantial. The proposed Residence is encroaching on the 75' setback by a total of 6'-1" or 6% of the required setback. This is a minimum request for relief. 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district. The Town of Southold Board of Trustees has issued a Tidal Wetlands Permit for this project. At the time of submittal to the Trustees, the project was reviewed by the Town of Southold Building Department and the Trustees were told a variance was not required. Due to an error in the filing for the change of code regarding the setback requirement from Bulkhead, a variance is now being required. The Southold Town Board of Trustees and the NY State Department of Environmental Conservation did not see any adverse effects on the environment when they issued their permits. See attached. The proposed construction will retain all rain water on site via new drywells and comply with all best management practices for storm water run off during construction. A new Sanitary System, approved by the Suffolk County Department of Health Service will be installed and will meet all requirement. 5. The alleged difficulty has not been self-created. The new construction is the result of a pre-existing situation where the existing house was located within the setback prior to current zoning restrictions There are no Covenants or Restrictions concerning this land. This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the character of the neighborhood, and the health, safety, and welfare of the community. The variance requested is the minimum relief practicable given the personal benefits anticipated by the applicant. The renovation is needed to maintain the investment and the proposed residence is modest in scope and scale. APPLICANT'S PROJECT DESCRIPTION APPLICANT: Robert Serling DATE PREPARED: March 22,2017 1.For Demolition of Existing Building Areas Please describe areas being removed: NA H.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: (see floor plans) Dimensions of new second floor: • (see floor plans) Dimensions of floor above second level: none Height(from finished ground to top of ridge): 30'—6" Is basement or lowest floor area being constructed?If yes,please provide height(above ground) measured from natural existing grade to first floor: 2'-10" III.Proposed Construction Description (Alterations or Structural Changes) (Attach extra sheet if necessary).Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: NA Number of Floors and Changes WITH Alterations: NA IV. Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property:— 106 sf Proposed increase of building coverage: 3.016 sf Square footage of your lot: 16.419 sf Percentage of coverage of your lot by building area: Existing: % Proposed: 19% V.Purpose of New Construction: Construction of a new single family house with attached garage. VI.Please describe the land contours(flat,slope %,heavily wooded,marsh area,etc.) on your land and how it relates to the difficulty in meeting the code requirement(s): The existing site has a very slight_ slope to the bulkhead and does not relate to the difficulty in meeting the code requirement. Please submit 8 sets of photos,labeled to show different angles of yard areas after staking corners for new construction,and photos of building area to be altered with yard view. 4/2012 r , QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes X _No B. Are there any proposals to change or alter land contours? X No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? yes 2.)Are those areas shown on the survey submitted with this application? NA 3.)Is the property bulk headed between the wetlands area and the upland building area? ves 4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? -ves Please confirm status of your inquiry or application with the Trustees: Wetlands Permit(issued) and if issued,please attach copies of permit with conditions and approved survey. Will Not accept a lication for administrative permit until ZBA determination. D. is Mere a depression or sloping elevation near ine area of proposed construction at or below five feet above mean sea level? no E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? no Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises? no If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking,please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? No If yes, please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel storage shed and the proposed use Single Family Residence and storage shed (ex existing single family,proposed same with garage,pool or other) i //Authoriz6d'9i'gnature and Date 4 •' r TOWN OF SOUTHOLD, NEW 'YORK DATE l O/2../81 ACTION OF THE ZONING HOARD OF APPEALS Appeal No. 2766 by application Dated May 6, 1981 for Rehearing ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Gary Flanner Olsen, Esq. as attorney for Appellant Mrs. Rose Dansker Main Road, Box 38, Mattituck, NY 11952 at a meeting of the Zoning Board of Appeals on October 28, 1981 the appeal was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance M Request for a variance to the Zoning Ordinance Art. III, Sec. 100-31 I. SP W�irXs�1 XffXaXr'XWWXX*5x�r $ special exception ( ) be granted ( ) be denied pursuant to Article .................... Section .................... Subsection .................... paragraph .................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) br• confirmed because Rehearing held 7/9/81: Application of Rose Dansker, 300 East 56th Street, Apt. M. , New York, NY 10022 (by Gary Flanner Olsen, Esq. ) for a Variance to the Zoning Ordinance, Article III, Section 10'0-31 for approval of insufficient area and width of two proposed parcels located at Wells Road, Peconic, NY; bounded north by Wells Road; west by Groben; south by Richmond Creek; east by Krueger; County Tax Map Item No. 1000-86-2-10 & ll. (SEE ATTACHED SHEETS) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary hardship because (SEE ATTACHED SHEETS) (b) The hardship created (is) )(is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because (SEE ATTACHED SHEETS) (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not) change the character of the district because (SEE ATTACHED SHEETS) and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. CG:lk ZONING BOARD OF APPEAL'S FORM ZB4 — — Decision Rendered October 28, 1981 This is a rehearing of the appeal of Rose Dansker for an area variance. The history of the case is as follows: By application dated December 3, 1980 Appellant applied to this Board for an area variance. By decision of this Board approved on April 28, 1981, the appeal was denied for the reasons stated in the Board' s decision. By letter application dated May 6 , 1981, Appellant' s attorney applied to this Board for a rehearing of this matter. By resolution of this Board adopted on May 22 , 1981, such rehearing was unanimously approved. A rehearing was held on July 9, 1981 pursuant to due notice thereof. This Board' s denial of the original appeal was predicated primarily upon the Suffolk County Department of Health Services' position that the westerly parcel (Lot No. 11) "may not meet . . . minimum standards for new construction of a septic system and water supply. " Upon rehearing of this appeal, Appellant presented evidence showing a substantial loss in value of the premises if the variance is not granted. However, the question of whether or not the Suffolk County Department of Health Services will approve of the water supply and septic system on the vacant lot (Lot No. 11) appears to be unresolved at the present time. In its letter to Appellant' s attor- ney dated September 23, 1981, it stated: "As already indicated, the vacant parcel will have problems meeting our requirements for sewage and water supply. The problems will have to be resolved prior to approval to construct. " Since this Board' s original denial was primarily based upon the possibility that the vacant lot may not meet Suffolk County Health Services ' requirements, and since such approval has not as yet been granted, this Board is of the opinion that although the Appellant has presented "dollars and cents" evi- dence to demonstrate practical difficulties, Appellant has not produced evidence that the requirements of the Health Services can be complied with. Lot No. 11 has an area of approximately 15,750 square feet with approximately 90 feet road frontage; Lot No. 10 has a preexisting one-family dwelling, an area of approximately 12,500 square feet and approximately 80 t:eet of road frontage. The lots to the east of the subject premises are of similar size and shape. On motion by Mr. Goehringer, seconded by Mr. Grigonis, it was RESOLVED, that the matter of Rose Dansker, Appeal No. 2766, for approval of insufficient area and width of two parcels, be granted, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the Appellant obtain approval by the Suffolk County Health Services Department of a sewage and water supply system for vacant lot No. 11 prior to any new construction on vacant lot No. 11; 2. That the owner of Lot #10 guarantee rights for a water easement to be located not closer than five feet to the northerly property line on the house lot (Lot #10) for use by the owner of the vacant lot (Lot #11) , and that a copy of same be supplied to our office as early as possible; 3. That the Appellant obtain approval by the Southold Town Planning Board for this subdivision pursuant to its letter dated January 2, 1981; 4. That this matter be referred to the Suffolk County Planning Commission pursuant to Sections 1323, et seq. of the Suffolk County Charter. ttt�\ 5. That the Building Inspector is hereby directed to l/ \ 4 f Decision Rendered October 28, 1981 Appeal No. 2766 - Rose Dansker Southold Tow7a Board of Appeals refrain from issuing either a building permit and/or certificate of occupancy until such conditions have been complied with. Location of Property: Wells Road, Peconic, NY; bounded north by Wells Road; west by Groben; south by Richmond Creek; east by Krueger. County Tax Map Parcels No. 1000-86-2-10 & 11. Vote of the ,Board: Ayes : Messrs. Douglass, Goehringer, Sawicki and Grigon.i.s. (Mr. Doyen, Fishers Island, was absent. ) APPROVED Chairman Board of peals a RECEIVED AND EIr D BY THE SOUTiiQLD TOW"N CLLRK DATE 1�*Iel HOUR/v Z /� very Clerk, Towm6f Sout d i WZ WROJ SwgddK 30 (MVOEE JmlmoZ •pasaanaa aq ( ) Paurat;uoa aq ( ) ao;aadsuj Butpitng ag;;o saotsiaap sno;naad ag;;gq; pun pexuap aq ( ) pa;una2 eq { } aaug;aeA pa;sanbaa aq; ;eup Paunuaa;ap aaq;,m; Sam ;r 'aao;aaaq; pug (3aIs asuaAA3u aas) asngoaq ;atazs;p aq; jo aazogaggo aq; aRuego (lou pltoA) (p;nom) pug 00ueutpa0 aq; ;o ;tatds aq; anaasgo (;ou saop) (saop) aaugtanA aqy (a) mals asuaAau aas) asneoaq ;ara;sip asn aures aq; ut pug Aaadoad stq; ;o X;turam a;glpau= aug ur aNIF sat;.aadoad ne Sq paaegs aq (;ou p;nom) (P;nom) pug anbzun (jou sr) (sr) pa;8aaa dTgspagq aqy (q) (gals gsxuAux MS) asngoaq dzgspaeq Sagssaaauun ao sar};nark p ;eagawd ampoad (jou p;nom) (p;nota) 90ugurP-10 aq; ;o uoijuagdde ;ate (g) ;eq; pautuuaa;ap sum ;i pagoa aq; ;o uot;n;osaa n"a •a3XVjaVA •Z (uaI s usuahau 2219) TT PUP OT-Z-98-OOOT 'OM uiagl d9w xvl Aqunoo •aabanax Aq gsva :3199a0 puotugotg dg ugnos !uagoa0 Aq gsaM :peog SITaM Aq ggaou papunoq :XM lo-ruoo9d 'paog SITOM gE p94POOT sTaOavd pasod -oad Omq , ;o 94PTk PUP vaav qu9ToTjjnsui ;o TRAOaddv 201 TE-OOT 'Oas 'III 'qaX 'aOUeUTPxO bUTUOZ aq�. Oq aOupiaVA E ao; (•bss 'uasTO aeuuPla dae0 Aq) ZZOOT &N 'xaOX MON, 'N '4dV 'gaaags qq95 gs2a 00£ 'aaxsu-ea asou 90 UOT4POTTddV :T86T 'Z TTadV :5UT:EV9g OTTgttd emnoaq pauuta aq ( ) pasaanaa aq ( ) ioloadsal 2u?pang aq; ;o uotstaap ag; Pug aaugutpaO SutuoZ aq; ;o ........... gdga2gau;d .................... not;aasgns .................... nomas .................... a;on-TV o; ;unnsand pa?uap aq ( ) pa;uea �X�{X�C}��XXgiC� �9��leXhX�J�� 1Q1 $ 'i TE-OOT *09S 'III *ga*V gOtmu*TpaO 2utuoZ eq; o; aaugrage -eaoS ;sanbou ( 30 aaugtnpa0 2uiuo2 aq; japan uot;doaxe p3;aads g io; ;sanbau ( ) Alaadoad o; ssaom ;o xae; o; anp eauetaee ao; ;sonbau ( ) mo.0 uo ua5; sgA& eno;aq-pa;gotput uol4og oq;pug paaaptsuoo sm ;eadd., aq; ' T86-1 r Z T T add uo s;gadcIV jo paeog SutuoZ acj;;o Sur;aaui g In Z 96 TT AN '3[OngT4-4'e l 'p'eog u-F!eW aaxsu-ea asog •saki ao;. Aauao".gV ;unUaddV o bss 'UDS-10 aaUU'eTa Aaa0 oy (nom,mos aO NAiO.L aill 90 SPIVHcicl F JO aUVOg -DNINOZ alis 30 NOIZOV 086T 'E aaquiaOaa powa UOT4v3TTddV 99LZ oX Mddy SW341av 3o a2Tvog oN31aoz ZHZ 30 XOl;LOv aiva XROX msx `azomanos 30 NMI The Board finds and determines as follows: This is an Appeal for a variance pursuant to Article III, Section 100-31 for approval of insufficient area and width of two proposed parcels located at Wells Road, Peconic , New York. Lot 10 designated as such on the Suffolk County Tax Map has erected thereon an one-family private dwelling. Lot 11 is vacant. The property was acquired by Appellant' s husband at two different times. The house was acquired in 1957 and the vacant lot adjacent thereto in 1963. Title to both lots was taken in the name of Appellant's deceased husband, William Dansker. Lot 10 has an area of 16 ,000 square feet, and Lot 11 has an area of 17,500 square feet. Appellant' s husband died in 1980 and under his will devised Lot 10 to his surviving spouse, Rose Dansker. The vacant Lot 11 was devised to the children of a former marriage. In 1971 the Zoning Code was amended to require a minimum size lot of 40 ,000 square feet. Accordingly, both lots were merged into one lot. At the hearing considerable testimony was given by property owners in the vicinity of the premises in question concerning the severe water problem. There is evidence of salt water intrusion as well as insufficient- water supply during periods of draught. The Suffolk County Department of Health Services has advised this Board that Lot 11 may not meet the minimum standards for new construction of a septic system and a water supply system, .and that the ground water quality in the area is marginal. In view of the foregoing, it is the opinion of this Board that to permit -Lots 10 and 11 to be divided would lead to the intensification of the water problem which presently exists in the area. No evidence has been given to this Board of any attempt by the Appellant to either acquire title to Lot 11 or to attempt to have both lots sold to a single owner. It is the further opinion of this Board that the Appel- lant has not shown practical difficulties,' and accordingly, on motion by Mr. Sawicki_, seconded by Mr. Douglass, the appeal is denied. Location of property: 3575 Wells Road, Peconic, NY; bounded north by Wells Road; west by Groben; south by Richmond Creek; east by Krueger. County Tax Map Item No. 1000-86-2-10 and 11 . Vote of the Board: Ayes: Messrs. Douglass, Goehringer and Sawicki. Messrs. Grigonis and Doyen abstained from vote. R APPROVED . .Chairman Board of peals RECEIVED AND FII,I',D BY Tl:.a SOU1AiOI,D TO x`!14 CLERK DATE /a�l�� HOUR/a•'925J ` Town Clsrk, Town of Soui; old J ' e f , 1 a 0.7 4,eh CA 9,6 W,S � chi i7d acfli ?-�/)� ,n o2tod -- AS76We - FORM NO.. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: 'Z-33199 Date: 08/07/08 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 3575 WELLS RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 2 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 18, 2008 pursuant to which Building Permit No. 34081-Z dated JULY 30, 2008 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is AS BUILT GARAGE ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. TRUSTEES CERTIFICATE OF COMPLIANCE NOT REQUIRED FOR THIS PROJECT. The certificate is issued to JOSEPH & SHERRI MELCHIONE (OWNER) of the aforesaid building. SUFFOLK COUWfR DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3060611 05/22/08 PLUMBERS CERTIFICATION DATED 08/05/08 MELCHIONE r Aut orized Signature I Rev. 1/81 c�'tlloseo7wl�l"J Kygr'LSVI LwrXV9 -o%�VvqwoMil wo w'y,7a 'ODA— s+,a11 OWC �W WO Loo,W po7s�1 udinNs4 LIRP--I P—A'iv E-Iii /�M��jAN r uauvJaM[7'fiupdWp%inin W7 07 IlOtla4 q4 N71�f7Gl�ILo i � paJodasd zi fiol.nv wn u:ow,o`uae.ud Wt 1 ' � 7 41 o ua A04v wapOil/ILe%WO'S bfitlw,nq P•pl s M IwgaSe.oJd to ugiol9ovsV v7pi5'l-A""i Wi fiq XBMM X�OSO^vb 'i V i oSdpw1Moe7pWd(towvtO7n0syyJSii w # d 7 ,.Idogaq nva;lc+/pAI^aim5�.mwn,p6pqw+olopl-4o>ptfioplO,Itop,oaodd rl%�IpWo,dlgq6tlz11Pb1po10 s,,NOay Py.,nor%.4�1v/b5 0l p{6Ianvy4�i.0nKlr5.vs. /o Ia'161,o W1 moal vtlldo%fi147, .--I UOIIO7eV3.7075,,A..tl 4'1A .A t10o5 4,Ofi0AJn 9..]P Ve TI'v%JO V0110,00 . 56-.O d— / / '�r, fiB•�+rd 0 01 ua�lpTia,0 uolfo,00o p0l1,o4Yiw5t o d 3 uolufl iipe jg iojepa=4 a6vcxneg '01 Pe1411J99 uu o5oul i �l1VM 0 b8• M04b To o >. 1 E! 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V o saasnJ!jo pjeo8 Umol Plo4inoS ,•p �j T a�u v Q� `��•�Sl a� / y4osb o, y ® Z z UP x.40 yo eRu� b II(� rJ !I❑ �+ w� ��hi ola 2W�o Pud J.N '�u�'D V)44n5 w,aj o mou io nor 69 w d pl�o5 'tel a X30�r - oluo"Ci :040MI5 �ir s 01-Z-98-0001 #lp _ L00Z 'S O" ip GAJrG 3 M Apedoad jo Aenjns COMPLY WITH ALL CODES OF SCOPE OFl7.lE\VORIC PEfLFORMF_D NEW YORK STATE&TOWN CODES APP, RpVEO AS N�O�T®¢�y AS REQUIRED AND CONDITIONS OF ALTGRATIONbTOTjjLcmT1NG SARASC DooROPCNIN4 uM�To DATE BPO•=„igglu�=�� _LIl1_SONHOLDTL44NZBA PLMOVALOFCA4TINGDOORANDINSTALLATIONOfNL%VV-o'WIDC[NTRY FEE•�4m” B��Jay�_ ��li( SdfiHOLD 1owHPIaIsoNGeOAIm COOP 114 C RTOFT-IQ cwsTINC�G4C.AUADooz fRAMCD OpcN;I NO-ISU_DING DEPAR M NT AT INq vrJ.�aNDuzof7TJ�ov[NIN4� IN\VITL1 FunMI04 etDMSlbuIATION 7661302 8-M TO 4 P FOR THE �SD.JiVDLDTQMITRISTEES ANDIN1=oRf1NIbL1cA NObi ucful2ALcUAN4QbW, .TOTuccxLSTTN4 FOLLOWING INSPECTIONS NIS. NYS DEC I FOUN OPTION-TWO REOUIRED FOR POLRED CONCRETE INSTALL ATION o f FRAMLD NON-bLAeIN4 PARTMONS CVXATING A NG.\V 2.HOUGH•FRAMING 6 PLUMBING pmAOLR ROOM AREA INSTALLATION of\VATER CLObILTAND LAVATORY 3•INSULATION 4 FINAL•CONSTRUCTION MUST SE COM-LETE FOR CO IAII)MMQE115Ci:A1F1GTE� INbTX-ATION of N W11141!EffTQT1JCYINAc cauIPMI:IJ7 TO¢C PLAGL ALL CONSTRUCTION SHALL MEET THE REINED TJObTTN4•bY4iTL4 REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR INSTALIATTON of NE\VCCNTRAL DI:1111MIDIfICATION bYSTCMI. DESIGN OR CONSTRUCTION ERRORS WSTALLATIoN or NC\V ABOVc 4TLOUND 275 4ALLON INTERIOR OIL 6TORA4L ALL CONSTRUCTION SHALL TANK MEET THE REQUIREMENTS OF THE ^I Env INSTALLATION of Nti\V uv4T2ADl;.D 61_GGTRICAL SYSTFJ.I. CODES OF NEW YORK STATE PE HUpll D1f=\Ee a� - 9� a OCCUPANCY OR ''''ll Z 13P'F\416'L�"LL� NoTE: �tLE� NOSTRl1cTURALALTTsRATTONb OR ADDfTIONb N6RL�MAD470 Tlllb USE IS UNLAWFUL IusIDLNCSDU12JN4TLIL000Rsc.of7NE\VOR><PMFORMC.D WIT;TOUT CERTIFICATE OF OCCUPANCY G/�'Y15.2"E.S UTI Ll'TY pp�� y EX14'TIMG - I 1 s�r•au�aa-a- I CL1N A.a.Ts=>ZGP-) I 1 v E2\v¢ 1 J� I G%15Y1�Jl. T:f V/AYEiL� lrfr�b..l.E Pl1oQ" � -y�ev��E. v R.EPl�A.LP"D•. ES3TR`C PeOK-' 5`EgED ARObry ?.5 Y�LJ I F-T l=L+A—YJ Q�( ClT A STq,�Pj G A R R E T T A. S T R A N D //�L L G 1-1 I�I—•a� ��5 I v>�1--L G� 3676 r✓�Lt_�s 7�-.�'�T� LEGENDat'CII:tE.Ct �. a YLaLJIJIC�. A1�w vJz1� ExISTINO WORK ,f•---� suu A}�o nsm •••.c+s To REMAIN 1230 Traveler Street Southold N Y.11971 015214 NEW WORK TO _ 2EOF 44 631-765-5455 •••• �A� f—`( 1/ 9EINSTALLEO wnu wv l78iIZ t v,=1 FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y.' Certificate Of Occupancy No. . 2. .1.0.7 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . .. ... . .. . . . .. Location of Property .3.5`j 5. . lis-EkI S. k-I -A.D. . . . . . . . . . . .�. .. House Vo. Street ) Nam(et County Tax Map No. 1000 Section . . . .S . . . .Block . . . . . .. . . . . . . .Lot .. ,f,D. , , , , •_ , . . . Subdivision . . . . . . . . . . . . . . .. . . . . . . . . . . ... . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . A p1Jt FAMtL DWELUN(r B0 V�' :P(� Q t� 0, XON' C conforms substantially to tb- i c _ D„ildypS�2g; !f nretnfnrP filed in this office dated eEn T�FtrA-7 G rF n'GLJPA?'-e' Z. (0 77 e) ./?►P.r;o— .2.7. . .. . . . , 195 pursuant to which-BalildingpeYfitNo . . . . . . . . . .. . . . . . . .. . . dated . . . . . . . . . . . . . . . . . ./.�t ✓. . !.� 19 was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . H ON E- Fre I•�l I t_.'� D Ls,I C 1_L_ I H O N /4 I-0 T ? . TH15 z�T Cf,An,-rr w(TH T1115Wt-4:1CLN knllj,-TH HN IU �leEfl hj`� TNR' ZL'NIw1 (— r5t`At:b OF AFF L: l11 S �A(-rFAL� -7 SE WI-t++ Coa10I710N.S act Z01 Tl♦k L1,\Nr4tNv nCAc j ON Ncv `D F--tFjI -n'E1c%_vED T0CS SL-bDts/t51Vt-A 3r- ,izOC e SSC( A5 A „ 6c7 - 0t=P IL`(o-13 The certificate is issued to . . . . . . . . . .(owner. . . . • • - - • • • • • • • • • • • • • • , of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . .. . . . . . . ../... . . . . . . Building Inspector FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink,and submitted in duplicate to the Building Inspec- tor with the following;for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets,and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use,occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date . . .�1. �. . \ . . . . . . . . . . . . New Building . . . . .. . . . f.. . Old or Pre-existing Building . . .09N. . . . . . Vacant Land . . . . . . . . . . . . . 351 �Location of Property . . . . . . . . House No. " ' t �. o Street Hamlet Owner or Owners of Property . . . ! . .,.-..l.�M��! . . . . . . . . . . . . .. . . . . . .. . . . . . . . .. . . . County Tax Map No. 1.000 Section' . . .00 . . . . . . . . Block . . . . . . . . . . . . . . . Lot. . ..-P. . . . . . . . . . Subdivision . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval . . . . . . . . . . .. . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planni Bo d Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . al ertificate . . . . . . . . . . . . . . . . . . Fee Submitted . . . . . . . . . . . . . . . . Construction on above described building and pe i e t I licable codes nd regulations. Applicant . . . . . . . . . . . . . .`/�jf � . . . ,{4y. . . . . . . . . . Rev.10-10•78 1�!/ '1 lot. I<vuomgftY 1 f Jr Q M . L LV %pi t' �l r �,' r r fD In X d� Z I �S� �! �► S j q�. N r Jr Z } i SO Ct ( �s M^P OF L..AND �cctl� 40 = lSURVEYffG FOR - • w M= DAti N K E i� ► 4 ` Ar • C-St.�ciY®1HtC4mr� '�® '�-�•tt Sacuwity }' '�•� G1:1GgYQ1'1"tj • '"rowty of Sou'r�-tcc.a,ht.Y �uvveyad -Nay. t 4. O+t 4 W. Vail Ty 1i t S.o.-ar44 • .' mid i�'-r r'. '�-u�-.... t%. • '•• it 4�� Title N� 5-94�3�8 1..lcares�d cj Sey�l e e P � � D T LD S Y Southold, N.Y. 11971 HENRY E. RAYNOR, Jr., Chairman TELEPHONE FREDERICK E. GORDON 765-1938 JAMES WALL BENNETT ORLOWSKI, Jr. GEORGE RITCHIE LATHAM. Jr William F. Mullen, Jr. November 10, 1981 Mr. George Fisher Sr. Building Inspector Southold Town Hall Southold, New York 11971 Dear Mr. Fisher: At a regular meeting of the Southold Town Planning Board, Monday November 9, 1981 the following action was taken: RESOLVED that the subdivision entitled "Rose Dansker" , located at Peconic, be processed as a "set-off" 106-13 . Yours very truly, HENRY E. RAYNOR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Susan E. Long, Secretar cc: Board of Appeals Gary Flanner Olsen, Esq. AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use permit, site plan approval,use variance,area variance or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in an agricultural district. All applications requiring an agricultural data statement must be referred to the,Suffolk County Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. 1. Name of Applicant: Robert Serling 2. Address of Applicant: 104 Roxen Road, Rockville Centre, NY 11570 3. Name of Land Owner(if other than Applicant): same 4. Address of Land Owner: same 5. Description of Proposed Project: Construct new single family residence. 6. Location of Property: (road and Tax map Number)3575 Wells Road,Peconic,NY 1000-86-02-10 7. Is the parcel within 500 feet of a farm operation? {X} Yes { }No 8. Is this parcel actively farmed? { } Yes {X}No 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff,it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937)or from the Real Property Tax Office located in,Riverhead. NAME and ADDRESS 1. Pellegrini Peconic LLC,23005 Route 25,Cutchogue,NY 11935 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) ✓` � A ent: Nanc Steelman �/�/� ig tur Applicant Date Note: 1.The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2.Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3.Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. 6d 7.20 Appendix B Shot Environmental Assessment Form Instructions for com poeting Part I -Project Information. The applicant or project sponsor is responsible for the completion of fart 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 1-Project and Sponsor Information Name of Action or Project: SERLING RESIDENCE Project Location(describe,and attach a location map): 3575 Wells Road,Peconic NY 11958 Brief Description of Proposed Action: Construct new residence and sanitary system. Name of Applicant or Sponsor Telephone: 516 766-5660 ' Robert Serling E-Mail: rserls@hotmail.com Address: 104 Roxen Road, ,NY 11570 City/PO: State: Zip Code: Rockville Centre NY 11570 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 � I may be affected in the municipality and proceed to Pail 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency9 NO YRS If Yes,list agency(s)name and permit or approval: �—1 Southold Town Building Permit,New York State DEC,Suffolk County Dept of Health tJ 0 3.a.Total acreage of the site of the proposed action? 0.376 acres b.Total acreage to be physically disturbed? --0,20-0 _ acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.376 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture El Aquatic ❑Other(specify): — ❑Parkland Pagc I of 4 5. Is the proposed action, - NO YES N/A a. A permitted use under the Toning regulations? ❑ X❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ X❑ ❑ 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 F71 El 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: _ El ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for pioviding wastewater treatment: new sanitary system _ rV_1 ❑ 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? — X 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? F] ❑ b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody'2 ❑ El Yes,identify the wetland or waterbody and extent of alterations in square feet or acres 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland ®Urban [XSuburban 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? FNO El16. Is the project site located in the 100 year flood plain? YES _.X _ 17.Will the proposed action create storm water discharge,either from point or non-point sources? YES If Yes, a.Witl storm water discharges flow to adjacent properties? M NO ❑YES ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO YES -.guttersllaaders to-catchbasins— 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:=_—_— -- '--- _ ❑ Ix 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: __ .- _ n 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 I AFF5RM THAT TILE INFORMATII®N PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spongy me: N n Steel an Date, Signature: 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 1 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 occdu• occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? El 1:1 2.M Will the proposed action result in a change in the use or intensity of use of land? El 1-1 3. Will the proposed action impair the character or quality of the existing community? 1-1 E 4. Will the proposed action have an impact on the environmental characteristics that caused the Elestablishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or 1:1affect existing infrastructure for mass transit,biking or walkway? El 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable eneer opportunities? 7. Will the proposed action impact existing: D a. public/private water supplies? b.public/private wastewater treatment utilities? 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, [:1waterbodies,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? 11. Will the proposed action create a hazard to environmental resources or human health? El 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 have 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 required. EICheck 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-Board 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 Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRIM Page 4 oF4 Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) I, _Robert Serling residing at 104 Roxen Road, (Print property owner's name) (Mailing Address) Rockville Centre, NY do hereby authorize Nancy Steelman (Agent) of Samuels and Steelman Architects to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. Owne 's Signature) Robert Serling (Print Owner's Name) 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 purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME : Nancy Steelman (Last name,first name,middle 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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance X Trustee Permit Change of Zone Coastal Erosion _ Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship" includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 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 Submitted this day "VGL,,20j7 Signature Print Name Nan Steelman APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Robert Serling (Last name,first name,middle 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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance X Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship" includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 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 Submitted this ZI day of M 017 Signature Print Name Robert-S�- 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 sig ' scant beneficial and;adverse effects upon the coastal area(which includes all of Southold ToM11). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it'shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 86 - 02 - 10 PROJECT NAME Robert Serling 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 transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: ❑ Nature and extent of action: Construct new residence,sanitary system, and drywells. P Location of action: 3575 Wells Road,Peconic NY 11957 Site acreage: 16,419 sf=0.376 ac Present land use: RESIDENTIAL 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: Robert Serling (b) Mailing address: 104 Roxen Road, Rockville Centre, NY 11570 (c) Telephone nwnber: Area Code(5)16 766-5660 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No❑ If yes,which state or federal agency? New York State DEC 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 ❑X Not Applicable Attach additional sheets if necessary Policy 2. Protect and prieserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes —1 No L:2�-1 Not Applicable There are no historic or archeological structures on property. 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 0 Yes ❑ No ❑ Not Applicable Building structure is in keeping in style and scale of neighboring structures. 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 0 Not Applicable Attach additional sheets if necessary Policy S. 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 X❑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. ❑ ❑ ❑X not applicable Yes No Not Applicable No development will take place in the"protected"or"natural indiginous environment". 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. X❑ Yes ❑No❑ Not Applicable The development will not add pollutants into the air. 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 evaluatioip criteria. ❑ Yes ❑ No Fx] 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. ❑ YeF-1 No 0 Not Applicable No public land involved.Littoral access unimpeded. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No X❑ Not Applicable There are no public or commercial activities or uses on site. Historically this property and neighboring properties are residential in use and will remain residential. 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 ` This project will protect and preserve the living marine resources by. maintaining all rainwater discharge on site. 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 0 Not Applicable There are no agricultural lands on site. 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. Q Yes ❑ No ❑ Not,Applicable The construction will be using equipment approved by the Federal government for energy usage.The project will meet Federal standards for conserving energy "energy tar Program". PREPARED BY Nancy Steelman TITLE Architect DATE 3 Z REVISIONS YiIRE FENCE K/ WELLS ROAD SITE DATA AjDec. 19, 2108 OUTDOOR SHOWER FILTER CLOTH TEMPORARY ER051 ON EDGE OF (PUBLIC WATER IN STREET) DRAINAGE CALCULATIONS SCTM # 1000-86-02-10 & BASEMENT STAIR CONTROL MEASURES P4 VEMEN T AREA OF RESIDENCE (DW-A) AS-BUILT SURFACE PROP05ED SILT FENCE PROPERTY: 3575 Wells Road FILTER CLOTH MIN. VRAINA6E DR'T' NELL AREA x RAINFALL x RUNOFF FACTOR FLOA DURINI57 CONSTRUCTION ON-A) 5,545 5F x (2/12 FTJ x 1.0 = 5cll CU. FT. Peconic, NY 11958 6" BELOIN (SRADE SEE DETAIL UTIL17Y USE: (4) & DIAMETER x 4' HI&H POOL POLE OWNER: Robert Serling N, (4) & X 4' STORM DRAIN RIN6 = 615.6 CU. FT. 104 Roxen Road PUBL 10 PROVIDED > REOUIRED Rockville Center, NY 11570 INATER ------- 615.6 CU. FT. 5CII CU. FT. >1 METER R=256.60' AREA OF DRIVEWAY (DW-B) SITE: 16,419 SQ. FT. 0.376 AC. TEMPORARY STORM WATER PERMANENT STORM (1-7 (n DR�( YiELL AREA x RAINFALL x RUNOFF FACTOR AREA RUNOFF CONTROL MEASURE ViATER RUNOFF CONTROL ZONING: R-40 MEA5URE NEN DRYOELL (DA-15) 1,268 SF X (2/12 FT.) X 0.1 14a CU. FT. USE: (1) & DIAMETER x 4' HI&H POOL SION 11 SEDIME.NT CONTRO.LDETAILS U L=79.54' YV MTL 6RATE TYPICAL (1) 5' X 4' 5TORM DRAIN RIN& = 165A CU. FT. ALLOWABLE PROVIDED REGUIRED LOT SEE DETAIL EXP LP 165A CU. FT. > 145 CU. FT. COVERAGE: 20% OR 3,283 SF LP I( rzxf= I Exp ' Vol\ ACTUAL NEN UNDERC7ROUNP LOT "7.a COVERAGE: 19% OR 3,122 SF PROP05ED NEN SEPTIC SYSTEM .1) V : LP LF ELECTRIC, UTILITIES LINE D LP FOR A 5 BEDROOM RE5IDENC.,E Uj FLOOD: X - (1) 1200 &AL SEPTIC, TANK (ST) ZONE z 10 FT VIA x 2 FT LD TEST PERMEABLE STONE &RAVEL pitch_ - (5) VDIA x 2' Hl(9H IL HOLE DRIVENAY - NON ROA SURVEYOR: Peconic Surveyors DN P.O. Box 909 C LI-- (5RAVEL MATERIAL LEACHIN6 POOL (LP) A Southold, NY 11971 - FUTURE LOCATION FOR Lic. No. #49618 (5) VDIA x 2' HI&H ST DATED: February 11, 2014 LEACHIN67FOOL (EXP) �'A NOTES: + ELEVATIONS 4 CONTOURS ARE REFERENCED TO NAVD '66 FLOOD ZONE FROM FIRM MAP NUMBER 5610500162H ...................................... .. ..... ............ PROP05ED NEV4 NATER LINE FROM .................... . ... 20 Y�ETLAND FLASS EX15TIN& HOUSE DEMOL15HED - NA17ER MAIN AT ROAD TO &ARA&E pob, '�& 8% � AM, .............................................. ............ ................. .................................................... ............... ......... ......... ..................... 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EX15TIN6 SANITARY SYSTEM PUMPED OUT ... . .................... .................... ......................................... ,.......... ............................................ .......................................................................... .......................................... .................. .... ......... ....... .................................. ......................... ............. ........................... ................................................................................................................................................................................ .............. ......... ........... ........................... . .......... �x.,.'..-, '*.. ....... . -.. tl*-'-"`0!i`11'-'1!� Dyq AND REMOVED ........ ..... .............. ............................... A ............ .............................. ............................. ........ ....... .............. . ....................... ........ ........ ......................................................... ...... ............. 1000-86-02-11 ........... .......................... ........................... .._. ........%%............. ............. ....... ....... ...................................... .............. ............ ..................... ..................................... ....... .......................... LAND N/F OF Ila .......... ..% 1> ..................................... ........... ................................................ ....... .... EIN BASEMENT ACCESS STAIR ........... ... .... ........................... ............................. ........ ............ ... ............ ................. ........ ....................... ..................11........... ................................ ................................................................. ........... ......................... 13 ELIZABETH & ROBERT SCHUPLER Aw� .... ....... ........................... ............ ...........I— ................ .............. .............I .... .. ....... RESIDENCE WITH -7 ............... .............. 101 ......... PUBLIC WATER & SANITARY SYSTEM ............. z 2. ................ .. ........... I . ........... ............. 3635 Wells Rd, Peconic, NY 11958 .. .............. .......... ....................... .............. ........ . ....... . . ...... ... ........................................................................................................ ............... ......................... .......... SIT w SEL I T I ENCE r_X ST ............. ......................................... .................... rt ff , . ........... co ......... Al EkN OUTDOOR 5HOOER .............. .............. ..........I............ ........ ........... dia ............. TIED TO DRYNELL ........... ........ ........... ..................... ................ ............... ........... .................... ............... ....................... 4 ... . ....... ........... ......... ......... 1000-86-02-9 . .... ....... ........ .......... .......... ......... .........- LAND N/F OF .......... JOSEPH M. & ALBERT C. SCHUPLER Z02= TEST HOLE NO SCALE .... . . .... ......... ... RESIDENCE WITH X BY McDONALD GEOSCIENCE PUBLIC WATER & SANITARY SYSTEM cmone_— - / 0/1' 11 ad z- E /X/ SOUTHOLD, NEWYORK 11971 TEMPORARY EROSION CONTROL Opp�BEB 1 3475 Wells Rd, Peconic, NY 11958 MEASURES PROP05ED SILT FENCE _R ON co <. /< TEST HOLE DATA 10 24-16) ELEV +7.8' DURIN6 CONSTRUCTION SEE DETAIL L LOA L N A 3.0 FT. MIXED SAND AND LOAM Uj t' �< z w BROWN AND PALE BROWN NE TO MEDIUM SAND SPII 0 '9 8.6 FT. F1 C4 V M W. . cl (.5 CO EX15TIN67 DECK PERMANENT STORM kNATER RUNOFF 0 rn MOVED CONTROL MEASURE NEkN DRYYiELL WATER IN PALE BROWN Cn cf)- X 0 TYPICAL SEE DETAIL 17 FT. FINE TO MEDIUM SAND SP E K) qs. p TIO X 8.6 FT BELOW SURFACE - WATER ENCOUNTERED, ELEV -.08 REMOVED U) ........... 'ONTROL rn z RE&RADIN& 0 TEMPORARY EROSION C APPROVED BY MEASURES PROPOSED SILT FENCE -7� AS 5HONN -7 BOARD OF 'I RUSTEES DURIN67CONSTRUCTION SEE DETAIL 0 .=............. k-,S ............ TOWN OF SOUTHOLD ........................ _>. .............. rn CS *41 .......................: _i Q A ZONE -x Qn rn ..................... M DAT _TNVAf_I[ 212-01q X E ......... ................ ............. . EXISTINC-67 rn LOOD 5 EDGE OF -71 < ZONE—LlNff- rn SILT FENCE rn M L13L�_ If I/c, -A > M Z ZONE TOP OF EXISTINS WETLANDS A E (E L ro) �O -0 — --z— < rn M CAST IRON FRAME AND COVER 11.4 EX15TINC7 5HED TO M 0) M TO 6RAOE (AS REGUIlREP) �ROJErO: BE RENO VATED 1612 TRAFFIC SLAB (SEE DRAWN BY: PLANS FOR LOCATIONS) UT < CO M CHECKED BY: tQ NON TURF BUFFER 0 NS TOP OF BU KHEAD 3.9' DATE: Dec. 13, 2016 S27*50"22"W WOOD BULKHEAD 129.04' [B 23 CE E� FZI Eg EEI E�3 H 46" HI&H x 4a" DIA SCALE: PRAINA&E 13A51N If = W - 011 C: M (TIE LINE ALONG BULKHEAD) S63 min [B 123 CE E31 E3 EK E�3 E�] E�] 1 10 5UILPINC7 �NALL FF EL 11.0 FT _RZ &RA1;)E LINE ELE\/ATION 5.0 FT. > MEAN HIGH WATER ALONG BULKHEAD [B DE E31 E�l 12�1 E� E�3 E�J R SHEET TITLE: 0 > F;Q 12�1 EK E33 H > LINE r=LE\/ATIoN 5.0 FT. M BACKPILL 6P,APr MIN. > 0 23 29 F;l 12�9 FK E33 E 2' MAX. 0 ?-\ MATERIAL TO SITE 0 CREEK 29 EE� 12E� E� BE CLEAN SAND T7 RICHMOND EX15TIN6 DOOK, CE 129 E?I E?l H Ei� E� H ED AND (SRAVEL 1/4"/FT. TOP OF POOL RAMP AND PLAN 5EPT 10 LEACHIN6 6.45 FT. PLOATIN& DOOK z (ITz 6ROLbp_yi619&_ TANI< IE. 40.5, POOL BOT OF POOL 2.45 FT. le. +6.1151 50T OF--'P- 6ROUND kNATER > PERMANENT STORM WATER SHEET NO: F-Lr=\/ -0.5 FT if -a RUNOFF CONTROL MEASURE TANK, +1.3' _j -)STORM DRAINAGE RING TYPICAL DEC 19 2018 A3 H NO SCALE w"* 101 14.5' Ir "p (7::Z, I SCALE: 1 10'-0" 51=11=TIC, TANI< Vil MONOLITIC, BASE SEPTIC PROFILE 0 0 > (N.T.S.) n --j Uj /7-7 TRUSTEES Amendment 62'-8" ON O N - H W Z co r i�OWDER BATHMUD ROOM/ ENTRY LAUNDRY 6ARA6E EAM I LY ROOM CLOSE w MEDIA 0 -a LINEN v OL05ET OLOSET m UP D 1 N BEDROOM ----- 42" high wallME ry V .�, j- �� ;�j "�j "� "/� ��/ ,% . R N IV I .�LL j j /i /, r / j /r, /��. oo / ll 10/ I- 1 f 1 D i - ---� ,///p CLOSET O R . � L I V I N6 AREA FIREPLACE D I N I N6 AREA / F F B Tt�ROOM j DHALL j/ OLO5ET jai; 08 Z /. %/a=te�=- / i, / �I • p Y n T-' W w z w a W. v ui BEDROOM w• a Le) U Q �—• U m FORGH cn cn M 'c 41 II I�I_all PROJECT-NO: TE GR 0 ` 1612 DRAWN BY: NS CHECKED BY: DAaC. 13, 2016 SCALE: 1/41V = 1' - 0" SHEET TITLE: FIRST FLOOR PLAN FIRST FLOOR"1/4" V -0" SHEET NO: (IF APPEW' NOTICE OF DISAPPROVAL 23'-6" O 0 I I W I z ::X I I I I I STORr4C�� I BATHROOM ATTIC OPEN TO ENTRY STORAC;E BELOW twin WALK-IN L I NEN WALK-I N CLOSET CLOSET ` MASTER --------------- ---- V - --- -- BATHROOM — wm I DN I o GATAALK MALL ; V W I L W o MASTER BEDROOM I wQ dK ------------ ------------------- - OFFICE I � OPEN TO LIQ/. RM - I i3ELOW r. 08 Z , I I ------------------------------ - r — — -------------------------------- V+ � M I I 11.1 r W J 0: o } • w z I _ � z U. W• U W N Q Co r (7 m LU M W, D t} IJ.1• N x 4 i ----------------------------- i K I I ~ •= Q H• v o I I I I I N• I I � I ROOF DGK lam' f _ 58'-6 PROQEC,-T, NO: 1612 DRAWN BY: NS SECOND"' IFFLOOR" PLAU CHECKED BY: SCALE: 1/4" = l' -O" DATE: DEC. 13, 2016 SCALE: 1/4" = 1' - 0" SHEET TITLE: SECOND FLOOR PLAN 7v�� SHEET NO: NOTICE OF DISAPPROVAL 09:oem O ot OF --orW 0A r 70i I',,,,,-7sz�g f 0 1H T FR AL-11 ,Lj .1 FE-11 I [LE-111 0 Ll --1 LU �10N WEST ELEvA I - SCALE: 1/4" = V -0"' otf z co a• M -j o � Q W --�• Lu Q Z LL 2 W• M j Q H O t0 W• tV 2 M loor V H � I L• U N N• or- 3k Nc 70c: or:RO4 or or 70e: MIN 34 00,111,11 ;, oy, ✓ X d l --- PROJECT NO: - ) -- 1612 DRAWN BY: — - NS CHECKED BY: DAaC. 13, 2016 IL SCALE: n n 1/4 1 0 SHEET TITLE: seoa� -- BUILDING -- -- ELEVATIONS SHEET NO: ELEVATION- SCALE: 1/4" = 1' -0" NOTICE OF DISAPPROVAL