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1000-119.-1-1
OFFICE LOCATION: �OF SD(/TyOI MAILING ADDRESS: Town Hall Annex ~ P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 � aQ Telephone: 631 765-1938 O Fax: 631 765-3136 �yIrou LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date May 15, 2018 Re: LWRP Coastal Consistency Review for ZBA File Ref TRACY WEISS AND LEE KRUTER #7170 SCTM#1000-119-1-1. TRACY WEISS AND LEE KRUTER#7170 —Request for a Variance from Article XXII, Section 280- 116 A(1) and the Building Inspector's January 16, 2018 Notice of Disapproval based on an application for a building permit to make additions and alterations to an existing single family dwelling; at; 1) located less than the code required 100 feet from the top of the bluff; located at: 9475 Nassau Point Road(Adj. to Little Peconic Bay), Cutchogue,NY. SCTM#1000-119-1-1. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the actions are CONSISTENT with the Policy Standards and therefore are CONSISTENT with the LWRP. This recommendation is based on the following: 1. The proposed 8' x 17.4' (139.20 sq. ft.) deck/covered porch will not be located further seaward of the existing dwelling unit. Pursuant to Chapter 268,the Southold Town-Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: William Duffy; Town Attorney BOARD MEMBERS a s®� Southold Town Hall Leslie Kanes Weisman,Chairperson �e� �iy® 53095 Main Road•P.O.Box 1179 �® �® Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes Town Annex/First Floor,Capital One Bank Gerard P.Goehringer Z a� 54375 Main Road(at Youngs Avenue) Nicholas Planamento ��c®U Southold,NY 11971 9 http://southoldtownny.gov ZONING BOARD OF APPEALS rES v TOWN OF SOUTHOLD ?q�g Tel.(631)765-1809 m Fax(631) 765-9064 own March 14, 2018 Planning Board Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold,NY 11971 Re: ZBA File Ref. No. 4 7170 KRUTER, LEE Dear Mark: We have received an application for additions and alterations to an existing single family dwelling. 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: v -7I10 K"Tg-.yz, La�,, 10-To- I I S - H 0 GJ l s \ 9� \ LITTLE 6 � � PECONIC 142 d F£':\ \, 37A(C) tp � A 90 S141 .. a`44A \ � 1 BAY . o 1 ' I �� y�yme�p� --SOI-- NTOa6DeW!!m --H-- 1ME35 nuvmcTNtTn',sEAUPaoPLmlPs NOTICE COUNTY OF Sl O -W-- APEYAlWN1ME FOLLQMND O51WCI5 yy°pyMti� --P-- Nelm oaAalb --8-- p0. y stxw N119 MAINTENANCE,ALTFAAnON,SALE OR � Real Property Tax: b w 2 yylcp U� luoivl pe�ytm--Nsr-- FIID �11sE U1RErt a N�' OISTNIBUTIONOFANYPORTION OFTNE �® County Center Pivefhea Ib -- --L-- Mm+ne.owtl Um--A-- MnK SUFFOLK COUNTY TAX MAP 15 PROHIBITED lbN W4kl lde YA SCALE IN FEEL Iy,. --- PdtOtr�kf Una --P-- Wuyer�YrDWIstM--Y.W-- m18utANu WSTE TER WTHOUTYdnTTENPERMISSION 81-CEAGENCTHE D REAL PROPERTY TAX SETMCEAGENCY W ���—� lercr Oli4ltl Llr —5-- i FORM NO. 3 D-70 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: January 16, 2018 TO: Joe Read (Kruter)' PO Box 1031 Shelter Island,NY 11964 Please take notice that your application dated Januaa 8, 2018 For a permit to make additions and alterations to an existing single family dwelling at Location of property 9475 Nassau Point Road, Cutchogue, NY County Tax Map No. 1000- Section 119 Block 1 Lot 1 Is returned herewith and disapproved on the following grounds: The proposed construction is not permitted pursuant to Article XXII Section 280-116 A. (1),which states: "All buildings or structures located on lots upon which there exists a bluff landward of the shore or beach shall be set back not fewer than 100 feet from the top of such bluff. The construction notes a setback of 45 feet from the top of bluff, at its closest point. Authorized ign 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, 9h�7�S Street ,tJd{«,v r.J7 2 Hamlet , +X � N SCTM 1000 Section/_Block0 _Lot(s) O Lot Size ?! o Zone I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED BASED ON SURVEY/SITE PLAN DATED Owner(s): ,'c CL Lle 4z I&n Mailing Address: /y/ 6,4k ref w— ) V , A)_t( s l®®l o Telephone:(,,,q(,, .Zy(,5(MFax: Email: k Y 4 tzDn&_/aa `z a 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: Z��2r 4.1> .for( ) Owner( )Other: Address:�®y l D QA;t2i1 � ,�� ,LSU Telephone: q(-,a<1- Fax: Email: ,n a- 3Lr. T-iS Z 4 j pt. Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), Wuthorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED Joj 7,�7�1 S. and DENIED AN APPLICATION DATED /—/ b -le FOR: " Building Permit ( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy ( ) Change of Use ( )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: XIX I I Section: Q A D- l Subsection: f l b A Type of Appeal. An Appeal is made for: ( )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 ( )has, ( ) has not been made at any time with respect to this property, UNDER Appeal No(s). Year(s). . (Please be sure to research before completing this question or call our office for assistance) Name of Owner: ZBA File# Name of Owner: ZBA File# REASONS FOR APPEAL (Please be specific, additional sheets maybe 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: —,) � w � 0_� 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: Cr7�r� �� �+ YS -1 l C9 Y fiX�L � iZC` 3.The amount of relief requested isnot substantial because: 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: 5.Has the alleged difficulty been self created? { }Yes,or 04 No Why: Are there any Covenants or Restrictions concerning this land? X No { } Yes(please famish 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 welfare of the community. Sip/tura of Applicant or Auth 'zed Agent �y (Afnt must submit written Authorizat on from Owner) Swo to befor me this a day of 20 Kim E.Fuentes Notary Public,State of New York Notary Public Qualified in Suffolk County LIC.X01 FU4811709 cam,tg Commission Ex Ires April 30, ' APPLICANT'S PROJECT DESCRIPTION APPLICANT: J os�v� d>�r DATE PREPARED: 1.For Demolition of Existing Building Areas Please describe areas being removed: I {k II.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: J Dimensions of new second floor: Dimensions of floor above second level: Height(from finished ground to top of ridge): Is basement or lowest floor area being constructed?If yes,please provide height(above ground)measured from natural existing grade to first floor: M.Proposed Construction Description(Alterations or Structural Changes) (Attach extra sheet if necessary).Please describe building areas: l Number of Floors and General Characteristics BEFORE Alterations: c�h �� Number of Floors and Changes WITII Alterations: Q r 4o \' IV. Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property: Proposed increase of building coverage: Square footage of your lot: 'N.a I co s 1) Percentage of coverage of your lot by building area: 7, V.Purpose of New Construction: , giX�xsC eft.t'0 12 %V, 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): 1 -� C�. ti 44- 4-0-gym. JL20+ J&P-(J 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 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? / Yes ' _)� _No B. Are there any proposals to change or alter land contours? No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? oaf o, e,,,�s 2.)Are those areas shown on the survey submitted with this application? ti f s 3.)Is the property bulk headed between the wetlands area and the upland building area? YQ a 4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? Please confirm status of your inquiry or application with the Trustees: and if issued,please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feetabove mean sea level? dJD E. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? yes 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? 4&—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? k)o If yes,please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel l•¢ and the proposed use SP M (ex:existing single family,proposed:same with garage,pool or other) --i9-� Auth rizeci signature and IAte 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: —40!2�7 `fE 2. Address ofApplicant"agy ler i 1 _ 3. Name of Land Owner(if other than Applicant): 4. Address of Land Owner: q C/16- K lJ 5. Description of Proposed Project: cr .o 6. Location of Property:(road and Taxa number) � 7. Is the parcel within 500 feet of a farm operation? { } Yes)Q o 8. Is this parcel actively farmed? { } Yes #)o No �9. Name and addresses of any owner(s)of land within the agric 'ural district containing active farm operations. Suffolk County Tax Lot numbers will be provide to you by the Zoning Board Staff,it is your responsibility to obtain the current names and mailing ad esses from the Town Assessor's Office (765-1937)or from the Real Property Tax Office located in Riv d. NAME and ADDRESS 1. 2. 3.----- 4. 5. 6 (Please use the back of this page if there are additional property owners) i ature of 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. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . 5gn.o. . . , Date . . . . . . . . . . . . .June 21. . . . . . ., 19.71+. THIS CERTIFIES that the building located at .Nassau- Point. -Road• • • • • • Street Map NoNaae6•Pt#-P k NO. . . . . . . . . . .Lot No. .72&.3 . .Cutchogue. . It.Y.. . . . . . conforms substantially to the W& 4bUilt dated Were- -April •23• • • 19. 5-7 pursuant to which 111fiffiI&A°ccupa Occupancy dated . . . . . . . June- 21 . . . . . . .. 19. .71+, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private -one. •fami•1•g•dwelling• • •witty -accessory-boat•&• beaah -house The certificate is issued to .p. &.R. Fisher • • (Yisher -& -Ales) • • • • -Owners• • • • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre-existing . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. pre .existing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . 9p!}5. . . . . . Street . .hAseau-r pint,-R0ad• . . . . . . . . ... . . . . . . . . . Building Inspector HOUSING CODE INSPECTION June 20, 1974 #9045 Nassau Point Road R-1 Cutchogue, N. Y. Sub. Div. Nassau Point Club Prop. Tax Roll: P. & M. Fisher Occupied: , P. Fisher & Mrs. Ales, seasonal. Upon request of the Southold Town Building Department, I made inspection of this two story framed dwelling and found the following violations of Chapter 52-1 Housing Code, Town of Southold. I was admitted to building by Mrs. Ales who accompanied me during inspection which began at approximately 11:50 A.M. Basement: Consists of one bedroom and full bathroom (formerly maid's quarters) , one car garage and balance for storage and utility use. An enclosed crawl space is under living room of first floor, this being constructed on cement posts foundation. Bathroom: Moisture resistant flooring does not cover wood floor under area of room occupied by bathtub. Article III, Sec. 52-32 D. FIRST FLOOR: Consists of living room, three bedrooms, kitchen, and one full bathroom. Outside entrances to kitchen and living room from east porch have no means of controlling light in- room .-bn entry. Article V, Sec. 52-56 B. SECOND FLOOR Consists sof balcony stair landing, three bedrooms and full bathroom. Heat is furnished to all rooms from oil fired steam boiler located in basement. Attic: Storage area, considerable amount of daylight along ridge of roof, appears vulnerable to elements. Article III, Sec. 52-31 C. Accessory Building: Beach and boat house in rear yard. Inspection completed at approximately 12:20 P.M. Respe . full su itted, EH:mm E r Hi dermann Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25330 Date OCTOBER 21, 1997 THIS CERTIFIES that the building ADDITION.& ALTERATION Location of Property, 9475 NASSAU POINT ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 119 Block 1 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 2, 1997 pursuant to which Building Permit No. 23893-Z dated JANUARY 17, 1997 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 ADDITION & ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES J. POSCH & S. DOUGLAS BORISKY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N431433 & N431435 DATED SEPT. 12, 1997 PLUMBERS CERTIFICATION DATED OCT. 20, 1997-MATTITUCK PLUMBING & HEATING Buildin nspec Rev. 1/81 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -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 l 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 Infoormation Name of Action or Project: Project Location(describe,and attach a location map): CHIT &1455910'�11"KA ' 12-A ��11BI,512Vy . Brief Description of Proposed Action: r Name of Applicant or Sponsor: Telephone: �b lkD E-Mail: J-D°� fkl�S fly-Vl_ Address: City/PO: State: Zip Code: s llet�j � )9( 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: 3.a.Total acreage of the site of the proposed action? :6'2. acres b.Total acreage to be physically disturbed? acres 1-36 14 c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial AResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Pagel 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? !` 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? y( 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: 11.Will the proposed action connect to existing wastewater utilities? t NO YES If No,describe method for providing wastewater treatment: PIA 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 wetlands or other waterbodies regulated by a federal,state or local agency? X 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: .,.f,,. 4 ] 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 MSuburban 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? X 16.Is the project site located in the 100 year flood plain? NO YES x 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑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: y- 19. 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 Applicantsponsoe: p Date: Signatur 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?" ?, :•� ;,;. z , , �:•' :`^M1 :r' .;, ? '�,,+ r No,or Moderate rr,. ".>•: � . . . _ _ - . ,,' :�:`:•' _•:;->�,'�•�� ;', -�.rZIsmall 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 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? 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 = tJ, may may occur occur 4 - 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? 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. - c ❑ 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. ❑;, Check 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. Name of Lead Agency Date 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) Page 4 of 4 Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) I residing at 1 ' apt (Print property owner's name) (Mailing Address) 4 toDt d do hereby authorize —\,C)P— ; (Agent) to apply for variance(a) on my behalf from the Southold Zoning Board of Appeals. 01 (Owner's Signature) (Print Owner's Name) APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM Tile Town of Southold's Code of Ethics prohibits confliets-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: am(' (Last—name,ir'irst 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 f 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 ; 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 a day of 20 I�( Signature 1 4 Print Name Le.0- V k,- i 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: (Last name,first ftme,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) Building Permit Tax grievance X. Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning C 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. 1( YES NO 7 If No,sign and date below.If 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 corpordtion) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this �� day of Jove 20 Signature Print Name Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. '2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# The Application has been submitted to(check appropriate response): Town Board Planning Dept. ® Building Dept. ® Board of Trustees 0 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: LIN Nature and extent of action: \o iz:A k '6 Q.,A -�a on i �a Location of action: v ,J +A- Site acreage: 7 -f d�G��s, TA _ _1 fo s� AC Present land use: 'QQ.C- - Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Ad (b) Mailing address: /OZ I FS6U24�z � alkl (c) Telephone number:Area Code `7 <K (d) Application number,if any:- Will the action be directly,undertaken,require funding,or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a_pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development., See LWRP Section III—Policies;Page 2 for evaluation criteria. ❑Yes F] No © (Not Applicable-please explain) Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 0 (Not Applicable—please explain) 1-U)12.E 3 - 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 Y,ees7 No [jj (Not Applicable—please explain) 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 0 No (Not Applicable—please explain) `Zy k - l (" Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria M Yes 0 No Ei (Not Applicable—please explain) 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. FdYes 0 No (Not Applicable—please explain) 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. See Section III—Policies Pages; 34 through 38 for evaluation criteria. Yes No® (Not Applicable—please explain) 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. 0 Yes 11 No (Not Ap licable—please ex lai ) 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. YeD No lj�(Not Applicable—please explain) TT VL Attach additional sheets if necessary WORKING COAST POLICIES r 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 [jj (Not Applicable—please expl in) 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 54 Not Applicable—please explain Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section M—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No E� Not.Applicable—please explain Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No 1� Not Applicable—please explain L � � } _ P ? - / -/- TOw� OF 4OUT Qk.,P =Pte. ,.PORY'Y REA ORD /CARP V OWNER STREET VILLAGE DISTRICT SCJ LOT ' o A7' v 7�4 o Epp, E OWNER N E ACREAGE TO, ral5ch if 5.17. ��eA �, ►dere. ,.0 J �5 S W TYPE OF BUILDING y��Ay L •--� F S f1t R Y a9 No, . RES. l SEAS. VL. - FARM comm. I IND. I CB. I MISC. LAND IMP. TOTAL DATE REMARKS 1,��yI7,2 ! '�` • /t(f .e�-r1`► i� � r j a Or _ L P66-6 '2 �y/ '�LD /!-�'oe' irs.,► n ��-o o /a 9,00 o � sur-- Y "C AGE BUILDING CONDITION S � — "I I e Jr. au� t'bSGh 4 o.=� 'moo NE�V NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 /// 7/E7 ' a 3 'q3 'AQ At t-4t:1 Wil" �" `l�j�\1 i nq Tillable 2 L ZG(oZ Tillable, 3 Woodland Swampland Brushlandr House Plot Tota I f.4 S\ i� A h'• �$! Y 1 <� {�.+�{� r I �fs'+7 bijl�[f, ^..,rk e q f,� •+;ns-ak ,r ..9' : ,+,�I N1 a?f ■■■■■■■■■■■!� ►IW■■■■■■ II'3h ■■■■■■■C+�■ �.■■■■■■■ ■■_■■■■■®■_ ■�■■■■■■ ■ ■■■r■■■1,US ■R-W■■■■■■ �.� e£t" ry r''r"r��i •t K,(/ et :+{� > �,+ .� l� ,��3�1 y ''`f "ti av-i � MEMO . �. !ftl�/.��■■■■■ ■■■■®iii�il��J k - �� ■[�Jt�■■■■ ■■■■■■■■■■ NONE MES m■■■ ' ■■■■■ MIMMENEES WOWMINN i 1 Foundation Interior Fin P[re Place Heat Rooms 1 st Floor —9toorns 2nd Floor,-, r • y i � III i• - /I �• •• • •• �� • • r :. `�'•- „"'+ S `'�' -�- -^"' '.'�-�-' `--' _•--,^'� ---'�`,~__ -^'__ .-.-,+'�' ter.. �.... �._... ^�y,�.� -tea '^—�_�- _..�.• —..�-_.�r�:- —:: - �.__------"` � '"°G�..:;,: ; I i rte," h • �•. � ., I �. {�i� �� -. -^r ate.,. )ti • u - - � 1 Ex 1. a, a • R 1 I tl ,•jam. � �_ [• a � '.''.� - ■ CH F r . � _IIS': � ..�... _.--. -.._ . . b •d 1'-q'3/6-0 5/11/1 4" 3'-5" 41' 3'-5" 4" 3'-5" 4" 1T-T' .- - - - - - - - - - - - - - - - - .- - - - - - - - - - - - - - - �-� F 2872FX 2872FX 11141 OFT' 3274PT 3541 OPT 3541OPT 3541OPT (� - - - o i m m m O r O '—X 6'—FA R-DECK ---- m m - z f- -- -- EXI5TING GOVEREED PORG w o PROPSED ADDITIONAL DECK - - - - - - - - - - - - - - - - - - - qrf X1 `4" ce EXISTING LIVING AREA f----- — t— VX 1'7'4" w — — EX15T1NG LIVING AREA " a r- 0 v � m ((� Z o 4014FX 5214FX 110410PT 3274PT 3541OPT 3541OPT 3541 OFT - - - - - - o - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ _ - FBOARD PROVES BY � OF 11?USTEES �-- EXPANDED, DEC�KPI� P05ED , DECK XTENTION 'OWN OF SOUTHOL Ul - T _ .-. - _I _1 GEDAR SHINGLE MATCH EXISTING ROOF -- .O - �. -- - A Z Lu �D n � z REMOVABLE — - 5GREENS Qp Z -- 0owQ -A lD ILS fQ Z_ wLU c� to z r r r � 6 I°1 I 6#11b" 6" I 5' - - r ELEVATION DATE: 11/20/1'1 50ALE: t SHEET: _ A- 1 STREET ADDRESS: 9475 NASSAU POINT ROAD SURVEY OF PROPERTY 0 F AT NASSAU POINT , U TOWN OF SO UTHOLDMAR - 7 2018 � I SUFFOLK COUNTY, MY I 1000 119-01-01so.i,hold lovm PQard of Tr tco SCALE. 1'--30' FEBRUARY 14, 2012 NOVEMBER 21. 2017 (PROPOSED DECK) FEBRUARY 27, 2018 (PA 710S LOCA TED) / o 9 / of I \ �a GDF Q I I T 71 LO / 6G E Oo / NE WALL (�I W o 1p�26_— 00" 128— I 28— \ > Lill n (t1 m MpNUMENT ^ X34` 1 \ \ \ Ln 7 UNDERGROUND 19.6 N PANE TANK ROP1r,, WAIL 1 J J ` `J A/C 0 ( / UNIT 2.5 2.5 S,�c� / SZEPS /I AD LO-T 72 o 1 GENERATORO 0 o \ �1 WO STORY \ \ I �'�41 �] W a o WELL 5.e AME HOUSE 10.5' �� w C� 3 f9 o F.F. E1.. 41.0' \\�\3`32 �^ `P"1 22.2 14.0' BLUESTONE �S R\ 1 N 9 ~ n+ LANDING/WALK D `�\ � ��`Z m M GF:A� N�' � 0cr 10.6' � WAY z GRAVEL B.B. CURB �'1` 17.4' x N OSED �I I I ' I I I 1 m J a B.B. CURB ! PROP ,/ o > O ro UTILITY �� DECK 45.0' m o � � POLE 3e ! 15.1 d 1,a GUY WERE ! 17.4' 9.1� 5.8 III I I I I I I I I i ro o J W f---- - - I IIII ! 14.9' m a m UTILITY ! BLUESTONEBLUESTI ro v POLE ! ! W/STAND NEONS IPATIO r=n W/ST I ! PATIO W/STANCHIONS_ V I I I I I a W/ EECocco col 1 / LOT 73 I �11 1i�o)I Ni \ � �j���ll ' W IJ j 0.30, a IF Q 44 / o � / w W I PO`s to I ! ' LOT 74 coI ! , - UTILITY POLE LOT COVERAGE EXISTING: _ - - "q2' W EXISTING STRUCTURES 2,886 S.F. 10 I - - poll S78 EXISTING GRAVEL DRIVEWAY 4,109 S.F. LOT COVERAGE PROPOSED: 6,995 S.F./96,216 S.F. = 7.27% LOT COVERAGE EXISTING STRUCTURES 2,886 S.F. PROPOSED DECK 140 S.F EXISTING GRAVEL DRIVEWAY 4,109 S.F. 7,135 S.F./96,216 S.F. = 7.41% LOT COVERAGE aF T M,. LOT NUMBERS REFER TO "AMENDED MAP A OF NASSAU POINT, OWNED BY NASSAU POINT CLUB PROPERTIES, INC '' /',• ,fig;�, �. .I FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON ' AUGUST 16, 1922 AS MAP NO. 156. 4 LIC. NO. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION PECORIC.-;SURVEXOPS, P.C. OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW.EXCEPT AS (631) 765-5020 FAX (631) 765-1797 AREA=93,216 SO. F7. HEREON ARE EVA ID FOR THIS MAP AR SEC77ON DNDSCOPI S THEREOFION 2. ALL ONLY IF S P.0. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET ELEVATIONS REFERENCED TO N.A.V.D. '88 TO TIE LINES WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 12-115