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HomeMy WebLinkAbout1000-78.-2-29 OFFICE LOCATION: �0f SU(/T�O MAILING ADDRESS: Town Hall Annex l0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) � � �O Telephone: 631 765-1938 Southold, NY 11971 Fax: 631 765-3136 COMM ,, LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD I MEMORANDUM To: , Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date June 19, 2018 Re: LWRP Coastal Consistency Review for ZBA File Ref MARGERY RIFKIN DAVID AND REUBEN J. DAVID #7168 SCTM# 1000-78-2-29. MARGERY RIFKIN DAVID AND REUBEN J. DAVID #7168—Request for a Variance from Article III, Section 280-13(A)(6)e, and the Building Inspector's Feb wary 13, 2018,Notice of Disapproval based on an application for a building permit to legalize an"as built" accessory apartment in an existing single family dwelling; at; 1) "as built" accessory apartment exceeds 40% of the livable floor area of the existing dwelling unit; at: 1130 Glenn Road, (Adj. to West Creek) Southold NY. SCTM#1000-78-2-29. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program(LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the below Policy Standards and therefore is INCONSISTENT with the LWRP. 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. Minimize loss o lie structures and natural resources om oodin and erosion. Policy 4. f life, � .�' .� g The as-built accessory apartment does not meet Town Code regulations and was constructed without the benefit of Board review. Note that a portion of the single family residence is located within the FEMA Flood Zone - 0.2 PCT ANNUAL CHANCE FLOOD HAZARD. f I I f -^' '' � x }�4 uwi NM �Y n�':��'i.RN�"N:.x�� 'x?"rs:Y:lir,' � '. !•'P � •k::�,.r � r ��� rz '��s: GSA,,:ts+,�-+inti.'•:.. .er.,. i�g,.. �r dr::'q�,sr a� �,..4;'rte ': '• a..:,�.` -ri " ` -4 5.i l _v'i P..-,�i 4"1,"-•'y'"�ry..:. n:a'= ;-4};S�'r��yya��...'` S :!"•#.t.:`r � ;:,". ':�.g,^�'" ,`-iw _`-i,`_•,�m....' .rv.; yPs:a'�a".w'xs,'' e_3 s.•. 1240 �.�� a�`,.�F,�Tpy"E�� � rn, °�.tw.{•.�.�;�..�.�"..0.•`.;.:,a•.�'ti.�y�. ,K.. " . �y� ,b ,�; y r;.� yf "„x.`.�r,`..;•:�,,•. 'is R CF S "' ,�_�£'�.:.1C'V}e' b",rt Yt �t�.�"vs yr'f41^.�+'.:•.k:.:"+ jy,Y.Y1 R�' t•Y.S•a., .r`y t�•-'i ;; ¢. ."t.flti` "-..� RRI YY"'� d #4 =; siJi•. " .F 4`�'`y�y,L+,,`r:. .�'.,^+. ,` ±4' i. r .7, _`',~,M;r ' 3 I r- �.. 1!m k��` ic�('* .q � .�ixwxta*.tk{;' 'S4"�•':"''skyl- 'Y VE 1+41„�. ` ''�+�•�,,..�°,• OFFA �:=g+'`•1130 Glenn Rd:,�'�'�"��`�t ,� �`�d-r'�ri �d'r �;.;"5•:; ,�'✓n” '� � '�q+'rte esu'.�r �:.44'�s�`�-'yGr,':;r�'�d '�" ,� Y 2 CTeANNUAL CHANCOAK E �'�,•�Y' !x J'[ yK° .B.'S'X iii..J7 i'M�ry AV A M®RO, MMM"' •��',tt� � �;a,� r� �yy*'r.+� ;;-R'.;gCo ��.� y� 3�,� ,,tt 1t �1020"Glenn Rd f. VW•.� �;.��;� '� ��,��%. � �,�;�. �� �� �T '{� 'i;���"?���R ..^ 1�'�r'" .`�•��w,Yr�,� +'Fcii>'�, 'Ptp{r� ��I tri; o. ���`d`� ��.Y i�¢,/'' ��s`x*�'.� �I�/'� .E`?�,�f"�'..'►g+� ;>� yY�y' Figure 1. FEMA Flood zone in relation to structure. 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 Southold Town Hall Leslie Kanes Weisman,Chairperson of sv�� 53095 Main Road•P.O.Box 1179 �® �® Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes y Town Annex/First Floor,Capital One Bank Gerard P.Goehringer y� 54375 Main Road(at Youngs Avenue) Nicholas Planamento c®USouthold,NY 11971 9 http://southoldtow,nny.gov ZONING BOARD OF APPEALS n TOWN OF SOUTHOLD D Il Tel.(631)765-1809•Fax(631)765-9064 MAR 2018 March 12, 2018 Southold down 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. # 7168 DAVID, Reuben & Margery Dear Mark: We have received an application to legalize an, "as built" accessory apartment in 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 268-51) is requested within 30 days of receipt of this letter. Thank you. Very truly yours, j Leslie K. 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I `� I TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: February 13, 2018 TO: Patricia Moore (Reuben/David) 51020 Main Road Southold,NY 11971 Please take notice that your application dated January 19, 2018: For permit to legalize"as built" accessory apartment in an existing single-family dwelling at: Location of property: 1130 Glenn Road, Southold,NY County Tax Map No. 1000— Section 78 Block 2 Lot 29 Is returned herewith and disapproved on the following grounds: The "as built" construction, on this 29 620.8 sq. ft. lot in the R-40 District is not permitted pursuant to Article III, Section 280-13(A)(6)e, which states; "The accessory partment shall not exceed 40% of the livable floor area of the existing dwelling unit and any addition thereto permitted under § 280- 13B(13)(j)hereof." The livable floor area of the as-built accessory apartment is±90.9% of the livable floor area of the dwelling unit. Aut riz ignature 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. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS Eee:$ Filed By: Date Assigned/Assignment No. ffice Notes: House No. 1130 Street Glen Road Hamlet Southold SCTM 1000 Section-78—Block 2_Lot(s)_29_Lot Size 30705.6 Zone_R-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED February 13,2018 BASED ON MAP DATED interior foundation plan 12/21/17 Applicant(s)/Owner(s): Margery Rifkin David&Reuben J.David Mailing Address: 1 Ryder Court,Dix Hills,New York Telephone:_ Fax#: _c/o 631-765-4643_Email:_pcmoore@mooreattys.com 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: Patricia C.Moore Esq. for(X )Owner,or ( )Other: Agent's Address: 51020 Main Road,Southold NY 11971 Telephone_631-765-4330 Fax#: 631-765-4643 Email: pcmoore(iDmooreattys.com Please check box to specify who you wish correspondence to be mailed to,from the above names: ❑Applicant/Owner(s),or E Authorized Representative, or ❑Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED MAP DATED foundation plan dated 12/21/18 and DENIED AN APPLICATION DATED January 19,2018 FOR: Building Permit(for second kitchen) ❑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 III Section 280-13(A)Subsection(6)(b) 2nd Kitchen in lower level(Kosher Kitchen) Type of Appeal. An Appeal is made for: A Variance to the Zoning Code or Zoning Map.(Second kitchen deemed an accessory apartment)-owner requests a second kitchen for single family dwelling use. ❑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,E has not been made at any time with respect to this property,UNDER Appeal No. Year_ (Please be sure to research before completing this question or call our office for assistance.) Name of Owner: Margery & Reuben David ZBA File# REASONS FOR APPEAL (additional sheets may be used with preparer's signature): AREA VARIANCE REASONS.- (1) EASONS.(1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties if granted, because: The house was constructed by Lars Torkelson in 1985 as a single family dwelling with a "summer kitchen" in the lower floor (walk out basement). The David family purchased the property in 2016 and obtained permits from the Southold Town Trustees and a building permit for a small addition on the first floor and renovations to the house. One of the desirable amenities of the house was the second kitchen. The family is Jewish and having a kosher kitchen for the Jewish holidays is very desirable. The building department would not allow a second kitchen without the variance. The building department called the space an "accessory apartment" but the owner is not requesting an accessory apartment or a separate dwelling, only a second kitchen for the single family dwelling. (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: The second kitchen is existing and without the variance it would have to be removed. A kosher kitchen is very common in the Jewish faith. To maintain a kosher kitchen there has to be a physical separation of all cooking and serving sets. Milk and meat products may not touch. A second kitchen without any intention to create a second dwelling is not uncommon. According to Tor Torkelson, the prior owner's son, his mother used the second kitchen seasonally and for holidays. It kept the house cooler and it was a traditional European/Nordic feature. (3) The amount of relief requested is not substantial because: The house is a single family dwelling, the second kitchen for the prior owners was a "summer kitchen" because it had access to the outside. For the applicants, the second kitchen is for religious purposes. In either case, the house remains a single family dwelling. There is no request for a two family or an accessory apartment certificate of occupancy, only "a second kitchen for the single family dwelling". (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: A second kitchen is an interior amenity with no environmental impact. (5) Has the alleged difficulty been self-created? (X)Yes, or ( )No. The house, when purchased, had a second kitchen which was added after the house was constructed. The David family had plans for the house renovation so the basement improvements with the second kitchen-would be included in the building plans for the renovation. The owners wish to have all improvements legally recognized by the building department. Without the variance the kitchen has to be removed. Are there Covenants and Restrictions concerning this land: E No. ❑ Yes lease furnish 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. Check this box ( ) IF A USE VARIANCE IS BEING REQUESTED, AND PLEASE COMPLETE THE ATTACHED USE VARIANCE SHE lease be sure to consult your attorney.) Sigwrru—re of Appellant or Authorized Agent S orn before mI S (Agent must submit written Authorization from Owner) o ar ub i BETSY A.PERKINS Notary Public,State of New York No.01 PE6130636 Qualified in Suffolk Co Commission Expires July 1� APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: Margery Rifkin David & Reuben J. David Date Prepared: January 29,2018 Variance is only for use of interior kitchen in basement. I. For Demolition of Existing Building Areas Please describe areas being removed: None II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: none Dimensions of new second floor: none Dimensions of floor above second level: none Height(from finished ground to top of ridge): Building permit issued for one story house renovation front of house 18'6" and rear 24'10" (walk out) Is basement or lowest floor area being constructed? If yes,please provide height(above ground)Yes, the existing basemernt is a walk out level. The lower level includes a great room, exercise area and recreation area. The lower floor also includes keeping an existing kitchen as the owners "kosher kitchen". measured from natural existing grade to first floor: n/a III. Proposed Alterations or Interior Structural Changes without enlargement/extension (attach extra sheet if necessary) - Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: Number of Floors and Changes WITH Alterations: The existing one story house also includes a walk out basement The basement is being renovated with a great room , recreation area,storage and utilities. The lower level has an existing kitchen used by the prior owners as a "summer kitchen". The applicants wish to keep the kitchen for Jewish Holidays. IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: 14% Proposed increase of building coverage: Square footage of your lot:30,705 sq.ft. Percentage of coverage of your lot by building area: Less than 20% (14%) V. Purpose of New Construction Requested: retaining existing kitchen in basement VI. Please describe the land contours (flat, slope %, etc.) as exist and how it relates to the difficulty in meeting the code requirement(s): flat and adjacent to west creek. Trustees permit issued for renovations to house. Please submit seven(7)photos,labeled to show all yard areas of proposed construction after staking corners for new construction),or photos of existing building area to be altered(area r of requested changes). QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premis listed on the real estate,market for sale? Yes V No B. Are re 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? eS 2.)Are those areas shown on the survey submitted with this application? 3.)Is the properly bulk headed between the wetlands area and the upland building area? N!7 4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? M�Please confirm status of your inquiry or application with the Trustees: 2 ,$,&f/riLl/?'l/4ZI2 s and if issued, please attach copies of permit with con and approved survey. D. Is there,a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? E. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? A49 Please show area*,of the structures on a diagram if any exist or state none on the above line. ,p F. Do you have any construction taking place at this time concerning your premises? Yej If yes,please submit a.copy of your building permit and surve as approved by the Building Department and please describe: A '1p 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. &XC&IeW H. Do you or any co-owner also own other land adjoining or close to this parcel? /1® If yes,please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel 1-16a5-C �O and the proposed use_ /[� ley/ (ex:existing single family,propo ,d:same with garage,pool or other) I Authorized signature and Date. An= TOWN OF SOUTHOLD r;,o�sdfFnl��pG; BUILDING DEPARTMENT TOWN CLERIC'S OFFICE r, V SOUTHOLD, NSP BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OE.APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 41 845 __ Dat®: 7127/2017 Permission is hereby granted to: David, Reuben 1Ryd�rCt Disc hills, NY 11746 To: legalize "as built" basement altered Into living space and to construct new additions and alterations to the existing single-family dwelling as applied for per Trustees approval._Additional certification may be required. At premises located at: 11,30 Glenn Rd, gouthold__ SCTM#473889 Sec/Stock/Lot#/76..2®29 Pursuant to application dated _6/19/2017_ and approved by the Building Inspector. To expire can _112612019._ AS BUILT-SINGLE FAMILY ADDITION/ALTERATION $1,765.60 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $494.80 CO-ADDITION TO DWELLING $50.00 Total: $2,310.40 ll' ._..�...��W�..__..._...�.Suil ��,�'linsp®ctor _.. FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . . . Z1.3M. . . . . ... Date . . . . . . . . . . .October. 3 . . . . . . . . . . 1985. THIS CERTIFIES that the building . . . . . new. dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . .1130. . . . . . . . . . . . . . . .G1en ,Rd,.. . , , . , . , . . . .Southold. . House No. Street Ham%t County Tax Map No. 1000 Section . . . .7$. . , . .Block . . . . . . . . . . . . . . .Lot . . . . 29 . . . . . . . . . . Subdivision . . . . . . .West ,Creek ,E s t q t e s, , ,Filed Map No. . .3$4 8.Lot No. . . , , 13. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated t�ec,ember, .17. . . , 19$x.pursuant to which Building Permit No. . . .1.2848Z . . . . . .. . . . . . . . . . . dated . . . . . . . :�a q u a p,y, ,21, , , , , , , , . 19$4 . ,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 . . . . . . . . . . . . . . . P.rivate .9pe,--fami.�Y. dute3 l in. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . . . . . . . . . . .L A R S T 0 R K E L S E N . , , . . . . . touvner,3Ce�c�'�� 1K of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . 13.-A Q-. 1.7.j , , , , , , , , , , , , , , , , , UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . A 6 9 9 5 4 q , , , , , , , , , , , , , , , , , �t C Lam_ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/89 L0 \ �V Q DO �OP \OO Q W 11 I•1 I \ % t \ L 1 \ \ \L I \ 010 {"A 1\ N 1 1\V 01 1\ lT O 1 Y E09WP E1.4 - Ij 111 O V ssse 'fib 1 /`OPJ 1\ Q ~H./29.83, L Z Si• ry 1 O O /e tT O- SEA O, d 3 N ' Iz9 nzIFaPME ra ie i \gTONpUSE > EL sea SUFFOLK CDURTY HEALTil DEPARTMMNi j 90111Mt P "" �7��{���y I DATE`�� Z R. D. Rw. #�! ¢o e EL' .j20 /\���' 1b The gawage dis \ELa ELa m pops!and water supply � u, facilities for this 1OGa�ion have been A inspected by this department and found r 6vf \ to be satisfaotory. /l \ Q. c; J E , fpr 1 Chief of Gene, 1 KnRiaeerinv bELc1.3 ?J Servt¢os m O- LEL0 to VSE �d�eA �- ;:•;; :;� 7988 5'g ' . w a� . o p5¢ " Q Law;.:a Fig' SURVEY FOR AUG 5,1985 LARS TORKELSON Q ASTRI TORKELSON FEB.22,1984 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICEh LOT-13F"WEST CREEK ESTATES" DEC 19SEPT 20,,1983 1983 AT SOUTHOLDDATE AUG 22,1983 FOR APPROVAL OF CONSTRUCTION ONLY TDWN OF SOUTHOLD SCALE. I"240' SUFFOLK COUNTY, NEW YORK NO. 83-653 DATE_--I'S REF. "UNAUTHORIZED ALTER�ITION OR ADDITION To THIS SURVEY St.VIOLATION Of SECTION 7209 OF THE NEW YORK!l TATE EDUCAT ON LAW 't PTE OF Aq, *COPIES 9!THIS SURVEY NOT BEARING THE LAND S /' APPROVED NOT Rt COSS DERED TOINKED LBE A VALID TRUE CSSED AOPY SMALL O`�r.ND W' YO O.p'I• NGUARAN ES INDICATED.HEREON SHALL RUN ONLY TO Z. .A}'tA G HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PER FOR WHOM THE SURVEY IS PREPARED AND ON HIqq RE1NALF TO THE TITLE COMPANY,GOVEAN- M NEAREST WAIFJI 4S1R ML! C,,GNSOURCE OF WATER•P%I%*TF✓PUBLIC_ MENTAL AdENCY AND LENDING INSTITUTION LISTED M SUFE CO TAK MAP O1T/_SECTION O?B BLOCK O LOT=2? HEREON,AND TO THE ASS)ONEES OF THE LENDING M THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY To ADUTIg1 GUARANTEES ARE NOT TRANSFERABLE ro ADOInONAL INSTITUTIONS ON SUBSEQUENT OTHER THAN THOSE*MOWN HLREON OWNERS �Q M THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM 1011 THIS RESIDENCE N DISTANCES SHOWN MEpEON FROM PROPERTY LINES . 45893 WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EX WIND STRUCTURES ARE FOR A SPECIFIC OF HEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH LAND$ORLLrt APPLICANT- PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS TEL YOUNG a YOUNG R�RHEAD,NEW YORK 0-MONUMENT O°PIPE 6•STAKE ELEVATIONS SHOWN THUS,LZ.75 ARE REFERENCED TO MEAN SEA LEVEL ALDEN W.YOUNG,PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OFTHE CLERK OF SUFFOLK COUNTY - AND;LAND SURVEYOR N XS UCENSE NO 12845 ON AUG 19,1863 AS MAP NO 3848 -10--- =M5T COUTOUe. HOWARD W.YOUNG, LAND SURVEYOR M THE LOCATION OF WELL(WI,SEPTIC TANK(ST18 CESSPOOLS(CP)SHOWN MOREON N.Y.S.LICENSE NO 45693 ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS SRANDIS 6 SONS.INC 1618 I - - n AGRICULTURAL DATA STATEMENT_ ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO DISE THIS'FORM:Tfie fo'rnt must be completed by,the applicant for any special'use.perndt,site plan: approval, use varidnee, or subdivision: approval on property within an agricultural district'OR svithiys 500 feet of a farm operation located in agricultural district 411 applications requiring all agricultural data &a ainent must be referred to the Suffolk County Department of Planning in accdrdance with seddofis 239-- zit and 239-n of the Geiieial Mrenicipol Laip. 1)Name of Applicant: r 2)Address of Applicant: 3)Name of Land Owret (if other than applicant) 4)Address of Land'Owner: '. 5)Description ofPfoposed Project: 6)Location of Property(road and tax map number): . //3 b 4_ O 7)I9.the parcel within an agrieultaral district?.❑No•❑Yes'Ifyes,Agricultural District Number`. 8)Is this parcel actively farmed? ONo El Yes 9) Name d address 'of any ovvner(s) -of land within the agricultural-district containing active fano opefation(s)'16cated'500 feet of the boundary of the proposed project.(Information maybe available through ' the Town Assessors Office, Town Hall looation'(765-1937) or from any public compufei• at the Town Hall locations by viewing the parcel-nunibers on the•Town of Southold Real Property Tax System. Name'and.Address -10,a7 2. l 3. 4. 5.' .6. (Please use backside of page if more than six property owners are identified.) The lot numbers may be obtained,in advanoe,when requested from the Office of the Planning Board at 765- 1938 or the 77 eM—gB_9_ard-6f Appeals at 765-1809. /3 / le - 'gnature of Applicant Date Notd: 1.The local bond will Solicit eolininent5 from the ownersof land identified above in order to consider the effect'of the proposed action on their farm operation.Solicitation will-be made by supplying,a copy of this.statement. 2:Conuneats returned to the local board will be taken into consideration as part of the overall review of this application. 3.The cleik to the local board is responsible for sending copies of.the-comple"ted Agricultural:Data Statement to the property owners identified above.The-cost for mailing shall be paid by the applicant at the time the•application is subnutted for review.Failure to pay at such time means the application is not complete and cannot be acted upon by the board. 1-14-09 617.20 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 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: Aa,►-q e4'y � &12&Y' f�� Project Location(describe,and attach a location map): �-/-� /3 o 12oad cpM d�or Brief Description of Proposed Action: �e,l varfi S &A i I '�G s h r d t-V lC�f�Gi Name of Applicant or Sponsor: Telephone: ILY t .U/�� E-Mail: COi�l2° 0012° c1Yr'J Address: City/PO- State: Zip Code: 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? 51V acres b.Total acreage to be physically disturbed? ® acrej/nh"/C-o c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 3�`f acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial DResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑ Other(specify): ❑Parkland Page 1 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? I/ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ✓ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? / c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ✓ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: / 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: I/ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 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? 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 terations in squ re feet or acres: Z 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: VSoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional wetland ❑Urban ❑ Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, A/ a.Will storm water discharges flow to adjacent properties? LT NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoffand storm drains)? If Yes,briefly describe: EVK0❑YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? / If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor--e- ��/v�Gz DD rc 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 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 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? 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. ❑ 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) �r���e�yGlZI/ic�esiding at (Print property owner's name) (Mailing Address) ,56 01d A l7 do hereby authorize "���, (Agent) I6_//,r(c/ �. �� X(o ore to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. (Owner's Signa 4&, ly_ (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 : '/ (Last name,first name middle initial,unless you are applying in the name of sonfeone else or otw entity,s ch 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 Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) rdatCPlanning 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 to7officer or employee owns more than 5%of the shares. YES NO —7"� 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 of �� _ ,20_1_? Signature Print Nam /10:rjc r 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 : M 912.6 e72-y D7fV,(n (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 XTrustee 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 5�,��1"day of De� ,20/7 Signature Print Name A le_&t�x / 6114 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits*including Town of Southold agencies,shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C,the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program.A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered"yes",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 Margery & Reuiben David SCTM# 1000-78-2-29 AGENT: Patricia C.Moore Esq., 51020 Main Road, Southold,NY 11971 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. Building Dept. ❑ Board of Trustees ❑ Zoning Board of Appeals X- 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: ❑ Type: Town of Southold LWRP Consistency Assessment Form 1 Nature and extent of action: retain kitchen in basement(exempt from LWRP) Location of action: 1130 Glen Road, Southold Site acreage: 30,705 sq.ft. Present land use: House being renovated Present zoning classification: r-80 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: Margery&Reuben David (b) Mailing address: 1 Ryder Court,Dix Hills,New York (c) Telephone number: (_631) 243-3299 (d)Application number, if any: _ Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No X 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 No ❑ Not Applicable X Discussion (if appropriate): Interior alterations. Kitchen in basement 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 Not Applicable X Discussion(if appropriate): _ Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III-Policies Pages 6 through 7 for evaluation criteria Yes ❑ No ❑ Not Applicable X Town of Southold LWRP Consistency Assessment Form 2 Discussion (if appropriate): NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III-Policies Pages 8 through 16 for evaluation criteria Yes'❑ No ❑ Not Applicable X Discussion(if appropriate): parcel is not in flood zone Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III-Policies Pages 16 through 21 for evaluation criteria Yes ❑ No ❑ Not Applicable X Discussion(if appropriate): Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III- Policies; Pages 22 through 32 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): _ 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 X Discussion(if appropriate): _ Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III-Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion(if appropriate): _ Town of Southold LWRP Consistency Assessment Form 3 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. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): interior improvements WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III-Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): _ Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III- Policies; Pages 62 through 65 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate) Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III-Policies; Pages 65 through 68 for evaluation criteria. 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L. t- THP, f t i �� v ♦ � +� �G_.,/ tea` y ao _ O v a W-Ewl ,0' 'Al + =�i+gi�19 __ i •µ--__ _ _�.. - -. :awa^�:ta.�.+..,s• .twii'i4 F. r _ ff►iL4� w19Y • C; IWOf s_ R f lop t Nc - i ' + w r" }41 tr act-}'k. t vA,- tot k T�S�#� e fUk- VI't am t -ems. _� .• �, p i ,v F L OOPN .0 AM OL STORM WATER MANAGEMENT DETAILS NEW ROOF AREA:224.1 SQ.FT. N.T.S. FOA[i O ,�E'r �+- .E i6E AT 100%WATER RUNOFF:37.4 CU.FT. PROVIDE 6'DIA.X 2'DEEP DRYWELLS DRYWELLS CAPACITY:42.2 CU.FT. OGEE GUTTER-STANDARD 511 NOTES: 1).EXECUTION: SITE A).DO NOT BEGIN INSTALLATION UNTIL SUBSTRATES HAVE BEEN PROPERLY PREPARED. D 2).PREPARATION: A).CLEAN SURFACE THOROUGHLY PRIOR TO INSTALLATION. B). PREPARE SURFACES USING METHODS RECOMMENDED BY THE MANUFACTURE NOIR S C TM # 1000-13-50-171 ACHIEVING THE BEST RESULTS FOR THE SUBSTRATE UNDER THE PROJECT CONDITIONS. PAINT CONCEALED METAL SURFACES AND SURFACES IN CONTACT WITH DISSIMIILAR METALS WITH PROTECTIVE BACKING PAINT. 3.INSTALLATION: DESCRIPTION: SQ.FT.AREA: LOT COVERAGE: EXCAVATE: FILL: A).PERFORM WORK IN ACCORDANCE WITH CDA HANDBOOK AND THE DRAWINGS. 1).GUTTER TO BE PITCHED TOWARDS LEADER 1"TO 2"FOR EVERY 40'OF RUN. 2).SHEET METAL JOIN LENGTHS WITH WATERTIGHT JOINTS. a).COPPER/LEAD:FLASH AND SOLDER GUTTERS TO DOWNSPOUTS AND PROPERTY: 30105.6 SQ.fi. .70 ACRES ACCESSORIES. B).ALUMINUM:RIVET AND CAULK WITH A BUM SEALANT SLIP JOINT eDRY CONNECTORS. 3).CONNECT DOWNSPOUTS TO STORM SEWER SYSTEM AS INDICATED.SEAL PROPERTY WETLANDS: 7504.9 SQ.Fi. .17 ACRES CONNECTION WATERTIGHT. WELLS TO BE 10'MIN. 4).PROTECTION: BUILDABLE PROPERTY: 23200.7 SQ.Fi. .53 ACRES WAY FROM HOUSE A).PROTECT INSTALLED PRODUCTS UNTIL COMPLETION OF PROJECT. B).TOUCH-UP,REPAIR OR REPLACE DAMAGED PRODUCTS BEFORE SUBSTANTIAL COMPLETION. ESTIMATED AREA Of 3000 SQ.FT. 0 0GROUND DISTURBANCE: 0 0 c 0 t ^ v J EXISTING HOUSE: 2175.9 SQ.FT. 9.4% z EXISTING DECK: 482.2 SQ.FT. 2.1% o O EXISTING PORCH: 56.0 SQ.IL0.2/° • EXISTING SHEDS: 256.9 SQ.FT. 1.1% EL 2 PROPOSED ADDITIONS: 87.4 SQ.f1. 0.4 I r PROPOSED DECK ADDITION: 219.8 SQ.fi. 0.9% 4 CU.YD. 2 CU.YD. w APROXIMATE LANDWARD S� U � LIMIT OF TITAL WETLAND O PROPOSED DRYWELLS: 1- 8'dio 5 CU.YD. 3 CU.YD. 10' NOF-TURF EL TOM: 3278.2 SQ.FT. 14.1% 9 CUP .YO. 5 CU.YD. �"'�� lO c/J z O i IW z A N07541. 9�I �U2 I �i a a ao 84 9-�p C'7 0 o SHED '_ 1 1 LIMITS`OF CLEARING 00 _ ^F-I co 0111 I (HAY BALES) EX. STONE WALKWAY PORTA-LAV TORFMAIN t ^ O O 91.2' v ' EX.RECT ON SITE FOR CONSTRUCTION ON GLE CENTER OF CONSTRUCTION w: J ,\ E�`J(• O \ CONSTRUCTI11IIIONDISTFA` EXISTING ASPHALT RIVEWAY ,Myu TO REMAIN4 ON SIb0. WEST CREEK \\ \ z" ai m EXIST. ae;' DECK (DREDCxED� \ \ w:; i EL. 12.3 `� ` QO \ u o MEETS & BOUNDS \ N O `-:' 1 BY: YOUNG &YOUNG EX. ISTY, ORCH 1 O' DATED: AUG. 22, 1983 \ ', 12.3' HOUSE \ 'i0,6 X BASEMENT EL.8.1 '00p \ 'X :.J . HAY BAY w/SILT FENCING; ' j 4, j \ l.0 !T O 12.0 X4, 14.0'X9. LIMITS OF CLEARING TO BE ADDLTION �� O O FLOATINCsDOCK EX, RAMP DOC NO MORE THAN 20'FROM PROPOSED WORK AS _ O IVO DICATED ON SITE PLAN ��; �� �� O ..................... � 15.8' 12 � 1. � 1 ' 9 g fV v _ EX.SHED GP _ 99 \ \ Y HW4 01 .. RELOCATE.. .. _ - O X c� ......:.t� ow .: "u.o 11 I �J 1 :•EX.WOO ` _ '. O` 1 SOIL-; 0% •SHED TO E� ` LOCATION .........--•- t.;I : REMO. ..--••.........................� ................. ' I 10 NON-TURF (WAYBALES) RF LIMITS ES B S 1601514011 E 26'4.0401 ` CONCRETE \ WASHOUT 1 APROXIMATE LANDWARD SEL LiMIT OF TITAL WETLAND 10 11 EL 2 61TE FLAN DRAWN BY: MH SCALE. 1" = 20'-0" 1/23/2018 SCALE: SEE PLAN OF NEW C, 5. DE SHEET NO: o � I 072502 ��FESSI0