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HomeMy WebLinkAbout1000-98.-1-13 OFFICE LOCATION: O��Q� yO. MAILING ADDRESS: Town Hall Annex h O P.O. Box 1179 54375 State Route 25 J�t l�[ Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) y Southold, NY 11971 Q Telephone: 631 765-1938 Irou 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 November 26, 2018 Re: LWRP Coastal Consistency Review for ZBA File Ref RICHARD AND SIOBHAN HANS #7228 SCTM# 1000-98-1-13. The Board of Trustees issued a Wetland Permit(1054C) in 2014 for the replacement of railings and decking on the as-built deck. RICHARD AND SIOBHAN HANS #7228—Request for Variances from Article XXIII, Section 280- 124 and the Building Inspector's August 9, 2018,Notice of Disapproval based on an application to legalize an"as built" deck addition attached to an existing single family dwelling, at: 1) located less than the code required minimum side yard setback of 15 feet; 2) located less than the code required minimum combined side yard setback of 35 feet; at: 2125 Pine Tree Road, (Adj. to Little Creek) Cutchogue,NY. SCTM#1000-98-1-13. 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, the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item"F"which states: F. Granting of individual setback, lot line and lot area variances, except in relation to a regulated natural feature or a bulkhead or other shoreline defense structure or any activity within the CEHA. 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 ��►®F S®u�y® 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes CP Town Annex/First Floor,Capital One Bank Robert Lehnert,Jr. �� 54375 Main Road(at Youngs Avenue) Nicholas Planamento ®�yc®� Southold,NY 11971 9 http://southoldtowmy.gov _ ZONING BOARD OF APPEALS E C E TOWN OF SOUTHOLD Tel.(631) 765-1809•Fax(631)765-9064 LAUG 7 2 118 Southold Town Planning Board August 17, 2018 L'n n_ Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold,NY 11971 Re: ZBA File Ref.No. # 7228 HANS, Siobhan Dear Mark: We have received an application to legalize an "as built" deck addition 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 Y Encl. Survey/site plan : John Metzger Dated : December 11, 2017 UNE 1-4 m12 SEE SEC.NO.096 SEESEC.NOM SEE SEC.NO 086 MATCH —J g +ePl IMTgI-,— — UNE MATCH UNE 2�9 as 12 ��l ,A l°� 4, 17.6 —_�_-- — yon a ''� 1.3A(c) --z -�Y$ FOR PCL NO ?�`• b+1 `m $ ,`y c� �p$4 SEE SEC-NO. .7 s Z a en a +5 n,Pl $'fir Fc'� 005-030112 ��/9 14.9A ,,S' 0 + Ono�.!o ' s + a" •23 Z m s w 3P n sQ +A A @90 �� a $Iv 0A kl�l 79 ice �y�• tc ,.` a 175 t s 6 ZN a�,® �31� pn 3-7A(c) a p i g 5 pots +A3 YO '� 1 ,ay, ae + � p� 6 � cl i m 5 klm 70 27 Von � LA 0%`6+ �(c/ ns ,� � � 559,� � 3+• 9 pn 9pi 271 6.1 u 8 pn�' +�' ® cl $ ,•/. to ' � ,as •, 1�' `11 g .. is '$ y, / cl 9,g-143 //^�� o s ffi s o- s s � a^ 5 csi (��VAA1�/I /h� 'L � sCyO OS 5 , •�f/1/�l'I V JD : 5 ,N t car CAI J S ,rn Mr 20 ti � 19 pn 9 QQ. 1 1 9' m 0 JI� pn vn GPMPF26 �R � 3 162 3A() % FOR PCL NO. I ay I SEE SEC.NO. q 18.1 & 097-09-012 ^0 �y, - _Il ..-I�cj_ 1.45 rww - I 1.S4(e) ar mi x O 1,!,P 23 Z w D 20.1 1 C " 2 '�) ,,, fmr 8I 2 14A(c) 21 AA(C) ,L par' n FOR PCL NO. Y V A� + a d�G(fi �'%•a 1 ao on O m SEE SEC NO. r`ti c\ �� ♦M1° ' "cm''� + °z ,3 jj0 per of k 104-03-014 ` J• WN OF SOUTH r �l `ki po r MATCH UNE Wfh Blori lkrN SCmlOmtre lln• --SW-- rga,.m ObuW lira --ry-- lerlES..ORIII'RI OR43eN5EleLP1a0PEH11F5 sa.areryo-ra NOTICE (21) erv,ryo. O c wee laa --P-- �o�al.. --a-- P.+..wrwNFeunwxe asmzrs--- � . .a o FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NO T ILCE Or;ISAPPRO'JA-L DATE: April 20, 2018 RENEWED: August 9, 2018 TO: Suffolk Environmental(Hans) PO Box 2003 Bridgehampton, NY 11932 Please take notice that your application dated April 13, 2018 For an as built deck addition to an existing single family dwelling at Location of property: 2125 Pine Tree Road Cutcho ug e,NY County Tax Map No. 1000- Section 98 Block 1 Lot 13 Is returned herewith and disapproved on the following grounds: The proposed construction on this non-conforming 21,653 square foot lot in the Residential R-40 district is not permitted pursuant to Article XXIII Section 280-124 which states that, on lots measuring less than 20,000 square feet in total size the minimum single side yard setback is 15 feet and the minimum combined side yard setback is 35 feet. The"as built" deck is noted as having a single side and c of 14.4 e dtal s de y1rd setback of 30.7 feet. Authorized Signa Cc: File, ZBA APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS For Office Use Only Fee: $ Filed By: Date Assigned/Assignment No. Office Notes: House No.2125 Street Pine Tree Road Hamlet Cutchot=_ue SCTM 1000 Section 98 Block 1 Lot(s) 13 Lot Size 21,653s.f. Zone R-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED: April 20,2018 BASED ON MAP DATED December 11,2017. Applicant/Owner(s):Richard and Siobhan Hans MailingAddress:60 Knollwood Drive,Larchmont,NY 10538 Telephone: (914)450-4337 Fax#: N/A Email: randshansna aol.com NOTE: In addition to the above,please complete below if application is signed by applicant'attorney,agent,architect,builder,contract vendee,etc.and name of person who agent represents. Name of Representative: Bruce A.Anderson—Suffolk Environmental Consulting,Inc. for Owners Agent's Address: P.O.Box 2003,Bridgehampton,New York, 11932 Telephone: 631-537-5160 Fax#: 631-537-5291 Email: bruce(i suffolkenvironmental.com Please check box to specify who you wish correspondence to be mailed to,from the above names: ❑Applicant/Owner(s),or [X] Authorized Representative,or ❑ Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED MAP DATED 12-11,2017 and DENIED AN APPLICATION DATED 4-13-18 FOR: [X]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 X M Section 280-124 Subsection B Type of Appeal. An Appeal is made for: [X] 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.1362 Year 1970. (Please be sure to research before completing this question or call our officefor assistance.) M t9SZ t � Name of Owner: ZBA File# REASONS FOR APPEAL(additional sheets may be used with preparer's signature): AREA VARIANCE REASONS: (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties if granted,because: The deck has existed in its present size and layout for many years. (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 deck was constructed by the prior owner. (3) The amount of relief requested is not substantial because: The relief requested for the individual size yard setback of 14.4-feet where 15-feet is required and total side yard setback of 30.7 feet where 35- feet is required.Thus the relief request is minimal with respect to individual side yard setback(4% relief)and small for total side yard(12% relief). (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: The deck is of minor size and is located landward of a bulkhead and there been no further encroachment towards wetlands. (5) Has the alleged difficulty been self-created? (X)Yes,or( )No. Are there Covenants and Restrictions concerning this land: [X] No. ❑ Yes (please furnish copy). This is the MINEU M 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( )IFA USE VARIANCE IS BEING REQUESTED,AND PLEASE COMPLETE THE ATTACHED USE VARIANCE SHEET. (Please be sure to consult your attorney.) A. Signature of Appellant or Authorized Agent (Agent must submit written Authorization from Owner) Sworn to before me this a0l day of Uhl 20i1; Notary Public NICHOLE L PATINO Wotary public,State of New Yolk 0WIffed in Suffolk County No.OIPA6240712 -Commission Emires Mav 16.2019 APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: Richard F.Hans and Siobham Hans Date Prepared:June 25,2018 I.For Demolition of Existing Building Areas Please describe areas being removed: None. lI. New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: 12'x 34' (deck addition) Dimensions of new second floor: N/A Dimensions of floor above second level:N/A Height(from fmished ground to top of ridge):N/A Is basement or lowest floor area being constructed? If yes,please provide height(above ground) measured from natural existing grade to first floor: 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: 1 Number of Floors and Changes WITH Alterations 1 IV. Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property: 1516.23 s.f.(house)+210.12 s.f.(garage)+588.6 s. f. deck Proposed increase of building coverage: 0 s.f. Square footage of your lot: 21,653 s.f. Percentage of coverage of your lot by building areas 10.7% V.Purpose of New Construction: Deck(additional outdoor space. 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):Moderate slopes(10%+/-) Please submit seven(7)photos,labeled to show different angles of yard areas after staldng corners for new construction),and photos of building area to be altered with yard view. 7/2002;2/2005; 1/2007 QUESTIONNAIRE FOR FILING WITH YOUR Z.B.A.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_ C. 1)Are there areas that contain sand or wetland grasses?Yes(seaward of bulkhead) 2)Are these areas shown on the map submitted with this application?Yes 3)Is the property bulkheaded between the wetlands area and the upland building area? Yes 4) If your property contains wetlands or pond areas,have you contacted the office of the Town Trustees for its determination of jurisdiction?Yes Please confirm status of your inquiry or application with the Trustees:Awaiting variance relief prior to filing with Trustees. D. Is there a depression or sloping elevation near the 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 and are not shown on the survey map that you are submitting?No (Please show area of these structures on a diagram if any exist. Or state"none"on the above line,if applicable.) 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 map as approved by the Building Department and describe: G. Do you or any co-owner also own other land close to this parcel? No If yes,please label the proximity of your lands on your map with this application. H. Please list present use or operations conducted at this parcel: Residential—Single Family and proposed use Residential—Single Family with deck (examples: existing: single-family;proposed: same with garage or pool,or other description.) Authorized Signature and Date 2/05; 1/07 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ."5330. . . . . Date . . . July. 2? .. . . . . . . . . . . . . .Tree 1913 . THIS CERTIFIES that the building located at . .2125 . .. . . .. . . . . .:.ad Street 19 Map No.Nas s au i�. . . Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated August , 197 . pursuant to which Building Permit No 91.?, dated ". 4us.t .21 . . . . . . . . . . . ., 19. . . ., 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 Family Dwelling The certificate is issued to . . . Mrs. *alt.or.Fr.i.ad (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . i1.R. Pending UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER .2125 Street Pine Tree Road I Ciitchogue N.Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `.�. . . . . . . . . . . Building Inspector • ( iv. J s C7 p i kk ct ' lo�pl�-.13� _�•.,,�.-,- - — /,� a �{.S-�� , a" /�lM-iu Ltiar,a nar2. G ,f�'�rc, 'd 1 v FORM NO.4 TOWN OF SOUTHOLD' BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . . . . Z,],14F3 Date . . . . . December 13 1982 THIS CER'T'IFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . . 212.5 .Pan.e. ,Free, .$pa,d, , Qu.t,gtiogue , . , . . , , House No. Street Hamlet County Tax Map No. 1000 Section . . 9.8 . . . . . . .Block . . 03, . . . . . . . . . .Lot . . 01,E , . , . . , . , . , Subdivision . . ,Nassau Farms, , , , , , , , , , , , , ,Filed Map No.' 1 179. . . .Lot No. 9. . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated A pX:�J. 2. . . . . . . . . . . . . . . . 19 8 2. pursuant to which Building Permit No. . 11$21 Z . , . . . . . , , , . dated,% . . . .Ju 1.y. , 26. . . . . . . . . . . . . . . 1982, ,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 . . . . . . . . . . . . . . . . .. 111 . . a�c.c.essox:y Za.r.ago. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . .Gera.r.d . QaAlianq . of the aforesaid building, Suffolk County Department of Health Approval . . . Al . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . NAA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 Repair .... .. . ....... Removal .....`.. .. ... .. Domo+lit:on .. . . .. .. .. .. . . Other Work........ .. .... 7 700 ©� (Description) )✓-S7rr�t7� z2s T . .. . . . . . .. . . .... .. . .. .. . . . :._ .. .1. .. .. . . . . . .... . . . . .. (to be paid on filing this application) i. If dWelling,number of dwellinjg units .. ... .. ... ... .. NLIInbcr of dwelhng units on each floor. .. ,.., .. .. .. .. Ifgarage,number of cars .0.!vz ...... ... . ............ . ...... . ..I................ .... .. ........ i. If business,commercial or mixed occupancy,specify nature and extent of each type of use .... .. .. ............ r- Dimensions of existin.g stn:ctures,if any: Front.. . .... . . .. .. . . Rear . , .. , . , . .. . ... Depth .. . . , ..... .... Height .............. . Number of Stories .. ... .. ... . . .. .... .. • . . . .. , ................,.... . ...... Dimensions of Saltie structure 1with alterations or additions: Front ... ...... ... •.. .... Rear . .. . ...... . .. .... Depth .... .. ........ .. ..'.... Height . . . . .. .. .. ......Number of Stories .. ..... . ... . ... f. Dimensions of entire new construction:,FiRnt , ./fry�... .. . ... Rear ./A � . , . . Depth .4-A .. .... .. Height ./?!... Nt,mber of Stores . ... /. .... ... ........... ). Size of loci Front .;7C.". . Rear.Io 7•,��..... .. .... . Depth ... 1!3 ..... ........ ). Date of Purchase ..... ... . ... .. ........ . .. •.Name of Former Owner . ...... .. ... ........... .. 1, Zone or use district in which premises are situated.. . . ..... . .. ... . .. .. . .... . . ..... ..... ....... ....... . ?. Does proposed construction violate any zoning law,ordinance or regulation: ...... .. .... .......... ......... 3. Will lot be regraded . . .. .. ....... .. . ... .. ........ .Will excess fill be removed from premises: Yes N( 1. Name of Owner of premises . . .... .. .. . .. ... ....Address .. .. . . . .. ..... .. . ..Phone No. ... . ., .... . . .. Name of Architect .. .... .... .. . . ... .... ......Address .... .. .......... . ..Phone No. ......... . .... Nameof Contractor . . .. .. . . . . . . .... .. .... ..Address ... .. ...... . , ... ...Phone No. .. .. .. .... ... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions fron roperty lines.Give street and block number or description according to deed,and show street names and indicate whethe ,tcrior or corner lot. WCD wooD 4,9 N'E� a a -� tom—r 10, - 155)- z9l•3 --- — d C< ` TATE OF N Y RIC S.S OUNTY . ...... �•• • h•�. . .... being duly sworn,deposes and says that he is the applican. ( me of individual signing contract) )ove named. . ., . . .. e is the `�. (Contract o , gent, orporate officer,etc.) f said owner or owners, and is duly authorized to erfonm or have performed the said work and to make and file thin ?plication; that all statements contained in this appli ation are true to the best of his knowledge and belief;and that th- ork will be performed in the man.per set forth in the application filed therewith. worn to before me this ¢¢..�. . ....... . .0l1.�4,.4�!v.day of. . . . . . 190C/ `QLau Public, .. ... .. ounty .�.1:. . { `101/Vlty PUBLIC, S e at New Yorl • No.S2�bZ5$50 SuflalB Coon�p/ i i ,r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20453 Date JANUARY 8, 1992 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 2125 PINE TREE ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 1 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 2, 1992 to which Building Permit No. 20363-2 dated JANUARY 6, 1992 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 PATIO ENCLOSURE & BATHROOM ADDITION TO EXISTING ONE ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERARD GALLIANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL IST/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED__ N/A Building Inspector Rev. 1/61 3. Nature of work(check which applicable): New Building . ......... Addition . Iterations h+•�_qv. w3 Repair . . .. ... . ...... Removal . .. .. . ...... .. Demolition .............. Other Work......., .. . (Description).. 4. Estimated Cost .. .. . . Fee ` (to be paid on filing this application) 5. If dwelling,number of dwellirW gaits .. .. .. . .. .. .... Number of dwelling units on each floor, ., ...., If garage,nurntzerf�ars, . 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use ,...., 7. Dimensions of existing structures)if any: Front.. .... ...... . .. Rear ....... . .. Depth . Height . . ....1.,:` :.':.Number of Stories .. . .. .. ..... . ... . .... ...... ... Dimensions of same structure witli alterations or additions:Front ....... . ............ .. ... Rea r . ... ,, f Depth ......... .... .... .. .. .Height ........ ....., .........Number of Stories ,....'....... ,•8. Dimensions of entire new construction: Front . ......... . . ... Rear .. .... .., .. ., Depth Height ..... ... .......Number of Stories . ............. .. 9. Size of lot: Front .. .. . .. .. . . .... .. .. . Rear .. .. ,... ..... ......, .Depth,. .. , ...... ... ...., 10. Date of Purchase . ..... ......... .Narnc of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning Jaw,ordinance or regulation: 13, Will lot be regraded ....... .I. . ........... . ....Will excess fill be removed from premises: 'Yes ,No 14. Name of Owner of premises .. .. .. ......... ....Address ...... ..... ..,. ,Phone No. Name of Architect ...... .... .. .... . ........Address ,... .. . .... .,.. ... Name of Contractor .. .... .... ... . .Phone No. ............... .Address , .Phone No. . ............. 15. Is this property located within 300 feet of a tidal wetland? *Yes .... .No *If yes, Southold Town Trustees Permit may be required, PLa DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines.Give street and block number or description according to deed,and show street names and indicate whether interior or corner lot. -'OCCUPANgY OR PLUMBER CERTIFICATION USE,ISUNLAWFUL ON LEAD CONTENT BEFORE ' . _ :) , 'i-•'wiTNO67 (.ERTIFICATE CERTIFICATE OF OCCUPANCY'' ' OF''DCC'UPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT „ EXCEED 2/f 0 of 1 go'BEAD, . STATE OF NEW COUNTY OF �. ��V SIS . •. . .. .. being duly sworn,deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . .... . .. . .. . ....�3.NV ... . . .... . . (Contractor,agent,corporate officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the ma c'set forth in the application filed therewith. Sworn to before me this ... .... ..�.. . . . ,� W`^. .., 19.�' Notary Public, �f. . county GARY PLANNER OLSEN Noldry Public,Slatr,of Nnw York, rdo 5 • •••••. 1 ro ttaal,r+od I Suffolk councv (Signature.f applicant) rortdsalon Exmroa March 3o,79 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23719 Date JUNE 21, 1995 THIS CERTIFIES that the building 'ONE FAMILY DWELLING Location of Property 2125 PINE TREE ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 1 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23719 dated JUNE 21, 1995 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 ONE FAMILY DWELLING WITH ACCESSORY 1 CAR WOOD FRAME GARAGE The certificate is issued to GERARD & HUGUETTE GALLIANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. NOTE: THIS UPDATES PRE CO Z-20454 DATED JAN. 8, 1992. --- -""4 �- ;/�"/ Bu lding Inspector Rev. 1/81 BUILDING DEPARTMENT TOW#RXTJODUTHOLD DOUSING CODE INSPECTION REPORT LOCATION: 2125 PINE .TREE ROAD CUT CHOGUE, N.Y. number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) GERARD GALLIANO OCCUPANCY A-1 RES. OWNER type owner-tenant ADMITTED BY: GERARD GALLIANO ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-98-1-13 SOURCE - - SOURCE OF REQUEST: GARY OLSEN, ATTY DATE. JUNE 15, 1995 1 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME ! STORIES ONE 4 E%ITS 4 FOUNDATION CANT BLOCK CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: IST PLR. 5 2ND FLR. 3RD FLR. BATHROOM (s) 3 TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO BREEZEWAY FIREPLACE ONE GARAGE DOMESTIC HOTWATER YES TYPE HEATER OIL AIRCONDITIONING TYPE HEAT OIL WARM AIR XX HOTWATER OTHER: ATTACHED STORAGE ROOM ON FRONT. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N-Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE LOCATION DESCRIPTION ART_ SEC. REMARKS: BP 14917Z-CO Z-5330 (Addition b deck) BP 1118212-CO Z-11348 (ACCY GARAGE) BP 120363Z-COZ-20453 (ALTERATION-PATIO ENCLOSURE S BATHROOM ADDITION) INSPECTED BY DATE OF INSPECTION JUNE 7, 1995 GAR);/J�/FTA TIME START END Town of Southold Annex 11/13/2014 P.O.Box 1179 a 54375 Main Road • � � Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37269 Date: 11/13/2014 THIS CERTIFIES that the building SHED Location of Property: 2125 Pine Tree Rd, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 98.-1-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/25/2013 pursuant to which Building Permit No. 38485 dated 11/7/2013 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: ACCESSORY SHED AS APPLIED FOR The certificate is issued to Matelli Arthur Rev Trust&Matelli Esther Re (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 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The extension will b-e 12 ft. x -15 ft. which will leave a side yard of approxi- mately 7 ft. on the north side of the right-of-way known as Red Wood Road. The Board agrees with the reasoning of the applicant that Red Wood Road is 'a pedestrian right-of--way to the water and will not create a traffic hazard. The house is set back 200 feet from the main road, Pine Tree Road. The Board finds that strict application of the Ordinance would produce practical difficulties or unnecessary hardship; the hardship created- is unique and would not be shared by all properties alike in the immediate vicinity of this property and in the same use district; and the variance will not change the character of the neighborhood and will observe the spirit of the Ordinance. THEREFORE, IT WAS RESOLVED Anne Pried, 47 Fine Tree Road, Cutchogue, New York, be GEM= permission to construct addition to existing dwelling with reduced front yard setback as• applied for on property located east side of Fine Tree Road, Nassau Farms, Map No. 1179,• Lot # 19, Cutchogue, New York. Vote of the Board; Ayes;- Messrs: Hulse, Bergen, Grigonis. I�. 1 ` Soto . .fl �� MAIN ROAD - STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971 TELEPHONE (516) 765.1609 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 2993 Application 'Dated May 20, 1982 TO: Mr. Norman Addy as agent for Mr. Gerard Galliano, [Appellant (s) ] Box 262 2125 Pine Tree Road Mattituck, NY 11952 Cutchogue, NY 11935 At a Meeting of the Zoning Board of Appeals held on June 26 , 1982 the above appeal was considered , and the action indicated below was taken on your [ ] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a I J Request for Special Exception under the Zoning Ordinance Article , Section [X] Request for Variance to the Zoning Ordinance Article III , Section 100-32 [ ] Request for The public hearing on this matter was held on June 17 , 1982 . Upon application of GERARD GALLIANO, 2125 Pine Tree Road, Cutchogue, NY for a Variance to the Zoning Ordinance, Article III, Section 100-32 for permission to construct garage in the frontyard area at 2125 Pine Tree Road, Cutchogue, NY; Nassau Farms Subdivision, Filed Map No. 1179, Lot No. 19; County Tax Map Parcel No. 1000-98-1-13 The board made the following findings and determination : By this appeal, appellant seeks permission to construct a 12' by 20 ' garage near the grape arbor in the frontyard area' located approximately six feet to the south property line and 110 feet to Pine Tree Road. The premises in question contains an area of approximately 31,000 square feet with 76-foot road frontage and 107. 49-foot frontage along Little Creek. Existing on the premises is an one-story frame house with porches (as indicated on the July 2, 1976 survey submitted with the appeal application) . It is the consensus of the board that this location is the most feasible and practical under the circumstances, particularly due to narrow passage- ways along the side of the house. The board agrees with the reasoning of appellant. In considering this appeal, the board determines that the variance request is not substantial; that the circumstances herein are unique and practical difficulties have been shown; that by allowing the variance no substantial detriment to adjoining properties would be created; that the difficulty cannot be obviated by a method, feasible to appellant, other than a variance; that no adverse effects will be produced on available governmental facilities of any increased population; that the relief requested will be in harmony with and promote the general purposes of zoning; and that the interests of justice will be served by allowing the variance. On motion by Mr. Goehringer, seconded by Mr. Douglass, it was RESOLVED, that the application of GERARD GALLIANO by Norman Addy as agent, for permission to construct garage in the frontyard area, be and hereby IS APPROVED, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That this garage structure shall not be closer than six feet to the south property line and not be closer than 110 feet to Pine Tree (CONTINUED ON PAGE TWO) DATED: July 26 , 1982. CHAIRMAN, SOUTHOLD TOWN ZONING BOARD OF APPEALS Form ZB4 (rev. 12/81) Page 2 Matter of Gerard Galliano Appeal No. 2993 Decision Rendered June 26 , 1982. Road; 2. That this garage structure be used only for storage (no sleeping or living quarters) . Location of Property: 2125 Pine Tree Road, Cutchogue, NY; County Tax Map Parcel No. 1000-98-1-13. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Douglass and Sawicki. (Absent was : Member Doyen, Fishers Island) . This resolution was unanimously adopted. APPROVED ---------------- RECEIVEDND FILED B•Y THE SOUTI.Cf;D TOWN CLLRK Chairman Board of Appeals DATEq/4` // 2, HOUR-V,65-50 m. ?Town Clerk, To,tin of uthold 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: 'A1 21c_i- pcy-r) F, 14AA-s 3 S to zk-%" H i4N5 2. Address of Applicant: Coo *og uL-,-wcp-t> 3)P-t6(F 3. Name of Land Owner(if other than Applicant): 4. Address of Land Owner: 5. Description of Proposed Project: 4g-Grtcj Zc- kt N )el 7/rG l2' x�`t' cS-S S. 1=•) DC-CW, 6. Location of Property: (road and Tax map number) Z-M' P+ NC -r2A-==4z-- r,-oko Cu`,,y4gcy-JC-% C(000 -qvv- I ' 13) 7. Is the parcel within 500 feet of a farm operation? { } Yes {X No 8. Is this parcel actively farmed? { ) Yes 0 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. 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) J?�O- 4. l Signature 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. Short Environmental Assessment Form Part I -Project Information 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 Richard and Siobhan Hans Name of Action or Project: Hans Project Location(describe,and attach a location map): 2125 Pine Tree Road,Cutchogue Brief Description of Proposed Action: Legalize an existing 12'x 34'(588.6 s.f.)deck Name of Applicant or Sponsor: Telephone: 914-450-4337 Richard and Siobhan Hans E-Mail: randshans@aol corn Address: 60 Knollwood Drive City/PO: State: Zip Code: Larchmont NY 10538 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 ❑1 ❑ 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: ElSouthold Town Trustees and NYSDEC(Wetlands) V 3.a.Total acreage of the site of the proposed action? 0.5 acres b.Total acreage to be physically disturbed? 0.0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.5 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial [—]Commercial ❑✓Residential(suburban) ❑Forest DAgriculture 21Aquatic ❑Other(specify): ❑Parkland Page 1 of 3 i 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. Ts 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:Little Creek(a tnbutary to Peconic Bay CEA) D ❑ 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: El ❑✓ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 1-1On site septic system 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? R1 ❑ b.Is the proposed action located in an archeological sensitive area? R1 ❑ 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 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 21 Wetland ❑Urban 0 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? Pl' ❑ 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, F-1a.Will storm water discharges flow to adjacent properties?. ❑NO DYES b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: 'ENO DYES Page 2 of 3 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: Fv—] ❑ 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/sp or name:Bruce A.Anderson-Suffolk Env.Cons.,Inc. Date:June 25,2018 Signature:A. AUi 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 I No,or Moderate F small to large impact impact may may 4 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 302r'a OTZOIAM Ann(M s A nRDagbMIMFM (Where the Applicant is not the Owner) We, Richard F.Hans and Siobhan Hans residing at 60 Kaolldwood Drive,lLsrchmont,NY 10539 do hereby authorize Suffolk Environmental Consulting—Inc.to apply for variance(s)on our behalf from the Southold Board of Appeals. Richard F.Hans Saobha'n Hans APpLlCANVOWNER TRANSACTIONAL DRSCLOSURE FORM The'Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and eenoloyees. The purvose of this form is to tarovide information, which can alert the'Town of possible conflicts of interest and allow it to take whatever action is ineces �d_same. YOUR NAME: Richard p flans (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 or com=y name.) NATURE OF APPLICATION:(Check all Haat apply.) Tax Orievinice Variance x Change of Zone Approval fo plat Other(activity) 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"elationship" includes by blood, anarriage, or business interest. "Business interest" means a business, including a partnership, in which the 'Town effacer or employee has even a partial ownership of(or employment by) a corporation in which the Town officer or employee owns mom than 5%of the shams. YES, NO x Complete the balance of this foam and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself(the applicant) and the Town officer or employee. Either check the appropriate fine A through D(below)and/or describe the relationship in the space prodded. The 'Town officer or employee or his or her spouse, sibling, parent, or child is (check ail that apply): A)the owner of greater than 5%of'the shares of the corporate stock of the applicant(when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF IRELA°TRONS�HP Submitted this zP 18 Signature: .print Name: Richard F. Hans APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and emoloyees. 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:Siobhan Hans (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 or company name.) NATURE OF APPLICATION:(Check all that apply.) Tax Grievance Variance X Change of Zone Approval fo Plat Other(activity) 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 Complete the balance of this form and date and'sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this �9Gt.t.s f If Signature: —� Print Name- Siobhan viJ, Siobhan Hans I I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The 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: Bruce A.Anderson (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.) NAME OF APPLICATION:(Check all that apply.) Tax grievance Building Variance_ X Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,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 than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 25a' day of June,2018 Signature s:?)--- A.- Print Name Bruce A.Anderson Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C,the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its 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# 98 - 01 - 13 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept/ZBA. . ® 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: Applicant proposes to legalize an existing 12' x 84' (588.6 s f) deck Please refer to the attached Survey for all project specifications. Attach additional sheets if necessary Location of action: 2125 Pine Tree Road; Cutchome,New York Site acreage: 0.50 acre f 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: Richard and Siobham Hans (b) Mailing address: 60 Knollwood Drive,Larchmont,NY 10538 (c) Telephone number:Area Code(914)450-4337 (d) Application number, if any: N/A 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 ❑ No ❑ Not Applicable As indicated within Policy 1, "Development that does not reinforce the traditional land use pattem of the Town of Southold would result in a loss of the community and landscape character of Southold.", this project is a proposal to legalize a deck that has harmoniously existed for many years in this residentially developed neighborhood. Accordingly,this project is consistent with this policy. 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 ® Not Applicable Policy 2 is not applicable in that subject lot and the surrounding neighborhood cannot be deemed a substantial historic and/or archaeological resources. 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 5 through 7 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal will not adversely impact the visual quality of the surrounding area in that the subiect parcel was already improved with an existing single-family dwelling with deck which has not impeded visual guality or the value of local scenic resources. Therefore, the instant proposal fully complies with this Policy. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life,structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ No ❑ Not Applicable The proposal is to legalize and existing deck.The dwelling and deck are protected by a bulkhead. Therefore,the instant proposal fully complies with this Policy. 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 ® Yes ❑ No ❑ Not Applicable The deck is inert and open from below and has no impact on water quality and supply. Conseguently, this project complies with this Policy. 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 ® Yes ❑ No ❑ Not Applicable The proposed deck is separated from wetlands and surface waters by an existing bulkhead with no additional encroachment towards wetlands. Consequently,this oroiect complies with this Policy. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III-Policies Pages 32 through 34 for evaluation criteria ❑ Yes ❑ No ® Not Applicable This project is not applicable to this Policy. Attach additional sheets if necessary Policy 8.Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP,Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable This protect is not applicable to this Policy. Attach additional sheets if necessary 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 This project is not applicable to this Policy. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria ❑ Yes ❑ No ® Not Applicable This project is not applicable to this Policy. 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 ® Not Applicable This proiect is not applicable to this Policy. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies;Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable This project is not applicable to this Policy. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LMW Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable This project is not applicable to this Policy. Attach additional sheets if necessary HANS Property Situate: 2125 Pine Tree Road • Cutchogue • New York SCTM #: 1000 — 098 -01 — 013 (Photo taken on June 25, 2018) Til M w 4 ��_.,'*1 d I 199a 2r F - Photograph indicating the existing deck off the rear of the existing dwelling, facing north. HANS Property Situate: 2125 Pine Tree Road ■ Cutchogue ■ New York SCTM #: 1000 — 098 -01 — 013 (Photo taken on June 25, 2018) Ar P R r ■■ R I1 s .w r f r M#///■■/r■//■■ r■.t■■r/f ,;:,,, ::.' � �` ■ �r4 �af � r■r/rrrf■f/\///r■ ■/rfrrwr r r sRir ■: tf r ■ r ■■rrrifr//■■■■ #■■a■rff B. t s 1rN K' +ef f frr■r//r■r■irrrf rrrraaaa � ksrrrft /rfrl/ /rf/rrsr/rrr /■frfrwR � asnrfrf r / r//rrfff■rf■rf ■ /rffrrrs + arr +c ritwr //rarrrrfrrfrrrrf ■srr+ersr rrrfrr /// /frrrrrrafrrrsrrr rrrfrrr� ya ■■ mars rfr / rrrfsfrrwrrrs ■r■■rrr1 + .4r ■ ■ frfs fsrwrrrf■f■ fd ■ r ■ f rsrrrrar Photograph indicating the existing deck off the rear of the existing dwelling, facing south. HANS Property Situate: 2125 Pine Tree Road ■ Cutchogue ■ New York SCTM #: 1000 — 098 -01 — 013 (Photo taken on June 25, 2018) y L 0 - Photograph indicating the existing deck off the rear of the existing dwelling, facing northwest. HANS Property Situate: 2125 Pine Tree Road ■ Cutchogue ■ New York SCTM #: 1000 — 098 -01 - 013 j +'_�r tt �� . � •r' f � ." yr t F � yd'�•t� -_- a s. f - v'i r xA/' _rs:ry 1 ,:�� 17•w�I a R 4 4, {i aiy.N 1 ,. � ��jj' .�,y"`, ,► �, � _ '*� :.rya e _ .� .a.��. `` -' Air Photograph indicating the delineated wetlands boundary along the shoreline of subject property and Little Creek. Photograph taken from the easterly section of the property, facing northwest. HANS Property Situate: 2125 Pine Tree Road ■ Cutchogue ■ New York SCTM #: 1000 — 098 -01 - 013 ti �+ 6'..~' •�Y .� ~ +, ; -ice....., Photograph indicating the delineated wetlands boundary along the shoreline of subject property and Little Creek. Photograph taken from the easterly section of the property, facing southwest, along Little Creek. HANS Property Situate: 2125 Pine Tree Road ■ Cutchogue • New York SCTM #: 1000 — 098 -01 - 013 ,.. .» #F , _.r .. vo x t Y� r . Photograph indicating the delineated wetlands boundary along the shoreline of subject property and Little Creek. Photograph taken from the dock, facing west. HANS Property Situate: 2125 Pine Tree Road ■ Cutchogue ■ New York SCTM #: 1000 — 098 -01 — 013 Now `4� (( i, ( ..•;� � �� ��+'.�r ,moi X_ _ y I Ni, Old Photograph indicating the existing trees to be removed (arrows). Photograph taken from the shoreline of subject property and Little Creek, facing southwest. TOWN OF SOUTHOL CO 000, m - OWNER, �U � STREET VIE. GE DISTRICT : SUB. LOT 4A4rZ/b;41FORMER OWNER ,'�`' � N E ACREAGE }f Q 'cr- A, is 1�l TYPE OF BUILDING J -REg:& � SEAS. VL. FARM COMM. I INQ. f CS. Est. Mkt, Value LAND IMP. TOTAL DATE REMARKS /j,fS-f Se 4a" 1 A Ia •ad k � .Dg vAr04 c n . -eo%C �� c 'dr Q Gla G� ' dr firaJ' In cn (�A j L Y Rve�q j r n a P Ize F- oS' o Gf t�� fo c id /3 � 7l//� P - 4.P, 1f2 carrstr- AGE , . 13UfLDIhiG C NDIT[ IAPA-42 ' P�03&3 - ,T -- "�, AGO 13dtie~7 2 �. Q FRONTAGE ON WATERj� -7C*Farm 5"S�Acre Per cre Value FRONTAGE ON ROAD LO Tillable V0 `j 7004 ' X/O f S BULKHEAD G�e Tillobie 2 DOCK m Tillable 3LO � a Woodlandq1,qm -Lli0 r71' Gtt1A' Swampland I ABrushlcrMw , sh m ao m House Plot N ;< Il 50 N - 117 m w� Tota I �trr _ t f .t t�3+�„•, ,' t��' � ��:wy� , -crams; _•� 5 � NONE WON IF ••..'f � ��•sem/. �.� ._� ■■■■MINESIon ff [ ire -Ifidloill! • J Basement •. 1 • , f Lit ►• r .s •- •• Rooms 2nd Floor.. LOT NUMBERS REFER TO "MAP OF NASSAU FARMS" I am familiar with the STANDARDS! FOR APPROVAL SURVEY OF PROPERTY N FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON AND CONSTRUCTION OF SUBSURFACE SEWAGE MARCH 28, 1935 AS FILE NO. 1179 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AT CUTCHOGUE and will abide by the conditions set forth therein and on the TOWN OF SOUTHOLD permit to construct. ,' HOuSUFFOLK COUNTY, N. Y. The location of wells, cesspools & public watershown hereon are 1000-98-01-13 from field observations and or from data obtained from others. SCALE.' 1'30' r JANUARY 10, 2012 (DWEWNG) OCTOBER 18, 2017 (CER77FICA77ONS) & SEP�C SYS LOCAf10N UNKN° � /� DECEMBER 11, 2017 (SETBACKS) (WELL Cft '� EDGE /flat' �'_ M�Nicy w�� ROAD gDrooD ----------sem _ o - 9.84'u1n LITY 32 • , POLE _ �.c MyIRE � — 4 PAYERS w a2W—` \ \ Vol c �,�,Row \N83 09 5® E x " =\ Beo 23.8 ZONE X ��l \�` Osb FE X A_2 X X TEST H — w Off. G�{r� ,p�� \ 0.3'N�3 X'N=X X�rX � p' 88 8—`=_ �= ea +7.8 NN x___10 pr1E STORY � / +to.B' w FRAME HOUSE --1 T. ` \ 7 Q G R Q/ — — F.F. EL 11.8 ZONE AE \\ PAVERS f (EL 6) Q,r G \\` ♦ \ 8.0 11.2' LOT 19 0��� c°`�ER ❑� -1 x o —FR. GAR. o' — _ W" 363.47' 20 4 FE O S O 1.4S ��� 6►OO+ \\ N_____—o MARE FENCE o. s� \ - S85'09'50"W (DWELLING) FE o.WS LOT 18 Ns 1.8'E o Certified To: Richard Hans O 'QJ Siobhan Hans TEST HOLE DATA Fidelity National Title Insurance Company BY McDONDALD GEOSCIENCE Citibank 1/5/12 EL 8.8' DARK BROWN LOAM a. �R of: me* --- ,' AREA=21,653 SQ. FT. ���.tT. BROWN SSILTM SAND SMTOME LINE 4 ELEVATIONS REFERENCED TO N.A.V.D. y FLOOD ZONE FROM FIRM RATE MAP NUMBER PALE BROWN FlNE SAND SP 36103CO164 H SEPTEMBER 25, 2009 � Q EL ON— &3' 8.3' � ( ,4 °WELL N.Y.S LIC. NO. 49618 WATER IN PALE BROWN FINE SAND SP ANY ALTERATION OR ADD17ION TO THIS SURVEY IS A WOLA71ON PECONIC SURVEYORS, P.C. OF SEC77ON 7209 OF -THE NEW YORK STATE EDUCATION LAW. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERAFICA770NS P.O. BOX 909 ■=MONUMENT HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF 1Y O / =WETLAND FLAG SAID MAP OR COPIES BEAR TRE IMPRESSED SEAL OF 7HE SURVEYOR 1230 TRAVELER STREET 1,2-101 WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 WOTE.. INSTALL IY2! HAODPAIL BOTH SIDES OF CrAlp 36" ABOVE� FAGC OF MV-9b L-IAJE vCP_ncAu Dm 7-op or -rev-PD To bamm TPFA-D =LDVS'1 if U U 46 ID U F.L VL_7n c)N I / NOPTH EL- _VA-r100 \ ��a0/ 'EVE, j (6)SD 19 x 13T 0 screws(shown)or 0 L.CE43 (8)1 Od x 136*nails AUG V8*HOG lag S t�'p N with HOG washer or 0, N A SDWH Timber Hex [Wzical __ _ 9 , HOG screw(shown) into top plate,studs, Fi or header Typical DJTJ 4Z Installation rD .0 DTTIZ L 3'min.thread 10 AC4J L 1—:: V,&,7 0 penetration Fill all round and 0 CLIMA triangle holes for TIC AND GEOGRAPHIC DESIGN CRITERIA Typical DTTIZ Deck-to-House maximum bad AS PER'12015 INTERNATIONAL RESIDENTIAL CODE-ICC",TABLE R301.2(1) Lateral-Load Connection GROUND WrNDDESIGN NNOW —SMSMIC SUBJUX.TTODAMA(MMOM WrNTMt ICIISHIELD LOAD DESIGN SMW( TOPOGRAPI SPECIAL WI r IDEStON UNDERLAYMENT FLOW EFFECTS REGION DEDRISZONE PROST—UNP TERMITIC TEMP. REQUIRED HAZARDS — SIm psoo...smom,-nE 25 PSF YES YES ; DE"11 MODERATETO 5p-e FouobAnoo pt-A6 For- Loc'&T-too 3 C�Mfl`; HEAVY YES ZOVEW T-op RAIL. 13' .2" gours Bit lr,&Ca. LM&CP_ 4)e ay. L: 0 �_.A 27 $EA-L 01 A7-5fAC4lJC* Bfj LVS 1,49-:PS CD 1/6 8F_-rWV3. NOTE ;k4,0" 'a AC& P I(W' GlizDa— H0HF_ ()WQF--P— TO co"wrT HiwimuFi \(EARj. y (S-0PS00 5T1Z0QCr--TlC "4. ACa. p4nST- J019'r H&Iorwz's (7�p) ROCf UQrJF-D- MOW _C'rP_vQa _'rP41J&__rr_ IQ�s C-'710Q OF t)erK wHs�_z 4 FA�s \ CritPT -Te t)TT142 To 00 �)QtM fXOSS CAf -Iv F_V'-N0q_ F_c; Loll LUS28-3j N do Gr42ZU- HAW,4ek. ;z'0"MP. P JDOVJM F_Y,),S T I IJ C, E 0r C' House 1 LL S1HP50O sTQo ja-TIE p7T1 LATF-P-AL- LOAD C00iJF_C-T02_S XS SHOI.Jo (.4i .) I sfmps-A3 srpo occ-T7C 9_cL. uslls-3,?- rilrm � WAloctee- A j/ '1z CAW. 13OLTS � W45l4E25P _Lj cr- t cc @j45- BU I L- 00 Q0 < O V) E 0 TME PCE 73z A 63)_27y-9 G I P_D C_k4'kW.&Ca pasr (3j-Tv_8 IUSTDIL 00 03 I' ox 1'- 1,7 plow lLjrr SU_oz 5 eb b U U t 0 ;P Pom'c' 3 2:44 IT IS A VIOLATION OF THE LA\kt f-0 U Q D&T 10 kJ LA.Q UNLFOR ANY PERSON,ESS ACTING THE G. PL&Q NG UNDER DIRECTION OF A LICENSED ANY CY7 ARCHITECT,TO ALTER ITEM ON THIS DFIAWING IN -:7 eryK ANY WAY.ANY AUTHORIZED 0, A5 8 U I LT '�"-;\I� :-1--3 wl HODIFICATIOQ5 ALrERATION MUST BE NOTED,SEALED,AND Ll DESCRIBED IN ACCORDANCE WITH THE LAW. .--ROAD C)Cru C G-.T M 1000 98 - 01 - 13 5CALE ,, DATE 27;K 00 0SER 2-017