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1000-70.-10-54
OFFICE LOCATION: � SO(/TyOlO MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) G � Telephone: 631 765-1938 Southold, NY 11971 ® �O P Q Fax: 631 765-3136 �y,0oUNT`I,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, AICP Assistant Town Planning Director LWRP Coordinator Date October 9,2019 Re: LWRP Coastal Consistency Review for ZBA File Ref JOSEPH AND DANA TRIOLO#7324 SCTM No. 1000-70-10-54. JOSEPH AND DANA TRIOLO #7324 - Request for a Variance from Article XXIII, Section 280-124 and the Building Inspector's May 28, 2019, Notice of Disapproval based on an application for a permit to construct additions and alterations to an existing single family dwelling; at, 1) less than the code required front yard setback of 35 feet; located at 420 Beachwood Lane, (Adj.to Goose Creek) Southold,NY. SCTM No. 1000-70-10-54. 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 CERA. 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 MEMBERSa S® ifOl Southold Town Hall Leslie Kanes Weisman,Chairperson O 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Q Office Location: Eric Dantes �O Town Annex/First Floor, Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue) Nicholas Planamento yc®U +� Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS ECEI TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 JUN 0 4 2019 Southold Town June 4, 2019 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. # 7324 TRIOLO, Joseph Dear Mark: We have received an application for additions and alterations to an existing single family dwelling. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-51) is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairperson By: (F- S aG,1J Encl. Site Plan : Robert I. Brown Architect Dated : May 24, 2019 MipFqnSEE SEC NO 063 MATCH —————z-——————LINE N.329 482 34 RD WESTHILL RD Town Creek 22 21 24 tp Ip 7 q TOWN OF SOUTHOLD 21 34 7RtoL-o/ uV9e--P(4- 72 3A(c) zo 19, / CVD - -73- -7o- 10-5.3 40 3.2A(c) 21 2.1A 0A t0 1 115 2 162- 2rj* 2.;(6 C 35 m SOUTHOLD V OP I's i t25 ",3 to) 3 V BAY 2 q -A 3F, 39. GR1SIEr. C. 0.) 2 2015 40- (14 9 Ir rn is 36 P G7 43 NN 31 t! 2011 43 1.61 zu C�. 26 F 33 er 34 Z5 395 4A 381 1Z, 37 Py 32 4860 IT M) 9 l5°1 394 31 58 1 9A(c) 20393 30 1.5A(c)15 j\ P 22 70 UNI nooseFOR PCL NO BEACH SEE SEC-N 283 07 26 27 2B2 i 0A(C) 29.j 292 N 325.662 MATCH LINE NOTICE COUNTY OF SUFFOLK K 059 06 063 7o OF SOUTHOLD SECTION NO E MANTEI-NCE ALTERATION ME OR Real Property Tax Service Agency Y 133 OISTRIBUTI NOFANYPORIIONOFTHE a County Center Riverhead,NY 11901 m 069 070 VILLAGE OF SUFFOLK COUNTY TAX MAP 13 PROHIBITED SCALE IN FEET_ 71 070 WTHOUT VAITTEN PERMISSION OF TH E A REAL PROPERTY TAX SERVICE AGENCY P 075 T, 079 8 16DISTRICTNO 1000 7 PROPERTYMAP FORM NO. 3 730?1TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: May 28, 2019 TO: Robert I. Brown(Triolo) 205 Bay Avenue Greenport, NY 11944 Please take notice that your application dated May 8, 2019: For permit to construct additions and alterations to existing single-family dwelling at: Location of property: 420 Beachwood Lane, Southold, NY County Tax Map No. 1000—Section 70 Block 10 Lot 54 Is returned herewith and disapproved on the following grounds: The proposed construction on this nonconforming, 18,922 sq. ft. (17 393.9 buildable land) lot in the Residential R-40 District, is not permitted pursuant to Article XXIII Section 280-124 which states,• lots measuring less than 20,000 square feet in total size require a front yard setback of 35 feet. The site plan notes a front yard setback of 29.5 feet. Authorized Signat Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, Z.B.A. Fee:$ Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS f/�� AREA VARIANCE House No.�` Streetl�Y" Hamlet f SCTM 1000 Section-70 BlockLot(s),1;4 Lot Size Zone I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED ff��BASEDD ON SURVEY/SITE PLAN DATED Owner(s): :D DI/) -+ ( Jd46 j (.& Mailing Address: 174 3 Telephone:07M-970 Iiax: `— Email: 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 erson who agent re rese ts. (rl/L Name of Representative: for(Owner( )Other: Address: J Telephone: -`7 7ax: !-f 77- Email: (,n b0 ri6C4A ' CW Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/ ), Authorized Representative, ( )Other Name/Address below: EC-1 WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PL N DATED and DENIED AN APPLICATION DATED 8 167 FOR: --�d)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.) ,,,JJ Article: )0(1 1 1 Section: 2�- /g- `7' Subsection: Type of Appeal. An Appeal is made for: ( )A Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law- Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Reversal or Other A prior appeal( )has, ( ) has not been made at any time with respect to this property,UNDER Appeal No(s). Year(s). . (Please be sure to research before completing this question or call our office for assistance) Name of Owner: ZBA File# REASONS FOR APPEAL (Please be specific, additional sheets may be used with preparer's signature notarized): 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted, because: 11 � J 2.The benefit souly the applicant CAN OT be achieved by=tt for the applicant to pursue, other than an area variance, because: eke-01� �>, -� yafZ7( a�-XAazk� 3.The amount of relief requested is not substantial because: �1 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: P . 5. s the legged difficulty been self-created? {` Yes,or No Why: Are there any Covenants or Restrictions concerning this land? A No { } Yes(please furnish a copy) This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health,safety and welfare of the community. Z-." - Hat e of Applic t or or' ed Agent ( (Age must submit ittrn At or n from Owner) Sworn to be ore me this 06 -day of47U 20j__7 - '/ n1a Cary, CLAIRE L.GLEW Notary Public,State of New York No.01 GL4879505 Qualified in Suffolk County Commission Expires Dec. 8, APPLICANT'S PROJECT DESCRIPTION APPLICANT: C�'NLlL,�I�/I (,p DATE PREPARED: .5 1. For Demolition of Existing Building Areas Please describe areas being removed: _ `v- II. New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: N d nn* Dimensions of new second floor: Dimensions of floor above second level: Height(from finished ground to top of ridge): — � Is basement or lowest floor area being constructed? If yes, please provide height(above ground) measured from natural existing grade to first floor: 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* Number of Floors and Changes WITH Alterations: 11P alMlne- 4o 4*2as IV. Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property: Proposed increase of building coverage: , Square footage of your lot: Percentage of coverage of your lot by building area: V. Purpose of N Construiption: r 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): Please submit 8 sets of photos, labeled to show different angles of yard areas after staking corners for new construction,and photos of building area to be altered with yard view. 4/2012 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes --'V_No B. Are there any proposals to change or alter land contours? No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? 2.) Are those areas shown on the survey submitted with this applica ion? 3.) Is the property bulk headed between the wetlands area and the upland b ilding area? klk�) 4.) If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination oft 'uris iction? " ease confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved surve . -�y Q 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? W Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises? &D If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other'land adjoining or close to this parcel? if yes, please label the proximity of your lands on your survey. I. Please list present use or operations conducted at his parcel PAI0' ezz and the proposed use O (ex: existing single family, proposed: same with garage, pool or other) i AuthQOed sigpdfurate FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z�§92. . . . . . . Date . . . . . . . . . . . . . . Acq�ne;. . 2, 19.72. THIS CERTIFIES that the building located at .:R"q4 qd. 1"o. . . . . . . . . Street Map No.&QUA; VQ0I1 . Block No. . . . . . . . . . .Lot No. 16. . . . . . 0.outh0ld. . RaX I . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . : : Mh . . . 2819.72. pursuant to which Building Permit No. , 57.W. dated . . . . . . . . . . $3irU . .5. . ., 19.72., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .PrS.7.40. OA@.XNdlY. dWe11ing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .aermal.ne. . .Uttle. . . . . . .Owner . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . NOT-1,. .1972 . .by. R. .Villa. . . . . . UNDERWRITERS CERTIFICATE No. . . .19. 051112 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IiOUSF NUMB R. .lt2Q . . . . . .Street. . . . .$ea.0IM00t1 .ale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERICS OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OFTHE WORK AUTHORIZED) �........... �� ��'�� ��'�o�»� �� Date ....-.,......—#p�� ...-.wc....-, lR.�/�, �� ° � m �xx �~ Pwmnbsbm is hereby granted to: *Mjk, iR* Little ``^^^^^~~~~--^^^^^'~^~~'~—~-'~'^^^^--^------. l ^~~.~....-^.^^....^~.~.~.'.^....^-~'..^.--'_---. ` IvIld now on* to ....^~^^`^^~^^~^`^^^^^^~~^^^``^^`^`^^~^^'..^~'`^^^~^^'^^'..''---^~^--~~'^~'^'^^'^'^^^'~~^^'^^'^^-~^'^-^^^~` ^~~^'~~~~^~~^—'~~~'~^'~'~~'~^~~'`^~'~~'^~`'-~~^—^^'~~^^'^^'~^^^~^-~^'~^^^'`''~^~'~~~~~'~~`^^~—^ Lot 16 atpremises located at .'..... .' . ^^^.......................�..—.-^--`.~^..^,.,_^__,______,,.__`,_,_~, .............................. .............. 1~za.^~,.^,,,^.^,,^.,..^.,..,.^,.__.,___ ^'~'~'~~~~~~''~~~~~~``~~'~~~~~'~~~~'~^^'~--^^^`—^'^~—^~``~~^`~^~^'~^~'`^'~~~'~^~—'`~—~''^^` pursuant to application dated ............JW .^.,... .., 1972.., and approved by the Building Inspector. Pee $1992t����...,,, ~^ ^^^'^' ing Inspelctor IVOHM NO. s TOWN OF SOUTHOLD Building Deportment Town Clerics Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dispcsal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 V. J ,� Dote New Building ..................f.�Old or Pre-existing Building ............................ Vacont Lond ............................ Location Of Property ..... ............................ Owner Or Owners Of Propbrty ,MRS...��.Nkk.�G''.-..�+..(.yT. rl..'Ce.............................................. Subdivision ., .c�k b.P.. .............................Lot No. .14.... Black No. ........4ouse � .......I... Permit No�.4.74.n. Date Of Permit .�_ S/2.yApplicant . . .W.. . ... Health Dept. Approval .............................................Lobar Dept. Approval ............................................ ... Underwriters Approval *46_../.,/.1 2..........Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .1.00 ....................................• r Fee Submitted $%J............................... Construction on above described building and ermit meets oil applic le codes d regulations. Applicant . .... .`. ..7�• 2� Sworn to before me this "��,/� y ... ....... day of .,..... (stamp or seal) Notary Public .. County TERRI LEE ELAK NOTARY PUBLIC, State of New York No 526168295 Qualified in Suffolk County Commission Expires &:arch 30, 19 -7,Z. S-9 SCUD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date NOV 1 1972 Bldg. Permit No . TO WHOM IT MAY CONCERN : The sewage disposal facilities for a structure located at t A4-9- )try'-tLL ) 4' A- (Give deed 1 c ion) Y' have been inspected by this department and found to be satisfactory . NOV 1972 ��es SUFFOLK COUNTY DEPARTMENT OF HEALTH ^ H.D.Reference No��d EASTERN DISTRICT, RIVERHEAD,N.Y. APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Date ` c Approval to construct said systems is requested,pertinent data herewith: 1-,applicant _ ,. Phone 6-Sub div ry wv > Address i; a , 7-Section 2-Detailed property location �_ 8-Lot No. 7 •- Hamlet... Town 9-Private well? f 3-Public water supply name -- I ' .. " Distance to nearest main I 4-Lot Size: Width/ ,- ., ft. Lengthft. also enter on center plot plan below: 5-Dwelling: Single Family 0 Two Family? "Cellar? Lf Slab? L/Crawl 4pace? L/ 10-Proposed system: Septic tank V Precast U Cesspools Shallow pools L_/Other Lf 11-Septic tank inside dimensions: Volume Gals.Length ft. Width ft. Liquid depth ft. 12-Precast sections: [3fNumber"Square Ft. Cesspools:Block size L incs.D ins.H . ins. Total blocks below inlet: #X #; l1 i3_.eLd PLOT PLAN Tank Capacity'% 'Gals. +) PUMF G.P.M. 6 o �i+° '4 c $. cri 0 V _P .�. n Cd Grad = cor2o Wk c M 00C G W.L. 0 0r. I -.:, cU) 0 W4 y H -H +, o W i 08 Cd W1 Data t m `i .c Street f r _ -'c. �/•i��= 0 Id 0 0 -A � �Piv 4 2 4-3 0 �� 'y ,+,✓ cv 8 CO 10 .� 12 14 4 w Ind: ate � 18 No th The Undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Sewage Disposal Systems". _ �, 5 �� v Date ' Y Signed _ c%•� !, crr r� Owndfl or Builder ` FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this Plot. Date Signed M (10/65 Revis.) S-15 t roses xo. t (�. / D o . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE � SOUTHOLD, N. Y. Examined.... .s.............. 19L Application No. ........... Approved ......................................... 19........ Permit No. ....................... �� �c,C �� Disapproved a/c ........ ...... ...... ...... n c ..... ... ..... ... ........ .. ............... . . ........................................................... ........................ ............... .................... .... ....... ........................ .................................. ( utlding lnspe or) APPLICATION FOR BUILDING PERMIT Date ............................... INSTRUCTIONS 1 a. This application must be completely filled In by typewriter or in Ink and submitted in duplicate to the Building(_ Inspector. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets orp areas,and giving a detailed description of layout of property must be drawn on the diagram which Is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permi shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occuponclh shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicoble Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as heroin described. The applicant agrees to comply with all applicable laws, ordinances, � building ccodehouusini�ng code, and regulations. �W. hv'` ,.�. t7ra....�.. ....... cf applicant, or name, if a corporation) (Address a pllcar,F..:.r :...................... of State whether applicant is owner, lessee;'agent,architect, engineer, general contractor, electrician, plumber or builder, ..........................I......,; .........................•......................................................... Name of owner of premises -.-..ic.....1 rsr.-e� ........................................................... i I a c orates ature of dui authorized officer. r (f appl ca rp Y ( r_ '`.. . ......�r.P................ 7 (Name and title-of corporate officer) I u rh W" .1. Location of land on which proposed work will be done Map No.: ....................................... Lot No.; J.46............... Street and Number ,�,�fi.4&..w.a o.P.......4.to:/.✓...c............................................................................... a�. Municipality 2. State existing use and occupancy of promises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....VA.C.A.11 r......4.*4b................................................................ .......... b. Intended use and occupant ,........................................................................................ 3. Nature of work (check which applicable): New Building ...-V........ Addition ..... ... ....... Alteration ... ......... . Repair ....... ...... . Removal .................. .mDemolition.................. Other Work (Describe) ........... . ........... .......... 4. Estiated Cost ..... ..............................Fee .................................................................... .. . ............ (to be paid on fi:ing this application) 5. If dwelling, number of dwelling units .....#72.9w...........Number of dwelling units on each floor . .. . ................. Ifgarage, number of cars.......107U. -I.................................................................................................................... .... 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 . T........ Number of Stories .................................................................... Dimensions of some structure with alterations or additions: Front ................................... Rear ............. ........... Depth ................................ Height ......................... ..Number of Stories ................................ 8. Dimensions of entire new construction: Front ... ................. Rear...62..4........... Depth Aq. ........... Height ./I.Fr... Number of Stories ..... ..................................................... ... ............I.... ... .. ........ 9. Size of lot: Front .... ...... Rear ....... 1. .. ......... Depth ...cL.0-4..F1......... 10. Date of Purchase_.......................................................Nome of Former Owner....._. ............................................. . 11. Zone or use district in which premises are situated ................................................................................................... 12. Does proposed construction ,,Iolcte any zoning y1w, ordinance or r u C '10 ;' YV 02&1 ..;./Y. R;,?...---......-*-----......... 13. Nome of Owner of premise .Address ............ Phone No. .................... Nome of Architect .... Address . .... ................................. Phone No. .................. . P ....Address ........... Phone No.76J-::�O-,� Nome of Contractor1kV-*-*'-'-....... . .....-" PLOT 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 comer lot. ti soum woo i�ill 31 A &LrACW e Yl STATE OF NEW YORK, I Of S.S. COUNTY OF ................................f .......... . ... . .. ...... ...... . ......... . . ..... ..... ..........I...... of I application) p I icotion)................ being duly sworn, deposes and says that he is the applicant (Name individual signing abovenamed. He is the ...........................................................................Z' -f................................................................ (Contractor, agent, corporate officer, etc.) of sold 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 manner set forth in the application filed therewith. e Swom to before me this .......... ;r day of ......... 90A ..... ' 1 11 1/ a.&!V............................................................... . C Notor/ Public ...... ountV (Signature of applicant) A""Llu--Iftl 1. 80KEN No Public, 5rate of Now York No.52-0344963 5-ffofk county '�mmlssion Expires Morch 30, 10 IREAUIEIOERRD AITERAnON OR AOpInDREr r0 THIS sueYfT Is A YIotATNYI OF T E S T k 0 L G SECTION 7709 Of THE NEW TONE STAT4 EDUCATION LAW. ' CONES OF THIS SURVEY MAI NOT N'ASQp .--- THE LAND SURVEYOR'S INREO SEAL 04 IMEOSSED SEAL SHALL NOT EE CONSEDHEO O x 10 SE A VALID T.UE COPY, GUARANTEES INDICAEED HEREON SHALL RUN OIILT TO 1NE PEIESON POR WHOM THE SO4VR SAN C C `,O Ls gESARED.AND offHis o:HAu To THE AND TREE COMPANY,GOYFANMWEAL AUaNCT V� (� LENDING INSTITUTION LISTED NEU"ANDAND TO THE AS$IfY1Ef5 O/TN[lEN0EN0 IEgn, TOO ADDITICItM j=TERNOT EON4Isueu T S O{ Euw • i ��\Jy`\oo o �' s fat, WATI E-9 TEST /AAi OF i'�OC'ER I y, r to NCLB SUgvf;vL-n FDR. d 2AAiLITTE ao • (6� �' SITUATE' AT S0UTH0LF) co c 2 TOWq Or SDUTI,60, K y a \0' `�P��a / �•�;O�E cE�;Poll PLEVA 13NS EELIk 1-4L fJ O.0 T O��P4 ay�rLa p 1414 WA i SL Cj DOSE- L¢C E K a� SUzVeyE fu • IAAV.LH 30. 1972 � rOTE- 1,.� ti TYL SON LOT WU/A&L-;z5 SUD\YN VLI P R T0, "//SAP OF SDUTU YuC7;' N r AILED IM TIE' SUF-rOLiz COUNTY GI.E¢K'S OFpICb --' -- - A5 /AAP NUTAPia 2141 LitE-M5Lf! 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TUTI OF IME IH.DING INSII• OIVON GUARAN1El5 ARE NOE;RANSFERA� PQRS Ory•�l INSiIiUTIU v NS OR SWSFQUEp N �� G• �1G7YO HfGG� Yp *kc ��Vl\b Title IHSUYprtC@ Canpa.,EE1 Ir y O(7� the So�ItHofQ $ay1Hqq� O auYVeyQct Asbt.28. !-mk as ®��iaTE• �'` DoT 14U/AbVAN T U Y L4 S O N &RS SMOkVq ¢E� To. ",OUPif 14 FILK IN TUU- SU"dLK COUNTY CItoR14 o"Iz&tiV00D," AS 1AAP 14U/A6HZ 2141 I.ICE145En LANs 5U1Zfty0R5 [,a.EEk.poaT . r��v Yoxv. I I � I L'L7sy - --ti —c Y+"��. mer.- _�� - .� I �t�:••,.,•r• _ c - — �_ I _I I � �n",•--i i. syr,, •�•- - - 1te25a T y..l� o_ss- et._.(N�s Wd Ni _.r?.e. • .f�°; t: .` 4;a.YI'B- jrr: a's ,� ;t;,rt,�•• I • 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. n 1. Name of Applicant: 2. Address of Applicant: 3. Name of Land Owner(if other than plicant). -i 4. Address of Land Owner: 5. Description of Proposed Project: 6. Loc tion of-Property: (road and Tax ma number)-- ------ - -- -------- --— — - 7. Is the parcel within 500 feet of a farm operation? { Y Ye J� No 8. Is this parcel actively farmed? { } Yes _P4 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) Signature of Ap ica 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. 1 � i Nii � A ` w .Y' Ar +�I1,4 " t pp „ - k s Y f + A � • ••• • • 1 - •• a • • • 1 1 .. 1 . .MIMI 91 •. •� t' d' 1 3f27!'f?'I�J 420 Beachwood Ln-Google Maps i i 420 Beachwood LIQ Southold,NY 1197.1 Photos C'^4 7F https://www.googie.corn/maps/place/420�iBeachwood+Lr,+SoLithold,{IVIS+11971/@41.0514707,-72.4233989,951 m/data=!3m1!1 e3!4m5!3rn4!1 sOx8go899f4625fd5cf:Ox6b326b58955b9ace18m2.!3d41.0... 2/2 617.20 Appendix B Short Environmental Assessment Form Instructions for ComMetin� 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 and Name of Action or Proj ct: Project Location(describe,an attach a location map): SAy-70 Brief Description of Proposed Action: P � �vzz adder s - , e�c�s L a c d rrn,�e. -qe � d Gia Name of Applicant or Sponsor:: Telephone: �3l_ E-Mail:• Address: City/PO: State: Zip ode:, a- 1. Does the proposed action only involve the legislative adoption of a plan, local law,ordin nce, 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: 1� Eo-�hbJcL1 \Y 3.a.Total acreage of the site of the proposed action? 3 acres b. Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑ Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial Residential(suburban) ❑ Forest ❑Agriculture Aquatic ❑ Other(specify): ❑ Parkland 0051- 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? 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: 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ��J 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 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: gShoreline ❑ Forest 1�Agricultural/grasslands ❑ Early mid-successional Wetland ❑ Urban ❑ Suburban 6-005& 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. Will storm water discharges flow to adjacent properties? ❑NO ❑ YES b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑ YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g. retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 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//s onsor me: Date: 5 Q Signatur Part 2- Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" 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) 116 (o o residing at (Print property owner's name) (Mailing Address) PV I17�5 do hereby authorize I (Agent) md to apply for variance(s) on my behalf from the ^Lk Southold Zoning Board of Appeals. I , (Owner's Signature) Print Owner's Name) 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 : O ID JMUA, (List name,first name,iniddle initialUinless you are applying in the naine 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 Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO� If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP �, ) 1 � Submitted this 1 day f H ,20 Signature Print Name APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the cart 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 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 ` _ Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest.`=Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO -'Q 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 I) Submitted th's _day of ,20 Signature "Q� 4� Print Name i AG ENT/RE PRESENTATIVE 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 • `C f i.fz (Last name,first name,middl initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance X Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO --X — If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of , Signature Print 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 : 6(ny� , 6�7 (Lait name,first nam ,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 Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) I 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 kday of Hew ,201Q Signature Print Name 8 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# _ The Application has been submitted to (check appropriate response): Town Board 0 Planning Dept. ffl Building Dept. 0 Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital 0 construction,planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and e ent of action: Location of action: /20 Site acreage: I , Y::3 Present land use: Present zoning classification: ( 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: —� t Q Old 24�) (b) Mailing address: LVIIZ43 (c) Telephone number: Area Code ( ) �✓ —7 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes q 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. FlYes [:] No [� Not Applicable 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 0 Yes 11 No IN Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria R Yes [] No LTJ Not Applicable 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 E NoJ5� Not Applicable 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 11 NO Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III —Policies; Pages 22 through 32 for evaluation criteria. R Yes 0 Noj� Not Applicable 1 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 ❑ NR Not Applicable 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 ❑ N Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YeO NGV Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ NoU Not Applicable 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 ❑ NA Not Applicable 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 1:1 No� Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No rD Not Applicable Created on 512510511:20 AM TRIOLO RESIDENCE-420 BEACHWOOD LANE SOUTHOLD,NY 5/8/2019 SCTM# 1000-70.-10-54 �W.A:4 p` s, S i x F x PHOTO I EASTERLY SIDE YARD LOOKING WEST. (PROPOSED DECK ON WATERSIDE) TRIOLO RESIDENCE-420 BEACHWOOD LANE SOUTHOLD, NY 5/8/2019 SCTIVI# 1000-70.-10-54 v+ a �a. ARM_ t x ry PHOT02 EASTERLY REAR YARD/SIDE YARD LOOKING NORTHWEST. (PROPOSED DECK ON WATERSIDE) TRIOLO RESIDENCE--420 BEACHWOOD LANE SOUTHOLD, NY 5/3/2019 SCTM# 1000-70.-10-54 Ipw 7 { �rFe y . Y Mme. 4t PHOTO 3 REAR YARD WATERSIDE LOOKING NORTH. (PROPOSED DECK) TRIOLO RESIDENCE-420 BEACHWOOD LANE SOUTHOLD, NY 5/8/201 SCTM# 1000-70.10-54 7-7 ri ee.l i a f ' t PHOTO 4 WESTERLY SIDE YARD LOOKING EAST (PROPOSED DECK) TRIOLO RESIDENCE-420 BEACHWOOD LANE SOUTHOLD, NY 5/8/2019 SCTM# 1000-70.40-54 -------------- ... I................. Al r j i z �i`.. ...,.. _. .. � tua� :�. n...:_��,:.. 3'...:... +... . �°�v.:.�rs. �a��P> a.,� `..'�m�'+r.:-•'@ �*.,. �"i�. � .-� "� .wa�".,' x .. PHOTO 5 EASTERLY SIDE YARD FROM DRIVEWAY LOOKING WEST THROUGH FRONT YARD LANDWARD. (PROPOSED ADDITION TO EXTEND GARAGE) TRIOLO RESIDENCE--420 BEACHWOOD LANE SOUTHOLD, NY 5/8/2019 SCTM# 1000-70.40-54 1 4 N. 4Rr r �v r } - 1p i _. i PHOTO 6 FRONT YARD LANDWARD (NORTHWEST)LOOKING SOUTH TOWARDS WATER. 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' grop Z 6` G°Zd , x'15 a x yv\ 2 p ��L fa EC az 6 ti v' �— S.�xx x4 g � LoAbA lJ� 01 s � x Aa X 2A n x- , o- 0 O tr? gTEd�CyF°�s� `�a�s 40\ o°e C7� cT .O+ c°ryar yC `20 d �gp°yCF p vP , AA BASED ON SURVEY BY: �os01 p'yc°�s� ��P�`� o 400° NATHAN TAFT CORWIN I11, LAND SL VENO 'o F,r°`�.aFAs � o° '�`�p lip DATED: o6 OCTOBER, 2o18 'p 'p, xAA r�+rs�Ct'PE` SCTM: 1000-70-10-54q��gP9�GC ZONED: R-40 AREA: 18,922 SF ( 0.434 AC) �e '� c,Pb e o� LOT NON-CONFORMING: (UNDER 20,000) FRONT YARD SETBACK.35'-0" p� �, tih ora C7 NOTE: ELEVATIONS HEREON REFER TO NAVD 1988 1 �P LOT COVERAGE: LOT AREA: 18,922 SF EXISTING HOUSE + GARAGE: 2170 SF PROPOSED HOUSE ADDITION: 477 SFO°.rP`' ,� AL PROPOSED DECK: 518 SF 40 PROPOSED PORCH: 238 SF EDA TOTAL FOOTPRINT: 3403 SF PROPOSED TOTAL COVERAGE: 3403 /17393-9 = 19.6% r IT ISA VIULA'1ION UF'I'I IE LAW FOR ANY I'f l2SON, ,'� •I' UNLESS ACIIN(;UNUE1t'IIIEUIIIECI'IUNCIIA LICENSED AIM II'I'ECI'JO ALTER ANY I'T'EM ON '1 "&�S I T E PLAN A IN RA!MN U IN ANY WAY.ANY AU'I'l lUlil'LEU r634� oil _r. AL'I'ERA'A N MUST'N WAY.,SEALED,AND `C- m DESCRIBED IN ACCORDANCE WI'I•I I'I'I IE LAW. FN SCALE:1" =20' TRIOLO RENOVATIONS &ADDITIONS Robert I. Brown Zo5 Bax Ave, Greenport NY 24 MAY, 2019 43o BEECHWOOD LANE info@ribrownarchitect.com SCALE:i' = 20' SOUTHOLD, NY Architect, P.C. 631-477-9752 i PROPOSED C WOODEN DECK 15-0" 33._4 :i'2" I -D„ .2Os8 3OS8 ,20G8 3056 ? EXISTING .. . .. 1 - - I - - -q / EDI I :D64 N ' PROPOSED — -�-1 ` i' v MASTER y, EXISTING BEDROOM 3-I I - sTNG BEDROOM MODG I CATHEDRALLIVINI =ate �0 ROOM CQ CEILING —` - - - - - - - -j zase� - - - - - PROk fC7 - — — 5TRGCT6RFL w GE 0P-CN 1,0 COu�T E5. — I �. eERE_EADE (3) •9/.LVE w,2' STEEL O zave f 4' +" - z3va e DOwN P 4R'C 1 3'-1 1' 3' I UP 17777 R PQ5If _ EXISTING _ BEDROOM MODIFIED — GA GE 15'-3" 1 4" v 1 5'-4' 13 El w .O RnE N 9 OVE EAD G f I—IS A v:OL TION OF THS hl FV::fiNY PERSON, ��vtED ARC Dkl, UNLESS ACTING UNDER THE FIRST FLOOR PLAN pICHI IOI�I�rFALBCEI�ISED © `?�`;�ITFC�,TOd:LTERANY Q 2 ITEM ON THIS /'DRAWING IN � `!L:'{\ W,A-- .ANY,G•_T40RIZED ALTERATION!&UST BE NOTED,SEALED,AND 16341 P� DESCF:DrD IN ACCORDANCE WITH THE I_ALfJ. F NEvd TRIOLO RESIDENCE RENOVATIONS 8z ADDITIONS Robert I. Brown ao Bax Ave_ Greenport NY MAY'7, 2019 43o BEECHWOOD LANE SCALE:1/8"=f-o" Info@rlbrownarchitect.com SOUTHOLD, W Architect, P.C. 631-477-9752 I I I I ICEILING 13'-4" I I I I I 1 I I I O I UNFINISHED I I OPEN TO I UNFINISHED ATTIC I I BELOW I ATTIC lJ I I I h L _ _----IO' CEILING I L _ 7T—TOF�OF— DORMER = _ 0 [UT _ 7' 7' CEILING CEILIN I I I I I I I i I I I I I I 5' 4 I UNFINISHED I I l5' CEILI I ATTIC I I'/ CEILI :D IT IS A'0' A.Tl0N OF THE ��FtEDAR C LAbgm'FOP AtdY PERSON, ��`' �p,T I.a SECOND FLOOR PLAN UNLESS ACTT G UDDER THE D:�rECT€gash OF LICENSED 2 © P RCHITECT,TO ALTER ANY I T E%,I'�,€v'—h HIS DRAXWINf,'IN ANY W; Y ANY A._T'HORIZED AL7C—R *.T 30N MUST BE VOTED, SEALED,AND qT 16341NEN.(O D"SCR`SEG IN ACCORDANCE TRIOLO RESIDENCE RENOVATIONS &ADDITIONSRobert I. Brown ao Bax Ave. Greenport NY MAY 7, 2019 43o BEECHWOOD LANE SCALE:1/8" =i'-o" in?o ribrownarchitect.com SOUTHOLD, NY Architect, P.C. 631-477-9752 LEI] ®®® ElB FIFIF] NEW OVERHEAD NEW OVfPnfnD GAUGE DOOR GARAGE DOOR NORTH ELEVATION (FRONT) IT IS A VIOLAT!ON of THE LAW FOR ANY PERSON, UNLESS A:--T€NG UNDER THE r-lRECTICN OF A LICENSED 1771 ARCHITECT,TO ALTER ANY ITEM ON-�-gHplI�S DRADRAWINGIN = n ASS c°ICY AY:ANY A-�rTHORIZED 111111 [1 El tl -- v ALTERATION MUST S B < �1 NOTED,SEALED,AND DESCM aED IN ACCORDANCE WITH T I E!Ai�'V. rm F Q F-D AR SOUTH ELEVATION (REAR) 34A TRIOLO RESIDENCE RENOVATIONS &ADDITIONS Robert I Brown inp Bay Greenport NY 43o BEECHWOOD LANE SCALE: 1/8"=i'-o" in o@ribrownarchitect.com MAY �, zo19 SOUTHOLD, NY Architect, P.C. 631-477-9752 TOWN WN F SOUTH LD PROPERTY '- REC R CARD f1]'fa OWNER STRIEt �-� :. .J � VILLAGE DIST. GG NO. t , LAND IMP. TOTAL DATE REMARKS: vv IV OF THOLD Ma • } �..tYl�h� u K, a V�` '{�•� �tl�µµ' .J° 1 j5 _ �:�.y��ri��� ��."'2 �' 1 ""L^` Csi. ,�Y b��° .. ^..J^y k� Hyy,.y-•. x. k,N?c,_, ... u. a i,3 s Ili'' ^. :> °• ,,. ... t::;�A`y,,s.';. - { 6rrt,s•:r4i•'i, iK� 4,1 3 f' r�-. +��p..+b g, �.;� ai.? u✓.n.a'. S(„„•3;,.n y.,att y ,F ' '.� ,y "I.?...." _ F.is•., 5i.,r'€ 'rrs ""v'.; IN N.,.>.N�:;.,2��r � 1 r` mT°' Xi' ✓y Nv i,.r4ere+t'ff it,:. -k Y..�re,'i.i.`>' ii� ¢".�Yhi",.u.'. Y�.c.,. K (! ' Batt,`�+1�'.'1..;.'j: }' ^,3 f i%."" vl,•"?'''.i ..'k e:r,4 .t. �.:.3tm •9? 'I 1 1 .,a. a'e A: ,�„F'-�•�;.`,4.'�•xif.,�'. .,.. +f+� ��" IU 1 � ' ? 1 1 M. BId9• x3g Foundation _ Bath Extension_ 3 a S"T-7 /.5�� .�-° S"/ Basement 'tD A R Floors ExtensiorkZ 8 o Ect. Walls Interior Finish 401; L Extension y X s �,� i Fjre Place Heat OIL I Porch Roof Type 3q F Porch Rooms 1st Floor ^� Patio Rooms 2nd Floor Garage Driveway Dormer -M '6Lc-,D-'-!P1QP9-RTY -RIEWRIJ LAKIJ X 'HC VI LLAGE DISTRICT SUB. LOT 0, ACREAGE QRMER OWNER N E TYPE OF BUILDING W IS ,z , Q misc. Est. Mkt. Value S FARM comm. IND. CB. VL. iES.2',/t(o) SEAS. LAND IMP. TOTAL DATE REMARKS /-z//-Z/-7'/ Z� o 7' -3 ?d-&--o 6 �z moo"'Ve 4 1(-tl,, As'l--TJ- 10 L) 0 to 0 U VOY z 0'e Ile 16 '("0- �jv%-b- &e-1ye,;L tj �/--s- MQ�C'H 11170 JAGE BUILDING CON ITIO 'rER V% BOVE FRONTAGE ON WA BELOW ........... EW Form Acre ValuePer Acre Value FRONTAGE ON ROAD A 0 'U BULKHEAD Tillable 1 "i Tillable 2 DOCK A Tillable, 3 Woodland Swampland Brushland Mg :e- R n House Plot Total �Lv Z� ° � • �'� SURVEY OF o ' a LOT 16 AIAP OF SOUTHWOOD �® .moo° i s. LOTS Nos. 1-53 INCLUSIVE °• / s O �0 FILE No. 2141 FILED NOVEMBER, 24, 1953 •p / ;� _� •. �Q3 ; SITUATE C) SOUTHO-LD '�' �;�' ,• \ d a� TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK x-\ ' S.C. TAX No. 1000-70-10-54 h� i 6-` • 1 .\ <..�' i�4_ e� SCALE 1"=30' J1 •..✓. a �� i N�, 11;5rte OCTOBER 6, 2018 ' $4x� \{ , ° 'DtA\ � JANUARY.31, 2019 ADD TOPOGRAPHICAL SURVEY Ila •\Aa 4" °PSS y 'o, ATO TIE LINE ALONG, 15,922 sq. ft. \ / o �• 0.434 ac. HIGH WATER MARK) .b�T1 "JU CERTIFIED TO: 4 a xif"' po4`p 6 1 \ FIRST INTERNATIONAL TITLE AGENCY, INC. f�`�� ig3•s9' , � � I \ �\ JOSEPH TRFIRST R LO TITLE INSURANCE COMPANY W p �a> a 6 ` DANA TRIOLO >S N Sig 190 V ��G ,p0 X,&2 c j ix IN, i JVD TAS., 1. ELEVATIONS ARE REFERENCED TO N.A.Y.D. 198B DATUM EXISTING ELEVATIONS ARE SHOWN THUS: x.x EXISTING CONTOUR LINES ARE SHOWN THUS: -- — ——X— —— — ,0: / /,{ x�e 0 F.FL.- FIRST FLOOR \ / /. x� 1 $ �• G,FL.- GARAGE FLOOR 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36103CO166 H 6 ZONEAX: AREABASESFLOOD JELEVATIONS DETERMINED DETERMINED TO BE OUTSIDE THE 0,2% ANNUAL CHANCE FLOODPLAIN •LOa�x.0 Ov- .dA x//Z4 31L, ALX-111q�/ x _mac.2. xm o w till 4 yIx PREPARED IN ACCORDANCE WITH THE MINIMUM , STANDARDS UT6 VEYS AS ESTABLISHED 4— r� `� r 8 / .'� // BY TH 'S. APPRwED AND ADOPTED T SAM 0 _ STATE LANG t \ x �,_Cg�,p�•P`y ',` 364E(� 3P // h l.7 J a-y, ( \i pry Al AIL c � e � � .f 0 � '�'- , �`' O �"'S � 'I. •- `- .S Lie. No 50467 •' wpm �� y 3`� r�, / Y UNAUTHORIZED ALTERATION OR ADDITION rr77 p / TO THIS SURVEYS A VIOLATION OF , �V• h / SECTION 7209 OF THE NEW YORK STATE a` 'A EDUCATION LAW Nathan orwin III �b yy AL y/{ COPIES OF THIS SURVEY MAP NOT BEARING THE SD6UHINDEL OR EBOSEDSHALL NOT BCONSIDERED Land Surveyor ,Alp / TO BE A VALID TRUE COPY- ,� / { ^ CERTIFICATIONS INDICATED HEREON SHALL RUN / ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Successor To- Slonley J. Isakaen, Jr LS / TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L S / LENDING INSTITUTION LISTED HEREON,AND / TO THE ASSIGNEES OF THE LENDING INSTI- Title Survey& - Subdivisions - Site Plans - Construction Layout / TUTION.CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 / ITHE EXISTENCE Ri WAYS AND/OR EASEMENTS OFF RECORD, IF OFFICES LOCATED AT MAILING ADDRESS / I ANY, NOT SHOWN ARE NOT GUARANTEED. 1566 Main Rood P.O. 8ex 16 I, Jamesport, New York 11947 Jomesport, New York 11947 t i