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HomeMy WebLinkAbout1000-71.-1-4 OFFICE LOCATION: so yo MAILING ADDRESS: Town Hall Annex ,`O l0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 G • 0 Telephone: 631 765-1938 eDUNTY,��� 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 June 12, 2020 Re: LWRP Coastal Consistency Review for ZBA File Ref MAUREEN BENIC#7389 SCTM# 1000-71-1-4. MAUREEN BENIC#7389 -Request for a Variance from Article III, Section 280-15 and the Building Inspector's November 21, 2019 Notice of Disapproval based on an application for a permit to legalize an"as-built" accessory pergola; at 1) located in other than the code required rear yard; located at: 375 North Parish Drive, (Adj. to Southold Bay) Southold,NY. SCTM No. 1000-71-1-4. 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 proposal is recommended as INCONSISTENT with the below LWRP policies. 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. The as-built Pergola is not supported and in conflict with the purpose of zoning regulations and the bulk schedule. Therefore,this policy is not met. Policy 4 Minimize loss of life, structures, and natural resources from flooding and erosion. The as-built Pergola is located within a FEMA VE(Velocity Hazard) flood zone. The risk of loss of structures from waves and wind during storms(Hurricanes) is moderate to high. The proposed action does not meet this policy. 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 ��0f S0(/j�o Southold Town Hall Leslie Kanes Weisman,Chairperson ,`O l0 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes G �Q Town Annex/First Floor, Robert Lehnert,Jr. O� 54375 Main Road(at Youngs Avenue) Nicholas Planamento y�o��y,� Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD ,IAN 2 2 2020 Tel.(631)765-1809•Fax(631)765-9064 Southold Town Planning Board January 22, 2020 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold,NY 11971 Re: ZBA File Ref. No. #7389 Benic, Maureen Dear Mark: We have received an application to legalize "as built" accessory pergola. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-5D is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairperson By: Encl. Survey/site plan: Peconic Surveyors, P.C, dated October 30, 2019 -) FORM NO. 3 3t rl TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: November 21, 2019 TO: Eileen Wingate (Benic) 2805 West Mill Road Mattituck, NY 11952 Please take notice that your application dated November 13, 2019: For permit to: legalize an"as built" accessory pergola at: Location of property: 375 North Parish Road, Southold, NY County Tax Map No. 1000 - Section 71 Block 1 Lot 4 Is returned herewith and disapproved on the following grounds: The accessory pergola, on this non-conforming 31,771 square foot lot in the Residential R-40 District, is not permitted pursuant to Article III Section 280-15, which states; "accessory buildings and structures shall be located in the required rear yard, or in the case of a waterfront parcel, accessory buildings and structures may be located in the front yard, provided that such buildings and structures meet the front yard principal setback requirements as set forth by this Code and the side yard setback requirements for accessory buildings in Subsection B above." The accessory pergola is located in the side yard, (4-,Z- — Authorized Signa e 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:S Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House NO.375 Street NORTH PARISH DRIVE Hamlet SOUTHOLD, SCTM 1000 Section 71 Block 01 Lot(s) 04 Lot Size 31,771 SQ.FT. Zone R-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 1/10/2020 BASED ON SURVEY/SITE PLAN DATED Owrier(s): MAUREEN BENIC Mailing Address:277 LOCUST LANE,ROSLYN HEIGHTS,NY 11577 Telephone:516-650-2123 Fax: Email: BBENIC@BBCPAS.COM NOTE:In addition to the above,please,complcte below if application is signed by applicant's attorney,agent,architect, builder,contract vendee,etc.and name of person who agent represents: Name of Representative:EILEEN WINGATE for(>(Owner( )Other: Address:2805 WEST MILL RD.MATTITUCK,NY Telephone:516-818-9754 Fax: Email: EILEEN@QUIETMANSTUDIO.COM Please check to specify who you wish correspondence to be mailed to,from the above names.- Applicant/Owner(s), ames:Applicant/Owner(s), (x)Authorized Representative, ( )Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 10/30/2019 and DENIED AN APPLICATION DATED 10/31/2019 FOR: ( )Building Permit ( )Certificate of Occupancy ( )Pre-Certificate of Occupancy ( )Change of Use (x)Permit for As-Built Construction ( )Other: Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: III Section: 280-15 Subsection: 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( )has, (x)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: THE NEW SHADE STRUCTURE (ARBOR)HAS BEEN LOCATED ON THE WATERSIDE OF THE HOME,IT IS NOT VISIBLE FROM THE ROAD OR THE NEIGHBORS IT IS AN OPEN STRUCTURE WTH LITTLE VISUAL PRESENCE,THE STRUCTURE IS 154 SQ FT 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: THERE IS NO VIABLE ROOM IN THE REAR YARD.THE TOP OF THE BANK IS LOCATED APPROX 10 1 FT FROM THE PROTECTIVE RIP-RAP WALL PLACEMENT OF THE SHADE STRUCTURE IN THE SIDE YARD ALLOWS FOR A MORE SPACIOUS AREA FOR FAMILY ENTERTAINING 3.The amount of relief requested is not substantial because: THE REQUEST IS NOT SUBSTANCIAL AS THE OPEN STRUCTURE IS NOT USED FOR ANY PURPOSE OTHER THAN SHADE FOR FAMILY DINERS AND SUMMER ENTERTAINING IT DOES NOT SHED WATER OR AFFECT THE NEIGHBORING PROPERTIES IN ANYWAY 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: THERE IS NO ADVERSE EFFECT ON THE PHYSICAL ENVIRONMENT,AS IT ALLOWS WATER TO SHED, AND HAS A MINIMAL FOOTPRINT 5.Has the alleged difficulty been self-created? {x}Yes,or{ }No Why: YES,THIS IS A SELF CREATED DIFFICULTY.THE EXISTING CONDITIONS DO NOT ALLOW FOR A SHADE STRUCTURE IN A LOCATION WHICH COMPLIES WITH ZONING REGULATIONS AND ALLOWS THE OWNERS TO USE THEIR YARD TO ITS BEST ADVANTAGE THE REQUEST TO USE THE AREA WEST OF THE HOUSE IS NOT A SIGNIFICANT REQUEST,THE AREA SELECTED FOR PLACEMENT OF THE SHADE STRUCTURE HAS LITTLE ENVIRONMENTAL IMPACT AND ADDS A BEAUTIFUL PRIVATE YARD SPACE FOR THE OWNERS Are there any Covenants or Restrictions concerning this land? {x}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. Signature of Appli nt or Authorized Agent (Agent must submit en Authorization from Owner) Sworn to before me this day of ,20 Notary Public APPLICANT'S PROJECT DESCRIPTION APPLICANT: MAUREEN BENIC DATE PREPARED: 1/10/2020 1. For Demolition of Existing Building Areas Please describe areas being removed:NONE II. New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: CONSTRUCTION OF FIBERGLASS SHADE STRUCTURE -9.5'X 16' Dimensions of new second floor: N/A Dimensions of floor above second level: N/A Height(from finished ground to top of ridge): 9'0" Is basement or lowest floor area being constructed?If yes, please provide height(above ground) measured from natural existing grade to first floor: N/A 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: NO SHADE STRUCTURE Number of Floors and Changes WITH Alterations: CONSTRUCTION OF FIBERGLASS SHADE STRUCTURE -9.5'X 16' NO CHANGE TO RESIDENCE IV. Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property: 1,144.38 SQ.FT. Proposed increase of building coverage: 0 Square footage of your lot: 31,771 SQ FT Percentage'of coverage of your lot by building area: 3.6 PERCENT(DOES NOT INCLUDE ARBOR) V.Purpose of New Construction: THE NEW SHADE STRUCTURE (ARBOR)HAS BEEN PLACE ON A PATIO LOCATED IN THE SIDE YARD,IT WAS PLACED THERE TO PROVIDE A SOME SHADE FOR THE OUTDOOR EATING AND SUMMER ENTERTAINING. 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): THIS HOME IS LOCATED ON SOUTHOLD BAY IT WAS SET BACK TO TAKE ADVANTAGE OF THE WATERVIEWS. THE PROPERTY HAS A RIP-RAP WALL FOR EROSION PROTECTION,AND A SECOND FLOOR DECK BOTH OF THESE ELEMENTS HAVE REDUCED THE USEABLE REAR YARD TO A MINUMUM.THE PLACEMENT OF THE SHADE STRUCTURE IN THE SIDE YARD ALLOWS FOR A LARGE ENOUGH PLACE FOR A FAMILY SIZED OUTDOOR EATING AREA. 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 he altered with yard view. 4/2012 QUESTIONNAIRE X FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes X No B. Are there any proposals to change or alter land contours? X No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses?YES 2.) Are those areas shown on the survey submitted with this application?YES 3.) Is the property bulk headed between the wetlands area and the upland building area?NO 4.) If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction? Please confirm status of your inquiry or application with the Trustees: and if issued,please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? ABOVE THE 5'CONTOUR E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting?NO Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises? If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe:Permit#42170- i ENTIFIED ION O HA FIRST E ARBOR LOOWAS NOT HROOMT D.AND 2ND FLOOR KITCHEN IS COMPLETE. FINAL INSPECTION G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking,please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel?NO If yes,please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel SINGLE FAMILY DWELLING and the proposed use SINGLE FAMILY DWELLING WITH SHADE STRUCTURE (ex: existing single family,proposed: same with garage,pool or other) Authorize i ature and Date TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .!.- .(o.6 Date . . . . . . . . . . . . . . . . ..7 Vel, 19�� THIS CERTIFIES that the building located at MIS Afd fZ TA.A i I S h P'. Street Map No. . . Block No. .X. . . . .Lot No. .x. L conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . .� . . . ., 19.47. pursuant to which Building Permit No.4 A 77. dated . . . . . _- . . . ., 190, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occu ancy for which this certificate is issued is . . . . . . . . . . . . . . . . . .��. . . . . . . . . . . The certificate is issued to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee.or tenant) of the aforesaid building. Suffolk County Department of Health ApprovalG.'. o. b r. . . . . . i � � AA 375 Building pector 1 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:EILEEN WINGATE 2. Address of Applicant:2805 WEST MILL RD. MATTITUCK, NY 3. Name of Land Owner(if other than Applicant):MAUREEN GENIC 4. Address of Land Owner:277 LOCUST LANE, ROSLYN HEIGHTS, NY 11577 5. Description of Proposed Project:INSTALLATION OF SHADE STRUCTURE IN SIDE YARD 6. Location of Property: (road and Tax map number) 375 NORTH PARISH DRIVE - SCTM 1000-71-01-04 7. Is the parcel within 500 feet of a farm operation? { } Yes {X} No 8. Is this parcel actively farmed? { } Yes {>4 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. (PI p e e the back of this page if there are additional property owners) JAN /10 /2020 Si ure of Ap Yi ant 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 Name of Action or Project: MAUREEN BENIC RESIDENCE Project Location(describe,and attach a location map): 375 NORTH PARISH DRIVE, SOUTHOLD, NY Brief Description of Proposed Action: CONSTRUCT A FIBERGLASS KIT SHADE STRUCTURE � I Name of Applicant or Sponsor: . Telephone: 516-818-97541 EILEEN WINGATE E-Mail: EILEEN@QUIETMANSTUDIO.COM Address: 2805 WEST MILL RD City/PO: State: Zip Code: MATTITUCK NY 11952 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 1:1may 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 government Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ 3. a.Total acreage of the site of the proposed action? .73 acres b.Total acreage to be physically disturbed? 152 SQ. FT. acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 73 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial 0 Residential(suburban) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page I of 3 SEAF 2019 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ❑ ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑ ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural 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: M ❑ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑ ❑ b. Are public transportation services available at or near the site of the proposed action? ❑ ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed 21 Llaction? 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: N/A ❑ ❑ 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: Z El 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the E]Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive.for ❑ ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 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? ❑ Z b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? W1 F1 If Yes,identifythe wetland or waterbod and extent of alterations in square feet or acres: T-117s- ; Y q £�-sem' r SOUTHOLD BAY, - cx INSTALL A 152 SQ FT. FIBERGLASS KIT ARBOR a;, a ksE r Page 2 oi'3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: WIShoreline ❑ Forest ❑Agricultural/grasslands ❑ Early mid-successional ❑Wetland ❑ Urban ✓❑ Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? ❑ ❑ 16. Is the project site located in the 100-year flood plan? 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? F,/ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ✓❑ ❑ If Yes,briefly describe: ._k 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES~ or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ 1-9. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES 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 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE-TO THE BEST OF MY KNOWLEDGE Applicant/spo /nam EILEEN WINGATE Date:1/10/2020 Signature: Title: AGENT FOR OWNER PIZ PRINT FORM - Page 3 of'3 Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) I, � C, residing at ��� � � � KI tT T51 (Print property owner's name) (Mailing Address) ' 1l X77 do hereby authorize - U (Agent) to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. (Owner's ignature) H EMA (Print Owner's Name) •_ '_{tii`4.� ` �^ {0 tom``{ '.. _ • / raw -mile•Y`µ Amo " 'S.V ,,,- • v f - a • _ g y� v:3'?;•TIS'..•,�.. �'`. ' .'.'_,.- cna-+„ ' • iYY '` �-.` �.~e1 , -- -i.. •L r-+, ...=ems '"- _..'117 } - _` ..,,v j, �.V�"�L••a• YO - �. _. .`. ,�' -_' Ysass,4• .i... 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'X•�`�'L.�_ 1.'�a' -�*- +3`"..",-'-a.e%'•tl� _::Saj��n t - - - AGENT/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 .• Eileen Wingate-QUIET MAN STUDIO (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 X Variance X Trustee Permit X 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 ofJao ,20_ Signature Print Name Eileen Wingate 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" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy ofthe LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northforknet),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# -1000-71 _ 01- _ 04 PROJECT NAME BENIC RESIDENCE The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. X❑ Board of Trustees I. 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: PERMIT FOR THE CONSTRUCTION OF A FIBERGLASS ARBOR .. 1 Location of action 375 NORTH PARISH DRIVE Site acreage -72 ACRE OR 31,771 SQ. FT. Present land use: SINGLE FAMILY DWELLING 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 Eileen Wingate (b) Mailing address 2805 west mill rd, Mattituck, NY 11952 (c) Telephone number: Area Code( ) 516-818-9754 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes X❑ No❑ If yes,which state or federal agency? DEC C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section M—Policies; Page 2 for evaluation criteria. FX Yes 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 ❑ No 0 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 ❑ Yes ❑ No ❑X 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 0 Yes.❑ No ❑ 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 ❑ No 0 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. ❑ Yes ❑ NoFX]Not Applicable 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 ❑ NoFX] 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 ❑ No 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. ❑ Yes❑ No 0 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 ❑ No 0 Not Applicable Attach additional sheets if necessary Policy It. 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 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 N Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. 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N SURVEY OF PROPERTY A T SO UTHOLD TOWN OF SO UTHOLD \ SUFFOLK COUNTY, N Y. 1000-71-01-04 \oe SCALE: 1 =30 y® JUNE 30, 1997 AUGUST_23, 2019 OCTOBESS9JO, 2019 • (ARBORR A 110 DIMENSIONS _lVJ�9. /f' ) 's F WOOD RAMP e1Q�3S, \ STONE �j PATIO 10.2.ti�66 coo �s0,"D, ARBOR -� TDA 0 LAN STING EPSF 12.0 B9H i SiP i�vOAC I OWER JQQ DECK WOOD � 5 WALK DECK �t PAD BRICK 33• I 9 S`' �� 2 STY. ,�. 19,S� �� d O CANT. WOODR \N � ro 0 C1 PLATFORM o S �.1k 6,g' bf BIRICKRPADED� DECK ELEVATED co,-kc, Z20 WAKE 90 G" PLANTINGS 0 PROPANE N, M TANKS p } 9y m PLANTINGS O CERTIFIED TO: MAUREEN P. BENIC oy p ELEC. Z METER O ~� TO _ JN 3.4. O W T m o � o m co 0 � 32200. ® . KEY \\ = WELL U• = REBAR AN '54 X50 ® = WELL 100.00 A = STAKE E'DGE OP pM PAENT APRpN _ = TEST HOLE NO OF NEbtt ,T w ■ == PIPE MONUMENT v y DRI V� = WETLAND FLAGhfif rQ, = UTILITY POLE "' ss OH = OVERHEAD WIRE ELEVA77ONS REFERENCED TO NA VD 88 T « LIC. NO. 49618 ANY ALTFRA77ON OR ADDI77ON TO THIS SURVEY IS A WOLA77ON OF AREA= 31771 SQ. FT. PECONIC SURVEYORS, P.C. „SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. EXCEPT ' 631 765-5020 FAX 631 765-1797 AS PER SEC77ON 7209—SUBDI,WS/ON 2. ALL CER77RCA77ONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY /F SAID MAP P.O. BOX 909 OR COPIES BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR WHOSE 1230 TRAVELER STREET `� /���/� .S!(;NA TURF APPFARS HF_RFC-111n N. c+ i 177-lt n 41 v 4 s n-74 .`� / l 7