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HomeMy WebLinkAbout1000-94.-1-12.2 0 OFFICE LOCATION: O��QF SU(/ryOlO MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) � � aO Telephone: 631 765-1938 Southold, NY 11971 Q Fax: 631 765-3136 �yIrou LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, AICP Assistant Town Planning Director LWRP Coordinator Date January 23,2020 Re: LWRP Coastal Consistency Review for ZBA File Ref PANAYIOTIS BASIOS#7364 SCTM# 1000-94-1-12.2. PANAYIOTIS BASIOS#7364-Request for a Variance from Article XXII, Section 280-116A(1)and the Building Inspector's September 25, 2019 Notice of Disapproval based on an application for a permit to construct an accessory in-ground swimming pool at, 1) located less than the code required 100 feet from the top of the bluff; located at 2505 Soundview Avenue, (Adj.to the Long Island Sound)Mattituck,NY. SCTM#1000-94-1- 12.2. 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 proposed location of the pool does not minimize adverse effects of development by proposing to decrease the pool setback to the top-of-bluff from the required 100' to 45'. The Long Island Sound bluff systems within this area traditionally unstable and experience periods of normal and accelerated erosion. Note that this property has experienced slope failure of the bluff in 2006/2007. The Board of Trustees issues a Wetland and Coastal Erosion Hazard permit(No 6351)to restore the bluff and stabilize the toe by armoring. The proposal is not supported and does not meet this policy. There is room on the property to locate the pool near the,house thereby increasing the setback to the top-of-bluff. This would require the relocating the well. It is recommended that the pool is redesigned/relocated to meet this policy. Policy 4 Minimize loss of life, structures, and natural resources from flooding and erosion. The proposed pool and patio is located just south of the coastal erosion hazard line which marks the landward limit of the coastal erosion hazard area. The coastal erosion hazard area was established to regulate areas within the Town of Southold based upon shoreline recession rates or the location of natural protective features. It is not a limit of possible erosion. Chapter 275 Wetlands and Shorelines administered by the Southold Town Board of Trustees requires a setback of 50' from,a pool and related structures to a top-of-bluff. The proposed pool is proposed to be located 45' from the natural feature. It is recommended that the Board require that the applicant meet or exceed Chapter 275 Wetland and Shorelines requirements. This policy does not support the construction of structures (pools)within areas subject to the risk of erosion over time or during major storm events(Hurricanes)and potential loss. Properties that are protected by hardened structures such as bulkheads and revetments still experience loss and damage (file record). Policy 4.1 A. recommends that to minimize potential loss and damage; structures should be located as far from erosion hazards as possible. The proposed action does not meet this policy and an increase`in the setback by moving the pool to the south is possible-., It is recommended that the pool is redesigned/relocated to achieve the greatest setback from the top-of-bluff. Policy 6.3 Protect and restore tidal and freshwater wetlands. Development on or near bluff ecosystems has resulted in loss and impairments to these and other dependent natural features(beaches)and their functions; cumulatively impacting the Town of Southold's ecosystem. Setbacks are required to help mitigate the direct and indirect adverse impacts from development. The proposed action does not meet this policy. It is recommended that the pool is redesigned/relocated to achieve the greatest setback from the top-of-bluff. In the event the action is approved a pool de-watering well is recommended. 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 O��QF SUyol Southold Town Hall Leslie Kanes Weisman,Chairperson Q 53095 Main Road•P.O.Box 1179 .� Southold,NY 11971-0959 Patricia Acampora T Office Location: Eric Dantes �pQ Town Annex/First Floor, Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue) Nicholas Planamento yCOU Nty+� Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD RECEIVED Tel.(631)765-1809•Fax(631)765-9064 OCT 21 2019 October 21, 2019 Southold Town Mark Terry, Principal Planner Planning Board LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold,NY 11971 Re: ZBA File Ref. No. # 7364 BASIOS, Panayiotis Dear Mark: We have received an application to construct an accessory in-ground swimming pool. 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. V truly yours, eslie K. Wei an � hairp 'SN ' 46t, By ,U Encls : Survey/Site Plan : Young & Young Dated : October 23, 2018 I FORM NO. 3 TOWN OF SOUTHOLD 73�p`fi BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: July 18,2019 RENEWED: September 25, 2019 TO: Chris Rivera(Basins) �� 250 Sound Beach Drive Mattituck,NY 11952 Please take notice that your application dated July 11,2019 For a permit to construct an accessory in-ground swimming pool at Location ofproperty 2505 Soundview Avenue,Mattituck,NY County Tax Map No. 1000—Section 94 Block 1 Lot 12.2 Is returned herewith and disapproved on the following grounds: The proposed construction is not permitted pursuant to Article XXII Section 280-116 A. (1),which states: "All buildings or structures located on lots upon which there exists a bluff landward of the shore or beach shall be set back not fewer than 100 feet from the top of such bluff. The construction notes a setback of 45 feet from the top of bluff, at its closest point. (Zorl" .ed Signature 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. I Fee:S Filed By: Assignment No APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS ((++ AREA VARIANCE House No„2 SaS Streetgo u.-J d ` Qw 41w►t Hamlet M hT T %W C V- . SCTM 1000 Section__qj_Block t3 % Lot(s) 12.2 Lot Size + gqZone R- 0 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED "1- ►$ -�q BASED ONS VEY/SITE PLAN DATED 1• •i Owner(s):_ � Nf�y %o h 5 s� yie 1` �4S ias Mailing Address: O?.5o g- ����tr�' � /`f�� ��-T-�—r �y n_ r Telephone: Sal 3 i Fax: 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 person who agent represents: Name;of Representative: �Nr: W-4 e t v Wk for(y06wner( )Other: Address:,2 S O Sou^J eacl- bre. Ar 0C. #-3N l 1 5 L Telephone-SI 6 3*1.99 S Fax: Email: C�vv n LAA-.b cvc (%- a home. "w% Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), (Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 2- ,Z L • 11 and DENIED AN APPLICATION DATED 7-t 8' 1 FOR: ( )Building Permit ( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy, ( ) Change of Use ( )Permit for As-Built Construction (xj Other: .SeAr '6 a.tk e—� Ion_ Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: ACX 11 Section: 2_A O - ! 16 }4 Subsection: Typef of Appeal. An Appeal is made for: �K 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). 1-709 Year(s). (q i3 . (Please be sure to research before completing this question or call our office for assistance) Name:of Owner: ZBA File# Name of Owner: ZBA File# REASONS FOR APPEAL (Please be specific, additional sheets 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: 0p.tr,V,ts b.n �� �o lv �'� b� '��. S�.v►L �La�c.l� 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: Sw .�r�w►iny �ao1 A-- -jt tttl tl"�. 3.The amount of relief requested is not substantial because: �Yop•xAA -�-.. b�c .45t -�-a p e► blu�� 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: -�j�e•�ro�k,� +� �a.�,P.tf`}y Is ` 1 � W t,repos2c! �oo � W:11 �c "A C><: •.Z 5. Has the alleged difficulty been self created? { } Yes, or ( o y: Row Are there any Covenants or Restrictions concerning this land? {PrRo { } 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 ant or Authorized Agent (Agent must submit written Authorization from Owner) Sworn to befoye me this ?-&day of & pkty bwr .20_A_. No Public Lori T McBride NOTARY PUBLIC,STATE OFNEWYORK Registration No.OIMC6368447 Qualified in Suffolk County Commission Expires December 11,2021 APPLICANT'S S PROJECT DESCRIPTION (For ZBA Reference) Applicant: !S Date Prepared:_ Q- 2 3- �I I. For Demolition of Existing Building Areas Please describe areas being removed: I II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: Dimensions of new second floor: Dimensions of floor above second level: Height(from ,finished ground to lop 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) g ) (attach extra sheet if necessary)- Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: Number of Floors and Changes WITH Alterations: N. 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 New Construction: S w. .w, ' • vd.k S 8 X S S t4J P& f. Scj t'rvu o0 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 seven(7) 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. 7/2002; 2/2005; 1/2007 II li II i 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 their 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? #y.. Z.)Are those areas shown on the survey submitted with this application? 3.)Is the property bulk headed between the wetlands area and the upland building area? la 4.)Ifyou p orr p&ty contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction? Nn 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? /yo E. Are there any patios, concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? /Vn 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? PO 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? �D If yes, please label the proximity of your lands on your survey. r L Please list present use or operations conducted at this parcel /`tc:�/eA�•,�L G�w�L( 1 1 / and the proposed use 7/0 (ex:existing single family,proposed:same with garage,pool or other) Authorized signature and Date I I TOWN OF gOUTHOLD, NEW YORK DATE January......................25, 1973 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 1709 Dated December 29, 1972 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Terry S. Triades a/c Istepan Minakyan and Semun Bedikoglu Appellant 164-01 32nd Avenue Flushing, New York at a meeting of the Zoning Board of Appeals on January 25, 1973 the appeal was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance ( X) Request for a variance to the Zoning Ordinance 1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be granted ( ) be denied pursuant to Article .................... Section .................... Subsection .................... paragraph .................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be confirmed because 7:50 P.M. (E.S.T.), upon application of Terry S. Triades, 164-01 32nd Avent Flushing, New York a/c Isepan Minakyan and Semun Bedikoglu, for a variance in accord- ance with the Zoning Ordinance, Article III, Section 301, for permission to sell lot with less than required width. Location of property: north side of Sound View Avenue, Mattituck, Minor Subdivision #44, Lot #2, bounded and described as follows: north by Long Island Sound; east by other land of applicant; south by Soundview Avenue; west by other land of applicant. 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary hardship because SEE REVERSE (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because SEE REVERSE (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not) change the character of the district because SEE REVERSE and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. SEP,pREVERSE 7M. EVERSE d1 ZONING BOARD OF APPEALS ��-- ll� FORM _ 11rx Chair a o. g Marjorie McDermott, Secretary After investigation and inspection the Board finds that applicant requests permission to sell lot with less than required width on premises located on the north side of Sound View Avenue, Mattituck, New York. The findings of the Board are that this minor subdivision was created by the Planning Board on May 13, 1971, and the Board's action merely recognizes the reduced requirements in the original subdivision when compared to the present Ordinance. The Board agrees with the reasoning of the applicant. The Board finds that strict application of the Ordinance would produce practical difficulties or unnecessary hardship; the hardship created is unique and would not be shared by all properties alike in the immediate vicinity of this property and in the same use district; and the variance will not change the character of the neighborhood, and will observe the spirit of the Ordinance. THEREFORE IT WAS RESOLVED Terry S. Triades, 164--01 32nd Avenue, Flushing, New York, a/c Istepan Minakyan and Semun Bedikogju, be GRANTED permission to sell lot with less than required width. Location of premises: north side of Sound View Avenue, Mattituck, New York, as applied for. Vote of the Board: Ayes:- Messrs: Gillispie, Bergen, Grigonis. FORK NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.U%4 . . . . . . Date . . . . . . . . . . . Sapt. . . .12. . . . . .1197.4 . THIS CERTIFIES that the building located at Sound. View. ,Ave. . . . . . . . . . . Street Map No. XXx . . . . . . . . Block No. Z= . . . . .Lot No.mM . .Mattituak. . .X*Y.. . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . .J114 . .2p. ., 1973- - pursuant to which Building hermit No.6,'4+2. . . dated . . . _ . . . . . . . . � . . 2Q ., 1973. ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private. One. fAmily. .dvoZ1ing. . . .(appxov%s by. �3.d.Appeals.). . . . . . . . The certificate is issued to . .Terry. Txiadss . . . . . . .Qwner . . . . . . . . . . . . . . . . . . . . . . . . . -- (owner, lessee or tenant) _ of the aforesaid building. Suffolk County Department of Health Approval .S®pt . .1* . . .197 • •by .R.. Villa • . UNDERWRITERS CERTIFICATE No. .9/11/74. . .by.d... .Zubacki. . . . . . . . . . . . . . . . . HOUSE NUMBER . . .2505 . . . . . . Street . . Sound. .View—Ave. . . . . . . . . . . . . . . . . . . . . . . NCTE a. .ope .l?� .�zgf.ini�hac�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � . . . .. . . . . . . . . BuildingInspector AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM.• The form must be completed by the applicant for any special use permit,site plan approval, use variance, or subdivision approval on property within an agricultural district OR within S00 feet of a farm operation located in agricultural district.All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Sections 239- m and 239-n of the General Municipal Law. 1)Name of Applicant: Sr 2)Address of Applicant: 3)Name of Land Owner(if other than applicant) 4)Address of Land Owner: A 5,05 S����; o w �, �/E.�}y�y��. JL3 N 1 k q-VZ 5)Description of Proposed Project: C a a t S S' v 6)Location of Property(road and tax map number): Gcou 41Jecoo 4 y -v 7) Is the parcel within an agricultural district't ?'-G(No gYes if yes,Agricultural District Number 8)Is this parcel actively farmed?oNo El Yes 9) Name and address of any owner(s) 'of land within the agricultural district containing active farm operation(s) located 500 feet of the boundary of the proposed project. (information may be available through the Town Assessors. Office, Town Hall location (765-1937) or from any public computer at the Town Hall locations by viewing the parcel numbers on the Town of Southold Real Property Tax System. Name and Address 1. 00-., 77�t -le,a�✓ w. �e 4,r�on Imo: O /_1O}�' 07�'� ,✓/ri�r�/TvLt' P/� 3.4. WA 5. 6. (Please use backside of page if more than six property owners are identified.) The lot numbers may be obtained, in advance,when requested from either the Office of the Planning Board at -765-1938 or the Zoning Board of Appeals,at 765-1809. Signatur of Applicant Date Note: 1.The local board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation.Solicitation will be made by supplying a copy of this statement. 2.Comments returned to the local board will be taken into consideration-as part of the overall review of this application. 3.Copies of the completed Agricultural Data Statement shall be sent by applicant and/or the clerk of the board 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.Failure to pay at such time means the application is not complete and cannot be acted upon by the board. 1-14-09 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on infonnation 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 cc S i v J Name of Action dr Project: L. S o -S S -CP 4% eA4 C 61-k . 4M Project Location(describe,and attach a location map): C w►s 1�a .�.� x S 5 ' w, ,�„�,n.� v es� � ail a Brief Description of Proposed Action: / L 4V.J J-01 Name of Applicant or Sponsor: Telephone: S i m s E-Mail: {h j7 r dlSJpS Address: / City/PO: State / Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from aqy other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: % J. I I,;�� @p V. &--- 3.a.Total acreage of the site ofthe proposed action? - *acres b.Total acreage to be physically disturbed? ISIS S 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 lResidential(suburban) ❑Forest 7 Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? 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 fr 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: W 1.4. ✓ SOV 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: IV/10- 12. V f/112. 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? r If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Ideptify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? &-- 16.Is the project site located in the 100 year flood plain? NO YES r 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: r� 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: e S 6;"_ I do t rlc. Date: 9- 2.3 - J f► Signature:2�1 -"r, ., 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?" �. �•, M �;,� °' �;. x '; '' No,or Moderate small to large -`'_� � ��'i'���?''7' '}l,'.•:.r��i.X 1•t";r. .;+�cx•�!�k�, d. x.+ n_t impact impact �_, h�,,, f`:f'' 4�•`�.' ?•�a:.o� ;�';.`?,jt�S,5''uf^"=3+3'iuo+ `''�"" x t� may may Y r � .. �=`_��'� •f' 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: f 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? pol- 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? wr Page 3 of 4 '•,�'� - i, - � '�,_1, Y'1 �;i;`ti_''s-'a.K'':='3) ^j�•�,�i'z�„''3..;��%:-'°"y �v.rs.: No,or Moderate small to large P ; impact impact r :S-,�-v�` �, -,.•.� fig. ;^ ���n� �=��'��r � x .# 4;;,-: .;r �•;s'��,�' may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? Y " 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. 11 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. o 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) residing at -9,,99,v -.9o0 /";MerrF_ (Print PrOP4 owner's name) (Mailing Address) do hereby authorize e4:.r ii*e UG+ (Agent) to apply for variance(s)on my behalf from the Southold Zoning Board of Appeals. ( wner's Signature) (Print Owner's Name) JAKE MARTI Notary Public - State of New York NO. 01 MA6349260 Qualified in Nassau County My Commission Expires Oct 17,2020 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 possibJe conflicts of interest and allow it to take whate er action is necessary to avoid same. 01 YOUR NAME : S i o . �' 7 (Last name,first name fiddle Initia0unless 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 74 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 No,sign and date below.If Yes,complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this /O day of QG ,20 Signature Print Name yJc; fi 4s1as 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# - 0/ The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. Ik Building Dept. E Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction, planning activity,agency regulation, land transaction) (b) Financial assistance(e.g.grant, loan, subsidy) (c) Permit, approval, license,certification: E' Nature and extent of action: Location of action: Site acreage: Present land use: • eke 1S•+C� Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code( ) (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. dyes ❑ No ❑ (Not Applicable- please explain) Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ❑ (Notplicable—please explain) �r� /Z 6 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 D No L (Not Applicable—please explain) Ria d — d 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 D No (Not Applicable—please explain) G4 d'17®t 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 D No 4 (Not Applicable—please explain) Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes [E No (Not Applicable—please explain) Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. See Section III—Policies Pages; 34 through 38 for evaluation criteria. Yes 0 No (Not Applicable—please explain) .Oo o do X ,a /JCl� G�/`cG illi Qf 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 1:1 Nox(Not Applicable—please explain) 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. nn Ye�-1 No (Not Applicable—please explain) 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 ❑ NoK (Not Applicable—please explain) Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town,waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No Not Applicable—please explain Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable—please explain Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable—please explain t„• ,lfSiO� fat _ z so s- .��.�d� Long I €air P.O Box 1690 �04rr G i� Southold/NY 11971 Y iltZ, 9LOffice:631-765-8285 Fax:631-765-8998 t A R11 Cell:631-680-5708 4i 11: NAME: Stns SIZE: ~ BORDER P�i F ERN- l ,7 f' ( INAL L PAS ERN; - -- - i FLOOR PATTERN: ,•`f DI=P T H: %z RUNG OVERLAP (circle one) 20 GIAUC 27 G�€lL E {c;rcle one, . i � 7 fff I � f e e r t - it �•� •';�. f. f". '' �7 ........: . .0>�.i,.}r.an��EiF)��.i/'N�.�• ck .. ;*t,,'bW. rt i�C'•':.v� - _ ra, 4F ,yg'. P` •' �" �'. R._i t�a"`.1 ��; '• 7'a .1.- .. . ,wi.•� y .t "fin;. - .. - «'�`' R�d't•�,�_s�Qi�!:K'.,• .��.: k,,". ani' - •y. a i „, .,oil ti r'r }��a�t � 7•,�.F. war f '.t � � •i ti' i,r t'. I� r vk4. ,2� t � .. '��'J{+ - � �1 -V ..._ r q, r ! r +Jt ' ! a ��,' r� � �'` �.F;'"" � 7,�;r� �' , �'i f� {r-,'y{ J t - �� r.,'•{�4{�* �9s j1�f�T�'�51p4 x •((��.,�1�'l 1},ta � y �,, „+ rt t t h 1` Z� O C Z N is Q �G +� pQQ,SoPp € �Y p�paMp194-p Z o 0. w E g \ \G�10�� O a$ \40 S -iy 5 mS LEGEND = DRAINAGE INLET O \ 0 = WELL 5 P, �m 65 02 UTILITY POLE mE 64.83 / \ = LIGHT POLE 2 uFf � GoaE x GMF = GONG. MONUMENT FOUND m 63 76 / 63.04 �pnL p5S pL uNE\ON \ 02 x63.7 /// ROPOSED POOL \ 8� / o \ 61.80 / // p, OPpSE N 64. 0 >o c� 5 -5 \ � +63.86 F 63.6 �� D5W 0g Sk o Z OE O ,�y13.1:.LA 220 9jS S \ o 9 2nd STORY // `� 79 o S QW \ CONC. DECK / i 0. 61 7 } O 70.65 ,y GFL a oD1 \ o CONC. DECK FFLa 128• 12.9•� y \ m 0 9 'u 2 STORY a13.0 \ CONC. HOUSE 1 \ i & GARAGE DI A o v H1GANPk( y m T-- \�i � O Z \ MGN• � G fG ,•- a \0(0.(02 o.�'W 3s 13,00 W \ gm � O" \ FEN• �\ � \ o3w SOS• t�0,1W v�' go \ 0\ 36 3 00' C�w ENt \ \600"" EGGS°F SITE DATA m<A< �K AREA = 410014 SQ. FT. g • VERTICAL DATUM = N.A.V.DATUM(1488) 'm 9� 400 Ostrander Avenue,Riverhead,New York 11901 5URVSY FOR Z Z tel.(231.121.2303 fax.631.121.0144 " admen®youngengineering.aom PENNY $ 5105 at Mattituck, Town of Southold Howard W.Young,Land Surveyor Suffolk County, New York $� Thomas G.Wolpert,Professional Engineer Douglas E.Adams,Professional Engineer BUILDING PERMIT SURVEY Robert G.Tast,Architect Robert Stromski,Architect County Tax MOP D Sty ct 1000 Section 94 01 OI Lot 12.2 VA ;)_ SURVEYOR'S CERTIFICATION MAP PREPARED OCT.25,201a a ;e WE HEREBY CERTIFY TO PENNY BARecord of Revisions S A�THIS y WAS PREPARED IN ACCORDANCE WITH G Erqq•FF Pi3ACr�aa RECORD OF REVISIONS DATE Nig FOR LAND SURVEYS ADOPTED BY THE YpR�'��ATE* "* ASSOCIATION OF PROFESSIONAL L 6 '' 00 0 00 00 00 Ly Scale: I" = So' HOWARD W.YOUNG, S.L.S. 893 , `� 15 JOB NO.2018-0191 I sop i'4 DW6.2018_0191 OF I h z PLOTTED BY:Diana Lopez PLOT DATE Feb 26, 2019 — 11:47am DWG FILE: R:\2018\2018_0191\dwg\2018_0 191.bp.dwg Q, TOWPROPERTY - N OF SOUTHOLD PROPERTY -RECORD CARD OWNER STREET r� VILLAGE DIST. 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