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HomeMy WebLinkAbout1000-115.-17-4 OFFICE LOCATION: so MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 G • Telephone: 631 765-1938 o�yCOU ,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, AIC'P Assistant Town Planning Director LWRP Coordinator Date March 17,2021 Re: LWRP Coastal Consistency Review for ZBA JESSICA AND WILLIAM MACOMBER#7480 SCTM#1000-115-17-4. JESSICA AND WILLIAM MACOMBER#7480-Request for a Variance from Article XXIII, Section 280-124 and the Building Inspector's January 12,2021 Notice of Disapproval based on an application for a permit to demolish an existing single-family dwelling and construct a new single-family dwelling; at 1)located less than the code required single side yard setback of 15 feet; located at: 4040 Deep Hole Drive, (Adj.to Deep Hole Creek)Mattituck,NY. SCTM No. 1000-115-17-4. 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 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 MEMBERS o f S Southold Town Hall Leslie Kanes Weisman,Chairperson 53095 Main Road •P.O.Box 1179 �� l0 Southold,NY 11971-0959 Patricia Acamporat Office Location: Eric Dantes G Q Town Annex/First Floor, Robert Lehnert,Jr. �O �� 1 5437.5 Main Road(at Youngs Avenue) Nicholas Planamento 1�C0 Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF_APPEALS ® ®� TQWl�i OF SOUTIOLD J----__---—�4_ Tel.(631)765-1809 •Fax(631)765-9064 FEB - 5 2021 Sout o Town February 5,2021 Planning Board Mark Terry,Principal Planner LWR.P Coordinator- Planning Board Of ce Town of Southold Town ball`Annex Southold;-NY.1-1971- Re: -J 471Re: ZBA File`Ref.No. #74$0 Maeomber, William&-Jessica. Dear 1Vlark: We have received, 'an application to- demolish an -existing single family d , ling and construct a new single_family_ dwelling. A_popy of, the Building lnspeat s Notice 'of Disapproval under Chapter 280 (Zoning Code), and purvey map,project ascription form,, are attached for your r'efcrence. Your written evaluation with.recommendatio for this propos , as repiredd-under the Code procedures of LWRP Section 268-5p is requested wi ' 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairp so By: Encl. - - Survey/Site plan: AMP Architecture, LLC, dated January 28, 2021 - FORM-NO.3 TOWN OF SOUTHOLD _ BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: January 12.2021 TO: AMP Architecture(Macomber) 1075 Franklinville Road Laurel,NY 11948 Please take notice that your application dated December 23.2020 For permit to make demolish an existing single family dwell' d construct-a-new single family- -- - dwellin at — - - - Location of property: 4040 Deep Hole Drive Mattituck,NY County Tax Map No. 1000- Section 11155 Block 17 Lot 4 Is returned herewith and disapproved on the following grounds: The proposed construction on this non-conforming 21,227 square foot lot in the Residential R-40 District.is-not permittednursuant-to Article XXIII Section 280-124 which states that,on lots measuringbetween 20,000 and 39,999 square feet in total size the minimum single side vard setback is 15. The proposed construction notes a single side yard setback of 13.1 feet. orized Signature Cc:File,ZBA Fee;$ Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No.4040 Street Deep Hole Drive Hamlet Mattitudr,NY SCTM 1000 Section 115 Block 17 Lot(s)4 Lot Size 21,227 S.F- Zone R-40 NC I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 1/12/21 BASED ON SURVEY/SITE PLAN DATED 5116/20 Owner(s):Jessica and William Macomber Mailing Address:4040 Deep Hole Drive,Mattituck,NY Telephone:W-25"642 Fag:NIX Rmails I'winforksdroneservicesggmail:com NOTE:In addition to the above,please complete below if application is signed by applicant's attorney,agent,architect, builder,contract vendee,etc.and name of person who agent represents: Name of Representative:AMP Architecture for(X)Owner"( )Other: Address:1075 Franklinville Road,Laurel,N.Y.11948 Telephone:516-214-0160 Fag: Email:beppersongamparchitecture.com Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), (x)Authorized Representative, ( )Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN gATE$1/12/21 and-DE1ZD-ANAPPLICATWN-DATED.1/12/21 FOR; (x)Building Permit ( )Certificate of Occupancy ( )Pre-Certificate of Occupancy ( )Change of Use O 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•y.xtll- Section: 2$0424 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 resmet to this property,UNDER Appeal No(s). Year(s). .(Please be sure to research before completing this question or call our ofte 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 proposed project will maintain the current neighborhood's architectural style. 2.The benefit sought by the applicant CANNOT be achieved by some method feasible for the_applicant to pursue, other than an area variance,because: The proposed project will be maintaining reasonable distance from the wetland. 3.The amount of relief requested is not substantial because: The side yard setback is currently 13.1'and is not changing. 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: The proposed project will not create a negative impact on the site in a negative manner.The foundation will remain unchanged and the physical conditions will not be immensely impacted. 5.Has the alleged difficulty been self-created? { }Yes,or{x}No Why: J 4 Are there any Covenants or Restrictions concerning this land? { No {}Yes(please furnish a copy) This-is,the MDUMUM-that is-neeessWand-adequate,and-at the same time preserve and-protect-the character ofthe neighborhood and the health,safety and welfare of the community. 6Z� Signa of Applicant or Authorized Agent (Agent must submit written Authorization from Owner) Sw m to before in day of Notary Public •••puna,., ycnrF DebomhOrlowski ` Notary l'obuc,State of Now York No.01OR6280392 f Quddied in suffoll►County �' Couomission Fatpim 05/3)20&-Y f APPLICANT'S PROJECT DESCRIPTION APPLICANT• AMP Architecture DATE PREPARED:01/29!2021 1.For Demolition of Existing Building Areas Please describe areas being removed:Modified concrete slab at addition. IL New Construction Areas-(New-Dwelling or New Additions/Extensions): Dimensions of first floor extension• Proposed 1 at floor addition 63.8'X34.5' 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: No M.Proposed Construction Description(Alterations or Structural Changes). (Attach extra sheet if necessary).Please describe Uuilding areas: Number of Floors and General Characteristics BEFORE Alterations: One story frame dwelling Number of Floors and Changes WITH Alterations: One story frame dwelling IV.Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property: 21,227.66 S.F. Proposed increase of building coverage: 925_S.F. Square footage of your lot: 21,227.66 S.F. Percentage of coverage of your lot by building area: 6.1% V.Purpose of New Construction: The homeowners would like to increase the square footage of their house. VL 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): The proposed-projedTdoes notaffectlheland-contours. Please submit 8 sets of photos,labeled to show different angles of yard areas after staldng corners for new construction,and photos of building area to be altered with yard view. 412012 QUESTIONNAIRE 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 theproperty bulk headed between the wetlands area and the upland building area?Yes 4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction?Yes Please confirm status of your inquiry or application with the Trustees:(Fending ZBA Approvaij 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?No 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 Ime. F. Do you have any construction taking place at this time concerning your f premises?No If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach allpre-certificates of-occupancy and- 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. - - t 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. L Please list present use or operations conducted at this parcel (fax Map 1000 tt5-174)- Single Family Residence and the proposed use Single Family Residence . (ex:existing single family,proposed:same with garage,pool or other) ' l 2� zt - • Authorized signature and Vate FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25508 Datet 02/02/98 THIS CERTIFIES that the building ALTERATION ITUCK Location of Property: 4040 _ DEEP HOLE DRIVE MATT (HAML (HAMLET) (HOUSE NO.) (STREET) County Tax Map•No. 473889 Section 115 Block 17 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 1991 pursuant to which Building Permit No. 20228-Z dated OCTOBER 23C 1991 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is REMODEL KITCHEN & DINNING AREA IN AN EXISTING ONE FAMILY DWELLING AS APPLIED -FOR. The certificate is issued to WILLIAM F. JUDITH MACOMBER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-199856 08/13/91 pLumsIMS CFMTIF2CATI0N DATED N/A Bu drag inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office ofathe Building Inspector Town Hall Southold, N.X. l - CERTIFICATE OF OCCUPANCY i No: Z-25509 Date: 02/02/98 1 THIS CERTIFIES that the building ADDITION Location of Property: 4040 DEEP HOLE DRIVE MATTITUCK (HOUSE NO.) (STREET) (SET) County Tax Map No. 473889 Section 115 Block 17 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 1991 pursuant to which Building Permit No. 20229-Z dated OCTOBER 23, 1991 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM a JUDITH MACOMBER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF 0EALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /Oot� .7ing I Spector i Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. 1 CERTIFICATE OF OCCUPANCY I Not 2-25520 Dates 02/05/98 J THIS CERTIFIES that the building ADDITION Location of Property= 4040 DEEP HOLE DR _ MATTITUCK (HOUSE NO.) -(STREET) (QST) County Tax Nap No. 473889 Section 115 Block 17 Lot 4 Subdivision Filed Map No. Lot No. conforms sub stan ly to the Application\for Building Permit heretofore filed in this office dated SLpTEMBER 11, 1997 pursuant to which Building Permit No. 24608-2 dated JANUARY 16, 1998 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is SUN ROOK ADDITION ON EXISTING ONE FAMILY DWELLIW AS APPLIED FOR. The certificate is issued to WILLIAN 4 JUDITH MACOMBER (OWNER) •of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A e Building Ins ctor Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector j Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19707 February 5, 1991 THIS CERTIFIES that the building ALTSRA 01q Location of Property 404Q DEEPHOLE DRT9ETT • N.Y. House No. Street - Hamlet County Tax Map No. 1000 Section 11 15,Block 17 Lot 4 Subdivision Filed Map No. Lot No.____�_____ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 30._1991 --------pursuant to which Building Permit No. 19652-2 dated FEBRUARY 4, 1991 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is AT,TBRATZON TO AN B�tISTING GARAGE IN CELLAR OF ONE FAMILY ilL7 3NG AS BUILT. The certificate is issued to W'MIAM & JUDITH NACAMBER ' (owners} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N% UNDERWRITERS CERTIFICATE NO. PENDING DBC. 5, 1988 PLUMBERS CER+ TXFXCATION DATED NIA s Building Inspector Rev. 1/81 J FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Pn Certificate Of Occupancy No. , Z 17565 . . . . . . .. Date . .DECEMBER.2, _1988. . . . . . . . .. . THIS CERTIFIES that the building .Oq e. f am i I y, dwe i 1 i n g. . .. . .. . .. . .. . . . ... ... .. Location of Property4040. DEEP. HOLE. DR. ' ._ , MATTITUCR, . . House Nlo. Street .hlem%t County Tax Map No. 1000 Section . 15 . .. . .Block . . .17. . .. . . . . ..Lot . , ,04, . . . . . . . . ,. . Subdivision.. .. . . . . . . . .. . . . . . . . . ... . . .. . .•.Filed Map No. .Lot No. . REQUIREMENTS FOR A PRIVATE' ONE—FAMILY DWELLING BUILT �PRIOR TO conforms substantially to the . MiAM144 $ � 1�� 1 �- APRIL 9, 1957 CERTIFICATE OF OCCUPANCY NO•Z17565 . . . . . .. . . .. . . . . . . . . . . . pursuant to which1131t>XAMjPifidE K1M9. . . . . . .. .1 . . . . . .. . . ... dated ,DEC EMBER *2,. .1.988_ . _. .. .. was issued,and conforms to all of the requirements of the applicable provisions of the law.The occupancy for which this certificate is issued is ... .. . . . . ONE FAMILY DWELLING. . . . .. . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . .. . . . . .. . . . . . . ... . . . . . The certificate is issued to . .. . WILLIAM .A. DI JUTH MACC.OMMBB�EyRgq�y •• JCBZd�O1`{le7l�7Krlx. •• • • •. of the aforesaid building. Suffolk County Department of Health Approval .. ..N!A , . .. . . , . . , , . UNDERWRITERS CERTIFICATE NO. . . . . . . . . ...PA . . . . . . . . . .. . . .. . . . . . .. ... . . . . . .. . PLUMBERS CERTIFICATION DATED: N/A SEE INSPECTION REPORT ALSO B.P. #17607Z -- CO Z17564 for accessory building. Building Inspector Ray.1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT - Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17S64 Date DECEMBER 2, 1988 THIS CERTIFIES that the.bullding ACCESSORY Location of Property, 4040 DEEP HOLE DRIVE MATTITUCK House No Street Hamlet County Tax Nap No. 1000 Section 115 Block 17 Lot 04 Subdivision Filed Map No. Lot No. conforms substantially,to the Application for Building Permit heretofore filed am this'office dated NOVEMBER 7. 1988 pursuant to which Building Permit No. 17607Z dated NOVEMBER 16, 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY BUILDING IN REAR YARD. The certificate is issued to WILLIAM & JUDITH MACOM88R (owner, ) of the aforesaid building. ` SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED NIA Building Inspector Rev. 1/81 g 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:AMP Architecture 2. Address of Applicant:1075 Franklinville Road,Laurel, N.Y. 11948 3. Name of Land Owner(if other than Applicant):Jessica and William Macomber 4. Address of Land Owner:4040 Deep Hole Drive, Mattituck,NY 5. Description of Proposed Project: =9x` 6. Location of Property: (road and Tax map number) 4040 Deep Hole Drive Mattituck NY Tax Map#1000-115-17-4 7. Is the parcel within 500 feet of a farm operation? { } Yes {x}No 8. Is this parcel actively farmed? { ) Yes f 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. (Pleaseuse the back of 's page if there are additional property owners) C / ZGr / 2 ( Signature of Applicant Date Note: 1.The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2. Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. v 1 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Macomber Addition Project Location(describe,and attach a location map): 4040 Deep Hole Drive, Mattituck, NY ax Map# 1000-115-17-4 Brief Description of Proposed Action: To demolish an existing single family dwelling and construct a new single family dwelling. Name of Applicant or Sponsor: Telephone: 516-214-0160 AMP Architecture E-mail: fbrennan@amparchitect.com Address: 1075 Franklinville Road City/PO: State: Zip Code: Laurel N.Y. 11948 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? X 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: X Building Department, Trustees& DEC (Pending ZBA Approval) 3.a.Total acreage of the site of the proposed action? ••48 acres b.Total acreage to be physically disturbed? •02 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? •48 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial Q Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ®Other(specify): wetlands ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 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: X 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES X 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? X 9.Does the proposed action meet or exceed the state energy code requirements? I NO YES If the proposed action will exceed requirements,describe design features and technologies: X 10. Will the proposed action connect to an existing public/private water supply? NO YES X If No,describe method for providing potable water. 11.Will the proposed action connect to existing wastewater utilities? NO YES X If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b.Is the proposed action located in an archeological sensitive area? X 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? r X b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: - 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline 17 Forest 17 Agricultural/grasslands ❑Early mid-successional VWetland 17 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? X 16.Is the project site located in the 100 year flood plain? NO YES X 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? VNO 0 YES X b.Will storm water discharges be directed to established conveyance systems [3(runo and storm drains)? If Yes Y briefl describe: ( O YES Page 2 of 4 r \ 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)? X If Yes,explain purpose and size: 19.Has the site ofthe proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? X 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? X If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Anthony Portillo(AMP Architecture) Date: January 29,2021 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained iia 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 P impact impact P 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 Iarge : 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. 13 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 i Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) I, r�,- 1 la c�r►,(�,a���, residing at 40 4 J (Prinf property owner's name) (Mailing Address) q:)a- do hereby authorize AMP Architecture (Agent) to apply for variance(s)on my behalf from the Southold Zoning Board of Appeals. (Owner's Signature) gloG i#aca1j4er (Print Owner's Name) APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of SouthoWs Code of Ethics urobibits conflicts of interest on the part of town officers and emplovem Be 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. YOURNAME: HiQ c o cam- Q* 10_1__ U3r- (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 V 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?%eiationsW includes by blood,marriage,or business-interest."Business interest" means a business,inclading 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) Q an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OFRELATIONSHIP Submitted this A3 day of 20 a 1\ Signature Print Name P��u,! �ofi�� AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the hart of town officers and emnlovees 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: Anthony Portillo(AMP Ammechue) (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 X Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Dooupersonallyor throw y ( gh 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 50/6 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 fx O ay of :San .20_..gt Signature Print Name Anthony ortiuo Town of Southold LWRP CONSISTENCY ASSESSMENT FORINT 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# 1000 _115 -17 - 4 The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. L3 Building Dept. Board of Trustees c 1. Category of Town of Southold agency action(check appropriate response) ` (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity,agency regulation,land transaction (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Demolition of exisitng house:63.8'x34.5' Location of action:4040 Deep Hole Drive,Mattituck, NY Site acreage: •48 Present land use:Single Family Residence Present zoning classification:R-40 NC 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:Anthony Portillo(AMP Architecture) 1075 Franklinville Rd. (b) Mailing address: Laurel, NY 11948 (c) Telephone number:Area Code( )516-214-0160 (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. ®Yes ❑ No ❑ Not Applicable The proposed project will work to maintain and preserve the community character. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—�-Pgolilicies Pages 3 through 6 for evaluation criteria ElYes ❑ No U Not Applicable The proposed project does not affect any historic or archeological resources. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ® YesE] No Q Not Applicable The proposed project will not hinder any visial quality and will work to protect scenic resources. 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 S through 16 for evaluation criteria 0 YesEl No ® Not Applicable The proposed project does not affect life,structures,and natural resources from flooding and erosion. 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 M Yes 0 No ®Not Applicable The proposed project does not affect water quality and supply in the Town of Southold. 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 0 No® Not Applicable The proposed project does not affect or negatively impact the Town of Southold ecosystems. Attach additional sheets if necessary r Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Q Yes © No[jr Not Applicable The proposed project does not affect air quality in the Town of Southold. i 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. NYes ❑ No ❑ Not Applicable The proposed project will work to minimize degradation form solid waste and hazardous substances. 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 1111—Policies; Pages 38 through 46 for evaluation criteria. M Yep-nl No Not Applicable ' The proposed project does not impact public access to natural and public resources. 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 ❑ NoM1allot Applicable The proposed project does not affect water-dependent uses. 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 M Not Applicable The proposed project does not affect living marine resources. 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. 13 Yes El No 2Not Applicable The proposed project does not affect agricultural lands in the Town of Southold. 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. Ly Yes ❑ No ❑ Not Applicable The proposed project will work to promote appropriate use and development of energy and mineral resources. Created on 512510511:20 AM J O��pF SOUTyoI Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 G� Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD STOP WORK ORDER- TO: William Macomber, Jr. 4040 Deep Hole Drive Mattituck, New York 11952 YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 4040 Deep Hole Drive, Mattituck, New York S.C.T.M. 1000-115-17-4 r Pursuant to Section 144-8 of the Code of the Town of Southold, New York, you are notified to immediately suspend all work and activities until this order has been rescinded'. BASIS-OF STOP WORK ORDER: Construction without first obtaininq a Building Permit. CONDITIONS UNDER WHICH WORK MAY BE RESUMED: When a'Building Permit has been issued from the Building Department Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. DATED: 7/16/ 02 1. Donald Stirnweis Ordinance Inspector (Cert. 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'O��q`i 16;( =1 i_ g 1j 1st (____ia? �z.f t�5 pe, to �� "" w '7 a` F.'�'.,,:;.,"• r =r•. - `S - �. ya 15�' 14 d 13 jx 12 l �'� M4TCH UR i �1Plc�vl iT,3jgj - 5 _ - _ 7 f.t• ~ '' _ _ _ I�n �L I ±s I , '•fy `-FOR PCL.NO �f 1-Ne..1 -SEE SEMNO _ _ �CJ•` _ - .I _ HOLE _ _ 123Psazs.,, N 10IX4 1a t soa SECTION NO COUNTY OF SUFFOLK © NOTICE K tot os tsy Dmwallo 1000 E Real Property Tax Service Agency MAINTEANCEALTERATIONSALE OR Y E DISTRIBUTION OF ANY PORTION OF THENI i ttmtsa- ` TowN OF SOUTHOLD 115 - - - 300 C-r,Dmv&, 1ten(NYJ1901-- SUFFOcK C<l�N1Tl AX MAP LS PROM6fTED A tccP aao tau o zoo eW WITHOUT WRrr EJ PEiMSSCN OF THE P , a _ •ixC - ' Feet $ REAL PROPERTY TAX SENICE PDSJLI' }tz2 to taoo. VILLAGE OF N S C.T.M. NO. DISTRICT: 1000 SECTION 115 BLOCK: 17 LOT(S): 4 NEW I S lJ 1' FOLK AVE. TIDAL WETLAND BOUNDARY AS DELINEATED BY � EN-CONSULTANTS LAND N/F OF 12-02-20 KEVIN CIERACH IFC 7.0'E S 88°41 011 E4' WIRE FENCE ALONG LINE s 142.091 1.1'N 4' WIRE FEN C / PIPE EL 6.9 ' - 1 WOOD WALKI I 12 3' �- I j LP GAS 9 w SHED 1 / X CL 15.0 11 34.4' 00 t Cn 1 WALK OUT 00 /1 K I p BF ELL A7. 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NAVD88 _____________ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUffURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: JESSICA SIDLAUSKAS; MAP OF: WILLIAM ALLAN MACOMBER, JR., ADVOCATES ABSTRACT, INC.; FILED. WESTCOR LAND TITLE INSURANCE COMPANY SITUATED AT: MATTI TUCK TOWN OF- SOUTH OLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design ff , f� P.O. Box 153 Aquebogue, New York 11931 FILE # 19-66 SCALE: 1"-20' DATE: MAY 16, 2019 �'f PHONE (631)298-1588 FAX (631) 298-1588 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk yam.Q WW W H�zZma gg maw g?. zasw�m _~O~ W ko:"'o cdu•3cc�$ W Q �wFc O=W i L'iacJaJco 0�•,J W 6' Oa as 0 xN z x �� $ oNN �c�i '.o• 774' ]b'-{ WTH2 442 POP" 7m44;1 W U O QJ a3:W NCdh025 (bo 00.FT) A - MODIFIM x uWi z o O 0=N W x U t 0 U Moon=I� 7•d+PD. 2%0 FD L 7•� T-0 4f7 IM442 MODIFIm �Q O O Mo am Fr) NEW fSPEAT • _ _ _ ROOMW54 mAaTER J d10VQd F r S n _ C246 eo F» K9K _u KALKAN • 7•x•• �. L s wed I Ve MM �i W � -- ee•Rs. p Gb. 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