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HomeMy WebLinkAbout1000-79.-4-6.1 OFFICE LOCATION: q SO(/lyO MAILING ADDRESS: Town Hall Annex �� l0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 G • Q Telephone: 631 765-1938 COU 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 April 27, 2021 Re: LWRP Coastal Consistency Review for DAVID ROHDE#7503 SCTM#1000-79-4-6.1. DAVID ROHDE#7503 -Request for a Variance.from Article III, Section 280-15; and the Building Inspector's February 22,2021 Notice of Disapproval based on an application for a permit to install an accessory generator; at; 1) located in other than the code permitted rear yard; located at: 1615 Anchor Lane, (Adj.to Shelter Island Sound) Southold,NY. SCTM No. 1000-79-4-6.1. 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 "CC"which states: CC. Structures less than 250 square feet in size that are accessory to existing permitted primary structures, and which accessory structures are greater than 50 feet from a boundary of a natural protective feature and freshwater or tidal wetlands; 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 OF soar Southold Town Hall Leslie Kanes Weisman,Chairperson �� y� 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. �cO • �� 54375 Main Road(at Youngs Avenue) Nicholas Planamento IyC�U Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD R E C E E Tel.(631)765-1809•Fax(631)765-9064 APR 05 X021 April 5, 2021 soutr�oia 7-oV� P1 lanrilria g rdi Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold,NY 11971 Re: ZBA File Ref. No. #7503 Rohde, David Dear Mark: We have received an application to install an accessory generator. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-51) is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairp rson By: Encl. Survey Site plan: Barrett, Bonacci &Van Weele, PC, dated March 24, 2021 qu FORM NO. 3' 1\TO"rtu, OF WSAPPROVAL �DATE:Tebruaiyv 22.,2021 TO., David Rob'de 1,615 Anchor Lane '8ouyhold,NY 11971 .Plea a take notice tllatyour application dated February 8, 2020, 'To-install`am accessory generator W .Location of l?roperty: 1615 Anchor Lane_,Southol&'NY County Tax' Map No. 1000 -Section 79 Block Q Lot4ll Is returned herewith-and,disapproved on the follb,,;i0g,grotuids: The_pMosed_aece_ ssory_generator is riot permitted,pursuant,to Axticl6111. Section 280-15.which states; "lri the J�ad cultural tollservatim District and Logy-Density residential R-80,R-120..R-200 a_n_d R400 Districts,,,accessory buildings and structures or-other accessor-v uses shallbelocated ig> the:rcclttired,Year yard.- - Tlie acc:ess&y g)dnertWjrjs noted its beini5 in the side yard. Authoriz6d Signatui Note to Applicant. Any change or deviation tQ,the above,referenced application, may ireguire further review by the Southold Town Building Department. CC: file, Z A., HPC Fee:. Filed By: AssignmentNo. APPLICATION TO THE,SOUTHOLI) TOWN BOARD OF APPEALS' AREA VARIANCE House No. Street_dArAe r Hai mleit 5o4c r4e SCTM 1000 Section771 Block_ Lot Size 0,y7acr es Zone 1 I(WE)APPEAL,THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR- DATED- BASED ON SURVEY/SITE PLAN DATED Mailing Address: Telephone:D/ Pax: Email:-l�of{D�fKZL�-�G MSI �Ca h 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: for(-)'Owner,( )Other: _ Address: - -- Teleplioine: _ Faz: Email: - - -- Plea check to speck who you wlkh correspondence to be mailed to,frou:the abm 'ove,mnes: ,(WApplicant/Owner(s), ( )Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEWSITE PLAN DATED / and DENIED AN APPLICATION DATED FOR: ip f / j Building Permit, O Certificate of Occupancy O Pre-Certificateof Occupancy O Change of Use ( )Permit for As-Built Construction O Other: - - - Provision of-the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection-of Zoning Ordinance by numbers,Do not quote the code.) Subsection• / Arti Ar Section: Z� Type ofAAppeal. Ain Appeal is made for: lr 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. ( )Interpret tion of the Town Code,Article Section 1( )Revers Tor Other A prior appeal( has, ( )has not been made at an time with respect to this " roe , UNDER Appeal No(s). Year(s). (Please be sure to research before co»ipleting this question br call our once for assTsta ice) ZBA File# Name of Owner: REASONS FOR APPEAL (Please baspecift addi(iohal sheets may be used willipir-epyrer)s signature notarized): 1'.An undesirable change,will not be produced in the CHARACTER of th&neighbor or a detrimetit to nearby properties if granted,because:1,71le -eAx-c-rp- J'-Vqec-00- `q'-o ey 4--s 06t OIL ezvi Por- 7%e 011,- 2.The bene-fit sought by the.applicant CANNOT be achieved by some�method,feasible for the Applicant to pursue,other than an area variance,bfqquse, /W— -S f6Af< 44X 7,01i 5 'e- aiX e-ft- «,e /v,,p 7' lne,, jS YU 0 e- -A� lev,v,e eW4Ar;t-7P"I 3.The amount of relief requested,is not substantial becaUse-VT/he PX d ace-io 44- 7.sro FF d &`e?,fv b-e- pe�,4ff 7, ec- Fe,-t.+er. Ocr7-?�c rL*/I'o6,'Ufy- -7—Ae 4,Thelvariande will'NOT have an Adverse effector imliact on the physical or environmental conditions W the; ,ifeikhboffi 6od or district betause, P�qcv-vv-,-X 04: h-C6 d,4e 1ro+ 4 v e-t--f/, 4s" 16.,,ve A&e- 5.Has the alleged difficulty been self created? Yes,orf No Why: T/L- C- 4r"/V( 'ear 1-1 A/0"'a e.,eq, y,- al,,/ ,�? 7LkCr 7Vn?C 411,L,.,1*714.0,o.,).fe1— Are there any Covenants or Restrictions concerning this land? d Yes(please furnish,a copy) eet,x4 pv,� This is the MINIMUM that is necossary,and adequate,and at the same time preserve,and protect the character of thic,neighborhood and the health,safety and velfafo of the community. By signing below,I certify -to the best of my knowledge. all information is true and correct signaf&e of Applicant or Authorized Agent (Agent must submit written Authbriiation from Owner) SWOM bePo 'me this- -2A day, of r 20 ROBERT'R CARVER NOTARY PUBLIC,State of New York No.02CA5017633 Qualified in Kings Count!,, Nota Public Commission,Expires Sept.7; 1 1 i APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant:' !/��r � � Date Prepared:. �- 2 - - X.For Demolition of Existing Building Areas Please describe areas being removed: ./t/& II. New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of.first'floor extension: y�, Dimensions of new second floor: -- Dimensions of floor above second level:_ Height(from finished ground tolop of ridge): h basement or lowest,floor area being constructed? If yes,,please provide-height(above ground) measured from natural existing grade to first floor., if _ III. 'Proposed Construction°Description(Alterations or Structural Changes) (attach eitra sheet i(necessary)°- Please describe building areas: ]`T mber of•Floors and General Characteristics BEFORI✓Alterations: s�i�rSY`r a f' �?= mart• /ta e° Number of Floors and Changes'WITH Alterations: IV'. Calculations of building area's and lot-coverage(from surveyor): Existing square footage of buildings on your property: gyp <<1`_e-�Ig :,s Zca x_ ,Proposed increase,-Of building coverage: Square footage,of your.lot: rJ'f' Percentage of coverage of your lot by building area: 1cicra. V. Purpose of New-Construction: 31"X S `f C e,e of c T'Cl - l .0•E �C'C�- r G—�'� er6:31`�6z. VI. Please describe the land contours(flat,slope%,heavily wooded,marsh area,etc.)-on your land' an_ d,how it'relates to the difficulty in meeting the code requirernent(s): ) /a6 3!_ ins Y / r.•t/(_ b pl��cF.� 5 r�P v �y ( KGtr /a'f-a � c> S/a D ,flc 7" 6-0-615 F d' 012 P:0*4Z5X. 2r.r ea-. Please submit Seven(7)pliotos;labeled to show different angles of yard areas after staking corners for new construction),and pliotos of building area to be altered with yard view. 7%2002; 212005; 1/2007 i . a r :'• 'bbl `t=.. ,� ti .� i _ s� _ .., `� .. i , l y • A , a • A ` r. e all + ;t��,'•, . .. f F- air' f�. �IL All Y .y r _ Y Front of House N/W Scanned with CamScanner � � .` •rte. •tip � .. � � � �`�� ? e ,! �.. t if r � � L .�•tiY�T � � � k �/ It i. „ f 446. I t Ali - f � ` r 4 �: : �... ` Pte• ^..y_,J�� � t,• 'r ..r"•r a -t�' r -� .T `1+ _� { .- ` '. ,- -may - -i —. IL ML ..��. r. �. - �. �r1■-i=ll'' � "i�tGt �, i'� i'. ��*�,.,;�� 'ry.• ���. J- ♦ few ��r A r�•: 4 ` `S•�S r -'f.- . �.�- • -{Y it � •l.r; f,-,k.tAt yi�.�:•y t�� h-,ri. � ,.jr,? r:•t � � yq, • y '\ kv.'_�'� .y. �..' 1 �r^♦.�.- r�{ �� J �f„yf/Sr" '! �. '.0^1� �.�!•' al � "fir:d��"•i+ 5 rk • ��� t'.F'! _ �, �^ s . :A':,,+AA►'ff �fi d�r� ' •�y•' r [� 4x •,'..f t :,S 1 '♦i .4N .r {r:-•' �,i'r�- � _}r '�1 ,/ � ..�♦♦C��'..y��lyJ1� �L�rI �R of _ v Y� { =1• r T' 1 .�•r+(" .�,� � .' � j IpJAM •.i• lb: -.cAG: Y.3GA !Y.'. .. - - •yp. Yr•.r'�\ .. _.f1+{ ._ . .' 'i'� �.r.,S .v `1$ki. Back Yard East-facing (fuel supplXi Scanned with Scanner ..Jr;_ SFr t v � � �i �'�'� � •. .�, `� � ., t� j]yX a Back Yard South/East facing (fuel supply) Scanned with CamScanner ' ' .t �� . +•'4->�y-F'i.:t��err.. � � +l 1l , ..••ice_..`1r �. � � ' 1 t w, � y • I . i 8 Y. .�..�•. `/lar. 4-s k' n& � - °�.,. ;' Via, I '�( ��" ,• � ,F�� �•-- ter. r �.�� •4�' .. `�-• ;4..��. _ tt '•�.� � � s� ,�., �'. -'• r. ' r •.fir• � ` �: .�..� {�t4,,_. ,.•4 ,u...C..� _ �� ,� �>. IV-"*= ,.+. may°` °• "�4 oil AteI. , wa .• _ i-r + .w S..f • ta. Z'�M1 ry. t.- 7ylF• si .w-�- •°'� 'f `` 1• +u��_ kik', r , aN .. J Backyard from Rear Deck Facing North Scanned with CarnScanner �7 ♦ �1 ��..� ..�1 r �� �• ,! "_ ..1�•'� �r' 'i 3 �' !S.•♦� � � �x f �"i�`` ' �li�..yiQ t�, Yi� .:i�.;a'�•. • t•� ���e'/��t♦11 1 ti � �. .� .A1 �. � icy � `. . 11 Jr.k•'• \ Y .I 1`+ll� Ql':t�r1►�a'S1'� ,'.. 1 ��:, .� 1ty� lift, I r *J : 1 •/j ;� 4 ' tvf.4, kit jam Ai YA FFA I 1 ,' 4 � r JZ7, fill 4���� - e�J vs�1�L__• �-l,y,�J ..1. •� �� l�'����ZL z� 1 17 .1 JSA PrI yy` ,}j' �-�' _ '�'.r '"di`':ak °J`t - t i•' -*r_Il�S j!'" r ~ `'"�� i `'• :T�_ M�. :. • •r � 'V ~,'1.jy�, �4' ��J� t� i".r I'r9N';E'J• 3+. ,J' <a -.4•-w -1 ,- Y� 't `«_ti - .�,,;�; ,�... �-_yy -• , � � .� s�_ � ►[`r ��•sem!• 4 �: R7 _ rz•!5; , `. i�. :• _ r. s 10r" y<'.r:Y �• i J + ,.7' * ti �.:'1 X Y�' �..riyr' jr .t • .► y Is •ih�'~��' r _. ± --,'"�''y," \:.. T„ `+_ - 7c�"/ .�h�,� J►«. _ yT v; ��tyl„��f ?� - 'OrK-� %♦ .. }j� 1 -. R}' `L' 14 11 �'� ' �i 1`.-"�.^.+Ir_''t c• �1 i► �. r��.'t.� _ 111 •r'"1: .-v,�.: = �'^.\�'+S� �/�"4 miRM r'�++,;} , ' ►�}.• `S 'y_ �M^''�•'�} J� al.•-.J ?+fir q� � OL` ♦ ha'��`!s: -_� a `�IR�_�ij •�1� {\ ► ./ 11;}.4f ` J.,c .GstS'; •\ 7!+ j "�,.,�•' .+0. �'`�•. '''- •3a•.�`''� `�i r Z�3 t •t��,'r ;`'"'��� }�+t'~�S♦ `� `� 'mit`�'"�'• .r �-;�, v,. e • Jr: r�T . i'•/9�ia.Y WfS+ `. ti a. �y,�+'i►, i "� .�\ .�i ..�. ..�r t'f.` �-cam. D .i., �. .l• ..Ar _ t6b-. ..s�.>�. -J�s;a.�-:� �• - 7Yc Side Yard Facing N/W Scanned with CamScanner _ d r;y e 4 9- y ;c Ilk FRI I � - /� 'e`rr's - ,,�•.7�' !, 7�. -- {�` +-��,,Sta, � �'lT`+�'":I` ��. yq'r"F� ..� ` � } � � +. yr'tM�f `,�1C•AZ+}.�` ��1�'*^r lr�fit"'-••.`���-•'�t"4,4, ' l y fi - - f - JL .•��lf y���9'S.0 + A� �i f 3��.(�` ` �� '�fi� �y hi�t+�i`. I O' to Electric Meter Scanned with CamScanner t•rz 1 ,1 C '� f �' 1 1 • _ '� Lam, y •�': •• �1 .. �d+r+:•'. �+' .� , _ r ' W� �,,,Tei " t. ��'+,' J!�"��T ( t ~_�XYi��. �•- �"• -.� � - � �� 1 i , a Y V1/���yy/�,, � r... J r;4•f - •.F aI...7Py'Y'+ �: •-J�l_ /�'{`'� t r .'•. t;,� _ cps y 61 ��E i�f •1'!/i - A r -.•`.�' _ 5r) _ ' 1 y-, •A 1 3 - - 'ti �• �/ yam,.�+r't� _�j+F� S'y-Q7•� 1ly�aii�.� l J 1, � � �•7° n � t— kts� t ''�. �,•��� .�.+� � � �•` fry~ �+ Side yard facing S/E Scanned with CamScanner �`,� a � ' ♦ — � � �.�`; � •�� '� 1� �j�� . y , i e• iii ,►„ � w !- - ZZ I,' '. f�•t:- {a Tt �1' 4. a �5� •�� y 1 . h -i �aJ �_tt �FY? �.t l `$,�\l h,.i"'.'' t �. '�"�.• Y i� d +t -.�,�,' ,may- "'f`k�,•• a _•'1. • l�a.„9F � P. -�M"�•e- '1.�,�yV ;`11�.,.���:A- +f�.�R 'r„!'�c! •` .1 j0'lll-aS' 0- S,',y �•`. " } .C•' _ tii, '+I,�Yf� !++ _�i.- •� �'` L r�., ' • j�r��� 1 tin. �'•• `~ i. •'� T.rC4i. =lilt� •. � ��.+��� .� \ -. r, '� _ 4 ,. �' + • Side Yard from Behind Generator Facing W. Scanned with CamScanner • r `r _ y _ ".'w cel• 1 q •a i ,.t� ^ �'� `'1}i. �����'��. ti"' _� .may..►. —' ' ar dui i+YC} t7!7�� ar '''k~.J•.�" '"_4 r .1tT-�`. �'ra �- 1MA �` � �` '��""filke,:':��� �.�}'/� "�� s.j� * �:.:-!"��.r' - __ `moi .�.s.�'�ry �.r Tid .a• .�.. ��"'•. y K� i !,' ;+{�.may �- _ *aR tl- .� .t 4 „ p r i r, :�., `7��y 9c tl14r��Z}��45/I����t`.7i TM��T •� � ���.+,'�i,y 4.'. ��, _ r -. aM1iRs J• .....-` � r _ - . ,r2.�.M f.. r Ii+.��f�.:y `, � �"Vi� �y.. .�'�t� {� �� �•y. AND 40' From Fuel to Generator S/E Scanned with CamScanner i t, yam, `+c..- f �;t r`1 • ?.l f, � ` j �- ... , L��� t x' � ++ �"�. __ �ttt��{a.4t'•F,.-��� rte`^�. r TTw z,}'' - ��• :t r1 '/,ZZ; " r nA0+ ,•S'`�"a fr �.. •r,..`'i. }•; s��t•• � � �.,� •� ,� �`� II. ��_7�J f �L•' � hT:^4 I. .4�ij yl . . . 1 : 11 A•i� r{������'a'��.. � ,a'�"AtTt� � � 1_ ��t� `, 1��"'��t!��'���� 7.�,'"� �� • 7i1t' -�q r . wl P ro / �•L ,`��� •�~� r.� /T �F(i t� 11' 's•V V'i('��'�y7`� '� �'YS�'4 J�,.1 a� ~ ,i�;�t.. �,j� rA I� 1t- K tf �v. l ',�.' 'yS�l►;.�i R� '". .J�, �iyx s}.,��� - 4r..`� Lr>,. �.L�`-moi '�� t �;. r' �t�4 �„'�-"`'" _ •.`u T'. T�q �1t �: '� nr Alii-♦!� r���y`,• >W .. '�•� = E CV'+f.�t,� �' 'r �? , � +� •� fir}!r,' .� 7�" •� �` tc' •,.• y 1 L !�' � �.���� � it :�+• - �.l�• �'"i� �,) ��! e � 1. f n'�'1 ��'1x��s'� r� ��'�r t �' �ti• ~+ j w. ` :. •M1. . M1 - � , �r • ( ham• r a- r ►�� J�� t 1 r, t� iS '�a ib fr k 1 �r.sr�/t` � '�~1 y�� •� i�wr.. •1��r 4 Zig'`i-t-�� `'; J�. t"rY-t L '��L.. _L�; i S�k•d i { wi?�. 44,�. ,1: ) isy L■-v �1� ter -. �"'��1`��: }; v[a,J1 gl'j ,�!'�`il' %.i[1i1�j�_r�F ;,1. i `��,.�ll� •J �.lA� { �•^�+�e.`:� T—,q'`w;• �� �.�'y�� )l i /�`��T�'r7�s!"�+i.�����] �,\.�,. 4.�Lr t o.i,�l t►' i �.y M�.��!_� `i;T.>'"L 1�t. �'f I`�. M �a.`�.`'Ni� A'^ ��� I( 1 1 V -t ty t `I'�'.,j 'y�Sf•TM�+n C y-.a. Buried Propane Tank Scanned with CamScanner QUESTIONNAIRE ,, FOR,FILING'WlTI-I•YOURZBA APPLICATION 4 A. Is the subject premises,listed on the real estate market for sale? Yes B. Are there any,proposals to change or alter land contours? _>C_No, Yes please explain on•attabhed sheet. W�L C. 1.)Are there areas that contain sand or wetland grasses? iLo 2.)Are those areas,shown on the survey,submit(ed with this application?' ,t,/,#1- 3.)Is the property bull-headed between the wetlands area and the,upland fbuil,Un-g- area? 4.)If you prr perty contains wetlands or pond areas,have y u contacted the Office of the Town trustees for its determination of jurisdiction?Please confirm status, ,of,your inquiry,or application with the Trustees: ..siA and if•issued,please attach copies of-perinitwith conditions-and.approved,suivey. D. Is there a depression,or sloping elevation near the area of proposed,co_nstruction_.at or .bel'ow five feet above mean sea level? E. Are there any patios,concrete'barriers, bulkheads or fences that exist that are not shown on the survey that you are•submitting?_ Nr) - Please show area of the structures-on a diagram if any exist or state none on the•abowe line,, F. Da 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: A.-IA 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. 14. Doyou or any co-owner also own other land adjoining,or close to this-parcel? ,v If yes,please label•the proximity,of your lands on your,survey. 1. Please list present use or operations conducted at this parcel -moi � and the proposed use S4�?� �v/t-A- eq hgcK"uP �14K. , (ex:wdstmg single family,proposed:same with garage,pool or other) Authorized signature and Date ` AGRICULTURAL DATA STATEMENT ZONING BOARD.OF APPEALS TOWN,OF SOU THOLD - WH'E1V 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 500.feet•of 4 fartii operadon located'in-agricultural disirict.All applicatioits requiring all agricultural.data state»:efit must-be referred-tq the Su_ffolk'Gounty Department ofPla'nntng in accorda>ice with Section's 239= Y11.acid 2394 of the General Mtinicipal.,Lam 1),Name'ofApplicattt: 7�t�;d1 c 'E�l3er7�rd�y �d,^ow -.2)Address of Applicant: /,C fE it-r-clro L �,e_, •._ ��� /-/Y 7/ 3)Name=of Land.Owner(if other than-applicant) - 5 t+Ag - 4j Address,of Land Owner:f d/S !9 sic�r pr -„'�..: S)Description of Proposed Project: t7�P� •ek'd.P ' fi e� < Te '00 ” 2's� c �fySeS k^tc' td j�cCT-cGT FK/-� .;1-SEey, 6)Location of Property(road and.ta�c map number): "e;X or: _. 7)Is l)e'parcel$within an agricultural district? KNo ElYes'If yes,Agricultui4,I)istrict Number 8 Is this.parcel actively farmed?19'No..Dyes 9): Natiie ant, address of any ovvner(s)_'tif:.land within: the.agricultural� district containing-'active ,farm "operation(s)',located 500 feet,of the�boundary of the propt►sed.pioject.:(inforaration..1 . be;available thiough the Town Assessors Office;Town Hall location,(7651937) or from aiiy'pubiic computer at the Town Hall locations,by viewing the parcel number on the Town of Sotitholti'.RealiPropi;rtyTax Systeut: _ -' anand'Address '2. 6. - _ .(Ploase,like backside of page if more than six property owners dentified:) The lot numbers-may'be obtained;in advance,when requested-from'ei'thei-the-Office o'f,the Pfanni4g-Board at, ;'765-1938 or the Zoning Board of.Appeals a't•765-1.809. _ = �Daie _ ,- -_ Signatureof Apphcarit _ - - - - Dote: , ' 1.The local board will solicit comments from the owners of land'identified-above iii order to_consider the effect ofithe�roposcd ae6on ori their far�rt operation.Solicitation will.bemade by-supplyinga'copy of this statement., 2:Comments returned to the local board will l_ie 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 j identificij above.The cost for`mailing shall 6e paid by the applicant at the'time,the application is submitted for review.Failure to pay at' -sdch time rneahs the application is not complete and cannot be acted upon by the board. 1-14-09 APPLICANT/OWNER TRANSACTIONAL DISCLOSUREFORM 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 possibleconflicts.of interest,and'alloW it to take whatever action is necessary to avoid some. YOUR NAME: —pat.-Y'd, Roj�ct'cz (Last name;first name,middle initial;unless you arc applying in the name,of someone e)seor other entity,such as a company.Uso,indicate the other person's or company's name.) TYPE OF APPLYCATION:.(Check all-that apply) Tax grievance $/Buil'ding Permit Variaace Trustee Permit Change of Zone CoastalErosion Approval of Plat_ Mooring _ i1'Other(activity) Gcne!'ovMf` 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 iinterestO means.a'buslness,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 bite below.If YES;camplete,the balance of this form and'date and sign where Indicated. Name of person employed by thc,Town of Southold Describe the relationship between yourself(the applicant/agent/cepresentatlye)'ana the town officer or employee. Either check thc.ap&opr'iate line A)through D)aid/or describe in the space provided., Th_e to�yn officer be-be or his or her spouse,sibling,'parent,or ehifd is(c�ieck:all that apply) A)the owner of greater'that's%-of the shares of the,corporate"stock of th'e,applicant(when the applicant_is a corporation) B)the legal or-beneficial'owner-of-any interest in a non-corporate entity(When the"applicant isnot a corporation) C)hn officer,director,partner,or employee of the applicant;or: D)the actual applicant DESCRIP'T'ION OF IM,LATIONSHIP Sttbinitted this - �/day of&�ireCt '20 Signature Print Name_I�/rTi✓� 617.20 Appendix B Sliort.kr:vironntental-Assessment Forin Instructions for Completion Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Patt.1: Responses become part of the application for approval or funding,arc:subject-to public review,,and may be subject to further,verification., Complete Part I based on information currently available. If additional research-or invesdgation,would be needed to fully respond to arty,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 supplementary item. Part 1-Project and Sponsor Information w2o viSl`'�l/ crn Cr°cC�esSo 6-eaa•.-g0r '� Natiie of Action or Project: - n 75AT'r 4xr dyn#J -Project Location(describe,and attach a location map): - S% ' Old a le 4*1eAee Brief Description of Pioytp,.osed'Action: / +�I1>r Il C� /f C �iAe L��SOI S/ GS�eM!?Jr 1�!d'aP CIM,i,h 7 er-r4, i, d P6we- Narrre:ofApplicant;or;Sponsor: Telephone ' f, �07�o7r� ? - _ c u�� _ ooze' ��)�Mail:'�dKl�C,/ i�l� @G�++ail.c�..•. Address: yiPO: - State: - Zip'Code:it 1.Does the pNposed'action only involve the legislative adoption of a plan;local law;ordinance, NO VIES] administrative rule,or regulation? If Yes,a<ttach'a narrative description ofthe intent of the proposed-action and'th`e enviio*eptal resources that may-be.afl'ected,in the municipality and proceed to Part2. If n%continue,to questioii,2. 2: Does the proposed-action reOire'a-permit,approval or funding from any other-governmental'Agency? NO YES' If Yes,list agency(§)name and permit or approval: tea' df�' e-PT 3'.a.Total acreage�bfthe site of the proposed action? c' 8 _ � T £y acres BA t) Ca-C^; b.Total acreage to be physically.disturbed. - �.� 0,000.217 c.Total aoreage�(project site and any contiguous properties)owned 13j,,1- ;r S;r s 0— -r" or controlled by the applicant or project sponsor? 0= 8 acres sc.r�s i e c�+f'- f a%,e9' 4. Check all land uses that occur on,adjoining and near the proposed acti0h- o Urban n Rural(non-agriculture)' 1,Industrial a Commercial 'XResidenfal(suburban) o Forest to Agriculture ❑•Aquatic 'n other(specify):' ❑Parkland Page 1 of 4 5. Is the propasedaction, NO YES N/A a.A permitted use underthe zoning regulations? ? b.Consistent-with the adopted'comprehensivc plan? .6. Is the proposed action consistent with the,predominant character of the existing built or natural :.NO YES: landscape? 7. Is the site of the proposed action located in,or.does it adjoin,a state listed,Critical Environmental Area? NO YES If Yes,identify:, - 8. a:Will the proposed action result in.a substantial increase in,traffic above present levels? -NO YES-. b.Ate public transportation service(s)�available at or near the site of the proposed action? e.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 actiowwill exceed requirements;describe design features and technologies: 10. Will the proposed action eonnect to an existing publie/privatewater 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: �( - lV 12: :a:'Does the site contain a structure that is listed on either the State orNational;Register of Historic No 'YES Places? - b.Is the proposed action located in an archeological sensitive area? - I3.a-.-Does any portion of the Site of the proposed'action;or lands adJ__ ing.the proposed action,contain NO_, YES Wetlands ouother waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into;any existing wetland•or waterbody? ` if Yes,identify the wetland or waterbody and extent of alterations in square feet ouacres: 14. Identify rite typical habitat types that occur on,or are likely to be found on`the project site. Check all that apply: ❑Shoreline ❑Forest O AgriculturaUgrasslands ❑Early mid-successional ❑ Wetland, ❑Urban �uburban 15.Does the site of the proposed action contain any species of animal,or assoc Wed'habitats,'listea NO YES -by the State•or Federal goyeriiment as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES," 17.'Will`the proposed'action create storm water'discharge,either from•point or non-point,sourm-T NO YES• If Yes; a.Will.storm water discharges•flow to adjacent properties? �R1 NO D YES b.Will storm water discharges be directed to established wove ande stems runoffand storm drains)? ' g Y sY ` �{NO 11 YES If Yes,•briegy describe: ' Page 2 of 4 18.Does theproposed action include construction or activities that result in the impoundment of NO VES, water or other liquid's(e.g.retention pond,waste lagoon,,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or'an adjoining property been the location-of an active or closed NO YES solid waste management facility? If Yes;,describe• 20.Has the,site of theproposed action or an adjoining property been the subject of remediation(ongoing or NO YES 'Completed)for hazardous waste? if Yes,describe: ;l I,AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS'TRUE,AND'ACCURATE T01)[19 BEST OF MY KNOWLEDGE �I Applicant/sponsor name: juic�/ct Date: Signature:_ e'—f, 9 4 `r' - �. Part 2-impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all ofthe'following questions in Part 2 using-the information contained in Part I and other materials'submitted by,theproject 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 ofthe,proposed action?" -7•? 'v`«_ '.,y r '§' .+ ''i •,I 2v-n^Hrwr,,�,s R - -i. i, LJ7i>� �, K. J.2k __ ks r No Jor Moderate t' 9fi7:y;�h Or _u,cos W^trs'cl "'•4" i r',-' N+": 3" CA; yd'yry�' � t.Ss 4 h`G$ i:h;y 4i1a§.na �'""'yf �`�= ..- �Ia. "'', u',' �• a to'Jorge � � �!.-. ,3Qlall rg imp act impact ��,�+,t _.,.,ter ' ,�Yi.. x •. :J 1Ei '�3.) SP.Kg_+'•'yL'.-"`.� i1 1WYe 4+,yF '.r �(;iR� k,-,:..r�,.'A ��`'"'fi TMJ ",fir :?*. +" i a:i '-"r' '��°ih� ,z .a;. '. k+. �n�_, +h •`rtS', ^'r,"'.+r �i ,� may may S,C� '.n.,',t,}J .Y4 �,^..' h'�' .;} J '7`' r3;ik-� � '" ih 211 occur occur occur r4'�2�.� �FF��%'.��1��;yi::•ei-L- ztit.:9dt���'. ^f�,��.�%�.r.S .a �r�n` M^_i�'td_.`�.'[�.i��i'atrv"' . 1. Will the proposed actionzreate 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,charaeteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing1evel of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use ofenergy and it fails to incorporate reasonably available energy conservation'or renewable energy op rtunities? '7. Will the proposed action impacteASting: a.public/private water supplies? b.public/,private wasteW;iter treatment utilities? S. 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 tonatural resources(e.g:,wetlands, waterbodics,-grouridwater,air quality,flora and fauna)? Page 3,of 4 r Y" 'r+"'Y•6f YF-` ,�T _ _ �•_ �e," _'�-_--yS,,'' _ "k...'r'�'l r,; --`"',l..i'ftii .,5`Py�.. "" `�•1`Ud •"1..,�_. i.Tti,v�t�;,v, YS� '~� roc, - Flo or Moderate ?t"=Yrs?n-- ', 'sq; `r'" r . �✓ "� ;, c- r' hk •- ,^- ?� " �:;_ _ "i.,,r .,s. :t�r f_ ,r- - ,, �,e_ r ter.?t {�•�M;�'r. = 4t'v small to larg& y;�#,{a•S:_.!�_-.�r,:�a`, _ cta`=r � u dry •s `F'Ii't�.:ti` 1 117V�'1� .i ,s�lJ tti `!,.- {�'.,Rt�'�,i;, a`'-7=-=i:NJc`�.,. �tZ•,c1,-alea�..:' ,gym aet 'l�nhaet , 3 � ,4 m r'N;f;,'.' - :' ^{.:- i�, .i• -S.. + O°,..�," ..`Y�.Y"_z�R:�r� ppet '" �•�"�p'�;r�` i4P�� �: .tr"• '��-�;,P:z :'x}•,�'r_i+,�aS` ' Yi"�-:-F�s9_ .�,: er -;�; -'^:_: 'rj'p '- Y:.i-!_-;:;.; .a;,,'^�,,' ra._.•'s-it- e'ts ,4�,{+1. t 3�f ,�*,T`1 �; ,„� ;,;r'�_47"� *`` � t-, :'to>:•;-:.-r� �,-�.-:'` q�r"i,'=c�_,�`�r way may >'��,fi-'��%! ,5�,�L==n �"4�4��;'`�=:?��';S �,!ytit�,'_r:s�4b1'l.''.• -i,t?'s•;�'..-?,-t'r �r��sta n-�." �"'.,<- i- t 1 k •-. •n,.,.,, ,r,�R;�=��s_ ..._ _.s=��:�r�.�. _�,.: �:,����'��s=�•����"'`��'.' r��-:��;'��'-�r���d occur_ occur 10. Will the proposed,action result in an'increase in the potential for erosion,flooding ordrainage 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'nModeratoto large impact may-occurs';or ifthere is a need to explain why a particular element of the,proposed action may or will not result in a significant adveise 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,projectsponsor,to,avoid-or reduce impacts. Part 9 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,considerthe,potential,for,short-term,long-term and cumulative impacts. ❑ Check this box ifyou 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. Ci Check this box if you have detertnined,�based on the information and analysi's,above;'aitd,any supporting documentation, that'the proposed action will not result in,any significant adverse environmenial'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 Prep'arer(if different from Responsible Officer) Page 4 04 Town of S_,outhold LWRP CONSISTENCY ASSESSMENT(FORM A., INSTRUCTIONS L. 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'ConsistencyReview,Law. This assessment is intended to supplement other 'information used by a Town of Southold agency -in making a determination of consistency. *Except minor ex_en:pt action's including Building Permits aril other ministerial permits not located within the Coastal Erosion Hazmr d 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 ofSouthold'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 tittessary; .modified prior to making a" determination that it is consistent to the maximum eluent practicable 'with the 'LW" 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 Cl'erk's office, B: DtSCRIVT!ON•'OF SITE AND PROPOSED ACTION sCTIVI# _OOO_ The Application has been submitted to(check appropriate response): Town Board Planning Dept. "Building Dept, � Board of Trustees 1.. Category•of.Town of Southold agency action (check appropriate response): (a) Action undertaken directly'by Town agency(e:g.capital ,construction,planning,activity;agency regulation,land transaction) (b), Financial assistance(e.g.grant, loan;subsidy) (c) Permit,approval, license,certification: Nature and extent of action: Location of action: Z bite' 4q1?e_ i Site acreage: . Present land use: S;Ni le k.r��'l 1'if5/We__tre Present.zoning classification: \ rp 2. If an application for the proposed action has been filed with the Town of Southold.agency,the following infonnation shall be provided: (a) Name of'applicant:_ Z 1l.. - (b) Mailing address: & _ 5' 5;,tfz;w14 (e) Telephone.number-:Area Code( c .17 (d) Application number,if any: 'Will the action be directly undertaken,require funding,or.approval by a state or federal agency? 'Yes 0 No If yes,which state"gr 1deral agency? DEVELOPED COAST POLICY Policy 1: Foster a pattern of development in the Town•of Southold that enhances community cliaract'er-,. ;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- please explain) Jn�gi a 1r_g' _0 Se Sy PPrr.7� P%may J o=�.P - ps�• Attach additional sheets if necessary Policy 2. Protect and preserve Historic and archaeological resources of the Town of,Southold. See R LASection.II1–Policies Pages 3 through 6 for evaluation criteria 0 Yes © No (Nat Applicable–please'esplain) Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic-resources-throughout the Town of Southold. See LW-RP Section II][—Policies Pages 6 through Tfor evaluation criteria Yes © No (loot-Applicable—please'explain) -� 'Q r s to --c;c e."t c Fe { e_x ey' &n2 Tom.. N S eveW:U/d', .hk;7— - �✓/l/ 11/d'h E7`ri�' /,P'SS �2 SGT���d �*/%f� !/� t%r'r??.-� .�O//cw%ice� N.f' �dll/c.3TT di'� Attach additional sheets if necessary NATURA UCOAST'POLICIES Policy 4. MinimizeJoss of life, structures, and natural resources_ from flooding,and erosion. See LWRP Section III—Policies Pages 3 through 16 for evaluation criteria © Yes No (Not Applicable=pl'ease-explain) '�iti._ p -o �►of'ed �-r�i�sS a�� � �n�,�`.r�o'T .o�c G'S .di�� iyv+,o`i c P` Attach.additional'sheets if necessary 'Policy 5. 'Protect and improve water quality and supply in the Town of-Southold: See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes No (Not Applicable—please explain) V e PJ4cs R� (Ira{ 1 e''z _-f- f�P-s �a i� P�cp`- �'� 77— -IG cP/s'o /s tee?` i`SK c�j/ Gd%SCfi�s C elf f__Ie 1ee7��+�+n " rn 4007 ti✓sE, - Qr So:.iG.C'd� _a+^ tv) h�rd.+� 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 LUMP Section III'=Policies;Pages 22 through 32 for evaluation criteria. �r Yes. D No� (Not Applicable—}Tease exlilain-) a� dS t� Gf CG- esso{ e.1 mar does Attach additional sheets`ifneedssary 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 , No (Not Applicable—please explain) T �d✓i f c. P�i P G7�f�r_� TT✓�u`-c �'E'.c�"i`o�. .�- ';4` t, t42ez Al ^ . `TGtrc. Cir ll�s E o� G,Y/L% �G �li{>� fp i�jos-.r6/r�`' �f�e %�err.•c.g Attach ad:t tonal sheets if necessary Policy S. 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--please explain) _� ��J/��y' •d6:J�ct-i"riy�- -�I T1�1 P6 il�s� � ,.�: �.e/.cl�c:.c+�.�� PUBLIC COAST POLICIES Policy 9. Provide-for public access to,,and recreational use of, coastal wateirs,,public lands, and-public resources of the Town of S®uthold. See LWRP Section III—Policies; Pages 381 through 46 for evaluation criteria. n ( YeD No4"J' (Not Applicable=please explain) /,wt+ c►� o i�C _- iV�s of -e Cv t� c c ss Attach additional',sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water=dependeint 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,g (Not Applicable—please explain) r-a o d;•1ZQ'' �/C C �'S's a r � P.sc�/'�--f��` G��- �✓�`- !tit c ST O :e ' k `e e .iv-er ege ' o, is C3 e44- -- i::,. tri r fii�?v Iq L'7V'11 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 f6r evaluation criteria. ❑ Yes ❑ No'SKJ Not Applicable—please explain Attach additional she e-ts;ifnecessary Policy 12. Protect agriculturat lands in' the Town of Southold. See LWRP Section IIL= Policies; Pages 62 th'rough.65 for.evaluatiow criteria. Yes ❑ NoVU Not Applicable.=please explain �1..L &roR o.r��e' c e er B�e�Y`o t o �?` /tee e� l��•�1s- G/' e_. 'i✓ems'✓� x.a``.rSs+�r� _ - Attach additional sheets if necessary Policy 13. Promote appropriate• use and development of energy and mineral resoiurces. See LWRP Section III.—Policies; Pages 65 through,68 for evaluation criteria. 0 Yes ❑ No l Not Applicable—please explain _e f S e,, e- ' c C. TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0-Box 1179 Southold,NY 11971-0959 Telephone (631)765-1802 Fax(631) 765-9502 https://-,vA,-%v.southoldto-%Nnnv.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector: leparrem §11 40 giftkgevll 01, -'a Date: //Z#2-0z ) P-"e,r;2, z T A. .SSa. Name:DaVid D Rohde SUM #1000-79-4-6.1 Project Address:1-615 Anchor Lane Southold NY 11971 Phone#:917-399-7771 Email:rqhdeki[L@qMaLff .,com Mailing Address: m J.'j Z.A '!r'. rm 11, 4" P" 0— Name:Kristina Philk P-§— Mailing Addres5:1290 Flanders Road Flanders NY 11901 Phone#:631=353-3911 Email,kristi!ja@ wr h qt e ric.com _ Name: Mailing Address: Phone#: Email: 3,1Z "IW' Name: ALL WRIGHT ELECTRIC Mailing Address:1290 Flanders Road Flanders NY 11901 Phone#:631-353-3911 Email: I MSTA 0 L "?n ONew Structure ElAddition DAlteration Dkepair DDemolition Estimated Cost of Pro ct: 9 q q Bother 24 KW Horne Standby Generator Will the lot be re-graded? DYes R No Will excess fill be removedfrom premises? C]Yes 13No - -- - - "S - '_ - 'l w'� T• 4.t{,}M'. fix�- nf.Pv�,.j+ - -- '1m - .t. _ -_ - - .t_j~ - - - t 3 ;. Existing use of property s Intended use'ofpropOrly,: . . Zdne or use�district in which p'remisesissituated:_ — -- a Are there,any covenant`s"arid',{estricti©ns with.res . . . ....�..,,�„ � . ,- ._ . . , sect-to' this propeity,7 �t�Yes �No, '1F YS;�PROViDE ACO PY;,' _ � C t 4 " v� 4 AppliC,�tiofl',SliRffn�ttedrl3y nam Ric r" BAfrthForfzed1 en! ,O±Owiier. SiShature of,Apptica nt: _ - • '�--- -- _ __-__.__._, _ 'bate.11 812021 _ - ,STATE OFNEW_YORK)_ -SS: = GOUN7V-0F Suffolk =1 Rio.h. d'Wc�ght ` bein$'duly sworn;''deposesand.says that',(5itie�s the applicant (Nme 6f iiiilividualslgning.contract)above named; (4)fib Is-toe 'Electrician (Fmnictor,'Agent,Corporate Officer,'dtc.) of said owner'orowners;,and,is:8uly diioriz_edto`p;4f'rriiorhave,perforit►edtFip.sald;work-and tomakeandflie:tfilsr application;thlat alPstateineiits con'tained'in this aappiication are true to the best of his%lier`linowleiige and befieF� d. that woriC wiH$R-perform6&in the.mannerset forth in the,applicatian',file;Lher'einritii: . - , . 5wo�n beforePne:this - 28 day af:,Ja iva 'y ;PROPSRTY 'NOTARTYPI[QgATEOFNEWWORK',OWNER:RUTH' ORtZA710'NF ��si�aimio:o�Pitsoa6os3 '<: (Where,the,a iicaht is-not' h - ;Qna]ifiedinSi�glkCawniy Pp 't a OWri'erj' t�oaimissionFxpires7uly."s,�Qy. `Da d D Rohd"e ,i,6;i ;residing at 'At'1C�1OI''`Lane 'outh,IdAih, Wright. .. - -'- - :do'hbrebyauthorize _ E1eCt.1C :to appN on, mybehalflo the,Tawn-of Southold Build-nig Department for approval as described herein, Owner's SignatureMe ' hde G-ENERAC 210/22/24W Specifications Generator Model G0070381 6007042-2 13007038-3 6007042-3 GOU729H G=039-1 (3001043-2 G007039-3 GM7043-3 (20 (20 10 04721110-0 QjN: '(22 km (24 M-:L t— ­1 lkab AMP&M RKKI�_; -Rated maximum V60MOUS POWLT Capacity.ING) 18.000 Wall$* 19"_ 2 Power faelof Unit wWqfd(lb/kg) 2 455/206 16T­ ,Exerdso dLnli(m Engine Englne type y GENERAL G•Force 1000 Series sla r 5EMIM-31 -41 u,a �g;; v pipe must be sized to Ole Fuel 'full load.Required reel pressure to generator fuel Intel al all lead ranges-aS-7 in water column((187-1.74 kPa)for NG,10-12 in water column(2:49-2.9,.4 kPa)for LP gas.For BTU conterg.muihpiyLft3/h1x 25M(LP)or P/hr x IDW(NM.For Migalcirult content,mulliply ni x 93.15(LP)or MIN)t 37,26,(NG). Controls Twolline plain text multilingual LCD Simple USK interface for ease of operation. W, MANUAL Start will)starter centro!,(trit stays On.If ulitity falls,transfer to load takes place. Reaby to RWMainlepance mesiiagos M,2-7;, 2, detoy-, P bemeen 2-15DU seconds Standard(programmable by dealer only) SGard F,moi rd atd Id Sound levels aro talan'(rom IheJrag of 11 gzn�alor-Sound levats erltargenry power for the duration ct ills Utihty paver ble for Supplying outage,NO OVef)�d apabl I,ry Is available for this faking,(All ratings in acoordagce with 65551 A,IS03D4fi and QlN6211 j'.`Maeimum 11 ois lolovalla and current are IMI;jind also V11 decrease appfoirnaley 1 f(k each I a T(6 IQ above let each VW ft PD4,8 m)above sea GENERACU GU�IRDIAN° SERIES 2 0/22/2 4 WResidential Standby Generators Air-Cooled 'Gas Engine MEE- - 'INCLUDES: Standby Power Rating (3W70'JG-t.C�i}Di173�+-I l".ui)iQ$E',-3 �3I)OTr);t;}-,,t(p,tuniliturrr-6i:sc{sie)•�}f}I^W'cD 1.12 0 True Power'"'Electrical Technology f n�J,,[_r?G,GO(TP216•0(AJOiTntntnhr-6ii�riue)-2d KVV r`SU illi �_ Two-line�multilingtlal digital LCD Evolution`"controller (English/Spanlsh/Fronch%Portuguese) o 200 amp service,rated transfer switch available • Electronic governor • Standard Wi-1=i8 connectivity, • System status&maintenance interval LED indicators `�, t,_ ��, • Sound attenuated enclosure '• Flexible fuel line connector 6 Natural gas of LP gas operation AGENERAC' -..- -=r' • 5 Year limited warranly • Listed and labeled by the Southwest Research Institute allowing _ installation as close as 18 in(457 mm)to a structure.' 'Must be locatod away from doors,windows,and fresh air intakes and in accordance with local codes. D /OUR 6r C �L' S ( lhttps;llassets.sNrri.orgllibrarylDirectory0 istedPioducis/ �][�✓Construcfion/ndustry/973 DoC 204 13204-01-01 RevRodf ` us LISTED Note:CEiL or CUL certification only applies to unbundled units and units ppaackaged With limited circuit willches.Units packaged with the Smart Mich-are ETL or UL certified in the USA only. FEATURES * 114NOVATIVE ENGINE DESIGN A RIGOROUS TESTING are al the heart of Gen- w 80I.194TATE, FREQUENCY C6r4PEI4$AjED VOLTAGE REGULATiQN:,This erac's success.in providing the most reliable generators possible. Generac's G- stale-of-the-art power maximizing regulation system is standard on all 6enerac mod- Force engine lineup offers added peace of mind and reliability for when ft's needed els,II provides optimized FAST RESPONSE to changing load conditions and MAlg- the most.The G-Force series engines are purpose built and designed to handle the MUM MOTOR STARTING CAPABILITY by electronically torque-matching the surge rigors of extended run times in high temperatures and extreme operating conditions. loads to the engine.Digital voltage regulation at x:196. * TRUE POWER-ELECTRICAL TEMNOLOCY:Superior harmonics and sine wave 0 SINGLE SOURCE SERVICE RESPON$EJrom-6enerac's extensive dealer network form produce less than 5%Total Harmonic Distortion for utility quality power.This provides parts and service know-how•for,the entire unit,from the engine to the small- allows confident operation of sensitive electronic equipment and micro-chip based est electronic component. appliances,such as variable speed HVAC systems. TEST CRITERIA: 0 GENERAC TRANSFER SWITCHES: Long life and reliability are synonymous with PROTOTYPE TESTED NEMA M61-22 EVALUATION GENENAC�POWER SYSTEMS.One reasdo'lor this,confidence is that the GENERAC .' SYSTEM TORSIONAL TESTED MOTOR STARTING ABILITY product line is offered with its own transfer systems and controls for total system compatibility, * MOBILE LINK'CONNEC TIVITY:FREE with select Guardian Series Home standby C PWRVIEW"' TRANSFER SWITCH: The Generac PWRview Automatic Transfer generators, Mobile Link Wi-Fl allows users to monitor generator status from any- Switch integrates the PWRview energy monitor to,provide real-time energy can- where in the world using a smarlphone,tablet;or PC.Easily access information such sumption,data that can help lower.a homers electricity bill. Using a Convenient as the current operating status and maintenance alerts. Users can connect an mobilia app,homeowners can access energy usage and alert information while under account to an authorized service dealer for fast,friendly,and proactive servide.With utility power or generator power.The PWRview ehergy monitor is a simple to use and Mobile Link,users are taken care of before the next power outage, low,cost,tool which helps save money ovei the file of the generator.Included with motley GOD7210-0. G E N E R A C enl•�aac` 1 PROMISE IQW .,0 _ GENERA¢ 20/2224. kW .Features and Benefits, Engine • Gwerac G-Force design Maximizes engine"breathing"for increased fuel efficiency.Plateau honed cyiindef walls and plasma mnly rings,help the!engine run cooler,reducing oil consumpti6n-and resulting in longer engine life, 1 "Spiny-lok"cast iron cylinder walls Rigid construclion and added'durabillly,provide long engina life. flectionic1gnition/=pant advance These features,combine.to,assure!smootb,quick•,starting every time; • Full,pressure rubrication system Pressgri"zed lubricallon W all vital bearings meant better performance,less mainfena'nce,and longer engine ' I11e.:Now featuring upto a12 year/200 hbur oil change Interval, Low oil pressurd;shUtdown system Shutdown protection prevents catastrophic engine damage due to low oil, • High,lerherature shutdown Prevents damage.dde to overheating. ,Generator • 'Revolving field Allows for a smaller,'light weight unit that operatesM mote,efiicienllythan arevolving armature generator, +i 'Skewed,stator, Produces aisrriooth output waveform for compatibility with,electfonfc,equipment. • .Displaced phase excitation Maximizes motof starting capability. 6 .Automatic voltage regulation 'Regulating,output voltage-to t1,1%prevents damaging voltage spikes, 0 UL 2260 listed For your-safety. Traratafer Svi!iti:h•(if applicable) 4 Fully automatic Transfers vital electrical loads tothe energized source of-power. +f NEMAM Canbe installed Inside or outside formaximum,llexlbllity: .! 'integOted'load managenienl lechnolog_y Capkility to manage additional load's for efficfentpower management, 0 Remote mourtlfng MountOeat an existing distribution panel for simple',Iow=co$t,instailallom PWRviewv-T-ransfer Switch fif appitceble) • PWRview energy monitor Energy usage alta-glance ,• ,Ability to,vjew real-timo,energy,consumplion data Better,understand the home's energy profile, • PWRvfeW mobile app- ;Access daily energy intelligence and insights. E: oh+tion" panlr6K AUTb/MANUAUOFF illuminated,buttons 'Selects the.operating-mode and provides easy,at-a=glance status indication In any-condition: W Two=line,multilingual LCD Provides homeowners easily visible logs of history,maintenance,and.evenls up to 50 occurrences: 0, Sealed,:raised bultorfs. Smootb.weathekesistarit user interface for programming and operations. 'e- ,Utility voltage sensing Constantly monitors utflity voltage,setpofnts,65%dropouts 80%pick-up,of standard voltage, 4 Generator voltage sensing Constantly monitors generatorvollage,to verify the cleanest power deliVered to the,home. • Utility-interrupt delay Prevents nuisance start-ups of the engine,adjustable 2-1500seconds from the tactory'delaull seltingti 6 ,seconds by:aqualified'dealer. Engine warm-up Verilfes engine-is ready to assume WOW,,setpoint approximately,5 seconds., • Engine cbolAdwn Allows englne,to,cool prior to shutdown,setpoint approximately.1 minute. • Programmable exercise Operates engine 16 prevent oll seal drying and damage between power outages by nlnning the generator for 5 minutes everyotherweek, Also,offers a-selectable setfing,,forweekly or'monthly,operation,progiding flexibility and potentially lower fuel costs lo,the owner. • Srnart'battery charger Delivers-charge to ttie battery only when;needed a0anjing rates depending on outdoor air temperature„ Qmpalible'with lead.acid and AGM style batteries, 4 Win line-circuit breaker Protects generator_from overload, 0 Electronic governor Vaintalns constant 60 Hz frequency. GENERACk 4/22/241W Features sand Benefits Urt it 6 'SAE weather protective enclosure Sound attenuated enclosures ensure quiet operation and protection against mother nature,withstanding winds up to 150 mph 1241km/h),Hinged,key locking cool panel 1or,security.Llll-out front foreasyaccess 'to all routine maintenance Items.Electrostatically applied textured epoxy paint for added durability. • Enclosed cittical grade muffler Quiet,critical grade muffler is mounted inside the unit to prevent injuries. • Small,compact,attractive Makes for an easy,eye appealing installation,as close as 18 in(457 mm)away from a structure. installation Systt-m • 14 in(35,6 cm)flexible fuel line connector Listed ANSI 221.75/CSA 6:27 outdoot appliance,connector tot the required connection to the gas supply piping. • 'Integral sediment trap Meets IFGC and NFPA.54 installation requirements Cotlni3otivity(Wi.-Re"ipped models only) - • Ability to view generator status ,Monitor generator with a,smartphone,tablet,,or computer at any time via the Mobile Link application for complele,peace of mind.- • Ability to view genetator Exercise/Run and Total Hours Review the generator's complete protection profile for exercise hours,and total hours. • Ability to view'genetatoi maintenance information ProVides�maintenance information 10(tie specific modeLgenetator when scheduled'malnlenance is due. -• Monthly report with previous month's activity Detalled monthlyreports ptovide historical generator informatlon. •r Ability to view generator battery information .Built in battery diagnostics displaying current state otthe battery: •, Weal*infofmatlon Provides detailed'local ambient,weather cbnditions.for generator location, GENERACtr 20/22/24 W Specifications Generator Model 6007038-1 G007042-2 G007038.3 6007042-3 GOOT20M GDO7039-1 G007043-2 G007039-3 G007043-3 GDO7210-0 (20 kW) (22 kW) (20 ft (22 kW) (24 kw) Rated maximum continuous power capacity(LP) 20,000 Watts" 22,000 Walls' 20,000 Watts' 22,000 Wafts' 24,000 Walls' Rated maximum continuous power capacity(NG) 18.000-Wafts, 19,500 Watts, 18,000 Watts' 19,500 Watts' 21,000 Wafts' Rated voltage 240 Rated maximum continuous load current-240 volts(LP/NG) 83.3/75.0 91.7/81.3 83.3/75.0 91.7/81.3 1 DO/87.5 ' Total Harmonic Distortion Less than 5% Main line circuit breaker 90 amp 100 amp 90 amp 100 amp 10.0 amp Phase 1 Number of rotor poles 2 Rated AC frequency 60 Hz Power factor 1.0 Battery requirement(not Included) 12 Volts,Group 26B 540 CCA minimum or Group 35AGM 650 CCA minimum Unit weight(lb/kg) 448/203 466/211 436/198 445/202 455/206 Dimensions(L x W x H)in I cm 48x25ic29/121.9x63.5x73.7 Sound output in dB(A)at 23 it(7 m)with generator operating at normal load" 67 67 67 67 67 Sound output in dB(A)at 23 It(7 m)with generator in Quiet-Test"low-speed exercise mode" 55 57 55 57 57 Exercise duration 5 min Engine Engine type GENERAC G-Farce 1000 Series Number of cylinders 2 Displacement 999 cc Cylinder block Aluminum w/cast iron sleeve Valve arrangement Overhead valve ignition system Solid-siate w/magneto Governor system Electronic Compression ralio 9.51 Starter 12 VDC Oil capacity including filter Approx.1.9 qt/1,8 L Operating rpm 3,6110 Fuel consumption Natural gas ft3/hr(m3/hr) 1/2 Load 204(5 78) 228(6.46) 164(4.64) 203(5.75) Full Load .301(8.52) 327(9.26) 287(8.13) 306(8.66) Liquid propane 113/hr(gal/hr)(Uhr) 1/2 Load 87(2.37)18 991 92(2.53)[9.51) 86(2.36)18 951 92(2 53)(9.57) Full Load 130(3.56)[13.481 142(3,90)[14.771 136(3.74)114.151 142(3 90)[14.771 Note-Fuel pipe must be shed for full load.Required fuel pressure to generator fuel Inlet at all load ranges-3 5-7 in water column(0.87-1.74 kPa)for NG,10-12 in water column(2.49-2.99 kPa)for LP Fs.For BTU content multiply ft3/hr x 2500(LP)or 03/hr x 1000(NG).For Megajoule content,multiply m3/hr x 93.15(LP)or m3/hr x 37.26(NG). Controls Two-line plain text multilingual LCD Simple user interface for ease of operation Mode buttons,AUTO Automatic start on utility failure.Weekly.Bi-weakly,or Monthly selectable exerciser. MANUAL Start with starter control,unit stays on.It utility fads,transfer to load takes place. OFF Stops unit.Power is removed Control and charger still operate. Ready to RunlMainlenance messages Standard Engine nun hours indication Standard Programmable start delay between 2-1500 seconds Standard(programmable by dealer only) Utility Voltage Loss/Return to Utility adjustable(Diownout selling) From 140-171 V/190-216 V Future Set Capable Exerciser/Exercise Set Error warning Standard Run/Alarm/Maintenance logs 50 events each Engine start sequence Cyclic cranking 16 sec on,7 rest(90 sec maximum duration). Starter lock-out Starter cannot re-engage unfit 5 sec atter engine has stopped. Smart Battery Charger Standard Charger Faull/Missmg AC warning Standard Low Balteiy/Baitery Problem Protection and Battery Condition indication Standard Automatic Voltage Regulation with Over and Under Voltage Protection Standard Under-Frequency/Overload/Stepper Overcurrent Protection Standard Safely Fused/Fuse Problem Protection Standard Automatic Low Oil Pressuie/High Oil Temperature Shutdown Standard Overciank/Overspeed(@ 72 H2)/rpm Sense Loss Shutdown Standard High Engine Temperature Shutdown Standard Internal FaultAncorrecl Wiring protection Standard Common external fault capability Standard Field upgradable firmware Standard "Sound levels are taken from the Irani of the generator,Sound levels taken from other sides of this generator may be higher depending on installation parameters.Rating definitions-Slandby;Applicable for supplying emergency power for the duration of the utility power outage.No overload capability is available for this rating.(All ratings in accordance with BS5514,IS03046 and DIN6271).'Maximum kilovolt amps and current are subject to and limited by such factors as fuel BTU/megajoule content ambient temperature,altitude.engine power and condition,etc.Maximum power decreases approximately 3.5%for each 1,00011(304,8 m)above sea level;and also will decrease approximately 1%for each 10`F(6`C)above 60 IF(16 T). GENERAC . '20/22/24 kW Switch Options, Service Rated Automatic Transfer Switch FeaturesModel 0007639=1;00070398(ZO kw) ; _ 16 intelligently manages up to tour air conditioner loads with no additional hardware- _ _ _ _ p 0007043-2 000704M 122 kW) r Up,to eight additional large(240 VAC)loads can•be managed when used in conjunction, Current rating(amp's) _ �w200 _ w with Smart Management Modules(SMMs). ypieng } 2012 01b"v • Electrically operated,mechanically.-held contacts for fast,clean connections. utility voltage monitor(fad)' 6 Rated for all classes of load,10096 equipment rated,both inductive and resistive. -Hck-up SO°� -Dropout 6596 • 2-pole,250 VAG contactors. iRelurri lo,tJf lfiy �f� �AppiaK;13`s�s{- _ �; •, Service equipment rated,dual coil design. Exercises bl-weekly for 5 minutes standard • Rated for both aluminum and copper conductors. °! � = - --_ Ian - w.....-�.- ,. Enclusura type NEMAWL 3A' i Main contacts are silver plated or-silver alloy to resist welding and•sticking �Itr'cuit brea_kerpioteciee h;22;000' _ _ • NEMNUL 3R aluminum outdoor enclosure allows for indoor or outdoor mounting flexibility. Lug range 250 MCM-X15 *Function of Evolution controller Dimensions Exercise can be set to weekly,biweekly,or monlhly 200 Amps 120/240,19 — Operi Transitlon Service Rated HeightWidth - Depth H1 H2 W1 W2 i41 n, . 26,8 30.1 10.5 13.5 6.9 cm, 67.95 '76.43 26.67' 34.18 Wire Ranges i Conductor lugNeutral Lug; Ground lug .250 MGM-#6 350 MCM-#6 2/0-#14 ori+ —va PWRAW Auldrn0fic Transfer Switch Features, Model 0007210-0 J24 W), • Integrated PWRview monitor provides real-time energy usage data through PWRview app, Cuireol rating,(amps) 200 � intelir entl masa esu to four air conditioner loads with no additionalhardware. - 9 Y _ 9 P ;VoifagB'►ating'(VAL) _ s`, y t2Q12O',0'~ _ • -Up to eight additional large(240 VAC)loads can be managed when used in conjunction Utility voltage monitor(fixed)* with Smart Management Modules(SMMs). -Pick-up 80% -Dropout, 85% • Electrically operated, ti n l fa inechanically-field contacts for-fast,cean connections. - - - • Rated for all classes of load,100%equipment rated,both inductive and resistive. Exercises 6-weekly rot 5 minmei, standard ;EfLot•ulyiisti<d�.�.'-- __ - - - - - :�staiidarG - - _- • 2-pole,250 VAC contactors. Enclosure type NEt,M 3R • Service equipment rated,dual coil design. sGiicuitbeake�,pioteeleii••` -_ 22;001)• _ry 4 Rated for both aluminum and copper conductors. jug mng¢ - w " 250 MCM-#6 • Main contacts are silver plated or silver alloy to resist welding and sticking. *Function of EJoiution controller 6 NEMA 3R aluminum,ouldoor enclosurQ allows for indoor or outdoor mounting_ flexibility, Exercise can be set to weeldy,bi-weekly;or monthly • Heavy duty Gene*Contactor is an ETL recognized device, S 1Y1-1 Dimensions .' 200Amps 120/240,19 ' Open'Transition Service Rated _ Height Width H1 1-12, W1 W2 Depth in. 26.8 30,1 10.5 13.5 6.9 cm 67.957 76A3 26.67 34.18 17.5 fr; _ Wire Ranges Conductor Lug Neutral LugGround Lug 250 MCM-#6, 1 350 MCM:#6 2/O #14 GENERAQ� 20/22/24'N Available Accessories 'Model°# _P,rudiuct ' bescrlpiion" '60058;19-0 _.i26R Wet Coli Battery Every standby generator requires a battery to start system.Generac offers recommended 26Rywit cell batteryfor fuse with all air-cooled standby product(excluding PowerPactO). i 60071 D1-0 ISattery Pad Warmer (Pad warmer rests under the battery.Recommended far use if temperature tegulady fails below 0°F•(-18'G).(Not nec-i iessary for use with AGM-style batteries). i 36007102-0 'Oil Warmer' T (Oil Warmer slip's directly-over&oil-fit ter.Recommended for use rf temperafur'e regularly falls below 0"F(-18'C). ,,GO07103-1 !Breather Warmer 'Breather warmer is for use in extreme cold weather applications.For use with Evolution controllers only in climates where (heavy icing occurs. 6005621=0 Auxiliary Transfer Switch ;The auxiliary transfer switch contact kit allows the transfer switch to lock out's single large electrical load that may not be tcontact Kit tneeded.Not compatible witt160 arnp pfe-wired switches. 6067027-6:Bisquo rfascia Base Wrap Kit_ ,The fascla base w6a ,snaps together around the bottom of the new air cooled generators,This offers a'sleek.,contoured' (Standard on 22124 kW) (appearance as well as offering protection from rodents and insects by covering the I'rfting holes located In the base. (6005703.-0=Bisque Touch�Up Paint Kit ilf the generatorenclosure is scratchedlor damaged,itis important fo touch up the paint to.protect,from'tuture corrosion. 'The,touch-up paint kit includes the necessary paint to correctly maintain or touch up&generator enclosure. ;6006485-0 ;Scheduled Maintenance FGt.!6enerac's scheduled maintenance kit provides all the items necessary io perform complete routine maintenance on a ;Generac autbmaric standby generator(oil not included). 00665-b 7Wi4 LP Tank Fuel Level :The Wi-fi enabled OP tank fuel 1e v e I monitor protides constant monitoring of the connected LP fuel tank.Monitoring the !Monitor !LP tanks fuel level is an important step in verifying the generator is ready to run during an unexpected power failure.Sta-, Vitus aleifs are available pug :h a free application to notify users when the LP tank is in need of a refill. :(3067000-b(50 amp)`Smart Management Module{Smart Management Modules(SMM)are used to optimize the perfortnalncebi a standbygenerator:It manages large ileo-# +15007006-0 itrlcal'loads upon startup and sheds them to aid In recovery when overloaded.In many cases,using SINM's can reduce ;(100 amp) ,the overall size and cost of the system. 6007169-0-4G LTE :Mobile Links Cellular !The Mobile Link timily of Cellular Accessories allow users to monitor generator status from anywhere in the world,using :1300717.0.0-Wi-Fr/ {Accessories as smart,phone,tablet,or PC.Easily access information such as the current operating status andmaintenahce alerts.Usr! i,Ethernet iers can,connectao account with an authorized service dealer forYast,friendly,and proactive service.WithNoblle'Link; ;users are taken care of before the next power outage., 6007220-0-Bisque ;Rase Pl1ig Kit _ Base plugs snap into the 1l6ng(hales on the base of air cooled—home standby generators.This offers a sleek,eontourpd j iappearance,as,weil as offers protection from rodents and insects by,covering the lifting holes located In't-a base.Kitt !contains tour plugs,sufficient for use on a single air-cooled home standby generator. Dimensions & PCs Model UPC, OJJD mm, 1276mm rua ml Inao rnl G007038-1 696471074185 GG07038-3 696471074185 6007039-1 696471074192 G007039-3 696471074192 G007042-2 696471074208 7212; G007042=3 696471074208 G007043-2 696471074215 G007043-3 696471074215 L ® 0. 0 6007209-0 696471071511 6007210-0 696471078220 - Beg mm 1mm Izsr25.5 01 14a t�5 ini LEFT ME VIEW/' FRONT NEW Oimenslonsshnnwe apploxlmale:Seo iresiailaiion manual for exact dimensim s.DO NOT USE THESE DIMENSIONS FOR iNSTAWTION PURPOSES. G E N E RAC Generac Power,Systems,inc. - S45 W29290 HWY.59,Waukesha,WI 53189 -,generac.com b2020 Generac Power Systems.Ino:All rights reserved.All spacifiealions are sutilect to change without PDke.Padit,A9000937814 Rey,8 07J3012020 FORM NO.4 i TOWN OF SOUTHOLD, BUIL'DING DEPARTMENT Offce.of•the Building Inspector Town Hall Southold,N.Y. Celfificate Of OccUpancy No.2113.29. . . . . . . . . . Date . . . .. 1)ecrosber._8. . _ . . , . ....1.9 82 THIS CERTIFIES that the building : . . . . . . . ... ... . ., .. . . . . ., . . , . . . . . . .•. . . Location of'Property, 1615 , , , . Anchor.,Lan® . . . . , . ._ . .. , . . . .Sou.thoId. . House 1110. y - - Street Hamlet Count y'Tax Map,-No. 1000 Section .;Q.7:g.;. . . . :Block : .. , . SubdiVision . , liarhor, Lights 1 .S®at.. 1. .,Fled Map No. . y362. .Lot No. 13.&. ,13A , . conforms•substantially to the Application ,for Building Permit heretofore 'filed in this office dated June. 3 19$?:pursuant to-which Building Permit No: 1,1:751 Z . . , . . . . . .. . . . . . .,. ,dated . . , June 24 _ ; , , . . . 19$? ,Was'issued,,and conforms to all,vfthesequirements ,of the applicable-provisions of the law.The occupancy for which this certificate is issued is . . ... , : ... . . : , a, ;pripate ane=farai`ly, . . . . ... . , . . . . .. . . . . : .. ..: . . R . D & JANE HIL1Zhe ceitificatesisued to. . . . , , , ..... . . . , , , . . . , . ... ,of the aforesaid building. Suffolk Counfy Department of Health Approval ..,_-.:�.2 e g 0_51„ , . . .. . . . . . . . . .., . . . . .. . .UNDERWRITERS CERTIFICATE NO. ... . . . . .. . . . . . 580M. . . . . . , , . ,. . . , Building Inspector Rev.1181 i FORM NO. a TOWN OF. SOUTHOLD, BUILbnlc DEPAR'PMSNT Office ,of the Building. Inspector Town Tull 'Southold, N.Y. CERTIFICATE OF OCC(TPANCY No: Z-30994 Pate: 06107/05 THIS CZRTIFIES that the building,ADDITIONS/ALTERATIONS Location-of Property:_ 1615 ANCHOR Li SOUTHOL'D (HOUSE NO,) (STREET) (F'3iM2;ET) CountY Max;Map No. 473689 Section- 79• $lock' 4 Xot 4.1 Subdivision Filed "ap-,No. Lot X00. conEoms substantially to the Application For building Permit heietofore filed 3n Chis office dated — .JUNE-,14,, 2004 pursuant, to which .Sodding Pel#it Nc. 30419'-Z dated .JOKE 221 ,2004 u,as issued, and conforms to all of the requirements .of the applicable provisions of the law. The occupancy'for, which this cert,ifiCate is Issued is- ADDITIONSALTERATIONS TO_EBISTINB'.SINGLE FAMILY DWELLING.AS.APPLIED_ - POR & AS-PER CONDITIONS OF ZBA 95526 DATED 6/18/04 ilia certificate is Isdued to ATkk6it LANE L.L.C. (OWNER) of the aforesaid building. SUFTOLR COUN'19C'DEPARTMEW OF MAL7H AEPROvAL,Rib-04-0158 06/.2S/05, BLBCTRXCAL CBRTIFICATB Wo. 2031002 '04/22/0 PLUHBBRS CETLxIPiCATTON DATED A5 09 OS BAY_BELL.PLUM.,&HEATING Av orized Signature Rev: 7,l81 TOWN OF SOUTHOLD P'ROPERiy- i 6/�6/m w" OWNER-, STREETI VILLAGE DIST.1 SUB. LOTL�-�- A -4 61 �3 -,fie FORMER OWNER Rt-cC NOY1-7-LCTN E ACR./ TZ TYPE OF BUILDING ,� S c-? S W ISIC t,'x z" RES. ;rJ SEAS. VL. FARM comm. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARK` A,.� ,J 6 d V Ar A 2- -6-f -,j'I A- nji, 0 �J�,�:fps r �, ��'/LAG L �y� //�,S% �; /✓a Jwe//„✓� FC. �G/aha J v' 1 17 I o. 1171, 00 F I/ /off` 7—/?, 40 z L 31 5 -73Z 2 L AGE BUILDING CONDITION -Z-1-2-41C)& NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable I FRONTAGE ON WATER QJ —ej "q Woodland FRONTAGE ON ROAD rr Meadowland I DEPTH House Plot I BULKHEAD DOCK ���, �w3sa s�•,._�. "fit'•`� ,j • COLOR IV q 7TRIAq ` �-0 _ - 'tli I I fib _ II " ( Il � llili it M. Blas , Gg� Ild \\ I ! I I j Extension I i T-T—I I -H—\T Extension t J�7 t r d.��• !u ,{� i 3�., ��� -'� �-� I I I i I I I �t I f � l � I � � Extension - Foundation f Both Dinette I � / � f I Porch I Basement /�i ( Floors Ic f Porch I Ext. Walls Interior Finish ,, LR. I ; Breezeway !Fire Place I leo Heat -�, r Garage f�'! i _ Z I '' y� Type Roof Rooms I st Floor BR. Patio1Z4 2 ,. _ i Recreation Room Rooms 2nd Floor FIN. B 0. B. Dormer Driveway Total TOWN OF SOUTHOLD PkOPERTIr RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT FORMER,OWNER N r E f� / ACR. W TYPE OF BUILDING ES. SEAS. VL. ( FARM COMM. CB. -,,MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS )2 � (� '� ,{'+ /mc e C3G G�. at1 w a9 s `1 /G� JC s9 -� lrJ if `' �J Irl �/7 SflLt''�.iJ',��aP_'L`�C``!,z"�—tf'3���Aca.a.!0 1N��1s .4. ,C�La►e �'o;�p•'T— l)'s��!L�Z•�' d C r illable FRONTAGE ON WATER loodland FRONTAGE ON ROAD ieadowland r DEPTH ouse Plot BULKHEAD eta = � COLOR TRIM - _ ,II6�IIII'' - --ice 33 17 48 I //�� , ,��;ry �%J�� 'Kf�.'.i4.yf '`�,-;.t'rn." ._ ,_ •{ •Y`V -.e tidr;... . - - Y — — 79.4-6.1 3/06 M: Bldg -7Tr'Ir - Extension ° �i D ,J — — - Extension #� �-`� Extension Foundation �r Bath 3 Z Dinefte 2 Basement Floors !<_� Dov ° � porch ' �L -a F Ext, Walls }- 4r Interior Finish iZ�`j LR. Breezeway _ Fire Place VES (') Heat DR. Garage �5 24 ' 1 �-�3Q Type Roof Rooms 1st Floor BR. Patio Recreation Room Rooms 2nd Floor �O B: Ac,, Dormer Drive'' ay Gi rl - Total - 7 L r FF APPEALS BOARD MfiMURS' RECEIV- ED Southold Town Hall Ruth Q,Oliva,Chairwoma' 1,O(A53095'Maih Road' GerardR Goehringer P.O_Box 1179 Lydia A.Tortora 1- - AN 23 11illouthold NY 119.7 -0959 'Vincent Orlando L(,631)765-18,09 6 lames lJWizi6,Jr. Ol 031)765-9064 rk- Sou �Wdlb ,Wo'clo .http-.//sbuthold,town.northfork.net BOARD OF APPEALS.. 'fOWN OF' SO U- THOLD FINDINGS, PELIBERATIONS'AND DETERMINATION, MEETING OF JUNE,3, 2004' Z8A*5526 —ANCHOR LANE LLC Propeity Location: 1615 Anchor Lane,Souffibld;CTM#794-0.1 �SEQRA, .DETERMINATION, The Zoning Board of Appeals has, visited -the property :under 'toniid6ratjori in this application and determines thatthis reAwfalis under the Ty (a pell,,cal: gory of the State's List-of Actions, without an adverse effect on the environment if the project is implemented as planned., PROPERTY,-FACTS/DESCRIPTION: The applicant's 21,,031 sq, ft. parcel has, 100 fL frontage along Anch,or,b�he_ Harbor-Lights Estates, Section brie, In Southold; The property�is, improved with a: one-story dwelling sl46ated at 76+-feet from the wood bulkhead adjacent to theAredgedcOW. BASIS OF APPLICATION- BuildIng'Department's April 18; 2004, Notice of Disapproval, citing Code ,Section 100-239.4B-ih 'its denial of a'building -permit application concerning 'reconstruction of the existing dwelling, with enlargement. The reasons stated -in-'the Notice of Dit6pproval ,is-that a minimum ft setback it,retiuire.d,and the distance- I's shown af 61:61-fedt to the,tlbseit,,(Wjacent ,lot)bulkhead, FINDINGS OFFACT The Zonirig board of Appeals field a,public hearing,on this application on May 20, ,2004, at which time wrifth and oral eviderice,were presented. Based upon all testimony, documentation, pptsonal ,inspection of the,property, and other evidence, the-Zoning Board finds the following facts,to betrue and,relevarit, AREA VARIANCE RELIEF -REQUESTED: Applicant wishes to construct reconstruct the existing dwelling, at a, location ,61.6feet'from the (qlospst) neighbor's bulkhead, and 69.75 feet fr6m the, applicant's Woodbulkhead adjacent to the high water'rriark of the dredged dMali REASONS FOR BOARD ACTION: On the basis of testimony pretented, materials submitted and' personal inspections, the Board makes the following findings: 1. Grant of,,the relief requested Will not produce an undesirable change 'in the,character of, the neighborhood or aAetn"ment, to nearby, properties. The addition.will be,placed at,the rear of the applicant's, home -approximately 69.75 -feet from the wood bulkhead, adjacent to a tidal, Water/dredged canal,instead of the codt- required 75 ft, setback minimum. After,pareful,review, the Board finds that the location is almost unnoticeable and without change in the.character of, the neighborhood. The,high-water of the canal is approximately 75.feet from the,elot&tt corner of the, proposed reconstruction with,two-story addition. Certifications indicated hereon signify that this plat of the property depicted hereon was made in accordance with the existing Code of Practice for Land Surveyors adopted by the New York State Association of Professional Land Surveyors This certification is only for the lands depicted hereon and is not certification of title,zoning or freedom of encumbrances. Said certifications shall run only to the persons and/or entities listed'hereon and are not transferable to additional persons,entities or subsequent owners LAND NOW OR FORMERLY OF FREDERICK & HAROLD REESEc, I O. S 64'05'10" E,.M I n o 42.50' in to N LOT 10 0. o Y N N M o N '" rON l7NG 3 3 v S 6405'10" E r toCK RAMP o MONUMENT 75.00' MONUMENT O N 3 FOUND 5' EASEMENT AS O WIRE FENCE FOUND N WOOD1. BULKHEAD 0.5'W PER SCHEDULE A� ON LIN 0.2'W ZDECK DECK < DECK 0.4'W _ N 6405'1 O" FE W DECK ::::: �Pyy WOOD GATE 0.WIRE O NCE O X59 W 0 4'W 15.00' DECK AAA$bN}jS < 00 :• O ' O 3 �o° I O O W N o Q a W W W FE 0.3'E DECK 33.6' o W PROPOSED Z a 16.7' o GENERATOR ri C/E ON t''n. a 2 STORY 14.6' CO PADETE W DWELLING 5.5' NO. 1615 a N 18.7' GARAGE FE 0 N�T___ 11.5' rd 15.3' GATE 0.7'W 0 J 1 STORY- FENCE ovER> .•;.• DECK n :ppRpy41 .1 •,•SLA7E�;:� ABOVE :bEgk-: •::1yAL'(Q::: GATE 19.3' A130V�J . FE� } ■.. 04'E:•, 3 W LV N � FE � I 0.3 C o 'WU a- 0 to W C3 to Lu U Uj ;n W ;� W N N � _ Go ° o N3 m 2 a N Z Z (n Q I � W I �W Z GATE FE FE O FE 3.9'S 3.6 S FE FE 4.3's 200P O.8'W 0 3'E 4.2'S_\ .2'S —— 4.3'S 0.4'W /� � 0 '--'IY WIRE FENCE WIRE FENCE —OH—OH OH OH N 6405'10" W 100' UA SURVEY MEW SURVEY ANCHOR LANE VI The offsets or dimensions shown from structures to the property lines are for a specific purpose and use,and therefore,are not intended to guide in the erection of fences,retaining walls, pools,patios,planting areas,additions to buildings and any other construction Subsurface and environmental conditions were not examined or considered as a part of this survey Easements,Rights-of-Way of record,if any,are not shown Property corner monuments were not placed as a part of this survey _ _ © 2016 BBV PC VBarrett Tax Map: DISTRICT 1000 SECTION 79 BLOCK 4 LOT 6.1 Bonacci & Map of: HARBOR LIGHTS ESTATES,SECTION 1 &DESCRIBED PARCEL Unauthorized alteration or addition to this survey is a violation of Section Van Weel e, PC 7209 of New York Stale Education Law Civil Engineers 175A Commerce Drive Map Lot. 13 Map Block: -- /- Surveyors Hauppauge, NY 11788 Y T 631 435 1 1 1 1 Filed: 6/8/1965 No.: 4362 Count': SUFFOLK Planners F 631 435 1022 www bbvpc com Situate: SOUTHOLD,TOWN OF SOUTHOLD Certified to, Title No. Revision By Date PROPOSED GENERATOR-SURVEY NOT UPDATED CW 3/24/21 Copies of this survey map not bear- ing the land surveyor's embossed DAVID D. ROHDE seal and signature shall not be con- sidered to be a true and valid copy Surveyed by: R.B. Drafted by A.V.R. 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