HomeMy WebLinkAbout1000-123.-8-7 OFFICE LOCATION: OF SO!/ryoMAILING ADDRESS:
Town Hall Annex h0 l0 P.O. Box 1179
54375 State Route 25 Southold, NY 11971
(cor. Main Rd. &Youngs Ave.)
Southold, NY 11971 G • Telephone: 631 765-1938
Irou
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
To: Leslie Weisman, Chair
Members of the Zoning Board of Appeals
From: Mark Terry, AICP
Assistant Town Planning Director
LWRP Coordinator
Date January 25, 2022
Re: LWRP Coastal Consistency Review for ZBA File Ref HSA HOLDINGS, LLC#7589
SCTM# 1000-123-8-7.
HSA HOLDINGS, LLC #7589 — Request for Variances from Article IV, Section 280-18; and the Building
Inspector's August 24, 2021 Notice of Disapproval based on an application for a permit to demolish and
reconstruct a single-family dwelling; at 1) located less than the code required minimum side yard setback of 15
feet; 2) located less than the code required minimum combined side yard setback of 35 feet; located at: 2000
Park Avenue, (Adj. to Great Peconic Bay) Mattituck,NY. SCTM No. 1000-123-8-7.
The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of
Southold Town Code and the Local Waterfront Revitalization Program(LWRP) Policy Standards. Based upon
the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as
the records available to me, the proposal is recommended as CONSISTENT with the LWRP. This
recommendation is based upon:
1. The proposal is not discordant with community character.
2. The increase of the setback from the top of bank.
3. The installation of a UA OWTS and stormwater controls.
4. The installation of a 10' non-turf buffer landward of the bank consistent with previous Wetland
Permits issued.
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: John Burke,Assistant Town Attorney
BOARD MEMBERS Southold Town Hall
Leslie Kanes Weisman,Chairperson *QF $U(/j�, 53095 Main Road•P.O.Box 1179
Southold,NY 11971-0959
Patricia Acampora Office Location:
Eric Dantes Town Annex/First Floor,
Robert Lehnert,Jr. aQ 54375 Main Road(at Youngs Avenue)
Nicholas Planamento yCou Southold,NY 11971
http://southoldtownny.gov
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel.(631) 765-1809 •Fax (631)765-9064 rRECEIVED
September 24, 2021 SEP 2812021
Southold Town
Mark Terry, Assistant Town Planning Director Planning Board
LWRP Coordinator
Planning Board Office
Town of Southold
Town Hall Annex
Southold,NY 11971
Re: ZBA File Ref.No. # 7589 HSA Holdings LLC
Dear Mark:
We have received an application to demolish and reconstruct a single family dwelling. A
copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning
Code), and survey map, project description form, are attached for your reference.
Your written evaluation with recommendations for this proposal, as required under the
Code procedures of LWRP Section 268-51) is requested within 30 days of receipt of this
letter.
Thank you.
Very truly yours,
Leslie K. Weisman
Chairp n
,By:
Encls
Site Plan/Survey: Jeffrey Sands Architect Dated : 7/19/21
I
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE: August 24, 2021
TO: Robert E. Herrmann (HSA Holdings)
1319 North Sea Road
Southampton, NY 11968
Please take notice that your application dated July 28, 2021:
For permit to: demolish and reconstruct a single-family dwelling at:
Location of property: 2000 Park Avenue Mattituck NY
County Tax Map No. 1000 - Section 123 Block 8 Lot 7
Is returned herewith and disapproved on the following grounds:
The proposed construction on this Mu'k
603�accombined
37 s . ft. lot in the R-40 District is
not permitted pursuant to Cha ter 2dr Residential Districtswhire uires a minimum side and setbanside and setback f 3
feet.
The constructi ill have a minimum side yard setback 4Aet and a combined side
and setback o 7 eet.
Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application may
require further review by the Southold Town Building Department.
CC: file, Z.B.A.
Fee:$ Filed By: Assigmnent No.
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
AREA VARIANCE
House No. 2000 Street Park Avenue Hamlet Mattituck
SCTM 1000 Section 123 Block 8 Lot(s) 7 Lot Size 42,603 sf Zone R-40
I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED August 24, 2021 BASED ON SURVEY/SITE PLAN DATED July 19, 2021
Owner(s): HSA Holdings LLC
c/o Sean Peters, Member
Mailing Address:_ 108 Remington Road. Manhasset NY 11030
Telephone: 917-292-0540 Fax: Email:seanhp28@gmail.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:En-Consultants for(x)Owner( )Other:
Address: 1319 North Sea Road, Southampton, NY 11968
Telephone:631-283-6360 Fax:631-283-6136 Email:rherrmann@enconsultants.com
Please check to specify who yon 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
DATED July 19, 2021 and DENIED AN APPLICATION DATED July 23, 2021 FOR:
(x)Building Permit
( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy
( )Change of Use
( )Permit for As-Built Construction
( )Other:
Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by
numbers.Do not quote the code.)
Article: IV Section: 280 Subsection: 18
Type of Appeal. An Appeal is made for:
(x)A Variance to the Zoning Code or Zoning Map.
( )A Variance clue to lack of access required by New York Town Law-Section 280-A.
( )Interpretation of the Town Code,Article Section
( )Reversal or Other
A prior appeal ( )has, (x)has not been made at any time with respect to this property,UNDER
Appeal No(s). Year(s). . (Please be sure to research before
completing this question or call our office for assistance)
Name of Owner: ZBA File#
REASONS FOR APPEAL (Please be specific, additional sheets may be used with preparer's
signature notarized):
1. An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby
properties if granted,because:
See attached addendum.
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:
See attached addendum.
3.The amount of relief requested is not substantial because:
See attached addendum.
4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the
neighborhood or district because:
See attached addendum.
5.Has the alleged difficulty been self-created? {x} Yes,or { } No Why:
See attached addendum.
Are there any Covenants or Restrictions concerning this land? {)} No { } Yes(please famish a copy)
This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the
neighborhood and the health,safety and welfare of the commacity.
obert E. Herrmann
Signatur 'Applicant or Authorized Agent
(Agent must submit written Authorization from Owner)
Sworn to before me this 20th day
of September 2021
P
KIM H . STEPHENS
NOTARY PUBLIC
STATE OF NEW YORK
COMMISSION NO , 5015931
OUALIFIE0 IN SUFFOLK COU TY
EXPIRES AUGUST 2 , 20L,
REASONS FOR APPEAL ADDENDUM FOR
HSA HOLDINGS LLC
2000 PARK AVENUE
MATTITUCK,NY
SCTM#1000-123-8-7
1) Pursuant to §280-18 (Bulk Schedule),minimum and total side yard setback relief is requested for the
construction of a new, modernized, energy-efficient dwelling in place of the existing primary dwelling on the
subject property. Specifically, a minimum side yard setback of 12 feet from the westerly lot line is requested
where 15 feet is required; and as a result of a proposed 15-foot setback from the easterly lot line, a total side
yard setback of 27 feet is requested where 35 feet is required.
Granting of the relief requested to construct the new house with the above noted side yard setbacks will not
produce an undesirable change in the character of the neighborhood. Between the easterly end of Park Avenue
to the east and Camp Mineola Road to the west, the surrounding developed bayfront shoreline is characterized
by deep lots with side lot line lengths of 500 feet or more between the roadway and Great Peconic Bay,
including the applicant's, which is 577 to 621 feet deep. Although the majority of these properties have lot
widths of more than 100 feet, many have much narrower lot widths. The applicant's parcel, for example, is
roughly 72 feet wide, and the applicant's dwelling currently has a minimum side yard setback of 7.4 feet. And
the similarly deep but narrow lots are similarly characterized by dwellings with nonconforming minimum
and/or total side yard setbacks, such as to the east of the applicant at 2152, 2200, 2934, and 3340 Park Avenue.
This condition is more common to the west of the applicant, where Park Avenue ends and Terry Path/Camp
Mineola Road East Extension begins. Although most of the nonconformities on these narrow properties are,
like the applicant's, preexisting because the properties were developed prior to adoption of the zoning code in
1957, several have been redeveloped more recently with the benefit of side yard setback variance relief. For
example, relief was granted in 2009 for the reconstruction of the dwelling at 3605 Camp Mineola Road, with
minimum and total side yard setbacks of 10 and 30 feet, respectively (Case No. 6248); and in 2012, relief was
granted for the reconstruction of the dwelling at 200 Terry Path, with minimum and total side yard setbacks of
12 and 24 feet, respectively (Case No. 6029). The applicant's proposed minimum side yard setback of 12 feet
would thus equal or exceed the minimum setbacks approved in both of those cases; and the proposed total side
yard setback of 27 feet represents both the mean and the median of the total side yard setbacks approved in
those cases. Other side yard setback variances have been granted in the neighborhood, such as the minimum
and total side yard setbacks of 5.9 and 11.9 feet granted for 580 Terry Path in 2018 (Case No. 7143). But the
42' width of that lot is so much narrower than the applicant's that it is less comparable than 200 Terry Path, for
example, which is 68 feet wide.
The applicant's proposed minimum side yard setback of 12 feet also represents a 62% increase to the property's
existing minimum side yard setback of 7.4 feet, which benefits the adjacent neighbor to the west. And although
the new house would be situated closer to the easterly neighbor than the existing, the proposed 15-foot setback
from the easterly lot line equals the required minimum side yard setback. Therefore, granting of the proposed
relief should also not cause a detriment to either neighboring property owner. It is also worth noting that due to
the substantial distance of the subject and neighboring dwellings from Park Avenue, any potential visual impact
associated with a reduced total side yard setback will not be observable from the properties located on the
opposite side of the road.
Robert . Herrmann
Sworn to before me this 20"'
day of.September, 2021
KIM H . STEPHENS
NOTARY PUBLIC
STATE OF NEW YORK
COMMISSION NO , 5015931 1 Page
QUALIFIED IN SUFFOLK COUNTY
EXPIRES AUGUST 2 , 20��
2) The applicant is seeking to replace a narrow, 17 to 20-foot wide, aging dwelling that was constructed prior to
1957 (see Pre C/O No. 19350) with a new, larger, modernized, energy efficient dwelling with attached garage
and accessory swimming pool. And while the proposed dwelling will decrease the degree of nonconformity of
the existing minimum side yard setback and will still be narrower than many of the dwellings located on other
40,000 sf lots in the neighborhood (including those of the two adjacent neighbors), the 72-foot width of the
42,603 sf property makes full compliance with the required side yard setbacks difficult. As complying with the
required total side yard of 35 feet would require eliminating almost 20 percent of the width of the house, for
example, the applicant is seeking reasonable setback relief for their proposed home that is consistent with relief
that has been granted to other similarly configured properties in the neighborhood, as described above.
3) The three feet or 20 percent relief requested from the required 15-foot minimum side yard setback is not
mathematically substantial and represents a 4.6-foot or 62% increase over the existing 7.4-foot minimum
westerly side yard setback. The eight feet or 22.8 percent relief requested from the required 35-foot total side
yard setback is not mathematically substantial, and it is not substantial in fact given the narrow lot width and
consistency with similar relief granted for newly constructed dwellings on similarly configured lots in the
neighborhood. Moreover, the proposed 15-foot setback from the easterly lot line equals the minimum required
side yard setback from that property.
4) The project will have a beneficial impact on the surrounding physicaVanenviromnental conditions as a result
of the project design and incorporated mitigation measures, whichtended to increase the dwelling's
setback from Great Peconic Bay; improve treatment of septic waste; and control and recharge stormwater
runoff, resulting in benefits to the environmental quality of groundwater, surface waters, and the adjacent
shoreline and wetland ecosystem.
a. The setback to the dwelling from the bkh ad and adjacent su a waters of Great Peocnic Bay will
be increased by approximately 25 feet, fr 87 to 112 feet.
b. The existing conventional septic system will be removedNar
replaced with a low-nitrogen, UA sanitary
system consisting of an UA OWTS located more than 22et from the bulkhead and surface waters of
Great Peconic Bay. Unlike conventional systems, whichnot designed or equipped to treat nutrients
such as nitrogen, VA systems are designed to significantly reduce nitrogen loading into the
groundwater and ultimately surface waters.
c. A proposed stormwater drainage system is designed to capture and rech e /6ofrunoff from the
renovated dwelling; surface runoff from the driveway; and backwash from proposed swimming
pool.
d. A 10' wide non-turf buffer area would be established and permanently mainta' d/area
of existing
lawn adjacent to the top of bank, thus increasing the depth of the naturally veget eVtystem.ward of
the bulkhead to more than 25 feet.
e. Although not the subject of variance relief, the proposed swimming pool will b with a
saltwater filtration system,thus avoiding use of a traditional, high-chlorination treatm
Robert E. emnann
Sworn to before me this 20'h M H , STEPHEN S
day of September,2021 N O T A R Y P U B L I C
STATE OF NEW YORK
COMMISSION N0 , 5015931
OUALIFIEO IN SUFFOLK COUJY
EXPIRES AUGUST 2 , 20tjj
2Page
f. A project limiting fence will be installed to contain site disturbance and potential surface runoff during
construction.
5) Despite the challenge associated with the narrow lot width, the difficulty with conforming the proposed
dwelling to the required side yard setbacks is arguably self-created, as the property was purchased by the
applicant after the zoning limitations creating the need for variance were adopted, and it is therefore presumed
that the applicant had actual or constructive knowledge of these limitations at the time of their purchase.
Robert . Herrmann
Sworn to before me this 20"'
day of September, 2021
KIM H . STEPNENS
NOTARY PUBLIC
STATE OF NEW YORK
COMMISSION NO . 5015931
QUALIFIED IN SUFFOLK COUNTY
EXP I R ES AUGUST 2 . 20 Z�
3Page
APPLICANT'S PROJECT DESCRIPTION
APPLICANT: HSA Holdings LLC DATE PREPARED:September 20, 2021
1. For Demolition of Existing Building Areas
Please describe areas being removed:Existing 2-story dwelling patio, and driveway
II.New Construction Areas(New Dwelling or New Additions/Extensions):
Dimensions of first floor extension: 45.29'(max.)x 91.67'
Dimensions of new second floor: 45.29'x 49.6'
Dimensions of floor above second level: N/A(attic space)
Height(from finished ground to top of ridge): +/-32'
Is basement or lowest floor area being constructed?If yes,please provide height(above ground)
measured from natural existing grade to first floor: Yes, 9 inches
III.Proposed Construction Description(Alterations or Structural Changes) N/A
(Attach extra sheet if necessary). Please describe building areas:
Number of Floors and General Characteristics BEFORE Alterations:
Number of Floors and Changes WITH Alterations:
IV. Calculations of building areas and lot coverage(from surveyor):
Existing square footage of buildings on your property: 2,765 sf
Proposed increase of building coverage: 2,433 (5,198 sf total)
Square footage of your lot: 42.603 sf
Percentage of coverage of your lot by building area: 12.2% (proposed)
V.Purpose of New Construction: To replace existing narrow,17 to 20'wide aging dwelling constructed
prior to 1957 with a new, larger, modernized, energy efficient dwelling with attached garage and accessory
swimming pool.
VI.Please describe the land contours(flat,slope %,heavily wooded,marsh area,etc.)on your land
and how it relates to the difficulty in meeting the code requirement(s):
The land contours are relatively flat throughout most of property gently sloping over a distance of more
than 500 feet, from an elevation of 20' MSL at Park Avenue to an elevation of 18' MSL at the top of bank
adjacent to the bulkhead shoreline of Great Peconic Bay. The land contours are unrelated to the need for
variance relief.
Please submit 8 sets of photos,labeled to show different angles of yard areas after staking corners
for new construction,and photos of building area to be altered with yard view.
4/2012
a
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 coutours?
X No Yes please explain on attached sheet.
C. 1.) Are there areas that contain sand or wetland grasses? Yes
2.)Are those areas shown on the survey submitted with this application? Yes
3.) Is the property bulk headed between the wetlands area and the upland building
area? Yes
4.) If your property contains wetlands or pond areas, have you contacted the Office of the Town
trustees for its determination of jurisdiction'?No Please confirm status of your inquiry or
application with the Trustees: Application to be submitted upon ZBAa and if issued, please attach
copies of permit with conditions and approved survey. determination.
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 line.
F. Do you have any construction taking place at this time concerning your
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 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
thein or to obtain an Amended Notice of Disapproval. Attached
H. Do.you or any co-owner also own other land adjoining or close to this parcel?No If
yes,please label the proximity of your lands on your survey.
I.. Pie se list resent use or operations conducted at this parcel Residential,2-story single-family
W'
detached garagend
secondary 1.5-story dwelling structure and the proposed use same,with new 2-story dwelling with
attached garage and swimming pool (ex: existing single family,proposed: same
with garage, pool or other)
September 20, 2021
Ant orN74h signature and Date
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19350 Date SEPTEMBER 12, 1990
THIS CERTIFIES that the building 2 ONE FAMILY DWELLINGS
Location of Property 2000 PARK AVE. MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 123 Block 8 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for Private One Family
dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. Z-19350 dated SEPTEMBER 12, 1990
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 2 ONE FAMILY DWELLINGS WITH ACCESSORY GARAGE
The certificate is issued to VERNON STRUB
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD-PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD-PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD-PRE EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORTS.
jazz",,
Bfiilding Inspector
Rev. 1/81
FORM IVO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. . . . .2 I ,4.451 . . . . . . Date . . . . . . . .1�aY. .3 9. . . . . . . . . . . . . . . . .. 198 6 .
THIS CERTIFIES that the building . . . . .a d OAA i o n. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property .20.0.Q . . . . . . . . . . . . . . . Park, Aqe . . . . . . . . . . . . . Mattitu.ck
House No. Street Hamlet
County Tax Map No. 1000 Section . . . . . 1?.3 . . .Block . . . . . . . . . . . . . .Lot . . . .7. . . . . . . . . . . .
Subdivision . . . . . . . . . . .Y. . . . . . . . . . . . . . . . . . .Filed Map No. . . .X. . . .Lot No. . . . . .X . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
. . . p.c�to b ex: .17. . . . . . , 19 .8.5. pursuant to which Building Permit No. . . . ?4 3 41 Z. . . . .
dated . . . . . .Qct ob.e r. . 23. . . . . . . . . . . 19 . .8.5,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 . . . . . . . . .
. . . . .AddjAAon. .t.o .ac.c.--ssPr.y. .Gu.i,lding, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . . . . . . . . . . . . . . . . . .V.M-ON ,9,.. STRUB , , , , , , , . . . , .
(owner,lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . NAA . . . . . . . . . . . . . . . . . . . . .
-UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . NAA . . . . . . . . . . . . . . . . . . . . .
Building Inspector
Rev.1/81
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: HSA Holdings LLC
2. Address of Applicant:c/o Sean Peters, Member: 108 Remington Road Manhasset NY 11030
3. Naive of Land Owner(if other than Applicant):Same as Applicant
4. Address of Land Owner:Same as Applicant
5. Description of Proposed Project: See attached project description.
6. Location of Property: (road and Tax map
number) 2000 Park Avenue Mattituck SCTM #1000-123-8-7
7. Is the parcel within 500 feet of a farm operation? { } Yes {x} No
8. Is this parcel actively farmed? { ) Yes {4 No
9. Name and addresses of any owner(s) of land within the agricultural district containing
active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning
Board Staff, it is your responsibility to obtain the current names and mailing addresses from the
Town Assessor's Office (765-1937) or from the Real Property Tax Office located in Riverhead.
NAME and ADDRESS
1.
2.
3.
4.
5.
6.
(Please us the back Of this page if there are additional property owners)
Robert E. Herrmann 9 / 20 /21
Signature O 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.
HSA HOLDINGS LLC
2000 PARK AVENUE
MATTITUCK,NY
SCTM#1000-123-8-7
Demolish and remove existing 2-story, 1,444 sf single-family dwelling and brick patio; construct
2-story, 2,578 sf single-family dwelling and attached garage, with 178 sf covered front porch and
520 sf covered rear porch; construct 15' x 37' swimming pool (with saltwater filtration) and
1,310 sf grade-level masonry patio; install 4 high pool-enclosure fencing; remove and replace
portion of existing driveway; remove existing conventional septic system and install new UA
sanitary system; install stormwater drainage system; and establish and 10' wide non-turf buffer
along top of bank, all as depicted on the site plan prepared by Jeffrey Sands Architect, dated July-
19, 2021.
Shoat Environmental Assessment Foam
Part I -Project Information
Instructions for Completing
Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the
application for approval or finding,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:
HSA Holdings LLC Residence
Project Location(describe,and attach a location map):
2000 Park Avenue,Mattituck,Town of Southold,SCTM#1000-123-8-7;located on s/s of Park Avenue,823'east of Marratooka Rd(map attached).
Brief Description of Proposed Action:
Demolish and remove existing 2-story,1,444 sf single-family dwelling and brick patio;construct 2-story,2,578 sf single-family dwelling and attached
garage,with 178 sf covered front porch and 520 sf covered rear porch;construct 15'x 37'swimming pool(with saltwater filtration)and 1,310 sf
grade-level masonry patio;install 4 high pool-enclosure fencing;remove and replace portion of existing driveway;remove existing conventional septic
system and install new I/A sanitary system;install stormwater drainage system;and establish and 10'wide non-turf buffer along top of bank,all as
depicted on the site plan prepared by Jeffrey Sands Architect,dated July 19,2021.
Name of Applicant or Sponsor: Telephone: 917-292-0540
HSA Holdings LLC E-Mail:
seanhp28@gmail.com
Address:
c/o Sean Peters,Member;108 Remington Road
City/PO: State: Zip Code:
Manhasset NY 11030
1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES
administrative rile,or regulation?
If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that 1:1may be affected in the municipality and proceed to Part 2_ If no,continue to question 2.
2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES
If Yes, list agency(s)name and permit or approval:Town of Southold,Suffolk County Department of Health Services ❑
3. a. Total acreage of the site of the proposed action? 42,603 sf
b-Total acreage to be physically disturbed? +/-19,900 sf
e.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 42,603 sf
4. Check all land uses that occur on,are adjoining or near the proposed action:
❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban)
❑Forest ❑ Agriculture ® Aquatic ❑ Other(Specify):
❑Parkland
Page I of 3 SEAF 2019
5. Is the proposed action, NO YES N/A
a. A permitted use under the zoning regulations? ❑ ® ❑
b. Consistent with the adopted comprehensive plan? ❑ ❑
NO YES
6. Is the proposed action consistent with the predominant character of the existing built or natural landscape?
❑ 0
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
Names:Deep Hole Creek;Peconic Bay&Environs,Reasons:Significant coastal fish&wildlife habitat;protect
If Yes,identify: public health water,yppPtation R scenic heauty,Agencies-Snuthnld Town-County of Ruffolk Dates•2-G-GO•
7-12-88 ❑
NO YES
S. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑ ❑
b. Are public transportation services available at or near the site of the proposed action? ® ❑
c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑
action?
9. Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies:
0 F71
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water:
A new connection to the public water supply is proposed. W1 ❑
11. Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment:
A new VA OWT septic system is proposed. F/I ❑
12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES
which is listed on the National or State Register of Historic Places,or that has been determined by the EJ
of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the
State Register of Historic Places?
b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ 21
archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory?
13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES
wetlands or other waterbodies regulated by a federal,state or local agency? ❑ Z
b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:
Page 2 of 3
14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply:
OShoreline [:] Forest ❑Agricultural/grasslands [:]Early mid-successional
m Wetland ❑ Urban m Suburban
15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES
Federal government as threatened or endangered? ❑ ❑
16. Is the project site located in the 100-year flood plan? NO YES
17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES
If Yes, ❑
a. Will storm water discharges flow to adjacent properties? ❑ ❑
b_ Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ ❑
If Yes,briefly describe:
18. Does the proposed action include constriction or other activities that would result in the impoundment of water NO YES
or other liquids(e.g.,retention pond,waste lagoon,dam)?
If Yes,explain the purpose and size of the impoundment: ❑ ❑
19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES
management facility?
If Yes,describe:
20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES
completed) for hazardous waste?
If Yes,describe:
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE
Applicant/sponsor/nam : Robert E.Herrmann,En-Consultants Date:September 20,2021
Signature: Title:Coastal Management Specialist
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BAYGREGREATj PECONTC I
Board of Zoning Anneals Annlication
AUTHORIZATION
(Where the Applicant is not the Owner)
L Scan Peters,Member,HSA Holdings LLC residing at 108 Remington Rd.
(Print property owner's name) (Mailing Address)
Manhasset,NY 11030 do hereby authorize
(Agent)
En-Consultants to apply for variance(s)on my behalf from the
Southold Zoning Board of Appeals.
(Owner's Signature)
Sean Peters,Member,HSA Holdings LLC
(Print Owner's Name)
APPLICANT/OWNER
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose
of this form is to provide information which can alert the town of gnssible conflicts of interest and allow it to take whatever
action is necessary to avoid same.
Sean Peters,Member
YOUR NAME
•(Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a
company.U so,indicate the other person's or company's name.)
TYPE OF APPLICATION: (Check all that apply)
Tax grievance Building Permit
Variance % Trustee Permit
Change of Zone Coastal Erosion
Approval of Plat Mooring
Other(activity) Planning
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer
or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business
interest"means a business,including a partnership,in which the town officer or employee has even a partial
ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the
shares.
YES NO
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.
Either check the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child h(check all that apply)
A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation)
B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation)
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
g r
Submitted this day of n 20—Q�Z_
Signature
Sean Peters,Member
Print Name HSA Holdings LLC
AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emylovees 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: Herrmann,Robert E.
(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 XXX Trustee Permit
Change of Zone Coastal Erosion
Approval of Plat Mooring
Other(activity) Planning
Do you personally(or through,your company,spouse,sibling,parent,or child)have a relationship with any officer or
employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"
means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or
employment by)a corporation in which the town officer or employee owns more than 5%of the shares.
YES NO X
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.
Either check the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply)
A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation)
B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation)
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
Submitted this15th day of September ,20 21
Signature
Print Name Robert E.Herrmann
!,b
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
1 , All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the coastal area (which includes all of Southold Townl.
If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus, each answer must be explained in detail, listing both supporting and non-
supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions, it shall not be undertaken.
A copy 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# 123 - 8 - 7
PROJECT NAME HSA Holdings LLC
The Application has been submitted to (check appropriate response):
Town Board ❑ Planning Board❑ Building Dept. ® Board of Trustees ❑
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:
Demolish and remove existing 2-story, 1,444 sf single-family dwelling and brick patio;construct 2-story,2,578 sf single-family
dwelling and attached garage,with 178 sf covered front porch and 520 sf covered rear porch;construct 15'x 37'swimming pool(with
saltwater filtration)and 1,310 sf grade-level masonry patio;install 4 high pool-enclosure fencing;remove and replace portion of existing
driveway;remove existing conventional septic system and install new UA sanitary system;install stormwater drainage system;and
establish and 10'wide non-turf buffer along top of bank,all as depicted on the site plan prepared by Jeffrey Sands Architect,dated July
19,2021.
Pursuant to Southold Town Code§268-5("Review of Actions")and the corresponding definitions of"action" and"minor action"by
§286-3 ("Definitions"),the proposed variance request meets the following definition of a minor action and should thus be determined to
be exempt from waterfront consistency review pursuant to chapter 268: T. 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
CEHA." Therefore,all policies are noted as being"Not Applicable."
Location of action: 2000 Park Avenue,Mattituck
Site acreage: 42,603 sf
Present land use:Residential,1-family dwelling w/detached garage;1-family dwelling w/attached garage,porches,patio&swimmng pool.
Present zoning classification: R-40
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: HSA Holdings,LLC
(b) Mailing address: c/o Sean Peters,Member; 108 Remington Road
Manhasset,NY 11030
(c) Telephone number: Area Code 917-292-0540
(d) Application number, if any:
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes M No ❑ If yes, which state or federal agency? NYSDEC
C. Evaluate the project to the following policies by analyzing how the project will further support or not
support the policies. Provide all proposed Best Management Practices that will further each policy.
Incomplete answers will require that the form be returned for completion.
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation
criteria.
❑Yes FIN o M Not Applicable
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP
Section III - Policies Pages 3 through 6 for evaluation criteria
❑ Yes 1:1 No M Not Applicable
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III - Policies Pages 6 through 7 for evaluation criteria
❑ Yes ❑ No ® Not Applicable
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III - Policies Pages 8 through 16 for evaluation criteria
F-1Yes 1:1 No ® Not Applicable
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III
- Policies Pages 16 through 21 for evaluation criteria
[—]Yes ❑ No ® Not Applicable
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22
through 32 for evaluation criteria.
❑ Yes ❑ No ® Not Applicable
:r
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria.
❑ Yes F—] No® Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria.
❑ Yes ❑ No ® Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria.
FlYes F] No® Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria.
❑ Yes ❑ No ® Not Applicable
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary
and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria.
❑Yes ❑ No ® Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62
through 65 for evaluation criteria.
❑ Yes ❑ No ® Not Applicable
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III - Policies; Pages 65 through 68 for evaluation criteria.
❑ Yes ❑ No ® Not Applicable
PREPARED BY a " TITLE Coastal Management Specialist DATE 9/20/21
Robert E. HSWnann
Amended on 811105
HSA HOLDINGS LLC,2000 PARK AVENUE,MATTITUCK
AL
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Figure 1. Aerial view of subject property and dwelling to be removed and replaced with new dwelling(located 25'farther landward),
and swimming pool;and surrounding developed shoreline of Great Peconic Bay,in April 2021. Image by Google Earth.
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Figure 2. Looking north at south/waterside of existing dwelling to be removed and replaced with new dwelling(located 25'
farther landward);and at location of proposed swimming pool(within footprint of existing dwelling to be removed).
HSA HOLDINGS LLC,2000 PARK AVENUE,MATTITUCK
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Figure 3. Looking east along top of bank(and location of proposed non-turf buffer)at applicant's dwelling to be demolished and
replaced with new dwelling and pool(left);adjacent dwelling to east(center);and developed Great Peconic Bay shoreline to east.
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Figure 4. Looking west along top of bank(and location of proposed non-turf buffer)at applicant's dwelling to be
demolished and replaced with new dwelling and pool(right);and adjacent dwelling to west(center).
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___ _
LAND IMP. TOTAL DATE REMARKS
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Swampland
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OWNER STREET VILLAGE DISTRICT SUB, LOT
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
Farm Acre Value Per Acre Value
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vVoodland
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NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Division of Environmental Permits,Region 1
SUM! a Sin-iy Uro,^,.c.!,Cis'-ice ftc,ac.S.o•y 13•;.ok.NY 11190
P (631)444-036b I I-.16311 444 0360
c c
LETTER OF NO JURISDICTION
TIDAL WETLANDS ACT
September 1, 2021
HSA Holdings LLC
c/o Sean Peters, Member
108 Remington Road
Manhasset, NY 11030
Re: Application #1-4738-04300/00005
HAS Holdings LLC Property — 2000 Park Avenue
SCTM# 1000-123-8-7
Dear Applicant:
Based on the information you submitted the Department of Environmental Conservation has
determined that:
The referenced property, landward of the functional bulkhead greater than 100 feet in length (as
shown on the survey by Kenneth'M. Woychuk, dated 2/25/2021) and was constructed before
August 20, 1977 (as shown .on the Tidal Wetland Map #708-538 and historic aerial imagery) is
beyond Tidal Wetlands Act (Article 25) jurisdiction and no permit is required for work landward
of this structure.
Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward
of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your
responsibility to ensure that all precautions are taken to prevent any sedimentation or
disturbance within Article 25 jurisdiction which may result from your project. Such precautions
may include maintaining adequate work area between the jurisdictional boundary and your
project (i.e. a 15' wide construction area) or erecting a temporary fence, barrier, or hale bay
berm.
This letter shall remain valid unless site conditions change.
Please note that this letter does not relieve you of the responsibility of obtaining any necessary
permits or approvals from other agencies or local municipalities.
Sincerely,
Laura F. Star
Permit Administrator
cc: Robert Herrmann, En-Consultants
BMHP
File
NEW YORK I Department of
Environmental
UVppn�VNm
Conservation
SEE SEC.NO.115
MATCH LINE
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DISTRIBUTION OFANY PORTION OF THE County center R(verhead.N Y 11901 128 VILLAGE OF 123
SUFFOLK COUNTY T�W1 IS PROHIBITEDSCALEIN FEET.
WITHOUT WRITTEN PER ISSION OF THE A DISTRICT NO 1000
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PROPERTY AND NEIGHBORS WERE INITIALLY BOX 153, AQUEBOGUE, NY 2/25/2021
DESIGNED BY ED ARMUS ENGINEERING
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—� ARCHITECT
o o Q o JEFFREY SANDS
C) � W o ARCHITECT
ELEV. 19.4 O 0 �� U (i EAST QUOGUE,N LANE
NY 11942
OL DR BROWN
PHONE 631.375.5997
LOAM \N FAX 631.576.8916
EMAIL:JEFF@JSA-NY.COM
1.0'
SBROWN
M
,LAYEY SAN
PROJECT
6.0'
PALE PETERS
BROWN
FINE RESIDENCE
SP SAND TOWN OF SOUTHOLD 2000 PARK AVENUE
LOT COVERAGE
(BUILDABLE AREA 42,603.37 S.F.) DRY WELL VOLUMES FOR 2" RAINFALL MATTITUCK
NEW YORK
ROOFED AREA = 4858 S.F.
EXISTING LOT COVERAGE DATA PROPOSED LOT COVERAGE DATA DRAWING TITLE
2 STY. DWELLING W/COVERED STOOP: 1444 S.F. EXISTING SECONDARY DWELLING TO REMAIN: 865 S.F. RAINFALL VOLUME _
NO WATER
1 112 STY. DWELLING W/COVERED PORCHES: 913 S.F. EXISTING DETACHED GARAGE TO REMAIN: 408 S.F. [2"1(12"1l ')1 * 4858 SF = 810 CF SITEPLAN
DETACHED GARAGE: 408 S.F. PROPOSED DWELLING WITH GARAGE: 2578 S.F. LEACHING RING VOLUME
NOV. 20, 2020 1 PROPOSED FRONT COVERED PORCH: 178 S.F. FOR 8' DIA. O.D. x I ' DEPTH
McDONALD GEOSCIENCE TOTAL: 2765 S.F. or 6.5% PROPOSED REAR COVERED PORCH: 520 S.F. PI * 7.33'-2 * 1/4 * 1 ' = 42.24 CF
PROPOSED SWIMMING POOL: 555 S.F. REQUIRED DEPTH OF 8' DIA. RINGS =
ELEVATION DATJM: NAVDSS -_---_Y— SCALEDATE
------ TOTAL: 5150 S.F. or 12% 810 CF / 42.24 CF/FT = 19.2 FT 1"=20 7-19-2021
DEPTH OF RINGS PROVIDED = 6 FT DRAWING NUMBER
S.C.T.M. # DISTRICT: 1000 SECTION: 123 BLOCK: 8 LOT: 7 ( 2 - 8' DIA. x 3' DEPTH EA. )
42 , 603 .. 37 SQ .FT. or 0 . 98 ACRES
S.C.T.M.# DISTRICT: 1000 SECTION: 123 BLOCK: 8 LOT: 7
LP
LP
LAND N/F OF LARD N/F OF
MARK & JEFFERY WADE ANTHONY STUBELEK
SCT1M# 1000-123-2-34 SCTM# 1)00-123-2-35
I WELL
DWELLING ` /-
W/WELL WATER
i�
DWELLING
W/WELL WATER
/
/
MWG WATER MAIN,
/
PARK AVENU /
CL 21.3 6
N 86057'00" F P
MON.
JS.O823.00' OXW CY 1
0 1
o 1
0 t� 1
LP
k
1 EXISTING
DTIC o
1 ... 1
1 w
1 LP p
: I p
covEm
C'
: : :::: k , 1
iii S-Y*
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s,�OOP ho
PA 0 1
LP
1 1
EL 19.6
1 18.2.......
ASPHALT
m DRIVEWAY
X2.4'
1 �
EL 19.8 1
1 � 1
1 MON. 1
1 � 1
' � 1
WELL
1 I o j
1 1
N 1
1 LAND N/F OF
1 PETER & BARBARA SWAHN 1
LAND N/F OF
SCTMJ 1000-123-8-8.3 1
1 CUBSON FAMILY TRUST
SCTMJ 1000-123-8-6 U.P. OVERHEAD WIRES _
1 u•P• _ — — DWELLM
= I DWELLING W/PUBLIC WATER
1 ' W/WELL WATER + �'
100' `
LP
1 LP
N '
1
1 � EL 19.5 1
1 L t
SEPT
IC
DWELLING LP L
W/WELL WATER ASPHALT
DRIVEWAY
I
1 1 1
Q
ZS EL 19.4 ' 1
ELEV. 19.4 , .�:.:: '::::::::+ 3
OL DR BROWN r LP M . :: .... :?o `
LOAM 1 �' Buie oWEriM;'
o :.....::•:fes....::: ::::. 1
TOWN of SOUTHOLD 1.0 N
L07 COVERAGE BROWN ' COVER
(BUILDABLE AREA 42.603.37 S.F.) SM LAYEY SAN p STOOP 1.0.:.::•;:•:;;;:•;:•;:•:;::::'::t
::;:::;`:::6: 36.2 1
2 STY. DWELLING W/COVERED STOOP: 1444 S.F. 6.0' `' `" eRrcic \ s
1 1/2 STY. DWELLING W/COVERED PORCHES: 913 S.F. PALE 7,6 "'. .•••o PAT10 , 1
DETACHED GARAGE: 408 S.F. N
TOTAL: 2765 S.F. or 6.5% BROWN "tT
FINE
SP SAND I -11
1
I I 1$ 1
L— r
Ik
I
0 30 60 90
WELL O� � O ZONE X 0 ZON ej O�N�
NO WATER — eAN""OnG w'y� Z1 oEZD ,�(Et
NOV. 20, 2020
McDONALD GEOSCIENCE c' ,
FEMA MAP#36103CO482H A N - K 66 S2
AREA:42,603.37 SQ.FT. or 0.98 ACRES ELEVA"ON DATUM: NAVD88 ,�o w P '
UNAUTHORIZED ALTERATION OR ADD1770M TO THIS SURVEY IS A VIOLA77ON OF SEC7101V 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED 70 BE A VAUD TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY 15 PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU71ON W�
LISTED HEREON, AND TO THE ASSIGNEES OF 774E LENDING INSTITU770N, GUARANTEES ARE NOT TRANSFERABLE. vvv
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 EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS \v
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY N 00
No Qy P�
SURVEY of:DESCRIBED PROPERTY CERTIFIED TO: HSA HOLDINGS LLC Z o
MAP OF: N 88°32'1
FILED: 0"
SITUATED AT.MATTITUCK
TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PUC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Bog 153 A uebo ue, New York 11931 THE WATER SUPPLY, WELD DRYWELLS AND CESSPOOL
r 4 $ LOCATIONS SHOWN ARE FROM RELD OBSERVATIONS
FILE #221-25 SCALE:1"=30' DATE:FEB 25, 2021 N.YS. LISC. N0. 050882 PHONE (631)298-1588 FAX (631) 298-1568 AND OR DATA OBTAINED FROM OTHERS