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1000-104.-4-25
OFFICE LOCATION: �� q sMAILING ADDRESS: Town Hall Annex '� P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 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 26,2023 Re: LWRP Coastal Consistency Review for ZBA File Ref LIANE SCADUTO#7786 SCTM No. 1000-104-4-25. LIANE SCADUTO#7786- Request for a Variance from Article XXIII, Section 280-124 and Building Inspector's January 31, 2023 Notice of Disapproval based on an application for a permit to construct a wood deck attached to an existing single-family dwelling; 1) located less than the code required minimum side yard setback of 15 feet; located at 7845 Skunk Lane, Cutchogue,NY. SCTM No. 1000-104-4-25. 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 and the records available to me,the proposal is recommended as EXEMPT from LWRP coastal consistency review. 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: Paul DeChance, Town Attorney BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman, Chairperson ��0� S�VryO 53095 Main Road•P.O. Box 1179 Patricia Acampora Southold,NY 11971-0959 Eric Dantes #i[ ic Office Location: Robert Lehnert, Jr. G Q Town Annex/First Floor Nicholas Planamento '�r �O 54375 Main Road(at Youngs Avenue) ��yCOUN11 Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD RECEIVE® Tel. (631) 765-1809 February 28, 2023 [MAR 1202 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. #7786—Scaduto, Liane Dear Mark: We have received an application to construct a wood deck to an existing 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 Chairperson By: Encl. Site Plan/Survey: Zen Design, dated February 27, 2023 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: January 31, 2023 TO: Doug McGahan(Scaduto) PO Box 602 Cutchogue,NY 11935 Please take notice that your application dated January 4, 2023: For permit to: Construct a wood deck to an existing single family dwelling at: Location of property: 7845 Skunk Lane, Cutcho ue County Tax Map No. 1000—Section 104 Block 4 Lot 25 Is returned herewith and disapproved on the following grounds: The proposed deck on this nonconforming 21,344 sq.ft. parcel in the Residential R-40 District,.is not permitted pursuant to Article XXIII Section 280-124 which states: lots measuring between 20,000-39,999 square feet in total size require a minimum side yard setback of 15 feet. The site plan shows the proposed deck to be located at+/- 7 feet off of the side yard grope ,propegy line. 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: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No. Street U-NZ Hamlet C'J`tZ o 4 kAE- SCTM 1000 Section i Oq Block Lot(s) Lot Size 2 1, V= Zone �lJQ I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED — 3\— 2,3 BASED ON SURVEY/SITE PLAN DATED A v4¢M Owner(s): &[&AE s'G/Wv7_P Mailing Address: �,g �' ' M�- (-AT\A5 Cc.,I kjjQC LZ L-ji- ( (!15 5- Telephone: Telephone: Pp 3 1T�ax: Email: NOTE: In addition to the above,please complete below if application is signed by applicant's attorney,agent, architect,builder,contract vendee,etc.and name of person who agent represents: Name of Representative: (kC_Cl�for(°'Owner( )Other: Address: P 0 - C v`FG(4D 4 ClI& H V r Telephone: 63( V4�_ a Fax: Email: AWPAA(_fQ n4-0 `r��a� Gc''^ Please check to specify who you wish orrespondence to be mailed to,from the above names: ( )Applicant/Owner(s), (VAuthorized Representative, ( ) Other Name/Address below: WHEREBYTIJE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED gtil 4 and DENIED AN APPLICATION DATED FOR: (af 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: YXk 1 k Section: 2-PO—(2-q Subsection: Type of Ap al. An Appeal is made for: (vA Variance to the Zoning Code or Zoning Map. ( ) A Variance due to lack of access required by New York Town Law- Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Reversal or Other A prior appeal (•Q has, ( ias not been made at any time with respect to this property, UNDER Appeal No(s). Year(s). (Please be wire 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: � s �2o Fb j'�p V-- -J(LL- $V /V(VG D'mfl2�' ! i� r 'iL�� �'f►vAo r A145vin f YTUVP 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: UNE-- 3.The amount of relief requested is not substantial because: 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: 5.Has the alleged difficulty been self created? { } Yes,or{r}+No Why: 640,,5Z" 1t -16 Are there any Covenants or Restrictions concerning this land? �No { } Yes(please furnish a copy) This is the NIINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health,safety and welfare of the community. By signing this document,the Property Owner understands that pursuant to Chapter 280- 146(B)of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured,and/or a subdivision map has not been filed with the Suffolk County Clerk,within three(3)years from the date such variance was granted. The Board of Appeals may,upon written request prior to the date of expiration,grant an extension not to exceed three(3)consecutive one(1)year terms. ITIS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. Signature of Applicant or Authorized Agent (Agent must submit written Authorization from Owner)- Sworn to before me this `J� day CONNIE D.BUNCH ofe-�O�Vlah� 20o��j Notary Public,State of New York ti l' No. 01BU 0 Qualified in Suffolkffolk County Commission Expires April 14,2nc;I� Notary Public APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: Q2U&l.M V BG k,�6m,) Date Prepared: 23 I. For Demolition of Existing Building Areas Please describe areas being removed: II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: kY 2.� t7qTt- Dimensions of new second floor: Dimensions of floor above second level: Height(from finished ground to top of ridge): Is basement or lowest floor area being constructed? If yes,please provide height(above ground) measured from natural existing grade to first floor: III. Proposed Construction Description(Alterations or Structural Changes) (attach extra sheet if necessary)- Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: Number of Floors and Changes WITH Alterations: 1- 5 SI-{ C IV. Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property: H Proposed increase of building coverage: Square footage of your lot: 7. Percentage of coverage of your lot by building area: V. Purpose of New Construction: N)U.L b - p �?p2Uyw� 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): r kk -90 Please submit seven(7)photos,labeled to show different angles of yard areas after staking corners for new construction), and photos of building area to be altered with yard view. 7/2002; 2/2005; 1/2007 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises,.listed on the real estate market for sale? Yes No B. Are t,b,ere any proposals to change or alter land contours? No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? ND 2.)Are those areas shown on the survey submitted with this application? 3.) Is the property bulk headed between the wetlands area and the upland building area? iN( A 4.)If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction? Please confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? �Jb 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? IN 0 If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? ' If yes, please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel and the proposed use_ 25)A (ex:existing single family,proposed:same with garage,pool or other) rJZ Authorize signature and Date ' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. a CERTIFICATE OF OCCUPANCY No. Z. Date . . . . . . . . . . . .Ootober. . .27. . ., 19.67. THIS CERTIFIES that the building,located at Day AVe . . . . . . . . . . . . . . . . . . . Street Map No. Ila sau .F &. No. . . Lot No. 15B . . . . . 4�t�t�he�9ug5 . . .,X.. . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . .Sept . . . 25 . ., 19. ji7 pursuant to which Building Permit No. . 3637. Z dated . . . . . . . . . . . . "Pt . .2.55. ., 1A7 ., was issued, and conforms to all of the require- ments of the applicable provisions of the lay. The occupancy for which this certificate is issued is . . . . . Prly'att_� .Onp1 �' ,� �.:Q .�'��6'�.'�•��� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . A3.an lordlinger . . . . . . . .owner. . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . ". . * . . . . . . . . . . . . Q . . . . . . . . `.�.. .�r. . . . . . . .7 ... . Building Inspector FORM NO.4 TOWN OF SOUTHOI_D^ BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .Z10618. . . . . . . . . August 5 1981 Date . . . . . . . . . . . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . . . .7845 Skunk. Lane Cutchogue, New York use llo. Street Hem%t County Tax Map No. 1000 Section . . .1.Q4 . . . . . .Block . . . . 04. . . . . . . .Lot . . . . .?5. . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Dec e m b e r s , 19 . 7 pursuant to which Building Permit No. . ..1.0545. .Z dated .. . . . .January 16 . . , . . 1980. ,was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . Accessory Garage The certificate is issued to . . . . . .James Reale (owner,�miaamIx of the aforesaid building. Suffolk County Department of Health Approval . . . . .N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . td/R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vii'` v: . .` ` , -t`"7z::`'.G�, . . . . Building Inspector Rev.1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . .210623. . Date . . . . . .449ustc .7. . . . . . . . . . . . . . . . .. 198A . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 7845 Skunk Lane, Cutchogue, New York Nouse No. Street Hamlet County Tax Map No. 1000 Section . . .144. . . . . .Block P.4. . . . . . . . . . . . .Lot . 25 . . . . . . . . . . . . . Subdivision Nassau Farms , . . . . . .Filed Map No. . . . . . . . .Lot No. ... . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated November. 2.3, .'. . , 19 7.9 pursuant to which Building Permit No. .10505, Z . . . . . . . . . . . . dated . .December. .4 . . . . . . , . _ . 19 79. ,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 . . . . . . . . . . . . . . . . . . . . . . . . . qn, to ,Dw®],liBg . ... . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . The certificate is issued to. . . .James„Real® . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . (owner,** fe J% of the aforesaid building. Suffolk County Department of Health Approval . . .N/.R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . N4.838.1.3 . . . . ' . . . . . . . . . . . . . . . . . . � -�: . . . . . . Building Inspector Rev.1181 TOWN OF SOUTHOLD, NEW YORK DATE 1/.9 8 0, ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 2653. Dated 12/5/79 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Mr. James Reale (Peter Stoutenburgh as agent) Appellant 310 Ackerly Pond Lane Greenport, NY 11944 Southold, NY 11971 at a meeting of the Zoning Board of Appeals on December 27 , 1979, the appeal was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance (X) Request for a variance to the Zoning Ordinance Art. III, Section 100-32 1. By resolution of the Board it was determined that a special exception ( ) be granted ( ) be denied pursuant to Article .................... Section .................... Subsection paragraph .................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be confirmed because 8 :25 P.M. Application of JAMES REALE (by Peter Stouten- burgh) , Skunk Lane, Cutchogue, New York, for a Variance to the Zoning Ordinance, Article III, Section 100-32 for permission to construct accessory building in side yard. Location of property: 7845 Skunk Lane, Cutchogue, New York; bounded north by Frieman and Cordes, east by Kaller, south by Skunk Lane, west by Petrucci . (SEE REVERSE) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary hardship because (SEE REVERSE) (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because (SEE REVERSE) (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not) change the character of the district because (SEE REVERSE) and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. APPROVED ZONING BOARD OF APPEALS FORM ZB4 - Q Chairman Board of After investigation and inspection, the Board finds that the applicant is requesting permission to construct an accessory building in the sideyard area due to the steep slope of the rearyard and loca- tion of cesspools. The applicant indicates that the building will not be constructed closer than the front line of the dwelling house. The Board agrees with the reasoning of the applicant for the project if implemented as applied for. The Board finds that the circumstances present in this case are unique, and that strict application of the ordinance would produce practical difficulties and/or unnecessary hardship. The Board be- lieves that the grant of a variance in this case will not change the character of the neighborhood and will observe the spirit of the zoning ordinance. On motion made by Mr. Grigonis, seconded by Mr. Doyen, it was RESOLVED, that JAMES REALE, 7845 Skunk Lane, Cutchogue, New York, by Peter Stoutenburgh as agent, BE GRANTED permission to con- struct accessory building in the westerly sideyard area and in accordance with the requirements of the Southold Town Building Code, and provided further that the same not be used for living quarters. Location of property: 7845 Skunk Lane, Cutchogue, New York; bounded north by Frieman and Cordes, east by Kaller, south by Skunk Lane, west by Petrucci. County Tax Map Item No. 1000-104-4-25. Vote of the Board: Ayes: Messrs. Douglass, Grigonis and Doyen. Absent : Messr. Tuthill. REQ^EIVED .AND FI4-JED BY Ty SOU`i 1`101 U T01-71-1 CLIRIC DATE ,OUR 9•�� Town Clerk, Town of Southold 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I 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: o Project Location(describe,and attach a location map): 6L 'G SY-U kV- (,k.VZ- , C1\ZC�0(-VU V3, - Brief Description of Proposed Action: y- 22, !>zV- Name of Applicant or Sponsor: Telephone: �3 t �� S �•�(O Do0(rLj`t$ �C �i / E-Mail: v, ittil Address: City/PO: State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? j acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? ; ,�_3 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial esidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑ Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? V b.Consistent with the adopted comprehensive plan? VI 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.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 1/ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: V 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? c/ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: y 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply. ❑Shoreline ❑Forest ❑Aicultural/grasslands ❑Early mid-successional ❑ Wetland 11 Urban ®'Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? >/ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, t/ a.Will storm water discharges flow to adjacent properties? ❑NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? K'�yn-,v{4r If Yes,briefly describe: ❑NO❑YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFO=ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail, identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. n ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 Board of Zoning Appeals Application OWNER'S AUTHORIZATION (Where the Applicant is not the Owner) �l I � � residm at - (Prin(Print t property owner's name) (Mailing Address) do hereby authorize 000 G L& NAC 6 NW (Agent) to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. By signing this document,the Property Owner understands that pursuant to Chapter 280- 146(3) of the Code of the Town of Southold any variance granted-'by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration,grant an extension not to exceed three (3) consecutive one(1)year terms. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. Failure to comply in a timely manner may result in the denial by the Building Department of a Certificate of Occupancy, nullify the approved variance relief, and require a new variance application with public hearing before the Board of Appeals (Owner's Signature) (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 possible conflicts of interest and allow it to take whatever action is necessary to avoid same. 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.If 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 VX- If No,sign and date below.If YES,complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. .The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of20 C� Signature_ Print Name AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME : C6MT� (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 Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood, marriage,or business interest. "Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If No,sign and date below.If Yes,complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant; or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of & ,20 Signature Print Name %-kl G1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall -complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed.action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. if an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# _ The Application has been submitted to(chec -appropriate response): Town Board Planning Dept. Building Dept. 0 Board of Trustees 0 1. Category of-Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital 0 construction, planning activity, agency regulation, land transaction) (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: �J Nature and extent of action: c Z�A- cSTIS)el -U\,\A%-J Location of action: Site acreage: �,�� �q q J �^ ae r Present land use: stiff (,(� Onikuum b yj ew" Present zoning classification: u 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: Q .b p�a�o (yeZ C t„(d a Itg3,5 (c) Telephone number: Area Code 5, 3 (d)' Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No If yes, which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes No (Not Applicable- please explain) Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ❑ (Not Applicable—please explain) - I,I 10I � TOWN OF SOUTHOLD PROPERTY RECORD CARD /6 7 E" i r,-,,- OWNER/ STREET - VILLAGE DIST. SUB. LOT In t� s �l f'{ �. �9 r�" 'cam' / �,rr _ +�. �' U f`�_ ti %„� .. /vl 4,11%� V PRMER OWNER N E ACR. <f 0�_ de C,0 (C 11114 ,j, — /1�1 1�e S W TYPE OF BUILDING A.Al /YO ffl RES. j SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 11",A'41' 4� , P,(i c,c. 7© A/6 i-00j _/X/ 7 3'li A 2- yod, 2-f 7 l 0 1. 'Y 2 v 9 0 0 dwell, Z 01 Z /0 V,yv S kcp :311 _,k, qEff 4-_ AGE BUILDING CONDITION T 'NEW NORMAL BELOW ABOVE ki� 1h FARM Acre Value Per Value Acre L( VN et-�q eS Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH -e �2 2-- House Plot BULKHEAD Total DOCK 'rr'1 sL`7� i1„a 71,TQ, 4 r,� r -10. r* rii ti� y 1 r t, F bra t} 1y ^t\. i�s ,t yk ( ^}s:,.. ui QS'n4, +'� rtl,`y 1 N' v . 1• ',11.':,-. 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ISSUE DATE ROPOSED SETBACK 9'-0- - 01 ZBA APPLICATION 02.27.23 PROPOSED DECK o' ff 8'-0"x 22'-W(176 SFSCID % I UD I EXIST. FRAME HO HOUSE C�R�D AR1-6, /TF c el Q O co tit F� 1 Exlsr. 1 s� X4442'' � FRAME 9 T� 0 OF ��� y c- GARAGE - - - — S.4°°10'40"E. - 200' SCADUTO RESIDENCE Z 7845 SKUNK LANE CUTCHOGUE,NY 11935 1000-104-4-25 SCALE: 1/32-=1'-0" DATE: 02.27.23 DRAWN BY: Z.E.N. SITE PLAN NOTE: SITE PLAN DRAWN BASED ON SURVEY PREPARED BY VAN TUYL RODERICK,PC DATED AUGUST 15TH,1975. 0 10' 50' 100. 0 S P -1 7, RESIDENTIAL DESIGN CONSTRUCTION TELEPHONE AND CUSTOM RENOVATIONS P.O.BOX 602 (631)734-6270 CUTCHOGUE,NY 11935 'Q— C� 7 ................. ..................... To f . 4. a L:7- 49 X 04 4Z- oe X4442?' -to