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1000-27.-2-2.3
OFFICE LOCATION: ®��®f S® MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 ® �� Telephone: 631 765-1938 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 May 22,2023 Re: LWRP Coastal Consistency Review for ZBA File Ref HENRY AND AMBRIEL BOSTIC#7777 SCTM No. 1000-27-2-2.3. HENRY AND AMBRIEL BOSTIC#7777-Request for a Variance from Article III, Section 280-15; and Building Inspector's December 15,2022 Notice of Disapproval based on an application for a permit to legalize two(2)"as built" accessory sheds at; 1) located in other than the code permitted rear yard; located at 5305 Narrow River Road, Orient,NY. SCTM No. 1000-27-2-2.3. 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 as-built sheds are recommended as INCONSISTENT 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 �OF SOVry 53095 Main Road•P.O. Box 1179 Patricia Acampora ��� alp Southold,NY 11971-0959 Eric Dantes Office Location: Robert Lehnert,Jr. G Town Annex/First Floor Nicholas Planamento ,c� �O 54375 Main Road(at Youngs Avenue) couMry Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 February 14, 2023 Mark Terry, Assistant Town Planning Director FEB LWRP Coordinator _ 4 2023 Planning Board Office PSOorho1° ��,�v Town of Southold ann�n9 8Oard Town Hall Annex Southold,NY 11971 Re: ZBA File Ref. No. #7777—Bostic, Henry & Ambriel Dear Mark: We have received an application to legalize two (2) as built accessory sheds. 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: LIJ" Encl. Site Plan/Survey: Young & Young, dated November 15, 2022 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: December 15, 2022 TO: Tom Kraebel (Bostic) PO Box 152 Laurel, NY 11948 Please take notice that your application dated October 17, 2022: For permit: to legalize (2) as-built accessory sheds at: Location of property: 5305 Narrow River Road, Orient, NY County Tax Map No. 1000— Section 27 Block 2 Lot 2_3 Is returned herewith and disapproved on the following grounds: The as-built accessory sheds on this conforming 6.71 acre lot in the R-200 District, are not permitted pursuant to Article III Section 280-15 which states accessory buildings and structures shall be located in the required rear yard. The sheds are located in the front yard. Authorized"nlah e 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. Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE Hamlet e) 1 F-&-r House No. )e 30� Street /��'�� �IVL� �� o SCTM 1000 Section 2j- Block 2— Lot(s)2-�Lot Size 4C1'e— Zone 9`Z-0-O I(WE) APPEAL THE WRITTEN DETERMINATION VEYOF AND TED BUILDING INSPECTOR DATED /7,I)S7- Z Z BASED Owner(s): /' wPZ/L2- l 9RC- Mailing Address: Z"l �� � 5� ��LL/&/ Telephone: 1//i'3V,9 0316 Fax: r Email: (VOTE: In addition to the above,please complete below if application is signed by applicant's attorney,agent, architect,builder,contract vendee,etc.and name of person who agent represents: Name of Representative: for( ) owner( )Other: Address: Telephone: Fax: Email: Please eck to specify who you wish correspondence to be nulled to,from the above names: ( Applicant/Owner(s), ( ) Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE P AN DATED and DENIED AN APPLICATION DATED /9-/??— FOR: ( )Building Permit (v 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.) Z�0 — ( Subsection: Article lit Section Type of Appeal. An Appeal is made for: (0j ('Variance to the Zoning Code or Zoning Map. ( ) A Variance due to lack of access required by New York Town Law-Section 280-A. ( ) Interpretation of the Town Code,Article Section ( )Reversal or Other A prior appeal( ) has, J)has not been made at any time with respect to this property, UNDER Appeal No(-,. (( __ Year(s). . (Please be sure to research before completing this question or call our office for assistance) ZBA File# Name of Owner: 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: Ser /7T*4�-r �l✓S�. 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: 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: / /'? S�jNSC 5.Has the alleged difficulty been self created? { } Yes,or{t.}/No Why: Are there any Covenants or Restrictions concerning this land? WNo { } Yes(please furnish a copy) This is the NffNIMUM 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 dayMARG ���������•�••,� of—1t 20 mayQ0 0 :' AG y cn : 0 : Nota Public p'0 �A�p��+�os� .__ __..__..�_._...._..... �'•.,� YORK ���•• Application to the Southold Town Board of Appeals Area Variance Reasons for Appeal —additional sheet Question 1: - The property is large (6.7 acres) and its overall impact on the character of the neighborhood is dominated by existing natural features. - The property's frontage to both adjacent roads is predominantly reeds, brush, and trees. This remains unchanged. The sheds are not visible from most perspectives. - The sheds are finished to match the house exactly and are only clearly visible via the driveway. - The view of the sheds from the driveway will become further obscured by new plantings this Spring. - Multiple nearby properties have one or more accessory buildings located in front yards or plainly visible from the street. Question 2: - The house was built at the extreme northeastern end of the property. Because the property is considered a corner lot,the 'designated' rear yard area is very small and inconveniently located in the context of the whole property. The sheds are located such that they are convenient to the driveway and the planned garden location. Question 3: - The shed locations are sensible in the context of property as built, impose no inconvenience on neighboring properties, and are of little consequence to the overall appearance of the property. Question 4: - The sheds are small (10'x10') and their locations are inconsequential to th environmental conditions in the area. Question 5: 11 1 - We purchased the property with the house location and driveway access point already established. dew County/City of 'v ew for k— Commonwealth/State of The foregoing instrument was acknowl dged Signed: before meth's_ day of 01'7/1 g 7ka---- awes ► ,nr�y R DST / c (na o rG son seeking acknowledgement) Notary Public My Commission Expires: / APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: �r�I<�L`� �5�� Date Prepared: 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:_//rJ 2C 10 D-S Dimensions of new second floor: Dimensions of floor above second level: Height(from finished ground to top of ridge): 6V / (�/}�)cy 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: �V 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: y� SZ./ Proposed increase of building coverage: Square footage of your lot: 2-9'Z , 3 Z� Percentage of coverage of your lot by building area: '0. 0 /5- 0). V. Purpose of New Construction: /l� VI. Please describe the land contours (flat,slope %, heavily wooded,marsh area, etc.) on your land and how it relates to the difficulty in meeting the code requirement(s): Please submit seven(7) photos, labeled to show different angles of yard areas after staking corners for new construction), and photos of building area to be altered with yard view. 7/2002; 2/2005; 1/2007 Henry and Ambriel Bostic Residence — 2/9/23 AF r �,, v East View South View mom e �- West View North View p a r QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes �/LNo B. / Are there any proposals to change or alter land contours? __Z No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? -I�5 2.)Are those areas shown on the survey submitted with this application? 1JES 3.) Is the property bulk headed between the wetlands area and the upland building area? W10 4.) If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction? O'D 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 IESEbelow five feet above mean sea level? LIE."- E. . Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? IVO 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 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? N0 If yes,please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel 4(_�'X I &E and the proposed use S�►'�'l� . (ex: existing single family,proposed: same with garage,pool or other) -Z' t Z21 Authoriz signature and Date FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34428 Date: 07/02/10 THIS CERTIFIES that the building MINOR ALTERATIONS Location of Property: 5305 NARROW RIVER RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 27 Block 2 Lot 2.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 2009 pursuant to which Building Permit No. 35208-Z dated DECEMBER 10, 2009 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 DORMER ADDITIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JEROME T MURPHY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 12609 04/21/10 PLUMBERS CERTIFICATION DATED N/A Aut orzed Signature Rev. 1/81 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24207 Date MARCH 14, 1996 THIS CERTIFIES that the building NEW DWELLING Location of Property 5305 NARROW RIVER ROAD ORIENT NY House No. Street Hamlet County Tax Map No. 1000 Section 27 Block 2 Lot 2.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 1995 pursuant to which Building Permit No. 22825-Z dated JUNE 14, 1995 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 A ONE FAMILY DWELLING WITH ATTACHED DECK, THREE OPEN PORCHES AND TWO ROOF DECKS AS APPLIED FOR. The certificate is issued to MARTIN J. BANCROFT JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0057 MARCH 1, 1996 UNDERWRITERS CERTIFICATE NO. MARCH 7, 1996 PENDING PLUMBERS CERTIFICATION DATED MARCH 12, 1996 ROBERT VAN ETTEN Building Inspector Rev. 1/81 �o�SUEfn�x�pG. Town of Southold 1/12/2022 a P.O.Box 1179 . o - * { 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42546 Date: 1/12/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 5305 Narrow River Rd, Orient SCTM#: 473889 Sec/Block/Lot: 27:-2-2.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/25/2018 pursuant to which Building Permit No. 42829 dated 6/29/2018 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: construct additions and alterations to existing single-family dwelling and to legalize"as built"AC unit and generator as applied for. Corrected 1/12/2022 for permit number only. The certificate is issued to Bostic III,Henry&Ambriel of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A 'zed i ature �oo��gNFfOtkcOG� Town of Southold 3/26/2022 P.O.Box 1179 0 y 53095 Main Rd "to�F�` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42952 Date: 3/26/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 5305 Narrow River Rd., Orient SCTM#: 473889 Sec/Block/Lot: 27.-2-2.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/8/2021 pursuant to which Building Permit No. 46544 dated 7/8/2021 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: 300 amp underground electric service. The certificate is issued to Bostic III,Henry&Ambriel of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46544 3/18/2022 PLUMBERS CERTIFICATION DATED w Authorized Signature ffnc TOWN OF SOUTHOLD BUILDING DEPARTMENT y _ TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 46330 Date: 6/2/2021 Permission is hereby granted to: Bostic III, Henry _ 246 Warren St _ Brooklyn, NY 11201 To: construct additions and alterations to existing single-family dwelling as applied for. At premises located at: 5305 Narrow River Rd., Orient SCTM #473889 Sec/Block/Lot#27.-2-2.3 Pursuant to application dated 4/28/2021_ and approved by the Building Inspector. To expire on 12/2/2022. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $522.40 CO-ADDITION TO DWELLING $50.00 Total: $572.40 I i for AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM. The form must be completed by the applicant for any special use permit, site plan approval, use variance, or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in agricultural district. All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Sections 239- m and 239-n of the General Municipal Law. �� 1)Name of Applicant: FI L�kyt-, 1'1��Y•th'r✓� �0S(-?C' 1Y 2) Address of Applicant: ��f� 6i//}y ��t/ 5T �lG�y� G''`/ /l?OI . 3)Name of Land Owner(if other than applicant) : c 4)Address of Land Owner: 5/ i1c% 5)Description of Proposed Project: 6) Location of Property(road and tax map number): S�� 1Y1We 1AJ - ozi�W 19-to0,/� ��' Z• 3, 7) Is the parcel within an agricultural district? Lel l"lo El Yes If yes,Agricultural District Number 8) Is this parcel actively farmed? - No El Yes 9) Name and address of any owner(s) 'of land within the agricultural district containing active farm operation(s) located 500 feet of the boundary of the proposed project..(Information may be.available through the Town Assessors. Office, Town Hall location (765-1937) or from any public computer at the Town Hall locations by viewing the parcel numbers on the Town of Southold Real Property Tax System. Name and Address 1 ° to "I I Lt ell edOds/ ZA2 • C1;l 2. ✓✓1%"V t?02yc /VI/4 10,01Z4 3. 4. 5. 6. (Please use backside of page if more than six property owners are identified.). The lot numbers ay be obtained, in advance, when requested from either the Office of the Planning Board at 765-1938 or th oning Board of Appeals at 765-1809. Signa of Applicant Date Note: 1.The local board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation.Solicitation will.be made by supplying.a copy of this statement. 2.Comments returned to the local board will be taken into consideration"as part of the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant and/or the clerk of the board to the property owners identified above.The cost for mailing shall be paid by the applicant at the time.the application is submitted for review.Failure to pay at such time means the application is not complete and cannot be acted upon by the board. 1-14-09 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Prohibits conflicts of interest on the part of town officers and em to ees.The purpose of this form is to nrpyide 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: i9 Sn C--"I q /-F z (Last name,first name,middle initial,unlest 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 �2 ,20 9-3 Signat Print Name__ �{ i W�f 13xri C to 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Project Location(describe,and attach a location map): Brief Description of Proposed Action: Cz7 f15"A Iii / cEss�z7 ShL'r>s Goc.-4-7"10A�9 Ii✓ Frza n 7-- 11/lty2 . Name of Applicant or Sponsor: Telephone: / � l "G/V2 C,1 (3v.S T7 C- E-Mail:h Gth/PS. Eos h*c. o fm w, Ca"If Address: -Zq& G�/�Y2��✓ 5 i City/PO: State: Zip Code: tggoo/CL'?A✓ Al f //201 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? acres b.Total acreage to be physically disturbed? 00CIS— acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial o"Residential(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? / b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? / 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: / 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11-11 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? 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? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑ Sjioreline 11 Forest 1:1Agricultural/grasslands IJ Early mid-successional tWetland ❑Urban O'guburban 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, a.Will storm water discharges flow to adjacent properties? MINO❑YES b.Will storm water discharges be directed to established conveyance systems(run9ff and storm drains)? If Yes,briefly describe: ANO❑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 INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE f�,, Applicant/sponso e: ` Se— Date:���Z3 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. ❑ 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 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# Z� - �, - '2-, 3 The Application has been submitted to(check appropriate response): Town Board D Planning Dept. 0 Building Dept. P Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital F 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: hM Ove Eft IT-) /:� T�v tc l— ACC E=Ssol'5 V Sl y S Location of action: 13-�30S- Al/gf—b" /e)VLS 2 a,?IeWr Site acreage: (0 Present land use: f�ES I D€tV7—I 14-L Present zoning classification: '<— -Z-00 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: Aw),2y /hWj e+mnwtLR 7?L (b) Mailing address: ;?—V& G✓/3v2 eV 51- (c) Telephone number:Area Code ( ) °I(} 3 �j U j�! (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 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 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 7 Yes [] No 7 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 0 Yes 11 No 0 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 E YesEl 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 E No 0 Not Applicable 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 ❑ 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. ❑ YeEEI 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. 7 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 Created on 512510511:20 AM 4 OLD PiOPERTY RECOR tG SOWN OF SAU H VILLAGE t �=� DI ti. SUB. LOT OWNED. ..,hL`]IiC rr � lrxrtl S .X05 �l�_fl-�''�_,t�D�-C[,.,, C��JI '1�.�] ��{.r4�:.:•! � 1.� '•� �••..• ..��` .i -4�`� ��,_�... 11_` .-j...l I ... `� 1 ii'.:�. FORMER OWNER t f N E ACR. " 4 44 TYPE OF BUILDING RES. ti SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS F i;`�:- J..� - *,/�r' Z T,r Y•:=-4• �. , Fait , tA 6 ".�.S 1C L. r4 �'L'r 1 '"T�..% 4'.:•F ^�'. .��, + �1 i V Vis• � � `?r. ..r,�..i.. �9 k,,_, Ac:. S.I yc.e d)-f f -"j)i] 7- RJlfl4+f :J (� :J �co '4 I F S!' F ] /% � ~� 1 f Jl LG �� ll\// �S, '._l (( '= F� F1 F l_r rf, t oor71� Lo r)c r(-j�- ` 7'�•fit'0f(I;3 ,d.,� J '' f, `t 3 52 0-3 (_ /ii oroand ( 0 :7 Tillable ? �. ) ! c, :ti _F /���� , ^�'`� /D�u— �r�/ TC,,j% .P WoodFanFRONTAGE ON ROAD Meodowlctlic e,C) '� ' v 1 f- =� DEPTH'- FWN OF S O UTH O LD House Plot ��M, �' �, �.y'. ��� j BULKHEAD FEB " 8 2023 .c 4 V� _. 9 Total ...->-.. .-..-.,.-.,-..'..„,».>,,..-c.�..............::-,•: - - X71; - _ � (.a u t a.eswrncerrar5. E ,,r.. „. �f "7 x.•tir.'�e.w..'; Y i .t. s •r 0..• GE. e 13 s?'+ F'YiYw:',�-F f"1 -^�.(�+iy'::T`J�^,°.lu-.r.Az"tT�',.2-'•. �.�v�','4y�jr._i1'S'-C�yfii^:..•��.'�Y��,'tsr•-�� / � 27.-2-2.3 11/1_5/2022 _ yy, t A" 237(e Foundation G,13. Bath t Extenso�n q 1 ry^}/� 1 Pq} '� �'y`(�� Basement }! Floors {( .Y d3-(j`•1,d• "4.-.. �bJ '�-eh hs+ '•`.'..- I kw� '•-' 1 CJ� V'•J Extension F.t. X - _ .; � F-xt.Walls Cedar ��� ,�� Interior. Finish „�'.. 4- t� ^w Extension Faire Place �ryc� Heat at— a Porch -4 11 �{ '� , C) 13 t Pool Attic Deck Ik- 2 --7 ��; Patio Rooms 1 si Floor �� .:,r 2;,Q� Breezeway �.mDriveway Rooms 2nd Floor 'r�� Garage _ SEE SEC.NO=•01 6t� ` Y f ;MATCH•' LINE ���� �t�"•( l` 1, t ;'FORPCL'NO. - f -- I ') . � -('..�.,�•\4� !�. W:'N 359782. - SEE SEC-NO:',+• y � 018-0&014'.9, ' „•�%I 1y. /r"' 2.1 w it - 7 1.4A(c)f TOM OF SOUTHOLD ito 2.2 STATE OF' NEWYORK 2.3 a 2, 2.8 tJ5.0A 5.DA F..D.25�f a�. •i, - - ,�,:.�'), .+ + ti. - 2.1 c) STATE OF C)�.,y,'. `»H ! NEWYORK R V \ 3.3 rm aH L7A(c) '.2,.. STATE yg � , :d Irl Vf % 3.4 T11 2.4 11 1A KIr 2.7 R�O•.a• .... I 0. 3.6� ,`" `�`.3r e� Jam:.� 1 ',•' .. __ .. _ _. �." ,. 17A /3.13 a 3.14 2 6 t9A 91A d➢ 's s 2?P Hpbp" 7.3 . OF�� /�;• _ a 69.6A g��S1 .•�H c72 H' STATE OF .\li `k TDNEWYORK TOMOF _ ✓ F SOUTI+XD�e' 6 , P Q�h ;:� 60 0 �O STATE OF N.Y. <O;t .p m J' ' 4.3A z `� rE OF VYORK T z Ln ^.� 51 P r'ty. ~ OF 'y� � �,, TOWN_.�SOUTHOLD 5.2 NO.- 9.2A(c) 03 .Q'B; wi"'."_.tea'• ': ., �O� iP 'r STATE OF NEW YORK LINE c_ -. '.,� i, ••�� I 1 NO.032 SEE SEC.NO.032 N395.982 '4& X 'N COUNTY OF SUFFOLK ©N+ N NOTICE E 1 c oma a DISTRICT NO.Imo 1000 SECTICN NO. Real Property Tax Service Agency IONNTENANCE.ALTER4TION SALE OR Y �0 1�a W E DISTRIBUTION OF ANY PORTION OF THEM ,t 9n , TOWN OF SOUTHOLD O'7 300 Center D--,)bTerhnNI'n4 11901 SUFFOLK COUNTY TAX MPP IS PROHIBITED A ,m5 L / q m9 loo o mo +oo WITHOUT WRIT7GN PERMISSION OF THE P _ Feet .S. REAL PROPERTY TAX SERVICE AGENCY f-0' ,t VRLAOE OF n NOTE: PLEASE REFER TO SECTION DETAILS FOR ALL SCALED DIMENSIONS. CONTRACTOR TO VERIFY ALL CONDITONS AND DIMENSIONS IN THE FIELD AND REPORT ANY DISCREPANCIES TO THE DESIGNER. NO :518"BALTIC BIRCH PLYWOOD PANELING (IN 5%5'SHEETS)ON EXPOSED CEILING 12"TREATED PLYWOOD ICE&WATER SHIELD 3X10"EXPOSED RIDGE BEAM - METAL ROOF TO MATCH MAIN HOUSE NOTE:5/8"BALTIC BIRCH PLYWOOD PANELING (IN 5%5'SHEETS)ON EXPOSED CEILING 3X8"EXPOSED ROOF RAFTER z zzz NOTE:3%8"COLLAR TIES TO BE FRAMED FLUSH W/RAFTER (CONNECTIONS TO BE COUNTER-SUNK AND PLUGGED) METAL DRIP EDGE 2X10"BLOCKING BETWEEN RAFTERS 1X4"FACIA 1'-6" 1X6"T&G SO.EDGE DECKING 3X8"EXPOSED ROOF RAFTER 12"TREATED PLYWOOD 3X10"EXPOSED RIDGE BEAM ICE&WATER SHIELD METAL ROOF TO MATCH MAIN HOUSE 3X8"OUTLOOK RAFTER 618"BALTIC BIRCH PLYWOOD PANELING (IN SX5'SHEETS)ON EXPOSED CEILING NOTE:3X8"COLLAR TIES TO BE FRAMED FLUSH W/RAFTER (CONNECTIONS TO BE COUNTER-SUNK AND PLUGGED) METAL DRIP EDGE 1X4"FACIA I 3X8"EXPOSED RAFTER 2 TRUE CEDAR SHAKES TRUE CEDAR SHAKES p O CASEMENT WINDOW p BUILDING PAPER :...................................................... BUILDING PAPER m METAL WINDOW PAN 12"PRESSURE TREATED PLYWOOD SHEATHING ? 12"PRESSURE TREATED PLYWOOD SHEATHING t p 3X3"APPLIED SILL w i 2X4°PRESSURE TREATED STUD WALL 2%4"PRESSURE TREATED STUD WALL x p w SIB"BALTIC BIRCH PLYWOOD PANELING 5/8"BALTIC BIRCH PLYWOOD PANELING T 2 (IN 5%5'SHEETS)ON WALL (IN 5%5'SHEETS)ON WALL z ? 1X4"T&G BIRCH FLOORING 1X4"T&G BIRCH FLOORING 12°PLYWOOD SUBFLOOR 12"PLYWOOD SUBFLOOR 2X8"FLOOR JOISTS 2XB°FLOOR JOISTS 3X4"APPLIED THRESHOLD (2)2X8"RIM JOIST '4 91-0" (2)2X8"RIM JOIST B.-0" ' SIMPSON HURRICANE CLIPS SIMPSON HURRICANE CLIPS 6X8"ANCHOR BEAM/CRIBBING 6X8"ANCHOR BEAM/CRIBBING 'I (1)ARPER ROW SOIL NER ANCHOR (URE SHEDB CAPACITY) 4 N ------ PER CORNER TOS CUREARROW SOIL ANCHOR(SHED2000 LB CAPACITY) 1xi ix =mr=�m�=riir7 m_r�rr_�_rW�r_ri_rW�i_ =n-mr-7m—rrir,y im�4nrr_ D:MENSIONS IN THE FIEL AND REPORT ANY D SCREPANC ES TO THE DESIGNER. � DRIVEWAYJ NTED MAHOGANY DOOR 91-81 //�CONT.ACI.R TO EN...E DOOR NTRACTOR TO ENSURE OUTSWING WINDOW 4.10" 4'-10" CLEARANCE BENEATH RAFTERS ANCE BENEATH RAFERS UTY SHED A 100 SF 1 7 ELEVATIONS/SHED A C NTRACTOR TO ENSURE SCREEN DOOR C RACTOR TO ENSURE WINDOW CLEARANCE BENEATH RAFTERS CLEARANCE BENEATH RAFFERS °0" °" ---- SCREEN ---- 71 1 61 SHED B 100 SF CASEMENT WINDOWS ---- | �---- ~��—_-- ELEVATIONS/SHED B VIEW m^POND WFINGINEERIN "OI(D VIEWI of- NE X- I[:) 41 41 KID.,LL" '^^`KINGS`"""`"" ^"^^`=`~°,^^ ^^^~ °°"`'" ""S'""""" Lu ,",, ,L^~, ^ ,L,,^,'"°, "^.',.". "` '" `` . � 09 5Ab' A 1,4 400 Ost—dor Avarua,Rlv-hoed,Nan Yark 11401 W.631.1273303 lax.631.327.0144 admh0yo.rigerig�neering<om *T Hwvm-d W.Yamg,Lurid 5urvay°r Yblperl,ProFessbnal Egiroer vouglas E A4—,Fr°ieasbnal Egineer Robert C.Tmt,Archlt°ct E SITE DATA AREA=6.-1108 ACRE5 OR 292,324 50.FT. /' `\\ •SVVVIVISION-'SETTLERS AT OYSTERPOKPS"FILED IN THE s OFFICE OF Tiff:CLERK OF SUFFOLK COUNTY ON MAY 4,1954 AS FILE NO.1124. ``� •SEE FLOOD INSLRANCE RATE MAP PALL NO.3610340068 H LAST DATED SEPT.25.200q. � • VERTICAL DATUM =NAV DATUM(1488) // rS. •POND SHORE LINES LOCATED BY CONVENTIONAL SURVEYING T5O+NIQUl,AND FROM NEW YORK STATE 615 AERIAL Cay° .y`I I eLr / PHOTOGRAPHY 2013. I j 0, IF � u 04 / 1p/ /�� r( \ �°o�\\\ ;'� � P P --\ ,aao�i SURVEYORS CERTIFICATION g �� //�/ �// � <R��O \\•`O \\\\\ �.�-- / \ `_\ a{' LOt3 �4 SUR YE HEREBY CERTI_PAFY TO IN HENRY H.MOST WITH C,Ill 11CODE OF THIS — ` y/ / J $?� I \\ \\ -� ASSOPRACCIATION FOR LAND L 9 RVEYOPTED BY YOORS.NZIN YORK STATE It 9 'C .yam i---------------_— a (ice prya0 �P�/CYyDp �o SO•H/ \� � � � 310E �3 +fg J y e a3 rM \\ J HOWARD W.YOUNG,N.Y.S.L5.NO.45843 / / O 5URVEY FOR HENRZ - H. BOSTIG, III 4. LOT 3,"SETTLERS AT OYSTERFONDS" \ � at Orient,Town of Southold ! x Suffolk County,Naw York FINAL SURVEY County Tax Map D.+-t 1000 2T 91.102 L.r 2.5 FIELD SURVEY COMPLETED NOV.14,2022 L. J MAP PREPARED NOV.15.2022 $t `\\` �ttiS.c�t4 \��`\` .5$, ^*.w,r^x' `♦ RECORD OF REVISIONS cord OP ReVISIonB DATE of l C r ongs. NB(.02pOw 60 O 50 60 120 180 E / Scale.I°= 60' J JL,5 NO.2022-0212 J DWG.20I5_OIIB3022_0212Js I OF 5•.�wcnr s« ■.n°rucvr r°uno Q•— A.— rarer V