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1000-86.-1-9.5
i OFFICE LOCATION: ®f so�� MAILING ADDRESS: Town Hall Annex �® �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ® � Telephone: 631765-1938 Southold, NY 11971 eou ,� 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 August 16, 2023 Re: LWRP Coastal Consistency Review for ZBA File JANET VAN ADELSBERG#7825 SCTM No. 1000. 9(o. —I —q.5 JANET VAN ADELSBERG #7825 - Request for a Variance from Article III, Section 280-15 and the Building Inspector's June 13, 2023 Notice of Disapproval based on an application for a permit to construct an accessory structure; at 1) located in other than the code permitted rear yard; located at: 4297 Wells Road, (Adj. to Richmond Creek) Peconic, NY. SCTM No. 1000-86-1-9.5. 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 CONSISTENT with the LWRP. 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 OF SUS Southold Town Hall Leslie Kanes Weisman, Chairperson O�� Ty�l 53095 Main Road•P.O. Box 1179 Patricia Acampora 0 Southold,NY 11971-0959 Eric Dantes [ Office Location: Robert Lehnert, Jr. y Town Annex/First Floor Nicholas Planamento �Q 54375 Main Road(at Youngs Avenue) COU T1 Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 June 27, 2023 RECEIVED Mark Terry, Assistant Town Planning Director JUN 2 7 2023 LWRP Coordinator Planning Board Office Southold Town Town of Southold Planning Board Town Hall Annex Southold,NY 11971 Re: ZBA File Ref. No. #.7825 van Aldesberg Dear Mark: We have received an application to construct an accessory structure. 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 Chair'\9- �� person Encls Survey/Site Plan : Ural Talgat Date : 6/15/2023 L 7S FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: June 13, 2023 TO: Ural Talgat(van Adelsberg) 436 71h Street Greenport, NY 11944 Please take notice that your application dated May 9, 2023: For permit: to construct an accessory structure at: Location of property: 4297 Wells Road, Peconic NY County Tax Map No. 1000—Section 86 Block 1 Lot 9.5 Is returned herewith and disapproved on the following grounds: The proposed accessory, on this conforming 114,253 sq ft lot in the R-80 District is not permitted pursuant to Article III Section 280-15 which states accessory buildings and structures shall be located in the required rearyard The accessory is located in the side yard Authorized b ure ote to f ppiicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. OC-: fide, Z.B.A. Fee:$ Filed By: ., —Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No. 4297 Street Wells Road Hamlet Peconic SCTM 1000 Section 86 Block 01 Lot(s) 9.5 Lot Size 2,6229 ne Zone R80 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 5/9/2023 BASED ON SURVEY/SITE PLAN DATED 5/3/2023 Owner(s): Tanetvan_Addshera Mailing Address: 420 Riverside Drive,Apt. 5B,New York,NY 10025 Telephone: 917. 8.2-9,961 Fax: Email: j.vanadelsberg@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: Ural Talgat for( ) Owner()}Other: archit .ct Address: 436,7th gtreet, (Trepnp nrt�NY 11944 i Telephone: 631_47 -8A6l Fax: Email: ura]59@hotmail.com Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), (]a Authorized Representative, ( )Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 5/3/2023 and DENIED AN APPLICATION DATED 5/9/2023 FOR: ()o 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: III Section: 280 Subsection: 15 Type of Appeal. An Appeal is made for: ( );A Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law-Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Reversal or Other A prior appeal(Xhas, ( )has not been made at any time with respect to this property,UNDER Appeal No(s). 6783 Year(s). 2014 . (Please be sure to research before completing this question or call our officefor assistance) Name of Owner: ZBA File# Janet van Adelsberg #6783 9/23/2014 REASONS FOR APPEAL (Please be speck,additiondl sheets may be used with preparer s signature notarized): 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: The proposed new accessory structure,will be in keeping with the same design of the houses and accessory structures in the neighborhood. The proposed design of the new structure will be in keeping with the architctural styles in the neighborhood and the North Fork 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: Proposed accessory structure to be located away from wetlands as far as feasible. 3.The amount of relief requested is not substantial because: The accessory structure is located within the principle structure setbacks. 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: The proposed accessory structure is located so that the wetlands impact is minimal. 5.Has the alleged difficulty been self-created? { }Yes,or{XNo Why: Are there any Covenants or Restrictions concerning this land? {)t No { }Yes(please furnish 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 community. Signature of Applicant or Authoriz Agent (Agent must submit written Authorization from Owner) Swor4to before m s c7 day of 120 Richard0 Nortcanow No tary Public,State of New York Qualified inNSuff Ik Co niy M7/Commission Expires June 2f.20112,1� 0 APPLICANT'S PROJECT DESCRIPTION APPLICANT: Ural Talgat for Janet van AdelsbergDATE PREPARED: June 15,2023 1. For Demolition of Existing Building Areas Please describe areas being removed: none H.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: See Floor Plans (Sheet A-1) Dimensions of new second floor: none Dimensions of floor above second level: none Height(from finished ground to top of ridge): Is basement or lowest floor area being constructed?If yes,please provide height(above ground) measured from natural existing grade to first floor: no 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: 10.3 ft x 15 ft Rectangular Gazebo:one floor,unenclosed, covered,no plumbing,no heating, no cooling,open on 3 sides,used for storing garden equipment/tools and sitting. 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: 3,560.1 sf Proposed increase of building coverage: 155 sf Square footage of your lot: 114.253 5 sf Percentage of coverage of your lot by building area: 39% V.Purpose of New Construction: 10.3 ft x 15 ft, 155 sf - Gazebo-unenclosed, covered,no plumbing no heating,no cooling, open 3 sides. Used for storing garden equipment/tools and sitting. 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): Flat 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 QUEsrrIONN"'AIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes X No B. Are there any proposals to change or alter land contours? X No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? yes 2.)Are those areas shown on the survey submitted with this application? yes 3.) Is the property bulk headed between the wetlands area and the upland building area? no 4.) If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? yes Please confirm status of your inquiry or application with the Trustees:_ pending and if issued,please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? no E. Are there any patios, concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? no Please show area of the structures on a diagram if any exist or state none on the above 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? no If yes,please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel single family with pool and garage and the proposed usesingl f_e_amily pool,garage• same with new unenclosed covered structure (sitting area/ sr�;ng garden(ex: existing single family,proposed: same equipment,tools) with garage,pool or other) Au orized signature and Date f o��1yEFUL���� Town of Southold " 9/.19/2021 P.O.Box.1179 a _ 53095 Main Rd y��ar� app,"fi Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42359 Date: 9/19/2021 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 4297 Wells Rd.,Peconic SCTM#: 473889 Sec/Block/Lot: 86.-1-95 Subdivision: Filed leap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/21/2021 pursuant to which Building Permit No. 46504 dated 6/28/2021 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: expansion of roof-mounted solar panels to existing ingle-family dwelling as applied for The certificate is issued to van Adelsberg,Janet of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE N®. 46504 8/2612021 PLUMBERS CERTIFICATION DATED Aut on ed ig ature Town of southnIil ' 10/11/2020 P.O.Bog 1179 w A 53095 Main Rd a Q �o it Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41523 Bate: 10/11/2020 THIS CERTIFIES that the building GENERATOR Location of Property: 4297 Wells Rd,Peconic SCTM#: 473889 seclBloc"ot: 86.-1-9.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/3/2020 pursuant to which Building Permit No. 45097 dated 8/11/2020 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: accessorygenerator as applied for. The certificate is issued to van Adelsberg,Janet of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF]HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45097 10/1/2020 ]PLUMBERS CERTIFICATION DATED Authorized Signature MRTown of Southold 4/9/2018 A - P.O.Box 1179 53095 Main Rd Southold,New York 11971 �k CERTIFICATE OF OCCUPANCY No: 39585 Date: 4/9/2018 TMS CERTIFIES that the building IN GROUND POOL Location of Property: 4297 Wells Rd.,Peconic SCTM#: 473889 Sec)Block/Lo$: 86.4-9.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application.for Building Permit heretofore filed in this office dated 8/28/2017 pursuant to which Building Peru No. 41921 dated 8/28/2017 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 IN-GROUND SW &WING POOL FENCED TO CODE PER ZBA DECISION#6783 DATED 49-18-2014,AS APPLIED FOR The certificate is issued to van Adelsberg,Janet of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTMCA.TE NO. 41921 02-22-2018 PLUMBERS CERTIFICATION DATED s uth ed Signature `j U Town of Southold 8/30/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38482 Bate: 8/30/2016 THIS CERTIFIES ES that the building SOLAR PANEL Location of Property: 4297 Wells Rd,Peconic SCTM#: 473889 Sec/Block/Lot: 86.4-9.5 Subdivision: Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/20/2016 pursuant to which Building Permit No. 40730 dated 5/31/2016 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: ROOF MOUNTED SOLAR PANELS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to van Adelsberg,Janet of the aforesaid building. .SUFFOLK COUNTY DEPARTMEr OF.HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40730 08-10-2016 PLUMBERS CERTIFICATION DATED Authorized Signature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town. Flail Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-30170 Date: 05/03/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 4297 WELLS RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 1 Lot 9.5 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 9, 2002 pursuant to which Building Permit No. 28835-Z dated OCTOBER 16, 2002 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 TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to MICHAEL & JOANN NICKICH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/g PLUMBERS CERTIFICATION DATED N/A A horized Signature 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: Z-30169 Date: 05/03/04 THIS CERTIFIES that the building NEW DWELLING Location of Property: 4297 WELLS RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 86 Block 1 Lot 9.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 9, 2002 pursuant to which Building Permit No. .28835-Z dated OCTOBER 16, 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH FRONT AND REAR COVERED PORCHES AS APPLIED FOR. The certificate is issued to MICHAEL & JOANN NICKICH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-02-0049 03/25/04 ELECTRICAL CERTIFICATE NO. 3709 01/23/04 PLUMBERS CERTIFICATION DATED 02/06/04 CHARLES ANDREWS th ized Signature Rev. 1/81 BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson � df$O53095 Main Road•P.O.Box 1179 Eric Dantes �O Southold,NY 11971-0959 > tt Office Location: Gerard P.Goehringer CA yc Town Annex/First Floor,Capital One Bank George Horning • Y 54375 Main Road(at Youngs Avenue) Kenneth Schneider ���CdI1I1I� r Southold,NY 11971 bEtp://Southoldtown.northfork.net ZONING BOARD OF APPEALS RECEIVED TOWN OFSOUTHOLD f/, Tel.(631)765-1809•Fax(631)765-9064 aldP , 5 •thoid Taw 41erk FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF SEPTEMBER 18,2014 ZBA FILE# 6783 NAME OF APPLICANT:Janet van Adeisberg SCTM#1000-86-1-9.5 PROPERTY LOCATION: 4297 Wells Road(adj.to Richmond Creek)Peconic,NY SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type 11 category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COLrNgY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated August 19, 2014 stating that this application. is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP-DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated August 21, 2014. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION: The property is a code conforming 2.6229 acre waterfront parcel located in an R-80 zone district. The parcel has 393.04 feet of frontage on Richmond Creek. The parcel runs 325.19 feet on the North side, 368.66 feet on the East side, and 380.07 feet on the South side. The parcel is a flag lot. The property is accessed by a gravel driveway which leads to Wells Road. The property is a developed parcel with a 2 story frame residence, an accessory frame garage, and a wood dock. A large section of the property is a wooded area. All is shown on a survey by Frank Barylski,L.L.S.dated September 10,2013, last revised 9-10-2014. BASIS OF APPLICATION: Request for Variances from Article III Section 280-15 and the Building Inspector's July 16,2014 Notice of Disapproval based on an application for building permit to construct accessory shed and in- ground swimming pool,at; 1)proposed location other than the code required rear yard. RELIEF REQUESTED: The applicant requests a variance to construct a swimming pool partially in the side yard and to construct a storage shed in a side yard. Code requires that accessory buildings and structures or other accessory uses shall be located in the required rear yard or in the case of water front properties a front yard location meeting the principal setback. . .............. . r Page 2 of3—September 18,2011 ZRA File 6783—valkAdelsber; 5CTIM1000-86-1 ADDI'T'IONAL INFORMATION: A site inspection showed that the land east of the applicant is a farm. The applicant only has one neighbor on Southern side. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on September 4,2014 at which time written and oral evidence were presented. Based upon all testimony,documentation, personal inspection of the property and surrounding neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law§267-b(3)(b)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The lot is a flag lot which is not visible from any public road. The neighbor to the South has plantings which provide screening between the properties. 2. Town Law 4267-b(3)(b)(2).The benefit sought by the applicant can be achieved by some method, feasible for the applicant to pursue, other than an area variance. The applicant could build the swimming pool and the shed into code conforming rear yard or front yard locations. However, if the applicant moved the pool and shed to a code conforming rear yard location, the pool and shed would be closer to the wetlands than its proposed location. If the pool and shed were moved to a code conforming front yard location it would require a 60 foot front yard setback which would place them 10 feet from the dwelling and in the area of the existing septic system or driveway. 3. Town Law 4267-b(3)(b)(3), The variances granted herein are mathematically substantial, representing 100% relief from the code. However, the proposed pool and accessory shed are located as far away from the wetlands as is practicable. 4. Town Law 4267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply N,vith Chapter 236 of the Town's Storm Nater Management Code. 5. 'Town Law 4267-b(3)(,(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a swimming pool and stied while preserving and protecting the character of the neighborhood and the health,safety and welfare of the community. RESOLUTION OF THE BOARD: In Considering all, of the above factors and applying the balancing test.under New York Town Law 267-B, motion was offered by Member Dantes,seconded by Member Goehringer, and duly carried, to GRANT, the variances as applied for, and shown on the survey by Frank .Barylski, L.L.S. dated September 10, 2013 and last revised September I0,2014,and the 14'X 20' shed plans four pages date stamped received by ZBA on Sept.4,2014. Subject to the following conditions; CONDITIONS: 1. Pool mechanicals shall be placed in a sound deadening enclosure. 2. Drywell for pool de-watering shall be installed. That the above conclitions be written into the Building Inspector's Cei-ificate of Occupancy, when issued. r Page 3 tai'3—September 18,2014 Z13A File 6783—vanAdelsberg SCTA-01000-86-1-9.5 Anv deviatiori ftom the survey, site plan andlor architectural dralvings cited in this decision will result in delays andlor a possible denial by the Building Department of a buildingperinit, and may require a new application and public hearing before the Zoning Board of Appeals. Arty deviation froin the variance(s)granted Herein as shown on the architectural drawings,site plan andlor survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses., setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de mh rods in nature,for an alteration that does not increase the degree of nonconformity. Vote oj'the Board.- Ayes: Members Schneider, Coehringer. Dantes. Nay: ,1leinber Horning. Absent was: Alember Weisman (Chairperson). This Resotu ' Evas d ly adapted(3-1). Ke neth Schneider, Acting Chairperson Approved for filing I�.z,.t2014 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 Ural Talgat for Janet van Adelsberg 2. Address of Applicant: 420 Riverside Drive, Apt. 5R,New York,NY 10025 3. Name of Land Owner(if other than Applicant): 4. Address of Land Owner: 5. D rigionoof Pro ed Prpject:New accessory structure 10.3ft x 15ft, 155sf Gazebo: f��n ose , cove e ,no plumbing,no heating,no cooling, open 3 sides,used for storing 6. Location of Propert�y', (road and Tax map gardening equipment/tools and sitting number) 4297 Wells Road,Peconic Tax Map#1000-86-01-9.5 7. Is the parcel within 500 feet of a farm operation? {4 Yes { } No 8. Is this parcel actively farmed? {X} Yes { } 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. Tax Map#1000-86-01-9.3 Pellegrini Peconic LLC, 23005 Route 25,Cutchogue,N Y 11935 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) zolz- -- -C 1 4VI 190237 Signature of Applicant Date Note: 1. The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2. Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. 61Z20 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 l 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. I Part l -Project and Sponsor Information Name of Action or Project: van Adelsberg Garden Gazebo Unenclosed Accessory Structure Project Location(describe,and attach a location map): 4297 Wells Rd, Peconic, NY 11958 Brief Description of Proposed Action: New accessory structure 10.3 ft x 15 ft (155 sf) Gazebo: unenclosed, covered, no plumbing, no heating, no cooling, open on 3 sides, used for storing garden equipment/ garden tools and sitting. i Name of Applicant or Sponsor: Telephone: E-Mail: • (917) 282-2961 Janet van Adelsber g _ �.vanadelsberg@gmail.com Address: 420 Riverside Dr Apt 5B v __ City/PO:V i State: f Zip Code: New York f NY 10025 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: Southold Town Building Permit, Southhold Town ZBA, New York State DEC E 3.a.Total acreage of the site of the proposed action? 2.62 acres b_Total acreage to be physically disturbed? fl 004 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 2.62 acres _....... -- .._.........--_---- _..... _..._._......_.--._... _.... ._...... -- -- - -..._.. -----_-- d. Che1 land us at occur on,adjoining an ar the propqSC4action. Urban Rural(non-agriculture) Industrial Commercial ✓❑Residential (suburban) Forest Agriculture Aquatic ❑Other(specify): ]Parkland Page t of 4 5. Is the proposed action, NO j YES. a. A permitted use under the zoning regulations? I B� ✓ b.Consistent with the adopted comprehensive plan? l �/ 6. Is the proposed action consistent with the predominant character of the existing built or natural No, YES.= landscape? ✓ _ 1 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Brea? NO _ . YES If Yes,identify:.__-- —. ___— —--- y ❑ i 1. . lIS. a.Will the proposed action result in a substantial increase in traffic above present levels? , 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 ofthe proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? N� YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing publictprivate water supply? Nb. ? '(ES If No,describe method for providing potable water. _ _ _ - _ o ❑ no Dota6le water.at structure___: ._ V t 11.Will the proposed action connect to existing wastewater utilities? NO If No,describe method for providing wastewater treatm6nt: no waste water system at structuzlfe ✓ - _ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic 1 ® YES._ Places? ! b. is the proposed action located in an archeological sensitive area? ' ✓ - i 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain .NO.. i..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? ✓ ..3 If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:.--.,------ 3 � Ll 14. ntify the typic bitat types that oc n,or are likely to be found on t"roject site. Check all that+apply: Shoreline H Forest Agricultural/grasslands LJEarly mid-successional Wetland Urban d Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NQ 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? If Yes, -" a. Will storm water discharges flow to adjacent properties? — INfl DYES ❑ O b.Will storm water discharges be directed to established conveyance systemspff an *^-m drains)? If Yes,briefly describe: tIlu�i�lyy-O ✓ ES _auttecs/l-eader_s_to._catckl_basill. -- __-- ----------_-- ---___._. I Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impou7ofNO I 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? 1f Yes,describe: � ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE REST OF MY KNOWLEDGE Applicant/sponsor name: Ural Tal at Date: 6"� Signature: Part 2-Impact Assessment. The Lead Agency is responsible forthe completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I 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 I. Will the proposed action create a material conflictwith 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? ❑ .i. 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 El 1—Jestablishment 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? S. Will the proposed action impair the character or quality of important historic,archaeological, F-1 El or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, E]waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 iNto9 or^ Modest j: small to large impact :, impact may may ................................... . . 4JCCIar occur J.. 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? I I_ 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 Pant 3. For every question in fart?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. ------------- Checkthisbox if you have determined based ori.the iinformation a»d analysis above,and any supporting do0umentation, 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, n that the proposed action will not result in any signiflbant adverse environmental impacts. [ To%6 of Sou hold-Board of T rustees [ Name of Lead Agency Date 6 President... f Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer 1 Signature of Respcn�ffcer to Lead Agency Signature of Preparer(if different from responsible Officer) Page 4 of 4 Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) Janet van Adelsberg I, residing at 420 Riverside Drive,Apt. 513,New York,NY 10025 (Print property owner's name) (Mailing Address) do hereby authorize Ural Talgat (Agent) to apply for variance(s)on my behalf from the Southold Zoning Board of Appeals. (Owner's Signe) Janet van Adelsberg (Print Owner's Name) r 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: van Adelsberg,Zg n ef' (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance X Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning 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 noncorporate 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 Signature Print Nam Tanet van Adel erg 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: Talgat,Ural (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.) r TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance X Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning 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 this W day ofV 20 Signature �_f � Print Name Ural Talgat 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 si igr ficant beneficial and adverse effects.uvon the coastal area(which includes all of Southold Town). 3. 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 detaili 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# 86 _ 01 9.5 PROJECT NAME van Adelsberg Garden Gazebo Unenclosed Accessory Structure The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑ Z B A 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land iransaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: New accessory.structure 10.3 ft x 15 ft.(.155 sf) Gazebo: unenclosed, covered, no plumbing, no heating, no cooloing, open on 3 sides, used for storing garden equipment/tools and sitting. Location of action: 4297 Wells Rd, Peconic, NY 11958 Site acreage: 2.62 Acres Present land use:. Residental Present zoning classification: R-80 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: Janet van Adelsberg (b) Mailing address: 420 Riverside Dr Apt 513, New York, NY 10025 (c) Telephone number: (917)282-2961 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 0 No❑ If yes,which state or federal agency? NYS DEC 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 ❑ 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 0 Yes ❑ No R1 Not Applicable There are no historic or archeological structures on property. 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 ❑.Non❑ Not Applicable Building structure is in keeping in style and scale of neighboring structures. 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 ❑ YesE] No R1 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 0 Yes ❑ No ONot 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 Fv-1 Not Applicable . r No development will take place in the"protected"or"natural indigenous environment'. Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. F] Yes 1:1 No Fs/] 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 F] No 0 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 evaluati®n criteria. —� El WE] No 0 Not Applicable No public land involved. Littoral access unimpeded. Attach additional sheets if necessary WORIUNG 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 LVVRP 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 LMW Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable There are no agricultural lands on site. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LVVRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No❑✓ Not Applicable PREPARED BY Ural Talgat TITLE Architect DAT -�.� �� �° ^��. .:c„ ;+k.- .,. ...,.�.-� � � � � � 1 t "�• rte.. ; Zt 4E" ?� 'C*.• ., �,'!;"�:r.�p^;'i".�:.•Ate- f i f t a 86.-1.9.5 101209.6 M: ?nyr M` ` .' Cad;,1" psr: y: 4; a`;: ;T Foundation. c Bath r Dinette ,�,;��.�,�,;.�•, ._ - . ._.,_�_._--�. _._._..—.- ..___---�-- -'_-_ _...._._.. rug `_' Extension its ,, .., ;a Basement g.,aAwt F{gars . : % , .'.. ' f. '4� ! � � Cit. t Exterlsion „ d.e ;'. ext. Walls Interior Finish �. 1 . C151.d.;.: ...:. .1.. ,•..,,, .y..'.,�>'..,..,,:;:..t..,,....._ ...,...,_ ,... '.'t�'„' �IrE' Plr'iCG' Heat , t ,,46ti ve 4 5 °±Xz ( to "gym �. V.' ?4"Y°C'n15 Woodstove BR, yy f z' °`°'x T :Dormer Porch x ,: =j •.r t;_, ' °, Fin. B. Attic. ,�._,.n-.._,... � •---�.-� ;;Va._ __ __�__._._� ...� .,_.M.___._..._ .�-.. �.,,.ate, :ere'ezewakYs Rooms 1st Floor Garage a v Driveway Raa.ms.2nd Fioor j. PQoi,'(V . 4""S:"..";" yx� _7 ^ . . .....:.. ao TOWN OFSOUTHOLD PROPERTY RECORD CM, �i-kfi OWNER STREET r'..:? `` '-} r'... —VILLAGE �DIST. S.ug, OT f � l:r•, .?.."."' J;">•� y.. .�^� ;ri..� _.t�� rl,,.,a�,�. .:` J. , N ACR. z. ,�.: REM/ AKS r. .r TYPE OF RLL : f , :'t .•.fM :. �. .�. a.`, 4. 4 KY:�7 h: q,+«.:rpt. Y.� !���Tr'�'Y�'�e�`.� � -�t� ry F - - �_ 4�.":3 M'"d 1•�. :;/ .�b: x.' �>s(� _ _ ,1•,.,y t ,l(�: d;':,{ !'^. '�' t ^>.i,.a a ,v�cr_..N'f ,,S._T_y�' :..:.{. ~A ,� —_ 1�. hR._____..:t• e- „i`�`".�."`�_—,_.._._„ z�'c. PROP. CLASS cy � '. ' >:f,;. rte; ;"�-�--s; {a i f���`.3 t.�',:<,j.' •L.�. ? .zxa' ',.s„�,=:. .-+,•,-,+._ -,_.,,.._-_ AND _ IMP. _ TOTAL DATE �� ��� i`��;3. a�.�.w �,. �'"A, {,f;,..ir t"l N n..'d',.J. r: .. r"F t y "�.�q r' � ..+..�r '1,``rs�.. �?r•::j,�;.<::'•: Vit;�. i ^y M s� 't'6. f�,f ��. .I d �hf'1 ''�'( `e•?'' 1'h ����-"'�� n j , ✓" .,. ^,.,•!d'� � ...:.t�'..��.:et... ., ••.4 2'. •::. ,".%' '(' f �� ak .{V'' .t ��mh :'% .lr",. { p_ `kf t't:.:.t�,,. ,r..' ,f�i. s'• 3" J:K .. •fF,a{f'" a fix- a,��')"...,.:C4�}�, f >' '€r'.:,a,:'rn ¢„ A-ujY' �. Nw.. k'Pr'�.'. b V•t F. 9 5�'.`J.. _,._.....-._. ,._—� _�.ri, r h�.. i✓'`4- ,.��. .,.�, ��r �, A.�^ '„j :? �H :�,�,wrr,^.�My. � .��• rA e' x. @it ��f �.:+y. �. ;:Jg.. f°..,, t�,. hL t:'� .,,. �fi �. P t. ta't.F... ,.r�� as � ��m s+' u �,4' 't�`!•.`�`d„ed,.t fi'�. �t�:r�v�...__.�_"�` ..='e: —_� ' -.yam .,-r�.:r,�--• r f,: ..R y.,a „r k `^” .f r" r""«'� 1'. y,h..:.'�:'�''Y„ t o ~F t"'"'.JA' :!^';� ✓":da' 'a'"1• i>y. .'g,,* ir'.s'lr�'x`.¢�' ' ti.•`�� _ bn+` ..MS<� .f �"„_�..�:� .�: "".`;¢'+ '(� m” .�,•,_,,, °';.,a�"3` ..cu,rt,,,,X'�..:......�.... ^�n,.�_�`z F:'k� �,�, ;(":=�=�t: ,tt'''' _....._.._.._.......�__..r. -��-,y-7 .r".. , ✓ ,t;y„ ,:f k"`fi.3:"' v`.i• t. z ✓ 1{y > ✓:� ,:rf .�', ,x tsa.�j'�,#' . a� R..�t, va # r 4 �. w sf''s,;, .., ..�x.. yz�Y .. 1 _�•. ' j��'s•-- � •re� � 3 e'��fi�,�:!'r- ,,:,, 't. �e°•'�.,� � .,�' .u' �" .r'.'u�p,.',,.':t'; r' S X � Ny P r aT'� .b :�':.l ti i.:f�" .K F., T�'W `ca' =,1 mt^v t`~ 7 '�e � � �.e'" 1�,�. �g,dy}�Y� y. f f �:x...y.:� �,., f+'.F• y� Yy �V LL q 9 L (( r` " r k i S Sfi '^i✓'w$w isY«7 L drab. ` 'de K,.r •....._...-.___.- _. 4�� � �x� �.rn,, �� Z ��' ���.7�µnp" � •F� �,...•.l'.+',.�.--_-_-^��.:-- �*' �,._L7DD '��..____._..__..�,�..,.-...-.•,__...._.....-....._....,.... , f. • a. FROTTAGE ON WATER a's ' TILLABLE. '.x..';.-MOODL,AND .:r MEADOWLAND BULKHEAD HOUSE/LOT TOTAL _— 6 ' m' r1�. nt r ALI I' .1 ,�• 4 ♦f j ♦ r 10b 1 ri m van Adelsberg — #3, view looking East —April 14, 2023, 4:15 pm 1 _ , C _ '� �; •kik _x+,'},7,. -. , .i. _� - .3 %� ••'� p,+,,.r^r m'1'µ�.> > . ✓" �( A7€. .1•w' van Adelsberg — #4, view looking North —April 14, 2023, 4:15 pm ' SEE ' �(7 � �.' SEE SEC NO 075LINE MAA •'i'�;V MATCH #', 0 1 ��..yy�� PECONIC LAND TRUST' Vlj�iA A [s6eA.5, 290A rrouw Of SOU-OLD i,g. . 2.2Mc1 UNIy,' \\\"`.....111,,,®®® • ��J lEDSTAE05TATE5 G 'I OEVELOPMENTR/GMTSI (RESERVED AREA'O) 10.13 rn yw 15A ,y p0 ,ar 427 10 14 ta. '. ...Nx E; 3 SA 1 SA s s ,y w, 2.1A(c) .YA.� 93 108 i 37.3A 20µC1 i ,` ,, ,A �. '. '� 11GN1Y OF SOUTNOLD - ',a'rw 3tA OEVELOPMENTRIOHTS) .✓.' ,�',, �,.✓ f yr n i' ?, •� sp i..fY A�1 ,t• 4 w 11 �� 3 '' a. •nA q9 11112 r.. ,x105c1 A` a: ??! All 1.21`1 9.8 5 ho '6' w ,q10iA 18 d re° t t tµ0) 428 A' +. t• E ra 9.5 102 0 ', a rA 15 �Eo PiiF1' 'r 2 SA . q, I. 6 94 2.91 3� -,_ 141 .f 13 �... .Y .._. '_...� .�,` 10 28.4 12, ai� +a. xr�.. •`^ '` 1, 18q(c) 12.7 •_ TT TOWN OF SOUTHOLD .uws,nwRTrw_aw . 2 .� ; t Aµc\ . .3�`" •�uk'Y� ip, ?.S = 14 � 13 1 04(q 3•' 2 99 R/� CREEK \ 1 2y,Lel rs H,yDiy� E,� 2 �O19A 112 "3,a s, t SA(C) V" u, 63 ti.`,'I 1TPlc1_•t1,- eP,Yw'.. }12µc1 ..e 1 3 5 �. aw i4 '* -R 115 a 1.11A(c) rn - r 3 4 �`4 •.� AAW 10 ` r vt, y 30..x ,E a19, �85 11.5 s 2 .,'�n�•1-'� ..• -' "' ii7. 4 ea '19 1.7P .� n 8J1 1318 .N_,,,,/. . w », R 1g4.1 17 a s • 1 i� 1.7A '1, 2 51% I30 .. •a µc1 TL 5 a� •�' 51.SA 1.13A ., T., r. Q 17µc1 a: a�•� 1 cl n, 2 y • .N - TORP CEL tar 3S - `a t► ' _-'' 14.3 [GRH OF 8-OU 2 •-' SEE SEC x0 ' 15P _ 1y t%' ,O .?e� 3 6. b 0364 d, Y '•'' ' •N S mi 1a.20 FOR PCL.NO. ~- �& yl ' a42 2.2A WE 8£C'NO 2.3 �i 1.aA PCL 9 1.8A 1NC� FOR ND. •'� �2 � 7 a '- - ,'r,� �• .'' SEE SEC NO a,N1A1CN UNE'., ,6 t �•" 'MATCH OSbSSO1T5 �pJ� s1r ..0 a✓�g MATCH LINE >i SEE SEC NO.U08. 4.3 A I SA WTCM I SEE SEC,I 13 Q COUNTY OF SUFFOLK © N NOTICE 12.1 A(4)u,21A Real Property Tax Service Agency NWN7BUTIONF ANY PC------- .. t7,Na) W rxsTR1a311DN aF xn Pc 30)cem'r a-,,R,rr•h.aL.NY 11901 SUFFOLK COUNTY' h 0 m 10o WITHOUT WRITTEN PEW ----- Fee .5 REAL PROPERTY TAX SE SURVEYED FOR: JANET VAN ADELSBERG PROPERTY LOCATED AT PECONIC LOT No. 2 AS SHOWN ON CONC. MAP OF RICHMOND CREEK FARMS: SECTION 2 ,m MON. FILED: MAY 18, 1999: FILE No. 10282 LAND N/F TOWN OF SOUTHOLD Is, PELLEGRINI LOT 3 GRATE S60 PECONIC LLC. SUFFOLK COUNTY, NEW YORK 10 R'f< -% S.C.T.M. # 1000-86-1-9.5 13 F 2g rn� pp M.H.C. AREA = 2.6229 ACRES W7 ti SCALE: 1"=60' ti F CE' °F'p ^°j NOTE: THE EXISTENCE OF RIGHT OF WAYS. p� ��F ry `� WETLANDS NOT SHOWN FARE NOT S OF RECORD F ANYGUARANTEED. °fig,O � � '•. / � 6�6 6 F� ^RAF SSB o �p0 cR FEMA -mi3jsRp , GRAVEL < TOWN OF SOUTHOLD ro of rp I?5. q �� DRIVEWAY OR AREA OF 0' p FFR Topy lse FRAME Coll j�Fy MAP No. 360813 MINIMAL aF RFS GAR.y MOCOMMUNITY No. 36103CO162 H HAZARD ry I2. �'S. N O GRATE IS61 CVO 2 N o SA/0/yFR2 8) Box• Box \ h GEN. � ' IS•p � RF CF N , ® TREES \ fol DOELCV AWNF •.�Q�O �2S9RN FHc /W 6 �Fl Qj 6,7 ` i°�'�'•, '�' �;•.. \� aoo Qom° ��v? 8�. .� cR��F \ — \s RAD — 485.00 . AE s.e LEN = 184.49' 6, C,, 10 ROAD h RAD = 470.00' \ MAIN .S. RTE 25) •� � LEN = 178.78' O. \ TREES 75' WETLAND tj SETBACK 0 8 S 34055'31"E 55.35' EDGE OF ^ �� h LAWN a FENCE ; . 4468.9 WIRE ,� N 34055'31"W RICHMOND � °• ,� LOT 1 55.35' ^� CREEK S. 5 15.00'9"W �� � / 15.0 0' ti 0 WETLAND FLAGS BY SHAWN 9-IB-2013013 � O °O UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION sO° 0 V OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED )S �7, OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. (+ 1s,, R GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO / SURVEYED B Y: FCFI THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO s�, {� 2 VES THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION \ PAUL B A R Y L S K I LAND SURVEYING LISTED HEREON.ANO TO THE ASSIGNEES OF THE LENDING INSTITUTION GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL 0 PATCH 0 G U E N Y_11 2 UN? 7 INSTITUTIONS OR SUBSEQUENT OWNERS. 2023 PHONE 631-294-6965 zo CERTIFIED T0: h/h CHET VAN ADELSBERG FAX 631-627-3186 IC AGO TITLE INSURANCE SERVICES. TITLE No. C13-74' 4-14716-SUFF PAULBARYLSKIaYAH00.COM 9 eoard of Appeals FEBRUARY 5, 2023 5425 4 EXI5TINCG RESIDENCE • �� EXISTINCS r--;ARA&F- ' Sa 51 DE YARD 10 � � 60 NEW ACCF-,FSTRUCTURE \ 6' LAND N F G,MZEBO: UNENGLO5ED, C O\/EKED, NO S 2�' / \ �� '� ♦ F PELLEGRINI to s CE / PLUMNO COOL I NG /BING, NO HEATING, FEN � � � ,�'� PECONIC LLC. OPEN 5 SIDES, USED FOR STORING GARDEN EQUIPMENT AND SITTING. c� 6S 6\ i FF,�G� / `�� �\� y \ GRAVEL ♦q��C ° 4 FRAME DRIVEWAY \ 'QY GAR. ♦ �q 2 � � \ � � ,4 FF F RFS \ � \ \\ / 726 \ \ 0. 0 RCy FiV \ ♦ \ . O \ Q S o Sb t \ \ \`� EDGE OF CD LAWN RN FF�OF C'Q 3 \ S�y\\ '��� \ \ \�� \�� \\ � �TSO � ♦ S \ 1 4 \ ♦ q` \ \Oma, \ �� '` \ \ \ F� ♦ \ �o \\ \ `����` � •\ '•\ `� \ �\ EXISTING E3ARN ` °�,�� RAD _ 485.00 � \ \ �•\ ` � �r � \ LEN 184.49 \ AREA OF 10$ \ \\ 6� MINIMAL HAZARD \ � � } d �. ` � - ` \ \ / EXISTING BOOL o MAIN ROAD \ AE 6.0 '�q / � � Cd , �o �. ..— —..—.._..,. RAD = 47 0.0 0 \ (N.Y.S. RTE 25) SE LEN LEN = 178.78 .� 0" \ 75' .W TLANDS SETBA K \ 8 \ S 34055'31 "E \\ �� \ ` 55.35' \ \ EDGE OF \ LAWN O� �, 4468.99 ' 6 N 34055 31 W \ ��e AD 55.35 r4i - L A--kE'-A 4 S 55004'29 "W WELLS 15.00' SCTM # 1000-86.-1-9.5 WETLAND FLAGS ROAD PROPERTY: 4297 Wells Rd BY SHAWN BARRON ADDRESS Peconic, NY 11958 9-18-2013 OWNER: van Adelsberg, Janet o ` 420 Riverside Dr Apt 513 °° \\ New York, NY 10025 600 � \ , SITE: 114 253.5 sf = 2.6229 ac 76,6 76 •s Gy ♦ ZONING: R 80 SURVEYOR: PAUL BARYLSKI LAND SURVEYING RICHMOND PATCHOGUE NY 11772 CREEK 0. 0 LICENSE # 44224 DATED 2 / 5 / 2023 ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM I I"'E "PL A N SCALE: 1 "=30'-0" VA rk 2 Am&, AIM AuELSBtMG Rtollm) EIrmUt SOUTHOLD, NEW YORK DATE: 5 / 3 / 2023 REVISED DATE: 6 / 1512023 RFCFI�FD U RAL TALGAT 20 . `'�"2 X20 / n�,, 2 ARCHITECT 9eo'�rdof DEC PERMIT APPLICATION 436 7th STREET gppeaiS GREENPORT, NEW YORK 11944 TOWN PERMIT APPLICATIONS (631)477-8963 ASPHALT ASPHALT ASPHALT ROOFING 8001=1 NG ROOFING OP PA LS OPE F/1% lEL5 OP PA L5 N Nv ASPHALT ASPHALT ASPHALT ROOFING ROOFING ROOFING Or=N ON O N OPE PA HO EN ANE 5 PA L5 PA LS PA L5 - _ _ m m cn I E:1 OPEN G T OPEN OPEN OPEN OPEN OPEN OPEN = r rINA"'FEE R z03 1 "u" FUE E L EVAT I 0"No S I L"J" E IFE L"IE V A T 10 N S GAMFi�2 U S I mEJE ELEVAIION , r m m m SCALE: 1/2" = 1'-0" SCALE: 1/2" = 1'-0" SCALE: 1/2" = 1'-0" I5 ROOF STRUCTURE ABOVE E3 El 13 (bx6 \ / I \ / I TYP I GAL P05T \ ACCESSORY / \ 5TRUGTURE / GARDEN \ GAZEBO = / \ STRUCTURE / O d- I / \ / \ I / \ sold Nall for hanging tools solid Nall for hanging toffs is I GAEN GAZEBO STRUCTURE Bata I AT THE VA N AL")*' EL "h' wm% E 'n %Ajw"" " ' I ' Er" " � --- ------ -- - - � SOUTHOLD, NEW YORK DATE: 6 / 15 / 2023 -FLOOmm PLAN SCALE: 1/2" = 1'-0" URAL TALGAT ARCHITECT LANDSCAPE ARCHITECT 436 7th STREET GREENPORT, NEW YORK 11944 (631)477-8963